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Months of isolation and social distancing have taken their toll on Americans. But for the 30 million struggling with eating disorders, that stress can make them especially vulnerable.Mental health experts say as social distancing enters its fourth month, they’ve seen a dramatic spike in people seeking assistance. The good news, they say, is that there is help.Growing up in a conservative south Texas family, Eric Dorsa says not fitting a stereotypical masculine identity drove him into a dangerous relationship with food.“I developed an eating disorder as a way to cope with emotions and thoughts and feelings about myself that I couldn't express as a child,” said Dorsa.After 13 years of recovery, it’s still a battle.“It was the hardest thing I've ever done,” said Dorsa. “It is like a giant car crash going off in the middle of your life and you have no choice but to deal with it.”Dr. Ellen Astrachan-Fletcher is the clinical director of the Eating Recovery Center in Chicago. The international center treats eating disorders like anorexia, bulimia and binge-eating.“Does this pandemic and the isolation contribute to worsening difficulties with eating disorders? Absolutely 100%,” said Astrachan-Fletcher.She says for millions suffering from eating disorders, the months-long lockdowns and isolation from support systems is amplifying the problem.With grocery stores not stocking certain products, experts say that could be a trigger for people who need that normal routine and those specific food brands to help keep them on their recovery track.“The reality is we have to be flexible in this time because due to the pandemic things are not what we expect,” said Astrachan-Fletcher.People turning to food for comfort and social media messaging about weight gain are not helping.“When someone starts engaging with an eating disorder, they tend to isolate and that feeds the eating disorder,” said Astrachan-Fletcher. “So, the isolation and pushing loved ones away is one way the eating disorder grows.”The National Eating Disorders Association says it has seen a 74% increase in calls to their help line during the pandemic as compared to the same time last year.“Even though sometimes it feels like we're alone, you don't have to be and there are lots of people here to be there with you,” said Astrachan-Fletcher.Astrachan-Fletcher says it’s important to seek professional help, take a friend or family member with you when you go to the grocery store, and set up virtual online dates for meal-times or snack breaks.Dorsa says it’s important to find your helpers.“You're not alone and you're enough just as you are,” he said. “You don't have to show up any other way other than with what you have. And let people help you find the next steps for you.” 2769

Months into working from home, it’s time to check in with yourself. How is your work-life balance? Have you figured out when and how you work best? And when did you last shower?As work and home life meld, it’s difficult to maintain boundaries, stay productive and take care of your mental health amid the pandemic.Since work from home orders are likely to stick around for those lucky enough to do their jobs away from their workplace, now is a good opportunity to professionalize your work habits and find a sustainable setup for the coming months.Know yourself and work accordinglyYou may instinctively know when you’re at your peak performance and what conditions you need to achieve it. Some people are at their best right after they’ve had their morning coffee and settled in at a desk. Others might sleep in and then start work while still in bed.Clearly defining when and how you work best helps you set clear expectations for yourself and your colleagues.To understand when you’re most productive, career coach and entrepreneur Felecia Hatcher recommends conducting a time audit. Track your workday in 15-minute increments for one week. “A time audit is going to radically change your life personally, and then you get to showcase to your boss when your most productive times of day are,” Hatcher says.Keep track of your audit in a spreadsheet or a notebook, detailing meetings, lunch breaks, blocks of time dedicated to heads-down work, and stretches when you don’t get much done. This will reveal when you’re productive and when you might be better served taking a break, going for a walk or taking a power nap.Next, think about conditions that help you focus.Some need to sit in a specific spot to accomplish anything. Others might just need an internet connection, wherever that may be. Bari Tessler, a financial therapist who has worked from home for two decades, says that only you know how you work best.“Every day is different and you have to go with the flow,” says Tessler. “You just have to know who you are.” Ignore prescriptive guidance about not working from bed or getting dressed like you’re going into the office. Create the conditions you feel most comfortable with.Structure — and communicate — your balanceUse your insights about how and when you work best to flesh out your idea of work-life balance or something close to it. Then bring that plan to your colleagues for a candid conversation.“I always look at the equation of time, money, energy, family and health, and I make all my decisions from that,” Tessler says.Finding your personal balance might mean being more deliberate about what you’ve already been doing, or making changes.For example, if you found you’re not particularly productive during regular working hours, think of ways to mix it up. You might want to block out time midday to run errands or meditate. Or maybe you can work alternative hours, outside of the typical 9-to-5. This might be a necessity for parents as some school districts plan to start the school year with virtual learning.If you haven’t already, establish an ongoing dialogue with your manager and colleagues. Hatcher advises using what you learned during your evaluation to guide the conversation.“Structuring your time is about setting healthy boundaries personally and setting work boundaries,” Hatcher says. “And using what you learned from your time audit can help you have a data-driven conversation with your boss rather than anecdotal conversation.”You might have to make compromises, depending on job requirements, but you’ll be working from a good starting point.Give yourself a breakYou may have seen social media posts saying, “You’re not just working from home, you’re working from home in the middle of a global pandemic.” While that might come across as a little melodramatic, it’s true.Between managing personal and financial fears around the coronavirus pandemic and grappling with the national conversation around racial inequity, having to face your job as if everything is normal can be exhausting.Hatcher says: “Things are so weighty right now. … We’re so quick to say, ‘My life is falling apart but I gotta show up tomorrow,’ but no, don’t do that. Take a break.”If you’re feeling burned out by work or overwhelmed by the news, look into taking time off if your work situation allows. An internet-free staycation can help you unplug, center yourself and return to work refreshed.This article was written by NerdWallet and was originally published by The Associated Press.More From NerdWalletCan You Really Trust Your Payment App?Why You Might Not Want to Zero Out Every Credit CardWhat to Do When Your 0 Weekly Unemployment Check ExpiresSean Pyles is a writer at NerdWallet. Email: spyles@nerdwallet.com. Twitter: @SeanPyles. 4777

Musicians of the Nashville Symphony have created a fund to raise money for furloughed members due to the COVID-19 shutdown.The Nashville Symphony Players’ Assembly set up the fund on their website. They're raising the money for 83 members of the orchestra who are still on a furlough that could last a full year. Click here to donate to the Nashville Symphony members. "It's really terrifying. You have a lot of single parents in the orchestra," said Melinda Whitley, a long time viola player for the symphony.Whitley said she knows of at least two musicians who have had to sell their home because of the furlough, which started on July 1."No one prepares, not on a musician's salary, to spend a year with no income," she said.To encourage people to donate, and to continue to play their music, the Musicians of the Nashville Symphony have continued to play live music online. This past weekend an online concert was held at St. George Episcopal Church in Nashville.A number of concerts have also been planned to help raise money for the musicians."This is Nashville. And it's a very creative place and a supportive place. If we can continue to serve the community the best way we know how then they will continue to help us. That's the best we can do for ourselves at this point," said Whitley.Whitley said she's worried more musicians will leave the orchestra if something doesn't change soon. She's worried unemployment won't last them a whole year.This story was first reported by Kyle Horan at WTVF in Nashville, Tennessee. 1548

Moderna announced on Thursday that it had enrolled 30,000 participants in its Phase 3 COVID-19 vaccine trial, with more than 11,000 of those participants from communities of color.More than 25,650 participants have already received their second vaccination, the company said in a press release.The company added that the study also includes 7,000 participants over the age of 65.“Completing enrollment of the Phase 3 COVE study is an important milestone for the clinical development of mRNA-1273, our vaccine candidate against COVID-19," said Stéphane Bancel, Chief Executive Officer of Moderna in the news release. "We are indebted to all of the participants in the study. We would also like to thank the investigators and our partners at clinical trial sites, including our partners from PPD and the NIH, as well as the dedicated Moderna team for their support in completing enrollment. Moderna is committed to rigorous scientific research and the highest data quality standards. We will continue to work in collaboration with regulators to advance mRNA-1273, which we hope will help defeat the COVID-19 pandemic.”CNN reported that for Moderna to apply to the FDA for emergency use authorization, the following three things need to happen:53 of the 30,000 participants would need to become sick with COVID-19, which is expected to occur in the second half of November.40 of the 53 participants who do become ill with COVID-19 need to have received the placebo, which would show that the vaccine is 75% effective.Make sure enough time has passed to see if participants develop side effects.According to CNN, Moderna is the first company to start US clinical trials of a COVID-19 vaccine. 1696

Mortgage rates have been low for months, but currently, about 19 million homeowners who are eligible to refinance haven't cashed in.According to data analytics firm Black Knight, these homeowners have a credit score of 720 or more and at least 20% equity in their homes. They could save nearly 0 a month on average.A new survey by YouGov for Forbes Advisor found that 34% of homeowners say they’re not sure refinancing is worth it.A mortgage analyst at Forbes Advisor says one reason people may be hesitant is they don't want to deal with banks that are overloaded with applications right now.“Borrowers really need to advocate for themselves, so make sure that you call your lender if you haven't heard from them in over a week let’s say or just really stay on top of it and at the end of the day. If you're not getting the service that you want, there are many other lenders that would be happy to get your business,” said Natalie Campisi, Mortgage Analyst at Forbes Advisor.Another reason you should act now if you've been considering refinancing, is there's a new fee. It starts on December 1, but your loan may not be processed before then if you don't start the process now.“What you want to do is talk to your lender,” said Campisi. “If you decide to apply for a loan, ask them, say you know will you roll this fee into the cost of my loan, which some lenders are doing, and find out some lenders might be able to process your application before December 1.”Campisi says you can benefit the most from refinancing if you're not planning to move within the next few years. Also, if you have more than 10 years left on your mortgage.You also need to consider closing costs that can average around ,000. Most experts recommend you need to be saving at least 0 a month to make those costs worth it. 1816