Ginny Estupinian PhD, ABPP

Hot temperatures are now normal and can affect mental health

This summer turned out to be a scorching one here in South Bay. We also can see that many parts of the world are experiencing an increasing frequency and severity of heat waves. While the physical health risks of prolonged exposure to high temperatures, such as heat exhaustion and heat stroke, are well-known, the impact of heat on mental health is often overlooked. However, research shows that soaring temperatures can significantly affect our emotional well-being and cognitive function.

In this article, we’ll explore the science behind how heat affects the brain and the various mental health issues that extreme temperatures can exacerbate. We’ll also discuss practical coping strategies for managing your mental health during heat waves and the critical role that mental health professionals play in helping individuals build resilience and overcome heat-induced stress and anxiety challenges.

By understanding the link between heat and mental health, we can take proactive steps to protect our emotional well-being and support others in our community who may be particularly vulnerable during periods of extreme heat.

The Science Behind Heat’s Effects on the Brain

Exposure to high temperatures can profoundly impact brain chemistry and function. When our body overheats, it triggers a stress response that activates the hypothalamus-pituitary-adrenal (HPA) axis, releasing cortisol and other stress hormones. These hormones can alter neurotransmitter levels in the brain, affecting mood, behavior, and cognitive abilities.

Studies have shown that heat stress can impair memory, attention, and decision-making skills. A 2021 study published in the journal PLOS Medicine found that extreme heat was associated with a significant increase in emergency department visits for mental health conditions, including anxiety, depression, and substance use disorders.

Furthermore, research suggests prolonged exposure to high temperatures can disrupt sleep patterns, crucial for maintaining emotional regulation and mental well-being. A lack of sleep can exacerbate existing mental health issues and contribute to the development of new ones.

The effects of heat on the brain can be particularly pronounced in certain populations, such as older adults, who may have a reduced ability to regulate body temperature and are more likely to have pre-existing medical conditions that can be worsened by heat stress. People taking certain medications, such as antidepressants or antipsychotics, may also be more susceptible to heat-related mental health problems, as these drugs can interfere with the body’s ability to cool itself.

Understanding the biological mechanisms behind heat’s impact on mental health underscores the importance of taking proactive steps to protect our emotional well-being during periods of extreme heat.

Mental Health Issues Exacerbated by Heat

High temperatures can exacerbate a wide range of mental health problems, making it crucial for individuals and mental health professionals to be aware of the potential risks during heat waves.

Some of the most common mental health issues that can be aggravated by heat include:

Increased irritability, aggression, and violence

Studies have found a strong link between high temperatures and increased rates of aggression and violence, both at the individual and societal levels. Heat stress can shorten tempers and lead to more conflicts and outbursts.

Worsened symptoms of depression, anxiety, and other mental illnesses:

For people already struggling with mental health conditions, extreme heat can intensify their symptoms. The discomfort and stress caused by high temperatures can trigger or worsen feelings of sadness, hopelessness, and anxiety.

Higher risk of substance abuse and suicide

Research has shown that rates of substance abuse and suicide tend to rise during periods of extreme heat. People may turn to alcohol or drugs to cope with the discomfort and stress, while the added strain on mental health can push some individuals to a breaking point.

Disproportionate impact on vulnerable populations:

Certain groups, such as older adults, socially isolated individuals, and those with low incomes, are particularly vulnerable to the mental health effects of heat. These populations may have fewer resources to cope with extreme temperatures and may be more likely to have pre-existing health conditions that can be exacerbated by heat stress.

Older adults are at higher risk of heat-related illness and death, with many extra hospital visits for kidney problems during heat waves. This suggests that the added stress from extreme heat may play a role in lowering kidney function in older adults.

It’s essential for individuals to be mindful of their mental health during heat waves and to take steps to manage stress and maintain emotional well-being.

Coping Strategies for Extreme Heat

While the mental health impacts of heat can be significant, several strategies can help individuals manage their emotional well-being during periods of extreme temperatures.
Some effective coping mechanisms include:

Staying hydrated and avoiding alcohol and caffeine

Drinking plenty of water and avoiding dehydrating substances like alcohol and caffeine can help regulate body temperature and reduce physical stress, which can, in turn, help manage mental stress.

Finding cool spaces and limiting time outdoors during peak heat:

Seeking out air-conditioned spaces, such as libraries, shopping centers, or designated cooling centers, can relieve the heat. Limiting outdoor activities during the hottest parts of the day is also important.

Maintaining social connections and checking on loved ones:

Social isolation can exacerbate the mental health impacts of heat. Making an effort to stay connected with friends and family, even if it’s through virtual means, can provide a sense of support and help reduce feelings of loneliness and anxiety.

Practicing relaxation techniques like deep breathing and meditation:

Engaging in relaxation techniques can help calm the body’s stress response and promote a sense of emotional well-being. Deep breathing exercises, meditation, or even simple stretching can effectively manage heat-related stress.

Knowing the signs of heat exhaustion and seeking medical help if needed:

It’s crucial to be aware of the physical symptoms of heat exhaustion, such as dizziness, headache, and nausea, and to seek medical attention if these symptoms persist or worsen. Untreated heat exhaustion can lead to heat stroke, which can be life-threatening and can also have serious mental health consequences.

By incorporating these coping strategies into daily routines during heat waves, individuals can take proactive steps to protect their mental health and build resilience in the face of challenging environmental conditions.

The Role of Mental Health Professionals

While individual coping strategies can effectively manage the mental health impacts of heat, it’s important to recognize when professional support may be necessary. Mental health professionals, such as psychologists and therapists, can play a crucial role in helping individuals build resilience and overcome challenges related to heat-induced stress and anxiety.

If you or someone you know is struggling with the mental health impacts of extreme heat, don’t hesitate to reach out for help. Contact my office at 408-844-802-6512 to learn more about available treatment options and support services in your area.