b"THE PROBLEM: POOR SLEEPChanges in sleeping patterns has also been a problemIn summary, COVID-19 has caused an obvious shift in with quarantine. More exposure to blue light sources (likethe way the world works, and, as a result, has introduced screens!), decreased physical activity, and a loss of dailychallenges to the way in which survivors of TBI and their routines are all contributing factors. The warmer weathercaregivers live. For those who find COVID-19 is affecting during summer and longer daylight hours can also affectthem currently, or for those who want to mitigate effects sleep quality.down the road, there are a number of strategies you can implement, no matter the season. From putting down your SOLUTION: KEEP UP A DAILY ROUTINEphone for a few hours to finally meeting that couple across AND PRACTICE GOOD SLEEP HYGIENE the road (from a six-foot distance, mind you), every little While it doesnt have to be as rigorous it used to be, keepthing helps. As this is the first summer in which our society your daily schedule. Be as productive during your normalwill be adapting to COVID-19 restrictions, knowing pos-active hours as possible, even if those hours arent spentsible challenges and their respective solutions will be key working. Limit screen time an hour before bedtime and usefor TBI survivors who want to maintain their mental and blue light filters. Keep your bedroom cool (low-to-mid 60physical wellbeing. degrees F). Limit the number of naps you take during the day, and try not to nap after 3:00 p.m.REFERENCESWilson L; Stewart W; Dams-O'Connor K; et al. The chronic and evolving neurological consequences of traumatic brain injury. Lancet Neurol. 2017;16(10):813-825. Jimnez-Pavn D; Carbonell-Baeza A; Lavie CJ. Physical exercise as therapy to fight against the mental and physical consequences of COVID-19 quarantine: Special focus in older people [published online ahead of print, 2020 Mar 24]. Prog Cardiovasc Dis. 2020; S0033-0620(20)30063-3. Holmes EA; O'Connor RC; Perry VH; et al. Multidisciplinary research priorities for the COVID-19 pandemic: a call for action for mental health science. Lancet Psychiatry. 2020;7(6):547-560.Qiu J; Shen B; Zhao M; Wang Z; Xie B; Xu Y. A nationwide survey of psychological distress among Chinese people in the COVID-19 epidemic: implications and policy recommendations [published correction appears in Gen Psychiatry. 2020 Apr 27;33(2):e100213corr1]. Gen Psychiatry. 2020;33(2):e100213. Published 2020 Mar 6. 21 The Noggin | 2020vol 5issue 2"