‘Shrinking my world really small’: How New Yorkers are coping with long COVID

Before the pandemic, Alisha had a marketing job at a cosmetics company and spent her free time exercising, baking and going out with friends. Since getting COVID at the end of 2020, she has been dogged by chronic fatigue and other long-term symptoms that prevent her from working or even walking to the end of her block on most days. Many of her outings involve commuting to doctors’ appointments like this one via Uber.

Hitting the pavement in Harlem with one of NYC’s street psychiatrists

Dr. Joanna Fried’s first client of the day on a recent hot June morning in East Harlem was a woman sitting on the curb in a wheelchair under a heavy blanket, which she pulled over her head when she saw Fried approach from across the street. As a psychiatrist with Janian Medical Care, a group that describes itself as the largest provider of psychiatric services to homeless and formerly homeless New Yorkers, Fried’s work is often an exercise in patience.

Side Hustles And Credit Card Debt: How NYers Pay For Mental Health Care

To afford therapy on top of her rent and other expenses, Miller has had to get creative. She has started taking gigs walking dogs, babysitting, and cat-sitting to supplement her income. The alternative medicine practitioners who Miller says also contribute to her peace of mind--a bodyworker and an herbalist--have agreed to accept help with marketing and logo design in exchange for their services. But with her therapist, bartering is not an option.