Children's Hospital Colorado

Supporting Kids’ Mental Health: From Coronavirus Anxiety to Languishing

Most parents are appropriately concerned with keeping their families safe from COVID-19 and preventing its spread. But there is another aspect of this crisis that you should not ignore — its effect on your family’s mental health.

Now more than a year into the pandemic, ongoing news reports, the shifting impacts of the virus and changes in routine are just a few reasons you and your children may be feeling heightened stress, anxiety and fatigue during this time. With easing restrictions and the welcome news of safe and effective vaccines to prevent the virus, new emotions and anxieties about returning to “normal” may be surfacing, too.

Every emotion that you and your kids may be feeling is understandable and valid. What matters most is how you react to and manage these feelings. We spoke with child and adolescent psychologists in Children’s Hospital Colorado’s Pediatric Mental Health Institute to offer some tips to help you and your kids cope with pandemic-related stress and anxiety in a healthy way.

First, it’s OK to not be OK

You and your kids don’t have to pretend that living through the coronavirus pandemic has been fine if it hasn’t. This time has been hard on a lot of people and if your child is struggling with that, they’re not alone.

“In general, kids are feeling more stressed and distressed than ever before,” says Jenna Glover, PhD, a child psychologist at Children’s Colorado. “The major activities in their lives have been constantly changing during the coronavirus pandemic and youth have been faced with prolonged periods of trying to cope with the unknown.”

Additionally, many of the positive things that kids rely on to improve their resilience have been limited or taken away. This includes interactions with friends and classmates, developing more in-depth relationships with teachers and adult mentors, and inconsistent access to extracurricular activities. All of this together has led to increases in mood and behavior problems in our youth.

Mental health trends in children during the pandemic

Anxiety, depression and suicidal ideation

Dr. Glover says rates of anxiety and depression have more than doubled in youth during the pandemic. This has been accompanied by an increase in suicidal ideation. Suicidal ideation is often highest when kids and teens feel a lack of control and a sense of hopelessness about their current situation and the future.

It’s important for parents to remember that depression in young people can often manifest as irritability and anger rather than sadness. If your child is demonstrating a consistently low, sad or irritable mood for more than a week or having major changes to their sleep or eating behaviors, talk to your pediatrician to screen for anxiety and depressive symptoms.

Eating disorders

We’re also seeing an increase in disordered eating behaviors during the pandemic. This is likely caused by many factors, including social isolation, trying to gain a sense of control and challenges managing weight due to disruptions in daily routines and activity levels. Parents should be mindful of major changes to their children’s food intake, developing new avoidance of certain types of food, excessive movement or exercise, social withdrawal and unexpected increases or decreases in weight.

Trauma-related symptoms

Research indicates that young people may experience trauma-related symptoms after being quarantined for long periods of time. Although most youth will return to normal functioning after quarantine and pandemic restrictions, some kids will experience trauma-related symptoms, such as:

  • Disruption to sleep
  • Intrusive and obsessive thoughts
  • Problems concentrating
  • Difficulty interacting with others

Looking toward a brighter future

While this has been a challenging time, and may continue to be, there are reasons for optimism. As more children can receive the COVID-19 vaccine, the more life will return to what kids are used to. And there are steps parents can take to help improve their child’s mental health.

Prevention and intervention

“Prevention of mental health problems through screening and early intervention is the most important thing we can do for our children,” says Dr. Glover. “Catching symptoms of psychiatric illness early on allows us to provide more short-term treatment that can reduce these symptoms and the risk of a child developing a chronic mental illness.”

Additionally, prevention and early intervention programs have been shown to significantly reduce suicide attempts and deaths by suicide in children and teenagers.

One of the major benefits of the coronavirus pandemic is that telehealth has become readily available for delivering mental health services. Prior to the pandemic, teletherapy was uncommon but now kids and teens across the state can connect to mental health services virtually. This allows better access to care, which is especially important for children living in more rural parts of the state.

How to help children and teens cope with coronavirus anxiety

Your kids may still have questions about the coronavirus or feel unsettled by altered routines. Here are ways to make this time more manageable.

Learning and working from home and school-related stress

Kids are used to the routine of school. Many like it. And since the pandemic started, school has been anything but routine. Below are some tips for creating stability in this unstable time.

Routines

Celebrating milestones, birthdays, holidays and special occasions

So many of our occasions to gather are not the same and we don’t know when they’ll feel normal again. It can be helpful not to try to make holidays and birthdays feel like they used to and focus on making them as good as you can under the circumstances.

As you plan, keep COVID-19 prevention tips top of mind:

  • Keep an eye on the risks and spread in your local area. (Here's how to check your Colorado county.)
  • Until everyone is fully vaccinated, the safest ways to socialize are outside, in smaller groups and near home.
  • While shopping and preparing for a social event, obey local guidelines such as wearing a face covering indoors and keeping your distance from those outside of your household.

Coping with anxiety, loss or grief

Self-care for parents and caregivers

Being a caregiver can be stressful, even in the best of times. If you’re feeling stressed, don't be alarmed. This is normal as we respond to the numerous challenges and demands of the pandemic.

Getting help

Times are tough, and the stress and anxiety caused by the COVID-19 pandemic have been prolonged. On top of it all, many of the coping strategies we normally turn to have shifted drastically.

There is no shame in asking for help, for you or your child. We recommend the following mental health resources if you need further help.

Mental health resources for kids and teens

Mental health resources for parents and caregivers

As a caregiver, you might need more support, too. Psychologists at Children's Colorado are available to help your family.

Or, you can use resources like FindAPsychologist.org or your workplace’s employee assistance program to find an available therapist in your zip code.

If you need urgent mental health support for your child

Parents, caregivers or friends who are worried about young adults, adolescents or even younger children should check in on them and ask how they’re doing. Asking about depression, mental health or suicide does not create or intensify the problem.

If you or someone you know is having thoughts of suicide or is in crisis, do not delay. Contact the following organizations for immediate support and counseling for yourself or a loved one.

If you think someone is at risk of suicide or harming themselves or others, call 911 or head to the nearest emergency room, where medical professionals are ready to help.

Resources for kids and families in crisis

Calls and texts are free, confidential and available 24/7.

In Colorado

Nationwide


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