The COVID-19 pandemic has created feelings of uncertainty and stress for everyone. People with chronic diseases are especially vulnerable because they are at a higher risk for severe illness from COVID-19. Like adults, children are expressing worries and concerns about death, getting sick and having to stay at home. Here are some strategies to help families navigate this new territory.
American Psychological Association. (2020, May 18). Parenting children with chronic disease during COVID. https://www.apa.org/topics/covid-19/parenting-chronic-disease
Acknowledge and discuss concerns
It is essential to talk to children about their concerns in a caring and supportive way. Ask questions about what they are thinking and how they're feeling about COVID-19 Provide basic information in a matter-of-fact way that is appropriate to your child's developmental level. Try to avoid frightening or inflammatory language.
Establish a plan with your medical professional
The risks of experiencing severe illness from COVID-19 for both adults and children with chronic conditions are genuine. It is crucial to have a clear understanding of your child's risk and your provider's recommendations for precautions to take to protect your family.
Limit media coverage
Research has shown that repeated exposure to news coverage can be very distressing for children. Teens may have interest in watching the news, but limit it to once a day. View a reputable news source and talk afterward about what they may have heard and their reactions to the reports.
Provide healthy distractions
While screen time has increased for everyone, having a list of go-to activities your child can do to stay busy during downtime is important. Try to vary screen time with bursts of physical and creative activities, like craft projects or indoor games.
Maintain a routine
Routines give children a sense of security and predictability; both compromised during the pandemic. Their routine should include regular mealtimes with healthy food choices, physical activity, work time, playtime and sleep.
Inject fun and joyful moments into each day
Amidst all the bad news and distress, it is important to laugh and have fun. Try throwing an impromptu dance party, cooking a new recipe, baking together, playing as a family outside, creating art together or pulling out old board games. Brainstorm ideas with your child based upon his/her preferences.
Provide developmentally appropriate ways to process negative thoughts and emotions
Younger children may benefit from reading books about COVID-19 (see the additional resources listed below), creating art and playing with themed materials, like a play doctor kit and mask. These activities allow them to express their feelings. Older children may want to keep a journal, use art supplies or complete workbook activities. Teens need opportunities to talk to peers and trusted adults about what is happening and how it is impacting their lives.
Seek professional support
Many children are experiencing increased irritability, worry, sadness, loneliness, acting out behaviors, family conflicts, sleep difficulties and changes in eating habits. For patients with chronic conditions, this may impact their medical regimen. Mental health professionals can help families work through these issues and develop healthy coping skills. Many psychologists now offer telemedicine visits via phone or computer, so do not hesitate to seek support.
