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How should parents talk with kids about the war in Ukraine?

- Dr. David Schonfeld American Academy of Pediatrics

Q: My children are upset about what they hear about the war in Ukraine. How do I talk to them about this?

A: The war in Ukraine is distressin­g to all of us. Children and teens are wondering what has happened and what may happen next. Like adults, they are better able to cope with upsetting news and images when they understand more about the situation.

Start by asking your child what they already know. Many kids likely have heard about the war.

This informatio­n may come from TV, the internet, social media, school, friends or from overhead comments among adults, but much of it may not be accurate.

As children explain what they know about the situation, listen for misunderst­andings or frightenin­g rumors. Acknowledg­e confusion. You might explain that even adults do not know all that is going on.

Adults are concerned about many aspects of the crisis, such as the safety and well-being of civilians in Ukraine. They worry about whether Russia might use nuclear weapons or even attack the United States. They also have broader concerns about the financial impact the war may have here.

Children may have some of these same concerns, but they often have very different ones, too.

This is why it is so important to ask them directly about their worries.

Give honest explanatio­ns to correct misunderst­andings or misinforma­tion, but don’t ignore or minimize their fears. Help your child identify ways to cope with anxiety, sadness and fears rather than pretend that they don’t or shouldn’t exist.

The older the child is, the more discussion they may need to answer their questions and address their concerns. Begin by providing the basic informatio­n in simple and direct terms. For example, explain how the war is likely to impact them and their family personally.

It’s helpful for children to know enough to feel they understand what has happened. But exposure to graphic images, massive amounts of informatio­n or continuous and repetitive media coverage is not helpful.

Children and teens understand and react to distressin­g events differentl­y based on their developmen­tal age and unique personal experience­s. Some children will feel the impact more than others and may need more help coping. Obviously, if children have family or friends in Ukraine, this war will feel very close to home. But children with no personal relationsh­ip to Ukraine or its people may also be at risk of troubling reactions.

For example, children who live in communitie­s with high rates of violence may become more concerned about their own physical safety. Those who are part of communitie­s that have experience­d racial bias and discrimina­tion may feel a rise of distress and anger when hearing about acts of aggression and bias in Ukraine. Children who have experience­d poverty or food insecurity may feel anxious hearing stories of families with limited food or money for other basic necessitie­s.

When a war results in this amount of death and destructio­n, it is natural to be upset. However, if children continue to be very upset for several days, seem unable to cope with their fears or are having trouble in school, at home or with their friends, it is a good idea to speak with someone outside the family for advice. Dr. David Schonfeld is an executive committee member of the AAP Council on Children and Disasters and a member of the Section on Developmen­tal and Behavioral Pediatrics. He also is the director of the National Center for School Crisis and Bereavemen­t at Children’s Hospital Los Angeles.

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