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How parents can talk to kids about positive COVID-19 tests

- Dr. Amanda Suplee and Dr. Hailey Nelson American Academy of Pediatrics Dr. Amanda Suplee is a pediatric psychologi­st with Valley Children’s Hospital in Madera, California. Dr. Hailey Nelson is a member of the AAP Council on Communicat­ions and Media and is

Q: My daughter is upset about testing positive for COVID-1 9 . How do I talk to her about this? A:

News of a positive COVID-19 test can be alarming for kids and parents. The fear and uncertaint­y, paired with the frustratio­n of changing plans and routines, can cause heightened emotions for the whole family. But it can be especially distressin­g for children.

Here are some tips to help you talk about a positive COVID-19 test with your child and develop strategies to manage stress:

Stay calm, especially when giving informatio­n to your child. To set the thermostat of a conversati­on, choose a location where you both feel comfortabl­e and calm. Keep your tone of voice and body language relaxed, and the discussion informativ­e and reassuring. Children react to their environmen­t and if you are calm, they will be more likely to stay calm.

Be honest, and give them an opportunit­y to ask questions. Provide honest answers that are appropriat­e for their age and developmen­tal stage. A positive COVID-19 test will mean that their daily routine is about to change, so they may have a lot of questions.

Remind them that you will be there to take care of them, and that their pediatrici­an is just a phone call away. Share with them in words they can understand that most children will only experience a mild, cold-like illness.

Tell your child what happens next. Be clear about the change in routine they can expect going forward for a while.

Letting your child know what to expect helps to ease anxiety related to uncertaint­y. Explain to them what they will need to do to help keep other family members healthy, including wearing a mask, isolating in a different area of the home whenever possible and staying home.

Address concerns with solution-focused talks. In addition to health concerns, older kids may worry about missed schoolwork. Discuss how you and they can reach out to teachers for assignment­s and ask for help prioritizi­ng makeup work.

Many kids are also concerned about exposing others to COVID-19. They may be especially worried about family members who have medical conditions or medication­s that weaken the immune system, or younger siblings who are not yet eligible for COVID-19 vaccines. Remind them that there are proven actions we can take to limit the spread of COVID-19, such as physical distancing, face masks and hand-washing.

You can also use solution-focused talks if your child is upset about missing out on social events while they isolate. Mention ways to stay connected such as video calls, group video games or making art projects to give to friends.

As a parent and caregiver, it is essential to not only help your child cope with the stress they may be feeling, but to acknowledg­e your own mental and emotional health, too. Keep these tips in mind:

Limit time on social media and news. It’s easy to get sucked into social media feeds and breaking headlines discussing current topics. This can not only be stressful, but can also be a source of misinforma­tion.

Take care of yourself! Try to eat regular, healthy meals, stay hydrated and get enough rest. Taking care of your physical health will benefit your mental health at the same time. Let go of tasks that are nonessenti­al and focus on things that you can control.

Reach out for support and connection. Stay in touch with your support system through texts, phone calls or video chats and don’t be afraid to reach out for profession­al help if needed.

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