Chicago Sun-Times (Sunday)

Too young to be stressed

Adolescent mental health in the COVID-19 pandemic

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For adults, childhood can seem like a time that is free of stress and responsibi­lities.

But ask any child or teen, and they’re likely to paint an entirely different picture. Before the global pandemic, life typically consisted of nightly homework, worry about grades, sports practice, band rehearsals and weekends filled with family obligation­s.

Now, as the country continues to face the COVID-19 health crisis, most of these stress factors have existed along with additional fears about safety, stability and the unknown that comes with a pandemic.

UChicago Medicine Ingalls Memorial's behavioral health department has seen an increase in adolescent­s (age 12 and up) presenting with anxiety and depression as a result of several factors, including issues stemming from the pandemic, social and racial turmoil, and the political climate.

“The high level of uncertaint­y is affecting adolescent­s differentl­y than adults,” said Felicia Houston, a community developmen­t liaison and licensed counselor at Ingalls Memorial. “Physical distancing and the inability for children and teens to spend time with friends has been negatively impacting their social developmen­t and causing psychologi­cal trouble like worry, sadness and fear.”

Teens and young adults lost out on important graduation ceremonies, proms and dances, and other milestone events. Some have lost a family member due to COVID-19 or had a parent or guardian lose a job.

Although returning to school for some has reunited friends and classmates, many students remain concerned about their safety at school.

Not surprising­ly, as stress levels grow, medical evidence suggests that adolescent­s are at risk for a host of problems, even into adulthood — from anxiety and depression to poor physical health.

Parents should pay attention to any behavioral changes that could indicate a child’s need for profession­al mental healthcare. Depression is serious and, if left untreated, can be life-threatenin­g. The following symptoms may indicate a child or teen is depressed, particular­ly if they last for more than two weeks:

» Poor performanc­e in school

» Sadness or hopelessne­ss

» Irritabili­ty, anger or hostility

» Tearfulnes­s or frequent crying

» Withdrawal from friends and family

» Loss of interest in activities

» Lack of enthusiasm or motivation

» Changes in eating or sleeping patterns

» Restlessne­ss and agitation

Here are a few steps that adults can take to provide stability and support for children and teens:

» Maintain a normal routine to provide structure for their day.

» Talk less and listen more during conversati­ons.

» Acknowledg­e that you also are unsure or scared but hope to get through the difficult times together.

» Show them healthy coping mechanisms like family walks, yoga, meditation, journaling or coloring.

If a child requires additional help, talk to a doctor or mental health profession­al. Ingalls offers an outpatient treatment program designed specifical­ly for adolescent­s that includes an after-school program that teaches life skills, anger management, coping skills, selfesteem building, stress management and social-skills training.

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