
- Vol 38, Issue 12
Helping Pediatric Patients and Families Through the Holidays
Although the holidays are considered to be joyful and festive, some pediatric patients and their families are experiencing difficult times.
FROM THE REACH INSTITUTE
The December holidays this year may be more normal than those of 2020, but the psychological stressors of the
Furthermore, holidays can be difficult for children and teenagers with depression, anxiety, and other disorders, even during the best of times. Thanks to the many issues related to the pandemic, these have not been the best of times. The American Academy of Pediatrics, American Academy of Child and Adolescent Psychiatry, and Children’s Hospital Association recently declared
Also more pronounced during this holiday season are experiences of loss and grief. According to findings from a recent study, approximately 140,000 children have lost a parent or grandparent caregiver due to the COVID-19 virus, with losses concentrated among children of color.1
All these factors may make this year’s holiday season difficult for young patients and their families. That makes this a good time to redouble efforts on behalf of pediatric patients.
A basic step is simply to use the holidays as a reason to check in with patients and caregivers as follows: “So the holiday season is coming up. How are you feeling about that?” More probing questions can follow, depending on the response.
Because family support is a strong predictor of child resilience,2 checking in with caregivers is important. Psychiatrists can listen to caregivers’ concerns about the upcoming holidays and their child’s emotional state. Sometimes being heard may be sufficient. If not, clinicians can continue to educate parents about how to deal with their child’s mental health challenges, using the holidays as a jumping-off point.
It is important to emphasize the importance of structure when talking with older children and teenagers as well as parents and/or guardians of younger children. One reason for December meltdowns or increases in depressive symptoms may simply be due to the lack of sleep as well as changes in routine when schools are not in session. Remind patients and families that keeping to normal bedtimes and mealtimes—standard advice for reducing stress during any holiday season—is more important this year than ever.
One reason for December meltdowns or increases in depressive symptoms may simply be due to the lack of sleep as well as changes in routine when schools are not in session.
Patients and families who are mourning may need special support. In addition to monitoring patients for signs that healthy grief is sliding into depression, consider suggesting self-help steps such as joining a support group.
Further, some patients may suffer from
Finally, clinicians should, as always, carefully monitor their own emotional health. The stressors that affect patients’ families during the holidays may also affect psychiatric professionals and their families. Self-care routines, including opportunities to share emotional burdens with close friends or trusted colleagues, take on greater importance in proportion to the distress manifested by one’s patients.
Dr Romanelli is CEO of The REACH Institute, a nonprofit organization that trains primary care providers, therapists, and health care institutions in evidence-based therapies for child and adult mental health issues. She is also a licensed psychologist with expertise in cognitive behavioral therapy in clinical practice in Princeton, New Jersey.
References
1. Hillis SD, Blenkinsop A, Villaveces A, et al.
2. Weir K.
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Exploring the Global Consequences of the COVID-19 Pandemicalmost 4 years ago
Issues in Women’s Health: Global Lessons, Opportunities, and Challengesalmost 4 years ago
Exploring the Link Between Migraine and PTSDalmost 4 years ago
Social Determinants and Clinical Realitiesalmost 4 years ago
Temperature Checkalmost 4 years ago
Conference Presents Clinical Reviews and Updatesalmost 4 years ago
Lithium Neurotoxicity: The SILENT Syndromealmost 4 years ago
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