Not every child, teen, or parent is suffering from mental health issues. Our lived experiences during COVID have been varied & diverse. Indeed, some kids are pandemic-proof. Some of my teen patients have actually thrived during COVID... but 2x
I think it's fair to say that the absence of normalcy has been hard for many kids, adolescents, & parents - & the disruptions to school life have disproportionately affected the same populations who have tragically been disproportionately devastated by COVID-19. 3x
It would also be naive/overly simplistic to think that resuming *normal* school will be a quick fix - or that it will heal the wounds of ppl who've struggled w social isolation, loneliness, anxiety, depression, disordered eating, online bullying, domestic abuse, hunger... 4x
...but getting back to normal - and ideally a *better* normal - is a start. Not only do kids/teens need routines, structure, social interactions, school sports, & in-person learning for their education & overall health, we need to scale up #mentalhealth services in schools 5x
...especially on college campuses where kids are struggling with their #mentalhealth yet often stuck in long queues waiting for professional support (therapy, psych consultations) ... leaving parents feeling helpless & alone ... 6x
It's time to recognize our broad human needs beyond simply *not* getting COVID. It's time to recognize the relevance of #mentalhealth to our everyday thoughts & behaviors, our decisions & relationships... 7x
...and to acknowledge that #mentalhealth directly informs physical health & medical outcomes.
Let's also give each other a little grace as we navigate transitions (=inherently stressful).
I'm working on this stuff, too. Vaccines work well, but no one is immune to struggle. /end
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My tripled vax'd, COVID-recovered, PCR-tested, masked son in college w/ a 99% vax rate got to see the inside of the University's dining hall for 1st time in *2 yrs* last week.
Today? It closed again. Student dining is back to *outside* only - or alone. Socializing limited ...🧵
My son has been loathe to speak out, worried abt being shamed for not caring abt other ppl (this kid has a ❤️ of gold - a lover not a fighter) or being labeled anti- x, y, z. But watching his friends suffer from anxiety, depression, substance use issues, he spoke out tonight...2x
My son is an old soul. Wise, empathetic, kind. (Not that I'm biased.) He's had struggles. He has made lemonade out of lemons. He has tolerated the loss of normalcy w grace & maturity. Not a complainer. But enough is enough. How safe is safe? When have I done enough, mom?....3x
“There is not a single right answer for how to proceed. Within the set of legitimate strategies, the choice of strategy is often less important than whether or not people follow and support it.” 🧵
“Within the set of legitimate strategies, the choice of strategy is often less important than whether or not people follow and support it.” — @M_B_Petersen 2/n
“According to our data, the Omicron wave has also chipped away at the trust of those who have been supportive of their govt’s approach up until now. Lifting restrictions while cases are soaring can seem like betrayal after 2 years of seeking to ‘flatten the curve.’” @M_B_Petersen
..As scientists & MDs, we are concerned that COVID mitigation measures for children are doing more harm than good. Too many policymakers have viewed health as the mere absence of COVID-19, putting children into a loop of mitigation measures that are uncoupled from actual risk. 🧵
...After two years of living with one disruption after another, the evidence is clear: The pandemic & the loss of normalcy are taking a tremendous toll on students, with the data on mental health being particularly alarming...
"Another approach, which I am beginning to favor, is to state that every person age 5+ can be vaxd & high-quality masks can protect individuals well. Therefore, masks can be optional, not required, even at high rates of community transm'n"
I’m on call this weekend for my group medical practice. Lots of vax’d patients w COVID—cough, sore throat, headache, body aches, fatigue. Mild to severe.
Other top symptoms?
Guilt
Shame
Fear
“I did everything right.” “I feel like a failure.” “Doctor, I’m terrified.” 1/x
Even if ppl know intellectually that their risk for severe illness is greatly reduced after vax, fear is natural & real. It’s *normal* to get scared when a rapid home test turns positive or when we’re notified abt a positive PCR test 2/x
So when I’m talking to a newly-diagnosed COVID patient, we go thru their symptoms, decide +/- ER care, discuss various treatment options from Ibuprofen to monoclonal Abs & oral antiviral meds (latter for high-risk patients), & how to monitor themselves at home. 3/x
We’re starting to reach the acceptance phase of the pandemic: a time when we must recalibrate our individual risk gauges, which have been completely thrown out of whack
The two things that patients want—reassurance that they won’t get COVID-19 and permission to engage in life—I cannot deliver, and I never will be able to. SARS-CoV-2 is here to stay. /2
The virus will be woven into our everyday existence much like RSV, influenza, and other common coronaviruses are. The question isn’t *whether* we’ll be exposed to the novel coronavirus; it’s *when.* /3