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Post Category: Anxiety

Children and Anxiety -Returning to Creche or School midst Covid 19

As our children return to playgrounds, social visits, sports, summer camps and eventually creche and school settings many new questions or difficulties may arise, and we serve our children best by being prepared to support them.  The practical aspects of our ‘new normal’ and the emotional impacts of the social isolation in the past may manifest in some children as fear and anxiety. Whilst each family may differ in their approach to guide their children through this unknown scenario, we all know that it would be best to know how to recognise anxiety in children, and to know some of the different techniques and resources which may help us to support them.

Much of childhood anxiety is a normal part of growing up. Anxiety often begins in the early months and years when children become upset about separation from their parents. Developmental fears such as phobia of insects, water and the dark arise and usually resolve themselves with time. What we are facing here in both the wake and midst of the Coronavirus Pandemic is mostly unknown.  Different families will have had very different experiences of ‘lock down’ and it is hard to generalise the effect that their new environments may have on them.  Some children will have noticed little difference in their lives pre and post Covid, remaining home in both scenarios. Some children will have been abruptly uprooted from all aspects of their normal routines with parents struggling to work without normal childcare arrangements. There are children who will have been exposed to media coverage of the virus and some who will have been cocooned from it.  The impact of these varied experiences will be diverse and unchartered. Children, as individuals, will vary in their reactions to reduced social interactions and changed family dynamics.  The only thing that is certain about all of these scenarios is that there is a big opportunity for anxiety in one form or another to have an impact on our children.  How we identify, reduce and manage that anxiety is something that we do indeed have control over, and something that we, as parents, would serve our children best by being proactive about.

What are the signs of anxiety in children?

  • Difficulty sleeping.
  • Being irritable, clingy or tearful.
  • Difficulty concentrating.
  • Worrying about simple day to day tasks.
  • Negative thoughts.
  • Bed wetting.
  • Bad dreams.
  • Lack of interest in social visits or going out.
  • Tantrums or meltdowns.
  • Symptoms which often arise from stress such as headaches or stomach aches.

How to help an anxious child?

  • Talk and listen! Of course, you won’t have solutions for every problem, but acknowledging them is half of the battle. Recognising your child’s concerns and suggesting solutions when possible can be a big support, and if nothing else will help your child to feel heard, valued and reassured.
  • Explaining the health advice to them, if they are old enough to understand, can empower your children to understand the restrictions and your choices as a family.  There is no benefit to sheltering them completely from the truth. Parents can direct the narrative so that when children do hear about Covid 19 they have an age appropriate understanding and don’t become alarmed.
  • Start small and have realistic expectations. Building up to big events like a return to school can help.  Suggest smaller group play dates with friends that your child knows and trusts. In any case keeping groups small will reaffirm the rationale for social distance or whatever guidelines are in place at the time.  Letting your child build confidence and self esteem in social settings will have a very positive impact on managing anxiety.
  • Avoid panic and anxiety as a parent by ensuring you are well prepared and on time and use distraction techniques on journeys to social gatherings such as the ‘don’t say yes or no’ game, or who can spot the most red cars etc. 
  • Keeping to a daily routine can help children know what’s coming and helps them to feel more secure.  This is important for children of all ages.
  • Preparing for the practical aspects of a return to social settings such as awareness of social distance, the use of hand gel, not sharing toys, and regular hand washing can be really helpful. Practising the policies put in place by your school or creche setting at home before their return can help to reduce the fear and anxiety in the early weeks back.
  • Teaching children breathing exercises can be a fantastic resource and skill for them. For younger children, let them imagine they are taking a deep breathe in and then blowing out a candle if they are worried. Older children can breathe in for three and out for three with their hand on their tummy to feel how it rises and falls.  All of these things may sound simple but it is important to teach a child relaxation techniques which they can use if they feel overwhelmed or worried.
  • Some kids may benefit from giving their worries a character, and if they feel worried, they can practice reassuring that character in their mind by telling them to ‘calm down, there is nothing to be afraid of’.
  • Praise positive behaviour as then it is more likely to be repeated.
  • Do activities your child is good at – promoting good self-esteem will improve overall outlook.
  • Reduce treats and snacks, and ensure regular exercise and down time.  Bad habits can develop during stressful times but healthy choices will benefit mental health and allow a more rational thought process.
  • Creating a worry box where they can store pictures or drawings of things that worry them and go through them once a week to discuss their concerns.
  • A gratitude jar can act similarly to a worry box, but will allow your child to focus on the positives in their lives.

What if these techniques don’t help?

If a child’s anxiety is severe or is impacting their everyday life, and the above techniques don’t help, it can be very useful to reach out for additional support.  Pick up the phone or visit the GP.  Also speak about it with their creche or school so that they can monitor how the child is coping and provide additional support when needed.

With change now engulfing our lives, children have an opportunity to develop resilience.  Parents need to reinforce and nurture this by caring for themselves, especially their own mental health. A healthy parent is a good starting point to enables a positive family dynamic.  Focusing on the positives and living in the moment is essential for our physical and emotional wellbeing.  We need to listen to our children’s worries and lead by example, which recently takes much more self-reflection than ever before.

I hope you have found this article helpful and if you have any questions at all please don’t hesitate to contact me by sending a private message to the WonderBaba facebook page  or my website contact page  or by calling me (Sheena) at Milltown totalhealth Pharmacy in Dublin 6 on 012600262.

Author: WonderBaba Blog

My name is Sheena Mitchell and I'm a pharmacist with my own business Milltown totalhealth Pharmacy in Dublin 6. From working in the pharmacy I've realised that there are a lot of first time and experienced moms who might benefit from hints and tips from a pharmacist who can balance healthcare advice with real hands on experience from my important work as a mother of two! I hope to bring you regular advice and information and answer questions that you have! Being a mother and pharmacist are my two favorite things and I'm delighted to have this way of bringing my two worlds together! All questions and queries are gratefully received but otherwise sit back, relax, and let the solutions come to you!