By; With infection rates steadily declining, our society is transitioning toward post-Covid normalcy. For many children and adolescents, the return to a semblance of pre-pandemic times is wholly welcomed as they integrate back into school, hobbies, and social gatherings. But for some, moving forward from the pandemic era is not so easily embraced.
Studies have suggested that students lost up to 35% of a typical year’s learning during virtual schooling. As children and adolescents return to in-person learning, they may struggle with overcoming learning loss on top of the increased academic standards that were absent during virtual learning. Our practice is seeing that, for some children, this learning loss persists even after reintegration into the classroom, warranting evaluations to ascertain an appropriate remediation and support plan. Therapy has also targeted the impact of learning loss on self-esteem and related strategies for how parents can best support their children.
For children and adolescents who experience social anxiety, quarantining within their safe spaces also provided a welcomed reprieve. For these individuals, reintegrating into life revokes the comfort that Covid restrictions once provided. Consequently, some children and adolescents are exhibiting more instances of school refusal. Parenting and behavioral exposure strategies have been among the forefront of interventions to challenge children and adolescents to confront the scenarios that they have been able to opt out of in the prior year. Individuals with attentional and/or behavioral regulation difficulties are also prone to a steeper adjustment curve as they return to school. For some, being in a virtual setting allowed for fewer demands on sustaining attention and regulating behavior. For these children and adolescents, therapeutic intervention has been centered around further developing and practicing these out of shape executive functioning skills.
Additionally, while some children and adolescents welcomed the mandated time at home, others were faced with new challenges resulting from prolonged togetherness. A snapshot into some homes showed families completing jigsaw puzzles and adopting new hobbies; whereas other families experienced an uptick of conflict amid the lack of structure and psychosocial support. Some families continue to cope with the impact of pandemic related stress that permeated parent-child and spousal relationships.
While some individuals regard the post-Covid era as a welcomed return to normalcy, it is important to acknowledge that this may not be the case for everyone. Our practice recognizes the nuanced impact that the pandemic has on individuals and families and tailors treatment plans to fit each individual and family’s specific needs.
By: Elizabeth Clark, PhD
Dr. Rabinowitz is one of the keynote speakers at the United Federations of Teachers Member Assistance Program 2021 conference "Hope and Healing: Dealing with Anxiety, Grief, and Change While Building Resiliency"
Dr. Rabinowitz's talk addresses how anxiety is a normal reaction to unfamiliar, stressful, and dangerous situations. While the COVID-19 pandemic is certainly all of those, excessive anxiety is not a helpful response. Dr. Rabinowitz will speak about her 20 years of treating anxiety disorders and how helping her patients overcome their anxiety has helped her understand, cope with, and help others manage the stress, anxiety, and challenges posed by this unique time in history.
For more information: please click here.
People’s emotional reactions to the current pandemic range from extreme emotional distress to extreme resiliency. Some people feel they are managing the pandemic well and say “I’m fine!” or “I’m getting along” when asked how they’re doing. While this may be true, that does not mean you’re not experiencing some typical emotional reactions and changes to the current situation. Below are some common experiences people have in times of stress.
Having difficulty falling asleep, staying asleep, and/or waking up too early is a common response to stress. As we change our daily schedules (or don’t have a regular schedule anymore), our bodies react and our sleep schedule changes as well. For some effective sleep hygiene tips, click here!
I’m not getting enough done.
When NY went on PAUSE, everyone felt that they would have more time during the day! There were viral memes about Shakespeare writing a play while quarantined, and it seemed like everyone was baking, zooming, and picking up new hobbies. At the same time, so many are finding that they’re actually taking on more responsibility, and that “extra time” has vanished into the endless cycle of cooking, cleaning, working, and taking care of our physical and emotional well-being. Plus, we are constantly being inundated with news about what’s going on. It’s more than okay to just get through the day right now- that’s a big accomplishment! Be forgiving of what you are and are not able to achieve.
During times of stress, it’s totally normal to have difficulty concentrating. Our mind has to focus on a lot of other things it doesn’t normally need to focus on. Plus, we also always monitoring the pandemic in the background. We’re often asking ourselves, “Did I wash my hands?” “Why did she cough?” or “Did he come too close to me?” As a result, a lot of people are having trouble concentrating on tasks that used to be easy. It’s hard to live through history. Give yourself a break. If you want to improve your focus, try breaking tasks into small chunks and working on achieving one of those. Instead of sitting down to read for an hour, try doing it for ten minutes. If that works, great! If not, that’s okay too!
Have you found yourself yelling more at a loved one? Are you getting easily annoyed by little things? That makes total sense with what’s going on. We don’t have as many mental resources when we’re facing such a big change to our normal lives. We may be frustrated or upset easily. Try to engage in some self-care, it may just help you feel a little less on edge.
Keeping perspective and feeling grateful for what’s going right in your life is a great coping mechanism. Recognizing the positive in your life is helpful. You may still have your health and/or your job, and remembering that can help you keep perspective. At the same time, it is important to know that you can feel grateful and simultaneously feel sad or overwhelmed. You don’t have to feel guilty that you are struggling during this pandemic even if others have it worse than you.
Ways to cope!
While you may be doing okay, it’s okay to need a little help as well! Below are some helpful tips to help you cope. You can also reach out to a mental health professional if you think you need more support.
The CDC recommends frequent hand washing, avoiding close contact with others, and routine disinfecting to help us fight the spread of COVID-19. We should all be following these guidelines, but for those with contamination-related OCD, these behaviors are all too familiar. How can you tell if your behaviors are an appropriate reaction to COVID-19 or are veering into OCD?
Right now, washing our hands and disinfecting surfaces is expected, but ask yourself if what you are doing is above and beyond what is recommended or what most people you know are doing. Are you engaged in healthy protective behaviors or unhealthy coping strategies to deal with your anxiety about COVID-19? The CDC recommends washing your hands for 20 seconds with soap before eating, after going to the bathroom, after coughing or sneezing, and anytime you reenter your home after being outside or in public. Many people are being “extra cautious” and find themselves washing and cleaning more than ever before. However, are you washing your hands for a few minutes, dozens of times a day, or even when you haven’t gone anywhere? Are you wiping down the same surfaces repeatedly? Are you frequently asking others if you cleaned enough or if you did it properly? Are you constantly ruminating over whether you or your home are contaminated? Are these behaviors in themselves having a significant negative impact on your life? If so, these may be signs that your abundance of caution has crossed the line into OCD.
It is normal to feel anxious about COVID-19 and feel you are spending a lot of time and energy in both worrying about it and protecting yourself from it. However, if you feel you are struggling with the stress, or are veering into OCD behaviors, mental health professionals are available for guidance, support, and assistance in helping you learning more appropriate and healthy coping strategies.
COVID-19 has disrupted our daily lives. These changes have impacts on youths’ development and functioning. Dr. Dena Rabinowitz recently completed a Q & A to help explain the challenges children and adolescents are facing during COVID-19. Watch now to learn more.
With each passing day, we are faced with more changes to our daily lives due to COVID-19. Most schools have closed and workplaces are urging employees to work remotely. Parents and their children are home together for days on end. It’s a far cry from normal and we are all struggling with this new reality. Being a parent during these times is particularly challenging, as we try to navigate this uncharted territory.
Here are some tips to help you support your children through the COVID-19 crisis.
Validate and Normalize
Kids may express a whole range of responses to learning about COVID-19. It’s important to normalize their reactions, whatever they may be. Some kids may act out, seem irritable, or become sad or anxious, while others may be excited to be home from school. Find a time when your kids are not preoccupied with another activity, and ask them how they are feeling. Reassure them that their emotions are valid and that they will be okay without denying the reality of the situation. And remember, be aware of how you are talking about Covid-19, your kids are always listening and absorbing information
Share information appropriately
We want to give information that is accurate and age appropriate. Be factual but brief. Leave room for questions and tell your children that the conversation is always open. Be mindful about how often and how much detail you share about COVID-19 while your children are around. They are listening and often can misinterpret what is being said. Limit consumption of the news and social media in front of your kids. While it is completely understandable for parents to feel anxious right now, kids feed off of your anxiety and are absorbing what you share. For more suggestions visit the CDC child information website.
Maintain a daily structure
Virus or no virus, establishing and maintaining routines and structure plays an important role in helping children thrive. Kids might equate having time off from school with being on vacation, so gently explain to them the difference. Create a schedule with your children to help them feel a sense of control. Offer reminders before switching to a new activity to help them transition between tasks. Sample schedules can be found online and aim for a balance between academic and play time. They also suggest consistent times for waking up in the morning, bathing, eating, and going to sleep. Make sure you also include exercise, which is particularly important for children’s physical and mental health.
Find opportunities to try new activities
Staying at home with your family for days on end can make anyone want some distance. It is absolutely normal to find it difficult to be in each other’s space all the time. While trying to carve out personal space and time for yourself, which can feel especially difficult, find ways to connect with your loved ones at home by trying new activities you always wanted to do but somehow fell by the wayside. Do art projects, bake and decorate cookies, learn a new game, throw a family dance party, or watch a family movie.
Help kids stay connected
Being social is a key part of regulating how we feel. To help kids stay connected with their friends while stuck at home, we recommend they video chat with their friends and relatives with apps like FaceTime and Skype. Get creative! Create a group video session with your extended family. Have kids do an activity together in their respective homes while connected through a video app. Rediscover snail-mail and have kids write letters to family and friend or send them individualized cards with drawings.
Take care of yourself
As parents, we always want to make sure our children are okay. To do that, we also need to make sure we are taking care of ourselves as well. We’re not effective when we don’t attend to our own needs. Take turns with your significant other so you each get a break and some time for self-care. Also, remember there is no such thing as the perfect parent and we’re all working to adapt to this new reality.
Click here for a list of some more online sites and activities for your children.
Anxiety is the disorder of “what ifs.” It makes it difficult to tolerate uncertainty and the unknown. When we are anxious, we catastrophize, and look for the worst-case scenario. We tend to exaggerate the sense of risk which makes bad situations feel worse. Without the ability to predict the future, anxiety makes us overestimate the likelihood of bad things happening.
Then we’re stuck with fear and emotional discomfort. Anxiety makes you desperate for a solution, so you can feel better. Anxiety makes you overthink, over-plan, and engage in activities that aren’t actually helpful, just so you can feel back in control. We excessively worry, engage in compulsive behaviors and avoid anything that triggers our anxiety, all to feel better. In the short term, it feels like this helps, but ultimately, we are locked in a repetitive cycle of feeling anxious and trying to escape it.
Now enters the Covid-19 pandemic. Life as we know it has been turned upside down and it feels impossible to predict what is to come. As we stop going to work, school, or engaging in our daily routines, the structure of normal life is disrupted and we lose our sense of control. This is the perfect environment for our anxiety to grow. You may have more anxious thoughts: “When will this end? How long will I be home? Do I have the virus? Will I give it to someone else?” You may also engage in anxious behaviors like frequently checking the news, repeatedly checking your temperature, or buying food in unreasonable amounts.
We want to emphasize that it is completely natural to feel worried and scared. After all, anxiety is a survival instinct and can be healthy when it is proportional to the situation. COVID-19 is a threat to our physical, emotional and economic health and we want to be appropriately cautious and responsive. Without a little anxiety, we likely wouldn’t be taking the appropriate steps to combat this virus! That being said, we want to make it appropriate to the situation. Excessive worrying might feel productive, but it is actually harming your emotional well-being, and can interfere with your ability to think clearly and act responsibly during this crisis.
So, what do we do in response to anxiety felt about COVID-19?
Cognitive Behavioral Psychology of New York (CBPNY) is an independent clinical psychology private practice with offices conveniently located in NYC and Scarsdale, NY. CBPNY is currently looking to fill positions for postdoctoral fellows to see patients in both its offices. CBPNY provides the flexibility of private practice with the support of a collaborative team, weekly supervision meetings, and additional training opportunities. We also offer excellent compensation, retirement plan options, and flexible hours, as well as the opportunity to continue in a group private practice setting once licensed.
All applicants should be trained in cognitive behavioral therapy and have experience in treating children and adults. Patient populations include children, adolescent and adults with anxiety, O-C spectrum, mood and ADHD diagnoses. Patient work includes direct individual treatment as well as working collaboratively with family members, with other professionals across disciplines, and engaging in outside consultation with schools as needed. The candidate will be providing psycho-educational assessments as well. Applicants are being sought for two positions: one with an immediate start date as well as a position to begin at the end of the completion of internship in 2019.
Please send a cover letter, resume, and list of 3 references via email to email@example.com if interested.
Cognitive Behavioral Psychology of New York (CBPNY) is an independent clinical psychology private practice with offices conveniently located in NYC and Scarsdale, NY. CBPNY is currently looking to fill positions for licensed psychologists to see patients in either or both of its offices. CBPNY provides the flexibility of private practice with the support of a collaborative team, weekly supervision meetings, and additional training opportunities. We also offer excellent compensation, retirement plan options, and flexible hours.
All applicants should be trained in cognitive behavioral therapy and have experience in treating children and adults. Patient populations include children, adolescent and adults with anxiety, O-C spectrum, mood and ADHD diagnoses. Patient work includes direct individual treatment as well as working collaboratively with family members, with other professionals across disciplines, and engaging in outside consultation with schools as needed. The candidate will be providing psycho-educational assessments as well. Both part-time and full-time positions are available.
Please send a cover letter, resume, and list of 3 references via email to firstname.lastname@example.org if interested.
Dr. Dena Rabinowitz will be teaching two days of the CBT training institute at Adelphi University this July. Her workshops, “An Introduction of CBT Skills for Psychodynamic Professionals” and “CBT and Anxiety Disorders” will provide information on the fundamentals of CBT including case conceptualization and treatment for anxiety disorders. For more information on the summer institute, please click here. If you are interested in having Dr. Rabinowitz present or develop a lecture or workshop on any of the areas of specialization at CBPNY, please contact us at email@example.com or call us at 212-873-0163.