pandemic

If Children are Talking About Death, How Can Parents Best Support Them?

In the last two years there has been a noticeable increase of school age children spending a lot of their time discussing and playing out themes of death. This can be very concerning to parents as they want to shield their children from anything that is scary and death is a heavy concept, even for adults.

With the pandemic, death has been a constant topic on the news, media, and at the dinner table. Children are more observant than adults often realize so even when they seem absorbed in their video games or pretend play, they are internalizing what is being said. The way that children explore and understand the world is different from adults. Children will process unsafe and/or new topics by playing them out with their toys. This allows them to take an unsafe topic into a safe space that they control and understand. 

According to the Yale Child Study Center, “Between the ages of 5 and 7 years, children gradually begin to develop an understanding that death is permanent and irreversible and that the person who died will not return” (Child Bereavement UK, 2020, p. 2). This means that there is an entire group of children who are moving into this developmental stage of understanding death for the first time during a global pandemic. Looking at the behaviors from this lens gives an understanding to the increase in anxiety, play themes, and/or conversations around this topic for school age children. 

Another important part of this developmental stage is that the child’s imagination and ‘magical thinking’ also needs to be considered and addressed when looking for ways to help children conceptualize death and decreasing the anxiety around this topic. The Yale Child Study Center goes on to say:

Children’s imagination and ‘magical thinking at this age can mean that some children may believe that their thoughts or actions caused the death, and they can feel guilt. Not being given sufficient information in age-appropriate language can lead them to ‘make- up’ and fill in the gaps of this knowledge. Children increasingly become aware that death is an inevitable part of life that happens to all living things. As a result, they become anxious about their own, and other’s, health, and safety.” (p. 2).

To summarize, children are taking on the weight of the world with this pandemic on their tiny shoulders. So it is the job of the adult to take this burden off of them. This is not to say that the adult needs to take the responsibility of a global pandemic either, because that is also an impossible task, but instead to free up the child to engage in their job of being a kid. As much as parents wish they could change the world for their child, what is in their control is making sure the child feels safe. 

For example, if a young child was worried that if an acorn fell her entire family would die this would in line with magical thinking due to lack of information. Parents are then able to use this as an opportunity to use age-appropriate language to explain, without invalidating, the child’s fears. The parent is then able to say, “I can see this is something that you are very afraid of. Let’s take a deep breath together to help calm ourselves and talk about it. It’s Mommy’s/Daddy’s/Safe Grownup’s job to keep you safe. It’s your job to be a kid and play. It’s okay to be scared and sometimes scary things happen in the world, but I am here to help you with your big emotions, as well as help keep you safe.”

The world is a scary place, so it is important to create a safe space within the family unit for the child to express how they are feeling, as well as have their needs met through validation and allowing them to hear that they are safe to let the parent be in control. 

Another way of reassuring children of the parent’s role of protector and sole adult is through play. Similar language can be used when the child is playing out these fears of the pandemic and death. Children will show you exactly what they are thinking and worrying about through play, even when they do not have the words to have a conversation around this. The parent can then utilize whatever scene the child is playing out to have characters deliver these important messages of safety. 

It can be difficult for parents to take on this task, especially if they have their own fears of death and the pandemic. There are many resources available for guidance, such as the Association for Play Therapy’s Parent’s Corner. If you would like to work with a professional there are always many options for the family, such as parent consultation, individual play therapy, and dyadic play therapy with a play therapist. The Counseling and Wellness Center of Pittsburgh has licensed professionals who are here to help! 

References: 

Child Bereavement UK. (2020). Children’s understanding of death at different ages. Yale Child Study Center. Retrieved from www.medicine.yale.edu/childstudy 

Written by: Erika Gilmore, M.S.Ed, LPC, NCC at the Counseling and Wellness Center of Pittsburgh.

Health Anxiety During a Pandemic

Health Anxiety During a Pandemic

Health anxiety is a term which identifies the cluster of behaviors around the physical body and its processes and specifically a preoccupation with preventing or experiencing disease or illness.  Some of its symptoms are symptom checking, frequent trips to the doctors office, seeking reassurance that you are not dying or gravely ill. In the matter of weeks, health anxiety, fear and stress have infected the masses. These are certainly frightening times for most and for very good reason, we are faced with a highly contagious and potently lethal virus for which no vaccine or treatment currently exists. Yet, as with all things, the way that we encounter our fear and the way that we manage the new realities that we face  has a measurable impact on our well-being and adjustment. It is worth mentioning that there are multiple forms of anxiety which are being inflamed, from health anxiety, to economic anxiety, there is much to fear and while most of us can relate to the fear of being infected with the corona virus, for anyone who has been diagnosed as a hypochondriac, their health anxiety symptoms are likely more inflamed. In general, people are quite emotional right now, the best that we can do is focus on what exactly we can control, by focusing on the sources of our own ability to impact change we find our grace, poise, patience and empowerment. Here are the best tips our wellness experts could compile to manage health and wellness during this pandemic.

Social distancing works, do it. It truly is one of the best ways that we can stop the spread and damaging effects of this virus. When your government starts to enact measures for people to stay away from public places, do it! There are a lot of tempting and exciting events and opportunities which have been temporarily suspended and even cancelled. Accept this with grace, for such drastic measurements to be taken, it is because the dangers are extremely potent. Try to find the silver lining in social distancing, use the time to take up a project, relax, and spend time with loved ones.

Use the extra time that you may have to focus on caring for your body, nourishing yourself with a healthy diet and lots of water, and getting in exercises are some of the best ways we can strengthen our minds, bodies, and immune systems.

Remember, that every cough or sneeze in yourself and others isn’t necessarily related to the pandemic. Of course if you do have the symptoms as indicated by the CDC you should follow their guidelines for gaining treatment and a diagnosis.

Keep your thoughts healthy, be cautious of what you consume with your thoughts. Don’t invest too much time in social media or the news. Generally, these places can created more tension and stress which we should all be focusing on limiting right now.

Try not to catastrophize and instead think measured thoughts. It is easy to go into the deep state of fear and hysterics, notice when you are feeling a high degree of anxiety and work through it with deep breathing and stress reduction techniques. Keep in mind, not every sneeze is Coronavirus and recovery for our bodies and civilization is much more than likely so do your best to remind yourself and others of this reality.

Be mindful to take in non-corona information regularly. Social media, the news media. You do have the ability to choose what you take in, do a meditation with positive affirmations, read a book, or even Netflix when you are noticing that you have seen enough of the C-word for one day. You brain and body will thank you for switching it up.

And, as we all know, wash those hands! That is the medical advice that has every good citizen marching off to the toilet paper isle at their local Costco only to find that everyone else seems to have beat them to it. Hand washing with soap and warm water for 20 seconds at a time is proven to remove viruses from our skins and reduce the spread.

This folks is what we have that we can do while we wait for the most vicious winds of this storm to pass, until there is a proven vaccine, we can focus here, and now, on ourselves, on our breathing, and on caring for ourselves and those around us…

Counseling and Wellness Center of Pittsburgh 

Offering in-person and Online Counseling options.