How to Help Young People With Grief and Loss During COVID-19

Beyond tragic deaths, we need to help youth deal with loss of daily activities.

Posted May 07, 2020

Envato Elements - Prostock Studio
Source: Envato Elements - Prostock Studio

The COVID-19 is a novel virus, and the pandemic has posed a novel way of life for all of us. Beyond concerns about contagion, prevention, or slowing down its spread, and fears of illness and access to healthcare, one thing is clear. We are all facing grief and loss. The greatest loss is the tragic death of a parent, grandparent, relative, or close family friend.  

Impact of the Loss of Life Expectations

Beyond loss by death, there are other losses for children and teens. Social isolation is perhaps the greatest loss, and while many are meeting online through Google Classroom, Zoom, or other video chat platforms, it’s not the same as spending time with peers or family face to face. The closing of schools not only makes learning more difficult, but obstructs normal activities, such as playing at recess for younger kids, or participating in sports, school plays, and clubs. Parties, concerts, or just hanging out at friends’ homes are lost. All these activities are critical for social and emotional well-being, and losing them can result in kids feeling depressed, anxious, or worried about an uncertain future.

Right now, no one knows when or how this situation will end. This may lead to anticipatory grief. Living with an unpredictable situation may lead to anxiety about getting ill, about concerns of a parent or grandparent getting sick, or about potential future losses such as graduation, summer jobs, going to college, and more. When kids experience anticipatory grief, they may be on edge without understanding why, feel emotionally out of control, expect the worst-case scenario, or withdraw from others.

Tips for Dealing With Grief and Loss

Young people may be in a better place to cope with grief and loss if parents can support them in one of the six ways listed below.

1. Stay Connected

It’s important for kids to find ways to stay in touch with each other and interact socially. This may be done through digital media, and though we typically try to limit screen time, parents should opt for loosening normal rules. Connecting with family and relatives is also important. Feelings of loneliness can be fought with regular contact with friends and loved ones. It’s often a good time for families to play games, watch a TV series, or participate in arts and crafts – things that can be done together but offer an activity to focus on.

2. Find Ways for Personal Expression and Immersion in the Arts

Creative arts are highly useful in helping kids cope with loss. Self-expression through journaling, drawing or painting, playing music, writing poetry, dancing, or any other art form of self-expression help us cope with loss. It’s also useful to listen to music, watch movies and TV series, or read to take one’s mind off of the current anxiety and engage in an emotionally captivating diversion.

3. Practice Self-Care

For adults as well as kids, trying to get enough sleep, exercise, practice yoga, and meditate are wonderful ways to stay calm, contained, and quell painful emotions. There are many resources online and plenty of time during this period of isolation and limited school days for young people to learn new ways to take care of themselves. Doing some of these activities as a family not only promotes wellbeing for the individual but connects us in powerful ways.

4. Modify Troubled Thoughts

In times of stress, it’s typical for our thoughts to become exaggerated or even distorted. At the far end of the spectrum is “catastrophic” thinking – thoughts focused on morbid or terrifying events. Such thinking has a profound negative influence on our emotions and can lead to significant anxiety or depression. Cognitive Behavior Therapy (CBT) has been extremely helpful in reframing powerful negative thoughts to ones that are more positive and realistic. Here’s a good example: when Katrina struck New Orleans, thousands were homeless and lost virtually everything. It was natural for a young person to think, “This is the end of the world. My life is ruined.” Using CBT, a caregiver can help a young person recraft the thought: “It is a terrible situation, and we can’t change what happened. But we have each other, we found our doggie, and we will get by.” CBT never involves denying what is true. However, it can help turn exaggerated thinking into something more realistic and positive. This can reduce the intensity of negative emotions and thinking.

There are also other ways to change overblown thinking and feeling: through mindful meditation, we can learn to focus on a peaceful image, a place where we feel safe and relaxed, and learn to quell disastrous thoughts and overwhelming feelings of anxiety or depression.

5. Have Ongoing Conversations

Parents should routinely and openly check in with their kids – about their emotions, thoughts, questions, and behavior. Don’t assume you will increase your child’s anxiety by talking about the pandemic. Ongoing conversations are not only valuable in lessening negative emotions but help you as a parent know what your child is struggling with. Ask questions with curiosity and compassion, and when your child responds, use the opportunity to validate their feelings, avoid judging what you might not understand, and continue asking your kids questions with curiosity and compassion.

6. Develop a Daily Schedule

This time of isolation and upheaval of our daily routines is not only disruptive, but breeds boredom, frustration, and may derail our thoughts and emotions. Kids thrive on structure. Do your best to create daily schedules with specific times to have meals, do schoolwork, exercise or meditate, allow for socialization at a distance, and have unstructured free time.

Transforming Grief and Loss into Positivity

Dreadful situations such as the coronavirus pandemic can be useful for parents to teach young people about positive psychology. A parent might ask: “What can you learn from this extraordinary situation, and come out even stronger on the other side?”

1. We Can Appreciate What We Take for Granted

It takes a situation like this for us to remind our kids how fortunate we are to have time with friends and family. Tell them you love them. Write them or text them words of gratitude and hope. And then, try not to forget what they mean to you after we get through this situation.

2. We Can Learn How Vital Support is: We’re All In This Together

Parents should remind young people that we are all in this together. Many kids are feeling bored, isolated, or anxious; many parents are struggling to balance homeschooling and child care, while also maintaining the household with remote work or for essential personnel, going out as first responders, and other important roles.

It can help to share your stories and feelings during this crisis with your kids. Your narratives may validate their experience, especially when young people are feeling alone or helpless. But, also be mindful not to diminish their current experience and feelings. What’s going on right now is really tough, and it’s going to be tough for a while. You can be supportive by working to accept where they’re coming from.

For parents who themselves are feeling isolated, there are also a number of online parent support groups to meet with other parents going through similar situations.  

4. We Can Make a Contribution

Encourage your kids to chip in. Going online and sharing concerns, writing messages of hope, creating works of art or poetry, or music can be uplifting in many ways. This was true after the tragedy of 9/11, in other terrorist acts, and in natural disasters such as Katrina. Some children could give to others safely by offering volunteer tutoring, or teaching a craft such as drawing, painting, playing an instrument, or knitting.

Here is one of our favorite stories, sent to the Clay Center recently. It is a story of loss, resilience, and hope during the pandemic:

“It’s been 4 weeks at home. Freshman college student had 4 days to move out and return home from an out of state college, and 5th grader had to adjust to online learning. We take it day by day. I remind them of their resilience and character that welcomes each day, and we talk about our family values a lot during dinner to help anchor themselves to smaller things. Every Sunday we have a poem share to a random topic that one parent selects, which is followed by karaoke so we can end the week with humor. Oddly, we have not missed one Sunday yet.”

 – Sonja, parent of a college freshman and a 5th grader

We all need to know we are not alone. And we need to remember that We Can Manage This.

References

This is a shorter form of a blog originally posted on The Massachusetts General Hospital Clay Center for Young Healthy Minds.