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  • Lockdown was tough on kids, but don’t burden them with ‘mental health disorders’ - planetcirculate

    Lockdown was tough on kids, but don’t burden them with ‘mental health disorders’


    Psychiatry is a funny thing. Unlike the rest of medicine, for most conditions, we don’t yet have scans or investigations to confirm a diagnosis. As a psychiatrist, I can’t take a blood test that confirms you have depression, or a brain scan that confirms you have anxiety.

    We rely on a constellation of symptoms that then constitutes a disorder or illness. Your history is our assessment. But there is a lot of overlap between conditions and making an accurate diagnosis is as much an art as it is a science.

    Children stayed at home to keep themselves safe, but that was not without consequences. Dealing with them does not necessarily require a mental health diagnosis.Credit:Tanya Macheda

    There are many benefits of an accurate diagnosis. It can bring relief, validation and clarity. It can help guide treatment, increase awareness, and allow access to resources.

    If you presented to me with low mood, tearfulness, poor sleep, and hopelessness about the future, I may well diagnose you with depression. But what if you then told me your partner had left you or your beloved dog had died. Perhaps I would then say that what you’re feeling is a normal reaction to a stressful event. Maybe you are depressed, but perhaps you do not have depression.

    Perhaps you do not require a tablet for your woes and time will bring resolution. Or maybe it won’t, in which case things will need to be revisited.

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    So when I read articles that flow from surveys of psychologists that cite mental health disorders increasing among pre-schoolers and teens since the pandemic, I’m concerned. A rise in mental health disorders among 18-month to five-year-olds, an increase in separation anxiety in children aged under five, an increase in depression and anxiety among teenagers aged 13 to 18.

    COVID-19 and its lockdowns had a huge impact around the world, including in Australia. We heard politicians tout that “we are living in unprecedented times”, but are we? I guess we are. Our current generations, from Baby Boomers to Gen Alpha, had not lived through significant world events, such as the Great Depression, Spanish influenza or a world war. Until now, some of us had known adversity in the form of bushfires, droughts and floods, but nothing as catastrophic, widespread and long-lasting as COVID-19.

    Our places of work closed down. Our schools, tertiary institutions, playgrounds and regular cafes shut. We couldn’t leave our suburbs, let alone our country. Many adults lost our jobs, our homes, our health, our sense of safety and predictability of the world around us. So after almost three years of disruption, when our children return to society and attempt to navigate the world around them, why are we so quick to label their struggles as an illness or a disorder?



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