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. 2020 Jun 29;93(1):57–58. doi: 10.1016/j.anpede.2020.04.008

Table 2.

Measures to mitigate the negative psychological impact of lockdowns in children and adolescents with disabilities, neurodevelopmental disorders or mental health problems.9

- It is important to ensure that the medical and mental health team in charge of the child or adolescent is involved to help control any underlying condition.
- Help from a mental health professional should be sought if a child of adolescent exhibits symptoms of severe anxiety or depression, such as suicidal ideation, panic symptoms or marked irritability. It is important to remain alert for the development of symptoms, including changes in appetite, sleep disturbances, aggression, irritability, fear of being alone or social withdrawal.
- Children and adolescents should be told what has happened and the purpose of being confined to the home in a manner that is appropriate to their disorder. For instance, in case of autism spectrum disorder it may be helpful to use visual supports to explain both what is happening (for example, the existence of germs that can harm people) and what the child is expected to do (for example, hand washing, covering coughs, etc.).