Many children lost parents or other loved ones to COVID-19. Some saw their parents lose jobs and worry about how to make ends meet. They’ve spent time learning at home. They’ve missed school activities and time with friends. Today’s kids live in a new reality that includes face masks, social distancing and ongoing fears about COVID-19.

David Elvin, M.D., chief medical officer, Tufts Health Plan, is a pediatrician and parent. He knows the stress parents feel as they deal with the pandemic and try to keep their children safe, healthy and happy. Here he answers questions many parents have about how to help their kids cope.

Q: We haven’t lost loved ones due to COVID-19. Could my kids still be struggling?

A: Yes. As parents, we may know all too well about some of the things our kids have been struggling with. It may be changes in their daily routines. Or missed birthdays, holidays and other life events. Some problems — like feeling anxious or sad or losing their sense of security — may be less obvious.

Q: How will I know if my kids feel a lot of pressure?

A: Pandemic issues can affect kids in different ways based on their age. Signs that younger kids may feel stress include: fussiness, trouble sleeping and wetting the bed after being potty trained. Older children may have mood changes, trouble sleeping (sleeping too little or too much), changes in weight, a drop in grades, or a rise in risky behaviors (such as alcohol or drug use). In severe cases, kids may have thoughts about harming themselves.

Q: How can I help my children deal with anxiety and sad feelings?

A: Thinking about your children’s mental health is a great place to start. You can keep tabs on their emotions by checking in with them often. While your kids may still be asking questions about COVID, they may really want to talk about how to make and keep friends or problems you never really faced as a child. Talk with them about the pandemic in words they can understand. Urge them to express their feelings and let them know you’re there to help.

Q: Where can I get help for my children?

A: It’s more important than ever to stay in touch with your children’s pediatrician. We know your children and can help you decide if any upset they feel is normal or if they may have more serious mental health issues. Your provider can give you advice about the best way to help your children and can refer you to a therapist when needed. The good news is that symptoms often improve when kids have someone experienced to talk with. If the condition is serious, medications and other treatments specifically for children can help. Most insurance plans cover these services.

If your kids seem to struggle at school, ask their teachers what you can do to help them at home.

Call our member services team at 866-738-4116 (TTY: 711) if you have questions about your mental health benefits or how to use them. Your health plan benefits can help you (and your family members) feel better physically and emotionally.