Pediatricians sound alarm over mental health crisis in youth

A group of Ottawa pediatricians say they're dealing with youth with a wide range of mental health issues from eating disorders to major depression brought on by the pandemic.

"We're seeing it in our offices," said Dr. Jane Liddle. "We have never seen thislevel of kids with major depression, suicidal thoughts and severe eating disorders."

Liddle is among a group of local pediatricians sounding the alarm about the rise of mental health issues among children, adolescents and teens psychological effects of the pandemic they fear will lingerafter the health crisis is over.

Liddle belongs to the Ottawa Community Pediatricians Network, 70 local physicians who came together in the early days of the pandemic to share practical tips for securing protective equipment and safety protocols for patient appointments.

"I think at the very beginning of COVID, we all took a big sigh of relief," said Liddle.

"There was the initial impression that COVID is not going to be a children's illness. Kids will be fine. They won't get sick. Sadly, that's not played out to be true."

It wasn't long before the doctors began sharing concerns about the range of mental health issues they were seeing among their patients.

Tripling of tantrums, nightmares: doctor

"In older children we are seeing an exponential growth in eating disorders, anxiety and depression,"said Dr. Andrzej Rochowski, chief of pediatrics at the Queensway Carleton Hospital.

Among younger patients, Rochowski says he's concerned about symptoms of depression in children as young as five and six years old, as well as an array of behavioural changes that demonstrate that kids are not coping well.

"I've seen adoubling, if not tripling of temper tantrums, anxiety, night terrors, nightmares ... kids behaving a lot as if they had almost post-traumatic stress disorder," said Rochowski.

In one case, he recalled a distressed mother's call:"[She said], 'my daughter daughter's drawing pictures of big coronaviruses with the teeth eating at flowers. What should I do?'"

The pediatricians say it's clear that repeated school closures, coupled with prolonged online learning and the lack of access to friends and physical activities has taken a toll over the past year, and now there are new anxieties now that young people are getting sick with COVID-19.

"I think the most striking thing among all of this is that we are seeing problems in children who were healthy and well children that were motivated the ambitious," said Rochowski.He said some children "genuinely lost the motivation to learn and to succeed."

The Ottawa Community Pediatricians Networkrecommendsparents help their children byarranging safely distanced and masked play dates atparks and playgrounds. The group also look forward to getting the vaccine into the arms of young people so they can resume their normal lives.

But it warnsthat when in-class learning does eventually return, mental health programswill need to be in place to help young people with the transition.

"We are going to need additional resources in the schools toacademically support young people and mental health resources in the schools, moving forward, to help heal and support children through this," said Liddle.

Need help? Here are some mental health resources:

• Kids Help Phone:1-800-668-6868
• Youth Services Bureau Crisis Line:613-260-2360
• Ottawa Mental Health Crisis Line: 613-722-6914,1-866-996-0991 if outside Ottawa
• Distress Centre of Ottawa and Region: 613-238-3311
• Association qubcoise de prvention du suicide: 1-866-APPELLE (1-866-277-3553)