Abstract

The Sri Lanka Journal of Psychiatry (SLJP) is a peer-reviewed, open access journal published bi annually by the Sri Lanka College of Psychiatrists.The Journal publishes original papers, brief reports including case reports and commentaries relevant to psychiatry and allied sciences. The Sri Lanka Journal of Psychiatry is committed to maintaining and conforming to the editorial and ethical standards recommended by the International Committee of Medical Journal Editors.Cover: Doorways: When one is ill, having somewhere to stay, where one is looked after, is usually a relief to the patient who is not well and his/her family. The picture shows the doorway to what remains of an ancient hospital in Mihintale, said to date back two millennia. Thilini Rajapakse, Department of Psychiatry, Faculty of Medicine, University of Peradeniya, Sri Lanka.

Highlights

  • A novel coronavirus infection causing significant morbidity and mortality was recognised from the Chinese city of Wuhan in December 2019

  • Recent research in China has shown that frontline health care workers are susceptible to significant mental health issues [4]

  • We could not access any reports of children of health staff affected psychologically during the pandemic

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Summary

Background

A novel coronavirus infection causing significant morbidity and mortality was recognised from the Chinese city of Wuhan in December 2019. We report three children of health workers, without prior history of mental health contact presenting with significant emotional and behavioural dysregulation while their parents are working in the frontline of the COVID-19 response. The child had no reported past significant psychological issues This girl was treated with deep breathing exercises such as belly breathing technique for relaxation, and parental training on differential reinforcement. The child had no prior history of contact with mental health services His mother was extremely concerned as she was unable to take days off due to her altered work commitments related to the COVID-19 response. This 9-year-old boy was treated with guided imagery, including the magic shell meditation technique for relaxation and a collaborative problem-solving approach. All children were assessed and treated by a consultant child and adolescent psychiatrist with training in child psychotherapy

Discussion
Conflicts of interest
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