How has COVID-19 affected the young people in Switzerland and all around the world, and their mental health, and how have mental health professionals been dealing with it? 

in Foreign Correspondents von

Since March 2020, most of our lives have been dras­ti­cal­ly affect­ed by the world­wide pan­dem­ic. Switzer­land has already gone through two major lock­downs and dur­ing that peri­od there have been count­less changes in the rules and restric­tions con­cern­ing Covid. Strict pan­dem­ic pre­ven­tion mea­sures, the manda­to­ry clo­sure of schools and the sus­pen­sion of all nonessen­tial pro­duc­tions and com­mer­cial activ­i­ties seri­ous­ly affect­ed people’s dai­ly life. The lack of social con­tact has led many peo­ple to be diag­nosed with an anx­i­ety dis­or­der or depres­sion, espe­cial­ly the younger gen­er­a­tion. Sta­tis­tics in Zurich show that around June/July 2020 more young peo­ple start­ed seek­ing pro­fes­sion­al help and requir­ing pre­scribed med­i­cines. The ISPP Zurich (Insti­tute for Sys­tem­at­ic Psychology&Psychotherapie), that opened dur­ing the pan­dem­ic, begin­ning of autumn 2020, was ful­ly booked after only a month and they have con­tin­ued to receive new requests from patients / their doc­tors through­out the year, says Dr.Stefania Vanzetti, a fed­er­al­ly rec­og­nized psy­chother­a­pist at the ISPP. 

Expe­ri­ences such as depres­sion, anx­i­ety, and sui­ci­dal thoughts have been more preva­lent dur­ing the COVID-19 pan­dem­ic, par­tic­u­lar­ly for youths and young adults.  “Fur­ther­more, the pan­dem­ic may have inten­si­fied social anx­i­ety among indi­vid­u­als who already had symp­toms or were already social­ly inhib­it­ed before 2020. Indeed, being in lock­down means miss­ing pos­i­tive social expe­ri­ences that could reduce symp­toms of anx­i­ety (con­cept of so-called ‘expo­si­tion’)”, a men­tal health pro­fes­sion­al from Zurich explains. “Pos­i­tive social expe­ri­ences acti­vate our reward sys­tem in the brain and phys­i­cal con­tact cause our brain to release oxy­tocin — these mech­a­nisms are impor­tant for our well-being and psy­cho­log­i­cal resilience (= strength in stress­ful sit­u­a­tions). That’s why social con­tact is an impor­tant pro­tec­tive fac­tor for the devel­op­ment of mood and anx­i­ety dis­or­ders. Social iso­la­tion dur­ing the pan­dem­ic may have a neg­a­tive impact on our brain, increas­ing the risk for psy­cho­log­i­cal prob­lems in the population.” 

As Dr. Vanzetti told me, in dif­fer­ent stages of life, our brain devel­ops the social area indi­vid­u­al­ly. Dur­ing the pan­dem­ic our stress lev­els and fear of con­ta­gion sig­nif­i­cant­ly grew, which threat­ened many people’s men­tal health. 

Symp­toms, such as anx­i­ety and depres­sion, caused by refrain­ing one­self from exter­nal con­tact and going out, because of the fear of COVID-19, have led to an increase in sui­cide rates. With the world­wide virus spread, sui­cide rate and sui­cide attempts have sig­nif­i­cant­ly increased at times. Set­ting up a the­o­ry about the rates and sta­tis­tics for sui­cide dur­ing the pan­dem­ic nev­er­the­less is too ear­ly, as it still is not over and not all lives, we lost to sui­cide, were caused by COVID. How­ev­er as far as we know, sta­tis­tics do show that since the begin­ning of 2020 the sui­cide rate rose to 8% in young females and 2% in males. 

Dur­ing the lock­down, how­ev­er, hav­ing week­ly ses­sions at the office was not feasible. 

Young adults were forced to try to help them­selves because there was no oth­er pos­si­bil­i­ty. In the past two years, peo­ple start­ed set­ting up online help groups and hot­lines, if peo­ple need­ed it. On var­i­ous social media chan­nels, young adults talk about their men­tal health dur­ing the pan­dem­ic quite open­ly, in the hope of hav­ing a pos­i­tive influ­ence on the peo­ple in need or even dan­ger. Social iso­la­tion, anx­i­ety, fear of con­ta­gion, uncer­tain­ty and chron­ic stress have led to the devel­op­ment or wors­en­ing of depres­sion, anx­i­ety, sub­stance use, and oth­er psy­chi­atric dis­or­ders in many young adults between the ages 15 and 19. 

“The pan­dem­ic may have a neg­a­tive impact on the long-term psy­cho­log­i­cal and affec­tive devel­op­ment on chil­dren and ado­les­cents, but espe­cial­ly on those with low fam­i­ly sup­port,” says Dr.Vanzetti  “A sup­port­ive fam­i­ly envi­ron­ment can com­pen­sate the lack of social inter­ac­tions out­side, increase resilience and help chil­dren to build fur­ther social skills even dur­ing lockdown.” 

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