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COVID-19 vaccination for ages under fiveCOVID-19 vaccination for ages under fiveCOVID-19 vaccination for ages under fiveCEnglishInfectious DiseasesBaby (1-12 months);Preschooler (2-4 years)NANADrug treatmentAdult (19+) CaregiversNA2022-08-11T04:00:00ZFlat ContentHealth A-Z<p>Learn about the status of the COVID-19 vaccine for children under five years of age and the benefits of getting the vaccine for this age group.</p><h2>Is there a COVID-19 vaccine available for children under five years of age?</h2><p>Yes. On July 14, 2022, Health Canada authorized Moderna’s Spikevax for use as a two-dose primary series in children six months to five years of age, and a three-dose primary vaccine series in those who are moderately to severely immunocompromised. “Primary vaccine series” refers to the initial number of doses of a particular vaccine that a person needs. It does not include booster dose(s).</p><p>This is the first COVID-19 vaccine authorized in Canada for use in children under the age of five years.</p><p>Looking for general information on COVID-19 vaccines. Visit the page on <a href="https://www.aboutkidshealth.ca/Article?contentid=3937&language=English&hub=COVID-19">COVID-19 vaccines general information</a>.</p><p>Looking for information specific to children aged five to 11? Visit the page on <a href="https://www.aboutkidshealth.ca/Article?contentid=4001&language=English&hub=COVID-19">COVID-19 vaccine information for children (ages five to 11)</a>.</p><p>Looking for information specific to youth age 12+? Visit the page on <a href="https://www.aboutkidshealth.ca/Article?contentid=4000&language=English&hub=COVID-19">COVID-19 vaccine information for youth (ages 12+)</a>.</p><h2>Key points</h2><ul><li>Health Canada has authorized Moderna’s Spikevax for use as a two-dose primary series in children six months to five years of age, and a three-dose primary vaccine series in those who are moderately to severely immunocompromised.</li><li>Vaccination is recommended ahead of the start of the school year and upcoming respiratory virus season.</li><li>Neonates are more at risk of hospital admission because they have an immature immune system that has difficulty combatting disease.</li><li>Infants under six months of age can receive protection through immunization of the parent during pregnancy and subsequently through breastfeeding (more information for this age group is available later in the article).</li> </ul> <h2>What do we know about the Moderna vaccine?</h2><p>Clinical trial findings show that Moderna’s vaccine, which is 25 micrograms (half the dose given to the age six to 11 group), produces an immune response in children under five equal to the immune response seen in young adults 18 to 25 years of age who receive the 100-microgram dose primary series. Preliminary efficacy of the vaccine in preventing symptomatic COVID-19 when Omicron is the dominant variant is estimated at 50.6 per cent in children six to 23 months of age and 36.8 per cent in children two to five years of age starting 14 days after the second dose.</p><p> <a href="https://www.canada.ca/content/dam/phac-aspc/documents/services/immunization/national-advisory-committee-on-immunization-naci/naci-summary-july-14-2022.pdf">More information is available in this summary document</a> from the National Advisory Committee on Immunization.</p><h2>What are the side effects of the vaccine?</h2><p>In the clinical trial, 4,792 children aged between six months to five years of age received the vaccine. Side effects were similar to those seen with other vaccines given at that age, including irritability or crying, pain at the injection site, sleepiness, and loss of appetite.</p><h2>Should I be concerned about myocarditis side effects in this age group?</h2><p>In the vaccine trial for children under 6 years of age, there were no reported incidents of myocarditis. Cases of myocarditis and pericarditis have been seen extremely rarely in children aged five to 11 years of age, and thus the risk for younger children is anticipated to be low. There are multiple surveillance mechanisms in place in order to monitor any potential post-vaccination risk of these conditions over time in younger children.</p><h2>Is there another vaccine for this age group currently under review by Health Canada?</h2><p>Yes, a vaccine developed by Pfizer is currently under review by Health Canada and a decision is expected in the coming weeks to months.</p><h2>Should I wait for the Pfizer vaccine?</h2><p>If you have decided to vaccinate your child, the first vaccine that is available is the best option to provide protection as soon as possible.</p><h2>What is the risk to children under five years old from COVID-19?</h2><p>With the spread of the Omicron variant, there have been more cases of children under age five in hospital with COVID-19 than earlier in the pandemic.</p><p>Children who have had COVID-19 are at risk of experiencing multisystem inflammatory syndrome (MIS-C), a rare but serious complication that usually requires hospitalization. Although children with an underlying medical condition are at higher risk of severe outcomes from COVID-19, this can still occur in children who were previously healthy. Severe disease and MIS-C can occur in any child, whether they have an underlying condition or not.</p><p>Further, all Individuals can help protect vulnerable members of their family, including children and youth, by ensuring that they and everyone around them are vaccinated against COVID-19.</p><p>Read the full <a href="https://www.canada.ca/content/dam/phac-aspc/documents/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-moderna-spikevax-covid-19-vaccine-children-6-months-5-years.pdf">Advisory Committee Statement</a> from NACI for more information.</p><h2>Why vaccinate my child if COVID-19 has already infected most of my household members?</h2><p>Many people are getting COVID-19 more than once. Studies in adults, which bode well for children, show that vaccination following infection provides stronger and longer-lasting protection from COVID-19 than infection alone. In addition, vaccination may provide further protection ahead of the start of the school year and upcoming respiratory virus season.</p><h2>Can my child receive the COVID-19 vaccine at the same time as another vaccine?</h2><p>Vaccinating children against a multitude of diseases is an important way to keep them healthy; however, for now, NACI recommends vaccination against COVID-19 either 14 days before or after a different vaccine. Please ensure your child remains <a href="https://www.aboutkidshealth.ca/Article?contentid=1986&language=English">up to date with all their vaccinations</a>.</p><h2>If I’ve recently had a booster dose of the vaccine and am currently breastfeeding, is it safe for my baby to be vaccinated?</h2><p>Yes. The antibodies from breast milk do not interfere with the immunity acquired from the vaccine, which will provide additional protection. Breastfeeding is not a contra-indication to receiving vaccines in infants who can receive them. There is no need to delay or time the vaccination differently.</p><h2>If my child is five years old, should they get the Moderna vaccine approved for ages six months to five years, or the Pfizer vaccine approved for ages five to 11 years?</h2><p>For children aged five years and above, it’s recommended that they receive the Pfizer vaccine approved for the five to 11 age group. Children aged six months to under five are recommended to receive the Moderna vaccine for this age group for both doses of the primary series.</p> <h2>Infants less than 6 months of age</h2><h3>Is there a vaccine for infants under six months of age?</h3><p>No. A vaccine for this age group would require clinical studies to determine the safety and benefits of vaccination. However, babies can receive protection through immunization of the parent during pregnancy and subsequently through breastfeeding.</p><h3>How can I protect my unborn baby from COVID-19?</h3><p>Neonates are more at risk of hospital admission because they have an <a href="https://www.cheo.on.ca/en/news/pregnant-individuals-urged-to-get-vaccinated-amid-hospitalization-of-infants-with-covid-19.aspx">immature immune system that has difficulty combatting disease</a>. If you are pregnant, vaccination is the best way to protect your baby from COVID-19. Vaccination enables you to pass on immunity to your baby while also protecting yourself.</p><h3>Does this immunity offer protection after the baby is born?</h3><p>Yes, it is well-recognized in other infectious diseases, such as flu and whooping cough (pertussis), that antibodies resulting from vaccination in a pregnant person provide protection for the first six months of an infant’s life. Multiple studies, including this <a href="https://www.cdc.gov/mmwr/volumes/71/wr/mm7107e3.htm">from the U.S. CDC</a>, have also shown that infants born to those who are vaccinated have more antibodies against COVID-19 and are less likely to be admitted to the hospital with COVID-19. If the pregnant person has not been vaccinated or infected, the baby does not have the protection of antibodies transferred from the parent during the third trimester of pregnancy.</p><h3>Are there any risks or benefits to being vaccinated if I am breastfeeding?</h3><p> <a href="https://obgyn.onlinelibrary.wiley.com/doi/epdf/10.1002/ijgo.14008">Studies have shown</a> that there are no risks from receiving a COVID-19 vaccine in individuals who are breastfeeding. Studies have also shown that vaccinated individuals who are breastfeeding pass along antibodies in their breast milk, which may confer additional protection against COVID-19 to their child.</p><h2>If I have additional questions, who can I speak with to get the answers?</h2><p>Make an appointment with the <a href="https://www.sickkids.ca/en/care-services/support-services/covid-19-vaccine-consult">SickKids COVID-19 Vaccine Consult Service</a> to have a one-on-one phone appointment with a SickKids expert.</p>https://assets.aboutkidshealth.ca/AKHAssets/iStock-1155773108.jpgMain
COVID-19 vaccine information for children (ages five to 11)COVID-19 vaccine information for children (ages five to 11)COVID-19 vaccine information for children (ages five to 11)CEnglishInfectious DiseasesChild (0-12 years)NANADrug treatmentAdult (19+) CaregiversNAhttps://assets.aboutkidshealth.ca/AKHAssets/iStock-1278968456.jpg2022-09-06T04:00:00ZFlat ContentHealth A-Z<p>Learn about the status of the COVID-19 vaccine for children five to 11 years of age and the benefits of getting the vaccine for children.</p><h2>What is the status of COVID-19 vaccines for children in Canada?</h2><p>In November 2021, Health Canada approved the use of the Pfizer vaccine for children five to 11 years of age.</p><p>In March 2022, Health Canada approved the use of the Moderna vaccine in children six to 11 years of age.</p><p>In July 2022, Health Canada approved the use of the Moderna vaccine in children under age five.</p><p>Looking for general information on COVID-19 vaccines. Visit the page on <a href="https://www.aboutkidshealth.ca/Article?contentid=3937&language=English&hub=COVID-19">COVID-19 vaccines general information</a>.</p> <p>Looking for information specific to children under five years of age? Visit the page on <a href="https://www.aboutkidshealth.ca/Article?contentid=4054&language=English">COVID-19 vaccination for ages under five</a>.</p> <p>Looking for information specific to youth age 12+? Visit the page on <a href="https://www.aboutkidshealth.ca/Article?contentid=4000&language=English&hub=COVID-19">COVID-19 vaccine information for youth (ages 12+)</a>.</p> <br> <h2>Key points</h2><ul><li>Vaccines against COVID-19 have been shown to be safe and effective.</li><li>The Pfizer vaccine was approved for use in children five to 11 years of age in November 2021 and the Moderna vaccine was approved for children six to 11 years of age in March 2021.</li><li>Canada’s National Advisory Committee on Immunization (NACI) advises that the Pfizer vaccine is preferred for this age group and that the Moderna vaccine may be offered as an alternative.</li><li>Children get a smaller dose of the vaccine. They will still need to get two doses.</li><li>Side effects in younger children are similar to those seen in adults and older children.</li></ul><h2>What evidence is there that the vaccine is safe and effective for children?</h2><p>Over 3,000 children aged five to 11 received the vaccine through the Pfizer clinical trial and no serious side effects have been detected in the ongoing study after many months of follow-up. The vaccine was shown to be 91 per cent effective against symptomatic COVID-19 with mild side effects like those seen in adults and older children. These side effects include arm tenderness, fatigue, headache, muscle pain, joint pain, chills and fever, which can also be seen with other vaccines recommended for children. Rare side effects that have been seen in older teens and young adults are expected to be extremely rare in children. Read about the <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2116298">clinical trial results in the New England Journal of Medicine</a>.</p><p>In the Moderna trial in children aged six to 11, over 3,000 children received the vaccine and preliminary data did not report any safety concerns. Side effects included injection site pain, headaches, tiredness, fever and muscle pain. The study showed that children had similar immune responses to adults aged 18 to 25 years old after receiving the vaccine, and an estimated efficacy against symptomatic COVID-19 of 88 per cent 14 days after the first dose. Read about the <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2203315">clinical trial results in the New England Journal of Medicine</a>.</p><h2>Why should children get vaccinated if they do not get sick from COVID-19?</h2><p>Although severe illness due to acute COVID-19 infection is less frequent in children compared to adults, children can still be hospitalized and even require ICU-level care due to COVID-19. Getting the vaccine can protect children from severe illness and hospitalization.</p><p>A proportion of children who contract COVID-19 may go on to develop multisystem inflammatory syndrome (MIS-C). While treatable and rare, approximately one in three children hospitalized with MIS-C will require ICU care. A study in the U.S. conducted in 2021 showed that the vaccine was highly effective in preventing the development of this serious condition in vaccinated youth (aged 12 to 18). The study showed that among the youth who were hospitalized with MIS-C, the vast majority were unvaccinated. This data bodes well for the prevention of MIS-C in vaccinated children aged five to 11 for which confirmatory studies are underway.</p><p>While long COVID rates are expected to be lower in children compared with adults, the full spectrum of manifestations of long COVID in children is still being determined.</p><h2>How can anyone be sure a vaccine developed so quickly is also safe?</h2><p>Work on coronavirus vaccines has been ongoing for more than 10 years, due in part to the SARS-CoV-1 outbreak in 2003. It was important to develop the COVID-19 vaccine quickly because of how many people were dying and getting sick, and because of the disruptions to everyday life as a result of the pandemic. Even though the vaccines were developed quickly, all the usual steps for the approval of vaccines occurred, including clinical trials with the appropriate number of participants. Because of the worldwide collaboration and large amount of resources that were made available to develop a COVID-19 vaccine, as well as the large number of COVID-19 cases the clinical trials were able to happen quickly. This made it easier to tell quickly whether or not the vaccines worked to prevent cases of COVID-19. The vaccine was rapidly shown to be effective in protecting against COVID-19.</p><h2>Are recent cases of hepatitis in children related to the COVID-19 vaccine?</h2><p>Beginning in early April 2022, the World Health Organization has reported an increase of new hepatitis cases of unknown origin in children not caused by known hepatitis viruses, such as hepatitis A, B, C and E. Side effects from the COVID-19 vaccines are not suspected, as the vast majority of affected children were too young and did not receive COVID-19 vaccination.</p><h2>Do children under 12 years of age need one vaccination or two? Is a different vaccine dose used in younger children?</h2><p>Children aged five to 11 years receive a two-dose schedule of a smaller Pfizer vaccine dose than the one used in people 12 and older (10 µg instead of 30µg). The National Advisory Committee on Immunization recommends that the second dose should be given at least eight weeks after the first dose. Children who turn 12 years before their second dose may receive an adult dose.</p><p>Children aged six to 11 receive a smaller Moderna vaccine dose (50µg instead of 100µg), four to eight weeks apart.</p><h2>My child is turning 12 years old in 2022. Now that a vaccine is approved for children under 12 years of age, should I wait to vaccinate my child when they are 12 years old and eligible for the adult dose?</h2><p>The first COVID-19 vaccine that is available for your child will be the best vaccine to get, as it will provide protection against COVID-19 to your child as soon as possible. Vaccine doses are based on age and the maturity of the immune system. The clinical trials (and real-world date since) showed the paediatric dose given to children aged five to 11 (a third of the dose given to people aged 12 and up), was effective and also resulted in fewer side effects.</p><h2>What if my child’s weight is above average in their age group?</h2><p>Vaccine doses are based on age and the maturity of the immune system, not weight. The clinical trials (and real-world data since) showed the paediatric dose given to children aged five to 11 (a third of the dose given to people aged 12 and up), was effective and also resulted in fewer side effects.</p><h2>How are COVID-19 cases trending among children?</h2><p>The virus causing COVID-19 continues to circulate and can lead to hospitalization in all age groups, especially in people who are not vaccinated. Vaccination helps protect children from developing severe illness and hospitalization from COVID-19 and its complications. Further, children who develop COVID-19 can pass the virus on to other people, including vulnerable adults such as grandparents or immunocompromised individuals.</p><h2>Can vaccination improve the physical and mental health of children?</h2><p> <a href="https://www.sickkids.ca/en/news/archive/2021/research-covid-19-pandemic-impact-child-youth-mental-physical-health/">SickKids-led research</a> has shown a serious, sustained negative impact on the mental health of Ontario children, youth and their families due to the COVID-19 pandemic. Before the pandemic, a study showed that about 60 per cent of participants engaged in school sports and/or other extracurricular activities. During the pandemic, only 27 per cent participated in sports and 16 per cent in extracurriculars. These activities are known to boost physical and mental health. Vaccination will help return children to their regular activities and thus help improve the mental health and psychosocial well-being of children.</p><h2>My child is afraid of needles. What can I do to help?</h2><p>Some children have a very strong reaction to needles. If your child is worried about getting a needle, you can ask for special ways to support their vaccination, such as a longer appointment time or a private space for the injection. The CARD system (Comfort, Ask, Relax, Distract) may also help. It provides groups of strategies to reduce the pain, stress and worries associated with vaccinations to make the experience a more positive one. More information can be found at <a href="https://www.aboutkidshealth.ca/card">AboutKidsHealth.ca/card</a>. For children worried about pain, there are numbing creams and patches available at many pharmacies to help minimize needle discomfort.</p><h2>What can I do for my child who is sensory-sensitive?</h2><p>Sensory-sensitive vaccination clinics use some of the CARD strategies listed above to offer a calmer environment for each child, giving them as much time as they need and their own room to get the vaccine. Some clinics also offer sensory-sensitive appointments, offering dimmed lights, less noise and a slower pace, as well as privacy.</p><h2>Can the COVID-19 vaccine affect puberty or fertility in children?</h2><p>There is no evidence and no scientific reason to believe that the COVID-19 vaccine can affect puberty and fertility in children. Clinical trials of those who have been vaccinated in the general population have shown that the vaccine is very safe.</p><h2>What are the vaccine’s side effects in children under 12?</h2><p>Side effects from the Pfizer COVID-19 vaccine are comparable to side effects your child may have experienced after other childhood vaccinations. These may include feeling tired, chills, muscle aches and pains, and a sore or red arm. The majority of children had very mild side effects or none at all. Typically these side effects will go away after a few days and there are no long-term side effects reported.</p><h2>What about reports of vaccine side effects like myocarditis and pericarditis in younger people?</h2><p>Myocarditis (inflammation of the heart muscle) and pericarditis (inflammation of the heart’s outer lining) are rare and mostly seen in older adolescents and young adults. Both are extremely rare in relation to the COVID-19 vaccine. There were no reports of myocarditis or pericarditis in the Pfizer clinical trial for children five to 11 years old. Millions of children in Canada, the U.S. and other countries have received the vaccine with very few reports of these conditions, which are generally mild and benign. Myocarditis and pericarditis actually occur far more often after COVID-19 infection than after being vaccinated against COVID-19. Myocarditis and pericarditis occurring after COVID-19 vaccination is a generally mild and benign condition. There are multiple surveillance mechanisms in place in order to monitor any potential post-vaccination risk of these conditions over time.</p><p>The National Advisory Committee on Immunization (NACI) recommends that the Pfizer vaccine should be preferred over the Moderna vaccine for children aged five to 11. Although the risk of myocarditis or pericarditis with the Moderna in children 6 to 11 years of age is currently unknown, the risk was found to be higher in older individuals than with the Pfizer vaccine.</p><p>Additional information about <a href="https://uwaterloo.ca/pharmacy/sites/ca.pharmacy/files/uploads/files/myocarditis_and_pericarditis_after_covid-19_vaccines.pdf">myocarditis and pericarditis after COVID-19 vaccination</a> is available in this article from the University of Waterloo.</p><h2>Is vaccination safe for children with food allergies?</h2><p>Yes. There is no reason a child with a food allergy of any kind should not be vaccinated. Children with a history of allergy to foods, oral drugs, insect venom or environmental allergies can receive COVID-19 vaccines without any special precautions. If you are concerned about the possibility of an allergic reaction to any of the <a href="https://www.canada.ca/en/health-canada/services/drugs-health-products/covid19-industry/drugs-vaccines-treatments/vaccines/pfizer-biontech.html#a4">vaccine ingredients</a>, please consult your child’s primary health-care provider.</p><h2>Does the vaccine work against the Omicron variant?</h2><p>The Omicron variant is known to be much more transmissible than previous strains of COVID-19, but vaccination still protects against serious illness and hospitalization. The more people who are vaccinated against COVID-19, the more we can protect ourselves and prevent new variants from emerging and spreading in the community.</p><h2>Is the Omicron variant of COVID-19 causing more severe illness than previous strains?</h2><p>Most children and youth who have COVID-19 experience mild illness and do not require hospitalization. Those who are hospitalized typically require support for fever, dehydration and breathing difficulties. The increase in hospitalizations of COVID-positive patients is likely the result of widespread community transmission of COVID-19 due to the Omicron variant. While rare, some children and youth can get seriously ill after contracting COVID-19 and this is something we are monitoring closely.</p><h2>How effective is one dose of the vaccine against COVID-19?</h2><p>The COVID-19 vaccine is currently a two-dose primary series for children aged five to 11. While one dose provides partial protection in young individuals, it takes both doses to be considered fully vaccinated and optimize the protection provided by vaccination.</p><h2>Are children aged five to 11 eligible for a booster dose of the vaccine?</h2><p>Yes. In August 2022, Health Canada authorized a booster dose of the Pfizer vaccine, to be administered at least six months after the second dose, for all children in this age group.</p> <h2>Does the rapid spread of the Omicron variant mean children should receive their two vaccine doses at an interval shorter than the eight weeks recommended when it was approved in Canada?</h2><p>The National Advisory Committee on Immunization (NACI) currently recommends an eight-week interval, but parents may choose to vaccinate their children at a shorter interval (minimum 21 days) if they provide informed consent. If you are considering vaccinating your child at a shorter interval because of an underlying health condition or other reason, please discuss the matter with your child’s primary health-care provider. See <a href="https://www.canada.ca/content/dam/phac-aspc/documents/services/immunization/national-advisory-committee-on-immunization-naci/updated-recommendations-use-covid-19-vaccines-children-5-11-years-age.pdf">NACI’s updated recommendations on the use of COVID-19 vaccines in children 5 to 11 years of age</a>.</p><h2>Is there advice you would give to families with children who are immunocompromised or have disabilities and medical complexity?</h2><p>Vaccination remains the best layer of protection against COVID-19 for everyone. It is important your child receives the vaccinations for which they are eligible. In Ontario, certain immunocompromised populations, including children aged five to 11, are eligible for a primary series of three doses. Read more about <a href="https://www.health.gov.on.ca/en/pro/programs/publichealth/coronavirus/docs/vaccine/COVID-19_vaccine_third_dose_recommendations.pdf">Ontario’s third-dose recommendations</a>. You can also talk to your child’s doctor or book an appointment with the <a href="https://www.sickkids.ca/en/care-services/support-services/covid-19-vaccine-consult/">SickKids COVID-19 Vaccine Consult Service</a>.</p><h2>What is the current evidence for vaccination for COVID-19 in children with disabilities and medical complexity?</h2><p>Current evidence suggests that children with disabilities and medical complexity may be at an increased risk for severe illness or complications from COVID-19 based on their underlying condition making vaccination and prevention of COVID-19 especially important. The Pfizer COVID-19 vaccine is safe and effective for children with a wide variety of different medical conditions and complexities. Unexpected or severe side effects to the vaccine are very rare. If you have specific questions about your child’s medical condition and the COVID-19 vaccine, talk with your child’s doctor or book an appointment with the <a href="https://www.sickkids.ca/en/care-services/support-services/covid-19-vaccine-consult/">SickKids COVID-19 Vaccine Consult Service</a>.</p><h2>What special considerations are there when vaccinating children with disabilities and medical complexity? Where can family caregivers find additional resources?</h2><p>Families should consider different strategies that have worked well with previous immunizations and create a plan to set their child up for success. Some questions to consider when scheduling your child’s vaccination appointment include:</p><ul><li>Does my child require a calmer environment? (i.e., privacy, quiet)</li><li>If applicable, is the vaccination clinic wheelchair accessible?</li><li>Which distraction techniques are typically most effective for my child (i.e., deep breathing, counting, watching a favourite video, stress balls)</li><li>What position will be most comfortable for my child during their vaccination (i.e., comfort holding, sitting with a caregiver, lying down)</li></ul><p>If family caregivers have questions related to vaccinating children with disabilities and medical complexity, you should first reach out to your child’s primary care physician. For additional questions after speaking with your child’s physician, you can book an appointment with the <a href="https://www.sickkids.ca/en/care-services/support-services/covid-19-vaccine-consult/">SickKids COVID-19 Vaccine Consult Service</a>.</p><h2>Why do immunocompromised children benefit from additional vaccine doses?</h2><p>Similar to adults and with any other vaccine, the immune response to COVID-19 vaccines in children who are immunocompromised is not as strong as in people who are not immunocompromised. Therefore, they require additional vaccine doses to achieve appropriate protection. As immunocompromised people are at higher risk of complications and severe outcomes when infected with COVID-19, they are eligible for a higher number of doses and are strongly recommended to receive them all to maximize protection from COVID-19.</p><h2>Due to an underlying health condition, my child is at increased risk from side effects following any treatment or vaccination. What options are available to address this specific concern for my child?</h2><p>If you have specific concerns of this nature, it’s always best to speak with your primary health-care provider. Another option is to make an appointment with the <a href="https://www.sickkids.ca/en/care-services/support-services/covid-19-vaccine-consult">SickKids COVID-19 Vaccine Consult Service</a> to speak with a SickKids nurse. Additionally, if your child requires additional support or specialized care when receiving the COVID-19 vaccine, please email vaccine.consults@sickkids.ca and include the following information in your message: </p><ul><li>Name</li><li>Date of birth</li><li>Telephone number</li><li>Describe the considerations or accommodations that need to be in place for the patient</li></ul><h2>Should I be concerned that if my child takes an mRNA vaccine it could impact their eligibility for future specialized treatments for their condition?</h2><p>No. The vaccine will have no impact on future specialized treatments.<br></p><h2>I cannot decide if vaccinating my child is the right thing to do. Who can I talk to?</h2><p>Contact your child’s primary care provider or the SickKids COVID-19 Vaccine Consult Service, a by-appointment phone service for Ontario residents that provides a safe, judgment-free space to have an open conversation about the COVID-19 vaccine with a paediatric registered nurse. Book an appointment online at <a href="https://www.sickkids.ca/en/care-services/support-services/covid-19-vaccine-consult/">sickkids.ca/vaccineconsult</a> or by calling 1-888-304-6558.</p><p>For general information on COVID-19, please visit the <a href="https://www.aboutkidshealth.ca/covid-19">COVID-19 learning hub</a>.</p><h2>Information on how to prepare and support your child with their COVID-19 vaccine</h2><p>CARD System Learning Hub<br><a href="https://www.aboutkidshealth.ca/card">https://www.aboutkidshealth.ca/card</a></p><p>Needle pokes: Reducing pain in children aged 18 months or over<br><a href="https://www.aboutkidshealth.ca/Article?contentid=990&language=English">https://www.aboutkidshealth.ca/Article?contentid=990&language=English</a></p><p>Needle pokes: Reducing pain with comfort positions and distraction<br><a href="https://www.aboutkidshealth.ca/Article?contentid=3629&language=English">https://www.aboutkidshealth.ca/Article?contentid=3629&language=English</a></p><p>Needle pokes: Reducing pain with numbing cream<br><a href="https://www.aboutkidshealth.ca/Article?contentid=3627&language=English">https://www.aboutkidshealth.ca/Article?contentid=3627&language=English</a></p><p>Pain relief: Comfort kit<br><a href="https://www.aboutkidshealth.ca/Article?contentid=1258&language=English">https://www.aboutkidshealth.ca/Article?contentid=1258&language=English</a></p><h2>References</h2><p>Centers for Disease Control and Prevention. (2021, February 26). COVID-19 Vaccination. Retrieved from <a href="https://www.cdc.gov/vaccines/covid-19/index.html">https://www.cdc.gov/vaccines/covid-19/index.html</a></p><p>Centers for Disease Control and Prevention. (2021, March 8). Science Brief: Background Rationale and Evidence for Public Health Recommendations for Fully Vaccinated People. Retrieved from <a href="https://www.cdc.gov/coronavirus/2019-ncov/more/fully-vaccinated-people.html">https://www.cdc.gov/coronavirus/2019-ncov/more/fully-vaccinated-people.html</a></p><p>Government of Ontario – Ministry of Health. (2020, March 31). COVID-19 vaccines for Ontario. Retrieved from <a href="https://covid-19.ontario.ca/covid-19-vaccines-ontario">https://covid-19.ontario.ca/covid-19-vaccines-ontario</a></p><p>Health Canada. (2021, October 18). Health Canada receives submission from Pfizer-BioNTech to authorize the use of Comirnaty COVID-19 vaccine in children 5 to 11 years of age. Retrieved from <a href="https://www.canada.ca/en/health-canada/news/2021/10/health-canada-receives-submission-from-pfizer-biontech-to-authorize-the-use-of-comirnaty-covid-19-vaccine-in-children-5-to-11-years-of-age.html">https://www.canada.ca/en/health-canada/news/2021/10/health-canada-receives-submission-from-pfizer-biontech-to-authorize-the-use-of-comirnaty-covid-19-vaccine-in-children-5-to-11-years-of-age.html</a></p><p>ImmunizeBC. (2021, March 12). COVID-19 Vaccine Frequently Asked Questions. Retrieved from <a href="https://immunizebc.ca/covid-19-vaccine-frequently-asked-questions">https://immunizebc.ca/covid-19-vaccine-frequently-asked-questions</a></p><p>ImmunizeCanada. (2021, February 18). COVID-19 Info. Retrieved from <a href="https://immunize.ca/covid-19-info">https://immunize.ca/covid-19-info</a></p><p>National Advisory Committee on Immunization. (2021, May 5). Recommendations on the use of COVID-19 vaccines. Retrieved from <a href="https://www.canada.ca/content/dam/phac-aspc/documents/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines/recommendations-use-covid-19-vaccines-en.pdf">https://www.canada.ca/content/dam/phac-aspc/documents/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines/recommendations-use-covid-19-vaccines-en.pdf</a></p><p>Pfizer. (2021, September 20). Pfizer and BioNTech Announce Positive Topline Results from Pivotal Trial of COVID-19 Vaccine in Children 5 to 11 Years. Retrieved from <a href="https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-announce-positive-topline-results">https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-announce-positive-topline-results</a></p><p>Pfizer. (2021, September 28). Pfizer and BioNTech Submit Initial Data to U.S. FDA From Pivotal Trial of COVID-19 Vaccine in Children 5 to <12 Years of Age. Retrieved from <a href="https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-submit-initial-data-us-fda-pivota">https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-submit-initial-data-us-fda-pivota</a>l</p><p>Public Health Agency of Canada. (2021, September 28). Advisory Committee Statement (ACS) National Advisory Committee on Immunization (NACI): Recommendations on the use of COVID-19 vaccines. Retrieved from <a href="https://www.canada.ca/content/dam/phac-aspc/documents/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines/recommendations-use-covid-19-vaccines-en.pdf">https://www.canada.ca/content/dam/phac-aspc/documents/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines/recommendations-use-covid-19-vaccines-en.pdf</a></p><p>Walter, E.B., Talaat, K.R., Sabharwal, C., Gurtman, A., Lockhart, S., Paulsen, G.C.,…Gruber, W.C., for the C4591007 Clinical Trial Group. (2021). Evaluation of the BNT162b2 Covid-19 Vaccine in Children 5 to 11 Years of Age. <em>New England Journal of Medicine</em>. <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2116298">https://www.nejm.org/doi/full/10.1056/NEJMoa2116298</a></p><p>World Health Organization. (2021, February 19). COVID-19 vaccines. Retrieved from <a href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019/covid-19-vaccines">https://www.who.int/emergencies/diseases/novel-coronavirus-2019/covid-19-vaccines</a><br></p>https://assets.aboutkidshealth.ca/AKHAssets/iStock-1278968456.jpgCOVID-19 vaccine info for children (ages 5 to 11)Main
COVID-19 vaccine information for youth (ages 12+)COVID-19 vaccine information for youth (ages 12+)COVID-19 vaccine information for youth (ages 12+)CEnglishInfectious DiseasesTeen (13-18 years);Pre-teen (9-12 years)NANADrug treatmentAdult (19+) CaregiversNAhttps://assets.aboutkidshealth.ca/AKHAssets/iStock-1302135365.jpg2022-07-28T04:00:00ZFlat ContentHealth A-Z<p>Learn about the status of COVID-19 vaccines for youth 12 to 17 years of age and the benefits of getting the vaccine for youth.<br></p><h2>What is the status of COVID-19 vaccines for youth in Canada?</h2><p>In May 2021, Health Canada approved the use of the Pfizer vaccine for all individuals older than 12 years of age.</p><p>Here are a few helpful resources about COVID-19 vaccines and youth.</p><ul><li> <a href="https://kidshealthfirst.ca/">COVID-19 Vaccines for Ontario Youth</a></li><li> <a href="https://www.toronto.ca/wp-content/uploads/2021/05/97d6-COVID-19-Vaccine-Fact-Sheet-Youth.pdf">COVID-19 Vaccine Fact Sheet for Youth Age 12 to 17</a></li><li> <a href="https://www.toronto.ca/wp-content/uploads/2021/05/908c-CovidTeenVaxConsentInfographF.pdf">Does my 12+ Child Require Informed Consent to Receive Their Vaccine?</a></li></ul><p>Looking for general information on COVID-19 vaccines. Visit the page on <a href="https://www.aboutkidshealth.ca/Article?contentid=3937&language=English&hub=COVID-19">COVID-19 vaccines general information</a>.</p><p>Looking for information specific to children under five years of age? Visit the page on <a href="https://www.aboutkidshealth.ca/Article?contentid=4054&language=English">COVID-19 vaccination for ages under five</a>.</p> <p>Looking for information specific to children aged five to 11? Visit the page on <a href="https://www.aboutkidshealth.ca/Article?contentid=4001&language=English&hub=COVID-19">COVID-19 vaccine information for children (ages five to 11)</a>.</p> <br> <h2>Key points</h2><ul><li>Vaccines against COVID-19 have been shown to be safe and effective against the disease.</li><li>Two of the vaccines, Pfizer and Moderna, are approved for people 12 years of age and older.</li><li>The vaccine has been shown to prevent severe illness and hospitalization in youth aged 12 to 17.</li><li>Vaccinating youth aged 12 to 17 will help to prevent the transmission of the SARS-CoV-2 virus.</li></ul><h2>Do you recommend that youth get the vaccine against COVID-19?</h2><p>Although they are less at risk than older people, some youth may still develop severe COVID-19, or may require hospitalization because of COVID-19. The vaccine has been shown to prevent severe illness and hospitalization in youth. Moreover, vaccinating youth will become important to reduce the transmission of the virus since they represent a large proportion of the population.</p><h2>Why do youth need the COVID-19 vaccine since they don’t get that sick if they become infected?</h2><p>While adults are at higher risk of complications from COVID-19, youth can still get infected and develop severe complications. Vaccination against COVID-19 prevents youth from being infected and may also prevent them from developing severe and long-term complications. Vaccination can also prevent youth from transmitting SARS-CoV-2, the virus that causes COVID-19.</p><h2>Can vaccination help prevent the occurrence of MIS-C?</h2><p>Multisystem inflammatory syndrome (MIS-C) is a hyperinflammatory condition that is observed in some children and youth following COVID-19 infection. A study in the U.S. conducted in 2021 showed that the vaccine was highly effective at preventing the development of this serious condition in vaccinated youth (aged 12 to 18). The study showed that among the youth who were hospitalized with MIS-C, the vast majority were unvaccinated.</p><h2>Can vaccination improve the physical and mental health of youth?</h2><p>Getting vaccinated can help keep youth safe and healthy, return to their pre-pandemic activities, as well as limit the spread of COVID-19 to others in the community.</p><p> <a href="https://www.sickkids.ca/en/news/archive/2021/research-covid-19-pandemic-impact-child-youth-mental-physical-health/">SickKids-led research</a> has shown a serious, sustained negative impact on the mental health of Ontario children, youth and their families due to the COVID-19 pandemic. Before the pandemic, a study showed that 58 per cent of participants engaged in school sports and/or other extracurricular activities. During the pandemic, only 27 per cent participated in sports and 16 per cent in extracurriculars. These activities are known to boost physical and mental health. Vaccination will help return children to their regular activities and thus help improve the mental health and psychosocial wellbeing of children.</p><h2>Is the risk of myocarditis or pericarditis greater from the vaccine or from COVID-19 for youth?</h2><p>In Canada, the National Advisory Committee on Immunization (NACI) recommends vaccination for youth and young adults who are eligible, as the benefits of vaccination to prevent COVID-19 and associated complications outweigh very rare cases of myocarditis/pericarditis following COVID-19 mRNA vaccination.</p><p>Additional information about <a href="https://uwaterloo.ca/pharmacy/sites/ca.pharmacy/files/uploads/files/myocarditis_and_pericarditis_after_covid-19_vaccines.pdf">myocarditis and pericarditis after COVID-19 vaccination</a> is available in this article from the University of Waterloo.</p><p>A recent U.S. study found myocarditis rates with confirmed COVID-19 infection to be as high as 450 cases per million infections in young males aged 12 to 17 years, which is a much higher rate than from vaccination.</p><h2>Can the COVID-19 vaccine affect puberty and fertility in youth?</h2><p>No. There is no evidence that the COVID-19 vaccine can affect puberty and fertility in youth. Ongoing studies and surveillance of those who have been vaccinated in the general population have shown that the mRNA vaccines are very safe in youth aged 12 to 17.</p><p>For general information on COVID-19, please visit the <a href="https://www.aboutkidshealth.ca/covid-19">COVID-19 learning hub</a>.</p><h2>Is vaccination safe for youth with food allergies?</h2><p>Yes. There is no reason a youth with a food allergy of any kind should not be vaccinated. Children with a history of allergy to foods, oral drugs, insect venom or environmental allergies can receive COVID-19 vaccines without any special precautions. If you are concerned about the possibility of an allergic reaction to any of the <a href="https://www.canada.ca/en/health-canada/services/drugs-health-products/covid19-industry/drugs-vaccines-treatments/vaccines/pfizer-biontech.html#a4">vaccine ingredients</a>, please consult your child’s primary health-care provider.</p><h2>Does the vaccine work against the Omicron variant?</h2><p>The Omicron variant is known to be much more transmissible than previous strains of COVID-19, but vaccination still protects against serious illness and hospitalization. The more people who are vaccinated against COVID-19, the more we can protect ourselves and prevent new variants from emerging and spreading in the community.</p><h2>Is the Omicron variant of COVID-19 causing more severe illness than previous strains?</h2><p>Studies are ongoing with respect to the severity of COVID-19 in children and youth due to the Omicron variant. However, most children and youth who have COVID-19 experience mild illness and do not require hospitalization. Those who are hospitalized typically require support for fever, dehydration and breathing difficulties. The increase in hospitalizations of COVID-positive patients is likely the result of widespread community transmission of COVID-19 due to the Omicron variant. While rare, some children and youth can get seriously ill after contracting COVID-19 and this is something we are monitoring closely.</p><h2>When will youth be eligible for a third (booster) dose of the vaccine?</h2><p>In Ontario, youth (ages 12 to 17) are eligible for a third (booster) dose as of February 18, 2022 as long as six months (168 days) have passed since their second dose.</p><h2>Can youth who are immunocompromised receive their fourth (booster) dose yet?</h2><p>Yes, anyone who meets the <a href="https://www.health.gov.on.ca/en/pro/programs/publichealth/coronavirus/docs/vaccine/COVID-19_vaccine_third_dose_recommendations.pdf">Ontario Ministry of Health criteria</a> for being moderately to severely immunocompromised, including youth aged 12 to 17, are eligible for a three-dose primary series and a fourth dose (booster) six months (168 days) after they complete a three-dose primary series.</p><h2>Why do immunocompromised youth benefit from additional vaccine doses?</h2><p>Similar to adults and with any other vaccine, the immune response to COVID-19 vaccines in youth who are immunocompromised is not as strong as in people who are not immunocompromised. Therefore, they require additional vaccine doses to achieve appropriate protection. As immunocompromised people are at higher risk of complications and severe outcomes when infected with COVID-19, they are eligible for a higher number of doses and are strongly recommended to receive them all to maximize protection from COVID-19.</p><h2>Due to an underlying health condition, my child is at increased risk from side effects following any treatment or vaccination. What options are available to address this specific concern for my child?</h2><p>If you have specific concerns of this nature, it’s always best to speak with your primary health-care provider. Another option is to make an appointment with the <a href="https://www.sickkids.ca/en/care-services/support-services/covid-19-vaccine-consult">SickKids COVID-19 Vaccine Consult Service</a> to speak with a SickKids nurse. Additionally, if your child requires additional support or specialized care when receiving the COVID-19 vaccine, please email vaccine.consults@sickkids.ca and include the following information in your message: </p><ul><li>Name</li><li>Date of birth</li><li>Telephone number</li><li>Describe the considerations or accommodations that need to be in place for the patient</li></ul><h2>Should I be concerned that if my child takes an mRNA vaccine it could impact their eligibility for future specialized treatments for their condition?</h2><p>No. The vaccine will have no impact on future specialized treatments.</p><h2>Information on how to prepare and support your child with their COVID-19 vaccine</h2><p>CARD System Learning Hub<br><a href="https://www.aboutkidshealth.ca/card">https://www.aboutkidshealth.ca/card</a></p><p>Needle pokes: Reducing pain in children aged 18 months or over<br><a href="https://www.aboutkidshealth.ca/Article?contentid=990&language=English">https://www.aboutkidshealth.ca/Article?contentid=990&language=English</a></p><p>Needle pokes: Reducing pain with comfort positions and distraction<br><a href="https://www.aboutkidshealth.ca/Article?contentid=3629&language=English">https://www.aboutkidshealth.ca/Article?contentid=3629&language=English</a></p><p>Needle pokes: Reducing pain with numbing cream<br><a href="https://www.aboutkidshealth.ca/Article?contentid=3627&language=English">https://www.aboutkidshealth.ca/Article?contentid=3627&language=English</a></p><p>Pain relief: Comfort kit<br><a href="https://www.aboutkidshealth.ca/Article?contentid=1258&language=English">https://www.aboutkidshealth.ca/Article?contentid=1258&language=English</a></p><h2>References</h2><p>Centers for Disease Control and Prevention. (2021, February 26). COVID-19 Vaccination. Retrieved from <a href="https://www.cdc.gov/vaccines/covid-19/index.html">https://www.cdc.gov/vaccines/covid-19/index.html</a></p><p>Centers for Disease Control and Prevention. (2021, March 8). Science Brief: Background Rationale and Evidence for Public Health Recommendations for Fully Vaccinated People. Retrieved from <a href="https://www.cdc.gov/coronavirus/2019-ncov/more/fully-vaccinated-people.html">https://www.cdc.gov/coronavirus/2019-ncov/more/fully-vaccinated-people.html</a></p><p>Government of Ontario – Ministry of Health. (2020, March 31). COVID-19 vaccines for Ontario. Retrieved from <a href="https://covid-19.ontario.ca/covid-19-vaccines-ontario">https://covid-19.ontario.ca/covid-19-vaccines-ontario</a></p><p>Health Canada. (2021, October 18). Health Canada receives submission from Pfizer-BioNTech to authorize the use of Comirnaty COVID-19 vaccine in children 5 to 11 years of age. Retrieved from <a href="https://www.canada.ca/en/health-canada/news/2021/10/health-canada-receives-submission-from-pfizer-biontech-to-authorize-the-use-of-comirnaty-covid-19-vaccine-in-children-5-to-11-years-of-age.html">https://www.canada.ca/en/health-canada/news/2021/10/health-canada-receives-submission-from-pfizer-biontech-to-authorize-the-use-of-comirnaty-covid-19-vaccine-in-children-5-to-11-years-of-age.html</a></p><p>ImmunizeBC. (2021, March 12). COVID-19 Vaccine Frequently Asked Questions. Retrieved from <a href="https://immunizebc.ca/covid-19-vaccine-frequently-asked-questions">https://immunizebc.ca/covid-19-vaccine-frequently-asked-questions</a></p><p>ImmunizeCanada. (2021, February 18). COVID-19 Info. Retrieved from <a href="https://immunize.ca/covid-19-info">https://immunize.ca/covid-19-info</a></p><p>National Advisory Committee on Immunization. (2021, May 5). Recommendations on the use of COVID-19 vaccines. Retrieved from <a href="https://www.canada.ca/content/dam/phac-aspc/documents/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines/recommendations-use-covid-19-vaccines-en.pdf">https://www.canada.ca/content/dam/phac-aspc/documents/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines/recommendations-use-covid-19-vaccines-en.pdf</a></p><p>Pfizer. (2021, September 20). Pfizer and BioNTech Announce Positive Topline Results from Pivotal Trial of COVID-19 Vaccine in Children 5 to 11 Years. Retrieved from <a href="https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-announce-positive-topline-results">https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-announce-positive-topline-results</a></p><p>Pfizer. (2021, September 28). Pfizer and BioNTech Submit Initial Data to U.S. FDA From Pivotal Trial of COVID-19 Vaccine in Children 5 to <12 Years of Age. Retrieved from <a href="https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-submit-initial-data-us-fda-pivota">https://www.pfizer.com/news/press-release/press-release-detail/pfizer-and-biontech-submit-initial-data-us-fda-pivota</a>l</p><p>Public Health Agency of Canada. (2021, September 28). Advisory Committee Statement (ACS) National Advisory Committee on Immunization (NACI): Recommendations on the use of COVID-19 vaccines. Retrieved from <a href="https://www.canada.ca/content/dam/phac-aspc/documents/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines/recommendations-use-covid-19-vaccines-en.pdf">https://www.canada.ca/content/dam/phac-aspc/documents/services/immunization/national-advisory-committee-on-immunization-naci/recommendations-use-covid-19-vaccines/recommendations-use-covid-19-vaccines-en.pdf</a></p><p>Walter, E.B., Talaat, K.R., Sabharwal, C., Gurtman, A., Lockhart, S., Paulsen, G.C.,…Gruber, W.C., for the C4591007 Clinical Trial Group. (2021). Evaluation of the BNT162b2 Covid-19 Vaccine in Children 5 to 11 Years of Age. <em>New England Journal of Medicine</em>. <a href="https://www.nejm.org/doi/full/10.1056/NEJMoa2116298">https://www.nejm.org/doi/full/10.1056/NEJMoa2116298</a></p><p>World Health Organization. (2021, February 19). COVID-19 vaccines. Retrieved from <a href="https://www.who.int/emergencies/diseases/novel-coronavirus-2019/covid-19-vaccines">https://www.who.int/emergencies/diseases/novel-coronavirus-2019/covid-19-vaccines</a></p>https://assets.aboutkidshealth.ca/AKHAssets/iStock-1302135365.jpgCOVID-19 vaccine information for youth (ages 12+)Main
COVID-19COVID-19COVID-19CEnglishInfectious DiseasesChild (0-12 years);Teen (13-18 years)NAImmune systemConditions and diseasesAdult (19+) CaregiversNA2020-03-26T04:00:00Z000Landing PageLearning Hub<p>Learn about COVID-19 and how to talk to and support your family. Also find resources such as videos and audio meditations to help you cope.</p><a href="https://www.aboutkidshealth.ca/Article?contentid=4054&language=English&hub=COVID-19"><figure class="asset-small"><img alt="Read COVID-19 vaccine information for children under five years of age" src="https://assets.aboutkidshealth.ca/AKHAssets/COVID_Vaccine_info_under_five_thumbnail.jpg" /> </figure> </a> <p>This learning hub includes resources on COVID-19 and how to help you and your child cope. Find general information on COVID-19 and articles and resources about vaccines and testing. Read the article to find more information about COVID-19 vaccines for children under five years of age.<br></p><div class="asset-video"> <iframe src="https://www.youtube.com/embed/videoseries?list=PLfAK35c0XomtY0ixQrG3EjdwiCw8vOCUw"></iframe> </div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">COVID-19 information</h2></div><div class="panel-body list-group" style="display:none;"><p>Find information about COVID-19 from AboutKidsHealth.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3872&language=English">Coronavirus disease 2019 (COVID-19) </a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3907&language=English">Multisystem inflammatory syndrome in children (MIS-C)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.canada.ca/en/public-health/services/diseases/coronavirus-disease-covid-19.html">Coronavirus disease (COVID-19) (Public Health Agency of Canada)</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3863&language=English">COVID-19: Information for parents of immunocompromised children and children with chronic medical conditions</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3870&language=English&hub=COVID-19">COVID-19: Information for parents of children with congenital heart disease</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3875&language=English">COVID-19 and chronic pain in children and teens</a></li><li class="list-group-item"> <a class="overview-links" href="https://covid19healthliteracyproject.com/#languages">COVID-19 fact sheets in 34 different languages (Harvard Health Publishing)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.publichealthontario.ca/en/diseases-and-conditions/infectious-diseases/respiratory-diseases/novel-coronavirus/public-resources">COVID-19 public resources (Public Health Ontario)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.pcmch.on.ca/covid-19-resources-for-children-youth-and-families/">COVID-19 resources for children, youth, and families (Provincial Council for Maternal and Child Health)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.caringforkids.cps.ca/handouts/the-2019-novel-coronavirus-covid-19">The 2019 Novel Coronavirus (COVID-19) (Caring for Kids)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.ontario.ca/page/2019-novel-coronavirus">The 2019 Novel Coronavirus (COVID-19) (Ontario Ministry of Health)</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">COVID-19 vaccines</h2></div><div class="panel-body list-group" style="display:none;"><p>Find information about the COVID-19 vaccines that are available in Canada and about their safety and effectiveness.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3937&language=English">COVID-19 vaccines general information</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=4054&language=English">COVID-19 vaccination for ages under five</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=4001&language=English">COVID-19 vaccine information for children (ages five to 11)</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=4000&language=English">COVID-19 vaccine information for youth (ages 12+)</a></li><li class="list-group-item"> <a class="overview-links" href="https://iphcc.ca/covid-19/">COVID-19 (Indigenous Primary Health Care Council)</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtube.com/playlist?list=PLfAK35c0XomtY0ixQrG3EjdwiCw8vOCUw">SickKids COVID-19 vaccine consult service: Commonly asked questions (video playlist)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.youtube.com/watch?v=VJ4tKxYISRk">Youth COVID-19 vaccination: What to expect (video)</a></li><li class="list-group-item"> <a class="overview-links" href="https://assets.aboutkidshealth.ca/AKHAssets/CARD_Vaccination_Handout.pdf">CARD handout: Coping with pain and fear around vaccination for teens</a></li><li class="list-group-item"> <a class="overview-links" href="https://assets.aboutkidshealth.ca/AKHAssets/CARD_Vaccination_Poster.pdf">CARD poster: Coping with pain and fear around vaccination for teens</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.canada.ca/en/health-canada/services/drugs-health-products/covid19-industry/drugs-vaccines-treatments/vaccines.html">Vaccines for COVID-19: Authorized vaccines</a></li><li class="list-group-item"> <a class="overview-links" href="https://covid-19.ontario.ca/covid-19-vaccines-ontario">COVID-19 vaccines for Ontario</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">COVID-19 testing</h2></div><div class="panel-body list-group" style="display:none;"><p>Find information that will help you and your child prepare or either a saliva test or a nasopharyngeal swab.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://covid-19.ontario.ca/self-assessment/">Take this self-assessment if you were exposed to COVID-19 or have symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="https://covid-19.ontario.ca/covid-19-test-and-testing-location-information">Ontario COVID-19 test and testing location information</a></li><li class="list-group-item"> <a class="overview-links" href="https://assets.aboutkidshealth.ca/AKHAssets/COVID-19%20Testing%20How%20to%20prepare%20and%20comfort%20your%20child.pdf">COVID-19 Testing: How to prepare and comfort your child</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/Ru-vFZdImes">Saliva testing (video)</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/nO1L-oYo9TA">Nasopharyngeal (NP) swab (video)</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3908&language=English">After your child’s COVID-19 test</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/8d9SPC7T6KM">After your child's COVID-19 test - Virtual discharge (video)</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Talking to your child about COVID-19</h2></div><div class="panel-body list-group" style="display:none;"><p>Helpful resources that provide information about how to explain and talk to your child about COVID-19. </p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3866&language=English">How to talk to your child about COVID-19</a></li><li class="list-group-item"> <a class="overview-links" href="http://hollandbloorview.ca/services/family-workshops-resources/family-resource-centre/explaining-covid-19-kids">Explaining COVID-19 and Coronavirus to children (Holland Bloorview)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.cps.ca/en/blog-blogue/how-can-we-talk-to-kids-about-covid-19">How can we talk to kids about COVID-19? Be “realistically reassuring” (Canadian Pediatric Society)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.pbs.org/parents/thrive/how-to-talk-to-your-kids-about-coronavirus#.XmuZ3QV_gax.twitter">How to Talk to Your Kids About Coronavirus (PBS)</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3869&language=English">Supporting your child with a neurodevelopmental disorder through the COVID-19 crisis</a></li><li class="list-group-item"> <a class="overview-links" href="https://cmho.org/talking-to-your-anxious-child-about-covid-19/">Talking to your anxious child about COVID-19 (Children's Mental Health Ontario)</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Coping</h2></div><div class="panel-body list-group" style="display:none;"><p>Information on how to help your child cope with stress during the COVID-19 crisis and how to help them deal with separation from family and friend. </p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3868&language=English">Coping with separation from and socialization with family and friends during COVID-19</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3882&language=English">COVID-19: Frequently asked questions</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3883&language=English">COVID-19: Well-being and mental health resources</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3888&language=English">Stressed adults and anxious young children: Supporting infants, toddlers and preschoolers through COVID-19</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3867&language=English">Is my child or adolescent feeling stressed about COVID-19?</a></li><li class="list-group-item"> <a class="overview-links" href="https://assets.aboutkidshealth.ca/AKHAssets/Anxiety%20Individual%20handout_Eng%2004_03_2020_v2.pdf">CARD: Coping with your own fears and anxiety</a></li><li class="list-group-item"> <a class="overview-links" href="https://assets.aboutkidshealth.ca/AKHAssets/Anxiety%20caregiver%20handout_Eng%2004_03_2020.pdf">CARD: Helping your child cope with anxiety</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.caringforkids.cps.ca/handouts/disaster">Helping children and teens cope with stressful public events (Caring for Kids)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.cps.ca/en/blog-blogue/how-to-help-youth-tackle-the-blues-during-covid-19">How to help youth tackle the blues during COVID-19 and #physicaldistancing (Canadian Pediatric Society)</a></li><li class="list-group-item"> <a class="overview-links" href="https://afirm.fpg.unc.edu/supporting-individuals-autism-through-uncertain-times">Supporting individuals with autism through uncertain times (Autism Focused Intervention Resources & Modules)</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Mental health</h2></div><div class="panel-body list-group" style="display:none;"><p>Taking care of your mental health during difficult and stressful times is important. Learn more about anxiety and depression.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=18&language=English">Anxiety: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="https://teens.aboutkidshealth.ca/Article?contentid=3810&language=English">Anxiety and anxiety disorders</a></li><li class="list-group-item"> <a class="overview-links" href="https://assets.aboutkidshealth.ca/AKHAssets/Anxiety%20Individual%20handout_Eng%2004_03_2020_v2.pdf">CARD: Coping with your own fears and anxiety</a></li><li class="list-group-item"> <a class="overview-links" href="https://assets.aboutkidshealth.ca/AKHAssets/Anxiety%20caregiver%20handout_Eng%2004_03_2020.pdf">CARD: Helping your child cope with anxiety</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=19&language=English">Depression: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.camh.ca/en/health-info/mental-health-and-covid-19">Mental health and the COVID-19 pandemic (CAMH)</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Parenting</h2></div><div class="panel-body list-group" style="display:none;"><p>Find some helpful information on parenting during the COVID-19 crisis. </p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/jwwwF9KQ7CQ">Parenting during COVID-19 and beyond (podcast)</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3935&language=English">Keeping your child active during the COVID-19 pandemic</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.caringforkids.cps.ca/handouts/health_information_on_the_internet">A parent’s guide to health information on the Internet (Caring for Kids)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.cps.ca/en/blog-blogue/covid-youth-and-substance-use-critical-messages-for-youth-and-families">COVID, youth, and substance use: Critical messages for youth and families (Canadian Pediatric Society)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.cps.ca/en/blog-blogue/parenting-during-covid-19-a-new-frontier">Parenting during COVID-19: A new frontier (Canadian Pediatric Society)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.sickkids.ca/en/news/archive/2021/updated-covid19-school-operation-guidance-document-released/">SickKids - Updated guidance for school operation during the pandemic</a></li><li class="list-group-item"> <a class="overview-links" href="https://hollandbloorview.ca/sites/default/files/2020-07/HB-BackToSchool-Recommendations.pdf">Return to school recommendations for children with special needs (Holland Bloorview)</a></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Learning</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=651&language=English&hub=COVID-19">Reading milestones</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1903&language=English&hub=COVID-19">Reading: How to help early and struggling readers</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3871&language=English&hub=COVID-19">Writing milestones</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1881&language=English&hub=COVID-19">Visual-motor skills: How to foster in children</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=722&language=English&hub=COVID-19">Mathematics milestones</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=721&language=English&hub=COVID-19">Mathematics: How to help your pre-school and school-aged child</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=649&language=English&hub=COVID-19">Spatial reasoning skills: How to foster in children</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Well-being</h2></div><div class="panel-body list-group" style="display:none;"><p>Find out how physical activity, a healthy sleep routine, screen time limits and balanced nutrition can boost your child's mental health and support them to achieve better academic success and help them through difficult times. </p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Handwashing</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1981&language=English">Hand hygiene</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.caringforkids.cps.ca/handouts/handwashing">Handwashing for parents and children (Caring for Kids)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.youtube.com/watch?time_continue=9&v=7PKwE1jIuws&feature=emb_title">Protect don’t infect (CHEO)</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Sleep</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=645&language=English">Sleep: Benefits and recommended amounts</a></li><li class="list-group-item"> <a class="overview-links" href="https://teens.aboutkidshealth.ca/Article?contentid=3632&language=English">Sleep and your mental health: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="https://teens.aboutkidshealth.ca/Article?contentid=3633&language=English">Sleep and mental health: Sorting out your sleep routine</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=646&language=English">How to help your child get a good night's sleep</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=647&language=English">How to help your teen get a good night's sleep</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Physical activity</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://teens.aboutkidshealth.ca/Article?contentid=3783&language=English">Physical activity and mental health: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="https://teens.aboutkidshealth.ca/Article?contentid=3784&language=English">Physical activity and mental health: Types of physical activity</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=641&language=English">Physical activity: Benefits of exercise for health and wellbeing</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=642&language=English">Physical activity: Guidelines for children and teens</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Nutrition</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://teens.aboutkidshealth.ca/Article?contentid=3773&language=English">Nutrition and mental health: The basics of a healthy diet</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=639&language=English">How a balanced diet and healthy eating habits can help your child's mental health</a></li><li class="list-group-item"> <a class="overview-links" href="https://teens.aboutkidshealth.ca/Article?contentid=3774&language=English">Nutrition and mental health: Developing positive eating habits</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1464&language=English&hub=COVID-19">Meal ideas for school-aged children, tweens and teens</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=638&language=English">Healthy eating for teens</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Screen time and social media</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=643&language=English">Screen time: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="https://teens.aboutkidshealth.ca/Article?contentid=3775&language=English">Screen time for teens: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=644&language=English">How to help your child set healthy screen time limits</a></li><li class="list-group-item"> <a class="overview-links" href="https://teens.aboutkidshealth.ca/Article?contentid=3776&language=English">Setting limits and staying safe with screen time</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3894&language=English">Supporting healthy and responsible screen use during COVID-19</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Stress and resilience</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://teens.aboutkidshealth.ca/Article?contentid=3777&language=English">Stress and health</a></li><li class="list-group-item"> <a class="overview-links" href="https://teens.aboutkidshealth.ca/Article?contentid=3778&language=English">How to become more resilient</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Tools, videos and resources for you and your child</h2></div><div class="panel-body list-group" style="display:none;"><p>Find helpful resources including handouts, videos and other resources about COVID-19.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://assets.aboutkidshealth.ca/AKHAssets/Anxiety%20Individual%20handout_Eng%2004_03_2020_v2.pdf">CARD: Coping with your own fears and anxiety</a></li><li class="list-group-item"> <a class="overview-links" href="https://assets.aboutkidshealth.ca/AKHAssets/Anxiety%20caregiver%20handout_Eng%2004_03_2020.pdf">CARD: Helping your child cope with anxiety</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.youtube.com/watch?v=fBkA2ZTUnyI&feature=youtu.be">Dr. Cheddar chats with Dr. Ronni from SickKids (video)</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/nO1L-oYo9TA">Nasopharyngeal (NP) swab (video)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.youtube.com/watch?v=r51gYrDzpHQ">Physical distancing (video)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.youtube.com/watch?time_continue=9&v=7PKwE1jIuws&feature=emb_title">Protect don’t infect (CHEO)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.brainson.org/shows/2020/03/10/understanding-coronavirus-and-how-germs-spread-for-kids?fbclid=IwAR21Y_n6fsy33QD2s07In2Q892xQoI5OEFMMZ5vcMyVoLdkH8tv4yZjaZsc">Understanding coronavirus and how germs spread (Brains On!)</a></li><li class="list-group-item"> <a class="overview-links" href="https://kidshelpphone.ca/get-info/were-here-for-you-during-covid-19-novel-coronavirus/">We’re here for you during COVID-19 (novel coronavirus) (Kids Help Phone)</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.youtube.com/watch?v=sNinywG7BtY">What is personal protective equipment (PPE) (video)</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/gqeyRuvF9WU">Your virtual video visit overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3889&language=English">Virtual care at SickKids</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3910&language=English">Virtual care: How to accurately measure your child’s height and weight at home</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Videos to support sleep and mindfulness</h2></div><div class="panel-body list-group" style="display:none;"><p>Find videos that will help you prepare for sleep and for when you need a moment of peace, to understand your situation more clearly and coping with stressful thoughts and experiences.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Sleep video</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/2fbaoqkY0Qk">Sleep: A bed time story</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Mindfulness videos</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/nQdM_Cku9pA">A moment of peace</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/cFCiUlFKuO4">Two wings to fly</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/jaNAwy3XsfI">Being with all of your experiences</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/0QXmmP4psbA">You are not your thoughts</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/Ty93GRPplJo">Dealing with difficult moments</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/QTsUEOUaWpY">Everyday mindfulness</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/GgBVIZAEQqU">STOP for mindfulness</a></li><li class="list-group-item"> <a class="overview-links" href="https://www.youtube.com/watch?v=KYcLfBf-T9c">Stress and thinking: The mind/body connection</a></li><li class="list-group-item"> <a class="overview-links" href="https://youtu.be/EWzDHN7Jdg8">Dealing with flares: Controlling the controllables</a></li></ol></li></ol></div> <br> <div class="asset-video"> <iframe src="https://www.youtube.com/embed/videoseries?list=PLjJtOP3StIuUqAzahUMBvvRg2bbViWhH7"></iframe> </div><p>See "Tools, videos and resources for you and your child" in the menu above for more videos or visit the <a href="https://www.youtube.com/user/Aboutkidshealth">AboutKidHealth YouTube channel</a></p> <br>https://assets.aboutkidshealth.ca/AKHAssets/iStock-1157093074.jpgCOVID-19,COVID19COVID-19COVID-19 learning hub Learn about COVID-19 and how to talk to and support your family. Also find resources such as videos and audio meditations to help you cope.Main

 

 

The menstrual cycle: What is menstruation?The menstrual cycle: What is menstruation?The menstrual cycle: What is menstruation?TEnglishAdolescentTeen (13-18 years)Ovaries;Fallopian tubesReproductive systemConditions and diseasesTeen (13-18 years)Abdominal pain;Bleeding;Headache2022-07-19T04:00:00Z9.8000000000000049.10000000000001027.00000000000Flat ContentHealth A-Z<p>Learn about menstruation (periods) and what makes up a normal menstrual cycle.</p><h2>What is menstruation?</h2><p>Menstruation, periods or the menstrual cycle, is experienced by people with female reproductive body parts and is the body’s monthly process of preparing itself for a possible pregnancy. Approximately once a month, the ovaries release an egg (or ovum) through a process called ovulation. During this cycle, the uterus prepares for a possible pregnancy by building up a thick lining called the endometrium. If the released egg is not fertilized by sperm, no pregnancy begins, and the uterus then sheds its lining resulting in menstrual bleeding. This bleeding is often called a “menses,” or “<a href="https://teens.aboutkidshealth.ca/Article?contentid=4052&language=English">period</a>.” You might also hear people talk about this bleeding using other nicknames and phrases like “Aunt Flo,” the “Time of the Month,” a person’s “Moon Time,” being on/having “Your days”, “Little Red Riding Hood is coming,” or the “Little strawberry.”</p><h2>At what age do you get your period?</h2><p>The normal range for getting your period is between 9-15 years of age. In Canada, the average age is usually between ages 12 and 13 years.</p><p>The age at which your period starts is called “menarche”. Menarche occurs towards the end of puberty, and it indicates that your body has the ability to become <a href="https://teens.aboutkidshealth.ca/Article?contentid=3987&language=English">pregnant</a>. If you are sexually active and having vaginal sex, it is possible to get pregnant around the time of your first period.</p><p>Menarche occurs at different ages. It is impossible to predict exactly when menarche will occur, but it is closely tied to the timing of puberty. The first sign of puberty is usually the start of breast development, and menarche often happens about two years after breast development begins. It is not exactly known what triggers menarche, but several factors can influence when it happens. These factors include your race, nutrition status, body composition (including weight), genetics, any health conditions you might have, and environmental factors.</p><p>Once you begin menstruating, it can take some time before your cycles become regular. Some people have very predictable cycles throughout their lifetime and others have unpredictable cycles. The regularity of your cycle can also change over time. You will continue to menstruate until menopause (typically until around the age of 50).</p><h2>Key points</h2><ul><li>Menstruation (periods) is experienced by people with female reproductive body parts.</li><li>It is the body’s monthly cycle of preparing itself for a possible pregnancy: an egg is released by the ovaries and, if it remains unfertilized throughout the cycle, the uterine lining is shed.</li><li>Most people who menstruate begin during puberty when they are between 9-15 years old.</li><li>The average time between periods (menstrual cycle length) is approximately 28 days.</li></ul><h2>What causes menstruation?</h2><p>Menstruation is caused by a complex interaction between the hormones produced in your brain and the hormones produced in your ovaries. Your brain produces hormones called follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which then stimulate the ovaries to produce the hormones estrogen and progesterone.</p><p>The interaction between all of these hormones (FSH, LH, estrogen, progesterone) determines how your uterus changes during your menstrual cycle.</p><h2>What is a normal cycle length?</h2><p>A cycle length is measured from the first day of bleeding (Day 1 of one menstrual period) to the first day of the next menstrual period. There is a wide range of normal cycle lengths. For teenagers, a normal menstrual cycle can be anywhere between 21-45 days. The average menstrual cycle length is approximately 28 days.</p><p>In the first 1-2 years following your first period, it is very common and normal to have irregular cycles. It is also common to have anovulatory cycles (where no ovulation occurs). In fact, in the first year after your first period, up to 80% of your menstrual cycles may be anovulatory. Since you won’t be able to tell if you’ve had an ovulatory or anovulatory cycle, it is important to always use contraception if you would like to prevent pregnancy.</p><p>Once you start your period, it is a good idea to keep track of when your cycles happen, either by using a calendar or an app. Because the average cycle length is 28 days, many apps or calendars designed for “period tracking” are often based on a 28-day cycle. If your menstrual cycle is not 28 days and you are using an app or calendar based on a 28-day cycle, the predictions of when your period will occur may be inaccurate.</p><h2>What happens during a normal menstrual cycle?</h2><p>The menstrual cycle can be divided into three major phases: the follicular phase, ovulatory phase, and luteal phase.</p><p>The timing and events for each phase below is based on a cycle length of 28 days:</p><table class="akh-table"><thead><tr><th>Day(s) of cycle</th><th>What happens</th><th>Outcome</th></tr></thead><tbody><tr><td>Follicular phase</td></tr><tr><td>Days 1-14<br> <ul><li>Day 1 is the first day of bleeding.</li><li>Bleeding continues for 3-8 days (<a href="https://teens.aboutkidshealth.ca/Article?contentid=4052&language=English">menstrual period</a>).</li></ul></td><td><p>FSH stimulates development of follicles in the ovaries.</p><ul><li>Each follicle contains an egg.</li><li>One of these follicles becomes dominant, forming a mature egg.</li><li>The other follicles do not develop further, and eventually recede.</li></ul><p>Higher levels of estrogen stimulate the uterus to build up its lining for potential pregnancy.</p><ul><li>This triggers the release of high levels of LH (known as the “LH surge”).</li></ul></td><td>The LH surge causes ovulation.<br>This phase ends with ovulation.</td></tr><tr><td>Ovulatory phase</td></tr><tr><td>Day 14</td><td>The LH surge causes the dominant follicle in the ovary to release a mature egg (called ovulation).<br> <ul><li>The egg travels from the ovary to the fallopian tube, where the egg can become fertilized if sperm are present.</li></ul></td><td><p>If the egg does not become fertilized, it disintegrates.</p><p>The follicle that released the egg becomes a structure called the “corpus luteum.”</p><ul><li>This helps to produce progesterone.</li></ul></td></tr><tr><td>Luteal phase</td></tr><tr><td>Days 14-28</td><td><p>The corpus luteum produces progesterone, which helps keep the uterine lining thick for a fertilized egg.</p><ul><li>Without a fertilized egg, the corpus luteum eventually disintegrates and stops producing progesterone.</li></ul><p>Lower progesterone levels trigger the uterine lining to shed.</p></td><td>Bleeding and shedding of the uterine lining begin (<a href="https://teens.aboutkidshealth.ca/Article?contentid=4052&language=English">menstrual period</a>).</td></tr></tbody></table><h2>Resources</h2><p>Sex&U. <em>The Society of Obstetricians and Gynaecologists of Canada</em>. Retrieved from <a href="https://www.sexandu.ca/">https://www.sexandu.ca/</a>.</p>https://assets.aboutkidshealth.ca/AKHAssets/Menstruation%20calendar.jpg Menstruation is experienced by people with female reproductive systems. Learn about menstruation and what makes up a normal menstrual cycle.Teens
Getting through the teen years and cancerGetting through the teen years and cancerGetting through the teen years and cancerGEnglishAdolescent;OncologyPre-teen (9-12 years);Teen (13-15 years);Late Teen (16-18 years)NANANAAdult (19+) CaregiversNA2019-09-03T04:00:00Z10.200000000000051.2000000000000860.000000000000Flat ContentHealth A-Z<p>Find information to help promote independence in your teenager while continuing to help them manage their cancer treatment.</p><p>Your teenager is changing both mentally and physically as they get older. Even without the added impact of cancer, this can create tension between you and your child. As frustrating as it can be, remember that this is normal. Despite your conflicts, your teenager needs you to help them grow into a distinct individual. </p><h2>Key points</h2><ul><li>Educate yourself about how normal adolescent development and how it can be impacted by cancer.</li><li>Talk to your child early about the physical, emotional and developmental changes ahead of them.</li><li>Choose your battles wisely, communicate with your child and respect their privacy.</li><li>Talk to your child about any risky behaviours such as smoking or drinking, and the long-term effects it can have on their health and their cancer treatment.</li></ul><p>As your teenager moves through adolescence, they will start to become more independent. They will start to think in more abstract ways and begin to figure out their own personal morals and values. They may start to assert themselves, whereas they may have previously gone along with whatever was asked of them to please others. </p><p>Having cancer can make your teenager’s development, and your role in supporting it, a lot more complicated. It can be difficult to manage the tension between your teenager’s desires to be a "normal" independent teenager and the reality of being a cancer patient who needs extra support and guidance. This section contains some tips on supporting your teenager’s development through treatment and recovery.</p><h2>Getting started</h2><p>A good place to start is by understanding normal adolescent development and how this can be affected by having cancer. </p><ul><li>Educate yourself through books and websites, and by visiting blogs or forums written by teenagers with cancer. These can offer insight into what your teenager is experiencing. The teen section has information about <a href="https://teens.aboutkidshealth.ca/Article?contentid=3499&language=English">accessing credible information online</a>.</li><li>Try to remember the struggles you faced during adolescence, but also realize that the world has changed since you were a teenager. Today, teenagers face struggles that teenagers from earlier generations may not have experienced (e.g., navigating social media and the internet). </li><li>Ask members of your teen’s health-care team for information or referrals to appropriate resources. Your teen’s health-care team can be a great source of information and support. They have a lot of experience working with teens and families coping with serious illness. </li></ul><h2>Talk about normal physical and emotional development</h2><p>Talk to your child about the changes related to normal adolescent development that are ahead of them. If possible, begin this conversation as early as possible. Address any questions they may have about their body. Some good resources related to normal adolescent and teen development are included in the <a href="/Article?contentid=3609&language=English">resource page</a>. </p><h2>Maintain expectations</h2><p>Often, expectations change when a teenager has cancer. Their physical abilities can change and can impact how much they are able to contribute in the household. Requirements for school attendance and performance often change, as do expectations related to attitude and behaviour. Pain, side effects of treatment and medications can all impact your teen’s behaviour, making it difficult to set expectations.</p><p>Even though it’s challenging, having realistic expectations is important for your teen, yourself and your partner, and any siblings in the home. Setting expectations and boundaries shows that you trust and believe in your teen’s abilities, even though they are ill. Consistent positive discipline also remains important. Work to develop expectations as a family, with the understanding that these will need to be flexible, depending on how your teenager is feeling. </p><h2>Choose your battles wisely</h2><p>During treatment and recovery, there will probably be times when your teenager will make choices with which you don’t agree. Try to resist the urge to be too protective and remember that they need to learn by making their own mistakes. Try to save arguments for serious issues that have a real impact on your teenager’s health or well-being. </p><h2>Address risky behaviours</h2><p>Drugs, alcohol and smoking can be especially harmful while your teenager is on treatment or recovering from treatment. Your teen will learn about the risks of <a href="https://teens.aboutkidshealth.ca/Article?contentid=3574&language=English">drinking, taking drugs</a> and <a href="https://teens.aboutkidshealth.ca/Article?contentid=3575&language=English">smoking</a> in the section on Lifestyle in their cancer program. Help support your teen in making healthier decisions by discussing the impacts of these behaviours openly and honestly. If you have questions or concerns about these behaviours, talk to your teen’s health-care team. </p><h2>Respect your teen’s privacy</h2><p>For cancer patients, privacy is often in short supply. You need to grant your teenager some privacy to help them become an adult. Even if you are entering their room to provide care, demonstrate your respect by knocking first. </p><p>You might find that your teenager won’t share their thoughts and activities with you all the time. This can be especially difficult for parents when they are worrying about their teenager’s health. It is not easy, but try to find a balance between protecting your teenager’s health and promoting their autonomy. </p><h2>Monitor</h2><p>While you should be mindful of your teen’s privacy, it is still important to be aware of what they are watching and reading. Teenagers have access to a tremendous amount of information over the internet. You may have to set limits for the amount of time your teenager is spending in front of the TV, on the computer or on their phone. Find out who your teenager is talking with online and what they are learning from the media. Emphasize the importance of being respectful in their interactions online. For more information about internet safety, check out the <a href="https://www.cybertip.ca/app/en/">Canadian Centre for Child Protection Inc</a>.</p>https://assets.aboutkidshealth.ca/AKHAssets/Getting_through_the_teen_years_TTC_Cancer.jpgMain
Mental healthMental healthMental healthMEnglishPsychiatryChild (0-12 years);Teen (13-18 years)NANANACaregivers Adult (19+)NALanding PageLearning Hub<p>Learn how to support your child’s well-being with activity, sleep and nutrition; and how to recognize and manage various mental health conditions.</p><p>This hub includes resources for parents on how to support your child's mental health and general well-being through physical activity, sleep and nutrition. It also provides information on the signs, symptoms and treatments of different mental health conditions, including anxiety, bipolar disorder, depression, behavioural disorders, anorexia nervosa and attention deficit hyperactivity disorder.<br></p><br> <div class="asset-video"> <iframe src="https://www.youtube.com/embed/videoseries?list=PLjJtOP3StIuURSU5nmvDVZhSR8Ibr7NHK" frameborder="0"></iframe><br></div><p>Above is our mental health video playlist. To view other AboutKidsHealth videos, please visit the <a href="https://www.youtube.com/user/Aboutkidshealth">AboutKidsHealth YouTube channel</a>.</p><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Wellbeing</h2></div><div class="panel-body list-group" style="display:none;"><p>The everyday pressures of growing up can put a strain on any child's mental wellbeing. Find out how physical activity, a healthy sleep routine, screen time limits and balanced nutrition can boost your child's mental health and support them through difficult times.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3950&language=English">Homesickness</a></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Physical activity</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=642&language=English">Physical activity: Guidelines for children and teens</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=641&language=English">Physical activity: Benefits of exercise for health and wellbeing</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Sleep</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=645&language=English">Sleep: Benefits and recommended amounts</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=646&language=English">How to help your child get a good night's sleep</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=647&language=English">How to help your teen get a good night's sleep</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Screen time</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=643&language=English">Screen time: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=644&language=English">How to help your child set healthy screen time limits</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Nutrition</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=639&language=English">Nutrition: How a balanced diet and healthy eating habits can help your child's mental health</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Anxiety disorders</h2></div><div class="panel-body list-group" style="display:none;"><p>Every child feels anxiety at some point as a natural part of growing up. An anxiety disorder, however, is when anxious feelings interfere with a child's everyday routine. Learn more about the signs, symptoms and range of anxiety disorders and how they ​are treated.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=18&language=English">Anxiety: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=271&language=English">Anxiety: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=270&language=English">Types of anxiety disorders</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=701&language=English">Anxiety: Treatment with medications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=702&language=English">Anxiety: Psychotherapy and lifestyle changes</a></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Resources for coping with anxiety</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="https://assets.aboutkidshealth.ca/AKHAssets/Anxiety%20caregiver%20handout_Eng%2004_03_2020.pdf">The CARD System - Coping with your child's anxiety (for parents/caregivers)</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Obsessive compulsive disorder</h2></div><div class="panel-body list-group" style="display:none;"><p>Obsessive compulsive disorder (OCD) occurs when a person suffers from troubling and intrusive thoughts and/or follows repetitive or strict routines to feel less worried. Learn about the causes, signs and impact of this disorder and how you can help your child.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=285&language=English">Obsessive compulsive disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=288&language=English">OCD: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=286&language=English">How OCD affects your child's life</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=709&language=English">OCD: Psychotherapy and medications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=287&language=English">OCD: How to help your child at home</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Depression</h2></div><div class="panel-body list-group" style="display:none;"><p>Depression is an illness that causes someone to feel deep sadness or a lack of interest in activities that they once enjoyed. Discover how this condition affects a child's mood, sleep, concentration and energy levels, and how it can be treated.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=19&language=English">Depression: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=284&language=English">Depression: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=707&language=English">Depression: Treatment with medications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=708&language=English">Depression: Psychotherapy and lifestyle changes</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Bipolar disorder</h2></div><div class="panel-body list-group" style="display:none;"><p>When a person has bipolar disorder, they alternate between low and elevated moods for days, weeks or months at a time. Learn about the bipolar disorder spectrum, the symptoms of manic and depressive episodes and how medications, therapy and lifestyle changes can help.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=279&language=English">Bipolar disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=280&language=English">Bipolar disorder: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=704&language=English">Bipolar disorder: Treatment with medications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=705&language=English">Bipolar disorder: Psychotherapy and lifestyle changes</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Suicide and self-harm</h2></div><div class="panel-body list-group" style="display:none;"><p>A child who experiences thoughts of suicide or self-harm is often suffering from overwhelming emotional pain. Find out how to help your child cope with difficult emotions, how to support and protect your child and where to find professional help.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=291&language=English">Suicide in children and teens: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=289&language=English">Self-harm in children and teens: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=290&language=English">Signs and symptoms of suicide risk</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=293&language=English">How to help your child with difficult emotions</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=292&language=English">How to protect your child from harm</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Eating disorders</h2></div><div class="panel-body list-group" style="display:none;"><p>An eating disorder not only risks your child's health but can also disrupt family life. Find out about the symptoms and treatment of anorexia, bulimia, avoidant/restrictive food intake disorder and binge eating disorder and how you can help your child recover.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Anorexia nervosa</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=268&language=English">Anorexia nervosa: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=269&language=English">Anorexia: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=267&language=English">Anorexia: Medical complications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=700&language=English">Anorexia: Treatment options</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=266&language=English">Anorexia: How to help your child at home</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Bulimia nervosa</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=282&language=English">Bulimia nervosa: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=283&language=English">Bulimia: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=281&language=English">Bulimia: Medical complications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=706&language=English">Bulimia: Treatment options</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=294&language=English">Bulimia: How to help your child at home</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Avoidant/restrictive food intake disorder (ARFID)</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=274&language=English">Avoidant/restrictive food intake disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=275&language=English">ARFID: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=273&language=English">ARFID: Medical complications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=703&language=English">ARFID: Treatment options</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=272&language=English">ARFID: How to help your child at home</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Binge eating disorder (BED)</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=277&language=English">Binge eating disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=278&language=English">BED: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=640&language=English">Obesity: Medical complications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=276&language=English">BED: How to help your child at home</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Attention deficit hyperactivity disorder (ADHD)</h2></div><div class="panel-body list-group" style="display:none;"><p>Attention deficit hyperactivity disorder (ADHD) involves difficulties with controlling attention and regulating behaviour. Discover the main symptoms of ADHD in children and teens, how the disorder is diagnosed and how to help your child at home and at school.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1922&language=English">Attention deficit hyperactivity disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1923&language=English">ADHD: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1997&language=English">ADHD: How to help your child at home</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1999&language=English">ADHD: Communicating with your child's school</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1998&language=English">ADHD: Treatment with medications</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Behavioural disorders</h2></div><div class="panel-body list-group" style="display:none;"><p>Behavioural disorders include oppositional defiant disorder and conduct disorder. Learn how these disorders differ from typical misbehaviour, how therapy and medications can help and how you can manage problematic behaviour at home.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1924&language=English">Behavioural disorders: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1925&language=English">Behavioural disorders: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2000&language=English">Behavioural disorders: Treatment with psychotherapy and medications</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2001&language=English">Behavioural disorders: How to help your child at home</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Post-traumatic stress disorder (PTSD)</h2></div><div class="panel-body list-group" style="display:none;"><p>Post-traumatic stress disorder (PTSD) is triggered by experiencing or witnessing a terrifying event. Learn about the main symptoms of PTSD, how the condition is diagnosed and how psychotherapy and medications can help your child.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1927&language=English">Post-traumatic stress disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1928&language=English">PTSD: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2005&language=English">PTSD: Treatment with psychotherapy and medications</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Brain disorders and mental health</h2></div><div class="panel-body list-group" style="display:none;"><p>A brain disorder includes a condition, illness or injury that affects the brain and how it develops before or after birth. Find out how a brain disorder can affect your child's learning, mood and social skills, how its impact on mental health is assessed and how to help your child cope.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1926&language=English">Brain disorders and mental health: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2002&language=English">Brain disorders: Assessing your child for neuropsychological difficulties</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2003&language=English">Brain disorders: How to help your child cope</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2004&language=English">Brain disorders: Common treatments</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Parenting a child with a chronic condition</h2></div><div class="panel-body list-group" style="display:none;"><p>A chronic conditions can affect a child's mental health and everyday routines. Discover how parents and caregivers can help manage both their child's health care and routines, and support their own mental health.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3400&language=English">Living with a chronic condition: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3401&language=English">Living with a chronic condition: Helping your child manage their health</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3402&language=English">Living with a chronic condition: Maintaining your child's everyday routines</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3403&language=English">Living with a chronic condition: Supporting yourself as a caregiver</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Substance use</h2></div><div class="panel-body list-group" style="display:none;"><p>Substance use is the use of alcohol, tobacco and other drugs for pleasure or enjoyment. Learn about the signs and symptoms of substance use disorder and how to talk to your teen about the use of substances.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3663&language=English">Substance use disorder: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3664&language=English">Substance use disorder: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3665&language=English">Substance use disorder: How to help your teen at home</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=4043&language=English">Cannabis: How to talk with your teen</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Understanding functional symptoms and somatization</h2></div><div class="panel-body list-group" style="display:none;"><p>Somatization involves expressing distress through physical symptoms. Find out about the mind-body connection, signs of somatization and the various ways to support your child or teen.</p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3666&language=English">Functional symptoms: Overview</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3667&language=English">Mind-body connection</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3668&language=English">Somatization: Signs and symptoms</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3669&language=English">Somatization: Common treatments</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3770&language=English">Somatization: How to help your child or teen cope</a></li></ol></div>https://assets.aboutkidshealth.ca/AKHAssets/Mental_health_landing-page.jpgmentalhealthhealthylivingMental health Learn how to support your child’s wellbeing with activity, sleep and nutrition; and recognize and manage various mental health conditions.Mainhttps://www.youtube.com/playlist?list=PLjJtOP3StIuURSU5nmvDVZhSR8Ibr7NHK
LearningLearningLearningLEnglishNAChild (0-12 years);Teen (13-18 years)NANAHealthy living and preventionCaregivers Adult (19+)NALanding PageLearning Hub<p>Helpful information for parents to help their child get the most out of school. Learn about academic milestones, bullying and how different types of health conditions and learning disabilities may affect your child at school.</p>​<p>Starting school allows children to build on the skills they have already started developing at home. Find information for parents to help their child get the most out of school, both in and out of the classroom. Learn about academic milestones for children and what you can do to help your child. Find information about how different health conditions and learning disabilities may affect your child at school. Also find resources about bullying and download some tip sheets for parents about bullying in young children.<br></p><br> <div class="asset-video"> <iframe src="https://www.youtube.com/embed/videoseries?list=PLjJtOP3StIuXbgK4LObxQVt1sgxcE-L5r" frameborder="0"></iframe> <br></div><p>For more videos from SickKids experts in collaboration with Youngster, visit <a href="https://www.youtube.com/channel/UCoKMd2cYwegtZX19uHdNLQA">Youngster on YouTube</a>.</p><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Academic milestones in children</h2></div><div class="panel-body list-group" style="display:none;"><p>Learn about some typical milestones for children and what to look out for if you suspect your child is not meeting these milestones. Remember that not all children learn at the same pace.</p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Milestones</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=711&language=English">Cognitive development in school-age children</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=720&language=English">Phonological processing: Sound awareness, memory, and retrieval</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=651&language=English">Reading milestones</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=3871&language=English">Writing milestones</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=722&language=English">Mathematics milestones</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=732&language=English">Speech and language milestones</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>When to worry</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=725&language=English">Phonological awareness: When to worry</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=729&language=English">Reading problems: When to worry</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=724&language=English">Mathematics: When to worry</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=734&language=English">Speech and language: When to worry</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Boosting your child's academic skills</h2></div><div class="panel-body list-group" style="display:none;"><p>Discover what you can do to help your child meet typical milestones. Also find some resources that may help you and your child. </p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Reading and writing skills</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=729&language=English">Reading problems: When to worry</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1903&language=English">Reading: How to help early and struggling readers</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1881&language=English">Visual-motor skills: How to foster in children</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=730&language=English">Reading and writing resources</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=735&language=English">Writing and printing resources</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Math skills</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=724&language=English">Mathematics: When to worry</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=721&language=English">Mathematics: How to help your pre-school and school-aged child</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=649&language=English">Spatial reasoning skills: How to foster in children</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=648&language=English">Financial literacy: Teaching kids about money</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=723&language=English">Mathematics resources</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Speech and language skills</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=734&language=English">Speech and language: When to worry</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=731&language=English">Speech and language problems: How to help your child</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=733&language=English">Speech and language: Resources</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=725&language=English">Phonological awareness: When to worry</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=726&language=English">Phonological problems: How to help your child</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=727&language=English">Phonological problems: Resources</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Bullying</h2></div><div class="panel-body list-group" style="display:none;"><p>School or day care is one of the places that bullying may occur. Learn about the different types of bullying, what to look out for and how to help your child. </p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=303&language=English">Bullying</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=632&language=English">Facial difference: Confronting the challenges of bullying</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=736&language=English">Cyberbullying part one</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=737&language=English">Cyberbullying part two</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=738&language=English">Cyberbullying: Talking to your children</a></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Helping your child with special needs at school</h2></div><div class="panel-body list-group" style="display:none;"><p>Children with health conditions may need special consideration at school. Learn what you need to communicate to your child's school or day care. </p></div><ol class="list-group" style="display:none;"><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Health conditions at school</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1489&language=English">Asthma in school</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1410&language=English">Brain tumour diagnosis and advocating for your child in school </a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=650&language=English">Congenital heart defects: Information for teachers</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1113&language=English">Eczema: School and activities </a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2112&language=English">Epilepsy and learning </a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=2116&language=English">Epilepsy at school </a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=652&language=English">Sickle cell disease: A practical guide for teachers</a></li></ol></li><li><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h3>Learning difficulties at school</h3></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=1999&language=English">ADHD: Communicating with your child's school </a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=307&language=English">Dyslexia</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=653&language=English">Learning disabilities: Overview</a></li></ol></li></ol></div><div class="panel panel-primary"><div class="panel-heading clickable"> <span class="pull-right panel-heading-collapsable-icon"><i class="mdi mdi-chevron-down"></i></span> <h2 class="panel-title">Information for teachers</h2></div><div class="panel-body list-group" style="display:none;"><p>If you are a teacher you may be faced with the extra challenge of having a child with a health condition in your classroom. Here is some information that may help you. </p></div><ol class="list-group" style="display:none;"><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=650&language=English">Congenital heart defects: Information for teachers</a></li><li class="list-group-item"> <a class="overview-links" href="/Article?contentid=652&language=English">Sickle cell disease: A practical guide for teachers</a></li></ol></div>https://assets.aboutkidshealth.ca/AKHAssets/learning_and_education_landing_page.jpglearninglearning,healthylivingLearn about academic milestones, bullying and how different types of health conditions and learning disabilities may affect your child at school. Main
Suicide and self-harmSuicide and self-harmSuicide and self-harmSEnglishAdolescent;PsychiatryTeen (13-18 years)NANAConditions and diseasesTeen (13-18 years)NA2019-09-12T04:00:00Z9.5000000000000058.5000000000000Flat ContentHealth A-Z<p>Thoughts of suicide and self-harm behaviours often result from overwhelming emotional pain. If someone has been going through a very difficult time, self-harm, or even suicide, can sometimes seem like the only way out.</p><p>Self-harm is when someone hurts themselves on purpose. Teens who self-harm may be trying to relieve emotional pain or suffering, or create a physical wound to represent their emotional pain. People who self-harm may sometimes have thoughts of suicide, but not always.</p><p>If you are having thoughts of suicide or self-harm, there are treatments available that can help you figure out why you feel so sad and learn new methods to manage and overcome your pain. Talking openly and honestly with someone you trust can help you feel less alone, lighten your burden and remind you that people care about you and want to help.</p><div class="callout2"><p>If you need help immediately, contact your health-care provider, or call <a href="https://kidshelpphone.ca/">Kids Help Phone</a> at 1-800-668-6868. You can also contact the Crisis Text Line from Kids Help Phone by texting CONNECT to 686868.</p></div><h2>Common signs and symptoms of suicidal thoughts </h2><p>While each person is different, there are some general signs and symptoms of distress. Typically, someone who is experiencing suicidal thoughts would experience both behavioural (actions) and emotional (feelings) signs and symptoms of distress. </p><p>Behavioural signs include: </p><ul><li>thinking about or planning self-harm or suicide </li><li>talking about suicide or not wanting to be in the world anymore</li><li>experiencing big changes in sleep habits and appetite</li><li>isolating yourself from friends, family and activities</li><li>engaging in self-harm</li><li>starting or changing substance use</li></ul><p>Emotional signs include:</p><ul><li>feeling worthless, hopeless or trapped</li><li>feeling irritable </li><li>feeling angry or even experiencing rage</li></ul><h2>What causes suicidal thoughts and behaviours?</h2><p>There is no single cause for suicidal thoughts and self-harm behaviours. These thoughts may go away after some time, but they may also come up quickly in response to an event.</p><p>Stressful life events play a big role in the onset of suicidal thoughts. For instance, events such as a difficult break-up, a fight with family or friends, bullying, failing a test or losing a loved one may cause deep feelings of distress and despair and make someone believe that suicide is the only way to escape. </p><p>Other possible causes include mental health conditions such as <a href="/Article?contentid=3810&language=English&hub=mentalhealthAZ#mentalhealth">anxiety</a> and depression. If these are not recognized or treated properly, someone may feel overwhelming sadness and that there is no way out. </p><h2>How are suicidal thoughts and self-harm treated?</h2><p>The first step is talking to someone you trust. This might be a parent, a counsellor, another family member, a counsellor or another adult in your life at home or at school.</p><p>Therapy can also help you sort out what stressful events are happening in your life and causing you to feel sad and hopeless. A therapist can work with you to come up with strategies and skills to handle your feelings and deal with the situations that are causing stress.</p><h2>What can I do to relieve any suicidal thoughts or self-harming behaviour?</h2><p>There are a number of things you can do to support yourself when you are feeling distressed. </p><h3>Talk to someone</h3><p>It can be really difficult to share your deepest thoughts and feelings, but talking with a parent, a teacher or another trusted adult can help.</p><p>Sometimes you might find it easier to share your feelings with a stranger than with someone who knows you well. If you feel distressed and need someone to listen, a crisis help line might be helpful. In Canada, you can call Kids Help Phone on 1-800-668-6868 24 hours a day, seven days a week. You can also contact the Crisis Text Line from Kids Help Phone by texting CONNECT to 686868, or chat with someone through the online Live Chat or the Always There app. For more information visit <a href="https://kidshelpphone.ca/">kidshelpphone.ca</a>.</p><h3>Distract yourself</h3><p>If you’re feeling especially stressed, do an activity you enjoy, whether it’s watching a movie, listening to music, drawing, reading or writing. Or you could do some vigorous physical activity such as a brisk walk or a run for 10 or 20 minutes. It may also help to eat your favourite food or snack.</p><h3>Use relaxation</h3><p>Use deep breathing or muscle relaxation to help calm yourself. There are many apps available for download, or you can try some of the <a href="/mentalhealth?topic=guidedmeditations">guided meditations</a> on this site. Another option is to take a warm shower and use body wash or other skin products that smell good and might help you to relax. </p><h2>When should I see a doctor?</h2><p>It is very important to see your health-care provider if you:</p><ul><li>are already self-harming</li><li>have suicidal thoughts and cannot see a way out</li></ul><p>Your health-care provider can suggest helpful ways to cope or may refer you to a mental health professional for further help. If they are concerned for your immediate safety, they may send you to your nearest emergency department.</p><h2>We want to hear from you!</h2><p>AboutKidsHealth is trying to improve the information and education we provide young people (aged 12-18) and families through our website. Please take 5 minutes to complete our <a class="redcap-survey" href="https://surveys.sickkids.ca/surveys/?s=XHD3EK3XD4">Adolsecent Health Learning Hub survey</a>.</p><h2>Resources</h2><h3>Kids Help Phone – <a href="https://kidshelpphone.ca/">kidshelpphone.ca</a></h3><p>Kids Help Phone is a 24/7 e-mental health service offering free, confidential support to young people.</p><p><a href="https://kidshelpphone.ca/get-info/how-cope-thoughts-suicide/">How to cope with thoughts of suicide</a></p><p><a href="https://kidshelpphone.ca/get-info/self-injury-positive-coping-strategies/">Self-injury: What it is and how to cope</a></p><p><a href="https://kidshelpphone.ca/get-info/8-ways-foster-hope-your-daily-life/">8 ways to foster hope in your daily life</a></p><p><a href="https://kidshelpphone.ca/get-info/letter-writing/">Need to share what’s on your mind? Try letter writing!</a></p>https://assets.aboutkidshealth.ca/AKHAssets/self_harm_overview.jpg Self-harm is when someone hurts themselves on purpose. Learn how to recognize harmful thoughts and ways to manage and overcome your pain. Teens

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