Pandemics can be stressful

The coronavirus disease 2019 (COVID-19) pandemic may be stressful for people. Fear and anxiety about a new disease and what could happen can be overwhelming and cause strong emotions in adults and children. Public health actions, such as social distancing, can make people feel isolated and lonely and can increase stress and anxiety. However, these actions are necessary to reduce the spread of COVID-19. Coping with stress in a healthy way will make you, the people you care about, and your community stronger.

Stress during an infectious disease outbreak can sometimes cause the following:

• Fear and worry about your own health and the health of your loved ones, your financial situation or job, or loss of support services you rely on.
• Changes in sleep or eating patterns.
• Difficulty sleeping or concentrating.
• Worsening of chronic health problems.
• Worsening of mental health conditions.
• Increased use of tobacco, and/or alcohol and other substances.

Everyone reacts differently to stressful situations

How you respond to stress during the COVID-19 pandemic can depend on your background, your social support from family or friends, your financial situation, your health and emotional background, the community you live in, and many other factors. The changes that can happen because of the COVID-19 pandemic and the ways we try to contain the spread of the virus can affect anyone.

People who may respond more strongly to the stress of a crisis include:

• People who are at higher risk for severe illness from COVID-19 (for example, older people, and people of any age with certain underlying medical conditions).
• Children and teens.
• People caring for family members or loved ones.
• Frontline workers such as health care providers and first responders,
• Essential workers who work in the food industry.
• People who have existing mental health conditions.
• People who use substances or have a substance use disorder.
• People who have lost their jobs, had their work hours reduced, or had other major changes to their employment.
• People who have disabilities or developmental delay.
• People who are socially isolated from others, including people who live alone, and people in rural or frontier areas.
• People in some racial and ethnic minority groups.
• People who do not have access to information in their primary language.
• People experiencing homelessness.
• People who live in congregate (group) settings.

Adapted from CDC resources on stress.