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Stress and Violence at Home During the Pandemic

Stress and Violence at Home During the Pandemic Stress and Violence at Home During the Pandemic

​​​​​By: Maya Ragavan, MD, MPH, MS, FAAP & Kimberly Randell, MD, MSc, FAAP

​We know that stress and conflict happen in relationships. This can sometimes include emotional, physical, sexual and financial abuse or controlling behaviors. Some parents are reporting more violence in their relationships because of the COVID-19​ pandemic. Children may be experiencing more stress during these tense times, too.

Here is some information that may be helpful to you, your family, your friends, or others in your community.

How to support your child

Signs of stress can look different depending on the age of the child. Babies​ may be fussy, have changes to their eating or sleep habits, or trouble learning to walk or speak. Toddlers may have tantrums​​, trouble learning new skills, or difficulty sleeping. Older children and teenagers may be sad or irritable, worried all the time, not want to eat, have trouble sleeping, or get stomachaches or headaches. Stress can show up in children in many other ways, too.

Some ways you can help your child cope when relationships are stressed:

  • Help your child develop healthy routines, like before bedtime or in the morning.

  • Talk to your child about things they are happy about or thankful for.

  • Practice focused breathing with your child. In a safe space, help your child take deep breaths in and out to help them calm down.

Sometimes these ideas may not help take away your child's stress. If that happens, please remember that your pediatrician is here to help you. If you are worried that your child is struggling with stress, anxiety or fear, please speak with your child's doctor so they can learn more about your child's symptoms and help find support services in your community.

Take care of yourself, too

As parents, we think so much about our children, but it's important to not forget about our own stress. In a place that feels safe, if possible, please take a few minutes each day to do something that is important and relaxing to you. It can be anything---talking to a friend, watching a funny video, breathing deeply, looking a​t a picture of someone you care about. There are some mobile apps that can help remind and guide you to take moments to breath and relax.

Sometimes talking to other parents can help. Parenting resources, provide confidential and free services, such as The National Parenting Helpline, (1-855-4A PARENT, open 10 AM to 7 PM Pacific Standard Time). Your pediatrician may also know of other helplines or virtual parenting groups in your community.

Resources and safety

Your pediatrician can provide the number of a victim services agency in your community. Many of these services remain open and available during the pandemic.

Victim services agencies provide different support and resources, depending on what is most helpful to you. The National Domestic Hotline has a confidential and free service in multiple languages (; 1-800-799-7233). You can call, text, or chat with them on their website, whatever feels safest to you.

When a parent is experiencing stress or violence in a relationship, they may not feel safe at home. As a parent, we know that your number one priority is keeping your child safe. If you are worried about your safety, or your child's safety, local victim services agencies can help. Many of these services remain open and available during the pandemic.


If you, your family, your friends, or anyone you know are experiencing stress or violence in their relationships, please know you are not alone. As pediatricians, we are grateful for the amazing work you are doing each day and are here to support you. Please reach out if and when it feels safe.

More Information

About Dr. Ragavan

Maya Ragavan, MD, MPH, MS, FAAP, is an Assistant Professor of Pediatrics at the University of Pittsburgh and a general pediatrician. For the past decade, she has been deeply dedicated to preventing parent violence and supporting families who have experienced partner violence. She believes strongly in creating safe, supportive, secure spaces within pediatric medical homes for all families. She has published over 20 articles on partner violence prevention and works with colleagues around the country to educate medical students and residents.

About Dr. Randell

Kimberly Randell, MD, MSc, FAAP, is a pediatric emergency medicine physician at Children's Mercy Kansas City and Associate Professor of Pediatrics at the University of Missouri-Kansas City. She is passionate about working within healthcare settings and together with community partners to prevent partner violence and to support families experiencing partner violence. She also works to educate medical trainees and colleagues on partner violence as a child health issue and is involved in ongoing research on this issue.

Last Updated
American Academy of Pediatrics (Copyright © 2020)
The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.
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