When Brittany Brockenbrough’s transgender son lost his in-school counseling and the ability to have meet-ups with other L.G.B.T.Q. youth during the pandemic, his mental health suffered.
“He began to feel depressed and was withdrawn,” said Ms. Brockenbrough, a mother of two in Virginia. She was later able to get her son teletherapy and in-home support from a local mental health agency and to find ways for him to stay in touch with others in his community through such activities as weekly Zoom meetings and online game nights.
“He is doing much better now that he is back in treatment and staying connected to the community,” she said. “Social distancing and taking precautions is necessary, but for the L.G.B.T.Q.+ community, even those who have supportive parents, losing the ability to have that in-person social support with other L.G.B.T.Q.+ youth can have a significant impact.”
As young people continue to adjust to the pandemic, some are dealing with increased anxiety and stress. For those who are lesbian, gay, bisexual, transgender, queer or questioning, there may be additional challenges and risks resulting from limited access to community support, lack of in-school counseling and, in some cases, the difficult circumstances of quarantining with unsupportive family members.
“My parents do not accept that I am gay,” an 18-year-old from Yonkers, N.Y. who did not want his name published, said. “My support system was mostly at school, and now I am quarantining with family members who don’t accept who I really am.”
The young man, whose virtual high school graduation was last week, said his parents reacted with “anger” and “disgust” when they found out he was gay, and that being home with them during the Covid-19 shutdown has been very uncomfortable. “It is humiliating to have to rely on people who do not respect you,” he said.
L.G.B.T.Q. youth are already a vulnerable population and at higher risk for anxiety, depression, homelessness and self harm than their non-L.G.B.T.Q. peers. A 2018 study in JAMA Pediatrics by researchers at Harvard University and the Fenway Institute found that transgender youth were at a greater risk for attempted suicide, depression and anxiety, and that gender-affirming mental health services are greatly needed to address these concerns.
Sarah Gundle, a clinical psychologist in New York City, said that while online supports are available during this crisis and can provide help, for many they cannot replace in-person treatment and interaction with a community that accepts and validates your identity.
“L.G.B.T.Q.+ youth who have to be at home for extended periods of time and live with unsupportive family members — or their family environment makes it unsafe for them to be out at home — can experience a profound sense of isolation,” Dr. Gundle said. “A pandemic brings significant uncertainty — there is no definitive end — and it can feel as if there is no escape. Many L.G.B.T.Q.+ youth also have to worry about their safety and the repercussions if their family members find out.”
When college campuses closed in March because of the pandemic, having to return home to an unsupportive space was not a safe option for some students.
Danushi Fernando, the director of L.G.B.T.Q. and Gender Resources at Vassar College in Poughkeepsie, N.Y., said that approximately 225 students — following state guidelines — remained on campus through the spring semester for various reasons, some because they did not feel safe sheltering with their families. Vassar also provided support for students through virtual gatherings, support groups and counseling.
Vassar has an annual Lavender Graduation reception to recognize the accomplishments and contributions of L.G.B.T.Q. graduating seniors, which was held virtually this year. “We had students who had to go to their car or a park or sit in their closet to be able to safely participate,” Ms. Fernando said. “It’s heartbreaking that it is not safe for them to be out, and they have to decide between survival and being able to participate in supportive events that recognize their accomplishments.”
Compounding the challenges that L.G.B.T.Q. youth face is the high rate of homelessness they experience worldwide. The Williams Institute at U.C.L.A. School of Law reports that 20 percent to 45 percent of homeless youth in the United States identify as L.G.B.T.Q. and that family rejection is a significant contributing factor.
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Updated June 24, 2020
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Is it harder to exercise while wearing a mask?
A commentary published this month on the website of the British Journal of Sports Medicine points out that covering your face during exercise “comes with issues of potential breathing restriction and discomfort” and requires “balancing benefits versus possible adverse events.” Masks do alter exercise, says Cedric X. Bryant, the president and chief science officer of the American Council on Exercise, a nonprofit organization that funds exercise research and certifies fitness professionals. “In my personal experience,” he says, “heart rates are higher at the same relative intensity when you wear a mask.” Some people also could experience lightheadedness during familiar workouts while masked, says Len Kravitz, a professor of exercise science at the University of New Mexico.
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I’ve heard about a treatment called dexamethasone. Does it work?
The steroid, dexamethasone, is the first treatment shown to reduce mortality in severely ill patients, according to scientists in Britain. The drug appears to reduce inflammation caused by the immune system, protecting the tissues. In the study, dexamethasone reduced deaths of patients on ventilators by one-third, and deaths of patients on oxygen by one-fifth.
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What is pandemic paid leave?
The coronavirus emergency relief package gives many American workers paid leave if they need to take time off because of the virus. It gives qualified workers two weeks of paid sick leave if they are ill, quarantined or seeking diagnosis or preventive care for coronavirus, or if they are caring for sick family members. It gives 12 weeks of paid leave to people caring for children whose schools are closed or whose child care provider is unavailable because of the coronavirus. It is the first time the United States has had widespread federally mandated paid leave, and includes people who don’t typically get such benefits, like part-time and gig economy workers. But the measure excludes at least half of private-sector workers, including those at the country’s largest employers, and gives small employers significant leeway to deny leave.
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Does asymptomatic transmission of Covid-19 happen?
So far, the evidence seems to show it does. A widely cited paper published in April suggests that people are most infectious about two days before the onset of coronavirus symptoms and estimated that 44 percent of new infections were a result of transmission from people who were not yet showing symptoms. Recently, a top expert at the World Health Organization stated that transmission of the coronavirus by people who did not have symptoms was “very rare,” but she later walked back that statement.
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What’s the risk of catching coronavirus from a surface?
Touching contaminated objects and then infecting ourselves with the germs is not typically how the virus spreads. But it can happen. A number of studies of flu, rhinovirus, coronavirus and other microbes have shown that respiratory illnesses, including the new coronavirus, can spread by touching contaminated surfaces, particularly in places like day care centers, offices and hospitals. But a long chain of events has to happen for the disease to spread that way. The best way to protect yourself from coronavirus — whether it’s surface transmission or close human contact — is still social distancing, washing your hands, not touching your face and wearing masks.
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How does blood type influence coronavirus?
A study by European scientists is the first to document a strong statistical link between genetic variations and Covid-19, the illness caused by the coronavirus. Having Type A blood was linked to a 50 percent increase in the likelihood that a patient would need to get oxygen or to go on a ventilator, according to the new study.
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How many people have lost their jobs due to coronavirus in the U.S.?
The unemployment rate fell to 13.3 percent in May, the Labor Department said on June 5, an unexpected improvement in the nation’s job market as hiring rebounded faster than economists expected. Economists had forecast the unemployment rate to increase to as much as 20 percent, after it hit 14.7 percent in April, which was the highest since the government began keeping official statistics after World War II. But the unemployment rate dipped instead, with employers adding 2.5 million jobs, after more than 20 million jobs were lost in April.
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What are the symptoms of coronavirus?
Common symptoms include fever, a dry cough, fatigue and difficulty breathing or shortness of breath. Some of these symptoms overlap with those of the flu, making detection difficult, but runny noses and stuffy sinuses are less common. The C.D.C. has also added chills, muscle pain, sore throat, headache and a new loss of the sense of taste or smell as symptoms to look out for. Most people fall ill five to seven days after exposure, but symptoms may appear in as few as two days or as many as 14 days.
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How can I protect myself while flying?
If air travel is unavoidable, there are some steps you can take to protect yourself. Most important: Wash your hands often, and stop touching your face. If possible, choose a window seat. A study from Emory University found that during flu season, the safest place to sit on a plane is by a window, as people sitting in window seats had less contact with potentially sick people. Disinfect hard surfaces. When you get to your seat and your hands are clean, use disinfecting wipes to clean the hard surfaces at your seat like the head and arm rest, the seatbelt buckle, the remote, screen, seat back pocket and the tray table. If the seat is hard and nonporous or leather or pleather, you can wipe that down, too. (Using wipes on upholstered seats could lead to a wet seat and spreading of germs rather than killing them.)
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What should I do if I feel sick?
If you’ve been exposed to the coronavirus or think you have, and have a fever or symptoms like a cough or difficulty breathing, call a doctor. They should give you advice on whether you should be tested, how to get tested, and how to seek medical treatment without potentially infecting or exposing others.
“How do you stay home when there is no safe home? This pandemic has really shown how critical gender-affirming environments are,” said Alex Roque, president and executive director of the Ali Forney Center in New York City, an organization that provides housing and support services to L.G.B.T.Q. youth ages 16 to 24.
When Ali Forney’s 24-hour drop-in center shut down in the pandemic, the organization mobilized quickly, creating a Covid-19 task force, having its outreach team go online and providing telehealth and crisis mental health services.
Although the drop-in center has reopened at a limited capacity, with Covid-19 cases spiking in many states, it is unclear how mental health outreach services around the country will be affected in the months ahead.
