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We know this year is just going to be worse, he said.
Burrell officials said as children and teens prepare for a holiday in which social activities, family traditions and normal support systems will likely look different, it is vital that adults not take a business as usual approach.
They urged adults to make an extra effort to acknowledge the negative mental health effects that isolation, depression and anxiety can have on kids lives.
Sara Wilson, system director for youth training and consultation at Burrell, said there are signs of mental health distress. Watch for increased anxiousness, sadness, anger or aggression or we are noticing the emotions are a little bit more intense, she said.