TY - JOUR AU - I. Milaniak AU - S. Davidson AU - B. Leewiwatanakul AU - T. D. Benton A1 - AB - Rates of clinical anxiety have increased during COVID and post-quarantine in youth, with older adolescent girls and youth with minorized racial, gender, and sexuality identities most vulnerable. Given that increased anxiety to a threatening/uncertain environment is adaptive, it is important to conceptualize anxiety from a balanced perspective, evaluating its functionality. For adolescents continuing to struggle with re-integration into their social environments and school avoidance, an exposure framework is necessary to encourage approach behaviors to recalibrate the social environment as safe. Disproportion between demand for services and available providers increased greatly due to the pandemic. Evidence-based treatments for anxiety can be delivered via telehealth, in school, or in primary care settings. AD - Perelman School of Medicine at the University of Pennsylvania, Children's Hospital of Philadelphia, CHOP Center for Advanced Behavioral Healthcare, 4601 Market Street, Third Floor, Philadelphia, PA 19139, USA. Electronic address: milaniaki@chop.edu.; Perelman School of Medicine at the University of Pennsylvania, Children's Hospital of Philadelphia, CHOP Center for Advanced Behavioral Healthcare, 4601 Market Street, Third Floor, Philadelphia, PA 19139, USA. AN - 39003004 BT - Pediatr Clin North Am C5 - Healthcare Disparities CP - 4 DA - Aug DO - 10.1016/j.pcl.2024.04.003 DP - NLM ET - 20240523 IS - 4 JF - Pediatr Clin North Am LA - eng N2 - Rates of clinical anxiety have increased during COVID and post-quarantine in youth, with older adolescent girls and youth with minorized racial, gender, and sexuality identities most vulnerable. Given that increased anxiety to a threatening/uncertain environment is adaptive, it is important to conceptualize anxiety from a balanced perspective, evaluating its functionality. For adolescents continuing to struggle with re-integration into their social environments and school avoidance, an exposure framework is necessary to encourage approach behaviors to recalibrate the social environment as safe. Disproportion between demand for services and available providers increased greatly due to the pandemic. Evidence-based treatments for anxiety can be delivered via telehealth, in school, or in primary care settings. PY - 2024 SN - 0031-3955 SP - 601 EP - 612+ ST - The Impact of COVID on Adolescent Anxiety: Trends, Clinical Considerations, and Treatment Recommendations T1 - The Impact of COVID on Adolescent Anxiety: Trends, Clinical Considerations, and Treatment Recommendations T2 - Pediatr Clin North Am TI - The Impact of COVID on Adolescent Anxiety: Trends, Clinical Considerations, and Treatment Recommendations U1 - Healthcare Disparities U3 - 10.1016/j.pcl.2024.04.003 VL - 71 VO - 0031-3955 Y1 - 2024 ER -