Should I Be Concerned About My Child's Mask-Wearing Behavior? - Psychiatry

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Is it a psychological disorder?


Since my child started high school this year, he has been wearing a black mask to school every day and does not take it off during physical education classes or breaks.
When asked, he doesn't provide much of an answer.
He is undergoing orthodontic treatment and has nasal allergies.
Should I consider taking him to see a psychiatrist or psychologist for this behavior? I am unsure how to help my child.
Can the doctor provide me with some advice? I would greatly appreciate it.

Sha Ma, 50~59 year old female. Ask Date: 2018/10/30

Dr. Liu Shikai reply Psychiatry


Hello parents, if a teenager insists on wearing a mask when going out, it may be due to discomfort with their appearance (for example, wearing braces), a lack of confidence, or feelings of insecurity.
If their adaptation to school, social interactions, and learning are not affected, and their emotional state is stable, there is no need to constantly focus on their mask.
However, if their overall adaptation declines, medical attention may be necessary.

Reply Date: 2018/10/30

More Info


It's understandable to be concerned about your child's behavior, especially when it involves something as noticeable as wearing a mask all the time. Given that your child is in high school and has been wearing a black mask consistently during school hours, including physical education classes, it's important to approach this situation with care and understanding.

First, let's consider the reasons behind your child's behavior. There could be several factors at play. For instance, wearing a mask could be a response to social anxiety or discomfort in social situations. Adolescence is a time when many young people experience heightened self-consciousness and anxiety about their appearance and how they are perceived by their peers. If your child feels insecure about their smile due to orthodontic treatment or has concerns about their nasal allergies, wearing a mask might provide them with a sense of comfort and security.

Additionally, the ongoing global pandemic has normalized mask-wearing for many individuals, and some may continue to wear masks even when it's not required. This could be a habit that your child has developed as a coping mechanism. It's also possible that they are using the mask as a form of self-expression or to fit in with a particular group of friends.

However, if your child is resistant to discussing their reasons for wearing the mask or seems to be isolating themselves socially, it may be a sign of deeper emotional or psychological issues that need to be addressed. Here are some steps you can take to support your child:
1. Open Communication: Start by having an open and non-judgmental conversation with your child. Express your observations and concerns without making them feel defensive. Ask them how they feel about wearing the mask and if there are specific reasons behind it. It's crucial to create a safe space for them to share their thoughts and feelings.

2. Monitor Behavior: Pay attention to any changes in your child's behavior, mood, or social interactions. If they seem withdrawn, anxious, or are avoiding social situations, it may be worth exploring further.

3. Consult a Professional: If your child continues to wear the mask excessively and shows signs of distress or anxiety, it might be beneficial to consult a mental health professional. A psychologist or counselor can help assess whether your child's behavior is a symptom of anxiety, social phobia, or another underlying issue. They can also provide coping strategies and support.

4. Encourage Gradual Exposure: If your child is open to it, encourage them to gradually reduce their mask-wearing in safe and comfortable environments. This could help them build confidence and reduce any anxiety associated with being seen without the mask.

5. Support Their Needs: If your child has specific concerns related to their orthodontic treatment or allergies, ensure they have the necessary support and resources to address these issues. This might include regular check-ups with their orthodontist or an allergist.

6. Be Patient: Change may take time, and it's essential to be patient with your child as they navigate their feelings and behaviors. Reassure them that it's okay to express themselves and that you are there to support them.

In summary, while wearing a mask consistently may not be inherently concerning, it is essential to understand the motivations behind this behavior. Open communication, monitoring, and professional guidance can help you support your child effectively. If you notice any significant changes in their emotional well-being or social interactions, seeking help from a mental health professional may be the best course of action.

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