With the emergence of COVID-19 in China, East and Southeast Asian American (ESEAA) students have reported increased incidents of COVID-19–fueled discrimination in online and offline (in-person) settings. Given the recency of this situation, there is a scarcity of research investigating the impact of COVID-19–related discrimination on ESEAA adolescents’ mental health, especially posttraumatic stress disorder (PTSD). In the current study, therefore, we provide evidence regarding the relations of COVID-19–fueled online and offline discrimination to PTSD symptoms in a sample of ESEAA high school students. We discuss study limitations; future recommendations; and implications for school leaders, school counselors, and other educators.

Abstract. Given the potential adverse impact of COVID-19-associated discrimination (CAD) targeting Asian Americans, we investigated the relationship between online and in-person CAD and mental health outcomes in a sample of East and Southeast Asian American (ESEAA) high school students ( n = 114). The study findings revealed that students with experiences of CAD in online and offline settings reported higher levels of anxiety and depression symptoms above and beyond the traumatic events and lifetime discrimination they endured in life. These results support the need and urgency to attend to the unique challenges in the ESEAA students related to CAD and their mental health outcomes. We provided implications for practice when working with this population and discussed study limitations and recommendations for future research.

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Following the COVID-19 outbreak, Asian Americans, more specifically East and Southeast Asian Americans, have become the targets of racism, discrimination, and hate crimes. Mirroring this broader societal problem of COVID-related racism, schools have become a hostile environment for Asian American students with a significant rise in bullying and discriminatory incidents. In addition to experiencing harassment and discrimination in schools, Asian American students have also reported such incidents in online platforms. Both in-person and online COVID-related discrimination experienced by Asian American students have been linked to the PTSD symptoms, racial trauma, in this minoritized population. Therefore, the purpose of this chapter is to serve as a resource for school counselors to implement trauma-informed, culturally-sensitive practices, using the multitiered systems of support (MTSS) as a guide, when working with Asian American youth affected by COVID-19-related racial discrimination.

This study reported the findings of a meta‐analysis exploring differences between clinician‐administered (C‐A) and self‐reported (S‐R) outcomes of counseling and therapy interventions for posttraumatic stress disorder. A sample of 17 randomized trials resulted in 46 effect sizes (23 C‐A, 23 S‐R) representing the data of 1,405 participants. No statistically significant differences were detected between C‐A and S‐R outcome estimates alone or when considering treatment setting; however, differential estimates emerged for modality across age groups.