 The Covid-19 pandemic has had a significant impact on the psychosocial environment, potentially threatening the mental health of children and adolescents. Anxiety, lack of peer contact, and reduced stress regulation are major concerns. Additionally, an increased risk for parental mental illness, domestic violence, and child maltreatment is a threat, particularly for disadvantaged children and adolescents. Telepsychiatry is an important issue to evaluate its efficacy in child and adolescent psychiatry. Research is needed to assess the implications of pandemic policies on mental health and estimate the risk-benefit ratio of measures such as homeschooling. Child and adolescent psychiatrists must ensure continuity of care during all phases of the pandemic, with a focus on addressing the disproportionate impact on disadvantaged and marginalised children and adolescents. This article was authored by George M. Fiegert, Benedetto Vitello, Paul El Plena and others.