Getting through quarantine & isolation at home
Days at home can feel long and strange. A little structure, a lot of connection and some kindness to yourself can carry you through.
By the numbers
What research tells us about time spent apart.
Quarantine research
Life at home
Quarantine, isolation & distancing: what they mean
The words you hear during an outbreak, and why staying home feels so hard.
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SAMHSA explains that quarantine separates and limits the movement of people who were exposed to a contagious disease. It lasts long enough to be sure they haven’t caught it.
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Isolation separates people who are sick from people who are not. SAMHSA notes it lasts as long as the disease is contagious.
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Social distancing keeps people from mixing closely or often enough to spread illness. Schools, theatres and other gathering places may close, and sports and religious services may be cancelled.
A major review of quarantine research found common stressors: longer time apart, fear of infection, frustration, boredom, not enough supplies, not enough information, money loss and stigma.
The good news is that many of these stressors can be eased. The rest of this guide walks through practical ways to do that.
Getting set up: the first days
Supplies, information, work and bills, so worry has less to feed on.
SAMHSA says speaking up for your needs matters, especially if you are at home rather than in a hospital. Make sure you have what you need to feel safe, secure and comfortable.
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SAMHSA suggests working with health officials, friends or family to arrange groceries and toiletries to be delivered.
Not having enough supplies was one of the stressors linked to worse wellbeing in quarantine research.
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SAMHSA advises telling your clinical provider or health authorities about any ongoing care you need, so it isn’t interrupted.
Ask whether you can have phone or video appointments for physical health, mental health or substance use care.
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Unclear information was a key stressor in quarantine research. People coped better when they understood the reasons and the rules.
SAMHSA suggests asking questions, asking for written information, and having a friend or family member gather it if you can’t.
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SAMHSA suggests giving your employer a clear explanation of why you are away, and contacting utility, phone and internet companies to ask about other payment arrangements.
Money loss was one of the stressors that could last after quarantine ended.
Building a daily routine
A simple shape for your days keeps them from blurring together.
When the usual anchors of work, school and errands disappear, days can lose their shape. Sleep often suffers first: one year into the COVID-19 pandemic, 2 in 3 U.S. adults said they were sleeping more or less than they wanted.
The CDC suggests a regular sleep schedule with 7 or more hours a night, and working up to about 2½ hours of physical activity a week.
A simple day plan to start from
- Wake up around the same time and get dressed, even if you’re not going anywhere
- Open the curtains or step onto a balcony or yard if you’re allowed
- Do one task that gives you a sense of getting something done
- Move your body: stretch, dance, walk around the house or follow an online class
- Connect with at least one person by call, video or message
- Do something just for fun
- Wind down at a set time, with screens off a little before bed
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SAMHSA suggests pacing yourself between stressful activities and doing something fun after a hard task.
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A routine is a support, not a test. On days you feel unwell, a short list like “drink water, rest, text a friend” is enough.
Staying connected from a distance
Ways to feel close to people when you can’t be in the same room.
SAMHSA calls reaching out to people you trust one of the best ways to ease anxiety, low mood, loneliness and boredom during quarantine and isolation.
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SAMHSA suggests phone, email, text, social media and video calls to stay in touch with friends and family.
Try doing something together while you talk: cooking the same recipe, watching a show at the same time, or playing an online game.
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A daily good-morning text or a Sunday call with a grandparent can become a steady anchor in long days.
Among teens during the pandemic, feeling connected to others, even online, was linked with better mental health.
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If approved by health authorities and your clinical provider, SAMHSA suggests friends could drop off books, films or newspapers.
A wave through the window or a chat at a safe distance can lift the mood more than you’d expect.
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The CDC suggests staying connected through community or faith-based groups.
If you are in recovery from alcohol or drug use, SAMHSA suggests contacting your local mutual-help group for support.
Cabin fever, boredom & restlessness
When the walls start closing in, and how to let some air in.
“Cabin fever” is an everyday name for the restless, irritable, trapped feeling that can come from being indoors too long. It is not a diagnosis, but the feelings are real.
Quarantine research found boredom and frustration were common, and that longer time apart was linked to more distress.
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- Move a chair to a sunny window
- Open a window for fresh air if it’s safe
- Rearrange a corner or make a cosy spot
- Use different rooms for work, rest and fun if you can
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SAMHSA suggests relaxing your body often by stretching, deep breathing, meditating or praying, or doing activities you enjoy.
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- Learn a few words of a new language
- Organise photos into an album
- Start a puzzle, a sketchbook or a garden in pots
- Try a recipe from your family or culture
- Write letters to people you miss
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SAMHSA suggests keeping a journal of things you are grateful for or that are going well.
The CDC also lists daily gratitude as a healthy way to cope with stress.
Kids and teens at home
Helping children feel safe, busy and connected.
The National Child Traumatic Stress Network says outbreaks can affect families both physically and emotionally. Accurate information and preparation can ease stress for everyone.
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NCTSN guidance notes young children may fear being alone, have bad dreams, wet the bed, eat differently, or have more tantrums.
Calm bedtime activities and regular family routines can help them feel safe.
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NCTSN guidance lists irritability, nightmares, sleep trouble, physical complaints, pulling away from friends and new fears as common reactions.
Short, honest answers to their questions, and time to play, can help a lot.
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NCTSN guidance notes teens may have sleep and appetite changes, agitation, low energy or interest, and strong feelings about fairness. Missed graduations and time with friends can hit hard.
During the pandemic, teens who felt connected to others, including online, were less likely to report poor mental health.
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In a pandemic study of preschoolers, children whose families kept more daily routines had fewer signs of low mood. The researchers note this shows a link, not proof.
A simple chart with wake-up, learning, play, outside time, meals and bedtime gives kids something to hold on to.
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SAMHSA notes children are especially affected by what they hear and see on the news.
The American Academy of Pediatrics offers a free Family Media Plan to help families agree on screen time together.
Sharing a small space, and when home isn’t safe
Keeping the peace in close quarters, and help if you’re at risk.
Spending every hour with the same people can strain even close relationships. Tension doesn’t mean something is wrong with your family. It means you need some space and some plans.
Ideas for living close together
- Agree on quiet hours for work, school or rest
- Give each person a spot that is “theirs”, even a chair or a corner
- Hold a short family check-in to share what is and isn’t working
- Let people step away to cool off before talking about a conflict
- Take turns choosing meals, shows or activities
- Use headphones for calls and music
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Follow your local public health guidance on how to separate at home. Even when apart, you can stay connected through messages, notes under the door and video calls from the next room.
SAMHSA notes people may worry about being able to care for children or others who depend on them. Ask family, friends or neighbours to help where they can.
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A review of 18 studies found reported domestic violence went up after stay-at-home and lockdown orders.
Texting or online chat can be safer when the person hurting you is nearby.
Handling worry and news while you’re inside
Stay informed without letting the news fill every hour.
SAMHSA notes that people often misjudge risk during an outbreak, and media coverage can make danger feel closer than it is. Watching or listening to news around the clock tends to raise anxiety.
A calmer news habit
- Pick one or two trusted sources, like your local health department or national health agency
- Choose set times to check, such as once in the morning and once in the afternoon
- Turn off news alerts you don’t need
- After checking, do something calming or physical
- Notice and write down any good news or helpful steps
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SAMHSA notes that monitoring yourself, or being monitored, for signs of illness can cause anxiety.
Agree with your clinical provider what to watch for and when to call. Then try to check at set times instead of all day.
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Uncertainty and frustration about how long you’ll need to stay home are common, SAMHSA says.
When it ends: going back out
Mixed feelings, re-entry worries and taking it at your own pace.
SAMHSA says you may feel mixed emotions when quarantine or isolation ends, including relief. If you were sick, you may feel hurt if others still fear catching it from you, even when you are no longer contagious.
Going back out can feel strange after a long time apart. In early 2021, about half of U.S. adults (47–57% across racial groups) said they felt uneasy about adjusting to in-person contact once the pandemic ended.
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Start with short, low-pressure outings: a walk, a quiet shop, coffee with one friend. Add more as you feel ready.
The “My going-back-out ladder” worksheet in this guide helps you plan steps from easiest to hardest.
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Some people will rush back out; others will want to wait. Both are okay. Saying “I’m not quite ready for that yet” is a fine answer.
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Stigma was a stressor that could last after quarantine ended.
SAMHSA says learning about the illness and its real risk, and sharing that information, often calms others’ fears and helps you reconnect.
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Some researchers have suggested quarantine can have long-lasting effects for some people.
If fear of going out grows instead of fading, the “Agoraphobia: fear of places and situations” guide explains what helps, and a therapist can support you step by step.
When and where to get help
Signs it’s time to reach out, and free places to start.
Reach out to a clinical provider or therapist if…
- Alcohol or drugs have become a way to cope
- Daily tasks feel impossible to keep up with
- Fear, sadness or worry lasts 2 to 4 weeks or more
- Sleeping or eating is off most days
- Thoughts of hurting yourself or someone else come up
- You still feel afraid to leave home long after it’s safe
Many clinical providers and therapists offer phone or video appointments, which can work well while you’re at home.
The Disaster Distress Helpline supports anyone in the U.S. and its territories struggling with a disaster, including infectious disease outbreaks. Call or text 1-800-985-5990, free and open 24/7. Press 2 for Spanish; interpreters are available in over 100 languages. Deaf and hard of hearing people can use their preferred relay service.
Not safe at home? The National Domestic Violence Hotline is free and open 24/7: call 1-800-799-7233 or text START to 88788.
Outside the U.S.? Find A Helpline (findahelpline.com) lists free, confidential helplines by country.
📝 Worksheets for this guide
Fill these in privately in the app. Your answers stay on your phone.
Sources
- Substance Abuse and Mental Health Services Administration (SAMHSA) (2020). Taking Care of Your Behavioral Health: Tips for Social Distancing, Quarantine, and Isolation During an Infectious Disease Outbreak
- The Lancet (peer-reviewed) (2020). The psychological impact of quarantine and how to reduce it: rapid review of the evidence (Brooks SK, et al.)
- Emerging Infectious Diseases, CDC (peer-reviewed) (2004). SARS control and psychological effects of quarantine, Toronto, Canada (Hawryluck L, et al.)
- American Psychologist (peer-reviewed) (2022). Loneliness before and during the COVID-19 pandemic: a systematic review with meta-analysis (Ernst M, et al.)
- American Psychological Association (APA) (2021). Stress in America: One Year Later, A New Wave of Pandemic Health Concerns
- Journal of Criminal Justice (peer-reviewed) (2021). Domestic violence during the COVID-19 pandemic: evidence from a systematic review and meta-analysis (Piquero AR, et al.)
- Centers for Disease Control and Prevention (CDC). Managing Stress
- Centers for Disease Control and Prevention (CDC) (2022). Mental Health, Suicidality, and Connectedness Among High School Students During the COVID-19 Pandemic — Adolescent Behaviors and Experiences Survey, United States, January–June 2021 (MMWR Supplement 71(3))
- National Child Traumatic Stress Network (NCTSN) (2021). Parent/Caregiver Guide to Helping Families Cope With the Coronavirus Disease 2019 (COVID-19)
- Neurobiology of Stress (peer-reviewed) (2021). A predictable home environment may protect child mental health during the COVID-19 pandemic (Glynn, Davis, Luby, Baram & Sandman), Neurobiology of Stress 14: 100291
- American Academy of Pediatrics (AAP), HealthyChildren.org. How to Make a Family Media Plan
- Substance Abuse and Mental Health Services Administration (SAMHSA) (2025). Disaster Distress Helpline
- Federal Emergency Management Agency (FEMA). Disaster Distress Helpline
- National Domestic Violence Hotline. The National Domestic Violence Hotline
- Office for Victims of Crime (OVC), U.S. Department of Justice. Toll Free, Text, and Online Hotlines
- ThroughLine (Find A Helpline). Find A Helpline
- International Association for Suicide Prevention (IASP). Crisis Centres & Helplines
This guide is for education and self-care. It is not a diagnosis or a substitute for professional care. Please talk to a counselor or clinical provider about your health. Reviewed October 2026.

