Mental Illness in Children: Is It Just a Phase or Something More?

When you hear the phrase “mental illness” what comes to mind? If you think about managing your own mental health or the psychological issues other adults in your life are navigating, you’re not alone.

Often mental health—and on the flipside, mental illness—are seen as things only adults have to manage. But the truth is, one in six children will experience a mental health disorder in any given year.(1)

The number of children and teens battling mental health issues without proper treatment is staggering. 

The teenage years are hard enough as it is—on both teens and parents. What with the raging hormones, the increased importance of friends over family, and the pressures to perform well in school—it’s easy to chalk up mood swings or changes in behavior to growing up. 

Every day, I see families just like you, struggling to understand the challenges their children are going through. You may be wondering whether your child or adolescent is exhibiting signs of a larger issue or is just “being a child” or just “going through a phase.” Educating yourself on the signs and symptoms of childhood mental health concerns is a helpful first step. 
 

How Do I Know if My Child Has a Disorder?

Half of all mental illnesses begin by the time a child turns 14. And 1 in 10 children between the ages of 5 and 16 meets the criteria for mental illness but only 30% receive appropriate early intervention.(2) 

I’m not sharing these statistics to scare you. 

I firmly believe that with this knowledge, you can better serve your family. 

“Mental illness” or “mental health disorder” can sound really scary. But with proper management and treatment, children with these challenges can overcome them or learn to manage them over time.  

Many children with mental health diagnoses go on to live happy, healthy lives when given the appropriate treatment, support, and early interventions. (Doesn’t that make you want to run, not walk, to next available therapy appointment?)

If your family is going through a tough time right now, know that you are not alone. It can be hard on parents and children to navigate an undiagnosed mental health disorder. (And parenting is a really tough job to begin with!) 

But as a parent, you play a vital role in getting your child the help they need. If your child is displaying difficulties in school, with friends, or at home, there are signs and symptoms of potential mental health concerns to watch out for. Consider keeping a record or journal so you can describe your child’s behaviors to a professional if and when you decide intervention and treatment is necessary.

4 Common Diagnoses Children Receive: ADHD, Anxiety, Depression, and ASD

Childhood ADHD, anxiety, depression, and autism spectrum disorder may present differently than adult diagnoses. It’s important to recognize the signs and understand treatment options to get your child the best care possible.

By being aware of the signs and symptoms, you can be your child’s biggest cheerleader on the road to mental health.

ADHD

Are you tired of repeating the same directions to your child over and over again, only to have them forget what you just said or simply not follow instructions? Is it impossible to get your child out the door on time? And do you get calls from school because they’ve forgotten their homework again? 

Often children with ADHD get labeled as naughty or lazy. But the truth is, ADHD is a chronic condition that children need help managing. A mental health diagnosis like ADHD is neither something you (the parent) caused, nor is it your child’s fault. 

Attention Deficit Hyperactivity Disorder, or ADHD, is one of the most commonly diagnosed mental health disorders in children. In the UK it’s estimated that 3.6% of boys and around 1% of girls between the ages of 5 and 15 meet the criteria for ADHD,(3) and in the US, 12% of boys and 5.6% of girls between the ages of 2 and 17 have been diagnosed with ADHD.(4)

Children with ADHD may struggle in school and have trouble making friends. ADHD can impact every area of your child’s life—from social situations to academics to home life. 

Thankfully, ADHD, like other mental health concerns, can be managed. With the right treatment, interventions, and support at home, your child can manage the symptoms of their ADHD so they don’t impede performance in school or work or their ability to maintain close relationships.

Understanding your child’s difficulties will help grow your bond and cultivate a climate of support and empathy within the family system. 

Anxiety

Does your child have frequent nightmares, headaches, or cry easily and often? Are you always taking them to the doctor, trying to figure out why they feel sick to their stomach all the time? Or does your child want to retract into their shell like a turtle every time a stranger talks to them? 

These are all signs your child could suffer from anxiety. 

(Feeling anxious just reading this? Stop. Take a deep breath in, and exhale slowly. Unlock your jaw and roll your shoulders back. Feel a bit better? With the right tools, you can become a calming guide for your child and tackle the anxiety together.)

Anxiety disorders are a range of mental health conditions causing intense feelings of worry and fear. It's normal for children to feel worried from time to time, but when a child has an anxiety disorder, their worry and fear is pervasive and difficult to manage without proper guidance.

Many children will develop some kind of anxiety. In the UK, anxiety affects anywhere from 5 to 19% of children and adolescents.(12) And in the US, approximately 7% of children between the ages of 3 and 17 have been diagnosed with anxiety.(13)

As a parent, it can be difficult to figure out how serious a problem is, especially because children do get afraid from time to time and often struggle to verbalize how they’re feeling. If the anxiety and worry causes your child significant distress and makes it difficult for them to engage in everyday activities then it’s likely they need treatment.

Depression

Is your child no longer interested in doing the things they love the most? Is Eeyore the character they identify with from Winnie the Pooh? 

As hard as it may be to believe, children as young as 3 years old can suffer from depression.(14)

But depression in children looks slightly different than depression in adults, which is why it’s so important to be aware of the differences. Some of the symptoms overlap, such as feeling sad for most days or feeling worthless. But in children, depression can also display as temper tantrums or difficulties in school. 

If your child is no longer interested in participating in activities they once enjoyed, like sports or music lessons, you may be thinking, “aren’t they just growing up?” But reduced interest in activities and withdrawal from friends could indicate a larger problem, especially if coupled with other symptoms like changes in sleep patterns. 

It’s normal for children to get sad or feel down sometimes. But depression is a serious mental illness that, if not treated, can result in devastating consequences. If symptoms last for two weeks or more, it may be time to seek treatment. 

Like other mood disorders and mental health issues, getting your child the support they need will help them feel better faster and reduce the risk of developing depression that lasts into adulthood. If your child repeatedly says or thinks negative things about themselves, or tells you they feel sad, hopeless, or helpless, they might be depressed and professional help should be sought out. By having this information in the back of your mind, you’ll be better equipped to help your child when they are struggling with depression. And there’s nothing more satisfying than getting your child on the road to health and seeing them smile again.
 

Autism Spectrum Disorder

Have you spent countless hours listening to your child talk obsessively about a single topic, like the migratory birds of North America­? Or does your child just know when you’ve changed the brand of peanut butter on them? Maybe you wish your child would look you in the eye with those baby blues you love so much? 

Children with autism spectrum disorder may have very focused interests, struggle to interact with others, display repetitive or restrictive behaviors, or have sensory sensitivities.  

Often children with ASD have trouble managing their emotions and have a comorbid, coexisting disorder like anxiety. They can also be wildly fun, creative, interesting and joyful. By understanding your child with autism spectrum disorder, you won’t be putting them in a single box. You’ll be advocating for them so they have the full range of experiences other children have. 

It is estimated that 1 in 100 children in the UK have autism spectrum disorder (ASD).(15) Like ADHD, autism spectrum disorder is a chronic condition, meaning it lasts throughout a person’s lifetime, but with the right treatment and interventions, it too can be managed. 

As a “spectrum” disorder, ASD can be difficult to identify because the type and severity of symptoms varies so widely. 

There are so many resources for children with ASD these days. You don’t have to navigate this (or any diagnosis) alone.

 

What Should I Do if I Suspect My Child Has a Mental Health Disorder?

There’s no shame in thinking your child has an undiagnosed mental health condition requiring treatment. The most helpful thing you can do as a parent is support your child through their difficulties—not shaming or blaming them (or yourself!) and seek professional help from a licensed therapist or mental health counselor. 
 

Is It Time to Seek Out Treatment for My Child?

Many families struggle with childhood mental health issues. You haven’t failed as a parent if your child has anxiety or depression or other difficulties requiring treatment. If your child displays any of the symptoms outlined above or has other symptoms which cause significant distress and disrupt their ability to engage in everyday activities—then it's likely time to seek treatment. 

Children don’t grow out of mental health issues. And symptoms can get worse over time if they aren’t treated.With the right treatment and intervention from a professional, however, the issues your child is facing may not become a life-long mental illness.

Coming to terms with the fact that your child could have a mental health disorder can feel daunting. But seeing your child benefit from treatment—managing their mental health concerns, overcoming their fears, regulating their emotions, and interacting differently with the world—will make it all worthwhile. 

It can be overwhelming to navigate these issues alone. The good news is, help is available. I’m Dr. Madeleine Vieira, a licensed clinical child psychologist, and I talk about these 4 mental health diagnoses—ADHD, anxiety, depression and ASD—and how they present in children, in more detail, in the first episode of my podcast, Genius Little Minds. 

Listen to the podcast here to get more in-depth information on symptoms and treatment options, and subscribe to stay up to date with the latest in children’s mental health. 

Make the space to educate yourself on childhood mental health. You and your family will be glad you did!
 

References

1. (2021, August). Children and Young People. Mental Health Foundation. https://www.mentalhealth.org.uk/a-to-z/c/children-and-young-people

2. Mental Health Statistics: Children and Young People. Mental Health Foundation. https://www.mentalhealth.org.uk/statistics/mental-health-statistics-children-and-young-people

3. Holden, S. E., Jenkins-Jones, S., Poole, C. D., Morgan, C. L., Coghill, D., & Currie, C. J. (2013). The prevalence and incidence, resource use and financial costs of treating people with attention deficit/hyperactivity disorder (ADHD) in the United Kingdom (1998 to 2010). Child and adolescent psychiatry and mental health, 7(1), 34. https://doi.org/10.1186/1753-2000-7-34

4. (2021, September). Data and Statistics About ADHD. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/adhd/data.html

5. Rucklidge J. J. (2010). Gender differences in attention-deficit/hyperactivity disorder. The Psychiatric clinics of North America, 33(2), 357–373. https://doi.org/10.1016/j.psc.2010.01.006

6. Sayal, K., Prasad, V., Daley, D., Ford, T., & Coghill, D. (2018). ADHD in children and young people: prevalence, care pathways, and service provision. The lancet. Psychiatry, 5(2), 175–186. https://doi.org/10.1016/S2215-0366(17)30167-0

7. Faraone, S. V., Sergeant, J., Gillberg, C., & Biederman, J. (2003). The worldwide prevalence of ADHD: is it an American condition? World psychiatry : official journal of the World Psychiatric Association (WPA), 2(2), 104–113.

8. (2021, September). Research on ADHD. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/adhd/research.html

9. (2021, March). Attention Deficit Hyperactivity Disorder: Causes of ADHD. WebMD. https://www.webmd.com/add-adhd/adhd-causes

10. (2021, December). Attention Deficit Hyperactivity Disorder: ADHD. NHS. https://www.nhs.uk/conditions/attention-deficit-hyperactivity-disorder-adhd/

11. Oudin, A., Frondelius, K., Haglund, N., Kallen, K., Forsberg, B., Gustafsson, P., & Malmqvist, E. (2019). Prenatal exposure to air pollution as a potential risk factor for autism and ADHD. Environment International, (133), 1-7.

12. (2020, September). Anxiety disorders in children. NHS. https://www.nhsinform.scot/illnesses-and-conditions/mental-health/anxiety-disorders-in-children

13. (2021, March). Data and Statistics on Children’s Mental Health. Centers for Disease Control and Prevention. https://www.cdc.gov/childrensmentalhealth/data.html

14. Doheny, K. Depression Affects Kids as Young as 3. Medicine Net. https://www.medicinenet.com/script/main/art.asp?articlekey=116548

15. (2021, September). Autism Spectrum Disorder. BMA. https://www.bma.org.uk/what-we-do/population-health/improving-the-health-of-specific-groups/autism-spectrum-disorder

Children’s Mental Health Week Empowers Growth and Reflection On Your Child’s Mental Health Journey

Mental health can often feel like a topic that is hard to tackle. And it can feel especially difficult to discuss with children. 

It’s hard to know what terms to use, how to make the conversation developmentally appropriate, and how to not overwhelm them with information. 

But we know that it is so important to have conversations on mental health. We know that approximately one in six children between the ages of two and eight have a mental, behavioral, or developmental disorder (1).  

But you don’t have to be an expert to help your kids. There are many practical ways to discuss mental health and provide the guidance that your kids need. 
 

Growing Together

The theme that was selected this year for Children’s Mental Health Week is ‘Growing Together.’ 

This theme is reflective of the idea that mental health is a journey.  We can go through periods of quick, intense growth, but then at other times, we can feel stuck and stagnant. There are highs and lows in the journey. There will be triumphs and setbacks. 

In those hard times, we need to lean on each other to continue to grow and stay healthy. 

Children and adults alike should always be working on bettering their mental health. Events like Children’s Mental Health Week remind us of that. 
 

3 Ways To Start A Conversation About Mental Health 

Especially with young children, it can be intimidating to know how to broach the topic of mental health. It can be more productive to simply talk about ‘feelings.’

Helping children identify and name their feelings is a crucial part of emotional health. 

There are a variety of ways you can talk about feelings in a way that seems more concrete. 

Reading Books On Feelings and Mental Health

There are so many great books out there that help explain difficult feelings and situations. Some that I would recommend include: 

●      The Very Cranky Bear by Nick Bland

●      The Way I Feel by Janan Cain

●      Can I Catch It Like A Cold? by The Center For Addiction and Mental Health

●      Listening To My Body by Gabi Garcia

For children with anxiety, my books Sophie Swan Is Afraid Of Water!, Charlie Cub Is Afraid To Leave His Mother!, and Priscilla Puppy Is Afraid Of Everything! will be available soon. You can read more about them here.

Playing Games That Teach About Feelings

Games could include matching tiles that show different expressions or identifying feelings on flash cards. 

Talk of feelings could also be involved in any game like Go Fish or UNO. You can talk about being excited when you draw the card you need or being frustrated when you lose. Talking in the moment about how you and your child are feeling will help them begin to name their emotions. 

Make Art About How They Are Feeling

Providing a safe space for children to make art can let them express feelings that they may not be able to put into words. 

Even if children do not yet have the fine motor skills to draw faces or people, the colors and way in which they create art may help you understand what they are feeling. Do they choose happy colors or sad colors? Do they show joy or frustration when creating? It’s easy to see what is most pressing on their mind when you see what they choose to paint or color.

Key Tips to Remember 

You don’t have to have professional training to help your children with their mental health, but there are a few key things to keep in mind.

Listen Intently

Let them know that their feelings are valid. Give them plenty of time to formulate their thoughts and put their feelings into words. If they need a break before returning to the conversation, give them that space. 

Let Them Ask Questions

How specific their questions are depends largely on how old they are. But it is important to be as honest as is developmentally appropriate. If they are old enough to formulate the question, they are often old enough to hear the answer. Be a source of quality, unbiased information. 

Talk About Mental Health Often

Having conservations often about mental health will keep the line of communication open between you and your child. 

Talk about mental health at the dinner table and in the car on the way to sports practice. Make the conversation commonplace, and your children will be more likely to come to you for help when they need it. 

Brainstorm Ideas For Self-care

Self-care looks different for everyone, your child included. Self-care can involve any activity that makes them happy and helps them relax. Your child may know exactly what they like to do, or they may need your help to think of ideas. Additionally, they may need your push to do those self-care activities when they’re feeling down. 

Celebrate Children’s Mental Health Week With Others

All of us could use more time to reflect and work on our mental health. Children’s Mental Health Week provides just that opportunity. 

It also opens the door to having conversations with fellow teachers or parents about how to tackle mental health challenges with kids. It can show you who you can turn to for help and provide invaluable support to lean on. You may find yourself needing a sounding board after having these sometimes difficult conversations. 

This journey is not a solo one. It is much better to do it together. 

Parents and caregivers are such an important part of a child’s mental health. Your involvement can make this week life-changing for your child. 

Continuing The Event All Year Long

Children’s Mental Health Week should not be the one time a year that schools, educators, and parents focus on their children’s mental health. 

It is so important to be well-informed and constantly on the lookout for mental health struggles in our kids.  

Working on our mental health together is not always easy, but it is a rewarding journey. It gives us the opportunity to grow closer to our children as we teach them about feelings, emotions, and mental health. 

These conversations and activities will build an unbreakable bond between you and your children. And that is truly worth all the work that this journey requires. 

To get more tools and resources on children’s mental health in your inbox, be sure to sign up for my newsletter. 

References 

1. https://www.cdc.gov/childrensmentalhealth/data