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Dr. Madeleine Vieira - Clinical Child Psychologist - South Kensington, London & Dubai

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Dr. Madeleine Vieira - Clinical Child Psychologist - South Kensington, London & Dubai

  • About
  • Therapy
    • Cognitive Behavioural Therapy
    • Cognitive Behavioural Play Therapy
    • Play and Creative Arts Therapy
  • Assessments
  • Resources
  • Professionals
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    • I'M AFRAID
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Embrace the Unwind: The Psychology of Uptightness, its Causes, and Surprising Benefits

May 15, 2023 Madeleine Vieira
Girl superhero ready to take on any challenge

In the realm of psychology, we encounter a diverse range of personalities. From the laid-back free spirits to the ones who seem to have swallowed an entire do-it-yourself instruction manual, we all know someone who is, well, a tad uptight. But let us not be too quick to judge! As clinical child psychologists, we are fascinated by the intricate workings of the human mind, and even uptightness has its place in the grand tapestry of personalities. Join us on this whimsical exploration as we unravel the causes of uptightness, appreciate its quirks, and reveal how it can actually bring positive changes to a person's life.

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In Childhood Mental Health, Responsibiity, Anxiety, Anxiety Disorders, Perfectionism, Mental Health Tags Embrace the Unwind: The Psychology of Uptightness, its Causes, and Surprising Benefits, uptightness, uptight, psychology of uptightness, causes of uptightness, benefits of uptightness, control, order, perfectionism, anxiety, strict parenting, meticulous order, rigid social norms, efficiency, reliability, stress management, preparedness, detail-oriented, excellence, structured routines, precision, tackling of challenges

Early Childhood Development: Your Helpful and Social 5 Year Old

December 15, 2022 Madeleine Vieira
Group of preschooler children looking down into camera

Your five-year-old is coming into their own and soaking up everything like a sponge! They might enjoy potty humor and love to tell wild, imaginative stories, but they also want to contribute in real ways to your family. Whether they’re following your instructions on how to set the table or pulling weeds from the garden, they love to help out in meaningful ways.

Early Childhood Development: Your 5-Year-Old Preschooler and What to Expect

Vocabulary Development


Your child’s vocabulary is still growing and growing! On average, a five-year-old will know roughly 2,000 words.(2) The back-and-forth conversations are also getting longer, and typically five-year-olds say sentences that are at least five words long.(2) And boy do five-year-olds love to share their opinions! (1) Ask them questions, listen closely to their thoughtful explanations, and encourage them to tell stories. At this age, children also have longer attention spans, so they can follow multi-step instructions and do more complex projects.(1)

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In Preschooler Mental Health, Preschooler Development Tags Early Childhood Development: Your Helpful and Social 5-Year-Old, early childhood development, 5 year olds, 5 years, early childhood, preschooler, 5 year old preschooler, vocabulary development, motor skills, whiney behavior, 5 year old milestones, preschooler milestones, simple chores, encourage healthy development, meaningful tasks, preschoolers love to help, encourage movement, play together, set up play dates

How to Help Your Children Set Healthy Goals for the New Year

December 12, 2022 Madeleine Vieira
Kids wishing a happy new year

The new year can feel like a wonderful new start. It’s a chance to reevaluate our goals and lifestyles. We can consider changes that we want to make to better ourselves and make a plan to bring those changes to fruition.

Many people set New Year’s resolutions, adults and children alike. Maybe you’ve decided that you want to set new goals this year with your kids but you aren’t quite sure how to do that well. This article will outline some strategies to set your family up for success and include ideas on what resolutions may be good for your kids.


7 Good Principles to Follow


Along with the tradition of setting New Year’s resolutions comes the common problem of those goals falling by the wayside after a couple of months (or even just a few weeks). So how can you avoid the pitfalls of goal setting and not give up too early? Here are 7 tips.

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In Childhood Mental Health Tags How to Help Your Children Set Healthy Goals for the New Year, New Year, setting healthy goals, children setting goals for new year, reevaluating goals and lifestyle, good principles, New Year's resolutions, keep it fun, healthy and realistic, small manageable steps, specific goals, frame failure as learning experience, goal setting ideas, good skills and habits

Stress and Anxiety Around the Holidays: How to Help Your Child Enjoy the Season

December 8, 2022 Madeleine Vieira

Children can feel stress around the holidays for a variety of reasons. The number of people at the gatherings may make them uncomfortable. Or the change in routine may give them anxiety. They feel unsure of what to expect and that in turn makes them feel stressed.

You may not even know exactly what about the holidays seems to trigger your child. You just know that this time of year is difficult for them, and you want to help in any way you can.

Here are some tips to help make this holiday as smooth and enjoyable as possible.

First, Make Sure That You Are Taking Care of Yourself

Calm, like stress, is contagious. Whatever you are feeling, your children are going to be feeling too. So be sure to preemptively take some time to yourself this holiday season.(1) Spend a few minutes a few days doing something relaxing that you enjoy like reading a book or going for a walk.

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In Childhood Mental Health, Anxiety Tags Stress and Anxiety Around the Holidays: How to Help Your Child Enjoy the Season, holiday anxiety, holiday stress, enjoy the season, self-care, keep routine, family gatherings, loneliness, manage expectations, keep active, quality time, family togetherness, help others, quiet time, avoid overscheduling

The Do’s and Don’ts of Feeding a Preschooler

December 5, 2022 Madeleine Vieira
Kids eating at nursery

You’re tired of the fights at mealtime. You don’t feel good about serving plain pasta with butter for dinner again. But you also don’t want to argue every time you sit down to eat. You just want your child to eat a nutritious meal without all the theatrics and protests.

Mealtimes with young children can be incredibly frustrating. They have short attention spans, they reject the food you’re serving, and they won’t eat much (or at all, for that matter!)

Sound familiar?

Many parents go through difficult phases with their young children rejecting food. Could sensory differences be one reason why?

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In Preschooler Eating, Preschooler Feeding, Preschooler Mental Health Tags The Do’s and Don’ts of Feeding a Preschooler, preschooler, preschoolers, preschooler feeding, preschooler eating, mealtimes, mealtimes with young children, foods we like, foods we dislike, cultural feeding practices, new foods, new food acceptance, encourage new foods, meal preparation, tasting sensory experience, snacking, fruits and vegetables, balanced meals, healthy meals, preschooler appetite, food refusal

Sensory Overload at Holiday Gatherings: 8 Tips to Prevent a Meltdown

November 28, 2022 Madeleine Vieira
Girl with hands on her face

The holidays can be a great time to reconnect with family and take part in our favorite traditions.

However, it can also be a time filled with loud conversations and crowded living rooms. Which some of us really enjoy, but others of us don’t quite feel the same.

If your child has a sensory processing disorder or just feels easily overwhelmed in loud spaces, the holidays may pose some challenges. Even as adults, sometimes holiday celebrations can get overwhelming.

Don’t worry. If you dread the holidays each year because of how stimulating they are for your child, there are some steps that you can take to help them. This article is split into what you should do before an event, at the event, and after sensory overload sets in.

Armed with the right knowledge, this holiday season could be the best one yet. Let’s get started!

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In Childhood Mental Health Tags Sensory Overload at Holiday Gatherings: 8 Tips to Prevent a Meltdown, holidays, meltdowns, sensory overload, holiday gatherings, loud conversations, crowded living rooms, sensory processing disorder, holiday challenges, prepare well, avoid sweets, eat healthy meals, eat often, normal bedtime schedule, give praise for positive behaviors, signs of overwhelm, break

Is My Child Learning in Preschool? Yes, Your Child is Learning When They Play

November 21, 2022 Madeleine Vieira
Two young girls making a block tower

Children learn many valuable skills during the preschool years. They’re learning how to communicate with and listen to others and how to follow directions. They’re developing fine and gross motor skills, and engaging with other children in cooperative play.

The point of preschool is to teach children important skills that will lay the groundwork for their future success. Skills like reading, writing, school readiness, and social skills like how to cooperate with others are all explored in preschool.(1)

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In Preschooler Mental Health, Childhood Mental Health, Preschooler Behavior, Preschooler Play, Preschooler Learning Tags Is My Child Learning in Preschool? Yes, Your Child is Learning When They Play, preschoolers, preschool behavior, preschooler play, preschooler learning, play, play development, children learn when they play, fine motor skills, gross motor skills, cooperative play, reading, writing, school readiness, social skills, preschool, play is essential, fun and games, cognitive skills, linguistic skills, physical skills, social and emotional skills, dramatic play, costumes, pretend play, acting out stories, self-empowerment, making choices, expressing feelings, manipulative play, building something, puzzles, stringing beads, physically active, arts & craft, play is vital, early childhood development, associative play, balance individual needs and wants, math skills, science skills, tricky preschool behaviors, tantrums, fighting, lying

Early Childhood Development: Your Inquisitive and Active 4 Year Old

November 14, 2022 Madeleine Vieira
Group of kids pulling rope

You may be excited to spend time with your four-year-old because they’re just so darn fun! Whether you’re doing art projects together, playing age-appropriate games, or enjoying outdoor pastimes like catch, you’ve noticed how active, chatty, and interested in the world your four-year-old is.


Early Childhood Development: Your 4 Year Old Preschooler and What to Expect


Vocabulary Development


You may have noticed that your child loves to talk! Some children are naturally chatty and enjoy having back-and-forth conversations or telling stories.(1) You might find your conversations are getting more interesting (and funny!) as well, as on average, a four-year-old will know roughly 1,500 words!(6) Your exchanges may include longer, more complicated and varied phrases, which is fun for both of you!

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In Early Childhood Developme, Preschooler Development Tags Early Childhood Development: Your Inquisitive and Active 4-Year-Old, early childhood development, 4 year old, vocabulary development, motor skills, curiosity about the body, asking endless questions, encourage healthy development, make time for play, be active together, imaginary play, outdoor play, physical activity, react neutrally, be mindful of developmental stage, difficult feelings

World Kindness Day: 11 Activities You Can Do with Your Child to Cultivate Kindness

November 10, 2022 Madeleine Vieira
Girl holding heart shaped Earth

Kindness is a skill that we have to teach our children. Just like we teach them how to ride a bike or how to do addition, they also need direction on how to be thoughtful to others.

While most children have a strong sense of empathy and compassion, kindness is the process of putting those feelings into action. It’s taking our feelings a step further and doing something nice that will make someone else happy.

The best way that children learn this is through practice. We need to work alongside them to help them think of ways to be kind and then follow through with that plan. If you’re needing some more ideas on how to practice kindness with your child, you’re in the right place!

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In Childhood Mental Health, Mental Health Awareness Tags World Kindness Day: 11 Activities You Can Do with Your Child to Cultivate Kindness, kindness, teach children kindness, teach your child to cultivate kindness, cultivate kindness, World Kindness Day, kindness is a skill, empathy, compassion, benefits of kindness, physical and mental wellbeing, oxytocin, happiness, extend lifespan, pleasure, serotonin, kindness activities, volunteering at animal shelter, visit the elderly, family fun, charity, write a kind note, help friends, help family, read books about kindness, 13 November 2022

What is My Preschooler Thinking About? How Does My Preschooler’s Brain Work?

November 7, 2022 Madeleine Vieira
Girl wearing glasses with math equations on blackboard behind her

The brain is the most complex and fascinating organ in the human body. There are so many parts working together to allow your preschooler to walk, talk, play, and feel.

The left side of the brain, for example, is responsible for speech and logical thinking. It’s literal and logical and loves order and organization.(3) When your preschooler is working on a puzzle, for example, it’s a great left brain exercise!(11)

The right side of the brain is responsible for spatial thinking, reading nonverbal cues, and processing emotions. (3,4) Rather than being detail-oriented like the left brain, it cares about the big picture. Think of it as the more emotional and experiential of the two hemispheres.(3) Playing a matching game with your child is a great right brain exercise!(11)

When children are very young, they’re right-hemisphere dominant, especially in their first three years of life. (3) Have you noticed how young children are so good at being focused in the present moment? They’re taken with the most ordinary things — the color of the fall leaves on the ground, a lady bug crawling on a bench, a tremendously smooth rock. Everything seems to delight and surprise them. Until, of course, a wave of very big emotions crashes over them and the tears or tantrums start.

When children become emotionally flooded, their right brains are working in overdrive.(3) Their more logical left brain isn’t working in sync with the right hemisphere.(3)

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In Preschooler Mental Health, Preschooler Brain Develop Tags What is My Preschooler Thinking About? How Does My Preschooler’s Brain Work?, preschooler, 4 to 5 years, preschooler brain development, preschooler cognitive development, brain, left side of the brain, literal, logical, organization, right side of the brain, spatial thinking, reading non-verbal cues, processing emotions, big picture thinking, brain hemispheres, connect and redirect, big feelings, acknowledging your child's big feelings, connect and attune, attunement, logical explanation, make a plan, why questions, obsession with death, subconcepts of death, screentime, child development

Early Childhood: Your Creative and Playful 3 Year Old

October 17, 2022 Madeleine Vieira
Group of children playing

Three-year-olds are such curious, playful, imaginative individuals!

Seeing your child grow right before your very eyes is wonderful and exciting. And watching them interact with you and others is such a gift.

Conversations have started to feel more interesting as your preschooler can say longer sentences and have more back-and-forth interaction with you. They also continue to come into their own, engaging in problem-solving and imaginative play.


Early Childhood Development: Your Young Preschooler at 3 Years Old

Vocabulary Development


Speech is yet another thing that children develop at their own pace. But a child between the ages of 3 and 4 will typically be able to say between 500 and 900 words!(2) By now, they’ll be able to talk in longer sentences of roughly 4 to 5 words, leading to real conversations with you.(4)

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In Early Childhood Developme, Toddler Development Tags Early Childhood: Your Creative and Playful 3-Year-Old, 3 year olds, toddlers, early childhood, creative, playful, imaginative, preschoolers, interaction, problem-solving, imaginative play, young preschooler, vocabulary development, growing imagination, 3 year old milestones, movement and physical development, language skills, communication, cognitive growth, encourage problem solving, model problem solving, ask open-ended questions

How Long Does Potty Training Take? Let’s Dive in to the 3 Day Method

October 17, 2022 Madeleine Vieira
Girl sitting on toilet

Potty training is a major milestone and a huge sign of growth and development!

Using the toilet is a learned skill. It takes physiological, cognitive, verbal and social readiness to be able to do it.(2) For something we all do every day, probably without really thinking about it, it takes an amazing amount of work for small children! And teaching a child to use the toilet really is a skill worth celebrating.

You know that your child already knows how to pee and poop. But in order for them to be potty trained, they need to be able to recognize the physical sensation of having to go to the bathroom. They also need to be able to tell you so that with help, they can make it to the toilet.(2)

Using a toilet and bathroom hygiene are important skills to learn! When you potty train, you help your child develop their independence and increase their confidence. You also teach them related hygiene skills like flushing and washing their hands.(4)

Poop and pee may not be your favorite topic of polite discussion. But explaining bodily functions in plain terms to your toddler sure does help with potty training!

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In Toddler Development, Toddler Toilet Training Tags How Long Does Potty Training Take? Let’s Dive in to the 3 Day Method, toddler, toddler toilet training, toilet training, 3 day method, toddler milestone, toilet readiness, potty readiness, bladder control, diaper, nappy, bowel movement, urine, Bare Bottom Method, nap time, pull-ups

What is Obsessive-Compulsive Disorder? With 3 Paths to Recovery

October 10, 2022 Madeleine Vieira
Girl nervously biting her nails

If you’re noticing signs of Obsessive-Compulsive Disorder (OCD) in your child or if they’ve recently been diagnosed with OCD, it can be difficult to know what to do.

This mental illness is often misunderstood because of its representation in the media. It’s often described as simply liking a clean room or keeping things a certain way. Clinical OCD is much more intense than this. It often needs professional intervention for the person to be able to live a normal life.

So, what are the signs and symptoms of OCD in children? How can you help after a diagnosis of childhood OCD? It’s all outlined here.

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In Childhood Mental Health, Obsessive-Compulsive Diso, OCD Tags What is Obsessive-Compulsive Disorder? With 3 Paths to Recovery, OCD, Obsessive-Compulsive Disorder, mental illness, ritualistic behaviors, repetitive behaviors, perfection, perfectionism, compulsions, obsessiveness, anxiety disorder, predisposition, genes, genetic, environment, biological processess, OCD Awareness Week, reclaiming your life, OCD child, CBT, Cognitive Behavioral Therapy, Exposure Response Prevention, CBT ERP, Graded Exposure, Graded Exposure Therapy

Celebrating World Mental Health Day: Plus 10 Mental Health Tips

October 6, 2022 Madeleine Vieira
Girl holding red heart

October is here and with its arrival comes World Mental Health Day on October 10th.

Have you been curious about where to get resources for World Mental Health Day for your home or classroom? Or are you just looking for tips on how to support your child’s mental well-being?

You’re in the right place! I’ve outlined great answers to both questions below.

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In Childhood Mental Health, Infant Mental Health, Mental Health Awareness Tags Celebrating World Mental Health Day: Plus 10 Mental Health Tips, World Mental Health Day, mental health tips, child mental wellbeing, mental health needs, mental health disorders, identifying emotions, therapeutic books, relax, self-care, open communication, healthy coping skills, calm deep breaths, household routine, sleep schedule, encouragement, support, daily movement, healthy habits, changes in mood or behavior, nurture self-esteem, therapy

How to Get Your Toddler to Sleep: Routine Charts, Sleep Regression and Reassuring Check-Ins

October 3, 2022 Madeleine Vieira
Toddler girl sleeping holding a teddy bear.

Putting a toddler to bed can be tricky.

And if your toddler is between the ages of 2 and 4, they’ll likely need about 10 to 14 hours of sleep in a 24-hour period.(4)

So how can you make naps or bedtime a treat, not a battle?

It may take some trial and error, and it will definitely take a whole lot of patience and love. But after experimenting with different approaches, you’ll get your toddler’s nap and bedtime routines down pat.

First things first, let’s make sure your toddler’s room is set up safely so they can sleep soundly. They are, after all, notorious explorers. So all that baby proofing you did may need to be kicked up a notch once you have an active toddler.

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In Toddler Sleep, Toddler Mental Health Tags How to Get Your Toddler to Sleep: Routine Charts, Sleep Regression and Reassuring Check-Ins, toddlers, toddler sleep, crib, nap time, bedtime routine, bedtime struggles, toddler bed, toddler sleep regression, separation anxiety, nap refusal

What to Feed Your Toddler and When! Plus: How to Deal With Picky Eaters

September 26, 2022 Madeleine Vieira
Toddler eating bite-sized fruit in a highchair

Does your toddler change their mind about foods at the drop of a hat? One day they love peas and carrots and the next they’re looking at them with utter disgust? Welcome to toddlerhood and the joys of trying to get your little one to eat!

Feeding a toddler can feel – like many things at this age – overwhelming or frustrating.

Assuming your toddler doesn’t have any known allergies, they can eat from all the basic food groups. If your family has a history of food allergies, talk to your child’s pediatrician about how to start introducing foods to your toddler.(1)

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In Toddler Mental Health, Toddler Eating Tags What to Feed Your Toddler and When! Plus: How to Deal With Picky Eaters, toddlers, early childhood, picky eaters, picky eating, toddler eating behavior, allergies, introducing solids, dairy, fruit, vegetables, protein, whole grains, allergens, neophobia, reluctance to tasting or trying of new foods, meal time struggles, toddler appetite, bodily cues

Navigating Social Anxiety with Selective Mutism: Using a CBT Approach

September 22, 2022 Madeleine Vieira
Sad girl hugging mother's leg

A diagnosis of social anxiety with selective mutism (SM) can be hard to navigate.

Especially if you’re an extrovert or you just enjoy social interactions, it can be hard to put yourself in the shoes of a child that feels intense anxiety in those same circumstances. Or your child may not be able to articulate their feelings and tell you exactly what’s wrong when you go out in public.

This article will not only give you a better idea of how to spot this disorder but also the best methods for treating it.

Let’s dive into it.

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In Childhood Mental Health, Social Anxiety, Selective Mutism Tags Navigating Social Anxiety with Selective Mutism: Using a CBT Approach, Selective Mutism, Social Anxiety Disorder, introvert, anxiety disorder, incapable of speaking, unable to speak, social situations, intense anxiety, panic, refusal to participate in social situations, temper tantrums, embarrassment, judgment, unable to interact with strangers, lack of self-confidence, Cognitive Behavioral Therapy, CBT, stepladder approach, Graded Exposure Therapy, Graded Exposure, therapeutic book, anti-anxiety medication

Toddler Development: Your Chatty and Curious 31 to 36 Month-Old

September 19, 2022 Madeleine Vieira
Girl chasing bubbles

How fast children grow! Your child is already almost three years old. You may be wondering where the time goes.

At this stage, you probably can’t get your toddler to stop asking questions and asserting his independence! And with good reason. There are many things your toddler can do by himself at this age and the wide world fascinates him.

Watch in amazement as your toddler tackles so many tasks all on his own! He can ride a tricycle, put on his shoes, brush his teeth and say his name.

You’ve done such a great job helping him grow. And the learning will only continue. The world delights and surprises him at every turn.

Let’s see what else you can expect from your 31- to 36-month-old and how you can encourage his healthy development.

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In Toddler Development, Early Childhood Developme Tags Toddler Development: Your Chatty and Curious 31- to 36-Month-Old, 31 to 36 month old, toddler, toddlers, toddler development, 3 year olds, asking questions, independence, doing things by himself, healthy development, vocabulary development, potty training, social emotional skills, language skills, communication, movement and physical development, cognitive growth, free play, empathy, emotions, name their feelings, tantrums, setting boundaries, communicate limits, joys and challenges of toddlerhood

Stages of Play: Funny Things Toddlers Do That Are Actually Play Schemas

September 12, 2022 Madeleine Vieira
Boy stacking blocks

Have you ever wondered about the funny things toddlers do?

Maybe you’ve chuckled because your toddler carries rocks around in her purse or insists on playing with a potato instead of other children.

What looks like plain old silliness to you is actually the exploration of play schemas!

Play is how your child learns.(1) And it’s so important for healthy brain development that it’s actually been recognized as a basic human right all children should have access to by the United Nations Office of the High Commissioner for Human Rights.(2)

That’s right – play has been deemed a right that all children should have access to in addition to rest, leisure, and love.(2)

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In Toddler Mental Health, Toddler Play Tags Stages of Play: Funny Things Toddlers Do That Are Actually Play Schemas, toddlers, play schemas, stages of play, toddler brain development, play development, early childhood, Unoccupied Play (0-3 months), Solitary Play (0 – 2 years), Onlooker or Spectator Play (2 years), Parallel Play (2+ years), Associative Play (3-4 years), Cooperative Play (4+ years), sharing, model sharing, cooperative games, turn taking, taking turns, Trajectory, Connecting, Transporting, Positioning, Enveloping, Enclosing, Rotation, Orientation, Transforming, messy play, sensory play, gross motor skills, visual skills, toddler play, early childhood play

“Creating Hope Through Action”: Understanding and Preventing Suicide in Children

September 7, 2022 Madeleine Vieira
Sad boy looking out the window

Suicidal thoughts and ideation are always serious problems. If you or your child are struggling with suicide, reach out for help right away by calling a suicide hotline or reaching out to a mental health provider.

Suicide is a tough topic. It’s even tougher when we’re talking about suicide in childhood.

However, it’s an important one to understand because prevention means that precious, young lives are saved.

So, what are the signs of suicidal thoughts or behaviors in children? How can you help a child who is thinking about suicide? Let’s dig into it.

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In Childhood Mental Health, Suicide in Children Tags “Creating Hope Through Action”: Understanding and Preventing Suicide in Children, suicide, suicide in children, preventing suicide, suicidal thoughts, childhood suicide, indicators of suicidal thoughts or ideation, sadness, anger, stress, pressure, self-doubt, sleeping issues, bad eating habits, stomach aches, headaches, death, dead, suicide attempt, risk factors, suicidal inclinations, poor mental health, trauma, trauma-informed approaches, family-based interventions, World Suicide Prevention Day, creating hope through action, mental illness
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