Indications suggesting your child might benefit from counseling

When it comes to the mental health of their children, many parents might be surprised to find that their paediatrician can provide valuable assistance. Pediatricians are not just there for physical health concerns; they can also help parents differentiate what is and isn't normal, offering reassurance and guidance.

If necessary, a pediatrician can refer a family to a counselor or recommend other resources. In some cases, virtual mental health support may be an option, depending on where you live. It's important to remember that seeking help can make life easier and happier for a child and their family, whether they need help navigating normal developmental challenges or something more serious.

Mental health treatment for children does not always mean medication or hospitalization. Therapy, whether it's counseling or psychotherapy, can be a powerful tool for helping children cope with their emotions and behaviour.

So, when should a parent consider therapy for their child? According to Dr. Eastman, it's crucial to pay attention to persistent or severe emotional or behavioural changes that interfere with daily functioning or occur in multiple settings such as home, school, or with peers. Key indicators include mood swings, irritability, withdrawal from activities or friends, significant changes in sleep or appetite, declining academic performance, difficulty concentrating or regulating emotions, expressions of hopelessness, self-harming behaviours, and traumatic experiences like bullying or family disruption.

Early signs that warrant attention include frequent temper tantrums, aggressive outbursts, anxiety, depression symptoms, social withdrawal, and returning to behaviours typical of younger children (e.g., bedwetting). Therapy is especially advisable if these signs persist beyond typical developmental phases or worsen over time.

Situational triggers that may prompt therapy even without clear symptoms include parental divorce, death of a loved one or pet, exposure to violence or abuse, or major life transitions like moving or changing schools.

In summary, therapy should be considered when:

Mental health symptoms are persistent, severe, or disrupt daily life.
Symptoms appear across multiple settings (home, school, social).
The child shows risk behaviours such as self-harm or suicidal thoughts.
There are significant life stressors or trauma impacting the child.
The child has difficulty managing emotions, behaviours, or relationships.

Early intervention via counseling or psychotherapy can improve coping skills, reduce symptom severity, and promote healthier emotional development. Parents are advised to approach therapy positively and normalize it as a supportive resource rather than a punitive measure.

If a child is thinking or talking about suicide, it's essential to respond in a calm, supportive way and call their provider as soon as possible if they're not in immediate danger. Parents should not be afraid to broach the topic of therapy with their child's doctor. Therapy can be beneficial even for children with issues that are not severe, helping them and their parents learn new coping skills and strategies for handling problems.

Remember, validating a child's experience can help them feel supported and more receptive to talking about their challenges. And in cases of imminent danger, call emergency services or take them to the emergency room.

For those in the U.S., the 988 Suicide and Crisis Lifeline is a 24/7 hotline that can provide immediate help. For international readers, the International Association for Suicide Prevention can provide local resources. Don't hesitate to reach out for help if you need it.