As parents and caregivers, it is important to encourage your kids to develop good practices for supporting their mental health. Whether it’s regularly checking in on how they’re feeling, modeling appropriate coping strategies or connecting them with a mental health professional, your role is critical in supporting your kids’ mental health during this important time in their lives.

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Talking about mental health at home

As parents, it is important to encourage your kids to develop good practices for supporting their mental health. Whether it is checking in on how your kids are feeling, discussing appropriate coping strategies, or connecting your kids to a mental health professional, parents can do a lot to support their kids’ mental health during this important time in their lives.

Encourage your kids to identify and name their emotions

Kids can struggle to put their feelings into words. If they can name their emotions, it’s easier to have a conversation. A resource like a feelings wheel can be used to help kids explore their emotions and describe the impact their emotions are having on them. Start with a basic emotion and use follow-up questions to help them identify the specific emotion they’re experiencing and why they might feel that way. Helping kids identify different emotional experiences provides an opportunity to emphasize that no emotions are “bad” or “good.” It’s best to start practicing this when everyone is calm.

Treat mental health like physical health

In a child’s life, mental health is just as important as physical health, yet the stigma can cause misunderstanding and shame. Shame, hesitation, or uncertainty often prevents kids from speaking openly about mental health struggles and seeking help. By talking about mental health in the same way you would discuss physical health, you can normalize conversations about mental health and work to eliminate this stigma.

Be conscious of language you use

The language used when talking about mental health has a big impact on how your kid views mental health and their willingness to talk about it.

  • Use appropriate language for your kid’s age and development.
  • Avoid framing questions about mental health negatively. Instead of saying “what’s wrong?” lead with open-ended questions like “How are you feeling about…?” or “Tell me what happened today when…”
  • Model using “I – statements” to describe your feelings. Instead of saying, “You don’t tell me anything,” say “I feel worried that I don’t know enough about how you’re feeling to keep you safe.”
  • Choose language that helps kids understand their feelings and emotions are temporary. We want kids to know their feelings do not define who they are. Instead of saying, “You are angry,” say “I understand you feel angry” to emphasize anger is a passing feeling and not a permanent characteristic of who they are. You can model this in the way you talk about your own emotions and feelings.
  • Challenge yourself to replace “but” with “and” when discussing mental health and emotions. The use of “but” can come across as dismissive when discussing emotional experiences. For example, instead of “I know it’s frustrating, but we need to leave now to be on time,” try “I can see that you’re frustrated and it is important that we talk about this when we have more time to explore what’s going on.”
  • Be mindful that mental health conditions are often used to describe something or someone in a negative way. Rephrase language that might lead to misconceptions and cause stigmas around mental health. Also avoid making jokes referring to mental health conditions. Instead of saying “he’s crazy,” saying “he may be struggling with his mental health” is an example of more neutral and accurate language to describe an individual.

Regulate, relate, reason

Having a conversation with a highly upset kid can be counterproductive. Psychiatrist Dr. Bruce Perry recommends instead of engaging in a conversation right away, it’s better to help kids regulate, relate, and reason. Here are his steps for helping them be ready to learn, think, and reflect.

  • Regulate: When your kid is upset, they’re not able to reflect or discuss their emotions until they have calmed themselves. Help them regulate their emotions by approaching the situation calmly, giving them time to process their emotions and creating a comfortable space for them. If you’re finding yourself also becoming upset, take a break or have another adult step in.
  • Relate: Talk to your kid calmly and help them feel seen and heard. Use active listening and acknowledge their emotions to help validate their feelings. As you listen, help them understand their feelings in a non-judgmental way. This can include repeating back to them the emotions they are expressing. For example, “It sounds like you are feeling really frustrated.” Let them know that negative emotions are normal.
  • Reason: Once your kid’s emotions are regulated and you have helped validate how they feel, support them in understanding their feelings. Take time to discuss and role play ways they might react to similar situations in the future.

At this point, you can work to repair the situation and talk to them about expectations and consequences while reassuring them that you care about them. This helps model that once emotions are processed, we can all move forward in a positive manner.

Keep the conversations going

Conversations about mental health should not be one-time occurrences. By continuing to talk about mental health with your kids, you are building trust and connections that make it easier for them to come to you with future concerns, issues and questions.

For more strategies on talking to kids about mental health, view Responsibility.org’s On Responsibility videos:

Modeling positive mental health behaviors at home

While conversations about mental health are important, modeling how you manage your own mental health shows your kids stress is normal and helps them learn positive coping strategies.

Encourage your kids to identify and name their emotions

Model healthy coping strategies when you are feeling overwhelmed and talk to your kids about the ways that you cope.

THESE STRATEGIES MIGHT INCLUDE:

  • Breathing exercises
  • Exercising or going for a walk
  • Listening to music
  • Engaging in positive self-talk
  • Writing in a journal
  • Talking with friends
  • Engaging in a mindfulness exercise
  1. Talk about your stress and how you manage it. In doing so, kids can see that some stress is normal and developing tools for dealing with it can help them manage it. Avoid naming childcare responsibilities as your stress with kids as this could lead to children internalizing the message that they are a “problem.”
  2. Demonstrate vulnerability and be open to talking about your own mistakes and imperfections. Sharing that you’re not perfect can encourage your kids to open up about difficulties they’re experiencing.
  3. Don’t be afraid to show your feelings. Demonstrate to your kids that everyone has strong and difficult emotions sometimes and it is ok to work through them.
  4. Know when you need a minute. When emotions become too intense, show your kids that it is sometimes ok to step back from a situation and calm down. Be open about your feelings and discuss times when this is appropriate.
  5. Be kind to yourself. Model compassion for yourself when you make mistakes and emulate that learning and moving on from mistakes is an important coping skill.
  6. Be a solution-seeker and talk through problems or concerns. Share some examples about how to be resilient and look beyond initial setbacks.
  7. Be mindful of schedules and build a routine that makes sense for your family and allows everyone to feel grounded. Collaborate with your kids to get their input on what schedule makes sense for the family when appropriate or possible.
  8. Have conversations about mental health, therapy and counseling so your kids understand that it is ok to seek additional help if needed. You can normalize meeting or talking with a mental health professional as being helpful and normal even if you are not actively in therapy.
  9. Avoid using unhealthy strategies for coping with stress and be open to talking about why some ways for coping with stress are unhealthy.
  10. If you choose to drink or use cannabis, be mindful of the language you use when describing these substances. Avoid using statements like, “I’ve had a rough day, I need a drink” that normalize or justify drinking or similar phrases about using cannabis to infer that they are healthy ways to cope with stress or negative emotions. (They’re not, and they can sometimes make mental health worse.)
Recognizing signs of a mental health struggle

Mental health can be tricky when dealing with kids and teenagers. Even small changes in a child’s behavior or emotional state can be a sign they are struggling. Children have a much harder time communicating what they are feeling, so it’s important for parents and caregivers to recognize the signs of mental health issues. Here are some key warning signs from Dr. Katie Friedman, M.D.

Behavioral Signs

Behavior changes are normal as kids and teenagers develop during adolescence, but some changes might be signs or symptoms of mental health struggles.

  • Withdrawing from activities or hobbies that once made them happy.
  • Avoiding social interactions or experiencing drastic changes in friendships or friend groups.
  • Spending more time alone, such as extended periods in their room.
  • Lashing out at siblings and family members.

Physical Signs

Parents don’t always make the connection between physical symptoms and mental health. However, the body and mind are deeply connected. Your child may show physical symptoms that could be linked to mental health issues. If you notice these changes, start a conversation to create a space for your child to process and explore why the changes are happening:

  • Changes in eating habits and diet.
  • Changes in sleeping patterns.
  • New-onset or reoccurring symptoms such as headaches, chest pain, stomach pain or indigestion.

Emotional Signs

Adolescence often comes with typical changes when it comes to emotional and social well-being, but more severe changes might be a sign your child is struggling with their mental health.

  • Persistent sadness or withdrawal from family, friends and activities that once brought them joy.
  • Severe mood swings that disrupt close relationships.
  • Panic attacks, new fears or increased anxiety.

Dr. Katie Friedman, M.D.
board-certified pediatrician, writer, spokesperson, and mother.

What to Do in a Mental Health Crisis

A mental health crisis can arise suddenly. Knowing what to do is imperative to keeping your child safe and ensuring they receive the help they need. Learn what actions you should take with this information from Dr. Katie Friedman, M.D.

The first step is to assess the immediate risk of the situation. If the child is having thoughts of harming themselves or others, it’s crucial to call 911 or take them to the nearest emergency room.

If there is no immediate threat, schedule an appointment with a healthcare provider, such as your pediatrician. Make sure your child knows that you are taking their concerns seriously and keep them updated as you work to schedule an appointment.

While waiting for your appointment, you can reach out to local services or a mental health crisis hotline, such as 988.

24-Hour Resources

988 Suicide and Crisis Lifeline: 24/7, judgment-free support for mental health, substance use and more. Text, call, or chat 988.

SAMHSA’s National Helpline (1-800-662-HELP / 4357): A free, confidential, 24/7, 365-day-a-year treatment referral and information service (in English and Spanish) for individuals and families facing mental health or substance use disorders.

Many times, when a child is experiencing a mental health crisis their emotions can feel overwhelming. Recognizing that they are reaching out for help is essential. Providing support, avoiding judgment and actively listening to their concerns is incredibly important.

While quick assessment and immediate care are crucial during a mental health crisis, it is equally important to establish a long-term plan and a strong support system for sustained well-being. Ensure your child receives ongoing care through therapy and support from specialists.

One of the most important things you can do is build a supportive network around a child struggling with their mental health. This can include family, school staff, community resources, fostering open communications and a safe environment.

Dr. Katie Friedman, M.D.
board-certified pediatrician, writer, spokesperson, and mother.

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