Child & Adolescent Therapy
Children and adolescents, or teens, build social skills and emotional intelligence as they grow. These things often lead to healthy, happy lives. But some kids have emotions or behave in ways that disrupt their well-being.
Learning about children’s mental health issues can increase your knowledge of how to help. Certain skills can teach you to interact more effectively with your child. Seeing a therapist can teach you these skills. A therapist or counselor may also benefit children or teens. Therapy can be a safe space for kids to process thoughts and emotions.
Children go through changes in their moods and behaviors as they grow. Some of these changes are predictable. They can be challenging, but most are normal parts of child development. When a child’s behavior matches their age, “growing pains” need not cause concern.
Many theories address the phases of child development. Knowing these stages can help parents and caregivers understand child behavior and needs. Erik Erikson was an influential developmental psychologist. His theory outlines the stages of psychosocial development from birth to adulthood. It is one of the most popular stage-based theories. Erikson identified eight stages of life. Five of these stages take place in childhood and adolescence:
- Infancy: Trust vs. Mistrust. In the first stage of human development, infants explore the world. They learn if their environment is safe and predictable. Infants need attention and comfort from their parents. It is from parents that they develop their first sense of trust or mistrust.
- Preschool Years: Initiative vs. Guilt. Children learn about social roles and emotions. They become active and curious. Imaginary play is crucial in this stage. Children continue to display their willpower as they grow. Parents’ and caregivers’ reactions will impact their child’s behavior. They can affect a child’s will to act on their own as well as their attitudes about misbehavior.
- School Age: Industry (Competence) vs. Inferiority. Relationships and schoolwork become more important in this stage. Children begin to show a wide and complex range of emotions. Problems in school or with friends may lead to mental health conditions such as depression or anxiety. Academic and social tasks become more demanding. Conditions such as attention-deficit hyperactivity (ADHD) and oppositional behavior may interfere.
- Adolescence: Identity vs. Role Confusion. Adolescents, or teens, become more independent. They may form identities by trying out new behaviors and roles. Puberty usually occurs in this stage. It brings many physical and emotional changes. Changes during these years may strain parent-teen relationships. New behaviors may go beyond boundary-pushing and cause problems. Emotional highs and lows may persist. This could lead to anxiety or depression.
Each phase of development brings specific challenges for children. They tend to work through these as normal a part of growing up. Mental health conditions can make these challenges harder. They may come up due to events in a child’s life. These could have been traumatic events, such as being bullied. They can also be routine, like moving to a new home.
Every child responds differently to life changes. Some events that may impact a child or teen’s mental health include:
- The birth of a sibling
- The death of a loved one, such as a family member or a pet
- Physical or sexual abuse
- Poverty or homelessness
- Natural disaster
- Domestic violence
- Moving to a new place or attending a new school
- Being bullied
- Taking on more responsibility than is age-appropriate
- Parental divorce or separation
Age and gender can influence a child or teen’s resilience to life changes. For example, younger children often have an easier time adjusting to divorce than older children. Genetics also play a role. Some mental health issues, like bipolar, can run in families.
Almost 4 million children and teens may experience mental health issues. These can cause difficulties at home, school, or with friends. One study estimates the rates for some conditions in children and teens:
- ADHD: 6.8%
- Behavioral conditions: 3.5%
- Anxiety: 3%
- Depression: 2%
- Autism: 1.1%
- Tourette syndrome: 0.2%
These issues are only a portion of those children and teens experience. The statistics do not include all conditions they may experience.
A 2009 study found only half of children and teens with anxiety, disordered eating, depression, and ADHD received care. The study also found fewer African Americans and Mexican Americans were likely to seek help. This could mean there are gaps in access to treatment for minority teens.
When children reach adolescence, relationships can cause strife. Platonic and romantic relationships may cause this stress. Relationships between parents and children are crucial to healthy development. But they may become strained by the changes that come with adolescence. For example, teenagers may worry about romantic relationships. Some teenagers become overly stressed by worrying about relationships. This may lead to mental health issues or a lower quality of life.
A poll reports 35% of teens have some experience with dating or relationships. Of this 35%, nearly one third reports being sexually active. Another study reports that a third of teens in relationships will experience abuse from their partner. Intimacy and dating abuse can increase risk of mental health issues, self-harm, and suicide.
Social pressures and stress can cause disordered eating in teens. One study suggests these affect almost 10% of young women in the United States. Anorexia and bulimia are two common forms of this condition. In the past it was believed that disordered eating occured mostly in young women. But it is now known that disordered eating behaviors and related concerns occur in people of all genders.
Disordered eating can harm physical health and self-esteem. It can lead to malnutrition, self-harm, heart disease, suicide, or starvation. Stay aware of your teen’s eating habits. Be mindful of how you talk about food, nutrition, and weight gain or loss around them. Promote a healthy and positive mind-body relationship. If your teen shows patterns of disordered eating, approach the issue with care. Work with them to find any help they need.
Substance abuse can start out as a response to trauma or past abuse. It may also reflect a parent or caregiver’s behavior. Teens are known to experiment with substance use to push boundaries. But this can lead to unhealthy patterns with harmful, lifelong impacts. A 2015 poll reports 17% of high school students drank alcohol (other than a few sips) before age 13. And of the high school students who had smoked cigarettes, 45% said they had tried to quit. Meanwhile, 39% of high school students reported using marijuana at least once. It is important to recognize if a teen is developing an addiction. Once you have done that, you can help address the issue or seek treatment. The sooner substance addiction is addressed, the more effective treatment may be.
- Child maltreatment, 2012. (2013). U.S. Department of Health and Human Services. Retrieved from https://www.acf.hhs.gov/sites/default/files/cb/cm2012.pdf
- Mandatory reporters of child abuse and neglect. (2015). Child Welfare Information Gateway Washington. Retrieved from https://www.childwelfare.gov/topics/systemwide/laws-policies/statutes/manda
- Dating abuse statistics. (n.d.). Retrieved from http://www.loveisrespect.org/resources/dating-violence-statistics
- Merikangas, K. R., Nakamura, E. F., & Kessler, R. C. (2009). Epidemiology of mental disorders in children and adolescents. Dialogues in Clinical Neuroscience, 11(1), 7-20. Retrieved from https://www.ncbi.nlm.nih.gov/pubmed/19432384
- Lenhart, A., Anderson, M., & Smith, A. (2015, October 1). Chapter 1: Basics of teen romantic relationships. Pew Research Center. Retrieved from http://www.pewinternet.org/2015/10/01/basics-of-teen-romantic-relationships
- Price, M., Hides, L., Cockshaw, W., Staneva, A. A., & Stoyanov, S. R. (2016, May 6). Young love: Romantic concerns and associated mental health issues among adolescent help-seekers. Behavioral Sciences, 6(2), 9. doi: 10.3390/bs6020009
- United States adolescent substance abuse facts. (2017, January 25). U.S. Department of Health and Human Services. Retrieved from https://www.hhs.gov/ash/oah/facts-and-stats/national-and-state-data-sheets/adolescents-and-substance-abuse/united-states/index.html