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Home > Healthy People > April 2004 

                                                                                       Spring 2004

Children's Health Q&A
By Joyce Noble, Ph.D.
Child Psychologist


Q. When should I seek behavioral health services for my child?

A. It's a good idea to seek the help of a behavioral health specialist after a traumatic event or major life change such as a divorce, the death of a family member or friend or a natural disaster such as a tornado or fire if a child is showing a severe reaction or if the reaction doesn't improve after a month or so. If the entire family is going through a traumatic time, and the parents are stressed, depressed or have mental health issues themselves, they are often not as equipped to help their children during that time, and may want to seek the help of a professional to help their child cope.

Other reasons to seek help

Other reasons to seek professional help for your child are if the child exhibits sudden, severe changes in mood, sleeping or eating habits, regresses to younger behavior, has a sudden drop in their grades, or has unexplained, recurrent physical complaints such as stomach aches or headaches. The more of these “red flag” behaviors the child exhibits, the more the parent needs to seek the help of a professional to get to the bottom of them. It's always important to compare the child's behavior to what's normal behavior for him or her. Sometimes, parents will also seek professional help for their child if the child has an ongoing behavioral concern, such as temper tantrums, that isn't resolving with the measures the parent has taken to help the child.

Q . Are there certain times during a child's development when he or she might be more vulnerable to adjustment problems?

A. Yes. Kindergarten, going from second grade to third grade and going from elementary school to middle school are considered the transition years for children. Some children often have trouble adjusting during these years because there are higher expectations of them and they aren't as mature or ready for them as their peers may be.

Extracurricular activities

When children get into middle school and high school, parents should keep an eye on their child's extracurricular activities to make sure they're not overloaded. Sometimes children have so many after-school activities to attend to, that they have to stay up until 11 p.m. or midnight to get all of their homework done. Lack of sleep can lead to a depressed mood and irritability. Why go through therapy or consider putting your child on medication when what they really need is more sleep? High schoolers also sometimes have trouble adjusting when they get their first job and have to juggle school and work. Planning for college is also difficult for some high schoolers because they may feel that they're not ready for it or that they're not getting the scholarship offers or ACT scores they had planned for. Leaving home before they're ready also weighs heavily on a lot of high schoolers' minds as they get closer to graduation, even though they may have expressed excitement at the prospect of being on their own.
 
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