The emotional wellbeing of children is just as important as their physical health. Good mental health allows children and young people to develop the resilience to cope with whatever life throws at them and grow into well-rounded, healthy adults.
Things that can help keep children and young people mentally well include:
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being in good physical health, eating a balanced diet and getting regular exercise
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having time and the freedom to play, indoorsand outdoors
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being part of a family that gets along well most of the time
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going to a school that looks after the wellbeing of all its pupils
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taking part in local activities for young people
Other factors are also important, including:
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feeling loved, trusted, understood, valued and safe
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being interested in life and having opportunities to enjoy themselves
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being hopeful and optimistic
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being able to learn and having opportunities to succeed
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accepting who they are and recognising what they are good at
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having a sense of belonging in their family, school and community
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feeling they have some control over their own life
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having the strength to cope when something is wrong (resilience) and the ability to solve problems
Most children grow up mentally healthy, but evidence suggests that more children and young people have problems with their mental health today than 30 years ago. That’s probably because of changes to the experience of growing up and to the way we live now.
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The things that happen to children won’t usually lead to problems with their mental health on their own, but traumatic events can trigger problems for children and young people whose mental health is not already robust. Changes often act as triggers: moving home or school or the arrival of a new brother or sister, for example. Some children who start school feel excited about making new friends and doing new activities, but there may also be some who feel anxious about entering a new environment.
Teenagers often experience emotional turmoil as their minds and bodiesdevelop. An important part of growing up is working out and accepting who you are. Some young people find it hard to cope and may experiment with alcohol, drugs or other substances that can alter how they feel.
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There are certain ‘risk factors’ that make some children and young people more likely to experience problems than other children, but they don’t necessarily mean difficulties are bound to come up or are even probable.
Some of these factors include:
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having a long-term physical illness
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having a parent who has had mental health problems, problems with alcohol or has been in trouble with the law
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experiencing the death of someone close to them
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having parents who separate or divorce
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having been severely bullied or physically or sexually abused
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living in poverty or being homeless
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experiencing discrimination, perhaps because of their race, sexuality or religion
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acting as a carer for a relative, taking on adult responsibilities
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having long-standing educational difficulties
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If parents have a warm, open relationship with their children, their children will usually feel able to tell them if they are troubled. One of the most important ways to help is to listen to them and take their feelings seriously. They may want a hug, they may want you to help them change something themselvesor they may want practical help.
Children and young people’s negative feelings usually pass. However, it’s a good idea to get help if your child is distressed for a long time, their negative feelings are stopping them from getting on with their lives, their distress is disrupting family life or they are repeatedly behaving in ways you would not expect at their age.
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If your child has been diagnosed with a particular mental health problem, you may find it useful to find out more in our booklet Whatever life brings.
Some of the mental health problems that can affect children and young people are listed below.
Depression affects more children and young people today than in the last few decades, but it is still more common in adults. Teenagers are more likely to experience depression than young children who rarely face depression.
Self-harm is a very common problem among young people. It describes the different ways that people deliberately harm their bodies, to help them deal with intense emotional pain.
Children and young people with a generalised anxiety disorder become extremely worried. Very young children or children starting or moving school may have separation anxiety.
Post-traumatic stress disorder can follow physical or sexual abuse, witnessing something extremely frightening, being the victim of violence or severe bullying or living through a disaster.
Children who are consistently overactive (‘hyperactive'), behave impulsively and have difficulty paying attention may have Attention Deficit Hyperactivity Disorder (ADHD). Many more boys than girls are affected, but the cause of ADHD isn’t fully understood.
Eating disorders usually start in the teenage years andare more common in girls than boys. The number of young people who develop an eating disorder is small, but eating disorders such as anorexia nervosa and bulimia nervosa can have serious consequences for their physical health.
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If your child is having problems at school, a teacher, school nurse, school counsellor or educational psychologist may get in touch with you. Otherwise, go to your GP or speak to a health visitor. These professionals are able to refer a child to further help. Different professionals often work together in Child and Adolescent Mental Health Services (CAMHS).
Most support for children and young people who are troubled is provided free by the NHS, your child’s school or your local council’s social services department. In some parts of the country, there are long waiting lists for children and young people to see mental health specialists or to have a talking therapy on the NHS. Some people choose to pay for their children to have treatment.
Talking it through
Assessing and treating children and young people with mental health problems isn’t the same as for other health problems. There is more emphasis on talking and on understanding the problem to work out the best way to tackle it. For young children, this may be done through playing.
Most of the time, the action that professionals recommend is not complex. and it often involves the rest of the family. Your child may be referred to a specialist who is trained to help them explore their feelings and behaviour. This kind of treatment is called a talking therapy, psychological therapy or counselling.
Medication
More research has concentrated on the effect on adults of drugs for mental health problems than on children. Children and young people need to be assessed by a specialist before they are prescribed any drugs. There is a lot of evidence that talking therapies can be effective for children and young people, but drugs may be also be important in some cases.
Confidentiality
The professionals supporting your child will keep information about them and your family confidential. Young people can seek help on their own, either by ringing a helpline or by approaching a professional directly, but your consent is usually needed for them to get medical care if they are under 16. Young people have a right to privacy if they do not want to talk to you about their conversations with professionals, but you should still respond sensitively if they seem to be upset.
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Written in 2008
Statistics taken from The Fundamental Facts, our 80 page digest of mental health facts and figures. More information
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