How To Talk To A Child About Mental Illness

Explaining mental illness to a child can be a bit challenging. Young children don’t understand depression or anxiety as adults do and it can be difficult to find the words to explain it to them. As a result, many parents opt not to bring up the issue reasoning that it’s better not to confuse or stress their kids.

What many parents don’t realize is that kids are actually very observant and they will notice if anything is out of the ordinary. So if you, your spouse or anyone in your family is struggling with mental illness, your children are bound to have noticed. They may be confused and even frightened by the changes in the person’s behavior, especially if that adult holds an important place in their lives.

One of the most important things you can do to support your children in this instance is to help them understand mental illness. Taking time to address their questions and concerns will help them understand the illness. This will make it less frightening and mysterious, and give them the tools they need to cope.

Having an open, honest discussion will help your child trust you and will clear up some of the misconceptions they might have about the situation. It will also help to decrease the anxiety that comes from uncertainty. Being informed also lessens the anger, confusion and surprise they might feel if they are left to discover the illness on their own, or if someone else confronts them with negative comments about their ill parent.

Young children don’t understand depression or anxiety as adults do and it can be difficult to find the words.

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Ideas to get the conversation going.

Starting the conversation on mental health early can give your children a better idea of what mental illness is all about. It is a powerful way to reduce the stigma surrounding it.

Here are some tips to help you get the conversation going:

1.  Start with yourself.

Before talking to your child, try to get as much information as you can about the illness your important person is struggling with. The more you know, the more confident you’ll feel and the better placed you’ll be to answer your child’s questions.

It’s also important to be mindful of your own attitudes towards mental illness, and how this might filter through to your child. If you feel that mental illness is shameful or someone’s fault, your child will pick up on this regardless of what else you tell them. This will only add to any confusion, fear or anxiety they have about what they see happening to their loved person.

2.  Pick an opportune time to talk.

In order to improve communication with your child and get them to open up to you , you need to be flexible about where and when this conversation takes place. Some kids feel more comfortable talking and asking questions when playing or doing something else while others prefer a face-to-face sit-down talk.

A news story, series or movie where a character has mental health challenges can be the perfect conversation starter to delve deeper into the issue. You can ask questions, find out how your kid feels and let the conversation flow from there.

3. Make the conversation age-appropriate.

When talking with your child about mental illness, it’s important to tailor the conversation to their age and developmental stage. To enhance their understanding, use language, explanations, and examples that they can relate to.

For instance, you might say this to a 5-year old, “Remember when you had that sore throat and you were all angry and grumpy with us? You were like that because you were unwell. Well, mommy isn’t feeling well right now, that’s why she’s acting grouchy and crying a lot. She still loves us, but she just can’t show it right now.”

Kids usually have their own interpretation of what’s happening so it’s a good idea to ask how they explain their parent’s behavior, listen empathetically then build on what they say while correcting any misconceptions they have.

4. Allay your child’s fears.

Children who live with ill parents often experience anger and even guilt. They may feel that life is unfair to them, then feel guilty for having those emotions. Some may even feel somehow responsible for their parent’s illness.

Dealing with such feelings is crucial in order to help them live happier lives. They need to understand that their mommy’s or daddy’s illness isn’t caused by anyone’s actions. Sometimes life just happens that way and it wasn’t because they were bad kids. Emphasize that it’s normal and ok to feel sad, angry, embarrassed or frustrated and encourage them to find healthy ways to express those feelings .

Remember your kids will take their cue from you so the more you share your feelings, the more comfortable they’ll be talking about theirs.

5. Help them come up with coping strategies.

Keeping your routine consistent, especially when living with someone with a mental illness, will help your children feel safe. Older children will feel better and more confident if they have a plan of action in case something happens. So make sure your children have a list of people to call or know where to go to get help if need be. You can also help them identify a trusted adult they can confide in whenever they want to talk.

Additionally, take time to help them come up with appropriate responses should other kids or adults ask them about their loved one’s illness. Children can be especially cruel to each other so it’s better to prepare your child for teasing from other kids. Practicing how to explain the illness and what they can say will be of great help. For example, your child can say, “My dad has an illness that makes him do that. I wouldn’t make fun of your dad if he was sick so please don’t make fun of mine.”

Finally …

Finally, if you’re living with someone struggling with mental challenges, ask for help. You can join a support group, ask the child’s grandparents or other relatives to talk to your child or even get pointers from a mental health specialist.

While you might not get the words exactly right the first time, having an ongoing conversation about mental illness with your child will help them cope better and live a more positive life.

3 Comments

Elaine S

Really interested in learning more about how to talk to a child about mental illness when the person that has the illness is the child themselves…

Reply
katherine l

now this is what I was searching for. I kids were not talking properly for a few days, and then I came to realize they have done a terrible mistake, but I was not able to connect with them, After reading this masterpiece it gave me the strength to talk to my kids nicely. these days parent should also take their kids calmly.

Reply
Wendy D

I think that this is so important. My mum had depression and nobody sat me or my sister down and talked about it. My dad seemed to be as scared as us. The only person who talked about it was mum and she would want to tell us all the negative stuff she was feeling.
The idea of feeling responsible for mum’s illness resonates. I didn’t feel responsible for her illness but I did feel responsible for looking after her. I was about 10 years old at the start of it.

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Boundaries aren't requests we make of them. They're the actions we take to keep them (and everyone else involved) physically safe, relationally safe, and to preserve values when they aren't able to.

The rule: Phones in the basket at 5pm.

The boundary: (What I'm going to do when you're having trouble with the rule.) 

'Okay - I can see you're having trouble popping your phone in the basket. I'm just going to sit beside you as a reminder that it's time. Take your time. I'll just watch over your shoulder until you're ready. So who are we texting? What are we watching?'

Or:

'I know you hate this rule. It's okay to be annoyed. It's not okay to yell. I'm not going to listen while you're yelling.' 

Then, 'This phones in the basket thing is chewing into our night when we start it at 5pm. We'll see how we go tomorrow and if it's bumpy, we'll shift to phones in the basket from 4:30pm. Let's see how we go.'

It's not a punishment or a threat. It's also not about what they do, but about what we do to lead the situation into a better place.

Of course, this doesn't always mean we'll hold the boundary with a calm and clear head. It certainly doesn't mean that. We're human and sometimes we'll lose our own minds as though they weren't ours to own. Ugh. Been there too many times. That's okay - this is an opportunity to model humility, repair, self-compassion. What's important is that we repair the relational rupture as soon as we can. This might sound like, 'I'm sorry I yelled. That must have been confusing for you - me yelling at you to stop yelling. Let's try that again.'❤️
Boundaries are about what WE do to preserve physical safety, relational safety, and values. They aren’t about punishment. They’re the consequences that make sense as a way to put everything right again and restore calm and safety.

When someone is in the midst of big feelings or big behaviour, they (as with all of us when we’re steamy) have limited capacity to lead the situation into a better place.

Because of this, rather than focusing on what we need them to do, shift the focus on what we can do to lead back to calm. 

This might sound like:

The rule (what we want them to do): Phones go in the basket at 5pm. 

The boundary (what we do when the rule is broken), with love and leadership: ‘I can see you’re having trouble letting go of your phone. That’s okay - I’m just going to sit beside you until you’re ready. Take your time. You’re not in trouble. I’ll just stay here and watch over your shoulder until you’re done.’

Or …

‘I can see this phones in the basket process is dragging out and chewing into our night when we start it at 5pm. If that keeps happening I’ll be starting this process at 4pm instead of 5pm.’

And if there’s a bit of spice in their response, part of being a reliable, sturdy leader is also being able to lead them through that. Even if on the inside you feel like you’re about to explode 🤯 (we’ve all been there), the posture is ‘I can handle this, and I can handle you.’ This might sound like,

‘Yep you’re probably going to have a bit to say about it. That’s okay - I don’t need you to agree with me. I know it’s annoying - and it’s happening.’

‘I won’t listen when you’re speaking to me like this. Take your time though. Get it out of you and then we can get on with the evening.’

Then, when the spicy has gone, that’s the time to talk about what’s happened. ‘You’re such a great kid. I know you know it’s not okay to talk to me like that. How are we going to put this right? Let’s yet 5pm again tomorrow and see how we go. If it causes trouble we’ll start earlier. I actually think we’ll be okay though.’♥️
So ready to get started with ‘Hey Little Warrior’ in Melbourne. This is my fourth time this year presenting this workshop in Melbourne and we sell out every time.

So what do we do here?! We dive into how to support young children with anxiety. It’s my favourite thing to talk about. I love it. Even more than whether or not I want dessert. We talk about new ways to work with anxiety in littles so they can feel braver and bigger in the presence of it. This workshop is loaded with practical strategies. I love presenting this workshop.

(And yes - always yes to dessert. As if I would ever skip the most important meal of the day. Pffftt.)

@compass_australia
They’re often called sensory preferences, but they’re sensory needs.

In our adult worlds we can move our bodies and ourselves to seek regulation. If we don’t like noise we’re less likely to be DJs for example. If we don’t love heights we’re less likely to be pilots or skydivers. If we feel overwhelmed, we can step outside, go into an office, go to the bathroom, or pop on headphones for a break. If we need to move, we can stand, walk to get a tea. At school, this is so much harder.

When bodies don’t feel safe, there will be anxiety. This will potentially drive fight (anger, tantrums), flight (avoidance, running away, movement), or shutdown (in quiet distress and can’t learn). 

These are physiological issues NOT behavioural ones.

Whenever we can, we need to support physiological safety by accommodating sensory needs AND support brave behaviour. What’s tricky is disentangling anxiety driven by unmet sensory needs, from anxiety driven by brave behaviour.

The way through is to support their physiological needs, then move them towards brave behaviour.

Schools want to support this. They want all kids to be happy and the best they can be, but there will be a limit on their capacity to support this - not because they don’t want to, but because of a scarcity of resources.

There will often be many children with different physiological needs. Outside school there is nowhere else that has to accommodate so many individual needs, because as adults we won’t be drawn to environments that don’t feel okay. In contrast, school requires all kids to attend and stay regulated in the one environment.

For now, we don’t have a lot of options. Yes there are schools outside mainstream, and yes there is home school, but these options aren’t available to everyone.

So, until mainstream schools are supported with the resources (staff, spaces, small classes, less demand on curriculum … and the list goes on), what can we do?

- Help school with specific ways to support your child’s physiology while being mindful that teachers are also attending to the needs of 25+ other nervous systems. But be specific.
- Limit the list. Make this a ‘bare minimum needs’ list, not a ‘preferences’ one.♥️
Brave often doesn’t feel like ‘brave’. Most often, it feels like anxiety. If there is something brave, important, new, hard, there will always be anxiety right behind it. It’s the feeling of anxiety that makes it something brave - and brave is different for everyone.♥️

#anxietyawareness #childanxiety #anxietysupport #anxietyinkids #parent #positiveparenting

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