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Mental Health Care in Children

Childhood and adolescence are a unique and formative period in one's life. Children’s mental health during these stages of their life play an essential role in determining their characteristics and the way they respond and react to certain situations. Reaching developmental and emotional milestones, as well as acquiring good social skills and how to manage when challenges arise, are all important aspects of mental health in childhood. Children who are mentally healthy have a higher quality of life and are better able to thrive at home, at school, and in their communities. Mental health is especially important during childhood and adolescence. In the brain, this is a period of fast growth and development. Children and adolescents develop cognitive and social-emotional skills that influence their mental health in the future and are necessary for them to take on adult roles in society.



However, one of the most vulnerable groups when it comes to mental health issues is children. Children's mental illnesses are fairly frequent, affecting roughly one-quarter of this age group each year. The environment in which children and adolescents grow up significantly impacts their well-being and mental health. Early bad experiences in homes, schools, social media platforms, a parent's or caregiver's mental illness, bullying, and poverty, all raise the likelihood of mental illness.

Adolescence is a period in which young people struggle socially and emotionally to fit in. Adolescents are vulnerable to mental health difficulties due to physical, emotional, and social changes. Exposure to adversity and peer pressure can contribute to stress during adolescence. The quality of their home life and their interactions with their peers are also crucial influences. Low self-esteem, poor body image, a tendency to be overly self-critical, and a sense of helplessness when dealing with unfavorable occurrences are all psychological risk factors for mental illness in children. Teen mental problems are linked to the stress of physical changes, such as puberty's fluctuating hormones, teen ambivalence toward growing independence, and changes in their relationships with parents, peers, and others.


Some warning signs that a child may have a mental health disorder include:

  • Persistent sadness — two or more weeks

  • Withdrawing from or avoiding social interactions

  • Out-of-control behavior that can be harmful

  • Drastic changes in mood, behavior or personality

  • Difficulty in sleeping and concentrating

  • Changes in academic performance

  • Avoiding or missing school


Children's mental illnesses are fairly prevalent and can be quite serious. Anxiety disorders, such as generalized anxiety disorder (previously known as overanxious disorder of childhood) or separation anxiety disorder, are the most frequent types of mental diseases. Behavior disorders such as attention deficit hyperactivity disorder (ADHD), mood disorders such as depression, and substance-use disorders such as alcohol use disorders are all frequent types of mental illnesses in children. Approximately 8% to 10% of school-aged youngsters suffer from ADHD. Depression affects roughly 2% of children and 4% to 7% of adolescents during adolescence, with up to 20% of adolescents suffering from depression by the time they reach adulthood. Addictions, eating disorders, bipolar illness, and early-onset schizophrenia are more common in teenagers than in younger children.


Mental diseases in children, like those in adults, are diagnosed based on indications and symptoms that point to a specific diagnosis. With children, though, this process can be particularly difficult. They may not have anyone they can open up to, or a safe space in which they can express themselves. The situation would only be worsened through peers who ridicule their behavior and mannerisms. Also, shyness, anxiety, unusual eating habits, and temper tantrums are all behaviors that can occur as a normal part of a child's growth. However, when these behaviors occur frequently, for an extended period of time, at an atypical age, or cause significant disruption to the child's and/or family's ability to function, they become symptoms.


Fortunately, there are a variety of treatment types available today that also cater to the needs of children and adolescents. One of them is Cognitive Behavior Therapy, a sort of behavioral therapy aimed at assisting children and adolescents in comprehending the thoughts and feelings that impact their actions. It is often used to treat depression, anxiety, and phobias, among other conditions. CBT gives children a new way of thinking, acting, and reacting to situations, which might make them feel less angry, worried, or afraid. CBT can also assist young people in recognizing and replacing negative or unrealistic beliefs with more positive and realistic ones. CBT has been shown to be one of the most effective therapies for depression in adolescents. It can teach young children how to alter their ideas and behaviors in order to alter their feelings and thereby reduce their depression.


Another option is Dialectical Behavioral Therapy. Self-harm, suicidal ideation, and substance abuse are examples of ineffective behaviors that can be addressed with this therapy. DBT aims to strike a balance between acceptance and change, believing that acceptance is required for change and that treatment should be focused on the present moment and the child's acceptance in that time. DBT argues that young people are doing their best but lack the skills they need to succeed or are impacted by variables that support their current behavior while interfering with their functioning. To assist avoid problematic behavior, DBT focuses on mindfulness, awareness, and strengthening social connections. DBT aims to replace ineffective behaviors with skillful, rehearsed responses.


Group therapy is a type of treatment in which a small group of people with similar problems meets on a regular basis to chat and discuss their problems with one another and with the group leader (usually a therapist). The goal of group therapy is to provide a secure and comfortable environment where people may work out their problems and emotional concerns, gain insight into their own thoughts and behavior, and offer advice and support to others. The social contacts that are a core feature of group therapy can often aid young people who are having problems with friendships or other relationships.



There are several other options and outlets people can access like family therapy, exposure therapy, psychoeducation, residential treatment and peer support. Children's mental health, which is an important component of their total health, has a complicated interplay with their physical health and their ability to perform in school, at work, and in society. On the inside and out, both physical and mental health have an impact on how they think, feel, and act. Good mental health helps them develop the resilience to cope with adversities and challenges they may face and grow into well-rounded, healthy adults and plays a crucial role in their lives. It is thus essential to ensure that children are brought up in environments that positively impact their mental health and make them aware of the options and outlets that they can access as and when they require it.


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