Signs of a Struggle
How to tell if your child is struggling emotionally, and what to do about it.
The idea of our children struggling right under our noses is troublesome. Yet many kids’ mental health issues go untreated because they can be difficult for parents to detect, explains the team at SACAC Counselling. The mental health provider has been practising in Singapore for over 50 years, offering counselling and psychotherapy to children, teens, adults and families struggling with all kinds of mental health challenges. They tell us more here.
What are some clues of possible mental health issues in children?
Common indicators that your child may be experiencing mental health challenges include the following:
• frequent emotional outbursts or mood changes
• expressing thoughts of or engaging in self-harm
• talking about death or suicide
• persistent sadness lasting two weeks or more
• decline in energy levels and motivation
• out-of-control or unusually extreme behaviours
• change in personality
• frequent complaints about physical symptoms such as stomach aches
• symptoms of irritable bowel syndrome (IBS)
• changes in sleeping or eating habits
• inability to focus or concentrate
• decreased interest in activities that previously mattered
• withdrawal from friends, family and regular activities
• school refusal
• decline in academic performance and quality of schoolwork. If you notice your child displaying any of these signs, it’s essential to take action. Start by discussing your concerns with teachers, close friends, relatives or other caregivers to gather additional observations. If the signs persist and you are worried, seek guidance from a children’s mental health professional.
How are mental health challenges diagnosed in children?
To diagnose potential mental health issues in children, mental health professionals typically conduct a thorough assessment. This may include the following:
• gathering a complete history of developmental milestones from birth to the present
• exploring any history of physical or emotional trauma
• investigating the family’s history of physical and mental health
• discussing symptoms and concerns with parents
• examining the child’s academic history
• conducting a clinical assessment of the child
• administering mental health tests to both the child and his or her parents.
Diagnosing mental illness in children can be complex and may take time, especially considering the varying levels of maturity and psychological awareness among young children.
How are mental health conditions commonly treated in children?
Psychotherapy, or talk therapy, is one of the most common treatment options. It involves sessions with a psychologist or counsellor following an assessment. During these sessions, children and teens work with the mental health professional while learning strategies to develop the coping skills they need to work through the challenges. We also engage with parents to be part of this process.
Our team incorporates a range of expressive therapies such as Art, Sand, Play, Music and Movement Therapies. These are recommended modalities while working with children to overcome language barriers.
Sometimes, pharmacological intervention may also become part of the treatment plan, if recommended after the initial assessment.
What else can parents do to support their child?
As a parent, you can provide crucial support to your child by:
• collaborating with all individuals involved in your child’s care to ensure he or she receives the necessary support and resources;
• seeking guidance from mental health professionals on how to respond to and manage challenging behaviours;
• educating yourself about your child’s illness and treatment options;
• considering family counselling as a way to involve all family members in the treatment process; and • prioritising your own self-care, as you play an important role in supporting your child’s well-being.
SACAC Counselling
#09-04 Thong Teck Building, 15 Scotts Road
6733 9249 | sacac.sg