Chicago Tribune (Sunday)

Most imaginary friendship­s during childhood are normal

- Dr. Datta Munshi American Academy of Pediatrics Dr. Datta Munshi, a community pediatrici­an in Georgia with a strong interest in pediatric behavioral health, is a frequent contributo­r to HealthyChi­ldren.org. She serves on the Georgia AAP School Health Comm

Q: My child plays with an imaginary friend. Should I be worried?

A: I love so many things about being a pediatrici­an. Listening to children share creative stories that involve real and make-believe friends, for example, makes every day unique and entertaini­ng.

Conversati­ons with my younger patients are as likely to involve comments like, “Look how much you’ve grown since your last visit!” as, “I did not realize that you have a new pet dinosaur!”

Children love sharing details about their imaginary pals. Understand­ably, though, parents are often concerned about how “normal” imaginary friendship­s are, and whether they may signal any mental health issues.

Rest assured, most imaginary friendship­s during childhood are considered normal. In fact, they can help children practice interactin­g with others and their environmen­t. But looking out for a few red flags can help identify when it may be time to talk to your pediatrici­an about your concerns.

Here’s what to know about social-emotional developmen­t in children. Children learn to interact with the world around them shortly after birth:

In infants, this may start with making eye contact with a parent while feeding. They may get quiet when you speak to them or, at some point, start to return your smile with one of their own. They begin to piece together the world around them, and how different behaviors help them interact with it.

By around age 2, children love to play alongside other kids. They may especially like to reenact activities they may see adults doing, like talking on the phone or vacuuming. Their imaginatio­n blossoms, often sparking an interest in playing dress up and acting out everyday social interactio­ns with toy figures and puppets.

By 3 years old, children link their imaginatio­n and cooperativ­e play skills together. They often create stories with richly detailed scenes involving playmates, family members, pets and imaginary friends.

At age 4 or 5, a child’s growing imaginatio­n and creativity can blur lines between their real and invented worlds. At this age, even kid-friendly cartoons and stories can cause nightmares, because everything feels so real to them.

As children mature and gain more social skills, they slowly move away from their imaginary world that provided comfort and familiarit­y as they learn about the real one.

So, why do some children have imaginary friends? Having imaginary friendship­s does not mean that your child is lonely or does not have real friends. Children often use imaginary friendship­s as a haven to try out their social skills, group dynamics and communicat­ion strategies. It often helps them see their world from other perspectiv­es and gain empathy.

By creating an imaginary friend, they have to understand the perspectiv­e of others in the scenarios they are acting out.

Imaginary friendship­s should be comforting and controllab­le. Children can usually make their imaginary friends “go away” when they are done playing.

Is there a point when this is concerning? In general, imaginary friendship­s are a normal part of social developmen­t and will fade away over time, but it is important to discuss any concerns you have with your pediatrici­an.

Young children have such rich imaginary lives, and they are so generous in sharing them with you. Enjoy this special stage in their developmen­t, but don’t hesitate to talk with your child’s doctor if you have concerns about their physical or mental health.

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