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.

4 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.

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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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It’s the simple things that are everything. We know play, conversation, micro-connections, predictability, and having a responsive reliable relationship with at least one loving adult, can make the most profound difference in buffering and absorbing the sharp edges of the world. Not all children will get this at home. Many are receiving it from childcare or school. It all matters - so much. 

But simple isn’t always easy. 

Even for children from safe, loving, homes with engaged, loving parent/s there is so much now that can swallow our kids whole if we let it - the unsafe corners of the internet; screen time that intrudes on play, connection, stillness, sleep, and joy; social media that force feeds unsafe ideas of ‘normal’, and algorithms that hijack the way they see the world. 

They don’t need us to be perfect. They just need us to be enough. Enough to balance what they’re getting fed when they aren’t with us. Enough talking to them, playing with them, laughing with them, noticing them, enjoying them, loving and leading them. Not all the time. Just enough of the time. 

But first, we might have to actively protect the time when screens, social media, and the internet are out of their reach. Sometimes we’ll need to do this even when they fight hard against it. 

We don’t need them to agree with us. We just need to hear their anger or upset when we change what they’ve become used to. ‘I know you don’t want this and I know you’re angry at me for reducing your screen time. And it’s happening. You can be annoyed, and we’re still [putting phones and iPads in the basket from 5pm] (or whatever your new rules are).’♥️
What if schools could see every ‘difficult’ child as a child who feels unsafe? Everything would change. Everything.♥️
Consequences are about repair and restoration, and putting things right. ‘You are such a great kid. I know you would never be mean on purpose but here we are. What happened? Can you help me understand? What might you do differently next time you feel like this? How can we put this right? Do you need my help with that?’

Punishment and consequences that don’t make sense teach kids to steer around us, not how to steer themselves. We can’t guide them if they are too scared of the fallout to turn towards us when things get messy.♥️
Anxiety is driven by a lack of certainty about safety. It doesn’t mean they aren’t safe, and it certainly doesn’t mean they aren’t capable. It means they don’t feel safe enough - yet. 

The question isn’t, ‘How do we fix them?’ They aren’t broken. 

It’s, ‘How do we fix what’s happening around them to help them feel so they can feel safe enough to be brave enough?’

How can we make the environment feel safer? Sensory accommodations? Relational safety?

Or if the environment is as safe as we can make it, how can we show them that we believe so much in their safety and their capability, that they can rest in that certainty? 

They can feel anxious, and do brave. 

We want them to listen to their anxiety, check things out, but don’t always let their anxiety take the lead.

Sometimes it’s spot on. And sometimes it isn’t. Whole living is about being able to tell the difference. 

As long as they are safe, let them know you believe them, and that you believe IN them. ‘I know this feels big and I know you can handle this. We’ll do this together.’♥️

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