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…

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.

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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So often the responses to school anxiety will actually make anxiety worse. These responses are well intended and come from a place of love, but they can backfire. 

This is because the undercurrent of school anxiety is a lack of will or the wish to be at school. It’s a lack of felt safety.

These kids want to be at school, but their brains and bodies are screaming at them that it isn’t safe there. This doesn’t mean they aren’t safe. It means they don’t feel safe enough. 

As loving parents, the drive to keep our kids safe is everything. But being safe and feeling safe are different.

As long as school is safe, the work lies in supporting kids to feel this. This is done by building physical and relational safety where we can.

Then - and this is so important - we have to show them. If we wait for them to ‘not feel anxious’, we’ll be waiting forever.

The part of the brain responsible for anxiety - the amygdala - doesn’t respond to words or logic. This means the key to building their capacity to handle anxiety isn’t to avoid anxiety - because full living will always come with anxiety (doing new things, doing things that matter, meeting new people, job interviews, exams). The key is to show them they can ‘move with’ anxiety - they can feel anxiety and do brave. Kids with anxiety are actually doing this every day.

Of course if school is actually unsafe (ongoing lack of intent from the school to work towards relational safety, bullying that isn’t being addressed) then avoidance of that particular school might be necessary.

For resources to support you wish this, I wrote ‘Hey Warrior’ and the new ‘Hey Warrior Workbook’ to help kids feel braver when they feel anxious. 

And if you live in New Zealand, I’ll be presenting full day workshops for anyone who lives with or works with kids on the topic of anxiety driven school ‘avoidance’. For more details see the in the link in the bio.♥️
We don’t need to protect kids from the discomfort of anxiety.

We’ll want to, but as long as they’re safe (including in their bodies with sensory and physiological needs met), we don’t need to - any more than we need to protect them from the discomfort of seatbelts, bike helmets, boundaries, brushing their teeth.

Courage isn’t an absence of anxiety. It’s the anxiety that makes something brave. Courage is about handling the discomfort of anxiety.

When we hold them back from anxiety, we hold them back - from growth, from discovery, and from building their bravery muscles.

The distress and discomfort that come with anxiety won’t hurt them. What hurts them is the same thing that hurts all of us - feeling alone in distress. So this is what we will protect them from - not the anxiety, but feeling alone in it.

To do this, speak to the anxiety AND the courage. 

This will also help them feel safer with their anxiety. It puts a story of brave to it rather than a story of deficiency (‘I feel like this because there’s something wrong with me,’) or a story of disaster (‘I feel like this because something bad is about to happen.’).

Normalise, see them, and let them feel you with them. This might sound something like:

‘This feels big doesn’t it. Of course you feel anxious. You’re doing something big/ brave/ important, and that’s how brave feels. It feels scary, stressful, big. It feels like anxiety. It feels like you feel right now. I know you can handle this. We’ll handle it together.’

It doesn’t matter how well they handle it and it doesn’t matter how big the brave thing is. The edges are where the edges are, and anxiety means they are expanding those edges.

We don’t get strong by lifting toothpicks. We get strong by lifting as much as we can, and then a little bit more for a little bit longer. And we do this again and again, until that feels okay. Then we go a little bit further. Brave builds the same way - one brave step after another.

It doesn’t matter how long it takes and it doesn’t matter how big the steps are. If they’ve handled the discomfort of anxiety for a teeny while today, then they’ve been brave today. And tomorrow we’ll go again again.♥️
Feeling seen, safe, and cared for is a biological need. It’s not a choice and it’s not pandering. It’s a biological need.

Children - all of us - will prioritise relational safety over everything. 

When children feel seen, safe, and a sense of belonging they will spend less resources in fight, flight, or withdrawal, and will be free to divert those resources into learning, making thoughtful choices, engaging in ways that can grow them.

They will also be more likely to spend resources seeking out those people (their trusted adults at school) or places (school) that make them feel good about themselves, rather than avoiding the people of spaces that make them feel rubbish or inadequate.

Behaviour support and learning support is about felt safety support first. 

The schools and educators who know this and practice it are making a profound difference, not just for young people but for all of us. They are actively engaging in crime prevention, mental illness prevention, and nurturing strong, beautiful little people into strong, beautiful big ones.♥️
Emotion is e-motion. Energy in motion.

When emotions happen, we have two options: express or depress. That’s it. They’re the options.

When your young person (or you) is being swamped by big feelings, let the feelings come.

Hold the boundary around behaviour - keep them physically safe and let them feel their relationship with you is safe, but you don’t need to fix their feelings.

They aren’t a sign of breakage. They’re a sign your child is catalysing the energy. Our job over the next many years is to help them do this respectfully.

When emotional energy is shut down, it doesn’t disappear. It gets held in the body and will come out sideways in response to seemingly benign things, or it will drive distraction behaviours (such as addiction, numbness).

Sometimes there’ll be a need for them to control that energy so they can do what they need to do - go to school, take the sports field, do the exam - but the more we can make way for expression either in the moment or later, the safer and softer they’ll feel in their minds and bodies.

Expression is the most important part of moving through any feeling. This might look like talking, moving, crying, writing, yelling.

This is why you might see big feelings after school. It’s often a sign that they’ve been controlling themselves all day - through the feelings that come with learning new things, being quiet and still, trying to get along with everyone, not having the power and influence they need (that we all need). When they get into the car at pickup, finally those feelings they’ve been holding on to have a safe place to show up and move through them and out of them.

It can be so messy! It takes time to learn how to lasso feelings and words into something unmessy.

In the meantime, our job is to hold a tender, strong, safe place for that emotional energy to move out of them.

Hold the boundary around behaviour where you can, add warmth where you can, and when they are calm talk about what happened and how they might do things differently next time. And be patient. Just because someone tells us how to swing a racket, doesn’t mean we’ll win Wimbledon tomorrow. Good things take time, and loads of practice.♥️

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