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How To Talk To A Child About Mental Illness (by Cindy Price)

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.

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.


   

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Boundaries and belonging exist together, but how this works is something that takes loads of experience.

Children can’t learn respectful, kind, strong boundaries without someone who has modelled this over and over. It doesn’t have to be perfect every time, just enough times.

The presence kids and teens need from us is one that is warm AND strong. Love and leadership. They need both in the one person.

Strength without warmth will be experienced as controlling or bullying. Disagreement will come to mean rejection. To avoid rejection, they might be more likely to people please, say yes when they mean no, or denying their truth.

Warmth without strength will be experienced as ‘flaky’ or unreliable. If they don’t feel an adult leading, they will be more likely to take the leadership role from the adult. Someone has to fly the plane.

The third option is both - keep the boundary, add the warmth.

Make space for their disagreement, their ‘no’, and, hold the boundary with warmth. 

‘Warmth’ doesn’t mean dropping the boundary. It means being kind, and not withdrawing our affection because of their response. It means rejecting the behaviour, not them 

‘It’s okay to be angry at me. I won’t listen while you speak like that. Im right here. You’re not in trouble.’

‘I get why you hate this decision. It’s ok to be annoyed with me. I’m not changing my mind.’

‘It’s my job to keep you safe. I know it’s a tough decision and I’m not changing my mind. It’s okay to be angry at me.’

‘I care about you too much to let you do something unsafe. That’s my decision. I expect you’ll have a bit to say about it and that’s okay.’

If the give you information that does change your mind, it’s always ok to do that but make it clear it’s still a decision you’ve made in strength, not because you’ve been worn down: ‘What you said about … makes sense to me. I’d decided to change my mind.‘ OR, ‘Let’s talk about this calmly when you’re ready. What you’ve said about … makes sense to me. I’d like to talk about how we can make this happen in a way that works for both of us.’

This doesn’t have to be perfect - we’ll also reach the end of ourselves sometimes - it just has to be enough.♥️
Their calm and courage starts with ours.

This doesn’t mean we have to feel calm or brave. The truth is that when a young person is anxious, angry, or overwhelmed, we probably won’t feel calm or brave.

Where you can, tap into that part of you that knows they are safe enough and that they are capable of being brave enough. Then breathe. 

Breathing calms our nervous system so theirs can settle alongside. 

This is co-regulation. It lets them borrow our calm when theirs is feeling out of reach for a while. Breathe and be with.

This is how calm is caught.

Now for the brave: Rather than avoiding the brave, important, growthful things they need to do, as long as they are safe, comfort them through it.

This takes courage. Of course you’ll want to protect them from anything that feels tough or uncomfortable, but as long as they are safe, we don’t need to.

This is how we give them the experience they need to trust their capacity to do hard things, even when they are anxious.

This is how we build their brave - gently, lovingly, one tiny brave step after another. 

Courage isn’t about being fearless - but about trusting they can do hard things when they feel anxious about it. This will take time and lots of experience. So first, we support them through the experience of anxiety by leading, calmly, bravely through the storm.

Because courage isn’t the absence of anxiety.

It’s moving forward, with support, until confidence catches up.♥️
‘Making sure they aren’t alone in it’ means making sure we, or another adult, helps them feel seen, safe, and cared as they move towards the brave, meaningful, growthful thing.❤️
Children will look to their closest adult - a parent, a teacher, a grandparent, an aunt, an uncle - for signs of safety and signs of danger.

What the parent believes, the child will follow, for better or worse.

Anxiety doesn’t mean they aren’t safe or capable. It means they don’t feel safe or capable enough yet.

As long as they are safe, this is where they need to borrow our calm and certainty until they can find their own. 

The questions to ask are, ‘Do I believe they are safe and cared for here?’ ‘Do I believe they are capable?’

It’s okay if your answer is no to either of these. We aren’t meant to feel safe handing our kiddos over to every situation or to any adult.

But if the answer is no, that’s where the work is.

What do you need to know they are safe and cared for? What changes need to be made? What can help you feel more certain? Is their discomfort from something unsafe or from something growthful? What needs to happen to know they are capable of this?

This can be so tricky for parents as it isn’t always clear. Are they anxious because this is new or because it’s unsafe?

As long as they are relationally safe (or have an adult working towards this) and their bodies feel safe, the work is to believe in them enough for them to believe it too - to handle our very understandable distress at their distress, make space for their distress, and show them we believe in them by what we do next: support avoidance or brave behaviour.

As long as they are safe, we don’t need to get rid of their anxiety or big feelings. Lovingly make space for those feelings AND brave behaviour. They can feel anxious and do brave. 

‘I know this feels big. Bring all your feelings to me. I can look after you through all of it. And yes, this is happening. I know you can do this. We’ll do it together.’

But we have to be kind and patient with ourselves too. The same instinct that makes you a wonderful parent - the attachment instinct - might send your ‘they’re not safe’ radar into overdrive. 

Talk to their adults at school, talk to them, get the info you need to feel certain enough, and trust they are safe, and capable enough, even when anxiety (theirs and yours) is saying no.❤️
Anxiety in kids is tough for everyone - kids and the adults who care about them.

It’s awful for them and confusing for us. Do we move them forward? Hold them back? Is this growing them? Hurting them?

As long as they are safe - as long as they feel cared for through it and their bodies feel okay - anxiety doesn’t mean something is wrong. 
It also doesn’t mean they aren’t capable.

It means there is a gap: ‘I want to, but I don’t know that I’ll be okay.’

As long as they are safe, they don’t need to avoid the situation. They need to keep going, with support, so they can gather the evidence they need. This might take time and lots of experiences.

The brain will always abandon the ‘I want to,’ in any situation that doesn’t have enough evidence - yet - that they’re safe.

Here’s the problem. If we support avoidance of safe situations, the brain doesn’t get the experience it needs to know the difference between hard, growthful things (like school, exams, driving tests, setting boundaries, job interviews, new friendships) and dangerous things. 

It takes time and lots of experience to be able to handle the discomfort of anxiety - and all hard, important, growthful things will come with anxiety.

The work for us isn’t to hold them back from safe situations (even though we’ll want to) but to help them feel supported through the anxiety.

This is part of helping them gather the evidence their brains and bodies need to know they can feel safe and do hard things, even when they are anxious.

Think of the space between comfortable (before the growthful thing) and ‘I’ve done the important, growthful thing,’ as ‘the brave space’. 

But it never feels brave. It feels like anxious, nervous, stressed, scared, awkward, clumsy. It’s all brave - because that’s what anxiety is. It’s handling the discomfort of the brave space while they inch toward the important thing.

Any experience in the brave space matters. Even if it’s just little steps at a time. Why? Because this is where they learn that they don’t need to be scared of anxiety when they’re heading towards something important. As long as they are safe, the anxiety of the brave space won’t hurt them. It will grow them.❤️