May 12, 2026 // by BCHPhysicians

Many parents wonder how to strike a balance of healthy concern when it comes to their child’s mental health. We spoke with two of our BCHP therapists, Alyssa Renz, MHC-LP, and Jaden Bjaelker, MHC-LP, to learn more about this important topic. You are your child’s number one mental health advocate, and there are a variety of things you can do to encourage and protect their emotional well-being.

How to support your child’s mental health

“Children are not born with the tools to handle their emotions, which makes them feel ‘big,’ and can then lead to various behaviors that seem ‘big’ as well,” says Renz. Because some of this is part of normal development, signs a child is struggling can be easy to miss. That’s why it is imperative that you assess your child’s baseline. This means monitoring their usual behavior and moods, so that you know when something has changed or seems off. 

As your child’s parent or caregiver, you know them best. Kids go through ups and downs all the time with things like school stress, friendships, moving, and puberty. When something warrants professional support, there are usually a few key differences. The changes tend to be longer lasting (weeks to months rather than days), more intense, affect multiple areas of life, and might seemingly be getting worse instead of improving over time. You may notice signs like mood swings, sleep changes, stomachaches, or social withdrawal.    

“One of the biggest things I tell parents is that if it’s interfering with your child’s daily functioning, it’s worth looking into. Sometimes kids do grow out of things, but early support can make a huge difference,” says Bjaelker. 

She adds that creating a home environment where your child feels safe to open up about how they are feeling is the single best step you can take. While many parents want their children to talk to them, kids don’t always feel comfortable sharing difficult emotions, especially if they’re worried about getting in trouble, being misunderstood, or upsetting their parents. The following tips go a long way in helping children feel heard and supported: 

  • Model openness yourself: share your own feelings in age-appropriate ways and show that it’s okay to talk about stress, sadness, anxiety, etc.
  • Demonstrate healthy coping skills: take a break, go for a walk, talk it out, practice deep breathing
  • Maintain calm and be non-reactive when your child discloses something difficult
  • Avoid jumping to problem-solving: listen first, then ask if they would like support or solutions in that moment 
  • Validate feelings even if you don’t agree 
  • Avoid minimizing, comparing, and criticizing
  • Be mindful of non-verbal signals: make eye contact, put screens away, avoid interrupting

Warning signs to be aware of

Children and teens with mental health challenges may exhibit behavioral or physical symptoms. If you see any of the below signs, consider reaching out to your pediatrician. You can mention changes you’ve noticed, when they started, how often they’re happening, or any relevant life changes or stressors.

You can also try to talk to your child by saying something like: “I’ve noticed you haven’t seemed like yourself lately, and I just wanted to check in” or “Sometimes when things feel hard, talking about it can help and I’m here to listen.” If they don’t open up right away, that’s okay. Sometimes just knowing you’re available makes it easier for them to come back later. 

Behavioral symptoms:

  • Extended tantrums not in line with the event (in toddlers and younger children)
    • Mood swings, low mood, or irritability
      • Hair biting
        • Skin picking
        • Bullying others or being bullied
        • Trouble connecting with peers
        • Lack of engagement in daily activities
        • Difficulty taking care of personal hygiene
        • Using substances as a form of relief

Physical symptoms:

  • Stomachaches: Notice when your child mentions them. Is it a Sunday night before their school week starts, the week of a field trip, or when they have a test coming up?
  • Changes in sleep patterns: oversleeping, waking up during the night, not needing 8 hours of sleep, not sleeping enough, nightmares
  • Headaches
  • Fidgeting
  • Breathing: Are they taking deeper breaths? Sighing? Feeling like they can’t breathe as well?
  • Eating habits: Are they eating more or less than usual? Are they snacking versus eating full meals? What meals are easier or harder for them to enjoy?
  • Carrying tension in their body: furrowing their eyebrows, tightening their shoulders

What to expect at your first therapy appointment

Renz says your child doesn’t have to have a serious problem to benefit from a therapy appointment. Taking them to therapy can mean you are being proactive and giving your child the tools to navigate what they are going through. You are setting them up for success, both now and in the future. 

Once your pediatrician has referred your child to a therapist, you will likely meet with the counselor without your child for an intake appointment. This allows you to discuss background information, concerns, and any goals you have for your child. The therapist will also explain how confidentiality works and what information stays private or may be shared for safety reasons. Then you can both agree to a plan and your child’s sessions will start.

“Therapy can be short term, long term, or used as a maintenance tool. The stigma of mental health is still here, but through normalizing our emotions and teaching our children that needing help is normal, I hope that we can start closing the gap of hesitancy. Allow therapists to be a supportive member of your village,” says Bjaelker.

 

Learn more about our mental health and wellness specialty.