It is common for children to experience occasional problems as they grow and mature. They encounter problems with parents and peers as they attempt to establish a personal identity and practice relating to others. They experience conflict with teachers as academic and behavioral demands increase. As a child is faced with new situations, demands and expectations, it is common for the child to experience emotional ups and downs characterized by feelings of sadness, fear and anger. These reactions tend to be short-lived, however, and usually do not significantly interfere with the child’s life. However, occasionally a child’s response to life’s pressures may become severe. At times such as these, professional assistance may be warranted:
- learning or attention problems (such as ADHD)
- behavioral problems (such as excessive anger, acting out, bedwetting or eating disorders)
- a significant drop in grades, particularly if your child normally maintains high grades
- episodes of sadness, tearfulness, or depression
- social withdrawal or isolation
- being the victim of bullying or bullying other children
- decreased interest in previously enjoyed activities
- overly aggressive behavior (such as biting, kicking, or hitting)
- sudden changes in appetite (particularly in adolescents)
- insomnia or increased sleepiness
- excessive school absenteeism or tardiness
- mood swings (e.g., happy one minute, upset the next)
- development of or an increase in physical complaints (such as headache, stomachache, or not feeling well) despite a normal physical exam by your doctor
- signs of alcohol, drug, or other substance use (such as solvents or prescription drug abuse)
- problems in transitions (following separation, divorce, or relocation)
- grief or loss issues
- custody transitions
- sexual, physical, or emotional abuse or other traumatic events