Signs Your Child May Be Struggling with Mental Health and How to Help

Mental health isn’t just an adult issue — children experience it too.
From anxiety to low mood, more children are facing emotional challenges, often silently. Recognising the signs early and knowing how to respond can make a real difference in their lives.

Whether you're a parent, carer or teacher, this guide is here to help you spot the warning signs and take meaningful action.

Why Children’s Mental Health Matters

Mental health shapes how a child thinks, feels and interacts with the world around them. It affects their ability to build relationships, cope with challenges, and succeed in school.

In the UK, 1 in 6 children aged 5–16 has a probable mental health condition (NHS Digital, 2022). Issues such as anxiety, depression, self-esteem struggles, and emotional regulation are becoming more common — and they often go unnoticed until they seriously affect daily life.

Early intervention is key. The earlier concerns are addressed, the more likely children are to recover and thrive.

Early Warning Signs of Mental Health Struggles in Children

Children don’t always express how they feel with words — it often shows through behaviour, emotions, or physical symptoms. Here’s what to look for:

Emotional Signs

• Frequent sadness, tearfulness, or irritability

• Expressing hopelessness or saying they feel “bad” or “not good enough”

• Excessive worry, fear or clinginess

• Mood swings or emotional outbursts

Behavioural Signs

• Withdrawing from friends, family, or favourite activities

• Trouble concentrating or a sudden drop in school performance

• Refusing to go to school or social events

• Aggression, defiance or acting out more than usual

Physical Signs

• Trouble sleeping, nightmares or frequent waking

• Complaints of headaches, tummy aches or feeling unwell without medical cause

• Loss of appetite or overeating

• Regression to earlier behaviours (e.g., bedwetting, thumb-sucking)

What to Do If You’re Concerned

The most powerful first step? Listen without judgement.

• Create a calm space – Choose a quiet time, away from distractions.

• Start a gentle conversation – “I’ve noticed you seem a bit different lately. Want to talk about it?”

• Use open-ended questions – Let them guide the conversation.

• Validate their feelings – Saying “That sounds tough” or “I’m really glad you told me” shows you’re on their side.

• Avoid rushing or overreacting – Stay calm even if what they share worries you.

If your child won’t talk, that’s okay. Show patience. Let them know you're there when they’re ready.

When to Seek Professional Help

Trust your instincts — if something doesn’t feel right, it’s okay to ask for support. Reach out if:

• Symptoms last more than a few weeks

• Your child’s daily life is being affected (school, friendships, sleep)

• They talk about harming themselves or express intense sadness/anxiety

In the UK, here are steps you can take:

• Speak to your GP – They can refer your child to CAMHS (Child and Adolescent Mental Health Services).

• Talk to the school – Connect with the SENCO (Special Educational Needs Coordinator) or school counsellor.

• Charity support – Organisations like YoungMinds, NSPCC, Place2Be, and MindEd offer guidance, helplines and tools.

How to Support Your Child at Home

A loving, stable environment goes a long way in helping children feel safe and understood.

• Stick to routines – Predictability offers security.

• Prioritise healthy habits – Encourage sleep, balanced meals, outdoor time and screen-free zones.

• Model emotional literacy – Show it’s okay to talk about feelings, including your own.

• Celebrate small wins – Praise effort and courage, not just outcomes.

• Offer choices – Give them a sense of control where appropriate.

• Limit pressure – Focus on progress over perfection.

You don’t need to have all the answers. Just being present and consistent makes a big difference.

The Role of Schools in Mental Health Support

Schools are often the first to spot changes in a child’s behaviour or performance. Teachers, SENCOs and school counsellors can work with you to:

• Identify needs

• Offer school-based interventions

• Apply for EHCPs (Education, Health and Care Plans) where necessary

• Make classroom adjustments to support emotional wellbeing

Parents have the right to request meetings, assessments and support for their child’s emotional health within the school setting.

Conclusion

Spotting early signs of mental health issues in children takes attention, compassion and courage. But you’re not expected to do it alone.

With the right tools, conversations, and professional support, children can overcome emotional struggles — and build lasting resilience.

✨ If you’re concerned, speak up. Ask questions. Reach out. Because your child’s mental health matters — and you have the power to help.

FAQs

How can I tell the difference between a phase and a real mental health issue?
If behaviours persist, escalate or affect everyday life, it’s worth exploring further.

Can very young children really have anxiety or depression?
Yes — even children under 5 can show signs of emotional distress and benefit from support.

What if my child won’t talk to me?
Keep the door open. Sometimes drawing, storytelling or play can reveal what they’re feeling.

Is professional help always needed?
Not always. Some children improve with parental support and small changes. But don’t hesitate to ask your GP if unsure.

Does seeking help mean my child is broken?
Absolutely not. It means they’re human — and lucky to have someone who cares enough to notice.