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Knowing When to Get Treatment for Your Child

When to get treatment for your child or teen

Knowing when to get treatment for a mental health disorder is important for parents and families. Parents are often the first to suspect that their child or teen is going through challenges. This can cause them to act disruptive, rebellious, or sad. This may include problems with:

  • Relationships.

  • School (such as bullying and peer pressure).

  • Sleeping.

  • Eating.

  • Substance abuse (such as alcohol and drugs).

  • Emotional expression.

  • Coping.

  • Attentiveness.

  • Responsiveness.

It's important to know that people of different ages will show different symptoms and behaviors. Knowing some common signs in children and teens who are struggling can help find problems early. It's important for families who suspect a problem in one or more of these areas to get treatment as soon as possible. Treatment for mental health disorders is available and can often help.

What are the symptoms of problems in a younger child?

These are the most common symptoms of problems in a younger child. These symptoms need a psychiatric evaluation. Symptoms may include:

  • Significant decline in school performance or poor grades, even though the child studies and tries hard to succeed.

  • Little or no interest in activities previously enjoyed.

  • Less interest in friends or family.

  • Problems with sleep (for instance, night terrors, nightmares, insomnia, or sleeping too much).

  • Hyperactivity.

  • Continuous or frequent aggression or acting out (for longer than 6 months).

  • Continuous or frequent rebellion; opposition to authority and direction (for longer than 6 months).

  • Refusal to go to school on a regular or frequent basis.

  • Excessive worry or anxiety.

  • Excessive, regular temper tantrums (without explanation).

  • Thoughts or talk of suicide. Get help right away if your child has plans to hurt themselves or others. Call or text 988 or 800-273-8255 (800-273-TALK). You will be connected to trained mental health support at the 988 Suicide & Crisis Lifeline.

These symptoms may look like other conditions. Always talk with your child's doctor for a diagnosis.

What are the symptoms of problems in the older child or teen?

These are the most common symptoms of problems in an older child or teen. These symptoms need a psychiatric evaluation. But each teen may experience symptoms differently. Symptoms may include:

  • Significant decline in school performance or poor grades even though the teen studies and tries hard to succeed.

  • Withdrawal or decreased interest in activities previously enjoyed. 

  • Disinterest in spending time with friends or family. 

  • Substance (alcohol and drugs) abuse.

  • Sleep disturbances (for instance, persistent night terrors, nightmares, insomnia, or sleeping too much).

  • Depression (poor mood, negativity, or mood swings).

  • Appetite changes, such as refusal to eat, excessive eating, food rituals, bingeing, or purging.

  • Continuous or frequent aggression or acting out (for longer than 6 months).

  • Continuous or frequent rebellion; opposition to authority and direction (for longer than 6 months).

  • Continuous or frequent anger (for longer than 6 months).

  • Refusing to attend or skipping school.

  • Excessive worry or anxiety.

  • Self-injury.

  • Threats to self or others.

  • Thoughts of death.

  • Thoughts or talk of suicide.

  • Running away or threatening to run away.

  • Destructive behaviors, such as vandalism or other criminal activity.

  • Sexually acting out.

  • Lying or cheating.

  • Many physical complaints.

These symptoms may look like other conditions. Always talk with your child's doctor for a diagnosis.

Online Medical Reviewer: Daphne Pierce-Smith RN MSN
Online Medical Reviewer: Michelle Anderson DNP
Date Last Reviewed: 6/1/2025
© 2000-2025 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.