When Should You Take Your Child to See a Therapist?
Parents believe in taking their child to see the doctor when medical symptoms such as a fever or cough start to prevent serious health issues developing. Unfortunately this is not the case when they to observe symptoms of a psychological nature such as resistance to attending school, loneliness due to lack of friends, being fearful of new situations etc. A common misperception is that children and adolescents need to have acute symptoms or be in crises before they need to see a mental health provider. Early intervention when mental health problems start is also important to prevent the development of full-blown mental health disorders and crises.
Parents should be on the lookout for the following early symptoms of mental health issues:
1. Poor school performance with reports of:
- Poor attention, distractibility, daydreaming, not finishing work
- Disorganized, unable to plan ahead, leaves things to the last minute, doesn’t get assignments in on time
- Restlessness, Impulsivity, behavior problems, talkative, poor social skills, careless
- Difficulty understanding the concepts of reading, math, or difficulty with writing or written expression.
2. Longstanding difficulty socializing and making friends:
- Self- isolating, acutely shy, becomes highly anxious in crowds,
- Communication difficulties
- Rigidity, emotional outbursts
- Difficulty playing with others
- Prefers video games and working on computer to interacting with peers.
3. Changes in emotional, behavioral and social functioning:
- Sad, tearful, irritable, angry, withdrawn, poor sleep, poor appetite, fatigued
- Separation difficulties, easily frightened, resistant to trying new things, irrational fears, frightened of germs, the dark, going to school, being alone etc.
- Fighting with friends, stops socializing, hypersensitive,
- Obsessive thinking, repetitive behavior.
- Difficulty falling asleep, wakes frequently, frequent nightmares
- Overreacts emotionally or becomes excessively anxious when faced with stressful situations.
4. Gets into trouble due to conduct problems at home, school or in the community:
- Oppositional, defiant, temper tantrums when they cannot get their way, disrespectful.
- Cheating, lying, stealing, chronic disobedience, breaking of rules etc.
- Anger outbursts, physical and or verbal aggression, destructive, antagonistic.
- Truancy, vandalism
5. Tell-tale signs of substance abuse:
- Unable to stop or control drinking once they’ve started
- Giving up old hobbies, sports or activities
- Loss of motivation, feeling tired, unhappy, angry or uninterested in life
- Borrowing money
- Hiding pipes or other drug paraphernalia in their room
- Using mouth wash to hide the smell of alcohol
- Using eye drops to alleviate bloodshot eyes or dilated pupils
- Declining grades in school.
Gillian Botha-Harvey, M.A. Clin. Psy. COO and Clinical Consultant



