Getting help for your child when something doesn't seem right.

Sometimes kids, like adults, can benefit from getting extra help from a professional. A
therapist can help kids develop problem-solving skills and also teach them the value of
seeking help. Therapists can help kids and families cope with stress and a variety of
emotional and behavioral issues.

Many kids need help dealing with school stress, such as homework, test anxiety, bullying,
or peer pressure. Others need help to discuss their feelings about family issues,
particularly if there's a major transition, such as a divorce, move, serious illness, or
death.

Significant life events ? such as the death of a family member, friend, or pet; divorce
or a move; abuse; trauma; a parent leaving on military deployment; or a major illness in
the family ? can cause stress that might lead to problems with behavior, mood, sleep,
appetite, and academic or social functioning.

In some cases, it's not as clear what's caused a child to suddenly seem withdrawn,
worried, stressed, or tearful. But if you feel your child might have an emotional or
behavioral problem or needs help coping with a difficult life event, trust your instincts.

Signs that your child may benefit from seeing a psychologist or licensed therapist
include:
developmental delay in speech, language, or toilet training
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
management of a serious, acute, or chronic illness
signs of alcohol, drug, or other substance use (such as solvents or prescription drug
abuse)
problems in transitions (following separation, divorce, or relocation)
bereavement issues
custody evaluations
therapy following sexual, physical, or emotional abuse or other traumatic events

Kids who aren't yet school-age could benefit from seeing a developmental or clinical
psychologist if there's a significant delay in achieving developmental milestones such as
walking, talking, and potty training, and if there are concerns regarding autism or other
developmental disorders.

It's also helpful to speak to caregivers and teachers who interact regularly with your
child. Is your child paying attention in class and turning in assignments on time? What's
his or her behavior like at recess and with peers? Gather as much information as possible
to determine the best course of action.

Discuss your concerns with your child's doctor, who can offer perspective and evaluate
your child to rule out any medical conditions that could be having an effect. The doctor
also may be able to refer you to a qualified therapist for the help your child needs.