May is mental health awareness month. We want to break down this important topic into a series of 3 episodes. In this episode, Dr. Brown discusses signs and symptoms of mental illness in children and adolescents. Listen to part 2 as Dr. Brown dives into the topic of suicide and Part 3 as he discusses the Recovery Mindset.
Signs and symptoms (We tend to look for changes in these areas and, unless it involves a safety threat, we are almost always looking at several symptoms. A single symptom or even a couple of symptoms are not enough to make a diagnosis unless the symptoms are disrupting a person’s life.)
Violation of the family love, affection, playfulness norm
Frequent disobedience
Change in relating to the family or time with the family
Change in sleep
Change in appetite
Decline in hygiene
Change in appearance
Change in social group
Decline in ability to experience pleasure
Hyperactive behavior
Abuse of alcohol or drugs
Change in sex drive
Inability to carry out daily activities or responsibilities
Frequent temper tantrums
Avoiding friends and social activities
Problems with concentration
Problems with memory
Confused thought
Frequent nightmares
Difficulties understanding or relating to other people
Difficulty perceiving reality (delusions or hallucinations, in which a person experiences and senses things that don't exist in objective reality)
Multiple physical ailments without obvious causes (such as headaches, stomach aches, vague and ongoing “aches and pains”)
Thinking about suicide
Excessive anxiety, worry, fear
Sadness – feeling down
Extreme mood changes, including uncontrollable “highs” or feelings of Euphoria
Prolonged or strong feelings of irritability or anger
Difficulty tolerating frustration
Intense fear of weight gain
What to do – if you are concerned that your child is suffering from some of these symptoms, it is healthy to seek help. Your child’s pediatrician is a great place to start.
That physician can direct the care regarding medical and psychotherapeutic interventions.CDC website pages about suicide: https://www.cdc.gov/suicide/factors/index.html
National Alliance on Mental Illness: https://www.nami.org/home
Marlatt, G.A. & Gordon, J. R. (1985). Relapse Prevention: Maintenance Strategies in the Treatment of
Addictive Behaviors. The Guilford Press. 558 pages.