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Table of

content
Mental health challenges in India

Behavioural change is a
mental health symptom

How to talk to kids about


mental health: The do’s

5

How to talk to kids about


mental health: The don’ts

6

Socialisation & getting


along with peers

7

Lack of concentration and


fear of failing

8

Identifying a child with


mental health issues

9

Emotional changes and mood swings



10

Lethargy and lack of interest 11


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Mental health
challenges in India

More than 14% of the Indian That’s roughly 182 million people
There is only 1 psychiatrist per
population has been diagnosed with who struggle with mental health 100,000 citizens in India, so many
mental health disorders since 2017. issues. remain undiagnosed.

From 2013-2020, 1.03 trillion


USD was lost in economic
productivity in India due to
mental health conditions.

Suicide is the 3rd "The accumulation of experiences a child


receives shapes the outcomes and choices
leading cause of they will make as adults." -

death amongst

15 to 19-year-olds. Dr. Raghu Appasani, Psychiatrist and

Founder/CEO of MINDS Foundation

Common reasons why Indians struggle

with access to mental healthcare:

Shame and Fear Stigma and Accessibility


Discrimination

Financial Means Lack of Awareness

References:
Cuellar, A. (2015). Preventing and Treating Child Mental Health Problems. The Future of Children, 25(1), 111-134. Retrieved 11
August, 2021, from http://www.jstor.org/stable/43267765

Children’s Mental Health. (2021). Retrieved 4 August 2021, from https://www.cdc.gov/childrensmentalhealth/basics.html

NIMH » Children and Mental Health: Is This Just a Stage?. (2021). Retrieved 4 August 2021, from https://www.nimh.nih.gov/health/
publications/children-and-mental-health

Ogundele, M. (2018). Behavioural and emotional disorders in childhood: A brief overview for paediatricians. World Journal Of
Clinical Pediatrics, 7(1), 9-26. doi: 10.5409/wjcp.v7.i1.9

Tolan, P. H., & Dodge, K. A. (2005). Children's mental health as a primary care and concern: a system for comprehensive support
and service. The American psychologist, 60(6), 601–614. https://doi.org/10.1037/0003-066X.60.6.601

Worried about your child's mental health?. (2021). Retrieved 5 August 2021, from https://www.mayoclinic.org/healthy-lifestyle/
childrens-health/in-depth/mental-illness-in-children/art-20046577

Learn more about ensuring your child's wellbeing


at www.tayyarijeetki.in In Partnership with

Connect with us on
4

Behavioural change
is a mental health
symptom
Children can be challenging and misbehave
sometimes. However, when these behaviours
develop to be disruptive or dangerous, they
need to be addressed. Several behavioural
disorders can occur in young children,
including attention deficit hyperactivity
disorder, conduct disorder, and oppositional
defiant disorder.

Emotionally Reactive Defiant Behavior

Frequent Fighting and Abuse of Drugs

Arguing with Authority and Alcohol

Lack of Focus Hyperactivity

Children are expected to have certain behavioural and mood changes.

However, if symptoms persist for an extended period, you should speak to


your child and offer support. You may also seek help from a professional or
trusted community member. Even your family doctor would be able to refer
you to a psychologist or mental health professional.

Learn more about ensuring your child's wellbeing


at www.tayyarijeetki.in In Partnership with

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5

How to talk to kids


about mental health :
the do’s
If you notice a change in your child’s behaviour
or that they seem to be struggling, there are
many ways you can offer support. Here are
some ways you can do that.

Offer Support
Let your child know that you’re there

for them. Allow them to express


themselves without fear of repercussions.

Validate Their

Feelings
Tell them that it’s normal to feel sad,
angry, scared, and stressed, and that
you feel that way too sometimes.
Empathise with them by saying things
like, “That sounds really difficult”.

Express Your

Intentions
Tell your child that you have noticed
them feeling sad or acting differently,
and let them know that you are

there to help.

Start the

Conversation Early
Give your child opportunities to open

up to you by creating space for healthy


discussions from a young age. Start by
asking open-ended questions like, “Did
you talk to your friends today?”.

Model Conversations
About Mental Health
Encourage your child to talk about their
feelings, by sharing yours. Do not share
age-inappropriate information with
them, but share that you—for example
—do yoga because it keeps you
mentally fit.

Seek Help
If you are struggling to connect with
your child, reach out to a mental health
professional. Sometimes children feel
more comfortable speaking to external
parties. Your family doctor can refer you
to a mental health professional.

Conversation Starters:
Don't worry. It's normal
to feel sad/angry/scared
sometimes. How can I
I’m here to listen to you anytime help?
you need, no matter what.

I’ve noticed you’ve seemed to be


I know what you're struggling recently. Do you want to
going through is really talk about it?
difficult, and you're so
strong.

I love you no matter what!

When I am upset, I like to


practise yoga/write in my
journal/talk to a friend because it Sometimes it's easier to
helps me feel better. talk to someone outside of
the family. Would you be
comfortable talking to
[insert name]?

Learn more about ensuring your child's wellbeing


at www.tayyarijeetki.in In Partnership with

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6

How to talk to kids


about mental health :
the dont’s
If you notice a change in your child’s behaviour
or that they seem to be struggling, there are
many ways you can offer support. Here are
things to avoid when talking to them

Don’t Take It

Personally
It can be difficult for children to share
their feelings with you. They may be
scared of an adverse reaction or

unsure how to talk about difficult


subject matters.

Don’t Pressure
Them Into Talking
If you create a comfortable and safe
environment for your child, they will
open up to you in time. Pressuring
them will not help.

Don’t Judge Them

or Punish Them
When your child trusts you enough to
talk about their mental health, do not
judge or punish them.
This will discourage them from opening
up to you again, making it difficult for
them to get the help they need.

Don’t Doubt Their


Experience
A common reaction for parents is to tell
their children that their issues are “not
a big deal”, and that childhood and
adolescence are the easiest stages of
life. This invalidates their struggle.

Don’t Ignore
Small Issues
It is easy to feel that small issues will
pass in time, but sometimes they are
indicators of underlying issues. Look out
for recurring problems.

Don’t Try To ‘Fix’


It Yourself
If a child is struggling with school or
their peers, parents often try to solve
the issue by inserting themselves in the
situation.
This is usually counterproductive as
children are more likely to address the
issue when allowed to think of the
solution independently.

What not to say :

If someone is bothering you, I’m your parent, you have to


just tell me. I’ll handle them for tell me what the problem is
you. right now.

Just wait until you’re

You’re lying, I don’t think that’s


an adult - that’s when

what really happened.


the real problems start.

If you keep acting like this, I


will punish you. You’re just a kid, these issues
aren’t a big deal. Your
childhood is the best time of
your life! Just enjoy it.
Just relax!

Learn more about ensuring your child's wellbeing


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7

Socialisation and
getting along with
peers
Childhood is vital in developing interpersonal
skills and learning the acceptable values
within the child’s community of family and
friends. However, if a child suffers from mental
health, they may act inappropriately in certain
situations. These are some indicators to
identify if your child is suffering with
socialisation.

Refusing to Attend Social Fighting in School


Events

Poor Confidence Having Trouble Getting


Along with Peers

Extreme Nervousness Before Physical Symptoms


School/Skipping School (stomach ache, headache)

Children are expected to have behavioural and mood changes.

However, if symptoms persist for an extended period, you should speak to


your child and offer support. You may also seek help from a professional or
trusted community member. Even your family doctor would be able to refer
you to a psychologist or mental health professional.

References:
Cuellar, A. (2015). Preventing and Treating Child Mental Health Problems. The Future of Children, 25(1), 111-134. Retrieved 11
August, 2021, from http://www.jstor.org/stable/43267765

Children’s Mental Health. (2021). Retrieved 4 August 2021, from https://www.cdc.gov/childrensmentalhealth/basics.html

NIMH » Children and Mental Health: Is This Just a Stage?. (2021). Retrieved 4 August 2021, from https://www.nimh.nih.gov/health/
publications/children-and-mental-health

Ogundele, M. (2018). Behavioural and emotional disorders in childhood: A brief overview for paediatricians. World Journal Of
Clinical Pediatrics, 7(1), 9-26. doi: 10.5409/wjcp.v7.i1.9

Tolan, P. H., & Dodge, K. A. (2005). Children's mental health as a primary care and concern: a system for comprehensive support
and service. The American psychologist, 60(6), 601–614. https://doi.org/10.1037/0003-066X.60.6.601

Worried about your child's mental health?. (2021). Retrieved 5 August 2021, from https://www.mayoclinic.org/healthy-lifestyle/
childrens-health/in-depth/mental-illness-in-children/art-20046577

Learn more about ensuring your child's wellbeing


at www.tayyarijeetki.in In Partnership with
Connect with us on
8

Lack of concentration
and fear of failing
Children often feel pressure to succeed in
school. For some, issues with peers or family
can affect their school experience. For others,
underlying disorders such as ADHD or anxiety
can make school a difficult experience if not
addressed.

Decline in Performance Poor Grades Even with


Hard Work

Refusal to Attend School Skipping School or Class


or Complete Homework Without Your Knowledge

Extreme Nervousness Lack of Interest in


Before School Extracurricular Activities

Children are expected to have behavioural and mood changes.

However, if symptoms persist for an extended period, you should speak to


your child and offer support. You may also seek help from a professional or
trusted community member. Even your family doctor would be able to refer
you to a psychologist or mental health professional.

References:
Cuellar, A. (2015). Preventing and Treating Child Mental Health Problems. The Future of Children, 25(1), 111-134. Retrieved 11
August, 2021, from http://www.jstor.org/stable/43267765

Children’s Mental Health. (2021). Retrieved 4 August 2021, from https://www.cdc.gov/childrensmentalhealth/basics.html

NIMH » Children and Mental Health: Is This Just a Stage?. (2021). Retrieved 4 August 2021, from https://www.nimh.nih.gov/health/
publications/children-and-mental-health

Ogundele, M. (2018). Behavioural and emotional disorders in childhood: A brief overview for paediatricians. World Journal Of
Clinical Pediatrics, 7(1), 9-26. doi: 10.5409/wjcp.v7.i1.9

Tolan, P. H., & Dodge, K. A. (2005). Children's mental health as a primary care and concern: a system for comprehensive support
and service. The American psychologist, 60(6), 601–614. https://doi.org/10.1037/0003-066X.60.6.601

Worried about your child's mental health?. (2021). Retrieved 5 August 2021, from https://www.mayoclinic.org/healthy-lifestyle/
childrens-health/in-depth/mental-illness-in-children/art-20046577

Learn more about ensuring your child's wellbeing


at www.tayyarijeetki.in In Partnership with

Connect with us on
9

Identifying a child
with mental health
issues
It can be difficult to recognise the symptoms of
mental illness in children. Parents often assume
that their child’s behavioural changes have been
caused by mood swings, temper tantrums or
hormones. We’ve realised that childhood is
when most lifelong mental health issues surface
and must thus offer support.

Symptoms to look out for:

Difficulty
Persistent

Concentrating Sadness

Changes in Weight or Talking About Death or


Eating Habits Suicide

Drastic Changes in Mood, Heightened

Behaviour, or Personality Irritability

Tiredness & Fatigue Problems Making


Decisions

Feelings of Guilt Difficulty Sleeping

Self-harm or Injury Feeling Anxious, Isolated


or Hopeless

Frequent Headaches or
Refusing to Go to School
Stomach Aches

These symptoms can also be caused by other situational factors and are not a
definite indicator that your child is struggling with mental health issues.

References:
Cuellar, A. (2015). Preventing and Treating Child Mental Health Problems. The Future of Children, 25(1), 111-134. Retrieved 11
August, 2021, from http://www.jstor.org/stable/43267765

Children’s Mental Health. (2021). Retrieved 4 August 2021, from https://www.cdc.gov/childrensmentalhealth/basics.html

NIMH » Children and Mental Health: Is This Just a Stage?. (2021). Retrieved 4 August 2021, from https://www.nimh.nih.gov/health/
publications/children-and-mental-health

Ogundele, M. (2018). Behavioural and emotional disorders in childhood: A brief overview for paediatricians. World Journal Of
Clinical Pediatrics, 7(1), 9-26. doi: 10.5409/wjcp.v7.i1.9

Tolan, P. H., & Dodge, K. A. (2005). Children's mental health as a primary care and concern: a system for comprehensive support
and service. The American psychologist, 60(6), 601–614. https://doi.org/10.1037/0003-066X.60.6.601

Worried about your child's mental health?. (2021). Retrieved 5 August 2021, from https://www.mayoclinic.org/healthy-lifestyle/
childrens-health/in-depth/mental-illness-in-children/art-20046577

Learn more about ensuring your child's wellbeing


at www.tayyarijeetki.in In Partnership with

Connect with us on
10

Emotional changes &


mood swings
Mood disorders are a common group of mental
health disorders that affects a person’s
emotional state causing them to be sad,
anxious, angry etc. Examples of mood
disorders include depression, bipolar disorder
and more.

Drastic Changes in Mood, Changes in Eating or


Personality, and Behaviour Sleeping Patterns

Feeling Isolates, Sad, Hopeless, Fatigue and Having No


Worthless or Guilty Energy to Care

Anxiety or Irritability Thoughts or Talking About


Dying or Self-harm

Children are expected to have behavioural and mood changes.

However, if symptoms persist for an extended period, you should speak to


your child and offer support. You may also seek help from a professional or
trusted community member. Even your family doctor would be able to refer
you to a psychologist or mental health professional.

References:
Cuellar, A. (2015). Preventing and Treating Child Mental Health Problems. The Future of Children, 25(1), 111-134. Retrieved 11
August, 2021, from http://www.jstor.org/stable/43267765

Children’s Mental Health. (2021). Retrieved 4 August 2021, from https://www.cdc.gov/childrensmentalhealth/basics.html

NIMH » Children and Mental Health: Is This Just a Stage?. (2021). Retrieved 4 August 2021, from https://www.nimh.nih.gov/health/
publications/children-and-mental-health

Ogundele, M. (2018). Behavioural and emotional disorders in childhood: A brief overview for paediatricians. World Journal Of
Clinical Pediatrics, 7(1), 9-26. doi: 10.5409/wjcp.v7.i1.9

Tolan, P. H., & Dodge, K. A. (2005). Children's mental health as a primary care and concern: a system for comprehensive support
and service. The American psychologist, 60(6), 601–614. https://doi.org/10.1037/0003-066X.60.6.601

Worried about your child's mental health?. (2021). Retrieved 5 August 2021, from https://www.mayoclinic.org/healthy-lifestyle/
childrens-health/in-depth/mental-illness-in-children/art-20046577

Learn more about ensuring your child's wellbeing


at www.tayyarijeetki.in In Partnership with
Connect with us on
11

Lethargy & lack

of interest
Childhood is pivotal in establishing the
baseline of an individual’s mental health. While
we often assume that these issues present as
exaggerated emotions (deep sadness etc.).

It’s also common for mental health issues to


present as lack of emotion, low energy and
reduced interest in everyday life. Here are
some symptoms to look out for.

Feeling Tired All


Lack of Interest in

the Time Prior Hobbies

Lack of Emotion or Difficulty in Completing


Feeling Indifferent Everyday Tasks

Trouble Meeting Goals


Decreased Social
or Deadlines Involvement

Children are expected to have behavioural and mood changes.

However, if symptoms persist for an extended period, you should speak to


your child and offer support. You may also seek help from a professional or
trusted community member. Even your family doctor would be able to refer
you to a psychologist or mental health professional.

References:
Cuellar, A. (2015). Preventing and Treating Child Mental Health Problems. The Future of Children, 25(1), 111-134. Retrieved 11
August, 2021, from http://www.jstor.org/stable/43267765

Children’s Mental Health. (2021). Retrieved 4 August 2021, from https://www.cdc.gov/childrensmentalhealth/basics.html

NIMH » Children and Mental Health: Is This Just a Stage?. (2021). Retrieved 4 August 2021, from https://www.nimh.nih.gov/health/
publications/children-and-mental-health

Ogundele, M. (2018). Behavioural and emotional disorders in childhood: A brief overview for paediatricians. World Journal Of
Clinical Pediatrics, 7(1), 9-26. doi: 10.5409/wjcp.v7.i1.9

Tolan, P. H., & Dodge, K. A. (2005). Children's mental health as a primary care and concern: a system for comprehensive support
and service. The American psychologist, 60(6), 601–614. https://doi.org/10.1037/0003-066X.60.6.601

Worried about your child's mental health?. (2021). Retrieved 5 August 2021, from https://www.mayoclinic.org/healthy-lifestyle/
childrens-health/in-depth/mental-illness-in-children/art-20046577

Learn more about ensuring your child's wellbeing


at www.tayyarijeetki.in In Partnership with
Connect with us on

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