For example, if your child normally has good sleep habits, you should be alarmed if they seem to suddenly only need one or two hours (or less) per night. This could be a sign of a mood disorder. Ask other members of your household, such as your other children or spouse, if they have noticed strange behavior as well. They may be able to confirm your gut suspicion. Other people who have close daily interactions with your child, such as their coaches or teachers, may also be worth consulting.
Let’s say your typically reserved child gets sent to the principal’s office for mouthing off at the teacher. This may point to a significant behavioral change influenced by a mental disorder or other traumatic event.
Irritability and angry outbursts can also be signs of depression. If your child talks about suicide or wanting to die, talk to them about your concerns right away, and get them mental health treatment sooner rather than later.
You might say, “I’m worried about Ellie. Have you noticed any changes in her? Will you go to a doctor’s appointment with me to discuss her options?”
Ask your pediatrician for a referral to a reputable psychologist in your area. It may help to jot down some notes about any changes you’ve noticed to help the doctor better understand your child’s condition. If your child needs medication based on a psychological assessment, your child’s psychologist can connect you with a psychiatrist.
You might say, “This is all a lot to take in. Can you help me understand some other options for Henry? What would be your course of action if this were your child?”
It’s also a good idea to find out what kind of aftercare each program provides. Inpatient settings often stabilize your child’s current condition and prevent further decline. Aftercare is critical to addressing underlying problems and moving forward. Make a list of your questions before you call each treatment center. Then compare your information on all the programs to decide which one fits your child’s needs best. It’s also a good idea to contact your insurance company and find out whether they will cover your child’s mental health treatment.
Be aware that it may take a long time – in some cases up to 24 hours – for your child to be evaluated in the emergency room.
You might say, “Josie, you’re going to go and stay at the hospital for a few days. I know you have been really sad and we want to help you get better. I’m going to visit you as often as I can, okay? Do you have any questions?” If your child has a doctor he or she trusts, it may be helpful to have the doctor reassure them that this is for their benefit.
Older teens may legally be able to sign themselves into and out of the hospital. Check the laws where you live to find out if this is the case. It’s also a good idea to find out when visiting hours are and whether you will be able to talk to your child on the phone. Ask whether visits are only for parents, or whether siblings can visit, too.
It’s also a good idea to find out if your child’s school has any established protocol for students returning from hospitalization.
Most psychiatric treatment programs prohibit certain items. Avoid packing valuables, belts, any item with a cord or drawstring, or anything sharp.
Remember that you are part of your child’s treatment team, too. You know your child best, so don’t hesitate to speak up if you think something isn’t working. It’s important to be proactive in your child’s recovery. If a medication is of concern to you, make sure your voice is heard. You might say, “I’m concerned about the side effects of some of these medications. Are there any other drugs you can prescribe?”
Remind yourself that you’ll be able to help your child more effectively if you’re in a healthy state of mind. If you’re struggling, consider talking to a counselor or therapist.