Although mental health awareness overall has come a long way, we tend to leave infants and young children out of the conversation. But research shows that our littlest humans can face mental health challenges too – and the earlier we intervene, the better chance they have at growing into happy and thriving adults.

In today’s blog, we’ll cover the basics of early childhood mental health and give you some tips on how you can promote positive mental health in your own little ones.

What is early childhood mental health?

Early childhood mental health typically refers to the mental health of children between 0 to 8 years of age.

Many people are confused when they hear the term “early childhood mental health.” You might be off-put by the idea of young children being diagnosed with or treated for mental health disorders. After all, they’re only kids – right?

Sadly, many more young children live with mental health conditions than you might believe. Reports show that up to 17% of children are diagnosed with a mental illness before they’re 6. Even very young children show clear symptoms of anxiety disorders, depression, post-traumatic stress, and more.

But the topic of early childhood mental health doesn’t just affect children with mental health challenges. Mental health should be a priority for all children, especially during the important early childhood years when the brain is developing at a rapid pace. It’s not just about treating childhood mental illness – it’s about promoting strong mental health in all young children.

What do mental health problems look like in early childhood?

Young children can show signs of a wide range of mental health problems, from mood disorders to neurodivergence and sensory processing issues. Let’s look at some of the most common categories of early childhood mental health symptoms.

Attachment disorders and trauma

One of the most important things that happens during a baby’s life is the attachment they build with their caregiver(s). When there is neglect or abuse present in these relationships, then reactive attachment disorder and post-traumatic stress disorder (PTSD) can develop.

Abuse and neglect can severely impact a child’s developing brain, stunt their growth, and lead to serious physical and mental health consequences further down the line.

In infants and young children, attachment and trauma-related disorders might look like:

• Severe separation anxiety
• Not being soothed when reunited with their caregiver(s)
• Being indiscriminately attached to any adult and showing no preference for their caregiver(s)
• Hypervigilance; being jumpy or easily startled
• Avoiding the caregiver(s)
• Themes of trauma in play

Feeding disorders

Feeding disorders Sometimes, difficulty with food and feeding is a physical health problem – but often, it’s related to the child’s mental health. Even so, leaving a feeding disorder untreated can lead to stunted growth and poor development in the muscles involved in swallowing.

An early childhood feeding disorder can look like:

• A lack of interest in food or eating
• Difficulty achieving a relaxed state while eating (for example, the infant may be overly agitated)
• Refusal of food
• Using mealtimes to interact with caregivers rather than to eat
• Avoidance of specific foods based on texture, taste, smell, or other features
• No age-appropriate interaction with caregivers (like eye contact) during mealtimes

Hyperactivity and ADHD

Over 250,000 U.S. children aged 3 to 5 are diagnosed with attention-deficit hyperactivity disorder (ADHD). This condition leads children to have difficulty regulating their focus and energy levels.

Some signs of ADHD in young children include:

• More tantrums and emotional outbursts than other children their age
• Constantly being in motion, even more than other young children
• Reckless behavior to the point of endangering themselves
• Aggression toward self or others
• Difficulty falling asleep or little need for sleep
• Extreme impatience with others
• Loses interest in activities after only a few moments, even activities of their choosing

Anxiety and depression

As unbelievable as it may seem to some, even infants can be depressed and anxious. Reports show that around 1 in 40 children aged 0 to 5 have depression. Depression in parents makes it more likely that the infant or child will also have depression.

Signs of depression and anxiety in infants and toddlers include:

• Regressing to a previous stage of development
• Being withdrawn or staring into space
• Not engaging socially with caregiver(s)
• Excessive whining
• No interest in developmentally appropriate toys and activities
• Clinginess
• Breath-holding in toddlers
• Sleep issues

What causes mental health problems in early childhood?

As is the case with teens and adults, there’s not one singular cause of early childhood mental health problems.

Experts say that many different factors come together to make some children more at risk for developing mental health issues, including:

• Genetics: Some children are genetically predisposed to developing mental health problems, but this doesn’t mean that every child with these genes will have issues 100% of the time. It simply means that they may be at higher risk.
• Toxic stress: Being exposed to traumatic and stressful events (like abuse and neglect) over and over again can lead to toxic stress. Toxic stress can severely damage a baby’s brain development and make it much more likely for children to develop mental health problems, either right away or later on down the road.
• Biological factors: Some early childhood mental health concerns, like ADHD or certain feeding disorders, are a direct result of biological differences in the brain.
• Family history and parental stress: Family history also comes into play. Babies whose parents have postpartum depression are more likely to have depression themselves.

What can we do to support early childhood mental health?

If you’re a parent, you’re probably asking yourself: What can I do to protect my baby’s mental health? How can I decrease the odds that my child will have mental health problems, either now or as an adult?

Although there are many factors outside of our control, there are many things that you can do as a parent to help promote your child’s brain and emotional development and protect their mental health.

• Build a secure attachment: Foster a secure attachment with your child by responding to their needs promptly and consistently. This helps them feel safe and loved.
• Create a safe home environment: Ensure that the home environment is safe, free from hazards, and provides a sense of security for your child. Consistency and predictability are key for building safety.
• Emotional regulation: Help your child learn to regulate their emotions by modeling appropriate emotional responses and providing comfort when they’re upset.
• Engage in play: Play isn’t just fun – it’s essential for a child’s development. Engage in age-appropriate play that encourages creativity, exploration, and social interaction.
• Create healthy routines: Establish consistent daily routines for feeding, sleeping, and playtime. Predictability can help children feel secure.
• Nutrition and sleep: Ensure that your child has a balanced diet and gets enough restful sleep. Both nutrition and rest are essential for mental health.
• Positive discipline: Use positive discipline strategies that focus on teaching and guiding rather than punishment. This helps your child learn boundaries without feeling shame or guilt.
• Read and communicate: Reading to your child and engaging in “baby talk” and conversations from an early age can enhance their language development and cognitive skills.
• Lean on your support system: Caring for an infant or toddler can be exhausting, and it’s important for you to take care of your own mental health and take breaks when you need them. Seek support from friends, family, or mental health professionals.
• Protect your own mental health: Your well-being is closely linked to your child’s well-being. Be aware of your own mental health and get counseling when you need it.
• Educate yourself: Learn as much as you can about child development and parenting techniques. Attend parenting classes or workshops if possible.
• Seek professional help: If you have concerns about your child’s behavior or development, don’t hesitate to consult a pediatrician or a child psychologist. Early intervention is critical in preventing these problems from getting worse.

At MINES, we want to help you and your child thrive and stay mentally healthy. We provide comprehensive Parental Coaching and Lactation Consultation services to help you be the best parent you can be for your precious little one.

Through our Parental Coaching program, you receive 4 phone coaching sessions per year to address the most challenging aspects of parenthood. Our experienced coaches are here to support you through any concerns that you may have about this journey.

If you need mental health support for yourself, you also have access to 24/7 free and confidential counseling with a licensed mental health provider.

Let’s all work together to protect the mental health of our youngest and most precious citizens.

To Your Wellbeing,

The MINES Team

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We know that stress and anxiety can be common during the school year for students, but with the pandemic upon us, it’s even more important to pay attention. For those who are physically going back to schools, the anxiety and fear is palpable – and simply navigating the uncertainly can feel overwhelming. And for those who are learning virtually, too much isolation can be harmful.

Research shows that chronic loneliness, which many of us are feeling these days with stay-at-home orders – can translate to poor sleep, high blood pressure, greater risk of suicidal ideation, and even alcohol and drug use. Depression and anxiety have also increased in the months since the pandemic began. Half of all mental health disorders begin by the age of 14, and about 75 percent begin by the age of 24. But it’s also important to know that mental health issues are common and treatable – you don’t have to suffer in silence! Know the signs and symptoms of mental health issues so that you can seek help for you or someone you care about.

Just like physical health, taking care of mental health struggles early can help to prevent more serious problems from developing in the future. If you are concerned that you or someone you know may be experiencing a mental health problem, it is important to act. Start the conversation. Seek help from a trusted adult. Remember there is nothing to be ashamed of and that there is help and hope.

There are also serious signs that someone is in crisis and needs more immediate help. These include thoughts or plans of hurting oneself or another person. If you think a child or teen is in immediate danger of taking suicidal action, call the national suicide hotline at 1-800-273-TALK. If you have MINES as your EAP you can also call us 24 hours a day at 1-800-873-7138 and talk to a licensed clinician on the spot. Our trained crisis counselors are always ready to help.

MINES EAP is here to help with these concerns and help manage the stress of the pandemic as well as any other day to day issues that you or your family may be navigating at this time. Please call us for more information or to get set up with free, confidential counseling services, wellness coaching, work/life resources, and more.

To your wellbeing,

-The MINES Team

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