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How to Know If Your Child Needs Therapy: Signs to Look For

Caitlin Slavens
April 17, 2025

The frequent question asked by almost every parent ‘Does my child need any sort of therapy?’

Growing up can be quite an emotional rollercoaster, with many ups and downs. But then again, there are those moments when you might think the child needs more help. Spotting the signs early on can help you get them the support they need.

Kids are fascinating little beings. They show their struggles in all sorts of ways. Some might pull back and seem quiet, while others can be a bit more, let’s say, lively, acting out in ways that make you raise an eyebrow. 

And you might see sudden shifts in their behaviour or mood swings that seem to come out of nowhere. School might become a real challenge for them, too. Maybe they are feeling anxious, scared, or having a tough time with something big happening in their lives. All of these could be signals that a therapist could help them out.

So, the trick is to keep an eye out and trust your gut. Getting in there early can be super helpful. It can equip your child with the tools to bounce back and handle life’s curveballs. This blog will dive into signs suggesting it’s time to consider therapy for your child. That way, you can choose for yourself and your family.

How to Tell If Your Child Might Need Therapy: Signs to Watch For

Kids can have ups and downs, but if you notice lasting changes in their behaviour or emotions, it might mean they need extra help. Spotting the signs early can make a big difference.

Behavioural Changes

Kids go through many phases, but big changes in how they act might mean they are dealing with something more serious. If your child is often aggressive, pulling away from friends, or not hitting their usual milestones, they could feel stressed or anxious. Picking these signs early can help you tackle any issues before they worsen.

  • Aggression or Defiance

If your child throws tantrums, hits, or refuses to listen, it might mean they’re frustrated or upset. While some defiance is normal, aggressive behaviour toward friends, teachers, or family should be examined more closely.

  • Withdrawal from Activities

If your child used to love playing and hanging out with others but is now keeping to themselves, they could be struggling inside. Not wanting to join family events or losing interest in activities they once enjoyed are signs to be aware of.

  • Regression in Behavior

If your child suddenly starts bedwetting, is clingy, or talks like a baby after they’ve outgrown it, these may be signs of stress, anxiety, or past trauma.

Emotional Distress

If your child is often sad, worried, or has mood swings, it might be more than just a phase. Signs like getting upset easily or feeling overwhelmed can point to anxiety or depression. These feelings can interfere with their everyday life, so it might help to get some professional support.

  • Persistent Sadness or Anxiety

A child who cries often seems really worried or is scared about daily things could be dealing with anxiety or depression. Watch for signs like irritability, needing reassurance, or feeling down for no clear reason.

  • Mood Swings

If your child goes from calm to angry or sad without any reason, it might indicate emotional struggles. It’s normal to have mood changes sometimes, but it's worth checking out if they’re frequent and intense.

Academic and School Challenges

School troubles aren’t just about bad grades. If your child seems uninterested in learning, often talks about how much they dislike school, or has a hard time focusing, it could mean they’re dealing with stress, learning issues, or emotional challenges. Not wanting to tackle schoolwork can signal they need extra support.

  • Declining Grades or School Avoidance

If your child’s grades drop despite trying hard, refuses to go to school, or says they feel sick on school days, they might be facing emotional issues, learning problems, or bullying.

  • Difficulty Concentrating

If they have trouble focusing on tasks, forget assignments often, or zone out in class, it may be a sign of anxiety, ADHD, or other learning challenges.

Physical Symptoms

Kids often show their feelings through physical signs, especially when they can't talk about what's bothering them. If a child has headaches, stomach pains, trouble sleeping, or changes in how much they eat, and there's no medical reason for it, stress might be the issue. If these problems stick around, it’s a good idea to dig deeper to see what's happening.

  • Sleep and Eating Changes

Trouble sleeping, sleeping too much, sudden changes in appetite, or unexpected weight loss or gain can be signs of emotional distress.

  • Neglecting Hygiene

If your child starts skipping showers, won’t brush their teeth, or becomes overly focused on cleanliness, it might indicate anxiety, depression, or obsessive behaviours.

Social Struggles

Friendship is important for children as they grow up, and if a child suddenly changes how they interact with others, it can be worrying. Not wanting to hang out, having a hard time making or keeping friends, or often getting into fights with other kids might mean they’re having trouble with their feelings, confidence, or being around others.

  • Avoiding Friends or Social Settings

If your child doesn’t want to go on playdates, prefers to eat alone, or avoids being around peers, they may face social anxiety or low self-esteem.

  • Frequent Conflicts with Peers

Regular fights, problems making friends, or trouble with other kids could indicate trouble managing their emotions.

Difficulty Coping with Life Changes

Big changes, like moving to a new place, parents getting divorced, or losing someone close, can be tough for kids. If you notice they’re acting clingy, scared, or returning to old habits, they might have difficulty dealing with their feelings. Talking to a therapist can help them cope better.

Loss, Divorce, or Big Changes

Kids can struggle with major life events, like losing someone close, parental separation, or moving. If they seem clingy, fearful or go back to behaving like a younger child after these changes, it may mean they need extra support.

Considerations by Age

Kids of all ages show stress in different ways. Little ones might throw tantrums or want to stay close to their parents. School-age kids could have trouble in school or with friends, while teens might take risks or withdraw from everyone. Knowing how these signs look at different ages can help parents step in when needed.

Toddlers and Preschoolers

Look for signs like constant tantrums, going backward in potty training, severe separation anxiety, or trouble adjusting to new places.

School-Age Children

Watch for academic struggles, withdrawal from friends, increased defiance, or ongoing worries about school and friendships.

Teenagers

Risky behaviours such as substance use, self-harm, or talking about suicide are serious issues that need immediate attention. If your child used to love playing and hanging out with others but is now keeping to themselves, they could be struggling inside. Not wanting to join family events or losing interest in activities they once enjoyed are signs to be aware of.

If you see any of these signs, getting help before things get worse is a good idea. Couples to Cradles focuses on helping kids and families with therapy that addresses emotional, behavioural, and developmental issues. A caring approach can help your child, don't hesitate to reach out for the support they deserve.

Conclusion 

Noticing when your child might need some help is really important for their emotional health. Kids go through mood swings and changes, which is totally normal, but if those struggles stick around and start affecting their daily life, it's worth paying attention to. Going to see a therapist isn't a sign that something's wrong—it's just a way for them to learn how to share their feelings, deal with stress, and bounce back from challenges. If you see your child feeling distressed for a long time, acting differently, or having a hard time in school or with friends, it’s a good idea to consider talking to a therapist. Getting help early can really help them feel better and grow stronger.

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