Mental illness in children
What mental illnesses are most common in children?
Children may suffer
from the following mental illnesses:
- Anxiety disorders: Children with anxiety disorders react to certain things
or situations with fear and fear, as well as physical signs of anxiety
(nervousness) such as rapid heart rate and sweating.
- Disruptive behavior disorders: Children with these disorders tend to defy
rules and often behave destructively in structured environments such as school.
- Eating disorders: Eating disorders are associated with strong emotions
and attitudes, as well as unusual behaviors related to weight and/or food
intake.
- Elimination disorders: these disorders affect the behavior associated with the
excretion of bodily waste (faeces and urine).
- Affective (affective) disorders: these disorders, including depression,
include persistent feelings of sadness and/or rapid mood changes.
- Schizophrenia: This is a serious disorder associated with distorted perceptions and thoughts.
- Tic disorders: These disorders cause a person to make repetitive,
sudden, involuntary and often meaningless movements and sounds called tics.
- Attention deficit hyperactivity disorder (ADHD): Children with this disorder are hyperactive
and find it difficult to control their impulses and pay attention. ADHD is the
most commonly diagnosed psychiatric disorder in children.
Some of these
diseases, such as anxiety disorders, eating disorders, mood disorders, and
schizophrenia, can occur in both adults and children. Others, such as
behavioral and developmental disorders, elimination disorders, and learning and
communication disorders, do not begin until childhood, although they may
continue into adulthood. In rare cases, tics can develop in adults. It is not
uncommon for a child to have more than one disorder.
What are the symptoms of mental illness in children?
Symptoms in children
vary depending on the type of mental illness, but some of the common symptoms
include:
- Changes in school performance, such as poor grades despite good efforts
- Abuse of drugs and/or alcohol
- Inability to cope with daily problems and activities
- Changes in sleeping and/or eating habits
- Excessive complaints of physical ailments
- Defying authority, skipping school, stealing, or damaging property
- Intense fear of gaining weight
- Long-lasting negative moods, often accompanied by poor appetite and thoughts of death
- Frequent outbursts of anger
- Loss of interest in friends and activities they usually enjoy
- Significant increase in time spent alone
- Excessive worrying or anxiety
- Hyperactivity
- Persistent nightmares or night terrors
- Persistent disobedience or aggressive behavior
- Frequent temper tantrums
- Hearing voices or seeing things that are not there (hallucinations)
What causes mental illness?
The exact cause of
most mental illness is unknown, but research suggests that a combination of
factors may be involved, including heredity, biology, psychological trauma, and
environmental stress.
- Heredity (genetics): mental illnesses tend to be hereditary, meaning that the
likelihood of developing a mental disorder can be passed from parents to their
children.
- Biology: Some mental disorders are associated with specific chemicals in the brain called neurotransmitters. Neurotransmitters help nerve cells in the brain communicate with each other. If these chemicals are out of balance or not working properly, messages may not pass through the brain properly, resulting in symptoms. In addition, defects or injuries in certain areas of the brain are also associated with certain mental illnesses.
- Psychological trauma: Some mental illnesses can be caused by psychological
trauma, such as;
- severe emotional, physical or sexual abuse
- Significant early loss, such as the loss of a parent
- neglect - both emotional and physical
- Environmental stress: stressful or traumatic events can trigger mental illness
in a person prone to mental illness.
How are mental illnesses diagnosed in children?
As in adults, mental
illness in children is diagnosed on the basis of signs and symptoms that point
to a particular disorder. However, this process can be especially difficult for
children. Many behaviors that are considered symptoms of mental disorders, such
as shyness, anxiety (nervousness), strange eating habits, and tantrums, can
occur as part of a child's normal development. A behavior becomes a symptom
when it occurs very frequently, lasts for a long time, occurs at an unusual
age, or significantly interferes with the child's and/or family's ability to
function.
If symptoms are
present, the doctor will begin the assessment by taking a complete medical
history and examination. Although there are no laboratory tests to specifically
diagnose mental disorders, a doctor may use various tests, such as x-rays and
blood tests, to rule out medical illness or drug side effects as the cause of
the symptoms.
If no physical
illness is found, the child may be referred to a psychiatrist or child and
adolescent psychologist, mental health professionals specially trained to
diagnose and treat mental illness in children and adolescents. Psychiatrists
and psychologists use specially designed interview and assessment tools to
identify a child with a mental disorder. The doctor bases his diagnosis on
reports of the child's symptoms and observations of the child's attitudes and
behaviors. The doctor often has to rely on reports from the child's parents,
teachers, and other adults because children often cannot explain their problems
or understand their symptoms.
How are mental illnesses treated in children?
Mental illnesses,
like many other diseases, require constant treatment. Although great strides
have been made in the treatment of adults with psychiatric disorders, the treatment
of children is not as well studied. Experts are still learning which treatments
are best for which conditions in children. At this point, many of the treatment
options used for children, including many medications, are the same as for
adults. The most commonly used treatment options include:
- Medications: Many mental illnesses can be effectively treated with medications in combination with therapy. Medications commonly used to treat psychiatric disorders in children include antidepressants, anti-anxiety medications, stimulants, mood stabilizers, and antipsychotics.
- Psychotherapy: Psychotherapy focuses on the emotional response to mental illness. It is a process in which trained mental health professionals help people cope with their illness, often using strategies to understand and manage their symptoms, thoughts, and behaviors. Types of psychotherapy often used with children include supportive, cognitive behavioral, interpersonal, group, and family therapy.
- Creative therapy: Some types of therapy, such as art therapy or play
therapy, can be helpful, especially for young children who may have difficulty
expressing their thoughts and feelings.
What Is the outlook for children with mental illness?
With proper and early
treatment, many children can fully recover from their mental illness or
successfully control their symptoms. While some children become disabled adults
due to a chronic or severe disability, many people with mental illness can lead
full and productive lives.
It is very important
to seek treatment for your child if they show symptoms of a mental illness.
Without treatment, many mental disorders can persist into adulthood and lead to
problems in all areas of a person's adult life. People with untreated mental
disorders are at high risk of developing many problems, including alcohol or
drug abuse, as well as a tendency to violence or self-harm, up to and including
suicide.
What research is being done on mental illness in children?
To date, most
research on mental illness has focused on mental disorders in adults. However,
the psychiatric community has now begun to focus on mental illness in children.
Researchers study child development in terms of what is normal and abnormal,
trying to understand how developmental factors can affect mental health. The
goal is to try to predict and ultimately prevent developmental problems that
can lead to mental illness. A key part of this research is identifying risk
factors — factors that make a child more likely to develop a mental disorder.
In addition, the psychiatric community is calling for more research into drugs
used to treat children with mental disorders.
Can mental illness in children be prevented?
Most mental illnesses
are caused by a combination of factors and cannot be completely prevented.
However, if the symptoms are recognized and treated early, many of the
unpleasant and disabling effects of mental illness can be prevented or at least
minimized.