June 13, 2025

Does My Child Need Mental Health Therapy? 6 Signs to Watch For

Concerned about your child’s behavior? Learn six signs your child might need mental health help and how therapy offers powerful support.

Parenting comes with countless joys, but it also comes with challenges, particularly when it comes to understanding your child’s emotional world. It’s completely normal for kids to experience a wide range of big feelings and struggles as they grow. For parents, the key is recognizing what’s typical versus what might suggest your child could benefit from a little extra support.  

Here’s the good news: seeking support doesn’t mean something is wrong with your child. It means you’re noticing their needs, taking a proactive step to help them thrive, and empowering them with the tools they need to understand their emotions better, make sense of relationships, and manage the demands of daily life. The earlier we provide this support, the greater foundation of emotional strength we build for their future.  

This guide will explore the early signs that may indicate your child could benefit from mental health support, along with an overview of what that support can look like.  

Understanding Mental Health in Young Children  

Child mental health therapy is a specialized form of support that helps toddlers, preschool age, and younger children learn how to cope with emotions, communicate needs, and navigate social situations. Toddlers and preschoolers are still learning how to understand their feelings, express themselves, and relate to others. If they’re struggling, it doesn’t mean they’re broken. It simply means they might need more support.

Why Early Child Mental Health Therapy Matters  

Research shows that early intervention through therapy can significantly improve outcomes for children facing mental health challenges. Early interventions help children:

  • Build social and emotional skills  
  • Learn healthy coping mechanisms for stress or anxiety
  • Reduce disruptive behaviors  
  • Foster emotional resilience that can follow them throughout their lives  

Rather than waiting for difficulties to subside (or worsen), addressing concerns and seeking treatment early on can make a profound difference.  

Six Signs Your Child May Benefit from Mental Health Treatment

It’s not unusual for children to struggle with big emotions, routine changes, or making sense of social dynamics. However, persistent disruptive behaviors that interfere with their daily life, relationships, or sense of happiness signal that it might be time to seek treatment.  

1. Big, Overwhelming Emotions That Are Hard to Calm

Does your child struggle with big tantrums, ongoing distress, or extreme difficulty in calming down? These reactions might hint at a sensitive nervous system grappling to process emotions.  

Rather than viewing these as “bad behavior,” mental health therapy can guide children in understanding and managing their feelings. Support can help them feel safe and regulated and improve their well-being.

2. Frequent Worries, Fears, or Separation Struggles

If your child consistently feels anxious about separating from you, the dark, or routine activities like going to preschool, it could indicate an underlying anxiety that gentle support can address. Therapists may help build a sense of safety and provide them with age-appropriate coping tools like mindfulness exercises or expressive play activities to reduce symptoms of anxiety.  

3. Trouble Making or Keeping Friends, Relationship Problems

Children communicate and bond in different ways, but frequent difficulties connecting with peers, withdrawal during group activities, or repeated conflicts may highlight areas where they need help. Mental health professionals can nurture social skills and confidence through approaches like play-based intervention, mirroring strategies, and collaborative play.  

4. Trouble with Transitions or Routine Changes  

Bedtime melt-downs, struggles to switch between activities, or emotional distress at meal times often suggest issues with emotional regulation or sensory processing. Therapy aims to help children adapt comfortably to changes and develop positive coping skills, fostering independence and flexibility.  

5. Avoidance or Loss of Joy in Activities  

If your child seems unusually sad, withdrawn, or experiences frequent mood swings over an extended period, it might be a sign of an underlying emotional or mental health issue. Therapy can provide a safe space for them to express their feelings and work through challenges.

6. Disruptive Behaviors That Impact Daily Life  

If aggression, destruction of property, or self-injury becomes part of your child’s daily behaviors, these are often cries for help. Rather than punishing these behaviors, behavior therapy can explore what lies beneath your child's behavior, identifying needs and healthier ways to meet them.  

Is It Time to Seek Mental Health Therapy for Your Child?

If you’re noticing any of the signs above—or you just feel like your child is struggling and could use extra help—you don’t have to wait. Seeking treatment early is one of the most caring and proactive things you can do for your child and family.

You don’t need a diagnosis of depression or other mental illness to get started. Many families seek treatment simply because they want to help their child feel more regulated, connected, and confident.

What Mental Health Support Looks Like at NSPT  

At North Shore Pediatric Therapy (NSPT), our mental health professionals believe in providing support that is compassionate and child-focused, tailored to your young one’s individual needs. Our approach is rooted in understanding your child’s unique strengths and offering a safe space for growth.  

A Snapshot of Our Services  

  • Play-Based Therapy  

We use games, art, and books to make therapy engaging and process-oriented. Through play, children build emotional understanding and learn new skills naturally.  

  • Emotion Coaching and Regulation Support  

We use behavior therapy to help children name and work with their emotions. Treatment approaches and techniques like calm-down jars, breathing exercises, and other tailored strategies empower children to manage big feelings effectively.  

  • Family Therapy and Parent Training

You are your child’s most important support system. We partner with parents to create nurturing routines, clear coping strategies, and empower you with resources and communication tools. We offer coaching, collaborative sessions, and guidance to help you respond to your child’s needs while staying connected and calm, even during tough moments.

  • Collaborative Approach  

Our therapists closely coordinate with parents and schools, ensuring consistency across environments. School integration allows us to reinforce social, behavioral, or emotional skills in real-world peer settings.  

This comprehensive care model ensures your child feels supported not only during therapy sessions but also in their day-to-day life.  

You Are Not Alone  

When special challenges or behaviors arise in your family, it can feel overwhelming. But mental health needs are not rare; they’re incredibly common. What truly matters is how we respond and that we do so in a positive way.

Supporting your child early shows them their value and teaches them that asking for help is a strength, not a failure.  

How NSPT Can Help Support Your Child's Mental Health

At North Shore Pediatric Therapy (NSPT), our mission is to help every child grow, thrive, and feel safe in who they are. Our mental health team offers specialized, developmentally appropriate therapy for younger children—whether they’re experiencing anxiety, Post Traumatic Stress Disorder,  behavioral challenges, mental health conditions, or need support managing big feelings. We provide a range of treatment options for younger children and young adults, including:

  • Child Therapy  

Individualized, play-based sessions guiding emotional growth or Cognitive Behavior Therapy

  • Family Therapy and Parent Involvement

Strengthening communication and understanding between parents, family members, and children  

  • School Support Plans  

Addressing classroom challenges by collaborating directly with educators  

Reach Out Today  

Don’t wait for behaviors or worries to resolve themselves. Show your child they are seen, cherished, and deserve all the support needed to thrive.  

At NSPT, we care about walking alongside families like yours every step of the way. We will work together with you to find the most effective treatment to help improve your child's life.  

Schedule a free consultation with us today and learn how our mental health services combine expert care with compassionate support for children and families alike.

Download our Guide for Families

We know that choosing a local ABA facility can be a hard decision. We’ve created an informational guide to help you understand more about the questions you should be asking while meeting with different providers.

Although we talk about our services here, our highest goal is for you to feel comfortable and knowledgeable about picking a provider that is the best fit for your needs. You are making a decision that will impact the entire trajectory of your child’s life!
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The cover of the NSPT Guide for Families, which helps families to figure out the questions to ask when picking an ABA provider.

Testimonials

Success looks different for every child... But we bet we have a story that matches your child's needs. Like James, who started with us as non-speaking and lacking the ability to initiate and maintain social interactions. Today, he can speak complete sentences, clearly state his needs, and navigate social interactions with his friends!

Our infant daughter was in physical therapy with Anna Zahn for about five months.  Anna was consistent, patient, and wonderful with our daughter.  Anna was also clear in her communications with us as parents which helped us understand our daughter's progress and needs, as well as how we could help our daughter at home.  While we are proud that our daughter graduated PT, we will miss Anna's warmth and kindness.

Emily

I love this place! Chista is an amazing person, so sweet and kind and very professional in her work. All staff are very kind with children. I feel happy to find this place for my daughter. Thank you!!!

Maria Di Rita

I cannot say enough nice things about the staff! My son worked with Khadija as his ABA therapist and is finishing up this week with his OT, Sabrina. They were really instrumental in helping us navigate a new diagnosis. Both were so easy to approach with questions. From Leeann at the front desk to the RBTs (Alex, Rabbia, Molly, and many others), we always felt so welcomed. It seems like the staff genuinely enjoy their jobs, consistently offering feedback and suggestions on how to help my son.

Jennifer Peyer

We have been working with the amazing team at NSPT for many years. They have been essential in understanding and supporting our child. I recommend their services to anyone looking for their specific type of support.Posted to

Monica Terése Carranza

They are so sweet and kinds persons with professionalism and really worried about the kids and how help they to get new skills and moving forward with knowledge.

Alejandra M.

NSPT is fantastic! All of the staff are wonderful, accomodating, and make you feel welcome and comfortable. Alan is fantastic - he has helped our family tremendously and has such patience and purpose in everything he does.

Alex Ehrhardt

North Shore Pediatric Therapy has been amazing.  They have done a great job adjusting to the specific needs of my autistic child.

Matt Nakanishi

My 12 yr old son has a lovely support team in Robert (Social Work) and Lindsay (OT)! He gains so much from his sessions & I gain so much from the communication and brainstorming! Thanks!

Jennie Meyer

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