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Guest post: Professor Tanya Byron: 'Please don't feel embarrassed if your child needs mental health support'

53 replies

MumsnetGuestPosts · 18/02/2015 11:54

"The stigma around mental health means that many children do not get the help that they so badly need," The Duchess of Cambridge at the start of this, the first ever Children's Mental Health week. "This needs to change."

Personally, as a clinical psychologist specialising in working with children and adolescents, I have seen many times how helping children to develop the skills to understand and manage their emotions can change the course of a life. And yet, Place2Be's recent research found that almost a third of parents admitted they would feel embarrassed if their child wanted counselling in school.

As The Duchess points out in , if a child broke their arm, as parents we wouldn't hesitate to get them help. But the story is different when it comes to mental health.

Of course all parents want the best for their children, but admitting you might not be able to solve all your child's problems is really tough. It may feel like admitting failure, but sometimes the best thing you can do for your child is ask for help.

Three children in every classroom in this country have a diagnosable mental health issue and half of all adult mental health problems will start by the age of 14. That means, if you have a child or teenager who is struggling to cope with daily life, you are not alone. There are hundreds of thousands of parents out there feeling just how you feel. But remember, without help many of those children will go on to face a lifetime of mental illness.

As well as the age-old problems of bullying, family breakdown, neglect, domestic abuse and bereavement, children face additional pressures, exacerbated by the technologies that at the same time make our lives easier. All this can be overwhelming, leading to issues such as depression, anxiety, addiction, eating disorders or even self-harm.

It doesn't have to be like this. With support from an early age, problems in childhood can be prevented from turning into something more complex and serious later on. Children need to be equipped with the skills and emotional intelligence to handle whatever life may throw at them. Then they'll be less likely to reach for unhealthy and unsafe coping strategies, such as self-harm or alcohol and drug abuse.

Place2Be works within schools to offer support for children, parents and staff. Currently it works in 235 schools, supporting 94,000 children aged from four to 14. Children who have Place2Be's one-to-one counselling show significant improvement in their emotional wellbeing and friendships, with fewer behavioural difficulties. Teachers report that improvements in these areas have a positive impact on children's classroom learning, and 84% of parents felt it helped their child’s problems and improved their home life, too.

We know of course that parents are only one part of the puzzle, which is why charities like Place2Be are calling on the government to make support services more accessible.

But until then, if your child asks you if they can speak to a counsellor in school, please encourage them to accept the offer. In fact, praise them for it. Because as parents, one of the most valuable life skills we can teach our children is the ability to reach out for help. That one small moment could change the course of their entire lives for the better.

For Children's Mental Health Week, Place2Be is running a special Helpline for Mumsnet, providing information and guidance on children's mental health issues. The Helpline will be open from 10am till 4pm from Monday 16th to Friday 20th February. Please call 0207 923 5595 where one of our children's mental health experts will be happy to talk to you. This is a general information helpline. We are unable to offer individual counselling advice over the phone. Please visit our website for ideas on children's mental health issues.

OP posts:
InMySpareTime · 18/02/2015 12:12

I am a volunteer youthworker and children's worker, and am concerned for the future of vulnerable youngsters in light of the Government "austerity" measures.
My Local Authority is cutting mental health and youth services to the bone in the first round of a five-year cost-cutting scheme. What's the point of a MH diagnosis if there is no funding for the necessary help?
Volunteer provision is plugging gaps for now, but is no substitute for professionals.

thornrose · 18/02/2015 12:22

Embarrassment! There's way more going on here than MH issues being stigmatised by parents! This organisation sounds wonderful but MH services for young people are dire.

My dd has AS and she currently has depression and anxiety. I suspect something else is going on but no-one listens.

CAMHS won't even see her despite my GP sending an urgent referral as she had suicidal thoughts. We have waited months for an appointment with a youth service who are finally assessing her for counselling.

In the meantime her life is hell, she is 15. Sad

oslow · 18/02/2015 13:32

My DS has AS and also has depression and anxiety thornrose. It's a very common comorbid, so it's a shame there was no mention of undiagnosed or under-treated conditions like this in the OP. Just the usual expectation that it would be down to the home situation or modern technology, which is quite a lazy assumption that I've come across multiple times as a parent.

I've never felt any sense of embarrassment towards my DS's MH issues, and in fact we've had quite a significant amount of input which is far more specialised than basic in-school counselling. But it hasn't addressed the key issues for DS as that is down to his AS, and can only be addressed by appropriate therapies and educational provision. The MH input we had wasn't cheap (intensive therapy and medication) but it was inappropriate as it didn't address his AS, so no matter what help is available or offered, it is simply not going to help if the authorities continue to ignore the key cause.

tabulahrasa · 18/02/2015 14:04

Are you trying to work on embarrassment because it's easier to tackle than all the parents desperate for support for their teenager who can't access anything?

HairyMaclary · 18/02/2015 14:19

I'd love my DS to get some help, there's no embarrassment here, from him or me, however there is no help either...

We are not in crisis (yet) so we obviously coping well! therebis also no where he can be referred to as nothing exists!

GratefulHead · 18/02/2015 15:11

Another parent here who would LOVE the opportunity to feel embarrassed. There are literally no services for children like my DS, autistic with ADHD who comes under Tier 2 and therefore unworthy of support in any way.

Best I can do is pay a children's counsellor privately to see him and help him explore his feelings safely through play based therapy.

Embarrassment? I should be so lucky.

JaneHersey1953 · 18/02/2015 15:19

There has been a 40% increase in youngsters self harming because of poverty since David Cameron came to power. Many schools are struggling with pupils who self harm as local authority support has been lost because of cuts. £50 million + has been cut from children's mental health services and the most savage cuts are in the most deprived areas of the country and child poverty levels are the highest ever recorded.

I could fill this page with headlines and facts about how millions of children and young people are suffering under this government. This is what the Royal family and celebrities should be discussing and challenging.

thornrose · 18/02/2015 15:20

We know of course that parents are only one part of the puzzle, which is why charities like Place2Be are calling on the government to make support services more accessible.

I wish you would you call on the government to invest in MH services for young people. To ensure that they won't "without help.....go on to face a lifetime of mental illness."

lionheart · 18/02/2015 16:37

I think TB is also involved in fact finding with regard to CAMH provision (or its lack).

Nerf · 18/02/2015 17:38

Isn't there a difference between what Place2Be offers and what a properly funded mental health service offers? So one is counselling over actual life experiences (emotional) and one is conditions (mental health) and yes I'm sure there's a crossover but ime both services are overstretched with waiting lists.
Embarrassed is a bloody insult actually with no mention of the context. I waited 8 months for my dc to be offered therapy following an assessment. That's the real issue.

meandjulio · 18/02/2015 17:42

'With support from an early age, problems in childhood can be prevented from turning into something more complex and serious later on'

I do wonder what the evidence is for this. My ds has a parent, an aunt, a great uncle and a great great grandparent who have all spent time in psychiatric units - some of this is very recent so let's face it they have been pretty ill, because to get a bed these days you have to be practically dead. How good is the evidence that six sessions with a school counsellor at a time of crisis would actually help prevent a psychotic breakdown in his early 20s similar to these other members of his family? How much help/risk reduction is involved? And if there is good evidence that it would help, why is there no school counsellor any more because the service has been cut?

I'm terribly embarrassed asking about this, of course, just blushing my eyes out. Oh, no, my mistake, actually I don't give a shit, I just want to know what will help him avoid a life like many of his family members have.

Wolfcub · 18/02/2015 17:57

I think it's really important to change societal attitudes around mental health. As someone who suffered from mental health issues as a child which continued through to adulthood I faced exclusion by my peers (among a lot of other nastier things), disbelief by healthcare professionals and, when camhs let me down by telling my parents about my condition despite the gp telling them not to my mother walked out of the house for several hours after screaming at me and the gp and my dad when he came home told me I was lying and making it all up. It takes a lot of strength to seek help for an mh problem and the odds were against me anyway. I had to go "back underground" and have hidden my illness from my family ever since. I'm 35 now and its still a secret. It also contributed to it taking a lot longer than it should have for me to get better

googlenut · 18/02/2015 19:58

You've pitched this one wrong Tanya - time to regroup and stop worrying about parents being embarrassed. They are NOT. There are just no services. That's the problem you need to address with the high profile that you have.

DishwasherDogs · 18/02/2015 20:06

We have been referred to CAMHS twice now, and waiting for a third to come through.
The first was for ds1, following four years of bullying and him becoming very depressed. The referral only went through because we took him out of school and all his help suddenly appeared, despite months of communications with GPs and teachers.
Unfortunately CAMHS was useless and Dh and I had to learn how to help ds on our own. He still has problems, but we are back to the point of no-one will take us seriously as he puts a happy face on at school.

Second for ds2 who is on the ASD spectrum, and often talks about self harm and suicide, and will often sob at Dh and me that he wants us to kill him so he doesn't have to feel like this any more.
CAMHS can do nothing until he actually self harms or tries to kill himself. He is 9. We are trying desperately to get him the help he needs so he doesn't end up in a cycle of MH problems, but instead we have to wait until there is a crisis before anyone will offer anything useful.
We are currently waiting for a referral to come through again for ds2, this time for family therapy (which we had for ds1), so we're fully expecting it to be useless again, as it will be the same team.
Again, ds2 puts on a happy face so no-one takes us seriously.

We're not embarrassed at all by our dc MH, but often wonder if life would be far easier if their issues were visible and physical, as they would then have the help they need.

Children's mental health services and those who run them and delegate money to them (or take it away) should be embarrassed, not the parents of children with MH problems.

Fiddlerontheroof · 18/02/2015 20:48

I've got a child who is really struggling and undergoing another referral to CAMHS. I'm not embarrassed, but I'm really struggling to find support and get the right help for her. She is physically disabled, and I never have a problem sorting those needs, but when it comes to her mental wellbeing....I've sought support from so many different areas, and still have yet to get exactly the right targeted help for her. A series of ed psych appointments were sporadic, and in a very difficult place to get to...and crucially involved her missing lots of school, which she hated...as she has to miss enough for routine medical appointments as it is. Now off to look at the place to be website. I wasn't aware of it til now.

bighairyspider · 18/02/2015 20:48

sometimes the best thing you can do for your child is ask for help

Yes, but what happens if you are fobbed off, have to wait months or told your child is not bad enough to receive any help? What do you do then? My child had a few sessions with CAMHS who then discharged him saying there was nothing that they could really do to help!

Parents of children struggling with MH issues need help quickly, not weeks or months down the line. It's usually too little,too late.

tibni · 18/02/2015 21:12

Sadly quality mental health support for young people just isn't available in many areas. I agree this is about funding and commissioned services not parents not trying to get help.

Nerf · 18/02/2015 21:19

Just looked at the link and it's based on 864 parents of 5-18 year olds. What was the question that was asked?
And I definitely think from the info on P2B website that it looks more like support for emotional wellbeing and reactions to bullying/life changes rather than something like OCD or depression. Maybe I'm wrong but there is a distinction.

ChaiseLounger · 18/02/2015 21:28

Very sad to see this nonsense from Dr Tanya.
Embarrassment from parents? Oh purlease.
AS ds, Camhs we had to fight and fight and then wait. And then finally they told us they 'didn't have the facilities' to help, when he wanted to die.
Camhs is being cut and cut.
Trot out this rubbish about mental health week, but we all know there isn't the faculties to back up the much needed resources.

If Dr Tanya really does believe the shite she has written, then this just goes to show how out of touch she is with the reality of grass roots parents.

ChaiseLounger · 18/02/2015 21:33

Parent Blaming.
AGAIN.

Nerf · 18/02/2015 21:52

As I said I really want to know what the,question was. Apparently more married parents would be embarrassed than single parents and it seems to relate to a counsellor a debating to see one. I wonder if it's embarrassment at 'dirty linen' and not embarrassment at mental health.

Postmanhasntknocked · 18/02/2015 22:45

Having critiqued some of Place2Be's research I would be interested very much in actually seeing it and not their interpretation of it.

After all she words this very carefully

'a third of parents would be embarrassed if their child wanted counselling at school'

That is different to the interpretation offered. It's contextual really but the question could have been 'How would you feel if your child wanted to access counselling at school and you were unaware they had an issue?'

Embarrassed if then a very different answer....

Headline grabbing nonsense when the real issue is that overwhelmingly parents report that they can not get their children the mental health support they need. I can't access it for my son that's for sure.

ReallyTired · 18/02/2015 22:57

Tanya I think you are out of touch by the desperate state of children's mental health services. The problem is that no one takes children's mental health seriously.

My son had six session with an NHS pychologist. He was desperately ill (ie. hearing voices) at the age of ten. Our GP had to fight tooth and nail to get him support. He had no medication and his school were hostile to him taking any time off. (Teachers have no hestiation about swanning off on sick leave for anxiety and depression. Double standards or what!)

Children have less options than adults. Schools are intolerant to allowing children time off school because they are mentally ill. Doctors are unwilling to prescribe medication. It is not acceptable for an extremely ill child to wait six months for help.

happychappy · 18/02/2015 23:10

why would I be embarrassed. She has and did get help but only because I had a great GP and put me onto voluntary services. Shes fine not and has overcome it but I think because it was dealt with really early on.

happychappy · 18/02/2015 23:11

Oh but the school was totally rubbish and needed a serious conversation to get them to pull themselves together.

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