Significant life events — such as the death of a family member, friend, or pet; divorce or a move; abuse; trauma; a parent leaving on military deployment; or a major illness in the family — can cause stress that might lead to problems with behavior, mood, sleep, appetite, and academic or social functioning. In some cases, it’s not as clear what’s caused a child to suddenly seem withdrawn, worried, stress, sulky, or tearful. But if you feel your child might have an emotional or behavioral problem or needs help coping with a difficult life event, trust your instincts.

Signs that a child may benefit from seeing a therapist include:

• learning or attention struggles (such as ADHD)
• behavioral problems (such as excessive anger, acting out, bed wetting or eating disorders)
• a significant drop in grades, particularly if your child normally maintains high grades
• episodes of sadness, tearfulness, or depression
• social withdrawal or isolation
• being the victim of bullying or bullying other children
• decreased interest in previously enjoyed activities
• overly aggressive behavior (such as biting, kicking, or hitting)
• sudden changes in appetite (particularly in adolescents)
• insomnia or increased sleepiness
• excessive school absenteeism or tardiness
• mood swings (e.g., happy one minute, upset the next)
• development of or an increase in physical complaints (such as headache, stomachache, or not feeling well) despite a normal physical exam by your doctor
• management of a serious, acute, or chronic illness
• signs of alcohol, drug, or other substance use (such as solvents or prescription drug abuse)
• problems in transitions (following separation, divorce, or relocation)
• bereavement issues
• therapy following sexual, physical, or emotional abuse or other traumatic events