Rethinking conversations: how open discussions about mental health can support children in a changing world

As mental health issues rise among young people, experts emphasise the importance of honest, age-appropriate conversations to help children understand and cope with family or peer mental illness, fostering resilience and compassion.

Children are often more aware than adults realise when someone in the family or a friend group is living with a mental illness, and they are likely to have questions. That makes open, age-appropriate conversation important, especially at a time when mental health conditions are common. The National Institute of Mental Health says about 23.1% of U.S. adults experienced a mental illness in 2022, while Cincinnati Children’s notes that nearly half of all teenagers have a mental disorder.

The advice from Cincinnati Children’s is to explain the issue in plain language and use examples children already understand. A comparison with a physical injury can help make the point that a brain illness is still an illness: treatment is needed, recovery can take time, and there is reason to hope. The aim is not to overwhelm children with detail, but to give them enough information to feel secure and informed.

Age matters, too. Younger children may only need a simple explanation, while older school-age children can usually handle a little more context. Teenagers may be ready for a proper discussion, including a chance to say what they have heard and to correct any misconceptions. The blog also encourages parents to stress acceptance, particularly if a child mentions a classmate with ADHD or another condition. The message should be that different behaviour does not change a person’s need for kindness.

Just as important is helping children name their own feelings. They may feel worried, sad or confused, especially if the illness affects everyday life at home. Parents are advised to reassure them that it is not their fault and to suggest trusted adults they can turn to, such as relatives, teachers or family friends. If a child asks something you cannot answer, it is fine to say you will find out. Cincinnati Children’s says even brief, honest conversations can ease anxiety and help children grow up more comfortable talking about mental health.

Disclaimer: This content is for informational purposes only and is not intended to be a substitute for professional medical judgment, advice, diagnosis, or treatment.