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Answered by Heather Bernstein, PsyD

Q How do I tell my 10-year-old daughter about my own mental health issues? I have BPD and hear voices and am unsure how to explain why sometimes I am different.

I think one of the most important things for you to know is that this isn't a one-time conversation, so you don't have to say it all at once. You are opening a dialogue that will probably continue for the rest of your child's life, so less is more. Take it slow and communicate that you aren't afraid to talk about mental health.

In terms of what to say, being developmentally sensitive is important. A ten-year-old might not be able to understand what hearing voices means, for instance. You might start by focusing on how your mental health impacts your daily life. This is a good strategy because that's what your child is probably going to care the most about. So you might say something like "I struggle with my mental health and what that means for me is I sometimes feel really big emotions and I have to manage those." Or maybe it's "I have a hard time with my relationships." While you are talking, really pay attention to how your daughter is responding. You can use that as a measure for how much to share.

You can also talk about what you are doing in terms of treatment. Kids want to know that you are healthy and getting the services you need, because it makes them less fearful. So you might describe what you do - for example, "I work with doctors. One of the doctors I talk to about my emotions, one of the doctors talks to me about my medicine. I go every single week to make sure I'm taking care of myself." Be clear that you are giving this information so they know you are being cared for, and it's not their responsibility to take care of you.

If your child has questions that you feel confident in being able to answer, then answer those truthfully and in a developmentally appropriate way. If there are questions that you aren't sure how to respond to, feel free to take a pause. That might be a good time to talk with your therapist to discuss the best way to discuss with your child. Because your therapist knows about your child and your relationship, they might also be able to provide good guidance about how to have this conversation, now or during future conversations.

Heather Bernstein, PsyD, is a clinical psychologist in the Mood Disorders Center at the Child Mind Institute. Dr. Bernstein works ... Read Bio

Get tips, articles, and insights about children's mental health and learning disorders.

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How do I tell my 10-year-old about my mental health issues? - Child Mind Institute

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Lo sentimos, la página que usted busca no se ha podido encontrar. Puede intentar su búsqueda de nuevo o visitar la lista de temas populares. Answered by Heather Bernstein, PsyD Q How do I tell my 10-year-old daughter about my own mental health issues?

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Witnessing a parent in a state of anxiety can be more than just momentarily unsettling for children. Kids look to their parents for information about how to interpret ambiguous situations; if a parent seems consistently anxious and fearful, the child will determine that a variety of scenarios are unsafe. And there is evidence that children of anxious parents are more likely to exhibit anxiety themselves, a probable combination of genetic risk factors and learned behaviors.

It can be painful to think that, despite your best intentions, you may find yourself transmitting your own stress to your child. But if you are dealing with anxiety and start to notice your child exhibiting anxious behaviors, the first important thing is not to get bogged down by guilt. "There's no need to punish yourself," says Jamie Howard, PhD, director of the Stress and Resilience Program at the Child Mind Institute. "It feels really bad to have anxiety, and it's not easy to turn off."

But the transmission of anxiety from parent to child is not inevitable. The second important thing to do is implement strategies to help ensure that you do not pass your anxiety on to your kids. That means managing your own stress as effectively as possible, and helping your kids manage theirs. "If a child is prone to anxiety," Dr. Howard adds, "it's helpful to know it sooner and to learn the strategies to manage sooner."

It can be very difficult to communicate a sense of calm to your child when you are struggling to cope with your own anxiety.

When we are feeling anxious, we start worrying about what might happen in the future - all those "what ifs." To avoid getting caught up in worries about the future, try practicing mindfulness, which is a technique for focusing on the present. Here are two common mindfulness techniques to try:

Squeeze Muscles: Starting at your toes, pick one muscle and squeeze it tight. Count to five. Release, and notice how your body changes. Repeat exercise moving up your body.

Belly Breathing: Put one hand on your stomach and one hand on your chest. Slowly breathe in from your stomach (expand like a balloon) and slowly breathe out (deflate).

You can try to practice mindfulness in the moment when you're feeling anxious, but it is also a good idea to set aside time to be mindful every day. Regular practice will help you use the techniques more effectively when you really need them, and it can also make you feel calmer in general.

Pay attention to what triggers your anxiety. While feeling anxiety is unavoidable sometimes, we can also make it worse by dwelling on it. If you are someone who jumps to the worst-case scenario when you have a tickle in your throat, using WebMD might make you even more alarmed. Likewise, if you are stressed out by what's happening in the news, spending time reading it - or even using social media - might make you feel worse. Setting boundaries about when and how you will engage with things that could trigger your anxiety is a good idea.

If your anxiety is severe and practicing mindfulness and setting boundaries on your own isn't helping, consulting a mental health professional makes sense. A clinician can help you work through methods of stress management that will suit your specific needs. As you learn to tolerate stress, you will in turn be teaching your child - who takes cues from your behavior - how to cope with situations of uncertainty or doubt.

"A big part of treatment for children with anxiety," explains Laura Kirmayer, PhD, a clinical psychologist, "is actually teaching parents stress tolerance. It's a simultaneous process - it's both directing the parent's anxiety, and then how they also support and scaffold the child's development of stress tolerance."

When you learn some strategies for managing stress that work for you, you can then impart them to your child when she is feeling anxious. If, for example, you are working on thinking rationally during times of stress, you can practice those same skills with your child. Say to her: "I understand that you are scared, but what are the chances something scary is actually going to happen?"

Try to maintain a calm, neutral demeanor in front of your child, even as you are working on managing your anxiety. Dr. Howard says, "Be aware of your facial expressions, the words you choose, and the intensity of the emotion you express, because kids are reading you. They're little sponges and they pick up on everything."

While you don't want your child to witness every anxious moment you experience, you do not have to constantly suppress your emotions. It's okay - and even healthy - for children to see their parents cope with stress every now and then, but you want to explain why you reacted in the way that you did.

Let's say, for example, you lost your temper because you were worried about getting your child to school on time. Later, when things are calm, say to her: "Do you remember when I got really frustrated in the morning? I was feeling anxious because you were late for school, and the way I managed my anxiety was by yelling. But there are other ways you can manage it too. Maybe we can come up with a better way of leaving the house each morning."

Talking about anxiety in this way gives children permission to feel stress, explains Dr. Kirmayer, and sends the message that stress is manageable. "If we feel like we have to constantly protect our children from seeing us sad, or angry, or anxious, we're subtly giving our children the message that they don't have permission to feel those feelings, or express them, or manage them," she adds. "Then we're also, in a way, giving them an indication that there isn't a way to manage them when they happen."

Come up with strategies in advance for managing specific situations that trigger your stress. You may even involve your child in the plan. If, for example, you find yourself feeling anxious about getting your son ready for bed by a reasonable hour, talk to him about how you can work together to better handle this stressful transition in the future. Maybe you can come up with a plan wherein he earns points toward a privilege whenever he goes through his evening routine without protesting his bedtime.

These strategies should be used sparingly: You don't want to put the responsibility on your child to manage your anxiety if it permeates many aspects of your life. But seeing you implement a plan to curb specific anxious moments lets him know that stress can be tolerated and managed.

If you know that a situation causes you undue stress, you might want to plan ahead to absent yourself from that situation so your children will not interpret it as unsafe. Let's say, for example, that school drop-offs fill you with anxiety. Eventually you want to be able to take your child to school, but if you are still in treatment, you can ask a co-parent or another trusted adult to handle the drop off. "You don't want to model this very worried, concerned expression upon separating from your children," says Dr. Howard. "You don't want them to think that there's anything dangerous about dropping them off at school."

In general, if you feel yourself becoming overwhelmed with anxiety in the presence of your child, try to take a break. Danielle Veith, a stay-at-home mom who blogs about her struggles with anxiety, will take some time to herself and engage in stress-relieving activities when she starts to feel acutely anxious. "I have a list of to-do-right-this-second tips for dealing with a panic, which I carry with me: take a walk, drink tea, take a bath, or just get out the door into the air," she says. "For me, it's about trusting in the fact that the anxiety will pass and just getting through until it passes."

Trying to parent while struggling with your own mental health can be a challenge, but you don't have to do it alone. There is a lot of support online, on blogs, forums and social media. Getting support from the people in your life is important, too. Those people can be therapists, co-parents, or friends - anyone who will step in when you feel overwhelmed, or even just offer words of support. "I am a part of an actual support group, but I also have a network of friends," says Veith. "I am open with friends about who I am, because I need to be able to call on them and ask for help. "

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How to Avoid Passing Anxiety on to Your Kids - Child Mind Institute

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Witnessing a parent in a state of anxiety can be more than just momentarily unsettling for children. Kids look to their parents for information about how to interpret ambiguous situations; if a parent seems consistently anxious and fearful, the child will determine that a variety of scenarios are unsafe.

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