From Toddler Tantrums to Teen Anxiety — Understanding Pediatric Mental Health

post-img3

May is Mental Health Awareness Month, a critical reminder that emotional well-being is just as important as physical health – starting in childhood. Mental health challenges don’t wait until adulthood to surface. In fact, half of all mental health disorders begin before age 14, according to the World Health Organization (WHO).

Whether it’s a preschooler with persistent tantrums, an anxious third-grader, or a teen navigating depression – early identification and compassionate care can change a child’s trajectory.

Pediatric Mental Health: What the Data Says

  • 1 in 5 children in the U.S. experiences a mental, emotional, or behavioral disorder each year (CDC).
  • Only 20% of those children receive care from a mental health professional.
  • Suicide is the second leading cause of death among youth aged 10–14 (CDC, 2023).
  • Rates of anxiety and depression in children have risen significantly since the COVID-19 pandemic, with an estimated 9.4% of children aged 3–17 diagnosed with anxiety, and 4.4% with depression.

These numbers highlight a national and local – need to prioritize children’s mental health with the same urgency as physical illness.

Understanding Mental Health by Developmental Stage

Toddlers & Preschoolers (0–5 years)
Mental health at this age is tied to attachment, regulation, and emotional expression. Warning signs may include:

  • Severe, frequent tantrums
  • Sleep disturbances
  • Delayed speech or social skills
  • Aggressive or withdrawn behavior

Resource:

  • Zero to Three – Tools for parents on early childhood mental development

School-Age Children (6–12 years)
Children may begin to express emotional struggles through academics, friendships, or physical complaints.

  • Difficulty concentrating or hyperactivity
  • Low self-esteem or academic struggles
  • Somatic symptoms (stomachaches, headaches)

Resources:

Adolescents & Teens (13–18 years)
Adolescents are more prone to internalizing disorders like depression and anxiety.

  • Mood changes, hopelessness, or irritability
  • Risky behavior or substance use
  • Social withdrawal or changes in eating/sleeping
  • Self-harm or suicidal ideation

Resources:

Supporting Your Child at Every Stage

Mental health support isn’t one-size-fits-all. It often involves layered care—home support, school involvement, pediatric consultation, and sometimes specialist care.

At Home

  • Establish routines and set boundaries for screen time
  • Create emotionally safe spaces where children feel heard
  • Model healthy emotional regulation and problem-solving

In School

  • Request a mental health evaluation if concerns persist
  • Collaborate with teachers and school counselors
  • Utilize support plans (504 Plans or IEPs) for diagnosed mental health needs

Georgia-Based Resources

When to Involve Your Pediatrician

Not all emotional struggles require immediate intervention, but it’s important to know when professional support is warranted. Contact your child’s pediatrician if you notice:

  • Persistent sadness, fear, or anger lasting more than two weeks
  • A sudden drop in academic performance or changes in behavior
  • Difficulty eating, sleeping, or maintaining relationships
  • Verbalizations of self-harm or expressions of hopelessness

At Sandy Springs Pediatrics, we offer:

  • Developmental and emotional screenings at checkups
  • Referrals to licensed child therapists and psychologists
  • Behavioral health education for families navigating challenges

Early intervention can lead to better long-term outcomes in academic achievement, social skills, and emotional resilience.

Mental Health is Health

This Mental Health Awareness Month, we encourage all families to take mental well-being seriously – at every age and every stage. Whether your child is struggling to sleep, feeling overwhelmed at school, or showing signs of emotional distress, know that help is available and healing is possible.

Need to speak with your pediatrician about your child’s mental or emotional health?
Contact our office at 404-252-4611 or submit an appointment request via our ‘Contact Us’ form on our homepage.

Scroll to Top