Hidden Pain: Depression and Self-Harm in Children and How to Help Them

https://www.blog.mojra.info/post/538

A national mental health monitoring of children in the Czech Republic, conducted by Matěj Kučera from the Institute of Mental Health, has revealed shocking findings. It shows that up to 40% of ninth-grade students in primary schools display signs of moderate to severe depression, and 30% of ninth-graders experience anxiety issues. I work as a school psychologist, and I interact with children. Unfortunately, ninth-grade students, in particular, are not willing to talk about their feelings and problems. When I compare boys and girls, I've noticed that girls are more willing to discuss their emotions, but this isn't always the case. Some girls are very withdrawn and don't even interact with their peers.

 

"The most common issue I encounter in my practice is children engaging in self-harm. Unfortunately, I've come across self-harming thoughts or attempts in a fourth-grade student, but typically, it involves older children, mostly girls, around the sixth grade and above in primary school."

 

Why do children harm themselves in such a cruel way?

The reasons vary, whether it's issues with classmates, bullying, problems with parents, heartbreak, and so on. All girls, and even boys, who struggle with self-harming tendencies primarily have issues related to their relationship with themselves.

 
Where can we seek the causes of children's low self-esteem that lead to self-harm?

There can be multiple reasons why children have low self-esteem, negative self-image, and a general lack of self-love, causing them to harm themselves. However, it always comes down to relational matters. Some children say that they didn't receive enough parental love during their childhood, that their parents, and often even teachers, told them they were stupid. Children automatically accept these labels because they haven't yet developed critical thinking and the ability to rationally evaluate and filter the labels we send their way. When we tell a child they are dumb, they believe us. When we tell them they are smart, they believe us.

 

The mental well-being of children is also significantly influenced by their friendships. Adolescents need to be a part of a peer group, to belong somewhere. In exchange for being part of this peer group, they are willing to do things they might not otherwise do, especially boys. This includes trying cigarettes (both traditional and electronic, which don't leave a strong smell and are harder for parents to detect), consuming energy drinks, and in some adolescent groups, even experimenting with alcohol and drugs, which unfortunately are relatively easy to access nowadays. In some groups, they also experiment with other drugs, such as marijuana, which is legal in some states, but few inform children that it doesn't bring momentary relaxation to everyone and can trigger psychosis in some users. When I worked in a psychiatric facility, we had a young patient in his twenties with schizophrenia triggered by marijuana, which he claimed to have tried only twice in his life. Schizophrenia is an incurable condition that will negatively affect him for the rest of his life.

 

Compared to previous generations, our children spend an enormous amount of time on social media, which is also not good for their mental health. Sometimes, they share photos, such as those in swimsuits (at best), for which they may later feel embarrassed in front of classmates and parents. Besides social media, children, sometimes as young as elementary or preschool, spend a lot of time playing mobile games or on computers, which is also detrimental to their mental health. Playing on a computer is more appealing to them than playing with peers because it provides them with more adrenaline and excitement.

 

"Some girls have started harming themselves due to bad relationships in the class and problems with their best friends."

 

The factors mentioned above personally seem to be the riskiest for children's mental well-being, although there may be more. When these issues are discussed, children admit that the physical pain from self-harm provides relief from the psychological pain caused by problems in close relationships.

 
A very serious issue we've been dealing with at school lately is eating disorders.

Some children refuse to eat because they feel they're overweight, and the root of this belief often stems from an insignificant comment made by a family member, which the child took personally. Some children transition from self-harm to eating disorders because they see it as a better alternative to avoid having unpleasant scars. Both self-harm and eating disorders share the common aspect that a child is harming their own body, indicating that they don't have self-love, are unhappy with their bodies, and generally unsatisfied with themselves. Often, these children feel like nobody understands them, nobody cares about them, and that it doesn't really matter whether they exist or not.

 
What can we do for our children?

To reverse this critical state of our children's mental health, it's essential for us as parents, teachers, and adults to express to them that they are important to us and that we care about them. We need to help them develop their inner potential, so they can pursue what they enjoy and where they can thrive. It's crucial from a young age to support children's self-esteem and self-confidence, make them aware of how exceptional and significant they are, and reinforce healthy self-esteem and self-respect. We need to show them who they truly are and that their self-worth doesn't depend on what a classmate or someone offering, for instance, drugs might say, but that they know who they are inside. It's also important to teach children healthy assertiveness so that later, when someone asks them to do something they don't identify with, they can say NO.

 

"Children need to have goals, aspirations, and plans they want to achieve in life. Let's allow them and encourage them to accomplish their goals and experience success, even if they're not perfect."

 

 

 

Author: Mgr. Jitka Kneslová, psychologist at the online counseling MOJRA

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