Parents often ask themselves whether what they’re seeing is just a phase or something that needs support. It’s not always a clear line, and uncertainty is common.
Children and teens don’t always have the words to describe what they’re feeling. Their distress often shows up in behavior, mood changes, or shifts in daily functioning.
Signs Parents Often Notice First
You might consider therapy if you’re seeing:
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Frequent meltdowns, irritability, or emotional outbursts
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Ongoing anxiety, fears, or worries
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Changes in sleep, appetite, or school performance
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Withdrawal from friends or activities they used to enjoy
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Regression to earlier behaviors
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Physical complaints without a clear medical cause
Seeing these signs doesn’t mean you’ve failed as a parent. It means your child may need extra support right now.
What’s Typical—and What May Need Attention
All children struggle at times. What often matters most is:
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Intensity: How big are the reactions?
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Duration: How long have they been going on?
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Impact: Is daily life being disrupted?
If challenges persist or seem to be growing, therapy can provide a space to understand what’s underneath.
What Child and Teen Therapy Looks Like
Therapy for young people is developmentally appropriate and tailored to their age and needs. It may include:
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Play, art, or creative expression for younger children
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Conversation and skill-building for teens
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Tools for emotional regulation and coping
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Caregiver involvement and guidance
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Respect for privacy, with safety always prioritized
Caregivers are often part of the process, receiving support and strategies along the way.
Addressing Common Parent Concerns
Many parents worry that therapy will label their child or make problems worse. In reality, therapy often helps children feel understood and less alone. It gives them language for their experiences and tools to manage big feelings.
Reaching out early can prevent struggles from becoming more entrenched.
Trusting Your Instincts
You don’t need to be certain to seek support. If something feels off, it’s okay to ask questions and explore options.
Lepage Associates provides child and adolescent therapy in Durham, Raleigh, and Chapel Hill, with telehealth options available across North Carolina. Support can help your child—and your family—feel more steady and connected.