When something feels wrong, the goal of the first conversation is not to prove a conclusion. It is to develop a shared understanding of what the child is experiencing and what the adults can do together.
- 01
Write down what you are seeing
Note specific examples, when they began, how often they occur, and whether anything recently changed. Concrete observations are more useful than broad labels.
- 02
Begin with the person closest to the situation
For many concerns, that is the classroom teacher, counselor, coach, or another staff member who regularly sees the child. Ask what they are observing before deciding what the problem must be.
- 03
Agree on a short, observable plan
Identify two or three reasonable actions, who will take them, and when everyone will check progress. A plan without a follow-up date is easy to lose.
- 04
Summarize and stay connected
Send a brief, respectful follow-up confirming the agreed steps. If the concern continues, the written record helps the next conversation stay focused and productive.
Social & emotional concerns
My child is struggling socially or emotionally. What should I do?
Notice patterns, listen carefully, and widen the circle of support.
Children communicate distress in different ways. A change in mood, behavior, friendships, sleep, attendance, or school performance may be a signal to pay closer attention—not a reason to rush to a diagnosis.
Look for patterns and changes
Consider how long the concern has been present, where it appears, what seems to precede it, and whether it is interfering with everyday life at home, at school, or with peers.
Open the conversation without leading it
Choose a calm moment. Share what you have noticed, ask open questions, and listen without immediately correcting, minimizing, or solving.
Compare perspectives
Speak with the teacher, school counselor, nurse, or another trusted adult who knows the child. A concern seen across settings may call for a different response than one tied to a specific circumstance.
Bring in qualified support when needed
A pediatrician, school-based professional, or licensed mental-health provider can help determine whether additional evaluation or support would be useful.
Seek immediate help if a child may harm themselves or someone else. In the United States, call or text 988 or visit the 988 Suicide & Crisis Lifeline. SAMHSA also offers guidance for parents and caregivers.