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When a child seems to be struggling, families often do not know where to start. Noting changes and seeking appropriate assessment is a sound first step.

Knowing something has changed

Parents and carers are often the first to sense that a child is not themselves. Yet it can be hard to know which service to contact, or how to put the changes into words. Worry, guilt and uncertainty are common feelings at this stage, and they are understandable.

A helpful first step is to write down what you have noticed and seek advice about a suitable local assessment. Services designed for adults should not be assumed to suit children.

What to observe and record

• Changes in sleep, appetite or energy.
• Shifts in school attendance, participation or grades.
• Withdrawal from friends, family or activities they enjoyed.
• New or intensified behaviour, worries or physical complaints.

Share these notes with your GP, the school counsellor or another appropriate child health professional. They can help guide you towards paediatric or child and adolescent mental health services where needed. If a child is at immediate risk, call 000.

Asking the right questions about fit

Dr Christine Shen, Acupuncturist, practises from the Lane Cove clinic and also holds psychotherapy qualifications. If you are considering speaking with her about your child, ask directly about:

• whether her services are suitable for your child's age;
• how parents or carers would be involved;
• whether specialist assessment should come first or run alongside.

A child's care should match their developmental stage and needs, and Christine can help you think about whether a referral elsewhere would suit them more.

The whole family matters

Children are shaped by family routines, school life, friendships and the wellbeing of the adults around them. Looking after your own stress and seeking support for yourself can be a meaningful part of helping your child.

Taking the first step together

You do not need all the answers before reaching out. Bring your notes to a GP appointment soon, and use that conversation to map out who is well placed to support your child.