Infants and Toddlers and Mental Health
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Infants and Toddlers and Mental Health
Referring Infant and Toddlers for Psychological Services
Referring Infant and Toddlers
Irlen Syndrome

When Do Infants and Toddlers Benefit from Mental Health Services?

By Lianne Lennert, PsyD

Many people believe that infants and toddlers are too young to have emotional problems, or, if they have problems, are too young to treat. This is unfortunate, because during the first few years of life, appropriate treatment is more effective, and requires less effort, than at any other time of life.

The reason for this is that infants and toddlers are (with the help of their caregivers) creating a foundation for emotional health that will last a lifetime. Addressing mild problems in parent-child interactions during these formative years can result in a much stronger foundation that will serve as a resource for preventing emotional disorders throughout the life span.

When do infants or toddlers benefit from mental health services?

Infants and toddlers often benefit from mental health services when there is something getting in the way of the parent and baby having or communicating positive feelings, or  working together to meet the infant or toddler’s needs. You might want to consult with an early childhood psychologist if:

bulletYou are not sure whether you and your baby have “bonded” well, or if there was something that got in the way of building a positive bond with your baby (such as hospitalization for you or your baby, postpartum depression, adoption or foster care, extreme fussiness, or severe parent stresses during the first two years)
bulletYour baby has trouble “taking in” comfort from you (looks away, stiffens or arches away when held, doesn’t calm down at all when comforted)
bulletYour baby has failure to thrive, especially if there is no known medical cause
bulletYour baby does not show any stranger awareness, or does not respond differently to parents and unfamiliar people sometime between 6 months and 18 months of age
bulletYour baby is excessively clingy or anxious after the age of 2, and will not move away from you even a short distance to explore toys or interact with other children
bulletYou are having a hard time liking your baby or toddler, or if it seems as though most of your interactions are negative or upsetting
bulletYou are worried about how well your baby or toddler is learning language or other skills
bulletYou are worried about your baby’s sleeping, feeding, toilet training, or behavior
bulletYou feel that you overreact, yell, or hit your child, or feel extreme distress when your child shows typical sorts of misbehavior
bulletYou are concerned about how your own experience of being parented might affect your parenting

How does an early childhood psychologist work with infants and toddlers? 

As you might guess, infants are not very good at “talk therapy,” so it is sometimes hard for parents to imagine what a psychologist might do to help a very young child. The process usually starts with a phone call. The psychologist will ask questions about your concerns and schedule an appointment. Often, the first appointment is only with the parents, and you might not even bring your baby. This is so that you can talk without distractions. The psychologist will also schedule a time to observe you and your baby and how you interact. This helps the psychologist get an idea of how your baby or toddler is doing as well as getting an idea of how well you work together—how well does your baby communicate needs, for example, or how well does he/she take in comfort if she/he is upset. Once the psychologist understands the problem, he or she will talk with you about what is needed and what your options are. A psychologist familiar with infant-toddler mental health can:

bulletHelp you understand what is going on with your baby and whether you and your baby might benefit from additional support
bulletCoach you in understanding what your baby is trying to communicate and what she/he needs
bulletTreat mental health disorders, such as postpartum depression, that might be getting in the way of your relationship with your baby
bulletHelp you evaluate current stresses in your life and decide whether you want to make lifestyle changes
bulletHelp you heal from painful experiences in your family-of-origin that might be getting in the way of your feelings for your baby
bulletTeach you effective ways to discipline your young child

Why do infant-parent relationships matter so much?

In the book, [1]From Neurons to Neighborhoods, the researchers from the National Research Council and Institute of Medicine describe three crucial developmental tasks during infancy and toddlerhood. These tasks include:

bulletLearning to regulate emotions, behavior, and attention
bulletDeveloping the abilities needed for learning, including early language development, reasoning, and problem solving skills
bulletLearning to relate well to other children and form friendships, including the capacity to trust, love, nurture, and resolve conflict constructively.

All of these tasks depend on having a healthy, responsive relationship with one or a few caregivers during the first three years of life. Research shows that the most important learning experiences for infants and young children are social and relational. The right side of the brain—the part that processes faces and facial expression, language prosody (the “music” of language), and nonverbal and emotional communication, is growing rapidly during the first 18 months of life. Healthy parent-child interactions build these important foundational skills because they are helping to shape the areas of the brain these skills are based on!

bulletParents who communicate delight in their babies, respond to their cues, and help them calm down when they are upset are helping them learn to manage feelings, feel empathy, and trust others.
bulletA baby’s connection with his/her parents provides a secure base for exploring the world, and facilitates language learning.
bulletEmotional communication with parents through facial expression, touch, and tone of voice is the precursor for spoken language. This nonverbal communication will continue to add depth and nuance to conversation throughout life.
bulletWhen parents respond to their babies, they help develop the brain regions that later support empathy, self-regulation, attention skills, intuition, and the ability to recognize the intentions of others. These are all capacities that are crucial for making friends and resolving interpersonal conflict.
bulletA baby’s relationships to parents form the basis for her/his “working model” of relationships that guides his/her expectations and behavior when interacting with others throughout life.

Unfortunately, there are a wide variety of problems that can interfere with the development of healthy parent-child relationships, including:

bulletDifficult child temperament or mismatch between parent and child temperament
bulletSensory or regulatory problems in the infant/toddler
bulletParental depression or other mental health problems
bulletLack of social and emotional support for mothers and fathers
bulletPsychological stressors such as financial problems, marital discord, or work pressures
bulletParents themselves had poor parenting models
bulletPoor quality child care
bulletParents have difficulty reading infant cues
bulletChild neglect or maltreatment, or family violence

By talking to an early childhood psychologist, parents of young children with problems can better understand the needs of their particular child and how to recognize and respond to those needs. This enables them to work with their infant or toddler to build a satisfying, nurturing relationship that supports brain development. This also helps them to build the foundation for future mental, emotional, and physical health, strong friendships, and good learning skills.


 

[1] National Research Council and Institute of Medicine (2000). From Neurons to Neighborhoods: The Science of Early Childhood Development. Shonkoff, Jack P. & Phillips, Deborah A. eds. Board on Children, Youth, and Families, Commission on Behavioral and Social Sciences and Education. Washington, DC: National Academy Press, p. 92.

 

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Last modified: 11/17/07