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Parent & Child

Support for Parents of Children with Mental Health Issues

Parents of children with mental health issues face major challenges every day: worry, uncertainty, and the question of how they can support their child in a safe and loving way—without losing sight of themselves.  

In this article, our experts Damaris Roser (psychologist, life coach, and former school psychologist) and Kyra Moon (certified social pedagogue and systemic coach) offer practical tips for everyday life, as well as resources and support options. Their advice is practical, empathetic, and free of stigma. 

How many children in Germany have mental health issues? 

Mental health disorders among children and adolescents are widespread in Germany: According to data from the Federal Statistical Office, approximately 116,300 inpatient cases involving 10- to 19-year-olds were recorded in 2024 due to mental health conditions. This accounts for just under 19% of all hospitalizations in this age group (Federal Statistical Office, 2024).

Epidemiological estimates suggest that up to 20% of children and adolescents are affected by a mental disorder each year (BPtK / DZPG).  

 Group Coaching: Stronger Together – A Support Group for Parents of Children with Mental Health Challenges 

Our group coaching provides a safe, structured environment for sharing experiences with others in similar situations, offering professional guidance and mutual support. Through these shared discussions, participants gain clarity, find relief, and discover new ways to move forward. 

🗓️ June 24, 2026 – July 15, 2026 / 7:00 PM – 9:00 PM 

Group Coaching: A Support Group for Parents of Children with Mental Health Challenges 

What are the wait times for psychotherapy? 

According to recent reports, the average wait time for outpatient psychotherapy is approximately18 to 26 weeks (about 4–6 months) to secure a therapy slot or an initial consultation—surveys indicate similar wait times for children and adolescents, and in some cases, even longer wait times.

Since the pandemic, professional articles and healthcare studies have reported waiting times that are in some cases significantly longer, noting that they have nearly doubled compared to previous years. 

How do long wait times affect families?   

Long wait times often lead to symptoms worsening, school problems increasing, and parents feeling increasingly overwhelmed

"Some families are currently turning to emergency services, while others are trying to bridge the waiting period with school psychological support or low-threshold counseling centers—this helps, but it is no substitute for ongoing therapy." – Damaris Roser, psychologist, former school psychologist, life coach at pme Familienservice

What are the most common mental health disorders in children?        

The most common diagnoses in children and adolescents include: 

  • Anxiety disorders, persistent anxiety, or panic 
  • Depressive disorders, low mood, loss of interest 
  • Hyperkinetic disorders (ADHD), such as impulsivity, restlessness, and inattention  
  • Behavioral and emotional disorders 

The prevalence of the disease varies with age:  

  • Hyperactivity and behavioral disorders are more common among elementary school-aged children
  • Depressive disorders and anxiety disorders become more common during adolescence.  

National reports highlight that young people, in particular, are increasingly suffering from mental health issues. This trend has been observed since the onset of the COVID-19 pandemic (UKE, BPtK, DZPG).  

Children with mental health issues may also be eligible for a care level if they have difficulty managing their daily lives. For more information, see the article“Children and Adolescents in Need of Care.” 

How does a child with a mental illness affect the family?    

Possible implications for the family:

  • Emotional burden: Parents report feelings of fear, grief, and intense guilt (“Should I have done more?”).  
  • Chronic worry: Uncertainty about the course of the illness and the risk of relapse can cause long-term stress. 
  • Everyday family life and siblings: less free time, less parental attention for siblings; this can lead to jealousy and conflicts.
  • Work-related stress for parents: absences, decreased productivity, and difficulty keeping appointments.
  • Social isolation and stigma: Many parents feel misunderstood by those around them. 
  • Systemic shortcomings: Long wait times, a lack of coordination between schools, therapists, and youth services, as well as regional shortages of care, exacerbate the burden. 

"Parents often take on additional organizational tasks—scheduling appointments, accompanying children to specialist appointments, and communicating with schools and government agencies. This diverts time and energy away from their relationship and self-care." - Kyra Moon, certified social pedagogue and systemic coach at pme Familienservice

 

How can parents provide concrete support to their child who is struggling with mental health issues? 

“What matters is empathy, structure in daily life, and celebrating small successes. Be proactive in seeking help, such as (school-based) support services, and seek professional evaluation early on,” says Kyra Moon, a certified social pedagogue and systemic coach.

“It’s very important to remember that parents are not therapists. When the stress becomes overwhelming, professional support and treatment are needed. As a parent, be sure to recognize your own limits as well.”  

A professional evaluation helps in making a diagnosis, assessing the severity of the condition, recommending treatment, and conducting a risk assessment. 

Who conducts the medical evaluation? 

  • Pediatrician/Family Physician: Initial evaluation, referral, ruling out physical causes 
  • Child and adolescent psychiatrists: medical diagnosis, assessment of medication, and, if necessary, decisions regarding inpatient treatment 
  • Child and Adolescent Psychotherapists: Psychological Assessment Methods, Developmental and Behavioral Diagnostics 
  • Social-Psychiatric Services / Multidisciplinary Teams (e.g., Child Welfare Services, Family Support Services): Assessment of social and psychosocial circumstances

6 Tips for Parents on How to Manage Everyday Life

1. Set priorities: Taking small, realistic steps helps prevent feeling overwhelmed.  

2. Structure and routines in the daily schedule give children a sense of security.  

3. Delegate and accept help: Accepting support from family, friends, or professional services is not a sign of weakness, but an important resource. 

4. Setting boundaries helps prevent burnout.  

5. Documentation: Putting appointments, agreements, and reports in writing makes it easier to communicate with the school and therapists. 

6. Self-care is essential: take care of your own health and seek out connections with others. 

Well advised with pme parent counseling 

Our parent counselors support parents in all matters from pregnancy to the child's adulthood.   

Personal and confidential: We are there for you online, by phone and on site. You can find more information on the pme parent counseling page. 

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Frequently Asked Questions from Parents of Children with Mental Health Conditions 

How can I tell if my child needs mental health help? 

If changes in mood, sleep, school performance, or behavior persist for several weeks, worsen, or lead to dangerous situations (e.g., self-harm), seek medical or psychological evaluation. 

What should I do in the event of an acute risk of suicide or self-harm? 

In case of immediate danger: Call 911 or contact the nearest emergency room. You can also use crisis hotlines (e.g., telephone counseling services) and stay with the child until help arrives. 

Who can conduct a professional assessment? 

The first points of contact are family doctors and pediatricians; for further assistance, child and adolescent psychiatrists, psychological psychotherapists, or multidisciplinary teams (Youth Welfare Office, Social Psychiatric Service). 

How long is the wait for treatment? 

Recent reports often cite waiting times of about 4–6 months (18–26 weeks), which vary by region and specialty; in some cases, they may be longer. 

What can I do while we wait for a therapy spot? 

Look for low-threshold counseling centers, school psychology services, or psychosocial support programs; take advantage of self-help groups, school support services, and crisis/emergency services to tide you over. 

Does health insurance cover the cost of therapy? 

Psychotherapy services and child and adolescent psychiatric treatments are generally covered by both public and private health insurance plans; please contact your insurance provider for specific details. 

When is inpatient treatment necessary? 

In cases of acute danger to the child, severe symptoms, significant functional impairment, or when outpatient services are insufficient, inpatient treatment may be recommended. 

How do I talk to my child about their mental illness? 

Be open, age-appropriate, non-judgmental, and convey a clear message: “You’re not alone, and we’re here to help.” Take their questions seriously, make them feel safe, and praise even small steps. 

zero Burnout among employees: What managers need to know

Man on a tightrope in the mountain

Burnout among employees: What managers need to know!

When a team colleague returns to work after a burnout, colleagues and managers almost always ask themselves with some concern: How should we deal with him or her? Will he or she be back at work? Carola Kleinschmidt is a trainer and expert on burnout and knows how managers can manage this balancing act.

Psychologist and Managing Director of Oberbergkliniken. For many years, she established concepts for mental health in the workplace in companies. Kentgens gives many educational talks and workshops in companies of all sizes, and wherever she goes, she always encounters the same uncertainty: "How do I as a colleague or boss deal with the person coming back from illness?

This is a question that concerns a lot of people," explains Kentgens. "The questioners in another department have often seen someone come back to the office but only stay at work for a few hours and then go home again. And they asked themselves: Is he allowed to do that because he was ill? Will that always be the case now?".

Reintegration after burnout: in stages from four to eight weeks

"There is usually a misunderstanding here," explains psychologist Kentgens. Bosses and colleagues often don't know that those returning to work are doing a phased reintegration . During this time, they are still officially on sick leave and the health insurance companies pay the wage costs.

As a rule, a gradual reintegration takes four to eight weeks. This period gives returnees the opportunity to gradually acclimatize to everyday working life and their activities again - without too much pressure. "During this time, special arrangements apply that are underpinned by medical or therapeutic advice. There is an agreed step-by-step plan, which is ideally agreed between the returnee, the person receiving treatment, the manager, the HR department, the works council and the company doctor," explains Kentgens. This means that it is quite possible that only a few hours of work per day have been agreed initially or that other special regulations apply to the employee during this time. Ideally, the employee's resilience will increase continuously.

How to deal with a colleague?

Of course, colleagues who don't know this quickly see someone from the outside who is only able to cope with little stress. And it is not uncommon for this initial image of the returnee to become established. A vicious circle can begin: You don't trust the employee to do much - and thus deprive them of the chance to fully reintegrate into day-to-day business.

"We therefore advise managers to communicate the employee's current status within the company to the team. Temporary special arrangements that have been negotiated with the person concerned, such as no business trips or reduced customer contact, should also be communicated so that the team is aware."

Such agreements can still apply between managers and employees even after gradual reintegration. Even then, it is best to communicate this to everyone. This transparency makes it much easier to reintegrate the returnee into the team and prevents rumors, false consideration and gossip.

After the burnout: no false consideration

Once reintegration is complete, which is usually the case after four to eight weeks, the employee is healthy again and can be fully deployed in the company.

"After reintegration and when any special arrangements have expired, the employee is considered fully resilient again," explains Kentgens. From the psychologist's point of view, this is the right thing to do, as there is a risk, especially after a mental health crisis, that the person will remain in a certain protective posture - or be pushed into the corner of "he's no longer resilient" by those around him out of false consideration."

Such developments are counterproductive for health and, above all, for recovery," explains Kentgens. The aim of reintegration is therefore for the employee to be able to return to their old job with the usual stresses and strains. Ideally, after successful treatment, the employee's attitude, resilience and resistance to stress will have improved - including the ability to say "no" from time to time.

"The biggest concern of those affected is that they will be looked at the wrong way when they return to the company."

If the employee notices before returning to work or during the reintegration process that they no longer want to carry out certain activities that were previously part of their duties, then it is not up to the manager or team to automatically take them off their hands. Rather, it is up to the employee to change their tasks and workload, explains Kentgens. This means that they can negotiate their tasks with their manager and also at HR department level in order to make the work suitable for them.

Talks as part of the reintegration process can also be the place for such adjustments. For example, some burnout sufferers want to reduce their working hours or look after fewer customers than before, and in some cases also want to move to other positions with less responsibility. "This clear appeal to the personal responsibility and clarity of those formerly affected may sound rigid," says Kentgens. But she knows from the everyday experience of therapists who work with burnout sufferers: "The biggest concern of those affected is that they will be looked at the wrong way for months after returning to the company, that they are no longer trusted to do anything and that this is precisely why they will not be able to perform again". Clarity in the reintegration process counteracts this discrimination and is therefore beneficial - for everyone involved.

 

About Carola Kleinschmidt:

Carola Kleinschmidt is a graduate biologist, journalist and certified trainer (additional training in communication psychology, Schulz-von-Thun Institute/University of Hamburg).

She has been working on the topic of "health and the world of work" for 15 years. Stern magazine described her non-fiction book "Bevor der Job krank macht" (Before the job makes you ill) as "one of the best books on the subject of burnout". It has sold over 25,000 copies. Follow-up books: "Das hält keiner bis zur Rente durch" (2014), "Burnout - und dann?" (2016). Carola Kleinschmidt gives lectures and workshops in organizations and companies on the topic of "Good Work & Mental Health". www.carolakleinschmidt.de

 

 

 

Literature tip: "Burnout - and then?" (2016)

Every year, millions of people get back to life after a burnout. They all ask themselves: How will my life go on? Should I expect relapses? What and how much do I need to change in my life?

Carola Kleinschmidt has accompanied many sufferers over the years. She describes what life is like after the crisis, what difficulties arise in the new everyday life and what characterizes the people who leave the spiral of exhaustion behind them for good. Short interviews with experts place the individual experiences in a broader picture and explain which strategies are most suitable. The result is a comprehensive picture of how to find your way back to a positive attitude to life after a burnout and ensure that it stays that way.