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Adjustment Disorder in Children: Care Instructions


Adjustment disorder is a mental health condition that results from stress and can cause your child to have severe emotional and behavioural responses. But the response to the stress is far more severe than expected. It's severe enough to affect your child's school, work, or social life. And it may lead to depression and physical pains. Events that may cause this response can include the parents' divorce, awareness of family money problems, or starting school or a new job. It might be anything that causes some stress.

This disorder is most often a short-term condition. It happens within 3 months of the stressful event or change. If the response lasts longer than 6 months after the event ends, your child may have a different mental health condition.

Follow-up care is a key part of your child's treatment and safety. Be sure to make and go to all appointments, and call your doctor or nurse advice line (811 in most provinces and territories) if your child is having problems. It's also a good idea to know your child's test results and keep a list of the medicines your child takes.

How can you care for your child at home?

  • Have your child go to all counselling sessions. Do not skip any because you think your child is feeling better.
  • If your doctor prescribed medicines, have your child take them exactly as prescribed. Call your doctor or nurse advice line if you think your child is having a problem with the medicine. You will get more details on the specific medicines your doctor prescribes.
  • Encourage your child to discuss the causes of the stress with a good friend or family member. You and your child also can join a support group for people with similar problems. Talking to others sometimes relieves stress.
  • Encourage your child to be active for at least 1 hour every day. Walking is a good choice. Your child also may want to do other activities, such as running, swimming, cycling, or playing tennis or team sports.

Relaxation techniques

Have your child do relaxation exercises 10 to 20 minutes a day. Your child can play soothing, relaxing music at this time.

Tell others in your house that your child is going to do relaxation exercises. Ask them not to disturb your child. Help your child find a comfortable, quiet place.

Have your child:

  • Lie down on their back, or sit with their back straight.
  • Focus on breathing. Make it slow and steady.
  • Breathe in through the nose, and breathe out through either the nose or mouth.
  • Breathe deeply, filling up the area between the navel and the rib cage. Have your child breathe so that their belly goes up and down.
  • Have your child breathe like this for 5 to 10 minutes.

As your child continues to breathe slowly and deeply, help your child relax by having them do these next steps for another 5 to 10 minutes:

  • Tighten and relax each muscle group. Your child can start at the toes and work up to the head.
  • Imagine the muscle groups relaxing and getting heavy.
  • Do not think about anything. Empty the mind of all thoughts.
  • Relax more and more deeply.
  • Be aware of the surrounding calmness.

When the relaxation time is over, have your child come back to alertness by moving their fingers, toes, hands, and feet. Then your child can stretch and move their entire body. Sometimes people fall asleep during relaxation. But they most often wake up soon.

When should you call for help?

Call 911 anytime you think your child may need emergency care. For example, call if:

  • You feel your child cannot stop from hurting themself or someone else.

Where to get help 24 hours a day, 7 days a week

If your child talks about suicide, self-harm, a mental health crisis, a substance use crisis, or any other kind of emotional distress, get help right away.

  • Call or text Canada's suicide and crisis hotline at 988.
  • Call Talk Suicide Canada: 1-833-456-4566 or text 45645 (4 p.m. to midnight ET).
  • Kids or teens can call Kids Help Phone: 1-800-668-6868 or text CONNECT to 686868.
  • Go to the Talk Suicide Canada website at or the Kids Help Phone website at for more information.

Consider saving these numbers in your phone.

Watch closely for changes in your child's health, and be sure to contact your doctor or nurse advice line if:

  • Your child has new anxiety, or your child's anxiety gets worse.
  • Your child has been feeling sad, depressed, or hopeless or has lost interest in things that they usually enjoy.
  • Your child does not get better as expected.

Where can you learn more?

Go to

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Care instructions adapted under license by your healthcare professional. If you have questions about a medical condition or this instruction, always ask your healthcare professional. Healthwise, Incorporated disclaims any warranty or liability for your use of this information.