What Types of Emotional, Behavioral and Mood Symptoms Are Commonly Seen in Our Kids?
- Depression: May be exhibited as anger with mood swings
- Unable to adapt to stressful situations
- Excessive rigidity
- Excessive anxiety, panic
- Obsessive compulsive behaviors: Persistent thoughts, impulses, behaviors
- Excessive anger
- Hostile behavior
- Oppositional behavior
- Intense fear
- Difficulty falling asleep
What Your Doctor May Tell You About Mood, Emotional and Behavioral Problems
Your doctor will most likely suggest therapy and counseling at school and/or private therapy and counseling depending on the severity of the situation.
She might also suggest removing any triggers that might be causing behavioral issues in your child or, if there are marital problems between you and your spouse, to seek counseling to improve family relations and circumstances.
Another Way of Thinking about Mood, Emotional and Behavioral Problems
There are many stressors in a child’s life today, and they could be physical, emotional, educational, environmental, or biological.
It is most likely a perfect storm of these varied stressors that ultimately contribute to a child’s mood and behavioral symptoms.
Many times doctors offer cognitive or psychiatric therapy or even pharmaceutical solutions without first looking to see what might be the root cause, which is often physiological, of the symptoms.
For example, the relationship between food and mood/behaviors is often overlooked.
Similarly, inadequate sleep can impact mood and behavior.
Researchers are beginning to uncover the important role that immune and gastrointestinal health may play in the role of mood disorders such as biopolar disorder, depression, schizophrenia and others.
Like autism, mood disorders have long been understood as “brain-based,” often genetically-determined disorders best managed by psychiatrists.
In reality, these mental health diagnoses are really just symptoms of larger systemic medical problems, usually involving some element of gut dysbiosis, immune dysregulation, or mitochondrial dysfunction.
Many of these biological problems stem from certain environmental exposures.
While psychiatrists may certainly be helpful in managing these disorders, they are not necessarily trained to look for the root cause of their patient’s medical issues.
What’s more, many of the pharmaceuticals prescribed to manage these conditions may actually make the conditions worse in the long run.
A physician or healthcare provider trained in integrative or functional medicine may be able to find underlying medical issues and suggest medical protocols that will help heal these underlying systemic problems.
Mood, Emotional and Behavioral Problems Checklist to Start
Before resorting to medications or behavior modification therapies, consider the following underlying issues:
- Address diet: reduce fast foods, sugar, refined carbohydrates (breads, cereals), inflammatory vegetable oils (such as corn, soy oil), chemically processed foods, GMOs, soda, etc. For a child with severe mood and behavioral issues, elimination of junk food is square one.
- Look for food sensititivies as they can have a profound impact on mood and behavior (read more about this here.)
- Check for: dehydration (good quality water), allergies, toxicity, sleep deprivation, lack of minerals, nutritional deficiencies.
- Create a safe environment: reduce EMFs, improve air quality, eliminate heavy metals and chemicals, check for possible mold exposure (which can also impact mood and behavior).
Consider lifestyle contribution:
- Is your child getting 10 hours of sleep per night (or more if your child is under 10)?
- An hour of exercise or movement per day?
- Drinking half his body weight in ounces of water?
Make dietary changes:
Is your child craving and eating primarily a refined carbohydrate, high sugar, trans-fatty acids and fast food diet?
Eliminate all processed foods, and eat a whole foods diet.
Foods with artificial colors, artificial flavors, natural flavors, preservatives, phenols and salicylates have been linked to mood and behavioral symptoms since at least the 1970’s.
- Eat whole foods
- Buy organic foods
- Remove all GMO foods
- Remove all fast and processed foods
- Remove all foods with:
- Artificial colors
- Artificial ingredients
- With an elimination diet, remove potentially inflammatory foods such as:
- Strictly limit:
- Refined salt
- Refined carbohydrates
- Join the Feingold Association www.Feingold.org to learn more.
- Consider implementing a low glutamate diet.
Include plenty of good quality fats, such as:
- Coconut oil
- Olive oil
- Wild salmon
- Organic chicken
- Organic turkey
- Grass-fed ghee
- Pasture-raised eggs
- Grass-fed beef
- Essential fatty acids from:
- Cod liver oil
- Hemp seeds
- Flax seeds
- Evening primrose oil
- Borage oil
- Walnut oil
Heal the gut with special diets such as:
- GAPS (Gut And Psychology Syndrome) diet
- Paleo diet
- GF/CF (gluten-free/casein-free) diet
- Body Ecology Diet
- Modified Atkins Diet (replaces the Ketogenic diet)
Learn more about healing diets and foods.
Clean up your environment:
Have you identified and removed possible environmental triggers, such as mold, dust, pet dander, and electromagnetic fields (EMFs)?
Have you identified and removed possible toxic exposures in the home from purchased products, such as detergents, soaps, lotions, and other cleaning and personal care products?
- Remove animals (both live and stuffed!)
- Remove carpets
- Use non-toxic cleaners
- Use non-toxic building materials
- Green your home
Ask your pediatrician to run some laboratory tests for:
- Possible food sensitivities and allergies
- Enzyme-Linked Immunosorbent Assay (ELISA) IgG, IgA, IgE and IgM
- Nutritional deficiencies in vitamins and minerals. The NutrEval by Genova Diagnostics Labs covers the following areas:
- Cellular energy
- Mitochondrial metabolism
- Neurotransmitter metabolism
- Vitamin deficiencies
- Toxin exposure
- Detoxification need
- Bacterial and yeast overgrowth
- Gluten and casein sensitivities
- Organic acids: The organic acid test by Great Plains Laboratory for yeast overgrowth and Candida, oxalates, and other microbial infections
Add fermented foods and probiotics daily:
These will keep the gastrointestinal system and microbiome healthy and strong which in turn will keep the immune system strong.
- Eat kefir yogurts
- Eat fermented vegetables
- Eat umeboshi plums (very alkalizing)
- Eat miso soup, if soy is tolerated
Some good probiotics are:
- Gut Pro
- Dr. Ohirra’s Live Cultured Probiotics
- Garden of Life
- Klaire Labs
Still Looking for Answers?
- Test for:
- Test for the presence of chronic infections such as Lyme and coinfectors, or strep. Your child’s mood and behavioral issues could be the result of chronic Lyme and/or PANS/PANDAS, both of which are associated with obsessive compulsive behaviors, anxiety, depression and other “psychiatric” symptoms.
- Attend to issues of:
- Too much computer usage
- Not enough movement/exercise/outdoor sports activity
- Inappropriate curriculum
- Too much noise
- Family issues
- Unrealistic expectations
- Low self-esteem
- Lack of successes
- Too much failure
- Other experiences that may be impacting your child’s emotional well-being
Find a practitioner who knows how to get to the root causes of mood and behavioral symptoms.
Atladottir, H.O., Gyllenberg, D., Langridge, A., Sandin, S., Hansen, S.N., Leonard, H., et al. The increasing prevalence of reported diagnoses of childhood psychiatric disorders: a descriptive multinational comparison. Eur Child Adolesc Psychiatry. 2015;24(2):173-83.
Berk, M., Williams, L.J., Jacka, F.N., O’Neil, A., Pasco, J.A., Moylan, S., et al. So depression is an inflammatory disease, but where does the inflammation come from? BMC Med.2013;11:200.
Berry, E.A., Heaton, P.T., Kelton, C.M. National estimates of the inpatient burden of pediatric bipolar disorder in the United States. J Ment Health Policy Econ. 2011;14(3):115-23.
Bayer, J.K., Rapee, R.M., Hiscock, H., Ukoumunne, O.C., Mihalopoulos, C., Clifford, S., et al. The Cool Little Kids randomised controlled trial: population-level early prevention for anxiety disorders. BMC Public Health. 2011;11:11.
Bitsko, R.H., et al. Epidemiology and Impact of Health Care Provider-Diagnosed Anxiety and Depression Among US Children. J Dev Behav Pediatr. 2018 Apr 24. doi: 10.1097/DBP.0000000000000571.
Bonnot, O., Inaoui, R., Raffin-Viard, M., Bodeau, N., Coussieu, C., Cohen, D. Children and adolescents with severe mental illness need vitamin D supplementation regardless of disease or treatment. J Child Adolesc Psychopharmacol. 2011;21(2):157-61.
Ceylan, M.F., Guney, E., Alisik, M., Ergin, M., Dinc, G.S., Goker, Z., et al. Lipid peroxidation markers in children with anxiety disorders and their diagnostic implications. Redox Rep. 2014;19(2):92-6.
Cohen-Cline, H., Turkheimer, E., Duncan, G.E. Access to green space, physical activity and mental health: a twin study. J Epidemiol Community Health. 2015 Jun;69(6):523-9.
Costello, E.J., Foley, D.L., Angold, A. 10-year research update review: the epidemiology of child and adolescent psychiatric disorders: II. Developmental epidemiology. J Am Acad Child Adolesc Psychiatry. 2006 Jan;45(1):8–25.
Dusetzina, S.B., Farley, J.F., Weinberger, M., Gaynes, B.N., Sleath, B., Hansen, R.A. Treatment use and costs among privately insured youths with diagnoses of bipolar disorder. Psychiatr Serv. 2012;63(10):1019-25.
Guney, E., Fatih, Ceylan M., Tektas, A., Alisik, M., Ergin, M., Goker, Z., et al. Oxidative stress in children and adolescents with anxiety disorders. J Affect Disord. 2014;156:62-6.
Fernandes, A.C., Cloete, D., Broadbent, M.T., Hayes, R.D., Chang, C.K., Jackson, R.G., et al. Development and evaluation of a de-identification procedure for a case register sourced from mental health electronic records. BMC Med Inform Decis Mak. 2013;13:71.
Hepgul, N., Cattaneo, A., Zunszain, P.A., Pariante, C.M. Depression pathogenesis and treatment: what can we learn from blood mRNA expression? BMC Med. 2013;11:28.
Karakula, H., Opolska, A., Kowal, A., Domanski, M., Plotka, A., Perzynski, J. [Does diet affect our mood? The significance of folic acid and homocysteine]. Pol Merkur Lekarski. 2009;26(152):136-41.
Leuchter, A.F., Hunter, A.M., Krantz, D.E., Cook, I.A. Intermediate phenotypes and biomarkers of treatment outcome in major depressive disorder. Dialogues Clin Neurosci. 2014;16(4):525-37.
Marazziti, D., Baroni, S., Picchetti, M., Landi, P., Silvestri, S., Vatteroni, E., et al. Psychiatric disorders and mitochondrial dysfunctions. Eur Rev Med Pharmacol Sci. 2012;16(2):270-5.
Mitchell, E.S., Conus, N., Kaput, J. B vitamin polymorphisms and behavior: evidence of associations with neurodevelopment, depression, schizophrenia,bipolar disorder and cognitive decline. Neurosci Biobehav Rev. 2014;47:307-20.
Ostiguy, C.S., Ellenbogen, M.A., Walker, C.D., Walker, E.F., Hodgins, S. Sensitivity to stress among the offspring of parents with bipolar disorder: a study of daytime cortisol levels. Psychol Med. 2011;41(11):2447-57.
Rollins, B., Martin, M.V., Sequeira, P.A., Moon, E.A., Morgan, L.Z., Watson, S.J., et al. Mitochondrial variants in schizophrenia, bipolar disorder, and major depressive disorder. PLoS One. 2009;4(3):e4913.
Rook, G.A., Raison, C.L., Lowry, C.A. Microbiota, immunoregulatory old friends and psychiatric disorders. Adv Exp Med Biol. 2014;817:319-56.
Thompson, L., Kemp, J., Wilson, P., Pritchett, R., Minnis, H., Toms-Whittle, L., et al. What have birth cohort studies asked about genetic, pre- and perinatal exposures and child and adolescent onset mental health outcomes? A systematic review. Eur Child Adolesc Psychiatry. 2010;19(1):1-15.
Van Meter, A.R., Henry, D.B., West, A.E. What goes up must come down: the burden of bipolar depression in youth. J Affect Disord. 2013;150(3):1048-54.
Warner, B.B. The contribution of the gut microbiome to neurodevelopment and neuropsychiatric disorders. Pediatr Res. 2019 Jan;85(2):216-224.
Yang, B., et al. Effects of regulating intestinal micobiota on anxiety symptoms: A systematic review. General Psychiatry, 2019; 32: e100056.
Brogan, Kelly. A Mind of Your Own. The Truth About Depression and How Women Can Heal Their Bodies to Reclaim Their Lives. New York, Harper, 2016.
Doman, Glenn. What To Do About Your Brain-Injured Child, or Your Brain-Damaged, Mentally Retarded, Mentally Deficient, Cerebral-Palsied, Emotionally Disturbed, Spastic, Flaccid, Rigid, Epileptic, Autistic, Athetoid, Hyperactive, Down’s Child. Garden City, New York. Doubleday; 1990.
Guyol, G. Who’s Crazy Here?: Steps for Recovery Without Drugs for ADD/ADHD, Addiction & Eating Disorders, Anxiety & PTSD, Depression, Bipolar Disorder, Schizophrenia, Autism. 1st U.S. ed. Stonington, CT: Ajoite Pub.; 2010.
Hyman, Mark. The UltraMind Solution: Fix Your Broken Brain by Healing Your Body First: The Simple Way to Defeat Depression, Overcome Anxiety and Sharpen Your Mind. 1st Scribner hardcover ed. New York: Scribner; 2008.