Article for Supporting A Child

Self-Care for Parents of Children with Mental Health Challenges

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Author: Linda Armstrong

Co-Author: Jesse Hanson, Ph.D.

Editor: Carrie Steckl, Ph.D.

The Truth You Don’t Want to Admit

You haven’t slept through the night in months. You can’t remember the last time you did something just for yourself. Your own doctor’s appointment has been rescheduled three times. You’re eating whatever’s fast and requires no thought. You haven’t seen your friends in weeks. When someone asks how you’re doing, you say: “Fine. I’m fine.” But you’re not fine. You’re running on fumes. You’re holding it together with duct tape and willpower. You’re one bad day away from falling apart completely. And when someone suggests you “take care of yourself,” you want to scream. Take care of myself? When? How? With what energy? My child is in crisis. I don’t have time for self-care. Here’s what no one tells you: If you don’t take care of yourself, you will break. And when you break, you can’t help anyone. Self-care isn’t selfish. It’s survival. This isn’t about bubble baths and face masks (though those are nice). This is about the minimum requirements for you to keep functioning without completely destroying your mental and physical health in the process.

Why Parents Ignore Their Own Needs

Let’s name the reasons you’re not taking care of yourself:

1. Guilt

“How can I focus on myself when my child is suffering?” You feel selfish for even thinking about your own needs.

2. Time

“I literally don’t have time. Every minute is spoken for.” True. Your schedule is packed. But that’s exactly why you need to create time.

3. Energy

“I have nothing left to give. I’m too exhausted to even think about self-care.” You’re running on empty. Self-care feels like one more demand.

4. Belief it won’t help

“What’s a yoga class going to do when my kid is suicidal?” You’re right—a yoga class won’t cure your child’s mental illness. But it might keep you from burning out.

5. Martyrdom

“I’m a parent. My needs come last.” You’ve internalized the belief that good parents sacrifice everything.
All of these are understandable. And all of them will destroy you if you don’t challenge them.

The Cost of Ignoring Self-Care

What happens when you don’t take care of yourself:

Physical health deteriorates:

  • Sleep deprivation
  • Weight gain or loss
  • High blood pressure
  • Weakened immune system (you get sick constantly)
  • Chronic pain (headaches, back pain)
  • Increased risk of serious illness (heart disease, stroke)

Mental health deteriorates:

  • Depression
  • Anxiety
  • Burnout
  • Compassion fatigue (you stop caring because you have nothing left)
  • Irritability and anger
  • Difficulty concentrating

Relationships deteriorate:

  • Snapping at your partner
  • Withdrawing from friends
  • Impatient with all your children
  • Resentment toward struggling child

Your ability to help deteriorates:

  • Poor decision-making (you’re too exhausted to think clearly)
  • Overreacting to situations
  • Inability to stay calm in crisis
  • Missing important details
  • Can’t advocate effectively
When you’re running on empty, everyone suffers—including the child you’re trying to help.

Reframing Self-Care

Self-care is not:
  • Selfish
  • Indulgent
  • Optional
  • Something you do “when you have time”
Self-care is:
  • Maintaining the minimum requirements to function
  • Protecting your capacity to help your child long-term
  • Modeling healthy behavior for your children
  • Preventing burnout
  • Survival
Think of yourself as a car. If you never refuel, never get oil changes, never do maintenance—you will break down. And when you break down, you can’t drive anyone anywhere. Self-care is maintenance, not luxury.

Minimum Viable Self-Care

Forget the Instagram version of self-care (spa days, elaborate morning routines, hour-long workouts). This is minimum viable self-care—the bare minimum you need to not completely fall apart.

Category 1: Physical Basics

Sleep

Minimum requirement: 6-7 hours per night (ideally 7-8) Why it matters: Sleep deprivation impairs judgment, emotional regulation, immune function, and physical health. You literally cannot function without sleep. How to get it: ✓ Go to bed at the same time every night ✓ Limit caffeine after 2 PM ✓ No screens 30 minutes before bed ✓ If your child’s sleep is disrupted, take turns with your partner (one parent handles nights Mon-Wed, other handles Thu-Sat) ✓ If you’re a single parent and child wakes frequently, ask family/friend to do occasional overnight respite ✓ Consider short naps (20 minutes can help) If you’re not sleeping, nothing else works.

Food

Minimum requirement: Three meals a day that aren’t just coffee and whatever your kid didn’t finish Why it matters: Your brain needs fuel. Skipping meals leads to blood sugar crashes, irritability, poor concentration, and low energy. How to do it: ✓ Keep easy, nutritious foods on hand (protein bars, yogurt, pre-cut veggies, rotisserie chicken, frozen meals) ✓ Meal delivery or grocery delivery (if affordable) ✓ Cook once, eat multiple times (make a big batch on Sunday) ✓ Lower your standards (a sandwich is a meal) ✓ Eat WITH your child at mealtimes (model healthy eating, plus you won’t forget) You don’t need gourmet. You need fuel.

Movement

Minimum requirement: 15-30 minutes of movement most days Why it matters: Exercise reduces stress hormones, improves mood, improves sleep, and gives you energy (counterintuitive but true). How to do it: ✓ Walk around the block (you can do this even when exhausted) ✓ YouTube workout videos (15 minutes at home) ✓ Dance in your kitchen ✓ Park farther away and walk ✓ Involve your kids (family bike ride, hike) It doesn’t have to be intense. It just has to happen.

Medical care

Minimum requirement: Go to your own doctor/dentist appointments Why it matters: You can’t help your child if you’re sick. How to do it: ✓ Schedule appointments now (don’t wait until you have time) ✓ Treat them as non-negotiable (you wouldn’t skip your child’s appointment, don’t skip yours) ✓ Ask partner or family to cover while you go

Category 2: Mental/Emotional Basics

Therapy for yourself

Minimum requirement: Individual therapy for you Why it matters: You’re dealing with chronic stress, possibly trauma, definitely burnout. You need someone to process this with. How to do it: ✓ Find a therapist (see resources in previous articles) ✓ Telehealth makes this easier (can do from your car, your bedroom) ✓ Weekly or biweekly sessions ✓ This is not optional If cost is a barrier: Sliding scale therapists, community mental health centers, online therapy platforms.

Emotional release

Minimum requirement: A way to release emotions regularly Why it matters: You’re holding so much. If you don’t release it, it will come out sideways (snapping at people, physical symptoms, breakdown). Options: ✓ Cry (actually cry, don’t hold it in) ✓ Journal (even 5 minutes of brain dump) ✓ Scream in your car ✓ Punch a pillow ✓ Talk to a friend who gets it Emotions are energy. They need somewhere to go.

Boundaries

Minimum requirement: Saying no to some things Why it matters: If you say yes to everything, you’ll collapse. How to do it: ✓ “No” is a complete sentence ✓ “I can’t take that on right now” ✓ “I need to check with my partner/check my capacity and get back to you” ✓ Let go of non-essential commitments (PTA, volunteering, hosting events) You’re in survival mode. Act like it.

Category 3: Connection

Support system

Minimum requirement: At least 2-3 people you can be honest with Why it matters: Isolation makes everything worse. You need people who can hold space for you. Who: ✓ Partner (if you have one) ✓ Close friend (who won’t judge or give unsolicited advice) ✓ Family member ✓ Support group (NAMI, online communities) ✓ Therapist How to use them: ✓ Be honest: “I’m not okay. I’m really struggling.” ✓ Ask for what you need: “Can I just vent?” or “Can you help with X?” ✓ Let them help: Don’t refuse when people offer You cannot do this alone. Stop trying.

Your relationship (if partnered)

Minimum requirement: 5 minutes of connection per day Why it matters: Your relationship is the foundation. If it falls apart, everything falls apart. How to do it: ✓ 5-minute daily check-in (How are you? What do you need?) ✓ One date per month (even if it’s sitting in the car talking) ✓ Say thank you (for things your partner does) ✓ Physical touch (hug, hold hands, sit next to each other) ✓ Couples therapy (if needed) Your relationship doesn’t have to thrive right now. It just has to survive.

Category 4: Joy/Meaning

One thing you enjoy

Minimum requirement: One small thing per week that brings you joy Why it matters: If your entire life is crisis management, you’ll burn out. You need something that reminds you life can still be good. Examples: ✓ Read for 20 minutes ✓ Watch a show you love ✓ Listen to music ✓ Garden ✓ Craft/create something ✓ Call a friend ✓ Take a bath It doesn’t have to be big. It just has to be something.

Perspective

Minimum requirement: Something that reminds you of the bigger picture Options: ✓ Gratitude practice (name 3 things you’re grateful for before bed) ✓ Spiritual practice (prayer, meditation, nature walks) ✓ Remind yourself: “This is a season, not forever” When you’re drowning in the day-to-day, you need something that lifts your head above water.

The 5-Minute Self-Care Menu

When you have literally 5 minutes: ✓ Deep breathing (box breathing: 4-4-4-4) ✓ Step outside and feel the sun ✓ Stretch ✓ Drink a glass of water ✓ Listen to one song you love ✓ Text a friend ✓ Pet your dog/cat ✓ Close your eyes and rest 5 minutes is better than nothing.

The 30-Minute Self-Care Menu

When you have 30 minutes: ✓ Walk outside ✓ Take a real shower (not a rushed one) ✓ Watch a show ✓ Read ✓ Journal ✓ Nap ✓ Call a friend ✓ Do yoga (YouTube) ✓ Hobby/creative activity

The 2-Hour Self-Care Menu

When you have 2 hours (rare but essential): ✓ Get out of the house alone ✓ Coffee shop + book ✓ Movie ✓ Hike ✓ Massage (if affordable) ✓ Lunch with a friend ✓ Bookstore/library ✓ Whatever you want This should happen at least once a month.

How to Actually Make Self-Care Happen

“This all sounds great, but when am I supposed to do this?” Fair question. Here’s how:

1. Schedule it

If it’s not on the calendar, it won’t happen.
  • Therapy: same day/time every week
  • Movement: block 30 minutes, 3-4x/week
  • One-on-one time with partner: every Sunday evening
  • Time for yourself: Saturday morning, 2 hours
Treat it like a doctor’s appointment. Non-negotiable.

2. Trade off with your partner (if you have one)

Take turns.
  • Saturday morning: Partner A gets 2 hours off. Partner B handles kids.
  • Saturday afternoon: Switch.
Both of you need breaks.

3. Ask for help

Ask family/friends:
  • “Can you watch the kids for an hour on Saturday so I can go for a walk?”
  • “Can you bring dinner on Tuesday?”
  • “Can you drive [child] to therapy this week?”
People want to help. Let them.

4. Lower your standards

Your house will be messier. Your meals will be simpler. Your kids will watch more TV. That’s okay. You’re in survival mode. Prioritize:
  1. Your mental health
  2. Your child’s safety
  3. Basic functioning for everyone else
  4. Everything else (optional)

5. Use respite care

Respite care = temporary relief for caregivers. Options:
  • Family/friends watching your child for a few hours
  • Paid babysitter
  • Respite care programs (some community organizations offer this for families dealing with mental health crises)
  • Teen programs or day camps
You’re allowed to take a break.

What to Do When You’re Already Burned Out

Signs you’re burned out:
  • Physically exhausted all the time
  • Emotionally numb or constantly irritable
  • Detached from your child’s struggles (you just don’t care anymore)
  • Difficulty concentrating
  • Health problems
  • Feeling hopeless
  • Thoughts of escape or self-harm
If you’re burned out, you need more than self-care. You need intervention.

Steps:

1. Tell someone: Partner, friend, therapist, doctor 2. Get medical evaluation: (Could be depression, could be physical illness) 3. Get therapy immediately 4. Consider medication (if doctor recommends) 5. Take emergency time off (if possible—family leave, medical leave, ask partner to take over for a week) 6. Reduce your load: What can you cut? What can someone else handle? Burnout is serious. Don’t push through it.

When You Feel Guilty for Taking Care of Yourself

The guilt is loud: “My child is suffering and I’m getting a massage?” “How can I take time for myself when they need me?” “I don’t deserve to feel good when they feel so bad.” Here’s the reframe: Taking care of yourself is not selfish. It’s strategic. You are more patient when you’re rested. You make better decisions when you’re not burned out. You can be present when you’ve had a break. You model healthy behavior when you prioritize your own health. Your child needs a healthy parent more than they need a martyr.

What Your Child Needs to See

Your child is watching you. If they see you:
  • Ignoring your own needs
  • Running yourself into the ground
  • Never resting
  • Never asking for help
They learn:
  • “My needs destroy people”
  • “I’m a burden”
  • “Self-care is selfish”
  • “Asking for help is weak”
But if they see you:
  • Taking care of yourself
  • Setting boundaries
  • Asking for help
  • Resting when you need to
They learn:
  • “It’s okay to have needs”
  • “Taking care of yourself is healthy”
  • “Everyone needs support”
  • “I don’t have to destroy myself to be worthy of love”
Modeling self-care teaches your child that they’re allowed to do the same.

Self-Care Is Not the Solution (But It’s Essential)

Let’s be clear: Self-care will not:
  • Cure your child’s mental illness
  • Make the situation easy
  • Fix everything
But self-care will:
  • Keep you functional
  • Prevent complete burnout
  • Preserve your physical and mental health
  • Make you a better parent
  • Help you survive this
Self-care doesn’t solve the problem. But it keeps you alive while you’re solving the problem.

Building a Self-Care Plan

Write this down. Literally. Right now.

My non-negotiables:

✓ Sleep: _____ hours per night ✓ Food: _____ meals per day ✓ Movement: _____ minutes, _____ days/week ✓ Therapy: Every _____ (weekly/biweekly) ✓ Time with partner: _____ minutes per day, _____ hours per month ✓ Time for myself: _____ hours per week ✓ One thing I enjoy: _____ (what and when)

My support people:




Who can I call when I’m struggling? Who can I ask for help?

My red flags:

When I notice these signs, I know I need to take action:




My emergency plan:

If I’m completely burned out, I will:




Permission Slips You Need

✓ You’re allowed to take a break ✓ You’re allowed to feel joy even when your child is suffering ✓ You’re allowed to prioritize your own health ✓ You’re allowed to say no ✓ You’re allowed to ask for help ✓ You’re allowed to not be perfect ✓ You’re allowed to have needs ✓ You’re allowed to rest You don’t have to earn these. They’re yours by default.

What You Need to Remember

✓ Self-care is survival, not selfishness ✓ If you don’t take care of yourself, you will burn out—and then you can’t help anyone ✓ Minimum viable self-care: sleep, food, movement, therapy, support, boundaries ✓ Schedule it or it won’t happen ✓ Your child needs a healthy parent more than a martyr ✓ You’re allowed to have needs You’re carrying an impossible load. You’re doing something incredibly hard. And you’re allowed to need support. Taking care of yourself isn’t abandoning your child. It’s ensuring you’ll still be standing when they need you tomorrow. You can’t pour from an empty cup. So fill the cup. Even if it’s just a little. Even if it’s just for five minutes. You matter too.

Last Reviewed:
Oct 25th 2025

Shivani Kharod, Ph.D.

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