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BBC Children In Need has launched a new Behind The Bandana campaign to mark Mental Health Awareness Week. The charity has temporarily removed mascot Pudsey’s eye covering to show “not all of the challenges that children and young people may be facing are visible”, the broadcaster said. The campaign encourages conversations between children and parents, carers and other trusted adults “to ensure no child faces their emotional and mental health challenges alone”. Former Love Island contestant Dr Alex George, who has campaigned for better mental health after the death of his 19-year-old brother Llyr by suicide in 2020, has been named Behind The Bandana ambassador. He said: “I know how important early intervention is in helping make a difference to the emotional wellbeing of children and young people and so I am very proud to be the ambassador of such a powerful campaign that really shines a light on the mental health crisis we are facing. “As highlighted by Pudsey bear himself, mental health issues can be less visible on the outside, but conversations and positive relationships really can help.” What’s also clear is that we can all play a role in addressing early signs of worry and anxiety by showing children and young people that we’re here to listen and to support them Simon Antrobus, Children In Need As part of the campaign, Children In Need has released the findings of a new Censuswide survey shedding light on how comfortable children feel when asking for help with their feelings and how often they feel the need to put on their “metaphorical bandana” and hide their emotions. While nine in 10 parents surveyed said they talk to their child about their mental health at least once a month, more than a quarter of young people surveyed said they had not talked to someone they trust about their mental health in the last six months. Children In Need’s boss Simon Antrobus said: “This research is a clear indication that our Behind The Bandana campaign is urgently needed. “What’s also clear is that we can all play a role in addressing early signs of worry and anxiety by showing children and young people that we’re here to listen and to support them. “By recognising and acknowledging that some feelings of worry and anxiety can be hidden means early conversations, sensitively delivered with kindness and empathy, can make a real difference to a child’s wellbeing and can help prevent mental health problems from becoming embedded.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live

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Like adults, it’s normal for kids to have wobbles and worries. But what happens when anxiety becomes an ongoing problem, causing a lot of distress and impacting school attendance? “It is natural for children to not want to go to school from time to time. For example, they might be worried about a test, or a problem with a friend,” says Dr Julia Clements, principal educational psychologist for children’s mental health charity, Place2Be. “With a bit of support, most children will be able to attend school regularly and to not avoid it when things get a bit tricky. However, other children may become so anxious that they start to avoid school all together.” Spotting the signs Remember, children often aren’t able to tell adults when they’re struggling with anxiety. Parents and carers can look out for signs, though. “Anxiety can show up differently in different children. Your child may become tearful or quiet at bedtime, for example, or report feeling so ill they cannot attend school. Alternatively, your child may appear quite angry, argumentative and refuse to get ready for school,” says Clements. Dr Marianne Trent, clinical psychologist and author of The Grief Collective, who previously worked in child and adolescent mental health services (CAMHS), adds: “A child may complain about not wanting to go to school, or that it is boring or that they have tummy ache. They may drag their heels more about leaving the house or walking to school.” Responding with care Showing that you are interested and care about how they’re feeling can be really helpful. Having your support could help alleviate their worries, and hopefully you’ll be able to work through some strategies together. “It is important that parents and carers acknowledge the distress their child is experiencing, and that they are finding going to school a real challenge,” says Clements. “For example, you might say something like, ‘I can see that you are really worried about going to school and that going in will be really hard for you’. “However, it is also important to help your child to ‘face their fears’ and to attend school, despite it being the last thing they feel like doing! Acknowledge that this might be tough, but that you believe in them and will support them to do this difficult thing. Praise and encourage your child for any small steps of progress they are able to make towards attending school regularly.” Trent suggests talking to them about what might have caused their sudden reluctance to attend school: “Asking how they’re feeling and if anything happened the day before which made them feel worried, sad or confused can be a useful first step.” It might be easy for parents and carers to get frustrated and possibly angry if children refuse to go to school. However, this could lead to more distress, so it’s helpful to try and communicate calmly. Trent says: “It’s worth knowing that anger is a secondary emotion, and that this might mask a feeling of not having control, sadness, or even parental anxiety too. “Trying to enter into conversations when both parties are feeling well rested can give the best chance of staying calm. It’s also important that repairing any ruptured relationships is modelled ideally as soon as possible after any harsh or loud words have been spoken,” she adds. Talk to the school If the pattern continues, Trent says: “Arranging a meeting to discuss with the school can be an important step forward. If school attendance drops below a certain percentage, then it may trigger a referral to Child and Adolescent Mental Health services (CAMHS) and/or social care. “If there is a pastoral department in school, then arranging for the child to spend time there doing some 1:1 or group work can be useful. Similarly, liaising with mental health and support services for therapy or support can be transformational too.” Your GP can help advise on mental health support, and some schools may also have counselling services in place. However, Clements says there may be various ways school staff can potentially help – simple adjustments that could make a big difference: “For example, your child may like to be met at the gate, or being given a special job to do in the morning.” Is there anything else going on? It’s important to consider whether other factors could be coming into play, which may require additional attention and support. Clements says: “Do make sure that your child is safe from harm at school – for example, their avoidance of school is not due to them being bullied. If your child is avoiding school because of their neurodivergence or additional needs, then liaise with the SENCO (special educational needs co-ordinator) to make sure that reasonable adjustments are being made.” Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Could talking to toddlers be the key to early brain development? 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