When should my child see a psychiatrist vs. a therapist?

A therapist helps children work through emotions, behavioral challenges, and life changes through talk therapy. A psychiatrist is a medical doctor who can diagnose complex mental health conditions and prescribe medication. If your child has been in therapy but still struggles, or if a professional has suggested medication might help, it's time to see a psychiatrist.

Can my child see both a psychiatrist and therapist?

Yes, this is common and often recommended. A psychiatrist manages medication and monitors its effectiveness, while a therapist provides ongoing talk therapy and coping strategies. This team approach offers comprehensive mental health care.

What mental health conditions require a child psychiatrist?

Conditions that often benefit from psychiatric care include ADHD, severe anxiety or depression, bipolar disorder, OCD, treatment-resistant depression, and any condition where medication may be helpful.

How do I find a child psychiatrist in Charlotte, NC?

Pediatric & Family Behavioral Health (PFBHNC) in Charlotte offers comprehensive psychiatric care for children, adolescents, and adults. Located at 10420 Park Rd, Suite 300, the practice accepts most major insurance plans.

Surviving the Holidays: A Guide for Families of Neurodivergent Kids

PFBH
Dec 9
3 min read

Updated: 27 minutes ago

A child therapist and mom of five shares how to trade holiday pressure for peace, helping families of children with ADHD, ASD, and anxiety find joy in a calmer season.

The holidays are supposed to be magical, but for many families, they can feel anything but. Lights, decorations, parties, cookies, gifts… it’s a lot. And for parents of children with ASD, ADHD, anxiety, or sensory sensitivities, that “magic” can quickly turn into a stressful, overwhelming, and exhausting experience for everyone.

As a mom of five, I know this well. When my kids were young, I wanted Christmas to be perfect. I wanted cookies baked, toys under the tree, every party attended, and every tradition honored. I dressed the kids up, dragged them to see Santa, and expected smiles for pictures.

Then there was my middle son. He struggled with ADHD and did not like being told what to do. One year, he bolted away from Santa’s lap and refused a photo with the reindeer.

And there I was, gritting my teeth, whispering, “Just smile!” You can probably guess how that went: tears, frustration, and a “ruined” experience for everyone. All because I thought that’s what we should do during the holidays.

Looking back, some of these moments make us laugh now, but at the time, they were stressful for everyone. If I could do it again, I’d do many things differently.

As a child therapist, I see this pattern often.

Parents feel pressure to push their child into holiday activities, even when those activities are overwhelming.

Here are some strategies I share with families to make the holidays smoother and more enjoyable for neurodivergent kids:

1. Prepare Ahead

Children who are neurodivergent often struggle with surprises. Post a schedule where everyone can see, remind them of events in advance, and talk through the day so there are no sudden changes.

2. Avoid Large Gatherings if Possible

Crowds and noise can be overwhelming. If attendance is unavoidable, consider using headphones, taking breaks, or creating a safe spot where your child can regroup.

3. Host Events at Your Home

Having events at home can be beneficial as your child can go to their room if feeling overstimulated.

4. Choose Sensory-Friendly Clothing

Comfort is key. If tight collars, itchy fabrics, or scratchy holiday outfits are stressful, let them wear something they feel good in.

5. Respect Your Child’s Choices

If they don’t want to bake cookies, see Santa, or attend a party, it’s okay. Traditions are meaningful, but your child’s comfort and emotional safety come first.

6. Schedule Quiet Time

Even during the busiest weeks, carve out at least an hour of downtime. It helps everyone recharge and prepare for evening events or social gatherings.

7. Practice Expectations

Role-play greetings, “please” and “thank you,” and other social situations. Preparing ahead can reduce anxiety and make interactions smoother.

8. Model Calm and Breathing

Kids often mirror the emotional tone of their caregivers. Take deep breaths, stay calm, and show them how to self-regulate.

9. Take Care of Yourself

Parents’ stress affects children. The Surgeon General reports that 64% of people with mental health challenges experience worsening symptoms during the holidays. Remember: caring for yourself helps your child feel safe and supported.

The holidays don’t have to be perfect to be meaningful. When we prioritize our children’s needs and take care of ourselves, we create a season that’s calmer, happier, and truly magical for the whole family.

References

UC Davis Health. 7 tips for managing your mental health during the holidays.
Child Mind Institute. How to make holidays kid-friendly.
The REACH Institute. 10 ways to help families through the holidays.

About the author: Kara Riedl, LCSW

Kara Riedl, is the Clinical Supervisor and a Child and Adolescent Therapist at Pediatric and Family Behavioral Health. She specializes in DBT, EMDR, and play therapy, and she facilitates therapeutic groups for neurodivergent children and teens. In addition to her clinical work, Kara has taught at the college level for 14 years, primarily focusing on child and adolescent psychology.