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Understanding Mental Health in Children and Families: A Conversation with Renu Velisetty M.D.





Mental health challenges can be overwhelming for families, often leaving parents unsure of when or how to seek help. Many wait too long, struggling in silence until issues begin to affect school, work, and relationships. Dr. Renu Velisetty, a psychiatrist dedicated to holistic and individualized mental health care, shares insights on the barriers to treatment, alternative approaches, and the importance of proactive mental wellness for children and families.


The Stigma and Hesitation Around Mental Health Treatment

One of the biggest obstacles to seeking help for mental health concerns is stigma. Many parents hesitate to engage with a psychiatrist due to misconceptions about treatment, particularly regarding medication.

"Often, people assume that if they seek psychiatric care, medication will be the only option," Dr. Velisetty explains. "But there are many other approaches, including behavioral modifications, lifestyle changes, and holistic treatments that can also be effective."

This misunderstanding can delay much-needed care, leading families to struggle for months or even years before reaching out for support.


A Holistic Approach to Mental Health

Mental health care is no longer just about prescribing medication. More and more families are seeking alternative and holistic methods to support their children’s well-being.

"We’re seeing a shift toward a more proactive approach," says Dr. Velisetty. "Families are looking for ways to support mental health beyond traditional psychiatry, incorporating things like nutrition, exercise, and mindfulness."

This comprehensive approach recognizes that mental health is deeply connected to physical, emotional, and social well-being.


When to Seek Help: Psychiatry vs. Therapy

Many parents wonder whether their child needs a psychiatrist or a therapist, and the distinction between the two can be confusing.

  • Therapists provide counseling and behavioral strategies to help manage emotional challenges.

  • Psychiatrists can offer medical evaluations, prescribe medication when necessary, and often work in collaboration with therapists.

"Ideally, the best outcomes come from a combination of both," Dr. Velisetty notes. "Therapists offer ongoing support, while psychiatrists can assess whether medication or other interventions might be beneficial."


Accessing Care: Do You Need a Referral?

Parents often wonder if they need to go through a primary care doctor before seeing a psychiatrist. While some choose to start with their pediatrician, others seek psychiatric care directly—especially if they have prior experience with mental health treatment.

"I see patients from all different entry points," Dr. Velisetty explains. "Some are referred by a primary care doctor, others come through a therapist, and many reach out directly because they want to explore their options."

For those unsure of where to start, simply having a conversation with a psychiatrist can provide clarity on the next steps.


The Growing Mental Health Crisis Among Children and Teens

Dr. Velisetty highlights a significant increase in mental health struggles among young people, particularly following the COVID-19 pandemic.

  • Young children are showing more ADHD and behavioral issues.

  • Teenagers are experiencing higher levels of anxiety and depression, often linked to academic pressure, social challenges, and over-scheduling.

  • Adults are also reporting increased stress, burnout, and mental health concerns.

"There's a lot of pressure on kids today—not just academically, but socially as well," Dr. Velisetty observes. "We live in a culture that promotes constant activity, but sometimes, we need to slow down."


The Impact of Overstimulation and Social Pressure

The modern world is fast-paced and overwhelming, and many children and teens are constantly stimulated by schoolwork, extracurricular activities, and digital devices.

"Whether you're two years old or an adult, constant stimulation can lead to anxiety and burnout," says Dr. Velisetty. "When kids don’t have enough downtime, they struggle to process emotions in a healthy way."

Creating intentional quiet time—away from screens, stress, and obligations—can help children develop emotional resilience and self-awareness.


Proactive Mental Health: What Parents Can Do

Rather than waiting until mental health issues become severe, Dr. Velisetty encourages parents to take a proactive approach.


1. Spend Quality Time Together

"There is no substitute for spending time with your child," she emphasizes. Even just 10 minutes a day of focused, one-on-one time—whether it’s going for a walk, coloring, or simply talking—can strengthen emotional connections.


2. Create Open Lines of Communication

Children and teens need to feel safe expressing their emotions. By making themselves emotionally available, parents create an environment where kids feel comfortable discussing their struggles.

"Even if it seems like teenagers don’t want to talk, they do need us in different ways," Dr. Velisetty reminds parents.


3. Balance Activities and Rest

While extracurriculars can be enriching, overloading a child’s schedule can lead to stress and burnout. Encouraging downtime and relaxation is just as important as encouraging achievement.


4. Seek Help Early

Mental health concerns don’t have to reach a crisis point before seeking support. If a child is struggling, early intervention—whether through therapy, psychiatry, or holistic methods—can prevent long-term challenges.



Mental health is a family-wide concern, and addressing it early and holistically can lead to better outcomes for children and parents alike. Whether through therapy, psychiatry, lifestyle changes, or a combination of approaches, seeking help is a sign of strength—not weakness.


For parents unsure of where to begin, Dr. Velisetty encourages them to simply start with a conversation.

"If you're struggling or uncertain about the next step, talking to someone can provide clarity and direction," she says. "You don’t have to navigate it alone."

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