Should My Teen Brother See a Therapist Due to Family Violence? - Psychiatry

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Should I see a psychologist?


Hello, I would like to ask about my younger brother, who is currently in the second year of junior high school.
He has been living in an environment that can be considered domestic violence since he was young, as our father becomes aggressive whenever he drinks alcohol.
Sometimes he even threatens us with a knife.
A few years ago, our father worked in another city, so the instances of his violent outbursts were significantly reduced.
However, now that he has returned home after finishing his work, the frequency of these outbursts has increased again.
Given that my brother has grown up in such an environment and is now a teenager, could this have any psychological effects on him? Should he see a mental health professional? Thank you for your help!

Xiao Xiao, 20~29 year old female. Ask Date: 2005/03/04

Dr. Song Chengxian reply Psychiatry


Xiaoxiao: It seems that you are very concerned about your brother's mental health.
The family atmosphere you described can indeed create significant pressure for anyone involved.
However, an individual's mental health is influenced by various factors.
In addition to negative stressors in the environment, there are also positive support systems.
For instance, aside from your father, are there other family members who can provide mutual support and care? Additionally, each person's internal resilience and coping mechanisms vary.
Generally speaking, younger children are more susceptible to the influences of their family.
Your brother's situation cannot be assessed through speculation.
I suggest that you talk to other family members (such as your mother or elders) and discuss your brother's feelings and his current adjustment.
Is he satisfied with his coping strategies for the pressures in life? Is his mood stable? Can he maintain his learning efficiency? Are his sleep and appetite normal? It would also be beneficial to ask the school counselor to pay more attention to your brother's adjustment at school.
If there are already emotional or behavioral issues, seeking professional help is certainly advisable.
If he is currently adjusting well, maintaining open communication and encouragement among family members remains very important! If your brother has questions and wishes to speak with a child psychiatrist, we would certainly welcome that with parental consent!

Reply Date: 2005/03/04

More Info


It sounds like your brother is in a very distressing situation, and your concern for his well-being is commendable. Living in an environment where family violence occurs, especially when it involves a parent who becomes aggressive under the influence of alcohol, can have profound effects on a child's mental health.
Firstly, it is important to recognize that children and adolescents are particularly vulnerable to the impacts of domestic violence. Exposure to such an unstable and threatening environment can lead to a range of psychological issues, including anxiety, depression, post-traumatic stress disorder (PTSD), and behavioral problems. Your brother may experience symptoms such as increased fear, difficulty concentrating, mood swings, irritability, and even physical symptoms like headaches or stomachaches. The fact that he is now a teenager adds another layer of complexity, as adolescence is a critical period for emotional and psychological development.

Given the circumstances you've described, it is highly advisable for your brother to see a mental health professional, such as a psychologist or psychiatrist. Therapy can provide him with a safe space to express his feelings and experiences, learn coping strategies, and begin to process the trauma he has endured. A therapist can also help him develop resilience and improve his emotional regulation, which may be particularly beneficial given the volatility of his home environment.

In addition to individual therapy, family therapy could also be beneficial. This type of therapy involves working with the entire family to improve communication, resolve conflicts, and foster a healthier family dynamic. However, for family therapy to be effective, all family members must be willing to participate, which may not be feasible in situations involving active substance abuse and violence.

It is also essential to consider the safety of your brother. If there is an immediate threat to his safety or well-being, it may be necessary to involve authorities or seek emergency assistance. In cases of domestic violence, local resources such as shelters, hotlines, and counseling services can provide support and guidance.

Furthermore, it might be helpful for you and other family members to educate yourselves about the effects of domestic violence on children and adolescents. Understanding the signs of trauma and the resources available can empower you to support your brother more effectively. Encouraging open communication within the family, when safe to do so, can also help him feel less isolated in his experiences.

In conclusion, your brother should definitely see a therapist to address the potential psychological impacts of living in a violent household. Early intervention can make a significant difference in his mental health and overall well-being. It’s crucial to prioritize his safety and emotional health, and seeking professional help is a vital step in that direction. Remember, you are not alone in this; there are professionals and resources available to help navigate these challenging circumstances.

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