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What Is Parentification?

Children and teens are capable of more than many parents think. Sometimes, though, they end up taking on responsibilities they really shouldn’t. Parentification is one form of this circumstance. But what is parentification, exactly? It’s a nuanced spectrum of role reversals that occurs when children emotionally or instrumentally care for their parents and can often stem from childhood trauma.

Parentification can lead to short- and long-term mental health issues. Family First Adolescent Services provides childhood trauma treatment that helps teens 13–18 find a better way forward without being stuck in the mindset of constant caregiving. Call 888.904.5947 for help.

Parentification Is Complex

Parentification occurs when a child assumes roles and responsibilities typically held by adults. This can happen in two main forms:

  • Emotional parentification – The child takes on the role of an emotional caretaker for the parents or siblings.
  • Instrumental parentification – The child handles physical tasks and responsibilities such as cooking, cleaning, or managing finances.

Parentification often arises in situations where parents are unable to fulfill their roles due to illness, addiction, mental health issues, or other stressors. This dynamic forces children into adult-like roles prematurely.1

Effects of Parentification

In the short term, parentified children may develop advanced skills in responsibility and empathy. However, they often experience increased stress, anxiety, and emotional burden.2

Long-term consequences of parentification can include:

Difficulty in Relationships

Children who take on parent-like responsibilities may struggle to establish and maintain healthy relationships in the future. They may have difficulty setting boundaries, expressing their emotions, or trusting others.

Mental Health Issues

Parentification can cause children to feel overwhelmed and stressed, leading to mental health issues such as:

  • Depression
  • Anxiety
  • Post-traumatic stress disorder (PTSD)
  • Substance abuse

Additionally, children who are constantly caring for others may neglect their own needs and desires, leading to low self-esteem and a lack of self-worth.

Impact on Education

Taking on adult responsibilities can also affect a child’s education. With less time for schoolwork and extracurricular activities, parentified children may struggle academically and miss out on important social experiences.

A Form of Childhood Trauma

Parentification is a hidden, inconspicuous form of childhood trauma. Rather than taking responsibility for issues in their own life or seeking support from other adults, parents may take advantage of the relationships they have with their children, allowing them to take on adult responsibilities.

This emotional abuse can have a profound impact on children, leading to feelings of guilt, shame, and inadequacy. It also robs them of their childhood and the opportunity to develop emotionally in a healthy way.

Treatment can help children heal from the effects of parentification and learn healthy coping mechanisms. At Family First Adolescent Services, our therapists work with teens to address their underlying trauma and develop skills for setting boundaries, managing emotions, and building healthy relationships.

How Childhood Trauma Treatment Works

Evidence-based therapies such as cognitive-behavioral therapy, trauma-focused cognitive-behavioral therapy, and dialectical behavior therapy can help teens heal from parentification and other traumatic experiences.

These therapies provide young people with opportunities to explore their emotions and experiences in a safe and supportive environment. They may also engage in mindfulness practices to develop coping and rescue mechanisms and/or sandtray therapy. Sandtray therapy helps children who have been parentified visualize their circumstances, which may be hard to express verbally since they want to protect those who are hurting them.

Family therapy and education are also major components of childhood trauma treatment. It helps rebuild relationships and communication within the family, helping teens and their parents develop a deeper understanding of each other’s experiences. For children with severe childhood trauma, medication management may help provide relief for intense symptoms.

Connect With Family First to Get Help

No child should have to take on adult responsibilities. If your teen has experienced parentification, Family First Adolescent Services can help. Our compassionate team provides comprehensive treatment for teens struggling with trauma and other mental health issues. Call 888.904.5947 or message us online today to learn more about our programs and how we can help your family find a better way forward. Let your child be a child again—reach out for help today.

Footnotes: 

  1. Psychology Today – Parentification
  2. International Journal of Environmental Research and Public Health – Parentification Vulnerability, Reactivity, Resilience, and Thriving: A Mixed Methods Systematic Literature Review