In this article, you will learn Communication shifts that increase family follow-through rates Evidence-based responses to common parent objections A three-step follow-through formula before families leave your office As a pediatrician or primary care...
Is It Just Summer Behavior or Something More?

How to distinguish typical summer behaviors from concerning red flags
Medically reviewed by Nicole Garber, MD, Chief Medical Officer
Chances are, you're going to see regression in the summer—that's typical behavior for a child. They have less structure, their routines are off, bedtimes and meals are inconsistent. Plus, our friend, the sun is out until 9:00pm. Some typical summer behavioral regressions include: Increased meltdowns, avoidance, or rigidity; heightened emotional sensitivity or shutdowns; decreased tolerance for frustration; and changes in sleep or self-regulation skills. While these behaviors are considered developmentally appropriate, they can be disruptive for the household.
No matter the circumstance, there is hope. There are several ways you can proactively support your child and get to the bottom of what’s going on.
-
Reintroduce structure with established summer routines around meals/sleep, visual schedules, and screen time limits.
-
Make a plan for co-regulation and downtime, especially after high-energy activities.
-
Communicate clearly and give advance notice for transitions.
-
Maintain support services (e.g., therapy, OT, medication management) during summer.
The Key: If your child can still enjoy relationships, participate in activities, regulate their emotions most of the time, and bounce back with a bit of support, what you are noticing is likely seasonal adjustment.
Download the guide below for easy reference or to send to a friend.


Other red flags
The distinction between typical and concerning behavior lies not just in what the behavior is, but its quality—how long it lasts, how intense it gets, and how much it interferes with your child’s ability to function and find joy. While these don’t necessarily constitute an emergency, they’re concerning behaviors to address with professional support.
- Withdrawing from previously enjoyed activities
Take note if your child starts to pull away from things they usually love. This isn't about being bored with a video game after playing for hours. This is, “Wow, they normally play video games every day and they haven't played them in a week and they want nothing to do with it.” - Significant sleep and appetite changes
Sleeping in after a late night is one thing, but consistent changes that impact energy and mood are concerning. This could mean staying up all night and being irritable all day, or refusing to eat anything but junk food for prolonged periods. - Excessive worry, rigidity, or emotional outbursts that don’t improve with support
Anxiety before new situations is expected, but excessive worry that interferes with daily activities, an inability to tolerate changes in plans, or consistently seeking reassurance may point to deeper issues. This includes extreme inflexibility about rules or routines and outbursts that are disproportionate to the situation. - Difficulty functioning in multiple environments
Are you getting notes from camp counselors that your child is isolating themselves or not getting along with others, well past the initial adjustment period? Children often exhibit more emotional behavior at home where they feel comfortable, but failing to thrive outside the home signifies a pervasive issue.
Trust your gut
The most important rule is to act whenever your instinct tells you to. Throughout conversations with parents, I always return to one fact: “I may be a child development expert, but you’re the expert on your child's development, and you'll know before anyone else.” Even if it's just a gut feeling that something's not right with your child, that's the time to seek some professional advice.
Alternatively, I never want a parent to feel shame or judged as in, "Why didn't you come sooner?” If your child is not engaging in immediate harm to themself or others, there is no pressured timeline. Never worry about being judged for waiting. Many families struggle with these issues and it’s not always easy to know what to do.
What seeking help means

- Keep a journal
This helps you track patterns and provides concrete information. Write down what you’re noticing, including behaviors, mood shifts, and changes in sleep or appetite changes. Note what time of day this behavior occurs, frequency, duration, and potential triggers. - Gather feedback
Talk to adults in your child's life, like camp counselors. Does the behavior happen in other environments? - Collect key information
Be ready with your child's developmental and medical history, including medications they take. - Have the main guardians present
In households with more than one adult, it can be helpful to speak with all guardians to collect a fuller picture.
As you navigate these summer shifts, remember that tending to your own well-being is not a luxury, but a necessity. Prioritizing parental self-care—whether it's finding moments of quiet, connecting with your support system, or simply acknowledging your own efforts—ensures you have the resilience and patience to guide your child through their challenges. A well-supported parent is better equipped to support their child.

Coleen Vanderbeek Psy.D., LPC, ASDCS, IMH-e
Dr. Coleen Vanderbeek is Director of Autism and Early Childhood at Blackbird Health. As a specialist in neurodevelopmental behavioral health, she appreciates how the Blackbird Health model treats the whole child and helps them learn the skills needed to be successful.
How can Blackbird help?
Our goal is to help engage with mental health support as quickly and as smoothly as possible. To speak to a Blackbird Health Care Navigator, call (484) 202-0751 or email Blackbird Health at info@blackbirdhealth.com.