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Families come in all shapes and sizes, and every home is unique. Whether you have a big, blended family or a small, tight-knit one, navigating family life as a teenager can be complicated. You might feel supported and loved, or you might struggle with conflict, expectations, and responsibilities. This guide is here to help you understand different family dynamics and provide support if you’re facing challenges at home.

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When should you worry?

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Advice and Guidance

Different Family Dynamics

Not all families look the same. You may live with biological parents, step-parents, grandparents, foster parents, or even in a care setting. Each type of family brings its own joys and challenges, and understanding your family structure can help you navigate relationships and expectations.

Common Family Types:

  • Nuclear Families: Parents and children living together. This is often considered the "traditional" family model and can provide stability and routine. However, conflicts may arise due to expectations about independence and rules.
  • Blended Families: When parents remarry and bring children from previous relationships. Adjusting to new family members, different rules, and shifting relationships can be difficult, but building trust and communication can help.
  • Single-Parent Families: Living with just one parent due to divorce, separation, or bereavement. This can create financial or emotional pressures, but it also fosters strong bonds between parent and child.
  • Foster or Adoptive Families: Where children are cared for by non-biological parents. Adjusting to new environments, understanding personal identity, and dealing with feelings of loss or attachment can be complex, but support networks can help foster belonging and security.
  • Same-Sex Parent Families: Families with two moms or two dads. While love and care are the same as in any other family, societal prejudices can sometimes lead to challenges, making open communication and external support essential.
  • Extended Families: Living with grandparents, aunts, uncles, or other relatives, often due to cultural traditions, financial needs, or family circumstances. This type of family can provide extra support and guidance but may also come with different generational perspectives and expectations.
  • Families with Absent Parents: Some young people grow up with a parent who is not present due to work, incarceration, or other reasons. This can lead to feelings of loss, confusion, or resentment, but maintaining communication (when possible) and finding strong role models can help.

Challenges That May Arise:

  • Differences in parenting styles, especially in blended families.
  • Struggles with identity, particularly in foster, adoptive, or same-sex parent families.
  • Emotional strain due to financial or personal difficulties in single-parent households.
  • Balancing traditions and personal choices in extended families.
  • Feeling disconnected from an absent parent or adjusting to new family members.

How to Adapt:

  • Communicate openly with family members. If you feel frustrated or left out, expressing your feelings can help build understanding.
  • Respect differences. Every family has its own rules and expectations, and learning to adapt to them can make home life smoother.
  • Seek external support. Talking to a school counselor, a trusted friend, or a support organization can provide guidance if family life feels overwhelming.
  • Find a support network. Whether through friends, online communities, or organizations, connecting with others who have similar experiences can help you feel less alone.
  • Understand that no family is perfect. Challenges and conflicts happen in every household, but respect, love, and communication can help resolve them.

Resources:

  • Childline – Support for young people struggling with family issues.
  • The Mix – Advice and support for young people on various aspects of family life.
  • Adoption UK – Support for adopted children and young people adjusting to family life.
  • Grandparents Plus  – Support for those being raised by grandparents or extended family.

Family Breakdown

Divorce, separation, and conflict can lead to family breakdown, which can be stressful and emotional. If your parents are splitting up, you might feel caught in the middle or uncertain about your future. Family breakdown can affect every member in different ways, and it is important to recognize your emotions and seek support when needed.

Common Causes of Family Breakdown:

  • Divorce or Separation: Parents deciding to end their relationship due to irreconcilable differences.
  • Parental Conflict: Constant arguing and disagreements that create a stressful home environment.
  • Financial Problems: Economic hardship can put pressure on relationships and lead to breakdowns.
  • Loss of a Parent: The death of a parent or caregiver can shift family dynamics significantly.
  • Addiction or Mental Health Issues: A parent struggling with substance abuse or mental health conditions may impact the stability of the home.

Effects of Family Breakdown:

  • Emotional Impact: Feelings of guilt, sadness, anger, confusion, or even relief, depending on the situation.
  • Changes in Living Arrangements: You may have to move between different households, adjust to new step-parents, or relocate to a new home or city.
  • Financial Struggles: A change in family income or loss of financial support from one parent can affect lifestyle and opportunities.
  • Relationship Strains: Conflicts may arise between parents, siblings, or extended family members, making interactions stressful.
  • Impact on Mental Health: Increased stress and anxiety about the future, school performance, or social life.

How to Cope with Family Breakdown:

  • Accept Your Feelings: It’s okay to feel a range of emotions—anger, sadness, confusion, or even relief. Recognizing these emotions is the first step to processing them.
  • Talk to Someone: Share your feelings with a friend, school counselor, teacher, or therapist. Bottling up emotions can make things worse.
  • Avoid Taking Sides: It might be tempting to align with one parent over the other, but try to maintain healthy relationships with both if it is safe to do so.
  • Focus on Stability: Keep up with your hobbies, school, and personal interests to maintain a sense of normalcy.
  • Know It’s Not Your Fault: Parents’ decisions to separate or divorce are based on their own issues and are never the fault of the child.
  • Ask for Practical Support: If financial or living situations change, speak to a trusted adult about what help is available to you.

How to Support Younger Siblings:

  • Be There for Them: Younger siblings may feel lost or scared during a family breakdown. Providing reassurance and answering their questions (as much as you can) can help them feel secure.
  • Encourage Open Conversations: Let them express their feelings, even if they don’t fully understand what’s happening.
  • Set a Good Example: Your siblings may look up to you, so try to remain positive and show them that life can still be enjoyable despite changes at home.

Dealing with Parents Moving On:

  • Accepting a New Partner: If one or both parents start dating or remarry, it can feel like a big adjustment. Give yourself time to process your feelings and try to get to know the new partner.
  • Managing Step-Sibling Relationships: If your family merges with another, try to approach new siblings with an open mind and patience.
  • Setting Boundaries: Let your parents know what makes you uncomfortable about changes in the family dynamic so they can understand your perspective.

Resources:

  • Relate – Offers relationship and family counseling.
  • YoungMinds  – Provides mental health support for young people dealing with stress and anxiety.
  • Childline – Offers confidential advice and emotional support for young people.
  • Gingerbread - Provides support for single-parent families.

Caring for a Parent & Being a Young Carer

If you help take care of a parent or another family member due to illness, disability, or addiction, you are a young carer. This role can be rewarding, as you develop responsibility and deep connections with your loved one, but it can also be emotionally and physically exhausting.

Signs You Are a Young Carer:

  • Helping with personal care, such as bathing, dressing, or feeding a parent or family member.
  • Taking responsibility for household chores, cooking, or managing bills.
  • Providing emotional support to a parent struggling with a mental health condition.
  • Translating or communicating for a family member who has difficulty speaking or understanding English.
  • Taking care of younger siblings because a parent is unable to do so.
  • Feeling isolated from friends and struggling with school due to caring responsibilities.

Challenges of Being a Young Carer:

  • Emotional stress: Feeling overwhelmed by responsibilities and worried about your parent’s well-being.
  • Physical exhaustion: Balancing schoolwork with caregiving can be tiring.
  • Social isolation: Finding it difficult to spend time with friends or engage in hobbies.
  • Lack of academic support: Struggling to complete homework or attend school regularly due to caregiving duties.
  • Guilt or anxiety: Feeling guilty about taking time for yourself or worrying about what will happen if you’re not home.

How to Cope and Get Support:

  • Talk to someone you trust. A teacher, school counselor, or family friend can provide guidance and emotional support.
  • Join a young carers’ group. Connecting with other young carers can help you feel less alone and provide opportunities for support and friendship.
  • Know your rights. Schools and local authorities can offer additional support, such as flexible homework deadlines and financial assistance.
  • Take breaks and practice self-care. Even small moments of relaxation can help reduce stress—listen to music, go for a walk, or journal your thoughts.
  • Seek professional help if needed. If caring responsibilities are affecting your mental health, speaking to a therapist or counselor can help.

Resources for Young Carers:

Living as a Military Family

If you’re part of a military family, you might experience frequent moves, long periods without seeing a parent, or the stress of having a loved one deployed. Military families often face unique challenges that can impact both emotional well-being and day-to-day life.

Challenges You Might Face:

  • Frequent Relocations: Moving every few years can mean adjusting to new schools, making new friends, and adapting to different environments.
  • Parental Deployment: A parent being stationed overseas or deployed for long periods can create feelings of separation, loneliness, or anxiety about their safety.
  • Emotional Stress: The uncertainty of military life can cause stress, particularly if there are sudden changes to living situations or plans.
  • Lack of Stability: Having to rebuild friendships and routines repeatedly can be exhausting.
  • Cultural Adjustments: If your family is posted to another country, adapting to new customs, languages, and ways of life can be challenging.

How to Cope:

  • Stay Connected: Use video calls, letters, and social media to stay in touch with a deployed parent or long-distance friends.
  • Find a Support Network: Seek out military family support groups where you can talk to other teens in similar situations.
  • Talk About Your Feelings: It’s okay to feel sad, frustrated, or anxious. Speak to a family member, teacher, or counselor about your emotions.
  • Maintain Routines: Keeping up with schoolwork, hobbies, and extracurricular activities can provide a sense of stability.
  • Be Open to Making New Friends: Even though moving can be tough, try to embrace new experiences and friendships in different locations.
  • Prepare for Change: Having an open mindset and preparing mentally for possible relocations can make transitions easier.

Benefits of Being in a Military Family:

  • Resilience and Adaptability: Learning to adjust to different situations and environments can help you develop strong coping skills.
  • Opportunities to Travel: Living in different places can expose you to new cultures, experiences, and perspectives.
  • Strong Sense of Community: Military families often support each other, creating a close-knit and understanding environment.
  • Educational Support: Many military support organizations offer scholarships, grants, and special programs for military children.

Resources:

Domestic Abuse (physical, mental and financial)

Domestic abuse isn’t just physical violence—it can include emotional, financial, and psychological control. Abuse can happen in any family, and it can affect anyone regardless of age, gender, or background. If you or someone you know is living in a home with abuse, it’s important to seek help.

Types of Abuse:

  • Physical Abuse: Hitting, slapping, kicking, choking, pushing, or other forms of physical violence that cause harm or fear.
  • Emotional and Psychological Abuse: Name-calling, manipulation, threats, intimidation, gaslighting, and making someone feel worthless or powerless.
  • Financial Abuse: Controlling money, preventing someone from working, or taking financial resources away to make them dependent.
  • Sexual Abuse: Any form of forced or unwanted sexual contact, harassment, or coercion.
  • Coercive Control: Extreme regulation of your actions, friendships, or freedom, such as limiting who you talk to, where you go, or what you wear.
  • Technological Abuse: Using social media, tracking devices, or online harassment to intimidate or monitor someone without their consent.

Signs You or Someone You Know May Be Experiencing Domestic Abuse:

  • Feeling scared or anxious around a family member.
  • Constantly being criticized, humiliated, or made to feel worthless.
  • Having no control over personal decisions, money, or friendships.
  • Witnessing violence between parents or other family members.
  • Being isolated from friends and support systems.

Impact of Domestic Abuse on Young People: 

Growing up in an abusive household can have serious emotional and psychological effects on children and teenagers, including:

  • Anxiety, depression, and low self-esteem.
  • Trouble forming healthy relationships.
  • Struggles with schoolwork or focus due to stress at home.
  • Risk of developing unhealthy coping mechanisms like self-harm or substance abuse.
  • Feeling responsible for the abuse or believing it is "normal" in relationships.

What You Can Do if You Are Affected:

  • Recognize That It’s Not Your Fault: Abuse is never the victim’s fault, and no one deserves to be treated that way.
  • Talk to Someone You Trust: Confide in a teacher, school counselor, family friend, or helpline who can help you find support.
  • Create a Safety Plan: If you’re in immediate danger, know where you can go for help (a friend’s house, a teacher, a trusted adult).
  • Keep Important Contacts Saved: Have emergency contacts stored in your phone or written down in case you need to reach out quickly.
  • Reach Out for Professional Support: There are organizations dedicated to helping young people in abusive situations.

Resources:

Honour-Based Violence

Honour-based violence (HBV) happens when someone in a family is hurt or punished because they are perceived to have brought “shame” upon their family or community. This can include forced marriage, physical violence, emotional abuse, and even extreme cases such as murder. HBV is most commonly linked to cultural or religious beliefs about family honour and control over personal choices, but it is a violation of human rights and is against the law in many countries.

Forms of Honour-Based Violence:

  • Forced Marriage: Being pressured, coerced, or threatened into marrying someone against your will.
  • Physical Abuse: Beatings, confinement, or other acts of violence to force compliance with family expectations.
  • Emotional and Psychological Abuse: Threats, humiliation, blackmail, or extreme pressure to conform to cultural or religious expectations.
  • Social Isolation: Being cut off from friends, school, or the outside world as a means of control.
  • Extreme Cases: In some tragic instances, HBV can result in serious injury or even so-called "honour killings."

Warning Signs That You May Be at Risk:

  • Family members restricting your behavior, such as controlling your clothing, social life, or education choices.
  • Threats of harm if you refuse to obey family expectations regarding relationships or marriage.
  • Fear of being sent abroad for a marriage or other purposes against your will.
  • Sudden withdrawal from school, social activities, or online interactions due to family pressure.
  • A sibling or relative having gone through a forced marriage or similar situation.

What You Can Do:

  • Trust Your Instincts: If you feel unsafe, your concerns are valid. Honour-based violence is serious, and help is available.
  • Talk to Someone You Trust: A teacher, school counselor, trusted friend, or support worker can help you plan how to stay safe.
  • Seek Legal Protection: Laws against forced marriage and HBV exist in many countries, and the police or specialist organizations can help protect you.
  • Have a Safety Plan: If you think you are at immediate risk, identify a safe place to go and people you can call for help.
  • Never Travel Abroad Under Pressure: If you suspect you may be taken abroad for a forced marriage or other abusive purposes, seek help before travel.

Resources:

  • Karma Nirvana  – A specialist charity supporting victims of honour-based violence and forced marriage.
  • Forced Marriage Unit – UK government support and legal protection for those at risk of forced marriage.
  • Freedom Charity  – Provides support, education, and protection against honour-based abuse.
  • Childline – Confidential support for young people experiencing family abuse.
  • The Halo Project  – Works with victims of HBV, forced marriage, and FGM (female genital mutilation).

Adolescent to Parent Violence

You may have moments when you feel frustrated with your parents or guardians, but if your anger turns into aggression—whether physical, emotional, or verbal - it can be harmful to both you and your family. Adolescent-to-parent violence (APV) is a real issue that can strain relationships and make home life difficult. This type of behavior can cause lasting emotional damage, making it harder to maintain healthy relationships in the future.

Signs of APV:

  • Shouting, name-calling, or threatening parents
  • Physically hurting a parent (hitting, pushing, breaking things)
  • Controlling or manipulating them through intimidation
  • Emotional blackmail, such as threatening to harm yourself if they don’t do what you want
  • Destroying household property as a way of expressing frustration or anger
  • Ignoring or dismissing a parent’s feelings to gain control over situations

Causes and Triggers:

  • Stress and Pressure: School demands, social issues, or family problems can create overwhelming stress, leading to anger and aggression.
  • Mental Health Issues: Anxiety, depression, ADHD, and other conditions can make it harder to regulate emotions and reactions.
  • Learned Behavior: If you have witnessed domestic violence or aggressive behavior in the home, it may seem like an acceptable way to express frustration.
  • Lack of Boundaries: Sometimes, unclear family roles or lenient parenting can lead to a lack of respect for parental authority.
  • Substance Abuse: The use of drugs or alcohol can lead to impulsive and aggressive behavior.
  • Unresolved Trauma: Previous experiences of neglect, abuse, or bullying can contribute to difficulties in controlling emotions.

Effects of APV on Families:

  • Parents may feel frightened, powerless, or ashamed, leading to emotional distress.
  • Siblings may experience anxiety, fear, or even become victims of the violence themselves.
  • Family relationships may break down, resulting in separation or external intervention (e.g., social services involvement).
  • The adolescent may face consequences such as legal action, school disciplinary measures, or mental health struggles.

What You Can Do:

  • Recognise when you are feeling angry and find healthier ways to cope, like exercise, journaling, or talking to a trusted friend.
  • Learn anger management techniques, such as deep breathing, counting to ten, or stepping away from a heated situation before reacting.
  • Communicate openly with your parents about your emotions and frustrations in a respectful way.
  • Seek counseling or therapy to help manage emotions and behaviors. There are professionals who specialize in adolescent behavior and family relationships.
  • Take responsibility for your actions. If you recognize that your behavior is hurting your family, making an effort to change is a step in the right direction.
  • Talk to a trusted adult if you feel out of control or if the violence is escalating. This could be a teacher, school counselor, or family friend.
  • Understand that conflicts with parents are normal, but violence is never an acceptable way to resolve them.

Resources:

  • Family Lives  – Offers support and advice for families experiencing conflict.
  • YoungMinds  – Provides mental health support for young people struggling with emotions.
  • The NSPCC  – Offers support for young people experiencing or causing violence in the home.
  • The Respect Phoneline  – A service for young people concerned about their behavior towards family members.
  • Relate ) – Provides family therapy and relationship support.

Self care and Prevention

Video Showcase

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Allergy

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Anaphylaxis

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Arthritis

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Asthma

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Brain tumour

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Cancer

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Chronic Fatigue Syndrome

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For more information on CFS and the Specialist Chronic Fatigue (ME) Service for children and young people anywhere in the UK, please click here.

Chronic kidney disease

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Diabetes

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Eczema

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Epilepsy

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FSGS and IgM nephropathy

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Glomerulonephritis

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Haematuria

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Haemolytic Uraemic Syndrome

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Haemophilia

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Hydrocephalus

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Hypertension

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Inflammatory Bowel Disease

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Medical ID and alert products

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Metabolic conditios

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Mitochondrial disease

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When a person has Mitochondrial Disease the mitochondria in the cells are not producing enough energy. Sometimes they are not very efficient or they do not work at all. Depending on which Mitochondria are affected will depend on which organs are affected.

Activities like running, swimming, cycling or even simple ones likes walking or breathing can be difficult or completely impossible if you are suffering with Mitochondrial Diseases.

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Mitrofanoff

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Multicystic dysplastic kidney (MCDK)

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Muscular Dystrophy

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Nephrotic syndrome

In nephrotic syndrome, the kidneys leak too much protein into the urine, leading to a drop in the levels of protein in the blood. This causes swelling in the body, especially in the face, legs and feet. Find out more… About half of children with steroid-sensitive nephrotic syndrome (SSNS) have frequent relapses. This means that although the nephrotic syndrome gets better with steroids, it keeps coming back in a short space of time. Learn more about frequently relapsing nephrotic syndrome.

Neurofibromatosis

Neurofibromatosis type 1 is a condition that causes lumps called neurofibromas to grow on the covering of nerves. Although doctors sometimes call the lumps tumours, they are not cancer. This information sheets offers you some facts and advice to help you.

P

Post-infectious glomerulonephritis (PIGN)

PIGN causes inflammation (swelling) in the kidneys. Young people with PIGN have blood and protein in their urine, and may have swelling in their body, especially around their face and legs. Find out more…

Primary immunodeficiency

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Proteinuria

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R

Renal dysplasia

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Renal hypoplasia

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Scoliosis

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Sickle Cell Disease

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Spina bifida

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Syncope

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Thalassaemia

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Urinary tract infection (UTI)

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Von Willebrand Disease

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