Arguments between parents aren’t just uncomfortable for the adults involved—they can leave a lasting mark on children. Kids might not fully understand the details of disagreements, but they can feel the tension in the air. Research from the American Psychological Association shows that chronic exposure to conflict increases a child’s risk of anxiety, depression, and behavioral issues. For pediatricians, school counselors, or therapists, this means keeping an eye out for warning signs and knowing when a couples therapy referral could make a difference.
How Kids Show the Impact of Conflict
Children don’t always say, “My parents are fighting and it’s stressing me out.” Instead, the signs often appear in subtle but telling ways:
- Physical symptoms like stomachaches, headaches, or trouble sleeping.
- Behavioral changes including irritability, defiance, or withdrawal.
- Academic struggles such as falling grades or lack of focus in school.
- Emotional sensitivity with frequent crying or mood swings.
In some cases, these symptoms show up during routine pediatric visits, and without digging deeper, they might be mistaken for unrelated issues.
Why Couples Therapy Can Help
Couples therapy isn’t about pointing fingers—it’s about creating a healthier home environment. When parents learn better communication skills and conflict resolution strategies, kids benefit indirectly. Studies indicate that children in households where parents engage in constructive conflict are more emotionally secure and socially competent. By addressing relationship issues, couples therapy reduces the emotional “background noise” kids are exposed to daily.
When Professionals Should Make the Referral
It can be tricky for medical or mental health professionals to bring up a topic as personal as a couple’s relationship. However, referral is worth considering when:
- A child’s symptoms persist despite other interventions.
- Parents openly acknowledge stress in their relationship.
- The home environment appears tense or emotionally unsafe.
- Both partners express a willingness to seek help.
Referring parents to skilled couples counseling can be a proactive step in safeguarding a child’s emotional development.
Strengthening Families for the Long Term
Family well-being isn’t just about treating the child—it’s about creating an environment where the whole household can thrive. By addressing the root of the conflict between parents, professionals can help set the stage for healthier communication patterns, reduced stress, and more stability for the kids.
If you’re seeking professional support for families facing relationship strain, explore our Family Counseling services, learn more about Child Counseling, discover our Marriage Counseling approach, or reach out via Couples Counseling to get started.

Karen Majdalani, LMFT (Lic. #132761) holds Master’s degrees in Psychoanalysis and in Marriage and Family Therapy, and has been practicing since 2015. She co-founded O’Neill Counseling with Sean O’Neill to provide affordable, insurance-based therapy for families, children, teens, and couples in Orange County. At O’Neill Counseling, she leads a team of associate therapists with diverse expertise, including trauma recovery, EMDR therapy, anxiety and depression treatment, and child and adolescent disorders. Karen is passionate about creating a safe and supportive space for growth, healing, and connection.