MomDocTalk with Kristen Cook, MD

Helping Children Through Divorce: Co-Parenting, Custody, and Emotional Support

Kristen Cook, MD Episode 89

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Divorce can bring grief, guilt, fear, financial stress, uncertainty, and deep concern about how children will be affected. Although divorce is a major family transition, it does not automatically determine a child's future emotional health.


In this episode of Mom Doc Talk, board-certified pediatrician, parenting educator, and mom Dr. Kristen Cook explains what helps children adjust after divorce and what creates unnecessary emotional injury. Research consistently shows that children are strongly affected by the amount of conflict they witness, whether they continue to feel loved by both parents, whether routines remain predictable, and whether adults keep them out of adult problems.


Dr. Cook begins with the conversation many parents fear: telling children that their parents will no longer live together. She shares five messages children need to hear repeatedly: the divorce is not their fault, both parents love them, both adults will always be their parents, they do not have to choose sides, and they are not responsible for fixing the situation. She also explains why children deserve honesty without being burdened by details about infidelity, finances, sexual issues, court disputes, or adult resentment.


The episode explores how divorce may look at different developmental stages. Toddlers and preschoolers may become clingy, experience sleep or potty-training regression, or fear that a parent will not return. School-aged children often ask practical questions about where they will sleep, who will pick them up, whether they can continue activities, and what holidays will look like. Teenagers may appear angry, withdrawn, or unaffected while privately carrying significant emotional pain.


Dr. Cook also discusses healthy co-parenting. Children should never be asked to carry messages, investigate another household, choose a favorite parent, or listen to criticism about the other adult. Even subtle comments can create loyalty conflicts because children identify with both parents. Cooperative parents do not have to agree perfectly, but they should communicate directly, protect children from arguments, maintain reasonable consistency, and allow children to love both parents without guilt.


Listeners will also receive a clear introduction to physical custody and legal custody, including the importance of understanding court orders, sharing medical information, and consulting a qualified family law attorney about state-specific requirements. Dr. Cook explains why custody schedules should prioritize safety, development, school routines, and meaningful relationships rather than adult competition.


Finally, the episode identifies warning signs that a child may need additional support, including prolonged regression, extreme separation anxiety, school refusal, declining grades, persistent physical complaints, aggression, substance use, self-harm, hopelessness, risky behavior, or suicidal thoughts. Therapy is not a sign that a family has failed. A neutral professional may give a child a safe place to process a difficult transition.


Children do not need a perfect family structure. They need emotionally safe relationships, predictable care, reassurance, permission to love both parents, and adults who love them more than they dislike one another. Divorce may end one chapter, but with protection from conflict and steady support, it can also become the beginning of a healthier one.


This episode provides general educational information, not legal or medical advice. Custody laws vary by jurisdiction. Consult a qualified family law attorney and your child's healthcare or mental health professionals for guidance specific to your family.


What You'll Learn

·         Why divorce itself does not determine a child's long-term emotional outcome

·         The five messages children need to hear repeatedly when parents separate

·         Why honesty should never become adult oversharing

·         How to choose a more supportive time to tell children about divorce

·         What toddlers and preschoolers understand about divorce

·         Why regression, clinginess, tantrums, and separation anxiety may increase

·         How school-aged children process divorce and what practical questions they may ask

·         Why teenagers should never become a parent's emotional partner or therapist

·         How parental criticism creates loyalty conflicts for children

·         What healthy co-parenting communication looks like

·         Why children should not carry messages between households

·         How physical custody differs from legal custody

·         How parents can coordinate medical care and important decisions

·         How to introduce new partners slowly and respectfully

·         Warning signs that a child may need therapy or urgent mental health support

·         Why children need consistency, reassurance, and permission to love both parents


Order Dr. Kristen Cook's Book

Parenting Redefined: A Guide to Understanding and Nurturing Your Child's Behavior to Help Them Thrive


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Podcast Disclaimer

The information presented in this podcast is for educational and informational purposes only. It is not a substitution for professional medical advice, diagnosis, or treatment. Always seek the advice of your healthcare provider for medical concerns. All of the opinions are of Dr. Kristen Cook and do not reflect the opinions of her employer nor the hospitals she is affiliated with. The authors and publishers of this podcast do not assume any responsibility for errors, omissions, or consequences of using the information provided.

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Welcome to Mom Doc Talk with Dr. Kristen Cook, where real-life parenting meets medical expertise. I'm your host, a pediatrician with over a decade of experience, and just like you, a parent navigating the ups and downs of raising good human beings. With stories from my own experiences of mom, lessons in child development, and insights based on scientific evidence, I'm here to share practical strategies that work. Let's dive into this journey together and make parenting feel a little more peaceful and a lot more rewarding. Hi everyone, and welcome back to Mom Doc Talk with Dr. Kristen Cook. I'm your host, a pediatrician, parenting educator, and a mom. Today's episode covers one of the most emotionally difficult experiences a family can face—divorce. No one gets married planning to deal with divorce. For many people, divorce comes with grief, guilt, fear, uncertainty, financial stress, and enormous worry about how it will affect the children. The good news is this—research consistently shows that divorce itself does not determine how children will do. What predicts long-term emotional health is much more about the amount of conflict children witness, whether they continue feeling loved, whether routines stay predictable, whether parents work together, and whether children are kept out of adult problems. Children can absolutely thrive after divorce. Today's goal isn't to pretend divorce is easy. It's to help parents reduce unnecessary emotional injuries while supporting children through one of life's biggest transitions. Today I'll discuss how to tell children that their parents are no longer living together, what children understand about divorce at different ages, healthy co-parenting, common custody arrangements, medical decision-making, helping children adjust over time, warning signs that children are struggling, and practical ways to create emotional safety. Let's dive in. Before children hear the word"divorce," parents should ideally prepare together. If it is emotionally safe to do so, children benefit tremendously when both parents deliver the news together. The goal is to communicate several important messages. Every child needs to hear,"This divorce is not your fault. We both love you. We will always be your parents. You will continue seeing both of us. You never have to choose sides. You don't have to fix this." Those five messages should be repeated dozens of times over the coming months. Children can't hear those messages just once. They need to hear them time and time again because children will absorb them gradually. Make sure to avoid oversharing. Children do not need to know if anyone cheated, if financial problems were involved, sexual issues, personality conflicts, court disputes, or adult resentment. Children deserve honesty, but they do not deserve to carry adult burdens. Choose the right time to tell children about the divorce. Avoid telling children immediately before school, before bedtime, before vacations, before birthdays, immediately before sporting events, and during holidays whenever possible. Instead, choose a quiet weekend when everyone has time together afterwards. Children need time and space to process. Let's break it down by age. Children under about five years old don't fully understand divorce. They understand one thing. One of my parents no longer lives with me. Their biggest concern becomes, "Who will take care of me?" It's important to keep the language concrete. For example, "Mommy and Daddy are going to live in different houses. We both love you very much. You will still see both of us." And perhaps most importantly,"You didn't cause this, and this is not your fault." Because children at this age are very egocentric and they often engage in magical thinking. They incorrectly assume that their thoughts or actions influence the world around them. They may think, "My parents are getting divorced because I called Daddy a poo-poo head." Avoid abstract explanations like, "We've grown apart. We don't love each other anymore." Toddlers and preschoolers don't understand these concepts. Now let's talk about behaviors you may witness. You might notice increased tantrums, developmental regression, clinginess, sleep regression, separation anxiety, thumb sucking, potty training setbacks, increased crying, fear when one parent leaves. These behaviors aren't manipulation. They're anxiety. What toddlers and preschoolers need most during this challenging time is consistency, routine, and predictability. Keep bedtime the same. Use similar routines in both homes whenever possible. Stock the same shampoos, body washes, and laundry detergents at both homes. Children feel safe through repetition and sameness. When you transition between homes, goodbye routines matter. Instead of disappearing while your child is distracted, make sure to say goodbye, even if it causes tears. Validate the tears and remind your child that you will see them again. By doing this, children learn,"My parent always comes back." Sneaking away increases anxiety. It may seem like an easier solution for you and your child, but it causes damage in the long run. Now let's discuss co-parenting. Young children benefit from similar schedules, similar bedtime routines, similar discipline, and familiar toys in both homes. It is so important to avoid the following questions. Never ask, "Who do you love more? Did daddy's girlfriend come over? What did mommy say?" Never, ever involve children at attempts at investigation. School-aged children understand divorce much more clearly, yet that does not make the experience any easier. From an emotional standpoint, children may experience sadness, anger, embarrassment, and anxiety. Physical symptoms of anxiety may include frequent headaches, frequent stomach aches, or body aches. You may notice declining grades, irritability, withdrawal, or perfectionism. Children at this age ask practical questions. Where will I sleep? Can I still play soccer? Who will pick me up from school? Will we celebrate Christmas together? Will I still see Grandma? Answer honestly. If you don't know yet, say,"We're still working that out, but I will let you know as soon as I do." Children tolerate uncertainty much better than false promises. At this age, it is important to briefly tell teachers, school counselors, coaches, and after-school care providers about the divorce. Children often behave differently at school than at home. Adults can provide additional emotional support. School-aged children don't like choosing sides. Do not put them in the middle of two conflicting adults. That is not fair and will cause long-term emotional damage. Avoid statements like,"Your dad forgot again," or "Your mom never helps." Even subtle criticism creates emotional conflict. Children identify with both parents. Insulting one parent often feels like insulting half of themselves. Make sure that school-aged children feel heard. Ask them open-ended questions. Instead of, "Are you okay?" Try, "What has been the hardest part? What worries you? What do you wish adults understood?" Listen more than you talk. And make sure to have these conversations on a regular basis. In addition, make sure to support them emotionally. Normalize their feelings. It's okay to miss dad. It's okay to be angry. It's okay to be sad. And please don't take their feelings personally. Children need permission to experience and express mixed emotions without judgment. Teenagers often understand the reasons behind divorce better than younger children. But again, that doesn't make it easier. In fact, teenagers frequently experience deeper emotional conflict. Some become angry. Others withdraw. Some seem completely unaffected. Remember, teenagers often protect themselves by appearing emotionally distant. That doesn't mean that they aren't hurting. During the divorce process, teens need respect, honesty, privacy, and predictability. They deserve truthful but age-appropriate answers, not adult details. One of the biggest mistakes parents make is turning teenagers into emotional partners. Statements like, "I don't know what I would do without you. You're the man of the house now. I need someone to talk to. Need to be avoided." These place emotional enormous weight on teenagers. Your teenager is your child, not your therapist. No matter the age, try to keep things as normal as possible. Make sure to continue attending their sporting events, their concerts, birthday parties, graduation, and other special events, even if both parents attend separately. Children benefit enormously when parents can remain civil, especially in public places. Children don't need perfect parents. They need cooperative parents. Research consistently shows that ongoing parental conflict is often more harmful than divorce itself. Do not make your child convey messages to the other parent. Don't say, "Tell your dad." Ask your mom. Communicate directly with your ex. Make sure to keep adult conflict private. Arguments belong between adults. Never during exchanges. Never over speakerphone. Never through children. Do your best to maintain consistency between households. Have similar expectations and rules regarding homework, bedtime, screen time, discipline, and expectations. Perfect agreement isn't necessary. Reasonable consistency is. I can always tell when there is conflict between two households. I always cringe when a parent tells me, "Well, in my house." Or, "I know her dad doesn't do." Here's the truth. At one point, both parents liked each other enough to create at least one child. You are not one upping the other parent by saying such things. Trust me, those statements do much more harm than good. I have seen children turn into a shell of themselves as young adults because they were trying to navigate parental conflict. Do your best not to bad-mouth the other parent in front of your child. Unless safety concerns exist, encourage healthy relationships with the other parent. Parenting is not a competition. There is no prize for being the more loved parent. Children shouldn't feel guilty for loving both parents. That being said, after a divorce, some parents become distant. They are unpredictable and unreliable. Relationships between children and parents should not be forced. Finally, when co-parenting, remember that life happens. People get sick. Vacations get planned. Cars break down. Successful co-parenting involves reasonable compromise and grace. If a parent starts dating again, please know that children may struggle. Introduce new partners slowly. Don't force relationships. Respect that trust developed gradually. Let's briefly discuss some legal concepts. Keep in mind that laws vary by state and country, so parents should always consult a qualified family law attorney for advice specific to their situation. One important distinction is between physical custody and legal custody. Physical custody refers to where a child lives and the parenting schedule. Examples include, one parent has primary physical custody with scheduled parenting time for the other parent, equal parenting time, often close to a 50-50 arrangement, or another schedule tailored to the needs of the child. There is no single best schedule. The best arrangement is the one that prioritizes the child's safety, developmental needs, school routine, and ability to maintain meaningful relationships with both parents whenever appropriate. Legal custody refers to the authority to make major decisions regarding a child's life, such as medical care, mental health treatment, education, and religious upbringing. In many divorces, parents share joint legal custody, meaning they are expected to make these major decisions together. In some situations, one parent may be granted sole legal custody, giving that parent the authority to make these decisions independently. The exact rules depend on the court order and state law. When parents share legal custody, healthcare providers try to involve both parents in significant medical decisions. Parents should keep each other informed about appointments, share medication changes, communicate about surgeries or hospitalizations, update one another regarding appointments with specialists, and ensure emergency contact information is current. Whenever possible, use shared calendars or secure co-parenting apps to reduce misunderstandings and keep important information organized. Remember that routine medical decisions, emergency treatment, and consent requirements can differ based on your custody agreement and local laws, so it's important to understand your court order and ask your attorney if anything is unclear. When families go through a divorce, some adjustment is expected, but seek help if symptoms persist or worsen. In toddlers and preschoolers, warning signs include prolonged developmental regression, extreme separation anxiety, and loss of developmental skills. In school-aged children, be on the lookout for persistent depressed mood, refusal to attend school, declining grades, multiple physical complaints without a medical explanation, or aggression that doesn't improve. In teenagers, watch for substance use, and this includes vaping, self-harm, significant changes in sleep or eating, hopelessness, engagement in risky behaviors, and thoughts of suicide. If you ever believe that your child may be at risk of harming themselves or someone else, seek immediate emergency mental healthcare or contact emergency services. Therapy isn't a sign that anyone has failed. Sometimes children simply need a safe, neutral adult to help them process a difficult life transition. If you're listening today while going through a divorce, I want to leave you with this. Children do not need a perfect family. They need emotionally safe relationships. They need parents who love them more than they dislike each other. They need consistency more than perfection. They need reassurance more than explanations. They need permission to love both parents. And perhaps most importantly, they need to know that while their family might look different than it used to, their world is still filled with people who love them deeply. Divorce marks the end of one chapter, but can also be the beginning of a healthier one. Many children grow into resilient, compassionate adults after divorce, especially when they are protected from conflict, supported with honest communication, and surrounded by stable, loving relationships. Thank you so much for spending part of your day with me. If this episode was helpful, please consider sharing it with another parent, grandparent, teacher, or any caregiver who may be walking through a similar season. Please subscribe to Mom Doc Talk with Dr. Kristen Cook so you don't miss any future episodes on parenting, child development, and raising emotionally healthy kids. Until next time, do your best to parent the child you have, not the one you expected, and take good care of yourselves along the way. Thanks for listening to Mom Doc Talk, where we explore the world of parenting with a little bit of science and a whole lot of heart. If this episode resonated with you, please consider sharing it with a friend. Don't forget to subscribe and review this episode as it helps me reach more parents like you. I'd love to connect on social media. You can find me at momdoctalk_kcmd.