As a tween who coped with clinical depression and major anxiety, I found great comfort in middle-grade fiction books about characters struggling with their own mental health. Reading about others’ experiences- even if they were fictional- made me feel significantly less alone.

Unfortunately, back then (the early 90s), there really weren’t a ton of books on the subject. Today, there still aren’t as many as there should be, considering the sheer number of tweens struggling with depression and anxiety. That said, there are definitely a lot more than back in my day (that phrase never ceases to make me feel old). Below are some of the best, covering a wide range of mental health topics.

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Tween Fiction Books That Tackle Mental Health in a Relatable Way

Before we begin, I just have a few quick notes. First, like most of my posts on this site, this one is geared towards adults who are buying books for tweens. That said, I know that I do have a few tween and young teen readers, so I want to address you personally right now. If you are struggling with depression, anxiety, or anything else, please talk to an adult that you trust. PLEASE. You DO NOT have to go through it alone.

Second, I noted the main mental health topic that each book covers in the descriptions below. While I’m not a fan of micromanaging or restricting what kids read, I do recommend that parents either read these books first or along with their tweens, as they may contain “triggering” situations. As I said earlier, I found comfort in reading about characters coping with their own mental health, but everyone is different. You know better than some stranger on the internet what your child can handle.

Last note: This post includes affiliate links, so if you buy anything through them I’ll get a small commission at no extra cost to you. The book descriptions are directly from Amazon and/or the publishers.

1. Umbrella Summer by Lisa Graff


Mental Health Topic: Anxiety and grief

Age range: 9+

Synopsis:

Annie Richards knows there are a million things to look out for—bicycle accidents, food poisoning, chickenpox, smallpox, typhoid fever, runaway zoo animals, and poison oak. That’s why being careful is so important, even if it does mean giving up some of her favorite things, like bike races with her best friend, Rebecca, and hot dogs on the Fourth of July. Everyone keeps telling Annie not to worry so much, that she’s just fine. But they thought her brother, Jared, was just fine too, and Jared died.

It takes a new neighbor, who looks as plain as a box of toothpicks but has some surprising secrets of her own, to make Annie realize that her plans for being careful aren’t working out as well as she had hoped. And with a lot of help from those around her—and a book about a pig, too—Annie just may find a way to close her umbrella of sadness and step back into the sunshine.

2. Forget Me Not by Ellie Terry


Mental Health Topic: Tourette syndrome

Age Range: 9-12

Synopsis:

Astronomy-loving Calliope June has Tourette syndrome, so she sometimes makes faces or noises that she doesn’t mean to make. When she and her mother move yet again, she tries to hide her TS. But it isn’t long before the kids at her new school realize she’s different.

Only Calliope’s neighbor, who is also the popular student body president, sees her as she truly is–an interesting person and a good friend. But is he brave enough to take their friendship public?

3. Joey Pigza Swallowed the Key (Joey Pigza #1) by Jack Gantos


Mental Health Topic: ADHD

Age Range: 10-14

Synopsis:

Joey Pigza’s got heart, he’s got a mom who loves him, and he’s got “dud meds,” which is what he calls the Ritalin pills that are supposed to even out his wild mood swings. Sometimes Joey makes bad choices. He learns the hard way that he shouldn’t stick his finger in the pencil sharpener, swallow his house key, or run with scissors.

Joey ends up bouncing around a lot – and eventually, he bounces himself all the way downtown, into the district special-ed program, which could be the end of the line. As Joey knows, if he keeps making bad choices, he could just fall between the cracks for good. But he is determined not to let that happen.

4. Breathing Underwater by Sarah Allen


Mental Health Topic: Depression in a sibling

Age Range: 10-14

Synopsis:

Olivia is on the road trip of her dreams, with her trusty camera and her big sister Ruth by her side. Three years ago, before their family moved from California to Tennessee, Olivia and Ruth buried a time capsule on their favorite beach.

Now, they’re taking an RV back across the country to uncover the memories they left behind. But Ruth’s depression has been getting worse, so Olivia has created a plan to help her remember how life used to be: a makeshift scavenger hunt across the country, like pirates hunting for treasure, taking pictures and making memories along the way.

All she wants is to take the picture that makes her sister smile. But what if things can never go back to how they used to be? What if they never find the treasure they’re seeking? Through all the questions, loving her sister, not changing her, is all Olivia can do—and maybe it’s enough.

5. After Zero by Christina Collins

Mental Health Topic: Anxiety, selective mutism

Age Range: 8-12

Synopsis:

Elise carries a notebook full of tallies, each page marking a day spent at her new public school, each stroke of her pencil marking a word spoken. A word that can’t be taken back. Five tally marks isn’t so bad. Two is pretty good. But zero? Zero is perfect. Zero means no wrong answers called out in class, no secrets accidentally spilled, no conversations to agonize over at night when sleep is far away.

But now months have passed, and Elise isn’t sure she could speak even if she wanted to—not to keep her only friend, Mel, from drifting further away—or to ask if anyone else has seen her English teacher’s stuffed raven come to life. Then, the discovery of a shocking family secret helps Elise realize that her silence might just be the key to unlocking everything she’s ever hoped for…

6. Chasing the Milky Way by Erin E. Moulton


Mental Health Topic: Parent’s depression

Age Range: 8-12

Synopsis:

Lucy Peevy has a dream–to get out of the trailer park she lives in and become a famous scientist. And she’s already figured out how to do that: Build a robot that will win a cash prize at the BotBlock competition and save it for college. But when you’ve got a mama who doesn’t always take her meds, it’s not easy to achieve those goals. Especially when Lucy’s mama takes her, her baby sister Izzy, and their neighbor Cam away in her convertible, bound for parts unknown. But Lucy, Izzy and Cam are good at sticking together, and even better at solving problems. But not all problems have the best solutions, and Lucy and Izzy must face the one thing they’re scared of even more than Mama’s moods: living without her at all.

7. Finding Junie Kim by Ellen Oh


Mental Health Topic: Depression and suicidal thoughts

Age Range: 8-12

Synopsis:

Junie Kim just wants to fit in. So she keeps her head down and tries not to draw attention to herself. But when racist graffiti appears at her middle school, Junie must decide between staying silent or speaking out.

Then Junie’s history teacher assigns a project and Junie decides to interview her grandparents, learning about their unbelievable experiences as kids during the Korean War. Junie comes to admire her grandma’s fierce determination to overcome impossible odds, and her grandpa’s unwavering compassion during wartime. And as racism becomes more pervasive at school, Junie taps into the strength of her ancestors and finds the courage to do what is right.

8. Finding Perfect by Elly Swartz


Mental Health Topic: OCD

Age Range: 8-12

Synopsis:

To twelve-year-old Molly Nathans, perfect is:

—The number four
—The tip of a newly sharpened No. 2 pencil
—A crisp white pad of paper
—Her neatly aligned glass animal figurines

What’s not perfect is Molly’s mother leaving the family to take a faraway job with the promise to return in one year. Molly knows that promises are sometimes broken, so she hatches a plan to bring her mother home: Win the Lakeville Middle School Poetry Slam Contest. The winner is honored at a fancy banquet with white tablecloths. Molly is sure her mother would never miss that. Right…?

But as time passes, writing and reciting slam poetry become harder. Actually, everything becomes harder as new habits appear, and counting, cleaning, and organizing are not enough to keep Molly’s world from spinning out of control. In this fresh-voiced debut novel, one girl learns there is no such thing as perfect.

9. The Sea in Winter by Christine Day


Mental Health Topic: Depression

Age Range: 8-12

Synopsis:

It’s been a hard year for Maisie Cannon, ever since she hurt her leg and could not keep up with her ballet training and auditions.

Her blended family is loving and supportive, but Maisie knows that they just can’t understand how hopeless she feels. With everything she’s dealing with, Maisie is not excited for their family midwinter road trip along the coast, near the Makah community where her mother grew up.

But soon, Maisie’s anxieties and dark moods start to hurt as much as the pain in her knee. How can she keep pretending to be strong when on the inside she feels as roiling and cold as the ocean?

10. Alvin Ho: Allergic to Girls, School, and Other Scary Things by Lenore Look


Mental Health Topic: Anxiety

Age Range: 7-9 (early middle-grade)

Synopsis:

Alvin, an Asian American second grader, is afraid of everything—elevators, tunnels, girls, and, most of all, school. He’s so afraid of school that, while he’s there, he never, ever, says a word. But at home, Alvin is a very loud superhero named Firecracker Man, a brother to Calvin and Anibelly, and a gentleman-in-training, just like his dad. With the help of his family, can Alvin take on the outside world without letting his fears get the best of him?

11. Counting by 7’s by Holly Goldberg Sloan

Mental Health Topic: Anxiety

Age Range: 10-12

Synopsis:

Willow Chance is a twelve-year-old genius, obsessed with nature and diagnosing medical conditions, who finds it comforting to count by 7s. It has never been easy for her to connect with anyone other than her adoptive parents, but that hasn’t kept her from leading a quietly happy life . . . until now.

Suddenly Willow’s world is tragically changed when her parents both die in a car crash, leaving her alone in a baffling world. The triumph of this book is that it is not a tragedy. This extraordinarily odd, but extraordinarily endearing, girl manages to push through her grief. Her journey to find a fascinatingly diverse and fully believable surrogate family is a joy and a revelation to read.

12. Guts: A Graphic Novel by Raina Telgemeier

Mental Health Topic: Anxiety

Age Range: 9-11

Synopsis:

Raina wakes up one night with a terrible upset stomach. Her mom has one, too, so it’s probably just a bug. Raina eventually returns to school, where she’s dealing with the usual highs and lows: friends, not-friends, and classmates who think the school year is just one long gross-out session. It soon becomes clear that Raina’s tummy trouble isn’t going away… and it coincides with her worries about food, school, and changing friendships. What’s going on?

Raina Telgemeier once again brings us a thoughtful, charming, and funny true story about growing up and gathering the courage to face — and conquer — her fears.

13. A Thousand Minutes to Sunlight Kindle Edition by Jen White

Mental Health Topic: Anxiety

Age Range: 11+

Synopsis:

Cora is constantly counting the minutes. It’s the only thing that stops her brain from rattling with worry, from convincing her that danger is up ahead. Afraid of the unknown, Cora spends her days with her feet tucked into sand, marveling at La Quinta beach’s giant waves and her little sister Sunshine’s boundless energy.

And then danger really does show up at Cora’s doorstep—her absentee uncle, whose sudden presence in the middle of the night makes her parents nervous and secretive. As dawn breaks once more, Cora must piece together her family and herself, one minute at a time.

14. The Miscalculations of Lightning Girl by Stacy McAnulty

Mental Health Topic: OCD

Age Range: 9-12

Synopsis:

Lucy Callahan was struck by lightning. She doesn’t remember it, but it changed her life forever. The zap gave her genius-level math skills, and ever since, Lucy has been homeschooled. Now, at 12 years old, she’s technically ready for college. She just has to pass 1 more test–middle school!

Lucy’s grandma insists: Go to middle school for 1 year. Make 1 friend. Join 1 activity. And read 1 book (that’s not a math textbook!). Lucy’s not sure what a girl who does calculus homework for fun can possibly learn in 7th grade. She has everything she needs at home, where nobody can make fun of her rigid routines or her superpowered brain. The equation of Lucy’s life has already been solved. Unless there’s been a miscalculation?

15. Stanley Will Probably Be Fine Kindle Edition by Sally J. Pla

Mental Health Topic: Anxiety

Age Range: 8-12

Synopsis:

Nobody knows comics trivia like Stanley knows comics trivia.

It’s what he takes comfort in when the world around him gets to be too much. And after he faints during a safety assembly, Stanley takes his love of comics up a level by inventing his own imaginary superhero, named John Lockdown, to help him through.

Help is what he needs, because Stanley’s entered Trivia Quest—a giant comics-trivia treasure hunt—to prove he can tackle his worries, score VIP passes to Comic Fest, and win back his ex-best friend. Partnered with his fearless new neighbor Liberty, Stanley faces his most epic, overwhelming, challenging day ever.

What would John Lockdown do?

Stanley’s about to find out.

16. The List of Things That Will Not Change by Rebecca Stead

Mental Health Topic: Anxiety, especially pertaining to major life changes

Age Range: 9+

Synopsis:

After her parents’ divorce, Bea’s life became different in many ways. But she can always look back at the list she keeps in her green notebook to remember the things that will stay the same. The first and most important: Mom and Dad will always love Bea, and each other.

When Dad tells Bea that he and his boyfriend, Jesse, are getting married, Bea is thrilled. Bea loves Jesse, and when he and Dad get married, she’ll finally (finally!) have what she’s always wanted–a sister. Even though she’s never met Jesse’s daughter, Sonia, Bea is sure that they’ll be “just like sisters anywhere.”

As the wedding day approaches, Bea will learn that making a new family brings questions, surprises, and joy, and readers will discover why the New York Times called Rebecca Stead a “writer of great feeling.”

17. Living with Viola by Rosena Fung

Mental Health Topic: Anxiety

Age Range: 9-12

Synopsis:

Livy is already having trouble fitting in as the new girl at school—and then there’s Viola. Viola is Livy’s anxiety brought to life, a shadowy twin that only Livy can see or hear. Livy tries to push back against Viola’s relentless judgment, but nothing seems to work until she strikes up new friendships at school. Livy hopes that Viola’s days are numbered. But when tensions arise both at home and at school, Viola rears her head stronger than ever. Only when Livy learns how to ask for help and face her anxiety does she finally figure out living with Viola.

Rosena Fung draws on her own early experiences with anxiety and the pressures of growing up as the child of Chinese immigrant parents to craft a charming, deeply personal story that combines the poignancy of Raina Telgemeier’s Guts with the wacky humor of Lumberjanes. Exuberant, colorful art brings Livy’s rich imaginative world—filled with everything from sentient dumplings to flying unicorns—to life on the page.

18. Darius the Great Is Not Okay By Adib Khorram

Mental Health Topic: Depression

Age Range: 12+

Synopsis:

Darius Kellner speaks better Klingon than Farsi, and he knows more about Hobbit social cues than Persian ones. He’s a Fractional Persian—half, his mom’s side—and his first-ever trip to Iran is about to change his life.
 
Darius has never really fit in at home, and he’s sure things are going to be the same in Iran. His clinical depression doesn’t exactly help matters, and trying to explain his medication to his grandparents only makes things harder. Then Darius meets Sohrab, the boy next door, and everything changes. Soon, they’re spending their days together, playing soccer, eating faludeh, and talking for hours on a secret rooftop overlooking the city’s skyline. Sohrab calls him Darioush—the original Persian version of his name—and Darius has never felt more like himself than he does now that he’s Darioush to Sohrab.
 

19. OCDaniel by Wesley King

Mental Health Topic: OCD

Age Range: 8-12

Synopsis:

Daniel is the back-up punter for the Erie Hills Elephants. Which really means he’s the water boy. He spends football practice perfectly arranging water cups—and hoping no one notices. Actually, he spends most of his time hoping no one notices his strange habits—he calls them Zaps: avoiding writing the number four, for example, or flipping a light switch on and off dozens of times over. He hopes no one notices that he’s crazy, especially his best friend Max, and Raya, the prettiest girl in school. His life gets weirder when another girl at school, who is unkindly nicknamed Psycho Sara, notices him for the first time. She doesn’t just notice him: she seems to peer through him.

Then Daniel gets a note: “I need your help,” it says, signed, Fellow Star Child—whatever that means. And suddenly Daniel, a total no one at school, is swept up in a mystery that might change everything for him.

20. Ghost by Jason Reynolds

Mental Health Topic: PTSD

Age Range: 10+

Synopsis:

Ghost. Lu. Patina. Sunny. Four kids from wildly different backgrounds with personalities that are explosive when they clash. But they are also four kids chosen for an elite middle school track team—a team that could qualify them for the Junior Olympics if they can get their acts together. They all have a lot to lose, but they also have a lot to prove, not only to each other, but to themselves.

Running. That’s all Ghost (real name Castle Cranshaw) has ever known. But Ghost has been running for the wrong reasons—it all started with running away from his father, who, when Ghost was a very little boy, chased him and his mother through their apartment, then down the street, with a loaded gun, aiming to kill. Since then, Ghost has been the one causing problems—and running away from them—until he meets Coach, an ex-Olympic Medalist who sees something in Ghost: crazy natural talent. If Ghost can stay on track, literally and figuratively, he could be the best sprinter in the city. Can Ghost harness his raw talent for speed, or will his past finally catch up to him?

21. Good Enough by Jen Petro-Roy

Mental Health Topic: Eating disorders

Age Range: 8-11

Synopsis:

Before she had an eating disorder, twelve-year-old Riley was many things: an aspiring artist, a runner, a sister, and a friend.

But now, from inside the inpatient treatment center where she’s receiving treatment for anorexia, it’s easy to forget all of that. Especially since under the influence of her eating disorder, Riley alienated her friends, abandoned her art, turned running into something harmful, and destroyed her family’s trust.

If Riley wants her life back, she has to recover. Part of her wants to get better. As she goes to therapy, makes friends in the hospital, and starts to draw again, things begin to look up.

But when her roommate starts to break the rules, triggering Riley’s old behaviors and blackmailing her into silence, Riley realizes that recovery will be even harder than she thought. She starts to think that even if she does “recover,” there’s no way she’ll stay recovered once she leaves the hospital and is faced with her dieting mom, the school bully, and her gymnastics-star sister.

22. Things You Can’t Say by Jenn Bishop

Mental Health Topic: Parent with depression, losing a parent to suicide

Age Range: 8-12

Synopsis:

Nothing is going right this summer for Drew. And after losing his dad unexpectedly three years ago, Drew knows a lot about things not going right. First, it’s the new girl Audrey taking over everything at the library, Drew’s sacred space. Then it’s his best friend, Filipe, pulling away from him. But most upsetting has to be the mysterious man who is suddenly staying with Drew’s family. An old friend of Mom’s? Drew isn’t buying that.

With an unlikely ally in Audrey, he’s determined to get to the bottom of who this man really is. The thing is, there are some fears—like what if the person you thought was your dad actually wasn’t—that you can’t speak out loud, not to anyone. At least that’s what Drew thinks.

But then again, first impressions can be deceiving.

23. Where the Watermelons Grow by Cindy Baldwin

Mental Health Topic: Parent with schizophrenia

Age Range: 10-12

Synopsis:

When twelve-year-old Della Kelly finds her mother furiously digging black seeds from a watermelon in the middle of the night and talking to people who aren’t there, Della worries that it’s happening again—that the sickness that put her mama in the hospital four years ago is back. That her mama is going to be hospitalized for months like she was last time.

With her daddy struggling to save the farm and her mama in denial about what’s happening, it’s up to Della to heal her mama for good. And she knows just how she’ll do it: with a jar of the Bee Lady’s magic honey, which has mended the wounds and woes of Maryville, North Carolina, for generations.

But when the Bee Lady says that the solution might have less to do with fixing Mama’s brain and more to do with healing her own heart, Della must learn that love means accepting her mama just as she is.

24. So B. It

Mental Health Topic: Parent with agoraphobia

Age Range: 10-12

Synopsis:

She doesn’t know when her birthday is or who her father is. In fact, everything about Heidi and her mentally disabled mother’s past is a mystery. When a strange word in her mother’s vocabulary begins to haunt her, Heidi sets out on a cross-country journey in search of the secrets of her past.

Far away from home, pieces of her puzzling history come together. But it isn’t until she learns to accept not knowing that Heidi truly arrives.

25. The Seventh Most Important Thing by Shelley Pearsall

Mental Health Topic: Grief and anger

Age Range: 10+

Synopsis:

Arthur T. Owens grabbed a brick and hurled it at the trash picker. Arthur had his reasons, and the brick hit the Junk Man in the arm, not the head. But none of that matters to the judge—he is ready to send Arthur to juvie forever. Amazingly, it’s the Junk Man himself who offers an alternative: 120 hours of community service . . . working for him.
 
Arthur is given a rickety shopping cart and a list of the Seven Most Important Things: glass bottles, foil, cardboard, pieces of wood, lightbulbs, coffee cans, and mirrors. He can’t believe it—is he really supposed to rummage through people’s trash? But it isn’t long before Arthur realizes there’s more to the Junk Man than meets the eye, and the “trash” he’s collecting is being transformed into something more precious than anyone could imagine. . . .

These are far from the only middle-grade books that deal with mental health, but they’re definitely among the best in my opinion.

Also, while I provided the links to buy each one on Amazon, many of them can be found in your local library, or on Overdrive (which you can access with your library card). If you don’t have a library card, check out my post on my other site, Pretty Opinionated, to learn where in your state you can sign up for a free library card to use online.

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From anxiety and depression to PTSD to schizophrenia,  these middle-grade books approach mental health in a relatable and compassionate way.

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