My child plays with an imaginary friend. Should I be concerned? (2024)

Answer

My child plays with an imaginary friend. Should I be concerned? (1)

​​​I love so many things about being a pediatrician. Listening to children share creative stories that involve real and make-believe friends, for example, makes every day unique and entertaining. Conversations with my younger patients are as likely to involve comments like, "Look how much you've grown since your last visit!" as, "I did not realize that you have a new pet dinosaur!"

Children love sharing details about their imaginary pals. Understandably, though, parents are often concerned about how "normal" imaginary friendships are, and whether they may signal any mental health issues.

Rest assured, most imaginary friendships during childhood are considered normal. In fact, they can help children practice interacting with others and their environment. But looking out for a few red flags can help identify when it may be time to talk to your pediatrician about your concerns.

Social-emotional development in children

Children learn to interact with the world around them shortly after birth.

  • In infants, this may start with making eye contact with a parent while feeding. They may get quiet when you speak to them or, at some point, start to return your smile with one of their own. They begin to piece together the world around them, and how different behaviors help them interact with it.

  • By around age 2, children love to play alongside other kids. They may especially like to reenact activities they may see adults doing, like talking on the phone or vacuuming. Their imagination blossoms, often sparking an interest in playing dress up and acting out everyday social interactions with toy figures and puppets.

  • By 3 years of age, children link their imagination and cooperative play skills together. They often create stories with richly detailed scenes involving playmates, family members, pets, and imaginary friends.

  • At age 4 or 5, a child's growing imagination and creativity can blur lines between their real and invented worlds. At this age, even kid friendly cartoons and stories can cause nightmares, since everything "feels so real" to them.

As children mature and gain more social skills, they slowly move away from their imaginary world that provided comfort and familiarity as they learn about the real one.

Why do children have imaginary friends?

Having imaginary friendships does not mean that your child is lonely or does not have "real" friends. Children often use imaginary friendships as a safe haven to try out their social skills, group dynamics and communication strategies. It often helps them see their world from other perspectives and gain empathy. By creating an imaginary friend, they have to understand the perspective of others in the scenarios they are acting out.

Imaginary friendships should be comforting and controllable. Children can usually make their imaginary friends "go away" when they are "done playing."

When should I be concerned about my child's imaginary friendships?

In general, imaginary friendships are a normal part of social development and will fade away over time. It is important to discuss any concerns you have with your pediatrician, particularly if:

  • You have other developmental concerns about your child, especially involving speech, talking patterns, or social interactions.

  • The imaginary friends never "go away" or are "always talking."

  • Imaginary friends are threatening or encouraging your child to use violence--towards themselves or others.

  • You notice sudden changes in your child's social interactions, personal hygiene practices, speech patterns, or concentration ability.

  • There is a strong family history of mental illness, especially in close relatives.

Remember

Young children have such rich imaginary lives, and they are so generous in sharing them with you. Enjoy this special stage in their development, but don't hesitate to talk with your child's doctor whenever you have concerns about their physical or mental health.

More information

  • The Power of Play: How Fun and Games Help Children Thrive
  • Ask the Pediatrician: What should I do if I am worried about my child's development?
  • Inheriting Mental Disorders
  • Schizophrenia

My child plays with an imaginary friend. Should I be concerned? (2)

Datta Munshi MD, FAAP

Dr. Datta Munshi is a community pediatrician in Georgia with a strong interest in pediatric behavioral health. She serves on theAAP Council on Healthy Mental and Emotional Development Executive Committee. She enjoys guest lecturing pediatric residents at Emory University School of Medicine.​​ In her free time, she tries to keep up with her 3 children’s sports schedules and her 2 Portuguese water dogs.​​

Last Updated
11/30/2021
Source
American Academy of Pediatrics (Copyright © 2021)

The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circ*mstances.

My child plays with an imaginary friend. Should I be concerned? (2024)

FAQs

My child plays with an imaginary friend. Should I be concerned? ›

In general, imaginary friendships are a normal part of social development and will fade away over time. It is important to discuss any concerns you have with your pediatrician, particularly if: You have other developmental concerns about your child, especially involving speech, talking patterns, or social interactions.

Should having an imaginary friend be considered a problem explain? ›

Having an imaginary friend is a normal and healthy part of childhood play. Having one has even shown benefits in childhood development. If your child has an imaginary friend, it's totally OK. They can grow out of it in their own time as they stop needing the skills that their companion is teaching them.

Are imaginary friends a trauma response? ›

Although creating an imaginary friend is a normal, healthy experience in a child's development, there are times when it may be cause for concern. “Children who have experienced trauma may develop an imaginary friend as part of dissociation, which is a way to disconnect from the reality of the stressful event.

How do you deal with a child's imaginary friend? ›

Initially, you should support your child as they create a relationship with their invisible friend. They'll feel respected and loved as you ask them questions about what their made-up companion is doing and play along with their stories.

At what age should a child stop having imaginary friends? ›

According to a 2005 study from the American Psychological Association, imaginary friends often surface around age 4 and can last well into school age—around 9 years old. “Most imaginary friendships wane as the child becomes more interested and invested in having a real-life social peer group,” Hafeez explains.

Should I be concerned if my child has an imaginary friend? ›

In general, imaginary friendships are a normal part of social development and will fade away over time. It is important to discuss any concerns you have with your pediatrician, particularly if: You have other developmental concerns about your child, especially involving speech, talking patterns, or social interactions.

What does psychology say about imaginary friends? ›

It is important to continually evaluate a child's social support network, well-being, and overall development. Imaginary friends are not a diagnostic tool for mental illness and are not believed to be an early sign of psychosis or hallucination. Experts view imaginary friends as a normal and healthy part of childhood.

What are imaginary friends a symptom of? ›

Other professionals such as Marjorie Taylor feel imaginary friends are common among school-age children and are part of normal social-cognitive development. Part of the reason people believed children gave up imaginary companions earlier than has been observed is related to Piaget's stages of cognitive development.

What do imaginary friends indicate? ›

Make-believe friends give you insight into your child's inner world and your child's likes, dislikes and tastes. Children with imaginary friends can be more social and less shy than other children, and they might show more empathy in their play with other children.

Are imaginary friends a form of dissociation? ›

Childhood imaginary companions (ICs) are common and a normal part of child development, but certain aspects of ICs are also connected to adversity and dissociation.

Is it normal for an only child to have an imaginary friend? ›

An imaginary companion typically serves as a companion to the child and plays a significant role in their life, especially for only children who may experience more loneliness compared to other children.

What percentage of kids have imaginary friends? ›

Studies show that as many as 50 percent of young children have an imaginary companion, whether completely pretend or in the form of a doll or stuffed animal like Monkey. Some children also develop complex imaginary worlds that psychologists call paracosms, though these are much less common.

Do autistic kids have an imaginary friend? ›

Past research shows that autistic children can and do create imaginary companions (ICs), and that these ICs resemble those that neurotypical children create.

Why do imaginary friends go away? ›

By age 4-5 their growing imagination can blur the lines between their real and invented worlds. As children mature and gain more social skills, they slowly move away from their imaginary world that is familiar and comfortable as they learn about the real world.

Is it normal for an 11 year old to have an imaginary friend? ›

You might assume that only very young children have imaginary friends, but research has shown that older kids have imaginary pals, too. “It's common with children up to age 12,” says Dr. Eshleman. Imaginary friends can be figments of your child's imagination.

Why does my 13 year old have an imaginary friend? ›

Having an imaginary friend is quite common for children ages 3-13. Most of the time, a child admits that their imaginary friend only exists in their make-believe world, not in the real world. Having an imaginary friend can be a sign of a vividly imaginative child who is trying to understand the world better.

Is it okay to create an imaginary friend? ›

Dr. Eshleman says not to worry. “Children might use an imaginary friend to replay or work through things they experience in life,” she explains. “It's a way to help them practice social skills and process things they see.

What is the point of an imaginary friend? ›

Imaginary friends grow out of healthy, active imaginations. Imaginary friends help children express feelings and practise social skills. As children get older, they usually stop playing with imaginary friends.

Why are imaginary friends important? ›

Over the last few years, however, research has revealed that this form of pretend play serves an important and ultimately beneficial function. Kids who have imaginary friends typically have better communication skills, increased creativity, and even a higher self-esteem than kids who lack imaginary playmates.

What does it mean if you never had an imaginary friend? ›

Whitaker said parents should not be concerned if a child does not have an imaginary friend. "Not all children develop ICs and there are many other ways to engage in symbolic play and foster the development of social and cognitive skills," she said.

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