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12 Therapy-Positive Middle Grade Books

October 1 – 7 is Mental Illness Awareness Week and to boost the openness and acceptability of mental health, I’m sharing 12 therapy-positive middle grade books. I’ve got a number of other book lists available including 16 Middle Grade Books About Mental Health and 9 Middle Grade Books for World Mental Health Day and even more.

I wanted to focus on characters who are meeting with therapists individually and in group settings because I think it’s a valuable tool for people. I know that in my school district counselors actively work with students to help them learn coping mechanisms, understand brain development and feelings, and how to be healthy in school and at home.

Mental health matters and the more comfortable people are learning about it and talking about it, the more help people can find if or when they need it.

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12 Therapy-Positive Middle Grade Books

12 Therapy-Positive Middle Grade Books

Five Things About Ava Andrews by Margaret Dilloway

Eleven-year-old Ava Andrews has a Technicolor interior with a gray shell. On the inside, she bubbles with ideas and plans. On the outside, everyone except her best friend, Zelia, thinks she doesn’t talk or, worse, is stuck-up. What nobody knows is that Ava has invisible disabilities: anxiety and a heart condition.

Ava hopes middle school will be a fresh start, but when Zelia moves across the country and Ava’s Nana Linda pushes her to speak up about social issues, she withdraws further. So Ava is shocked when her writing abilities impress her classmates and they invite her to join their improv group, making up stories onstage. Determined to prove she can control her anxiety, she joins—and discovers a whole new side of herself, and what it means to be on a team.

But as Ava’s self-confidence blossoms, her relationship with Zelia strains, and she learns that it isn’t enough just to raise your voice—it’s how and why you use it that matters.

Give and Take by Elly Swartz

Family has always been important to twelve-year-old Maggie: a trapshooter, she is coached by her dad and cheered on by her mom. But her grandmother’s recent death leaves a giant hole in Maggie’s life, one which she begins to fill with an assortment of things: candy wrappers, pieces of tassel from Nana’s favorite scarf, milk cartons, sticks . . . all stuffed in cardboard boxes under her bed.

Then her parents decide to take in a foster infant. But anxiety over the new baby’s departure only worsens Maggie’s hoarding, and soon she finds herself taking and taking until she spirals out of control. Ultimately, with some help from family, friends, and experts, Maggie learns that sometimes love means letting go.

The Golden Hour by Niki Smith

Struggling with anxiety after witnessing a harrowing instance of gun violence, Manuel Soto copes through photography, using his cell-phone camera to find anchors that keep him grounded. His days are a lonely, latchkey monotony until he’s teamed with his classmates, Sebastian and Caysha, for a group project.

Sebastian lives on a grass-fed cattle farm outside of town, and Manuel finds solace in the open fields and in the antics of the newborn calf Sebastian is hand-raising. As Manuel aides his new friends in their preparations for the local county fair, he learns to open up, confronts his deepest fears, and even finds first love.

Good Enough by Jen Petro-Roy

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.

Guts by Raina Telgemeier

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?

Just Roll With It by Veronica Agarwal and Lee Durfey-Lavoie

As long as Maggie rolls the right number, nothing can go wrong…right?

Maggie just wants to get through her first year of middle school. But between finding the best after-school clubs, trying to make friends, and avoiding the rumored monster on school grounds, she’s having a tough time…so she might need a little help from her twenty-sided dice. But what happens if Maggie rolls the wrong number?

The List of Things That Will Not Change by Rebecca Stead

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.”

My Life in the Fish Tank by Barbara Dee

When twelve-year-old Zinnia Manning’s older brother Gabriel is diagnosed with a mental illness, the family’s world is turned upside down. Mom and Dad want Zinny, her sixteen-year-old sister, Scarlett, and her eight-year-old brother, Aiden, to keep Gabriel’s condition “private”—and to Zinny that sounds the same as “secret.” Which means she can’t talk about it with her two best friends, who don’t understand why Zinny keeps pushing them away, turning everything into a joke.

It also means she can’t talk about it during Lunch Club, a group run by the school guidance counselor. How did Zinny get stuck in this weird club, anyway? She certainly doesn’t have anything in common with these kids—and even if she did, she’d never betray her family’s secret.

The only good thing about school is science class, where cool teacher Ms. Molina has them doing experiments on crayfish. And when Zinny has the chance to attend a dream marine biology camp for the summer, she doesn’t know what to do. How can Zinny move forward when Gabriel—and, really, her whole family—still needs her help?

Sara and the Search for Normal by Wesley King

Sara’s Rules to Be Normal

1. Stop taking your pills
19. Make a friend
137. Don’t put mayonnaise on peanut butter and jelly sandwiches.

Sara wants one thing: to be normal. What she has instead are multiple diagnoses from Dr. Ring. Sara’s constant battle with False Alarm—what she calls panic attacks—and other episodes cause her to isolate herself. She rarely speaks, especially not at school, and so she doesn’t have any friends. But when she starts group therapy she meets someone new. Talkative and outgoing Erin doesn’t believe in “normal,” and Sara finds herself in unfamiliar territory: at the movies, at a birthday party, and with someone to tell about her crush—in short, with a friend. But there’s more to Erin than her cheerful exterior, and Sara begins to wonder if helping Erin will mean sacrificing their friendship.

The Sea of Winter by Christine Day

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?

Some Kind of Happiness by Claire Legrand

Things Finley Hart doesn’t want to talk about:
-Her parents, who are having problems. (But they pretend like they’re not.)
-Being sent to her grandparents’ house for the summer.
-Never having met said grandparents.
-Her blue days—when life feels overwhelming, and it’s hard to keep her head up. (This happens a lot.)

Finley’s only retreat is the Everwood, a forest kingdom that exists in the pages of her notebook. Until she discovers the endless woods behind her grandparents’ house and realizes the Everwood is real—and holds more mysteries than she’d ever imagined, including a family of pirates that she isn’t allowed to talk to, trees covered in ash, and a strange old wizard living in a house made of bones.

With the help of her cousins, Finley sets out on a mission to save the dying Everwood and uncover its secrets. But as the mysteries pile up and the frightening sadness inside her grows, Finley realizes that if she wants to save the Everwood, she’ll first have to save herself.

Starfish by Sara Fipps

Ever since Ellie wore a whale swimsuit and made a big splash at her fifth birthday party, she’s been bullied about her weight. To cope, she tries to live by the Fat Girl Rules—like “no making waves,” “avoid eating in public,” and “don’t move so fast that your body jiggles.” And she’s found her safe space—her swimming pool—where she feels weightless in a fat-obsessed world. In the water, she can stretch herself out like a starfish and take up all the room she wants. It’s also where she can get away from her pushy mom, who thinks criticizing Ellie’s weight will motivate her to diet.

Fortunately, Ellie has allies in her dad, her therapist, and her new neighbor, Catalina, who loves Ellie for who she is. With this support buoying her, Ellie might finally be able to cast aside the Fat Girl Rules and starfish in real life—by unapologetically being her own fabulous self.

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