16 Middle Grade Books About Mental Health

These middle grade books about mental health can help young readers find words for difficult feelings, recognize that they are not alone, and develop empathy for experiences different from their own. During a time of new friendships, growing independence, academic pressure, family challenges, and the often-bumpy process of figuring out who they are, the right story can provide comfort and understanding.

The books on this list explore anxiety, depression, OCD, PTSD, grief, body image, bipolar disorder, bullying, neurodivergence, and more.

The first nine titles are all 2026 publications, followed by several excellent backlist selections. Some are gentle and hopeful, while others address heavier subjects such as school violence and suicidal ideation, but all offer compassionate, age-appropriate stories of young people seeking support, building connections, and discovering that asking for help is a sign of strength.

See all 16 titles in one place on my Middle Grade Books About Mental Health list on Amazon.

Graphic Nonfiction
Exposures: A Story About Life with OCD and the Power of Facing Your Fears

Author and Illustrator: Lily Williams

Genre: graphic fiction, realistic fiction

Setting: fictional ski town in winter

Themes: Obsessive-Compulsive Disorder (OCD), intrusive thoughts, facing fears, courage, resilience, family, self-acceptance, healing, rediscovering joy, mental health, building empathy

Protagonist: female, age 12, white

Recommended for: Grades 3-7; SLJ recommends Grades 6+

Starred reviews: Booklist, Publishers Weekly, and Kirkus

Publication date: August 11, 2026

Twelve-year-old Peyton’s intrusive thoughts and compulsions are taking over her life, affecting everything from the clothes she wears to the activities and people she loves.

This compassionate graphic novel follows her through exposure therapy, showing middle grade readers what OCD can really look like, how treatment can help, and why progress does not have to be linear to be meaningful.

MG Sports Fiction
Shook

Author: Julian Randall

Illustrator: Nathan Walker

Genre: sports fiction, realistic fiction, novel in verse

Setting: Chicago, Illinois, USA

Themes: basketball, sports injuries, family financial problems, medical debt, identity, friends drifting apart, anxiety, panic attacks

Protagonist: male, age 12, Black, 8th grader

Recommended for: Grades 4-8

Starred reviews: Booklist, Publishers Weekly, and SLJ

Notes: Includes occasional black and white illustrations. Excellent choice for reluctant readers and fans of Ghost (Reynolds) and The Crossover (Alexander).

Publication date: August 4, 2026


When a broken ankle sidelines 12-year-old basketball star Malik “Shake” Page, his dreams—and his sense of identity—begin to unravel as he experiences panic attacks and pulls away from the people who care about him.

Told in accessible free verse, this hopeful novel explores anxiety, mental health stigma, therapy, and the importance of accepting help, especially for young athletes who may tie their self-worth to their performance.

MG Realistic Fiction
Invisible

AUTHOR: Eloy Moreno

GENRE: realistic fiction

SETTING: unnamed city in Spain

THEMES: abuse, bullying, invisibility, special powers, friendship, trauma, mental health, Spanish language, flashbacks, siblings

PROTAGONIST: male, age 13

RECOMMENDED FOR: Grades 5-8

STARRED REVIEWS: Kirkus, BCCB, and SLJ

RELEASE DATE: August 4, 2026

NOTES: Originally published in Spain in 2020. Also available in Spanish.

After relentless bullying—and the silence of classmates and adults—an unnamed 13-year-old begins to believe he has developed the power to become invisible.

Told through multiple perspectives, this psychologically perceptive novel explores isolation, depression, lost hope, and the devastating consequences of looking away, while emphasizing how being truly seen and supported can make a crucial difference.

MG Realistic Fiction
No Place on Earth

Author: Andrea Beatriz Arango 

Genre: realistic fiction

Setting: Yellowstone National Park, Wyoming, USA

Themes: moving far away, nightmares, anxiety, making new friends, exhaustion, bison, depression, Spanish language, fear of wild animals, mental health, emotional resilience, adjusting to change, toxic masculinity

Protagonist: male, age 11, Puerto Rican

Recommended for: Grades 4-8

Starred reviews: Kirkus and SLJ

Publication date: August 25, 2026

After moving from Puerto Rico to Yellowstone during his parents’ separation, 11-year-old Gustavo struggles with anxiety, nightmares, and overwhelming change—until he discovers that his new classmate Kordell, who has depression, can enter his dreams.

Their friendship offers a compassionate exploration of boys’ mental health, challenging stigma and machismo while showing the power of vulnerability, mutual support, and asking for help.

MG Realistic Fiction
Friend Group

Author: Lisa Greenwald

Genre: realistic fiction

Setting: East Brookside Middle School

Themes: popularity, middle school, perfection, anxiety, friendship, crushes, self-doubt, text messages, friend drama, shifting friendships, cliques

Protagonist: female, age 12, white, Jewish, 7th grader

Recommended for: Grades 3-7

Starred Reviews: no starred reviews

Publication Date: May 12, 2026

When Sadie is accidentally added to the popular girls’ group chat, she uses what she learns to pursue a place in their circle—even as her choices strain her lifelong friendship with Olive.

This highly relatable story explores social anxiety, insecurity, belonging, and changing friendships, reassuring middle grade readers that they can grow and form new connections without abandoning the people—or identities—they already value.

MG Realistic Fiction
Making Plans for Nigel Binty

Author: Shawn K. Stout

Genre: realistic fiction

Setting: Maryland, USA

Themes: divorce, anxiety, new kid at school, parent in prison (father), middle school, coming of age, being a good friend, moving to a new US state

Protagonist: two sixth graders: male, age 12, white; female, age 12, white

Recommended for: Grades 3-8

Starred Reviews: Booklist and Kirkus

Publication Date: February 3, 2026

Sixth graders Nigel and Glory Bea are both overwhelmed by major changes: Nigel is coping with anxiety, his parents’ separation, and the loss of his best friend, while Glory Bea is hiding the painful reason her father is in prison.

Told from both perspectives, this warm, hopeful novel shows how honest self-expression, supportive adults, and one meaningful friendship can help young people feel less alone during difficult times.

MG Realistic Fiction
The Moon Without Stars

Author and Illustrator: Chanel Miller

Genre: realistic fiction, humor

Setting: San Francisco, California, USA

Themes: popularity, mental health, friendship, bullying, self-image, grief, coming-of-age, confidence, bibliotherapy, middle school, menstruation, puberty, acne, mean girls, small acts of kindness

Protagonist: female, biracial Chinese American, 7th grader

Recommended for: Grades 5-8

Starred Reviews: SLJ, Publishers Weekly, Booklist, Kirkus, and Horn Book

Notes: Early 2026 Newbery contender?

Publication Date: January 13, 2026

When seventh grader Luna’s supportive zines draw her into the popular crowd, her desire to belong gradually pulls her away from her best friend, her values, and herself.

This nuanced novel explores depression, disordered eating, self-esteem, bullying, puberty, and family mental illness with honesty, while showing middle grade readers the value of counseling, self-acceptance, accountability, and relationships that affirm who they truly are.

MG Graphic Fiction
The Hidden Dominion of Geordie James

Author and Illustrator: Mike Dawson

Genre: graphic fiction, realistic fiction

Themes: friendship, online gaming, science fair, grief, death of a parent (mother), anxiety, role-playing games, human impact on the environment, pigs

Protagonist: male, age 12, white, 6th grader

Recommended for: Grades 3-8

Starred Reviews: SLJ, Booklist, and Kirkus

Publication Date: May 19, 2026

Anxious and isolated 12-year-old Geordie would rather retreat into his favorite online game than speak up, but a group science project and concern for an escaped pig push him to confront difficult questions about animal welfare and humanity’s relationship with nature.

This emotionally grounded graphic novel sensitively explores anxiety, social isolation, gaming, and grief after the loss of a parent, while showing how friendship, purpose, and being understood can help a young person reconnect with the world.

MG Novel in Verse
My Brother Oliver

Author: R.L. Toalson

Genre: realistic fiction, novel in verse

Themes: brothers, bullying, suicidal ideation, neurodivergent sibling, guilt, alternating timelines, mental health

Protagonist: male, white, 6th grader

Recommended for: Grades 3-8

Starred Reviews: Publishers Weekly, SLJ, and Kirkus

Notes: Includes an author’s note and resource list.

Publication Date: May 19, 2026

After his neurodivergent older brother attempts suicide, sixth grader Brooks struggles with guilt, resentment, and the pressure of always putting his brother’s needs before his own.

This deeply moving novel in verse explores depression, suicidal ideation, neurodivergence, sibling relationships, and caregiver stress while affirming that loving someone does not mean ignoring your own needs—and that healing begins with support, honesty, and self-forgiveness.

MG Realistic Fiction
Please Pay Attention

Author: Jamie Sumner

Genre: realistic fiction

Setting: middle school and surrounding community

Themes: school shootings, trauma, anxiety, nightmares, horseback riding, therapy, using a wheelchair, cerebral palsy, discrimination, alternating timelines ("Then" and "Now")

Protagonist: female, sixth grader ("Then" timeline) and eighth grader ("Now" timeline), white, wheelchair-bound due to cerebral palsy

Recommended for: Grades 5-8

Starred reviews: Publishers Weekly and SLJ

Publication date: April 15, 2025

After surviving a school shooting, Bea, a wheelchair user with cerebral palsy, struggles with grief, guilt, nightmares, and the terrifying memory of being unable to run or hide.

This heart-wrenching but hopeful novel in verse explores PTSD and recovery with care, showing how supportive relationships, writing, equine therapy, and advocacy help Bea reclaim her sense of safety, power, and purpose.

MG Graphic Fiction
Swim Team

Author and Illustrator: Johnnie Christmas

Genre: graphic novel, sports, realistic fiction

Setting: Palmetto Shores, Florida

Themes: middle school, swimming, fear, anxiety, swim teams, competition, school rivalry, Florida, moving to a new school, single fathers, racism, segregated swimming pools, legacy of racism

Protagonist: female, middle schooler, Black, American

Recommended for: Grades 3-8

Starred reviews: Kirkus, Publishers Weekly, Booklist, and SLJ

Notes: Coretta Scott King Illustrator Honor, 2023

Publication date: May 17, 2022

After moving from Brooklyn to Florida, Bree lands in a required swimming class despite not knowing how to swim—and soon finds herself battling anxiety and self-doubt both in and out of the pool.

This vibrant graphic novel shows middle grade readers how patient mentorship, friendship, and gradual exposure to a fear can build confidence, while also exploring how racism and unequal access to swimming have contributed to generational anxiety in Black communities.

Read my Librarian’s Perspective review of Swim Team.

MG Realistic Fiction
Forget Me Not

Author: Ellie Terry

Genre: realistic fiction, novel in verse

Setting: St. George, Utah, USA

Themes: mental health, Tourette Syndrome, mixed media, poetry,

Protagonist: anxiety, loneliness, bullying, friendship, crushes, moving frequently, grief, family problems, peer pressure, social acceptance, self-acceptance, empathy, courage, kindness, standing up for others, being true to oneself, belonging

Recommended for: Grades 4-8

Starred reviews: SLJ

Publication date: May 15, 2018

Seventh grader Calliope tries to hide her Tourette syndrome at yet another new school, where her unpredictable tics, anxiety, and loneliness make friendship especially complicated.

Told partly in verse, this empathetic novel offers authentic insight into a frequently misunderstood neurological condition while encouraging self-acceptance, compassion, and the courage to stand up against bullying.

Read my Librarian’s Perspective review of Forget Me Not.

MG Realistic Fiction
The Metamorphosis of Bunny Baxter

Author: Barbara Carroll Roberts

Genre: realistic fiction

Setting: suburban middle school

Themes: starting a new school, new kid at school, insects, social anxiety, box breathing, bullying, mental health, school expulsion, making new friends, adoption, school redistricting, nature as escape. pollinator gardens

Protagonist: female, age 12, white, 7th grader

Recommended for: Grades 5-8

Starred reviews: Publishers Weekly and Booklist

Publication date: July 22, 2025

After redistricting separates Bunny from her best friend, the socially anxious seventh grader decides that getting expelled is her only path out of an unfamiliar school.

This warm, humorous novel explores anxiety attacks, adoption, bullying, and belonging while introducing practical coping strategies such as box breathing—and showing how supportive relationships and meaningful interests can help anxious middle graders find confidence and community.

MG Novel in Verse
Starfish

Author: Lisa Fipps

Genre: realistic fiction, novel in verse

Setting: Dallas, Texas, USA

Themes: weight issues, body image, bullying, swimming, mothers and daughters, conflict with parent, Jewish characters

Protagonist: female, age 12, white, overweight

Recommended for: Grades 5-8

Starred reviews: Booklist, Kirkus, Publishers Weekly, and SLJ

Publication date: May 2, 2023

Eleven-year-old Ellie is relentlessly bullied about her weight by classmates, siblings, strangers, and even her mother, leaving her struggling with self-worth and living by rules designed to make herself smaller.

This powerful novel in verse confronts fatphobia and emotional abuse while showing how therapy, supportive relationships, self-advocacy, and body acceptance help Ellie recognize that she deserves respect—and has every right to take up space.

Read my Librarian’s Perspective review of Starfish.

MG Graphic Fiction
The Golden Hour

Author and Illustrator: Niki Smith

Genre: graphic fiction, realistic fiction

Setting: rural American community

Themes: PTSD, anxiety, gun violence, group projects, farming, raising cattle, mental health, 4-H Clubs, LGBT+, raising show animals, self-discovery, photography

Protagonist: male, middle schooler, Latinx, dealing with PTSD

Recommended for: Grades 3-7

Starred reviews: Kirkus, Publishers Weekly, School Library Connection, and SLJ

Publication date: November 23, 2021

After witnessing a violent attack on his teacher, Manuel struggles with PTSD, panic attacks, and dissociation as unexpected reminders bring the trauma rushing back.

This gentle graphic novel depicts therapy and grounding techniques realistically, showing how photography, friendship, animals, and an affirming first romance help Manuel feel safe, connected, and hopeful again.

MG Realistic Fiction
Lily and Dunkin

Author: Donna Gephart

Genre: realistic fiction

Setting: south Florida, USA

Themes: gender identity, bipolar disorder, LGBT+, puberty blockers, bullying, mental health, fathers who struggle to accept children for who they are, alternating perspectives

Protagonist: perspectives alternate between Lily, a transgender female, age 13, 8th grader and Dunkin, male, age 13, struggles with bipolar disorder

Recommended for: Grades 5-8

Starred reviews: Booklist, School Library Connection, and SLJ

Publication date: May 1, 2018

Eighth graders Lily, a transgender girl preparing to transition publicly, and Dunkin, a new student with bipolar disorder, form a friendship while facing bullying, family struggles, and pressure to hide important parts of themselves.

Told through alternating perspectives, this compassionate novel explores gender dysphoria, mania, medication, grief, and mental health stigma while emphasizing acceptance, supportive relationships, and the importance of getting appropriate help.

Read my Librarian’s Perspective review of Lily and Dunkin.