Counsellors are receiving more than a dozen calls every day from Hunter children desperately seeking help for mental health-related matters.
A state report indicates that just under 5000 Hunter children reached out for assistance via phone and web-based services through Kids Helpline last year.
Kids Helpline general manager Wendy Protheroe said counselling sessions increased by 4 per cent, rising to 53,111 sessions nationally, during 2009.
"That means every 10 minutes our counsellors are speaking with children and young people who are in distress and require counselling and every 25 minutes these counselling sessions relate to mental health concerns," Ms Protheroe said.
The report found mental health issues included diagnosed mental illnesses, habitual drug use, eating disorders, self-injury and suicidal thoughts.
In NSW, Kids Helpline received 155,427 phone calls and online contacts, of which just under 5000 came from the Hunter.