Categories
Mental Health

How to Encourage + Improve Healthy Sleep Hygiene for Teens

It should come to no surprise to hear that teens are struggling to fall asleep and get the amount of sleep they need for healthy development. It is not a new issue and is one that has been plaguing younger teens for generations. However, there are indications that it is getting worse, and that this might have an impact on teens’ emotional, physical, and mental development.

The Importance of Good Sleep Hygiene for Teens

It is common knowledge that teens and children need more sleep than adults – the exact number varies individually, but it is generally around eight to ten hours. Some teens need a little less, some teens need a little more, and once we reach a certain age, we generally need less than we used to. However, it is also common knowledge that teens are not getting the sleep they need – and that this problem has been growing in intensity and scope for the past few decades.

Lack of rest can cause problems with mental and physical development, bring down grades as teens remain groggy throughout a signification portion of the day, and impact mood and behavior. Not only do teens get more moody with a lack of sleep, but they make worse decisions, don’t process information properly, don’t grow as much as they should, and have a much greater risk of developing chronic health issues as a result – from skin issues to rapid weight gain and chronic headaches.

These issues tend to become worse the less sleep teens get, and they get less the more hectic their school lives become. Teens tend to start falling into a rabbit hole of sleeplessness as soon as they hit high school, culminating in shorter rest periods throughout their senior and college years. Addressing sleeplessness in teens can have a big impact on their overall well-being, personality, and even their grades. But why do they have so much trouble falling asleep in the first place?

Why Do Teens Have a Hard Time Sleeping?

There are multiple factors contributing poor sleep hygiene for teens. The first is that teens are not wired to sleep as early as most adults do. The circadian rhythm of someone going through puberty is such that a teen will naturally have a harder time falling asleep before 11pm than most adults do. Obviously, this does not explain why sleeping schedules have shifted so much in recent years, and why the lack of proper sleep hygiene for teens has only become worse in recent generations. That can be explained by the other factors, including:

Exposure to Certain Types of Light

The human body has two internal clocks, both of which inform the rate at which our body regulates things like being awake and becoming drowsy. One of these clocks operates independently and runs on a timer that is roughly equivalent to a 24-hour cycle. It is our body’s natural sleep/wake homeostasis. The other is based on the timed release of certain neurotransmitters and relies on external stimuli to tell the time – most importantly, sunlight.

This is known as the circadian body clock and determines our circadian rhythm. This rhythm becomes accustomed to consistency and repetition, which is why it becomes progressively harder to wake up early the later you go to bed. Our eyes are incredibly sensitive to certain types of light, and we are more likely to become drowsy the darker our environment gets.

Not all light causes us to stay awake – blue light, which is harsher and colder, tends to keep us up the most, because it simulates the intensity of sunlight at midday. As the sun reaches the horizon and sets, its light becomes warmer and less harsh – as such, warm lights keep us up a little less. However, preadolescents and teens are more susceptible to all types of light, while adult brains are more able to perceive nuance in light.

This means even warmer lights – such as screens on reading mode – can help keep teens and preteens awake. While most teens likely already use battery-saving Dark Modes in many apps and some have their phones and screens set to dim and grow warmer as the sun sets, excessive screen use past a certain time of day may interfere with your teen’s natural sleep cycle.

Increased Consumption of Caffeinated Beverages

Caffeine is a stimulant that blocks the brain’s reception of adenosine, one of the neurotransmitters responsible for drowsiness, while slowing down the body’s natural release of melatonin, another chemical that signals us to go to sleep.

It’s important to note here that caffeine sensitivity is extremely varied and depends on age and genetics – which is why you might know someone who can hit the hay right after enjoying a post-dinner cup of coffee. Caffeine’s elimination half-life can vary between 1.5 and 9.5 hours.

However, given that teens have been more likely to hit up Starbucks and consume several energy drinks a day to supplement their studying routines and hang out with friends, too much daily caffeine (or consuming caffeine too late in the day) can play a role.

Increased School Stress

Teen stress levels rival that of their adult counterparts, research finds, and some studies indicate that teens are experiencing even more stress at school than some adults at work.

These stress levels are thought to be the result of poor or lacking stress management, excessive involvement in extracurricular activities, pressure of achieving admission in a top college, and the constant fear that their professional future and happiness hinges on academics – from small pop quizzes to major exams.

While these worries have been ever present for generations, they seem particularly exacerbated for today’s teens, especially as more and more people are encouraged to focus on a continuing education rather than finding a job after high school.

Tougher Schedules

Today’s teens generally have less free time than their parents did, and even recuperative months – like the summer vacation – have become a source of stress and school-related anxiety. This can have a detrimental effect on a teen’s mental health and well-being, as well as their sleep schedule.

While you’d think more activity would translate into a need for more sleep, many teens are instead continuing to try and make time for their friends well into the early hours of the morning, and school or work-related stress is causing many to become restless.

How Can Healthy Habits Promote Better Sleep?

Some factors are easier to control than others, including setting firm bedtimes, limiting screen time an hour before bed, creating a consistent and proper sleeping ritual that promotes good sleep hygiene for teens.

    • Set firm bedtimes: While most teens would argue that they’re too old for parent-set bedtimes, research shows that sticking to a strict curfew and bedtime typically get better sleep, and function better during the day.
    • Cut screen time at night: Teens may want to consider cutting down on screen time an hour or so before bed to ensure that their body’s natural clock does its job, rather than being tricked into thinking it’s far too early for bed.
    • Advocate for later start times: Adolescent brains are wired to sleep a little later than most adults, and sleep in a little longer as well. The CDC and other organizations have urged for later start times in schools, including teen advocacy groups and parent organizations. Urge your local schools to start classes at 8:30am at the earliest.
    • Creating a good bedroom environment: Temperature, lighting, noise. These are controllable elements that can make it easier or harder to fall asleep, and encouraging your teen to maintain a good bedroom environment by turning the temperature down a bit and keeping things dim and dark can help them fall asleep faster.

The factors at play are both inside and outside of our control, and our teens’ control. Minimizing these factors and coping with them may not only help lower rates of anxiety and generally improve academic performance but will help your teens just feel better, grow better, and be healthier.

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Mental Health

Managing Mental Health in High Schoolers

As suicides continue to rise dramatically in adolescents compared to relatively steady rates in other age groups, it’s time to recognize the importance of helping our high schoolers and teens manage their mental health, particularly stress-related mood and anxiety disorders, and the rise in Internet-related victimization and self-esteem issues.

School is an especially difficult time for many high schoolers, as they are undergoing both physical and emotional changes, transitioning from a dependent childhood into the many expectations and burdens of adulthood in a precarious social and political climate. This is further complicated by the new and still under researched effects of online social media on the teen psyche.

As high schoolers develop, this also becomes a crucial time for introducing protective habits and healthy coping mechanisms that might help them deal with stressors in the future, develop a stronger feeling of independence, and grow the toolkit necessary to help manage their mental health in adulthood.

Overcoming the Stigma of Mental Health in High Schoolers

One of the more effective ways of combatting stigma and self-stigma in high schoolers is through awareness and education. Studies have shown that anti-stigma intervention programs, which aim to shed a light on some of the facts surrounding the most common and destructive mental health issues among teens, how they develop, and why they occur, can help teens better understand their peers and separate the illness from the person.

The issue of stigma is overwhelming because it can lead teens to ignore or deny their problems or turn to victimizing others for their symptoms to deflect from themselves. By minimizing the problem of mental health as being overblown or a mark of shame, many teens are missing out on the opportunity to seek help and intervention at a time in their lives when a potential mental health issue is often easier to manage and treat.

Adolescence is often the earliest and most common period of onset for many mental health issues, so identifying them during the teen years is important. Anti-stigma education can help teens become comfortable with the idea of approaching professionals regarding their problems and concerns and ease their fears and misconceptions.

Friends and Family Play an Important Role

High schoolers spend a lot of time at school, but the role of family cannot be understated. While parents might feel like they’re losing influence over their child as they become increasingly independent, parent-teen relationships remain one of the most important factors in mental health, often more so than a teen’s relationship with other high schoolers.

By approaching the topic of mental health and support seriously, and by seeking to learn more about their teen’s psychological wellbeing, parents can help teens take their treatment seriously as well. Just as important as family support is the quality of the relationship between teens and their parents. A strong, healthy parent-teen relationship – predicated through trust, high levels of communication, and low alienation – is often a good indicator of better mental health.

More Than Just Treatment

Mental health and wellness are about ultimately more than just identifying and addressing instances of mental illness. We need to worry about not just eliminating risk factors, but about promoting protective factors – about helping teens and students improve their psychological wellbeing and manage the daily stressors in their lives before these issues compound and worsen.

There are many concrete ways to help teens prioritize their mental wellbeing, past learning more about how their mood and mental health can be influenced through stress and certain self-destructive behaviour or improved through direct and indirect support and treatment. These include:

    • Seeking out friends and peers online and elsewhere. Social connection is especially important for teens, and even more so now. Many teens haven’t been able to engage in their usual hobbies or activities with friends due to the dangers these activities might pose – and while many teens understand the responsibility they bear during a pandemic, it’s important for teens to continue to interact with one another in a healthy manner. That is where online activities can become an important source of joy and fond memories for many, whether it is through team games, Discord calls, or group workouts on Zoom.
    • Prioritize sleep hygiene. With the pace at which the world is moving, it often feels like there are not enough hours in the day to get everything done. Yet at the same time, some days can feel like they are an endless crawl. This dissonance is highlighted in the early hours of the night, when anxieties, racing thoughts, and doomscrolling can keep teens up way past their bedtime. Learning to appreciate and prioritize sleep – not just because mom or dad said so, but because of the benefits of being well rested – is a greatly underappreciated part of maintaining one’s mental wellbeing.
    • Limit social media hours. While it’s important to stay connected with our friends, there are still some negative elements to being constantly online – or “Too Online”, if you will. Social media is curated for each user, typically along the lines of what interests them the most. This can be great for discovering new artists, but it can lead to feeds dominated by negative headlines and news, polarizing content, and a slew of depressing data, not to mention hater discourse, and content that promotes self-loathing. Research show that it’s not necessarily social media itself, but the intensity of its use, that predicates negative impact. Self-limiting social media to certain time slots can do a lot to help teens focus on things other than their feed.
    • Exercise or get moving several times a week. A few minutes of exercise per day can go a long way towards regulating mood and reducing negative thoughts, effectively having an antidepressant and calming effect on most of us.
    • The quality and quantity of the exercise matters little past a certain point. What’s more important is finding something you can do consistently, and something you genuinely like doing, whether that’s hardcore weightlifting, a light swim, dancing in your room, or walking the dog.
    • Plan a healthy and individualized diet. Studies show that Americans are paying more attention to what they eat, and that they generally understand the importance of a healthier diet. Yet knowing what is healthy and implementing a healthy diet are two very separate things.

Just as with exercise, it helps to take small steps and consider changes that are both realistic and consistent in the long-term. Teens should also be encouraged to take a greater part in determining what they eat, as it can be beneficial to start forming healthy eating habits at an earlier stage in life.

Coping With Mental Health Issues Through Small Lifestyle Changes

The emphasis on “small” is to focus on the first step. One of the hallmarks of school-related stress in high schoolers is the unending feeling of being constantly overwhelmed – the last thing you would want is to add onto that. However, by making small steps towards committing to one’s own mental wellbeing, teens can be encouraged to think of their needs and develop the habits needed to manage stress in the long-term, without feeling like they’re being tasked with too much.

A big part of embracing adulthood is stepping up to the plate of individual responsibility, for oneself and one is impact on others especially. But too much too quickly will backfire. Expecting teens to take on all the burden for their mental health is unwise, as well. Mental wellbeing is about both internal and external support, through self-love and healthy coping mechanisms, but also a robust relationship with friends and family, and access to important mental health resources.

Tackle different habits and strategies one at a time, encouraging teens to focus on their sleep first, or create a schedule for when they should and shouldn’t check their social accounts, and ensure that they understand they have the option to ask for help whenever they need it.

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Mental Health

Food for Thought: How Nutrition Affects Teens’ Mental Health

Just as our mental health has an impact on our physical well-being, so does our mood influence how and what we eat – and the reverse is true in both cases, as improving physical health and eating healthy has shown to have a significant impact on mood and mental health. A good diet correlates with fewer instances of depression, even when accounting for other factors and stressors, and improving one’s nutrition can relieve and reduce anxiety.

This is doubly important for teens, who are still growing and need as many quality nutrients as possible to reach their full potential. How and why food interacts with the mind is a complex question, and the answer lies in the many interactions between nutrition, nutrients and the brain, as well as the effects of so-called micronutrients – minerals, vitamins, beneficial fatty acids, antioxidants, and polyphenols.

On the flip side, there are the negative effects of certain additives, calorie-dense but low-nutrient foods, diet-related inflammation, and meals loaded with simple sugars and trans fats. Maximizing the good and minimizing the bad – and identifying between them, as well as cost-effective and simple ways to eat “clean” – can go a long way towards reducing symptoms and helping in the management of anxiety and depression.

How Nutrition Shapes the Developing Teenage Brain

A healthy diet and a conscious approach to nutrition is no substitute for an individually-tailored treatment plan – but it can be a critical part of it. Identifying a teen’s eating habits and improving on them can help improve symptoms of mental health conditions by:

Improving Mood via Key Nutrients

The mysteries and complexities of the mind are ultimately tied to the mechanical and physical nature of the brain, and like most thins, the brain needs fuel to run well. Premium fuel does less damage and gives you more mileage, and the same goes for food. Key nutrients can protect the brain from oxidative stress, eliminate potential deficiencies, and correlate with better mood regulation. These include:

    • Polyphenols: A family of thousands of different compounds (mostly found in plants) thought to play a role in anti-inflammation.
    • Omega-3: A fatty acid found mostly in oily fish, certain types of algae, and flax, and a key nutrient that is often missing in standard Western diets and correlates with better heart and brain health.
    • Vitamin D: The most important source being ultraviolet light. Vitamin D supplementation is not heavily researched, and a good dietary source would be eggs and fish. However, making sure to get plenty of outdoor activity in during the summer months is often enough to reduce the likelihood of deficiency. Vitamin D may be linked to seasonal affective disorder.
    • Folic Acid: A deficiency of which is often linked to depressive symptoms and low mood. Folate supplementation may help improve mood regulation and serotonin levels.
    • Tryptophan: An amino acid found in several different protein sources, may have a link to serotonin release and mood regulation. However, more research is needed.

Better Gut Health

Scientists have increasingly been paying more attention to the neurological role that our gut plays, to the point that our digestive tract has colloquially been named the “second brain”. Every human body contains billions of bacteria living in a microbiome within our digestive system, and careful balance and health of these bacteria seems to play a vital role in mood, emotion, and even thoughts.

Our guts are individual enough that people will be sensitive to different foods, meaning your teen may require minor dietary adjustments to keep their gut healthy, and in turn influence their mental health. Probiotic foods have long been associated with better gut health. Some teens are more sensitive to certain foods that may negatively impact their gut.

Experimenting with probiotic foods and food sensitivity diets may impact your teen’s mental as well as physical health. Future, more in-depth gut-related treatments for mood and mental health may include fecal transplants, but it will take time before we fully unlock the mysteries between the gut and our mental health.

Addressing Inflammation via Food

Inflammation is a critical function in the body for preserving important life processes and fighting off potential foreign bodies and infections. It is by no means “bad”. But prolonged inflammation, and inflammatory foods, are associated with several chronic illnesses, stressors, and low mood, as well as much more oxidative stress.

Managing sources of inflammation from outside via anti-inflammatory foods may help certain teens better manage both their physical and mental health. Polyphenols and antioxidants may help reduce unnecessary or excessive inflammation or aid the body’s own antioxidant functions.

The Benefits of Homegrown Food

There’s more to food than just eating it, and another way in which our diet and nutrition may play a role in treating mental health issues is by taking more interest in the way we grow and precure our own food. Even when space is an issue, certain herbs and spices can be grown on minimal real estate with nothing but a south-facing window and some do-it-yourself (DIY) pots.

For families with more space, setting up a small vegetable patch can be incredibly rewarding, and can make for a source of nutritious food. Pumpkins, leafy greens, potatoes, peppers, and various herbs can easily be grown in a backyard, and gardening has a number of benefits from the rewarding feeling of nurturing something, to the benefit of an outdoor physical activity. A meta-analysis on the topic shows that growing your own vegetables can have a tremendous effect on mood and mental health.

Why Teens Should Learn to Cook

Growing and eating good food can affect mental health, and so can preparing it. Not only does preparing a meal help teens cultivate a greater understanding and respect for the ingredients they’re working with, but cooking itself is a creative craft, one that requires a lot of improvisation and leaves room for experimentation with a myriad of potential results.

Not everyone can be a great cook, but it does not take much effort or practice to be a good cook. Learning to prepare and enjoy a variety of meals can also instill a sense of independence and freedom, and help a teen feel like they are ready to live on their own at some point.

While formal research on the topic has led to positive albeit limited results, demanding more qualitative research, cooking interventions may be an effective way to further boost a teen’s self-esteem, help them embrace a creative endeavor, potentially discover a new talent, and learn to provide for themselves and feel accomplished in the process.

Food, from its origins in the soil to how it interacts with the bacteria in our gut, plays an important role in our mental and physical development and health. We eat and enjoy food every day, usually multiple times a day, and developing a healthy relationship with nutrition pays dividends.

Categories
Smoking

From Vaping to Tobacco: Teen Health Effects of Nicotine

It’s no secret that cigarettes are bad for you – from the carcinogenic effects of smoke inhalation, to the heavy use of pesticides in the cultivation of tobacco, and the various additives cigarette companies use to make their product more palatable or grant it a longer shelf life. But even in its natural state, tobacco is addictive and dangerous.

And particularly so for teens. Its main active compound is nicotine, an incredibly toxic stimulant drug in its pure form. Most of the time, nicotine enters the bloodstream through regulated nicotine products such as nicotine patches, nicotine gum, nicotine-containing “e-liquids”, and a variety of tobacco products.

It is not clear if the effects of nicotine can contribute to the development of cancer, like many of the other compounds in cigarettes, cigars, and other tobacco products. But nicotine is highly addictive – and that its effects on the brain are especially pronounced in teens, who eventually have a much harder time quitting cigarettes when they are older.

The Effects of Nicotine, From Cigars to E-Cigarettes

Nicotine products are commonly inhaled through cigarettes, cigarillos, cigars, and vapes/e-cigarettes. They are also ingested through gum and snuff, and sometimes administered through nicotine patches, which are designed for smoking cessation. While teen smoking has massively decreased in the years following the battles between the tobacco lobby and various public health and medical institutions, it has been supplanted in recent years by the vaping phenomenon.

Born from the e-cigarette industry, vaping involves the inhalation of specially designed “e-liquids” via an electronic device that heats the liquid and allows the user to inhale its vapors. These liquids are mostly made of water, glycerin, and a type of glycol, alongside an active ingredient like nicotine, and various additives for flavor and aroma. While nothing is “burnt” while vaping, the continued use of vaping devices can lead to their wear-and-tear, introducing trace amounts of heavy metals and unwanted chemicals into the vaper’s lungs.

Furthermore, many e-liquids are made with additives and flavorings that are potentially harmful. But these risks generally do not hold a candle to the overarching risks and effects of nicotine, which remains an active ingredient in most vaping products on the market. While you can get nicotine-free e-liquids, these are not without risk, and may lead to nicotine use later.

What Exactly Is Nicotine?

Nicotine is an addictive stimulant drug that poses a risk for the heart. Its addictive potential is due to its effects on the brain’s reward mechanism, or the limbic system, through the release of dopamine and research has shown that individuals with a high rate of anxiety are likely to use nicotine products as a way to self-medicate, as it can help with symptoms of anxiety in the short-term.

In the long-term, however, the effects of nicotine use leads to nicotine addiction and withdrawal symptoms, changes in appetite, increased risk of heart disease, anxiety disorders, and mood swings, and more. In its pure form, nicotine is incredibly toxic, to the point that it can induce vomiting and other signs of poisoning after skin contact.

Pure nicotine should never be handled by a non-professional. While nicotine poisoning is rarely fatal, it can induce severe illness. Even in its natural form, those unaccustomed to tobacco products and nicotine can easily get sick when accidentally coming into contact with too much of it – Green Tobacco Sickness is a type of nicotine poisoning experienced by young farmers after skin contact with wet tobacco leaves.

The Effects of Nicotine on the Adolescent Brain

Teens are more susceptible to the negative effects of nicotine because it is an addictive stimulant drug, and thus usually causes addiction in teens faster than in adults. Teen brains are still in development, and addictive substances tend to leave a much stronger and longer lasting impression on teen brains than adult brains. It is not until the age of about 25 that the human brain finishes development.

Until then, teens and young adults are more likely to take unnecessary risks, make poor decisions, and struggle with long-term choices. It is estimated that about three out of four teens who start smoking as adolescents continue to smoke well into adulthood. While the data is not in yet on whether vaping habits also continue into adulthood, the assumption can be made that it is equally dangerous due to both tobacco products and e-cigarettes sharing the same active compound.

Is Vaping Better Than Smoking?

A lot of the carcinogenic risk in cigarettes stems from the inhalation of burnt tobacco, and tar deposits in the lungs. However, while vaping products are safer than cigarettes and cigars, they are not totally safe. People have gotten sick from vaping.

Especially with modified vaping products and black-market e-liquids, there are still many studies currently trying to determine the long-term effects of vaping. Preliminary data urges teens and parents to be cautious, as e-cigarettes and other vaping products contain various potentially dangerous or harmful compounds.

What About Nicotine-Free Vaping?

There are countless different vaping products on the market, and many different so-called “e-liquids” to use them with. These e-liquids typically contain either nicotine or THC (in states where it is legal, or on the black market), but some e-liquids are composed of only artificial flavoring, water, and either propylene glycol or vegetable glycerin. Turning a vape on will heat the liquid, and the user then draws it through their lungs in vapor form. There is no smoke in an e-cigarette or vape.

There are, however, various potentially toxic compounds and heavy metals, and long-term research into the dangers of vaping is still ongoing. Preliminary data suggests that it is certainly healthier not to vape, not only because it might lead to experimentation with nicotine at an early age, but also because long-term e-cigarette use, even without nicotine, may lead to lung damage, lung disease, and/or cancer. Some of the potentially toxic compounds commonly found in e-liquids, even without nicotine, include:

    • Diacetyl
    • Acetyl Propionyl/Acetylpropionyl
    • Acetoin

Many artificial flavoring chemicals can be potentially harmful when inhaled, such as:

    • Acrolein
    • Acrylamide
    • Acrylonitrile
    • Eucalyptol
    • Formaldehyde
    • Vanillin
    • And more

Currently, vaping is agreed to be safer than smoking – but that doesn’t make it safe, particularly for teens with developing brains and bodies. And sadly, teens are the fastest growing market in the vaping industry and continue to adopt vaping faster than any other age group. The CDC also identified acetate (vitamin E) as a compound of concern in vaping products, where it is used as a thickening agent.

Any nicotine products should be avoided by teens, due to the addictive nature of nicotine, and the association between nicotine products and heart disease, lung disease, and cancer. Nicotine gum, while not used as often, is also an addictive product, and can lead to heart issues due to heart palpitations, and constricted blood vessels. Any level of nicotine exposure should be taken seriously, especially in adolescents.

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Depression

Parent’s Guide to a Month-Long Observance of Teen Depression

Teen depression can be a very overwhelming illness. The negative thoughts associated with depression range from self-deprecating feelings to thoughts of suicide and self-harm, and parents can often feel hopeless in the face of a disease that doesn’t respond to rational thought or reason.

These feelings are neither your fault nor your teens and learning to overcome them takes a great deal of time and dedicated treatment. If your teen has been diagnosed with a form of depression, be prepared for the road ahead. Depressive conditions require long-term support and treatment and understanding depression can go a long way towards providing that support.

Understanding Teen Depression

Depression is a feeling of severe hopelessness. It is more persistent than normal sadness, can occur for no discernable reason, and is characterized by recurring negative thoughts. Depression is the primary characteristic of several different mood disorders, which often have a complex biopsychosocial origin.

This means depression can occur for reasons that are biological, psychological, and social. Factors such as victimization at school, family trauma, genetics, endocrine health, and substance use play a significant role in the development and severity of a depressive condition. The most common is Major Depressive Disorder (MDD), although there are others, such as:

A teen’s depression may have multiple different causes, each contributing in some way, and each playing a potential role in their treatment. Teens affected by PMDD or SAD would have a different treatment course than MDD, for example. Where sadness is a normal emotion, depression is chiefly characterized by its anormal persistence.

To be diagnosed with a form of depression, a teen would have to display symptoms for at least two weeks, although the condition itself can last much longer. Symptoms can range from mild to severe, with signs such as low mood and loss of interest in hobbies and social activity, to self-harm and suicidal ideation. There are many theories for why and how depression develops in the brain.

Pharmacological treatment involves selective serotonin reuptake inhibitors (SSRIs), a class of antidepressants that increases the availability of a chemical in the brain related to positive mood. Psychiatric therapies for depression center around identifying, isolating, and combatting individual negative thoughts that a teen can associate with depression, effectively learning to recognize the disorder and how it operates in the mind.

Teen depression treatment can take weeks, months, or more. It is often recurring, and may flare up in times of severe stress, or for no reason. Certain protective factors can help minimize recurrence and prevent depression in those who are more likely to experience it (due to heritability).

Is My Teen Depressed?

It can be difficult to separate sadness from depression, especially from an outside perspective. Much as we would like to, we cannot always understand what our children are thinking. However, there are still signs and symptoms that should never go ignored, and patterns that may suggest something more serious than passing misery.

    • Frequently joking about suicide
    • Wishing one were dead
    • Losing interest in all hobbies (without gaining new interests)
    • Severe change in weight and appetite
    • Signs of self-harm
    • Unexplained pains, especially headaches and stomach issues
    • Substance use and/or abuse
    • Persistent irritability
    • Expressing feelings of worthlessness
    • Constant fatigue
    • Trouble concentrating

Depressive symptoms in teens should always be taken seriously. Teens are teens, and some of the issues and concerns they feel strongly about may feel relatively silly to any adult. Furthermore, the nature of a depressive condition is such that it can occur without any obvious trigger, or absent of any rational cause.

There is no talking your teen out of depression or lecturing them to feel better. When depression strikes, the sadness becomes all-encompassing, and offering support – being there, listening, comforting them, and convincing them they are not alone or worthless – becomes critical.

Are Antidepressants Enough?

Antidepressants are a first-line treatment against depression, but they are rarely the only answer. Treatment for depression may require a multimodal approach, one that combines social activity and support with individual physical and mental health approaches, including exercise and therapy.

Teens who are depressed need to be reminded that they are not alone, and that their friends and family are always standing by them. They need encouragement to seek out social interaction, even in times like this, whether with close friends through the internet or alongside proper COVID precautions.

Individual therapy may combine different approaches or rely on certain types of therapy to isolate and disprove negative thinking. Teens who are depressed will often think to themselves that they have nothing to show for in life, and that everyone around them would be better off if they were dead.

Disproving these thoughts and being reminded of the good things in life can help edge a teen out of a depressive episode. Coping mechanisms that promote good emotions, from creating something (writing, playing music, drawing) to exercise can play a critical role in avoiding depressive symptoms. Different types of depression may require different treatment approaches.

Teens with PMDD may have to coordinate with a doctor to pick out medication to help combat their symptoms without adversely affecting puberty or their menstrual cycles. SAD may be treated through a combination of pharmacology and light therapy (mimicking sunlight). When depression is codependent on drug use, treatment would have to address both issues concurrently.

Every teen’s depression and their treatment may look a little differently. But a key feature in each of their stories is the importance of family and friends. While therapists and specialists help dictate treatment, it is ultimately those who are closest to a teen who do the most to help them survive and overcome their diagnosis.

How Can I Support My Teen?

There are different things parents can do to help support their teen. These include:

    • Showing interest and support their hobbies and likes. Teens with depression may not always been depressed, and when they are not, they may spend their time trying to do something that makes them happy. Show interest and encourage them to pursue that thing.
    • Encouraging them to engage with the family and get things done together. Spend more time together as a family and try to emphasize that your teen will always have a place at home.
    • Providing balanced and nutritious meals. Nutrition may play a significant role in both the onset and management of depression and may help regulate mood alongside treatment.
    • Identifying your teen’s symptoms and talk to them about getting help. If your teen hasn’t been diagnosed, but you’re worried about their behavior, encouraging them to talk about their thoughts and feelings and potentially seek help with you is an important first step towards helping them figure out what’s going on in their mind.
Categories
Dual Diagnosis Mental Health

7 Mental Health Conditions to Learn for Every Day of MIAW

Started in 1990, Mental Illness Awareness Week (October 4th to 10th, 2020) is an annual event encompassing National Depression Screening Day (on October 8th) and World Mental Health Day (on October 10th). This year’s Mental Illness Awareness Week (MIAW) plays a particularly important role in helping spread more information and encouraging more understanding regarding the illnesses and conditions that have been on a rise since the pandemic started.

Learning More About Mental Health Conditions, One Day at a Time

This year, MIAW will focus on seven of the most common mental health issues in the world, from how they might be recognized, to what treatment and symptom management looks like. MIAW 2020 aims to dispel myths and emphasize the role of support and community treating mental illness as the societal issue that it is. The seven major mental health conditions addressed this year will be:

    • Anxiety Disorders
    • Bipolar Disorder
    • Psychosis
    • Eating Disorders
    • Depression
    • PTSD
    • Substance Use Disorders

Mental health conditions take on many shapes and forms, and while we will talk about some of the most common mental illnesses, this list is by no means comprehensive. Mental health is often complex, and we don’t always need a diagnosis to seek help and support from one another. The goal this upcoming Mental Illness Awareness Week is to help encourage those of us with various symptoms to seek support, and to encourage everyone to learn more about these conditions and how they can be managed.

1.  Anxiety Disorders

Anxiety disorders are some of the most commonly diagnosed mental health conditions in the US and encompass a variety of diagnoses related to very specific fears (phobias), generalized anxiety, social anxiety, and conditions such as obsessive-compulsive disorder (OCD). While the overarching symptom of an anxiety disorder is irrational fear, anxiety disorders can include many different symptoms, including:

    • Irritability
    • Strict or very rigid thinking
    • Negative thoughts
    • Hyperventilation
    • Panic attacks

Not every fit of fear or anxiousness is an anxiety disorder. An important hallmark is whether the anxiety interferes with a person’s regular day-to-day life, and whether it could be considered irrational. Mocking or hazing someone for their fears or anxieties can serve to further alienate them from seeking support, and force them to turn to dangerous or ineffective coping mechanisms, from ineffective or illegal medication, to outlets of nervous energy or fear, including self-harm.

When someone exhibits anxiety, it’s important to recognize that their fears feel real to them and help them calm down and return to reality through breathing techniques, reassuring language, and a calm voice. Long-term management of anxiety can involve medication but is often centered around therapy that aims to target, isolate, and replace negative or anxious thoughts.

2.  Bipolar Disorder

Bipolar disorder is a mood disorder (like depression) that involves some form of mania, and often a form of depression, usually cycling between one state or the other in infrequent intervals – once every few months, usually. While mania could be summed up as the opposite of depression that does not always make it a positive emotion. Mania can lead to outbursts of creative energy and motivation, but it can also lead to risky or unstable behavior, delusions of grandeur, restlessness, and lack of appetite. Some people describe their manic behavior as frightening and unsustainable.

Depressive thoughts and behavior, on the other hand, are marked by inescapable sadness. It’s a dark vacuum that makes it difficult to comprehend or embrace any positive thoughts, and depression can lead to a self-consuming lethargy and a total absence of motivation, even for life’s most basic tasks, such as personal hygiene and food preparation. Bipolar disorders usually feature both manic and depressive symptoms, with varying degrees of severity, and varying cycles. Therapy can help deal with both irrationally depressive and manic thoughts, but medication also plays a vital role in providing a balanced mental state.

3.  Psychosis

Psychosis is an all-encompassing term for symptoms that indicate a person is struggling with a disconnect from reality, including types of dissociation, hallucination, and various delusions. Symptoms of psychosis can range from mild to very severe and are a common hallmark in illnesses such as schizophrenia and psychotic disorder. A psychotic episode can be very scary, particularly if it is a severe one. Staying safe and keeping one’s loved one safe is important. But not all episodes of psychosis are severe, and symptoms can be mild and fly under the radar.

Simple dissociation or delusional thinking can be a form of psychosis, and hint at a neurological or psychiatric illness. Treatment for psychosis varies because it’s a symptom in many different conditions, but certain medications can help reduce or eliminate psychotic episodes. Discovering the underlying cause is an important part of the treatment process. Alongside medication, some forms of talk therapy may help people begin to differentiate between reality and the thoughts in their head, allowing them to isolate and ignore their psychosis.

4.  Eating Disorders

While many readers may be familiar with anorexia and bulimia, eating disorders encompass a variety of unhealthy relationships with food and body image, and many of these conditions are driven by a high level of anxiety and discomfort with one’s appearance. The hallmark of an eating disorder is that no amount of change in diet will ultimately satisfy the person’s desire for physical change, whether it’s thinness, muscle size/tone, or some other physical attribute.

The urge to become bigger or smaller is often impossible to satisfy, which is why these conditions can be life-threatening – and in many cases, life ending. Eating disorders have some of the highest mortality out of all mental illnesses, and they remain some of the most common and undiagnosed conditions in our society. External pressures – such as beauty standards, fitness advertisements, and image editing – further fuel these conditions.

But they do start in the brain, and can be exacerbated by physical ailments that affect weight gain/loss, appearance, and appetite. Treating an eating disorder requires not only a recognition of the problem itself, but professional guidance, both physical and psychological. Many teens and adults affected by eating disorders need medical attention and the continued assistance of both a therapist and dietician, to help establish a healthier and less rigid relationship with food and promote good health.

5.  Depression

Depressive disorders can be considered the second most common kind of mental health problem behind anxiety disorders, and they too share a variety of potential causes and symptoms. The difference between a form of depression and typical sadness is the severity and length of the mood, as well as its context. It’s normal to grieve, however, but certain kinds of behavior may suggest an adjustment issue, one that might require more support to overcome.

On the other hand, depression doesn’t always need an external trigger, and can start and persist without any real reason or event. Depression treatment varies with severity and disorder type, as it can occur due to neurological differences, stress and trauma, endocrine triggers, or a combination of all three. Antidepressants are a common first-line treatment because of their effectiveness, but it’s important not to assume that the problem goes away with pills. Long-term support, especially from friends and family, is crucial to depression treatment.

6.  Post-Traumatic Stress Disorder (PTSD)

Post-traumatic stress disorder, or PTSD, is an issue that affects an estimated 7.5 million Americans every year. Child abuse and domestic violence are some of the most common causes of PTSD, alongside sexual assault, and exposure to violence (including combat). PTSD symptoms vast in variety, but can be understood as a maladapted response to a horrifying event. As a result, of stores a lasting impression that changes the way the brain perceives and responds to threats.

PTSD has an effect on our fight-or-flight response, and is directly tied into how we react to the world around us. Individuals who suffer from PTSD can seem permanently agitated or on-edge, but it’s a state of mind they can’t always control. PTSD treatment aims to address this hyperactive state through a variety of specialized therapeutic methods, each of which aim to work through the trauma in a, sustainable constructive way.

7.  Substance Use Disorders

Also known as addiction, a substance use disorder is a complex mental illness because it affects the brain and body directly. Substance use disorders are characterized by continued drug use despite repeated negative consequences, and lack of ability to quit. Internal and external factors both play a leading role in exactly how and why substance use and abuse disorders occur and the potential for uncontrollable spiral.

Thus, both physical and psychological factors affect how quickly drug use can become an addiction. Substance use disorders often co-occurring with mental health conditions, such as depression and anxiety. It is often a gradual process – and treatment is equally gradual, requiring a long-term approach to address both physical and mental symptoms, achieve successful cessation, manage cravings and thoughts of relapse, and much more.

Education Matters More to Mental Health Conditions Than Ever Before

Mental Illness Awareness Week 2020 aims to take a week to help those whose lives have been touched by mental illness better understand the conditions their loved ones are living with. It’s important to recognize that these symptoms last far longer than a day or a week, and that we may all know one or more people who have been living with the symptoms of some of these conditions for months, years, or decades.

Sometimes, they’re just burdensome enough that no one suspects anything, but life becomes a whole lot harder than it might be for the average person. In other cases, these conditions can be so pervasive and intrusive that they completely change one’s day-to-day circumstances and dominate nearly every waking minute. People in our midst affected by mental illness deserve more recognition and support, not just from friends and family, but from communities and society at large.

Every year, we and other organizations aim to spread awareness during MIAW 2020 to encourage everyone to band together and learn more about the different illnesses that affect the people we interact with, from family members to distant acquaintances. Knowledge and awareness can do a lot to dispel myths and misconceptions, avoid and defeat stigma, and encourage those who fear to speak out about their illnesses seek the help and support they need to live better and more fulfilling lives.

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