Category: Teens

Anxiety and Depression in Teens

Anxiety and Depression in Teens and Young Adults: When is it Time to Talk to a Professional?

by Stephanie Insko

You may have heard about the alarming increase in anxiety and depression among college students. I have seen this concerning trend firsthand in the couple of decades since my first job in a university counseling center. Sure, I worked with a lot of students who were dealing with depression and anxiety back then. But the majority of the students seeking counseling were simply struggling to adjust to the newfound responsibilities, decisions, and relationship dynamics that came with college life. In other words, they were in the thick of the learning curve of becoming adults.

The challenges of adjusting to adulthood have not gone away in those nearly 20 years. But they are inherently more difficult for the average young person to navigate while also struggling with untreated anxiety and depression. Therefore, it’s more crucial than ever that young folks address any mental health concerns before they’re on their own, trying to perform in college or on the job. But how do you know when it’s time to seek the help of a mental health professional?

Clinical anxiety and depression can sneak up on us, and may go unnoticed until functioning is affected. In teens and young adults, this often shows up as a decline in school or work performance. There might be a lack of interest or motivation to improve, and problems concentrating might make it nearly impossible to do so. Social functioning might change, too, with increased isolation from friends. A loss of interest in previously-loved activities is another warning sign. Other signals that this is more than a “rough patch” include changes in appetite, sleep, and overall energy levels.

If you’ve noticed any of these signs, it might be time to consult a therapist. Anxiety and depression in teens are manageable concerns, and therapy is a collaborative effort to develop a plan to do so. Maybe you’re a parent noticing some signs that worry you as you send your child off to college. Or maybe you’re a young adult struggling to balance depression or anxiety with the demands of school or a job. Whatever the age or stage, a good relationship with a therapist can help you figure out how to manage it all.

parenting adhd kids

Parenting ADHD Kids and Teens

by David Elkins

To Understand

ADHD is not just an immature, overly active child; a passive, defiant middle schooler; or an unmotivated, lazy teenager.  ADHD is a neurobiological condition that presents with deficits in self-regulation (attention, focus, over-activity, or impulsivity) starting in early childhood and at times may create impairment in school, relationships, or daily activities.

ADHD is a continuum disorder, not yes/no or black/white.  The Executive Functioning area of the brain (prefrontal cortex) is not fully developed until mid 20’s.  The “ADHD brain” often lags several years behind.

ADHD often co-exists with other behavioral, learning, and psychological concerns (e.g., learning disability, cognitive processing deficit, anxiety, depression, substance abuse, low self-esteem).

ADHD is a lifelong challenge with Age/Stage Implications.  ADHD kids and teens often

  • Take the scenic route
  • Display “quick twitch”
  • Act like “knuckleheads”
  • Act clueless and don’t make connections
  • Are high maintenance, high risk, and high reward

…and where do you think this comes from?  (Whose family tree gets “credit”?)

To Remember

  1. The system is the solution (develop a program-e.g., points for positive behavior)
  2. Surprise is not your friend (plan ahead and tell them about the plan)
  3. Kiss the third request goodbye (one or two is enough)
  4. Being right is highly over-rated (power struggles miss the point and will not work)
  5. Keep your mental illness to yourself (control your emotions and language)
  6. If it is not written, down, it doesn’t exist (lists, notes, charts, technology)

To Try

Behavioral/Psychological – Environmental/Life Style

While there is no magical parenting formula, parenting ADHD kids and teens needs to be more proactive, more intentional, and more thoughtful in their approaches.  These strategies apply to parenting all children; however, they are especially helpful with children who have issues of inattention, impulsivity, and over-activity.

  1. First, get their attention (eye contact, prompts)
  2. Structure, structure, and more structure (routines, consistency)
  3. Catch them being good #1 (to reinforce positive behaviors)
  4. Talk and fuss less, behave more (clear expectations, clear consequences)
  5. Run for your life! (or walk, swim, kick, jump, climb, move, exercise)
  6. Teach “executive functioning” skills (study strategies, organization)
  7. Catch them being good #2 (to build confidence, self-esteem)
  8. Find the best school fit, then advocate (504, IEP, Learning Services)
  9. Offer academic tutoring (to build basic skills)
  10. Seek counseling or coaching (for you and your child)
  11. Catch them being good #3 (to shape your behavior)
  12. Teach emotional self-control (don’t assume it)
  13. Don’t over-schedule (to provide down time, rest, and sleep)
  14. Catch them being good #4 (to help break the negative cycle of behavior, punishment, anger, avoidance, loss in self-esteem, depression, acting out)

And finally…

  1. CELEBRATE THE GOOD NEWS OF ADHD (intelligence, creativity, independence, out-of-the-box thinking, “quick twitch” athleticism, sense of humor, energy, enthusiasm)

Books

  • Taking Charge of ADHD, Taking Charge of Adult ADHD, 3rd Edition, Barkley
  • ADHD Workbook for Parents, Parker
  • Spark, Ratey
  • The Gift of ADHD, Honos-Webb
  • ADHD in Adolescence, Robin & Barkley
  • Smart But Scattered, Dawson & Guare, and Smart But Scattered Teens, Guare, Dawson & Guare
  • Give your ADD Teen a Chance, Weiss

Websites

Marriage counseling help at all stages of a relationship

Marriage Counseling: More Than Just a Last Resort

Marriage counseling. What do those words bring to mind? Impending divorce? A last-ditch effort? Couples often do seek marital …

surface relationships

Finding Deep Connection in the Age of Surface Relationships

by Stephanie Inkso It’s all so easy. Swipe, like, love, share. All with the touch of a finger. We make quick judgments …

Anxiety and Depression in Teens

Anxiety and Depression in Teens and Young Adults: When is it Time to Talk to a Professional?

by Stephanie Insko You may have heard about the alarming increase in anxiety and depression among college students. I have …