Teenage Depression and Anxiety | Who, why and how to help | by Courtney Messenbaugh

Posted on Fri, Oct 26, 2018

“Teen Suicide Is Soaring.” “More Kids Are Attempting or Thinking About Suicide.” These are a couple of the chilling headlines that appeared in newspapers and magazines in recent months.

Anxiety disorders have been steadily increasing in adolescents since 2012 and depression among teens is also on the rise. Suicide is now the second leading cause of death among teenagers 15 to 19 years old. Disturbingly, 80 percent of kids with a diagnosable anxiety disorder and 60 percent of kids with diagnosable depression are not getting treatment, a 2015 Child Mind Institute Children’s Mental Health Report revealed.

The data is unsettling; however, the upside is an increasing public awareness. Anxiety disorders and depression are treatable, especially if caught early.

New Universal Screening

teenage device use linked to depression and anxietyThe American Academy of Pediatrics (AAP) issued new guidelines in February 2018 that call for universal screening for depression in teens starting at age 12. The screening is a simple two question process that asks whether or not the patient has experienced decreased interest or pleasure in doing things, and whether or not they’ve felt excessively down or hopeless. These questions act as a first-step approach to earlier detection and a catalyst to dig a little deeper if need be.

Beyond “Normal” Teenage Behavior

Anxiety and depression are separate diagnoses, but often go hand in hand. “Eighty percent of teens with depression have anxiety,” says Dr. Ron Morley, medical director at the Colorado Psychiatry Center. “But you can have a kid with just one, with anxiety happening more frequently.”

If anxiety goes untreated, it can often lead to depression, says Natalie Vona, licensed psychologist with 5280 Pediatrics. Nearly everyone will experience some anxiety in their lives, but when it becomes urgent and consistent, it should be treated. Review the symptoms of anxiety and depression in the accompanying list.

The trouble is that some symptoms look a lot like normal teenage behavior. The Centers for Disease Control explains that normal developmental changes during the early teen years (12-14 years old) include things such as vacillating between high expectations and a lack of confidence, increased moodiness, and feelings of sadness.

Anxiety and depression manifest similarly. Vona says many people are often unsure if what they are feeling and thinking is “normal” or if it is something more serious. Because of this, teen depression or anxiety might be dismissed “as being a teen” or not noticed until something more serious — like self-harm or a suicide attempt — happens.

The bottom line is that if you notice a pervasive, persistent pattern of some of these symptoms, talk to your child’s pediatrician or make an appointment with a mental health professional to address concerns. 

Why the Rise?

fighting teenage depression and anxietyIn a nutshell, a lack of sleep, overwhelmingly busy schedules and hyper-connectivity are likely contributing to this rise in anxiety disorders and depression. Morley points out that causality is always difficult to prove, but this trifecta is certainly not a benign one.

Dr. Suzanne Cooper of Greenwood Pediatrics emphasizes the toll that being hyper-connected is taking on today’s teens’ mental health. “It used to be that if you were being bullied, you could escape from it at home,” Cooper says. “Now, the bullying follows you everywhere on your phone.”

Morley and Cooper also point out that although teens are hyper-connected, they are missing out on human connections and real emotional bonds. This leaves them feeling isolated — a precarious state for anyone. In addition to detracting from human connection, screens on devices also stimulate the part of the brain that controls sleep cycles, causing greater sleep loss.

How to Help

Experts agree that one of the most important things you can do to help your teenager is to be present and to talk with him or her on a continual basis. Spend enough time with them that you will notice when things are off.

As a catalyst for a more in-depth conversation with your teen, Cooper suggests talking about your own difficult experiences and how you handled them. “If you talk about your own feelings,” she says, “it makes them more comfortable talking about theirs.”

As conversations like this unfold, teens may also become more aware of changes within themselves and make them more tuned in to friends who might need help as well. Talking with your children about mental health is just as critical a conversation as talking with them about sexuality and substance use. And, likewise, should be just as ongoing.

As Morley put it, there is no need to be paranoid. If your child is depressed or has an anxiety disorder, get them into treatment early. He says, “We are very successful at treating people.”

Common signs of anxiety disorder:

  • extreme irritability
  • obsessive and compulsive behaviors
  • stomach problems
  • relationship withdrawal.

Common symptoms of depression:

  • decreased interest in previously favorite activities
  • social isolation
  • feelings of worthlessness
  • major changes in sleep or eating patterns.

Source: Psychologist Natalie Vona, 5280 Pediatrics

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