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Dr. Sneha Sharma

Just like the Gym is for your body, Therapy is for your Mind

Dr. Sneha Sharma
Psychiatrist, Anvaya Healthcare

Mental Health for Teenagers

Teenagers are particularly vulnerable to mental health issues due to the significant changes and pressures they experience during adolescence. Common mental health illnesses in teenagers include:

1. Depression

Symptoms:
– Persistent feelings of sadness or emptiness
– Loss of interest or pleasure in activities once enjoyed
– Changes in appetite or weight
– Sleep disturbances (insomnia or oversleeping)
– Fatigue or lack of energy
– Difficulty concentrating or making decisions
– Feelings of worthlessness or excessive guilt
– Thoughts of death or suicide

Causes:
– Genetic predisposition
– Hormonal changes
– Environmental stressors (e.g., family conflict, academic pressure)
– Social media influence and cyberbullying

Treatment:
– Psychotherapy (e.g., cognitive-behavioral therapy)
– Antidepressant medication (if severe)
– Lifestyle changes (regular exercise, healthy diet)
– Support from family and peers

2. Anxiety Disorders

Symptoms:
– Excessive worry or fear about everyday situations
– Physical symptoms like rapid heartbeat, sweating, and trembling
– Avoidance of anxiety-provoking situations
– Difficulty sleeping
– Irritability and restlessness

Types:
– Generalized Anxiety Disorder (GAD)
– Social Anxiety Disorder
– Panic Disorder
– Specific Phobias

Causes:
– Genetic factors
– Neurobiological factors
– Stressful life events
– Family dynamics

Treatment:
– Cognitive-behavioral therapy (CBT)
– Medication (e.g., selective serotonin reuptake inhibitors or SSRIs)
– Relaxation techniques (e.g., mindfulness, deep breathing exercises)

3. Attention-Deficit/Hyperactivity Disorder (ADHD)

Symptoms:
– Inattention: Difficulty sustaining attention, forgetfulness, and disorganization
– Hyperactivity: Excessive fidgeting, restlessness, and difficulty staying seated
– Impulsivity: Interrupting others, difficulty waiting for one’s turn, making hasty decisions

Causes:
– Genetic predisposition
– Neurodevelopmental factors
– Environmental influences (e.g., prenatal exposure to toxins)

Treatment:
– Behavioral therapy
– Medication (e.g., stimulants like methylphenidate or amphetamines)
– Organizational skills training
– Support from educators and parents

4. Eating Disorders

Types:
– Anorexia Nervosa: Extreme restriction of food intake, intense fear of gaining weight, and distorted body image.
– Bulimia Nervosa: Binge eating followed by purging behaviors (e.g., vomiting, excessive exercise).
– Binge-Eating Disorder: Recurrent episodes of consuming large amounts of food without subsequent purging.

Symptoms:
– Preoccupation with weight and body shape
– Extreme dietary restrictions or binge eating
– Emotional distress related to eating patterns
– Physical signs such as drastic weight loss or fluctuations

Causes:
– Genetic factors
– Societal pressures and media influence
– Family dynamics
– Psychological factors (e.g., low self-esteem)

Treatment:
– Psychotherapy (e.g., cognitive-behavioral therapy)
– Nutritional counseling
– Medical monitoring
– Support groups

5. Substance Use Disorders

Symptoms:
– Increased tolerance to substances
– Withdrawal symptoms when not using
– Persistent desire or unsuccessful efforts to cut down
– Neglecting responsibilities at school or home
– Risky behaviors while under the influence

Causes:
– Genetic predisposition
– Peer pressure
– Stress or trauma
– Family history of substance abuse

Treatment:
– Behavioral therapy
– Counseling and support groups
– Medication-assisted treatment (if applicable)
– Family therapy and support

6. Self-Harm and Suicidal Behavior

Symptoms:
– Self-injurious behavior (e.g., cutting, burning)
– Expressing suicidal thoughts or making suicide attempts
– Withdrawal from friends and family
– Changes in mood and behavior

Causes:
– Emotional distress and mental illness
– Traumatic experiences or abuse
– Feelings of isolation and hopelessness
– Lack of coping skills

Treatment:
– Immediate intervention and crisis management
– Psychotherapy (e.g., dialectical behavior therapy)
– Support from mental health professionals and crisis hotlines
– Safety planning and family involvement

7. Obsessive-Compulsive Disorder (OCD)

Symptoms:
– Obsessions: Recurrent, intrusive thoughts or urges
– Compulsions: Repetitive behaviors or mental acts performed to reduce anxiety caused by obsessions
– Significant interference with daily functioning

Causes:
– Genetic factors
– Neurobiological abnormalities
– Environmental stressors

Treatment:
– Cognitive-behavioral therapy (CBT) with exposure and response prevention
– Medication (e.g., SSRIs)
– Behavioral techniques to manage symptoms

8. Bipolar Disorder

Symptoms:
– Manic Episodes: Elevated mood, increased activity, racing thoughts, and risky behaviors.
– Depressive Episodes: Similar symptoms to those of depression (as described above).

Causes:
– Genetic predisposition
– Neurochemical imbalances
– Stressful life events

Treatment:
– Medication (e.g., mood stabilizers, antipsychotics)
– Psychotherapy (e.g., cognitive-behavioral therapy)
– Lifestyle management and support

General Approaches to Addressing Mental Health Issues in Teenagers:

Early Intervention:
Identifying and addressing mental health issues early can prevent more severe problems.

Parental Involvement:
Engaging parents and guardians in the treatment process to provide support and understanding.

School Support:
Collaborating with educators and school counselors to support the student’s mental health needs.

Community Resources:
Utilizing resources such as youth programs, counseling services, and support groups.

Addressing mental health issues in teenagers involves a comprehensive approach that includes professional treatment, support from family and peers, and addressing the broader social and environmental factors that may influence their mental well-being.

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