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Guest post: "Are our children more anxious, or are we pathologising adolescence?"

58 replies

MumsnetGuestPosts · 20/09/2017 10:58

Everywhere I turn at the moment, people are talking about adolescents and young people - their entitlement, their anxiety, their isolation, their depression. Running a therapy site that matches people with the therapists best suited to them, I'm always being asked how and where to get help for teenagers and young people by worried parents.

American psychologist Jean Tweng's book iGen claims that for those born after 1995 'the twin rise of the smartphone and social media has caused an earthquake' bringing anxiety, depression, loneliness and a constant fear of not being popular enough, or excluded.

Girlguiding UK's recent poll of more than 1,000 young people showed the biggest worry for 35% of girls aged 11-21 was comparing themselves and their lives with others. Last week the IPPR think tank reported that the number of students who disclosed a mental health problem in their first year rose fivefold to reach 15,395 in a decade.

But hang on now: how real is this epidemic of unhappiness? Could we be pathologising fairly normal adolescent feelings? The teen years are a time of great change. The bodies of girls and boys grow and develop dramatically from childhood into adulthood; we've only recently realised that brain development doesn't really finish until they're in their mid-20s.
Alan Percy, chair of Heads of University Counselling Services, sees a new bunch of 18-year olds every year. He confirms that young adults are reporting they are struggling with symptoms of depression and anxiety 'but the danger is to over medicalise the 'normal' struggles of young adult development.' He feels that rather than jump to treatment, many need to be encouraged to take ownership of their behaviour and feelings, instead of feeling powerless to cope.

One of the problems is unrealistic expectations. 'Young adults feel more overwhelmed by life, but it's important to recognise that for many this sense of anxiety and hopelessness comes from very black and white thinking.'

Cheshire therapist (and mother of teens) Penny Lawson admires how teens deal with the stresses of modern life, but identifies phones as a problem. 'Huge amounts of information coming in throughout the day and into night is having a big effect on this generation.'

She encourages teenage clients to see analyse phone and social media use. 'I ask them to list the good things they get out of it - and recognise the bad. Then they can weigh it up, as if on a set of scales.' Do they take any notice? Yes, she says, but 'I'm not their parent or teacher.'

The World Health Organisation states that across the world 10-20% of adolescents experience mental health disorders; of those affected in adulthood, half had started by age of 14, and three-quarters by mid-20s.

And there's the problem. If adolescence is when things can go wrong, in some cases eventually leading to long-term mental health problems, surely parents need to be serious and alert to problems, rather than simply see it as a common part of growing up?

But, says Percy, parents shouldn't just swoop in to make everything ok. 'As you get older, you have to learn to cope with life's uncertainties. If you fill life with rigid, perfectionist expectations, you’ll feel more anxious and disappointed.' The aim is to let young adults solve as many of their problems as possible. Young adults are grown up when they no longer think it's their parents' job to save them from every thing that might go wrong.

Penny Lawson says many parents struggle with controlling social media, and suffering with social comparisons. 'From the research I've seen, high social media use can be bad for self esteem. If parents don't have skills to navigate it themselves, they can't help their children.'

Where does that leave us? It's not the same world in which I grew up, where I moped in my bedroom but only until boredom got me out to meet a mate, or buy a magazine. But these days the world has permeated that formerly private space. It's brought with it raging FOMO and never-ending, minutely calibrated comparisons between your teen, his or her friends, and enemies. It's no surprise that he or she may be feeling down if they believe they don't measure up.

For some, depression or anxiety may take hold. They may be bullied, start to suffer from eating disorders, feel unable to mix with others, or experience obsessive-compulsive disorder or other phobias and psychological conditions. Therapists and counsellors can help, that's what they're trained to do. But they can also take a walk, go to sleep earlier, take a break from social media, see a good friend, play a team sport. Self-care can help, if they will let it.

As Penny Lawson says, 'These teens are living their lives in the public eye; they're going to behave differently than you or I did, but that doesn't mean they’re going to be a disaster.'

Louise Chunn is the founder of find a therapist platform welldoing.org and will be returning to her post to respond to comments.

OP posts:
Allthelightsgoout · 28/09/2017 15:01

No self - harming and suicidal behaviour wouldn't set alarm bells for ADHD. What would would be restlessness, being unable to stay seated, blurting things out in class, being late for lessons, forgetting to bring their PE kit/cooking stuff/books or losing them completely. Difficulty initiating and completing tasks, difficulty listening and following instructions. Avoiding tasks which require sustained mental effort, being easily distracted and on and on..

Those are the kind of things that a school will see as red flags for ADHD. In the abscence of those kind of signs, self-harm wouldn't trigger a thought about ADHD.

OhTheRoses · 28/09/2017 15:34

Where in my post did I say cutting and overdoses rang alarm bells for ADHD? You are very selective in the points you pick out to misconstrue. I can imagine you work for CAMHS.

Ktown · 28/09/2017 15:38

I think PMT is not discussed enough and I think that teen girls may have this instead of mental health conditions. I am not a doc though and this is just an observation.
I had it badly and was put on the pill and it was life changing. These days I am sure I would have been told I had some sort of personality disorder.

Allthelightsgoout · 28/09/2017 15:51

No I don't work for CAMHS - you sound a little paranoid.

I said CAMHS prioritise children with obvious educational and behavioural impairment for ADHD assessment.

You then said self-harming was behavioural impairment and I said it wasn't behavioural impairment that would raise red flags for ADHD in the absence of other clear indicators suggestive of ADHD - which I listed.

You haven't said your DD is being treated for ADHD? You just mentioned the diagnosis of ADHD and Fluoxetine.

OhTheRoses · 28/09/2017 15:59

You are right. I didn't explicitly but yes she is being treated for ADHD and the diagnosis has been accepted by the adult ADHD service.

Is there anything else you would like me to justify and explain. I think It's a great shame the state did nothing helpful to support my dd to become well. There need to be significant improvements around competence, clinical practice and excellence in my opinion and a tally I don't have to justify every facet of our experience to you. Clearly however you know everything there is to know about adescent MH and CAMHS.

Allthelightsgoout · 28/09/2017 16:30

You're being really defensive and a little aggressive in your tone in your posts. And you're suggesting things that haven't been said.

It is not usual to say you'll 'never trust a nurse again' or think that people that give a different point of view or persepective are attacking you in some way or thinking they 'know everything'. Never trust a nurse again? Not one?

I'm glad your DD has effective treatment and is doing well.

OhTheRoses · 28/09/2017 16:38

I am merely disagreeing with you.

Ilovemysonthemost · 01/10/2017 09:20

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