Therapy and Mindfulness

5 Ways Group Can Change Your Teen’s Life

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Wouldn’t it be wonderful if your teen had deeper social connections? And I don’t mean over social media. I mean real face to face human contact! Technology is amazing. In many ways, we are more “connected” than ever. We can keep in touch with friends we haven’t seen in years and we can chat with people across the globe. Even some Therapists are moving to an online platform for providing services. It makes one wonder what implications these innovations have for human connection.

Why are more and more people reporting a deep sense of loneliness? 

We are living in a time where you have the option to be more socially isolated. Now think about your teen. It can be way more comfortable (and accessible) to make connections online than in person. So chances are a good percentage of what your child digests about the world and other people is from social media. Your daughter looks at her friends’ Snapchat stories and sees peers posting seemingly perfect avatars. She sees her Instagram feed showing airbrushed models and friends displaying a filtered version of an average, awkward teenage existence.

So how do you convince your kid that what she sees online is not always reality? How do you help your girl to see that she is not alone— that there are other girls who are going through almost the exact same thing? Afterall, there are not a lot of teens modeling failure or vulnerability on Instagram.

Your teen needs true social connection.

It may sound obvious but lack of face to face connection can lead to increased feelings of loneliness, especially among the adolescent population. Adolescents are in a stage of development where peer acceptance becomes especially important. The need to feel a part of the group can cause some teens to go against their own values in order to be accepted. Feeling alone and isolated can be incredibly painful during the teenage years. Has your daughter ever said “No one understands me”, “I will never fit in”, or “No one else at my school has to deal with this”? More often than not, we tend to view our own problems as unique.

Social Connection improves your overall health.

Research shows that social connection is the number one indicator of good mental health. “Dozens of studies have shown that people who have satisfying relationships with family, friends, and their community are happier, have fewer health problems, and live longer. Conversely, a relative lack of social ties is associated with depression and later-life cognitive decline, as well as with increased mortality” (Harvard Health Publications, 2010). Positive social connections refer to quality relationships—  people you can be real with, people who support you and accept you just as you are. Positive social connections are an integral part of psychological wellness at all stages of life. Why? Because human beings are social creatures. Historically, being connected has been a huge part of our survival. 

The magic happens when the mask comes off. 

Group therapy can be a great place to start making these social connections. The group is an amazing treatment modality. Participants can build healthy connections with peers and have a safe place to share what is really going on. When members are honest, they find that they actually relate to one another on a deeper level.

Here are 5 benefits of group therapy:

  1. Groups help build a social connection.

     As stated earlier, having satisfying relationships is an integral part of mental health. Group therapy can bring people together with similar issues and thus “relating in” can happen pretty quickly. With the help of a facilitator, group members can share struggles, listen and oftentimes explore solutions. Being in a group setting will also help your daughter enhance her social skills, which can mean being a better friend, partner, and teammate.  

  2. Group fosters a sense of belonging. 

    It may not be easy for your teen to let her guard down in her everyday life but in a group, opening up about what is bothering you is encouraged. Vulnerability is where connection happens. Vulnerability means letting the real you shine through.  It is about belonging, not fitting in. Brene Brown discusses the difference between fitting in and belonging in her book, the Gifts of Imperfection. Brown states “Fitting in is about assessing a situation and becoming what you need to be accepted. Belonging, on the other hand, doesn’t require us to change who we are, it requires us to be who we are”. 

  3. Your teen has a chance to give back and feel useful.

     Group can give your child a unique opportunity to give and get support. Group members can be a sounding board for your teen. Often, members who are further along in the group process can offer different perspectives. What’s more, research shows that giving back in a way that feels useful, like offering support to another group members, can do wonders for one’s self-esteem.

  4. Your teen can get extra support and accountability.

    I have heard this from almost every parent I work with— “She doesn’t listen to me, I guess she needs to hear it from someone else”. The reality is that your teen is more likely to be open with peers rather than adults. Group members hold one another accountable and will call each other out. Peer pressure can work in a positive way in a group setting where peers share similar goals. It is also so helpful for teens to get validation and support from peers.

  5. She may feel better faster.

    Being a part of a community and having a sense of belonging can have remarkable healing effects. Group therapy has often been compared to having a mirror held up. Being among peers struggling with similar issues can give your teen a place where she can “see herself” and with that see opportunities for growth and change. As a result, suffering can be reduced in less time. 

Does Group replace individual therapy?

Group does not have to replace individual therapy. Many find that group is a helpful supplement to individual therapy. In addition, the group can be a place to practice some skills from individual therapy. From an economic perspective, a group can be less expensive than individual therapy and, for many mental health issues, just as effective as individual therapy. Many find that group therapy is all they need to start getting relief.

Where do I find a group for my teen?

Ask a mental health professional like your child’s therapist or psychiatrist. Many therapy practices offer group therapy, including my own. Often getting a personal recommendation from someone you trust can be best. You can also ask your child’s pediatrician or school counselor. Obviously, there is a wealth of information online. Psychology today is a great resource. You can search for local group therapy resources.

So maybe your daughter is scared to join a group. The fear of being judged can be paralyzing. The good news is your daughter is probably already in some kind of group, whether it is a sports team, club or even a class. Encourage your daughter to get out of her comfort zone. Share with her some of the health benefits of positive social connections. Remember— If nothing changes, nothing changes. Group therapy can be a powerful container for change.

Further reading

The Gifts of Imperfection by Brene Brown

“Social Relationships and Health” National Institutes of Health 

“Power in Numbers” The American Psychological Association

“Can Relationships Boost Longevity and Well-being?” Harvard Health Publishing

“The Importance of Being Social” Scientific American 

 

Filed Under: group, mental health, Mind Body Connection, parenting, self-esteem, social media, teenagers, teens, Therapy

We can’t stay silent on the topic of teen suicide. What parents and teens can do.

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Over the past few weeks, our community has been rocked by 2 teen suicides. Both teens were students at prominent Bethesda High Schools. These tragedies are becoming all too common. We hear about it on the news and over social media. According to Mary Anderson, spokeswoman for the Montgomery County Department of Health and Human Services, there have been 5 teen suicides in Montgomery County this year.

There is certainly speculation about the correlation between social media and the rise in child and teen suicides in this country. Cyberbullying, a relatively new phenomenon, has become a major source of stress for today’s teen. There is pressure to present a certain image to the outside world, while what is going on inside often remains hidden.  In the Washington DC area, in particular, there is an inordinate amount of value placed on achievement. According to a 2017 article in Forbes magazine, Washington DC is the 2nd most educated city in the United States. The comparison trap is a dangerous one. For emotionally fragile teens, the pressure to succeed is magnified. While we may not be able to change the culture, we can certainly change our attitude towards it. 

Facts about Teen Suicide:

  • Suicide is the 2nd leading cause of death in the world for those aged 15-24 years.
  • Teens are more likely to tell a peer, rather than an adult if they are having thoughts of suicide.
  • Only half of all Americans experiencing an episode of major depression receive treatment (NAMI).
  • There is one death by suicide in the US every 12 minutes (CDC).
  • “Among teenagers, suicide attempts may be associated with feelings of stress, self-doubt, the pressure to succeed, financial uncertainty, disappointment, and loss. For some teens, suicide may appear to be a solution to their problems” (American Academy of Child and Adolescent Psychiatry).

What parents can do:

  1. Talk to your kids. Parents need to talk about this. Of course, it is uncomfortable to talk about suicide. Many parents worry that bringing up the topic of suicide will ignite those ideations in their child. However, just like sex and drugs, teen suicide is a reality in the world today. Let your child know that they can come to you with anything. Ask open-ended questions. Let them know how you are feeling. Don’t be afraid to be vulnerable. Having an open conversation about suicide will help your child feel more comfortable coming to you for help.
  2. Watch for warning signs. It is so important for parents to know what to watch for when it comes to suicide risk factors. Withdrawal from peers, hopelessness, loss of interest, a decline in hygiene, use of drugs and alcohol as a means to escape, hypersomnia or lack of sleep, and loss of appetite are just some of the warning signs. In addition, you may notice personality changes and increased feelings of apathy (for example– a “who cares” or “nothing matters” attitude).
  3. Ask for help. Talk to your child’s pediatrician, go to a mental health professional for guidance or join a parent support group. You don’t have to do it alone. When your child has a physical ailment, you take them to the doctor. You aren’t expected to fix a medical problem on your own. The same goes for psychiatric issues. If you are worried about your child’s mental health, professional help is a must. While it may look like something that is in your child’s control, it is not. There is a common misconception that people with depression and thoughts of suicide can simply snap out of it.

What teens can do:

  1. Talk about your own experience and break the silence. We live in a world where so much of our private lives have been made public. However, there are still certain things that we tend to keep to ourselves. Most of us have been programmed to feel shame when it comes to mental health issues. What if we felt open to share how we actually felt? What if you shared that you go to therapy, experience anxiety or are having issues with depression? You don’t have to feed into the stigma. Mental health issues are a reality.
  2. Don’t add to the problem, be a part of the solution. If you see something, say something– whether it is bullying over social media or noticing warning signs of depression in a friend. If you know someone who is suffering, offer support and tell a trusted adult, like a parent or guidance counselor. Staying silent only feeds into the problem.
  3. Join a group or start a group.
    Groups can be a great place to open up and share what is really going on in a safe supportive environment. Whether it is a peer-led self-help group or a group run by a therapist or counselor, hearing other people’s stories can help you to see that you are not in this alone. A group setting can provide a place for you to “relate in” and learn how others were able to manage similar issues.

Remember if you or a friend are having thoughts of suicide, tell someone you trust. You are not alone, even though it feels like it. Asking for help takes courage but there is support available if you need it.

Resources

Facts About Suicide

References

Filed Under: cognitive behavioral therapy, coping skills, group, mental health, Mindfulness, parenting, parents, self harm, self-esteem, social media, suicide, teenagers, teens, Therapy, Thoughts

To the Teen Already Suffering From Anxiety: How to Process Tragic Events.

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If you are a teen growing up in today’s world, chances are you feel constantly bombarded with information, often bad news. After the mass shooting in Las Vegas, I thought about how some of my adolescent and young adult patients would respond. Most of the young people I work with are already dealing with anxiety on some level. I have to reflect on how I would have processed such a scary assault back when I was a teenager. I recall being in high school during the 9/11 terrorist attack and how terrifying that was for my peers and me. The news coverage back then seemed neverending. The world certainly changed after that day in 2001 but the terror has not stopped.

Today we have even more access to information thanks to the internet. You see coverage of hurricanes, war, violent protests and mass shootings. Here is the scary part: we cannot predict what will happen next. Sometimes it might feel like everywhere you look there is devastation. So how do you manage panic? How do you send your body the message that right now you are safe?

Here are 3 things you can do to take back your control.

1. Limit your social media and news. Social media often becomes a place for people to voice their opinions after such tragedies. While raising awareness of the issues is great, it’s not uncommon for Facebook and Twitter to become a battleground for opposing political opinions. Watching these arguments can give rise to emotions like anger, frustration, and fear. While these emotions are not “bad”, constantly feeding them can create more anxiety and stress in your body.

In terms of watching the news, there is no need to be checking on what is happening 24/7. Seeing terror on the television or watching videos online can cause a traumatic response in the viewer and increase panic symptoms.

2. Practice grounding. Our bodies respond to stress by going into fight, flight or freeze mode. While you may not be in any physical danger currently, your physical response may tell you that you are. Bringing yourself back into your body, in the present moment, can be a great way to get out of your head. One tool I teach my clients on a regular basis is the 5,4,3,2,1 game. I advise clients to come back into the here and now by noticing 5 things they can see, 4 things they can touch, 3 things they can hear, 2 things they can smell and 1 thing they can taste. This practice can help you to become more present instead of ruminating over the past or worrying about what the future holds. Other helpful grounding practices are belly breathing and physical contact– (like hugging friends, family, and pets).

Remember in this moment you are safe.

3. Do something. It can be easy to write a post about how you feel on social media. It may require more effort to enact bigger change. Start a fundraiser at your high school, raise awareness in your community about the issues or write your congressmen. Click on the links below for ways to help the those affected by the recent hurricanes and the victims of the shooting in Las Vegas.

Puerto Rico and the Virgin Islands

Las Vegas

Finally, if you notice any anxiety, trauma or mood symptoms worsening, you may need help from a mental health professional. Tell your parent or caregiver that you are struggling and know that help is available. You don’t have to do anything alone!

Further reading:

Children and Trauma. From the American Psychological Association

How to deal with Traumatic News from CNN

Helping Gifted and Highly Sensitive Teens Cope with Trauma

Filed Under: mental health, Mind Body Connection, Mindfulness, parenting, social media, technology, teenagers, teens, Therapy

Handling your child’s love hate relationship with social media

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slideContactLet’s be real. Your kid is using her phone for more than just texting these days. 90% of the teens who I have worked with have had phones with internet access, thus access to endless social media sites and other apps for communicating with God knows who. In addition to the risk that meeting strangers online can pose, “Studies show that repeated exposure to negative postings can trigger or exacerbate symptoms of mental illness” (drjuliehanks.com). The truth is–and I am saying this from years of experience getting into this battle with teens–those who are suffering from a mental health diagnosis like anxiety or depression will be more sensitive to negative comments or images posted online. Teens, in general, tend to be more impressionable than adults and more likely to be affected when they feel judged by their peers. In developmental terms, this can be completely normal. BUT add adolescent plus mental health diagnosis or sensitive personality and this could equal a big problem. By no means am I bashing social media. Social media can be a great tool for keeping in touch, self-expression or delving deeper into hobbies or interests. I actually love social media but giving a child whose brain is not fully matured free reign and access to anything on the internet can be extremely dangerous and even addictive.

My experience as a therapist working with children and teens has taught me that limits have to be set.

  1. There should always be a cut off time for devices- 9pm, bedtime, whatever you choose- and parents keep the phone.
  2. There can be an agreement (for older teens) that parents will not read messages or go snooping.
  3. If there is a safety concern or there has been risky behavior online in the past- parents have a right to snoop or take away the device completely.
  4. Parents have access to passwords for ALL social media sites. Purely for safety.
  5. Remember parenting teens and tweens in this digital age can be extremely difficult. Ultimately it is up to you to find a system that works for you and your family.

Please post your comments about what is working for you!

For more info on the impact of technology on children check out this article from the Huffington Post article titled The Impact of Social Media On The Developing Child

Read more about the psychological impact of social media in this article by Dr. Julie Hanks

Is Social Media Dragging You Down?

Filed Under: parenting, social media Tagged With: , , , , ,