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How to talk to your teen about mental health

You don't have to go it alone. Use these five tips to get started.

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Mental health is an important topic anytime, but 58% of teens say the pandemic has affected their mental health.1

For some families, talking about mental health may be an everyday occurrence. For other families, it may be a new topic, and it may feel a little awkward at first. But the more you do it, the more comfortable it will feel — for you and your loved ones.

You don't have to go it alone. Use these five tips to get started.

Five tips before you talk

If you need help starting the conversation, keep these five tips in mind.

  1. Remember what being a teen is like
    Teenagers are going through a time of change. They may be getting their first job, learning to drive, hanging out with friends more and spending less time with parents.2 That’s all a normal part of development.

    At the same time, their brain is still developing. The parts that control impulses and help them make decisions aren’t fully formed.3

    Social media may also have an impact on teens’ lives. It can make them feel anxious about whether others approve of them, overwhelmed by constant notifications and worried that they’re missing out.

    Frequent Instagram use for young women is also correlated with body dissatisfaction as well as anxiety, depression and low self-esteem.5

  2. Watch for cues
    Teens may bring up mental health topics on their own. They might mention what a friend is going through or how they’re feeling themselves. It’s important to listen, so you don’t miss these opportunities.

  3. Respect differences
    There’s a good chance you and the teen or young adult in your life will have different opinions about political, social or other topics. While it may be tough, try to stay calm and respect their different views. 

    This can help you build trust and make them more open to talking with you.2 Instead of lecturing, help your teen plan how to make healthy choices about alcohol and drugs, relationships and other topics they’ll face.2,6 

  4. Learn about mental health
    Many people have personal experience with depression, anxiety or other mental health concerns. But for some people, these topics are new. If you aren’t familiar with these conditions, educate yourself before you bring them up. Also, know what signs to watch for.

    Signs that a person may be dealing with a mental health issue and need help include:7

    • Feeling sad or withdrawn for more than a couple of weeks
    • Having severe mood swings
    • Worrying a lot
    • Getting into fights with others

  5. Don't avoid tough topics
    If you think someone may be having suicidal thoughts, ask. If the answer is yes, seek professional help including contacting emergency services. Talking about suicide will not cause it.2 

    Also, don’t shy away from bringing up traumatic events that you may have experienced, together or alone. But watch to see what they’re comfortable with.

    While some young people want to talk, others may not feel comfortable talking about traumatic situations — or at least not right away. Don’t pressure them.8
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Eating disorders

When people are dealing with overwhelming feelings, they sometimes develop eating disorders. Eating disorders often begin in the teens and early 20s and during times of change and stress, such as starting college or a new job. While eating disorders are more common in girls, boys can experience them too. Runners, wrestlers, gymnasts and dancers are more likely to have eating disorders.9

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Alcohol use

Some teens and young adults drink because they’re stressed, dealing with anxiety or depression, or feeling pressured by friends.10 Drinking has been linked to lower grades, absences from school and less participation in youth activities, so be sure to watch for use.11

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If you or someone you know has thoughts about suicide, seek help right away. To talk with a trained counselor, you can call the National Suicide Prevention Lifeline anytime at 1-800-273-TALK (1-800-273-8255). 

If you or someone you know is in immediate danger, call 911 — or go to the closest emergency room.

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Resources to get the conversation started

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Mental health conversation starters

Need help starting a conversation on mental health with your teens? Check out these tips.

Looking out for your mental health

Health is more than physical wellness. It’s also connected with our thoughts, habits and moods.

Podcast: Supporting our kids

Mental health needs are increasing in children and teens. Learn how to best support them.

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Find support for your mental health

 

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Optum Store

Find convenient and affordable therapy, medication delivery and other support to help you on your mental health journey.

Learn more

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Optum Care

Find a doctor or clinic close to your home.

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Live and Work Well

If your employer offers this program, you can sign in to get mental health and substance use disorder support.

Learn more

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Sanvello

Improve your mental health on your terms with a smartphone app that offers clinically proven therapies and tools.

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AbleTo

Get on-demand, personalized emotional support with a dedicated coach from the convenience of your own home.

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Sources

  1. Global Shapers Community et al. COVID-19 Youth Survey: Report. Published Nov. 9, 2020. Accessed Sept. 27, 2021.
  2. Centers for Disease Control and Prevention (CDC). Teenagers (15–17 years of age). Last reviewed February 22, 2021. Accessed September 27, 2021.
  3. National Institutes of Health. Parenting teens: Guiding kids through turbulent years. June 2019. Accessed Sept. 27, 2021.
  4. Steele RG, Hall JA, Christofferson JL. Conceptualizing digital stress in adolescents and young adults: Toward the development of an empirically based model. Clin Child Fam Psychol Rev. 2020 Mar;23(1):15–26.
  5. Sherlock M, Wagstaff DL. Exploring the relationship between frequency of Instagram use, exposure to idealized images and psychological well-being in women. Psychol Pop Media Cult. 2019;8(4):482–490.
  6. American Psychological Association. Communicating with teens during COVID. March 8, 2021. Accessed Sept. 27, 2021.
  7. MentalHealth.gov. For parents and caregivers. Last updated March 22, 2019. Accessed Sept. 27, 2021.
  8. National Institute of Mental Health. Helping children and adolescents cope with disasters and other traumatic events: What parents, rescue workers and the community can do. Accessed Sept. 27, 2021.
  9. National Alliance on Mental Illness. Eating disorders. Accessed Sept. 27, 2021.
  10. HelpGuide. Underage drinking and teen alcohol use. Last updated July 2021. Accessed Sept. 27, 2021.
  11. CDC. Underage drinking. Last updated Oct. 23, 2020. Accessed Sept. 27, 2021.