Teens and Depression

This last year has been noteworthy for the number of teen suicides. No way to sugar coat this, it is just horribly sad. The three teens who have died in my community shocked everyone. They were the "good teens" the ones with passions and drive and loads of success. Teens who commit suicide are often the kids you least expect to. The ones who can say they are depressed, ask for help and get it, are not the ones who commit suicide. A young comic, Kevin Breel, (see link below) is a young man who has struggled with depression for many years, he is now 20, and no one knew. He describes living a double  life; excellent student, amazing athlete, active in the theater program, had a thousand friends, everyone loved him. And as he describes it, he was a moment away from suicide. His depression was not a result of a bad breakup, or a bad grade, but chemicals in the brain that just couldn't make enough of those feel good chemicals that keep us feeling stable. 

Everyone understands the bad breakup sadness, but depression that is biology based gets short shrift in our culture, but it is the one that has got to be discussed. 

 I have had a number of calls recently from parents worried about their teen, trying to figure out whether their teen is just having growing pains, or is in a real depression. Teens love to dump on their parents, giving them their most angry, their most sad, their most anxious and fearful feelings. This is the good news. Think of it as colic. When the bad stuff gets expelled, then sleep and peace can come...until the next time.

Teens are feeling their feelings in ways they have never experienced them before. The intensity comes from an adolescent brain that is over activated in the area responsible for emotion, and literally from having some of these feelings for the first time. Without experience and a history that would have given them a game plan to deal with these feelings that are overwhelming, they are vulnerable to feeling like they might never go away. The first break-up, a humiliation on a soccer field, or a stage, the embarrassment of doing something or saying something impulsively stupid in front of your peers, the disappointment that someone you like doesn't like you back, the worry that they are disappointing you in some way, or any one of a million other things can feel like a catastrophe.

So your kid comes to you in a rage, in a tantrum, sobbing uncontrollably and you feel helpless. But they are coming to you. Like a sponge, you absorb every drop of emotion. You can't sleep, you can't eat, you live with a pit in your stomach that your kid is in pain. But here is the thing, now that they have dumped it all on you and you have so graciously sopped it all up, they are free to go out and enjoy life again. Rinse and repeat!

When is it time to worry? The dumping is a good sign. The emotion is a good sign. They are working it out.  It may be hard on you, but at least they have an outlet. The worry should start, if they are not talking, isolating themselves, and really seem to have lost the up and down nature of teen life. Up and down is good. Staying down is not, or never getting down are both red flags.  If you see your teen spending increasing amounts of time alone, in their room, avoiding family and friends, you might say something like this: " I have noticed recently that you seem more down than usual. You seem to be spending a lot of alone time in your room away from us and your friends. I get life can be complicated and difficult and sometimes overwhelming, and you might like just getting away from it all. I used to do that to sometimes. But I worry that you are not giving yourself a chance to talk about it. If you don't want to talk to us, I understand, maybe it would be helpful to talk to a counselor. I don't want to bug you, but I love you, and want you to work out what seems to be bothering you. I'll check back in with you in a few days, and we can talk about a plan." You will probably get a "leave me alone!" but don't let that deter you. Keep checking in, and letting them know that you are concerned. Eventually, you may just have to make an appointment and make them get in the car.

An conversely, if you have the teen who is almost manic in their ability to manage it all, grades, extra curriculas, friends, etc, make sure you do a check with them as well: " You know honey, you always look like you are so in control of your life, you put a lot of pressure on yourself, I just want to check in to make sure you're OK with it all." Open the door, let them know that that kind of pressure cooker life can mask other feelings, and you just want to let them know you are available and can handle their down moments. 

Seeing your teen be in pain is the worst. Giving them a safe haven to express it is a gift. I would watch this video with your teens, and open the discussion. It doesn't scare you.

http://www.ted.com/talks/kevin_breel_confessions_of_a_depressed_comic