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The rise in mental health issues among adolescents is widely appreciated, but there is still much debate about what lies behind it. Many popular articles and books are related to suspects of a more modern era, specifically 1) smartphones, 2) helicopters Child-raisingand 3) the continued impact of COVID.
Certainly there is evidence to doubt these factors in addition to some of the other 21st Highly potent cannabis, new stressors, and other players of the century ( Climate change and deepen the lack of school safety (and good treatment). But it is also important not to forget some of the more traditional effects of mental health, by giving these new causes, giving them the considerations they deserve.
Factors like Geneticsprenatal environment, and trauma While neglect may not catch many online headlines these days, it remains a powerful contributor to child and adolescent development, especially for young people struggling with clinical levels of emotional behavioral challenges.
Certainly, many of us who tend to work with young people with more acute disorders. Assumption The current mental health crisis among young people and driving factors that we actually observe suicide Action, Invasion And dysregulation and what Psychosis Or a quasi-psychotic experience.
Instead of meeting young people with too many online contacts, we often work with young people who struggle to develop social communication. Any type. Instead of overly invasive and involved parents who shower their children with excessive praise and reward, we continue to see parents who are often able to bring about quick and harmful insults and criticism. Instead of new issues related to the pandemic, we tend to see old issues that have been twisted and bulging.
1) the inherited risks of mental health issues, and 2) the combination of prenatal environments characterized by substance use or increased stress. Domestic violence or poverty, and 3) early childhood and at best suboptimal parenting practices, including trauma, neglect, abandonment, and socioeconomic challenges, continue to find a path to a history of an astounding number of young people presenting major mental health issues.
Clinicians may discuss which diagnostic terminology (Complex PTSDdestructive mood dysregulation disorder, Bipolar disorderopposing rebellious disorders, etc.) should be used to describe young people who endure these risk factors and are now struggling with mood anxiety, anger. anxietyand Note The problem is, however, the history and core areas of concern often have an astonishing level of consistency that appears to obscure the effects of new technological advances or fashionable parenting trends.
Is it possible that what underlies young people suffering from high-level key mental health issues differs from what is moving? depression Anxiety seen in larger groups stress But mostly functional young people? To further explore this hypothesis, good research needs to be conducted, but this is not the first time that the genetic and environmental architecture of similarly sounding mental health problems has been different from group to group.
My purpose of this post is not to dismiss the real concerns raised about excessive screen use, modern parenting trends, or some of the negative effects of the pandemic, but to remind us of more classic and fundamental effects on mental health such as genetics, the prenatal environment, and early trauma and dads. Emotional behavior issues. To be effective in dealing with the surge in mental health issues among young people, we need to stay up to date to understand the 21 modern pitfallsst century Children’s development I look at the ball when it comes to some of the basic forces that continue to affect mental disorders in children and adolescents. ‘
This post is based on my recent article Journal of the American Academy of Child & Adolescent Psychiatry Connect.