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Supporting the Mental Well-being of Teenagers

There have been welcome signs over the past few years of the beginnings of a shift in societal attitudes towards the subject of mental health. This has been largely a taboo area, but more recently there has been some evidence of an increasing willingness to talk about this hitherto hidden subject. An additional nudge in this direction has resulted from the national lockdowns instituted in response to the Covid-19 pandemic. The normal busyness of life was brought to a stop, networks and patterns of relationships were interrupted, and liberties were curtailed. The suddenness of such enormous changes prompted many to confront, perhaps for the first time, the robustness of their own mental health. The impact for teenagers was heightened by the need to limit social activity since this forms part of the exploration and striving for independence from parents that is associated with adolescence.

What is Mental Health?

It is widely recognised that one of the barriers to discussion in the area of mental health is its confusion with mental illness. In trying to understand these terms, I find it helpful to draw a parallel with physical health and physical illness. We all have mental health and need to look after it, just as we all have physical health and should protect it. At times, we may experience a mental health issue, just as we might experience a physical health issue, which may be easily resolved or something we have to learn to live with, but it is not necessarily an illness or evidence of one. However, if we develop an illness, be it mental or physical, it will impact our (mental or physical) health and will often require some form of treatment or intervention Huffington Post. It should also be noted that whilst they are treated separately above for the sake of drawing the extended comparison, our mental and physical health influence and affect each other. In general, our mental health refers to our ability to cope with life, to process our emotions and feelings, and to manage stress.

Teenagers and Mental Health

It is important to remember that the teenage years are a significant developmental stage in the life of a person. As they seek to develop independence from their parents, teenagers are developing the strategies and tools that will enable them to cope with the stresses of independent adult life. This applies as much to a person’s mental health as to any other area of their life, and it is complicated by the intensely personal nature of our individual mental health profile. Some teenagers by their make-up are, for example, more prone to worry about things than others; some might handle stressful situations with ease whilst some of their friends cannot. This means that any definition of what constitutes “normal” mental health must leave room for personal variation. Ultimately, I prefer to think of a good level of mental health as being a state of mind that enables the individual to enjoy life whilst managing its stresses.

However good one’s level of mental health might be, there will still be difficult experiences in life and teenagers need to learn to distinguish between serious challenges to mental well-being and just having a bad day or a difficult time. Robust mental health enables us to face and deal with difficulties and challenges and to become stronger as a result. In July, an article carried by Heidi News in Switzerland, stated that “The Covid-19 lockdown has affected the mental health of some 40% of teenagers, stressed by being cut off from friends and schools, fears of falling ill and a future that is out of their control.”. However, I would argue that fears of falling ill during a pandemic are a natural human response, and for the vast majority, their mental health will enable them to face and manage those fears. Those most at risk from the experience of lockdown in terms of mental health are those who already have underlying mental health issues, whether they have been previously diagnosed or not. Such underlying issues make it more difficult for them to respond appropriately to the new situation.

A month later, it was revealed that a study conducted in the UK amongst 13-14 year olds had indicated that for some teenagers, mental health had improved during the lockdown. As the NIHR School for Public Health Research suggests, the mental health improvement “may be due to the removal of stress factors often found in school environments such as pressure of academic work and challenging peer relationships.” With regards to the present discussion, the findings serve to underline the individual nature of mental health.

Teenagers, Mental Health Issues and Mental Illness

Given that different people and organisations draw the line between mental health issues and mental illness at different places, I find the comments of the Mental Health at Work Group helpful: “When a mental health issue begins to seriously take over a person’s life – impacting work, relationships, education, or social lives – MHAW considers it to be a mental illness.”

The World Health Organisation (WHO) suggests that 10-20% of adolescents globally experience mental health conditions. Anxiety and depression head the majority of listings of the most common mental health conditions experienced by teenagers, often followed by loneliness and stress. Such listings often go on to include eating disorders, self-harm, drug-taking, and a variety of learning, behavioural or personality disorders. The WHO points out also that suicide is the third leading cause of death in 15-19-year-olds.

What can parents do?

Parents are both the best placed and the worst placed to be able to help their teenagers in the area of mental health and well-being. Proximity within the family enables observation of behavioural changes that might be important signs of a developing mental health issue. At the same time, however, some teenagers are extremely reluctant to talk about personal issues with their parents. Often, the ability to help relies on a strong pre-existing relationship, which all parents can seek to build with their teenager.

I would summarise what parents can do, as follows:

  • Model and seek an adult relationship with your teenager.
  • Make time to listen to your teenager.
  • Take what your teenager says seriously.
  • Don’t pretend you know all the answers.
  • Seek out quality information about mental health amongst teenagers, including the signs to look out for.
  • Be on the lookout for marked behavioural changes – not the same as being faced by teenage stroppiness.
  • Don’t be afraid to suggest medical help if you think it is required, or to insist if you think the condition is becoming worse.

Parents need support too

Parenting can be hard work and extremely stressful. When faced with possible issues with the mental health of their teenager, parents can also feel incredibly alone. Wise parents will recognise the need to find support for themselves. Whether that support is professional or informal, having someone to whom they can talk about their fears, and who can help them find a way forward, is an invaluable aid to becoming better equipped to help and support their teenager.

This article was published in the Spring edition of International School Parent magazine, 2021.

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Teenagers and Sex (3)

My past two posts have looked at the subject of Teenagers and Sex from the broad perspectives of Context and Sexuality. In this third post on the subject, I will try to deal with a few difficult questions that can be grouped loosely together under the theme of Growing Up.

It is a given for many that adolescence is a time for experimentation, when the parental rules that have governed childhood are either owned or set aside as the teenager develops the personal moral framework that will shape their adult life and guide their decision-making. This is part of the natural process of growing up, part of the journey from childhood to becoming an independent and responsible adult, and it involves a good deal of experimentation. Not surprisingly, this pattern of experimentation extends into the realm of relationships and sex.

At the same time as coming to terms with the changes initiated by puberty, whilst trying to understand the changes in their emotions and feelings, teenagers are trying to figure out a framework for the expression of their developing sexuality. Ultimately, they are trying to determine where they will draw the line about what is acceptable in terms of sex and sexuality – the kind of relationships they will pursue; what kind of conduct they find acceptable for themselves and for others; the kinds of sexual activities in which they will engage and which they will avoid. Their decisions will be influenced to varying degrees by their friends, their family, the communities to which they belong, and the beliefs they hold or are exploring. Some teenagers will play it safe in terms of their sexual experimentation; others will be much more adventurous.

As if the above were not complicated enough, there are other factors at play too! Young people develop at different rates. For most, puberty starts between the ages of 9 and 13 and lasts several years. The age at which puberty arrives can have a large effect on a young person, causing early-developers to feel they have outgrown their peers and late-developers to feel like a child in a group of adults. Differences in developmental age within peer groups influence relationships and sexual exploration, lending kudos within the group to some for their “exploits” and sometimes creating feelings of desperation in others that their biology leads them to being viewed as inexperienced or childlike.

The legal age of consent for sex varies both between and within countries, as do statistics relating to teenage sexual activity. I have seen figures ranging from a third to a half of school-age teenagers claiming to have had sex, and up to 70% for the proportion of school-age teenagers who have experienced some form of sexual activity. There is no ideal age for losing one’s virginity, the average age for which ranges from about 15 (USA) to 17 (Ireland). Attitudes to losing one’s virginity include regarding it as a rite of passage; as an enjoyable experience to be actively sought; as something to be delayed as long as possible; and as an experience to be properly reserved for marriage. Some teenagers take a vow to preserve their virginity until marriage, but it has been suggested that the impact of such vows on sexual experimentation are limited as some young people taking such vows regard them as applying only to full sexual intercourse whilst any other form of sexual activity remains open to exploration.

A further aspect that should be noted is the possible psychological impact for teenagers of engaging in sexual activity. For some, it will be an enjoyable and positive experience, boosting their confidence and laying a sound basis for future relationships. For some, however, it can be a painful or frightening experience for which they were not genuinely ready, yielding a loss of self-confidence and possibly having a long-lasting impact on future adult relationships and sexual encounters.

Advice for parents

Refuse to foster guilt or fear. A cursory glance at websites offering advice about teenagers and sex reveals how easy it is to adopt the approach of fostering guilt or fear. Some sites give the impression that the possibility of pregnancy or of contracting a sexually transmitted infection (STI) is pretty much all there is to say about the subject of teenagers and sex. I recognise the importance of teenagers understanding that there can be unwanted consequences from unprotected sex, but I cannot agree that this even begins to approach all that could helpfully be said on the subject. Parents will, of course, want their teenager to be well educated about the dangers and about steps that can be taken to minimise them. However, many parents will agree that if teenagers are given a picture of sex that does not extend beyond the dangers, then they will have been sold well short in terms of a balanced, informative and constructive education on the subject. Fostering guilt or fear as a tool to delay sexual experimentation by teenagers may bring a short-term delay in some cases, but ultimately it risks them entering adulthood with a negative, fearful view of sex that can damage future relationships and bring lasting damage to their relationships with those who fed them that distorted view in the first place.

Seek what is best for the teenager. Most parents will agree the importance of teenagers knowing about contraception ahead of the time it is needed. Many will feel able to talk with their teenagers about contraception to ensure they are well informed. However, this is very different from finding contraceptives in your daughter’s handbag or son’s jacket pocket – and very different from the reaction of some parents when this happens! I remember talking with a parent who had recently taken their teenager to university for the first time. They went together to buy food at a supermarket near the campus, only to see their teenager put a packet of condoms into the trolley “just in case”. It took about half an aisle for the initial shock to subside. This teenager knew about contraception and the importance of having it available should it be needed. They were also sufficiently comfortable to make the purchase with their parents present. This was not something for the parents to be embarrassed or ashamed about, but reassurance that their teenager was well prepared to leave home.

Work to eliminate taboo subjects. Most parents find some subjects easier to raise with their teenagers than others. Even where there is initial discomfort, however, wise parents find ways of broaching the trickier topics from time to time so that there are no taboos and the teenagers know that they can come to the parents if they need to talk – whatever the subject. Among the trickier subjects for many will be those of masturbation and pornography, especially if the parent has walked in unexpectedly and found the former in progress or the latter being viewed – or both!

For many teenagers, masturbation is part of the way they explore their developing bodies in a medically safe way. It seems to be an activity that is engaged in by a large proportion of teenagers and adults, but with very few being prepared to talk about it. If parents should walk in on their teenagers who are thus engaged, in addition to learning to knock first, I suggest acknowledging subsequently what was happening. In all probability, the teenager will be as embarrassed about the incident as the parent, and will probably be relieved that the parent was prepared to raise the subject subsequently rather than pretending it never happened. If a parent is able to raise the subject as part of a conversation under more normal circumstances, then some reassurance about the morally-neutral nature of the activity and of its medical safety as a means of exploration might be a good starting point.

Pornography has become far more readily accessible to today’s teenagers than was ever the case with former generations due its easy availability in the digital age. Statistics suggest that a very large majority of teenagers access pornography at some time or another. Wise parents will raise this subject with their teenagers from time to time, perhaps raising such issues as the difference between popular and hard-core pornography, the objectification of people, and the desensitising effect of repeated exposure to pornography. The most important aspect of pornography for teenagers to understand, I believe, is its illusory nature. The sex in pornographic videos is not real sex; it is staged. The biggest danger for most teenagers, therefore, is that they expect their own sexual experiences to reflect what they see in pornographic material, which will lead almost inevitably to disappointment and possibly to them making unreasonable demands on partners.

Both the above topics have the potential to become powerful taboo subjects within families. Taboos prevent communication, which is never a good thing in terms of the parent-teenager relationship. I recognise the discomfort many will experience in raising such subjects, but I believe that if by raising them, teenagers get the message that they can always talk with their parents if they need to, whatever the subject, then a few uncomfortable conversations will come to be seen as having been well worthwhile.

Beware of sending mixed messages. Within several of the areas discussed above, the danger of sending mixed messages is apparent. That is also the case when the subject of sleepovers comes up, especially when older teenagers are requesting that their current partners be permitted to “sleep over”, which everyone knows is often not really about sleeping, but about some level or other of sexual activity. The knee-jerk response of some parents to such requests will be “Not under my roof!” but that is a dangerous response because it is open to several interpretations. It could be taken to mean that the parents believe the proposed activity to be wrong under any circumstances, in which case they should say that calmly and give reasons. However, it could be seen as sending the message that the parents are not comfortable with their teenager having sex and wish to be shielded from such knowledge by it taking place in someone else’s house. The danger, of course, is that it could be interpreted to mean that sex behind the bins at the back of the local supermarket is ok, whatever the dangers of sex in such inauspicious circumstances.

However difficult some parents might find it to confront issues liked those discussed above, when it comes to talking with their teenagers about sexual matters, I would advise that the aim should be for clear communication. Parents will sometimes feel embarrassed about the subject matter, but for the sake of their teenagers, they will push beyond their embarrassment. Stating clearly what they believe and explaining why, even if it takes several conversations for this to be achieved, is important. Even where the teenager will not hear the reasons or heed the advice, the fact that the parents overcame their discomfort and tried to communicate clearly sends a powerful message about the value they place on their teenager and of the importance of sex in human relationships.

Advice for Teachers and Schools

Sex education. An article in the Sydney Morning Herald in 2015 made the point that “Teenagers … said they felt let down by school sex education that is too narrowly focused on biology and risk-prevention messages”. There has been a welcome increase of late in discussion of the need to expand the scope of sex education in schools so that it includes more than “the basics” about sex and anchors sex more firmly in the context of human relationships. This is an area that schools have traditionally avoided, but which carries the potential for them to make an enormous contribution to the preparation of young people for life in the modern world. As a first step, I would encourage schools to begin a dialogue with parents with the aim of developing a mutual understanding of the aims and approaches of sex education in school, which is properly understood as complementary to, rather than being in competition with, the role of parents in this area.

Establishing the boundaries of acceptability. Schools have an important role to play in helping teenagers develop an understanding of the boundaries of acceptability. Public displays of affection (PDA) occur in all school communities at some time or other. In part, PDA stems from an inability of teenagers to exercise easy and effective control over their developing hormonal drives. It is also due to the fact that, at the same time as coming to terms with all the changes of adolescence, they need to develop their understanding of what types of behaviour are regarded as acceptable in various branches of human society. School is the workplace for teenagers and part of being educated in a school is learning the behaviour that is considered acceptable for the work environment. The best teachers develop ways of challenging excessive PDA that enable the teenagers to learn the boundaries while not feeling humiliated or victimised in the process.

Being there when it matters. Teachers are sometimes the ones to whom teenagers will turn when they need someone in whom they can confide. Teachers will know that this is an area in which their own self-awareness is of great importance. If a teacher becomes uncomfortable about the level of personal support a student is seeking, or feels that the depth of intimate detail being revealed by a student is inappropriate, they should pass the student to someone else for support. Additionally, teachers should develop their own systems of safe practice to reduce the risk of being accused of behaving unprofessionally, and schools should require such safe practice from their teachers. With all that having been said, however, there are times when teenagers turn to teachers for support or help. Being there for a student when it matters is one of the aspects of teaching that for many gives a level of job satisfaction which those outside the teaching profession will often find it difficult to appreciate fully.

 

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Teenage Idealism

The March For Our Lives demonstration this past weekend is a good example of what can be achieved when teenage idealism becomes focused on a particular issue. The event, in support of tighter gun control, was sparked by the shootings at the Marjory Stoneman Douglas High School in Parkland, Florida in February of this year. Last Saturday’s event is widely reckoned to be one of the largest demonstrations in American history, added to which there was a truly global response as marches of support took place in cities around the world.

Adults can sometimes be remarkably resistant to engaging with ideas advanced by teenagers. As Tyler Huckerbee says, “When your ideological opponent is a teenager, he or she is easy to dismiss … Why wrestle with the substance of their argument when it’s so much easier to just sigh about “kids these days” and be done with it?” Idealism is generally recognised as a characteristic of adolescents, and consequently can be given short shrift by adults. Certainly, there are situations where an idealistic view, allied to naivety, can be dangerous. However, idealism is by no means always a bad thing and can sometimes enable a level of clarity that seems to elude those with a more complex “adult” perspective.

Teenagers exhibit idealism as a result of the way their brains develop during adolescence. Early in adolescence, the brain’s computational capacity increases dramatically, bringing with it the ability for abstract thought. However, since the brain develops from back to front, younger adolescents rely more on emotional responses (located in the amygdala at the back of the brain) in their decision-making and responses. The ability for logical reasoning (located in the pre-frontal cortex at the front of the brain) develops much later in adolescence. Early on, then, teenagers are enabled to see the world in a new way through their capacity for abstract thought, but are likely to experience an emotion-driven “idealistic” response to how they want the world to be. The ability to analyze their response logically and to reason comes later, sometimes not until the early twenties, when a more complex “adult” view of the world develops.

Of course, the above is a simplified summary of a very complicated process that is subject, also, to individual variation. Additionally, how the teenage brain is used affects its development, so the way adults engage with teenagers can either promote or hinder the development of a healthy brain and patterns of thought. This is as true with the way adults respond to teenage idealism as with any other aspect of a teenager’s development.

Advice for Parents

Be interested, encourage and ask questions. At times, your teenager’s idealistic views will seem over-simplistic, but that’s because their idealism is a stage in their thought development. Teenage idealism is a sign of a work in progress, so it is important that by listening, encouraging and asking questions, you give them opportunities to refine and develop their thinking. Of course, that may mean that you need to invest some time in exploring for yourself the issues about which they are becoming passionate. Resist any temptation to dismiss their idealism. Well-informed discussion and thoughtful questions can be invaluable learning aids for your idealistic teenager. No discussion is wasted, even if their focus switches to another concern, as ultimately they are shaping their outlook on life and developing their moral approach to the world. By the way you engage with, and respond to, their idealism, you are seeking to model the healthy adult thinking processes that you would ultimately like them to adopt as their own.

Encourage the move from idealism to activism. Many older teenagers will eventually take this step for themselves. By encouraging the step from merely holding views about a subject to doing something practical about it, even with younger teenagers, you are facilitating the progress. Of course, the nature of the activism will vary according to the age, available resources and character of the individual teenager, but becoming actively involved at an appropriate practical level helps underline the necessary link between ideals and actions, and this is important for the development of responsibility.

Advice for Teachers and Schools

Show interest. It is very easy during the course of a busy day for teachers to brush aside the idealistic views of the teenagers around them. Finding a few minutes to listen and to ask a question can be helpful for the individuals concerned. Beyond that, however, especially when the idealistic concerns of teenagers “fit” with the subject, teachers have the opportunity to promote discussion and debate. This enables teenagers to explore their concerns as a learning community, within which they can challenge and help refine each other’s views and opinions. The presence of the teacher affords a measure of protection to those who are less willing than others to advance their idealistic views.

Refuse to give all the answers. Another shortcut to be resisted is to give “the correct answer” and to cut short teenage debate. This might save the teacher time but it will not help teenagers develop their thinking processes, so it must be regarded as suspect from an educational perspective. Asking questions, encouraging further research and exploration, introducing different perspectives to a debate, pushing students to explore further the consequences of the stance they are taking: these are all helpful ways of building on teenage idealism to advance the educational experience.

Support teenagers to pursue their idealism. It is difficult within a school community to allow every student to advance the causes about which they feel passionately, and in some cases it may simply be inappropriate. However, wherever possible, I would encourage schools and teachers to support teenagers as they pursue their journey from idealism to activism. Occasionally, such as with “The March For Our Lives” with which we began, idealism may galvanize an entire school community or generation and lead to undreamed-of outcomes. In many cases, that will not happen, but still there can be valuable experiences on many levels of teenagers learning to build on their idealism and make a difference. As Huckerbee states at the conclusion of his article, “Teenagers are going to change the world — if not today, then most certainly in the near future. The only question is how long it will take before the rest of the world takes them seriously.”

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