06
Mar 25

Factors That Can Delay a Teen’s Emotional Recovery

Teenager“Keeping your depressed teen busy will energize them and stimulate their interest in life.”

Parents often feel that their teen has not returned to normal even after treatment for depression. It may seem like your teen can’t put the illness behind them and move on with life. For example, they may continue to sit in their bedroom playing video games, refusing to go out with friends or join school clubs. You may find yourself asking, “Shouldn’t he be better by now?”

Medically, he may be. But there are some factors that can keep a teen “stuck” even after depression has cleared up. This article explains some of these factors and provides ideas to help push your teen toward a more productive state.

Identifying With the Illness

If your teen was depressed for a long time, that state may have come to feel normal. Keep in mind that the illness was probably building for some time before you or they became aware of it. Two years may not seem long to you, but to the sixteen-year-old, it represents an eighth of their life. They may not even remember what life was like before the illness. Going through old photographs, family videos, or revisiting a special place can help stir up the way that normal used to feel for your teen.

Do not be afraid to gently confront your teen with the fact that they are not showing the signs of recovery you expected. Say something like, “I’ve noticed that you’re still doing similar things to those you did when you were ill, like playing video games and avoiding friends. We had talked about you joining the chess team or calling some of your old friends. Do you feel like it’s been difficult to get back into the swing of things?”

The question may take your teen by surprise. They may have never noticed that they are stuck. If so, remain gentle. Realizing that there is a problem is the first step forward. They may not run out to join a club or pick up the phone to call friends right away, but give it time. This is going to be a process. Be patient and, above all, encouraging.

If your teen disagrees that there is a problem, ask them to think about it and say you’ll bring it up again in one week. They clearly are not going to do anything about it on their own, so you must push them. The next time they see the therapist, go in with them and bring it up briefly, then let them talk about it. If your teen has stopped therapy, it’s possible that they told the therapist they feel better. It will be up to you to let her know that things are not okay.

When your teen is ready to admit that they need to move forward, have them tackle one thing at a time. They can attend a chess club meeting just to see if they like it, not necessarily to make a commitment to join. Change can be stressful, but a single weekly goal is manageable. Over time, you can remind them how uncomfortable they were walking into that first chess club meeting and how now they think nothing of it. Reassure them that today’s challenge will become a matter of ease before long too.

Lack of a Goal

Even if your teen had not experienced depression or another illness, they may have lost interest in their former friends or activities. Teens do change, but without a new interest or goal, they may remain stuck. Now might be the time to ask them about a career goal or other plan for their life. Enroll them in a class or buy books on their subject of interest. If they have no immediate interests, fill their schedule as much as possible with low-stress activities, such as volunteering at an animal shelter. Keeping your depressed teen busy will energize them and stimulate their interest in life.

Fear of Recovery

Some teens resist giving up their illness for deeper reasons. Maybe the illness has earned them special treatment in the family and they no longer have to do as many chores. Maybe it has brought you and your ex-husband together and they do not want to see that cease. If you have learned through therapy to relate to them better, they may worry that you’ll revert to your old ways if they let go of the illness. If you suspect something like this, you can bring it up on your own, but presenting it in a family therapy session or with their individual therapist has some advantages. The therapist can take note of it and incorporate it into her treatment plan.

Your own Resistance

If you find yourself balking at pushing your teen to move forward, either of two things may be occurring. You may be afraid of getting into a conflict with them, especially if they were angry with you in the past. Remember that you are still their parent and therefore responsible for speaking up in their best interests. When they were three they may not have wanted to brush their teeth either, but you insisted because it is your job to promote their well-being.

Your own comfort level may be keeping you from pushing your teen. Some parents find that they become closer to their teen when they are depressed or otherwise mentally ill and may not want to give that up. When my son started feeling better and going out with friends, I was surprised to hear my daughter say that she missed the depressed version of her brother because he was closer to her when he was ill. She felt guilty for feeling that way because she did not want him to be depressed, but her feelings were understandable. It can be hard for everyone to move on, even when it’s for the best.

 


23
Feb 25

Why Teens Can’t Tell You That They’re Suicidal

Teenager“The best way to ask if your teen is suicidal is to simply say you’re concerned.”

How can you tell if your teen is suicidal? Normally, our kids tell us if they have a headache or strain a muscle. Yet some teens cannot bring themselves to confide this scary fact. If we are lucky, we may get the information from our teen’s friend or therapist or from a school counselor. Why is it that they cannot tell us directly?

It is easy to forget how very deeply teens crave our approval. After all, they don’t act as if they need it. But deep down, most teens don’t want to disappoint us. The thought of seeing the shock and distress on our faces is often too much. So they hide it. Even if we ask them outright, they may balk in the face of opportunity. They convince both us and themselves that they are okay when really they need help.

Teens may also fear a different type of reaction: dismissal. As one teen explained, “My mother tried to talk me out of it. She said I didn’t really mean it and eventually got me to agree that I wasn’t really suicidal. But I was.” Another teen says, “I would never tell my parents I’m suicidal. They’d tell me it’s a sin to commit suicide and I’ll burn in hell. I already feel like I’m in hell so why should I care it’s a sin? They’ll find out after I do it.” If neither denial nor threats nor asking our teens outright to confide in us works, what are we left with?

Often teens will tell a friend and the facts will get to us somehow. But if your teen doesn’t have a close friend, trusted teacher or counselor, or therapist, there may be no one to turn to. Yet, chances are that if you’re reading this article, you’ve received some sort of clue. Follow up. Go to your teen and broach the subject. Don’t be afraid of “planting the idea” in your teen’s head, especially if you bring it up in the context of a survival plan. The best way to ask if your teen is suicidal is to simply say you’re concerned. Watch how Karen did it with her daughter, Kaylee.

Karen stares out the front window watching her fourteen-year-old daughter walk up the street. With a jolt she realizes that Kaylee is seriously depressed. She has always been a dramatic girl, but right now, Kaylee is playing to no one. Her hair is messy and she walks with the slump of an arthritic old woman. She actually looks like she’s in pain. As Kaylee turns and heads up the walkway, Karen sees that her eyes look flat.

Karen wonders what to say as she hears the front door click open. So often when she expresses concern Kaylee becomes defensive and they both end up yelling. But Karen can see that she must say something.

Kaylee heads down the hallway, and Karen says, “Honey, I need to talk to you.” Kaylee doesn’t break stride, just heads to her room and softly closes the door behind her.
Karen goes to the closed door and knocks briefly, then opens the door. Kaylee is shrugging her backpack onto the floor. “What is it, Mom?” Kaylee has her back to her mother.

“Honey, I can tell that you’re not doing well. I think we should go back to the family therapist.”

Kaylee sinks into her desk chair. “Okay.”

Stunned that Kaylee is agreeing when she used to always argue about it, she becomes more concerned. “Sweetie, can I ask you a question. Are you suicidal?”

Something crosses Kaylee’s eyes. She blinks at her mom and forces a smile. “No. Of course not. Why would you think that?”

Karen blurts. “Because I can see that you’re carrying around something very heavy.” She feels herself tremble with emotion.

Kaylee looks alarmed. “I’m fine, Mom, really. Please don’t look at me that way.”

“I’m fine, Kaylee. But I need to let you know that you can trust me. I’m not going to flip out, I promise. You don’t have to say it if you don’t want to, but please just tell me if I’m on to something.”

Kaylee looks weary. “I just don’t have the energy for this, Mom.” She looks exhausted. Karen can see that the conversation has completely worn her out.

Karen swallows. “If you’re suicidal, will you let me make a phone call on your behalf? As your mother, it’s my job to get you help. And I don’t mind, honey.” She realizes the last sentence is silly, but Karen is a single mom and Kaylee has always tried to be independent.

“Okay.”

Karen can hardly believe her ears. She rises. Now that Kaylee has confirmed her suspicion, she realizes she’s shocked. But she’s gotten the information she was seeking, and now it’s time to do something about it. She goes into the kitchen and calls 911.

Kaylee’s story offers a couple of additional clues as to why teens sometimes conceal suicidal thoughts. Fatigue. The deeply depressed teen may not have the energy to seek help. Depression changes a person’s thinking so gradually that they do not notice it occurring. They believe that the situation is hopeless, blaming their feelings on their circumstances or even themselves. It is a cruel fact that the depressed person is often unable to recognize the illness and therefore cannot ask for help.

Did Karen handle things right in this case? The fact is that there are many right ways to handle a situation like this. In this case, there is going to be some drama. The 911 call will likely trigger an ambulance and a police car. Kaylee will be gently led to the ambulance and taken to the hospital for treatment. That might sound extreme to some people. Maybe in time, Kaylee and her mom will regret all the drama, but one thing is sure: Kaylee will get help. Why take a chance? Desperate situations call for desperate measures. Serious health problems can involve anything from chemotherapy to an amputation. Suicide ideation is life-threatening, so don’t be afraid to take action.