30
Sep 24

Understanding Breakthrough Symptoms

anxiousteen.jpg“Help your teen track the frequency of a breakthrough symptom so that the psychiatrist can determine if things are worsening or remaining steady.”

You may be worried if your teen experiences breakthrough symptoms while on their medication. For example, a teen might have some depression every afternoon even though their antidepressant has worked reliably for several months. A teen with schizophrenia who has found peace on an antipsychotic may hear a voice once every two weeks. While this may worry you, chances are that a reliable medicine will continue to be serve your teen well. First, check to make sure of the following:

  • Is your teen taking the medicine at the same time every day, never missing doses?
  • If your teen takes more than one dose per day, are the dose times evenly spaced so that there are no gaps in the activation of the medicine?
  • If the medicine requires that food be taken along with it, is your teen consuming a sufficient number of calories?
  • Has there been additional stress in your teen’s life?
  • Has your teen grown and needs a dosage adjustment?

Some teens choose to live with occasional breakthrough symptoms, especially if the medicine is generally agreeable and the symptom is not too bothersome. For example, the teen who feels a stab of depression every afternoon may be able to shake it off with a short walk. This may be preferable to dealing with a higher dosage that may incite an undesirable side effect.

Help your teen track the frequency of a breakthrough symptom so that the psychiatrist can determine if things are worsening or remaining steady. See if your teen can identify a way to cope with the symptom. If your teen is worried about it, call the doctor. A teen who has been through a hard recovery may be scared and need the reassurance that they’re not relapsing.


15
May 24

Top 12 Coping Skills for Teens

/copingSkills.jpg“Explore new hobbies such as woodworking, painting, or jewelry making.”

Teens going through a tough depression or similar illness need ways to cope. Here are 12 of the top coping skills:

  1. Do a puzzle together.
  2. Watch an old television series while you play a simple card game. My daughter and I worked our way through Columbo, Murder She Wrote, and The Office.
  3. Go for a car ride with your teen in the passenger seat, listening to their favorite music; no talking. This can really soothe a teen in pain.
  4. If it’s been a bad day, suggest that they go to bed early. This almost always works.
  5. If shopping for clothes is too strenuous for them, do some Internet shopping. Having packages coming may give them something to look forward to.
  6. Go for a twenty-minute walk together.
  7. Bake something easy together.
  8. Suggest that they start or resume music lessons.
  9. Buy magazines that interest them.. Short articles require less energy than do books.
  10. See if they will go to a movie with a friend. It requires less conversation than other activities and is therefore less of a strain.
  11. Explore new hobbies such as woodworking or jewelry making. Browse through a crafts store to see what interests your teen.
  12. Adopt a pet through the humane society, preferably one already trained so that you don’t have the added stress of housebreaking.

You may be disappointed to discover that your teen has lost interest in an activity or sport they previously loved. It’s possible that they don’t have the level of concentration to pursue it right now. Their skill level may be so low compared to the way it was before the illness that they don’t have the heart to keep it up right now. Although you may be tempted to keep your teen involved so that they don’t lose ground, resist the urge. I know there’s the risk that they won’t return to it, but there is an equally good chance that they will find something new to master. Changing interests is a natural part of teen life anyway, so encourage them to try new things.