What to Do When Your Depressed Teen Refuses Help

When a Depressed Teenager Won’t Get Bed

What to Do When Your Depressed Teen Refuses Help

It is hard for a parent to admit that something is not right with their child. Sure, when the teen years hit it is very common to notice an increase in moodiness and drama. But when the teenager flat out refuses to leave their bed, it is cause for worry, indeed.

Teens may go through a tough time, maybe due to social problems, family issues, or trouble at school. In most cases, these kinds of problems are usually short-lived and the teen will cycle through the emotions in time. Sometimes, though, depression can be at the root of the teen’s desire to stay isolated in their room.

Parents who suspect their teen is struggling with depression should enlist the help of a trained mental health expert. Teen depression should not be ignored, as suicides in this age cohort are on the rise.

About Teen Depression

When your teen won’t leave their room, or even get bed, and this persists, it might be due to depression. The NIH reports that teen depression now affects 13.3% of our youth between the ages of 13-17. This reflects about 3.2 million teens. Rates of depression are almost twice as high in teen girls versus boys. Symptoms of teen depression may include:

  • Feeling sad or hopeless.
  • Changes in sleep patterns.
  • Changes in eating habits; sudden weight gain or loss.
  • Fatigued, listless.
  • Loss of interest in usual hobbies.
  • Irritable; angry outbursts
  • Withdraws from friends and family.
  • Low self-esteem.
  • Sensitive to peer rejection or being criticized.
  • Trouble paying attention in school.
  • Frequent headaches or stomach aches.
  • Talks about death, suicidal thoughts.

Teens that are still showing these signs after a two-week period should be seen by a doctor.

Causes of Teen Depression

Teen depression is somewhat of a mystery. With all the advances made in science and so much research, the exact cause of depression is still not known. Hormone changes during the teen years may contribute somewhat, and there are other risk factors for depression as well.

Some of these risk factors include:

  • Family History. Depression is more common among teens with family members who also suffer from it.
  • Teen Hormones. The influx of growth and sex hormones during the teen years can impact brain chemistry.
  • Family Changes. Teens may have a tough time working through a difficult life event. It might involve moving to another town or school, a divorce, or a death in the family.
  • Social Anxiety. The teen years are stressful. Social anxiety can be a problem for some teens. The social skills may not yet be developed, so the teen may struggle with fitting in or with feeling rejected.
  • Social Media. Prolonged exposure to social media can lead to depression. Teens are very self-conscious of their looks and social media can make them more insecure. Body dysmorphia, being bullied, and eating disorders are common.
  • School Pressures. Young people feel a lot of pressure to excel in high school as they look toward college. Some teens struggle with grades or a learning deficit and may come to feel they are letting their parents down.
  • Childhood Trauma. A history of abuse or neglect can trigger depression even years later.
  • Romantic Breakups. During the heightened emotions of the teen years, romantic feelings are intense. When a breakup or rejection occurs it can be very hard for the teen to deal with.
  • Covid-19. The lingering effects of the Covid-19 pandemic have had a deep impact on teens. Long months of social isolation and loneliness, as well as the many changes Covid brought, have been hard on teens.

Suicide Risk for Depressed Teens

Teen suicide has spiked in recent years. Suicide is now the second leading cause of death for young people between ages 10-24, according to data from the CDC. In teens, the danger is the still immature limbic system in the brain. This is the region that controls decision-making and impulsivity.

A teen may decide on a whim to just “end it all” because they do not have the coping skills. Where an adult can better manage difficult emotions, a teen isn’t equipped because their brain is still developing.

Warning signs of suicide among teens include:

  • Impulsive behaviors.
  • Becoming more withdrawn.
  • Giving away prized possessions.
  • Having angry outbursts, rage, or violent behaviors.
  • Feeling they have no real purpose in life.
  • Obsessed with thoughts of death and suicide.
  • Chronic sleep problems.
  • Changes in eating and sleeping habits.
  • Feelings of shame, guilt, excessive worry, or grief.
  • Stops showing up for activities once enjoyed.
  • Substance abuse.
  • Obtaining the means to complete suicide, such as weapon or pills.

Getting Help for a Teen with Depression

So what does a parent do if their depressed teenager won’t get bed? The first big step is to not ignore the teen’s behavior and mood state. A day or two, fine, but a week or longer is a warning sign not to be ignored.

Set up a meeting with the family doctor as a starting point. Once a health issue is ruled out, the doctor can refer the teen to a mental health provider. In most cases, the teen will be treated with outpatient actions at first. This is ly to involve an antidepressant and talk therapy.

If the teen’s mood state worsens, though, it is time to consider a more intensive treatment solution. A residential program offers the teen a place to work through the issues that are factors in the depression. These programs also offer tutoring so the teen can keep up with school while in treatment.

The mental health program includes:

  • Therapy. This is offered in both one on one and group formats. Includes evidence-based therapies CBT, mindfulness-based cognitive therapy, and solutions-focused therapy.
  • Life skills.  The teens will be taught new coping skills, communication skills, conflict resolution techniques, and relating skills.
  • Meds. Some teens may benefit from drug therapy, although the risks must be weighed.
  • Holistic. Some activities enhance results, such as surf therapy, equine therapy, recreational therapy, art, dance, music, and drama therapy, and yoga.

If your depressed teenager won’t get bed, and they aren’t getting better, consider a residential program for teens.

BNI Treatment Provides Residential Mental Health Treatment for Teens

BNI Treatment Centers give parents the needed support for helping a teen with depression. The expert psychiatric staff has designed a program that is attuned to the needs of teens, protocols that teens will respond to. For any questions about the program, please contact BNI today at (888) 522-1504.

Источник: https://bnitreatment.com/depressed-teenager-wont-get-out-of-bed/

My Teen Doesn’t Want to Go to Therapy or Mental Health / Substance Abuse Treatment, What Should I Do?

What to Do When Your Depressed Teen Refuses Help

Your teen needs mental health treatment for a certain emotional, behavioral, or substance abuse problem. It could be depression, anxiety, trauma, ODD, DMDD, ADHD, prodromal psychosis, addiction, substance use, or any other mental health issue. The problem is, your teen does not want to go to treatment.

Your teen could have a number of reasons why they don’t want to get mental health treatment. They could say they don’t need the help. Or that therapy won’t help anyway. Whatever it is, they are either refusing to go, or are physically going but not engaging with the therapist or professional staff.

How to Respond to a Treatment-Resistant Teen

If your teen is being resistant to residential treatment, outpatient therapy, or even an IOP/PHP program, it’s important to know how to address their concerns or excuses about not wanting to seek treatment.

Your teen could have a number of reasons for being anti-therapy. Here’s how to respond to each of them:

1. “I don’t need mental health/substance abuse treatment.”

Many teens will downplay their mental health symptoms, or simply deny that they are struggling. When this happens, don’t immediately argue with them. Don’t get too worked up, either.  Though of course, this is easier said than done.

Try your best to listen calmly and carefully to what your teen is saying. Validate their feelings… but remember not to validate the invalid! At a later point, when both of you are calm, bring up some previous statements or behaviors your teen has made, and address how therapy could help.

For example: “Remember when you told me that day “I just feel nothing is worth it anymore?” And you know how you’ve been feeling kind of down lately? Many teens are in your situation…and they find that, when they talk about these feelings with a professional/go to residential treatment/go to an intensive outpatient program, they end up feeling much better.”

Try to avoid using words “depression” or “disorder” if you think your teen might bristle at the labels.

Also helpful is bringing up some goals of your teen – whether it is to succeed at a certain sport, go to a certain school, work in a certain field – and explain that therapy might be necessary in order to achieve that goal.

  For example: “If you want to graduate from high school next year, you’ll need to go to a teen treatment center this month so you can get the help you need and come back to school a healthier person.”

2. “Therapy won’t help anyway.”

If your teen does realize they might have a mental health or substance abuse problem but doesn’t think therapy will help, which is often the case for teens with depression, there are a few ways you can approach this. First, you can ask them how they know it won’t help if they’ve never tried it.

Or, even if they’ve tried therapy in the past, explain that every therapist and every teen treatment center is different. Therapists have different approaches, and mental health treatment centers do too.

For example, there’s Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Motivational Interviewing, Relapse Prevention, and Trauma-Informed approach. Perhaps CBT didn’t work for them, but DBT will.

Or perhaps they saw a therapist in the past, but did not attend a fully immersive teen mental health or dual diagnosis treatment center.  Intensive outpatient or partial hospitalization programs (IOP/PHP), or 24/7 residential treatment centers (RTC), are more intensive options than just regular once-a-week therapy.

  Also, inform your teen that certain therapy modalities are actually evidence-based. Meaning, science shows that they really do work for teens (and it’s not just the placebo effect).

For example, there are hundreds of research studies using randomized-controlled trials that show the efficacy of DBT in treating depression, anxiety, PTSD, borderline personality disorder, suicidal ideation, self-harming behaviors, and more.

3. “Therapy is for crazy people, not me.”

Unfortunately, the stigma against mental health treatment still exists. On a side note, there are many nonprofits which seek to reduce this stigma against mental health disorders in youth and teens, such as NAMI, the Trevor Project, Ok2Talk, Crisis Text Line, etc.

Check out these websites and encourage your teen to check them out as well. Give them the statistics about teens with mental health issues. (According to the NIMH, about 1 in 5 teens is struggling with a mental health condition.

)Respond to them that therapy is for anybody who needs it, and that people are not “crazy” for having a mental health issue.

Many high-profile, successful celebrities freely admit to going to therapy, including Brad Pitt, Katy Perry, Demi Lovato, and Selena Gomez (who is an enthusiastic advocate of DBT teen treatment centers).

Additionally, note that many successful professionals and individuals around the world seek therapy, even if they don’t have a diagnosable mental health or substance abuse disorder! These people go to therapy to help them make decisions in their life or to help them solve problems.

Tell your teen that therapy, and mental health treatment centers, are not just for teens with intense psychological issues. They’re for all teens who want to improve their mental health and life.

4. “Therapy is a waste of time and money. Therapists don’t even care about you.”

Many teens will say therapy is a waste of money, especially when they know how much it costs. “If my therapist really cared about me, they wouldn’t be so nitpicky about the time,” is also a common complaint.

However, try explaining to your teen that just a physician gets paid for helping someone get physically better, a mental health professional also gets paid for helping teens recover from their mental health, behavioral, or addiction issues. And that there are certain professional boundaries that must be put into place to secure the therapeutic relationship.

Also, explain to your teen that most therapists wouldn’t go into this profession if they didn’t genuinely care about their patients and/or want to make a difference in their lives.

Originally from California, Yael combines her background in English and Psychology in her role as Content Writer for Evolve Treatment Centers.

Источник: https://evolvetreatment.com/blog/teen-refuses-therapy-addiction-treatment/

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