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Here to Help: Responding to Youth Depression
Jennifer Vincent, LMHC, CSAYC
Objectives● Know the signs of depression in adolescents
● Understand development stage and impact
● Learn the red flags of suicide
● Solutions and support
● Get connected to resources
Adolescent Development● Sensitive developmental period and an
important one of growth
● Period of development and learning is highly
influenced
● More sensitive to social situations
● Heighten influence from peer relationships
● Higher sensitivity to social situations
Approximately 20 percent of teens will
experience depression before they reach
adulthood.
Youth Depression● Feelings of sadness and hopelessness
● Sleep disturbances
● Mood issues
● Changes in social life
● Eating disturbances
Youth Depression• Substance abuse• Loss of interest in pleasurable activities
▪ Finding no pleasure in activities they used to enjoy like spending time with friends, working, sports, reading
• Change can be gradual or all of a sudden• Negative points of view • Changes in outlook/future
Youth Depression● Issues with school
○ Lack of enthusiasm, energy or motivation
○ Bullying
○ Poor grades-not turning in assignments
○ Tardiness or recently skipping classes.
○ Withdrawal from school activities/peer groups
○ Indecision, lack of concentration or forgetfulness
○ Decreased self-esteem or overly hard on self○ Boredom or difficulties concentrating on school
work
Research on Mental Health❖ Rate of youth experiencing a mental health condition continues to rise.
The rate of youth with Major Depressive Episode (MDE) increased from 11.93% to 12.63%.
❖ 8.7% of youth (over 2 million youth) cope with severe major depression. Depression in youth often co-occur with other disorders like substance abuse, anxiety and disorderly behavior.
❖ 61.5% of youth with major depression do not receive any mental health treatment. Youth experiencing MDE continue to go untreated. Among the top ranked states almost 50% of youth are not receiving the mental health services they need➢ Part of this is access to affordable health care, unaware of
resources➢ Children with Private Insurance that Did Not Cover Mental or
Emotional Problems
Indiana Research ❖ Indiana has one of the highest rates of suicide in adolescents.
https://www.indystar.com/story/news/2015/02/16/data-indiana-highest-rate-us-teens-considered-suicide/23508695/
According to 2011 data cited in the book, 19 percent of Hoosier students contemplated suicide in the past 12 months. About 11% of teens attempted it.
○ Low poverty rates means focusing on getting needs met vs finding counseling services
○ Uninsured
Risk Factors➢ Family changes or recent family changes such as financial,
divorce, moving
➢ LGBTQQI youth have a higher rate
➢ Substance abuse
➢ Trauma from abuse
➢ Bullying
➢ Breakups or rejection from peers
➢ Pressures (such as school or peers)
SuicideDepression is associated with increased risks of substance abuse, unemployment, early pregnancy, and educational underachievement.
Suicide, the most serious risk of the illness, is the third leading cause of death in 15-24 year-olds and the second leading cause of death among college students.
Youth may not know how to get help or who to talk to.
Access to methods-such as medications, weapons, etc.
Warning signs of suicide1. Talking or joking about committing suicide
2. Saying things or posting on social media- “I just can’t do this
anymore”, “It would be easier if I wasn’t here”.
3. Speaking positively about death or romanticizing dying
4. Writing stories and poems about death, dying, or suicide
5. Engaging in reckless behavior or having a lot of accidents resulting in
injury
6. Giving away prized possessions
7. Saying goodbye to friends and family as if for the last time
8. Seeking out weapons, pills, or other ways to kill themselves
Reasons youth do not seek help Andrea Kelley, MPH(c); Marion Greene, MPH, PhD from IUPUI reported;
1. Concern about confidentiality and trust from potential sources of help
2. Difficulty identifying the symptoms of mental illness
3. Concern about the characteristics of the provider (credibility, ability to
provide help)
4. Preference to rely on self rather than seek help
5. Lack of or poor knowledge on mental health services
6. Fear or stress about the act of seeking help
7. Lack of health care accessibility (time, transport, cost), esp in rural areas
8. Stigma
How can I help?
✓Listen- Listen to understand not fix
✓Validate feelings- Even share your own story. Normalize
✓Be mindful of your body language
✓Encourage a conversation about anything
✓Building rapport is a great start
✓ Don’t try to fix
✓ Be supportive
Safety Planning
• Any signs of suicidal thoughts/plans or self harming behaviors
• Get support
• Talk with supervisor
• Talk with parents/therapist
• Contact CPS if you feel they are in danger
• 1-800-800-5556
Therapy Myths and FactsMyths
1. It’s not confidential
2. Therapy Means You're 'Crazy
3. Therapy Is Like Having A Paid Friend
Facts
1. Therapy is confidential unless you are in danger
2. Seeking help is not a sign of weakness and the truth is, we all suffer and getting help doesn't mean you're 'crazy’.
3. I tell my clients is that you pay for time and expertise and the caring is free
_______________ Self care plan
Get active• Reduce stress and
increase relaxation• Alleviate anxiety and
depression
• Improve self-confidence
• Get more done and tap into creativity
Mindfulness
• Yoga – Lots of free or community
classes
• Meditation
• Limit phone use/social media – Take a break
5 Senses for relaxation
Sight
Touch
HearSmell
Taste
Read a good bookWatch a funny movieThink of your favorite placeDay dream for 10 minutes
Exercise Play with fidget toyYoga Touch something soft Get or give a hug
Listen to your favorite musicPlay relaxation soundsFind noises outside
Smell the fresh airLight a candle Smell your favorite food Bake
Sing Laugh Deep breathing Eat gumSay 3 affirmations
Sensory kitAdd items to small box or bag • Favorite smell • Fidget toy • Picture of favorite place• Letter to read • Affirmations • Playdoh • Piece of gum/candy
Ways to engage
• Questions Jenga
• https://www.google.com/search?q=question+jenga&rlz=1C1CHBF_enUS793US793&source=lnms&tbm=isch&sa=X&ved=0ahUKEwiNnrOj3ZPhAhUNi6wKHd1eA7cQ_AUIDigB&biw=1920&bih=888#imgrc=u2zLks2JaF3UKM:
Life Saver Use construction paper in circlesMarkers
• Can be done in 15 minutes
• List affirmations • List good qualities
about a person
Jennifer
You are funny
Helpful in classroom
Great boots!!
• Non competitive• Communication game• Strengthens social
skills• A great ice-breaker or
a serious exchange of thoughts, feelings and ideas
★ Validate feelings- Even share your own story. Normalize
★ Don’t make assumptions about feelings or their life.
★ Help them know they are not alone○ List supportive people they can
talk to
Remember
✓ Be honest. If you have to contact their parents tell them.
✓ Have resources available
✓ Have handouts on mental health
✓ If possible have a professional come talk to youth
Questions?
Concerns you have experienced?
Problems you may have run into?
General ResourcesAdolescent Depression Awareness Program (ADAP)
https://www.hopkinsmedicine.org/psychiatry/specialty_areas/moods/ADAP/docs/ADAP-Booklet_FINAL.pdf
https://www.erikaslighthouse.org/Wonderful information!
https://www.nimh.nih.gov/health/publications/teen-depression/index.shtml
Indiana Resources211- Indiana Counseling: Indiana Youth counseling resources
Psychology today- Resource to find therapists with youth’s insurance/area of town, etc.
https://indcenter.org/resources.html - Lists all the resources for youth in Indiana.
References https://www.helpguide.org/articles/depression/parents-guide-to-teen-depression.htm/
https://www.stanfordchildrens.org/en/topic/default?id=understanding-teenage-depression-1-2220
https://www.samhsa.gov/find-help/national-helpline
https://www.erikaslighthouse.org/
Indicators of Mental Health in Children and Adolescents in Indiana
https://www.slideshare.net/UCSFPsychiatry/adolescent-depression-what-we-all-should-know
Jennifer Vincent, LMHC, CSAYC
Jennifervincentllc.com
April 17 Are You Ready for Graduation Pathways? Employability Skills, Compliance and Innovation
April 24 Fighting Childhood Obesity – One Child, One School and One Community at a Time
May 15 A Culture of Equity Requires Everyone – How to Interrupt Implicit Bias as a Team
May 22 STEM for the Summer
June 26 You Can Never Start Too Soon: Strategies for Developing Aspiration and Motivation in Young Minds
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June 5-6, 2019
Register by Monday, April 1to secure the special Early Bird price!
*Sessions will include:• Social Emotional Competencies (Christy
Berger, DOE)• ACEs and Collective Impact• Anxiety and Depression• Graduation Pathways (Ben Carter, DOE)• Suicide Prevention Training
Register Today! www.iyi.org/ccc
Indiana KIDS COUNT ® Data BookPremiere data resource on Hoosier Youth
• Developed with you in mind• Go-to resources for the latest
research and information• Provides an in-depth profile on
child well-being in four key areas.• Published annually
Available now atiyi.org/databook
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