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Written by Shannon Bowden, Assistant Clinical Director at New Haven RTC
Teen girls today are faced with immense pressure to look a certain way, often leading to body image issues. As parents and caregivers, knowing the signs and symptoms of body image issues or related eating disorders can help provide early interventions. Here’s what parents need to know about body image issues in teen girls, and how to help them.

Table of Contents What is Body Image? + Positive Body Image + Negative Body Image * Where do Negative Body Image Issues Come from in Teens? + Social Media + Gender Stereotypes + Mental Health Conditions * What are Some Warning Signs of Body Image Issues in Teen Girls? + “Fat talk” + Body Checking + Changes in Eating Habits + Excessive Exercise + Mood Swings or Mood Changes + Frequent Validation-Seeking on Appearance * How can I Help my Daughter Build a Positive Body Image? + Encourage Healthy Eating and Lifestyle Choices Without Focus on Weight + Build a Positive Family Culture Around Body Image + Openly Communicate with Teens about Body Image + Promoting Positive Self-Esteem Activities + Limit Exposure to Negative Media Influences + Creating a Supportive Environment at Home * What Treatment Options Can Help Teen Girls with Body Image Issues? * Body Image Issues: Moving Toward Body Confidence What is Body Image?Body image is a combination of the subjective thoughts, feelings, and perceptions that a person has about their own body or physical appearance.*

Positive Body ImagePositive body image doesn’t necessarily mean that someone is satisfied with all the parts of their body. It does mean that they’re able to accept, respect, and appreciate their body, including all its limitations. Positive body image is associated with self-acceptance, higher self-esteem, healthier attitudes and behaviors related to food and exercise, and increased resilience when faced with social pressures around physical appearance and a healthy relationship with one’s body.

Negative Body ImageNegative body image is an internal cognitive and emotional state in which a person has chronic thoughts and feelings about dissatisfaction with their body. It can be heavily influenced by environmental factors like media, peers, and family members, as well as social pressures to meet a particular aesthetic standard, especially for those who may not fit into society’s narrow definition of body size. Having negative experiences with body image for an extended period of time increases the risk of engagement in unhealthy dieting or exercise behaviors that can harm a person’s body. It is important to identify and challenge negative thoughts about one’s appearance in order to improve body image and overall well-being.

Where do Negative Body Image Issues Come from in Teens?Body dissatisfaction generally doesn’t stem from a single source, but is a product of interrelated factors, including gender stereotypes, media influences, and mental health conditions.

Social MediaResearch tells us that viewing appearance-focused media is one of the most impactful drivers of negative body image. Social media use can be especially damaging as it often shows only the ‘highlight reel’- airbrushed, filtered, and edited images that promote unattainable appearance ideals. These images promote unrealistic comparisons, leading to feelings of disappointment and shame, which increase negative body image in real life.

Teen girl with body image issues sitting in hammock and looking at social media.Gender StereotypesWhile we may not always openly talk about gender stereotypes, we all know what they are- the unwritten rules for being thin but still feminine and curvy, toned but not overly muscular, and flawless with little makeup. In adolescence, teen bodies are constantly changing, making it virtually impossible to keep up with impossible standards for perfection, but that doesn’t mean that our teens aren’t constantly getting the message, whether explicit or implicit, that they only have worth if these unrealistic images and gender stereotypes are met.

Mental Health ConditionsThere’s a complex relationship between mental health conditions and negative body image. Research shows that teen girls can be genetically predisposed to disordered eating, in addition to mood disorders like anxiety and depression. While having a hereditary history of these conditions increases the likelihood of negative body image, we also know that it takes the right combination of genetics and environmental factors to cause body dissatisfaction. The bottom line? Having a mental health condition, such as body dysmorphic disorder, puts teen girls at a higher risk of developing negative body image and can exacerbate existing body image issues.

What are Some Warning Signs of Body Image Issues in Teen Girls?It can be tricky to parse out body image issues vs. the normal anxieties and insecurities that come along with developing identity and other normal struggles that come along with being a teenager, so let’s take a look at how to tell when there may be a problem.

“Fat talk”When teen girls use words like “disgusting,” “ugly,” or “gross” when talking about their bodies, they’re engaging in “fat talk.” This can also include repeated conversations about dieting or rigidity about categorizing foods as “healthy” or “unhealthy.” “Fat talk” can be especially tricky when your teen’s friend group is regularly using these words or having conversations about dieting because it normalizes and reinforces these ideas as normal ways to evaluate and think about our bodies. There’s a lot of power in the way we talk about and to ourselves, so regularly disparaging our own bodies can be really damaging to self-esteem. Plus, the more often we’re exposed to those kinds of thoughts or conversations, the more ingrained they become.

Body Checking If you notice your teen spending more time in the bathroom or in front of the mirror than usual, they may be body-checking. This often includes compartmentalizing their body into specific parts, like stomach, thighs, or arms, and examining or evaluating each of these parts individually, rather than being connected to their whole body. Body checking also looks like measuring body parts, repeatedly trying on different clothes to pick apart how they fit, and contorting our bodies in different poses to look at particular angles. Some amount of body checking is normal, but spending excessive amounts of time scrutinizing in front of the mirror breeds anxiety and can become compulsive and keep teens from being able to fully enjoy or participate in life.

Changes in Eating HabitsAttempts to lose weight or meet particular body ideals can often masquerade as efforts to be “healthier.” This could look like skipping meals, cutting out certain foods or food groups, shifting to a different diet, or moderating portion sizes during meals. For instance, if your teen starts skipping breakfast or suddenly announces that she’s vegetarian or no longer eats potatoes, you may want to explore why she’s making this change. On the other hand, changes in eating habits also look like sneaking or hiding food, or anxiety about being seen consuming particular foods. Your teen might also develop patterns of eating less during certain portions of the day and then overeating at other times. If your teen starts sneaking downstairs late at night to gorge themselves on cookies that’s also a pattern you should talk about.

Excessive ExerciseWhile regular exercise is absolutely a positive for both physical and mental health, one of the most common signs of body image issues is over-focusing on exercise. If you notice that your teen has rules about needing to do a certain amount of activity every day or is spending excessive amounts of time exercising, this may be driven by body dissatisfaction. This could look like spending 2 hours on the elliptical at the gym or doing several different workouts on a given day. Negative body image impacts on exercise habits can also cause teens to feel compelled to work out to “earn food,” or skip out on other things they enjoy in the pursuit of a particular body ideal. For instance, if your teen needs to run 3 miles before they’re “allowed” to eat dessert, then negative body image is likely in the driver’s seat.

Mood Swings or Mood Changes Negative body image issues can drive some serious changes in mood, creating a dynamic where the way teens feel is entirely dependent on how they perceive their looks on a given day or at a particular moment. Body dissatisfaction often causes an inability to feel confidence, happiness, success, or self-acceptance unless we feel our bodies have met exacting, and often impossible, standards. That means that teens struggling with body image will often have quickly shifting highs and lows in mood, or increases in anxiety, shame, and low self-esteem due to psychological distress. As a result of insecurities about their bodies, they may withdraw and become more isolated from friends or family, or they may mask their true feelings with pseudo-confidence, sarcasm, or self-deprecating jokes.

Frequent Validation-Seeking on Appearance Body dissatisfaction can cause teens to seek constant reassurance about their appearance or looks. This can be overt, through questions like “Do I look ok?” or “Do you think I’m pretty?” It can also be sneakier like posting exclusively heavily edited photos on social media or over-focusing on validation via “likes” on posts. On the flip side, difficulty accepting compliments can also be a sign of difficulties with body image. If someone else’s positive view of the way we look is at odds with our internal self-image, this can create a lot of discomfort, which means that teens might dismiss or get irritated with compliments.

How can I Help my Daughter Build a Positive Body Image? Tackling negative body image as a parent is complex and can feel daunting, so now that we’ve covered the signs that teen girls may be struggling with body image, let’s talk about how you can help.

Encourage Healthy Eating and Lifestyle Choices Without Focus on Weight Support your teen in developing habits for lifelong health and balance in their relationships with food and exercise. It’s helpful to support teens in broadening their definitions of health or wellness using their core values as drivers. For example, if a teen values adventure, encourage them to pursue exercise options that are in alignment with their desire to experience new things or spend time in nature, like rock climbing or kayaking. Frame conversations around food in terms of fueling their bodies to meet individual goals, playing well in a soccer game, and focus on the ways that particular foods make their bodies feel, rather than counting carbs or calories. Remember that there’s no such thing as good or bad food, but rather all foods can be part of a healthy diet when eaten in balance and in support of our body’s individual needs.

Build a Positive Family Culture Around Body Image Building an affirming culture in your family often starts with making an intentional effort to frame praise or compliments around attributes other than appearance, weight, or shape. Focus on complimenting effort over outcome. For example, you might praise the dedication and persistence your teen showed in studying diligently for their chemistry exam over the grade that they achieved. Creating a positive family culture around body image also means refraining from engaging in conversations about dieting or “fat talk,” and avoiding making jokes or shaming comments about anyone’s size or weight. Even if the person is a stranger at the mall, the act of overtly making a judgment sends the message to our teens that we’re observing and evaluating others based on their physical appearance, and if we’re doing that to a stranger, our teens will infer that we’re likely judging them too.

Openly Communicate with Teens about Body Image One of the best things we can do for our teens is to take an introspective look at our own attitudes about body image, size and weight loss. We have to be able to be honest with ourselves about our own biases, and how those may be trickling out to those around us. Being able to acknowledge our faulty thinking and openly communicate models healthy insight for our teens, and opens the door to having shame-free conversations about body image. When you’re addressing patterns or behavior changes in your teen that seem concerning, be direct in your observations and ask questions from a place of non-judgment. For example, if your teen has stopped packing lunches for school, you might say “Hey, I’ve noticed you’re not packing lunches anymore and I’m concerned that you may not be fueling your body. Can you tell me about what lunch is looking like for you right now?

Promoting Positive Self-Esteem Activities Help your teen identify activities that make them feel good about themselves. Maybe they experience the joy of competition when playing pickleball together as a family, gain a sense of purpose when volunteering at an animal shelter, or feel strong when lifting weights at the gym. Encourage participation in activities that support your teen’s values and boost their self-esteem in ways that aren’t related to appearance. Bonus points if these activities help them gain a sense of healthy connection with friends or family.

Limit Exposure to Negative Media Influences We already know that media, particularly social media, can be a huge driver of negative body image, especially in young people. Have open conversations with your teen about the presence of fatphobia, weight stigma or discrimination, and edited images, and encourage them to be mindful of ways that particular forms of media impact their mood or the ways they view themselves. For example, developing awareness around the influence of social media accounts that glorify thinness or diet culture allows us to be more critical of the media we consume. Many teens aren’t in a place developmentally to moderate their media or social media intake on their own, so utilize tools like parental controls on your teen’s smartphone or TV to limit access to apps or websites that promote poor body image through blocking access or setting time limits.

Creating a Supportive Environment at Home Creating space for your teen to feel accepted and supported at home keeps the door open for open conversations about body image. One of the best ways to do this is to lead with empathy and curiosity. Even if your teen’s perspectives about their bodies don’t make a ton of sense to you, know that their perceptions and the negative feelings around them aren’t coming from a place of attention-seeking, but rather because they genuinely believe them. Ask questions from a place of seeking to understand and respond with compassion.

Teen girls with body image issues that are supporting each other. What Treatment Options Can Help Teen Girls with Body Image Issues? The upside to the high prevalence of body image issues in teen girls is that there are a lot of resources available. Treatment options can range from outpatient therapy, nutritional counseling with a registered dietitian, group therapy, community or online support groups, and more structured programs like intensive outpatient or residential settings. For those struggling with significant distress due to body image concerns, seeking out further support in the form of psychological therapies such as Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and cognitive behavioral therapy (CBT) with professional help from a licensed therapist may be beneficial.

Contact Us to help your daugther healBody Image Issues: Moving Toward Body Confidence Each person’s individual goals for their relationship with their body are different. While body confidence may be the ideal, sometimes it’s more realistic or feels more comfortable to work toward body neutrality or body acceptance first. Help your teen identify where they’re at in their relationship with their body and what their goals are. As you work with your teen’s treatment team, or together as a family, make sure that you’re meeting your teen where they are and supporting them in meeting the goals that are important to them. If your teen is receiving treatment, prioritize communicating openly with their treatment team and sharing your observations. Having that date is incredibly helpful in working with your teen to support and challenge them appropriately. At the end of the day, as a parent, you are a crucial part of your teen’s team, and you can absolutely help your teen develop a healthier relationship with their body.

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Written by Kristen VanOrman Buck Director of Outreach and Clinical Partnerships

It’s important that parents know the common street names for alcohol and drinking slang to protect their teens when it comes to alcohol use and the related dangers. Common slang words for alcohol, such as sauce, booze, lean, and juice, along with nicknames like hooch, firewater, and moonshine, and hard stuff, might signal to parents that their teenager is drinking or misusing alcohol. While the use of drinking terms can be teens using slang they’ve heard, it may be a sign that a teen is abusing alcohol and that there are more significant mental health issues going on in a teen’s life.

Table of Contents* What are the Street Names Teens Use for Alcohol? * Why Do Teen Girls Start Drinking? * What Are Some Common Signs of Alcohol Use in Teen Girls? * Slang Terms Teens Use for Drinking and Getting Drunk * How Does Alcohol Use Affect Teen Girls? + The Physical Effects + The Mental Health Effects * How Can I Help My Teen Daughter Who is Abusing Alcohol?  + 1. Talk to your Teen Daughter About Alcohol Use + 2. Create a Supportive Home Environment + 3. Set Boundaries and Expectations + 4. Educate your Teen on the Dangers of Alcohol Use + 5. Build a Support Network + 6. Find Treatment for Alcohol Use and Mental Health Challenges * Street Names for Alcohol: Putting it All Together What are the Street Names Teens Use for Alcohol?Some common street names for alcohol that a teen girl may use include juice, sherbert, booze, and sips. These terms might be used casually in conversation or in texts to conceal the mention of alcoholic drinks. Other everyday slang for liquor that teens may use include shooter, cold one, nightcap, and giggle juice. Parents should stay vigilant and aware of these slang terms to better understand their child’s behavior and potential involvement with alcohol.

Other words for alcohol can include:

• Tipple
• Party punch
• Fizzy fix
• Berry blast

Teen girls may also use specific drinking slang for alcohol mixed with certain drugs; if parents hear their teens using these terms it can be a sign of severe drug and alcohol abuse issues. Other names for alcohol or alcoholic drinks mixed with drugs that parents should look out for include:

• Time flip – alcohol with Xanax
• Liquid candyflip – alcohol with LSD and MDMA
• Snow-coning – alcohol with cocaine
• Lean, Dirty Sprite, or Robofizzing – alcohol with cold medicine
• Brompton Cocktail – alcohol with opioids and cocaine

Why Do Teen Girls Start Drinking?Teens might drink alcohol due to curiosity, social benefits, and pressure to cope with stress, pain, or trauma.

Other reasons teen girls might start drinking include:

• Underlying mental health issues
• Emotional trauma
• Family conflict or problems
• Depression
• Self-esteem issues

What Are Some Common Signs of Alcohol Use in Teen Girls?Common signs of alcohol use in teen girls can include secretive behavior, mood changes, or school issues. Other common signs parents should look out for include:

1. Changes in friend groups or social activities
2. Decline in academic performance
3. Irritability or sudden changes in behavior
4. Physical use or withdrawal symptoms or signs like bloodshot eyes or smelling of alcohol
5. Increased irritability or defensiveness when asked about alcohol consumption

Teen who used street names of alcohol feeling sick after drinking. Suppose parents see these signs, along with a teen who is using slang names for alcohol. In that case, it’s important to take action by initiating a conversation with their teenage daughter in a non-confrontational and supportive manner. It’s essential to create a safe space for open communication without judgment.

Slang Terms Teens Use for Drinking and Getting Drunk Teen girls can also use a variety of terms for slang for getting drunk that parents should look out for. Common teen slang for getting drunk could include terms like:

• Getting lit
• Turnt
• Wasted
• Hammered
• Smashed
• Sloshed
• Sauced
• Tipsy
• Buzzed
• Faded

How Does Alcohol Use Affect Teen Girls?Most teens who experiment with or misuse alcohol will not develop a chronic alcohol use disorder and will age out of misusing alcohol and the associated problematic behaviors. However, some teens will develop such a disorder and deal with longer-term problems tied to it, such as mental health, physical health, or relationship-based issues. Parents have an important role in helping a teen girl who is using street names for alcohol or drinking underage to understand the dangerous effects and risk factors of an alcohol problem and how to discuss them with teen girls.

The Physical Effects The physical effects of teen alcohol use include:

• Impaired brain development
• Increased risk of accidents and injuries
• Liver damage
• Weakened immune system
• Stunted growth
• Increased risk of substance use disorder

The Mental Health EffectsThe mental health effects of teen alcohol use can include:

• Depression
• Self-esteem issues
• Anxiety
• Risk of other mental health issues worsening or developing

Speak to a specialistHow Can I Help My Teen Daughter Who is Abusing Alcohol? If your teen is using these different names for alcohol and drinking, you can start by educating your teen about the dangers of alcohol use, building a support network of family and friends, communicate with your teen in a non-judgment way, and find mental health and substance use treatment when needed.

1. Talk to your Teen Daughter About Alcohol UseTalking to teens about alcohol use, if they are using street names for alcohol or drinking slang, can be an important first step. Parents should keep in mind when discussing alcohol use to:

2. Actively listen and approach the conversation with a non-judgmental attitude.

3. Pay attention to any clues as to whether alcohol use is curiosity around alcohol or part of a bigger substance use or mental health issue.
4. Seek to understand any potential reasons for teen drinking.
5. Provide education about the dangers of alcohol use when appropriate.

6. Be aware of any potential stressors teens mention when discussing alcohol use and discuss possible alternate coping mechanisms or skills.

7. Create a Supportive Home EnvironmentA supportive home environment can help teens who are using street names for alcohol or drinking slang and can involve open communication, trust, and non-judgmental discussions about alcohol use. Parents can create a safe space for their teen daughter to talk about any concerns or pressures they may be facing regarding alcohol. By fostering a supportive environment, parents can help guide their teen towards making healthy choices and understanding the potential risks associated with alcohol use.

8. Set Boundaries and ExpectationsSetting boundaries is important for parents who are dealing with a teenager who is misusing alcohol.  Parents should hold boundaries to protect and preserve themselves, others in the home (e.g., siblings), and the family’s culture by figuring out and setting boundaries around alcohol use. Thus, an important point to remember when setting and holding boundaries in response to a teen child’s misuse of or involvement with alcohol is only to set boundaries that parents can ultimately have . Good boundaries for parents to set around teens who are drinking could include a-no-alcohol use policy and consequences for what happens when these are broken, such as possible limits on social outings or events.

9. Educate your Teen on the Dangers of Alcohol Use Educating your teen about the dangers of alcohol use is crucial in helping them make informed decisions. By discussing the physical and mental health effects, as well as the risks associated with substance use disorders, you can empower your daughter to prioritize her well-being over temporary thrills.

Educate your teen about the dangers of alcohol use by explaining the various street names for alcohol, such as “booze,” “hooch,” “liquid courage,” and “happy juice,” as well as the dangerous mental and physical effects of drinking, using drugs in combination with drinking, and how drinking can lead to bad decisions that can last throughout life.

1. Build a Support Network As a parent, it is essential to build a strong support network for your teen daughter who may be struggling with alcohol abuse. Creating an environment of open communication and non-judgmental dialogue within the family and with trusted friends can encourage her to seek help when needed. This support system can be crucial role in guiding her toward making healthier choices and seeking necessary treatment, if required.

Support networks can include parents, friends, family, role models, and alcohol use support groups that help provide support as a teen or young adult discusses alcohol use in an open setting.

1. Find Treatment for Alcohol Use and Mental Health Challenges A common adage in the substance use treatment arena is that “alcohol is not the problem; it’s the solution to the problem.” When alcohol misuse becomes a solution, the risk increases for problematic habits to form in teen girls. If you find that your daughter is still using street names for alcohol or drinking after you’ve tried to talk to her and provide support, treatment for alcoholism may be a helpful next step that can help address the root of mental health and substance use issues that could be causing alcohol use issues.

Treatment options for teens who are drinking or abusing alcohol can include co-occurring mental health treatment programs that address both substance use and mental health issues like anxiety, depression, self-harm, or suicidal ideation that can be at the root of drinking. A residential treatment program or stabilization and assessment program can provide a good long-term treatment option for teen girls who are abusing alcohol. Call us today, and we’ll walk your family through each step of overcoming difficult alcohol use and mental health issues.

Contact us to Start Healing Street Names for Alcohol: Putting it All Together As a parent, if your teen daughter is using street names for alcohol or drinking, this could be a sign of a more significant mental health issue. If, despite your efforts to educate and support your daughter, she continues to use drinking slang and is showing continual signs of alcohol abuse, it may indicate a deeper mental health issue that requires professional help. Seeking treatment for both alcohol use and any underlying mental health challenges is crucial in addressing the root cause of her behavior.

If you’re worried about your teen daughter using street names of alcohol or drinking problems along with mental health challenges, we’re here to help. Call the New Haven team at 385-444-9931 or contact us today, and we’ll help your daughter overcome difficult mental health issues associated with drinking.

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What makes a family strong? It’s not about the number of people or even the relationships between them. It’s about the bonds that hold them together and the foundations they build upon. Whether it’s enjoying family meals, going on outings, or simply engaging in meaningful conversations, these practices can create stronger bonds that strengthen the mental health of teens, young adults, and their family members.

The Importance of Supporting Mental Health in FamiliesPrioritizing the mental well-being of adolescents, teens, and young adults is crucial for developing strong family foundations. For example, an article published in the Indian Journal of Psychological Medicine showed that family structure played an important role in whether trauma occurred at a young age or if conditions like attention deficit hyperactivity disorder (ADHD) developed.

The importance of family bonds and a strong family structure should not be understated. And, the incorporation of some healthy practices can help build stronger family bonds for the entire family.

How do You Build Strong Family Bonds?Families play a crucial role in providing mental health support and building strong bonds. They can start by offering unconditional love and support, creating a safe environment both at home and within the family, and spending quality time together.

1. Provide unconditional love and supportTo develop strong family foundations, it is crucial to provide unconditional love and support. This means showing love and acceptance regardless of achievements or mistakes, encouraging the expression of emotions, and offering comfort during difficult times. It also involves providing reassurance and encouragement to build confidence and being an empathetic listener without judgment. Additionally, celebrating each family member’s unique qualities and strengths contributes to creating a supportive and loving environment.

2. Provide safety at home and in the familyTo develop strong family foundations, it is crucial to ensure a physically and emotionally safe environment. This can be achieved by establishing ground rules that promote respect and trust among family members. Addressing conflicts with understanding and compromise helps maintain harmony within the family. Creating routines and consistency provides stability and a sense of security. Encouraging healthy boundaries and respecting personal space fosters individual growth and autonomy.

3. Spend quality time togetherTo develop strong family foundations, it is essential to spend quality time together. Plan regular activities that allow you to bond and connect as a family, such as volunteering. Engage in meaningful conversations, actively listening to each other’s thoughts and feelings. Participate in shared hobbies or interests to strengthen your connection. Spending quality time together builds the importance of family and establishes strong foundations.

How to Develop Strong Family Foundations 24. CommunicateFostering open and honest communication within the family is vital for developing strong foundations. It is important to listen attentively and validate each other’s feelings, using “I” statements to express needs and concerns. Effective communication is key to improving family relationships. Conflicts should be solved through respectful dialogue and teaching effective communication skills to promote understanding.

1. Put technology awayTo develop strong family foundations, it is important to put technology away and prioritize meaningful interactions. Set boundaries on screen time to ensure that family members engage in activities that do not involve screens. Designate device-free zones or times during the day to encourage face-to-face conversations and eye contact. Be a positive role model by limiting personal device usage.

2. Create healthy boundariesEstablishing clear boundaries and rules for behavior is crucial in developing strong family foundations. Respecting personal space and privacy helps foster a sense of autonomy within the family. Teaching assertiveness skills enables family members to express their boundaries effectively. Encouraging responsible decision-making empowers individuals to make choices that align with their values. It’s important to strike a balance between fostering independence and maintaining a sense of belonging within the family dynamic.

3. Support each other Supporting each other is vital in developing strong family foundations. During challenging times, offering emotional support helps to create a sense of unity and teamwork. Providing assistance and encouragement for personal goals fosters growth and resilience within the family. Celebrating achievements and milestones together strengthens bonds and creates lasting memories. Showing empathy towards each other’s struggles enhances understanding and empathy.

4. Accept and celebrate differencesEmbracing the unique qualities and perspectives of each family member is essential in developing strong family foundations. It is important to celebrate cultural traditions and individual achievements, fostering a sense of tolerance and acceptance of differences.

5. Encourage health habitsPromoting a healthy lifestyle within the family is crucial for developing strong foundations. Encouraging regular exercise and nutritious eating not only contributes to overall well-being but also sets a positive example for children.

Engaging in family activities like hiking or playing sports together fosters bonding and promotes physical fitness. Teaching children the benefits of self-care and healthy habits empowers them to make positive choices. Creating a supportive environment that prioritizes health and open communication allows for discussions about physical and mental well-being.

1. Seek treatment when neededAddressing mental health concerns within the family is vital for developing strong foundations. Seeking professional help for family or individual mental health challenges when necessary is an essential step toward supporting mental well-being.

Developing Strong Family Foundations Wrap-UpConsistent communication is vital in building strong family foundations. Additionally, setting aside dedicated time for family activities and bonding strengthens relationships and creates lasting memories. Creating a safe space where everyone feels comfortable expressing themselves freely nurtures trust and open communication. Upholding family traditions fosters a sense of identity and belonging. Regular family meetings provide a platform to address concerns, reinforce values, and maintain strong connections. These practices contribute to the development of strong family foundations.

If you or your family needs additional support, contact us or call us today at 385-444-9931.

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Racism has a profound impact on the mental health of teenagers. According to an article published in the Child and Adolescent Psychiatric Clinics of North America Journal, minority teens and adolescents face mental health disparities due to racism, experiencing higher rates of stress, anxiety, and other mental health conditions. The effects of racial discrimination can be far-reaching, contributing to feelings of isolation, low self-esteem, and even mood disorders.

The quality of care within the mental health system also plays a role in these inequities. Communities of color often face barriers to accessing appropriate and timely care, including unfair differences in health insurance coverage and poor-quality care within the mental health workforce. Furthermore, negative messages, stereotypes, and microaggressions can further exacerbate the mental health concerns of teenagers from marginalized ethnic groups.

Obstacles to Mental Health Treatment for TeensMinority teens face mental health disparities due to racial inequalities. Cultural differences can impact access to mental health services for minority teens. Institutional racism in the healthcare system contributes to disparities in mental health treatment for teens of color. Language barriers can prevent minority teens from accessing appropriate mental health care. The stigma surrounding mental health in minority communities can deter teens from seeking help. These obstacles and disparities create significant challenges for teens who are already dealing with mental health conditions.

Institutional and Systemic RacismInstitutional and systemic racism have significant implications for the mental health of minority teens. These forms of racism contribute to mental health disparities among young people from ethnic backgrounds. The presence of systemic barriers makes it challenging for teens of color to access quality mental health care, further exacerbating the disparities. Racial discrimination within the healthcare system directly affects the availability and quality of mental health treatment for minority teenagers. Structural racism also perpetuates racial disparities in mental health services, creating unequal access and outcomes for adolescents, according to this article published in the Journal of the American Medical Association.

Language Access BarriersLimited access to mental health services due to language barriers can have a significant impact on minority teens. The lack of culturally competent mental health providers who speak diverse languages further exacerbates the challenges faced by minority teens.

Service Access BarriersMinority teens often face significant barriers when it comes to accessing mental health services, which can further exacerbate the challenges they face in terms of their overall mental well-being. One of the key obstacles they encounter is a lack of insurance coverage, making it difficult for them to afford the necessary care and treatment. Moreover, the limited availability of mental health professionals in underserved areas disproportionately affects teens from minority backgrounds, hindering their access to the support they need.

Socioeconomic factors also contribute to these disparities, as many teens of color come from low-income households that may struggle to afford quality mental health care. Additionally, structural barriers such as transportation and financial constraints can further hinder their ability to access and utilize mental health services.

How does experiencing racism affect teen mental health?Experiencing racism can have a profound impact on a teen’s mental health. It can lead to increased stress, anxiety, depression, and feelings of worthlessness. It can also contribute to the development of post-traumatic stress disorder (PTSD) and other psychological disorders.

AnxietyTeens who experience racism may develop anxiety disorders due to the stress and uncertainty associated with discriminatory experiences. The symptoms of anxiety related to racism can manifest as restlessness, irritability, and difficulty sleeping. These feelings of anxiety can significantly impact a teen’s academic performance and social interactions.

DepressionExperiencing racism can have a profound impact on the mental health of teenagers, potentially leading to the development of depression. Teens who face racism may feel a sense of hopelessness and sadness, which can manifest as persistent feelings of sadness, loss of interest in activities, changes in sleep patterns, and appetite. Racism-related depression can significantly impact a teen’s overall well-being and functioning.

Suicidal IdeationExperiencing racism can contribute to increased suicidal ideation among teens. The persistent feelings of worthlessness and the emotional toll of discriminatory experiences can make them feel overwhelmed and hopeless. They may start contemplating self-harm or suicide as a way to escape the pain they are experiencing.

PTSDRacism can also result in the development of post-traumatic stress disorder (PTSD) among teens. Experiencing or witnessing racist incidents can be traumatic, leading to intrusive memories, nightmares, hypervigilance, and avoidance of triggers. Teens with racism-related PTSD may also experience difficulty concentrating, feeling on edge, and having exaggerated startle responses.

Eating DisordersRacism can also contribute to the development of eating disorders among teenagers. Discriminatory experiences can lead to body image issues, low self-esteem, and a desire to conform to societal standards of beauty.

Teens may engage in unhealthy eating behaviors such as restrictive dieting or binge eating as a coping mechanism to deal with the emotional distress caused by racism. This unhealthy relationship with food can quickly spiral into an eating disorder, with potentially severe consequences for a teen’s physical and mental well-being. It is crucial to promote body positivity and provide resources and support for those struggling with racism-related eating disorders.

Racial TraumaRacial trauma refers to the psychological and emotional impact of experiencing racism. It can have long-lasting effects on a teenager’s mental health if left unaddressed. Symptoms of racial trauma may include flashbacks, hypervigilance, and avoidance of situations related to racism.

Strategies for Supporting Teens Experiencing Racist TraumaSupporting teens experiencing racist trauma requires a multi-faceted approach. Peer support and support groups are invaluable resources, providing a safe space for teens to share their experiences and emotions. Encouraging self-care practices like mindfulness, seeking mental health treatment if needed, and creating a supportive environment at home can all help teens facing racism. helps teens cope with the impact of racism on their mental health.

1. Look for Peer Support and Support GroupsPeer support groups play a significant role in the lives of teens who have experienced racist trauma. These groups provide a sense of belonging and understanding, allowing teens to share their experiences with peers who have faced similar challenges. By doing so, they validate each other’s emotions and create a supportive network.

Peer support groups can offer a safe space for teens to openly discuss their feelings and develop effective coping strategies. Connecting with others who have experienced racism helps teens realize that they are not alone in their struggles. Moreover, these groups empower teens to advocate for themselves and address racism within their communities.

1. Teach Self-careEngaging in activities that promote self-care can have a positive impact on the mental well-being of teens facing racist trauma. By incorporating exercise or hobbies into their daily routine, teens can effectively manage stress and improve their overall mental health. Additionally, maintaining healthy sleep habits and a balanced diet can further support their mental well-being.

Mindfulness and relaxation techniques are also valuable tools for coping with the emotional toll of experiencing racism. Encouraging teens to take breaks from social media and stay informed about racial justice issues in a healthy way can protect their mental health. Furthermore, teaching them to prioritize self-care and self-compassion can contribute to their resilience in the face of racism.

1. Find Culturally Competent Therapy if NeededIn culturally competent therapy, therapists are knowledgeable about the different cultural factors that can influence a teen or young adult’s experience of racism. They recognize that each individual may have their own reactions, coping mechanisms, and ways of understanding and processing their experiences. Therapists who are culturally competent also strive to create a safe and inclusive environment where teenagers feel comfortable discussing their experiences with racism without fear of judgment or misunderstanding. They actively listen to their clients, validate their emotions, and provide support and guidance throughout the therapeutic process.

Additionally, culturally competent therapists understand that racism is a systemic issue that extends beyond individual experiences. They work with teenagers to explore the broader societal factors that contribute to racism and its impact on mental health. By examining these larger structures, therapists help teens develop a critical understanding of racism and its role in shaping their lives.

Racism and Teen Mental Health Wrap-UpRacism affects the mental health of teenagers profoundly. To help teens cope with these effects, strategies like peer support, self-care, and therapy can be implemented. Recognizing signs of anxiety, depression, and racial trauma is vital for offering appropriate support.

If you or your teen or young adult is struggling with mental health challenges related to racism, contact New Haven today or call us at 385-444-9931. We provide a healing, culturally competent therapeutic environment where teens and young adults can overcome difficult mental health challenges.

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Mental health is a crucial aspect of a teen or young adult’s well-being, and it becomes even more critical when it comes to the LGBTQ+ community. The journey of self-discovery and acceptance for people within this community can be challenging, which often takes a toll on mental health. Learning how to support a LGBTQ+ youth’s mental health can be life changing for adolescents, teens, and their families.

The LGBTQ+ Mental Health CrisisLGBTQ+ youth face high rates of mental health challenges, according to a 2023 survey from the Trevor Project. Further data from the Trevor Project indicates that LGBTQ youth are at risk for suicidal thoughts and attempts, discrimination and rejection, and symptoms of depression and anxiety. Access to mental health services is crucial for supporting the well-being of LGBTQ+ youth.

Rejection and Isolation Faced By the LGBTQ+ CommunityFamily rejection can have severe consequences for the mental health of LGBTQ+ teens and young adults. Social isolation can also negatively impact the mental health of LGBTQ+ teens and adolescents. Additionally, LGBTQ+ teens and young adults of color may face intersecting forms of discrimination and isolation according to a 2019 Human Rights Campaign Foundation study.

Stigma and Its Impact on LGBTQ+ Mental HealthHomophobia and transphobia create additional stressors for LGBTQ+ teens and young adults. Internalized stigma can lead to self-esteem issues and mental health challenges. Challenging stereotypes and promoting acceptance can improve overall LGBTQ+ mental well-being.

Homelessness in the LGBTQ+ CommunityAccording to the Trevor Project, LGBTQ+ youth and young adults face a disproportionate risk of homelessness, which takes a toll on their mental health. Limited safe and affirming housing options contribute to the high rates of homelessness within the LGBTQ+ community, fueled by discrimination and family rejection.

It is crucial to address the root causes of LGBTQ+ homelessness to improve mental health outcomes for young adults. Inclusive shelters and support services are vital in tackling this issue and providing much-needed care and assistance.

Impact of Medical Mistrust and Health DisparitiesLGBTQ+ teens and young adults may experience medical mistrust, stemming from past encounters with discrimination and mistreatment. This mistrust further exacerbates existing health disparities, including limited access to inclusive healthcare.

Limited Access to Mental Health ServicesLimited access to mental health services is a significant barrier to care and treatment in the LGBTQ+ community. Many LGBTQ+ teens and young adults struggle to find providers who are knowledgeable about their specific needs and identities, which can lead to feelings of isolation and inadequacy. Additionally, financial barriers and lack of insurance coverage often prevent individuals from seeking the help they need.

Teen and Young Adult LGBTQ+ Mental Health 4Common Mental Health Issues Among LGBTQ+ Teens and Young AdultsLGBTQ+ teens and young adults often face mental health and substance use challenges associated with barriers to care, isolation, stigma, and rejection related to their identity and community.

AnxietyAnxiety can be a common experience for LGBTQ+ teens and young adults, often stemming from the societal stigma and discrimination they face. Symptoms of anxiety may manifest as persistent worry, intrusive thoughts, and physical symptoms like an increased heart rate.

Post-Traumatic Stress DisorderLGBTQ+ teens and young adults may develop post-traumatic stress disorder (PTSD) as a result of experiencing violence, bullying, or rejection based on their sexual orientation or gender identity. Minority youths are more likely to experience PTSD in comparison to heterosexual individuals according to this American Journal of Public Health article. Symptoms of PTSD can include flashbacks, nightmares, hypervigilance, and avoidance of triggering situations.

DepressionDepression is a significant mental health concern within the LGBTQ+ community. LGBTQ+ teens and young adults experience higher rates of depression compared to the general population. Symptoms of depression can include persistent sadness, loss of interest, appetite changes, and difficulty concentrating.

Eating DisordersLGBTQ+ teens and young adults, including those who are genderqueer and/or gender nonconforming, face a high risk of developing eating disorders. Body image concerns and societal pressures contribute to the development of these disorders within the LGBTQ+ community.

SuicidalityRecognizing signs of suicide is crucial for early intervention and saving lives within the LGBTQ+ community. Warning signs can include talking about suicide, suicidal ideation, expressing hopelessness, or sudden changes in behavior. However, due to fear of stigma or rejection, LGBTQ+ teens and young adults may be more likely to hide their thoughts of self-harm.

It’s important to encourage LGBTQ+ teens and young adults experiencing suicidal thoughts to seek professional help and support, such as the national suicide prevention lifeline at 800-273-TALK (8255).

TraumaTrauma is a deeply distressing experience that can have long-lasting effects on an teen or young adult’s mental health. Sadly, LGBTQ+ teens and young adults are more likely to experience trauma compared to their heterosexual counterparts. Discrimination, harassment, and violence based on sexual orientation or gender identity can create a hostile environment that contributes to trauma.

Self-HarmLGBTQ individuals face unique challenges that put them at a higher risk of self-harm. It is crucial for their mental health to receive support when experiencing self-harm or suicidal thoughts.

Substance UseLGBTQ+ teens and young adults face higher rates of substance use, including drug use, compared to the majority population. They may turn to drug use as a coping mechanism for the unique stressors they encounter. Discrimination and minority stress also contribute to the increased risk of substance use disorders within the LGBTQ+ community.

How to Address LGBTQ+ Mental Health IssuesProviding safe spaces to discuss mental health issues, practicing self-acceptance, and providing access to trauma informed and gender affirming care can all help LGBTQ+ teens and young adults struggling with mental health issues.

1. Creating Safe Spaces to Discuss Mental HealthCreating safe spaces where LGBTQ+ teens and young adults can openly discuss their mental health is vital. These spaces provide a sense of belonging, understanding, validation, and support for LGBTQ+ youths. They enable individuals to share their experiences, struggles, and triumphs without fear of judgment or discrimination. Safe spaces can be found in LGBTQ+-friendly organizations, support groups, or online communities that foster empathy, acceptance, and support.

2. Practicing Self-AcceptanceSelf-acceptance and embracing an LGBTQ+ identity can have a positive impact on mental health. When teens and young adults feel comfortable and proud of their identity, they are more likely to experience improved mental well-being. Embracing one’s LGBTQ+ identity involves acknowledging and affirming oneself, which can help reduce internalized homophobia, transphobia, or other forms of discrimination that may negatively impact mental health.

3. Finding Trauma-Informed and Gender-Affirming CareProviding treatment that recognizes the impact of trauma on LGBTQ+ teens and young adults’ mental health is crucial. It is essential to understand the unique trauma experiences faced by LGBTQ+ teens and young adults and to provide a healing, safe space for treatment. Taking an intersectional approach and addressing the specific needs of LGBTQ+ teens and young adults can help young people struggling with difficult mental health challenges.

LGBTQ Mental Health Wrap-UpThe mental health of the LGBTQ+ community is impacted by various factors. Discrimination, stigma, and minority stress pose unique challenges. Sadly, access to culturally competent care is limited, leading to underreported and undertreated mental health issues. LGBTQ teens and young adults are also at a higher risk of developing mental health problems, substance abuse, and suicide related issues compared to their heterosexual peers.

To improve outcomes teens, young adults, and their parents should look for gender affirming LGBTQ+ therapy and care that considers the diverse range of challenges this community faces.

If you or your teen is looking for a healing, safe environment that can provide trauma informed care for you or your LGBTQ+ youth, contact us today or give us a call at 385-444-9931.

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Author: Noel Miller-Executive Residential Director & Blair Higbee-Teresa House Residential Director

“It was so rewarding to have blisters on my hands, paint in my hair, and dirt all over from head to toe. These external factors printed my efforts in doing the right things. I learned the power of love and discipline. There I saw hope for my future and the steps to take to get there.”

New Haven Student

Some of our New Haven students and families recently traveled near Chiapas, Mexico to live for a week on site of a local orphanage. There, they participated in daily projects of service for the center, enjoyed the local cuisine and enjoyed field trips venturing out into the local area.

Some of the service projects included: preparing the soil for their garden, painting some walls around the orphanage and weeding along the outside of their campus. The best part was getting to spend time with the kids. They played games, took pictures, and on the last night had a ‘Fiesta’ for them including lots of pizza, laughs, and pinatas.

In the later part of each day they got to explore the local area of San Cristobal, enjoy a river cruise, and even got to take some of the kids from the orphanage with them to the local zoo!

After hours of playing soccer with the kids, and his daughter; one dad shared, “it was the most fun he has had in years and that he was so happy he could have that moment with his daughter”.

We are so happy to be in a workplace that values service, hard work and adventure because this trip was truly life changing for us and for our families.

About Casa HogarCasa Hogar is a Mexican orphanage founded by Elizabeth Noguera back in 1993. It began by her simply taking children into her home who had been abused, neglected and abandoned. Quickly her home could not accommodate the need, and with little aide from the local government, she formally established Casa Hogar, and became the legal guardian and provider of love, food, education, technical training and safety for hundreds of children. Currently the orphanage has 106 children ranging from ages 1-18.

Embark has partnered with Casa Hogar since 2016 providing donations from employees, and service trips to help improve the infrastructure and services that Casa Hogar provides to their children. It been several years since we have been able to do international trips with our students and families. We are so happy we have been able to reinstitute them and hope that each of our students will get to experience the wonderful work, love and healing that “Mama Liz” has created in her community.

To me, Casa Hogar showed how you can still make the most out of life even when you’ve been put in awful situations. The people who work there are dedicating their lives to helping kids and they do a great job at making it fun while doing so. I loved seeing the kids laughing and smiling and I loved how even just being there for 5 days made such a difference for these kids.”

New Haven Student

International Service at New Haven 13International Service at New Haven 14International Service at New Haven 15International Service at New Haven 16International Service at New Haven 17International Service at New Haven 18International Service at New Haven 19

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Article by: Lindsey Spencer, New Haven therapist, TRS,CTRS,CMHCA Case StudySarah (fictional name) came to New Haven crippled by anxiety. She hadn’t been outside of her house in a year. This meant she stopped going to school, participating in activities, and engaging with her peers. She came to New Haven fearful of trying anything.

Her New Haven team decided to focus their approach emphasizing recreational therapy. The purpose was to help her, in a safe way, get out of her comfort zone, and try new things. They created a list of activities she wanted to try. She went on hikes, ice climbing, repelled a waterfall, and planned weekly ski trips with her team.

Slowly, she gained confidence and learned she could take each activity slowly until she became more proficient. She began skiing green hills, then blue, and eventually progressed to black diamonds thanks to her team modeling techniques each step of the way. She then learned ski jumps and continues to challenge her self. The confidence she gained in these activities started to impact how she felt in social situations and everyday living.

After graduating from New Haven, while in university, Sarah reached out to her therapist to check in during finals week. She happily confided that she knew she was capable of completing these exams because she trusted in her ability to do hard things. She continually recalls these experiences as she is confronted with challenges in her life. New Haven is full of stories like Sarah.

RASP Scale…What is it?For Sarah, and all of our students at New Haven, our therapeutic recreation department uses an outcome measure to help us know the best way to approach working with each student within the umbrella of therapeutic recreation. It is called the RASP scale, and was developed by Harvard University (Resiliency Attitudes and Skills Profile) to assess each student on 7 different categories within the department of therapeutic recreation including; insight, independence, creativity, humor, initiative, relationships, and values orientation. Treatment teams will collaborate on how they can personalize interventions based on group and individual needs.

Each student takes the same assessment every month to track their progress.

The success of experiential therapy comes from a non traditional ‘out of the box’ approach.

The Growth ZoneTherapeutic Recreation is all about helping people get out of their comfort zone, and into a growth zone. Getting to the growth zone requires going through a bit of a panic zone, but always in a safe environment with trusted professionals and community. Applying these skills for our students and their families promote resiliency, understanding and a sense of empowerment that can then be applied to other areas of their lives.

Anxiety Meets Therapeutic Recreation 21

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We want to help them foster resilience, an ambition for learning and leadership. We know these skills will help them prepare for a truly successful academic and professional future.

Kori Mayeski – BS, MS
New Haven Academic Director

A New Graduating ClassThis time of year is always so exciting as we send off a new group of grads into their next phase of life. This years graduating class included 15 high school seniors!

In conjunction with the event, we hosted an alumni luncheon where we welcomed several families back to campus to join in the festivities as well as experience some check in groups, and activities. It is a wonderful time for us to celebrate our graduates and reconnect with some of our alumni.

This group of seniors deserves extra credit for receiving the most “High Honors” awards seen than in the previous 5 years. This means that we saw an accumulative GPA of 3.5 or higher for the majority of our graduates! 14 of those 15 students have already chosen their next path towards college or university and the last one is still in the process of deciding. Many have qualified for universities such as Loyola University, Wheaton College, University of California-Santa Cruz and more! Check out our instagram page to see more places they will be attending @newhavenrtc!

While are so proud of all the books they have read, papers they have written, art projects they have created, experiments they have conducted, math problems they have solved and AP tests they have taken. We are more impressed that they have done all these things while overcoming tremendous personal challenges, which takes amazing courage and strength beyond their years. One graduate expressed,

We came to New Haven as troubled teens, but are leaving as hopeful young adults.

New Haven Graduate

New Haven graduates 15 Seniors! 23Building Resilience in our StudentsSome of our graduates may have doubted if they would graduate from high school at all. And yet, here they are! Some may still wonder, can I be successful in college? Research shows the number one reason for college freshman dropping out, was their inability to continue when things became difficult. They simply did not know how to solve a problem, identify and use available resources and get their emotional needs met. In other words, they were not resilient. Our graduates have a higher chance at succeeding in college because they have overcome so many obstacles, they can work through a challenge, maintain successful relationships, and now know when to reach out for help.

We have seen this so much resilience in our graduating seniors, and have so much confidence in their ability to have success in their bright futures ahead. Congrats class of 2023!

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Sleep deprivation among teens has become an epidemic in recent years and is being linked by researchers and mental health professionals not only to daytime grumpiness, but to adolescent obesity, drug use, depression, school failure and even suicide. Depression and anxiety are often linked to poor sleep quality and poor sleep quality is linked to depression and anxiety. But whether the sleep disorder came first or the emotional disorder came first, the two can create a self-reinforcing cycle with severe consequences. Other causes of sleep deprivation may be environmental or behavioral rather than emotional.

Medications are routinely prescribed to address teen sleeplessness and can be a viable therapeutic solution in some cases. But medication can also carry with it side effects including nightmares, daytime grogginess, abuse, and dependency. When practicable, alternatives or complements to pharmaceutical therapy can be a more effective long-term solution than medication. Understanding the root cause, or causes, of your teen’s sleep deprivations, is a good first step to helping you make informed decisions about what strategies to employ to help your child get the sleep she needs.

Causes Of SleeplessnessDepression and AnxietyWhile depression is sometimes the cause of extreme drowsiness and excessive sleeping, it can also lead to poor quality of sleep and/or the inability to fall asleep or to stay asleep. Anxiety, which is often directly linked with depression, also can severely disrupt the quality and duration of sleep. This resultant lack of sleep can exacerbate the depression and/or anxiety, leading to a downward emotional spiral.

Drug AbuseDrug use can itself cause sleeplessness or sleep disruption. At the same time, sleep deprivation—whether caused by an emotional disturbance, computer use or another issue—is sometimes addressed by adolescents through self-medication. Many of the social networks that teens engage late at night encourage the use of drugs—especially marijuana—as a sleep aid, according to a study out of UCSD and Harvard University. Because of the socially contagious nature of such behaviors adolescents are much more vulnerable to self-medication when they participate in a social network that encourages it. Regardless of which comes first, the cycle of insomnia and drug abuse is self perpetuating.

Technology and Social NetworksMany teens stay up late to meet with peers online for gaming, chat rooms, texting sessions and other phone or computer based activities. Studies indicate that the timing of these sessions is a socially contagious phenomenon and the trend in many social circles is toward late-night interaction. Adolescents may also be more inclined to late-night technology use when it includes topics or behaviors they wish to hide from their parents, such as talking to a forbidden boyfriend, communicating with a negative peer group, discussing drug and alcohol use, engaging in mature gaming, or viewing pornography.

Light ExposureA field study of middle school and high school students published in the scholarly journal, Neuroendocrinology Letters, found that inadequate or poorly timed exposure to natural light in the morning can also lead to insomnia. Improper sunlight exposure (specifically blue light) delays the production of melatonin which in turn delays the onset of sleep. The phenomenon, called “night owl syndrome” by researchers, is associated with lower academic performance and other problems. Schools are using this data to inform changes in school schedules and building design in order to ensure that students get more exposure to sunlight at the right times.

Sneaking OutSome adolescents are exhausted in the morning and throughout the day because they have been out for much of the night. Young people who have been forbidden to see a certain peer group, boyfriend or friend may routinely slip out at night if inadequately supervised. This can go on for days, weeks or months without being detected by parents.

Options For Addressing Teen Sleep DeprivationIn general, a short-term medication regimen is recommended primarily for sleeplessness caused by anxiety or depression. Even in these cases, medication alone is seldom the entire solution; therapy to address the root causes of the anxiety or depression is generally recommended in conjunction with medication. Other causes of sleeplessness tend to be behavioral in nature and are best addressed through a strategy designed to address the root behavior. Often—as in the case of late night computer use or sneaking out—this means reclaiming a level of parental oversight and benevolent control that may not be welcome!

In some situations this may mean putting parameters around telephone and computer use, and physically controlling those items after hours if agreements are violated. Some parents may even install computer programs to help them monitor their child’s computer use and sites visited. In the case of sneaking-out behavior, window and door sensors or sporadic bedroom checks may be the only way to monitor behavior so that violations can be addressed through a combination of discussion, consequences and possibly therapeutic intervention. In the case of poorly timed light exposure, new family habits involving different waking times and early morning walks might be a smart strategy.

Whatever the cause of adolescent sleep deprivation, it’s important to know that it can have much more serious and far-reaching consequences than previously imagined. Adolescent obesity, drug abuse, depression, school failure, anxiety and suicidal thinking are all linked to inadequate or poor-quality sleep. It’s also important to engage the appropriate resources to help you understand the nature of your child’s sleep deprivation and to provide the proper support and intervention. Making your own careful observations, talking to your child, and engaging the services of both a physician and psychologist are great places to start if your adolescent shows signs of sleep deprivation.

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Individuals with learning differences often have greater difficulty navigating the world around them. Much of this depends upon the type of challenge they experience. An individual with ADHD may struggle with focus and attention whereas an executive-functioning challenged person requires a great deal more energy managing multiple tasks simultaneously. These challenging may spill over into difficulty managing social and emotional tasks that may appear common and normal for someone else.

With the right support, many young people can learn to leverage their learning differences to their own advantage, turning a learning disability into a learning ability.

Emotional and behavioral issues are common with individuals struggling with learning challenges. Everyday experiences are what nurture emotional regulation and maturity. Individuals with learning challenges, however, are often blocked from these everyday “normal” experiences. Because of this, their understanding of social/emotional interactions may be altered or delayed and they may utilize immature coping mechanisms to deal with relational issues. For instance, a learning disabled adolescent responding to a parental boundary may react impulsively or explosively. A child who struggles with attention and hyperactivity may experience an unusual and addictive feeling of calm by using stimulant substances (i.e., amphetamine, methamphetamine). That’s because the stimulant acts inversely with individuals already living in a stimulated state due to their hyperactivity. Substance use provides a calming effect and they experience the world in a less scattered, anxious manner.

Along with the primary effects that may come with learning differences, secondary effects may occur such as:

• low self-esteem,
• depression,
• social isolation,
• anger,
• low school performance,
• and so forth.

Sometimes these secondary effects mask the primary issue—a learning disability. For instance, an individual being treated for depression may in fact need concentrated therapeutic services focused on non-verbal learning disorder and its impact on their social abilities.

With the right support, many young people can learn to leverage their learning differences to their own advantage, turning a learning disability into a learning ability. Those with ADHD may become effective at multi-tasking—a skill needed in the emergency room, on the floor of the New York Stock Exchange and in startup businesses. An adult with dyslexia may—as a result of her learning difference—learn to “think different” and end up succeeding in a creative profession. To read stories along these lines, try Googling “ADHD strengths and weaknesses stories” for a host of website links with learning difference success stories.

There are many learning disorder treatment options to help individuals understand and work through their learning differences and the emotional and behavioral impact they can have. Regardless of the type of learning challenge, care givers should keep the following three concepts in mind in order to help them navigate the emotions associated with learning differences:

1. Re-affirm your love and care for the individual.
2. Validate her subjective experience with her particular learning challenge.
3. Work with her to explore and adopt new skills for navigating social situations and expressing emotions. For instance, with my own son, I let him know how valuable and important he is to me, discuss how hard it is to remember more than one thing at a time, and use the word “focus” as a signal to keep his attention on what he needs to be doing at hand.

All individuals have their own set of personal challenges. As with anyone, learning challenged individuals need love, support and specific skills to work through their experience.

John Stewart, LCSW, is the executive director of New Haven, a residential treatment facility for adolescent girls located in Utah. New Haven is part of the InnerChange family of treatment centers, known for providing clinically sophisticated treatment to adolescent girls and young women with emotional and behavioral difficulties. Mr. Stewart has been providing clinical care to young people for over 20 years

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Many teenagers in treatment are being diagnosed with a disorder once associated primarily with soldiers returning from war. Post traumatic stress disorder, or PTSD, is now known to affect not only soldiers, but anyone who has a strong, but unaddressed, emotional reaction to a highly disruptive situation. If you believe your teenage daughter may be struggling with a past trauma, the following may help you offer informed, compassionate support as she heals. Let’s start by answering, “What is PTSD?”

Trauma definedTrauma, in therapeutic parlance, is a normal response to frightening or emotionally disruptive events. It can range from very short term emotional discomfort to acute stress disorder to post-traumatic stress disorder, or PTSD. Acute stress disorder, though uncomfortable and persistent, can resolve on its own in a matter of weeks or months. PTSD is marked by chronic, persistent, and sometimes debilitating emotional distress related to the traumatic event.

Is my daughter overreacting, or actually traumatized?Of course, the most obvious sources of trauma are things like war, rape, and assault. Those events are so harrowing that it’s easy to understand that most people would be seriously affected by them. But experts are now acknowledging that individuals differ in their sensitivity to disruptive experiences and, therefore, have expanded the definition of a potentially traumatic event to include:

• Natural Events: Researchers have seen ripples of traumatic reactions to hurricanes, earthquakes, floods fires in the neighborhood or home, and other natural events where the individual feels threatened.
• Family Disruption: Divorce, a parent’s job loss, even the death of a grandparent can trigger a trauma response.
• Adoption: Even at-birth adoptions can cause trauma, since the child is suddenly separated from the one person it recognizes chemically as his or her parent.
• Car Accidents: Car accidents in which one’s life seemed at risk or in which there was loss of life or serious injury can have long lasting, post-traumatic emotional impacts.

Helping your daughter healIn their effort to help, parents often either minimize or pathologize their child’s trauma experience. Both responses, say experts, can be counterproductive. It’s important to normalize the child or teen’s emotional response to trauma–whatever that may be. Immediately pathologizing it can disrupt the normal, natural healing process. Ignoring it, on the other hand, can also slow or stop the child’s progress toward healing.

The best response is to normalize your teen’s experience by listening and encouraging–but not forcing–communication about her feelings and thoughts. Encourage your child to feel what she feels without judging herself or her reactions–trauma responses may include survivor’s guilt, difficulty sleeping, anxiety, etc. Avoidance of emotions/memories related to the trauma can create situation in which PTSD can develop. Many teens feel that “I should just get over it and stop talking about it over and over.” So make it okay to stay in the feelings and talk about them.

Avoid pathologizing your child’s emotional reactions by, for instance, prematurely assigning clinical labels like PTSD. Clinical labels and an overly clinical approach too soon can exacerbate the problem by sending the message the your child’s responses are abnormal and that they are helpless to cope and move through it.

If your teen’s reaction to trauma persists or seems to worsen over time, seek outside help to diagnose and treat the issue. Participation in processing groups comprised of people with similar experiences can help normalize your child’s experience and reactions. This can be especially important when the family is not in a position to provide an adequately safe place for extensive processing. A more sensitive family member may have more intense reactions and a slower healing process than other family members. This can make that child feel uncomfortable with her responses, bottling up thoughts and feelings that she needs to process in order to heal.

Whether your child is early in the process of dealing with a trauma or has been struggling for some time, help is available. Healing is possible.

We have a vision of a world where every young woman makes peace with her past, thrives in the present, and creates a hopeful future hand-in-hand with her family.

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Though ADHD is actually a neurobehavioral developmental disorder, by the time most sufferers reach adolescence they’ve internalized negative messages they’ve heard – directly or indirectly – from frustrated teachers, parents, and peers. Some believe that they must be lazy, “bad,” stupid, or socially unattractive. As a result, it is not uncommon for adolescents suffering from ADHD to spiral into depression and/or anxiety. This complicates the disorder and compounds the young person’s suffering. Fortunately, ADHD is one of the most studied learning disabilities and there are several effective treatment options available. Most experts agree that a multi-modal approach – i.e. one that integrates a number of treatment methods – is most effective. Following is a sampling of ADHD treatment options to consider as you construct a multi-modal treatment and management plan for your child.

Classroom AccommodationsClassroom accommodations are very helpful for teens with ADHD, but teachers do not always know about or implement these accommodations. Accommodations, therefore, are most effective when the young person learns to advocate for them herself. Accommodations can include anything from sitting at the front of the classroom near the teacher, taking extra time on exams, having a note-taking partner, or having access to a quiet room for studying or test taking. A psychologist or special education teacher can help you create a list of classroom accommodations that fit the special needs of your child; a battery of psycho-educational testing can give these professionals the information they need to create a customized set of accommodations that match your child’s exact needs. While your advocacy for these accommodations is critical, it’s equally important to teach your child about these accommodations and encourage her to request them herself. This self advocacy can transfer to other environments such as college or work.

ToolsFor many adolescents with ADHD, a few simple tools can go a long way. A large, simply formatted planner, a notebook, and a daily checklist are great tools parents and teachers can use collaboratively to coach a young person toward more effective self-management. Maintaining a set routine for everything from packing one’s backpack before school to checking homework assignments with the teacher before going home can be complemented with a few simple organizational tools. By offering regular coaching and keeping these tools simple and consistent, you can help your child develop highly functional lifelong habits.

MedicationStimulant medication has been proven effective in managing the symptoms of ADHD, and can lead to better school, home, and relational functioning. While the most familiar medication for ADHD is Ritalin, several other stimulant treatments are available. Your family physician, psycho-pharmacologist, or psychiatrist can help identify the best medication option for your child. It is important to remember that every person reacts differently to medication, so the ability to observe your child (directly or second hand through trained professionals) when adjusting medications is critical for determining safety and efficacy. Talk to your child about how medication makes her feel, and factor this input into treatment decisions. Remember that many ADHD medications are narcotics that can be abused. Monitoring your child’s use of these medications is important for preventing abuse.

Boarding SchoolSometimes, the combination of ADHD and accompanying emotional struggles can be too much to manage at home. In these cases, a residential setting, such as boarding school with a learning-disabilities and/or therapeutic focus, can be extremely helpful. Because of the 24/7 support from an integrated staff of teachers, therapists, milieu counselors, and psychiatric staff, a therapeutic boarding school can provide the ultimate in multi-modal treatment. Since residential options range from special education boarding schools to therapeutic boarding schools to residential treatment centers, the services of a placement professional are recommended if you are considering this option.

PsychotherapyPsychotherapy can help an adolescent with ADHD deal with the emotional dimensions of the disorder. Depression, anxiety, and low self-esteem are the most common co-morbid conditions accompanying ADHD. Look for a therapist who is familiar with ADHD, experienced working with teens, and knowledgeable about family systems therapies. Because the whole family can be profoundly impacted by one child’s ADHD behaviors, it is advisable in many cases for parents to seek support not only for their child, but for themselves and/or the whole family.

Behavioral TherapyThe effectiveness of behavioral and psychosocial therapies – especially behavior modification therapy – is well documented. Behavior modification is the use of a highly structured system of rewards and consequences to teach new ways of navigating tasks and relationships. This approach is most effective when the adolescent’s teachers and parents employ a coordinated plan so that new behaviors are reinforced in all settings. A behavior-modification system can be created and managed by parents, educators, and mental health professionals but must be consistently implemented in order to be effective.

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When your daughter experiences trauma, you want to be there for her and help her through it. However, during the process, you may notice that you start to experience the signs and symptoms of trauma yourself. This is known as vicarious trauma. Chapter oneWhat is Vicarious Trauma? Chapter TwoWhat is Self-Compassion? Chapter ThreeHow to Utilize…

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Trauma symptoms in teens can be caused by many things, from in utero stress, to adoption, or an unwanted event. Because traumatic events can be partly or completely blocked from the memory, it can be difficult to connect the symptoms of traumatic stress to traumatic events. Healing takes time, but is possible. Trauma is something…

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It’s not uncommon for me to be in a meeting with a new family and hear the phrase: “our daughter doesn’t have an Anxiety Disorder, she has Obsessive-Compulsive Disorder.”  What a lot of people don’t understand is that Obsessive Compulsive Disorder (OCD) is considered an Anxiety Disorder. Obsessive-Compulsive Disorder is characterized as Obsessions (persistent, frequent,…

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Suicide is an uncomfortable and scary topic, but one that we cannot afford to avoid or ignore. The most significant things you can do when you believe someone is contemplating suicide is to have the conversation, ask appropriate questions, and take prompt action. Each year 44,965 Americans die by suicide, a number that continues to…

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Often what appears to laziness is really avoidant behavior-a coping response based on the pain associated with trying and failing repeatedly despite best efforts.

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Student safety has been the top priority at New Haven since its founding in 1995. The following are just a snippet of the policies and procedures that have been in place for decades to keep our students physically and emotionally safe. 30 Policies We've Relied On For Decades 1. Safety policies in line with state…

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https://www.newhavenrtc.com/wp-content/uploads/2017/08/Kelly-Molinari-New-Haven-Alumni-Story.mp3 It was as if a spaceship had come down to Earth, and abducted my real daughter, and replaced her with this one. Hello, I am Kelly. My daughter is Katy, and she came to New Haven in November of 2012. She was 14 years old. I want to focus less on her journey story.…

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Parents understand that helping their child get enough sleep is important. It affects her mood, concentration, and performance at school. Fifty percent of individuals with ADHD have sleep problems. The most common for those with inattentive ADHD is restless sleep. She may be in bed eight to ten hours a night, but low sleep quality…

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There are three causes of ADHD symptoms: genetics, biology, and chemistry. Learning about these causes helps families understand that their daughter is not doing these behaviors intentionally. Having an adolescent with ADHD can be frustrating, heartbreaking, and entertaining—sometimes all at once. She’s a smart kid, but Attention Deficit Hyperactivity Disorder, also known as ADHD, makes…

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“New Haven shows us that we are loved, teaches us how to love, and helps us spread love in our lives.” – Kristin, Alumna 2006 More than 20 years ago we looked around and found that there were no residential treatment programs that treated adolescents the way we’d want our own daughters to be treated…

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New Haven is pleased to announce the re-opening of the Sacagawea House at our Spanish Fork Campus. New Haven was founded in 1995 and the Sacagawea House was the original residence. Over the past decades, the Sacagawea House has served as a home and refuge for hundreds of young women, and the campus has grown…

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Relationships and interactions help to define who we are and how we see the world. February often becomes a month where everyone thinks harder about relationships as we encounter all of the hearts and cupids tied to Valentine’s Day.  At New Haven Residential Treatment Center we not only focus on interpersonal relationships, but also our…

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