With permission, I pass on words of wisdom from a client. This person wants all of you to know that she wasn’t attentive in how she stored her medication, which led to it being ineffective. She said she kept it in her car so she could conveniently take it each morning as she left the house. She said she wants everyone to know that it got too hot in the car, which wasn’t good for her meds. For those of you taking meds, she encourages you to pay attention to the temperatures suggested on the label. She says once she began storing it properly, it worked better.
Now onto comments from two different teenagers dealing with extreme loneliness at school. There are many, many of you reading this who suffer from loneliness. Not having one or two good friends in your life is devastating at any age. For a teen it’s even harder because it’s so noticeable. You walk around your school campus and have nobody to sit with at lunch. You don’t know where to go at break. Even if you have a place to sit at lunch, you’re not included in activities outside of school hours. You might be “okay,” but without friends you’re probably not thriving.
My heart aches for you. We are wired to belong to someone. There are a few of us who genuinely don’t need people, but that is not most of us. Most of us need someone to belong to and we need someone to belong to us. This innate need is deeply ingrained. If you don’t belong to anyone at school and nobody belongs to you, please tell your parents. I know that discussion might be awkward, but your outlook on your entire life can change if you are given some tools to rectify the loneliness.
Sometimes loneliness is really hard to fix. Sometimes you have no insight into why you aren’t building connections with others. We always work on that in therapy because I have come to see it as a basic human need. Not having someone underlies at least half of the cases I see when a teen is refusing to go to school. It is also present in a high percentage of those I see who come in for depression and anxiety.
One of the first things to consider is going where you’re wanted. Some of you who are lonely do have people who like you, they just aren’t the people you have your heart set on. Usually these people are kind but maybe not as “fun.” Trust me when I tell you that these people are worth putting time into. Being in the popular crowd is far less important than having a place where someone is glad to see you each day.
Some of you don’t really have anyone you can identify as a place you can go. This is trickier, but not impossible. It becomes important to start looking around for who else needs a friend instead of who can meet your needs. It’s a change in mindset, but it does start the process of resolving the loneliness.
Finally, there are some of you who have enough social anxiety that you cannot bring yourself to do or say the friendly things necessary to get close to others. Give us a call in that case; counseling and/or group therapy can be of temendous benefit in those cases.
Hooray! We now have in-person group therapy! This has been a long time coming. Many teens benefit from hearing what their peers have to say (when an adult is present to moderate). This is such a nice option to offer for your families because some teens have things to work on in a more social setting, the cost of therapy is lower for group therapy, and sometimes it’s easier to learn from listening to someone else walk through a struggle than to be on the spot about your own struggles.
Last month CE4Less.com was kind enough to offer a free class on treatment for PTSD in veterans in honor of Veteran’s Day. I learned so much from this class that I’ve changed my strategy in dealing with trauma in general. While we rarely work with veterans at Teen Therapy OC, it has been easy to apply the techniques to adolescent and young adult clients.
The class introduced Cognitive Processing Therapy. This is a prescripted, step by step process of working through trauma that has led to nightmares, flashbacks, intrusive thoughts, hypervigilence, fear, anxiety, insomnia, and/or the depression associated with PTSD. So far my clients with PTSD have responded positively to this protocol.
I think in the case of my clients who are in the middle of the CPT treatment, they feel better because CPT doesn’t require them to talk directly about the events that occurred. It instead allows the client to explore how the events are affecting them today. It lets them find out what internalized messages related to trust, relationships, self-governance, and boundaries have come out of the trauma. Many clients don’t realize they are living by a set of “rules” they created for themselves as a result of their trauma. These rules are almost always self-protective in a way that doesn’t adapt well to their current life.
Here’s an example modified to keep complete confidentiality for my clients: When Jane was 16 she got drunk at a high school party. She was not so drunk that she blacked out the experience. She remembers making out with a guy who nobody else seemed to really know at the party. He convinced her to go out to his car. When they were there, Jane was assaulted by this guy and it really scared her. She got home safely, but Jane didn’t tell anyone what happened. A few months later she began to have nightmares. She became jumpy when friends at school tried to hug her. She started to feel withdrawn, fearful, and powerless. She also felt paranoid each time she saw a black SUV drive by that it could be this guy in his car. Six months after the assault, Jane felt like she’d lost herself to a prison of anxiety, flashbacks, and a sense that the world could not be trusted.
Jane came to counseling and was diagnosed with PTSD. She was relieved to know there was an explanation, but she didn’t know what to do to get her life back. She didn’t feel ready to share details of the event because that felt too overwhelming. She was thankful she could start CPT without going into detail about her trauma. She was able to complete the first steps (impact statement and stuck points) and already see there was a light at the end of the tunnel.
In no way do I profess to be an expert at the administration of CPT just because I took one class. There are therapists with more training in this treatment protocol. I do have extensive experience with teenagers though, and some begin therapy to talk about what they think is bothering them only to discover their symptoms are in response to a trauma. I’m incredibly grateful to have this tool available to help. It seems to be working well. I’m also grateful to the Dept. of Veteran’s Affairs for making these tools free to clinicians so they can guide their clients through this process.
Stress is tough on teens. Image courtesy of David Castillo Dominici / FreeDigitalPhotos.net
Teenagers these days are stressed out! So are we all. We’re short on sleep, overscheduled, and overstimulated. Here are the top 5 stressors my teen clients talk about:
1. Looking good: Teens don’t yet know what makes them unique and special. They haven’t established a career or any specific knowledge that gives them an identity. They’re receiving a general education in middle and high school, so there is very little that distinguishes them from their peers. As a result, many teenagers spend an extraordinary about of emotional energy on wanting to be the best looking of their peer group. Girls try to be thinner, and boys try to look stronger. Pimples are akin to a nuclear crisis. This is a regular source of stress for your teenager.
2. College: There is an incredible amount of pressure on Orange County teenagers to achieve in high school so they can get into a great university. The problem is, they really don’t have a concept of what makes a university great. They tend to just assume schools with prestige and difficult admission requirements are what defines their entire adult future. Please help your teenager avoid buying into this lie. Different colleges excel at different things. Your adolescent’s success in college has more to do with matching the right kind of school to their personality and values than anything else. For example, I have one client who is achieving very high grades in high school, but his personality is such that he flourishes in an environment where he is one of the top students. He would really struggle at a UCLA type school even though he could get in there. He’s intentionally choosing a much smaller private school for this very reason.
3. Sports: Playing sports is very good for teenagers. It’s really beneficial for them to get exercise, be around friends, and learn discipline. But, we have many teenagers who are forced to take sports a little too seriously. They have multiple hours of practice per day, private coaches, weekends dominated by travel and tournaments, and constant pressure to play at a very elite level. What is all this for? These teens are training like professional athletes, often at great financial and emotional expense, just to make a college team? It’s one thing if your teen is truly passionate about their sport, and you couldn’t keep them from practicing if you tried. It’s completely another thing if you’re the one pushing and they only “like” the sport. This kind of pressure ends up equating to stress. In fact, many teenagers confide in me during a counseling session that they actually hate being an intense athlete.
4. Social media: Without a doubt your teenager stresses about social media (if they use it). Adolescents are truly bothered every time they logon to Instagram and see several of their friends in a photo without them. They feel compelled to check their social media multiple times per day. They are bolstered or discouraged by comments made on their posts. They use social media as a means to compare themselves to others.
5. Homework: This one won’t surprise you. It likely caused you stress as a teenager too. Teenagers are assigned a lot of homework. It is stressful to be at school all day, and then have to come home and work on it for many more hours. Now that adolescents feel they have to take harder and harder classes to stand out, their homework load has become extremely burdensome.
Stress in small doses actually motivates us. It’s good to learn to manage stress. When your teenager becomes overly stressed though, they can be irritable, frustrated and anxious. Knowing some of the things that cause them anxiety can help you help them. One of the big skills you have to teach your child before he/she flies the coop is how to keep life in balance. Help your teenager know they simply cannot participate in, or be the best in everything.
Helping teens grow and families improve connection,
Parents and teens, one of the best things you can do to alleviate depression, anxiety, and a struggle with identity and purpose is get a job. I know it adds stress in a certain way, but in my observations, teens who work have several things: 1. Increased confidence. 2. A better understanding of money. 3. Can talk to people with good eye contact. 4. Lower anxiety. 5. More friends. 6. A place where they belong outside school and home. 7. Discipline that isn’t coming from parents or teachers. 8. More realistic ambitions and goals. 9. A better sense of marketable skills when they choose a college major. 10. More purpose, which leads to lower anxiety and depression overall.
I know this isn’t a foolproof solution to every problem. However, it has made a huge positive difference in the lives of many of my clients. I think it’s worth a try.
Hello, I’m Lauren! If you notice your teen struggling, you might be feeling helpless, hopeless, frustrated or concerned as a parent. Try to remember, there is hope. I want to help your adolescent feel better. My hope is for them to enjoy their life again. I want them to feel confident they can handle whatever situations arise.
