Spotting the Signs: How to Identify Issues in Adolescents and When to Seek Help from a Therapist

Adolescence is a time of immense change, growth, and emotional turbulence. It's natural for teens to experience mood swings, stress, and uncertainty as they navigate school, friendships, and family dynamics. However, it's essential to recognize when these feelings evolve into more significant mental health concerns, such as depression, anxiety, stress, or perfectionism, that require professional help.

Here’s how to identify these challenges and determine when to seek assistance from a therapist.

1. Depression in Adolescents

Depression in teens can manifest differently from how it presents in adults. It’s more than just moodiness or feeling "down"—it is a persistent state that impacts their daily functioning.

Common Signs:

  • Persistent sadness or a feeling of hopelessness

  • Irritability or anger, often disproportionate to situations

  • Withdrawal from friends, family, or once-enjoyed activities

  • Changes in sleep (insomnia or excessive sleeping)

  • Fatigue and low energy

  • Changes in appetite and weight (significant weight loss or gain)

  • Difficulty concentrating or a decline in academic performance

  • Frequent thoughts of death or suicide

When to seek help:

If your teen’s mood seems persistently low for more than two weeks, and they exhibit several of the above signs, it may be time to consult a therapist. Additionally, any mention of self-harm or suicidal thoughts should be taken seriously, and professional help should be sought immediately.

2. Anxiety in Adolescents

Anxiety in teens is more than just worrying about an upcoming test or social event. Chronic anxiety can interfere with their ability to function and enjoy daily life.

Common Signs:

  • Excessive worry about school, social interactions, or the future

  • Avoidance behaviors, like skipping school or social events

  • Restlessness, agitation, or being easily fatigued

  • Difficulty concentrating

  • Physical symptoms, such as stomachaches, headaches, or rapid heartbeat

  • Frequent reassurance-seeking from parents, teachers, or peers

  • Sleep disturbances, such as difficulty falling asleep or staying asleep

When to Seek Help:

If anxiety starts interfering with school performance, friendships, or your teen's ability to engage in everyday activities, it’s crucial to seek help. Therapy can provide tools to manage anxiety and prevent it from escalating.

3. Stress in Adolescents

Adolescents today face high levels of stress, whether from academic pressures, extracurricular activities, family expectations, or social dynamics. While stress is a natural response, chronic stress can negatively affect their mental and physical health.

Common Signs:

  • Physical complaints like headaches, muscle tension, or digestive issues

  • Emotional outbursts, irritability, or feelings of being overwhelmed

  • Avoidance of responsibilities, like skipping homework or chores

  • Procrastination or lack of motivation

  • Negative self-talk or feelings of inadequacy

When to Seek Help:

If your adolescent’s stress is constant and unrelenting, and they seem unable to cope despite attempts to alleviate it, a therapist can help them develop stress management strategies and build resilience.

4. Perfectionism in Adolescents

Perfectionism is a trait that can drive success but also create a heavy burden when it becomes excessive. Teens who are perfectionists often set unrealistically high standards for themselves and fear failure intensely, which can lead to mental health issues.

Common Signs:

  • Unrealistic goals and high expectations

  • Fear of making mistakes or being overly critical of themselves

  • Procrastination due to fear of not doing things perfectly

  • Constant worry about others' opinions or disappointing people

  • Avoidance of new tasks or challenges due to fear of failure

  • Difficulty accepting praise or acknowledgment of their achievements

  • Low self-esteem, despite accomplishments

When to Seek Help:

If perfectionism leads to significant stress, anxiety, or avoidance of challenges, a therapist can help your teen reframe their thought patterns and adopt healthier attitudes toward success and failure.

When Should Parents Consider Professional Help?

It’s not always easy for parents to know when typical adolescent behavior has crossed the line into something more serious. If your adolescent is exhibiting any of the following, it's time to consider therapy:

  • Significant changes in behavior or mood that last for several weeks

  • Decline in academic performance or loss of interest in previously enjoyable activities

  • Social isolation or withdrawal from friends and family

  • Frequent physical complaints without a clear medical cause

  • Open expressions of hopelessness, helplessness, or worthlessness

  • Self-harm behaviors or expressions of suicidal thoughts

Early intervention can make a significant difference. Therapy can help adolescents learn coping mechanisms, improve self-esteem, and manage their emotions in a safe and supportive environment.

Final Thoughts: The Importance of Getting Help

Adolescents are navigating a critical period of development, and while it’s normal for them to experience emotional ups and downs, prolonged mental health struggles can have lasting effects. If your teen is showing signs of depression, anxiety, chronic stress, or perfectionism, don’t hesitate to seek the support of a mental health professional.

The earlier the intervention, the greater the opportunity to build resilience, prevent future issues, and help them thrive emotionally, academically, and socially. If you suspect your teen may be struggling, reach out to a licensed therapist who can guide them on their journey toward emotional well-being.

Feel free to contact Isetta Psychotherapy, Inc. for a consultation.

How to Spot Anxiety in Your Child

The Checklist

The following check list can help you observe your child or teen and recognize anxiety. If you recognize with certainty at least five of those traits, you need to help your child/teen:

  • Pessimism and negative thinking patterns such as imagining the worst
    (Someone is going to break in, no one likes me
  • Constant worry about things that might happen or have happened
  • Over-exaggerating the negatives
    (This ALWAYS happens to me)
  • Rigidity and inflexibility, self-criticism, guilty thoughts, etc.
    (I will never be able to learn that, I will never know how to…)
  • Anger
  • Aggression
  • Restlessness, irritability, tantrums
  • Opposition and defiance
  • Crying
  • Physical complaints such as stomachaches, headaches, fatigue, etc.
  • Avoidance behaviors, such as avoiding things or places or refusing to do things or go places
  • Sleeping difficulties, such as difficulty falling or staying asleep, nightmares, or night terror
  • Perfectionism
    (redoing this, feeling very rigid)
  • Excessive clinginess and separation anxiety(can show in acting out to force the parent to cancel an appointment to stay home)
  • Procrastination
  • Poor memory and concentration
  • Withdrawal from activities and family interactions
  • Eating disturbances
     

Anxious children and teen can be very demanding and will often become emotional when things don’t go the way they want. Parents can find it difficult to be firm and know what the right limits are, this often leads to giving in to the demands. 

With the increase in technology, how much is too much screen time?

The notion of screen time as a one-dimensional activity is changing. Computers, tablets, and smartphones are multipurpose devices that can be used for lots of purposes. Designating their use simply as "screen time" can miss some important variations. The Common Sense Census: Media Use by Tweens and Teens identifies four main categories of screen time.

•       Passive consumption: watching TV, reading, and listening to music

•       Interactive consumption: playing games and browsing the Internet

•       Communication: video-chatting and using social media

•       Content creation: using devices to make digital art or music

There really is no magic number on the amount of screen time.  What's more important is the quality of kids' media and how it fits into your family.  Instead focus on how your kids acts during and after watching TV, playing video games, or hanging out online. If they're using high-quality, age-appropriate media; their behavior is positive; and their screen-time activities are balanced with plenty of healthy screen-free ones, there's no need to worry.

If you're concerned about heavy media use, consider creating a schedule that works for your family. This can include weekly screen-time limits, limits on the kinds of screens kids can use, and guidelines on the types of activities they can do or programs they can watch. Make sure to get your kids' input so the plan teaches media literacy and self-regulation, and use this as an opportunity to discover what they like watching, introduce new shows and apps for them to try, or schedule movie night as a family.