Teens enter my office for many different reasons. Most times, parents initiate the contact. Other times, it’s schools. Adults’ concerns are usually—and correctly—about the teen’s safety. So, teens who have problems with self-injury, suicidal thoughts, and aggression are often identified and sent to someone like me. Other behaviors that prompt such action include defiance, oppositional […]
First Law of (e)Motion: Every emotion tends to remain in that state of emotion, unless an external force is applied to it. If you want your emotion to change, you have to do something to change it. Or else, it stays the same.
A lot of teens tell me that when such-and-such happens, they’ll be happy. When they graduate. When the semester is over. When parents stop worrying about them. When they lose 10 pounds. And, actually, the teens are sort of right. These events act on emotions in a postive way. The problem is, the events don’t sustain happiness. What’s worse, they are often not within a teen’s control (how do you “make” parents stop worrying about you?).
You can apply external force to your emotions, all by yourself. You don’t have to wait for life to affect you. Just understand and follow the next couple laws of (e)Motion.
Second Law of (e)Motion: The relationship between feelings, ideas, and behaviors is (Feelings = Ideas x Behaviors). Your thoughts and behaviors create how you feel, even if you’re not trying to create any feelings.
Your ideas are in fact powerful messages to your physiology. They create neurochemical events that generate feelings. When you sit in class thinking, over and over: “This is so boring,” you are refiring the emotion of irritability. If you tell yourself how awkward you are at a party, you create anxiety. If you focus on all the things you “need” but don’t have (e.g., better clothes, better body, higher grades, cooler friends, nicer parents), you sustain sadness.
Behavior also plays a role in creating emotions.
You don’t even have to try to create emotions. You’re already doing it. You probably do it most of the time. Like now, how are you feeling and what are you thinking/doing to sustain that feeling? If you want to create happiness, follow the Third Law of (e)Motion…
Third Law of (e)Motion: For every idea and behavior, there is an opposite and equal idea and behavior. When you act and think opposite to how you feel, you will change your feeling.
Emotions won’t hurt you. They can be unpleasant. So what: they don’t last forever! If you can successfully tolerate and manage your feelings in the moment, you’ve mastered the Laws of (e)Motions!
When we’re upset, we often think and act in ways that make things worse. The master of (e)Motion does this: act and think contrary to how you feel. Do the opposite thing. If you don’t feel like going to the gym…go to the gym! If you are afraid to ask for help…ask for help! If you are thinking about all your flaws…think about all the great things about you!
When you think and behave opposite to how you feel, you change your emotion. It really can be that simple. You are not at the mercy of your feelings. Apply force with your thoughts and behaviors, and start to feel better.
Newton’s 3 Laws of (e)Motion
Disclaimer: Isaac Newton didn’t actually write or say any of this.
Stress is how you respond to “stressors.” And stressors are most of the things in your life: parents, grades, personal appearance, falling in love, friends, prom, teachers, jobs, clubs, college applications, break-ups, mid-terms. It can seem like stress is just a natural part of teen life.
People have different thresholds for stress. You probably know people who are quite happily busy for 18 hours a day. You also know folks who seem overwhelmed with just the idea of a to-do list. If you’re like most teens, you’re somewhere in the middle: working to balance the parts of your life, effectively. You are probably doing the best you can. And, still, you’re feeling stressed out.
Stress is a mean relative of anxiety. Anxiety has lots of relatives, and not all of them are bad. Many people who achieve at high levels have a drive to do well that can cause anxiety. So, goal-achievement is a nicer relative of anxiety. Conscientiousness—how aware we are of ourselves and others—is also related to normal anxiety: another nice relative. But, stress…he’s a mean one.
Stress is the unwanted, vague, suffocating, terrorizing relative that tends to overstay his welcome. When stress stays too long, it is bad for you. You’ve probably heard: chronic stress is associated with poor sleep, lowered immune deficiency, inflammation that damages your body’s cells, acne, high blood pressure, aches, weight gain, and gastrointestinal problems. Stress makes you feel inept. In a world of problems, it blocks every potential solution from your view. Like I said: mean.
So how do you manage stress effectively? Dialectal Behavior Therapy (DBT) would tell us to try reducing our emotional vulnerability. Use the P.L.E.A.S.E. skill. Stress really is in your body, not just in your mind. So, the first step in countering stress is to take care of your body. The P.L.E.A.S.E. skill is a guide for this. When your body is healthy, it’s better prepared to manage the daily stressors that are part of life. And, should a big stressor present itself (finals!), you’ll be ready to take them on, too.
P: Physical and L: HeaLth. (L fits, see?)Take care of your body. If you’re sick, treat the illness, first and foremost. Your body is telling you something: “take care of me.” So, rest. Take medications as prescribed by your doctor. These may be your vitamins, antibiotics, psychotropics, blood thinners, inhalers…whatever your doctor and parents both agree is right for you, take those medications as prescribed.
E: Eating. Balance your eating. Don’t eat too much. Don’t eat too little. Both can make you feel ridiculously tired. Over-and under-eating can cause clinically significant levels of inattention. They lead to moodiness, including especially irritability. Both over-eating and under-eating can become all-consuming, where the thing you think about most is food. That makes it hard to be effective in life.
Eat good foods. They really make a difference. Whole grains. Fruit and vegetables. Lots of water. If you love carbohydrates, try to move those into the evening hours. Your best concentration/energy foods are the proteins, and it’s a worthwhile goal to include a protein at every meal. Good protein sources are almonds, soybeans, cheese, milk, chicken, and energy bars. Sugars and fats aren’t just hanging out at the top of the food pyramid, they are wreaking havoc on your concentration and mood. So, avoid those. They taste good, but the cost on your effectiveness is just too high.
A: Altering. Avoid non-prescribed mood altering substances and behaviors. You got it—that means drugs. People who habitually and regularly use illegal substances have higher rates of depression, lower academic performance, lower relationship satisfaction, lower self-esteem, and fewer reasonable future goals. Mood-altering behaviors are usually dangerous, and unnecessarily so. Cutting yourself or otherwise harming yourself can be mood-altering. It can be mood-altering to drive 100mph down a country road. Such unsafe and impulsive behaviors do not reduce stress in the long-term. In fact, 9 times out of 10, they just end up making things worse for you.
S: Sleep. Sleep is like food for your brain. It is the time when today’s learning experiences consolidate and go into long-term storage (you may experience this as dreaming). That’s why people advise you to get a good night’s sleep before a test. Sleep is also when important neurochemicals and hormones are released to support your growth and brain functioning. Poor sleep leads to impaired concentration, zits, impulsivity, irritability, weight gain, and vulnerability to illness.
If you’re like many teens, sleep is the first thing you de-prioritize in your schedule. You may cut into sleep hours without a second thought. Like, staying up late to study, work, or (electronically) socialize. Some set early alarms to finish up a paper or get in a workout. If you take nothing else away from this article, take this: PROTECT YOUR SLEEP. Defend it. Honor it. You need it.
Teens need between 8-11 hours of sleep a night. If you can’t fit your obligations comfortably into the other 13-16 hours a day, then you’re doing too much. Barriers to sleep are more prevalent than you may know. Barrier #1 and #2: your cell phone and IPAD. Scientists have found that the LED screens in hand-held devices interfere with your brain functioning in ways that delay sleep onset. Barriers #2, #3, and #4: your TV, video games, and personal computer. While TV and video games do not have the LED component, they can be pretty tough to turn off when you’re tired at night. Take-home message is this: put your electronics to bed at least one hour before you’d like to be asleep.
E: Exercise. Just do it. Aim for a minimum of 3 workouts a week. Workouts should last at least 30 minutes, and they should get your heart really pumping. Working out with a friend is a fun way to stick to a regimen. With exercise, remember: the cart usually comes before the horse. Not many people “feel like” working out until they are well into their workout. If you wait around until you feel like exercising, it may never happen. But you’ll notice that, once you get started, the motivation to workout follows. If you’re having a lot of trouble with exercise, research shows that just taking a few minutes to visualize your workout can increase your motivation and readiness.
Stress is a normal part of life. But it can be really difficult to manage. If your struggles with stress are more intense, these are your warning signs:
• feeling sad/irritable more days than not, and for most of each day
• worrying about almost everything, like your mind can’t stop going
• needing more than one hour to fall asleep, or waking up a lot at night
• gaining/losing 10+ pounds in one month
• thoughts of death, suicide, or self-harm
• thoughts or plans to hurt others
• feeling hopeless, or like nothing matters
• changing your life goals drastically within the past month (e.g., “I don’t care if I graduate.”)
• headaches, stomachaches, or indigestion
• isolating yourself from friends
• feeling ineffective (pushed over) in relationships
• wondering, “what’s the point?” of taking care of yourself
If you have any of these signs, then the P.L.E.A.S.E . skill alone may not help much. You should talk to a mental health professional. Seek out your school support staff to see if therapy may be helpful for you.
What is a child and adolescent psychologist?
Clinical psychologists have doctoral-level training to provide therapy (including coaching) and consultation, and psychological testing. They are the only providers who can administer psychological tests to diagnose mental illness. Training at this level allows for expert knowledge in “psychopathology”–mental illness. Child and adolescent psychologists have advanced training and backgrounds in providing psychological services to young people.
Just as you take your child to a medical doctor who specializes in children (pediatrician), you should look to a child psychologist if your child needs help with emotions, thoughts, and behaviors. A child and adolescent psychologist is an expert in developmental psychology—so she knows what is normal and abnormal for children from birth to young adulthood. It also usually means that she is “good with” kids. In order to get better, your child should enjoy (even while working hard) spending time with the psychologist. The psychologist should see the many strengths in your child—since these are the building blocks for improvement. Feedback about parenting strategies is critical when working with young people, and this is part of a psychologists’ duty, too. A child and adolescent psychologist should have strong lines of communication with parents and caregivers.
Therapist, psychiatrist, psychologist…who does what?
• Clinical Psychologists provide psychological assessments and therapy to different types and ages of people. They usually advertise their specialty. They may also obtain advanced training in types of therapeutic interventions. They do not (in Illinois) provide medications. Clinical psychologists with a Psy.D. have more clinically-based training. This means their studies focused on how theories and therapies actually impact clients. Psychologists with a Ph.D. have more research-based training. Providers with doctoral-level training have typically spent between 5-7 years in graduate studies. No matter the degree, psychologists treating clients should be licensed. This means the state government has certified that the practitioner has met educational and knowledge requirements to provide mental health services.
• Therapists include a variety of folks, and most of them have at least a Bachelor’s Degree and some training in helping people. It is more common for therapists to have a Master’s Degree. Therapists are also called counselors, coaches, mentors, and advisors. They cannot conduct psychological testing or provide medications. They provide talk-based and activity-based therapy to a range of populations. They usually advertise a specific area of interest or specialty. Providers with master’s-level training have typically spent 2 years in graduate studies. However, they must attend regular trainings to keep their license active. Licensed therapists have been certified by the state to have met basic educational and knowledge requirements to provide mental health services.
• School psychologists usually obtain Master’s Degrees (though some have a doctorate), and have extensive training in schools and educational systems. They can conduct IQ testing, but particularly Illinois schools have done away with this. They provide counseling and advice to children and academic support teams as to how best to help children at school. They are part of the gatekeeping team that determines what (if any) school supports can be used to optimize a child’s learning. They cannot provide medications.
• Psychiatrists are medical doctors that have advanced training in mental illness. They are the only providers (in the mental health field) who can determine if/what medication may be helpful in addressing psychiatric issues. Psychiatrists are also able to provide in-depth mental health counseling, although they do so less often than psychologists and therapists.
• Child and Adolescent Psychiatrists have advanced training in working with young people. Although pediatricians can write prescriptions for psychiatric medication, they do not have the advanced training and licensure of a Child and Adolescent Psychiatrist. Since they are so specialized, it can be difficult to get a short-notice appointment with a Child and Adolescent Psychiatrist. However, the appointment should be well worth the wait.
Of all mental health providers, it’s good to know: no matter the training or title, there are excellent–and not so excellent–providers at every level. A mental health provider should be a good fit for your family. You should feel informed, motivated, and comfortable with them. The provider should be implementing evidence-based treatments, where goals and benchmarks are defined as early as possible in treatment. If, after 3 months of regular services, your child has not shown reasonable improvements, it may be time to find a new provider.
Choose three dates and times that work well. We will do our best to accommodate your scheduling preferences.
Schedule My Appointment
Answer questions about your child’s intellectual, cognitive, behavioral, and emotional modus operandi.
Read More
We can you help your child develop coping skills that can successfully manage anxiety, anger, and hyperactivity. Coping Skills