Talking about teen anxiety and depression

I work for a nonprofit mental health counseling center, and I was happy to realize that the Hawaii Book and Music Festival expanded their program to include Wellness in Hawaii. Books and music strengthen our mind and spirit, and it seems natural to include to mental and physical health.

Because my son is entering the teen years, I was drawn to a panel discussion on “Anxiety, Depression, Teenage Suicide.” It was moderated by University of Hawaii professor Maya Soetoro-Ng, who began the discussion by revealing how teen suicide has touched her personally.

There were five panel participants: psychologist and director at Waimanalo Health Center Sid Hermosura; child and adolescent psychiatrist Sonia Patel; author, professor, and founding director of the Stress Reduction Clinic Jon Kabat-Zinn; psychologist Julie Takashima-Lacasa; and professor Thao Le, who called for a sense of joy and excitement even when talking about serious issues.

Maya began the discussion by asking, “In a time of great connectedness, why are we so lonely?” Aside from genetic reasons, family situations, and financial circumstances, there was a general consensus that screen time and social media contribute to a sense of loneliness and disconnectedness.

With screen time, “[teens] get caught in their heads,” Sonia said, and parents don’t want to upset kids by limiting it. Julie added that screen time is highly associated with depression, and teens who use over five hours of screen time are 71% more likely to be depressed.

We need to teach teens tools to manage social media, Sid urged, because “likes” and number of followers can become tied to self-esteem. Thao added that we can become addicted to immediate responses and “likes,” and social media makes it too easy to compare and judge ourselves against others.

What solutions are out there? asked Maya. We need to teach mindfulness in schools, Jon recommended, “we need to cultivate emotional intelligence.” Julie agreed, saying that we need to “cultivate self-awareness” and teach emotional regulation so that we can make better decisions. “Anxiety and depression are not individual problems, it’s a collective problem,” Thao stated. She advocated aina-based learning, where we can connect to nature and each other.

Sonia offered three everyday suggestions: sleep, meals with family, and less screen time. Sid suggested that primary care physicians and pediatricians can screen for anxiety and depression.

There wasn’t much time for questions from the audience, but a family court judge asked about ways we can address trauma in teens. Sonia said that in her practice, she helps teens identify trauma, separate trauma from their self, re-write the way they respond to danger to make better choices, and learn what triggers will trick your brain into making poor choices.

The panel discussion opened and closed with performances by singer/songwriter PraiseJesus Artis.

I wish we had more time to discuss the programs that are already in place to help teens, and perhaps even hear from young adults who experienced teen anxiety and depression.

On this day, to the sounds of music and the murmur of readers, the conversation was just beginning.

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