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Mental Health and Wellness for Youth: �How Parents Can Help

Molly Henricks, LMFT

Coordinator, School Safety and Risk Prevention

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What is Mental Health Vs. Mental Wellness

  • Mental Illness or Disorder:
    • Meeting medical criteria for an illness based on severity and frequency of symptoms
  • Mental Health Issues or Challenges:
    • Experiencing some symptoms, having a hard time coping
      • Doesn’t last longer than 2 weeks
      • Struggle to get things done
  • Mental Wellness:
    • It is a state of well-being, important at every stage in life
      • 8 hours of sleep
      • Healthy Diet
      • Staying Active
      • Communicating with Others

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Relationship Stress

Fight with Friends or Break-up, Bullying

Academic Stress

Too Many Assignment, Too many After School Classes

Family Stress

Being at Home 24/7, Parents argue, Annoying sibling, lack of privacy

Self-Image

Not Good enough, Ugly, don’t fit in, Not smart enough…..

Mental Illness

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Common Mental Health Issues and Disorders In Tweens/Teens

  • Depression
  • Anxiety
  • Trauma Related Symptoms
  • ADHD
  • Eating Disorders
  • Conduct Disorder/Oppositional Defiant Disorder

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Trauma isn’t just “them”

  • ACES Study
    • 70% College Educated
    • Mostly Caucasian
  • Perceived Trauma
  • Compound Trauma
  • Little “t” versus Big “T”
  • Toxic Stress

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Trauma Related Responses

  • Easily Triggered- Fight, Flight or Freeze.
  • Difficulty self-regulating
  • Overly attached
  • Dissociated/Inattentiveness
  • Regressive Behavior
  • Aggressive Behavior – Almost fighting for their life
  • Loss of Confidence

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Building Resilience & Skills

  • Social Emotional Learning
    • Self-Awareness- the ability to reflect on one’s own feelings and thoughts and understand how those affect behavior.
    • Self-Management- the ability to control one’s own emotions, actions and thoughts
    • Social Awareness- Ability to empathize with others
    • Relationship Skills- Ability to communicate and navigate differences of opinion
    • Decision Making Skills- the ability to make healthy choices about while weighing consequences, safety and ethics
  • Community Resiliency Model- explains how stress and trauma impact our brain and our body while teaching methods to self-regulate in the moment during intense situations to remain in a zone where learning and healthy decision making can happen
    • Training Staff to help themselves – and the students
    • Offering Parent Education
    • Teaching Students the techniques to use on their own and with peers

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Resiliency Zone

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Help Now Skills

  • Drink a glass water, juice or tea
  • Touch a surface. Is it hard, soft, rough, etc.?
  • Name six colors that you can see right now
  • Count backwards from 20
  • Push your hands or back against the wall.
  • Go for a walk
  • Notice the temperature of the room
  • Touch something in nature
  • Throw a ball against a wall
  • Recite the ABC’s

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Resourcing Skill

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Depression Symptoms

  • Feelings of sadness, anxious, or even “empty,” like feeling nothing
  • Feeling hopeless or like everything is going wrong
  • Feeling worthless or helpless
  • Irritable much of the time
  • Spending more time alone and withdrawing from friends and family
  • Loosing interest in activities, grade dropping, disconnected from everything
  • Change in eating/sleeping habits
  • Difficulty sitting still/restless
  • Trouble concentrating, remembering information, or making decisions
  • Physical Manifestation – without any cause

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Anxiety Symptoms

  • Anxiety disorders vary from youth to youth
  • Excessive fears and worries, feelings of inner restlessness, and a tendency to be excessively wary and vigilant.
  • In a social setting, may appear dependent, withdrawn, or uneasy.
  • Overly restrained or overly emotional.
  • Preoccupied with worries about losing control or unrealistic concerns about social competence.
  • Excessive Anxiety may produce a range of physical symptoms as well (muscle tension and cramps, stomachaches, headaches, back pain and fatigue)
  • They may blotch, flush, sweat, hyperventilate, tremble, and startle easily.

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Mental Health and Suicide in all Communities

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Introduction

  • Suicide is the 2nd leading cause of death in 0-34 years old (1st = Unintentional Injury)
  • San Mateo County has the 2nd highest rate of young people presenting at ER for self-inflicted injuries (Rate of 67.7, State rate of 36.5
  • 3rd Highest Rate of Suicide in the State
  • 7th Graders @ LLESD
    • 15% with chronic feelings of sadness/hopelessness
    • 8% Seriously Considered Suicide

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Suicide Risk Assessments Fall 2019: Risk Assessments by Grade

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Self Injurious Behavior

  • The act of deliberately harming one’s own body
  • Often lacks suicidal intent
  • More likely to attempt suicide
  • Unhealthy way to cope
  • Can include, but not limited to
    • Scratching (Excoriation)
    • Cutting
    • Burning
    • Hitting or Biting Oneself
    • Ingesting or Embedding Toxic Substances or Foreign Objects
    • Hair Pulling
    • Interfering with the Healing of Wounds

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Risk Factors

  • One or more attempts of suicide
  • Family member or friend completed suicide
  • Loss of any kind
  • Mental Illness/Substance Abuse
  • Barriers to access treatment
  • Trauma or abuse of any kind
  • Being bullied/harassed
  • Lacking coping/problem solving skills
  • Local clusters of suicide
  • Having access to guns and lethal weapons

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Protective Factors

  • Effective clinical care for mental, physical, and substance use disorders
  • Easy access to a variety of clinical interventions
  • Restricted access to guns and lethal weapons/means
  • Strong connections to family and community support
  • Support through ongoing medical and mental health care relationships
  • Skills in problem solving
  • Cultural or religious beliefs that discourage suicide

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Warning Signs

  • Making a statement
    • “I wish I were dead”
    • “What is the point of living?”
  • Talking/writing about death or suicide
    • Text messages, on social media/chat rooms
    • School assignments, poems or music
  • Looking for ways to attempt suicide
    • Looking for a gun, pills or other means
  • Giving away possessions
  • Rapid shift in mood/affect
  • Other behaviors
    • Signs of depression/anxiety
    • Drug/alcohol use increases
    • Neglecting appearances
    • Drop in grades
    • Increased absences

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Suicide Prevention

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Asking Hard Questions- Directly

  • Intent – Are you thinking of killing yourself?
  • Plan – Do you have a plan on how you would kill yourself?
  • Means/Access –Do you have what you need to carry this out?
  • Past Ideation – How long have you had these thoughts?
  • Previous Attempts – Have you attempted suicide before?

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How to Start it

  • I attended this meeting last night….
  • I heard you learned about Suicide Prevention Today at School…..
  • Hey, want to watch this documentary together?
  • I want you to know you can tell me anything….
  • When I was younger, my friend came to me and said…..

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Be Ready

  • Talk/Think through the conversation before you have it
  • Be prepared for the answers
  • Have resources ready
  • Breathe and Listen
  • It’s not about you….it is about them
  • Have your support team ready

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ANGST – Screening and Panel

  • ANGST, an IndieFlix Original documentary designed to raise awareness around anxiety.
  • The film includes expert advice from mental health professionals, along with interviews from elementary and high school students who discuss how anxiety has impacted their lives.

Tue, May 4, 2021

6:00 PM – 8:00 PM PDT

https://www.eventbrite.com/e/smcoe-presents-angst-raising-awareness-around-anxiety-tickets-148408861901

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Care Solace

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QUESTIONS?

www.smcoe.org