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Ways Families Can Help Teens With Mental Health

The team at Kids First Pediatrics supports the well-being, both physically and mentally, of teens in Raleigh and Clayton, North Carolina. With Mental Health Month approaching in May, we are featuring an article from Dr. Rebekah Fenton, MD, FAAP of healthychildren.org that offers tips for teens and families on practicing healthy self-care. 



The more we learn about the effects of stress on the body and mind, the more we see the value of helping kids learn coping skills early in life.


Parents and caregivers of teens often ask me how to support their kids in dealing with the pressures of a turbulent world. The good news is that families can have a tremendous impact on the way teens experience and deal with stress.

Here are suggestions for making self-care a family priority while supporting your teen's personal exploration of what works best for them.


1. Open a family conversation about stress & health

Teens care about privacy and independence, so there may be times they try to hide any signs that they're experiencing stress. But newer studies (and our own observations) suggest many teens feel intense pressure to do well in school, sports, and extracurricular activities, and to fit in with others or look a certain way. Many face bullying, racism, or discrimination that can have severe effects on their mental and physical health. Studies suggest that social media use can magnify these pressures, contributing to risks for depression, anxiety, substance use, and other serious health issues. (See "Social Media & Your Child's Mental Health.")


The first step in helping your teen cope and build resilience is to make mental health an open topic in your family. If kids know it's OK to say they're not OK, they will feel safe sharing what's happening in their lives. Parents and caregivers who listen without judgment, ask open-ended questions, and express empathy and support can build the trust and understanding teens need to reveal their concerns and ask for help.


2. Make self-care a family affair

In a stressful world, building resilience is a family health issue. You can support your teen by agreeing on healthy routines that all of you will follow. Here are some good ideas that center on practices that help all humans feel their best:


  • Healthy rest. Sleep loss weakens our ability to deal with everyday pressures, and many teens (and adults!) don't get nearly enough. Work with your teen to create bedtime routines that enhance relaxation and calm, leading to at least 8 hours of restful sleep.

  • Tasty, nutritious meals you enjoy together. The random chatter that happens while you're cooking, setting the table, and eating together can foster connection (and help you pick up signals that your teen needs extra support). Mealtime also gives you the chance to talk about the stress-busting superpower of healthy foods that deliver essential nutrients. For conversation starters, visit MyPlate.gov.

  • Physical activity. Regular exercise is a proven way to release tension, elevate mood, and improve sleep. Parents who enjoy a sport or activity can invite kids to join in, keeping the competition friendly and the focus on fun. Families that swim, run, play, ski, skate, or walk together will benefit from an active lifestyle.

  • Healthy media use. Tech is here to stay, but there's growing evidence that we need to use it thoughtfully. Use our family media plan tool to help you and your children set media priorities that reflect your intentions around digital devices and content, emphasizing issues such as safety, privacy, kindness, compassion, and other shared goals.

3. Encourage your teen to build a self-care toolbox

Self-care can be virtually anything that calms and relaxes us. Support your teen's independence by encouraging them to seek out ways of unwinding that work well for them.


Here's a list of possibilities to get you both started. Many of these techniques help evoke the "relaxation response," our body's natural way of recovering from stress.

  • Deep breathing

  • Guided imagery

  • Meditation

  • Yoga

  • Massage

  • Dance

  • Drawing, painting, sculpture, and other visual arts

  • Knitting, crocheting, beading, and other craftwork

  • Cuddling and caring for pets

  • Hikes and nature walks

  • Music (whether listening or playing)

  • Journaling

  • Volunteering, tutoring, or any activity that helps others

These can be solo pursuits or something your teen enjoys with others. Notice, too, that most of these practices don't cost a lot. Your teen can get started with them via free or low-cost apps, online videos, or community courses.


4. Reinforce healthy views that support teen and family well-being

Stress often comes from sources outside us, but our own beliefs and attitudes can feed our anxieties too. You can help your teen by offering healthy, empowering perspectives like these:


  • There is no perfect. Comparing our lives (or bodies or careers or relationships) to others can fuel depression, anxiety, and poor self-esteem. Helping your teen build a healthy context for the glossy images and videos they see on social media (and in fact, just about everywhere) will support their health.

  • Grind culture isn't healthy or realistic. The popular narrative tells us we need to be "on" 24/7 to succeed, but in reality, our brains and bodies need rest to perform well. Let your teen know that long-term success comes from healthy practices like the ones they're developing now.

  • Therapy is for everyone. There's a growing recognition that talk therapy can benefit anyone who wants to build resilience and deal with stress more effectively. Conversations with a therapist—whether in-person or online—can be a great addition to our personal self-care toolboxes.

  • Feeling prepared helps melt stress. Practicing ahead of time can help us deal with stressful tasks like giving a talk or interviewing for a job. Building healthy communication skills that help us advocate for ourselves without anxiety or guilt is another way of feeling ready for life's challenges.

  • We can talk back to negative self-talk. When an inner voice says, "My life is the worst," it can help to imagine things going a very different way with some hard work and a little help. This simple habit can make a real difference in turning around negative thoughts that can erode our well-being.

  • We're in this together. The world's longest-running study of happiness shows that close relationships are the secret to a happy, healthy life. Encourage your teen to seek out friends and mentors who will expand the circle of strength that surrounds them. Let them know that asking for help when they're down is another essential way they can care for themselves and their long-term health.

More information


If you are concerned about your teen’s mental health, or would like to schedule a routine well-visit check, give the providers at Kids First Pediatrics a call. Raleigh, (919) 250 - 3478 or Clayton, (919) 267 - 1499. 




*This article is informational and is not a substitute for medical attention or information from your provider.


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