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Stress & Tears

Stress & Tears. Helping Teens Cope . Britt Rathbone, LCSW-C, BCD, CGP. Anxiety. Anxiety. Fear Emotional response to real or perceived imminent threat Anxiety Anticipation of future threat Common responses Fight, flight, freeze Escape behaviors Muscle tension Vigilance Avoidance.

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Stress & Tears

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  1. Stress & Tears Helping Teens Cope Britt Rathbone, LCSW-C, BCD, CGP

  2. Anxiety

  3. Anxiety • Fear • Emotional response to real or perceived imminent threat • Anxiety • Anticipation of future threat • Common responses • Fight, flight, freeze • Escape behaviors • Muscle tension • Vigilance • Avoidance

  4. Anxiety Disorders • Specific phobia • Animal • Environment • Blood/infection/injury • Situational • Social anxiety disorder • Generalized anxiety disorder • Panic disorder • Agoraphobia • Separation anxiety disorder • Obsessive compulsive disorder • PTSD

  5. Anxiety • Intensity • Duration • Impact on functioning

  6. Depression

  7. Depression • Sadness • Reaction to an event • Depression • Persistent sadness • Common responses • Withdrawal • Sad mood • Lack of interest in previously enjoyed activities • Weight gain/loss • Sleep increase/decrease • Motor agitation or retardation • Fatigue/loss of energy • Difficulty concentrating • Feelings of worthlessness or guilt • Recurrent thoughts of death

  8. Depressive disorders • Disruptive mood dysregulation disorder • Major depressive disorder • Persistent depressive disorder • Premenstrual dysphoric disorder • Substance or medication induced depressive disorder • Bipolar illnesses

  9. Depression • Intensity • Duration • Impact on functioning

  10. Suicidality Risk factors: • Previous attempt • Wish to be dead • Plan • Lethality of plan • Access to lethal means • Poor social support • Feeling of being a burden to others • Life changes • History of suicide in family • Recent publicity about a suicide • Hopelessness • Alcohol/drug abuse

  11. Suicidality Protective factors: • Identifies reason for living • Responsibility to others • Supportive social network or family • Fear of death or dying due to pain and suffering • Belief that suicide is immoral; high spirituality • Engaged in work or school

  12. Problem Solving Options for painful problems • Solve the problem • Change how you feel about it • Accept it • Stay miserable

  13. Self Care • Exercise • Eat well • Be with people • Sleep • Relax

  14. What Can Parents Do? 5 Things Parents Can Implement Immediately • Model problem solving and flexibility (out loud) • Demonstrate compassion • Support and model social activity (appropriate to temperament) • Encourage and model exercise • Display acceptance

  15. Britt Rathbone LCSW-C, BCD, CGP 301-229-9490 www.rathbone.info

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