Wednesday, May 27, 2026



James Donaldson on Mental Health - How Anxiety Affects Kids in School
What it looks like, and why it's often mistaken for something else

Writer: Rachel Ehmke

Clinical Expert: Ken Schuster, PsyD

What You'll Learn

- What might anxiety look like at school?

- Why is anxiety sometimes confused with other problems like ADHD or learning disorders?

- What physical symptoms do anxious kids get?

- Quick Read

- Full Article

- Inattention and restlessness

- Attendance problems and clingy kids

- Disruptive behavior

- Trouble answering questions in class

- Frequent trips to the nurse

- Problems in certain subjects

- Not turning in homework

- Avoiding socializing or group work

Downloadable Resources

- How Anxiety Affects Kids in School

Quick Read

Anxiety makes school hard for kids. It might also be hard to notice. Anxiety can be confused with upset stomachs, acting out, ADHD or even learning disorders. And there are different kinds of anxiety that might come up at school. Kids may worry about everything from separating from parents at drop-off to speaking up in class to feeling like their work has to be perfect.

Teachers may think a kid has ADHD when they’re restless or aren’t able to focus on the lesson. But it could be anxiety. Some kids don’t want to go to school especially after a summer or holiday break. This can also be anxiety. Throwing tantrums in the classroom or asking the same questions over and over are other ways anxiety can show up at school.

Some kids really want to participate, but when they’re called on they just freeze up. Other kids want their work to be so perfect that they don’t end up turning in their homework at all. Teachers may think those kids don’t care or have a learning disorder. To make things more confusing, kids with learning disorders may also have a lot of anxiety before they are diagnosed if they are falling behind at school.

Anxiety can also take the form of physical problems. Kids with anxiety get headaches and stomach aches a lot. Sometimes when they get really anxious, they have trouble breathing or feel their heart racing. Anxious kids end up in the nurse’s office a lot.

Sometimes anxiety is easy to identify — like when a child is feeling nervous before a test at school. Other times anxiety in the classroom can look like something else entirely — an upset stomach, disruptive or angry behavior,ADHD, or even a learning disorder.

There are many different kinds of anxiety, which is one of the reasons it can be hard to detect in the classroom. What they all have in common, says neurologist and former teacher Ken Schuster, PsyD, is that anxiety “tends to lock up the brain,” making school hard for anxious kids.

Children can struggle with:

- Separation anxiety: When children are worried about being separated from caregivers. These kids can have a hard time at school drop-offs and throughout the day.

- Social anxiety: When children are excessively self-conscious, making it difficult for them to participate in class and socialize with peers.

- Selective mutism: When children have a hard time speaking in some settings, like at school around the teacher.

- Generalized anxiety: When children worry about a wide variety of everyday things. Kids with generalized anxiety often worry particularly about school performance and can struggle with perfectionism.

- Obsessive-compulsive disorder: When children’s minds are filled with unwanted and stressful thoughts. Kids with OCD try to alleviate their anxiety by performing compulsive rituals like counting or washing their hands.

- Specific phobias: When children have an excessive and irrational fear of particular things, like being afraid of animals or storms.

Here are some tips for recognizing anxiety in kids at school, and what might be causing it.

Inattention and restlessness

When a child is squirming in their seat and not paying attention, we tend to think of ADHD, but anxiety could also be the cause. When kids are anxious in the classroom, they might have a hard time focusing on the lesson and ignoring the worried thoughts overtaking their brains. “Some kids might appear really ‘on’ at one point but then they can suddenly drift away, depending on what they’re feeling anxious about,” says Dr. Schuster. “That looks like inattention, and it is, but it’s triggered by anxiety.”

Attendance problems and clingy kids

It might look like truancy, but for kids for whom school is a big source of anxiety, refusing to go to school is also pretty common. School refusal rates tend to be higher after vacations or sick days, because kids have a harder time coming back after a few days away.

Going to school can also be a problem for kids who have trouble separating from their parents. Some amount of separation anxiety is normal, but when kids don’t adjust to separation over time and their anxiety makes going to school difficult or even impossible, it becomes a real problem. Kids with separation anxiety may also feel compelled to use their phones throughout the day to check in with their parents.

Disruptive behavior

Acting out is another thing we might not associate with anxiety. But when a student is compulsively kicking the chair of the kid in front of him, or throws a tantrum whenever the schedule is ignored or a classmate isn’t following the rules, anxiety may well be the cause. Similarly, kids who are feeling anxious might ask a lot of questions, including repetitive ones, because they are feeling worried and want reassurance.

Anxiety can also make kids aggressive. When children are feeling upset or threatened and don’t know how to handle their feelings, their fight or flight response to protect themselves can kick in — and some kids are more likely to fight. They might attack another child or a teacher, throw things, or push over a desk because they’re feeling out of control.

Trouble answering questions in class

Sometimes kids will do perfectly well on tests and homework, but when they’re called on in class teachers hit a wall. There are several different reasons why this might happen.

“Back when I was teaching, I would notice that when I had to call on someone, or had to figure out who’s turn it was to speak, it was like the anxious kid always tended to disappear,” says Dr. Schuster. “The eager child is making eye contact, they’re giving you some kind of physical presence in the room like ‘Call on me, call on me!’ ” But when kids are anxious about answering questions in class, “they’re going to break eye contact, they might look down, they might start writing something even though they’re not really writing something. They’re trying to break the connection with the teacher in order to avoid what’s making them feel anxious.”

If they do get called on, sometimes kids get so anxious that they freeze. They might have been paying attention to the lesson and they might even know the answer, but when they’re called on their anxiety level becomes so heightened that they can’t respond.

Frequent trips to the nurse

Anxiety can manifest in physical complaints, too. If a student is having unexplained headaches, nausea, stomachaches, or even vomiting, those could be symptoms of anxiety. So can a racing heart, sweaty palms, tense muscles, and being out of breath.

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Click Here For More Information About James Donaldson

Click here to follow James Donaldson's Blog

Problems in certain subjects

When a child starts doubting their abilities in a subject, anxiety can become a factor that gets in the way of her learning or showing what they know. Sometimes this can be mistaken for a learning disorder when it’s really just anxiety.

However anxiety can also go hand in hand with learning disorders. When kids start noticing that something is harder for them than the other kids, and that they are falling behind, they can understandably get anxious. The period before a learning disorder is diagnosed can be particularly stressful for kids.

Not turning in homework

When a student doesn’t turn in their homework, it could be because they didn’t do it, but it could also be because they are worried that it isn’t good enough. Likewise, anxiety can lead to second-guessing — an anxious child might erase their work over and over until there’s a hole in the paper — and spending so much time on something that it never gets finished. We tend to think of perfectionism as a good thing, but when children are overly self-critical it can sabotage even the things they are trying their hardest at, like school work.

You might also notice that some anxious kids will start worrying about tests much earlier than their classmates and may begin dreading certain assignments, subjects, or even school itself.

Avoiding socializing or group work

Some kids will avoid or even refuse to participate in the things that make them anxious. This includes obvious anxiety triggers like giving presentations, but also things like gym class, eating in the cafeteria, and doing group work.

When kids start skipping things it might look to their teachers and peers like they are uninterested or underachieving, but the opposite might be true. Sometimes kids avoid things because they are afraid of making a mistake or being judged.

Dr. Schuster notes that when kids get anxious in social situations, sometimes they have a much easier time showing what they know when teachers engage them one-to-one, away from the group.

Frequently Asked Questions

What does anxiety look like in the classroom?

Anxiety can look different in the classroom depending on the child. An anxious child could be restless and disruptive, have trouble answering questions in class, be unable to finish work, or make frequent trips to the nurse. https://standingabovethecrowd.com/?p=16270

Tuesday, May 26, 2026

James Donaldson on Mental Health - National Nonprofit Helps Rural Youths Prevent Suicide

James Donaldson on Mental Health - National Nonprofit Helps Rural Youths Prevent Suicide
Photo by Pixabay on Pexels.com
- By Dan Sullivan

A national nonprofit is launching a program to help rural youths talk with each other about mental health struggles.


Rural Minds will pilot the Rural Youth Mental Wellness program starting in October in New York and Pennsylvania.


It is expected to roll out nationwide in fall 2026.


The program will focus on the particular challenges of young people who live in rural areas.


Youths age 15 to 19 are 74% more likely to commit suicide than their urban peers, according to the Rural Health Information Hub.


The new program focuses on developing and normalizing peer-to-peer communication about mental health.


Young people are often more comfortable talking with each other about personal struggles than with an adult, said Chuck Strand, the executive director of Rural Minds.


The biggest step is often having the courage and sensitivity to ask someone if they are thinking of harming themselves, Strand said.


“Those are tough conversations to have, and one of the printable program pieces that we have already in that resilience program is how to have that conversation,” he said.


National Grange and other partners are supporting the Rural Youth Mental Wellness program.


#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson's latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy



Click Here For More Information About James Donaldson



Matt Espenshade, the president of Pennsylvania State Grange, said rural life can come with burdens such as preserving a generational farm.


“Nobody in my position wants to be the final generation,” said Espenshade, a seventh-generation dairy farmer in Lancaster County.


Social media presents its own challenges.


Espenshade said rural youths could get discouraged by comparing their real lives, full of mundane struggles, with the selective highlight reels posted by urban kids.


“It’s a real challenge separating what is real from just glorified fantasy,” he said.


Espenshade first encountered Rural Minds two years ago, when the group’s founder, Jeff Winton, spoke at the National Grange Convention. Last year, Strand spoke to the Pennsylvania State Grange.


Over the past few years, Espenshade said, he has noticed that rural people have begun to talk more freely about mental illness.


Strand thinks the historical reluctance is cultural.


“A lot of people in rural communities grow up with this mindset of celebrating being able to do things themselves, which is often necessary,” he said. “You’ve got to learn to be independent and self-reliant.”


But people can’t always sort out mental health challenges on their own, and care can be hard to access in rural areas, he said.


Advisory committee members on the new peer-to-peer project include NY FarmNet and Cornell University, as well as teens and young adults from FFA, 4-H and the National Grange.


Rural Minds’ services are available at ruralminds.org and by calling 800-226-8113.


If you or someone you know is having thoughts of suicide or is in emotional distress, dial 988 for 24/7 support. If it is a life-threatening emergency, call 911 or go to the nearest emergency room.


Photo by Pixabay on Pexels.com https://standingabovethecrowd.com/james-donaldson-on-mental-health-national-nonprofit-helps-rural-youths-prevent-suicide/

Monday, May 25, 2026

James Donaldson on Mental Health - Frequent nightmares tied to greater suicidal and self-harm thoughts in high-risk teens

James Donaldson on Mental Health - Frequent nightmares tied to greater suicidal and self-harm thoughts in high-risk teens

By Vladimir Hedrih




A study of adolescents discharged from acute psychiatric care found that those who generally reported more frequent and intense nightmares also tended to have higher overall levels of negative affect. In turn, higher negative affect was associated with greater intensity of suicidal thoughts and nonsuicidal self-injury (NSSI) thoughts. The paper was published in the Journal of Affective Disorders.


Self-injurious thoughts and behaviors (SITBs) include a range of experiences, from thinking about intentionally harming oneself to engaging in acts with that aim. They encompass suicidal ideation, suicide attempts, and nonsuicidal self-injury such as cutting, burning, or hitting oneself. SITBs can arise from intense emotional distress, feelings of hopelessness, or a desire to regulate overwhelming emotions.


Nonsuicidal self-injury is often used as a coping mechanism to relieve emotional pain, express anger, or regain a sense of control. Suicidal thoughts and behaviors, in contrast, involve intent to end one’s life. Risk factors for SITBs include mental health disorders, trauma, abuse, social isolation, and significant life stressors. While they can occur at any age, these behaviors are especially common during adolescence and young adulthood.


#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson's latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy




Click Here For More Information About James Donaldson


Study author Kinjal K. Patel and her colleagues sought to examine whether negative affect—a state of heightened unpleasant emotions—is a mechanism linking nightmares to SITBs in adolescents. Prior research has linked nightmares to SITBs, but the psychological pathways connecting the two remain less understood. Nightmares are vivid, distressing dreams that result in awakening from sleep, and they are considered a specific type of sleep disturbance.


Participants were 86 adolescents aged 12–18 who had been hospitalized in the past three months due to suicide risk. Their average age was 14 years, and about 49% were girls.


The study used ecological momentary assessment (EMA), a method that captures participants’ experiences in real time. At baseline, participants completed structured interviews and self-report questionnaires assessing suicidal ideation, other SITBs, and sleep problems. They then used a smartphone application (Catalyst by MetricWire) to complete EMA surveys for 28 days. Adolescents without smartphones were provided with a loaner device.


Surveys were scheduled according to each participant’s sleep/wake patterns and school hours. Morning surveys, completed within two hours of waking, assessed the presence and intensity of nightmares from the previous night. Other surveys, delivered up to four times per day, assessed current negative affect, suicidal thought intensity, and NSSI thought intensity. Participants had one hour from the first notification to complete each survey. They received $40 for the baseline assessment and $25 per week for at least 75% survey adherence.


During the 28-day monitoring period, 54.7% of participants reported at least one nightmare, totaling 153 nightmare instances.


Adolescents who, on average across the month, experienced more frequent or more intense nightmares also tended to report higher average negative affect. Higher average negative affect, in turn, was associated with greater average intensity of both suicidal thoughts and NSSI thoughts.


These associations were evident in between-person analyses—comparisons across different individuals—but not in within-person analyses, which track day-to-day changes within the same person. This pattern suggests that stable individual differences, rather than short-term fluctuations, drove the observed relationships.


“Results identify NA intensity as a person-level mechanism linking nightmares and self-injurious thoughts. Future research should investigate additional mechanisms and employ temporally sensitive designs to clarify dynamic (within-person) processes underlying suicidal and non-suicidal self-injurious thoughts in adolescents,” the authors wrote.


While the findings highlight a potential pathway connecting nightmares and SITBs, the study’s design does not establish causation. The associations were observed in average differences between participants, not in immediate changes from one day to the next.


The paper, “Nightmares and self-injurious thoughts among clinically acute adolescents: Examining negative affect as a potential mechanism,” was authored by Kinjal K. Patel, Annabelle M. Mournet, Abigail J. Luce, Emelyn C. Auad, Richard T. Liu, Evan M. Kleiman, and Catherine R. Glenn.


woman girl bed bedroom SleepPhoto by cottonbro studio on Pexels.com

https://standingabovethecrowd.com/james-donaldson-on-mental-health-frequent-nightmares-tied-to-greater-suicidal-and-self-harm-thoughts-in-high-risk-teens/

Saturday, May 23, 2026

James Donaldson on Mental Health - Suicide third leading cause of death among youth

James Donaldson on Mental Health - Suicide third leading cause of death among youth

Buth Reaksmey Kongkea / Khmer Times


Synopsis: More than 720,000 people die globally by suicide, with 77% of the deaths occurring in low- and middle-income countries.


Suicide is the third leading cause of death among youth in the world, with a person dying by suicide every 40 seconds. Such prevalence demonstrates that it is not an individual problem but a societal problem that requires a multi-sectoral response, health experts said.


World Health Organization Acting Team Lead Dr Ada Moadsiri said suicide is the third leading cause of death among 15-29 year-olds in the world.


She said more than 720,000 people die globally due to suicide, with 77% of the deaths occurring in low- and middle-income countries.


Dr Moadsiri said studies showed many suicides happen impulsively in moments of crisis with a breakdown in the ability to deal with life stresses such as financial problems, relationship break-up, and chronic pain and illness.


Other risk factors for suicidal ideation are conflict, disaster, violence, abuse, or loss, a sense of isolation and a previous suicide attempt, she said.


#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson's latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy


Click Here For More Information About James Donaldson



Click here to follow James Donaldson's Blog



“In Cambodia, as in other Southeast Asian countries, suicide, especially among young men, is a major public health crisis, exposing gaps in mental healthcare and worsening socioeconomic pressures,” she told the participants of a training workshop for “Responsible Suicide Reporting for Media Professionals” on Wednesday in Phnom Penh.


“In 2024, hospitals across the country recorded at least 212 suicide cases, according to the Health Ministry. Men made up 79% of the cases, most of the cases in Phnom Penh,” she said.


She said the media play a crucial role in suicide and self-harm prevention. “Responsible reporting of suicide may contribute to the prevention of suicide.”


Dr Sin Eap, Head of Bureau Planning and Policy of Mental Health and Substance Abuse, said government data showed there were 149 cases of suicide in Cambodia this year.


According to figures from the Health Ministry, most of the suicides (47%) occurred in Phnom Penh, 10% in Battambang province, 8% in Kandal province and 6% in Banteay Meanchey province.


They showed the deaths were by hanging (56%), jumping off a bridge (27%), jumping off a building (8%), violence (5%), self-immolation (2%), and drug overdose (1%), he added.


https://standingabovethecrowd.com/james-donaldson-on-mental-health-suicide-third-leading-cause-of-death-among-youth/


James Donaldson on Mental Health - Suicide third leading cause of death among youth
Buth Reaksmey Kongkea / Khmer Times

Synopsis: More than 720,000 people die globally by suicide, with 77% of the deaths occurring in low- and middle-income countries.

Suicide is the third leading cause of death among youth in the world, with a person dying by suicide every 40 seconds. Such prevalence demonstrates that it is not an individual problem but a societal problem that requires a multi-sectoral response, health experts said.

World Health Organization Acting Team Lead Dr Ada Moadsiri said suicide is the third leading cause of death among 15-29 year-olds in the world.

She said more than 720,000 people die globally due to suicide, with 77% of the deaths occurring in low- and middle-income countries.

Dr Moadsiri said studies showed many suicides happen impulsively in moments of crisis with a breakdown in the ability to deal with life stresses such as financial problems, relationship break-up, and chronic pain and illness.

Other risk factors for suicidal ideation are conflict, disaster, violence, abuse, or loss, a sense of isolation and a previous suicide attempt, she said.

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Click Here For More Information About James Donaldson

Click here to follow James Donaldson's Blog

“In Cambodia, as in other Southeast Asian countries, suicide, especially among young men, is a major public health crisis, exposing gaps in mental healthcare and worsening socioeconomic pressures,” she told the participants of a training workshop for “Responsible Suicide Reporting for Media Professionals” on Wednesday in Phnom Penh.

“In 2024, hospitals across the country recorded at least 212 suicide cases, according to the Health Ministry. Men made up 79% of the cases, most of the cases in Phnom Penh,” she said.

She said the media play a crucial role in suicide and self-harm prevention. “Responsible reporting of suicide may contribute to the prevention of suicide.”

Dr Sin Eap, Head of Bureau Planning and Policy of Mental Health and Substance Abuse, said government data showed there were 149 cases of suicide in Cambodia this year.

According to figures from the Health Ministry, most of the suicides (47%) occurred in Phnom Penh, 10% in Battambang province, 8% in Kandal province and 6% in Banteay Meanchey province.

They showed the deaths were by hanging (56%), jumping off a bridge (27%), jumping off a building (8%), violence (5%), self-immolation (2%), and drug overdose (1%), he added. https://standingabovethecrowd.com/?p=16267

Friday, May 22, 2026

James Donaldson on Mental Health - Depression and Anger

James Donaldson on Mental Health - Depression and Anger

How irritability and anger can be signs of depression in children and teenagers



Writer: Caroline Miller


Clinical Expert: Lauren Allerhand, PsyD


What You'll Learn


- When are irritability and anger signs of depression in children and teenagers?
- How is this different from typical teenage irritability?
- What should you do if your child seems unusually irritable and angry?
- Quick Article
- Full Article
- What does irritability look like when it’s part of depression?
- What to do if you’re concerned
- Talk to a mental health professional 

We usually think of someone who’s depressed as being sad or “down” for a very long time. But children and teenagers who are depressed can also be irritable or angry a lot of the time. They may seem on edge. Some depressed kids are irritable instead of sad. Others are both: they alternate between sad and irritable.


Since teenagers are often irritable, how can you tell if your child’s irritability might be associated with depression? Normal irritability is intermittent, a reaction to something specific. In depression, it’s their mood most of the time. It’s also normal for kids to be cranky at home, but not at school or when they’re with friends. Or cranky in the morning, and then in a better mood later. But if they’re irritable all the time, and not just at home, but in all settings, it could be depression.


To be diagnosed with depression a child would need to meet other criteria for depression, too. Those include losing interest in things they used to enjoy, lacking energy, changes in eating and sleep habits, among other things. If they are irritable but high in energy, it’s more likely to be connected to anxiety.


If you’ve noticed that your child has been unusually irritable and angry, the first step is to talk to them. Ask them if there’s something bothering them. If they’re upset about something specific, listen to their concerns without being judgmental. If not, and it seems to be a generally irritable mood, it’s a good idea to get care from a mental health professional.


Especially when it’s caught early, depression is very treatable. Treatment for depression includes both medication and specialized forms of cognitive behavioral therapy that focus on helping kids learn to cope with difficult emotions.


We usually think of depression as a form of prolonged sadness, being “down” for a disturbingly long time. But depression can also take the form of irritability in children and teenagers. And irritability — a tendency to react angrily to slight annoyances or provocations — can result in everything from angry outbursts in younger children to cutting or snide remarks in teenagers.


“What we see with younger kids and teenagers is they’re always feeling annoyed or feeling on edge,” explains Lauren Allerhand, PsyD, a clinical psychologist at the Child Mind Institute. “They always appear to be a little bit frustrated, like they’re simmering under the surface.”


In some kids, irritability replaces the depressed mood that we think of as the defining symptom of depression. In others it appears along with feeling down. “What I see most often is kids who experience both,” adds Dr. Allerhand. “It’s like an inability to experience positive emotions. They’re waffling between this irritability and low mood.”


Dr. Allerhand notes that it can be helpful for parents to know that anger can be what is called a “secondary emotion.” That means that for some people – kids or adults — it’s easier to experience anger than sadness or loss or grief. “The locus of anger is usually external,” she notes, so it can be easier to be angry with those around you than to acknowledge some very painful negative feelings. It makes sense, then, that kids who are feeling deep sadness might express anger instead.


What does irritability look like when it’s part of depression?


There are many things that can prompt irritability and anger in young people. What are the signs that these negative moods might be associated with depression?


If the irritability is constant rather than conditional. We expect some level of irritability from teenagers in general, especially when they’re being asked to do something they don’t want to do, like put down their phones and join the family for dinner. But that typical kind of irritation or anger is intermittent, and it’s provoked by something specific.


“However, if irritation is the main way that a teenager is throughout the day,” says Dr. Allerhand, “and not only at home but also at school or in other environments, it may be related to a mood disorder rather than an environmental circumstance.”


If the irritability is accompanied by other symptoms of depression. In addition to depressed mood or irritability, to be diagnosed with depression a child would have to have at least four of these symptoms:


- Losing interest in things they once enjoyed
- Feeling worthless, saying negative things about themselves
- Lacking energy, feeling tired or seeming lazy
- Trouble concentrating or making decisions
- Gaining or losing weight, changes in appetite
- Trouble sleeping or sleeping too much
- Thinking about or attempting suicide

Irritability with high energy could be caused by anxiety. Depression generally comes with low energy levels. So when irritability appears with high energy, or it is accompanied by a lot of worried behavior, Dr. Allerhand says it’s more likely to be associated with anxiety. Or, in some cases, it can be a sign of bipolar disorder. “I would look at anxiety first,” she said, “unless there was a very strong family history of bipolar or some very strong indicators, because that’s much less common.”


If the irritability is explosive, it could beDMDD. When a child regularly has explosive outbursts of anger with seemingly little provocation, they may have the relatively new disorder calleddisruptive mood dysregulation disorder, or DMDD. “Those are the kids who go from zero to 100, throwing stuff, hitting — those really big tantrums, big displays,” notes Dr. Allerhand. The kind of irritability associated with depression is more of a steady state of being on edge, and prone to snap at someone or lash out verbally. DMDD usually shows up before age ten, but it isn’t diagnosed in kids younger than six, since temper tantrums are common in very young children.


#James Donaldson notes:
Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.
Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.
Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.
  #http://bit.ly/JamesMentalHealthArticle
Find out more about the work I do on my 501c3 non-profit foundation
website www.yourgiftoflife.org Order your copy of James Donaldson's latest book,
#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy


Click Here For More Information About James Donaldson



Click here to follow James Donaldson's Blog



What to do if you’re concerned


If you’re wondering if the irritability or anger you’re seeing from a child or teenager could be a sign of depression, Dr. Allerhand has these recommendations:


Talk to them about how they’re feeling. If your child seems unusually irritable, something may be going on that’s driving the behavior. A good place to start is having a conversation with them to see if there’s something at school or at home that’s causing them stress.


“Start with something open-ended like, ‘How have you been feeling lately? I know things have been tough,’ ” she suggests. “See what the child says. If they are open to talking about how they feel, great! Parents should listen and validate without jumping immediately to problem solving — unless the child is specifically asking for problem solving.”


If the child is unresponsive to first attempts, Dr. Allerhand encourages parents to let it go and let the child know they are always available to chat. “I’d recommend doing this often — even daily — so they will come to you when they’re ready,” she says. “This shouldn’t be a power struggle, or kids will never want to share.”


If it’s less than constant, try to ignore it. If your child’s irritability seems to be triggered by things they don’t want to do, or they’re irritable in the morning but pleasant in the afternoon, it’s less likely to be a sign of a mood disorder. “If it’s more conditional and not happening all the time, I would ignore it as much as you possibly can,” advises Dr. Allerhand. “It’s best to avoid saying things like, ‘That’s disrespectful,’ or, ‘You don’t talk to me like that.’ Any of that kind of attention is going to increase the likelihood that you see more of it.”


On the other hand, do praise behavior you do want to see: “So anytime they come down to the dinner table and sit down and grunt one word at you, you say, ‘Thank you so much. I love when you have dinner with us.’ No sarcasm either.”


If it’s only happening at home, you probably don’t need to worry. Even if a teenager is irritable most of the time at home, if they’re happy at school or in other environments, then it’s more likely to be typical edginess than a mood disorder, Dr. Allerhand advises.


Teenagers tend to direct anger and irritability towards parents, since venting is less risky where you are most secure. “Forming strong peer relationships is a high priority for teenagers. And if you’re irritable and blow up at people, they don’t generally want to be your friend. So oftentimes kids save it for the people who they have the most secure relationships with,” adds Dr. Allerhand.


And since parents have control over so much of a child’s — and even a teenager’s — life, they’re very easy targets for irritation and anger.


Talk to a mental health professional 


If your child’s irritability and anger are a pattern that’s going on every day, for more than a couple of weeks, and outside the home as well as with the family, it’s a good idea to consult a mental health professional. Especially when it’s caught early, depression is very treatable. Treatment for depression includes both medication and specialized forms of cognitive behavioral therapy that focus on helping kids learn to cope with difficult emotions.


https://standingabovethecrowd.com/james-donaldson-on-mental-health-depression-and-anger-4/

Thursday, May 21, 2026



James Donaldson on Mental Health - Depression and Anger
How irritability and anger can be signs of depression in children and teenagers

Writer: Caroline Miller

Clinical Expert: Lauren Allerhand, PsyD

What You'll Learn

- When are irritability and anger signs of depression in children and teenagers?

- How is this different from typical teenage irritability?

- What should you do if your child seems unusually irritable and angry?

- Quick Article

- Full Article

- What does irritability look like when it’s part of depression?

- What to do if you’re concerned

- Talk to a mental health professional 

We usually think of someone who’s depressed as being sad or “down” for a very long time. But children and teenagers who are depressed can also be irritable or angry a lot of the time. They may seem on edge. Some depressed kids are irritable instead of sad. Others are both: they alternate between sad and irritable.

Since teenagers are often irritable, how can you tell if your child’s irritability might be associated with depression? Normal irritability is intermittent, a reaction to something specific. In depression, it’s their mood most of the time. It’s also normal for kids to be cranky at home, but not at school or when they’re with friends. Or cranky in the morning, and then in a better mood later. But if they’re irritable all the time, and not just at home, but in all settings, it could be depression.

To be diagnosed with depression a child would need to meet other criteria for depression, too. Those include losing interest in things they used to enjoy, lacking energy, changes in eating and sleep habits, among other things. If they are irritable but high in energy, it’s more likely to be connected to anxiety.

If you’ve noticed that your child has been unusually irritable and angry, the first step is to talk to them. Ask them if there’s something bothering them. If they’re upset about something specific, listen to their concerns without being judgmental. If not, and it seems to be a generally irritable mood, it’s a good idea to get care from a mental health professional.

Especially when it’s caught early, depression is very treatable. Treatment for depression includes both medication and specialized forms of cognitive behavioral therapy that focus on helping kids learn to cope with difficult emotions.

We usually think of depression as a form of prolonged sadness, being “down” for a disturbingly long time. But depression can also take the form of irritability in children and teenagers. And irritability — a tendency to react angrily to slight annoyances or provocations — can result in everything from angry outbursts in younger children to cutting or snide remarks in teenagers.

“What we see with younger kids and teenagers is they’re always feeling annoyed or feeling on edge,” explains Lauren Allerhand, PsyD, a clinical psychologist at the Child Mind Institute. “They always appear to be a little bit frustrated, like they’re simmering under the surface.”

In some kids, irritability replaces the depressed mood that we think of as the defining symptom of depression. In others it appears along with feeling down. “What I see most often is kids who experience both,” adds Dr. Allerhand. “It’s like an inability to experience positive emotions. They’re waffling between this irritability and low mood.”

Dr. Allerhand notes that it can be helpful for parents to know that anger can be what is called a “secondary emotion.” That means that for some people – kids or adults — it’s easier to experience anger than sadness or loss or grief. “The locus of anger is usually external,” she notes, so it can be easier to be angry with those around you than to acknowledge some very painful negative feelings. It makes sense, then, that kids who are feeling deep sadness might express anger instead.

What does irritability look like when it’s part of depression?

There are many things that can prompt irritability and anger in young people. What are the signs that these negative moods might be associated with depression?

If the irritability is constant rather than conditional. We expect some level of irritability from teenagers in general, especially when they’re being asked to do something they don’t want to do, like put down their phones and join the family for dinner. But that typical kind of irritation or anger is intermittent, and it’s provoked by something specific.

“However, if irritation is the main way that a teenager is throughout the day,” says Dr. Allerhand, “and not only at home but also at school or in other environments, it may be related to a mood disorder rather than an environmental circumstance.”

If the irritability is accompanied by other symptoms of depression. In addition to depressed mood or irritability, to be diagnosed with depression a child would have to have at least four of these symptoms:

- Losing interest in things they once enjoyed

- Feeling worthless, saying negative things about themselves

- Lacking energy, feeling tired or seeming lazy

- Trouble concentrating or making decisions

- Gaining or losing weight, changes in appetite

- Trouble sleeping or sleeping too much

- Thinking about or attempting suicide

Irritability with high energy could be caused by anxiety. Depression generally comes with low energy levels. So when irritability appears with high energy, or it is accompanied by a lot of worried behavior, Dr. Allerhand says it’s more likely to be associated with anxiety. Or, in some cases, it can be a sign of bipolar disorder. “I would look at anxiety first,” she said, “unless there was a very strong family history of bipolar or some very strong indicators, because that’s much less common.”

If the irritability is explosive, it could beDMDD. When a child regularly has explosive outbursts of anger with seemingly little provocation, they may have the relatively new disorder calleddisruptive mood dysregulation disorder, or DMDD. “Those are the kids who go from zero to 100, throwing stuff, hitting — those really big tantrums, big displays,” notes Dr. Allerhand. The kind of irritability associated with depression is more of a steady state of being on edge, and prone to snap at someone or lash out verbally. DMDD usually shows up before age ten, but it isn’t diagnosed in kids younger than six, since temper tantrums are common in very young children.

#James Donaldson notes:Welcome to the “next chapter” of my life… being a voice and an advocate for #mentalhealthawarenessandsuicideprevention, especially pertaining to our younger generation of students and student-athletes.Getting men to speak up and reach out for help and assistance is one of my passions. Us men need to not suffer in silence or drown our sorrows in alcohol, hang out at bars and strip joints, or get involved with drug use.Having gone through a recent bout of #depression and #suicidalthoughts myself, I realize now, that I can make a huge difference in the lives of so many by sharing my story, and by sharing various resources I come across as I work in this space.  #http://bit.ly/JamesMentalHealthArticleFind out more about the work I do on my 501c3 non-profit foundationwebsite www.yourgiftoflife.org Order your copy of James Donaldson's latest book,#CelebratingYourGiftofLife: From The Verge of Suicide to a Life of Purpose and Joy

Click Here For More Information About James Donaldson

Click here to follow James Donaldson's Blog

What to do if you’re concerned

If you’re wondering if the irritability or anger you’re seeing from a child or teenager could be a sign of depression, Dr. Allerhand has these recommendations:

Talk to them about how they’re feeling. If your child seems unusually irritable, something may be going on that’s driving the behavior. A good place to start is having a conversation with them to see if there’s something at school or at home that’s causing them stress.

“Start with something open-ended like, ‘How have you been feeling lately? I know things have been tough,’ ” she suggests. “See what the child says. If they are open to talking about how they feel, great! Parents should listen and validate without jumping immediately to problem solving — unless the child is specifically asking for problem solving.”

If the child is unresponsive to first attempts, Dr. Allerhand encourages parents to let it go and let the child know they are always available to chat. “I’d recommend doing this often — even daily — so they will come to you when they’re ready,” she says. “This shouldn’t be a power struggle, or kids will never want to share.”

If it’s less than constant, try to ignore it. If your child’s irritability seems to be triggered by things they don’t want to do, or they’re irritable in the morning but pleasant in the afternoon, it’s less likely to be a sign of a mood disorder. “If it’s more conditional and not happening all the time, I would ignore it as much as you possibly can,” advises Dr. Allerhand. “It’s best to avoid saying things like, ‘That’s disrespectful,’ or, ‘You don’t talk to me like that.’ Any of that kind of attention is going to increase the likelihood that you see more of it.”

On the other hand, do praise behavior you do want to see: “So anytime they come down to the dinner table and sit down and grunt one word at you, you say, ‘Thank you so much. I love when you have dinner with us.’ No sarcasm either.”

If it’s only happening at home, you probably don’t need to worry. Even if a teenager is irritable most of the time at home, if they’re happy at school or in other environments, then it’s more likely to be typical edginess than a mood disorder, Dr. Allerhand advises.

Teenagers tend to direct anger and irritability towards parents, since venting is less risky where you are most secure. “Forming strong peer relationships is a high priority for teenagers. And if you’re irritable and blow up at people, they don’t generally want to be your friend. So oftentimes kids save it for the people who they have the most secure relationships with,” adds Dr. Allerhand.

And since parents have control over so much of a child’s — and even a teenager’s — life, they’re very easy targets for irritation and anger.

Talk to a mental health professional 

If your child’s irritability and anger are a pattern that’s going on every day, for more than a couple of weeks, and outside the home as well as with the family, it’s a good idea to consult a mental health professional. Especially when it’s caught early, depression is very treatable. Treatment for depression includes both medication and specialized forms of cognitive behavioral therapy that focus on helping kids learn to cope with difficult emotions. https://standingabovethecrowd.com/?p=16264