When your child thinks they have a mental health disorder based on social media

Writer: Megan Ice, PhD

Clinical Expert: Megan Ice, PhD

Key Takeaways

- When your teen self-diagnoses from social media, be curious and ask questions about what they’ve seen online, so you can better understand their perspective and build trust.

- Validate their feelings, not the label — show empathy for what they’re going through without rushing to correct or dismiss them.

- Remind them that mental health is complex. A professional evaluation gives clarity and ensures they get the right support.

- Why teens self-diagnose

- Why self-diagnosis can be problematic

- How to respond to a self-diagnosis

- Teach media literacy and algorithm awareness

Awareness of mental health symptoms and openness to discussing treatment options has come a long way in the last few decades. In today’s digital world, it is not uncommon for teens to diagnose themselves with a mental health disorder, sometimes with the help of sources that are not always reliable, such as TikTok, Snapchat, Discord, and Reddit. Parents might find themselves wondering how to respond when their teen says, “I think I have ADHD” or “I saw a video, and I’m pretty sure I’m autistic.” While this conversation may feel challenging to navigate, it can also be a powerful opportunity to connect with, guide, and support your child.

Why teens self-diagnose

A key task of adolescence is exploring and developing one’s identity. Fortunately (or unfortunately), the internet gives teens ample access to just about every interest group under the sun. It is no surprise, then, that teens explore these communities and latch on to labels when they see a commonality between themselves and others. Complicating matters, uncertainty about who you are and what you value can be a symptom of some disorders, such as borderline personality disorder (BPD). Teens might see thoughts, feelings, and behaviors that are a normal part of adolescent identity exploration described online as pathological and problematic.

Adolescence is also a period when many kids feel incredibly aware of peers’ perceptions and their own perceived flaws. Things as ordinary as bumping into furniture, having elaborate daydreams, or feeling awkward in social situations, which seem normal to adults, can be embarrassing for teens. For someone desperately looking for belonging and compassion, hearing that others with a certain diagnosis share their experience can be highly reassuring and validating.

Communities focused around mental health on social media platforms flourish in part because technology-based communication can feel safer and more accepting, particularly for less mainstream identities. Online interactions offer the possibility of anonymity, selective disclosure, time to think before responding — and an easy way to exit if faced with an uncomfortable situation. This can lead adolescents, even those who may not meet diagnostic criteria for a specific disorder, to find intimacy and community within a group with a shared mental health identity.

Finally, some teens may perceive carrying a certain diagnoses as affording individuals specific “perks.” These advantages can include accommodations at school, fewer expectations, or access to more time and attention from parents. Rather than feeling stigmatized, teens may feel excited for the supports available to them if they have a diagnosis.

Why self-diagnosis can be problematic

Self-diagnoses can be inaccurate, as they are often based on very little data and colored by confirmation bias, the tendency to favor information that supports our existing beliefs. Having trouble focusing does not always mean you have ADHD. Being socially awkward doesn’t mean you have autism. Being emotionally reactive and having trouble with relationships doesn’t mean you have BPD. Having dramatic mood swings doesn’t make you bipolar.

Also, some individuals on social media platforms have financial motivations behind their posts and intentionally provide information in sensationalist ways to boost traffic.

How then do parents validate their child’s experience when they may not know whether or not the child is accurate in their self-diagnosis?

#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

How to respond to a self-diagnosis

- Choose your time wisely. Challenging conversations are best held when you and your child are able to give each other your full attention. Navigating this conversation while packing lunch bags, driving to school, or cooking a meal is a lot. This may mean that you ask your child if you can table the conversation for later in the day or even the weekend. Telling your child that what they shared is important and you want to give it your full attention can help set you up to facilitate the conversation most effectively.

- Stay calm. When you begin the conversation, focus first on reinforcing the desired act of sharing. You might respond, “Thanks for telling me” or “I’m glad you feel comfortable sharing this.” When in doubt, it’s okay to say, “I’m not sure how to respond” or to reflect back what they said — for example, “You think you have many of the symptoms of autism.”

- Be curious. Explore their thinking without judgment. For example, you could ask, “What made you feel this way?” “How do you relate?”  or “What have you learned about X diagnosis?” Don’t minimize their concerns or rush to “correct” them as that will likely shut down the conversation. You can learn so much about how teens perceive themselves, their interactions with others, and what they are seeing online if you withhold judgment and ask questions!

- Validate their feelings, not the label. Summarize and validate what they are communicating. For example, you might respond, “It sounds like you’ve been finding it really hard to find the motivation to do work” or “What I am hearing is you often feel like everyone else knows the rules of how to act and you’re the only one guessing.” You may not agree with their perception of themselves or the conclusions they’ve drawn, but you can show them that you understand what they are trying to communicate. This shows empathy while keeping the focus on their well-being. Invalidating their emotions, even when well-intentioned, often leads teens to shut down or use more extreme language or actions to communicate to others their distress.

- Support your teen in developing a complex identity. As mentioned earlier, identity development is a key task of adolescence. When teens overidentify with one aspect of their identity, it can impede them from exploring others. Helping your child to develop a multi-faceted identity will help them feel confident in their worth as they face changes and challenges throughout life. One way to do so is by using person-first language. For example, you could say, “You are an athlete who struggles with attention” or an “animal-lover who feels shy around strangers.”

- Highlight the possibility of change and growth. Some teens may interpret a self-diagnosis as a permanent label — something that defines them and excuses them from changing. But it’s possible to accept yourself and still work on changing. Teens may not have chosen to experience their specific challenges, and they are responsible for changing them. If you recognize and accept their current abilities while also reinforcing your faith in their ability to grow and learn, it will help them believe it as well.

- Encourage professional support. Mental health is complex, and neither you nor your teen are trained clinicians. Highlighting these two points can help youth be open to, not defensive about, assessment and treatment by professionals. You could suggest, “Let’s talk to someone who can help us understand what’s really going on and what might help.” Rather than framing social media or the internet as a whole as problematic, acknowledge how it can be a gateway to important conversations.

Teach media literacy and algorithm awareness

Teens may be more tech-savvy than many adults, but they can still misunderstand what they see online. Key facts to highlight to them include:

- Algorithms predict what they see. Teens often don’t realize the extent to which social media platforms are designed to show them more of what they engage with as well as what companies pay for them to see. If they engage with videos about anxiety about the future or ADHD, the algorithm will likely flood their feed with similar content — creating the illusion that “everyone” is struggling with the same thing or shares their perspective. Swapping phones and comparing For You Pages can open young people’s eyes to the different experiences everyone is having online.

- Online representation is not the same as prevalence. To help teens gain perspective on what they see represented online, talk with them about who posts online and who doesn’t. Are certain populations more likely to have a significant online presence and others not? According to the Centers for Disease Control and Prevention, approximately 3 percent of youth over 8 have been diagnosed with autism spectrum disorder and 11 percent of youth have been diagnosed with ADHD.

- Money drives content. Although many teens say they want to be content creators to make money, they can underestimate the role financial incentives play in what content creators post. Encouraging youth to reflect on the possible motivations behind posts can help them consider the information posted more critically. This can look like asking them to think about what training or life experiences informs the creators’ conclusions, what grabs or loses viewership, and what content leads to revenue.

The level of access individuals have today to information and community is astounding and has many benefits. Your child’s self-diagnosis may or may not be clinically accurate, but it’s a sign they’re trying to understand themselves. Be curious about what characteristics they identify with and what meaning a diagnosis has for them. If what they’re noticing is causing them distress or impacting their functioning, getting them a professional diagnosis and treatment is essential.

Frequently Asked Questions

Why are teens diagnosing themselves with mental health issues on social media?What mental health conditions are most commonly self-diagnosed by teens online?Is it harmful if my child self-diagnoses from social media?What should I do if my teen insists they have a mental health condition based on social media?

Stay calm, thank them for sharing, and ask questions to understand their perspective. Then encourage a professional evaluation to get clarity and appropriate support. https://standingabovethecrowd.com/?p=16006

James Donaldson on Mental Health - Stronger Together: Focus on Black youth mental health

By Jennifer Fernandez

ROCKY MOUNT — In the Black community, families don’t talk about suicide or depression, one student said. Black men don’t grow up in homes where they can express themselves, another student added.

Those were some of the sentiments expressed by a panel of college students last month at the inaugural Stronger Together conference, which shone a spotlight on Black youth mental health in North Carolina.

The students agreed that while resources are available to help, many of their friends and families don’t know about them.

That’s even though research shows Black youth are overrepresented in suicides and suicide attempts but are underrepresented in calls to the 988 suicide hotline, particularly in urban counties, state health officials said in a recent news release announcing North Carolina’s first suicide prevention plan aimed primarily at the Black community.

State officials released the five-year plan to address the rise in suicides among Black youth and young adults this summer. That increase reflects a national trend, according to a recent report published in the Center for Disease Control and Prevention’s Morbidity and Mortality Weekly Report. 

State data from 2023 also showed that Black youth, ages 10 to 24, were particularly overrepresented in emergency department visits for suicidal thoughts or self-injury, officials said. 

The one-day conference on Sept. 20 was designed as a “day of learning, healing and community building” that allowed Black youth and community members a chance to not only discuss mental health, but also learn about resources and look toward solutions.

“I think this is very much needed to bring some awareness,” said Danielle Allen, 43, of Fuquay-Varina, who attended with her husband and their 13-year-old son, who participated in the talent showcase.

Focus on Black youth

North Carolina’s plan to address Black youth suicide is part of a national strategy on suicide that was developed last year, with a particular focus on historically marginalized communities. The state plan targets the 17 counties with higher rates of suicide among Black youth, higher calls to the 988 suicide prevention hotline or higher rates of emergency room visits for self-harm.

The state is also in the process of updating its overall suicide prevention plan. The final version, which will incorporate public feedback on the draft plan, should be released later this month, according to Hannah Harms, the state’s suicide prevention coordinator.

Part of the state’s efforts to address Black youth suicide include training laypeople — from families to youth club participants and leaders — to recognize the signs and symptoms of someone struggling with mental health, said Kelly Crosbie, director of the state’s Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Use Services.

Not everyone will want to go to a professional, or be able to access one, Crosbie told NC Health News. And there’s always going to be a shortage of professional providers, she said. So it is important to equip the spaces where youth are going to go.

Even if there is a professional in the community, cultural differences can create a barrier if the young person can’t connect with them, she said.

“It can be especially hard to earn the trust and open up and think that they can help you,” Crosbie said.

It’s not just about access, she added. “It’s about the right kind of access.”

Speaking out

As part of the daylong conference, youth and audience members were invited to share their talents, from poetry and singing to spoken word and dance. 

One trio of young women danced to Diana Ross’ “I’m Coming Out” wearing shirts with the words “trauma,” “pain” and “worry” taped to them. At the end of the song, they ripped the words away and walked off stage. 
Another woman sang a song she wrote about meeting a young man on the top of a parking deck as he contemplated suicide.

“I know it hurts, but it ain’t worth taking your life,” she sang. “You’re worth more than the pain you’re feeling inside.”

Briannah Billings was 24 when she met “August,” the young man in the song of the same name. She said she spoke to him as someone else called 911. He decided not to jump and was taken to a hospital for treatment. Billings never saw him again, but the experience stuck with her.

The more she shared the story, the more friends began to tell her about their own bouts with depression and mental health issues, Billings told NC Health News. 

Being able to discuss mental health freely is important, said Judith VanBoven, one of the college panel members. 

After graduating from UNC Charlotte with degrees in criminal justice and psychology, VanBoven spent some time teaching at Garner High School in Charlotte. A lot of students told her they didn’t know how to start talking about mental health.

“When we talk about it, instead of it being a bad idea or a taboo topic, we are actually making a safe space for people to express what they’re feeling,” she said.

Finding help

Thirteen-year-old Quest Allen, who created some of the beats used during rap performances at the event, said he sees a lot of “people hating” each other at school. But he also said he knows that sometimes they have something going on in their lives that could cause them to act out. 

Many kids, he said, just don’t know there is help out there. 

“They don’t really know where to go,” he said.

If people aren’t exposed to what help is available, they may just feel hopeless, said Quest’s father, Day Allen, 46.

“You think this is just how it is,” he said.

Crosbie told the audience it is important for the state to find ways to reach the Black community, to make sure residents know the resources available to them, and to ensure that those resources meet the community’s needs. 
The 988 suicide helpline, for example, is underutilized by the Black community, health officials have said.

“We know we have to emphasize that it is confidential. It is free. It is not calling 911,” Crosbie said. “It is about calling a mental health counselor who’s there to help you in any way that you need. This is not a punishment. It’s not a penalty, and it’s nothing to be ashamed about.”

Quest said he appreciated some of the coping techniques shared at the conference. In one, participants were taught how to wrap their arms around themselves in a self hug.
He said events like Saturday’s conference are needed.

“It’s important because we’re losing lives,” he said.

Social media affects mental health

The panel of college students delved into social media’s growing influence in the lives of youth and their mental health.

“If you put too much stakes in social media, it always has the opportunity to disappoint you,” said Nas Issoufou, a graduate student at UNC Charlotte. “What happens if you don’t get those likes? What happens if you don’t like how this picture turned out?”

Nautica McKoy, a Gardner-Webb University student, said social media can take away from when young people do have accomplishments, because there’s a constant focus on what has to come next. 
“We need to take a break from the media and seeing all these things,” VanBoven said.

“Know when it is time to take a break and step away from the phone to sit to give yourself peace of mind.”

There are so many voices of influence on social media and so much overstimulation, Day Allen said.

“It’s like handing your kids cocaine,” and they become addicted, he said. “And it’s not reality.”

Quest’s mom, Danielle Allen, said she and her husband are very aware of the potential harms of social media, so they limit their son’s screentime. 

“Your kid might not like it, but it’s gonna be good for them in the long run,” she said.

The Young People’s Alliance, a North Carolina advocacy group founded by high school students, has been working to get state and federal legislation passed that would require social media companies to change their platform algorithms to not target youth. Bills have been filed, but so far lawmakers haven’t passed any of them.

#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

New programs

Suicide among youth in general is a top concern for North Carolina health officials. It is the second leading cause of death among youth ages 10 to 18 and the third leading cause for those ages 19 to 34, according to a 2024 report by the North Carolina Department of Health and Human Services.

Two new statewide programs have already launched to address youth mental health.

Last year, when the remnants of Hurricane Helene slammed into western North Carolina, the state began offering a program called “Somethings.” The virtual mentor program enables youth to speak to someone — usually someone age 21 through 25 — who has significant mental health issues or trauma or challenges. Participants can also speak to a licensed therapist if needed.

“The testimonies we’re getting from the kids in North Carolina have used it have been overwhelmingly positive,” Crosbie told NC Health News. “And we’re seeing a steady increase in the use of that.”

The second program, “Talkspace,” is a virtual therapy platform available to teenagers involved in North Carolina’s justice system between the ages of 13 and 17. It was funded as part of $835 million investment allocated in the 2023 budget that focuses on mental health transformation.

“Nine times out of 10, those kids have significant trauma, and they need a lot of support,” Crosbie said. 

In addition to those programs, state officials are working with community colleges on programming to develop more clinicians, Crosbie said. 

Panelists encouraged youth to find the support that’s already around them, whether that is family, friends or faith. Also, look for available resources, from Medicaid to programs at school or church. 

“You’re not alone,” said UNC Greensboro student Jada Cowan. “You’re not the only one going through this. It’s a bad day, it’s a bad week, it’s a bad month or a bad year, but it’s not a bad life.

“You can still keep going.”

https://standingabovethecrowd.com/james-donaldson-on-mental-health-stronger-together-focus-on-black-youth-mental-health/

James Donaldson on Mental Health - Social Media and Self-Doubt

How parents can help kids resist the pressure created by artfully curated social media feeds.

Writer: Rae Jacobson, MS

Clinical Expert: Jill Emanuele, PhD

What You'll Learn

- How does social media affect teens?
- What can parents do to help?
- Quick Read
- Full Article
- Hiding imperfection
- Other people’s perfection
- Difficult to resist
- Social media and teenagers: How to help
https://www.youtube.com/watch?v=3xbHq7UsozA

Social media can be fun, exciting, even helpful. But for some teens, all those pictures of awesome vacations, perfect bodies, and great-looking lives can fuel self-doubt. How can parents help teenagers have a healthier relationship with their social feeds?

Keeping teens from falling into the social media trap is harder than it sounds. Parents can start by taking it seriously. Social media plays a huge role in teenage life. Many teens never knew a world where social media didn’t exist. For them the things that happen online — fights, break-ups, likes, mean comments — are very real. When you talk about it with your teen, let them know you take their feelings seriously. For example you could say: “That comment was pretty mean. I’m sorry that happened. How are you feeling about it?”

Encourage teens to take what they see on social media with a (large) grain of salt. Asking questions can help. For example, are their friends are really the people they seem to be online? And is your child the person they seem to be online? Why does getting likes feel good? Do they feel better or worse after looking at social media? Check in regularly and if you notice your child is feeling down, ask them if their feed is helping or harming.

If you’re worried that social media is taking a toll on your child, family “unplugging” can help. That means everyone (yes, parents too) agrees not to use social media for a few days. It can help to set a goal to work towards during your detox. For example, learning to knit, or watching a series of movies as a family. Check in regularly, and notice how you feel without the social feed. If kids report feeling better, you could make the unplugging a regular thing.

In the end, remind your teen that your goal is to help them feel happy and safe. Understanding how they are affected by what they choose to do, online and off, will help.

“Look,” says Sasha, a 16-year-old junior in high school, scrolling slowly through her Instagram feed. “See: pretty coffee, pretty girl, cute cat, beach trip. It’s all like that. Everyone looks like they’re having the best day ever, all the time.”

Magazines and advertising have long been criticized for upholding dangerously unrealistic standards of success and beauty, but at least it’s acknowledged that they are idealized. The models wearing Size 0 clothing are just that: models. And even they are made-up, retouched, and photoshopped.

These days, however, the impossible standards are set much closer to home, not by celebrities and models but by classmates and friends. With social media, teens can curate their lives, and the resulting feeds read like highlight reels, showing only the best and most enviable moments while concealing efforts, struggles, and the merely ordinary aspects of day-to-day life. And there’s evidence that those images are causing distress for many kids.

Sometimes, says Sasha, looking at friends’ posts “makes you feel like everyone has it together but you.”

#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

Hiding imperfection

For kids experiencing anxiety or depression, carefully edited social media posts can act as a smoke screen, masking serious issues behind pretend perfection and making it harder for parents or friends to see that they need help.

“It’s important to remember that just posting edited pictures online or pretending your life is a little more glamorous than it is, is not in itself a problem,” says Jill Emanuele, PhD, a clinical psychologist. “Social media alone is unlikely to be at the heart of the issue, but it can make a difficult situation even harder.”

Teens who have created idealized online personas may feel frustrated and depressed at the gap between who they pretend to be online and who they truly are.

Other people’s perfection

Another, more prevalent problem, says Dr. Emanuele, is that for some teens their social feeds can become fuel for negative feelings they have about themselves. Kids struggling with self-doubt read into their friends’ images what they feel they are lacking.

“Kids view social media through the lens of their own lives,” says Dr. Emanuele. “If they’re struggling to stay on top of things or suffering from low self-esteem, they’re more likely to interpret images of peers having fun as confirmation that they’re doing badly compared to their friends.”

Difficult to resist

Sasha and her friend Jacob, 15, agree that constant exposure to social media has had an impact on how they view their peers and themselves. “It’s like you know it isn’t making you happy,” says Jacob, referring to the pictures his friends post on Instagram. “But you still look.”

Even the knowledge that these images mask serious problems doesn’t seem to alleviate the pressure they cause.

“I knew a girl who had an eating disorder. We all knew it. It got so bad that she ended up going to a treatment center, but when she put pictures up of herself on the beach looking super-thin everyone liked them anyway,” says Sasha.

Logically, she says, she knew the pictures weren’t current and the girl was very ill, but that didn’t stop her from feeling a twinge of jealousy. “I remember thinking ‘I wish I looked like that’ and then being horrified at myself.”

Sasha also acknowledges the trouble of “liking” images that in this case provided dangerous validation. “It’s like we were saying, ‘Good job.’ ”

Social media and teenagers: How to help

What can parents do to help kids build a safe and reasonable relationship with social media before they’re out on their own?

- Take social media seriously. Don’t underestimate the role social media plays in the lives of teenagers. Visual images are very powerful, and teenagers today, the things that happen online — slights, break-ups, likes, or negative comments — are very real. When you talk about social media make sure you’re really listening and be careful not to dismiss or minimize their experiences.
- Encourage them to think outside the (crop) box. When you talk to your child about social media, encourage them to explore it in a more critical way. A great way to start is to try asking them what they think has been cropped or edited out of their friends’ “perfect” pictures and why. That can lead to larger questions. Do you think your friends are really the people they appear to be online? Are you? What is it about getting “likes” that feels good? How does looking at social media affect your mood?
- Model a healthy response to failure.  Kids need to learn that it’s okay to fail. Instead of minimizing your own failures, let your kids see you being open about them and accepting them with grace. Show them that you treat failure not as something to be ashamed of, but something to learn from.
- Praise (and show) effort. When your child has worked hard on something, praise their efforts no matter what the outcome. It’s also helpful to show your own efforts, especially those that don’t end in success. Being proud and open about your own work sets a powerful example for your child.
- Go on a “social holiday.” If you’re worried that your child is getting too wrapped up in social media, try taking a social holiday. And if you’re asking your child to take a break, do the same yourself. You may find it just as challenging as kids do. 
- Trust people, not pictures. Finally, don’t rely on social media to let you know how your child is really doing. They may post smiling selfies all day long, but if they seem unhappy or sound unhappy on the phone, don’t let it go. Make sure they know it’s safe to talk to you by encouraging them to share their feelings and supporting them when they do. Reassure them that you’re proud of them for reaching out. “I’m so glad you called. It sounds like you’re feeling really overwhelmed, I’m here and I love you. Let’s talk this through together.”

In the end, as a parent you want your child to be happy and successful. But making sure they know you love them and you’re proud of them as they are — unfiltered, unedited, imperfect — will help them build confidence they need to accept themselves and stay safe and healthy when they’re out on their own.

Frequently Asked Questions

How are social media and self-esteem related?

Social media can make it look as though everyone else’s life is perfect. Impossible standards can be set not just by celebrities and models but by classmates and friends curating and filtering their pictures. There is evidence that this can negatively impact self-esteem.

Can social media be dangerous to teens’ mental health?

How can parents help teens have a healthier relationship to social media?

https://standingabovethecrowd.com/james-donaldson-on-mental-health-social-media-and-self-doubt-2/

By Jennifer Fernandez

ROCKY MOUNT — In the Black community, families don’t talk about suicide or depression, one student said. Black men don’t grow up in homes where they can express themselves, another student added.

Those were some of the sentiments expressed by a panel of college students last month at the inaugural Stronger Together conference, which shone a spotlight on Black youth mental health in North Carolina.

The students agreed that while resources are available to help, many of their friends and families don’t know about them.

That’s even though research shows Black youth are overrepresented in suicides and suicide attempts but are underrepresented in calls to the 988 suicide hotline, particularly in urban counties, state health officials said in a recent news release announcing North Carolina’s first suicide prevention plan aimed primarily at the Black community.

State officials released the five-year plan to address the rise in suicides among Black youth and young adults this summer. That increase reflects a national trend, according to a recent report published in the Center for Disease Control and Prevention’s Morbidity and Mortality Weekly Report. 

State data from 2023 also showed that Black youth, ages 10 to 24, were particularly overrepresented in emergency department visits for suicidal thoughts or self-injury, officials said. 

The one-day conference on Sept. 20 was designed as a “day of learning, healing and community building” that allowed Black youth and community members a chance to not only discuss mental health, but also learn about resources and look toward solutions.

“I think this is very much needed to bring some awareness,” said Danielle Allen, 43, of Fuquay-Varina, who attended with her husband and their 13-year-old son, who participated in the talent showcase.

Focus on Black youth

North Carolina’s plan to address Black youth suicide is part of a national strategy on suicide that was developed last year, with a particular focus on historically marginalized communities. The state plan targets the 17 counties with higher rates of suicide among Black youth, higher calls to the 988 suicide prevention hotline or higher rates of emergency room visits for self-harm.

The state is also in the process of updating its overall suicide prevention plan. The final version, which will incorporate public feedback on the draft plan, should be released later this month, according to Hannah Harms, the state’s suicide prevention coordinator.

Part of the state’s efforts to address Black youth suicide include training laypeople — from families to youth club participants and leaders — to recognize the signs and symptoms of someone struggling with mental health, said Kelly Crosbie, director of the state’s Department of Health and Human Services Division of Mental Health, Developmental Disabilities, and Substance Use Services.

Not everyone will want to go to a professional, or be able to access one, Crosbie told NC Health News. And there’s always going to be a shortage of professional providers, she said. So it is important to equip the spaces where youth are going to go.

Even if there is a professional in the community, cultural differences can create a barrier if the young person can’t connect with them, she said.

“It can be especially hard to earn the trust and open up and think that they can help you,” Crosbie said.

It’s not just about access, she added. “It’s about the right kind of access.”

Speaking out

As part of the daylong conference, youth and audience members were invited to share their talents, from poetry and singing to spoken word and dance. 

One trio of young women danced to Diana Ross’ “I’m Coming Out” wearing shirts with the words “trauma,” “pain” and “worry” taped to them. At the end of the song, they ripped the words away and walked off stage. Another woman sang a song she wrote about meeting a young man on the top of a parking deck as he contemplated suicide.

“I know it hurts, but it ain’t worth taking your life,” she sang. “You’re worth more than the pain you’re feeling inside.”

Briannah Billings was 24 when she met “August,” the young man in the song of the same name. She said she spoke to him as someone else called 911. He decided not to jump and was taken to a hospital for treatment. Billings never saw him again, but the experience stuck with her.

The more she shared the story, the more friends began to tell her about their own bouts with depression and mental health issues, Billings told NC Health News. 

Being able to discuss mental health freely is important, said Judith VanBoven, one of the college panel members. 

After graduating from UNC Charlotte with degrees in criminal justice and psychology, VanBoven spent some time teaching at Garner High School in Charlotte. A lot of students told her they didn’t know how to start talking about mental health.

“When we talk about it, instead of it being a bad idea or a taboo topic, we are actually making a safe space for people to express what they’re feeling,” she said.

Finding help

Thirteen-year-old Quest Allen, who created some of the beats used during rap performances at the event, said he sees a lot of “people hating” each other at school. But he also said he knows that sometimes they have something going on in their lives that could cause them to act out. 

Many kids, he said, just don’t know there is help out there. 

“They don’t really know where to go,” he said.

If people aren’t exposed to what help is available, they may just feel hopeless, said Quest’s father, Day Allen, 46.

“You think this is just how it is,” he said.

Crosbie told the audience it is important for the state to find ways to reach the Black community, to make sure residents know the resources available to them, and to ensure that those resources meet the community’s needs. The 988 suicide helpline, for example, is underutilized by the Black community, health officials have said.

“We know we have to emphasize that it is confidential. It is free. It is not calling 911,” Crosbie said. “It is about calling a mental health counselor who’s there to help you in any way that you need. This is not a punishment. It’s not a penalty, and it’s nothing to be ashamed about.”

Quest said he appreciated some of the coping techniques shared at the conference. In one, participants were taught how to wrap their arms around themselves in a self hug.He said events like Saturday’s conference are needed.

“It’s important because we’re losing lives,” he said.

Social media affects mental health

The panel of college students delved into social media’s growing influence in the lives of youth and their mental health.

“If you put too much stakes in social media, it always has the opportunity to disappoint you,” said Nas Issoufou, a graduate student at UNC Charlotte. “What happens if you don’t get those likes? What happens if you don’t like how this picture turned out?”

Nautica McKoy, a Gardner-Webb University student, said social media can take away from when young people do have accomplishments, because there’s a constant focus on what has to come next. “We need to take a break from the media and seeing all these things,” VanBoven said.

“Know when it is time to take a break and step away from the phone to sit to give yourself peace of mind.”

There are so many voices of influence on social media and so much overstimulation, Day Allen said.

“It’s like handing your kids cocaine,” and they become addicted, he said. “And it’s not reality.”

Quest’s mom, Danielle Allen, said she and her husband are very aware of the potential harms of social media, so they limit their son’s screentime. 

“Your kid might not like it, but it’s gonna be good for them in the long run,” she said.

The Young People’s Alliance, a North Carolina advocacy group founded by high school students, has been working to get state and federal legislation passed that would require social media companies to change their platform algorithms to not target youth. Bills have been filed, but so far lawmakers haven’t passed any of them.

#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

New programs

Suicide among youth in general is a top concern for North Carolina health officials. It is the second leading cause of death among youth ages 10 to 18 and the third leading cause for those ages 19 to 34, according to a 2024 report by the North Carolina Department of Health and Human Services.

Two new statewide programs have already launched to address youth mental health.

Last year, when the remnants of Hurricane Helene slammed into western North Carolina, the state began offering a program called “Somethings.” The virtual mentor program enables youth to speak to someone — usually someone age 21 through 25 — who has significant mental health issues or trauma or challenges. Participants can also speak to a licensed therapist if needed.

“The testimonies we’re getting from the kids in North Carolina have used it have been overwhelmingly positive,” Crosbie told NC Health News. “And we’re seeing a steady increase in the use of that.”

The second program, “Talkspace,” is a virtual therapy platform available to teenagers involved in North Carolina’s justice system between the ages of 13 and 17. It was funded as part of $835 million investment allocated in the 2023 budget that focuses on mental health transformation.

“Nine times out of 10, those kids have significant trauma, and they need a lot of support,” Crosbie said. 

In addition to those programs, state officials are working with community colleges on programming to develop more clinicians, Crosbie said. 

Panelists encouraged youth to find the support that’s already around them, whether that is family, friends or faith. Also, look for available resources, from Medicaid to programs at school or church. 

“You’re not alone,” said UNC Greensboro student Jada Cowan. “You’re not the only one going through this. It’s a bad day, it’s a bad week, it’s a bad month or a bad year, but it’s not a bad life.

“You can still keep going.” https://standingabovethecrowd.com/?p=15937

James Donaldson on Mental Health - Early Signs of Bipolar Disorder in Teens

Catching the disorder before full onset improves outcomes

Writer: Juliann Garey

Clinical Expert: Anna Van Meter, PhD

Key Takeaways

- Recognizing the early warning signs of bipolar disorder — known as the prodrome — in teenagers can help families intervene before a full-blown episode occurs.
- Symptoms like sleep changes, energy shifts, irritability, and racing thoughts, while subtle, can signal the emergence of bipolar disorder, especially in teens with a family history.
- Early treatment, usually including therapy to reduce stress and regulate sleep, can delay or lessen the severity of bipolar  disorder, offering kids a better long-term outlook.
- What is the bipolar prodrome?
- What early signs should parents watch for?
- Why are early signs hard to detect?
- Why early detection matters
- What treatments help?
- What about medication?
- Can technology help?
- What can parents do to help?

When people hear “bipolar disorder,” they  think dramatic mood swings or someone suddenly spiraling into mania. But what if we could catch the signs before a full episode hits? That’s the promise of understanding of what is called the bipolar prodrome — the early warning phase that shows up in many kids and teens long before a formal diagnosis is made.

Why try to spot these early signs?  Because helping kids before the disorder disrupts their lives can actually delay onset and reduce the severity of the disorder. “The earlier we can intervene, the better the outcome,” says Anna Van Meter, PhD, a clinical psychologist and researcher at the NYU Child Study Center.

Full-blown bipolar disorder causes extreme changes in mood, energy, and behavior — periods of feeling unusually happy, irritable, or energetic (mania), followed by times of deep sadness, fatigue, or withdrawal (depression). Until relatively recently, little was known about how to identify the symptoms that came before the first manic or depressive episode.

“Ten years ago, we didn’t talk about the bipolar prodrome,” says Dr. Van Meter. “Now, we’re studying it, we’re developing interventions, and we’re helping families earlier. That’s huge.”

What is the bipolar prodrome?

Think of the prodrome as the “early signs” phase. It’s a period when a young person might be showing hints of bipolar disorder, but they don’t yet meet the full criteria for a manic or depressive episode. Dr. Van Meter puts it this way: “The bipolar prodrome is a time when kids or teens might have changes in energy, mood, or thinking, but it’s not enough to qualify as a full mood episode. These changes might seem small or fleeting, but they’re important to notice.”

Most of the time, these early signs show up in adolescents, though they can sometimes start even earlier. “Bipolar disorder is really uncommon in young children,” Dr. Van Meter explains. “But by the time kids hit puberty, we start to see more signs — especially in those with a family history. We know that bipolar disorder is a very heritable illness.”

She also emphasizes that it’s not just about recognizing individual symptoms but the way they evolve over time: “We’re not just looking for one behavior that stands out — we’re looking for patterns across weeks or months that don’t quite add up. That’s where the prodrome hides.”

What early signs should parents watch for?

What makes the prodrome especially challenging is how sneaky it can be — the symptoms tend to be subtle and easy to chalk up to typical teen moodiness or stress.

Here are some of the most common signs:

- Changes in energy: More hyper than usual or suddenly low energy
- Sleep issues: Trouble falling asleep or needing less sleep without feeling tired
- Mood shifts: Periods of high excitement or irritability that don’t quite cross into mania
- Changes in speech: Talking more or faster than usual
- Changes in concentration:  Being easily distracted or having racing thoughts

The prodrome can be hard to notice if you’re not looking for it. “It starts slowly,” says Dr. Van Meter. “Maybe your kid is sleeping less or seems more energized at night. Maybe they’re talking more or acting impulsively. These little changes add up.” Dr. Van Meter encourages parents to trust their gut.  “Parents know their kids best. If something feels off — even if you can’t put your finger on it — trust that instinct and start tracking.”

Why are early signs hard to detect?

One word: overlap. A lot of the early symptoms of bipolar disorder look like other things — or just normal teen ups and downs.

Puberty also plays a big role in complicating diagnosis: “Hormonal changes can mimic mood symptoms,” says Dr. VanMeter, “and that makes it even harder to separate what’s clinical from what’sdevelopmental. ”

Family history can be a big clue. “If a parent or sibling has bipolar disorder, we pay extra attention to things like mood changes, energy shifts, or impulsivity,” she adds. “It doesn’t mean a child will develop bipolar disorder, but it raises the level of concern.”

Why early detection matters

Spotting signs early isn’t just about slapping a label on a child. It’s about getting ahead of the curve and helping kids before they are in crisis. Reducing stress and targeting good nutrition and, most important, consistent sleep can help delay the onset of illness — a run of not sleeping can actually trigger an episode of mania. “We can teach families how to manage stress, support healthy sleep, and notice when things might be heading in the wrong direction,” says Dr. Van Meter. “That can make a big difference.”

Research also supports the “kindling” theory — the idea that the more mood episodes someone has, the more likely they are to keep having them. “If we can help a young person avoid or delay their first full episode, that could really change the course of the illness,” she adds. Dr. Van Meter emphasizes the role of resilience, too. “We’re trying to build a buffer, help kids develop emotional tools before they’re in crisis. That’s not just preventive; it’s empowering.”

#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

What treatments help?

Here’s the good news: There are effective treatments that can help during the prodrome — even before a child, usually a teenager, has been officially diagnosed with bipolar disorder. Psychoeducation is often the first step. “That means helping the child and their family understand what’s happening,” Dr. Van Meter explains. “We talk about symptoms, stress, sleep, and how to spot warning signs.” From there, many families benefit from therapy, especially family-based approaches. Some of the best evidence-supported options include:

- Family-Focused Therapy (FFT): Helps families communicate better, reduce conflict, and build routines
- Interpersonal and Social Rhythm Therapy (IPSRT): Focuses on building stable daily rhythms (like sleep, meals, and activities) to regulate mood
- Dialectical Behavior Therapy (DBT): Teaches emotion-regulation skills, which can be really helpful for teens dealing with intense mood swings

“We’re not necessarily trying to stop bipolar disorder from developing,” says Dr. Van Meter. “But we are trying to reduce the impact and help the child build skills early.” She also highlights the importance of tailoring therapy to the individual. “There’s no one-size-fits-all approach. We want to match the intervention to the child’s needs — and that takes ongoing monitoring.”

What about medication?

Medication isn’t always the go-to during the prodromal phase — and that surprises a lot of parents. Often, families expect that a prescription will be the first line of defense. But doctors typically start with therapy, education, and lifestyle changes instead, especially if symptoms aren’t severe yet.

Many parents ask, “Shouldn’t we be doing more?” But early on, building good habits and strong communication can be just as powerful — if not more so — than medication. In fact, medication is usually reserved for more severe symptoms or situations where safety is a concern. “If a teen is really struggling — if they’re showing clear signs of mania or severe depression — then yes, we might consider medication,” Dr. Van Meter says. “But for kids who are just beginning to show signs, we usually start with therapy and lifestyle changes.”

When meds are used, doctors might prescribe mood stabilizers like lithium or certain antipsychotics. But every case is different, and it’s important that decisions are made by a child psychiatrist who understands bipolar disorder in youth. Dr. Van Meter advises families to stay involved. “Parents should be part of the treatment conversation from day one. Meds can help, but they’re not magic — they work best when paired with structure and support.”

Can technology help?

It turns out there’s a silver lining to all that time your teen spends on their phone. Dr. Van Meter and her team are studying ways to use technology to catch mood shifts before they become full-blown episodes. The technology picks up on subtle changes in behavior before anyone notices them out loud. The new technology actually helps us understand mental health in real time — and for many parents, that kind of early heads-up could feel like a lifesaver. “We use something called digital phenotyping,” Dr. Van Meter explains. “Basically, we track data from a teen’s smartphone to look for changes in behavior. Are they sleeping less? Are they moving around less? Are they staying home more than usual? These little shifts can tell us a lot.”

The goal is to build a personalized “baseline” for each teen, then flag when things deviate. “It’s kind of like a Fitbit for mental health,” she says. “We’re not there yet, but the hope is that someday we can use this data to give families and clinicians a heads-up before a crisis. We’re trying to shift from reactive care to proactive care. Technology is one of the tools that can help us get there.”

What can parents do to help?

If you’re a parent worried about your child, the most important thing is to stay curious, stay connected, and don’t panic. Dr. Van Meter offers this advice:

- Learn the signs: “The more you understand about bipolar disorder and the prodrome, the better prepared you’ll be.”
- Track patterns: “Keep a simple mood and sleep journal. It helps you and your child see trends over time.”
- Prioritize sleep: “Sleep is huge. Even small disruptions can trigger mood changes.”
- Be open and supportive: “Kids do best when they feel heard and not judged. Keep the conversation going.”
- Find the right help: “Look for therapists or psychiatrists who understand early bipolar signs. You want someone who knows what to watch for.”

And finally: “Don’t wait for a full-blown episode to act,” Dr. Van Meter urges. “If you notice changes, talk to your child, track what you see, and connect with a professional. That early action can really change the trajectory. Early support doesn’t just reduce suffering — it builds confidence. It shows kids they’re not alone and that help is available.”

Frequently Asked Questions

What are the early symptoms of bipolar disorder?

Early symptoms of bipolar disorder include changes in energy level (more hyper than usual or suddenly low energy), needing less sleep, periods of high excitement or irritability, talking faster than usual, and having racing thoughts.

How can you tell if someone is developing bipolar disorder?

What is the difference between early and active bipolar symptoms?

Is there treatment to prevent full-blown bipolar disorder after early signs appear?

https://standingabovethecrowd.com/james-donaldson-on-mental-health-early-signs-of-bipolar-disorder-in-teens/

James Donaldson on Mental Health - Nearly 1 in 4 Americans Live With a Mental Illness. Here's How to Get Help

- Nearly 1 in 4 U.S. adults experienced a mental illness in 2024, according to a new report.
- Though youth mental illness has improved, it is still in a state of crisis, with 3 million children from 12 to 17 frequently considering suicide.
- Access to mental health care varies from state to state, with needs often going unmet due to a lack of available or affordable services.

Nearly a quarter of all U.S. adults, or around 23%, experienced a mental illness in the past year, according to a new report. That’s nearly 60 million Americans.

The “The State of Mental Health in America 2025” report, issued by Mental Health America (MHA), found that mental health among U.S. adults remained generally the same from 2021 to 2024.

The report also ranks U.S states according to residents’ reported mental well-being and the mental health care available in each state.

New York, Hawaii, and New Jersey have the strongest mental health and mental health services.

The lowest-ranking states for mental health are Alabama, Arizona, and Nevada.

America’s youth continue to face mental health challenges. Around 11%, or 2.8 million young people, experienced a major depressive episode (MDE) that affected their ability to function at school, home, or at a job in 2024.

Even so, there has been a significant improvement in mental health among American youth, with young people reporting MDE dropping from around 18% in 2023 to 15% in 2024.

Suicidal thoughts among young people also decreased in those two years, from around 12% in 2023 to 10% in 2024.

Nearly 3 million young people ages 12–17 reported frequent thoughts of suicide in 2024.

Around 1 in 4 adults with any mental illness (AMI) said they had an unmet need for mental health care in 2022 and 2023. In 2022 and 2023, over 5 million people, or around 9% of the population, were uninsured.

Access to healthcare has become more uncertain in 2025, a period beyond the scope of the report.

More Americans seeking mental health support

The state of mental health among U.S. adults has remained the same in recent years, highlighting ongoing challenges.

“The fact that nearly 1 in 4 adults still report significant struggles, and many describe unmet needs, tells us the system is not meeting demand,” Barbara Sparacino, MD, a board certified psychiatrist with The Aging Parent Coach in Florida, told Healthline.

There may also be more people seeking treatment than before. “I think the U.S. has reduced the stigma around mental health concerns and treatment, which was a big barrier to people receiving help,” said Adrienne Borschuk, PhD, a psychologist at SUNY Upstate.

“Mental health services for children are being integrated into schools and doctors’ offices, which has increased availability for some families,” Borschuk told Healthline.

Loraine Moorehead, LCSW, a therapist in Scottsdale, Arizona, said that the report singles out “primary care treatment, and that is an initiative that is being implemented with Medicaid clients as well: to encourage ongoing preventive mental health care rather than solely crisis care.”

Medicaid emphasized peer support when therapeutic services are not available.

Barriers to mental health care

The report found nearly 27% of adults experience 14 or more days a month during which they were unable to get help for mental health issues due to cost.

In addition, there was just one mental health professional available to every 320 individuals in the United States.

Of adults with substance misuse, 77% did not receive treatment.

Michael Roeske, PsyD, senior director of the Newport Healthcare Center for Research and Innovation, told Healthline that the new report’s findings highlight a “critical gap between awareness and access.”

As the report suggests, the cost of mental health services is likely a barrier to care. Differences in insurance coverage are a significant factor determining the quality of states’ mental health support services.

“I worry that recent changes to medical legislation, including cuts to Medicare and Medicaid, are limiting access to mental health services for those that are most in need,” said Borschuk.

“Social safety net programs, like food stamps and temporary assistance to needy families, which are also being cut, directly impact child brain development, with more robust support associated with healthier brain development and fewer behavioral health symptoms,” she noted.

Sparacino told Healthline that ongoing shortages of mental health professionals, such as psychiatrists, therapists, and psychiatric nurse practitioners, particularly in rural areas, are another factor driving unfavorable mental health outcomes in some states.

In addition to cost, time is another factor. Many people might not be able to take time off work or be away from their families to receive mental health services.

“Having a weekly hourly therapy appointment can be burdensome for people to fit into their schedules, especially if it’s in-person,” Borschuk explained. “Many therapists schedule between 8–5, which can require families to take time off from work or school. A weekly copay can add up to be unaffordable.”

#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

Accessing mental health care wherever you live

Wherever you live, there are resources available to support your mental health.

For younger people, most schools offer mental health services through guidance counselors or on-site psychiatric or psychological services.

For adults, it is often a good idea to begin with one’s primary care provider, who may be able to provide a referral.

Sparacino said that if cost is a factor, telehealth, integrated care in primary practices, sliding-scale clinics, and peer support programs are other options.

Moorehead told Healthline that low-cost or free support may exist nearby, such as graduate school counseling centers and volunteer or pro bono centers.

“Mental health care doesn’t exist in isolation,” said Sparacino. “It’s tied to housing, employment, education, and social supports. Addressing mental health requires not only clinical services, but also investment in the broader determinants of well-being.”

https://standingabovethecrowd.com/james-donaldson-on-mental-health-nearly-1-in-4-americans-live-with-a-mental-illness-heres-how-to-get-help/

- Nearly 1 in 4 U.S. adults experienced a mental illness in 2024, according to a new report.

- Though youth mental illness has improved, it is still in a state of crisis, with 3 million children from 12 to 17 frequently considering suicide.

- Access to mental health care varies from state to state, with needs often going unmet due to a lack of available or affordable services.

Nearly a quarter of all U.S. adults, or around 23%, experienced a mental illness in the past year, according to a new report. That’s nearly 60 million Americans.

The “The State of Mental Health in America 2025” report, issued by Mental Health America (MHA), found that mental health among U.S. adults remained generally the same from 2021 to 2024.

The report also ranks U.S states according to residents’ reported mental well-being and the mental health care available in each state.

New York, Hawaii, and New Jersey have the strongest mental health and mental health services.

The lowest-ranking states for mental health are Alabama, Arizona, and Nevada.

America’s youth continue to face mental health challenges. Around 11%, or 2.8 million young people, experienced a major depressive episode (MDE) that affected their ability to function at school, home, or at a job in 2024.

Even so, there has been a significant improvement in mental health among American youth, with young people reporting MDE dropping from around 18% in 2023 to 15% in 2024.

Suicidal thoughts among young people also decreased in those two years, from around 12% in 2023 to 10% in 2024.

Nearly 3 million young people ages 12–17 reported frequent thoughts of suicide in 2024.

Around 1 in 4 adults with any mental illness (AMI) said they had an unmet need for mental health care in 2022 and 2023. In 2022 and 2023, over 5 million people, or around 9% of the population, were uninsured.

Access to healthcare has become more uncertain in 2025, a period beyond the scope of the report.

More Americans seeking mental health support

The state of mental health among U.S. adults has remained the same in recent years, highlighting ongoing challenges.

“The fact that nearly 1 in 4 adults still report significant struggles, and many describe unmet needs, tells us the system is not meeting demand,” Barbara Sparacino, MD, a board certified psychiatrist with The Aging Parent Coach in Florida, told Healthline.

There may also be more people seeking treatment than before. “I think the U.S. has reduced the stigma around mental health concerns and treatment, which was a big barrier to people receiving help,” said Adrienne Borschuk, PhD, a psychologist at SUNY Upstate.

“Mental health services for children are being integrated into schools and doctors’ offices, which has increased availability for some families,” Borschuk told Healthline.

Loraine Moorehead, LCSW, a therapist in Scottsdale, Arizona, said that the report singles out “primary care treatment, and that is an initiative that is being implemented with Medicaid clients as well: to encourage ongoing preventive mental health care rather than solely crisis care.”

Medicaid emphasized peer support when therapeutic services are not available.

Barriers to mental health care

The report found nearly 27% of adults experience 14 or more days a month during which they were unable to get help for mental health issues due to cost.

In addition, there was just one mental health professional available to every 320 individuals in the United States.

Of adults with substance misuse, 77% did not receive treatment.

Michael Roeske, PsyD, senior director of the Newport Healthcare Center for Research and Innovation, told Healthline that the new report’s findings highlight a “critical gap between awareness and access.”

As the report suggests, the cost of mental health services is likely a barrier to care. Differences in insurance coverage are a significant factor determining the quality of states’ mental health support services.

“I worry that recent changes to medical legislation, including cuts to Medicare and Medicaid, are limiting access to mental health services for those that are most in need,” said Borschuk.

“Social safety net programs, like food stamps and temporary assistance to needy families, which are also being cut, directly impact child brain development, with more robust support associated with healthier brain development and fewer behavioral health symptoms,” she noted.

Sparacino told Healthline that ongoing shortages of mental health professionals, such as psychiatrists, therapists, and psychiatric nurse practitioners, particularly in rural areas, are another factor driving unfavorable mental health outcomes in some states.

In addition to cost, time is another factor. Many people might not be able to take time off work or be away from their families to receive mental health services.

“Having a weekly hourly therapy appointment can be burdensome for people to fit into their schedules, especially if it’s in-person,” Borschuk explained. “Many therapists schedule between 8–5, which can require families to take time off from work or school. A weekly copay can add up to be unaffordable.”

#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

Accessing mental health care wherever you live

Wherever you live, there are resources available to support your mental health.

For younger people, most schools offer mental health services through guidance counselors or on-site psychiatric or psychological services.

For adults, it is often a good idea to begin with one’s primary care provider, who may be able to provide a referral.

Sparacino said that if cost is a factor, telehealth, integrated care in primary practices, sliding-scale clinics, and peer support programs are other options.

Moorehead told Healthline that low-cost or free support may exist nearby, such as graduate school counseling centers and volunteer or pro bono centers.

“Mental health care doesn’t exist in isolation,” said Sparacino. “It’s tied to housing, employment, education, and social supports. Addressing mental health requires not only clinical services, but also investment in the broader determinants of well-being.” https://standingabovethecrowd.com/?p=15932