Mental Health & Your Teen Tools, Strategies & Resources
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1 3 rd Annual 22q11DS Family Conference Mental Health & Your Teen Tools, Strategies & Resources Dr. Claire De Souza Child & Adolescent Psychiatrist Medical Director, Consultation-Liaison Psychiatry Program Nov Hospital for Sick Children
2 Disclosure Medication suggestions may include off-label uses which have not been approved for use in adolescents
3 Learning Objectives By the end of this presentation, you should be able to: Describe common mental health problems Know when and where to get help Understand effective strategies and treatments for common mental health problems
4 Outline Types of Mental Health symptoms Understanding the symptoms Diagnoses Interventions What to try at home When to seek help Where to get help
5 Types of Mental Health Symptoms Behaviour Anxiety Social Mood Psychosis
6 1. Behaviour Problems with attention Impulsivity Aggression Oppositional
7 2. Anxiety Anxious Shy Ritualized / repetitive behaviour
8 3. Social Social withdrawal Isolation Immature Poor social skills
9 4. Mood Depressed Sad Bored Mood swings
10 5. Psychosis Hallucinations - hearing voices, seeing things Odd beliefs Paranoia Ideas of reference
11 Understanding the Symptoms Biological Factors Psychological Factors Social Factors
12 1. Biological Factors Medical problems Thyroid, parathyroid, constipation etc Medications Intellectual disability (34-53%) Learning disability (up to 80%) Hearing problems Speech impairment Physical limitations Psychiatric problems Caffeine Family history of mental health problems
13 2. Psychological Factors Problems understanding others Problems expressing self Identifying differences with peers Comparing self to siblings
14 3. Social Factors Problems relating to others (peers etc) Academic problems Being bullied Absences from school
15 Medical Illness & Developmental tasks: age Tasks: Autonomy, identity, appearance, relationships Medical Illness / treatment: Changes to appearance, alienation; dependence Teens may have increased understanding, questions May impact self-esteem, mood, anxiety, behaviour
16 Psychiatric Diagnoses When symptoms / behaviour result in: a lot of distress or problems with functioning Family, social, academic Examples Anxiety Disorders Disruptive Behavioural Disorders Mood Disorders Psychotic Disorders
17 1. Behavioural Disorders Attention-Deficit Hyperactivity Disorder up to 65% Disruptive Behavioural Disorder (7-15%)
18 2. Anxiety Disorders 40-75% Specific Phobia Social Phobia Generalized Anxiety Disorder Obsessive Compulsive Disorder
19 3. Depression in 40 to 60%
20 4. Psychotic Disorders 10% teens * NB Cognitive decline NB 50% may have symptoms
21 Interventions: Therapy, School, Community Therapy Cognitive Behavioural Therapy Social skills groups School Individual education plan informed by psychological testing Linking with a buddy Community Respite care
22 Interventions continued: Medications if moderate-severe ADHD: Stimulants ie Ritalin, Concerta, Biphentin, Adderall, Dexedrine Health Canada Warnings Risk of hallucinations Cardiovascular risk Anxiety, Depression: SSRI antidepressants ie Celexa, Prozac, Zoloft, Luvox Health Canada warning: Risk of agitation, hypomania, restlessness, disinhibition, self-harm Psychosis, Aggression: Atypical antipsychotics ie Seroquel, Risperidone, Olanzapine
23 Approaches: What to try at home Behaviour Set reasonable expectations Reinforce the teen's strengths & positive behaviour Use a calm, consistent approach, firmness with warmth Follow-through with consequences for problematic behaviour
24 Approaches continued Attention, Learning Give clear, simple explanations Provide structure & routine Break down complex tasks Remove distractions Increase support at school as required Individual education plan - small group, structured
25 Approaches continued Anxiety Offer support Reinforce coping strategies
26 Cognitive Behavioural approach Feelings / Body s Reaction Thoughts Situation Actions
27 Approaches continued Social Buddies Structured peer activities Activities of interest Coaching, role playing
28 When to seek help If you are concerned If your child s functioning is affected Academics Social If there is a lot of stress as a result
29 Resources: Where to get help Mental Health Agencies Childrens Mental Health Ontario Mental Health Information American Academy of Child & Adolescent Psychiatry, Facts for Families Canadian Mental Health Association National Institute of Mental Health
30 Resources continued ADHD Mood Anxiety Schizophrenia
31 Resources continued Learning Disabilities Learning Disabilities Association of Ontario Integra Anti-Bullying anti-bullying website Medications Parentsmedguide.org
32 Resources continued Contact the 22q11 team Family doctor / Pediatrician Child & Youth Worker Social worker Psychologist Psychiatrist Local Child & Family Centre
33 Questions?
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