Opinion | This Is Not the Way to Help Depressed Teenagers - The New York Times - "Ever since the pandemic, when rates of teenage suicide, anxiety and depression spiked, policymakers around the world have pushed to make mental health resources more broadly available to young people through programming in schools and on social media platforms. This strategy is well intentioned. Traditional therapy can be expensive and time-consuming; access can be limited. By contrast, large-scale, “light touch” interventions — TikTok offerings from Harvard’s School of Public Health, grief-coping workshops in junior high — aim to reach young people where they are and at relatively low cost. But there is now reason to think that this approach is risky. Recent studies have found that several of these programs not only failed to help young people, they also made their mental-health problems worse... Consider a “social-emotional skills training” school program called WISE Teens. Led by clinical psychologists in training, it consists of eight weekly hourlong classroom sessions in which students learn to manage their emotions with the help of tools and principles drawn from cognitive behavior therapy and Zen Buddhism. Last month, the journal Behavior Research and Therapy published a study of 1,071 Australian teenagers who were observed from 2017 to 2018: One group participated in WISE Teens; another group participated in a standard health-class curriculum. Compared with the teenagers who got the standard education, the students in WISE Teens reported more depression, more anxiety, more difficulty managing their emotions and worse relationships with their parents. One out of every eight WISE Teens participants appeared clinically depressed after completing the program, compared with one out of every 13 participants who did the regular health classes. These results are striking but not unique. Last year, an even larger study of a school-based mindfulness program, which looked at more than 8,000 British teenagers in more than 80 schools, found that the program did not improve mental health — and in fact led to worse anxiety and emotional problems, and lower levels of mindfulness skills. Yet another study published last year, which included some 2,500 Australian teenagers, also found that a mental health program made students more distressed... First, by focusing teenagers’ attention on mental health issues, these interventions may have unwittingly exacerbated their problems. Lucy Foulkes, an Oxford psychologist, calls this phenomenon “prevalence inflation” — when greater awareness of mental illness leads people to talk of normal life struggles in terms of “symptoms” and “diagnoses.” These sorts of labels begin to dictate how people view themselves, in ways that can become self-fulfilling. Teenagers, who are still developing their identities, are especially prone to take psychological labels to heart. Instead of “I am nervous about X,” a teenager might say, “I can’t do X because I have anxiety” — a reframing that research shows undermines resilience by encouraging people to view everyday challenges as insurmountable. It’s generally a sign of progress when diagnoses that were once whispered in shameful secrecy enter our everyday vocabulary and shed their stigma. But especially online, where therapy “influencers” flood social media feeds with content about trauma, panic attacks and personality disorders, greater awareness of mental health problems risks encouraging self-diagnosis and the pathologizing of commonplace emotions — what Dr. Foulkes calls “problems of living.” When teenagers gravitate toward such content on their social media feeds, algorithms serve them more of it, intensifying the feedback loop. A second possible explanation for why these programs backfired is that they were provided in the wrong place and to the wrong people. The structure of school, which emphasizes evaluation and achievement, may clash with practicing “slow” contemplative skills like mindfulness. And many of the skills taught in these programs were developed for people coping with severe mental illness, not everyday stresses. These tools might not feel applicable to teenagers who aren’t deeply struggling — and on the flip side, their wide-scale adoption might make them seem too generic and watered-down to teenagers who are truly ill. A third possible explanation is that these interventions offered enough information to highlight a problem, but not enough to fix it. As research has repeatedly shown, the most effective therapies involve not just learning skills but also developing meaningful relationships. Even the most structured cognitive behavioral approaches recognize the value of a strong working therapeutic alliance between therapist and client... In the meantime, those serving up mental health guidance, both online and at school, should be cautious. It’s critical to keep pace with the evidence and attend to the first principle of all health care providers: First, do no harm."
Do no harm: can school mental health interventions cause iatrogenic harm? - "In recent years, there have been extensive efforts in secondary schools to prevent, treat and raise awareness of adolescent mental health problems. For some adolescents, these efforts are essential and will lead to a reduction in clinical symptoms. However, it is also vital to assess whether, for others, the current approach might be causing iatrogenic harm. A growing body of quantitative research indicates that some aspects of school-based mental health interventions increase distress or clinical symptoms, relative to control activities, and qualitative work indicates that this may be partly due to the interventions themselves."
Is It Really Trauma? Rethinking Stress, Resilience, and Identity (Part 2) - "We talk a lot about trauma these days. It’s become almost expected that every difficulty, every disruption, and every emotional wound is described as “traumatic. “But what if we’ve stretched that word too far? What if some of what we’re calling trauma is actually just part of the normal human experience—and what if this misunderstanding is affecting how we create and respond to adolescent distress? In video essays here and here, I highlighted the parallels between Rapid Onset Gender Dysphoria (ROGD) and the repressed memories epidemic of the 80s and 90s. In that exploration, the concept of trauma came up over and over again, and I found myself wondering: how is therapy culture currently defining “trauma,” and is it helping or hurting us?... Bonanno, a grief and trauma researcher, noticed something surprising in his long-term studies: the most common response to potentially traumatic events wasn’t PTSD or prolonged suffering. It was resilience. Even after 9/11, researchers expected a tsunami of long-term mental health problems. What they found instead was that most people, in the long run, were okay. This lines up with something we often forget: humans throughout history have faced unthinkable hardships—war, famine, natural disaster—and yet, generation after generation, we’ve adapted and moved forward. Resilience, it turns out, is the norm, not the exception. In Bonanno’s book, he describes the flexibility mindset. This is a set of traits that consistently predicts resilient outcomes. People with a flexibility mindset demonstrate three powerful qualities:
Optimism about the future – Even amid chaos or fear, they maintain a sense that things can get better.
A challenge orientation – They view adversity not as a death sentence, but as a problem to solve, something to face and work through.
Confidence in one’s ability to cope – This isn’t toxic positivity; it’s the grounded belief that "I can handle what comes my way."
These qualities, Bonanno observed, aren’t just innate—they can be cultivated, especially when modeled and supported by others... A 2017 study examined how people’s mindset about stress impacted their actual physiological response. Participants were shown short videos that framed stress as either helpful or harmful. Then they were put through a stressful mock interview, and researchers measured their biological responses. Those who had been told stress could be helpful not only felt better—they produced higher levels of DHEAs (hormones that counteract the effects of cortisol), performed better cognitively, and even noticed positive social cues more accurately. In contrast, those primed to view stress as harmful were more likely to spiral and miss positive feedback. Stress itself isn’t always the problem. It’s our perception that shapes what happens next. So What Does This Have to Do With Gender-Distressed Teens? A lot. Right now, many teens are operating under a mindset of fragility. Social media, school culture, and even well-meaning parents have taught them to see discomfort as danger, and stress as harmful. With a plethora of mental health diagnoses, giftedness labels, and other special needs, a child’s perceived exceptionality and fragility can become the center of the family’s orbit. If your child has been under the microscope for many years (for a number of different legitimate reasons), this can send the message that he or she is too vulnerable and incapable of being resilient. Furthermore, rather than encouraging adaptive coping, much of social media messaging promotes "co-rumination"—a peer and post-fueled loop of distress, disclosure, suffering for the audience, and validation. Some teens may be engaging in what Bonanno calls "coping ugly": short-term strategies that help them survive a tough moment but don’t serve them long-term. Adopting a trans identity, using a binder, or cutting off social ties might provide temporary relief—but for many young people, these aren’t sustainable or healthy solutions (or even authentic ones, at that). We also have to consider how providers are framing things. The infamous "Would you rather have a dead daughter or a live son?" is the ultimate example of a stress-is-debilitating message. Puberty will literally weaken and destroy your child. One of the most egregious and unethical versions of the fragility narrative. And it’s an outright lie."
Kamala Harris' stepdaughter shares 'trauma' while voting for Mamdani - "Former Vice President Kamala Harris’ stepdaughter, Ella Emhoff, shared with her Instagram followers on Tuesday that she felt "a little trauma" while on her way to vote in New York City’s Democratic mayoral primary. Emhoff revealed that she was voting in the same polling station where she had cast her ballot for her stepmother, who ultimately suffered a crushing defeat in Nov. 2024."
"Trauma" is anything you don't like
MenNeedToBeHeard: Why Are Mental Health Professionals Mocking Men? : r/MensRights - "I'd like to say the therapist showcased at the start of the linked video should have their license revoked for their horrible treatment of men. However, considering the unprofessional state of the mental health industry as a whole, I expect that this type of misandrist attitude is actually a requirement for having a license in the first place. There are still a few good ones out there who truly care about men's mental health – like Tom Golden – but unfortunately they're the exception, not the rule."
"I think it's because the mental health industry has been taken over by a specific ideology that is geared against specially hetero men. There is a sort of anti-patriarchy mantra in that industry, and so if you're male, and hetero, you are part of that patriarchy from their perspective. So they are set up to not be very helpful to you. They'll just tell you that your natural behaviors are a male is all socially constructed, and push you to take on more feminine traits as the true human default of expression and feelings."
"And this is one of the reasons why "just go to therapy" doesn't work for most men"
"This Psychologist talks about it. It’s been taken over by women. Most women are liberal and follow the feminist ideology whether they know it or not. It’s the same problem in the publishing industry. Once a certain amount of women are in the profession, it caters to them and their sensibilities."
The Curious Case of School Counsellor Trauma - "it’s not uncommon to have bad experiences with school counsellors. These counsellors are touted as a respite for students in crisis. Most of the time, they get the job done, and students get the help and guidance they need. But there’s also a subset of people with experiences that are bizarre at best and outrageous at worst. They speak of counsellors breaching confidentiality, getting involved and making predicaments worse for their students, or otherwise leaving the student worse off for approaching them. Even stranger is the fact that it’s secondary school counsellors who seem to behave badly. Most of the people I speak to who’ve sought help at universities have nothing but good things to say."
Is There Moral Incongruence Bias in Some Sex Therapists? - "Moral incongruence theory was introduced about 10 years ago by University of New Mexico psychologist Josh Grubbs, and it has been used to explain why so-called sex addicts don’t have more sex than other people but feel worse about it. When people hold moral beliefs about certain kinds of sexual behavior but still engage in those same behaviors, they are likely to experience shame and guilt, which often leads to depression, distress, and anxiety. Unfortunately, most therapists who promote diagnosis and treatment for sex and porn addiction do little to help resolve these moral conflicts and instead focus on the sexual behaviors. This may be due to moral incongruence in the therapists themselves. Research recommends cognitive behavioral and acceptance and commitment therapies for the treatment of pornography-related difficulties. No research supports treatments that address pornography as an addiction. New research by Justine Meador assessed views of pornography, sex and pornography addiction, and examined personal characteristics of the therapists. Meador collected data from 289 mental health professionals, including 55 certified sex addiction therapists (CSAT). Results revealed that 25 percent of CSATs had a personal history of seeking sex addiction treatment themselves, compared to less than 5 percent of non-CSAT therapists...
Mental health professionals who had higher levels of moral incongruence about their own sexuality were significantly more likely to diagnose porn addiction in other people...
When considering clinical vignettes containing symptoms of depression or bipolar disorder along with pornography use, CSATs tended to diagnose porn or sex addiction rather than clinical diagnoses...
Non-heterosexual therapists were significantly less likely to diagnose porn addiction or recommend porn addiction treatment and less likely to be morally condemning of pornography use.
Republican therapists were the most likely to diagnose porn addiction and had the highest levels of moral disapproval of pornography.
Religious therapists who were higher on a measure of narcissism were more likely than others to diagnose porn addiction.
Therapists who identified as being non-monogamous were less likely to diagnose porn addiction or recommend this treatment."
Joyce Carol Oates on X - "in virtually every advice column the panacea is: "see a therapist." yet, in real life, many therapists with whom we are acquainted are not particularly intelligent or original-thinking persons; they may be good-hearted, sympathetic, but inevitably veer toward a conformist notion of How to Behave. they only know what they've been taught. in one case, a psychoanalyst acquaintance, male, behaved horribly toward his own wife, disinclined to drive her for medical appointments so that she had to appeal to friends. (who stepped forward.) surely ChatGPT would at least say a few cheering-up words to the client floundering in the vicissitudes of adult life, even if they are programmed syllables."
