1. STRESS & TEARS Helping Teens Cope Britt Rathbone, LCSW-C, BCD, CGP www.rathbone.info

3. Anxiety www.rathbone.info

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

5. Anxiety Disorders Specific phobia Animal Environment Blood/infection/injury Situational Social anxiety disorder Generalized anxiety disorder Panic disorder Agoraphobia Separation anxiety disorder Obsessive compulsive disorder PTSD www.rathbone.info

7. Anxiety Intensity Duration Impact on functioning www.rathbone.info

8. Depression www.rathbone.info

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

10. Depressive disorders Disruptive mood dysregulation disorder Major depressive disorder Persistent depressive disorder Premenstrual dysphoric disorder Substance or medication induced depressive disorder Bipolar illnesses www.rathbone.info

12. Depression Intensity Duration Impact on functioning www.rathbone.info

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

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

15. Problem Solving Options for painful problems Solve the problem Change how you feel about it Accept it Stay miserable www.rathbone.info

16. Self Care Exercise Eat well Be with people Sleep Relax www.rathbone.info

18. What Can Parents Do? 5 Things Parents Can Implement Immediately 1. Model problem solving and flexibility (out loud) 2. Demonstrate compassion 3. Support and model social activity (appropriate to temperament) 4. Encourage and model exercise 5. Display acceptance www.rathbone.info

19. BRITT RATHBONE LCSW-C, BCD, CGP 301-229-9490 www.rathbone.info