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Sep 10, 2009

Peer pressure is one thing that all teens have in common. You can't escape it. It is everywhere. Whether it is pressure to conform to a group norm or pressure to act, peer pressure is something everybody has to deal with at some time in his or her life.

From the time people are quite young, peers influence what they do. During adolescence, that process, known as peer pressure, heightens. Fellow classmates, friends, and members of organizations, groups and teams have far greater influence on what teens think and how they act. They influence how teens feel about controlling their weight and their level of fitness; they affect whether teens take drugs or drink and drive. Of course, peer pressure does not magically disappear when one turns twenty. Many adults are influenced by what their peers say and do. But peer pressure does seem to be strongest during the teen years, and it may have longtime, significant consequences.

Peer pressure may be quite positive. Peers may encourage their fellow teens to study, work hard, be nice to their siblings and other relatives, and help their parents around the house. If a teen’s peers tend to hold outside jobs and do well in school, there is a good chance that the teen will also follow that pattern. Peers may even encourage their fellow teens to exercise more frequently, try out for sports or a theater production, attend religious services or faith-based activities, and dress neatly. If a teen’s peers do not smoke and they stay away from drinking and drugs, there is a good chance that the teen will do the same. Teens who are not sexually active often have peers who are similarly deferring sexual activity. Not surprisingly, goal oriented teens, who plan to attend college or learn a specific skill or trade, gravitate to other teens with similar aspirations.

But peer pressure is also known to be negative. If a teen’s peers are skipping classes, hanging out in gangs, smoking and taking drugs, and having sex—especially promiscuous sex—the teen may be drawn into those behaviors. In fact, some teens become sexually active because they believe it will increase their status among their peers. Peers can persuade their fellow teens that they should carry knives and guns, and they may draw teens into criminal behaviors such as shoplifting and robbery. People who have trouble with the law tend to have peer relationships with others who test the legal system. Even suicides and attempted suicides are known to place peers at greater risk for copycat suicides. It should be evident that teens should pick their peers with a great deal of care.

Why is peer pressure so strong during the teen years? Teens are still trying to determine where they belong. This searching occurs both within and outside their own families. At the same time, teens do not want to appear different; they hope to fit in with other teens and belong to a group.

Though positive peer pressure is to be supported, teens should attempt to reduce the influence of negative peer pressure. Teens should be aware of some of the signs of negative peer pressure such as temptations, taunts and threats. A peer may describe how wonderful he feels when he is high on a certain drug or how much fun he had at a party where there was no parental supervision and just about everyone was drunk. That teen is attempting to entice another teen to follow a similar path. There may be taunts for not participating in certain behaviors, implying that someone is childish or influenced too strongly by parents. Or, there may be threats. For example, a teen might note that unless another teen is willing to share answers to a test or engage in some other form of deception, the friendship is over.

Before they spend time with peers who may exert negative pressure, teens should consider the risks. Are the teens asking their friend to join them for an afternoon of shopping at the mall or do they have another purpose such as shoplifting? Shoplifting is stealing and against the law. Stores prosecute shoplifters. Will the party peers want their friend to attend have no parental supervision? Will there be drinking? Drugs? All of these may have negatives consequences, and, if the police become involved, could impact a teen’s life now and in the future.

Instead of being drawn into negative peer pressure, a teen should think of alternative activities that he enjoys. Rather than attending a party that may have dangerous activity, he should have dinner with a few friends and see a movie. What should a teen do if he is already at a party and friends pressure him to do something he shouldn’t? In general, it is best to leave the party. But, if that is not an option, a teen should try to ignore the offer. If that doesn’t work, he should think of an excuse or make a joke. Other options include changing the subject or countering the challenge. It may be desirable to suggest that true friends don’t put such pressure on their friends. Teens might want to teach themselves to be assertive and practice role play in advance. Avoiding an argument is also a good idea. It is best not to let the situation turn acrimonious or become physically violent. Sometimes, a teen should simply walk away. Teens need to learn to be comfortable when they stand up for what they believe, especially when confronted with negative peer pressure. When something seems to be wrong, it usually is. So, teens should listen to their instincts. And, they must not be afraid to lose a negative friendship. If a peer is trying to steer a teen in a negative course, that is a friend the teen should not have.

Though parents heavily influence the early years, as a child becomes a teen, they repeatedly turn to their friends for advice. But that does not means that the parents should not play a role. It is important for teens to continue open communication with their parents. Teens should recall that their peers have limited lifetime experience. On the other hand, their parents are able to draw on many extra years of know-how. When appropriate, teens should factor in their parents’ input. This is most imperative when confronted with serious decisions and stressors of life. Teens may be surprised at how helpful and instructive their parents may be. And, parents will be pleased that their teens are turning to them for guidance and assistance.

Sep 9, 2009

The following are some of the most common symptoms of teenage depression. These symptoms don’t directly correspond to symptoms of major depression, but they’re similar. A teenager who

meets some of the following will often qualify for a diagnosis of major depression.

Frequent sadness, tearfulness, crying
Teens may show their pervasive sadness by wearing black clothes, writing poetry with morbid themes, or having a preoccupation with music that has nihilistic themes. They may cry for no apparent reason.

Hopelessness
Teens may feel that life is not worth living or worth the effort to even maintain their appearance or hygiene. They may believe that a negative situation will never change and be pessimistic about their future.

Decreased interest in activities; or inability to enjoy previously favorite activities
Teens may become apathetic and drop out of clubs, sports, and other activities they once enjoyed. Not much seems fun anymore to the depressed teen.

Persistent boredom; low energy
Lack of motivation and lowered energy level is reflected by missed classes or not going to school. A drop in grade averages can be equated with loss of concentration and slowed thinking.

Social isolation, poor communication
There is a lack of connection with friends and family. Teens may avoid family gatherings and events. Teens who used to spend a lot of time with friends may now spend most of their time alone and without interests. Teens may not share their feelings with others, believing that they are alone in the world and no one is listening to them or even cares about them.

Low self esteem and guilt
Teens may assume blame for negative events or circumstances. They may feel like a failure and have negative views about their competence and self-worth. They feel as if they are not “good enough.”

Extreme sensitivity to rejection or failure
Believing that they are unworthy, depressed teens become even more depressed with every supposed rejection or perceived lack of success.

Increased irritability, anger, or hostility
Depressed teens are often irritable, taking out most of their anger on their family. They may attack others by being critical, sarcastic, or abusive. They may feel they must reject their family before their family rejects them.

Difficulty with relationships
Teens may suddenly have no interest in maintaining friendships. They’ll stop calling and visiting their friends.

Frequent complaints of physical illnesses, such as headaches and stomachaches
Teens may complain about lightheadedness or dizziness, being nauseous, and back pain. Other common complaints include headaches, stomachaches, vomiting, and menstrual problems.

Frequent absences from school or poor performance in school
Children and teens who cause trouble at home or at school may actually be depressed but not know it. Because the child may not always seem sad, parents and teachers may not realize that the behavior problem is a sign of depression.

Poor concentration
Teens may have trouble concentrating on schoolwork, following a conversation, or even watching television.

A major change in eating and/or sleeping patterns
Sleep disturbance may show up as all-night television watching, difficulty in getting up for school, or sleeping during the day. Loss of appetite may become anorexia or bulimia . Eating too much may result in weight gain and obesity.

Talk of or efforts to run away from home
Running away is usually a cry for help. This may be the first time the parents realize that their child has a problem and needs help.

Thoughts or expressions of suicide or self-destructive behavior
Teens who are depressed may say they want to be dead or may talk about suicide. Depressed children and teens are at increased risk for committing suicide. If a child or teen says, “I want to kill myself,” or “I’m going to commit suicide,” always take the statement seriously and seek evaluation from a child and adolescent psychiatrist or other mental health professional. People often feel uncomfortable talking about death. However, asking whether he or she is depressed or thinking about suicide can be helpful. Rather than “putting thoughts in the child’s head,” such a question will provide assurance that somebody cares and will give the young person the chance to talk about problems.

Alcohol and Drug Abuse
Depressed teens may abuse alcohol or other drugs as a way to feel better.

Self-Injury
Teens who have difficulty talking about their feelings may show their emotional tension, physical discomfort, pain and low self-esteem with self-injurious behaviors, such as cutting.

Teenagers experience depression in a manner very similar to adults, but they may experience their emotions more intensely and with greater volatility. Feeling down about a relationship issue or an upcoming exam is normal. Feeling down for months at a time for no particular reason, however, may be a sign of undiagnosed depression.

Teen depression is a serious issue, but can be helped when you know the symptoms. Though the term “depression” can describe a normal human emotion, it also can refer to a mental disorder. Depressive illness in teenagers is defined when the feelings of depression persist and interfere with the teen’s ability to function.

Depression is fairly common in teens and younger children. About 5 percent of children and adolescents in the general population suffer from depression at any given point in time. Teens under stress, who experience loss, or who have attentional, learning, conduct or anxiety disorders are at a higher risk for depression. Teenage girls are at especially high risk, as are minority youth.

Depressed youth often have problems at home. In many cases, the parents are depressed, as depression tends to run in families. Over the past 50 years, depression has become more common and is now recognized at increasingly younger ages. As the rate of depression rises, so does the teen suicide rate.

It is important to remember that the behavior of depressed children and teenagers may differ from the behavior of depressed adults. The characteristics vary, with most children and teens having additional psychiatric disorders, such as behavior disorders or substance abuse problems.

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