Mental health in adolescents

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Mental health in adolescents

Mental health in adolescents

This information is designed as an educational resource to aid clinicians in providing obstetric and gynecologic care, and use of this information is voluntary. This information should not be considered as inclusive of all proper treatments or methods of care or as a statement of the Mental health in adolescents of care.

It is not intended to substitute for the independent professional judgment of the treating clinician. Variations in practice may be warranted when, in the reasonable judgment of the treating clinician, such course of action is indicated by the condition of the patient, limitations of available resources, or advances in knowledge or technology.

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The American College of Obstetricians and Gynecologists reviews its publications regularly; however, its publications may not reflect the most recent evidence.

Any updates to this document can be found on www. ACOG does not guarantee, warrant, or endorse the products or services of any firm, organization, or person. Neither ACOG nor its officers, directors, members, employees, or agents will be liable for any loss, damage, or claim with respect to any liabilities, including direct, special, indirect, or consequential damages, incurred in connection with this publication or reliance on the information presented.

Mental health disorders in adolescence are a significant problem, relatively common, and amenable to treatment or intervention.

Obstetrician—gynecologists who see adolescent patients are highly likely to see adolescents and young women who have one or more mental health disorders.

Mental health in adolescents

Some disorders or their treatments will affect the hypothalamic—pituitary—gonadal axis, causing anovulatory cycles and various menstrual disturbances. Adolescents with psychiatric disorders may be taking psychopharmacologic agents that can cause menstrual dysfunction and galactorrhea.

Adolescents with mental illness often engage in acting-out behavior or substance use, which increases their risk of unsafe sexual behavior that may result in pregnancy or sexually transmitted infections.

Pregnant adolescents who take psychopharmacologic agents present a special challenge in balancing the potential risks of fetal harm with the risks of inadequate treatment. Although mental health disorders should be managed by mental health care professionals or appropriately trained primary care providers, the obstetrician—gynecologist can assist by managing the gynecologic adverse effects of psychiatric medications and providing effective contraception and regular screening for sexually transmitted infections.

This Committee Opinion will provide basic information about common adolescent mental health disorders, focusing on specific implications for gynecologic and obstetric practice. At least one in five youth aged 9—17 years currently has a diagnosable mental health disorder that causes some degree of impairment; one in 10 has a disorder that causes significant impairment.

The most common mental illnesses in adolescents are anxiety, mood, attention, and behavior disorders. Suicide is the second leading cause of death in young people aged 15—24 years. Adolescents with mental illness often engage in acting-out behavior or substance use, which increase their risk of unsafe sexual behavior that may result in pregnancy or sexually transmitted infections STIs.

During preventive care visits, all adolescents should be screened for any mental health disorder in a confidential setting if allowed by the laws of that locality. The obstetrician—gynecologist has the opportunity to reduce morbidity and mortality associated with mental health disorders in adolescents by early identification, prompt referral, and care coordination.

Introduction At least one in five youth aged 9—17 years currently has a diagnosable mental health disorder that causes some degree of impairment; one in 10 has a disorder that causes significant impairment 12.

Only one third of these youth receive the necessary treatment 3. One half of all serious adult psychiatric disorders start by age 14 years, but treatment often does not begin for 6—23 years after onset 4. Anxiety and mood disorders are two to three times more prevalent in female adolescents than in male adolescents, although the reverse is true for attention deficit disorder.

Obstetrician—gynecologists who see adolescent patients are highly likely to see adolescents and young women who have one or more mental health disorders see Box 1.

Some disorders or their treatments will affect the hypothalamic—pituitary—gonadal axis, causing anovulatory cycles and various menstrual disturbances such as secondary amenorrhea or abnormal uterine bleeding. Adolescents with mental illness often engage in acting-out behavior or substance use, which increase their risk of unsafe sexual behavior that may result in pregnancy or STIs.

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This Committee Opinion provides basic information about common adolescent mental health disorders, focusing on specific implications for gynecologic and obstetric practice. The emphasis is on recognition and referral, rather than specifics of treatment for each disorder. Although substance abuse disorders and eating disorders are included in the spectrum of mental illness and may coexist with other disorders, adequate discussion is beyond the scope of this document.

The American College of Obstetricians and Gynecologists has addressed these issues in other documents 6—9. Additional information on eating disorders is available from the American Academy of Pediatrics HALIFAX, NS (July 5, ) – Approximately 70% of mental illnesses can be diagnosed before the age of 25, which makes adolescence a critical time for mental health promotion, prevention, early identification and effective treatment of mental illnesses.

Most adolescents have positive mental health, but one in five has had a serious mental health disorder at some point in their life. Learn about the impact of mental health disorders in teens.

Mental health and social and emotional wellbeing are key components of any strategy to promote adolescents’ healthy development. This fact sheet presents basic facts about adolescent mental health, outlines barriers to ensuring adolescents are mentally healthy, and makes recommendations for eliminating these barriers going forward. Canadian Developed Adolescent Mental Health Resources Making an Impact in USA HALIFAX, NS (April 26, ) – A Washington State family has turned their grief into advocating for change in the way students learn about mental health. In , Deborah and Will Binion lost their teenage son to suicide. The Mental Health Resources for Adolescents and Young Adults are online resources aimed specifically at adolescents and young adults. Health care providers and youth serving professionals can offer these additional resources or print the PDF one-page reference sheet to adolescents and young adults looking for additional information, including online resources, support groups, peer networks.

Most adolescents experience positive mental health, but one in five has had a serious mental health disorder at some point in their life.

1 Problems with mental health often start early in life. In fact, half of all mental health problems begin by age 2 The good news is that promoting positive mental health can prevent some problems from starting.. For young people who already have mental.

Canadian Developed Adolescent Mental Health Resources Making an Impact in USA HALIFAX, NS (April 26, ) – A Washington State family has turned their grief into advocating for change in the way students learn about mental health.

In , Deborah and Will Binion lost their teenage son to suicide. The Mental Health Resources for Adolescents and Young Adults are online resources aimed specifically at adolescents and young adults.

Health care providers and youth serving professionals can offer these additional resources or print the PDF one-page reference sheet to adolescents and young adults looking for additional information, .

Article: Immigration, citizenship, and the mental health of adolescents. Teen Mental Health -- see more articles; Teen mental health problems -- see more articles The primary NIH organization for research on Teen Mental Health is the National Institute of Mental Health.

Disclaimers. MedlinePlus links to health information from the National.

Mental Health Disorders in Adolescents - ACOG