23
Feb 26

When Your Mentally Ill Teen Reaches Adulthood

Teenager“Encourage your young adult to start managing their own medicine, as well as ordering medicine refills.”

Till now, as the parent, you’ve been in the driver’s seat. Much changes after your teen turns eighteen. With the patient privacy laws, you will no longer be able to make therapy or psychiatry appointments for your teen. You can’t even cancel appointments. Ask your teen to sign a form at the doctor’s office, giving you permission to do these things as well as permission to speak to the doctor about their care.

If you do find yourself in a position where you don’t have permission forms signed, you can still give information to the doctor. For example, let’s say your teen is at college and has been referred to a new psychiatrist but has not signed the permission forms. You can call the doctor’s office and leave a message saying that you realize he cannot call you back, but that you are faxing over a copy of your child’s medicine log. The psychiatrist can listen to your message and look at the information you’ve faxed over without violating any privacy laws. He just can’t acknowledge receipt of them or give you information.

Your young adult will likely choose to remain with the same therapist and psychiatrist. If they are still on your health insurance, order an insurance card for them to keep in their wallet. Have them start making their own appointments. Encourage your young adult to start managing their own medicine, as well as ordering medicine refills. There are a couple different ways to handle medicine refills. They can fill prescriptions at a nearby pharmacy or your health insurance plan may offer a mail order option, whereby they get a 90-day supply of medicine and pay a lower co-payment. This can be helpful to the young person who doesn’t want to deal with monthly refills.  Some of the mail order pharmacies offer the convenience of an automatic refill, faxing the doctor on their own when refills run out.  This can keep a steady supply of medicine coming their way.

Try to help your teen establish an emergency supply of medicine in case they are caught off guard and run out of medicine. If you live nearby, you can keep an emergency supply at home as well. Some college students keep a small safe in their dormitory, in which they keep their medicine and money.


18
Feb 26

Is it Depression or is it Sadness?

Teenager“…sadness is brief, but depression lingers for two weeks or longer.”

If your teen has been through a long depression, they may have forgotten how it feels to be merely sad. In such a case, they may say that they are “depressed again” when really, they are simply sad about a recent event. Similarly, your teen may feel sadness about their past depression. For example, they may feel sad when they hear a song that was popular during their depression. This again is not depression but rather, a form of sadness about a past event. Identifying the emotion correctly will help your teen learn when to ask for help.

If you’re wondering how best to distinguish between sadness and depression, keep in mind that sadness is brief, but depression lingers for two weeks or longer. Sometimes a sad event, such as a romance breaking up, triggers a teen’s depression. Usually, a specific reason can be identified that makes a person feel sad, whereas depression may not be traceable to any cause.

If your teen is depressed, you will notice a profound change in their daily level of functionality. Helpguide.com describes the symptoms of teen depression as follows:

  • Sadness or hopelessness
  • Irritability, anger, or hostility
  • Tearfulness or frequent crying
  • Withdrawal from friends and family
  • Loss of interest in activities
  • Changes in eating and sleeping habits
  • Restlessness and agitation
  • Feeling of worthlessness and guilt
  • Lack of enthusiasm and motivation
  • Fatigue or lack of energy
  • Difficulty concentrating
  • Thoughts of death or suicide

Keep in mind that your teen may not exhibit all or even many of the symptoms listed above in order to have a diagnosis of depression. If some of these symptoms seem familiar, find a therapist who can help. Early treatment will get your teen back to a productive and social state.

See also, Caring for Your Depressed Teen for tips on how to get your teen through depression.