30
Dec 24

Regulate her Day; Regulate her Mood

Family-on-Bicycles.jpg“Summer vacations can wreck havoc with a teen’s mood, but you can help your teen continue to improve mentally by providing goals and activities for the summer.”

Even if your teen is taking medicine for depression, anxiety, or another mental illness, you can hasten their recovery by making some lifestyle adjustments. The human brain thrives on routine. This is even more critical for someone with mental illness. If your teen is in school, they have an advantage because their day is already regulated for them. One of the best things for our brains is to simply walk outdoors for twenty minutes at the same time each day. The daylight lets our circadian rhythm know that it is daytime, serving as a natural sleep-regulator, and the exercise helps the brain to awaken and sharpen.

Exercise is a great way to boost mood and lower stress. If your teen is trying to decide between physical education and another class, physical education may be a better choice, especially since it does not include homework. If PE isn’t in the cards, an after-school run each day can substitute. A mid-morning snack of fruit or nuts, along with some water, can also keep your teen from mentally slumping. If your teen is on multiple medicines, they may require extra fluids since they can be dehydrating. This can be offset by drinking a large glass of water with the medicine. Some of the psychotropic medicines carry increased risk of overheating or sunburn. It may be too hot for them to exercise outdoors in the summer heat.

Beyond exercise, it is crucial that the teen go to bed at the same time every night. For an hour or two before bed, they should avoid the blue light emitted from glowing television or computer screens, which confuses the brain by making it think it is daylight. Bedtimes and exercise routines often get thrown off on the weekend. As tempting as it is for your teen to sleep in until noon on Saturday, it disrupts the brain’s rhythm. Try to keep the weekend routine as similar to the weekday routine as possible. Your teen may agree to sleep in only one hour later than usual if you promise to make them something special like French toast for breakfast.

Summer vacations can wreck havoc with a teen’s mood, but you can help your teen continue to improve mentally by providing goals and activities for the summer. For example, they may be willing to attend summer school if they knows that they’ll get a study period the following school year. This is a good way to keep them in a healthy routine while also easing the transition back to school.

If summer school is not an option, have your teen set some goals for the summer so that they have some structure, such as volunteering or learning a new instrument that requires daily practice. Ask them to set up a schedule for these activities and agree to a time for waking and bedtime, even if it is later than the school year routine.  As long as they keep to a routine, they’ll be okay, and they can slowly transition back a week or two before school resumes. Have them perform the exercise of their choice at least once a day for 40 minutes to an hour. At a minimum, they can walk the dog each morning and each evening, but establish a set time for the walks. They can make their afternoons unstructured for relaxation. The key is to maintain as close a schedule as possible.


11
Dec 24

Making Peace with Partial Recovery

PartialRecovery“It can take years to reach a state of true recovery, so give it time.”

Sometimes recovery is not as complete as we had hoped. There is the teen who has more or less recovered from depression, but who can’t seem to get motivated to find a job. The girl with schizophrenia who no longer hallucinates but still seems disorganized and confused. The boy with bipolar disorder whose symptoms are gone but who is no longer the outgoing, popular person you remember. Once mental illness sets in, it can change the patient. That’s why early treatment is important and why it’s critical to shut down the symptoms as quickly as possible. Still, even after treatment, you may find that your child has changed. You may even suspect that the medicine itself, which is necessary to control the symptoms, subtly affects your loved one’s personality.

We dream big for our children and we want to see them have as many advantages as possible. It’s okay to grieve the loss of the person you thought your teen would become. Meanwhile, try to focus on the assets your son or daughter currently possesses. You may even find that a new strength emerges. My son used to love reading and it was a challenge for us to find enough books for him. That changed when he became ill. He could no longer read as fast and his comprehension weakened. Even after he was in recovery, he found that he read slower. The odd thing is that he became better at math. He had never enjoyed math because he felt that it lacked room for creativity. But he came to enjoy it and became curious about it. His math grades went up even though he labored through For Whom the Bell Tolls. Think about something your teen does now that they did not do before. They may be motivated by this new ability, and that is something to nurture.

Also, keep in mind that recovery from mental illness is notoriously slow. How long has it been since the medicine and therapy began to make a dent in the symptoms? Six months? Two years? Four? It can take years to reach a state of true recovery, so give it time. I can tell you right now that six months is nothing. Your teen is on the right path and you’re doing all you can. Keep in mind, too, that teens change dramatically even when they aren’t faced with mental illness.

If you suspect that your teen or adult child has stopped taking the medicine, gently ask what is going on with the medicine. Have they run into side effects? Sometimes we suspect a patient of going off of their medicine when, in fact the medicine has stopped working or the dosage needs to be adjusted. If it seems like they have gone off of their medicine but insist they haven’t, go with them the next time they see the psychiatrist. When illness creeps back in due to medicine problems, the patient is often unaware of the changes that have occurred.