Mental Health

Mental health is an essential part of a young person’s overall well-being, influencing how they think, feel, and behave. During childhood and adolescence, young people undergo significant emotional, psychological, and social development, and mental health challenges can arise as they navigate this process. Early identification of mental health concerns is crucial for providing timely support and intervention.

Mental health issues in young people can have a profound impact on their school performance, relationships, self-esteem, and ability to engage in everyday activities. It’s important to understand that mental health is just as important as physical health, and seeking help is a sign of strength, not weakness. By offering appropriate support, young people can learn how to manage and overcome mental health challenges, leading to improved overall well-being.

  • 1. Anxiety Disorders

    Anxiety is one of the most common mental health issues affecting young people. Symptoms may include excessive worry, fear, nervousness, and physical symptoms like a racing heart or sweating. Anxiety can interfere with daily life and may present itself as social anxiety, separation anxiety, or generalized anxiety disorder.

    2. Depression

    Depression can cause feelings of sadness, hopelessness, and a lack of interest in activities that were once enjoyable. It can lead to changes in appetite, sleep patterns, and energy levels. In severe cases, depression can lead to suicidal thoughts or behaviours.

    3. Eating Disorders

    Eating disorders, such as anorexia, bulimia, or binge-eating disorder, involve unhealthy eating patterns and can be associated with distorted body image and a preoccupation with weight. These disorders can have severe physical and mental health consequences if not addressed.

    4. Self-Harm

    Self-harm refers to intentionally hurting oneself, often as a way of coping with overwhelming emotional pain. While it may provide temporary relief, it is a sign of deep emotional distress and requires immediate attention and support.

    5. Attention Deficit Hyperactivity Disorder (ADHD)

    ADHD is a neurodevelopmental disorder that affects attention, impulse control, and hyperactivity. Young people with ADHD may have difficulty concentrating, sitting still, or following through on tasks.

    6. Conduct Disorders

    Young people with conduct disorders may exhibit behaviours such as aggression, lying, stealing, and defiance of authority figures. These behaviours can disrupt school, family, and peer relationships and often require targeted interventions.

    7. Obsessive-Compulsive Disorder (OCD)

    OCD involves intrusive thoughts (obsessions) and repetitive behaviours (compulsions) performed to relieve anxiety. Young people with OCD may feel compelled to engage in rituals or routines to prevent something bad from happening.

    8. Post-Traumatic Stress Disorder (PTSD)

    PTSD can develop after a person experiences or witnesses a traumatic event. Young people may experience flashbacks, nightmares, and heightened anxiety, and may avoid situations that remind them of the trauma.

  • Item Recognising the signs of mental health struggles early can help professionals provide the necessary support. Signs to look out for include:

    • Changes in behaviour: Increased irritability, withdrawal from social activities, or sudden outbursts.

    • Mood swings: Extreme emotional reactions, such as feelings of sadness or euphoria that seem out of proportion.

    • Changes in academic performance: Difficulty concentrating, a decline in grades, or a lack of interest in schoolwork.

    • Sleep disturbances: Sleeping too much or experiencing insomnia.

    • Changes in eating habits: Significant weight loss or gain, or an unhealthy focus on food.

    • Physical complaints: Frequent headaches, stomachaches, or other unexplained physical symptoms.

    • Self-isolation: Avoiding friends, family, or social events and spending more time alone.

    • Risky behaviours: Engaging in unsafe behaviours, such as substance use or self-harm.

  • 1. Create a Safe, Non-Judgemental Space

    Offer a space where the young person feels comfortable expressing themselves. Active listening and empathy are key to building trust and helping them open up about their feelings.

    2. Recognise and Validate Their Emotions

    Acknowledge their feelings, whether they’re experiencing anxiety, sadness, or anger. Validating their emotions helps them feel understood and supported, reducing the stigma around mental health.

    3. Encourage Open Communication

    Create opportunities for the young person to talk openly about their emotions and experiences. Avoid pushing them to share before they’re ready, but provide gentle encouragement and be available for ongoing support.

    4. Provide Information About Mental Health Resources

    Guide the young person to appropriate mental health services, whether that’s counselling, therapy, or mental health hotlines. In Wirral, services like Response Drug and Alcohol Service and Wirral Ways to Recovery provide support for mental health challenges.

    5. Promote Healthy Coping Strategies

    Encourage young people to engage in positive coping strategies, such as physical activity, creative outlets, journaling, or practising mindfulness and relaxation techniques.

    6. Address Risky Behaviours

    If the young person is engaging in risky behaviours, such as self-harm or substance misuse, it’s important to address these behaviours in a non-judgemental way. Offer support in accessing professional help for these issues.

    7. Build a Support Network

    Support the young person in building a network of trusted individuals, such as family, friends, and other professionals, who can provide ongoing support and encouragement.

  • As professionals supporting young people, it’s important to recognise the significance of mental and emotional health in their overall development. Adolescence can be a challenging time as young people face various pressures, changes, and emotional challenges. Supporting them in managing their emotions and wellbeing can help them build resilience and develop healthy coping strategies. Below are practical steps you can take to support young people in managing their emotional health:

    1. Encourage Time-Outs and Relaxation

    Young people may feel overwhelmed, especially during stressful times. Encourage them to take a break and engage in activities that help them relax, such as yoga, reading, meditation, or listening to music. A few minutes of stepping back can help them gain perspective and clarity.

    2. Promote Healthy Eating Habits

    Physical health and mental wellbeing are interconnected. Encourage young people to eat well-balanced meals and avoid skipping meals. Recommend energy-boosting snacks to help maintain consistent energy levels throughout the day, which can improve focus and mood.

    3. Emphasise the Importance of Sleep

    Sleep plays a crucial role in emotional regulation. Young people who are sleep-deprived are more likely to experience increased stress, irritability, and difficulty concentrating. Advise them to aim for 7-9 hours of sleep each night, and provide strategies for improving sleep hygiene if needed.

    4. Encourage Regular Physical Activity

    Physical activity is a proven way to improve mental health. Encourage young people to exercise daily, whether through structured activities like sports or informal activities such as walking or dancing. Regular movement helps release endorphins, which can reduce stress and improve overall mood.

    5. Teach Deep Breathing Techniques

    Help young people understand the power of deep breathing when they feel anxious or stressed. A simple technique to teach is inhaling for 3 seconds, holding for 3 seconds, and exhaling for 3 seconds. This technique can help calm the nervous system and allow them to regain control of their emotions in stressful situations.

    6. Help Them Manage Stress with Simple Techniques

    When young people feel overwhelmed, encourage them to pause and count to 10 or 20 slowly. This technique helps slow down their emotional response and provides a moment to reframe their thoughts before reacting.

    7. Focus on Effort, Not Perfection

    Many young people set unrealistically high standards for themselves, leading to stress and disappointment. Encourage them to focus on doing their best, rather than striving for perfection. Help them celebrate their efforts and progress, even if it’s not perfect, to foster a growth mindset and reduce self-criticism.

    8. Help Them Accept What They Can’t Control

    Young people often feel pressure to control everything around them. Teach them to put situations into perspective and understand that they can’t control everything. A simple question like, "Is it as bad as you think?" can help them gain a sense of control over their emotional reactions.

    9. Promote Laughter and Humour

    Laughter is an excellent stress reliever and mood enhancer. Encourage young people to engage in activities that make them laugh, whether that’s watching a comedy, playing games with friends, or enjoying humorous content. Laughter provides a break from stress and can improve overall mental wellbeing.

    10. Foster a Positive Mindset

    Help young people shift from negative to positive thinking. Encouraging them to challenge negative thoughts and replace them with positive affirmations can have a significant impact on their mental outlook. Remind them that it’s normal to face challenges, but their attitude and perspective can help them manage those challenges more effectively.

    11. Encourage Involvement in Social and Community Activities

    Engaging in community activities, volunteering, or participating in group hobbies can provide young people with a sense of belonging and support. Encourage them to get involved in activities that bring them joy and help them build positive social connections.

    12. Be a Supportive Listener

    Sometimes, all a young person needs is someone to listen. Create a safe, non-judgmental space where they can share their feelings. Showing empathy and understanding can help them feel supported and less isolated.

  • Trauma can have profound and long-lasting effects on a person’s mental health. Whether the trauma is physical, emotional, or psychological, it can alter the way a person processes the world around them, impacts their emotional well-being, and influences how they interact with others. Trauma can occur due to a variety of experiences, such as abuse, neglect, the death of a loved one, natural disasters, accidents, or witnessing violence. The effects of trauma can be different for everyone, but the psychological impact can be deeply distressing.

    Emotional and Psychological Effects

    One of the most common responses to trauma is emotional numbness. People may find it difficult to express their feelings, or they may feel disconnected from the world around them. This can lead to a sense of isolation and a feeling that they are unable to connect with others. Some individuals may experience heightened emotional responses, such as intense feelings of sadness, anger, or guilt. These emotions can fluctuate rapidly, and the person may feel like they are out of control of their own emotional state.

    People who have experienced trauma may also develop anxiety or depression. These conditions often arise when the individual struggles to cope with the overwhelming emotions tied to the traumatic event. They may feel constantly on edge, fearing that something bad will happen again, or they may withdraw from life, losing interest in things they once enjoyed. Post-traumatic stress disorder (PTSD) is another mental health condition that can develop after trauma, and it can manifest in flashbacks, nightmares, or intrusive thoughts about the traumatic event. In some cases, individuals with PTSD may avoid situations that remind them of the trauma, which can interfere with daily life.

    Cognitive Impact

    Trauma can also alter how people perceive and think about themselves and others. For instance, self-esteem may plummet, especially if the trauma was the result of abuse or neglect. The individual may feel worthless, unlovable, or incapable of achieving their goals. Cognitive distortions, such as blaming oneself for the trauma or viewing the world as an unsafe place, can become ingrained patterns of thinking. These beliefs may hinder recovery and make it harder to engage in healthy relationships or move forward in life.

    In addition to this, memory issues can arise, with some individuals experiencing difficulty concentrating or recalling events. This is often linked to the emotional toll of trauma, as the mind may have difficulty processing and storing memories in a healthy way.

    Physical Effects

    The psychological effects of trauma also tend to manifest physically. Chronic stress can increase the body’s levels of cortisol, a hormone that is produced in response to stress. Prolonged exposure to high levels of cortisol can contribute to a range of physical health issues, including headaches, muscle tension, insomnia, and digestive problems. Over time, this constant state of stress can compromise the immune system, making individuals more susceptible to illness.

    Trauma may also lead to substance misuse as a coping mechanism. Some individuals may turn to alcohol or drugs to numb the emotional pain, which can further exacerbate mental health issues and create a dangerous cycle of dependency.

    Impact on Relationships

    Trauma often impacts a person’s ability to maintain healthy relationships. Trust can become difficult to establish, and the individual may become overly dependent on others or completely isolate themselves to avoid further pain. The emotional and psychological toll of trauma can also affect the way someone communicates and responds in relationships, leading to misunderstandings, conflicts, or distancing from loved ones.

    Recovery and Healing

    It’s important to acknowledge that the impact of trauma doesn’t have to last forever. Healing is possible, and there are many effective treatment options available, including therapy, counselling, and support groups. Trauma-informed therapies, such as cognitive behavioural therapy (CBT) and eye movement desensitisation and reprocessing (EMDR), can help individuals process and integrate their traumatic experiences in a safe and supportive environment. In some cases, medication may also be prescribed to manage symptoms of anxiety, depression, or PTSD.

    Building a strong support system is another essential component of healing. Having trusted friends, family members, or mental health professionals to talk to can provide comfort and guidance during the recovery process. Practicing self-care, such as mindfulness, regular physical activity, and engaging in activities that promote relaxation, can also help restore balance and emotional stability.

Risk Indicators

Understanding the risk indicators for mental health issues is vital for professionals working with young people. This tool uses a RAG (Low, Increased, High) system to help assess the level of concern based on the young person’s behaviours, emotional wellbeing, and mental health status. Early identification of these indicators can ensure timely support and intervention.

Low Risk

These indicators suggest that the young person is generally managing their mental health well, though they may occasionally experience typical emotional challenges.

Increased Risk

These signs suggest that the young person may be starting to struggle with their mental health. They may need increased support or monitoring to prevent further deterioration.

High Risk

These indicators reflect significant concern, and the young person may be experiencing serious mental health issues. Immediate intervention and support are required.

    • Stable mood: The young person’s mood is generally stable, and they are able to cope with everyday stressors.

    • Engaged in activities: They are participating in school, hobbies, and social activities without signs of withdrawal or disengagement.

    • Positive coping strategies: The young person uses healthy coping mechanisms like talking to friends, engaging in physical activities, or practising mindfulness.

    • Supportive relationships: They have positive relationships with family, friends, and peers, and they seek help when needed.

    • Appropriate emotional expression: The young person is able to express their emotions in a healthy, appropriate way and shows emotional resilience.

    • Increased irritability or mood swings: The young person may exhibit frequent mood changes, irritability, or emotional outbursts that seem out of proportion to the situation.

    • Withdrawal from social activities: They may begin isolating themselves from friends and family, withdrawing from activities they once enjoyed.

    • Sleep disturbances: The young person may experience difficulty sleeping, either sleeping too much or too little.

    • Changes in academic performance: A decline in school performance, difficulty concentrating, or lack of interest in education may occur.

    • Increased use of unhealthy coping mechanisms: The young person may begin using harmful behaviours like excessive social media use, alcohol, or substance misuse to cope with stress or emotions.

    • Decreased self-esteem: They may show signs of low self-worth or express negative thoughts about themselves or their abilities.

    • Heightened anxiety: Increased worry or fear about normal situations, including social situations, schoolwork, or future events.

    • Subtle signs of self-harm or risky behaviours: The young person may exhibit signs of self-harm or engage in risky behaviours, although not frequently.

    • Persistent feelings of sadness or hopelessness: The young person may experience prolonged periods of sadness, worthlessness, or hopelessness, which affect their daily functioning.

    • Self-harm or suicidal thoughts: They may engage in self-harming behaviours or express thoughts about harming themselves or ending their life.

    • Extreme mood fluctuations: The young person may experience intense mood swings, including deep depression followed by periods of extreme euphoria or anger.

    • Withdrawal from all activities: A complete disengagement from social, academic, or extracurricular activities, spending extended periods alone, and avoiding all forms of interaction.

    • Significant change in behaviour: A sudden, unexplained change in behaviour, such as increased aggression, drastic weight loss or gain, or significant changes in appearance.

    • Severe anxiety or panic attacks: Frequent panic attacks or extreme anxiety that interferes with daily activities, such as attending school or socialising.

    • Substance abuse: The young person may begin using substances or alcohol as a way to cope with emotional pain, significantly increasing the risk of addiction or further mental health decline.

    • Difficulty functioning in daily life: Struggling to complete basic tasks, such as going to school, getting out of bed, or maintaining personal hygiene, due to emotional distress.

Resources

Childhood Trauma and the Brain | UK Trauma Council

We All Have Mental Health | Anna Freud

Talking Mental Health | Anna Freud

Moving Up! The transition to secondary school | Anna Freud