Mental Health and Well-Being in Middle and Late Adolescence
Mental Health and Well-Being in Middle and Late Adolescence
Big Idea: You are psychologically healthy if you are free from mental or
emotional disorders.
Objectives:
At the end of the module, you will be able to:
(adapted from Mental Health Kit (Junior High School)–Be Kind to Yourself and Others
http://www.albertahealthservices.ca/assets/programs/ps-7344-body-image-gr7.pdf)
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SELF ESTEEM AND BODY ESTEEM
Does any of this sound familiar? "I'm too tall." "I'm too short." "I'm too skinny." "If only I
were shorter/taller/had curly hair/straight hair/a smaller nose/longer legs, I'd be happy."
Are you putting yourself down? If so, you're not alone. As a teen, you're going through
lots of changes in your body. And, as your body changes, so does your image of
yourself. It's not always easy to like every part of your looks, but when you get stuck on
the negatives it can really bring down your self-esteem.
Self-esteem is all about how much you feel you are worth — and how much you
feel other people value you. Self-esteem is important because feeling good about
yourself can affect your mental health and how you behave.
People with high self-esteem know themselves well. They're realistic and find friends
that like and appreciate them for who they are. People with high self-esteem usually feel
more in control of their lives and know their own strengths and weaknesses.
Body image is how you view your physical self — including whether you feel you
are attractive and whether others like your looks. For many people, especially
people in their early teens, body image can be closely linked to self-esteem.
a. Anorexia
People with anorexia have a real fear of weight gain and a distorted view of their
body size and shape. As a result, they eat very little and can become
dangerously underweight. Many teens with anorexia restrict their food intake by
dieting, fasting, or excessive exercise. They hardly eat at all — and the small
amount of food they do eat becomes an obsession in terms of calorie counting or
trying to eat as little as possible. Others with anorexia may start binge eating and
purging — eating a lot of food and then trying to get rid of the calories by making
themselves throw up, using some type of medication or laxatives, or exercising
excessively, or some combination of these.
b. Bulimia
Bulimia is similar to anorexia. With bulimia, people might binge eat (eat to
excess) and then try to compensate in extreme ways, such as making
themselves throw up or exercising all the time, to prevent weight gain. Over time,
these steps can be dangerous — both physically and emotionally. They can also
lead to compulsive behaviors (ones that are hard to stop).
To have bulimia, a person must be binging and purging regularly, at least once a
week for a couple of months. Binge eating is different from going to a party and
"pigging out" on pizza, then deciding to go to the gym the next day and eat more
healthfully
People with bulimia eat a large amount of food (often junk food) at once, usually
in secret. Sometimes they eat food that is not cooked or might be still frozen, or
retrieve food from the trash. They typically feel powerless to stop the eating and
can only stop once they're too full to eat any more, or they may have to go to
extreme measures (like pouring salt all over a dessert to make it inedible) in
order to get themselves to stop eating. Most people with bulimia then purge by
vomiting, but also may use laxatives or excessive exercise.
Although anorexia and bulimia are very similar, people with anorexia are usually
very thin and underweight, but those with bulimia may be an average weight or
can be overweight.
2. Anxiety disorder
Include phobic disorder, panic disorder, and obsessive-compulsive disorder,
which are all characterized by excessive fear, anxiety and related behavioral
disturbance.
a. Phobic anxiety is accompanied by physical symptoms such as trembling and
palpitations (Rapee and Barlow, 2001).
b. Panic disorder or panic attacks are characterized by an abrupt surge of
intense fear or discomfort.
Physical symptoms such as fainting, sweating, palpitations, chest pain, and
dizziness are manifestations of anxiety disorder. Also, adolescents with anxiety
disorders have a fear of “going crazy.”
5. Conduct disorder
It is characterized by repeated pattern of behaviors in which the basic rights of
others are violated. At times, persons with conduct disorder are even violating
policies, rules, and regulations. Teenagers who have this disorder are commonly
labeled as delinquents (Santrock, 2012). Juvenile delinquency refers to illegal
act by a minor, and it emphasizes the criminal as well as the legal aspects of the
behavior (Dacey and Kenny, 1997). According to Erikson, one of the
developmental tasks during the adolescence stage is the ability to establish an
identity. Delinquency, although a negative identity, is an attempt to establish
one’s identity.
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6. Personality disorders
Disorder Meaning
9. Computer addiction
Computer addiction is characterized by an excessive use of the computer or
Internet. Computer addicts are preoccupied with online activities and may
demonstrate compulsive behaviors in using the computer or Internet. They find it
difficult to regulate themselves in using the Internet or the computer; their
addiction already interferes with their usual daily activities such as going to
school, attending personal needs such as eating and taking a bath. This
addiction may affect social relationships at home and at school.
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Post-Activity 1: SIGNS OF TROUBLE: DEPRESSION
Put a check mark under the Column Yes or No for each of the items below:
Yes No
Test Your Mood
Do you feel sad, depressed or down most of the
time?
Are you unable to enjoy the things that once gave you pleasure?
1. Family situations
The parents’ inability to deal with their own stressors is normally felt by the
children, affecting their psychological well-being. Thus, at times, they would refer
to friends and look for someone who can understand their situation.
2. Socio-economic factors
Poverty is associated with mental health and psychological well-being. In a study
conducted by World Health Organizations (WHO), common mental disorders are
about twice as frequent among the poor as among the rich. People with the
lowest socio-economic status have higher risks for schizophrenia, and that
people who experience hunger and debt are more likely to suffer from common
mental disorders. This implies that because of poverty, some families do not
have money to buy food and medicine. The lack of money due to the
unavailability of jobs may contribute to poor mental conditions.
3. School-related factors
a. Bullying
Republic Act 10627 or the Anti-bullying Act of 2013 states that
“bullying shall refer to any severe or repeated use by one or more students of
a written, verbal and electronic expression, or a physical act or gesture, or
any combination thereof, directed at another student that has the effect of
actually causing or placing the latter in reasonable fear of physical or
emotional harm pr damage to his property; creating a hostile environment at
school for the other student; infringing on the rights of the other student at
school; or materially and substantially disrupting the education process or the
orderly operation of the school.”
Victims, may become less connected with their peers because they
lose trust with others; hence, they develop poorer relationships with
others; may experience loneliness, isolation, anxiety, and even
depression; also they may take less part in extracurricular activities
and may have a decreased motivation to study.
Bullies, experience psychological problems such as high levels of
anger and depression, decreased academic achievement,
loneliness, and isolation; they may also take less part in
extracurricular activities and may experience a decreased
motivation to study.
b. Peer Pressure
At some point in our life, we all experience pressure from our peers. But peer
pressure is very common in our academic years. We are sometimes forced
to follow a certain group just to be accepted. Hence, we allow others to
influence our decisions and actions.
On November 2, 2007, 12- year old, Mariannet Amper hanged herself
with a thin nylon cord inside their makeshifthouse in hillside community at
the back of the Yniguez Subdivision in Maa District, Davao City. The day
before, her father Isabelo told her that he could not provide the P100.00 she
needed for a school project because he did not have the money, but he would
ask her mother, Magdalena if she could get some money for her. The next
morning, however, Mariannet’s father was able to get a P1, 000.00 cash
advance from a construction project. By the time Isabelo reach home,
Mariannet has hanged herself.
Among Mariannet’s things, they found her school diary that contain
her laments over their poor condition. On October 5, she wrote that she and
her brother Reynald had been absent from school for a month and that
Christmas was drawing near. They had been skipping school because they
did not have allowance for food and transportation. On October 14, they
were not able to go to Church due to lack of fare money and her father was
down with fever,so she and her mother did some laundry instead.
HELP HOW-TO’S
When dealing with mental health or emotional problems, it’s important not to go at it
alone. Healing is a combination of helping yourself and letting others help you. Comfort
and support, information and advice, and professional treatment are all forms of help.
Think of all the people you can turn to for support. These are people who are concerned
about you and can help comfort you, who will listen to you and encourage you, and who
can help arrange for treatment. In other words, find caring people in your life who can
help you.
These people might include:
friends
parents and other family members
someone who seems “like a parent” to you
other adults whose advice you would value—perhaps a favorite teacher or
coach, a member of your church or other place of worship, or a good
friend’s parent.
Research shows that males are more reluctant to look for help and receive it than
females are. While some people may have difficulty reaching out to others they trust,
taking the first step in getting help is important for everyone to do.
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HEALTHY EATING AND MENTAL HEALTH
Healthy eating nourishes the body, including the brain, and supports mental health
through:
Improved overall health and vitality
Increased ability to concentrate
Reduced irritability and mood swings
Lowered risk of mental illness
There is some evidence that healthy eating may be a factor in lowered risk of
depression and improved ability to deal with stress and anxiety (Healthy U Alberta,
2009).
Physical Activity and Mental Health:
Physical activity can make you feel good physically and build confidence Evidence
suggests that physical activity may contribute to improved mood and increased self-
esteem, self-confidence and sense of control (UK Dept of Health, 2004; Fox, 1999).
Some types of physical activity may provide an opportunity to connect with others and
develop supportive relationships. Getting physically active may (CSEP, 2011):
Make you feel better physically and feel better about yourself.
Improve your mood.
Improve self-esteem
Reduce physical reactions to stress.
Help you sleep better.
Give you more energy.
Journal Writing: Pretend that you are Abby. Write an answer to the letter
writer “Tired at School”.
Dear Abby,
Tired at School
Write in the rows below your activities before you went to sleep, starting on the
day in the week that you begin with: Sunday, Monday, Tuesday, Wednesday,
Thursday, Friday, Saturday.
Day Time went What was I doing before I Did this affect
to sleep went to bed? what time you
went to sleep?
Examples:
Playing a sport
Playing a video game
Reading a book
Watching TV
Talking on the phone
Yes No
Texting with friends
Hanging out with friends
Others
1.
2.
3.
4.
5.
6.
7.
Source: http://www.albertahealthservices.ca/assets/programs/ps-7344-mhk-jhs-manual.pdf
Instructions:
1. The following are mental disorders commonly observed among teenagers:
a. Eating disorders
b. Depression
c. Antisocial behaviors
d. Anxiety disorders
e. Personality disorders
f. Drug dependency or addiction
g. Mood disorders
h. Schizophrenia
i. Other psychotic disorders
2. From the disorders written, choose one that you wish to explore more about.
3. Identify a person whom you can interview such as guidance counselor, prefect of
discipline, teacher, social worker, nurse, psychiatrist, and psychologist.
4. Come up with a list of pertinent questions to the interviewee. You can jot down
the answers or you can use a video recorder to document the interview. Make
sure to ask permission from the interviewee first.
5. Consolidate the answers and prepare a written report. Follow this outline on your
report:
a. Nature of disorder
b. Cause or origin of the disorder
c. Occurrence of the disorder
d. Prevention and intervention
6. Finally, you have to consider the following:
a. The length of the report should be 5 pages up.
b. Use Times New Roman font and 12 as the font size.
c. Double space
d. Observe one inch in all sides.
e. Use short bond paper.
7. Insert photos of you and the interviewer as well the interviewees profile as proof
of your interview at the back of your report.