More than half of the world’s population–4.55 billion people–currently uses social media.[1] Of children in the U.S., 84% aged 13-18 and 38% aged 8-12 use social media.[2] We spend an average of 2 hours and 27 minutes each day on social media.[1] 

Whether we need it or not, it’s safe to say that social media isn’t going anywhere anytime soon.

In our recent webinar, “Addressing the effects of social media on kids,” we learned that 90% of the participants believe the overall impact of social media on their kids is negative. While many parents are concerned about their children’s use of social media and how it’s affecting their mental health, there are things we can do to protect them.

In this post, we will cover behaviors to watch for in a child who may be struggling due to effects from social media, as well as tips and resources to help in moderating their social media use.

Signs that social media may be negatively impacting a child​

In our webinar during Mental Health Month, 94% of participants expressed worry that social media is impacting their child. If you find yourself in a similar situation, trust your gut and watch for any of the following, which could be signs of an unhealthy relationship with social media.

1. Isolation–Do you find that your child is spending a lot of time alone and on their phone, computer or other device? Are they avoiding in-person time with friends and family?
2. Poor mood after exposure–Does your child seem happy or unhappy after they’ve been on social media? Try to get a sense of their mood during or just after social media use.
3. Irritability or angry outbursts–Does their anger seem misplaced or are they exhibiting these behaviors for seemingly no reason?
4. Doesn’t want to go to school–Does your child seem to dread going to school each day, or are they actively trying to get out of it? Talk to your child to get an understanding of why they may be avoiding school.
5. Falling grades–Are you noticing bad test scores or falling report card grades? Pay close attention to negative grade fluctuations which could be a reflection of more than just how much studying and learning is taking place.
6. Decreased interest in offline activities–Are they participating less in activities they have always enjoyed or showing little interest in new activities, such as sports, arts and crafts, and other hobbies?
7. Headaches or upset stomach–Do they seem to have more frequent complaints about not feeling good? Reoccurring physical health conditions can manifest from stress and mental health challenges.
8. Deteriorating mental health–Are you noticing that your child just doesn’t seem like their normal happy self? Talk to your children each day about their feelings and be cognizant of any signs of depression, anxiety or mood changes.

Helping your kids have a healthy relationship with social media

If you notice any of the above signs in your children, it may be a result of negative impacts from their use of social media. Set your kids up for success with these proactive tips and resources for when there may be a problem.

1. Talk about the risks, traps and dangers and keep an open dialogue–It’s critical to help your kids understand the realities of social media. Talk with them about adult predators who pose as friends their age, how all of the happy pictures of friends and even strangers don’t show the whole picture, and how negative comments can be deeply hurtful and follow the person who posts them forever.
2. Set up parental controls and monitor activity–Find helpful resources with these guides:

• Tom’s Guide, “The best parental control apps for Android and iPhone 2022”​
• Common Sense Media, “Parents’ ultimate guide to parental controls”

3. Balance screentime and face-to-face time with family and friends​–Despite the negative impacts, there is also much positivity that can come from social media. While it may be easy to get sucked in, as social media is designed to do just that, it’s important to remind your kids about all that the real world and people around them have to offer.
4. ​​Post and seek out positive content–Explain to your kids that we can all help to keep social media a positive place by being respectful in our comments and understanding of different perspectives. Help them understand that they should seek out social media interactions that make them feel good about themselves and provide a healthy sense of connection with others.
5. Encourage good sleep​ and exercise–​We’re not usually at our most active when on social media. We must encourage our kids to keep up their physical activity, which will benefit their physical health and mood. A healthy sleep routine will also provide benefits for kids in all aspects of their lives, and it’s important not to let social media interfere with sleep.
6. Utilize resources on cyberbullying:

• StopBullying.gov, “Prevent cyberbullying”​​
• Substance Abuse and Mental Health Services Administration (SAMHSA), KnowBullying mobile app​
• UNICEF, “Cyberbullying: What it is and how to stop it”

7. Model good behavior–Just like kids, parents and caregivers are susceptible to having an unhealthy relationship with social media. Remember these tips when balancing your own on- and off-screen time because your kids are watching.
8. Seek professional help​ when needed–If you suspect that your child is struggling, reach out to their doctor or mental health professional for support and treatment options.​

For many parents, today’s digital world is very different from the one in which they grew up. Navigate this ever-changing environment with your kids and keep an open dialogue about the realities of social media beyond the glitz and glamour that appears on the surface, as well as alternative sources for contentment, inspiration and social connection.

Learn more about social media and kids

Find the recording of our webinar, “Addressing the effects of social media on kids,” where I, along with other children’s behavioral health experts, address this important issue and answer audience questions here.

Additional webinar resources:

• AACAP Social media and teens
• CDC data and statistics, children’s mental health​
• SAMHSA 2020 National Survey of Drug Use and Health Youth Mental Health Trend Tables​
• December 7, 2021, HHS press release on the Surgeon General’s Advisory addressing the youth mental health crisis
• October 19, 2021, AAP-AACAP-CHA declaration of a national emergency in child and adolescent mental health​
• ​Social Media Today, “The history of social media [Infographic]”​
• Journal of education and health promotion,“Effective use of social media platforms for promotion of mental health awareness”​
• ​Journal of technology in behavioral science, “Social media and mental health: benefits, risks, and opportunities for research and practice”​
• ​World Psychiatry, “Youth mental health: risks and opportunities in the digital world”​
• Journal of technology in behavioral science, “Social media and mental health: benefits, risks, and opportunities for research and practice”​
• Journal of youth and adolescence, “Exposure to social media racial discrimination and mental health among adolescents of color”​
• World Psychiatry, “Youth mental health: risks and opportunities in the digital world”​
• American Psychological Association, “Social networking’s good and bad impacts on kids”​
• Mayo Clinic, “Tween and teen health”​
• WebMD, “Teens on social media too much? What experts want you to know.”​
• Cleveland Clinic, “Effects of social media on children”​
• Experian, “7 ways to protect your kids on social media”​
• Family Education, 5 ways social media affects kids’ mental health (and how parents can help!)

[1] Statusbrew, “100 social media statistics you must know in 2022 [+Infographic]”

[2] Common Sense Media, “The Common Sense Census: Media use by tweens and teens, 2021”

It was hard enough for kids without social media. Many of our older readers will remember… We compared ourselves to others, but it happened mostly in-person at school or events, or when we consumed one-way media like TV or magazines. While it could be hurtful, we still got a break at home, while riding in a car, or for much of the rest of the day, as we didn’t have smartphones. We became the subject of gossip, but we had the benefit of an imperfect “grapevine” that took longer to spread information, and likely, we didn’t even always hear about it. And we played the popularity contest, but we could never be sure just who were the winners and losers.

We’ll dive into these issues in this post and you can learn more by watching a recording of our webinar, “Addressing the impacts of social media on kids,” here.

Kids’ self-image and social media

Social media makes it easy—and even entertaining—to endlessly scroll through the latest and greatest images of our friends, celebrities, and perfect strangers. We get to see the best of everyone all the time. If any one of our friends isn’t posting their best on any given day, we’re seeing someone else who is posting their best. This can put undue pressure on our kids to attain perfection, as they are developing their self-image and self-esteem.

For kids, and us all, there is tremendous value in limiting the time we spend on social media and understanding that what we see there isn’t usually the full picture. Social media can provide a great sense of connection with others, along with many other positive impacts, but life outside of it can be refreshing and cleansing when we focus on all that we have and want to do.

Social media and cyberbullying

It’s a lot easier to be mean to someone when you’re not doing it to their face. With social media, not only is it easy for a bully to target another child from behind the protection of their screen, but they can do so publicly for classmates and the world to see and weigh in with opinions, or even just a “like,” on the matter. This ruthlessness can be humiliating and overwhelming for the victim, and lead to serious mental health concerns.

As our kids’ gossip and squabbles naturally pervade and have the potential to be broadcasted instantaneously on social media for all to see, let’s talk to them about leaving the negativity off of social media and focusing on positive messages that will ultimately reflect better on us all. If your child is a victim of cyberbullying, find resources at https://www.stopbullying.gov/cyberbullying/prevention and learn more in our webinar on May 11.

Our kids’ popularity, quantified

Our kids’ popularity is now quantified and displayed on social media. They have a number of followers, and every time they post, it’s assigned a number of likes and comments. Is this environment creating additional pressure for our kids to be liked and drive up their social stats at the risk of harming their mental health in the process?

While we can’t make a direct correlation with kids’ use of social media, we know the prevalence of depression among adolescents aged 12–17 has steadily increased–and more than doubled–from 8% in 2010 to 17% in 2020, and that certain demographic groups have been disproportionately affected, including girls, of which the prevalence of depression has increased from 11.9% in 2010 (4.4% among boys) to 25.2% in 2020 (9.2% among boys).[1]

We know our kids are much more than the number of likes they receive on a social media post. It’s important that we talk to our kids about what is really important and build up their self-worth through meaningful activities that stimulate their learning and interests, and help others.

On May 11 Magellan Healthcare hosted a webinar, “Addressing the effects of social media on kids,” for Mental Health Month with former Magellan child psychiatrists, Dr. Keith Brown and Dr. LaShondra Washington, and Senior Director Children’s Healthcare Barbara Dunn, and Creator of Magellan Youth Leaders Inspiring Future Empowerment Greg Dicharry. Watch a recording of the webinar at https://www.magellanhealthcare.com/event/addressing-the-effects-of-social-media-on-kids/.

[1] SAMHSA 2020 National Survey of Drug Use and Health, Youth Mental Health Trend Tables

Obstructive sleep apnea (OSA) has been linked to an increased risk of physical health problems, including high blood pressure, heart disease, stroke, and diabetes. But how does OSA affect your ability to think clearly, learn and remember, and your emotional psychological, and social wellbeing?

If you have ever worked a 24-hour shift or experienced back-to-back days of poor sleep, it probably comes as no surprise to hear that OSA has been linked to cognitive and mental health issues. OSA causes frequent breathing interruptions, or apneas, while you sleep—as many as 30 per hour. OSA is associated with:

1. Trouble concentrating—OSA can lead to significant changes in two important brain chemicals, gamma-aminobutyric acid (known as GABA) and glutamate. Together, these two chemicals help maintain balance. People with OSA may have decreased levels of GABA and elevated levels of glutamate. GABA is a chemical messenger that acts as an inhibitor in the brain. It slows things down and helps you remain calm. Glutamate, on the other hand, speeds things up. When your glutamate levels are high, your brain is working in a state of stress and does not function as effectively.[1] Glutamate in high amounts has also been shown to contribute to brain damage.
2. Memory problems—Throughout the night your body fluctuates through different sleep stages, allowing your brain to process and sort out all the information it has gathered throughout the day. OSA stops the flow of oxygen to your brain or completely cuts it off multiple times during the night, robbing your ability to reach deep and restorative sleep These frequent disruptions can contribute to memory loss and have a negative impact on overall brain performance.[2]
3. Poor decision-making—Sleep is essential in maintaining brain health and contributes to your ability to learn and recall information. A lack of sleep caused by OSA can cause frequent problems with attention and concentration. If you suffer from OSA, you may have trouble focusing at work or school, being creative, solving problems, and making decisions.[3]
4. Depression and stress—OSA can cause hundreds of interruptions in your breathing during the night, which can set off a constant fight-or-flight response. You may wake up suddenly with your heart racing, sweating, and a feeling of doom. This can carry over into the daytime, causing you to feel run-down and sleepy and your body to be without the energy it needs to protect you against depression and stress.[4]

The good news about obstructive sleep apnea’s impacts on cognitive and mental health

While OSA can negatively impact your day-to-day life, there is hope. The harmful cognitive and mental health effects of OSA can be reversed with treatment. For some, this may mean lifestyle changes. For others, it may mean continuous positive airway pressure, or CPAP—a machine that helps you sleep easier.

Want to learn more about obstructive sleep apnea?

Find the recording of our webinar, “Obstructive sleep apnea: Impacts, diagnosis and treatment,” to hear board-certified somnologist and neurologist, Dr. Karen Jablonski, physician clinical reviewer, Magellan Healthcare, and I discuss the mental and physical health impacts of OSA, and OSA diagnosis and treatment here.

[1] https://newsroom.ucla.edu/releases/sleep-apnea-takes-a-toll-on-brain-function#:~:text=They%20found%20that%20people%20with,calm%20%E2%80%94%20like%20a%20brake%20pedal.

[2] https://goodsomnia.com/blog/snoring-sleep-apnea/can-sleep-apnea-cause-memory-problems/

[3] https://www.sleephealthsolutionsohio.com/blog/sleep-apnea-and-brain-health/

[4] https://www.everydayhealth.com/sleep/sleep-apnea-link-depression-anxiety/

Men, women, and children. Black and white. Rich and poor. Depression affects Americans from all walks of life, regardless of age, gender, race, ethnicity, and socioeconomic status. In fact, the Centers for Disease Control and Prevention estimate that one in thirteen of us is living with depression.[1]

• In 2019, nearly 13 million U.S. adults and 2.7 million U.S. adolescents had at least one major depressive episode with severe impairment in the past year[2], including:
  • Almost 10% of females and 6.0% of males[3]
  • Approximately 15% ages 18-25, 9% ages 26-49, 5% ages 50+[4]
  • About 7% Hispanic or Latino, 9% White, 6% Black or African American, 5% Asian, 4%[5] Native Hawaiian/Other Pacific Islander, 9% American Indian/Alaskan Native[6]
• About 31% of Americans in poverty and almost 16% of those not in poverty report having been diagnosed with depression [7]

Recognizing signs of depression

Depression is often referred to as a silent illness. Many people who suffer from depression secretly struggle and never seek help. Signs and symptoms of depression include:

• Low mood or increased irritability
• Feeling empty or numb
• Loss of energy or motivation
• Loss of interest in regular or recreational activities
• Feelings of guilt, restlessness, hopelessness, worthlessness or fear
• Sleeping too much or too little
• Changes in appetite or eating behavior
• Poor concentration
• Suicidal thoughts

If you or someone you love is experiencing any of the common risk factors and warning signs associated with depression, online or in-person depression screening is the first step toward improved mental health and wellbeing.

Benefits of depression screening

Screening is a valuable tool in the identification and treatment of depression. One of the most common screening tests for depression is the Patient Health Questionnaire (PHQ). Early identification and treatment of depression can:

• Slow its progress
• Improve your physical health
• Prevent years of suffering
• Decrease the risk of death by suicide
• Place you on the path to a happier, healthier life

Visit here to complete the PHQ-8. Once you complete the assessment, be sure to review your results and any recommendations with your doctor.

Who should take a depression screening test?

The U.S. Preventive Services Task Force recommends screening for depression in the general adult population, including pregnant and postpartum women. Although anyone can develop depression, regardless of their age, ethnicity, or background, depression is more common among people who:

• Have a family history of mental illness
• Have another mental health condition, like anxiety
• Struggle with a substance use disorder, like drug addiction or alcoholism
• Recently experienced a stressful life change or traumatic event

However, anyone who has any signs of depression should take a depression screening test.

Screening and treatment

While screenings are not a professional diagnosis, they do point out the presence or absence of depressive symptoms and can indicate if a referral for further evaluation is needed. You should see your doctor or a qualified mental health professional if you experience five or more depression symptoms for longer than two weeks or if the symptoms are severe enough to interfere with your daily routine.

Proper treatment of depression has been proven to effectively reduce depressive symptoms, decrease the risk of relapse and recurrence, and decrease emergency department visits and hospitalization rates.

Learn More

Visit Magellan’s Behavioral Health Resources page to learn more about depression and other mental health conditions.

If you’re in crisis or have suicidal thoughts, seek help immediately. Please call 1-800-273-8255 (National Suicide Prevention Lifeline) or call 911 and ask for help, or go to your nearest emergency room.

[1] https://www.cdc.gov/tobacco/campaign/tips/diseases/depression-anxiety.html

[2] https://www.nimh.nih.gov/health/statistics/major-depression

[3] https://www.nimh.nih.gov/health/statistics/major-depression

[4] https://www.nimh.nih.gov/health/statistics/major-depression

[5] https://www.nimh.nih.gov/health/statistics/major-depression

[6] https://www.nimh.nih.gov/health/statistics/major-depression

[7] https://news.gallup.com/poll/158417/poverty-comes-depression-illness.aspx

Even before the COVID-19 pandemic entered our world, the prevalence of mental illness and suicidal ideation in the US was increasing. In 2019, 61.2 million American adults (24%) had a mental illness and/or substance use disorder, an increase of 5.9% over 2018.[1] Depression – a sad mood that lasts for a long time and interferes with normal, everyday functioning – for those under age 50 increased steadily from 2016 to 2019:[1]

• 6% increase among those aged 12-17
• 1% increase among those aged 18-25
• 6% increase among those aged 26-49

From 2009 to 2019, suicidal thoughts, plans and attempts increased among:[1]

• Young adults aged 18-25, 95%, 98.8% and 62.4%, respectively
• Adults aged 26-49, 23.3%, 50% and 24.5%, respectively

Increased stressors brought about by the pandemic – grief and loss, social isolation, financial instability, fear, etc. – have exacerbated the state of mental health in the US. More people from January – September 2020, compared to all of 2019, sought help for anxiety (93% increase) and depression (62% increase).[2] Since COVID-19 began, suicidal ideation in the US has more than doubled, with younger adults, racial/ethnic minorities, essential workers, and unpaid adult caregivers experiencing disproportionately worse effects.[3]

Recognizing the symptoms of depression

Depression can have different symptoms depending on the person, but in most people, a depressive disorder changes how they function day-to-day, and usually for more than two weeks.

Learn the FACTS:

• Feelings: Being extremely sad and hopeless, losing interest or enjoyment from most daily activities
• Actions: Exhibiting restlessness or feeling that moving takes great effort, having difficulty focusing, concentrating on things, or making decisions
• Changes: Gaining or losing weight due to changes in appetite, changing sleep patterns, experiencing body aches, pain, or stomach problems
• Threats: Talking about death or suicide, attempting suicide or self-harm
• Situations: Experiencing traumatic events or major life changes, having a medical problem or family history of depression

A serious symptom of depression is thinking about death or suicide. If you are in crisis or considering suicide, or if someone you know is currently in danger, please dial 911 immediately.

We encourage you to watch a recording of our webinar, “Depression is more than just a rough patch,” and find additional resources addressing depression at MagellanHealthcare.com/Mental-Health.

Jamie Hanna, MD, serves as the medical director for the Magellan of Louisiana Coordinated System of Care (CSoC) program. She is board certified in Psychiatry and Child and Adolescent Psychiatry. Prior to joining Magellan in 2020, Dr. Hanna served as an assistant professor and assistant training director with Louisiana State University School of Medicine, working with the acute behavioral health unit, and leading the psychiatric consultation-liaison service and emergency psychiatric services at Children’s Hospital of New Orleans. Dr. Hanna completed medical school at the University of Alabama School of Medicine and a subsequent internship in Pediatrics, residency in General Psychiatry, fellowship in Child and Adolescent psychiatry, and fellowship in Infant Mental Health with Louisiana State University in New Orleans.

[1] https://www.samhsa.gov/data/sites/default/files/reports/rpt29392/Assistant-Secretary-nsduh2019_presentation/Assistant-Secretary-nsduh2019_presentation.pdf

[2] https://mhanational.org/issues/state-mental-health-america

[3] https://www.cdc.gov/mmwr/volumes/69/wr/mm6932a1.htm

Anyone who has gone through a traumatic event can develop symptoms of stress disorders such as post-traumatic stress disorder (PTSD).  Although the COVID-19 pandemic in general would not meet the criteria for formally causing a stress disorder, many of the same issues can result from such a widespread and overwhelming event.

The pandemic could be viewed as a long-term stress event.  It has become life-changing for the whole world.  As COVID-19 spreads across the globe, people may experience increased anxiety and fear triggered by the pandemic and constant news. In addition, the pandemic can be traumatizing for others: healthcare workers, people who have lost friends and loved ones, and people whose lives have drastically changed.

What are stress-related disorders?

Stress-related disorders can occur after you have been through a traumatic event. A traumatic event is something horrible and scary that you see or that happens to you. During this type of event, you think that your life or others’ lives are in danger. You may feel afraid or feel that you have no control over what is happening. These symptoms can change your behavior and how you live your life.

How can reaction to the COVID pandemic be similar to a stress disorder?

When you struggle with a stress disorder, it can be hard to anticipate when anxiety or depressive symptoms may flare up. Although it may appear that symptoms come out of nowhere, in most cases they are cued by factors called triggers. Internal triggers are the feelings, thoughts, memories, emotions, and bodily sensations that you feel or experience. External triggers are the people, places, and situations that can bring back memories of the traumatic event.  In the current environment this could be caused by news reports, social media or discussion with friends or family.

The first thing to realize is that many fears are unwarranted; anxiety may arise when you are in a completely safe environment. When you begin to despair or your fears consumer you, try to remember that your worries and fears may be extreme because of previous experiences and not current facts. Once you’ve realized what may trigger these fears and anxiety, you can begin to try to deal with them.

How to cope with stress-related symptoms amid COVID-19

• Cultivate ways to be calmer. It’s understandable to feel anxious and worried about what may happen. While circumstances may be stressful and beyond your control, you can try to offset them with positive, calming activities. Practice slow, steady breathing and muscle relaxation, as well as any other actions that are calming for you (yoga, exercise, music, keeping the mind occupied).
• Understand what is within your control. Accept circumstances that cannot be changed and focus on what you can do. Evaluate your risk of contracting the virus, practice social distancing and follow clinical guidance on other practices. If you are in quarantine or isolation, do things that can support your mental health.¹ Focusing on what you can control and do can help you deal with the unknown.
• Remain hopeful. Keep a long-term perspective. Look for opportunities to practice being more patient or kind with yourself, or to see the situation as an opportunity to learn or build strengths. Celebrate successes, find things to be grateful about, and take satisfaction in completing tasks, even small ones. Remember that this will not last forever.
• Lean on your network. Make the most of technology and stay in touch with colleagues, friends and family via phone calls, texts, social media and video conferencing. Consider joining a free support group online to stay connected.² If you have a therapist, try to continue your treatment by phone or online.
• Focus on the potential positives. Try and focus on the things that can be viewed positively such as spending more time with family and a experiencing a potential to grow. Many times, going through a stressful time like this can lead to post-traumatic growth. This growth can be seen as though the stressful event was a trial or challenge that you conquered, something you learned from and became more resilient through. Sometimes stress can stimulate personal growth and improved overall coping.

For more information and tips, www.MagellanHealthcare.com/COVID-19.