Therapy for Teens: What Today's Teenagers Are Up Against

This blog is adapted from one of our recent podcast episodes.  You can take a listen at the button above.

We are kicking off a brand new series, and this one is close to both of our hearts: teenagers. We've both worked with teens for years. I've worked with them clinically, and Garth is back at it as an educator, teaching at an online school. We also happen to be parents of teenagers and young adults (our oldest two are 19 and 17), along with a five-year-old and a baby. So we've had a front-row seat to how much has changed for this age group, even in the last handful of years.

We’re talking through what we love about this generation of teens, what we see them up against, and one thing I feel strongly that we, as adults, need to stop asking them to carry. Over the rest of the series, we'll get into what therapy actually looks like for teens and how it can help. Today is the foundation.

Content note: This post includes a discussion of suicide. If you or a teen in your life is struggling, call or text 988 to reach the 988 Suicide & Crisis Lifeline. If someone is in immediate danger, call 911.

Key Takeaways

In this blog post, you'll learn:

  • The two strengths we see most in today's teens: they're creative and informed

  • Why having more options after high school can also mean fewer shared experiences and less built-in community

  • How technology can wind teens up but can't calm them back down

  • Why today's teens often have more emotional awareness than emotional regulation skills

  • Why we believe adults are placing too much responsibility on teens to spot suicide warning signs in their friends

  • What's coming next in our Therapy for Teens series

What We Love About Today's Teens: Creative and Informed

Before we talk about what teens are up against, I want to start with their strengths: creative and informed.

Creative

Teens today have so much at their fingertips, and when they choose to use those tools for good, they can make things we couldn't have imagined at their age. 

Informed

So many teens are aware of their impact on the world in really specific ways, and they care about it. Garth has had students explain that they buy a certain brand of clothing because that company donates to a cause they personally support. If a teen cares about clean water, they know which brands are building wells. They look into who's supporting what, and they spend accordingly. Not every teen, of course. But a lot of them. And that's something to be genuinely proud of.

What Teens Are Up Against Right Now

None of these are necessarily barriers on their own. But they can be.

So Many Options, Fewer Shared Experiences

Teens today have an incredible number of options, especially when it comes to what to do after high school. From one angle, that's wonderful. From another... wow, that is a lot of options.

When Garth and I graduated, the paths were generally: go straight into the workforce, go to trade school, or go to college. And people on the same path were having fairly similar experiences. Not everyone in college lived in a dorm, but a lot of people did.

Now, two 18-year-olds pursuing the same degree can have radically different experiences. One lives on campus. The other completes a fully online program. Same end goal, completely different day-to-day lives.

That can do two things:

  1. It can overwhelm teens with the sheer number of choices.

  2. It can make it harder to find community. I found my people quickly in college, and a huge part of that was being fully immersed in an environment where everyone around me was having a similar experience. As Garth put it, shared experiences build the foundation for friendship. When everyone's path looks different, there are fewer people walking the same road beside you.

Technology Can Wind Us Up, But It Can't Calm Us Down

I know technology gets ragged on constantly. I want to come at it from a slightly different angle.

Tech can upregulate our nervous systems. It's much less able to downregulate them.

Here's what I mean. Say a friend sends you a text that's distressing. Your system gets activated. But there's very little the technology itself can do to bring you back down.

Now imagine your friend said the exact same thing to you in person. They notice your reaction, because they're attuned to you, and maybe they just shift their shoulders toward you. That's enough for your body to go, "Oh. Okay." That's co-regulation, and connection with other people is one of the most powerful ways we settle our nervous systems. You get a quick repair, sometimes without any words at all.

That doesn't happen over text. So we have a generation communicating a ton through technology, getting all of the upregulation that comes with it, without the downregulation.

The Pendulum Is Starting to Swing Back

Here's the hopeful part: a lot of teens are starting to push back. They want more in-person connection. They want offline activities. They want real books. When he shared a digital copy of a novel with his online students, a surprising number reached out asking which physical copy to buy.

We're also seeing more parents guide their teens and preteens toward less screen time. That's changed a lot in the past five or six years. When our oldest was an early teen, very few parents we knew were wary of technology.

Garth and I have a unique vantage point here, parenting kids at 19 and 17 and also at five and one. The difference in how most families approach tech with those two age groups is significant. I don't think we're better parents than people 10 years older than us. They were the guinea pigs, through no fault of their own. Nobody knew what handing a child an iPad would do.

But here's the thing we have to hold: today's teens and young adults were those guinea pig kids. Even as the culture learns and shifts, there will be mental health implications from the first decade and a half of their lives, when we just didn't know yet. Both things are true. We've learned a lot, we need to keep doing better, and these kids had the childhood they had.

More Emotional Awareness, Same Regulation Skills

This one feels a little tricky to say, but I think it's true: this generation has a lot more emotional awareness than previous generations. Certainly more than I had at 16 or 17.

But their emotional regulation skills typically don't match that awareness.

To oversimplify with some random numbers: if at 17 I was aware of my emotions at a four and could regulate at a six, today's teens might be aware at an eight but still regulate at a six. They know more. They're aware of more. But knowing more about the world around you doesn't automatically mean you're better able to cope with it.

Garth added that mental health is such a prevalent topic now that teens really do know about depression, anxiety, and bipolar disorder. Not as buzzwords, but because they've actually looked into it. Sometimes they self-diagnose, or worry about their friends. They have all the information, but they're not always equipped to evaluate it or know what to do with it. As he put it, they're kids with too much info.

It reminds me of what I've told parents of gifted children for years. Your five-year-old might think like a nine-year-old in some ways, but their emotional regulation is still that of a five-year-old (or younger). We're living a version of this right now with our early walker. Being able to get around at 10 months did not come with better judgment. She can just get on more things to fall off of.

Teens can go deeper into emotional understanding than ever. The question is what they do once they get there. That's where support, and sometimes therapy, comes in.

Too Many Places to Belong

Garth raised one more thing we'll dig into later in the series. Teenagers are wired to look for a place to belong, and that's a core part of forming identity. But today there are so many activities, online communities, and identities available that it can become paralyzing to commit to one and really dive in. When Garth was a teen, he had access to maybe four groups he could realistically be part of. Now there are countless options, and that can make finding your place harder, not easier.

We're Asking Teens to Carry Too Much

Content note: this section discusses suicide.

This is something Garth and I have talked about before, and I want to say it clearly: I believe we give teenagers far too much responsibility for watching for signs of suicide in their friends.

It's one thing to hand that responsibility to adults. It's another to hand it to children. And as a culture, through formal discussions in schools, we are telling 15-year-olds that they need to watch their friends' behavior because it could indicate suicide. That's not a burden I carried at 15.

When that messaging goes so far that teens feel they can't take a shower without their phone in case a friend needs them, and I've heard some version of that from a lot of teenagers, it's too much.

To be clear: if a friend tells a teen they have a plan for suicide, I absolutely want that teen to tell a trusted adult. Of course I do. What I'm talking about is teens receiving the message that they are the front line, that they're the ones standing between a friend and a crisis.

The reality is that adult professionals miss signs of suicide. Let's not put that pressure on our children.

Instead, I believe our focus should be on helping teens:

  • Regulate their emotions

  • Recognize their own suicidal thoughts if they have them, without panicking

  • Communicate those thoughts effectively to someone who is not a peer, like a parent, trusted adult, or professional

That's where our energy belongs.

If you or a teen you love is having thoughts of suicide, call or text 988 to reach the 988 Suicide & Crisis Lifeline, available 24/7. If someone is in immediate danger, call 911.

What's Coming in the Therapy for Teens Series

In the coming blog posts, we'll talk about:

  • What therapy actually looks like with a teenager

  • How therapy can help teens specifically

  • How teens find community and a place to belong in today's world

  • What parents most want to know about how therapy will play out for their kid

How Therapy Can Help Teens

So many of the challenges we talked about come back to the same gap: teens today know a lot, but they don't always have the tools to cope with what they know. Therapy is one place to build those tools: regulation, communication, and a steady adult outside their peer group to talk things through with.

At Seen Therapy Services in Springfield, Missouri, I offer EMDR therapy and counseling in person and via telehealth throughout Missouri. If you're a parent wondering whether therapy could help your teen, a free consultation is a great place to start.

📅 Schedule a free consultation →

Frequently Asked Questions

What are the biggest mental health challenges facing teens today?

Some of the biggest challenges include an overwhelming number of options after high school (with fewer shared experiences to build community), heavy reliance on technology for communication, a gap between high emotional awareness and still-developing emotional regulation skills, and difficulty finding a place to belong among countless activities and communities.

How does technology affect teen mental health?

Technology can activate, or upregulate, the nervous system. For example, a distressing text can spike stress. But technology does little to calm the nervous system back down. In-person connection allows for co-regulation and quick repair, often through subtle body language, which doesn't happen over text.

Why do teens seem more emotionally aware but still struggle with their emotions?

Today's teens have unprecedented access to mental health information, so their emotional awareness is often higher than previous generations'. But emotional regulation skills develop with age and practice, so awareness can outpace a teen's ability to cope with what they're aware of.

Should teenagers be responsible for spotting suicide warning signs in their friends?

If a friend shares a plan for suicide, a teen should always tell a trusted adult. But many clinicians believe teens are being given too much responsibility as the front line of suicide prevention. Instead, the focus can be on helping teens regulate emotions, recognize their own difficult thoughts, and communicate them to a trusted adult. If you or someone you know is in crisis, call or text 988.

How can therapy help teenagers?

Therapy can help teens build emotional regulation and communication skills, make sense of the information they're taking in, and have a steady, trusted adult outside their peer group to talk to. It can also help parents understand what their teen is navigating.

Related Resources

About Cassandra Minnick

EMDR Intensive Therapy for Busy Professionals | Trauma & Anxiety Treatment | Licensed Professional Counselor, EMDRIA Certified

I'm an EMDRIA-certified EMDR therapist with over a decade of experience helping adults understand and heal from chronic trauma. My practice focuses on the often-confusing patterns that emerge in adulthood—the behaviors, reactions, and relationship dynamics that don't make sense until we trace them back to their origins.

Chronic trauma doesn't always look like what we expect. It shows up in how we respond to conflict, how we relate to ourselves, and in the persistent feeling that something is "off" even when life looks fine on the surface. I work with clients to make sense of these patterns and create lasting change through EMDR therapy.

I specialize in EMDR intensive therapy—a condensed format that works particularly well for busy professionals who need effective treatment without the commitment of weekly sessions stretched over months or years.

I've been practicing EMDR since 2016, and I'm passionate about helping people move from survival mode to actually living their lives. When you've spent years adapting to trauma, reclaiming yourself is both powerful and possible.

LinkedIn | EMDRIA Listing

Next
Next

4 Things to Try for Anxiety Before Starting Therapy