Depression Childhood Depression Common Issues Facing Tweens How Parents and Caregivers Can Help By Jennifer O'Donnell Jennifer O'Donnell holds a BA in English and has training in specific areas regarding tweens, covering parenting for over 8 years. Learn about our editorial process Jennifer O'Donnell Updated on March 21, 2020 Print JGI / Jamie Grill / Blend Images / Getty Images Growing up isn't always easy. With as much as preteens go through while transitioning into the teen years, it's no wonder that many of them find themselves facing some pretty troubling challenges. Parents, teachers, and other adults can help teens deal with their problems by being supportive and setting fair limits. Here are six ways preteens can stumble into trouble, as well as some solutions for the adults in their lives to help them back up when they fall. Risk-Taking There are many ways in which troubled tweens express themselves. For some, it's through risk-taking. But troubled tweens are not the only ones who take chances. Risk-taking is common among tweens and teens in general, largely because kids this age tend to believe that they are invincible. Risk-taking manifests in many different ways. For some preteens, that might include binge drinking, having sex, and taking chances with their own safety. Overview of Youth At-Risk Behavior Substance Use Many parents mistakenly believe that the risks of smoking, underage drinking, and drug use are solely reserved for teenagers. Unfortunately, preteens also sometimes engage in underage drinking, smoking, and other dangers, such as inhalants. According to research, early warning signs of alcohol and substance use include: Changes in behavior and moodSudden or frequent changes in friendsWithdrawal from family, friends, and activitiesUnsatisfactory excuses for behaviorsRefusal to communicate with family membersTruancy and delinquencyLow motivationRisky behaviorsDepression, mood swings, and apathyPhysical signs such as dilated pupils, pinpoint pupils, bloodshot eyes, weight changes, and needle marks Changes in sleep habits and energy levels Being able to recognize signs that your child is using alcohol, drugs, or engaging in other risky behaviors can help you combat the problem sooner rather than later. Top Risk Factors for Teen Substance Use Depression and Anxiety Depression and anxiety can affect children and adults, and in both cases, it can be a difficult and challenging obstacle. Children who are depressed often pull away from friends, have trouble sleeping, or change their eating habits, among other symptoms (some of which may be different from those you see in adults with depression). If you suspect that your child may have depression or anxiety, talk to your teen's pediatrician. Their doctor will conduct an evaluation to assess symptoms and look for any medical problem that might be contributing to these symptoms. Your doctor may then recommend treatments or refer your teen to a mental health professional for further evaluation and treatment. In addition to getting your tween the professional help they need, encourage them to try self-help strategies like exercising, eating nutritious foods, getting enough sleep, and spending time with friends. How to Help Your Depressed Teenager Obesity For obese and overweight children, life can sometimes be extra tough. Youth who seriously struggle with weight often face social issues and may have trouble fitting in. In addition, they also have higher rates of depression and other behavior problems. If your child is overweight, be aware of their self-esteem and offer assistance in helping your child overcome their weight issues healthfully, as well as any other challenges that may come with it. Depression and anxiety can also contribute to obesity since changes in appetite and activity levels are common with both conditions. Kids who are dealing with symptoms of depression may feel too fatigued to be physically active and may eat more than they normally would. Getting them help for any underlying mental health issues may be the first step to getting healthier physically, too. Self-Esteem Issues For many troubled teens, self-esteem—or the lack thereof—can be a huge problem. Poor self-esteem is associated with a number of negative consequences that can influence teen development at the transition into young adulthood, including disordered eating, depression, anxiety, substance use, and suicide. Research also suggests that these early self-esteem struggles may have long-lasting consequences. Low self-esteem during adolescence is linked to lower educational status, increased financial difficulties, increased unemployment, and poorer physical and mental well-being in adulthood. There are many ways to help your child build a healthy self-esteem. It's important to be positive and encouragingIt's also just as important to give them opportunities to both succeed and fail.Be sure to point out that you do not expect perfection from your child—you just want them to give it a try and do their best. How Self-Esteem Influences Risky Sexual Behavior in Teens Inadequate Supervision There are a number of ways your child can find their way into trouble. Excessive unsupervised free time can sometimes lead tweens to stumble into trouble. This doesn't mean that every moment of your child's life needs to be booked up with scheduled activities, classes, or events. In fact, research has shown that having less-structured time is important for the development of critical skills including self-directedness and self-regulation. But your child should be aware of your expectations for them and understand that certain behaviors are off-limits, no matter what. Establishing rules and boundaries, providing good supervision, and communicating with your child can help keep them on track and out of trouble. Tips for Parents If your tween is experiencing any of these challenges, there are things that you can do to offer support and assistance. Talk to Your Tween The first thing parents and caregivers can do is open up a line of communication with your child. This doesn't mean peppering your child with questions—an approach that can often backfire at this age—but rather, being direct when it seems appropriate. In other cases, just set aside time to spend with your child. Listen to what they have to say and talk about the things that they want to discuss. Try to avoid being overly judgmental and don't dismiss their feelings. Pay Attention to the Signs Even if you talk to your child often, you should always stay alert for the signs and symptoms of a problem. It's important to avoid overreacting since kids this age can be more dramatic and moody in general. Some things that might be a cause for concern include: Sudden changes in behaviorSocial withdrawalNegative self-talk and low self-esteemProblems at school, including difficulty concentrating and poor attendanceDrug and alcohol useReckless behaviorsIrritability and aggressionTearfulness and frequent bouts of cryingLoss of interest in activitiesChanges in sleeping and eating habitsFatigue, sleeping all day, or lack of energyThoughts or comments about death or suicide If your tween has been experiencing symptoms of depression or anxiety, you should talk to a doctor. Your child's pediatrician can look for underlying medical issues that may be contributing to these symptoms, treat depression or anxiety problems, or refer you to a mental health professional who can recommend additional treatments. If your child is having suicidal thoughts, contact the National Suicide Prevention Lifeline at 1-800-273-8255 for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.For more mental health resources, see our National Helpline Database. Top 10 Reasons Teens Go to Therapy Was this page helpful? Thanks for your feedback! Everything feels more challenging when you're dealing with depression. Get our free guide when you sign up for our newsletter. Sign Up You're in! Thank you, {{form.email}}, for signing up. There was an error. Please try again. What are your concerns? 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