Mental Health for Adolescents

Many adolescents experience positive mental health, but an estimated 49.5 percent of adolescents has had a mental health disorder at some point in their lives.¹ The good news is that promoting positive mental health can prevent some problems. For young people who do have mental health disorders, early intervention and treatment can help lessen the impact on their lives.

It is a normal part of development for teens to experience a wide range of emotions. It is typical, for instance, for teens to feel anxious about school or friendships, or to experience a period of depression following the death of a close friend or family member. However, mental health disorders are characterized by persistent symptoms that affect how a young person feels, thinks, and acts. Mental health disorders also can interfere with regular activities and daily functioning, such as relationships, schoolwork, sleeping, and eating.²

Youth Mental Health

In July 2022, OPA hosted the annual Teen Pregnancy Prevention (TPP) Grantee Conference. During the conference, HHS Assistant Secretary for Health, Admiral Rachel L. Levine, MD, and youth participants in OPA's TPP grant programs discussed youth mental health.

Get Help

If you observe warning signs and need to seek help, consult your health care provider or mental health professional. In life-threatening situations, call 911 or go to your nearest hospital emergency room. In a crisis, you can call or text 988 (for English or Spanish) to be connected to trained counselors in the National Suicide Prevention Lifeline network. For TTY users, use your preferred relay service or dial 711 then 988.

Visit NIMH’s Help for Mental Illness page, also available in Spanish, for more details and to identify treatment options in your area.

Common Mental Health Warning Signs

Mental health is not simply the presence or absence of symptoms. Variations in how adolescents experience symptoms can make identification and diagnosis of mental health disorders challenging.³ According to the National Institute of Mental Health (NIMH), an adolescent might need help if they:

Lose interest in activities that they used to enjoy
Have low energy
Have difficulty sleeping or eating
Spend more time alone and avoid social activities
Excessively exercise, diet, and/or binge eat
Harm themselves (e.g., burning or cutting their skin)
Use alcohol, tobacco, or other drugs
Engage in risky or destructive behavior
Have thoughts of suicide
Think their mind is being controlled or is out of control or hear things other people cannot hear

See NIMH's web portal for information in Spanish on mental health.

Common Mental Health Disorders in Adolescence

Common mental health disorders in adolescence include those related to anxiety, depression, attention deficit-hyperactivity, and eating.⁴^,⁵

Anxiety disorders

Characterized by feelings of excessive uneasiness, worry, and fear
Examples include generalized anxiety disorder, post-traumatic stress disorder, social anxiety disorder, obsessive-compulsive disorder, and phobias
Occur in approximately 32 percent of 13- to 18-year-olds⁶
In 2016, roughly 11 percent of adolescents ages 12-17 and 7 percent of children ages 6-11 had a current anxiety disorder diagnosis^*⁷
Globally, the prevalence of youth experiencing clinically elevated anxiety symptoms—roughly 1 in 5—nearly doubled during the first year of the COVID-19 pandemic,⁸ underscoring the importance of mental health supports and services for adolescents

*According to the child's parent, guardian, or other adult familiar with the child's health.

Depression

Depressed mood that affects thoughts, feelings, and daily activities, including eating, sleeping, and working
Occurs in approximately 13 percent of 12- to 17-year-olds⁹
Examples include major depressive disorder and seasonal affective disorder

Attention-deficit/hyperactivity disorder (ADHD)

Characterized by continued inattention and/or hyperactivity-impulsivity that interferes with daily functioning or development
Occurs in approximately nine percent of 13- to 18-year-olds¹⁰

Eating disorders

Characterized by extreme and abnormal eating behaviors, such as restricted or excessive eating
Occur in almost three percent of 13- to 18-year-olds¹¹
Examples include anorexia nervosa, bulimia, and binge eating disorder

Footnotes

¹ U.S. Department of Health and Human Services, National Institute of Mental Health. (2021). Mental illness. https://www.nimh.nih.gov/health/statistics/mental-illness.shtml ^{back to top}

² U.S. Department of Health and Human Services, National Institute of Mental Health. (2019). Child and adolescent mental health. https://www.nimh.nih.gov/health/topics/child-and-adolescent-mental-health/index.shtml ^{back to top}

³ Mojtabai, R., Olfson, M., & Han, B. (2016). National trends in the prevalence and treatment of depression in adolescents and young adults. Pediatrics, 138(6). https://pubmed.ncbi.nlm.nih.gov/27940701/ ^{back to top}

⁴ Centers for Disease Control and Prevention. (2020). Data and statistics on children’s mental health. https://www.cdc.gov/children-mental-health/data-research/ ^{back to top}

⁵ National Institute of Mental Health. (2017). Eating disorders. https://www.nimh.nih.gov/health/statistics/eating-disorders.shtml ^{back to top}

⁶ U.S. Department of Health and Human Services, National Institute of Mental Health. (2017). Any anxiety disorder. https://www.nimh.nih.gov/health/statistics/any-anxiety-disorder ^{back to top}

⁷ Ghandour, R. M., Sherman, L. J., Vladutiu, C. J., Ali, M. M., Lynch, S. E., Bitsko, R. H., & Blumberg, S. J. (2019). Prevalence and treatment of depression, anxiety, and conduct problems in U.S. children. The Journal of Pediatrics, 206, 256–267.e3. https://doi.org/10.1016/j.jpeds.2018.09.021 ^{back to top}

⁸ Racine N, McArthur BA, Cooke JE, Eirich R, Zhu J, Madigan S. (2021). Global prevalence of depressive and anxiety symptoms in children and adolescents during COVID-19: A meta-analysis. JAMA Pediatrics. 175(11):1142–1150. https://jamanetwork.com/journals/jamapediatrics/fullarticle/2782796 ^{back to top}

⁹ U.S. Department of Health and Human Services, National Institute of Mental Health. (2017). Major depression. https://www.nimh.nih.gov/health/statistics/major-depression ^{back to top}

¹⁰ U.S. Department of Health and Human Services, National Institute of Mental Health. (2017). Attention-deficit/hyperactivity disorder. https://www.nimh.nih.gov/health/statistics/attention-deficit-hyperactivity-disorder-adhd ^{back to top}

¹¹ U.S. Department of Health and Human Services, National Institute of Mental Health. (2017). Eating disorders. https://www.nimh.nih.gov/health/statistics/eating-disorders ^{back to top}