Chapter 7: Anxiety and Depression
“Depressed people often stick pins into their own life rafts. The conscious mind can intervene. One is not helpless.” Andrew Solomon (The Noonday Demon: An Atlas of Depression)
-the rise in rates of depression and anxiety among American adolescents in the 2010s
Cognitive Behavioral Therapy:
-goal is to reduce not increase medications
-use of schema which is every bit of brain power to support a view of yourself
-there are exercises that gradually help you recognize negative emotional responses like anger and defensive mind trying to protect that nasty vision of yourself
-it helps your rational mind to understand that your thoughts are distorted
-to get into the habit to stop letting those cruel, crazy, and destructive voices take hold
-to believe you have the option to act on the negatives or move into the positive thinking mind
-this is a way to learn how to catch his own distortions
***it is not very hard to identify catastrophizing, dichotomous thinking, labeling, and all the rest
administrators on campuses are modeling cognitive distortions for students
administration gives the impression that students were in constant danger and in need of protection from a variety of risks and discomforts
-millennial students rolled their eyes at administrative overreaction
-iGen came in with a fearful attitude about speech coming from students themselves
-this is when the new discussions about safe spaces, trigger warnings, microaggressions, and speech as violence, students often employed arguments and justifications that seemed to come right out of the CBT training manual
there has been changes in childhood in the United States, like the decline of unsupervised time and the recent rise of social media
-the overwhelming rise of demand of college mental health professionals
“We suggested that perhaps some of the very things colleges were doing to protect students from words and ideas ended up increasing the demand for mental health services by inadvertently increasing the use of cognitive distortions.”
***Colleges were not the primary cause of the wave of mental illness among their students; rather, the students seeking help were part of a much larger national wave of adolescent anxiety and depression unlike anything seen in modern times.
-colleges were struggling to cope with the rapidly rising numbers of students who were suffering from mental illness–primarily mood disorders
-the new culture of safetyism can be understood in par as an effort by some students, faculty, and administration to remake the campus in response to this new trend
-if more students say they feel threatened by certain kinds of speech the more protections are offered
-college students are antifragile, not fragile
-well-intended protections will backfire and make things worse in the long run for the very students we are trying to help
Points:
-there is a declining mental health among American adolescents
-girls seem to be more affected than boys
-mental health is changing on and off campuses
-the new culture of safetyism emerged after 2013
iGen:
-generations differ psychologically in behavior, values, and mental states of teenagers and college students
-iGen is short for “internet generation” because they are the first generation to grow up with the internet in their pockets (some people use the term Generation Z)
-search engines do not change social relationships, but social media does
-social media platforms didn’t really draw middle school students until after the iPhone was introduced in 2007
-2007-2012 was a brief span in which social life of the average American teen changed substantially
-social media platforms grew more skilled at grabbing and holding “eyeballs”, so social media grew more and more addictive
-social media’s goal is to consume as much of your time and conscious attention as possible
-it is a dopamine hit
-you get social-validation feedback on a loop, the more likes and comments the more dopamine
-iGen is the first generation that spent its formative teen years immersed in the giant social and commercial experiment of social media
-trends that are positive: iGen drink less and smoke less, are safer drivers, and are waiting longer to have sex
-distressing trends: teens today spend much more time alone interacting with their screens, they have helicopter parenting who breed fear for children’s safety, and they do not engage in unsupervised learning experiences
“18 year olds act like 15 year olds used to , and 13 year olds are like 10 year olds. Teens are physically safer than ever, yet they are more mentally vulnerable. “
-these trends are showing up across social classes, races, and ethnicities
-iGen are not ready for college as were 18year olds of previous generations
-this is why college students are suddenly asking for more protections and adult intervention in their affairs and interpersonal conflicts
-there is a rapid rise in rates of anxiety and depression
-studies of mental illness have long shown that girls have higher rates of depression and anxiety than boys do
-2016: this rate widened to one out of every five girls reported symptoms that met the criteria for having experienced a major depressive episode in the previous year
-it might be that the bar has been lowered for giving out diagnosis of depression
-encouraging more people to use the language of therapy and mental illness are likely to have some negative effects too
-labeling can be a powerful cognitive distortion
Ex. depression becomes part of your identity and then over time you’ll develop corresponding schemas about yourself (I’m no good and my future is hopeless)
-continual confirmation increases the mental illness
-it is essential to weaken the grip of depression
Antisocial Media:
-the surge in mental illness and suicide has been influenced by the rapid of smartphones and social media into the lives of teenagers beginning around 2007
-one of the main causes of mental health crisis began around 2011 where there is a connection between digital media use and mental health problems
-the deterioration adolescent mental health continues
“Twenge finds that there are just two activities that are significantly correlated with depression and other suicide-related outcomes (such as considering suicide, making a plan, or making an actual attempt): electronic device use (such as a smartphone, tablet, or computer) and watching T.V.”
-five activities that have inverse relationships with depression: sports and other forms of exercise, attending religious services, reading books and other print media, in-person social interactions, and doing homework
-There is a screen vs. non screen
-kids using 2 hours a day of screen time do not have elevated risk of depression
-kids who spend less time off screens especially if engaged in nonscreen social activities are at lower risk for depression and suicidal thinking
-humans are an “ultrasocial” species
-humans are not just “social” like chimpanzees
-humans are more like bees, they are able to work together in large groups, with a clear division of labor
-humans love teams, team sports, synchronized movements, and anything else that gives us the feeling of “one for all, and all for one”
***social media makes it easier than ever to create large groups, but those “virtual” groups are not the same as in-person connections; they do not satisfy the need for belonging in the same way
-it is worth remembering that humans’ neural architecture
-they need continuous face-to-face contact
-the decrease of face-to-face interactions decreases or removes the system’s key inputs may risk destabilization of the system
-electronic devices are not generally harmful for highly sociable kids
-potentially negative impact of screens and social media might depend on the amount of time teens teens spend with other people
-electronic devices are harmful not just because they take kids away from face-to-face interactions
Why Is It Mostly Girls Who Suffer:
-mental health has deteriorated much further among iGen girls than among iGen boys
-total screen ime is correlated with bad mental health outcomes
-social media presents “curated” versions of lives
-girls may be more adversely affected than boys by the gap between appearance and reality
-many have observed that for girls, more than for boys, social life revolves around inclusion and exclusion
-the increase of boys and girls scrolling through hundreds of each photos, there is an increase of FOMO (fear of missing out)
-seeing images of friends doing something she/he was invited to but couldn’t go can increase the FOBLO (fear of being left out)
-these produce a different psychological effect than when she is intentionally not invited (left out)
“Girls use social media more often, giving them additional opportunities to feel excluded and lonely when they see their friends or classmates getting together without them.”
-the number of teens of all ages who feel left out, whether boys or girls, is at an all-time high from 2010 to 2015
-the consequences of social media curation is that girls are bombarded with images of girls and women whose beauty is artificially enhanced, making girls ever more insecure about their own appearance
-models whose images are altered nowadays
-platforms such as Snapchat and Instagram provide “filters”
-these filters make noses smaller, lips bigger, and skin smoother
-this has led to the need to have plastic surgery
-social media may be harder on girls is that girls and boys are aggressive in different ways
-Girls are more “relationally” aggressive
-Girls try to hurt their rivals’ relationships, reputations, and social status
Ex. by using social media to make sure other girls know who is intentionally being left out
-Boys aggression is generally delivered in person, so they can escape from it when they go home
-for Girls on social media, they can never escape
iGen Goes to College:
-they started arriving on college campuses in September 2013
-by May 2017, when the eldest members began graduating
-these are they years in which the new culture of safetyism seemed to emerge from out of nowhere
-these are also the years in which college mental health clinics found themselves suddenly overwhelmed by new demand
2015-2016:
-collected data from 139 colleges: half of all students surveyed reported having attended counseling from mental health concerns
-the only mental health concerns that were increasing in recent years were anxiety and depression
-between 2012-2016 has seen an 125% increase for male college students
-between 2012-2016 has seen an 150% increase for female college students
-iGen college students think about themselves very differently than did Millennials
-one out of every seven women at U.S. universities now thinks of herself as having a psychological disorder, up from just one in eighteen women in the last years of the MIllennials
-these years also saw a rise in self-reports of anxiety as the reason for seeking help
-37% of students had come through the doors to counseling centers in 2009 on college campuses
-it reached 46% in 2013
-it climbed to 51% in 2016
-it is now the by far the leading problem that college students seek treatment
-there has been a substantial increase in rates of self-injury and suicide among college students
-students are more likely to self-diagnosing their mental illnesses
-there is an increase of changes of the minds and lives of adolescents before they reached college
-when growing numbers of depressed and anxious students began arriving on campuses beginning in 2013
-this is bound to have some effect on university culture and norms
-the universities didn’t create the mental health crisis, but they were responding to one
***this explains why the practices and beliefs of safetyism spread so quickly after 2013
***Safetyism does not help students who suffer from anxiety and depression
***Safetyism is likely to make things even worse for students who already struggle with mood disorders
***Safetyism inflicts collateral damage on the university’s culture of free inquiry
***it teaches students to see words as violence and to interpret ideas and speakers as safe versus dangerous rather than merely as true versus false
-this promotes the intensification of a call-out culture
-depression and anxiety tend to go together
-both conditions create strong negative emotions
-they feed on emotional reasoning
Anxiety:
-anxiety changes the brain in pervasive ways such that threats seem to jump out at the person even in ambiguous or harmless circumstances
-anxious students are more likely to perceive danger in innocent questions
Ex. perceived microaggressions leading to trigger warnings that leads them to want to disinvite speakers or for someone to create a safe space as an alternative to the lecture
Depression:
-depression distorts cognition and gives people much more negative views than are warranted about themselves, other people, the world, and the future
-problems loom larger and seem more pervasive
-the ability to deal with problems is not longer internal
-the internal can’t handle the external problems the person is exposed to
”Rpeated failure to escape from what is perceived to be a bad situation can create a mental state that psychologist Martin Seligman called “learned helplessness,” in which a person believes that escape is impossible and therefore stops trying, even in new situations where effort would be rewarded.”
-when people are depressed, or when their anxiety set their threat-response system on high alert
“They succumb to a “hostile attribution bias,” which means they are more likely to see hostility in benign or even benevolent people, communications, and situations.”
-Misunderstandings are more likely to escalate into large-scale conflicts
Screen Time: A Caution about Caution
-kids screen time must be monitored and not outweigh in the hours they interact in face-to-face activities
-what is known is that the increase of smartphone use, screen time, and isolation has affected the rates of mood disorders which has quickly risen in the 2010s
-there needs to be more research on the impact of smartphones, and social media both the benefits and the harms
-the quality of teenager’s relationships should be more impactful than that of technology
“Social network sites benefit their users when they are used to make meaningful social connections and harm their users through pitfalls such as isolation and social comparison when they are not.”
-there is enough evidence to support placing time limits on device use
-also limiting or prohibiting the use of platforms that amplify social comparison rather than social connection
Sum:
-national rise in adolescent anxiety and depression that began around 2011
-the generation born between 1995-2012 are called iGen (or Gen Z)
-this generation is very different from the Millennials
-iGen generation is growing up more slowly
-iGen are missing unsupervised developmental milestones on the path to autonomy (ex. Getting Dr. license on 16th birthday-many 18 year-olds don’t have one yet)
-iGen has a far higher rates of anxiety and depression
-iGen has had an increase of self-harm and rising suicide rates
-frequent use of smartphones and other electronic devices have seen an increase of anxiety and depression
-the younger the child on social media the worse the mental health outcomes
-there has been a critical loss of face-to-face social interactions
-social comparisons have affected girls (digitally enhanced beauty, being left out, relational aggression)
-social media is harder to escape
-iGen’s arrival on college coincides with the arrival of intensification of the culture of safetyism from 2013-2017
-member of iGen may be especially attracted to the overprotection offered by the culture of safetyism
-campuses have experienced higher levels of anxiety and depression levels that have changed the cognition where students have a tendency to see the world as more dangerous and hostile than it really is