By Leenah Wahab

Colombo, October 16 (Daily Mirror) - Depression among adolescents are high, and parents should be vigilant as they are predisposed to self- harm and substance use, an expert said yesterday.

Teenagers with depression are more vulnerable to turn to risky or self- destructive behavior, said Dr. Jayan Mendis, Consultant Psychiatrist and Former Founder Director of National Institute of Mental Health. “When the child realizes that they are changing, they seek various methods to deal with internal stress or change. They turn to unwanted trends; try drugs or alcohol, try having girlfriends or boyfriends thinking this will provide some relief,” Dr. Mendis said.

Dr. Mendis emphasized the need to identify early warning signs of depression. Symptoms that parents, teachers and peers could be aware of include, social withdrawal; avoiding friends and family; “in early depression, interactions start to reduce. They will show anger, irritability and dislike communicating, even with loved ones. They self- isolate and may experience frequent crying episodes. They may even start talking about suicide or meaningless of life. Parents must keep an eye out for these changes.”

When asked whether overuse of mobile phones may cause depression, Dr. Mendis stated that depression is caused by chemical changes in the brain accelerated when people undergo hardships, and phone addiction is merely a coping mechanism to distract them from negative thoughts and escapism through content consumption. “Using the mobile is not a reason to develop depression. This is the end result,” he said. He further mentioned that depression may manifest academically, with children who consistently excel in subjects see their grades drop due to fatigue and lack of concentration, which may exacerbate the depression.

“Communication is key. Teenagers are not like adults, they don’t know how to express their feelings, especially 13,14,15 age group. This is why there should be understanding between parents and their children- their usual level of study, interests and issues with classmates or colleagues. Parents need to be non-judgmental and supportive, and not negatively comment on their child’s problems but be their friend,” Dr. Mendis said.

Moreover, Dr. Mendis advised that teenagers with depression to discuss their difficulties with their loved ones, or visit a child clinic open on Saturdays and Sunday mornings, which are available in all major hospitals. “The stigma around mental health should diminish; it is essential to foster a safe space for teenagers to feel comfortable discussing their emotions and struggles.”

If you or someone you know is experiencing depression or suicidal thoughts, please contact The National Institute of Mental Health-1926, Sri Lanka Sumithrayo- +94112682535 / 0112 692909 /0112 696666