Teenage Mental Health Issues: Implementing Therapeutic Skills and Techniques (3 HR) Syllabus
I. Self-Harm: Understanding and Identifying
- Definitions of self-harm and nonsuicidal self-injury (NSSI)
- Synonymous and related terms
- Types: direct (cutting, burning) and indirect (substance abuse, risky behaviors)
- Warning signs and physical indicators
- Myths and misconceptions surrounding self-harm
II. Causes and Motivations for Self-Harm
- Emotional regulation and coping mechanisms
- Self-punishment and tension release
- Validation of internal pain
- Habitual and addictive patterns
- Individual differences in triggers and functions of self-harm
III. Epidemiology and Risk Populations
- Prevalence rates among adolescents and young adults
- Common onset ages (11-15 years old)
- Gender differences in methods and reporting
- Increased risk among LGBTQIA+ youth and those with trauma histories
IV. Internalized Disorders: Anxiety and Depression
- Generalized Anxiety Disorder (GAD), Social Anxiety, Obsessive-Compulsive Disorder (OCD)
- Distinction between anxiety attacks and panic attacks
- Depression risk factors: trauma, chronic illness, family history, substance abuse
- Warning signs for anxiety and depression in teens
V. Suicide and Suicidal Ideation
- US statistics and trends in adolescent suicide
- Definition and characteristics of suicidal ideation
- Passive vs. active suicidal thoughts
- Interpersonal-psychological theory of suicidal behavior
VI. Risk and Protective Factors
- Psychological, social, and environmental risk factors
- Perceived burdensomeness, social isolation, trauma history
- Protective factors: family support, treatment access, problem-solving skills, cultural beliefs
VII. Screening and Assessment Tools
- Columbia Suicide Severity Rating Scale
- Ask Suicide Screening Questions (ASQ)
- Patient Health Questionnaires (PHQ-2 and PHQ-9)
- Suicide Behaviors Questionnaire-Revised (SBQ-R)
VIII. Evidence-Based Treatment Approaches
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Motivational Interviewing (MI)
- Mentalization-Based Therapy (MBT)
- Transtheoretical Model integration for engagement
IX. Family and Caregiver Involvement
- Importance of parental connection and non-judgmental support
- Setting boundaries and supervision
- Seeking professional treatment and utilizing collateral information
- Preventive strategies for parents, schools, and communities
X. Practical Tools and Clinical Interventions
- Coping strategies: mindfulness, radical acceptance, opposite action, problem solving
- Reasons to avoid self-harm and promote life-affirming skills
- Importance of assessment, consistent engagement, and community resource connection