INDIANAPOLIS (WISH) — The global coronavirus pandemic has triggered a rise in mental health issues across the country, especially among teens.
In a new survey commissioned by the National 4-H Council and conducted by the Harris Poll, researchers found seven in 10 teens are dealing with depression, anxiety or increased stress, or a combination of the three.
These figures alone are alarming, but what’s most concerning, researchers say, is the number of teens who report they need to suffer in silence. Sixty-seven percent of those surveyed said they feel more pressure to keep their feelings to themselves than to do drugs. Similarly, 67% pretend to feel fine when they’re really not because they don’t want to worry anyone. Over half of respondents indicated increased feelings of loneliness.
News 8 spoke with Ann Lagges, PhD and child psychologist with Riley Children’s Health. She talked about the short and long-term effects of poor teen mental health, the dangers of suppressing feelings and what parents/caregivers can do should they suspect their teen is suffering.
What’s the difference between anxious, stressed and depressed? I imagine these feelings don’t exist in isolation.
These are all words that can be used to describe distress. They are sometimes used interchangeably, but for others they can mean different things. Anxious generally means fearing something bad is going to happen. Stressed can mean a range of things for different people such as anxious, overwhelmed, frustrated, etc. Depressed generally means feeling down and perhaps experiencing little enjoyment. All of these emotions are part of the human condition, and just experiencing an emotion does not mean someone has a disorder. People can experience strong feelings and actually be quite healthy if the emotion fits the situation.
What are some possible reasons teens are feeling lonely? And why would a teen want to spend more time alone…when they are already feeling lonely…to deal with their feelings?
Teens, like adults, have been feeling more lonely during the pandemic because social interaction has been so markedly restricted. Their activities have been cancelled, and video chatting is not the same as getting together in person. Given that no one knows when it will truly be possible to resume normal interactions, it’s harder to cope than if there were a known end point.
Sometimes teens are just sick of video chatting and even though they are lonely, will decline another video chat to just be alone. Some say it’s a reminder of how things are not normal and others just feel the same “Zoom fatigue” that adults who are working from home are experiencing.
What are the impacts of ignoring/suppressing these types of feelings? And why would teens feel pressure to hide their feelings from others?
Even pre-pandemic, there is a general emphasis in our society to be “fine”. Expressing feelings of distress is often met with some version of “stop it” or “fix it” rather than allowing someone to just sit with an emotion. We even use language that categorizes feelings as “good” or “bad”.
During the pandemic there has even been pressure to be “fine”. It hasn’t been unusual to hear someone who is expressing distress about missing their friends, missing graduation, worrying about college applications, etc. to be met with a response along the lines of “Stop complaining. People throughout history have had it much worse than you”…which likely may be true…but distress isn’t a zero sum game. Just because someone else has more, doesn’t mean that the person who is sad about missing graduation shouldn’t be sad.
The report indicates teens are anxious about their future. The cohort surveyed are between the ages of 13 to 19. What kinds of things might they be anxious about?
Teens had a lot to be anxious about before the pandemic and they have more now, as do we all!
Uncertainty is a big factor here. We don’t know when the virus will truly be under control. We don’t know if we will lose loved ones in the pandemic. We don’t know what school will look like this year and possibly next. We don’t know when activities will resume. We don’t know the long-term impact on the job market. Young people are facing serious questions about the uncertainty of their financial future.
Pre-pandemic, paying for college was already a major stressor that drove a lot of other stressors (e.g. take as many AP classes as you can, be in as many activities as you can, etc. to try to get a scholarship, because without one, you’re not going to college). Many teens see their parents struggling financially despite working hard and even pre-pandemic were not sure what the future would hold for them. They worry about paying bills as adults and aren’t sure if they’ll be better or worse off than their parents.
What are the short-term effects of poor teen mental health if not addressed?
Short term effects of excess distress are disrupted sleep and appetite which can lead to less healthy food choices, trouble concentrating which can impact getting through e-learning assignments. Physical symptoms like headaches, stomach aches and generally feeling unwell can also accompany excess distress.
What are the long-term effects of poor teen mental health if not addressed?
Some experiencing prolonged excess distress might develop mental health disorders such as depression or an anxiety disorder that could have a significant impact on functioning. Those with untreated depression or anxiety (again, now talking about disorders not just emotions) tend to struggle to complete college and maintain employment. Relationships are likely to be more challenging to develop and maintain in presence of a depressive or anxiety disorder. Some may develop substance use disorders.
What are the main takeaways for parents, teachers, friends and family members from this research? What are actionable steps people can do to help?
The main takeaway from this survey is that teens are reporting a high level of distress and would like to be listened to. They’re feeling that their emotions are not taken seriously. Parents and teachers need to truly listen and not just jump in with a “fix it” or “stop it” approach that invalidates their feelings. Our society tends to emphasize individualism and a “fix it”/pull yourself up by your bootstraps approach rather than letting people know it is OK to need to lean on others and that it is OK to not be OK at times particularly when circumstances are challenging.
- Indiana State Department of Health coronavirus information (includes phone number to state hotline)
- WISH-TV coronavirus coverage
- WISH-TV’s “Gr8 Comeback”
- Original Indiana Back on Track plan
- Revised Stage 3 of Indiana Back on Track plan (May 12-June 13)
- Revised Stage 4 of Indiana Back on Track plan (June 12-July 3)
- Governor’s order: Stage 4.5 of Indiana Back on Track plan
- IndyRent Assistance Portal (Marion County only)
- Indiana COVID-19 Rental Assistance Program (All counties except Marion County)
- Gleaners Food Bank distribution sites in Indianapolis area, south central Indiana
- Second Harvest of East Central Indiana “tailgate” food distribution sites
- Food Finders distribution sites in west and north central Indiana
- Coronavirus COVID-19 global cases map from John Hopkins University
- CDC’s coronavirus page
- Marion County Public Health Department coronavirus information
- U.S. Small Business Administration’s Economic Injury Disaster Loan program
- Indiana PPE Directory (for businesses, nonprofits and schools only)
Indiana coronavirus timeline
With updated information from the Indiana Department of Health on Aug. 2, this timeline reflects updated tallies of deaths and positive tests prior to that date.
- March 6: Indiana State Department of Health (ISDH) confirms the first case in Indiana. Officials say the Marion County resident had recently traveled to Boston to attend a BioGen conference as a contractor.
- March 8: ISDH confirms a second case. An adult in Hendricks County who had also traveled to the BioGen conference was placed in isolation. Noblesville Schools say a parent and that parent’s children will be self-quarantining after attending an out-of-state event where someone else tested positive.
- March 9: Avon Community School Corp. says a student on March 8 tested positive.
- March 10: ISDH launches an online tracker. Ball State University basketball fans learn the Mid-American Conference tourney will have no fans in the stands. Three businesses operating nursing homes in Indiana announce they will no longer allow visitors.
- March 11: The Indianapolis-based NCAA announces the Final Four basketball tournaments will be conducted with essential staff and limited family attendance. The Big Ten announces all sports events, including the men’s basketball tournament at Bankers Life Fieldhouse, will have no fans starting March 12. Ball State University suspends in-person classes the rest of the spring semester. NBA suspends all games, including the Indiana Pacers, until further notice. Butler University and the University of Indianapolis extend spring break, after which they will have virtual classes.
- March 12: Gov. Eric Holcomb announces new protections that led to extended public school closings and the cancellation of large events across the state. The NCAA cancels its basketball tournaments. The Big Ten suspends all sporting events through the winter and spring seasons. The league including the Indy Fuel hockey team suspends its season. Indy Eleven says it will reschedule four matches. Indianapolis’ annual St. Patrick’s Day Parade is canceled.
- March 13: The Indiana High School Athletic Association postpones the boys basketball tournament. Wayzata Home Products, a Connersville cabinet maker, shuts down and lays off its entire workforce due to market uncertainty. Gov. Holcomb announces actions including the elimination of Medicaid co-pays for COVID-19 testing and the lifting of limits on the number of work hours per day for drivers of commercial vehicles. Franklin College says it will begin online classes March 18 and empty residence halls of students in two days. The Children’s Museum of Indianapolis closes indefinitely. The Indianapolis Public Library joins other libraries across Indiana and closes all facilities indefinitely.
- March 14: The Indiana Gaming Commission says all licensed gaming and racing operations will close in two days for an indefinite period.
- March 15: Indiana had its first death. St. Vincent Hospital in Indianapolis announces it will suspend all elective, non-urgent surgeries.
- March 16: Indiana had its second death. Gov. Holcomb announced the first Hoosier death. He closes bars, restaurants and nightclubs to in-person patrons, but maintains carryout and delivery services.
- March 17: Indiana had its third and fourth deaths. ISDH announces Indiana’s second death. Indiana’s Catholic bishops cancel masses indefinitely. Gov. Holcomb activates the National Guard. Purdue, Butler and Indiana State universities cancel May commencement ceremonies.
- March 18: Indiana had its fifth death. Eli Lilly and Co. says it will use its labs to speed up testing in Indiana. The 500 Festival announces suspends all events. Simon Property Group closes all malls and retail properties.
- March 19: Gov. Holcomb extends Indiana’s state of emergency into May. Holcomb says he’ll close all K-12 public and nonpublic schools. Standardized testing was canceled. The state’s income-tax and corporate-tax payment deadline was extended to July 15. Holcomb says the state will waive job search requirements for people applying for Temporary Assistance to Needy Families. The IHSAA Boys Basketball State Tournament was canceled. The Marion County Emergency Operations Center upgrades to Level 1 status.
- March 20: Indiana’s death toll rose to 9. ISDH announces Indiana’s third death. Gov. Holcomb moves the state’s primary election to June 2. Indiana University says it is postponing May commencement ceremonies on all campuses.
- March 21: Indiana’s death toll rises to 14. ISDH announces Indiana’s fourth death. Indiana National Guard says it and the Department of Transportation are distributing medical supplies to hospitals.
- March 22: Indiana’s death toll rises to 19. ISDH announces seven deaths.
- March 23: Indiana’s death toll rises to 24. Holcomb orders Hoosiers deemed nonessential to “stay at home” from March 24-April 7. Eli Lilly & Co. begins drive-thru testing for the coronavirus for health care workers with a doctor’s order. Ball State University cancels the May commencement.
- March 24: Indiana’s death toll rises to 29. Fred Payne of Indiana Workforce Development says any Hoosiers out of work, including temporary layoffs, are eligible to apply for unemployment benefits.
- March 25: Indiana’s death toll rises to 35. Indianapolis Motor Speedway announces the Indianapolis 500 is moved to Aug. 23. IndyGo suspends fares and changes its ride schedules.
- March 26: Indiana’s death toll rises to 44.
- March 27: Indiana’s death toll rises to 47.
- March 28: Indiana’s death toll rises to 58.
- March 29: Indiana’s death toll rises to 76. President Donald Trump announces in a press conference that the national social distancing recommendation will be extended by 30 days.
- March 30: Indiana’s death toll rises to 91. Indiana health commissioner Dr. Kristina Box predicts the arrival of the surge in cases and deaths could come in mid-April to late April, but could be as late as mid-May, “but we don’t know.”
- March 31: Indiana’s death toll rises above 100, to 113. Gov. Holcomb extends the limits of bars and restaurants to offer only “to go” and “carryout” through April 6. Health commissioner Box, asked about when Indiana will be in a surge of COVID-19 cases, says she thinks the surge is starting.
- April 1: Officials extend Marion County’s “stay at home” order through May 1. Marion County health officials say they will start COVID-19 testing services for front-line employees.
- April 2: The state announces K-12 schools will be closed for the rest of the school year. The Indiana High School Athletic Association cancels spring sports seasons.
- April 3: Gov. Holcomb extends the “stay at home” order through April 20. The state receives a federal Major Disaster Declaration for all 92 counties. The Indiana National Guard says it, the Army Corps of Engineers and state health officials will begin to assess sites for alternate health care facilities.
- April 4: Indiana’s death toll rises above 200.
- April 6: The state reports a Madison County nursing home has had 11 deaths. Gov. Holcomb extends the “stay at home” order through April 20. He also limits additional businesses to carry-out only.
- April 7: Indiana’s death toll rises above 300. Indiana health commissioner Box says four long-term care facilities have 22 deaths that appear to be related to COVID-19.
- April 10: ISDH said 24 residents of a long-term care facility in Madison County have died from COVID-related illness.
- April 11: Indiana’s death toll rises above 400.
- April 14: Indiana’s death toll rises above 500.
- April 16: Indiana records more than 10,000 positive coronavirus tests. The governor says he expects Indiana to experience a reopening in early May.
- April 17: Indiana’s death toll rises above 600. The governor says that he will extend the “stay at home” order through May 1.
- April 20: Indiana’s death toll rises above 700. Gov. Holcomb extends the “stay at home” order to May 1. The governor also says, if the medical supply chain is in good shape, other elective medical procedures can resume April 27.
- April 22: Indiana’s death toll rises above 800. The Tyson facility in Logansport voluntarily closes so 2,200 employees can be tested for COVID-19.
- April 24: Indiana’s death toll rises above 900. The Indianapolis City-County Council approves $25 million to help small businesses. Fishers City Council creates a city health department with a plan to test every resident.
- April 25: ISDH says it will launch an antibody testing study for Hoosiers; thousands of residents were randomly selected to participate in the study.
- April 27: Indiana’s death toll rises above 1,000.
- April 28: Indiana officials say they will open COVID-19 testing to more Hoosiers, with expanded criteria and new testing services at 20 sites around the state.
- April 29: The state says it will spent $43 million on contact tracing.
- April 30: Indianapolis extends its stay-at-home order through May 15.
- May 1: Gov. Holcomb announces a phased reopening plan for the state of Indiana. He also extends the stay-at-home order to May 4.
- May 3: Indiana records more than 20,000 positive coronavirus tests.
- May 4: Indiana enters Stage 2 of its Back on Track plan, which excludes Cass County until May 18, and Lake and Marion counties until May 11.
- May 6:The state begins testing for all Hoosiers at 20 sites, with plans to expand the number of sites to 50 in a week. Ivy Tech Community College says it will continue virtual classes when summer courses begin in June.
- May 8: Cris Johnston, director of the Office of Budget and Management, says the state missed out on nearly $1 billion in anticipated April revenues; all state agencies will be given budget-cutting goals. Purdue University OKs plans to reopen for the fall semester with social distancing and other safety measures.
- May 10: Indiana’s death toll rises above 1,500.
- May 13: Indiana’s death toll rises above 1,600.The first phase of a state-sponsored study of the coronavirus estimated about 186,000 Hoosiers had COVID-19 or the antibodies for the novel virus by May 1. Indianapolis Mayor Joe Hogsett announced plans for limited reopenings of worship services, retail establishments, libraries and restaurants.
- May 16: Indiana’s death toll rises above 1,700.
- May 17: Marion County’s death toll rises above 500.
- May 18: Indiana reports its first case of multisystem inflammatory syndrome in a child. The Farbest Foods turkey-processing plant in Huntingburg is closed for three days; 91 people have tested positive there.
- May 19: Indiana’s death toll rises above 1,800.
- May 21: Indiana records more than 30,000 positive coronavirus tests.
- May 22: Indiana advances to Stage 3 of the Back on Track reopening plan. Indianapolis closes portions of five streets to allow restaurants to reopen with outdoor dining only.
- May 23: Indiana’s death toll rises above 1,900.
- May 27: The U.S. death toll rises above 100,000. Indiana University says the fall semester will have in-person and online courses, plus an adjusted calendar through May 2021. Ball State University says the fall semester will be 13 straight weeks of in-person classes with no day off on Labor Day and no fall break.
- May 28: Indiana’s death toll rises above 2,000.
- May 29: Places of worship in Marion County can begin holding indoor services at 50% capacity with proper social distancing. Jim Schellinger, Indiana secretary of commerce, said the federal Paycheck Protection Program has made 73,430 loans in Indiana totaling $9,379,164,461, the federal Economic Injury Disaster Loan program has made 5,070 loans in Indiana totaling $445,428,500, and the federal Economic Injury Disaster Loans Advance program has made 38,365 grants in Indiana totaling $136,554,000.
- June 1: Marion County restaurants begins serving customers indoors and outdoors with 50% capacity. Marion County salons, tattoo parlors reopen by appointment only. Marion County gyms, fitness centers and pools reopen with 50% capacity and no contact sports. However, a Marion County curfew that began the night of May 31 and continued into the morning of June 3 after rioting impacted the reopening of some businesses.
- June 3: Indiana’s death toll rises above 2,100. Phase 2 of statewide testing of random Hoosiers by the Indiana University Richard M. Fairbanks School of Public Health at IUPUI and the Indiana State Department of Health begins.
- June 5: Indiana reports May tax revenues were 20% short of projections made before the coronavirus closings started.
- June 8: Indiana’s death toll rises above 2,200. Indianapolis leaders agree to spend $79 million in coronavirus relief funding on contact tracing, rent relief, personal protective equipment and support for small businesses.
- June 12: Indiana, excluding Marion County, advances to Stage 4 of reopening plan.
- June 14: Indiana’s death toll rises above 2,300.
- June 15: Casinos and parimutuel racing reopen in the state.
- June 19: Marion County advances to Stage 4 of state’s reopening plan.
- June 21: Indiana’s death toll rises above 2,400.
- June 24: The governor says the state’s moratorium on the eviction on renters will be extended through July. Indiana announces it will create a rental assistance program July 13. Indiana Pacers guard Malcolm Brogdon says he has tested positive for COVID-19.
- June 27: Indiana hospitalizations for COVID-19 begin to increase, with about 33 new patients a day through July 1.
- July 1: Indiana’s death toll rises above 2,500. The governor pauses Stage 5 final reopening plan, announces Stage 4.5 from July 4-17.
- July 4: Indiana’s Stage 4.5 reopening plan begins.
- July 9: Indiana records more than 50,000 positive coronavirus tests. Marion County mandates mask wearing.
- July 10: Indianapolis Public Schools announces its reopening plans.
- July 11: Indy Eleven resumes 2020 season with victory at Lucas Oil Stadium.
- July 12: Indiana’s death toll rises above 2,600.
- July 13: Indiana begins rental assistance program for all counties but Marion County. Marion County begins its own rental assistance program.
- July 15: Indiana announces the Stage 4.5 reopening plan will continue another two weeks. The WNBA season will begin.
- July 16: Indianapolis suspends applications for its rental assistance program due to overwhelming demand.
- July 22: Indiana’s death toll rises above 2,700.
- July 23: Indiana records more than 60,000 positive coronavirus tests. MLB begins delayed season.
- July 24: Indiana records more than 61,000 positive coronavirus tests. Bars, taverns and nightclubs in Indianapolis are shut down again. City officials also return to other previous restrictions.
- July 25: Indiana records more than 62,000 positive coronavirus tests. Indiana Fever begins WNBA season after delays.
- July 27: Indiana records more than 63,000 positive coronavirus tests. Indiana governor’s order to wear face coverings begins. Great Lakes Valley Conference, which including University of Indianapolis, postpones most fall sports, including football, men’s and women’s soccer, and volleyball, until spring.
- July 28: Indiana records more than 64,000 positive coronavirus tests.
- July 29: Indiana records more than 65,000 positive coronavirus tests.
- July 30: Indiana records more than 66,000 positive coronavirus tests. NBA season resumes.
- July 31: Indiana records more than 67,000 positive coronavirus tests.
- Aug. 2: Indiana records more than 66,000 positive coronavirus tests.