Chattanooga Times Free Press

Talking with your kids about anxiety

- BY DR. GREGORY RAMEY NEW YORK TIMES NEWS SERVICE

Kevin Love, NBA superstar with the Cleveland Cavaliers, recently announced he’s been battling a debilitati­ng health problem for some time. Love has a mental disorder.

I hope there will be a time when such a revelation gets no more or less attention than a diagnosis of diabetes or cystic fibrosis. We have a long way to go before that occurs.

His story, which was published on the March 6 The Players’ Tribune, is powerful — and a great way to engage your teen in talking about something that matters.

Last November, Love experience­d a panic attack, a sudden and devastatin­g wave of anxiety that leaves you virtually incapacita­ted. Love decided to write about his illness, hoping that others, particular­ly men, may learn from his experience. “People don’t talk about mental health enough. And men and boys are probably the farthest behind.”

Our gender norms are strong, albeit changing more for girls than they are for guys. “It’s like a playbook,” said Love. “Be strong. Don’t talk about your feelings. Get through it on your own.”

Love’s experience­s are typical. I wonder if his current problems could have been avoided if help had been obtained earlier. About a third of our adolescent­s experience some type of anxiety disorder. Given that incredibly high prevalence, can you imagine the attention, resources, screening tools and treatments that would be provided if we were discussing a physical illness?

The bad news is that mood disorders among young people are increasing. In a survey of college students in 1985, only 18 percent reported feeling overwhelme­d. In 2016, that rate increased to 41 percent. In another survey of undergradu­ate students, 62 percent reported “overwhelmi­ng anxiety,” an increase from 50 percent in 2011.

Many anxiety disorders, unlike Love’s panic attacks, can be kept secret. That may explain why the Child Mind Institute reported that only 20 percent of our kids get treatment.

Love wrote that society’s views of mental disorders inhibited him from getting help. “To me, it was a form of weakness that could derail my success in sports or make me seem weird or different.”

We don’t blame kids or demonize parents when our children have a physical problem. Why can’t we approach mental problems in the same way? Anxiety disorders are readily treated by cognitive-behavioral therapy. While medication can sometimes be helpful, it’s often unnecessar­y or used for a short time.

Love sought therapy and has found it “terrifying and awkward and hard.” His perspectiv­e is exactly the message I try to send to the kids in my office. “I’m trying to face the uncomforta­ble stuff in my life while also enjoying, and being grateful for, the good stuff.”

How about having a conversati­on about Kevin Love with your kids during dinner tonight?

Dr. Gregory Ramey is the executive director of Dayton (Ohio) Children Hospital’s Pediatric Center for Mental Health Resources. This article appeared in the Dayton Daily News.

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