1. The document discusses mental health issues among adolescents, emphasizing common problems like depression, anxiety, stress, and anger. 2. It describes the stages of adolescence from early to late, noting the physical, psychological, social and sexual changes occurring during this period. 3. The document outlines various mental health problems adolescents may face, such as emotional, behavioral, substance abuse, and psychological issues, and their causes like academic pressure, family problems, and peer influences.

1. YOHANANTH SIVANANTHAN
ROLL NO:132
NEPALGUNJ MEDICAL COLLEGE
PAEDIATRICS SEMINAR SESSIONS
AUG 2010 BATCH MBBS

2.  how ones feels inside
 balancing the emotions and having control
on them
 Self esteem and confidence
 Being comfortable with whom they are
 Copying with one`s feeling and building up
reslience of one`s bouce back ability

3. Mental health is defined as a state of well-
being in which every individual realizes his or
her own potential, can cope with the normal
stresses of life, can work productively and
fruitfully, and is able to make a contribution
to her or his community.

4.  PERIOD IN LIFE WHEN AN INDIVIDUAL
NOLONGER A CHILD OR YET AN ADULT
 IT SPANS AGE GROUP 10-19 YEARS
 STAGES OF ADOLESCENCE
 EARLY ADLOESCENCE 10-13
 MID ADOLESCENCE 14-16
 LATE ADOLESCENCE 17-19

5.  A AGGRESSIVE,ANEMIC,ABORTION
 D DYNAMIC,DEVELOPING,DEPRESSED
 O OVERCONFIDENT,OVERINDULGING,OBESE
 L LOUD BUT LONELY,LACK OF INFORMATION
 E ENTHUSIASTIC,EPLORATIVE,EXPERIMENT
 S SOCIAL,SEXUAL,SPIRITUAL
 C COURAGES,CHEERFUL,CONCERN
 E EMOTIONAL,EAGER,EMULATING
 N NERVOURS,NEVER SAY NO TO PEERS
 T TEENAGE PREGNACY

6.  10-13 YEARS AGE PERIOD
 PERSONAL IDENTIFY
 WHO I AM?
 CURIOUS ABOUT SEX-BUT NOT SEXUALLY
ACTIVE
 ADJUST TO PHYSICAL CHANGES OF
PUBERTY

7.  14-16 YEARS AGE
 ACHIEVING SEPARATE IDENTITY FROM
PARENTS
 INTERESTED IN SEXUAL ACTIVITIES AND
ATTRACTION ON OPPOSITE SEX
 COGNITIVE EXPANSION
 NEW RELATIONSHIP TO PEER GROUPS

8.  OCCUPATIONAL IDENTITY,RESPONSIBILITY
 17-19 YEARS AGE
 COLLEGE PROFESSIONAL COURSE,JOB
 FALLING IN LOVE ,MARRIAGE ETC
 DECISION MAKING AND IMPLEMENTING
 WELL FORMED OPINION AND IDEAS

9.  EMOTIONAL PROBLEMS
 BEHAVIORAL PROBLEMS
 SCHOLASTIC ISSUES
 IDENTITY PROBLEMS
 FAMILY PROBLEMS
 DRUGSUBSTANCE ABUSE
 PSYCOLOGICAL PROBLEMS
 PERSONAL PROBLEMS

10. 1 – Emphasis on common MENTAL HEALTH
PROBLEMS in adolescents, and
2 – Practical approach to their early
diagnosis and prevention

11.  SADNESS/GRIEF
 ANXIETIES/WORRIES
 STRESS
 INTOLERANT ANGER
 VERY COMMON BECAUSE OF THE RAPID
PHYSICAL,PSYCOLOGICAL SOCIAL AND SEXUAL
CHANGES DURING ADOLSCENCE

12.  IMBALANCE IN NEURO TRANSMITTERS
 NORADRENALINE,GABA,5HT=ANXIETY AND DEPRESSIVE
DISORDERS
 ROLE OF MEDICATIONS=EG.SSRI
 OFTEN BIOCHEMICAL FACTORS ACT ALONG WITH
ENVIORNMENTAL BUT MAY BE SINGULARLY BE
IMPORTANT
 ENVIRONMENTAL FACTORS
ANXIETY: PSYCOLOGICAL STRESS AND TRAUMA
SOMATISATION:REPRESSION OF FEELINGS,
CONVERSION:PHYSICAL EXPRESSION OF PSYCOLOGICAL
CONFLICT
DEPRESSION AND SUICIDE:STUDY PRESSURE
,SEPERATION,,CHRONIC ILLNESS,MALADJUSTMENT

13.  AGGRESSIVE BEHAVIOR TOWARDS PARENTS
TEACHERS,SIBLINGS AND FRIENDS
 EXPRESSED IN EITHER INDIVIDUALLY OR IN
GROUP
 DISTRUPTIVE BEHAVIOR
 RISKY BEHAVIOR LIKE
 UNSAFE SEX
 HAZARDOUS/DRUNKEN DRIVING
 SMOKING
 SELF HARM PHYSICAL INACTIVITY
 EDUCATIONAL FAILURE AND SCHOOL DROP OUTS

14.  ON RISK OF TAKING BEHAVIOR/ADVENTURE
 PEER PRESSURE
 STRESS
 COMMONLY TAKING SUBSTANCES ARE
 ALCOHOL
 TOBACCO
 HEROIN
 CANNABIS
 PRESCRIPTION DRUGS OPIODS,CNS
STIMULANTS,CNS DEPRESSENTS ETC.

15.  ADVERSE EFFECTS
 IMPAIMENT OF GENERAL ABILITIES
 SENSES
 SPEED OF REACTION
 CO ORDINATION
 THINKING,CONCENTRATION
INCREASED RISK TAKING WITH POOR INHIBITORY
CONTROL OVER BEHAVIOR
MOOD CHANGES AND POOR MOOD CONTROL
LEADING TO ACCIDENTS
VIOLENCE
SUICIDE
RISKY SEXUAL BEHAVIOUR

16.  INTERPERSONAL PROBLEMS:
PRONE TO PEER CONFLICTS AS PEER ADVICE
CONSIDERED DOCTRINAL BY
ADOLSCENTS.ROLE OF TEACHERS IMPORTANT
 LOVE AFFAIR:
USUALLY KIND OF INFATUATION AND
IMMATURE,BUT MAY SERIOULY AFFECT
STUDIES ,FUTURE LIFE AT TIMES
 BODY IMAGE:
DUE TO PERSONALITY FACTOR OVER
CONCIOUSNESS ABOUT LOOKS,DEISIRE TO BE
APPEALING TO THE OPPOSITE SEX

17.  DEPRESSIVE SYMPTOMS
 SUICIDAL TENDENCY
 PHOBIA
 SLEEP DISORDERS
 MENTAL DEFICIETS
 IRRATIONAL BELIEFS
 LOW SELF ESTEEM

18.  BROAD CLASSIFICATION
 EMOTIONAL DISORDERS
 BEHAVIORAL DISORDERS
 PSYCOSES
 OTHER MENTAL HEALTH PROBLEMS-SLOW
LEARNER,SCHOOL PHOBIA,COMMON SPEECH
DISORDERS,EPILEPSY ETC,

19.  ALCOHOLIC FATHER
 FINANCIAL PROBLEMS
 BROKEN FAMILY
 PROBLEM WITH PARENTS
 SIBLING RIVALRY
 SEPERATION FROM HOME

20.  Strong emphasis placed on educational
achievement has put a lot of pressure on
adolescents
 This causes a lot of pressure among adloescents
which could cause psychosomatic symptoms like
 Headache
 Eye strain
 Difficulties in concentrating and sleep problems
 Some adolescents are slow or retarded in their
development and may not well do in school
 Lack of concentration
 Difficulty in making career choices

21.  ADOLESCENCE IS ALSO A TIME WHEN THEY
WANTED TO ESTABLISH THEIR IDENTITY
 THERE IS SOMUCH DIVERSITY,MOBILITY AND
OPPORTUNITIES FOR ADULTS TO ESTABLISH
THEIR IDENITITY EASILY
 IT IS A CHALLENGE FOR ADOLESCENT TO
DECIDE THEIR IDENTITY

22.  EARLY CHILDBEARING AND PARENTHOOD
 UNWANTED PREGNANCY
 ABORTION
 SEXUALLY TRANSIMITTED INFECTION
 SOCIAL STIGMA AND ISOLATION
 LOSS OF EDUCATON OPPORTUNITY
 LONLINESS