09/04/2026
The kids are not all right, and frustratingly, we don’t really know how to help them, Olga Khazan wrote in 2023. https://theatln.tc/iWlOZQcz
A study in Australia taught one set of teens a typical middle-school health class and taught another set a version of dialectical behavioral therapy. DBT incorporates some classic therapy techniques, such as cognitive reappraisal, and more avant-garde techniques, such as mindfulness, that have been proven to alleviate psychological struggles. The results were not what the researchers expected: The teens who received the DBT class actually reported worse mental-health outcomes and worse relationships with their parents.
This is not the first program to use so-called universal interventions that have failed to help teens. “D.A.R.E., which from the ’90s to early 2000s taught legions of elementary-school students 10 different street names for he**in, similarly had little to show for its efforts,” Khazan writes. “The self-esteem-boosting craze of the ’80s also didn’t amount to much—and later research questioned whether having high self-esteem is even beneficial. Anti-bullying programs for high schoolers seem to increase bullying … The consistent failure of these kinds of programs is troubling, because teen mental health is now considered a crisis—one that has so far resisted even well-considered solutions.”
These types of programs tend to flop for a lot of different reasons. In the Australian study, the teens did not opt in to the intervention; they were signed up for it. But teens don’t like being told by adults how to think or what to do, even if it’s something that could benefit them, experts told Khazan. The concepts were also complex and the instructors might have had to dilute DBT beyond the point where it was helpful. Additionally, on average the teens in the study were not clinically depressed or anxious to begin with. Teaching them to notice negative thoughts may have inadvertently reinforced them.
“Alleviating the teen-mental-health crisis may require something that is not altogether comfortable for adults: trusting that teenagers will know when they need help.” Khazan continues here at the link.
📸: William Keo / Magnum