Anxiety, Depression and Physical Health in Adolescents – What’s the connection?

Anxiety, Depression and Physical Health in Adolescence - What’s the connection?

With research finding ever-increasing evidence in support of the mind-body connection, there is no doubt that our mental functioning affects our physical health, and vice versa. The connection is a powerful one, and science is on well on its way to uncovering more of the detail. 

New research from Switzerland and Germany has found that in children and adolescents, certain physical diseases will be more likely to follow anxiety or depression. Similarly, particular mental health conditions happen more frequently following particular physical illnesses. 

Researchers have identified that depression tends to affect the stomach, while anxiety is more likely to affect the skin. Specifically, arthritis and diseases of the digestive system happen more frequently following depression or bipolar disorder, and skin diseases (such as atopic dermatitis) are more likely after anxiety. 

Researchers also found a strong association between epilepsy and subsequent eating disorders (including anorexia nervosa, bulimia nervosa, and binge eating disorder).

‘For the first time, we have established that epilepsy is followed by an increased risk of eating disorders – a phenomenon that had previously been described only in single case reports. This suggests that approaches to epilepsy treatment could also have potential in the context of eating disorders.’ Marion Tegethoff, lead author. 

This research is the first to explore the connection between these symptoms in adolescents, however previous research has found a similar relationship between in adults. Research involving adults has found that in people who have depression and arthritis, relieving the symptoms of depression also decreases the pain of arthritis. Similarly, people who have anxiety and atopic dermatitis report an improvement in their skin when they receive therapy for their anxiety.

In relation to the connection between eating disorders and epilepsy, the study refers to two earlier research studies, both with very small samples sizes, which have found some evidence to suggest that the connection might be because of the parts of the brain involved. When epilepsy arises from the right hemisphere, lesions in a part of the brain that has a close relationship with the limbic system may influence the development of eating disorders. At this stage, more research is needed, but it is a promising pathway for future research and possible treatment options.

The promise of this research is in widening the treatment options available to strengthen physical and mental health during adolescence. If we know there is a specific connection between certain symptoms, there is mounting evidence to suggest that treating one set of symptoms, has great potential to improve the other connected symptoms.

And finally …

Even with the strongest support, the greatest love, and the most committed and engaged parents in the world, many teens, probably all of them, will still struggle from to time. Adolescence will present itself with certain challenges to all teens. That’s the whole point of adolescence – it’s the time for them to stretch and push right up against their edges, to discover who they are, where they fit in, and how they will leave their very important mark on the world. All of our teens have it in them to be happy, thriving adults, but it’s not always easy to know exactly what they need to get there. Protecting their mental health is critical. We’ve always known that, but with our increasing wisdom on the mind-body connection, there is no doubt that when we guide and support them to stronger mental health, we are helping to strengthen them in mind, body and spirit.

7 Comments

Kristi

My 15 year old daughter suffers from JIA (Juvenile arthritis) and right along with it came depression and anxiety. She now sees a therapist that specializes in chronic disease management, medication administration and anxiety, and depression. She has seen decreased pain levels, better confidence in herself and future (self-efficacy) and an overall better outlook. Getting help was the smartest thing we ever did.

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No

Adolescents…adolescents…as theycontinue to wreck havoc and be wrecked havoc upon…some things never change…puzzling, why?

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Karen - Hey Sigmund

Ahhh yes – it’s all about what’s happening in their brains! Adolescence is a time of massive brain changes. Everything they do and everything they go through can generally be explained by these changes. It’s all part of their development towards being happy, healthy adults. Here is an article that explains it, and will hopefully make even their most confusing behaviour easier to understand https://www.heysigmund.com/what-you-need-to-know-about-the-adolescent-brai/.

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IBikeNYC

May I assume that “eating disorders” refers ONLY to eating too little as opposed to eating too much?

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Chrissy

My understanding (and experience as a parent) of an eating disorder is that it’s all about having a wrong relationship with food; whether it’s depriving or indulging, both are symptoms of a food obsession and a food fear at the same time. A right relationship with food is what we all want; one that brings ‘disorder’ into order, so that freedom can be found in a renewed way of thinking. It’s not impossible. But it takes time, love, patience and faith!

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Karen - Hey Sigmund

Yes – when this research talks about eating disorders, it is specifically talking about when those eating disorders co-occur with epilepsy. In those cases, there might be a common area of the brain contributing to the symptoms. Similarly, in instances where a teen has anxiety and skin problems, or depression and digestive problems, or eating disorders and epilepsy, it may be that they are somehow related. It doesn’t mean there will always be digestive disorders with depression, or skin problems with anxiety, or epilepsy with eating disorders, but when there is, it may be that treating one set of symptoms (as in the physical symptoms or the symptoms related to the anxiety, depression or epilepsy), may see an improvement in the other set of symptoms. It’s an interesting area of research because of the treatment options that open up when there are co-occuring symptoms, and also because of what it might mean about the possible causes of various symptoms.

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Karen - Hey Sigmund

Good question. The eating disorders part of the research included anorexia nervosa, bulimia nervosa, and binge eating disorder. I’ve amended the article to show this. Hope that clears things up.

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I love being a parent. I love it with every part of my being and more than I ever thought I could love anything. Honestly though, nothing has brought out my insecurities or vulnerabilities as much. This is so normal. Confusing, and normal. 

However many children we have, and whatever age they are, each child and each new stage will bring something new for us to learn. It will always be this way.

Our children will each do life differently, and along the way we will need to adapt and bend ourselves around their path to light their way as best we can. But we won’t do this perfectly, because we can’t always know what mountains they’ll need to climb, or what dragons they’ll need to slay. We won’t always know what they’ll need, and we won’t always be able to give it. We don’t need to. But we’ll want to. Sometimes we’ll ache because of this and we’ll blame ourselves for not being ‘enough’. Sometimes we won’t. This is the vulnerability that comes with parenting. 

We love them so much, and that never changes, but the way we feel about parenting might change a thousand times before breakfast. Parenting is tough. It’s worth every second - every second - but it’s tough.

Great parents can feel everything, and sometimes it can turn from moment to moment - loving, furious, resentful, compassionate, gentle, tough, joyful, selfish, confused and wise - all of it. Great parents can feel all of it.

Because parenting is pure joy, but not always. We are strong, nurturing, selfless, loving, but not always. Parents aren’t perfect. Love isn’t perfect. And it was meant to be. We’re raising humans - real ones, with feelings, who don’t need to be perfect, and wont  need others to be perfect. Humans who can be kind to others, and to themselves first. But they will learn this from us.

Parenting is the role which needs us to be our most human, beautifully imperfect, flawed, vulnerable selves. Let’s not judge ourselves for our shortcomings and the imperfections, and the necessary human-ness of us.❤️
Brains and bodies crave balance. 

When our bodies are too hot, too cold, fighting an infection, we’ll will shiver or fever or sweat in an attempt to regulate.

These aren’t deliberate or deficient, but part of the magnificent pool of resources our bodies turn to to stay strong for us.

Our nervous systems have the same intense and unavoidable need for balance.

When the brain FEELS unsafe (doesn’t mean it is unsafe) it will attempt to recruit support. How? Through feelings. When we’re in big feels, someone is going to notice. Our boundaries are clear. Were seen, heard, noticed. Maybe not the way we want to be, but when the brain is in ‘distress’ mode, it only cares about the next 15 seconds. This is why we all say or do things we wouldn’t normally do when we’re feeling big sad, angry, anxious, jealous, lonely, frustrated, unseen, unheard, unvalidated.

In that moment, our job isn’t to stop their big feelings. We can’t. In that moment they don’t have the resources or the skills to regulate so they need our help.

When they’re in an emotional storm, our job is to be the anchor - calm, attached, grounded.

Breathe and be with. Hold the boundaries you need to hold to keep everyone (including them) relationally and physically safe, and add warmth. This might sound like nothing at all - just a calm, steady, loving presence, or it might sound like:

‘I know this feels big. I’m here. I want to hear you. (Relationship)

AND
No I won’t hear you while you’re yelling. (Boundary) Get it out of you though. Take your time. I’m right here. (Relationship. The message is, bring your storm to me. I can look after you.)

OR
No I won’t let you hurt my body / sibling’s body. (Boundary. Step away or move sibling out of the way.) I’m right here. You’re not in trouble. I’m right here. (Relationship)

OR if they’re asking for space:
Ok I can see you need space. It’s a good idea that you take the time you need. I’m right here and I’ll check on you in a few minutes. Take your time. There’s no hurry. (Relationship - I can look after you and give you what you need, even when it’s space from me.)’♥️
I think this is one of the hardest things as parents - deciding when to protect them and when to move forward. The line isn’t always clear, but it’s an important one. 

Whenever our kiddos feels the distress of big anxiety, we will be driven to protect them from that distress. It’s what makes us loving, amazing, attentive parents. It’s how we keep them safe. 

The key is knowing when that anxiety is because of true danger, and when it’s because they are about to do something growthful, important, or brave. 

We of course want to hold them back from danger, but not from the things that will grow them. 

So when their distress is triggering ours, as it is meant to, and we’re driven to support their avoidance, ask,

‘Do they feel like this because they’re jn danger or because they’re about to do something brave, important, growthful.’

‘Is this a time for me to hold them back (from danger), or is it a time for me to support them forward (towards something important/ brave/ growthful)?’

And remember, the move towards brave can be a teeny shuffle - one tiny brave step at a time. It doesn’t have to be a leap.❤️

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