Adolescent Challenges
Behavior and Depression
Eating Disorders
Chemical Dependency
Safety and Therapeutic Care
100

The adolescent’s effort to answer “Who am I?” and establish personal values, goals, and beliefs is the development of this.

Identity

100

A persistent pattern of aggression, rule violations, destruction, deceit, or disregard for the rights of others may indicate this type of disorder.

Behavioral or conduct disorder

100

This eating disorder involves severe restriction of food intake, intense fear of gaining weight, and a distorted perception of body size.

Anorexia nervosa

100

During this early stage, an adolescent tries alcohol or another substance out of curiosity or because of peer influence.

Experimentation

100

Giving away valued possessions, writing farewell messages, or making final arrangements may indicate this risk.

Adolescent suicide risk

200

Pressure to conform to the attitudes, clothing, activities, or risky behaviors of friends is known as this common adolescent problem.

Peer pressure

200

For a behavioral disorder to be diagnosed, the actions must be more serious and persistent than this expected feature of adolescent development.

Ordinary adolescent rebellion

200

This disorder involves repeated episodes of consuming large quantities of food followed by behaviors intended to prevent weight gain.

Bulimia nervosa

200

At this stage, substance use occurs mainly at parties or with friends and is associated with recreation or social acceptance.

Social or recreational use

200

Hopelessness, withdrawal, previous suicide attempts, and direct statements about death are four warning signs of this.

A potentially suicidal adolescent
300

Concern about body appearance, weight, physical maturation, and acceptance by others reflects this common adolescent challenge.

Body-image concern

300

The behavioral pattern must interfere significantly with school, family, social, or community functioning to meet this diagnostic requirement.

Clinically significant impairment

300

Self-induced vomiting, misuse of laxatives, fasting, or excessive exercise following a binge are known collectively as these behaviors.

Compensatory or purging behaviors

300

At this stage, the adolescent begins using substances more regularly to manage stress, escape problems, improve mood, or feel normal.

Regular or instrumental use

300

Close observation of behavior, mood, peer interactions, and safety risks is this adolescent-specific intervention.

Surveillance or careful monitoring

400

Unclear expectations, inconsistent discipline, and frequent arguments at home may create this problem for an adolescent.

Family conflict

400

Unlike many depressed adults, a depressed adolescent may display anger, irritability, defiance, or this behavior rather than openly expressing sadness.

Acting out

400

Extreme weight loss, food rituals, excessive exercise, denial of hunger, and resistance to maintaining a healthy weight are associated with this disorder.

Anorexia nervosa

400

Loss of control, increasing tolerance, preoccupation with obtaining the substance, and continued use despite consequences indicate this stage.

Dependency or addiction

400

Clear rules, predictable consequences, consistent staff responses, and explanations of acceptable behavior describe this intervention.

Limit-setting

500

Adolescents from troubled families may experience poor self-esteem, difficulty trusting others, and this tendency to express distress through risky or disruptive actions.

Acting-out behavior

500

A sudden decline in grades, withdrawal from friends, loss of interest, physical complaints, irritability, and reckless behavior may indicate this condition.

Adolescent depression

500

Dental erosion, swollen salivary glands, sore throat, electrolyte imbalance, and normal or fluctuating body weight may be seen with this disorder.

Bulimia nervosa

500

Falling grades, new peer groups, secrecy, mood changes, missing money, and declining appearance may suggest this adolescent problem.

Substance misuse or chemical dependency

500

Helping adolescents identify strengths, practice decision-making, communicate assertively, solve problems, and manage stress promotes these.

Effective coping skills