Adapting your style
Simple things such as introducing yourself by name and having conversations in a private space can make young people feel more comfortable. When undertaking a consultation with a young person, using open questions can help, too. For example, you could empathise by saying: “I understand that you have been feeling really stressed. Would you be able to tell me more about how you are feeling?” Depending on the young person’s response, you could then use more specific follow-up questions.
It is important to not use medical jargon and complex words – even words like ‘depression’ or ‘anxiety’ may be confusing or difficult for them to interpret. So, rather than asking: “How has your mood been recently?” you could ask: “Have you been feeling down or sad recently?” And instead of asking: “Are you feeling anxious?” you could ask: “Are you worrying about lots of things?”
With an older young person, however, using overly simplified language may appear patronising, so a judgment call needs to be made on a case-by-case basis.
During all conversations, it may help to employ active listening. This can build rapport and help people feel that they are being heard. Active listening means listening to the person, understanding what they are saying and reflecting on what is being said. For example, with responses like: “It sounds like you are feeling really down at the moment. Would you say that’s correct?”
Depending on the young person’s age, there may be a parent/guardian present during the consultation. Alternatively, you may be approached by a parent independently seeking support and advice for their child’s mental health. In all cases, it is important to be non-judgmental, open and empathetic. It’s also important to consider whether they need support for their own mental health while they are supporting the young person.
Key points
- Young people may find it more difficult than adults to discuss mental health concerns with a healthcare professional
- It is important to help them feel comfortable by adapting your conversation style as appropriate to their age
- Their concerns may not be about themselves – they may be worried about a friend or family member
- A young person starting on treatment for depression may be more prone to suicidal thoughts and ideations, so careful monitoring is required
- A variety of apps and online resources are available to support mental health concerns in young people.