Teenage anxiety and depression are more common than many parents realise, affecting approximately 1 in 4 young people in Australia. At Shake Counselling in Geelong, we see firsthand how these conditions impact not just the young person, but their entire family. This comprehensive guide offers practical insights for recognising, understanding, and addressing teen mental health challenges.
Understanding Teen Anxiety and Depression
How Anxiety Presents in Teenagers
Teenage anxiety often looks different from adult anxiety. Instead of the classic "worried thoughts," teens might display:
- Irritability and mood swings
- Avoidance of social situations or school
- Physical symptoms like headaches or stomach aches
- Perfectionism or fear of failure
- Sleep disturbances
- Difficulty concentrating
Recognising Depression in Young People
Teen depression doesn't always look like sadness. Common signs include:
- Persistent irritability or anger
- Loss of interest in activities they once enjoyed
- Changes in sleep patterns (too much or too little)
- Appetite changes
- Fatigue or loss of energy
- Feelings of worthlessness or guilt
- Difficulty making decisions
- Physical complaints without medical cause
The Unique Challenges of Adolescence
Brain Development and Emotional Regulation
The teenage brain is still developing, particularly the prefrontal cortex responsible for decision-making and emotional regulation. This means teens literally experience emotions more intensely and have less capacity to manage them effectively.
Social Pressures and Identity Formation
Adolescence is a time of identity exploration, which can be both exciting and overwhelming. Social media, academic pressure, and peer relationships all contribute to stress levels.
Effective Treatment Approaches
Movement-Based Interventions
At Shake, we've found that incorporating physical activity into therapy can be particularly effective for anxious and depressed teens:
Basketball Therapy Benefits:
- Releases endorphins naturally
- Provides a sense of achievement
- Creates opportunities for social connection
- Offers metaphors for life challenges
Walking Therapy Advantages:
- Reduces the intensity of face-to-face interaction
- Fresh air and nature exposure
- Natural rhythm supports emotional processing
- Less formal therapeutic environment
Dialectical Behaviour Therapy (DBT) Skills
DBT teaches practical skills for managing intense emotions:
- Mindfulness techniques
- Distress tolerance strategies
- Emotional regulation skills
- Interpersonal effectiveness
Acceptance and Commitment Therapy (ACT)
ACT helps teens develop psychological flexibility and align their actions with their values, even when experiencing difficult emotions.
Supporting Your Teen at Home
Creating a Supportive Environment
Do:
- Listen without immediately trying to fix
- Validate their emotions, even if you don't understand
- Maintain consistent routines
- Encourage healthy lifestyle choices
- Model emotional regulation
Avoid:
- Minimising their experiences ("It's just a phase")
- Comparing them to others
- Taking their mood personally
- Overwhelming them with advice
When to Seek Professional Help
Consider professional support if your teen experiences:
- Persistent symptoms lasting more than two weeks
- Thoughts of self-harm or suicide
- Significant impact on school or relationships
- Substance use as coping mechanism
- Extreme changes in behaviour or personality
Building Resilience
Developing Coping Strategies
Help your teen build a toolkit of coping strategies:
- Breathing exercises
- Physical activity
- Creative outlets
- Social connections
- Mindfulness practices
The Importance of Connection
Strong relationships are protective against mental health challenges. Encourage:
- Family bonding time
- Peer relationships
- Community involvement
- Mentorship opportunities
The Role of Lifestyle Factors
Sleep Hygiene
Quality sleep is crucial for mental health. Encourage:
- Consistent sleep schedule
- Limited screen time before bed
- Comfortable sleep environment
- Regular bedtime routine
Nutrition and Mental Health
What we eat affects how we feel:
- Regular, balanced meals
- Limited caffeine and sugar
- Adequate hydration
- Omega-3 rich foods
Physical Activity
Exercise is one of the most effective interventions for anxiety and depression:
- Find activities they enjoy
- Start small and build gradually
- Make it social when possible
- Celebrate improvements
Supporting Recovery
Understanding That Healing Isn't Linear
Recovery from anxiety and depression rarely follows a straight path. Expect ups and downs, and celebrate small victories along the way.
Building a Support Network
Surround your teen with understanding adults and peers. This might include:
- Mental health professionals
- School counsellors
- Extended family
- Peer support groups
- Community mentors
Hope for the Future
With appropriate support, young people can not only recover from anxiety and depression but develop stronger resilience and coping skills. The key is finding approaches that resonate with the individual young person and maintaining hope throughout the journey.
At Shake Counselling, we specialise in working with teenagers experiencing anxiety and depression. Our innovative approaches, including movement-based therapy and peer mentoring, provide young people with tools they can actually use in their daily lives.
Remember: seeking help is a sign of strength, not weakness. Every young person deserves support in navigating these challenging but temporary difficulties.

About Shake Counselling
Shake Counselling is Geelong's leading youth mental health service for young people aged 12-25. We offer innovative therapies including basketball counselling, walking sessions, DBT, ACT, and peer mentoring programs, creating safe spaces where young people can heal and thrive.
Meet Our Team