The COVID-19 Pandemic & Your Teen's Mental Health

April 13, 2021

Even in normal times, a teenager often feels emotional, vulnerable, insecure and confused. 

But when a global pandemic turns their world upside down, many teens feel completely overwhelmed. They are challenged with social distancing, remote learning and the cancellation of important events and activities, like school sports, homecoming, prom and graduation. They also may be worried about the health of loved ones.

How to Tell if It's Anxiety or Depression

Aurif Abedi, M.D., a child and adolescent psychiatrist with Henry Ford Allegiance Health, advises parents to look for changes in your teen’s behavior. Don't ignore signs of anxiety and depression, such as:

► Experiencing mood swings, agitation, frequent irritability or outbursts of intense anger.

► Being uninterested in connecting with friends or family – avoiding interactions and not texting, gaming or video chatting with friends.

► Losing interest in things they normally enjoy, like music, drawing or other hobbies.

► Having difficulty sleeping or sleeping more than usual.

► Losing their appetite or eating more frequently, often resulting in weight fluctuations.

► Not showering regularly, and not making an effort with how they look.

► Struggling with school: having attendance problems, not finishing assignments, or seeing a drop in grades.

► Engaging in risky behavior, including drug or alcohol use.

How to Help Your Anxious or Depressed Teen

Gently tell your child you’ve noticed a change in their behavior and give examples. Help them feel safe to tell you how they feel. Let them know you want to help and encourage them to ask questions.

Contact your teen’s doctor about your concerns. The doctor can complete an assessment and make recommendations, including letting you know if counseling seems appropriate.

If There is a Risk of Suicide

Thoughts of suicide, desperation or hopelessness should always be taken seriously. Make sure your home is safe for your child by locking up medications and weapons and getting help for your teen.

Contact your child’s doctor, call the National Suicide Prevention Lifeline at 1-800-273-8255, text TALK to the Crisis Line at 741741, or take your child to the nearest emergency department for an assessment. If your teen is in immediate danger of serious self-harm, call 9-1-1 immediately.

Learn about the wide range of behavioral health treatment options available at Henry Ford Health System.

Dr. Aurif Abedi, is a physician who is board-certified in psychiatry as well as child and adolescent psychiatry, and sees patients at Henry Ford Allegiance Health in Jackson.

Snap, Crackle & Pop: Why Do My Knees Make Noises - And Should I See a Doctor?

Do you ever just go about your daily life and then, seemingly out of nowhere, your knee makes a noise?

You might call it a weird idiosyncrasy and not think twice about it—or you might turn to the Internet to try and find all of the potential issues that might be wrong with your knee.

But if your knee pops or cracks once in a while, it’s usually no cause for concern. After all, joints sometimes make noises, and knees are no exception (especially when you squat or sit down.)

“Infrequent knee pops and cracks are more common in the younger population, says Nancy White, M.D., a sports medicine physician at Henry Ford Health. “When you feel that ‘pop,’ it means your kneecap was pulled a bit outside of where it’s supposed to be, and so it’s correcting itself and getting back into position. You can kind of feel that something moved.”

If, however, pain or swelling accompanies a noisy knee, you should have it evaluated by a sports medicine provider. And if your knee is popping or cracking regularly, that's another sign you should have it checked out. 

“If you let it go, your knee could get worse,” says Dr. White. “There are recommendations a doctor can make to prevent this from happening, such as strengthening and flexibility exercises.”

What Is Knee Crepitus?

If your knee sounds like Rice Krispies crackling (or you experience a grinding sensation) it likely means you have knee crepitus, which can signify the beginning of osteoarthritis behind the kneecap.

“Knee crepitus is primarily caused by an issue called patellofemoral dysfunction,” says Dr. White. That sounds like a mouthful, but it means that your knee isn’t tracking straight up and down like it’s supposed to.

“There’s cartilage on the back of your kneecap and on the front part of your thigh, and the cartilage on the front part of your thighbone makes a groove so the kneecap can glide straight up and down in a floating position,” says Dr. White. “If the cartilage is worn down (and inflamed, worn-down cartilage signifies osteoarthritis), the kneecap can’t smoothly glide up and down, causing knee crepitus.”

If you are experiencing knee crepitus, you should see a sports medicine primary care physician, especially if it is accompanied by pain. They can recommend a variety of treatments, such as physical therapy and cortisone injections.

Still not sure if your noisy knees are cause for concern? When in doubt, call your doctor. After all, the sooner your doctor can examine it, the sooner you can prevent an issue from getting worse.

To learn more about your orthopedic condition or to find a provider, visit henryford.com/ortho.

Dr. Nancy White is a sports medicine physician with Henry Ford Health. She sees patients at Henry Ford Medical Center – Novi, and Henry Ford Medical Center – Bloomfield Township.