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The Mel Robbins PodcastThe Mel Robbins Podcast

A Yale Psychologist Explains Why Teens are Spiraling (It’s Not What You Think) | Mel Robbins Podcast

Dr. Lisa Damour is a clinical psychologist and author of three New York Times bestsellers. She earned degrees from both Yale and the University of Michigan and has more than 30 years of experience working with #teens and #families.

Mel RobbinshostDr. Lisa Damourguest
May 17, 20231h 25mWatch on YouTube ↗

Summaries, chapters, transcripts, and FAQs on this page are made by uListen, not YouTube.

At a glance

WHAT IT’S REALLY ABOUT

Yale psychologist redefines teen mental health and post-pandemic crisis

  1. Mel Robbins interviews clinical psychologist and author Dr. Lisa Damour about the emotional lives of teenagers, especially in the wake of the pandemic. Damour reframes mental health as having feelings that fit the situation and are managed in healthy ways, rather than the absence of distress or constant happiness.
  2. They explore how normal, even intense, negative emotions are often signs of healthy functioning, and distinguish these from red-flag situations where emotions impair functioning or drive “costly coping” like substance abuse, self‑harm, avoidance, or disordered eating.
  3. Damour explains how lockdown disrupted teens’ two core developmental tasks—growing independent and building peer relationships—leading to delays, spikes in anxiety, eating disorders, substance use, and school avoidance.
  4. Throughout, she offers specific language, scripts, and frameworks for parents and caring adults to respond more effectively: validating distress, avoiding overreaction, supporting exposure to feared situations, and becoming a steady, empathic presence rather than a panicked fixer.

IDEAS WORTH REMEMBERING

5 ideas

Distress can be a sign of mental health, not illness.

Psychologically, mental health is assessed by whether feelings fit the circumstances and are managed constructively—not by whether someone feels calm or happy. Sadness after a breakup or anxiety before an exam is normal and often healthy; the absence of such reactions can be more concerning.

Watch for two red flags: impaired functioning and costly coping.

Concern rises when emotions significantly interfere with daily life (can’t attend school, socialize, or manage basics) or when someone relies on coping that ‘works’ but has a price—substance abuse, self-harm, lashing out, extreme avoidance. These signal the need for intervention and possibly professional help.

Start by respecting that problematic behaviors are serving a purpose.

Teens (and adults) don’t cut, binge, or overuse weed and gaming irrationally; these behaviors numb or regulate pain. Opening with “You’re too smart to be doing this for no reason—this must be working for you somehow” reduces combativeness and helps you join the part of them that wants healthier options: “What you’re doing isn’t working; let’s find something that will.”

Avoidance feeds anxiety; gradual exposure reduces it.

Letting kids skip parties, classes, or activities to relieve anxiety offers immediate relief but reinforces avoidance as the go‑to strategy and cements catastrophic beliefs. Instead, collaborate on small, doable exposures (e.g., “Stay at the party for 20 minutes; I’ll pick you up if you still need to leave”) while teaching calming and reframing techniques.

Externalization is normal: don’t absorb your teen’s emotional ‘trash.’

Adolescents often dump intense feelings on a parent, feel better, and move on while the parent lies awake worrying. Asking “Do you want help or just to vent?” and mentally “holding a garbage bag” for their feelings lets you validate them without over-owning the problem—or amplifying their distress with your own.

WORDS WORTH SAVING

5 quotes

So often, mental health concerns and distress are treated as though they are one and the same, but the presence of distress is often evidence of mental health.

— Dr. Lisa Damour

Humans are rational actors. They don’t do things that don’t serve a purpose—even when those things are damaging.

— Dr. Lisa Damour

Avoidance feeds anxiety. On this, everyone in psychology agrees.

— Dr. Lisa Damour

Our job is to try to be a steady presence.

— Dr. Lisa Damour

We’re not going to medicate or therapize our way out of this adolescent mental health crisis. It’s going to be about strong relationships with caring adults.

— Dr. Lisa Damour

Read the available transcript
Redefining mental health: distress as evidence of healthy functioningHealthy vs. unhealthy coping and the concept of “costly coping”Impact of the pandemic and lockdown on adolescent developmentGendered patterns in coping: discussing vs. distracting, rumination, and expressionExternalization: teens emotionally “dumping” on parents and what to doRecognizing and responding to anxiety, avoidance, suicidality, and school refusalEating disorders, body-image norms, and social media’s algorithmic influenceHow and when to seek therapy, and the central role of caring adults

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