Dealing with Mental Health Issues During the Summer

Young soccer playerFor children, teens, and college students, summertime is associated with freedom from school and positive emotions. However, summer can also be a time where certain mental health issues need to be tended to even more than usual. Experts share information on what mental health problems can be present more often during summer and how to prevent certain issues.

Peter Zafirides, a psychiatrist in Ohio, said he has noticed a common mental health issue for children, teens, and students during the summer. Many evaluate whether they should still take their medication for attention deficit hyperactivity disorder (ADHD).

“Stimulants are often prescribed during the school year, but depending on the severity of the underlying ADHD, the summers may provide for some time off the medications,” Zafirides said. “But it may not always be smooth-going. The combination of unmedicated ADHD symptoms, along with the less structured days of summer can be very problematic for kids and their parents. Beyond the attention symptoms that worsen, kids can experience mood changes, including anxiety and irritability.”

School can provide a consistent schedule, which can be better for children with certain mental illnesses. “The potential unstructured nature of the summer can feed in to any underlying anxiety disorders and depression present in these kids,” he added.

For children who have ADHD, Zafirides has tips to make summer more bearable. “Children and parents may benefit from sitting down at the beginning of the summer and talking about shared goals and expectations,” Zafirides said. “Have a plan ahead of time to regularly check in with each other and, in an open, nondefensive forum, talk about any changes in behavior or concerns about mood.”

He also has other suggestions that can apply to children and teens with any type of mental illness or mental health issues. “Get outside and enjoy the summer. Try to limit the amount of time online, watching TV, or playing video games,” Zafirides said. “Be active, get plenty of sleep and exercise. If medications will continue over the summer, make sure kids are taking them regularly. Again, summer is less structured, so compliance may not be as consistent, resulting in a worsening of a mental health condition. Always speak to your medical professional before either discontinuing or reducing the dosages of medication.”

Communication is key for healthy relationships and lives. “I think the most important aspect between parents and children in the summer months is to establish clear and respectful lines of communication without either side getting defensive or feeling they are not being heard,” Zafirides said. “An occasional small discussion may be all that is needed to avoid big problems over the summer.”

John Duffy, a clinical psychologist and author of The Available Parent: Radical Optimism for Raising Teens and Tweens said in an email that depression can be more noticeable during the summer. “I have found that depression driven by loneliness often becomes more pronounced in the summer,” Duffy said. “This may be due in part to the fact that people are more obviously out, about, and social in the summertime. For many young people, summer is a far less-structured time of year than any other season.”

Anxiety issues can also come to the surface. “We often find that anxiety-based issues become apparent due in part to the lack of structure,” Duffy said. “Though most young people claim this is the time of year they most look forward to, many become listless and irritable because of a lack of structured activity.”

The solution to these issues is to provide somewhat consistent structure during the summer. “This might include participation in a sport, a play, a camp or other club, volunteer activity, or a job,” Duffy said. “Kids do better when they are part of something. They are happier, less restless, and more driven. Summer also presents a unique opportunity for young people to investigate strengths and interests, and opportunity that is less open to them during the very-structured school year.”

Adults can experience the same mental health issues as children during the summer, especially depression and anxiety. “Depressed adults are more aware, for example, of the degree to which others are socially connected during the summer, and this can serve to amplify the depression,” Duffy said. “Many adults also tell me that, though they want to be more active, limitations imposed by work and other obligations prevent them from doing so. This can contribute to feelings of depression and anxiety as well.”

The National Alliance on Mental Illness website suggests that some people can actually experience seasonal affective disorder (SAD) during the summer. SAD is characterized by depressive episodes that occur during certain times of the year (typically during the winter). In the case of seasonal affective disorder that is experienced during the summer, symptoms tend to be weight loss, minimal appetite, anxiety, irritability, and insomnia. Heat and humidity could worsen this “reverse SAD,” according to the website. Some adults with bipolar disorder are more likely to experience the mania part during spring and summer as well, he said.

William Oswald, the CEO and director of Summit Malibu, a behavioral and addiction treatment center in California, said in an email that all types of mental health issues can occur more often during the summer, such as agoraphobia, addictions and compulsions, as well as the more common depression and seasonal affective disorder.

“When people have a purpose, or curriculum in this case, their minds stay occupied, and boredom is not as prevalent of an issue,” Oswald said. “When they go from being extremely busy to having nothing to do, oftentimes this boredom results in mild, or in some cases severe, forms of depression. Once untreated, depression sets in, people (teens and college students especially) end up self-medicating with drugs or alcohol as a means to simply feel better. This is true of seasonal affective disorder as well—some may not want to be outside, and in turn isolate, resulting in isolative behaviors and a depressive state.”

Oswald has specific preventative tips for each age group during the summer:

Children: “Setting play dates with other kids or sending them to a day-care program where they do outside activities can keep their minds occupied and also help with socialization. This is key to preventing isolating behaviors later on in life.”

Teens: “Having a part-time summer job is the most important thing they can do to protect their mental health. They will learn the importance of a work ethic, earn money (which they can then spend on fun activities), and [prevent] boredom—the number one offender during summer breaks.”

College students: “Having an internship or continuing to work on their educational goals will keep them focused and driven, preventing depression and other detrimental behaviors associated with the disorder.”

Unfortunately, these suggestions will not always work, and in that case it’s best to seek a mental health professional to keep any mental health issues from worsening.

For adults, it can be unfortunate to be stuck inside working when the weather is gorgeous (at least in some places). This can be just another trigger for depression and other mental illnesses like substance-related disorders. “Adults need to utilize their vacation days properly so they have something to look forward to and get to experience summertime weather on days other than the weekend,” Oswald said. “Making time for outdoor activities on the weekend and starting an exercise program will keep one’s mood elevated.”

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  • James B

    April 30th, 2012 at 3:16 PM

    You have to find a way to give these kids an energetic outlet during the summer- they don’t need to be stuck inside in front of the television or the computer. They need activities and consistency that is comparable to what they would normally receive in their school setting. This could also be the ideal case where you know a child would benefit from a year round school situation, where the down time is spread a little more evenly throughout the year instead of having it all in one huge chunk during the summer. As a mater of fact I think that most of our kids would benefit from an educational standpoint if there were more environments where this type of learning schedule was used, but oh well. That’s where the travel and tourism industry will never let us win. Anyway, adults and children alike typically thrive in situations where there is structure and activity as opposed to boredom and large amounts of time with little to do. Let’s all make this a priority when thinking about our summer schedules this year.

  • darcy

    April 30th, 2012 at 4:32 PM

    Is it really such a good idea for them to go off their medications during the summer? Why not keep them on them so they can stay adjussted instead of having to go through all of that all over again at the start of the next school year?

  • shania

    April 30th, 2012 at 11:36 PM

    when school s open we are stressing about academics and other things and so look forward to the summer and the free time that comes with it. but once summer arrives there is not much to do and things are not really scheduled. this often leaves me feeling less productive and irritated. I don’t know if it is the summer or a lot of free time but can only imagine what happens to those win depression or other issues.

  • Marcine

    May 1st, 2012 at 4:20 AM

    there are some who lose that structure on the weekends, much less the summer!

  • susan reed

    May 1st, 2012 at 5:13 PM

    This is terrible but there have actually been times that I have dreaded the summer so bad. With two ADHD boys, you can imagine why.
    For a few years I really loaded them up on day camps and activites, but then I thought about the time I was missing with them and I stopped all that.
    Now we just hang together all summer. We are not complete lazy bums- we hike and swim and go camping, but honestly we take it easy and it is so much better than always trying to stay on the go.

  • Henry

    May 2nd, 2012 at 4:27 PM

    I think that for the most part most of us do better and are at outr peak when we keep and maintain some sort of structure in our lives.

    For some of us that is work or exercise or a hobby that we take time out for. For others maybe it is school work or knowing that we have a project due.

    There is no reason why we have to stray from that even during the summer. We might have to be a little more fluid and flexible but all in all if you know that this is how you perform your best then I would suggest trying to keep some model of a schedule going so that we don’t get too far off track.

  • kenny p.

    May 30th, 2016 at 8:07 AM

    wow tnx for all info. ! i got serious mental problems in summer of india ! its 50degrees here ! nice to see info abt mental prblems ! tnx alot ! godbless u all

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