Under the Mounting Pressure: Teen Mental Health Struggles Intensify During Holiday Season
While many envision the end of the year as a time to unwind, Toronto psychiatrist Dr. Kevin Gabel reveals a different reality for young people. "A lot of depression, a lot of anxiety, or general struggles with school – that’s what we see most commonly," Gabel stated. As the head of the Day Hospital program for youth at North York General Hospital, Gabel witnesses firsthand the rising tide of stress and anxiety among teenagers, particularly during the holiday season.
Contrary to popular belief, Gabel explains that November often sees a surge in youth seeking mental health services.
" I think a lot of it is related to more pressures from school," he notes. "Sometimes the seasonal effect as well – it gets a little colder and darker with the winter months coming, and there can be a little more stress around that too."
While the beginning of the school year offers a transition period for students, by late fall, the academic workload intensifies. Dr. Gabel points to a rise in eating disorders, social difficulties, and issues exacerbated by ADHD, alongside mood and anxiety problems.
His observations are supported by a recent survey from the Centre for Addictions and Mental Health (CAMH), which painted a concerning picture of declining mental health among Ontario students in grades 7-12.
A staggering 37% reported elevated stress levels, while 51% faced moderate-to-serious psychological distress – a figure that has doubled in the past decade.
"The most common reasons cited for not seeking help are thinking they could manage it themselves, being afraid of what others would think about them, and being ‘too busy,’" the report stated.
A teenager studies at a desk (Pexels)
Gabel acknowledges that discussing mental health remains a sensitive topic for some teens. He encourages parents to foster open communication and attentive listening, recognizing that identifying the signs of distress can be challenging.
“Feeling down or anxious for days, or even weeks, could be a sign that something more is going on beyond regular stress," he explains. “And then also when it really starts to interfere with their functioning. The big areas we look for in teenagers, are sort of changes at home, at school, with peers.”
Avoidance, withdrawal, and a decline in academic performance are all warning signs. Gabel emphasizes "really looking at the persistence, like something that’s lasting, and also how much it’s interfering with their functioning."
The Day Hospital program at North York General offers unique support for teenagers struggling to attend school due to mental health challenges.
“They come in, they get therapy, they get school, sort of typically around an eight-week program," Gabel describes. "We try to help them transition either back to their current school or sometimes to maybe a different school or different program."
Gabel believes that the long-term effects of pandemic lockdowns are contributing to some of the mental health struggles he witnesses. The number of mental health visits to NYGH’s Emergency Department doubled from 40 in September 2019 to over 80 in September 2024.
He observes, “I think for a period of time, for different reasons, you didn’t have to go to school. There was sort of that option to stay home. And I think for some of those kids, even though it’s a few years later now, it’s still sometimes a struggle getting back. The more you avoid something, or aren’t engaging in something, it can be a little bit harder to get back to it.”
For teenagers already grappling with mental health issues, the holiday season can magnify existing challenges. The pressure of exams, mounting family expectations, and intensified social interactions can all contribute to heightened stress.
Accessing help is crucial.
An assessment at NYGH is covered by OHIP, and most youth mental health services have some level of coverage. Individuals can also seek support from organizations like Kids Help Phone or Help Ahead, a Toronto-based hotline for child, youth, and family mental health resources.
For immediate crisis support, dial 911 in the United States.
988 connects individuals to the national suicide crisis helpline.
Remember, reaching out for help is a sign of strength, and there are resources available to support you and your loved ones during this challenging time.
## Under Pressure: A Closer Look at Teen mental Health During the Holidays
**World Today News Exclusive Interview with dr. Kevin Gabel**
**WTN:** Dr.Gabel, thank you for taking the time to speak with us today. We’ve received reports about a rise in mental health challenges among teenagers during the holiday season. Could you shed some light on this phenomenon?
**Dr.gabel:** It’s a complex issue, and it’s crucial to understand that the holidays can be a especially difficult period for many young people.While often perceived as a time of joy and celebration, the holiday season can actually amplify existing stressors and introduce new ones.
**WTN:** What are some of the specific challenges teenagers face during this time?
**Dr. Gabel:** Several factors come into play. Academic pressure intensifies in the fall semester, leading to exhaustion and anxiety. This is frequently enough compounded by holiday expectations, both social and financial, which can feel overwhelming for teenagers already grappling with schoolwork and social dynamics. We see a rise in eating disorders, social isolation, and issues related to ADHD and anxiety during this period.
**WTN:** This seems to contradict the common perception of the holidays as a time for relaxation.
**Dr. gabel:** Absolutely.That’s why it’s so crucial to acknowledge the reality for many young people. The perceived pressure to be joyful can further exacerbate feelings of inadequacy or stress.
**WTN:** You mentioned academic pressure. Is there a particular time frame when this intensifies?
**Dr. Gabel:** We see a meaningful uptick in teens seeking mental health services in November. The initial excitement of a new school year wears off, and students are facing mid-term exams, heavier workloads, and the pressure to perform well academically.
**WTN:** A recent CAMH survey paints a concerning picture of teen mental health.Can you elaborate on these findings?
**Dr. Gabel:** Yes, the CAMH report highlights a staggering increase in mental health issues among Ontario students. nearly 37% reported elevated stress levels, and over 50% experienced moderate to severe psychological distress. These figures are alarming and underscore the urgent need for increased support and resources for young people.
**WTN:** What advice would you give to parents and educators who want to help teenagers navigate this challenging time?
**Dr. Gabel:** First and foremost, create a safe and open space for teens to express thier feelings. Encourage them to talk about their struggles without judgment. Practice active listening and validation. Encourage healthy coping mechanisms like exercise, mindfulness, and creative outlets.
**WTN:** what about teens who might be reluctant to talk about their mental health?
**Dr. Gabel:** It’s crucial to be persistent and patient. Look for changes in behavior, mood swings, or withdrawal from activities they previously enjoyed. Encourage them to connect with trusted friends, family members, or school counselors. Professional help is also available, and early intervention can make a significant difference.
**WTN:** dr. Gabel, thank you for your invaluable insights. Your viewpoint helps us understand the complex reality of teen mental health during the holidays.
**Dr. Gabel:** My pleasure. It’s important to remember that we are not alone in this. By raising awareness and providing support, we can definitely help teenagers navigate these challenges and build resilience.
