How to Talk to Your Child About Eating Disorders: A Compassionate Guide for Parents

By Dawn Anderson LPCCS, Lindner Center of Hope

Discovering that your child may be struggling with an eating disorder is a heavy realization. It’s natural to feel a mix of fear, confusion, and the urgent desire to “fix” it. However, the first conversation is less about providing a solution and more about opening a door. Early intervention is the strongest predictor of recovery, and that begins with a compassionate, non-judgmental approach.

Setting the Stage for Connection

Before you speak, choose a time when emotions aren’t already high. Avoid bringing it up during or immediately after a meal, as these are often high-stress windows. Your goal is to be a calm anchor for them.

Use “I” Statements to Reduce Defensiveness

Focus on what you have observed rather than labeling their behavior. This reduces defensiveness.

  • Instead of: “You’re not eating enough.”
  • Try:I’ve noticed you seem more stressed lately during dinner, and I’m concerned about how you’re feeling.”

Focus on Feelings, Not Food

Eating disorders are often a coping mechanism for underlying emotional pain. Talk about their mood, isolation, or anxiety rather than just calories or weight.

  • Example: “I’ve noticed you’ve been spending more time alone lately and seem a bit down. I want you to know I’m here to listen without judgment.”

Tailoring the Conversation to Your Child’s Age

The way a child processes their relationship with food and their body changes significantly as they grow. Your approach should shift accordingly:

Talking to Young Children (Ages 5–12) About Eating Concerns

At this age, children often lack the vocabulary to describe an eating disorder. They may experience it as “tummy aches” or fear. A helpful approach is to externalize the problem.

  • Example: “It seems like a ‘worry thought’ is making it hard for you to enjoy your favorite foods. Let’s talk about that bully in your head.”

Approaching Adolescents (Ages 13–17) with Eating Disorder Concerns

Teens value autonomy and may view the disorder as their only source of control. It can help to acknowledge their need for independence while remaining firm on health.

  • Example: “I know you want to handle things on your own, but I’ve seen some things that worry me. As your parent, I need to make sure your body is getting what it needs to grow.”

Supporting Young Adults (Ages 18+) Without Overstepping

For adult children, you are more of a consultant than a manager. Focus on how the struggle impacts their life goals (college, career, relationships).

  • Example: “I love you and want to see you thrive in your new job, and I’m worried this struggle is draining the energy you need to succeed.”

Is It Disordered Eating or a Phase? How to Tell the Difference

It can be difficult to distinguish between a teenager’s newfound interest in “clean eating” and the early stages of a clinical disorder. The table below highlights key differences between functional behaviors and concerning red flags that may warrant professional evaluation.

Distinguishing Functional vs. Concerning Symptoms

AreaFunctional/Typical BehaviorConcerning/Disordered Symptoms
Social EatingMay prefer certain foods but can still eat at a restaurant or a friend’s house with minimal stress.Avoids social gatherings involving food; experiences high anxiety or “meltdowns” if they can’t control the menu.
Dietary ChangesExpresses interest in vegetarianism or “healthy” eating for ethical reasons while maintaining caloric needs.Abruptly cuts out entire food groups (carbs, fats, dairy) specifically to lose weight; obsessed with “purity” in food.
Physical GrowthWeight stays relatively stable or follows their established growth curve, even with picky eating.Significant, rapid weight loss; “plateauing” or failing to gain height/weight as expected for their age.
MovementEnjoys sports or exercise for fun, social connection, or skill-building.Exercises compulsively, even when tired, injured, or in bad weather; feels intense guilt if a workout is missed.
Food RitualsMay have a “favorite” bowl or occasional picky habits (e.g., not liking foods to touch).Develops rigid rituals like cutting food into tiny pieces, excessive chewing, or hiding food in napkins/pockets.

When to Seek Professional Help for an Eating Disorder

If you notice multiple red flags or escalating distress, professional support is essential. Early treatment significantly improves outcomes and helps families feel less alone.

Trusted Resources for Parents and Caregivers

  • Lindner Center of Hope – Specialized care for children, adolescents, and adults with eating disorders
  • National Eating Disorders Association (NEDA) – Screening tools and helpline support
    (nationaleatingdisorders.org)
  • F.E.A.S.T. – Parent-focused education and “first aid” for families navigating eating disorders
    (feast-ed.org)

You Don’t Have to Have All the Answers

Showing Up, Listening, and Taking the Next Step Together

You don’t need to have all the answers. You don’t need to say everything perfectly. What matters most is showing up, listening, and letting your child know they don’t have to carry this alone.

That first conversation isn’t the solution—it’s the beginning of support, connection, and healing.

Being diagnosed with obsessive-compulsive disorder (OCD) can feel overwhelming. Many individuals and caregivers are left with questions about what effective treatment looks like, how long it takes, and whether symptoms can truly improve. The good news is that OCD is a highly treatable condition when care is grounded in evidence-based approaches.

This article focuses specifically on OCD treatment, outlining the therapies and interventions most commonly recommended by mental health professionals. Understanding these options can help patients and caregivers feel more informed and confident when beginning the treatment process.

What Is Considered Effective OCD Treatment?

OCD treatment typically involves a combination of therapy for OCD and, in some cases, medication. Research consistently shows that structured, evidence-based care can significantly reduce the intensity and frequency of obsessive thoughts and compulsive behaviors.

The most effective treatments for OCD focus on helping individuals change how they respond to intrusive thoughts rather than attempting to eliminate the thoughts themselves.

Therapy for OCD: The Foundation of Treatment

Cognitive Behavioral Therapy (CBT)

Cognitive Behavioral Therapy (CBT) is one of the most widely used and researched treatments for OCD. CBT helps individuals identify patterns of thinking that contribute to distress and teaches skills to challenge unhelpful beliefs and responses.

Rather than reinforcing avoidance or reassurance-seeking, CBT encourages patients to tolerate uncertainty and discomfort while learning healthier coping strategies. Over time, this process can reduce anxiety and improve overall functioning.

Exposure and Response Prevention (ERP)

Exposure and Response Prevention (ERP) is a specialized form of CBT and is considered the gold standard for OCD treatment.

ERP works by gradually exposing individuals to situations, thoughts, or images that trigger obsessions while helping them resist the urge to engage in compulsive behaviors. With guidance from a trained clinician, patients learn that anxiety naturally rises and falls without the need for compulsions to neutralize it.

Studies show that ERP helps the brain recalibrate its fear response, leading to lasting symptom reduction and improved quality of life.

Medications for OCD: A Supportive Option

For some individuals, medications for OCD may be used alongside therapy. These medications are typically prescribed and monitored by a psychiatrist or psychiatric mental health nurse practitioner and are selected based on a patient’s symptoms, history, and overall health.

Medication is not a standalone cure for OCD and, when combined with therapy, it may help reduce symptom intensity enough for individuals to more fully engage in ERP and CBT. Decisions about medication are always individualized and carefully evaluated.

How Long Does OCD Treatment Take?

The length of OCD treatment varies from person to person. Factors such as symptom severity, co-occurring conditions, and consistency of therapy can all influence progress.

Many individuals begin to notice improvements within weeks or months of structured therapy, particularly with ERP. Continued practice and support help reinforce gains and reduce the risk of relapse.

The Importance of Education and Support

Effective OCD treatment often includes education for both patients and caregivers. Understanding how OCD functions can reduce shame, improve communication, and support recovery outside of therapy sessions.

Learning more about evidence-based treatments for OCD can also help individuals recognize when care is aligned with best practices. Learn more about OCD treatment options.

Frequently Asked Questions About OCD Treatment

Is OCD treatable?
Yes. OCD is a chronic condition, but evidence-based treatment can significantly reduce symptoms and help individuals lead fulfilling lives.

Does therapy for OCD work without medication?
Many individuals benefit from therapy alone, particularly ERP. Others may find that a combination of therapy and medication is most effective.

Will ERP make my anxiety worse?
ERP can feel challenging at first and it is carefully paced and guided by a trained clinician. Over time, anxiety typically decreases as the brain learns new responses.

Can OCD treatment help with related anxiety or depression?
Yes. Treating OCD often improves co-occurring symptoms, especially when CBT addresses broader patterns of thinking and behavior.

What if my OCD symptoms come back?
Ongoing skills practice and follow-up care can help manage flare-ups. Many people return to ERP strategies when symptoms resurface.

Finding Support for OCD Treatment

Choosing the right treatment provider is an important step in recovery. Working with clinicians who specialize in OCD and evidence-based care ensures treatment is aligned with current clinical standards.

Lindner Center of Hope offers comprehensive, research-informed approaches to OCD treatment, with a focus on CBT, ERP, and individualized care planning.

Contact Lindner Center of Hope to learn more about OCD treatment options.

Content reviewed by:

Lauren Neiser, APRN, PMHNP-BC
Psychiatric Mental Health Nurse Practitioner
Lindner Center of Hope

Obsessive-compulsive disorder (OCD) is a mental health condition that affects how a person thinks, feels, and behaves. While many people use the term casually, OCD is far more than being organized or detail oriented. For individuals experiencing OCD symptoms, the condition can feel overwhelming, persistent, and deeply distressing which often interferes with daily life, relationships, and emotional well-being.

Understanding the symptoms of OCD is an important first step toward clarity, especially for those who may also be noticing signs of depression or emotional exhaustion alongside their obsessive thoughts.

What Are OCD Symptoms?

OCD symptoms generally fall into two interconnected categories: obsessions and compulsions. These symptoms tend to reinforce one another, creating a cycle that can be difficult to break without professional support.

While individuals with OCD often recognize that their fears or thoughts are unrealistic or irrational, that awareness does not make the symptoms easier to control.

Obsessions: Intrusive and Unwanted Thoughts

Obsessions are persistent, unwanted thoughts, images, sensations, or urges that cause significant anxiety or distress. These are often described as intrusive thoughts—thoughts that appear suddenly and feel impossible to dismiss.

Common forms of obsessive thoughts include:

  • Fear of contamination from dirt, germs, or chemicals
  • Worries about accidentally harming someone, such as while driving
  • Distress about losing important items
  • Intrusive thoughts involving immoral, blasphemous, or socially unacceptable actions
  • Worries related to safety, such as forgetting to lock a door or turn off the stove

These thoughts are not reflective of a person’s values or intentions, yet they can feel extremely real and upsetting. Many individuals spend considerable mental energy trying to suppress or neutralize these thoughts, which often intensifies the anxiety instead.

Compulsions: Repetitive Behaviors or Mental Rituals

Compulsions are repetitive actions or mental rituals performed in response to obsessions. They are intended to reduce anxiety or prevent a feared outcome, even if the connection between the behavior and the fear is illogical.

Common OCD symptoms related to compulsions include:

  • Excessive or ritualized handwashing and cleaning
  • Repeated checking, such as locks, appliances, or reassurance from others
  • Mental rituals like counting, repeating phrases, or silent prayers
  • Hoarding or difficulty discarding items
  • Repetitive touching, arranging, or ordering objects until things feel “right”

Although compulsions may bring temporary relief, the relief is short-lived. Over time, the cycle of obsessions and compulsions often becomes more rigid and disruptive.

Emotional and Cognitive Impact of OCD

Beyond visible behaviors, OCD can have a significant emotional impact. Many individuals experience chronic anxiety, guilt, shame, or frustration related to their symptoms. Because OCD demands constant mental effort, it can also contribute to emotional fatigue and difficulty concentrating.

It is not uncommon for individuals with OCD to also experience symptoms of depression, particularly when the condition interferes with work, relationships, or daily functioning. Feelings of hopelessness or emotional withdrawal may develop, not as a separate condition initially, but as a response to the ongoing stress of unmanaged OCD symptoms.

When OCD Symptoms Interfere With Daily Life

OCD symptoms vary in intensity and when they begin to interfere with daily routines, relationships, or emotional health, professional evaluation can be helpful. Many people delay seeking help because they fear being misunderstood or minimized, especially if their symptoms are primarily internal rather than behavioral.

A comprehensive diagnostic assessment can help clarify whether symptoms are consistent with OCD, depression, or another co-occurring condition, and guide next steps with greater confidence.

Learn more about comprehensive mental health evaluations through Lindner Center of Hope’s Assessment Programs.

Understanding Next Steps

For individuals who recognize themselves in these symptoms of OCD, learning about treatment options may feel like a natural next step. While this article focuses on symptoms only, resources are available to explore care options when the time is right.

You can learn more about specialized care for adults by visiting Lindner Center of Hope’s adult mental health services and OCD treatment resources.

Frequently Asked Questions About OCD Symptoms

What are the most common OCD symptoms?

The most common OCD symptoms include intrusive or obsessive thoughts and repetitive behaviors or mental rituals known as compulsions. Obsessions often involve fears related to contamination, harm, morality, or losing control, while compulsions may include checking, washing, counting, or seeking reassurance to relieve anxiety.

Can OCD symptoms exist without visible compulsions?

Yes. Some individuals experience primarily internal OCD symptoms, often referred to as “pure obsessional” OCD. In these cases, compulsions may take the form of mental rituals such as counting, repeating phrases silently, or reviewing thoughts rather than visible behaviors.

How do intrusive thoughts differ from normal worries?

Intrusive thoughts associated with OCD are unwanted, repetitive, and distressing. Unlike everyday worries, they often feel out of character, difficult to dismiss, and provoke intense anxiety or guilt. Attempts to suppress or neutralize these thoughts can make them feel more persistent.

Can OCD symptoms change over time?

Yes. OCD symptoms can shift in focus or intensity over time. For example, one person may initially experience contamination-related obsessions and later develop checking or reassurance-seeking behaviors. Stress, life changes, or emotional strain may influence how symptoms present.

Is it common to feel depressed when experiencing OCD symptoms?

Many individuals with OCD also experience symptoms of depression, particularly when OCD interferes with daily life, relationships, or work. Emotional exhaustion, frustration, or feelings of hopelessness may develop as a response to the ongoing stress of unmanaged symptoms.

When should someone consider a professional evaluation for OCD?

If OCD symptoms begin to interfere with daily functioning, cause significant distress, or contribute to emotional exhaustion or depression, a professional evaluation may be helpful. A comprehensive assessment can clarify whether symptoms align with OCD or another mental health condition and guide appropriate next steps.

Finding Support at Lindner Center of Hope

At Lindner Center of Hope, experienced clinicians provide comprehensive testing and evaluation to help individuals better understand their symptoms and identify appropriate next steps. Whether OCD symptoms are newly emerging or long-standing, an accurate diagnosis can be a meaningful step toward relief.

If you have questions or would like more information about OCD testing, assessments, or adult treatment options, the Lindner Center of Hope team is available to help.

Contact Us to learn more or schedule an assessment.

Content reviewed by:

Lauren Neiser, APRN, PMHNP-BC
Psychiatric Mental Health Nurse Practitioner
Lindner Center of Hope

Many individuals who experience intrusive thoughts or repetitive behaviors question whether what they are noticing could be related to obsessive-compulsive disorder (OCD). Because OCD symptoms can be misunderstood or minimized, people often delay seeking clarity, sometimes for years.

OCD screening is an important early step for individuals who suspect they may be experiencing OCD symptoms. Screening tools are designed to help identify patterns that may warrant further evaluation, offering a structured way to determine whether a comprehensive OCD assessment is appropriate.

This article focuses specifically on OCD screening, what it involves, how it differs from diagnosis, and when professional assessment may be recommended.

What Is OCD Screening?

OCD screening refers to the use of structured questions or standardized tools to identify symptoms commonly associated with obsessive-compulsive disorder. A commonly utilized screening tool for OCD is called the Yale-Brown Obsessive Compulsive Scale or Y-BOCS. These screenings are not diagnostic, but they help clinicians and individuals recognize whether symptoms align with known OCD patterns.

Screening typically evaluates:

  • The presence of intrusive, unwanted thoughts or urges
  • Repetitive behaviors or mental rituals used to manage distress
  • The frequency and intensity of symptoms
  • The degree to which symptoms interfere with daily functioning

By examining these factors together, screening helps determine whether a full OCD assessment should be considered.

Common Areas Explored During OCD Screening

OCD screening questions often resemble a brief OCD quiz, asking individuals to reflect on their experiences and answer honestly. While wording may vary, most screening tools assess themes such as:

  • Intrusive thoughts that feel distressing, persistent, or difficult to dismiss
  • Contamination concerns, including fears related to germs, illness, or cleanliness
  • Harm-related fears, such as worries about accidentally hurting someone or themselves
  • Mental rituals, including counting, repeating phrases, or reviewing events
  • Checking behaviors, often driven by doubt, or the need for certainty, or the need for safety
  • Order and symmetry, involving a need for things to feel “just right”
  • Difficulty discarding items, due to fear, discomfort, or uncertainty

Screening does not focus solely on the content of thoughts. Instead, it examines how individuals respond to those thoughts and how much distress or disruption they cause.

Screening vs. OCD Diagnosis

OCD screening and OCD diagnosis serve different but complementary roles.

  • OCD screening helps identify whether symptoms are consistent with obsessive-compulsive patterns
  • OCD assessment involves a comprehensive clinical evaluation conducted by a qualified mental health professional
  • OCD diagnosis is made using established clinical criteria after careful evaluation

An OCD assessment may include a detailed clinical interview, symptom history, discussion of functional impact, and consideration of co-occurring conditions such as anxiety or depression. Screening tools help guide this process but do not replace professional evaluation.

Adult OCD Screening and Diagnosis at Lindner Center of Hope

Lindner Center of Hope provides information and clinical services related to adult OCD screening and diagnosis. Evaluations are conducted by experienced mental health professionals who are familiar with the varied ways OCD symptoms can present.

Learn more about adult OCD screening and diagnostic evaluation options.

Frequently Asked Questions About OCD Screening

Is an OCD quiz enough to determine whether I have OCD?
An OCD quiz can be a helpful starting point, but it cannot provide a diagnosis. A professional OCD assessment is needed for diagnostic clarity.

Can OCD symptoms exist without obvious compulsions?
Yes. Some individuals experience primarily mental rituals rather than visible behaviors. These patterns are commonly identified during professional screening and assessment.

What if my thoughts feel embarrassing or difficult to explain?
Intrusive thoughts are a core feature of OCD and are addressed clinically without judgment. Clinicians focus on patterns and impact rather than the specific content of thoughts.

Does screening mean my symptoms are severe?
Not necessarily. Screening helps identify whether symptoms meet criteria for further evaluation, regardless of severity.

How long does an OCD assessment take?
Assessment length varies, but evaluations are typically completed over one or more structured clinical sessions.

Considering an OCD Assessment

If you recognize patterns that may reflect OCD symptoms, screening can provide a thoughtful and informative first step. Understanding whether symptoms warrant further evaluation can reduce uncertainty and support informed decision-making.

Lindner Center of Hope offers comprehensive evaluation services for individuals seeking clarity around OCD and related concerns.

Contact us to request more information or discuss evaluation options.

Content reviewed by:

Lauren Neiser, APRN, PMHNP-BC
Psychiatric Mental Health Nurse Practitioner
Lindner Center of Hope

Obsessive-compulsive disorder (OCD) is a complex mental health condition that affects individuals across all ages and backgrounds. While symptoms of OCD are often visible and disruptive, the underlying causes are not always easy to identify. Research consistently shows that OCD does not stem from a single source. Instead, it develops through a combination of biological, psychological, and environmental influences.

Understanding what causes OCD can help individuals better recognize their experiences, reduce self-blame, and seek appropriate evaluation. Below is an overview of the most widely accepted causes of OCD and related OCD risk factors, based on current clinical research.

OCD Is a Multifactorial Condition

OCD is not caused by personality traits, parenting style, or lack of discipline. It is a diagnosable mental health disorder that develops when multiple risk factors interact. Most individuals who develop OCD have an underlying vulnerability that becomes more pronounced over time or during periods of stress.

Clinicians and researchers agree that OCD results from the interaction of genetic predisposition, brain function differences, and psychological and environmental influences.

Genetic and Hereditary Influences

Genetics play a meaningful role in OCD. Individuals with a close family member who has OCD are more likely to develop the condition themselves. This does not mean OCD is inevitable, but it does suggest inherited traits can increase susceptibility.

Rather than a single “OCD gene,” researchers believe multiple genes influence how the brain regulates anxiety, habit formation, and cognitive control. These inherited traits may remain dormant unless activated by other contributing factors.

OCD risk factors related to genetics include:

  • Family history of OCD or anxiety disorders
  • Early onset of obsessive or compulsive behaviors

Biological Causes of OCD

Brain Function and Neurochemistry

OCD is associated with differences in how specific brain circuits function, particularly those involved in decision-making, error detection, and behavioral regulation. When these circuits are disrupted, intrusive thoughts may persist and compulsive behaviors may become difficult to stop.

Serotonin, a neurotransmitter involved in mood and anxiety regulation, also plays an important role. Reduced or inefficient serotonin signaling has been linked to OCD, which helps explain why treatments that affect serotonin pathways are often effective.

These biological factors contribute to OCD vulnerability but do not fully explain why symptoms develop or vary from person to person.

Medical and Physiological Factors

Certain medical or physiological factors may worsen OCD symptoms or increase susceptibility in some individuals. For example, changes in hormone levels, chronic illness, bacterial or viral infections, autoimmune disorders, or medications that affect brain chemistry can influence symptom severity.

While medical factors alone do not cause OCD, they may interact with genetic and biological vulnerabilities, contributing to symptom onset or escalation.

Psychological and Behavioral Factors

Psychological factors influence how OCD develops and persists. Individuals with OCD often experience heightened sensitivity to uncertainty and a strong need for control or certainty.

Common psychological causes of OCD include:

  • Difficulty tolerating uncertainty
  • Rigid or perfectionistic thinking patterns
  • An exaggerated sense of responsibility for preventing harm

Over time, compulsive behaviors can become learned responses that temporarily relieve anxiety. This relief reinforces the behavior, strengthening the OCD cycle and making symptoms more entrenched without intervention.

Environmental and Psychosocial Influences

Stressful life events do not directly cause OCD, but they can trigger symptoms in individuals who are already vulnerable. Major life transitions, prolonged stress, or traumatic experiences may intensify obsessive thoughts or compulsive behaviors.

Environmental influences often shape how OCD presents, how severe symptoms become, and how long they persist before being recognized and addressed.

Co-Occurring Mental Health Conditions

OCD commonly occurs alongside other mental health conditions, particularly anxiety disorders and depression. These conditions share overlapping biological and psychological risk factors, which can complicate diagnosis.

While co-occurring conditions do not cause OCD, their presence may worsen symptoms or delay accurate identification if obsessive-compulsive features are overlooked.

Frequently Asked Questions About OCD Causes

Is OCD caused by stress or trauma?

Stress and trauma do not cause OCD on their own. However, they can trigger or worsen symptoms in individuals who already have biological or genetic vulnerability.

Is OCD inherited?

OCD can run in families, but genetics alone do not determine who develops the disorder. Inherited traits increase risk rather than guarantee onset.

Can brain chemistry cause OCD?

Differences in brain function and serotonin regulation are strongly linked to OCD. These biological factors contribute to symptom development but interact with other influences.

Is OCD caused by personality traits?

No. OCD is not caused by being detail-oriented, anxious, or perfectionistic. While certain traits may influence how symptoms present, OCD is a clinical mental health condition.

When to Seek Professional Evaluation

Because OCD develops through multiple interacting factors, accurate diagnosis requires a comprehensive mental health assessment. Understanding the underlying contributors can help guide appropriate next steps.

At Lindner Center of Hope, clinicians specialize in the evaluation and diagnosis of OCD and related conditions in adults. Comprehensive assessments are designed to clarify symptoms, identify contributing factors, and support informed treatment planning.

If you are seeking answers or would like to explore testing and diagnostic options, you can learn more or speak directly with a member of the care team.

Contact Lindner Center of Hope to request more information or schedule an evaluation.

Content reviewed by:

Lauren Neiser, APRN, PMHNP-BC
Psychiatric Mental Health Nurse Practitioner
Lindner Center of Hope

By Stacey L. Spencer, Ed.D.

By Stacey L. Spencer, Ed.D.

Clinical Neuropsychologist, Lindner Center of HOPE

Assistant Professor, Department of Psychiatry & Behavioral Neuroscience

University of Cincinnati College of Medicine

A Mental Health Check-In for the Start of the New Year

The beginning of a new year is often framed as a fresh start, an opportunity to reset, refocus, and improve. Everywhere you look, there are messages encouraging productivity, motivation, and transformation. But for many people, January does not feel energizing or hopeful. It feels quiet. Heavy. Sometimes even disorienting.

Mental health does not follow the calendar. January 1 does not automatically bring clarity, momentum, or emotional relief. Instead of pushing yourself to immediately “do better,” this season offers a different invitation, to pause and check in with yourself honestly and gently.

Rather than asking “What should I change this year?” a more supportive question might be:
“How am I actually doing right now?”

Why January Can Be Emotionally Complex:

January is often more of a transition than a beginning. The structure and stimulation of the holidays fade, routines shift again, and the reality of winter settles in. Days are shorter, energy may be lower, and expectations can feel high, especially after a season that often required emotional effort, social engagement, or simply endurance.

You may be carrying stress from last year that never had space to settle. Grief, disappointment, or burnout do not disappear just because the year changes. For some, January brings anxiety about the future. For others, a sense of emotional flatness or numbness.

None of this means something is wrong with you. It means you are human, adjusting to change. A mental health check-in is not about fixing or diagnosing yourself. It is about noticing where you are without judgment. Awareness is often the first and most important step toward wellbeing.

Signs You Might Need an Emotional Reset:

You do not have to feel overwhelmed or in crisis to benefit from a check-in. Subtle signs that it may be helpful include:

  • Feeling disconnected from yourself or others
  • Increased irritability, sensitivity, or impatience
  • Low motivation paired with self-criticism
  • Mental fog or emotional numbness
  • A persistent feeling of being “behind” or not doing enough

These experiences are not failures. They are signals. Your mind and nervous system are asking for attention, care, and understanding rather than pressure.

A Gentle Mental Health Check-In:

Set aside a few quiet minutes to reflect, either mentally or by writing. There is no right or wrong way to answer these questions.

  • How does my body feel lately?
  • What emotions have been showing up most often?
  • What felt draining toward the end of last year?
  • What supported me, even in small ways?
  • What do I need more of right now and less of?

If these questions feel difficult to answer, that is okay. Uncertainty itself is information. It often signals that you have been moving quickly or putting others’ needs ahead of your own for a long time.

Releasing the Pressure to Reinvent Yourself:

An emotional reset does not require a complete transformation. You do not need a new identity, a rigid plan, or a list of resolutions to be mentally healthy. Mental health progress is often quieter than we expect. It can look like increased self-awareness, softer self-talk, or noticing your limits earlier than before. Growth does not always feel productive, but it is meaningful.

Setting Intentions Without Pressure:

If you feel drawn to setting intentions for the year, consider focusing on support rather than change. For example:

  • What helps me feel more emotionally regulated?
  • What boundaries would protect my energy?
  • What kind of support do I need right now?

Intentions grounded in care tend to be more sustainable than goals driven by self-criticism.

And if your honest answer is “I do not know,” that does not mean you are stuck. It means you are listening.

A Reminder for the Start of the Year:

You do not need clarity in January, nor do you need motivation every day. Taking time to check in with yourself is not avoidance. It is awareness. This year does not have to begin with pressure or perfection, but it can begin with curiosity and compassion about where you are right now.

Ways to Decompress:

As you work on finding ways to check-in on your mental health, you can also utilize the following strategies to help with managing daily stressors and help learn new ways to regulate your nervous system. Some options to consider:

  1. Five-Sense Grounding Exercise

This can be done anywhere and takes about two minutes.

  • Name five things you can see
  • Name four things you can feel physically
  • Name three things you can hear
  • Name two things you can smell
  • Name one thing you can taste

This exercise helps bring attention out of racing thoughts and back into the present moment.

2. Slow Breathing for Emotional Regulation

  • Place one hand on your chest and one on your abdomen.
  • Inhale through your nose for four seconds
  • Pause briefly
  • Exhale slowly through your mouth for six seconds
  • Repeat for two to three minutes. Longer exhales help signal safety to the nervous system.
  • Temperature Reset
  • Hold a warm mug or splash cool water on your wrists. Gentle temperature changes can help interrupt emotional overwhelm and increase present-moment awareness.

A Gentle Reminder:

There is no “right” way to reset emotionally at the start of the year. Some days, checking in may look like reflection. Other days, it may look like rest. The goal is not to feel better immediately, but to listen more closely to what your mind and body are communicating. Awareness, not pressure, is what supports mental wellbeing over time.

How AI Is Changing Mental Health Care

Artificial intelligence is changing how we work, shop, and even date. Should it guide our mental health? As a licensed clinical psychologist, a psychodynamic psychotherapist, and a student of the University of Cincinnati’s Lindner College of Business Certificate in Artificial Intelligence, I have been seeking answers to this question.

AI technology is being rolled out at a dizzying pace. Fortunately for my field of mental health, many AI tools can help people manage stress, track goals, and ease mild symptoms. However, they cannot replace the human connection at the heart of psychotherapy. The most effective care still depends on a real relationship, not an algorithm. In this article, I’ll discuss how people can use AI as self-help, and how therapists and patients can incorporate discussion of AI into their work together.

What AI Mental Health Tools Do Well

AI-enabled mental health tools are strong at three things: skill delivery, personalization, and tracking progress. Many apps now offer CBT-based exercises, mood tracking, and adaptive prompts that fit a user’s daily patterns. Multiple peer-reviewed studies show short-term symptom reductions when people use structured digital interventions. For example, a randomized controlled trial of a generative AI chatbot reported larger improvements in depression and anxiety compared with waitlist controls over 4 to 8 weeks, alongside high engagement time and user-rated alliance comparable to human therapy settings (Heinz et al., 2025). A JAMA Network Open trial of a self-guided CBT app for young adults found substantial anxiety reductions across different engagement incentive models, suggesting well-designed apps can help people practice skills consistently (Bress et al., 2024). A meta-analysis in npj Digital Medicine concluded that AI-based conversational agents can reduce distress to a moderate or large degree, especially when tools are multimodal or integrated into everyday messaging platforms (Li et al., 2023). A 2025 PLOS ONE review similarly found generally positive effects across 38 studies, while noting variability and the need for longer follow-up (Shahsavar & Choudhury, 2025).

These findings support a practical claim: AI can make self-help more user-friendly. Dynamic feedback, reminders, and tailored exercises are broadly appealing, and often more accessible and discreet than carrying around a self-help book. Like other areas of our lives, AI is good at solving problems that are repetitive, predictable, and popular. In other words, AI tools function best when they are designed to rely on vast amounts of data already freely available on the internet.

Where AI Falls Short in Mental Health Treatment

What happens when your problem is not run-of-the-mill? AI cannot crowd-source the solution to complex questions of human experiences, particularly those which are ineffable (like those feelings humans find hard to put into words). Psychotherapy is not just focused on building coping skills; rather, the relationship between human therapist and patient communicates, contains, and co-creates these skills. Human therapy involves attunement to pauses, tone, and meaning over time, within an ethical frame that protects safety and accountability. Even the most advanced chatbots, which can simulate conversation, cannot participate as a subject in a shared relationship. Psychoanalytic perspectives are at the forefront of the scientific study of the power of healing relationship (Essig, n.d.; Levy, n.d.). Leaders in psychoanalysis caution that simulated intersubjectivity can feel convincingly human. Some people even feel a stronger connection to their AI agent than to their therapist, friends, or partner. The allure of an ever-attentive, knowledgeable, validating companion is undeniable—and research on AI-assisted communication shows that AI can help clinicians craft more constructive messages (Longhurst et al., 2024). However, interactions with AI-bots lack the mutual, human core that makes true relationship possible. Therapy involves joint attention, thinking and reflecting together, for the purpose of cognitive and emotional change.

Another area of concern is managing the risks alone. Some users may substitute algorithmic companionship for human contact, which can reduce loneliness in the moment, yet pull them into more time alone, isolated from human-to-human contact. Psychoanalysts describe this dual nature as a remedy that can also act as a poison (Essig, n.d.). When safety guardrails are weak, and when corporate interests prioritize engagement over well-being, it is far too easy for chatbot usage to lead to tragic outcomes, including suicides. Therefore, it is essential for clinicians and the public to focus on boundaries, data privacy, and escalation pathways that lead back to human support when needed. Professional guidance further urges clinicians to participate in the AI conversation, shaping standards and regulation so that tools align with human values rather than pure engagement metrics (Essig, n.d.).

When to Use AI—and When Human Therapy Is Essential

Consumers and therapists can consider using AI tools for everyday stress management, sleep hygiene, or building healthy habits. Integrate them into care plans as practice partners. They are not replacements for therapy. For trauma, active suicidal ideation, severe mood episodes, eating disorders, or complex relational problems, licensed professional care is essential. Consumers should favor AI products that are built specifically for mental health support, and especially those that provide evidence, publish research, and provide clear privacy policies. Clinicians should consider tools that include risk escalation, crisis links, and transparent data practices. The evidence base is promising for AI products as self-help tools, but results are uneven across products, and long-term outcomes are still being established (Ni & Jia, 2025). That means both clinicians and consumers should monitor usage and effects over time rather than assume a permanent solution.

AI-ASK: A Practical Framework for Clinicians

Therapists need a practical way to address AI use in treatment. I have created the AI-ASK acronym as a structured approach to shape these conversations about how patients are interacting with AI, reduce stigma about this topic, and cultivate a mindset of collaboration.

  • A — Awareness of AI usage: Many people do not realize when they are interacting with AI-driven platforms such as YouTube, social media, or search engines.
  • I — Interest in AI tools: Ask whether the patient is curious about apps or chatbots for support.
  • A — Advantages for your care: Collaborate to identify potential benefits such as practicing CBT or DBT skills, tracking symptoms, or increasing accountability between sessions.
  • S — Security risks: Discuss the risks to privacy and data protection, as well as the potential for bias in using AI products.
  • K — Keeping in contact: Revisit the topic regularly. A patient’s AI use will evolve as needs change and technology advances.

Consumer tips at a glance

  • Choose apps with published research and transparent privacy policies.
  • Use AI for skills and daily routines. Do not treat it as therapy.
  • Do not talk to or about an AI agent like it is a human. Avoid anthropomorphizing a generative pretrained agent (GPT).
  • Share your AI use with your therapist so it can be integrated safely into your care.
  • Review data settings, limit sharing, and pick tools that explain how your information is secured.
  • Notice whether the tool helps you connect more with people in your life. If it does not, reassess.

Clinician guidance

  • Present AI tools as practice supports that reinforce therapy goals.
  • Screen for risk factors such as isolation, obsessive tracking, or blurred boundaries.
  • Favor tools with clear safety features and evidence.
  • Use AI-ASK in intake and follow-ups so AI use remains part of the therapeutic dialogue.

TLDR (Too long; Didn’t read.)

AI self-help tools can help people learn coping strategies and stay on track with their mental health goals. They are not an adequate replacement for human therapists. Within healthy boundaries, with attention to privacy, and ongoing clinician involvement, AI technology can enhance care without replacing the relationships that heal. Therapists and consumers can use the AI-ASK framework to incorporate AI into their work together. And remember: If you like your AI-agent more than your therapist, you need to tell your therapist!

Bress, J. N., Falk, A., Schier, M. M., & others. (2024). Efficacy of a mobile app-based intervention for young adults with anxiety disorders: A randomized clinical trial. JAMA Network Open. https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2822451

Essig, T. (2025). Psychoanalytic AI activism. TAP Magazine, 59(1). https://tapmagazine.org/all-articles/psychoanalytic-ai-activism

Stein, A. (2025). What AI can and can’t do, and how psychoanalysis can help. American Psychoanalytic Association. https://apsa.org/what-ai-can-and-cant-do/

Hayles, N. K. (2025). Bacteria to AI: Human futures with our nonhuman symbionts. University of Chicago Press.

Heinz, M. V., Mackin, D. M., Trudeau, B. M., & others. (2025). Randomized trial of a generative AI chatbot for mental health treatment. NEJM AI. https://gwern.net/doc/psychiatry/depression/2025-heinz.pdf

Li, H., Zhang, R., Lee, Y.-C., Kraut, R. E., & Mohr, D. C. (2023). Systematic review and meta-analysis of AI-based conversational agents for promoting mental health and well-being. npj Digital Medicine. https://www.nature.com/articles/s41746-023-00979-5

Longhurst, C. A., & others. (2024). Generative artificial intelligence for drafting patient messages in electronic health records: A randomized clinical trial. JAMA Network Open. https://doi.org/10.1001/jamanetworkopen.2024.xxxxx

Ni, Y., & Jia, F. (2025). A scoping review of AI-driven digital interventions in mental health care. Healthcare. https://www.mdpi.com/2227-9032/13/10/1205

Depression is one of the most common mental health conditions in the United States, yet many people live with symptoms for months or even years before seeking help. Because depression can affect thoughts, emotions, behaviors, and physical health, recognizing the signs of depression early is an important first step toward recovery.

A depression screening does not replace a professional diagnosis, but it can help individuals and caregivers determine whether symptoms warrant further evaluation. Understanding what to look for and when to seek help can make a meaningful difference in treatment outcomes.

Common Signs of Depression

Depression symptoms can vary widely from person to person, but several patterns are commonly reported. Signs of depression may include:

  • Persistent feelings of sadness, emptiness, or hopelessness
  • Loss of interest or pleasure in activities once enjoyed
  • Changes in sleep, such as sleeping too much or too little
  • Fatigue or low energy that interferes with daily life
  • Difficulty concentrating or making decisions
  • Feelings of worthlessness, guilt, or excessive self-criticism
  • Irritability or increased frustration
  • Changes in appetite or weight
  • Thoughts that life is not worth living or thoughts of self-harm

If these symptoms last more than two weeks or interfere with work, relationships, or daily functioning, it may be time to consider a depression screening.

What Is a Depression Screening?

A depression screening is a brief set of questions designed to identify symptoms associated with depression and other mood disorders. Screening tools can help individuals better understand how to tell if you have depression and whether professional evaluation may be helpful.

Screening questions explore emotional, behavioral, and functional changes, including mood, sleep patterns, impulsivity, energy level, and the impact symptoms have on daily life. While screening tools can offer helpful insight, only a licensed professional can provide an accurate diagnosis through a comprehensive assessment

Why Screening Matters

Depression is highly treatable, particularly when identified early. Screening can help distinguish depression from situational stress, identify co-occurring conditions, and reduce delays in care. Mood disorders often involve a complex interaction of genetic, medical, psychological, and psychosocial factors, making early evaluation especially important

Depression Screening for Adults 

Adults may notice gradual changes in motivation, mood, or functioning, while caregivers may observe withdrawal, irritability, or difficulty managing daily responsibilities. Screening can be helpful when symptoms persist, worsen, or begin to affect quality of life.

What Happens After a Positive Screening?

A positive screening result typically leads to a comprehensive evaluation by a multidisciplinary team. Thorough assessment is the foundation of care, allowing clinicians to accurately diagnose depression, bipolar disorder, and co-occurring conditions.

Treatment plans are individualized and may include psychotherapy such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), or Insight Oriented Therapy (IOT), medication management, integrative mental health approaches, and family therapy. For individuals with more severe or treatment-resistant symptoms, higher levels of care or neuromodulation therapies may be recommended. Learn more about adult depression treatment options.

Depression Screening FAQs

What are the early signs of depression?
Early signs of depression may include persistent sadness, loss of interest in activities, fatigue, sleep changes, irritability, and difficulty concentrating. Symptoms often develop gradually and may worsen over time.

How do I know if I need a depression screening?
If symptoms last more than two weeks or interfere with daily functioning, work, or relationships, a depression screening can help determine whether professional evaluation is needed.

Can a depression screening diagnose depression?
No. A screening tool can identify symptoms and risk factors, but only a licensed mental health professional can diagnose depression through a comprehensive assessment.

What should I do if my screening results are concerning?
If screening results raise concern, seeking a professional evaluation is the next step. Early assessment can guide effective treatment and improve outcomes.

Finding Hope Through Expert Care

Depression can feel overwhelming, but effective treatment is available. Lindner Center of Hope offers a full continuum of evidence-based care for adults with depression and other mood disorders, grounded in research and clinical expertise.

If you or someone you care about is experiencing signs of depression, help is available.

Contact Lindner Center of HOPE to schedule an assessment or learn more.
 

Major depressive disorder is a serious and often debilitating condition that affects millions of adults each year. While many people find relief through antidepressant medications and psychotherapy, others continue to struggle despite multiple treatment attempts. For individuals living with persistent symptoms, TMS therapy for depression offers a non-invasive, evidence-based option that may help restore function and quality of life.

Transcranial Magnetic Stimulation (TMS) is designed for adults with moderate to severe depression, particularly those who have not experienced sufficient improvement with traditional treatments. For patients and caregivers searching for next steps, understanding how TMS works and who it may help can provide a renewed sense of hope.

What Is TMS Therapy?

Transcranial magnetic stimulation depression treatment uses highly focused magnetic field pulses to stimulate nerve cells in areas of the brain believed to be linked to mood regulation. In people with depression, these areas may show decreased activity. TMS therapy works by gently activating those neural pathways to support healthier brain function over time.

At Lindner Center of Hope, TMS therapy is delivered using the NeuroStar® TMS Therapy System. Treatment is non-invasive, does not require anesthesia or sedation, and is performed on an outpatient basis. Patients remain awake and alert throughout each session and are able to return to normal daily activities immediately afterward

How TMS Therapy Treats Depression

Depression is increasingly understood as a disorder involving disrupted brain circuitry rather than simply a chemical imbalance. TMS therapy depression treatment targets this circuitry directly by stimulating specific regions of the prefrontal cortex associated with mood, motivation, and emotional regulation.

Treatment typically involves daily sessions, five days per week, over a period of seven to eight weeks, for a total of approximately 36 sessions. Each session lasts about 30 minutes. Many patients begin to notice changes in symptoms within the first several weeks, although response timing varies from person to person

Who May Be a Candidate for TMS Therapy?

TMS therapy is most often recommended for adults diagnosed with major depressive disorder who have not responded adequately to antidepressant medications or psychotherapy alone. It may be appropriate for individuals who:

  • Have tried multiple medications without sufficient symptom relief
  • Experience side effects that limit medication use
  • Continue to struggle with daily functioning due to depression

Caregivers may also explore TMS therapy as an option when supporting a loved one with long-standing or treatment-resistant depression. A psychiatric evaluation is required to determine whether TMS is an appropriate fit, including a review of medical history and prior treatments. Find more information about TMS therapy here.

TMS Therapy Is Approved for Adolescents

Transcranial magnetic stimulation is also used in depression treatment for adolescents. Certain TMS protocols have also been FDA-cleared for adolescents with major depressive disorder when specific clinical criteria are met.

The U.S. Food and Drug Administration (FDA) has cleared TMS therapy for adolescents ages 15 to 21 with major depressive disorder. The treatment protocol for adolescents closely mirrors adult TMS therapy, including session length, number of treatments, and overall safety considerations. As with adults, adolescents must complete a comprehensive psychiatric evaluation to determine whether TMS therapy is an appropriate option based on diagnosis, treatment history, and individual needs.

At Lindner Center of Hope, TMS therapy for adolescents is delivered within a specialized clinical framework that takes into account developmental factors, prior treatment response, and family involvement. For caregivers seeking options when depression has not improved with medication or psychotherapy alone, TMS therapy may be a treatment to discuss with a qualified mental health provider.

What Is the TMS Therapy Success Rate?

When researching tms therapy success rate, it is important to understand that outcomes are measured in terms of symptom improvement and functional recovery rather than a single definition of “cure.” Clinical experience and real-world studies show that many patients receiving TMS therapy experience meaningful improvement in depressive symptoms, with some achieving sustained relief.

Response varies based on individual factors such as symptom severity, treatment history, and overall health. Clinicians at Lindner Center of Hope use standardized assessment tools throughout treatment to monitor progress and guide care decisions

What to Expect During TMS Treatment

During each TMS session, a magnetic coil is positioned against the scalp, producing a tapping sensation and clicking sound. Ear protection is provided, and most patients tolerate treatment well. Common side effects are generally mild and may include temporary scalp discomfort or headache, particularly early in the treatment course.

Because TMS does not involve anesthesia or medication, patients can drive themselves to and from appointments and continue working or participating in daily routines throughout treatment.

Frequently Asked Questions About TMS Therapy for Depression

Is TMS therapy safe?

TMS therapy is FDA-cleared and well tolerated. It is non-invasive and does not require anesthesia or sedation.

How long does TMS therapy take?
Most treatment plans include daily sessions, five days per week, for seven to eight weeks. Each session lasts about 30 minutes.

Does TMS therapy cause memory loss?
No. Clinical evaluation has shown that TMS therapy does not cause memory impairment, unlike some other depression treatments.

Is TMS therapy covered by insurance?
Many insurance plans, including Medicare, cover TMS therapy for depression. Coverage varies, and financial coordination is typically part of the evaluation process.

How soon will results be noticeable?
Some patients notice improvement within the first few weeks, while others may experience benefits later in the treatment course.

Take the Next Step Toward Relief

If you or someone you care for is living with depression that has not improved with traditional treatment, TMS therapy for depression may be an option worth considering. The experienced team at Lindner Center of Hope can help determine whether TMS is appropriate and guide you through the next steps.

Contact Lindner Center of Hope to learn more about TMS therapy and depression treatment options.

Anxiety in children and teens is more common than many families realize. While occasional worry is a normal part of development, persistent or intense anxiety can interfere with a child’s ability to learn, socialize, and enjoy daily life. Early identification through mental health screening plays a critical role in recognizing concerns and connecting young people with appropriate support before symptoms escalate.

For parents and caregivers, understanding how anxiety presents in younger populations, and when screening may be helpful, can feel overwhelming. Knowing what to look for and where to turn is an important first step.

Understanding Anxiety in Children and Teens

Anxiety in children and teens can look different than it does in adults. Younger children may struggle to put their worries into words, while adolescents may hide symptoms or attribute them to stress, school pressure, or social challenges.

Common signs of anxiety in children and teens may include:

  • Frequent worry or fear that seems difficult to control
  • Avoidance of school, social activities, or new situations
  • Physical complaints such as headaches, stomachaches, or fatigue
  • Irritability, restlessness, or difficulty concentrating
  • Changes in sleep patterns or appetite

While these behaviors do not automatically indicate an anxiety disorder, patterns that persist or worsen over time may signal the need for further evaluation.

What Is Mental Health Screening?

A mental health screening is a brief, evidence-based way to identify whether a child or teen may be experiencing symptoms of anxiety that warrant further assessment. Screenings are not diagnostic tools, but they help flag potential concerns early.

In pediatric and adolescent populations, commonly used screening tools may include:

  • Generalized Anxiety Disorder 7-item scale (GAD-7)
  • Screen for Child Anxiety Related Emotional Disorders (SCARED)
  • Patient Health Questionnaire for Adolescents (PHQ-A)

These tools typically involve short questionnaires completed by the child, teen, parent, or caregiver, depending on age and setting.

Where Anxiety Screening Can Take Place

Screening for child anxiety and anxiety in teens can occur in a variety of settings, including:

  • Pediatrician or primary care offices
  • School counseling or school psychology programs
  • Community mental health clinics
  • Outpatient behavioral health practices
  • Specialty mental health centers

Schools and primary care providers often serve as the first point of concern, especially when anxiety begins to affect academic performance or attendance. In other cases, families may seek screening directly through a mental health provider.

Why Early Screening Matters

Early screening allows families to address concerns before anxiety becomes more disruptive. Untreated anxiety can increase the risk of academic difficulties, social withdrawal, depression, and challenges with emotional regulation as children grow older.

Screening helps:

  • Normalize conversations around mental health
  • Reduce stigma for children and teens
  • Identify symptoms early, when treatment is often most effective
  • Guide families toward appropriate next steps

When anxiety is identified early, intervention can be tailored to the child’s developmental stage, strengths, and specific needs.

What Happens After Screening?

If a screening suggests elevated anxiety symptoms, a more comprehensive evaluation may be recommended. This evaluation typically explores emotional, behavioral, academic, and family factors to better understand what the child or teen is experiencing.

From there, treatment options may include therapy, skills-based interventions, family support, or higher levels of care if needed. Learn more about specialized care for youth by exploring child and adolescent mental health treatment options at Lindner Center of Hope. Child & Adolescent Treatment Programs

Supporting Your Child or Teen

If you are concerned about anxiety in children and teens, trust your instincts. You know your child best. Screening can be a helpful starting point, offering clarity and guidance during what may feel like an uncertain time.

Talking openly with your child, partnering with professionals, and seeking evidence-based care can make a meaningful difference in long-term emotional health.

Finding Support at Lindner Center of Hope

The Lindner Center of Hope provides comprehensive mental health services for children, adolescents, and families navigating anxiety and related concerns. With a focus on individualized, compassionate care, Lindner offers a range of evidence-based treatment options designed to support young people at every stage of need.

If you have questions about anxiety screening, evaluation, or next steps for your child or teen, our team is here to help. Contact Us to Learn More