As she struggled through her sophomore year in college, Zhenzhen spent hours in therapy, but it hadn’t addressed the central strain in her life: her parents.They called her at her Midwestern campus again and again, badgering her to fulfill their expectations — to study business, and to return to China, marry a wealthy man and raise children near them, she said. When she pushed back, her father screamed, she said, and her mother wept.The pressure made it hard to function, and Zhenzhen fended off thoughts of suicide. But when she brought this dynamic up with her therapists, she said, “they would always stand by reconciliation, and ‘family is everything.’ They would always look at the problem from the parent’s lens.”That’s when she discovered Patrick Teahan, a licensed social worker from Massachusetts with tousled hair and a massive YouTube following. Mr. Teahan’s videos introduced her to a new idea — that to heal from childhood trauma, it may be necessary to “go no contact” from abusive parents. Around half of Mr. Teahan’s clients restrict or sever ties with their families, which he describes as “brutally hard” but, when it is appropriate, deeply rewarding.On Mr. Teahan’s website, you can fill out a “Toxic Family Test,” which measures your family on a 100-point toxicity scale. You can access a webinar explaining how to write a “no-contact letter.” (He suggests: “I’m doing a family cutoff to get space to recover from this toxic and dysfunctional family.”) You can join his “Monthly Healing Community,” where clients support each other in the lonely endeavor of disconnecting from family.Zhenzhen, who asked to be identified by her first name in order to speak about a family conflict, took action as soon as she graduated and began to earn a paycheck. The relief was almost immediate, she said. It was lonely at first, but not for long. Through Mr. Teahan’s site, she found others — her “chosen family,” she calls them — who supported her decision.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

Dr. Vivek Murthy is calling for a multipronged effort to reduce gun deaths, modeled on campaigns against smoking and traffic fatalities.The U.S. surgeon general, Dr. Vivek Murthy, on Tuesday declared gun violence in America a public health crisis, recommending an array of preventive measures that he compared to past campaigns against smoking and traffic safety.The step follows years of calls by health officials to view firearm deaths through the lens of health rather than politics.The National Rifle Association has vigorously opposed this framing and promoted legislation that effectively quashed federal funding for research into gun violence for a quarter-century. The N.R.A. also unsuccessfully lobbied against Dr. Murthy’s nomination as surgeon general by Barack Obama in 2014, calling him “a serious threat to the rights of gun owners.”Dr. Murthy’s 32-page advisory calls for an increase in funding for firearm violence prevention research; advises health workers to discuss firearm storage with patients during routine medical visits; and recommends safe storage laws, universal background checks, “red flag” laws and an assault weapons ban, among other measures.“I’ve long believed this is a public health issue,” he said in an interview. “This issue has been politicized, has been polarized over time. But I think when we understand that this is a public health issue, we have the opportunity to take it out of the realm of politics and put it into the realm of public health.”But public-health-based gun reform has been an uphill battle in the United States, whose political parties are lodged in a stalemate over many of the measures the report recommends, including assault weapons bans and background checks for gun buyers. Experts estimate that 400 million guns are circulating in private hands, making it nearly impossible for the government to meaningfully restrict access to them.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

Some scientists who study youth mental health say the evidence does not support the notion that social media is harmful per se.When the U.S. surgeon general, Dr. Vivek Murthy, announced on Monday that he was planning to push for a mental health warning label on social media platforms, he was met with cheers from many parents and teachers, who described a long, lonely struggle to wrench children away from a habit that was hurting them.He got a cooler reaction, however, from some scientists who study the relationship between social media and mental health. In interviews, several researchers said the blanket warning Dr. Murthy has proposed — “social media is associated with significant mental health harms for adolescents” — stretches and oversimplifies the scientific evidence.For many years, researchers have tried to determine whether the amount of time a child spent on social media contributed to poor mental health, and “the results have been really mixed, with probably the consensus being that no, it’s not related,” said Dr. Mitch Prinstein, the chief science officer at the American Psychological Association.What seems to matter more, he said, is what they are doing when they are online — content about self-harm, for example, has been shown to increase self-harming behavior.“It’s kind of like saying, ‘Is the number of calories that you eat good for you or bad for you?’” said Dr. Prinstein, who testified before the Senate on the subject last year. “It depends. Is it candy, or is it vegetables? If your child is spending all day on social media following The New York Times feed and talking about it with their friends, that’s probably fine, you know?”Like other scientists interviewed, Dr. Prinstein applauded Dr. Murthy for drawing attention to the mental health crisis. He said he was very optimistic about policy changes that might follow, to keep social media use from interfering with school, sleep and physical activity. After Dr. Murthy’s announcement, Gov. Gavin Newsom of California called for a statewide ban on smartphone use in California schools.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

Dr. Vivek Murthy said he would urge Congress to require a warning that social media use can harm teenagers’ mental health.The United States Surgeon General, Dr. Vivek Murthy, announced on Monday that he would push for a warning label on social media platforms advising parents that using the platforms might damage adolescents’ mental health.Warning labels — like those that appear on tobacco and alcohol products — are one of the most powerful tools available to the nation’s top health official, but Dr. Murthy cannot unilaterally require them; the action requires approval by Congress. No such legislation has yet been introduced in either chamber.A warning label would send a powerful message to parents “that social media has not been proved safe,” Dr. Murthy wrote in an essay published in The New York Times opinion section on Monday.In his essay, he cast the effects of social media on children and teenagers as a public health risk on par with road fatalities or contaminated food.“Why is it that we have failed to respond to the harms of social media when they are no less urgent or widespread than those posed by unsafe cars, planes or food?” Dr. Murthy wrote. “These harms are not a failure of willpower and parenting; they are the consequence of unleashing powerful technology without adequate safety measures, transparency or accountability.”Dr. Murthy pointed to research that showed that teens who spent more than three hours a day on social media faced a significantly higher risk of mental health problems, and that 46 percent of adolescents said social media made them feel worse about their bodies.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

The prevalence of post-traumatic stress disorder among college students rose to 7.5 percent in 2022, more than double the rate five years earlier, researchers found.Post-traumatic stress disorder diagnoses among college students more than doubled between 2017 and 2022, climbing most sharply as the coronavirus pandemic shut down campuses and upended young adults’ lives, according to new research published on Thursday.The prevalence of PTSD rose to 7.5 percent from 3.4 percent during that period, according to the findings. Researchers analyzed responses from more than 390,000 participants in the Healthy Minds Study, an annual web-based survey.“The magnitude of this rise is indeed shocking,” said Yusen Zhai, the paper’s lead author, who heads the community counseling clinic at the University of Alabama at Birmingham. His clinic had seen more young people struggling in the aftermath of traumatic events. So he expected an increase, but not such a large one.Dr. Zhai, an assistant professor in the Department of Human Studies, attributed the rise to “broader societal stressors” on college students, such as campus shootings, social unrest and the sudden loss of loved ones from the coronavirus.PTSD is a mental health disorder characterized by intrusive thoughts, flashbacks and heightened sensitivity to reminders of an event, continuing more than a month after it occurs.It is a relatively common disorder, with an estimated 5 percent of adults in the United States experiencing it in any given year, according to the most recent epidemiological survey conducted by the Department of Health and Human Services. Lifetime prevalence is 8 percent in women and 4 percent in men, the survey found.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

At the American Psychiatric Association’s annual meeting, a patient described a restraint that haunts him, more than eight years later.The annual gathering of the American Psychiatric Association is a dignified and collegial affair, full of scholarly exchanges, polite laughter and polite applause.So it was a shock, for those who took their seats in Room 1E08 of the Jacob K. Javits Convention Center in Manhattan, to watch a powerfully built 32-year-old man choke back tears as he described being slammed to the floor and cuffed to a stretcher in a psychiatric unit.Because the man, Matthew Tuleja, had been a Division I football player, he had a certain way of describing the circle of bodies that closed around him, the grabbing and grappling and the sensation of being dominated, pinned and helpless.He was on the ground in a small room filled with pepper spray. Then his wrists and ankles were cuffed to the sides of a stretcher, and his pants were yanked down. They gave him injections of Haldol, an antipsychotic medication he had repeatedly tried to refuse, as he howled in protest.Forcible restraints are routine events in American hospitals. One recent study, using 2017 data from the Centers for Medicare and Medicaid Services, estimated the number of restraints per year at more than 44,000.But it is rare to hear a first-person account of the experience, because it tends to happen to people who do not have a platform. Researchers who surveyed patients about restraint and seclusion have found that a large portion, 25 to 47 percent , met criteria for post-traumatic stress disorder.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

Recent studies cast doubt on whether large-scale mental health interventions are making young people better. Some even suggest they can have a negative effect.In recent years, mental health has become a central subject in childhood and adolescence. Teenagers narrate their psychiatric diagnosis and treatment on TikTok and Instagram. School systems, alarmed by rising levels of distress and self-harm, are introducing preventive coursework in emotional self-regulation and mindfulness.Now, some researchers warn that we are in danger of overdoing it. Mental health awareness campaigns, they argue, help some young people identify disorders that badly need treatment — but they have a negative effect on others, leading them to over-interpret their symptoms and see themselves as more troubled than they are.The researchers point to unexpected results in trials of school-based mental health interventions in the United Kingdom and Australia: Students who underwent training in the basics of mindfulness, cognitive behavioral therapy and dialectical behavior therapy did not emerge healthier than peers who did not participate, and some were worse off, at least for a while.And new research from the United States shows that among young people, “self-labeling” as having depression or anxiety is associated with poor coping skills, like avoidance or rumination.In a paper published last year, two research psychologists at the University of Oxford, Lucy Foulkes and Jack Andrews, coined the term “prevalence inflation” — driven by the reporting of mild or transient symptoms as mental health disorders — and suggested that awareness campaigns were contributing to it.“It’s creating this message that teenagers are vulnerable, they’re likely to have problems, and the solution is to outsource them to a professional,” said Dr. Foulkes, a Prudence Trust Research Fellow in Oxford’s department of experimental psychology, who has written two books on mental health and adolescence.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

A large study of “discordant twins,” in which only one suffered abuse or neglect, adds to evidence linking childhood trauma to adult illness.Twins are a bonanza for research psychologists. In a field perpetually seeking to tease out the effects of genetics, environment and life experience, they provide a natural controlled experiment as their paths diverge, subtly or dramatically, through adulthood.Take Dennis and Douglas. In high school, they were so alike that friends told them apart by the cars they drove, they told researchers in a study of twins in Virginia. Most of their childhood experiences were shared — except that Dennis endured an attempted molestation when he was 13.At 18, Douglas married his high school girlfriend. He raised three children and became deeply religious. Dennis cycled through short-term relationships and was twice divorced, plunging into bouts of despair after each split. By their 50s, Dennis had a history of major depression, and his brother did not.Why do twins, who share so many genetic and environmental inputs, diverge as adults in their experience of mental illness? On Wednesday, a team of researchers from the University of Iceland and Karolinska Institutet in Sweden reported new findings on the role played by childhood trauma.Their study of 25,252 adult twins in Sweden, published in JAMA Psychiatry, found that those who reported one or more trauma in childhood — physical or emotional neglect or abuse, rape, sexual abuse, hate crimes or witnessing domestic violence — were 2.4 times as likely to be diagnosed with a psychiatric illness as those who did not.If a person reported one or more of these experiences, the odds of being diagnosed with a mental illness climbed sharply, by 52 percent for each additional adverse experience. Among participants who reported three or more adverse experiences, nearly a quarter had a psychiatric diagnosis of depressive disorder, anxiety disorder, substance abuse disorder or stress disorder.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

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Alone with his mother for the first time in almost a year, Andrey Shevelyov had a question: Could he come home?She sat beside him and stroked his head. The hotel room had a sour, rancid smell, and clothes lay mounded in a corner. His fingernails were long and curved and ridged with dirt. In jail, they cut off his hair, which had been matted and infested with lice.Clean-shaven now, Andrey looked younger than his 31 years, like the gentle, artistic boy he had been before the psychosis took hold. “Zaichik,” his mother called him, a childhood nickname. Bunny rabbit. She pushed a strand of hair over his ear. He lay back on the bed and smiled, and a dimple appeared on his cheek.“I like living with you also,” said Olga Mintonye, but it was not an honest answer.Three years ago, when he stopped taking his antipsychotic medication, her son withdrew into delusions, erupting in unpredictable and menacing outbursts. Fearful of being evicted from their apartment, she and her husband, Sam, sought a no-contact order to keep Andrey away.Since then, he had lived in a tent, wandering Vancouver in ragged clothing and carrying machetes for protection. Twice, he had been in jail, ranting in his cell about the C.I.A. Three times, he was confined to psychiatric hospitals, where guards wrestled him down so he could be injected with antipsychotics.Now they were together in Room 117 in a budget hotel overlooking the interstate. The county had allotted $8,400 to house him temporarily, as part of an effort by the state to divert the stream of severely mentally ill people from the criminal justice system. It was enough to keep him in the Red Lion Inn for eight weeks.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber?