Anxiety over academics. Post-lockdown malaise. Social media angst.

Study after study says American youth are in crisis, facing unprecedented mental health challenges that are burdening teen girls in particular. Among the most glaring data: A recent Centers for Disease Control and Prevention report showed almost 60% of U.S. girls reported persistent sadness and hopelessness. Rates are up in boys, too, but about half as many are affected.

Adults offer theories about what is going on, but what do teens themselves say? Is social media the root of their woes? The Associated Press interviewed girls who opened up about the things that were distressing them. One teenager in particular, Makena, an African-American high school senior in Mississippi, zoned in on the negative stigma surrounding mental health issues in the Black community.

She told AP, she has had depression and therapy and has grown up in a community where mental health is still sometimes stigmatized.

“Often in the Black community we aren’t as encouraged to express emotion” because of what previous generations endured, said Makena, who works with a teen health advocacy group. “We’re expected to have hearts of steel,” she said. “But sometimes it’s OK to not be OK.”

Social media platforms contribute, with their focus on superficial appearances and making perfectionism seem attainable. Girls say they’re just part of the problem.

“Social media has completely shifted the way we think and feel about ourselves” in good and bad ways, Makena said.

She’s felt pressure to be perfect when comparing herself with others online. But she also follows social media influencers who talk about their own mental health challenges and who make it seem “OK for me to feel sad and vulnerable,” she said.

Girls have historically been disproportionately affected by depression and anxiety. But those statistics at least partly reflect the fact that girls are often more likely than boys to talk about feelings and emotions, said Dr. Hina Talib, an adolescent medicine specialist and spokesperson for the American Academy of Pediatrics.

A study published in March in The Journal of the American Medical Association found that in 2019, before the pandemic, about 60% of children hospitalized for mental health reasons were girls. A decade earlier, the difference was only slight.

COVID-19 lockdowns added another dimension, thrusting academic and social lives online, Talib said. Some kids entered the pandemic as youngsters and emerged with more mature bodies, socially awkward, uncertain how to navigate friendships and relationships. They live in a world beset with school shootings, a rapidly changing climate, social and political unrest.

When Black women are having conversations about mental health, let’s not leave our teen girls out of them. They are silently suffering, too.

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