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Acne can be a lot more devastating to a teen than a parent realizes. It can cause loss of self-esteem and a poor self-image, and even depression. Resist giving the old advice to "scrub your face". Scrubbing hard with soap will only irritate it and make it worse.

Acne is not caused from dirt; rather, it is caused from oils that are overproduced as a result of raging hormones. Similarly, contrary to popular belief, it is not caused by dietary factors. Taking away your teen's pizza won't cure her acne. Treat it as best you can with over-the-counter or prescription topical treatments; in serious cases antibiotics may be prescribed to help. In very extreme cases, a dermatologist may recommend a more intense treatment, such as chemical peels or a laser treatment. Don't ignore it and assume "it'll just go away when they get older." Sometimes if it gets worse before it gets better, permanent scarring may result.



Nearly a third of teens have at least one bout of depression, but not nearly as many recognize it for what it is, and seek help for it. It's important for the parent to be able to recognize the symptoms, but also not to jump to conclusions. Everybody, teens and others, becomes depressed from time to time, and this is no cause to start bringing out the Prozac. But when it starts to happen every day, and the teen loses interest in things that once excited them, it may be clinical depression. This can be incapacitating if left untreated. While in some cases, psychotherapy can help, in severe cases of depression or bipolar disorder, medication may be in order. Most of the common antidepressant medications available are safe for use in teens and children.



Eating disorders as well as obesity are also a major problem and must be watched for. Teens today, and Americans in general, are more overweight than ever, and this can lead to serious health problems. When your teen is overweight, encourage healthy eating and exercise. You may need to change your own sedentary habits and fast food addiction as well, to set an example. Encourage reasonable dieting, but discourage "fad" diets and set reasonable goals. At the other extreme, eating disorders such as anorexia or bulimia will appear sometimes during the teen years. Don't dismiss it as a "phase." Trying to force an anorexic teen to eat won't work. This is a serious disorder that requires professional treatment. 
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