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Teen mental health ยท Ages 13 to 17

Teen mental health treatment in Colorado. You do not have to be sure first.

Outpatient care for ages 13 to 17 in Boulder and Thornton, for anxiety, depression, trauma, and the changes in mood and behavior that nobody has put a name to yet. Most families call before they know what to call it.

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Understanding Teen Mental Health

Adolescence is genuinely hard. That is not the same as this being nothing.

Mental health is a real part of a teenager's wellbeing, and adolescence is a stretch of genuine emotional and psychological change. Most of that change is ordinary and it passes on its own. Some of it does not, and from the outside the two look alike for a long time. MedlinePlus is plain about the second kind: mental health problems are real, painful, and sometimes severe.

The conditions that turn up most at this age are anxiety, depression, and mood disorders, often with trauma, attention and behavior problems, or substance use somewhere in the picture. What contributes to them is rarely one thing. Family history, something that happened, and the environment around your teen all carry weight, and none of them is a verdict on your parenting.

There is a reason this surfaces in the teenage years specifically. NIMH's National Comorbidity Survey Adolescent Supplement, a face to face survey of more than 10,000 teens aged 13 to 18, found that about 20 percent reported that they suffered from a mental disorder with symptoms severe enough to impair their daily lives, and that these conditions arrive roughly on a schedule: anxiety disorders tended to emerge by age 6, behavior disorders by age 11, mood disorders by age 13, and substance use disorders by age 15. Adolescence is often not when the problem starts. It is when it becomes visible.

Which is why the timing question has a clear answer. NIMH puts it directly: for a young person with symptoms of a mental disorder, the earlier treatment is started, the more effective it can be. You do not need a diagnosis to call, and you do not need to be sure. An assessment is how a family finds out, including the families we send home with the news that a program is not what their teen needs.

  • Ages 13 to 17
  • Boulder and Thornton
  • Anxiety, depression, trauma, and mood

Signs and symptoms

The signal is usually change, not crisis.

Every item here has an innocent explanation, and your teen will have one ready. What matters is that several of them arrived around the same time and have held. NIMH sets the threshold for an evaluation at behavior or emotions that last weeks or longer, cause distress, or interfere with school, home, or friendships. If your teen is talking about suicide or self-harm, or is unsafe right now, call or text 988 before anything else on this page.

Pulling back from friends and from things they used to want to do

Sleep at either extreme, or awake all night and flat all day

Mood or behavior that changed suddenly rather than drifting

Grades and attendance slipping with no reason anyone can point to

Irritability and a short fuse that are new for your teen

Headaches, stomachaches, and other physical complaints with no cause found

Appetite or weight moving noticeably in either direction

Trouble concentrating, or homework that now takes three times as long

Stretches of unusually high energy on almost no sleep

Talk of death or self-harm, or saying the family would be better off

Conditions

Anxiety and depression are what parents name first. They are rarely the whole picture.

An assessment is not a matter of picking one of these off a list. Most teenagers arrive with something from more than one row, and what treatment leads with is whatever is costing them the most right now.

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How we treat it

One assessment, then a plan built for this teenager.

Nothing is planned before your teen is assessed. NIMH describes what a real evaluation involves, and ours covers the same ground: interviews with parents about the child's development and history, information from school, and where it is needed, direct interviews with the child. We meet your teen and we meet you, usually in the same appointment, and safety comes first in it rather than last.

What comes out of that is one plan for one teenager rather than a program your teen is slotted into. Two fifteen year olds with the same diagnosis can need very different weeks, and the plan is built around which parts of your teen's life have stopped working: sleep, school, friends, the house, or all four. It changes as they do, and you are in the room when it is set.

The therapy itself is named work. Cognitive behavioral therapy for the thinking that keeps a low mood or a fear running, dialectical behavior therapy for distress tolerance and emotion regulation, which is what a teenager needs at eleven at night rather than in a Tuesday session, acceptance and commitment therapy for psychological flexibility, EMDR where trauma is part of what is driving this, and our experiential therapies including psychodrama and art therapy, which reach teens who have run out of words for it.

Alongside the therapy hours, teens are taught coping skills explicitly and by name, then given somewhere to practice them. That is the part that outlasts the program. Care here is medically informed and led by a board-certified psychiatrist, so if medication belongs in your teen's treatment it is evaluated by a clinician who can see the whole picture rather than decided from a website. Our teen programs serve ages 13 to 17; for 18 and over, our adult programs run out of the same offices.

  • One clinical assessment
  • Individual and group therapy
  • CBT, DBT, ACT, and EMDR
  • Coping skills taught by name
  • Family sessions on the calendar
  • Medication support when it fits

Around the treatment

A teenager lives in two places, and both of them are part of the plan.

Family therapy is scheduled work in both programs rather than an optional evening, and school is the other half of the week. Neither gets worked around.

Family sessions, on the calendar

Booked from the start rather than offered later. Your teen sleeps at home every night of treatment, which makes the house part of the plan instead of the setting for it.

One set of expectations across the house

Parents, step-parents, and the other adults in a teen's life often arrive holding four different versions of the rules. Getting to one is a large part of what family work does.

What the school needs to know

Usually less than parents fear. We help families work out what to tell a counselor, what is worth putting in writing, and what stays private.

Keeping the school day where it is

Teen IOP runs after the last bell for exactly this reason. Teen PHP takes the day, which is a conversation to have with your school during the assessment rather than after it.

Somewhere to practice between sessions

Skills learned in group get rehearsed with peers the same age, then used on an ordinary Tuesday. That is the part your teen keeps once the program ends.

What happens when treatment ends

Stepping down, ongoing therapy, and who your family calls if things dip six months from now. It gets planned during treatment rather than at the last session.

Parent questions

What parents ask before anything has a name.

My teen has never been diagnosed with anything. Do we need that first?

No, and most families who call us do not have one. A diagnosis is an outcome of an assessment rather than a ticket to get one. What we need from you is description: what you have noticed, roughly when it started, and what it is costing at school, at home, or with friends. Bring the version you actually have, including the parts you are not sure about. Sorting out what this is and whether it needs a program is the work of the appointment, not a prerequisite for booking it.

What actually happens at the assessment?

A conversation, in an office, with no test to pass. NIMH describes the components of a real evaluation and ours covers the same ground: interviews with parents about the child's development and history, information from school, and where it is needed, direct interviews with the child. We ask about sleep, appetite, school, friends, mood, what has changed and when, and anything already in place with a therapist or a prescriber. Safety is covered directly rather than skirted. You leave with a recommendation, which is sometimes teen PHP, sometimes teen IOP, and sometimes neither.

Is this therapy, medication, or both?

For most teens here it is therapy, and medication is a separate conversation rather than a condition of enrollment. Care at The Redpoint Center is medically informed and led by a board-certified psychiatrist, so if medication is worth considering it is evaluated by a clinician who can see your teen's whole picture rather than decided from a website. If your teen already has a prescriber, bring them into the assessment. Whatever gets decided, it sits alongside the therapy rather than in place of it, because the skills are the part your teen keeps.

What does my teen tell you, and what do you tell me?

Teenagers ask this before their parents do, and it is worth answering properly rather than in general terms. Treatment records are health records and are protected like any other. What gets shared back to you from an individual session is not a single fixed rule: it depends on your teen's age, the kind of session, and what safety requires, and anything involving your teen's safety comes to you. Ask us directly at the assessment and we will tell you how it will work for your family specifically. Family sessions are a different matter, since you are in the room for those by design.

My teen says they will not go.

Call anyway. It is the normal opening position rather than a dead end, and it is a conversation we have with parents most weeks. A teenager refusing an assessment is usually refusing an imagined version of it, which tends to be a locked door and a stranger asking what is wrong with them. A good part of that first call is working out how to make the first appointment small enough to say yes to, and what you can honestly promise them about it. Nothing about an assessment commits your family to a program.

What if my teen is also drinking or using?

Tell us, because it changes the plan rather than disqualifying your teen from it. Substance use and mental health conditions turn up together often enough in adolescence to be the ordinary case, and when both are present we treat them in one plan with one team rather than sending your family to run two courses of treatment in parallel. If that is what you are seeing, our teen dual diagnosis page goes into how that works, and our teen substance use page covers the substance side on its own.

How long will my teen be in a program?

It depends on the level of care and on your teen, and we would rather give you a real range at the assessment than a number on a page that turns out to be wrong for your family. What we can say about the shape of it: treatment is reviewed as it goes rather than at the end, the level of care can step down as your teen improves, and finishing a program is not the same as finishing treatment. Planning what comes after, including ongoing therapy and who to call if things dip, is part of the work rather than a handover at the last session.

Does insurance cover teen mental health treatment?

In most cases, yes, and coverage runs through the level of care your teen attends. We accept Aetna, Anthem, Carelon Behavioral Health, Cigna, First Health Network, Kaiser Permanente, Rocky Mountain Health Plans, Select Health, TRICARE, and United Healthcare, and we will still check a plan that is not on that list. We can also accept some Colorado Medicaid policies. Teen programming runs out of our Boulder and Thornton offices, and availability varies by location. Call us or submit an insurance verification form and we will tell you what your specific policy covers before you commit to anything.

What if this is an emergency right now?

Call or text 988 before anything else on this page. It reaches 988 Colorado, the state mental health line, free and confidential, 24 hours a day, and they will talk it through with you as a parent rather than only with your teen. If your teen is in immediate physical danger, call 911. The Redpoint Center is an outpatient center rather than a crisis line, and once the immediate danger has passed we can take care from there.
Not sure whether this is the right call? Call (303) 219-0973

Bring us the version you have.

Most of what parents tell us at this stage is a list of things that might be nothing. That is the normal way this conversation starts, and it is enough for us to work with.