Mental Health & Wellbeing

Bringing Teen Therapy Out of the Shadows

a school gathering to watch screenagers
May 13, 2025
5
min read
Delaney Ruston, MD
Lisa Tabb
a school gathering to watch screenagers

In Summary

It is Mental Health Awareness Month, which is a perfect time to talk about an under-discussed topic: counseling and therapy for teens. Therapy is one tool that can be very helpful in addressing problems in a young person’s life, especially now, with mental health issues at a higher level over the past 10-plus years, partly linked to screen time issues.

One thing we talked about is how hard it is to find therapy when you need it, and to afford it. Yes, and that’s awful. I’ve spent 20 years advocating for better mental health access.

That is an important topic to be discussed another day. Here, I want to highlight one of the many topics I discussed with Laura Kastner, PhD — author of Wise-Minded Parenting and an adolescent and family therapist with over 30 years of experience — in the podcast episode that dropped yesterday, Screen Time, Teens, and Therapy: What Parents Need to Know.

Listen Here: Apple Podcasts // Spotify // Castbox // YouTube // Website

In the podcast, we discuss questions like when to turn to a school counselor versus a therapist, what makes therapy truly effective, how counseling can help when a teen is languishing and glued to their screens, and so much more.

In today’s blog, I focus on the family’s role, beyond the teen, in the therapy process. This is an important topic because there’s a widespread myth that therapy should be a private, walled-off space just for the teen and their therapist, with no family involvement. The idea is that real progress happens only within that sacred one-on-one relationship, and that teens shouldn’t have to worry about their family being part of the process. But that’s a misconception.

Also, Mental Health Awareness Month is partly about advocacy, and I want to make a tiny call to action: Take the topic of therapy out of the shadows.

continues below
Share
Facebook logo.Rightward curved arrow symbol for sharing or forwarding.
host a screening

Learn more about showing our movies in your school or community!

Podcast

Join Screenagers filmmaker Delaney Ruston MD for our latest Podcast

Learn more about our Screen-Free Sleep campaign at the website!

Screenagers elementary edition

Our movie made for parents and educators of younger kids

host a screening

Learn more about showing our movies in your school or community!

Advocacy around mental health is helping bring it out of the shadows. More people are talking openly about therapy, though it's still important to choose carefully with whom they share. It’s valuable to frame therapy as a helpful tool, especially when the therapist actively helps problem-solve, not just listens passively while the patient ruminates.

In Screenagers Next Chapter, addressing mental health in the digital age, one story is about my daughter, Tessa, and her struggles with depression. Over time, we were able to find Tessa a very effective therapist. In the podcast, you hear a scene from the film featuring Tessa and me doing family therapy with her therapist. Yes, Tessa was completely fine with this being in the film. She launched into her own mental health advocacy with the release of her film, which was incredibly helpful to her.

So, the call to action — talking about therapy, such as something you learn from the blog or podcast, or something from your own experience — helps people better understand how useful it can be. What a gift.

Some important insights from the podcast: 

 

Why family participation is important.

Dr. Kastner explains that a harmful myth is the "Dry Cleaner Model" — the idea that you can simply drop off a struggling child at therapy and expect them to come back "fixed." In reality, if a child is anxious, depressed, or having suicidal thoughts, the whole family is affected and must be involved in the healing process. Families need guidance, just like they would with any serious illness, to learn how to support the child at home, especially in encouraging them to face challenges rather than avoid them. Therapy alone isn’t enough; it takes a family effort.

 

Be wary of a therapist who is not insistent on a family approach.

Laura Kastner says, "But the thing that really raises my hackles is when the teenager says, I don't want them involved, and the practitioner listens to the child with depression. No, parents should always be involved. This is their baby. This is their precious child. And there are all sorts of things around withdrawal with depression, which make a conundrum for the parents. They want to be empathic to their child who is depressed. But they don't want to follow directions, okay, let's not do anything and let you stay home from school in your bed.” I cannot emphasize enough how important it is for family members to learn how to help a struggling teen. 

Questions to get the conversation started with your group or family:

  1. When we think of “therapy,” what do we imagine happening in a therapy session?
  2. As a parent, have you ever been in counseling or therapy, and have you talked with your teen about this? Perhaps now is a good time to do so, if not.
  3. What are some benefits you can discuss about having family involved when a teen is going through a hard time and is in therapy?

 

host a screening

Learn more about showing our movies in your school or community!

Podcast

Join Screenagers filmmaker Delaney Ruston MD for our latest Podcast

Learn more about our Screen-Free Sleep campaign at the website!

Screenagers elementary edition

Our movie made for parents and educators of younger kids

host a screening

Learn more about showing our movies in your school or community!

This week on YouTube

Be sure to subscribe to our YouTube Channel! We add new videos regularly and you'll find over 100 videos covering parenting advice, guidance, podcasts, movie clips and more. Here's our most recent:

Get our latest posts and practical advice in your inbox, weekly.

You have subscribed to our emails. Thank you!
Oops! Something went wrong while submitting the form.

We respect your privacy.

More Like This

Mental Health & Wellbeing

Bringing Teen Therapy Out of the Shadows

Delaney Ruston, MD
Lisa Tabb smiling to camera (Screenagers Producer)
Lisa Tabb
May 13, 2025

As we’re about to celebrate 10 years of Screenagers, we want to hear what’s been most helpful and what you’d like to see next.

Please click here to share your thoughts with us in our community survey. It only takes 5–10 minutes, and everyone who completes it will be entered to win one of five $50 Amazon vouchers.

It is Mental Health Awareness Month, which is a perfect time to talk about an under-discussed topic: counseling and therapy for teens. Therapy is one tool that can be very helpful in addressing problems in a young person’s life, especially now, with mental health issues at a higher level over the past 10-plus years, partly linked to screen time issues.

One thing we talked about is how hard it is to find therapy when you need it, and to afford it. Yes, and that’s awful. I’ve spent 20 years advocating for better mental health access.

That is an important topic to be discussed another day. Here, I want to highlight one of the many topics I discussed with Laura Kastner, PhD — author of Wise-Minded Parenting and an adolescent and family therapist with over 30 years of experience — in the podcast episode that dropped yesterday, Screen Time, Teens, and Therapy: What Parents Need to Know.

Listen Here: Apple Podcasts // Spotify // Castbox // YouTube // Website

In the podcast, we discuss questions like when to turn to a school counselor versus a therapist, what makes therapy truly effective, how counseling can help when a teen is languishing and glued to their screens, and so much more.

In today’s blog, I focus on the family’s role, beyond the teen, in the therapy process. This is an important topic because there’s a widespread myth that therapy should be a private, walled-off space just for the teen and their therapist, with no family involvement. The idea is that real progress happens only within that sacred one-on-one relationship, and that teens shouldn’t have to worry about their family being part of the process. But that’s a misconception.

Also, Mental Health Awareness Month is partly about advocacy, and I want to make a tiny call to action: Take the topic of therapy out of the shadows.

Join
443
others who have made the pledge!
Thank you for making the pledge!
Please try again
Book page button

Available now - Parenting in the Screen Age, from Screenagers filmmaker Delaney Ruston MD

Order Here
Find A screening Button

Find a Screening - Find a screening of our movies in your local community

Learn More
Smiling woman with long blonde hair wearing a dark teal sweater, next to text: The Screenagers Podcast with Delaney Ruston, MD.

Screenagers Podcast - Join Screenagers filmmaker Delaney Ruston MD for the latest Podcast

Learn More
Book page button

Available now - Parenting in the Screen Age, from Screenagers filmmaker Delaney Ruston MD

Learn More
Host a Screening Button

Community Screenings - Learn more about hosting your own Screenagers community screening event!

Learn More
Parenting In The Screen Age Book Cover

Free Book Preview - Download a free preview of "Parenting In The Screen Age" by Delaney Ruston, MD

Learn More
The Screenagers Project title in bold white text on a dark blue background with teal underline and partially visible screenshots of a website behind.

Join Today - Members can screen and view our movies year-round, access new lesson plans, resources and much more!

Learn More
Screenagers Under The Influence Banner

Our New Movie - Learn more about the third movie in the Screenagers Trilogy

Learn More
YouTube play button icon next to the text 'SCREENAGERS YOUTUBE' on a dark blue background with images of web pages around the edges.

The Screenagers YouTube Channel - Subscribe for new videos and content from our team weekly!

Learn More

Advocacy around mental health is helping bring it out of the shadows. More people are talking openly about therapy, though it's still important to choose carefully with whom they share. It’s valuable to frame therapy as a helpful tool, especially when the therapist actively helps problem-solve, not just listens passively while the patient ruminates.

In Screenagers Next Chapter, addressing mental health in the digital age, one story is about my daughter, Tessa, and her struggles with depression. Over time, we were able to find Tessa a very effective therapist. In the podcast, you hear a scene from the film featuring Tessa and me doing family therapy with her therapist. Yes, Tessa was completely fine with this being in the film. She launched into her own mental health advocacy with the release of her film, which was incredibly helpful to her.

So, the call to action — talking about therapy, such as something you learn from the blog or podcast, or something from your own experience — helps people better understand how useful it can be. What a gift.

Some important insights from the podcast: 

 

Why family participation is important.

Dr. Kastner explains that a harmful myth is the "Dry Cleaner Model" — the idea that you can simply drop off a struggling child at therapy and expect them to come back "fixed." In reality, if a child is anxious, depressed, or having suicidal thoughts, the whole family is affected and must be involved in the healing process. Families need guidance, just like they would with any serious illness, to learn how to support the child at home, especially in encouraging them to face challenges rather than avoid them. Therapy alone isn’t enough; it takes a family effort.

 

Be wary of a therapist who is not insistent on a family approach.

Laura Kastner says, "But the thing that really raises my hackles is when the teenager says, I don't want them involved, and the practitioner listens to the child with depression. No, parents should always be involved. This is their baby. This is their precious child. And there are all sorts of things around withdrawal with depression, which make a conundrum for the parents. They want to be empathic to their child who is depressed. But they don't want to follow directions, okay, let's not do anything and let you stay home from school in your bed.” I cannot emphasize enough how important it is for family members to learn how to help a struggling teen. 

Questions to get the conversation started with your group or family:

  1. When we think of “therapy,” what do we imagine happening in a therapy session?
  2. As a parent, have you ever been in counseling or therapy, and have you talked with your teen about this? Perhaps now is a good time to do so, if not.
  3. What are some benefits you can discuss about having family involved when a teen is going through a hard time and is in therapy?

 

Host a Screening Button

Community Screenings - Learn more about hosting your own Screenagers community screening event!

Learn More
Find A screening Button

Find a Screening - Find a screening of our movies in your local community

Learn More
Smiling woman with long blonde hair wearing a dark teal sweater, next to text: The Screenagers Podcast with Delaney Ruston, MD.

Screenagers Podcast - Join Screenagers filmmaker Delaney Ruston MD for the latest Podcast

Learn More
Book page button

Available now - Parenting in the Screen Age, from Screenagers filmmaker Delaney Ruston MD

Learn More
Host a Screening Button

Community Screenings - Learn more about hosting your own Screenagers community screening event!

Learn More
Parenting In The Screen Age Book Cover

Free Book Preview - Download a free preview of "Parenting In The Screen Age" by Delaney Ruston, MD

Learn More
The Screenagers Project title in bold white text on a dark blue background with teal underline and partially visible screenshots of a website behind.

Join Today - Members can screen and view our movies year-round, access new lesson plans, resources and much more!

Learn More
Screenagers Under The Influence Banner

Our New Movie - Learn more about the third movie in the Screenagers Trilogy

Learn More
YouTube play button icon next to the text 'SCREENAGERS YOUTUBE' on a dark blue background with images of web pages around the edges.

The Screenagers YouTube Channel - Subscribe for new videos and content from our team weekly!

Learn More

This week on YouTube

Be sure to subscribe to our YouTube Channel! We add new videos regularly and you'll find over 100 videos covering parenting advice, guidance, podcasts, movie clips and more. Here's our most recent:

Thank you! Your submission has been received!
Oops! Something went wrong while submitting the form.

We respect your privacy.

Book page button

Available now - Parenting in the Screen Age, from Screenagers filmmaker Delaney Ruston MD

Order Here
Find A screening Button

Find a Screening - Find a screening of our movies in your local community

Learn More
Smiling woman with long blonde hair wearing a dark teal sweater, next to text: The Screenagers Podcast with Delaney Ruston, MD.

Screenagers Podcast - Join Screenagers filmmaker Delaney Ruston MD for the latest Podcast

Learn More
Book page button

Available now - Parenting in the Screen Age, from Screenagers filmmaker Delaney Ruston MD

Learn More
Host a Screening Button

Community Screenings - Learn more about hosting your own Screenagers community screening event!

Learn More
Parenting In The Screen Age Book Cover

Free Book Preview - Download a free preview of "Parenting In The Screen Age" by Delaney Ruston, MD

Learn More
The Screenagers Project title in bold white text on a dark blue background with teal underline and partially visible screenshots of a website behind.

Join Today - Members can screen and view our movies year-round, access new lesson plans, resources and much more!

Learn More
Screenagers Under The Influence Banner

Learn more about the third movie in the Screenagers movie series

Learn More
YouTube play button icon next to the text 'SCREENAGERS YOUTUBE' on a dark blue background with images of web pages around the edges.

The Screenagers YouTube Channel - Subscribe for new videos and content from our team weekly!

Learn More
Six children standing outdoors using tablets and smartphones, with text overlay 'SCREEN AGERS ELEMENTARY SCHOOL AGE EDITION'.

Screenagers: Elementary School Age Edition - Learn more about our latest movie.

Learn More
Child sleeping peacefully in bed under a gray blanket with text saying 'Screen-Free Sleep' and cartoon purple Z's.

Learn more about the Screen-Free Sleep campaign at the website!

Visit Website
Host a Screening Button

Community Screenings - Learn more about hosting your own Screenagers community screening event!

Learn More
Find A screening Button

Find a Screening - Find a screening of our movies in your local community

Learn More
Smiling woman with long blonde hair wearing a dark teal sweater, next to text: The Screenagers Podcast with Delaney Ruston, MD.

Screenagers Podcast - Join Screenagers filmmaker Delaney Ruston MD for the latest Podcast

Learn More
Book page button

Available now - Parenting in the Screen Age, from Screenagers filmmaker Delaney Ruston MD

Learn More
Host a Screening Button

Community Screenings - Learn more about hosting your own Screenagers community screening event!

Learn More
Parenting In The Screen Age Book Cover

Free Book Preview - Download a free preview of "Parenting In The Screen Age" by Delaney Ruston, MD

Learn More
The Screenagers Project title in bold white text on a dark blue background with teal underline and partially visible screenshots of a website behind.

Join Today - Members can screen and view our movies year-round, access new lesson plans, resources and much more!

Learn More
Screenagers Under The Influence Banner

Screenagers Under The Influence - Learn more about this movie and watch the trailer.

Learn More
YouTube play button icon next to the text 'SCREENAGERS YOUTUBE' on a dark blue background with images of web pages around the edges.

The Screenagers YouTube Channel - Subscribe for new videos and content from our team weekly!

Learn More
Six children standing outdoors using tablets and smartphones, with text overlay 'SCREEN AGERS ELEMENTARY SCHOOL AGE EDITION'.

Screenagers: Elementary School Age Edition - Learn more about our latest movie.

Learn More
Child sleeping peacefully in bed under a gray blanket with text saying 'Screen-Free Sleep' and cartoon purple Z's.

Learn more about the Screen-Free Sleep campaign at the website!

Visit Website
Mental Health & Wellbeing

Bringing Teen Therapy Out of the Shadows

Delaney Ruston, MD
May 13, 2025

It is Mental Health Awareness Month, which is a perfect time to talk about an under-discussed topic: counseling and therapy for teens. Therapy is one tool that can be very helpful in addressing problems in a young person’s life, especially now, with mental health issues at a higher level over the past 10-plus years, partly linked to screen time issues.

One thing we talked about is how hard it is to find therapy when you need it, and to afford it. Yes, and that’s awful. I’ve spent 20 years advocating for better mental health access.

That is an important topic to be discussed another day. Here, I want to highlight one of the many topics I discussed with Laura Kastner, PhD — author of Wise-Minded Parenting and an adolescent and family therapist with over 30 years of experience — in the podcast episode that dropped yesterday, Screen Time, Teens, and Therapy: What Parents Need to Know.

Listen Here: Apple Podcasts // Spotify // Castbox // YouTube // Website

In the podcast, we discuss questions like when to turn to a school counselor versus a therapist, what makes therapy truly effective, how counseling can help when a teen is languishing and glued to their screens, and so much more.

In today’s blog, I focus on the family’s role, beyond the teen, in the therapy process. This is an important topic because there’s a widespread myth that therapy should be a private, walled-off space just for the teen and their therapist, with no family involvement. The idea is that real progress happens only within that sacred one-on-one relationship, and that teens shouldn’t have to worry about their family being part of the process. But that’s a misconception.

Also, Mental Health Awareness Month is partly about advocacy, and I want to make a tiny call to action: Take the topic of therapy out of the shadows.

More Like This

Sleeping Next to Your Phone? What Parents Should Know
November 4, 2025
Mental Health & Wellbeing

Sleeping Next to Your Phone? What Parents Should Know

Many adults keep their phones by the bed — it feels harmless, even necessary. But what if that habit is quietly affecting our sleep and the example we set for our kids? In this week’s blog, Dr. Ruston shares two key things every parent should know about sleeping next to a phone, and how small nighttime tech changes can make a big difference for the whole family.

READ MORE >
3 Ways to Help Boys Grow Into Confident and Caring Young Men
September 23, 2025
Mental Health & Wellbeing

3 Ways to Help Boys Grow Into Confident and Caring Young Men

From Call of Duty and Grand Theft Auto to violence and gunfire in movies and shows, aggression is a constant backdrop in boys’ media diets. And with various influencers and online personalities framing success through the lens of strength, competition, dominance and winning, boys are being handed a narrow script for masculinity. As parents, one of the most important things we can do is offer a counterweight. We can help boys strengthen empathy, compassion, and respect as core traits of masculinity, so they have a broader, healthier vision of who they can become.

READ MORE >
What People Are Asking Us About Screen-Free Sleep
August 26, 2025
Mental Health & Wellbeing

What People Are Asking Us About Screen-Free Sleep

Last week we introduced you to our Screen-Free Sleep campaign! Since then, we’ve been flooded with emails and calls, and most are asking the same question: How can we get this spreading in our school? Today’s blog has the answers.

READ MORE >

parenting in the screen age

for more like this, DR. DELANEY RUSTON'S NEW BOOK, PARENTING IN THE SCREEN AGE, IS THE DEFINITIVE GUIDE FOR TODAY’S PARENTS. WITH INSIGHTS ON SCREEN TIME FROM RESEARCHERS, INPUT FROM KIDS & TEENS, THIS BOOK IS PACKED WITH SOLUTIONS FOR HOW TO START AND SUSTAIN PRODUCTIVE FAMILY TALKS ABOUT TECHNOLOGY AND IT’S IMPACT ON OUR MENTAL WELLBEING.  

ORDER HERE
Parenting in the Screen Age book cover