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Teen Angst or Dangerous Anger? 6 Signs

How to tell if it's normal adolescent moodiness -- or a symptom of more serious trouble.
By Rob Baedeker
WebMD Magazine - Feature

When Angela's 15-year-old son, Mark, started hanging out exclusively with the "death metal" crowd, wearing only dark clothes and dying his hair, she fretted. Was this run-of-the-mill teen angst, or something more troubling? Then Mark quit the school play, and one day Angela got a call from the principal, saying Mark had vandalized computers in the school's library. Now she became really worried.

Erratic teenage behavior is an age-old concern for parents. But in the wake of violent events such as Colorado's 1999 Columbine High School massacre and the recent mass shooting at Virginia Tech -- even though such incidents are extremely rare -- many adults find themselves taking their kids' moods seriously. Are they wrestling with "normal" teenage emotions or showing signs of a problem with depression or anger, perhaps even one that could spiral out of control?

Parents are right to pay attention. Serious mental health problems are a real issue for some teens. According to recent research reported in American Family Physician, "At any given time, up to 15% of children and adolescents have some symptoms of depression. Five percent of those 9 to 17 years of age meet the criteria for major depressive disorder."

But not every instance of a teen acting out is a red flag. Jeffrey Bostic, MD, director of the School Psychiatry Program at Massachusetts General Hospital and assistant clinical professor of psychiatry at Harvard Medical School, says a certain amount of rebellion and experimental behavior is normal for teenagers. "Everybody goes through a phase," he says, "where they will pick more fights or get more piercings or tattoos or whatever is in vogue for their generation."

However, Bostic explains, when a teen starts to show signs of feeling "isolated from the herd," bad things can happen. While he notes it's dangerous to believe that you can add up the risk factors and conclude a violent event will result, Bostic has identified several signs that may indicate something more serious than normal teen angst is going on.

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