Teenage depression – a cry for help

Teenage depression – a cry for help

The past two years have seen a sharp rise in teenage suicide globally.

No words could ever adequately describe a parent’s devastation upon the suicide of a child. This grief cuts way deeper than that of a death caused by illness. More often than not the warning signs were there – but were misinterpreted or not attended to.

The past two years have seen a sharp rise in teenage suicide globally. This can, in part, be directly attributed to the worldwide actions by governments because of the COVID-19 virus. Locked down, children of all ages have been denied natural growth stimulators, also emotionally. Teenagers strongly feel the burden of lack of personal interaction. And while technology has enabled schooling to continue, so much has been lost that this generation will probably become known by an epithet describing what they have lost in human terms.

Says Hanlie Boshoff, narrative therapist in Centurion: “Parents have become digitally distracted – we all have. But interaction and communication between parents and teenagers are still the mainstay of good emotional health.

Depression has become as common as toothache. The pandemic has exacerbated this as everyone felt depressed at least some of the time. But long-term depression which kicks in is different to a short-term feeling of “the blues”. And although things are ‘back to normal’ the effects will be with us for years to come. In teenagers, signs differ from that of adult depression.

“Research has shown that parents find it difficult to tell the difference between ‘ups and downs’ and teen depression that needs treatment. And even when parents may correctly identify it, many barriers such as access to treatment, financial difficulties and poor communication with the teen could prevent seeking help,” says Boshoff whose practice, Tiqvah, specialises in teenagers with challenges. 

“One tell-tale sign in teenagers is their increased irritability. This commonly leads to impatience, disrespectful behaviour and defiance. Extreme reaction to criticism is another sign. And right at the end of the pendulum’s swing, is aggression. Monitor your teen’s response to risk-taking, criticism, and failure…. His reaction could tell you he is suffering from depression. Added to these signs could be social withdrawal or joining the wrong crowd. Both could be the first step towards problems like alcohol/substance abuse, even self-harm,” Boshoff points out.

Other symptoms to watch out for: feelings of hopelessness, loss of interest, tiredness, memory loss, sleeping problems and appetite loss. If the teen suffers from Major Depressive Disorder, suicidal thoughts, anxiety and panic disorder could further be part of the picture.

“Family units are under stress. Single parent families or children brought up by grannies, these realities are what we see in our society. But even traditional nuclear families are no longer devoid of these digital distractions. Stress also increases substance use (or abuse) which affects families. Out of control parents spell trouble all around,” explains Henda van der Merwe, director of CMR Gauteng-Oos, a social work NGO with 13 satellite offices across Pretoria. 

Are we raising a mentally disturbed generation? The answer seems obvious. A recent South Africa study showed that around 17% of teenagers had contemplated suicide in the first six months of last year.

But all is not lost. Boshoff says families can prevent these problems from arising by following a few guidelines. Cutting down on screen time is the first rule. “Face-time is crucial. Make time to talk and connect every day. This is a time to connect, not to teach and criticise,” she stresses.

“Parents should lead by example – turn off your phone and encourage them to do the same when socialising or focusing on work. Encourage them to get involved in activities – as they start to re-engage they will feel better. Volunteer. Doing things for others is a powerful antidepressant and a self-esteem booster. Doing things together will be a great bonding experience and give them a sense of purpose. Your love, guidance and support can go a long way toward helping your teen overcome depression and get his life on track.”

Van der Merwe concludes: “Social workers deal with the results of unfocused parenting every day. Family units are falling apart, and children failing to reach their potential – we believe parents need more training and support to help them raise a healthy new generation. This means putting a stop to endless technological stimulation and giving your children personal attention and spending time with them.”

Social work – Helping those in need

Social work – Helping those in need

“Social workers are actively bound to the principles of social justice, the inherent value and dignity of people and respect for human diversity,” explains Henda van der Merwe, director of CMR Gauteng-Oos, a Social Work NGO with statutory powers in the area of child protection.

”Our main focus is on child protection with the understanding that a child is, and should ideally always be, a member of a family unit. Therefore, the family is always part of taking care of a child. Our country’s laws state that biological parents are responsible for a child. Where there are no parents or the parents are unable to take this responsibility, members of the immediate family are asked to step up. In our time many grandmothers or other family members are fulfilling this role.

“Protecting children from harm while keeping families together is our first focus. However, our social workers also render many other services, assisting with practical help as may be necessary.

Says van der Merwe: “Our processes and indeed all our activities are transparent, and guided by the law. There are of course also in our daily practice, people who present us with hurdles. Some of our clients can be so offensive that in extreme cases we have had to search protection orders for our social workers.”

“The challenges we run into are parents who failed in their duty to their offspring, and suddenly want to impose their rights as parents.

“As a non-profit organisation, we are not the law. Our task is to make sure that the directives as set out by the court, are adhered to, in the cases we are called in to assist with. After careful assessment, involving many different professionals, such as psychologists, forensic services, and the like, we join hands with other agencies like the Department of Social Development and the SAPS.” 

CMR Gauteng-Oos originates from, and is still part of the larger Dutch Reformed Church welfare initiative and renders services to all families in need. It is celebrating its 40th birthday this year. Its sister organisation, CMR Gauteng North, also belongs to the DRC network. The two organisations were delineated along church synod lines while bearing similar names. They operate side by side in the larger Pretoria area.

“Society is an intricate network of people who interact in a structure that is underpinned by local laws, set in a particular cultural context. In our democratic society, we work with a rich cultural diversity and while it is indeed challenging, it makes our work all the more rewarding,” van der Merwe concludes.

CMR Gauteng-Oos currently operates from 13 satellite offices from Cullinan in the north to Midrand in the south of Pretoria.

Their social work services touched the lives of more than 27 000 people in its last financial year.

Dwelms, omdraai is moontlik

Dwelms, omdraai is moontlik

*Kobus is 15 jaar oud en ‘n hoërskoolleerder. Hy is onlangs in ‘n rehabilitasiesentrum vir ‘n dwelmafhanklikheidsprobleem opgeneem.

Ani Grobbelaar, maatskaplike werker van CMR Gauteng-Oos se Lyttleton-tak, is dankbaar dat sy vir hom ‘n plek in ‘n sentrum kon kry. Sy stap ‘n pad saam met *Kobus, wat werklik wil omdraai en sy afhanklikheid die rug wil toekeer.

“Hierdie seun verdien nog ‘n kans. Hy het in die verkeerde vriendekring beland. Dinge by sy ouerhuis is ook nie gunstig nie. Hy woon saam met sy tannie en albei sy ouers is in ‘n motorongeluk oorlede. Ledigheid is die duiwel se oorkussing, het die ou mense altyd gesê en ons sien dit elke dag in ons werk. Kinders wat nie besig is nie, soek Vermaak. Om op straat rond te loop met niks om te doen nie, is moeilikheid soek. *Kobus het, omdat sy tannie bedags by die werk is, saam met die verkeerde vriende begin leeglê” sê Grobbelaar.

*Kobus is een van baie min verstands wat die moed het om op te staan, hulp te soek om skoon te kom en sy lewe sonder dwelms oor te begin. Grobbelaar verduidelik dat dwelms geredelik by skole te kry is. Die kind wat *Kobus se eerste pila an hom verskaf het, en hom aangemoedig het om dit te probeer, is ‘n verskaffer en maar net een van baie wat al in plaaslike skole sake doen.

“Dit is ‘n bekende feit dat solank iemand weier om te erken da thy ‘n probleem het, niemand hom sal kan help nie. Maar wanneer hy, soos *Kobus, daardie plek bereik en om hulp vra, is die kanse goed dat hy sal kan omdraa en suksesvol sal wees. Kobus sal kan teruggaan skool toe, en ‘n nuwe blaadjie omslaan.”

Die uitdaging is nog glad nie verby nie. Hy sal moet sterk staan teen die vriende wat hom in die gemost laat beland het – hulle is nog daar en hul dwelmgebruik duur voort.

*Kobus het my vertel dat dagga so algemeen is dat min kinders hulle eintlik daar steur. Iemand wat sou dink om dit nie te gebruik nie, word uitgelag en vertel hy weet nie dat dit heeltemal veilig is en dat ‘n mens nie aan dagga verslaaf kan raak nie. Kinders glo dit en so waag baie van hulle maklik die eerste stap na algehele dwelmverslawing. Hy het self eers dagga begin gebruik, en later ander pille se bedwelming leer ken.

“Ons verleen ondersteuning aan Kobus vir so lank as wat hy dit nodig het. CMR Gauteng-Oos lewer statutêre dienste aan kinders tot op 18-jarige ouderdom, in ooreenstemming met die Kinderwet no.38 van 2005.”

Henda van der Merwe, direkteur van CMR Gauteng-Oos, benadruk die feit dat dit nie net een skool se uitdaging is nie, maar alle skole s’n.

“Om kinders te help om nie in die gat t eval nie, is almal se verantwoordelikheid. Ouers moet deel word van die stryd. Weet waarmee jou kind besig is. Onderwysers, beraders, sielkundiges, maatskaplike werkers, almal moet hande vat en keer dat ons kinders in hierdie strik gevang word,” sê sy.

CMR Gauteng-Oos het 13 takkantore oor die hele Pretoria heen, en bedien altesaam 27 000 mense per jaar met maatskaplike ondersteuning.

*’n Skuilnaam is gebruik omdat die seun ‘n minderjarige is en nie geidentifiseer mag word nie.

CMR Zithobeni Story of Hope

CMR Zithobeni Story of Hope

This office have children covered with dark clouds when their biological mother passed away. They were left with no one to care for and look after them as their biological father was someone who had mental health challenges.

CMR Zithobeni intervened and placed the children into a CYCC (Child and youth care centre)already in 2012 seeing that the children needed care and protection. By that time there was no one in the family willing to care for and protect the children.

During their stay at the CYCC, the children had no place to visit during the school holidays. The CMR Zithobeni Social worker tracked down the maternal aunt of the children and she explained that children need to know their family and origin as they should not stay in the CYCC forever. Reunification services were rendered to the children and the maternal aunt. The children started to visit their aunt during the school holidays. They created a great bond as a family. And after two years of rendering reunification services to the children and their aunt, the children were officially reunited with their maternal aunt. The children were placed in the CYCC for full 8 years. And filled with joy and excitement.

This story gives us hope that when we render reunification services, children who are orphans get a chance to know their family of origin. Some may be reunited some may not, but through rendering reunification services children know their family origin when they grow up.

Being a social worker, we’re not in it for the income but for the greater outcome

The holiday season is not festive for everyone

The holiday season is not festive for everyone

Bright Christmas lights. Festive music everywhere, telling us to feel jolly and get into the festive spirit – because it’s Christmas.

For many, it is a time of family gatherings and despite the past two year’s crisis management of almost all life situations, the Christmas feeling is felt in shops already.

People really want to feel “normal” again, and it is understandable that they are reaching towards a feeling of togetherness and belonging – the very things we have been denied these past two years.

There are however thousands who are without family. Some of them live on the street. Their experience of Christmas does not include lights and trees. Their biggest hope is to have food every day. Many others may well not be living on the street, but they do not know where to go since they do not have a family to be with. During the pandemic, many people have lost loved ones, whose empty seats will be difficult to cope with.

Money problems, financial stress, joblessness. 2021’s stressors are worse than that of 2020. There is still uncertainty, especially now with the new developments around the virus.

And many stand alone. Loneliness can affect anyone, even small children. Think of a single mom who has no family, who struggles to engender a Christmas feeling in her home. Small children especially are drawn to the trees, lights and gifts in the shops. And mom does not have a festive bone in her body. In fact, the stress of the holiday season may mean she really does not look forward to this time of year.

Against this backdrop, things can go wrong. Children who do not understand, become demanding. And mom feels guilty, too. Thus loneliness gets its claws into her. And smaller children feel it too, especially only children.

“Loneliness goes hand in hand with the lack of a normal feeling of belonging. Everyone is exposed to this. Parents can also use alcohol or drugs as a remedy for loneliness – with negative effects on the children. A parent who is under the influence cannot behave properly, and this is one contributor to family violence,” explains Ani Grobbelaar, social worker of CMR Gauteng Oos’ Lyttelton branch.

“Then, of course, there is the problem of parents working while the children are on holiday. Children left home alone without supervision causes their own problems. Older children go walking around and if you look for trouble, you will find it. Apart from the safety aspect, there is also boredom. No child can watch TV for 8 hours without becoming bored. They start looking for something to do, and drugs, alcohol, porn and online games easily fill this gap. Parents must do everything in their power to find alternatives to keep children from these bad influences.

“Not just violence but also child neglect increase during this time,” explains Henda van der Merwe,  director of CMR Gauteng-Oos. “For us, there is no doubt that family violence will see a sharp increase in the coming weeks. At the end of two years of the global pandemic, we should not forget that the emotional toll of that still plays a role in families. Most people just want to forget that it happened, but we must remember that more than 30 % of our country’s people are jobless. The stress is bigger than in other years.

“The social workers in our organisation are confronted with much more than the need for food. Family support is of the utmost importance during the festive season,” she explains.

The question is how to handle it? There is no easy answer. “Stop. Think. How can what you do in the next 5 minutes, help another person through this period? Can a few minutes of your caring perhaps change his experience – and stop him from grabbing onto something to help him feel better. To care is to give – a few minutes could change a person’s life irrevocably,” Van der Merwe concludes.