Anxiety

What’s Up With Hook-ups?

~ corinnemasur2331 ~ Leave a comment

Hook-up culture has been around for a while. Often fueled by alcohol, these encounters avoid all the the preliminaries – the flirting, the talking, the “dates”.

Kids in their teens as well as young adults are getting drunk and having sex of one sort or another… and then ghosting each other.

But why?

And what can they possibly be getting out of this?

Delaney Ruston of “Screenagers” recently released a podcast and a blog post on this subject and she interviewed Dr. Lisa Wade, author of American Hook-up: The New Culture of Sex on Campus.

According to Wade, kids in high school and college often feel that “everyone is doing it”, referring to hooking up.

So perhaps one motivation for hook-ups is to be doing what “everybody” else is doing.

But there must be more.

Having an intimate encounter with someone can involve allowing oneself to be vulnerable. And allowing vulnerability, often leads to feelings of closeness and connection – which is something most teens want.

But teens who opt for hook-ups are getting the vulnerability and the physical closeness with none of the emotional connection.

Why opt for this?

I wonder if some teens – whether in high school or college – are avoiding something by engaging in hook-ups. I wonder if they are avoiding the anxiety of acknowledging that they like someone, taking the risk of contacting that person and actually talking with them face to face. I wonder if the anxiety and the potential for an awkward encounter – or even worse, for disappointment – is keeping some kids from trying.

But why is this more true now than ever before? Why is there even a hook-up “culture” at this point in history?

Could the isolation of COVID, combined with the usual awkwardness of adolescence and the prevalence of social media have made it harder for many adolescents to socialize face to face?

Of course, it is true that casual dating decreased during COVID. It was harder to meet people and it was harder to get together without the risk of exposure to illness. (2)

But the desire for a relationship did not decrease. This put teens in a difficult position. The longer kids were in isolation, the more many kids looked forward to the rewards of getting back to socializing and potentially finding a romantic relationship. (1)

However, hook-up culture existed pre-COVID and still exists post-COVID. So the appeal of the hook-up must transcend the loss of opportunities and the lack of social skills kids experienced as a result of COVID.

So this leaves me to speculate: I think there was always a certain amount of hooking-up. I think that kids have been having substance-fueled sex for a long, long time. But perhaps the prevalence of hook-ups now points to something more malignant.

At this point, many teens and young adults seem ill at ease with one-on-one interactions. And this is true even when it comes to the phone. Recently I read that one teen likened hearing his phone ring to being stabbed in the chest. People in this age group do not like to talk on the phone. They seem to lack confidence in their ability to hold down a one-on-one conversation. Even worse, for some, is getting together. Many kids prefer to stay on their beds. Many don’t have “friends” anymore – if they have anything, they have remote friends they talk to on social media or with whom they play video games. At best, they have “friend groups”. While sometimes they may get together one-on-one, more often the group does things together.

Something has happened to teens and young adults in regard to their ability to tolerate contact and intimacy.

And it is not just a few teens and young adults, it is many.

I suspect the advent of contact through screens has something to do with this – but perhaps not all of it. With the use of video gaming and social media, kids no longer have to leave the house to get stimulation. Now it can be had from the comfort of bed or basement. Social skills are no longer needed. And there are not nearly as many opportunities to practice what social skills a teen may have, or to make mistakes and recover, or to experiment.

I also think that one one-on-one conversations and interpersonal interactions are not demanded of teens and young adults often enough. Parents AND children spend hours each day on their phones. Even when they are together, parents are not talking to kids as much and kids are not talking to their parents as much as in previous generations.

And at school, as I wrote about in my last post, kids are on their phones at least some of the day, rather than interacting with each other. And at some schools and in some classrooms, kids use their computers rather than engaging in classroom discussion and debate.

The malignant thing I referred to earlier is not just the proliferation of screens, it is not just the aftermath of the isolation of COVID, it is our teenagers’ loss of faith in themselves as social beings.

And it is contributed to by our allowing teens to hide behind screens, stay on their beds, and avoid interpersonal interaction.

I think hook-ups, in many cases, are the workarounds that many kids have found to get to have sex and contact without having to utilize much in the way of social skills.

But hook-ups are a desperate workaround, a decidedly second-rate, often risky, and more often hurtful and disappointing way to try to get something rather than to risk what kids fear: getting nothing in the way of romance or sex.

One male student said:

“Most of the time, it’s not a fun experience. Sometimes it’s great, but more often than not, people are kind of left feeling maybe a little bit regretful, kind of embarrassed, awkward. There’s pressure to hook up, but if you don’t, you feel like you’re missing out.” He added, “If you hook up with someone and they don’t text you after, that can be pretty hurtful.” 1

This is only one student, but I suspect he speaks for many others. Hook-ups meet a basic desire for sex, but they don’t meet any of the other needs that teens have for interpersonal relatedness and connection, for affection, support, and validation.

References

1 Ruston, Delany. 2025. Is Hookup Culture Really the Norm? Feb. 18.


 Kuperberg, Arielle (2022). Dating during COVID-19: A sociologist’s perspective.


2 Breaux R, Cash AR, Lewis J, Garcia KM, Dvorsky MR, Becker SP. Impacts of COVID-19 quarantine and isolation on adolescent social functioning. Curr Opin Psychol. 2023 Aug;52:101613. Epub 2023 Jun 1. PMID: 37364468; PMCID: PMC10232930.Ki

Teens and Social Media – AGAIN!

~ corinnemasur2331 ~ Leave a comment

This post is by Ana Hagstrand

Ana is a psychologist in private practice in Philadelphia. She is the mother of three children and she enjoys outdoor adventures.

At what age should we let kids use social media?

As a clinical psychologist and mother of three, I’ve been grappling with this question. My oldest child is 13 and he claims that everyone has Snapchat except him. 

Looking at the scientific research, the wider mental health trends, and what I know about adolescent development, I’ve decided he will have to wait until he’s at least 15.

Here’s why: 

First, there are concerning trends in adolescent mental health. The rates of teen anxiety, depression, and suicide have risen significantly over the last decade. Numerous studies show that teens report persistent feelings of sadness and hopelessness at significantly higher rates and that mental health professionals are diagnosing higher rates of depression. Most alarming is that the suicide rate for 10-14 year olds increased 139% for girls and 70% for boys over the last decade. And what does this have to do with social media?

Adolescent mental health started to decline sharply in 2012, which is the year that we started using the word “selfie” and the year that Facebook acquired Instagram. 

Is there evidence that social media has played a role in these worrisome mental health trends?

Yes. 

You may recall that Facebook was initially only for college students and was rolled out at different colleges at different times over the course of two years before opening up to the general public. One study found that the rates of anxiety increased by 20% and the rates of depression increased by 7% at each college in the year following the introduction of FB. 

Several recent studies actually demonstrate causation, not just correlation between social media use and decreased mental health, and the apparent pathway is social comparison. In other words, use of social media causes people to engage in more social comparisons and fear of missing out (FOMO) and this in turn increases depressive symptoms and decreases self-esteem, body image, and self-perceived social acceptance. 

And it has been found that the harmful effects of social media are stronger (worse) for girls.

Some of the studies I just referenced were done on young adults, and it’s important to consider that there are several reasons why social media may affect adolescents even more than it affects adults. During adolescence, the brain regions associated with attention, feedback, and reinforcement from peers become more sensitive as teens navigate identity formation, acceptance, and social status. This is a normal part of adolescent development, but with so many peer interactions occurring online for all to see and possibly even enshrined forever on people’s social media feeds, the stakes seem higher than they were pre-social media. If adults feel pressure to curate a certain image on social media, of course it’s even more fraught for teens.

Teens have always had a tendency to think they have an audience that notices their every blemish, and we used to try to quell their anxieties by telling them that no one is paying nearly as much attention to them as they think. Now that argument doesn’t work. 

Social media, which started out as a vehicle for social connection seems to have turned into a way of quantifying social status.

So why do I recommend waiting until age 15? 

One large study in the U.K. found developmental windows of increased sensitivity to the harmful impact of social media. Apparently, the onset of puberty and the onset of adulthood are especially vulnerable times: age 11-13 for girls, age 14-15 for boys, and age 19 for all genders.

I’m under no illusion that we can control our children’s online activity at age 19, but let’s try and hold out until at least age 15. When many teens in a community are on social media, it impacts everyone negatively, even those who don’t use it, so I think it’s worth thinking through this together as a community of parents. Most of us have felt the dopamine-fueled pull of social media on our adult brains, and I doubt we will regret holding out a little longer before unleashing it onto our kids. 

Adolescence, with all its developmental tasks and hormones is certainly hard enough.

References:

https://www.nature.com/articles/s41467-022-29296-3(Developmental windows)

https://pubmed.ncbi.nlm.nih.gov/27940701

(national trends depression)

https://www.cdc.gov/childrensmentalhealth/data.html

(national trends anxiety)

https://stacks.cdc.gov/view/cdc/101761

(national trends suicide)

Makarin, Alexey. American Economic Review, Volume 112, No. 11, 2022

(Facebook rollout study)

Kleemans, Daalmans, Carbaat, & Anschütz (2018). Picture Perfect: The Direct Effect of Manipulated Instagram Photos on Body Image in Adolescent Girls. Media Psychology. 

(manipulated photos on IG lead to worse body image in girls)

González-Nuevo, C., Cuesta, M., Postigo, Á., Menéndez-Aller, Á., & Muñiz, J. (2021). Problematic Social Network Use: Structure and Assessment. International journal of mental health and addiction.

(social comparisons on SM and depression)

Samra, A., Warburton, W. A., & Collins, A. M. (2022). Social comparisons: A potential mechanism linking problematic social media use with depression. Journal of Behavioral Addictions.

(social comparisons on SM and self-esteem)

Lee (2022). The effects of social comparison orientation on psychological well-being in social networking sites: Serial mediation of perceived social support and self-esteem. Current Psychology. 

(social comparisons on SM and mental health)

Burnell, George, Vollet, Ehrenreich, & Underwood (2019). Passive social networking site use and well-being: The mediating roles of social comparison and the fear of missing out. Cyberpsychology: Journal of Psychosocial Research on Cyberspace.

(causal pathway: passively using SM🡪social comparisons and FOMO🡺worse mental health)

https://www.nature.com/articles/d41586-020-00296-x

(social media in a community hurts everyone)

https://docs.google.com/document/d/1w-HOfseF2wF9YIpXwUUtP65-olnkPyWcgF5BiAtBEy0/edit

(causation, girls)

Post-Pandemic Separation Anxiety

~ Thoughtful Parenting ~ 2 Comments

Dr. Corinne Masur

More people are getting vaccinated, spring is coming, and little by little we may be able to get out more than we have been.

This is a good thing, right?

Well, it IS a good thing, as long as we continue to use precautions like mask wearing and social distancing and hand washing. This spring more children may actually get to go to school and daycare and this summer children may get to go to camp and families may actually be able to go on vacation.

BUT we need to be prepared for some increased separation anxiety for some children – and even for some adults.

We have gotten used to hunkering down at home and spending more time there than ever before.  And as hard as it has been, as claustrophobic as it might have felt at times, as much as we all yearned for the freedom to be able to go where we wanted, it is possible that some of us will find it difficult to go back out into the world to do the things we think we want to do.

Even now, trips which used to be mundane can feel like a big deal.  For those of you who have worked at home, have you tried visiting the office yet?  Have you tried driving to places you used to go routinely which you haven’t been to in months?  It can feel strange to do these things; it can be anxiety provoking.

So, assume that your children will feel some of these feelings of strangeness when they try to do things they haven’t done in months.  They may be excited – but they may also have trepidations; they may be hesitant; they may ask questions like, “is it safe?” or “will my friends recognize me?”

The best advice we can give, given that none of us have been through anything like this before, is the following:

      – Prepare your children for what is coming.  If they are going back to daycare or school in person – or back to church or synagogue or music lessons or play dates, start talking about it a few days in advance.  Tell them what it will be like.  Tell them that they might have worries or questions and that they are welcome to talk with you about it. Tell them how you expect them to behave and remind them of what is required in these situations.

     – Take it slowly.  Do not assume that everyone will be on board right away with doing things they have not done for a year.

     – Expect some last minute demonstrations of anxiety.  Before doing something that they have not done before or something they have not done in a long time, it is not unusual for a child to develop a stomachache or a headache or to feel ill in some other way. This is their body talking and saying what they cannot say with words, “I’m afraid to do this!”  Remember, children do not develop these symptoms on purpose.

And adults, take it easy on yourselves as well. You may feel anxious when your children start back to school full time or go for sleepovers at relatives’ or friends’ houses.  You are used to having them close by. And again, as difficult as it may have been at times, it may have become so familiar that it feels strange to have them away from you. You may feel relief…and you may also feel nervous.  Give yourself time to get used to your children doing more on their own away from the house – and reassure yourself that ALL of you need to learn how to be more independent again.

COVID and the School Decision: One Mother’s Struggle

~ Thoughtful Parenting ~ Leave a comment

Dr. Corinne Masur


In late August and early September when schools finally decided about how they were going to open, many of them then passed the decision making on to parents: in school, out of school, or hybrid?

How were parents supposed to decide?

There were so many factors: what is possible for our family given our work and child care situations? What is safest for our family? What do our children want? What do we want for our children?

Parents had to weigh one important aspect of their children’s wellbeing against another.  These were impossible choices. What was more important, caution in the face of COVID, the children’s social needs, or the financial needs of the family?  In some cases, parents had to choose between their own jobs and becoming distance learning aids. In other cases, parents had no choice: they had to work so their children just had to go back to school.

One mother called me for advice. She had two sons, one in first grade and one in fourth.  She was very worried about the children being exposed to COVID for two reasons. One son had a respiratory vulnerability and secondly, the children’s grandfather had recently had cancer and was immunocompromised following a transplant. What if they went to school, were exposed to COVID and then exposed him either directly or indirectly?

On the other hand, she wanted her children to be able to build relationships with their new teachers and classmates.

As a person who likes to make her decisions carefully and in an informed way, she felt overwhelmed both by too much information and too little.

By late summer, we knew a great deal more about the transmission of COVID than we had in March at the beginning of the pandemic.  This mother understood how COVID is transmitted and as a result, what the school would need to do to keep children and staff safe. They would have to provide good ventilation and air exchange inside the building and they would also need to provide the possibility for having as many classes outdoors as possible.  But her particular school was not giving parents information about their HVAC system and they did not have a plan in place for outdoor learning.  When this mom went over to look at the school, they only had one small tent standing – which of course would be totally insufficient for the hundreds of children attending school in the fall.

What were they planning for outdoor learning, anyway?  And what would they do on rainy days? She could not get answers.  And through a friend she heard that the school had told one parent that if they had so many questions, they should just do the at home option – as if these questions were not the school’s responsibility to answer!

This mother had enjoyed a feeling of connectedness with her children’s school and now she felt isolated and alone.  As the deadline loomed for making her decision, she learned that very few parents in either of her son’s grades had chosen the at-home schooling option.  Why did so many parents feel it was safe to send their children to school when she did not? She wished she could ask them.

This is what went through this mother’s mind: if her children got COVID, she would be the one to take care of them as her husband simply would not be able to take time off from work; she would have to quit her job or take a leave.  If she got COVID, she had no idea who would take care of the children.  If the virus was transmitted to her mother either through her (this mom’s) infection or her children’s, she would be the one who would have to take care of her ill father – thus necessitating her quitting or taking a leave from her work. If her younger son got COVID he might be at risk for the more severe complications of the illness given his respiratory vulnerability.

She thought about the decision a great deal. She stayed up nights wondering what she should choose. She discussed this with her husband, with her friends, with her family.  She received all sorts of input – both conflicting and agreeing with her own thoughts. And in the end, she felt that her family was just too vulnerable.

The risks of illness were too great for this mother.  She decided on doing school from home.  She altered her work schedule and began being her children’s distance learning aid.  Her older son was okay some of the time but at other moments, he hated the arrangement. He screamed and cried and melted down. Her younger son was fine with online school.  And this mother? Well, she felt stressed, wondering every single day of the new school year if she had made the right decision.

Will the Pandemic Ruin my Child?

~ Thoughtful Parenting ~ 3 Comments

Part 3: Worrying About COVID

Dr. Corinne Masur

What effect does the constant worry about illness and safety have on children? 

There is no doubt that the worry about COVID and how to stay safe from contracting it is affecting all of us – including our children.

Kids of all ages pick up on their parent’s anxiety.  When we are worried, our children are like sponges – they know we are worried and they may get worried too.

And, of course, we are all worried about getting sick, about infecting others, about how best to protect ourselves, etc.  We are reading the latest information and watching the news.

And regardless of what we do or do not tell our children directly, by age two to three they know about some of the things we are worried about. They will have overheard our conversations, they will have heard some news from the television or radio, and for older children, they will have learned things from their friends about what is going on. 

Children of all ages will be worried about what is safe and what is not – and at the same time they may be unhappy or downright resistant to wearing masks, washing hands, and social distancing. 

After quarantining at home, they may want to go out to their favorite places – but at the same time be worried about going out and going to places they haven’t been for a long while.  Even older kids and teens may feel this way – although they may not admit it.

Children of all ages may be worried about germs and about contagion, they may be confused about how this disease gets communicated and how it does not.

So, what effect does all the worry have on kids?  And what effect does it have on them to live in a world so different from what they were used to?

Well, I have a point of view that may be different from much of what you have read.  From my training as a child psychologist and a child psychoanalyst, this is how I see it:

For the most part, children (from 0 – 9 or so) live mostly in the present moment.  That is why, when older relatives ask, “How was school today?” they often don’t have an answer.  They are usually thinking about what is happening right now.  For example, “There are cookies on the table, when can I eat one?” or “Why does grandpa have strange ear hairs?” NOT about school – that was HOURS ago.

So, in this changed world, young children often are just taking in what is happening in the moment.  “OH?  We have to wear masks? Why?”  With a good explanation, they may rebel or they may move forward but they are not thinking as much about how weird this new world is as you are.

And for older children and teenagers, well, they will have lots of questions. They will want to know how long this is going to last and whether life will ever go back to the way it was; they will worry about what effect not seeing friends and not doing school in the regular way will have on the friendships and on their futures.  They will chafe at the restrictions and be irritable and frustrated and angry. They will worry about what happens if they DO get COVID, or if you do.  

And the problem is, that we as parents, are also worrying about the very same things.

But the most important thing in this whole chaotic nightmare of a year is this: if you are able to manage your worries as a parent and if you can help your child to talk about his or her worries and if you are able to soothe your child when he or she is scared or overwhelmed or angry or feeling hopeless about the future, your child will be OK.  

That is not to say that this is easy.  In this pandemic, in this political climate, there is a lot for us as parents to worry about.  Containing our own anxiety is not simple.  With the 24-hour news cycle it is common to feel anxious and oversaturated with bad news.  

But it is important for us as parents figure out how to manage our anxiety so we DON’T pass it all on to our children. For some, this means limiting news intake.  For others it means having frequent talks with a partner or friend about all the frightening things going on.  For others a daily run or yoga session is mandatory. Whatever you need to do to tamp down your own anxiety, this will be helpful for you in being the best parent you can be.

And this is also not to say that if we can manage our own anxiety, this pandemic experience will not affect our children.  It will.  But the truth is that we do not know yet exactly how it will.  Your child is living through an historic and unprecedented event.  There will be stories to tell for years to come.  But as to how much damage is being inflicted on children by this experience?  I suspect less than we think.

In part 1 of this series I spoke about the protective effect that having parents present and emotionally available has on children even during the worst that life has to offer.  This is an enduring truth. When children have parents available to them who are able to be reasonable and rational about the risks and the danger (at least most of the time) and to talk about these things openly, generally children will be OK. This does not mean that you cannot be irritable, that you cannot have a lapse in patience, that you cannot shut your door and need a break on a regular basis – all those things are normal – it just means that if you can be there for your children when it really counts – when they are frightened or need to talk – you are providing a vital and protective function that is more powerful even than COVID.