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And so, as somebody is inputting information about 'I'm trying to lose weight,' and the chatbot is saying, 'Good job, you're losing weight.' And so, they start to adapt to what is happening and they start to almost encourage the behavior,\" Slaven explained.",{"type":65,"attrs":2297,"content":2298},{"textAlign":67},[2299],{"text":2300,"type":71},"Slaven advises parents to pay attention to clues.",[2302],"86c19221-c58b-4139-9138-a4cde149c18f","ERC's Dr. Kaitlin Slaven was a featured guest recently on WBAL to share insight about how AI chatbots are impacting eating disorders in kids. 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For the people experiencing or treating eating disorders, it’s “a catastrophic situation.” So says Dr. Elizabeth Wassenaar, a board-certified psychiatrist specializing in obesity medicine and eating disorders.",{"type":65,"attrs":2339,"content":2340},{"textAlign":67},[2341],{"text":2342,"type":71},"Dr. Wassenaar has seen kids younger than 12 prescribed GLP-1s for weight loss. She’s also seen a rapid rise in patients relapsing, and believes the widespread use of such medication is further contributing to deadly diet culture, a world in which the only acceptable body is a dangerously thin one, and millions of people suffer the long-term side effects.",{"type":65,"attrs":2344,"content":2345},{"textAlign":67},[2346],{"text":2347,"type":71},"Dr. Wassenaar is joined by Olivia, a recent CU grad who is in recovery for an eating disorder. 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Nearly all adolescents ages 13-17 (94%) say they’re online “almost constantly” or “several times a day.”",{"text":2477,"type":71,"marks":2478},"[1]",[2479],{"type":2480},"superscript",{"type":65,"attrs":2482,"content":2483},{"textAlign":67},[2484,2486,2492,2494,2500],{"text":2485,"type":71},"While social media can promote connection among teens, it also brings risks, like cyberbullying and engaging with accounts that promote ",{"text":2487,"type":71,"marks":2488},"eating disorders",[2489],{"type":104,"attrs":2490},{"href":2491,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F8516",{"text":2493,"type":71}," or ",{"text":2495,"type":71,"marks":2496},"self-harm",[2497],{"type":104,"attrs":2498},{"href":2499,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F17836",{"text":2501,"type":71},". That’s why it’s so important for both providers and parents to help adolescents set healthy boundaries around social media use.",{"type":2503,"content":2504},"blockquote",[2505],{"type":65,"attrs":2506,"content":2507},{"textAlign":67},[2508,2510,2516],{"text":2509,"type":71},"“Asking a teen not to be connected on social media is like asking them not to be connected to their peers,” says ",{"text":2511,"type":71,"marks":2512},"Alyssa Lucker, DO",[2513],{"type":104,"attrs":2514},{"href":2515,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F18016",{"text":2517,"type":71}," (she\u002Fher\u002Fhers), child and adolescent psychiatrist at Eating Recovery Center and Pathlight Mood & Anxiety Center (ERC Pathlight). “But we can educate teens on how to engage in social media safely.”",{"type":2519,"attrs":2520,"content":2522},"heading",{"level":2521,"textAlign":67},2,[2523],{"text":2524,"type":71},"What Does the Research Say?",{"type":65,"attrs":2526,"content":2527},{"textAlign":67},[2528,2530],{"text":2529,"type":71},"Here’s what the research says about positive effects of social media on mental health: social media can create a healing space for community and connection, potential self-expression, social support and personal growth benefits.",{"text":2531,"type":71,"marks":2532},"[2]",[2533],{"type":2480},{"type":65,"attrs":2535,"content":2536},{"textAlign":67},[2537],{"text":2538,"type":71},"At the opposite end of the spectrum, exposure to misinformation, divisiveness, violence and other mature content can cause significant harm to kids and teens. The impact of social media use in general—checking to see what friends, family and favorite businesses are doing or watching entertaining videos—is less clear.",{"type":2503,"content":2540},[2541],{"type":65,"attrs":2542,"content":2543},{"textAlign":67},[2544,2546,2552,2554,2560],{"text":2545,"type":71},"“There isn’t a ton of longitudinal research to tell us cause and effect,” says Dr. Lucker. “We don’t know for sure, for example, if teens who spend more time on social media become more ",{"text":2547,"type":71,"marks":2548},"depressed",[2549],{"type":104,"attrs":2550},{"href":2551,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F17621",{"text":2553,"type":71},", or if teens struggling with ",{"text":2555,"type":71,"marks":2556},"mental health issues",[2557],{"type":104,"attrs":2558},{"href":2559,"uuid":67,"anchor":67,"target":27,"linktype":17},"https:\u002F\u002Fwww.pathlightbh.com\u002Fconditions-we-treat",{"text":2561,"type":71}," are the ones who spend more time on social media.”",{"type":65,"attrs":2563,"content":2564},{"textAlign":67},[2565],{"text":2566,"type":71,"marks":2567},"See what the research says about AI tools, including therapy chatbots, for young people here.",[2568],{"type":104,"attrs":2569},{"href":2570,"uuid":67,"anchor":67,"target":67,"linktype":17},"\u002Fnode\u002F19007",{"type":2519,"attrs":2572,"content":2573},{"level":2521,"textAlign":67},[2574],{"text":2575,"type":71},"Talking with Teens About Social Media and Mental Health",{"type":65,"attrs":2577,"content":2578},{"textAlign":67},[2579],{"text":2580,"type":71},"Below are seven ways to help teens set boundaries and improve their relationship with social media.",{"type":2519,"attrs":2582,"content":2584},{"level":2583,"textAlign":67},3,[2585],{"text":2586,"type":71},"1. Open the lines of communication.",{"type":65,"attrs":2588,"content":2589},{"textAlign":67},[2590],{"text":2591,"type":71},"The key is starting an open dialogue with teens centered around what they enjoy about social media and how they feel when they use it. “When you approach it with a curious mindset, you open up the space for real conversation,” says Sally Fleck, PhD (she\u002Fher\u002Fhers), clinical manager at ERC Pathlight.",{"type":2519,"attrs":2593,"content":2594},{"level":2583,"textAlign":67},[2595],{"text":2596,"type":71},"2. Address safety and privacy concerns",{"type":65,"attrs":2598,"content":2599},{"textAlign":67},[2600],{"text":2601,"type":71},"Stress the importance of keeping personal information private, such as not sharing full names or addresses and turning off location-enabled services. Also, emphasize that your child can come to you immediately if they ever do feel unsafe on social media.",{"type":2519,"attrs":2603,"content":2604},{"level":2583,"textAlign":67},[2605],{"text":2606,"type":71},"3. Set flexible boundaries.",{"type":65,"attrs":2608,"content":2609},{"textAlign":67},[2610],{"text":2611,"type":71},"Start small, with no phones at the dinner table or limiting screen time before bed. “If boundaries are too rigid—such as making teens disconnect totally—adolescents will get on their friends’ phones at school and engage in social media in a way that is secretive,” Dr. Fleck says.",{"type":2519,"attrs":2613,"content":2614},{"level":2583,"textAlign":67},[2615],{"text":2616,"type":71},"4. Consider time limits.",{"type":65,"attrs":2618,"content":2619},{"textAlign":67},[2620],{"text":2621,"type":71},"Try 30-minute increments of social media use after school and go from there. “Set their phone to ping them once they’ve reached the limit as a reminder,” Dr. Fleck says. Resources like the American Academy of Pediatrics website have a family media plan that can help parents and providers set appropriate limits based on a variety of factors unique to each family.",{"type":2519,"attrs":2623,"content":2624},{"level":2583,"textAlign":67},[2625],{"text":2626,"type":71},"5. Keep it real.",{"type":65,"attrs":2628,"content":2629},{"textAlign":67},[2630],{"text":2631,"type":71},"Remind adolescents that the images and personas they see others portray on social media are curated most of the time. “You’re only seeing what other people want to show you,” Dr. Lucker says. Because of this false reality created, social media can negatively affect a person’s self-perception.",{"type":2519,"attrs":2633,"content":2634},{"level":2583,"textAlign":67},[2635],{"text":2636,"type":71},"6. Encourage a self-audit.",{"type":65,"attrs":2638,"content":2639},{"textAlign":67},[2640],{"text":2641,"type":71},"“Ask a teen to take a five-minute pause before and after each social media session and write down how they feel,” Dr. Lucker says. Doing so will help adolescents become more mindful about their social media use and how it impacts them. Parents can model healthy behaviors and conduct their own self-audits alongside teens.",{"type":2519,"attrs":2643,"content":2644},{"level":2583,"textAlign":67},[2645],{"text":2646,"type":71},"7. Embrace a values-based approach.",{"type":65,"attrs":2648,"content":2649},{"textAlign":67},[2650],{"text":2651,"type":71},"“Help teenagers align their social media feed with what’s most important to them—family, friends, art, volunteering,” Dr. Fleck says. “This will help them develop an internal compass they can use to self-govern their social media use.”",{"type":2519,"attrs":2653,"content":2654},{"level":2521,"textAlign":67},[2655],{"text":2656,"type":71},"Social Media Red Flags to Watch For",{"type":65,"attrs":2658,"content":2659},{"textAlign":67},[2660],{"text":2661,"type":71},"While every child responds differently, there are certain changes in behavior that can serve as red flags that a teen’s social media use has crossed over into unhealthy territory.",{"type":2519,"attrs":2663,"content":2664},{"level":2583,"textAlign":67},[2665],{"text":2666,"type":71},"1. Changes to basic hygiene.",{"type":65,"attrs":2668,"content":2669},{"textAlign":67},[2670],{"text":2671,"type":71},"“If a teen who was showering daily and brushing their teeth twice a day is now slipping in their basic hygiene routine,” says Dr. Lucker, “it might indicate social media is impacting their day-to-day functioning.”",{"type":2519,"attrs":2673,"content":2674},{"level":2583,"textAlign":67},[2675],{"text":2676,"type":71},"2. Sudden shifts in mood and irritability.",{"type":65,"attrs":2678,"content":2679},{"textAlign":67},[2680],{"text":2681,"type":71},"While mood changes are common at this age, it is important to note if a teen is more moody or irritable during or after engaging with social media.",{"type":2519,"attrs":2683,"content":2684},{"level":2583,"textAlign":67},[2685],{"text":2686,"type":71},"3. Pulling away from family.",{"type":65,"attrs":2688,"content":2689},{"textAlign":67},[2690],{"text":2691,"type":71},"Similarly, while it can be healthy for teens to seek independence, it is concerning if someone has abruptly stopped engaging in family activities or seems generally closed off from loved ones.",{"type":2519,"attrs":2693,"content":2694},{"level":2583,"textAlign":67},[2695],{"text":2696,"type":71},"4. 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It’s a message that the not-for-profit organization #HalfTheStory shares through advocacy, community and education, including a four-week Social Media U course designed to help teens take control of their tech use. 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