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How Does Social Media Play a Role in Depression?

Nadra Nittle is a journalist who has written articles in publications including NBC News, The Guardian, Vox, and Civil Eats.

Steven Gans, MD is board-certified in psychiatry and is an active supervisor, teacher, and mentor at Massachusetts General Hospital.

Verywell / Catherine Song

What to Know About Clinical Depression

Causation or correlation.

• Less Social Media, Less FOMO

Why Young People Are at Risk

• Bad News and ‘Doomscrolling’

Safely Using Social Media

By some estimates, roughly 4 billion people across the world use networking websites such as Facebook, Twitter, and Instagram. This usage has prompted mental health experts to investigate whether the enormous popularity of social media plays a role in depression.

Research suggests that people who limit their time on social media tend to be happier than those who don’t. Studies also indicate that social media may trigger an array of negative emotions in users that contribute to or worsen their depression symptoms.

U.S. Surgeon General Warning

In May 2023, U.S. Surgeon General Dr. Vivek Murthy released an advisory to call attention to the effects of social media on youth mental health. He notes that at crucial periods of adolescent brain development, social media use is predictive of decreases in life satisfaction, as well as additional concerns around body image, sleep issues, and much more.

Given that essentially all adolescents are now using social media in some form, he stresses the importance of further research.

Clinical depression or major depressive disorder is a mood disorder characterized by ongoing feelings of sadness and loss of interest in activities that an individual once enjoyed.

Depression can be mild or severe and make it difficult for those with the condition to concentrate, sleep or eat well, make decisions, or complete their normal routines.

People with depression may contemplate death or suicide, feel worthless, develop anxiety or have physical symptoms such as fatigue or headaches. Psychotherapy and medication are some of the treatments for depression. Limiting time on social media and prioritizing real-world connections can be beneficial to mental health.

The Facts on Social Media and Depression

• Social media has never been more popular, with more than half of the world's population active on these networking sites that roll out nonstop news, much of it negative.
• A Lancet study publbished in 2018 found that people who check Facebook late at night were more likely to feel depressed and unhappy.
• Another 2018 study found that the less time people spend on social media, the less symptoms of depression and loneliness they felt.
• A 2015 study found that Facebook users who felt envy while on the networking site were more likely to develop symptoms of depression.

Some studies about social media and mental health reveal that there’s a correlation between networking sites and depression. Other research goes a step further, finding that social media may very well cause depression. A landmark study—“No More FOMO: Limiting Social Media Decreases Loneliness and Depression”—was published in the Journal of Social and Clinical Psychology in 2018.

The study found that the less people used social media, the less depressed and lonely they felt.

This indicates a relationship between lower social media use and emotional wellbeing. According to the researchers, the study marked the first time scientific research established a causal link between these variables.

“Prior to this, all we could say was that there is an association between using social media and having poor outcomes with wellbeing,” said study coauthor Jordyn Young in a statement.

To establish the link between social media and depression, the researchers assigned 143 University of Pennsylvania students to two groups: one could use social media with no restrictions, while the second group had their social media access limited to just 30 minutes on Facebook, Instagram, and Snapchat combined over a three-week period.

Each study participant used iPhones to access social media and the researchers monitored their phone data to ensure compliance. The group with restricted social media access reported lower severity of depression and loneliness than they had at the beginning of the study.

Both groups reported a drop in anxiety and fear of missing out (FOMO), apparently because joining the study made even the group with unrestricted access to social media more cognizant of how much time they were spending on it.

Less Social Media, Less FOMO 

It’s not certain why participants who only spent 30 minutes daily on social media experienced less depression, but researchers suggest that these young people were spared from looking at content—such as a friend’s beach vacation, grad school acceptance letter, or happy family—that might make them feel bad about themselves.

Taking in the photos or posts of people with seemingly “perfect” lives can make social media users feel like they just don’t measure up. A 2015 University of Missouri study found that regular Facebook users were more likely to develop depression if they felt feelings of envy on the networking site.

Social media can also give users a case of FOMO, for example, if they were invited on their friend’s beach vacation but couldn’t go for some reason. Or if the friend didn’t ask them on the trip at all, users might feel hurt and left out to see that others in their social circle were. It can lead them to question their friendships or their own self-worth.

Social media users who visit an ex’s social media page and see pictures of their former partner wining and dining a new love interest can also experience FOMO. They might wonder why their ex never took them to such fancy restaurants or lavished them with gifts.

Ultimately, limiting one’s time on social media can mean less time spent comparing oneself to others. This can extend to not thinking badly of oneself and developing the symptoms that contribute to depression.

Prior to social media and the internet, children only had to worry about bullying on school grounds, for the most part. But social media has given bullies a new way to torment their victims.

With just one click, bullies can circulate a video of their target being ridiculed, beaten up, or otherwise humiliated. People can swarm a peer’s social media page, leaving negative comments or spreading misinformation. In some cases, victims of bullying have committed suicide.

While many schools have anti-bullying policies and rules about online student conduct, it can still be difficult for educators and parents to monitor abusive behavior on social media.

Worsening matters is that the victims of bullies often fear that the bullying will increase if they speak to a parent, teacher, or administrator about their mistreatment. This can make a child feel even more isolated and go without the emotional support they need to handle a toxic and potentially volatile situation. 

If you or someone you care about is having suicidal thoughts, contact the  National Suicide Prevention Lifeline  at  988  for support and assistance from a trained counselor. If you or a loved one are in immediate danger, call 911.

For more mental health resources, see our  National Helpline Database .

Bad News and ‘Doomscrolling’ 

One in five Americans now get their news from social media—a larger proportion than those who get their news from traditional print media.

For heavy social media users, people who log in for multiple hours at a time or multiple times a day, this means frequent exposure news, including bad news. Headlines related to natural disasters, terrorist attacks, political strife, and celebrity deaths frequently top lists of social media trends.

Before the advent of social media and the internet generally, one’s exposure to bad news was limited. The public got news from broadcasts that aired at certain times of the day or from newspapers.

The habit of binging bad news on social media sites or elsewhere online is known as “doomscrolling,” and it can adversely affect one’s mental health, leading to development or heightening of anxiety or depression symptoms. 

A 2018 Lancet Psychiatry study of 91,005 people found that those who logged onto Facebook before bedtime were 6% likelier to have major depressive disorder and rated their happiness level 9% lower than those with better sleep hygiene did.

Psychologist Amelia Aldao told NPR that doomscrolling locks the public into a “vicious cycle of negativity.” The cycle continues because “our minds are wired to look out for threats,” she said. “The more time we spend scrolling, the more we find those dangers, the more we get sucked into them, the more anxious we get.” Before long, the world appears to be an altogether gloomy place, making doomscrollers feel increasingly hopeless.

Press Play for Advice On Limiting Social Media Use

This episode of The Verywell Mind Podcast shares effective ways to reduce your screen time. Click below to listen now.

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Using social media comes with mental health risks, but that doesn’t mean it should be completely avoided. Experts recommend using these networking websites in moderation.

Set a timer when you’re on social media or install an app on your phone or computer that tracks how long you’ve spent on a networking site.

Without these timers or apps, it’s easy to spend hours on social media before you know it. To limit your time on social media, you can also plan real-world activities that help you focus on your immediate surroundings and circumstances. Read a book, watch a movie, go for a stroll, play a game, bake some bread, or have a phone conversation with a friend. Make the time to enjoy life offline.  

Kemp S. More than half of the people on Earth now use social media .

" Social Media and Youth Mental Healt h," The US Surgeon General's Advisory, May 2023.

Lyall LM, Wyse CA, Graham N, et al. Association of disrupted circadian rhythmicity with mood disorders, subjective wellbeing, and cognitive function: A cross-sectional study of 91 105 participants from the UK Biobank . Lancet Psychiatry.  2018;5(6):507-514. doi:10.1016/S2215-0366(18)30139-1

Hunt MG, Marx R, Lipson C, Young J. No more FOMO: Limiting social media decreases loneliness and depression . J Soc Clin Psychol.  2018;37(10):751-768. doi:10.1521/jscp.2018.37.10.751

Tandoc EC, Ferrucci P, Duffy M. Facebook use, envy, and depression among college students: Is facebooking depressing? Comput Hum Behav. 2015;43:139-146. doi:10.1016/j.chb.2014.10.053

Limbana T, Khan F, Eskander N, Emamy M, Jahan N. The association of bullying and suicidality: Does it affect the pediatric population?   Cureus . 2020;12(8). doi:10.7759/cureus.9691

Shearer E. Social media outpaces print newspapers in the U.S. as a news source . Pew Research Center.

Garcia-Navarro L. National Public Radio. Your 'doomscrolling' breeds anxiety. Here's how to stop the cycle .

By Nadra Nittle Nadra Nittle is a Los Angeles-based journalist and author. She has covered a wide range of topics, including health, education, race, consumerism, food, and public policy, throughout her career.  

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Science News

Social media harms teens’ mental health, mounting evidence shows. what now.

Understanding what is going on in teens’ minds is necessary for targeted policy suggestions

Most teens use social media, often for hours on end. Some social scientists are confident that such use is harming their mental health. Now they want to pinpoint what explains the link.

Carol Yepes/Getty Images

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By Sujata Gupta

February 20, 2024 at 7:30 am

In January, Mark Zuckerberg, CEO of Facebook’s parent company Meta, appeared at a congressional hearing to answer questions about how social media potentially harms children. Zuckerberg opened by saying: “The existing body of scientific work has not shown a causal link between using social media and young people having worse mental health.”

But many social scientists would disagree with that statement. In recent years, studies have started to show a causal link between teen social media use and reduced well-being or mood disorders, chiefly depression and anxiety.

Ironically, one of the most cited studies into this link focused on Facebook.

Researchers delved into whether the platform’s introduction across college campuses in the mid 2000s increased symptoms associated with depression and anxiety. The answer was a clear yes , says MIT economist Alexey Makarin, a coauthor of the study, which appeared in the November 2022 American Economic Review . “There is still a lot to be explored,” Makarin says, but “[to say] there is no causal evidence that social media causes mental health issues, to that I definitely object.”

The concern, and the studies, come from statistics showing that social media use in teens ages 13 to 17 is now almost ubiquitous. Two-thirds of teens report using TikTok, and some 60 percent of teens report using Instagram or Snapchat, a 2022 survey found. (Only 30 percent said they used Facebook.) Another survey showed that girls, on average, allot roughly 3.4 hours per day to TikTok, Instagram and Facebook, compared with roughly 2.1 hours among boys. At the same time, more teens are showing signs of depression than ever, especially girls ( SN: 6/30/23 ).

As more studies show a strong link between these phenomena, some researchers are starting to shift their attention to possible mechanisms. Why does social media use seem to trigger mental health problems? Why are those effects unevenly distributed among different groups, such as girls or young adults? And can the positives of social media be teased out from the negatives to provide more targeted guidance to teens, their caregivers and policymakers?

“You can’t design good public policy if you don’t know why things are happening,” says Scott Cunningham, an economist at Baylor University in Waco, Texas.

Increasing rigor

Concerns over the effects of social media use in children have been circulating for years, resulting in a massive body of scientific literature. But those mostly correlational studies could not show if teen social media use was harming mental health or if teens with mental health problems were using more social media.

Moreover, the findings from such studies were often inconclusive, or the effects on mental health so small as to be inconsequential. In one study that received considerable media attention, psychologists Amy Orben and Andrew Przybylski combined data from three surveys to see if they could find a link between technology use, including social media, and reduced well-being. The duo gauged the well-being of over 355,000 teenagers by focusing on questions around depression, suicidal thinking and self-esteem.

Digital technology use was associated with a slight decrease in adolescent well-being , Orben, now of the University of Cambridge, and Przybylski, of the University of Oxford, reported in 2019 in Nature Human Behaviour . But the duo downplayed that finding, noting that researchers have observed similar drops in adolescent well-being associated with drinking milk, going to the movies or eating potatoes.

Holes have begun to appear in that narrative thanks to newer, more rigorous studies.

In one longitudinal study, researchers — including Orben and Przybylski — used survey data on social media use and well-being from over 17,400 teens and young adults to look at how individuals’ responses to a question gauging life satisfaction changed between 2011 and 2018. And they dug into how the responses varied by gender, age and time spent on social media.

Social media use was associated with a drop in well-being among teens during certain developmental periods, chiefly puberty and young adulthood, the team reported in 2022 in Nature Communications . That translated to lower well-being scores around ages 11 to 13 for girls and ages 14 to 15 for boys. Both groups also reported a drop in well-being around age 19. Moreover, among the older teens, the team found evidence for the Goldilocks Hypothesis: the idea that both too much and too little time spent on social media can harm mental health.

“There’s hardly any effect if you look over everybody. But if you look at specific age groups, at particularly what [Orben] calls ‘windows of sensitivity’ … you see these clear effects,” says L.J. Shrum, a consumer psychologist at HEC Paris who was not involved with this research. His review of studies related to teen social media use and mental health is forthcoming in the Journal of the Association for Consumer Research.

Cause and effect

That longitudinal study hints at causation, researchers say. But one of the clearest ways to pin down cause and effect is through natural or quasi-experiments. For these in-the-wild experiments, researchers must identify situations where the rollout of a societal “treatment” is staggered across space and time. They can then compare outcomes among members of the group who received the treatment to those still in the queue — the control group.

That was the approach Makarin and his team used in their study of Facebook. The researchers homed in on the staggered rollout of Facebook across 775 college campuses from 2004 to 2006. They combined that rollout data with student responses to the National College Health Assessment, a widely used survey of college students’ mental and physical health.

The team then sought to understand if those survey questions captured diagnosable mental health problems. Specifically, they had roughly 500 undergraduate students respond to questions both in the National College Health Assessment and in validated screening tools for depression and anxiety. They found that mental health scores on the assessment predicted scores on the screenings. That suggested that a drop in well-being on the college survey was a good proxy for a corresponding increase in diagnosable mental health disorders. 

Compared with campuses that had not yet gained access to Facebook, college campuses with Facebook experienced a 2 percentage point increase in the number of students who met the diagnostic criteria for anxiety or depression, the team found.

When it comes to showing a causal link between social media use in teens and worse mental health, “that study really is the crown jewel right now,” says Cunningham, who was not involved in that research.

A need for nuance

The social media landscape today is vastly different than the landscape of 20 years ago. Facebook is now optimized for maximum addiction, Shrum says, and other newer platforms, such as Snapchat, Instagram and TikTok, have since copied and built on those features. Paired with the ubiquity of social media in general, the negative effects on mental health may well be larger now.

Moreover, social media research tends to focus on young adults — an easier cohort to study than minors. That needs to change, Cunningham says. “Most of us are worried about our high school kids and younger.” 

And so, researchers must pivot accordingly. Crucially, simple comparisons of social media users and nonusers no longer make sense. As Orben and Przybylski’s 2022 work suggested, a teen not on social media might well feel worse than one who briefly logs on. 

Researchers must also dig into why, and under what circumstances, social media use can harm mental health, Cunningham says. Explanations for this link abound. For instance, social media is thought to crowd out other activities or increase people’s likelihood of comparing themselves unfavorably with others. But big data studies, with their reliance on existing surveys and statistical analyses, cannot address those deeper questions. “These kinds of papers, there’s nothing you can really ask … to find these plausible mechanisms,” Cunningham says.

One ongoing effort to understand social media use from this more nuanced vantage point is the SMART Schools project out of the University of Birmingham in England. Pedagogical expert Victoria Goodyear and her team are comparing mental and physical health outcomes among children who attend schools that have restricted cell phone use to those attending schools without such a policy. The researchers described the protocol of that study of 30 schools and over 1,000 students in the July BMJ Open.

Goodyear and colleagues are also combining that natural experiment with qualitative research. They met with 36 five-person focus groups each consisting of all students, all parents or all educators at six of those schools. The team hopes to learn how students use their phones during the day, how usage practices make students feel, and what the various parties think of restrictions on cell phone use during the school day.

Talking to teens and those in their orbit is the best way to get at the mechanisms by which social media influences well-being — for better or worse, Goodyear says. Moving beyond big data to this more personal approach, however, takes considerable time and effort. “Social media has increased in pace and momentum very, very quickly,” she says. “And research takes a long time to catch up with that process.”

Until that catch-up occurs, though, researchers cannot dole out much advice. “What guidance could we provide to young people, parents and schools to help maintain the positives of social media use?” Goodyear asks. “There’s not concrete evidence yet.”

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• Open access
• Published: 06 July 2023

Pros & cons: impacts of social media on mental health

• Ágnes Zsila 1 , 2 &
• Marc Eric S. Reyes   ORCID: orcid.org/0000-0002-5280-1315 3  

BMC Psychology volume  11 , Article number:  201 ( 2023 ) Cite this article

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The use of social media significantly impacts mental health. It can enhance connection, increase self-esteem, and improve a sense of belonging. But it can also lead to tremendous stress, pressure to compare oneself to others, and increased sadness and isolation. Mindful use is essential to social media consumption.

Social media has become integral to our daily routines: we interact with family members and friends, accept invitations to public events, and join online communities to meet people who share similar preferences using these platforms. Social media has opened a new avenue for social experiences since the early 2000s, extending the possibilities for communication. According to recent research [ 1 ], people spend 2.3 h daily on social media. YouTube, TikTok, Instagram, and Snapchat have become increasingly popular among youth in 2022, and one-third think they spend too much time on these platforms [ 2 ]. The considerable time people spend on social media worldwide has directed researchers’ attention toward the potential benefits and risks. Research shows excessive use is mainly associated with lower psychological well-being [ 3 ]. However, findings also suggest that the quality rather than the quantity of social media use can determine whether the experience will enhance or deteriorate the user’s mental health [ 4 ]. In this collection, we will explore the impact of social media use on mental health by providing comprehensive research perspectives on positive and negative effects.

Social media can provide opportunities to enhance the mental health of users by facilitating social connections and peer support [ 5 ]. Indeed, online communities can provide a space for discussions regarding health conditions, adverse life events, or everyday challenges, which may decrease the sense of stigmatization and increase belongingness and perceived emotional support. Mutual friendships, rewarding social interactions, and humor on social media also reduced stress during the COVID-19 pandemic [ 4 ].

On the other hand, several studies have pointed out the potentially detrimental effects of social media use on mental health. Concerns have been raised that social media may lead to body image dissatisfaction [ 6 ], increase the risk of addiction and cyberbullying involvement [ 5 ], contribute to phubbing behaviors [ 7 ], and negatively affects mood [ 8 ]. Excessive use has increased loneliness, fear of missing out, and decreased subjective well-being and life satisfaction [ 8 ]. Users at risk of social media addiction often report depressive symptoms and lower self-esteem [ 9 ].

Overall, findings regarding the impact of social media on mental health pointed out some essential resources for psychological well-being through rewarding online social interactions. However, there is a need to raise awareness about the possible risks associated with excessive use, which can negatively affect mental health and everyday functioning [ 9 ]. There is neither a negative nor positive consensus regarding the effects of social media on people. However, by teaching people social media literacy, we can maximize their chances of having balanced, safe, and meaningful experiences on these platforms [ 10 ].

We encourage researchers to submit their research articles and contribute to a more differentiated overview of the impact of social media on mental health. BMC Psychology welcomes submissions to its new collection, which promises to present the latest findings in the emerging field of social media research. We seek research papers using qualitative and quantitative methods, focusing on social media users’ positive and negative aspects. We believe this collection will provide a more comprehensive picture of social media’s positive and negative effects on users’ mental health.

Data Availability

Not applicable.

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Acknowledgements

Ágnes Zsila was supported by the ÚNKP-22-4 New National Excellence Program of the Ministry for Culture and Innovation from the source of the National Research, Development and Innovation Fund.

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Ágnes Zsila

Institute of Psychology, ELTE Eötvös Loránd University, Budapest, Hungary

Department of Psychology, College of Science, University of Santo Tomas, Manila, 1008, Philippines

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AZ conceived and drafted the Editorial. MESR wrote the abstract and revised the Editorial. All authors read and approved the final manuscript.

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Zsila, Á., Reyes, M.E.S. Pros & cons: impacts of social media on mental health. BMC Psychol 11 , 201 (2023). https://doi.org/10.1186/s40359-023-01243-x

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Social media use can be positive for mental health and well-being

January 6, 2020— Mesfin Awoke Bekalu , research scientist in the Lee Kum Sheung Center for Health and Happiness at Harvard T.H. Chan School of Public Health, discusses a new study he co-authored on associations between social media use and mental health and well-being.

What is healthy vs. potentially problematic social media use?

Our study has brought preliminary evidence to answer this question. Using a nationally representative sample, we assessed the association of two dimensions of social media use—how much it’s routinely used and how emotionally connected users are to the platforms—with three health-related outcomes: social well-being, positive mental health, and self-rated health.

We found that routine social media use—for example, using social media as part of everyday routine and responding to content that others share—is positively associated with all three health outcomes. Emotional connection to social media—for example, checking apps excessively out of fear of missing out, being disappointed about or feeling disconnected from friends when not logged into social media—is negatively associated with all three outcomes.

In more general terms, these findings suggest that as long as we are mindful users, routine use may not in itself be a problem. Indeed, it could be beneficial.

For those with unhealthy social media use, behavioral interventions may help. For example, programs that develop “effortful control” skills—the ability to self-regulate behavior—have been widely shown to be useful in dealing with problematic Internet and social media use.

We’re used to hearing that social media use is harmful to mental health and well-being, particularly for young people. Did it surprise you to find that it can have positive effects?

The findings go against what some might expect, which is intriguing. We know that having a strong social network is associated with positive mental health and well-being. Routine social media use may compensate for diminishing face-to-face social interactions in people’s busy lives. Social media may provide individuals with a platform that overcomes barriers of distance and time, allowing them to connect and reconnect with others and thereby expand and strengthen their in-person networks and interactions. Indeed, there is some empirical evidence supporting this.

On the other hand, a growing body of research has demonstrated that social media use is negatively associated with mental health and well-being, particularly among young people—for example, it may contribute to increased risk of depression and anxiety symptoms.

Our findings suggest that the ways that people are using social media may have more of an impact on their mental health and well-being than just the frequency and duration of their use.

What disparities did you find in the ways that social media use benefits and harms certain populations? What concerns does this raise?

My co-authors Rachel McCloud , Vish Viswanath , and I found that the benefits and harms associated with social media use varied across demographic, socioeconomic, and racial population sub-groups. Specifically, while the benefits were generally associated with younger age, better education, and being white, the harms were associated with older age, less education, and being a racial minority. Indeed, these findings are consistent with the body of work on communication inequalities and health disparities that our lab, the Viswanath lab , has documented over the past 15 or so years. We know that education, income, race, and ethnicity influence people’s access to, and ability to act on, health information from media, including the Internet. The concern is that social media may perpetuate those differences.

— Amy Roeder

Loyola University > Center for Digital Ethics & Policy > Research & Initiatives > Essays > Archive > 2018 > The Role of Social Media in Adolescent/Teen Depression and Anxiety

The role of social media in adolescent/teen depression and anxiety, april 3, 2018.

The adolescent and teen years have always been a challenging time. Peer pressure, insecurity and hormones are just some of the issues facing those in these age groups. But does social media exacerbate these problems?

For example, researchers from the Alberta Teachers’ Association, the University of Alberta, Boston Children’s Hospital and Harvard Medical School released a  study  that found significant changes in students at every grade level as a result of digital technology. In the past three to five years, 90 percent of teachers at the University of Alberta saw increases in emotional challenges, 85 percent saw social challenges and 77 percent observed cognitive challenges. Also, 56 percent of teachers report an increase in the number of kids sharing stories about online harassment and/or cyberbullying. There are increases in other areas as well. The majority of teachers say there has been an increase in students diagnosed with the following conditions: anxiety disorders (85 percent), ADD and ADHD (75 percent), and such mood disorders as depression (73 percent).

Also, a recent  study  by researchers at the Royal Society for Public Health and Young Health Movement found that 91 percent of those between the ages of 16 and 24 said Instagram was the worst social media platform as it relates to mental health. Instagram was most likely to cause negative effects such as poor body image, fear of missing out and sleep deprivation. Snapchat came in second place, followed by Facebook, Twitter and YouTube. The researchers theorize that Instagram and Snapchat are image-focused platforms and users compare themselves to others.

A  review  of 36 social media studies, published in JAMA Pediatrics, found that 23 percent of kids are victims of cyberbullying. The review also found that cyberbullying results in low self-esteem, depression, self-harm and behavioral problems — in both the victims and the bullies. In addition, cyberbullying was more likely to produce suicidal thoughts than traditional bullying.

Another  study , conducted by researchers at Glasgow University found that kids (some of whom were pre-teens) were on social media until the wee morning hours, and some were on more than one device (for example, a phone and a tablet) so they could simultaneously view multiple sites. These individuals reported lower sleep quality rates in addition to higher levels of depression and anxiety.

In a  survey  by the National Campaign to Support Teen and Unplanned Pregnancy, almost 20 percent of teens admitted to participating in "sexting" or sending nude photos.

The pressure these adolescents and teens feel can be intensified by the time they get to college. Stanford University coined the phrase “ Duck syndrome ” to describe the erroneous attitude of incoming freshmen that they’re struggling while everyone else is gliding along smoothly — but in reality, the gliders are also “paddling furiously under the water just to keep up.” Adolescents and teens become accustomed to creating the impression that everything is perfect to match the equally perfect posts of their friends. But it becomes too difficult to maintain this façade, resulting in  suicide  among college students who appear to be well-adjusted, but are actually experiencing mental and emotional problems.

Another  report , published in the American Journal of Preventive Medicine, reveals that among young adults between the ages of 19 and 32, those with high social media usage (those logging on for more than 2 hours a day and checking their accounts 58 times a week) were more likely to deal with feelings of isolation than those with low social media use (they logged on for 30 minutes and checked their accounts 9 times a week). 

In light of these studies, who is responsible for the role of social media in adolescent/teen depression and anxiety?

Many tech leaders seem to understand the unhealthy, addictive nature of technology in general and social media in particular. As far back as 2010, New York Times reporter Nick Bilton  interviewed  the late Steve Jobs of Apple. Jobs told Bilton that he limited the amount of technology that his kids use. Bill Gates  shared  that he didn’t let his kids have mobile devices until they were 14 years old, and he sets a time for them to turn off the devices at night.  

Evan Williams, one of the founders of Twitter, Medium and Blogger, told Bilton that his kids read physical books instead of using iPads. Dick Costolo, former CEO of Twitter, told Bilton that his teenagers had to be in the living room when they used their tech devices.

But, perhaps the most shocking revelation came from Sean Parker, former president of Facebook, in an  interview  with Axios. Referring to Facebook, Parker said, “God only knows what it’s doing to our children’s brains.”

But there’s more. Parker also said, “ . . . How do we consume as much of your time and conscious attention as possible? . . . And that means that we need to sort of give you a little dopamine hit every once in a while, because someone liked or commented on a photo or a post or whatever . . . And that's going to get you to contribute more content, and that's going to get you ... more likes and comments . . . It's a social-validation feedback loop ... exactly the kind of thing that a hacker like myself would come up with, because you're exploiting a vulnerability in human psychology . . . The inventors, creators — it's me, it's Mark [Zuckerberg], it's Kevin Systrom on Instagram, it's all of these people — understood this consciously . . . And we did it anyway.”

So, if Parker confessed that social media was designed to be addictive, should social media companies be responsible for depression, anxiety, bullying and other issues among adolescents and teens?

Donna Shea, director of  The Peter Pan Center  for Social and Emotional Growth, and Nadine Briggs, director of  Simply Social Kids , are passionate about helping kids make and keep friends, and together have formed How to Make and Keep Friends, LLC. Shea and Briggs both lead community-based social groups at their centers in Massachusetts and have also formed the Social Success in School initiative. The two have also written several books for kids and teens, including, “Tips for Teens on Life and Social Success” .

Both Shea and Briggs believe that it is the job of parents to monitor their kid’s social media activity. “You wouldn’t allow your teen to put a lock on their bedroom door, but your teen is not only now interacting with peers at school or in your neighborhood, they are interacting with the entire world,” Shea said. “It is a parent’s job to be as involved in their teen’s online life as they are in their offline life.”

In fact, she is not in favor of giving adolescents and teens a phone as a gift. “Mobile devices belong to the parent and the teen is being  allowed  to use it,” Shea said. “A contract can be a useful tool before putting a device in the hands of your teen which would allow parents to have access to the phone.”

She believes that parents should monitor their adolescent/teen’s activity — and teens should know this is being done. “Parents do not need to be sneaky about that — tell your child to hand over the phone,” she said. Shea also recommends that parents use subscription services to view all of their teens’ activities. “Teens should be prepared to be monitored until they are of legal adult age,” she said.

However, Briggs admits that apps change so quickly that it’s almost impossible to keep up with them. “Other than doing your best to monitor your teen’s activity —  and it won’t be 100% effective - it’s important from the very beginning that you teach your child and teen to be good consumers of what is available to them,” Briggs said. “This is the new norm, and we think it’s the parent’s responsibility to be involved in their teen’s online life.”

She compares giving kids a phone or device to putting them behind the wheel of a car. “Both can be dangerous in their own way, but teens can learn the responsibilities that go along with these more adult activities.”

But, do parents bear sole responsibility? For example, everyone knows that tobacco is bad for your health, and people consume it willingly; however, they continue to sue and win lawsuits against tobacco companies. In 2014, one plaintiff was  awarded $23.6 billion  when her husband died of lung cancer as a result of smoking up to three packs of cigarettes a day. He started smoking at the age of 13 and died at the age of 36. The plaintiff (his widow) argued that the tobacco company willfully deceived consumers with addictive products.

How is this scenario different from what social media companies are doing? And speaking of willful deception, what about companies that make  secretive apps  that allow teens to hide their sexting?

If someone trips and falls on your property, you could be sued. If someone gets harmed at your nightclub, you could be held liable for not having “adequate security.” If one of your employees sexually harasses a colleague, you would be held responsible — even if you didn’t know about it. If you sell alcohol, you’re responsible for making sure it doesn’t get into the hands of a minor. In fact, according to the Dram Shop Law, if you let an adult have too many drinks and this individual is involved in an accident, you could be responsible.

However, if kids become addicted to a communication platform that was designed to be addictive, if they’re bullied online, if there are no safeguards to stop them from utilizing the types of secretive apps that encourage risky behavior, shouldn’t these companies be held responsible?

I think they should be, but this is not likely to happen until society holds them responsible. Since most adults are also addicted to social media — and some of them are internet bullies and engage in sexting, it seems unlikely that they would advocate for changes.

In the aforementioned study by the Royal Society for Public Health and Young Health Movement, researchers offered several ways to reduce some of the problems adolescents and teens face online. For example, one of the reasons kids feel so much pressure to look perfect is because of the doctored photos they see. The researchers recommend that social media companies include some sort of notification, such as a watermark, when photos have been digitally manipulated (68 percent of surveyed students support this action).

Another suggestion is to create a social media cap. Users would be logged out if they went over a pre-determined usage level (30 percent of surveyed students agree with this suggestion).

The majority of surveyed students (84 percent) approve of schools having classes on safe social media. 

Another suggestion by the researchers (which did not include student responses) was to use social media posts to identify kids and teens who might be at risk for mental health problems. However, problems have already been identified with  using Facebook to identity potential problem drinkers .

In addition, it was suggested that youth workers be trained in digital media. 

These are nice Band-Aid solutions. But they don’t address the addictive nature of social media and the incredible amount of peer pressure that it involves. Parents can provide guidance, but history has shown that their values rarely outweigh the pressure of peers.

Albert Einstein once said, “We can’t solve our problems with the same thinking we used to create them.” But in this situation, the social media giants can solve these problems with the exact same thinking they used to create them. Just as they figured out what it would take to make these platforms addictive, they can figure out what it would take to make the platforms less addictive. But don’t hold your breath because the person who creates the problem and profits from the problem has no incentive to solve the problem.

Terri Williams  writes for a variety of clients including USA Today , Yahoo , U.S. News & World Report , The Houston Chronicle , Investopedia , and Robert Half . She has a Bachelor of Arts in English from the University of Alabama at Birmingham. Follow her on Twitter @Territoryone .

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Does social media use cause depression.

How heavy Instagram and Facebook use may be affecting kids negatively

Writer: Caroline Miller

Clinical Experts: Jerry Bubrick, PhD , Alexandra Hamlet, PsyD

What You'll Learn

• What do we know about the connection between social media use and depression?
• How can using social media affect kids negatively?
• How can parents help kids build healthy social media habits?

Studies show that depression among teenagers and young adults has gotten more common over the past decade. Social media use has also increased during the same time. It’s hard to say for sure that social media causes depression. Still, there are several ways that using social media could harm kids.

Some experts think that connecting with peers online is less emotionally fulfilling than connecting in person. Research shows that teenagers who spend more time on social media also feel more isolated. It could be that kids who already feel isolated use social media more. But it could be that using social media actually makes kids feel isolated.

Another theory is that social media is bad for teenagers’ self-esteem. Seeing lots of perfect pictures online might make kids (especially girls) view themselves negatively. Feeling bad about themselves can lead to depression.

Social media can also cut into the time that kids spend on activities that make them feel good, like exercise and hobbies. Additionally, it can distract from important tasks like homework. Having to juggle those responsibilities can increase kids’ stress. Studies also suggest that using social media at night interferes with restful sleep for many teenagers.

It’s important for parents to check in with kids about their social media use and help them develop healthy habits. You can encourage kids to turn off notifications, spend plenty of time on offline activities that make them feel good, and put phones away before bedtime. You can also set a good example by modeling balance in your own use of social media.

Finally, be sure to keep an eye out for signs of depression and get professional help if you’re worried. It’s especially important to check on kids who are under a lot of stress.

Is using social media making our kids unhappy? Evidence is mounting that there is a link between social media and depression . In several studies, teenage and young adult users who spend the most time on Instagram, Facebook and other platforms were shown to have a substantially (from 13 to 66 percent) higher rate of reported depression than those who spent the least time.

Does that mean that Instagram and TikTok are actually causing depression? These studies show a correlation, not causation. But it’s worth a serious look at how social media could be affecting teenagers and young adults negatively.

One reason the correlation seems more than coincidental is that an increase in depression occurred in tandem with the rise in smartphone use .

A 2017 study of over half a million eighth through 12th graders found that the number exhibiting high levels of depressive symptoms increased by 33 percent between 2010 and 2015. In the same period, the suicide rate for girls in that age group increased by 65 percent.

Smartphones were introduced in 2007, and by 2015 fully 92 percent of teens and young adults owned a smartphone . The rise in depressive symptoms correlates with smartphone adoption during that period, even when matched year by year, observes the study’s lead author, San Diego State University psychologist Jean Twenge, PhD.

Over that same time period there was a sharp spike in reports of students seeking help at college and university counseling centers, principally for depression and anxiety. Visits jumped 30 percent between 2010 and 2015 , and they’ve continued to rise since the pandemic.

Social media and depression

One of the biggest differences in the lives of current teenagers and young adults, compared to earlier generations, is that they spend much less time connecting with their peers in person and more time connecting electronically, principally through social media.

Some experts see the rise in depression as evidence that the connections social media users form electronically are less emotionally satisfying, leaving them feeling socially isolated.

“The less you are connected with human beings in a deep, empathic way, the less you’re really getting the benefits of a social interaction,” points out Alexandra Hamlet, PsyD, a clinical psychologist. “The more superficial it is, the less likely it’s going to cause you to feel connected, which is something we all need.”

Indeed, one exception to the depression correlation is girls who are high users of social media but also keep up a high level of face-to-face social interaction. The Twenge study showed that those girls who interact intensely offline as well as through social media don’t show the increase in depressive symptoms that those who interact less in person do.

And there are some teenagers who aren’t successful in connecting with peers offline, because they are isolated geographically or don’t feel accepted in their schools and local communities. For those kids, electronic connection can be lifesaving.

Social media and perceived isolation

Another study of a national sample of young adults (age 19-32) showed correlation between the time spent on social media and perceived social isolation (PSI). The authors noted that directionality can’t be determined. That is, “Do people feeling socially isolated spend more time on social media, or do more intense users develop PSI?”

If it’s the latter, they noted, “Is it because the individual is spending less time on more authentic social experiences that would decrease PSI? Or is it the nature of observing highly curated social feeds that they make you feel more excluded?”

Which brings us what we now call FOMO, or fear of missing out.

Jerry Bubrick , PhD, a clinical psychologist at the Child Mind Institute, observes that “FOMO is really the fear of not being connected to our social world, and that need to feel connected sometimes trumps whatever’s going on in the actual situation we’re in. The more we use social media, the less we think about being present in the moment.”

Instead we might be occupied with worrying why we weren’t invited to a party we’re seeing on Instagram, or making sure we don’t miss a single post from a friend. But if we’re always playing catch-up to endless online updates, we’re prioritizing social interactions that aren’t as emotionally rewarding and can actually make us feel more isolated.

Social media and self-esteem

Another theory about the increase in depression is the loss of self-esteem , especially in teenage girls, when they c ompare themselves negatively with artfully curated images of those who appear to be prettier, thinner, more popular and richer.

“Many girls are bombarded with their friends posting the most perfect pictures of themselves, or they’re following celebrities and influencers who do a lot of Photoshopping and have makeup and hair teams,” explains Dr. Hamlet. “If that’s their model for what is normal, it can be very hard on their self-confidence.”

Indeed, image-driven Instagram shows up in surveys as the platform that most leads young people to report feeling anxiety, depression and worries about body image.

Curation of a perfect image may not only make others feel inadequate, it’s unhealthy even for those who appear to be successful at it, notes Dr. Bubrick. “Kids spend so much time on social media trying to post what they think the world will think is a perfect life. Look at how happy I am! Look how beautiful I am! Without that they’re worried that their friends won’t accept them. They’re afraid of being rejected.” And if they are getting positive feedback from their social media accounts, they might worry that what their friends like isn’t the “real” them.

Less healthy activity

Another possible source of depression may be what teenagers are not doing during while they’re spending time on social media, including physical activity and things that generate a sense of accomplishment, like learning new skills and developing talents.

“If you’re spending a lot of time on your phone, you have less time for activities that can build confidence, a sense of achievement and connectedness,” explains Dr. Hamlet.

Kids who are spending a lot of time on devices are not getting much in return to make them feel good about themselves, she adds. “Yes, you get a little dopamine burst whenever you get a notification, or a like on a picture, or a follow request. But those things are addicting without being satisfying.”

Disrupted concentration

Another thing disrupted by social media is the process of doing homework and other tasks that require concentration. It’s become common for teenagers to engage with friends on social media at the same time they are studying. They take pride in being able to multi-task, but evidence shows that it cuts down on learning and performance.

“Basically, multitasking isn’t possible,” Dr. Hamlet notes. “What you end up doing is really just switching back and forth between two tasks rather quickly. There is a cost to the brain.” And with poorer concentration and constant interruption, homework takes substantially longer than it should, cutting into free time and adding to stress.

Sleep deprivation and depression

Some of the ways in which social media use impacts mood may be indirect. For instance, one of the most common contributors to depression in teenagers is sleep deprivation , which can be caused, or exacerbated, by social media.

Research shows that 60 percent of adolescents are looking at their phones in the last hour before sleep, and that they get on average an hour less sleep than their peers who don’t use their phones before bed. Blue light from electronic screens interferes with falling asleep ; on top of that, checking social media is not necessarily a relaxing or sleep-inducing activity. Scrolling on social media, notes Dr. Hamlet, can easily end up causing stress.

“Social media can have a profound effect on sleep,” adds Dr. Bubrick. “You have the intention to check Instagram or watch TikTok videos for 5 minutes, and the next thing you know 50 minutes are gone. You’re an hour behind in sleep, and more tired the next day. You find it harder to focus. You’re off your game, and it spirals from there .”

How to minimize negative effects of social media use

While we don’t yet have conclusive evidence that social media use actually causes depression, we do have plenty of warning signs that it may be affecting our kids negatively. So it’s smart for parents to check in regularly with kids about their social media use, to make sure it’s positive and healthy, and guide them towards ways to change it , if you think it’s not.

Also, be alert for symptoms of depression .  If you notice signs that your child might be depressed, take them seriously. Ask your child how they are doing, and don’t hesitate to set up an appointment with a mental health provider .

Steps you can take to ensure healthy social media use:

• Focus on balance: Make sure your kids are also engaging in social interaction offline, and have time for activities that help build identity and self-confidence.
• Turn off notifications: App developers are getting more and more aggressive with notifications to lure users to interrupt whatever they’re doing to engage constantly with their phones. Don’t let them.
• Look out for girls at higher risk of depression: Monitor girls who are going through a particularly tough time or are under unusual stress. Negative effects of social media can have more impact when confidence is down.
• Teach mindful use of social media : Encourage teenagers to be honest with themselves about how time spent on social media makes them feel, and disengage from interactions that increase stress or unhappiness.
• Model restraint and balance in your own media diet: Set an example by disengaging from media to spend quality family time together, including phone-free dinners and other activities. Kids may resist, but they’ll feel the benefits.
• Phone-free time before sleep: Enforce a policy of no smartphones in the bedroom after a specific time and overnight. Use an old-fashioned alarm clock to wake up.

Frequently Asked Questions

Social media has been shown to be correlated with anxiety and depression. This correlation could have to do with teens connecting more online rather than in person, leaving them feeling socially isolated. Teens are also looking at carefully curated images online, which may cause anxiety, low self-esteem, and body image issues.

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Social Media

We know social media use stirs up anxiety and depression for many, why doesn’t social media tank everyone's mental health.

Posted April 25, 2024 | Reviewed by Michelle Quirk

• Social media doesn't uniformly affect peoples’ mental health.
• More than time spent on social media, how each of us uses it may be what affects mental health.
• The simplest approach to relief might be to mix up your feeds, patterns, responses, and time on social media.

In the early 2000s, social media was a baby. Cut to now: Statista (2023) predicts there should be around six billion social media users worldwide by 2027. While such rapid growth makes it difficult for research to keep up, there’s no doubt about at least one thing: In the two decades since social media has taken off, mental health and suicide rates have increased, especially among young people (Twenge et al., 2019). Is this a direct result of social media and its emphasis on sharing only that which will show others only what people desire to be seen as?

Thankfully, research is helping us better understand the complicated interaction of mental health and social media. For example, social networking doesn’t trigger depression or anxiety for everyone, but it does for some. So let’s look at why and how so that we can think about personalized ways to improve our mindsets or moods if needed.

What Do We Know So Far?

Many suspected that "time spent" on social media was the culprit of rising depression rates. However, studies have yet to be able to back that with consistency (Cunningham, Hudson, & Harkness, 2021). So researchers started looking at more nuanced explanations. Beyond time spent, research began to look at the connection between social media and a user’s emotional investment; their compulsive use/ addiction -like relationship; FoMO ( fear of missing out) experiences; and passive vs. active use.

Emotional investment. Are you or someone you love known as a “passionate” person? If so, does that also apply to investing in what goes on online? To check, maybe notice if online antics and exchanges sway your moods or idea of self-value (e.g., fewer likes make you feel less worthy). Research by Alsunni and Latif (2020) showed that higher emotional investment in social media is related to anxiety and depression.

Addiction-like relationship. The Bergen's Addiction scale (Andreassen et al., 2012) is a brief test to check if you might have an addiction-type relationship to social media. It asks about time spent thinking about social media, the urge to use it, if you use it to forget problems, if you’ve tried to cut down without success, if you feel troubled without it, and if it’s negatively impacting your job or studies.

FoMO. Do you suffer from FoMO in real life? If so, check if that applies to social media, too. According to Alutaybi and colleagues (2020), FoMO is a type of problematic attachment to social media. It comes in many forms—fear of missing responses, fear of missing conversations, fear of missing an opportunity to be perceived in a certain way, etc. Experiencing FoMO can elicit, for example, lack of sleep, anxiousness, and reduced quality of life.

Passive vs. active use. Though active use (like exchanging communications, posting/sharing actively) is often enriching, a study by Svensson, Johnson, and Olsson (2022) revealed that aspects of active use like posting your own image and/or self-expression publicly can also bring on experiences of sadness/depression, worry, stomachache or headache, loneliness , and difficulty sleeping or eating. (That seems logical, considering that self-presentation posts will live online forever.)

Then there’s passive use (like scrolling), which links to impulse buying and has been shown to increase depression significantly. A 2022 study (Braghieri, Levy, & Makarin) potentially explains why: the ability to engage in unfavorable social comparisons (seeing others as better/having better lives or looks, more money, etc.). Not all people are vulnerable to the deleterious effects of unfavorable social comparison, but many are.

Since social media is a normal part of life today, we all could use ways to understand and manage it, especially if it’s negatively affecting our mental health. The simplest approach to relief might be to mix up your feeds, patterns, responses, and time on social media. See if your symptoms change or improve. For example:

• If you have an emotional investment in social media, see if you can figure out why that is and what might help you to care less or manage it better. For example, you could try limiting or reducing time spent engaging with social media. See if your emotional investment chills a bit.
• If you believe you're "addicted," explore support groups, therapy , journaling, and other approaches.
• If you experience FoMO from social media, maybe try exposure and response prevention (ERP) or work on changing your beliefs/fears about what you see. If you need a therapist's help, Psychology Today has a directory .
• When it comes to passive vs. active use, notice your thoughts as you do either. What happens in your body: Is it tension, a sense of connection, or something else? See what you learn about how social media might be affecting your mental health.
• Finally, if you are comparing yourself unfavorably to others, stop it! (OK, I’m kidding; I wish it were that easy.) Maybe start by bringing in feeds that don't elicit ick-comparison thoughts and feelings. Puppies, kitties, nature, and images you appreciate but that cannot trigger comparison are a good start.

If we’re open to it, mindfulness , self-awareness, and science will continue to inform us, helping us manage the combination of our mental health interacting with social media “on the regular.”

This article is for informational purposes only and does not provide therapy or professional advice.

If you or someone you love is contemplating suicide, seek help immediately. For help 24/7, dial 988 for the 988 Suicide & Crisis Lifeline , or reach out to the Crisis Text Line by texting TALK to 741741. To find a therapist near you, visit the Psychology Today Therapy Directory.

Alutaybi, A., Al-Thani, D., McAlaney, J., & Ali, R. (2020). Combating Fear of Missing Out (FoMO) on Social Media: The FoMO-R Method. International Journal of Environmental Research and Public Health , 17(17), 6128. https://doi.org/10.3390/ijerph17176128

Alsunni, A. A., & Latif, R. (2020). Higher emotional investment in social media is related to anxiety and depression in university students. Journal of Taibah University Medical Sciences, 16(2), 247–252. https://doi.org/10.1016/j.jtumed.2020.11.004

Andreassen, C. S., Torsheim, T., Brunborg, G. S., & Pallesen, S. (2012). Development of a Facebook addiction scale. Psychological Reports , 110(2), 501–517. https://doi.org/10.2466/02.09.18.PR0.110.2.501-517

Braghieri, L., Levy, R., & Makarin, A. (2022). Social media and mental health. SSRN. http://dx.doi.org/10.2139/ssrn.391976

Chen, S., Zhi, K., & Chen, Y. (2022). How active and passive social media use affects impulse buying in Chinese college students? The roles of emotional responses, gender, materialism and self-control. Frontiers in Psychology, 13, 1011337. https://doi.org/10.3389/fpsyg.2022.101133 7

Cunningham, S., Hudson, C. C., & Harkness, K. (2021). Social media and depression symptoms: A meta-analysis. Research on Child and Adolescent Psychopathology, 49, 241–253. https://doi.org/10.1007/s10802-020-00715-7

Statista. (2023, August 16). Number of global social network users 2017-2027. https://www.statista.com/statistics/278414/number-of-worldwide-social-network-users/

Svensson, R., Johnson, B. & Olsson, A. (2022). Does gender matter? The association between different digital media activities and adolescent well-being. BMC Public Health, 22(273). https://doi.org/10.1186/s12889-022-12670-7

Twenge, J. M., & Campbell, W. K. (2019). Media Use Is Linked to Lower Psychological Well-Being: Evidence from Three Datasets. The Psychiatric Quarterly, 90(2), 311–331. https://doi.org/10.1007/s11126-019-09630-7

Alli Spotts-De Lazzer, MA, LMFT, LPCC, CEDS-S, is the author of MeaningFULL: 23 Life-Changing Stories of Conquering Dieting, Weight, and Body Image Issues.

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The Impact of Social Media on Teens' Mental Health

Social media has some good intentions: connecting you with people all around the world, showing you content you are interested in, and providing endless entertainment. But there are also negative consequences to endless scrolling. Research has shown that young adults who use social media are three times as likely to suffer from depression , putting a large portion of the population at risk for suicidal thoughts and behaviors. 

In the U.S., suicide rates have declined slightly since 2019, but it continues to be a serious concern among our younger generation. According to the Centers for Disease Control and Prevention, the number of suicides in females aged 15-24 increased 87 percent over the past 20 years. And among males aged 15-24, the number of suicides rose by 30 percent over that same time period. 

Almost every teen now has an account on at least one social media platform. They use social media to reach out to friends, share experiences, and tell the world about themselves. However, without realizing it, they are managing an addiction. 

Jessica Holzbauer , a licensed clinical social worker at Huntsman Mental Health Institute , explains how our smartphones are, by design, addictive. “We get a dopamine release in our brain when we pick up our phone or log into social media,” she says. Using social apps is essentially priming your brain into thinking you are rewarding yourself every time you pick up your device. 

Negative Impacts of Social Media

Is it true that using social apps could negatively affect your mental health? 

“In short, yes, social media can have negative consequences for our mental health,” Holzbauer says. “The younger generation grew up with social media and the ability to see anything, anytime, anywhere. Our ability to tolerate the distress of waiting has been eroded because we can Google the answer to almost any question. We no longer have to wait to know who was the actor that played Ron Burgundy in Anchorman or where to find the nearest library.” 

In many ways, social media has removed the barriers between the user and the audience—with far-reaching implications. “We can act on impulse and post something to social media that may reflect a feeling or thought in the moment but may not be true to us a day later,” Holzbauer says. “When our more level-headed self is back in charge, we can feel embarrassment, shame, or regret for posting something impulsively.” 

We also know that content can be filtered, edited, and manipulated before it’s posted, which can lead to unattainable standards being broadcast to the entire world for anyone to see. Users are obsessed with instant gratification and in some instances base their worth or image off the images they see and the amount of likes they receive on their post. 

“The information teens are putting out is one factor—another is the information they are taking in,” Holzbauer says. “Social media is giving them access to images, people, and ideas they otherwise would not be able to access. This can be a very positive thing, but we know it can also have negative consequences.” 

A recent study from Facebook found Instagram to have harmful effects among a portion of its millions of young users, particularly teenage girls. Findings indicated that Instagram makes body image issues worse for one in three teenage girls. And among teenagers who reported suicidal thoughts, 6 percent in the U.S. traced them back to Instagram. 

Warning Signs Your Teen Is Struggling

This is not to say that keeping teens from social media will keep teens from having suicidal thoughts. Instead, it is a call for parents to be aware of what their kids are doing online—and to look for any changes in their child’s behavior. 

“If your child is starting to focus too much of their attention on social media at the expense of real-life interactions, parents should be concerned,” Holzbauer says. “At the very least, this should spark a conversation about the behaviors to ensure there aren’t more serious issues going on like bullying, anxiety , or other issues.”  

Parents should also look for behaviors not necessarily related to social media that may signal a problem. If a teen is acting differently, seems disinterested in life, or is talking about not wanting to live, actions should be taken. It can be a hard conversation to have —but it might save their life. 

Parents aren’t the only ones who should be on alert. Friends should also be aware when it appears someone is in trouble. They may even have more insight into the situation because they are sharing social media experiences and seeing similar content. One thing all teens should know is that if a friend appears to be considering suicide, they should not write it off as someone being “dramatic” or seeking attention. Be sure to tell someone if you see concerning behavior online and know the resources available. 

Tips for Healthy Social Media Use

We all know how the algorithm works—the more you look at your phone, the more it will send compelling content to keep your eyes from looking away. It’s hard to break habits of checking TikTok or Instagram and constantly refreshing to see more, but it’s important to take time away for our mental and physical health. Parents can set a good example through their own virtual behavior. Here are some tips for parents and their teens .

988 , the national suicide and crisis lifeline, is available anytime, anywhere. Simply call, chat, or text 9-8-8 for an immediate response from a licensed mental health professional. In Utah, students also have access to the  SafeUT app  where they can chat confidentially or submit a tip about themselves or a friend. 

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David Wallace-Wells

Are smartphones driving our teens to depression.

By David Wallace-Wells

Opinion Writer

Here is a story. In 2007, Apple released the iPhone, initiating the smartphone revolution that would quickly transform the world. In 2010, it added a front-facing camera, helping shift the social-media landscape toward images, especially selfies. Partly as a result, in the five years that followed, the nature of childhood and especially adolescence was fundamentally changed — a “great rewiring,” in the words of the social psychologist Jonathan Haidt — such that between 2010 and 2015 mental health and well-being plummeted and suffering and despair exploded, particularly among teenage girls.

For young women, rates of hospitalization for nonfatal self-harm in the United States, which had bottomed out in 2009, started to rise again, according to data reported to the C.D.C., taking a leap beginning in 2012 and another beginning in 2016, and producing , over about a decade, an alarming 48 percent increase in such emergency room visits among American girls ages 15 to 19 and a shocking 188 percent increase among girls ages 10 to14.

Here is another story. In 2011, as part of the rollout of the Affordable Care Act, the Department of Health and Human Services issued a new set of guidelines that recommended that teenage girls should be screened annually for depression by their primary care physicians and that same year required that insurance providers cover such screenings in full. In 2015, H.H.S. finally mandated a coding change, proposed by the World Health Organization almost two decades before, that required hospitals to record whether an injury was self-inflicted or accidental — and which seemingly overnight nearly doubled rates for self-harm across all demographic groups. Soon thereafter, the coding of suicidal ideation was also updated. The effect of these bureaucratic changes on hospitalization data presumably varied from place to place. But in one place where it has been studied systematically, New Jersey, where 90 percent of children had health coverage even before the A.C.A., researchers have found that the changes explain nearly all of the state’s apparent upward trend in suicide-related hospital visits, turning what were “essentially flat” trendlines into something that looked like a youth mental health “crisis.”

Could both of these stories be partially true? Of course: Emotional distress among teenagers may be genuinely growing while simultaneous bureaucratic and cultural changes — more focus on mental health, destigmatization, growing comfort with therapy and medication — exaggerate the underlying trends. (This is what Adriana Corredor-Waldron, a co-author of the New Jersey study, believes — that suicidal behavior is distressingly high among teenagers in the United States and that many of our conventional measures are not very reliable to assess changes in suicidal behavior over time.) But over the past several years, Americans worrying over the well-being of teenagers have heard much less about that second story, which emphasizes changes in the broader culture of mental illness, screening guidelines and treatment, than the first one, which suggests smartphones and social-media use explain a whole raft of concerns about the well-being of the country’s youth.

When the smartphone thesis first came to prominence more than six years ago, advanced by Haidt’s sometime collaborator Jean Twenge, there was a fair amount of skepticism from scientists and social scientists and other commentators: Were teenagers really suffering that much? they asked. How much in this messy world could you pin on one piece of technology anyway? But some things have changed since then, including the conventional liberal perspective on the virtues of Big Tech, and, in the past few years, as more data has rolled in and more red flags have been raised about American teenagers — about the culture of college campuses, about the political hopelessness or neuroticism or radicalism or fatalism of teenagers, about a growing political gender divide, about how often they socialize or drink or have sex — a two-part conventional wisdom has taken hold across the pundit class. First, that American teenagers are experiencing a mental health crisis; second, that it is the fault of phones.

“Smartphones and social media are destroying children’s mental health,” the Financial Times declared last spring. This spring, Haidt’s new book on the subject, The Anxious Generation: How the Great Rewiring of Childhood Is Causing an Epidemic of Mental Illness, debuted at the top of the New York Times best-seller list. In its review of the book, The Guardian described the smartphone as “a pocket full of poison,” and in an essay , The New Yorker accepted as a given that Gen Z was in the midst of a “mental health emergency” and that “social media is bad for young people.” “Parents could see their phone-obsessed children changing and succumbing to distress,” The Wall Street Journal reflected . “Now we know the true horror of what happened.”

But, well, do we? Over the past five years, “Is it the phones?” has become “It’s probably the phones,” particularly among an anxious older generation processing bleak-looking charts of teenage mental health on social media as they are scrolling on their own phones. But however much we may think we know about how corrosive screen time is to mental health, the data looks murkier and more ambiguous than the headlines suggest — or than our own private anxieties, as parents and smartphone addicts, seem to tell us.

What do we really know about the state of mental health among teenagers today? Suicide offers the most concrete measure of emotional distress, and rates among American teenagers ages 15 to 19 have indeed risen over the past decade or so, to about 11.8 deaths per 100,000 in 2021 from about 7.5 deaths per 100,000 in 2009. But the American suicide epidemic is not confined to teenagers. In 2022, the rate had increased roughly as much since 2000 for the country as a whole, suggesting a national story both broader and more complicated than one focused on the emotional vulnerabilities of teenagers to Instagram. And among the teenagers of other rich countries, there is essentially no sign of a similar pattern. As Max Roser of Our World in Data recently documented , suicide rates among older teenagers and young adults have held roughly steady or declined over the same time period in France, Spain, Italy, Austria, Germany, Greece, Poland, Norway and Belgium. In Sweden there were only very small increases.

Is there a stronger distress signal in the data for young women? Yes, somewhat. According to an international analysis by The Economist, suicide rates among young women in 17 wealthy countries have grown since 2003, by about 17 percent, to a 2020 rate of 3.5 suicides per 100,000 people. The rate among young women has always been low, compared with other groups, and among the countries in the Economist data set, the rate among male teenagers, which has hardly grown at all, remains almost twice as high. Among men in their 50s, the rate is more than seven times as high.

In some countries, we see concerning signs of convergence by gender and age, with suicide rates among young women growing closer to other demographic groups. But the pattern, across countries, is quite varied. In Denmark, where smartphone penetration was the highest in the world in 2017, rates of hospitalization for self-harm among 10- to 19-year-olds fell by more than 40 percent between 2008 and 2016. In Germany, there are today barely one-quarter as many suicides among women between 15 and 20 as there were in the early 1980s, and the number has been remarkably flat for more than two decades. In the United States, suicide rates for young men are still three and a half times as high as for young women, the recent increases have been larger in absolute terms among young men than among young women, and suicide rates for all teenagers have been gradually declining since 2018. In 2022, the latest year for which C.D.C. data is available, suicide declined by 18 percent for Americans ages 10 to 14 and 9 percent for those ages 15 to 24.

None of this is to say that everything is fine — that the kids are perfectly all right, that there is no sign at all of worsening mental health among teenagers, or that there isn’t something significant and even potentially damaging about smartphone use and social media. Phones have changed us, and are still changing us, as anyone using one or observing the world through them knows well. But are they generating an obvious mental health crisis?

The picture that emerges from the suicide data is mixed and complicated to parse. Suicide is the hardest-to-dispute measure of despair, but not the most capacious. But while rates of depression and anxiety have grown strikingly for teenagers in certain parts of the world, including the U.S., it’s tricky to disentangle those increases from growing mental-health awareness and destigmatization, and attempts to measure the phenomenon in different ways can yield very different results.

According to data Haidt uses, from the U.S. National Survey on Drug Use and Health, conducted by the Substance Abuse and Mental Health Services Administration, the percent of teenage girls reporting major depressive episodes in the last year grew by about 50 percent between 2005 and 2017, for instance, during which time the share of teenage boys reporting the same grew by roughly 75 percent from a lower level. But in a biannual C.D.C. survey of teenage mental health, the share of teenagers reporting that they had been persistently sad for a period of at least two weeks in the past year grew from only 28.5 percent in 2005 to 31.5 percent in 2017. Two different surveys tracked exactly the same period, and one showed an enormous increase in depression while the other showed almost no change at all.

And if the rise of mood disorders were a straightforward effect of the smartphone, you’d expect to see it everywhere smartphones were, and, as with suicide, you don’t. In Britain, the share of young people who reported “feeling down” or experiencing depression grew from 31 percent in 2012 to 38 percent on the eve of the pandemic and to 41 percent in 2021. That is significant, though by other measures British teenagers appear, if more depressed than they were in the 2000s, not much more depressed than they were in the 1990s.

Overall, when you dig into the country-by-country data, many places seem to be registering increases in depression among teenagers, particularly among the countries of Western Europe and North America. But the trends are hard to disentangle from changes in diagnostic patterns and the medicalization of sadness, as Lucy Foulkes has argued , and the picture varies considerably from country to country. In Canada , for instance, surveys of teenagers’ well-being show a significant decline between 2015 and 2021, particularly among young women; in South Korea rates of depressive episodes among teenagers fell by 35 percent between 2006 and 2018.

Because much of our sense of teenage well-being comes from self-reported surveys, when you ask questions in different ways, the answers vary enormously. Haidt likes to cite data collected as part of an international standardized test program called PISA, which adds a few questions about loneliness at school to its sections covering progress in math, science and reading, and has found a pattern of increasing loneliness over the past decade. But according to the World Happiness Report , life satisfaction among those ages 15 to 24 around the world has been improving pretty steadily since 2013, with more significant gains among women, as the smartphone completed its global takeover, with a slight dip during the first two years of the pandemic. An international review published in 2020, examining more than 900,000 adolescents in 36 countries, showed no change in life satisfaction between 2002 and 2018.

“It doesn’t look like there’s one big uniform thing happening to people’s mental health,” said Andrew Przybylski, a professor at Oxford. “In some particular places, there are some measures moving in the wrong direction. But if I had to describe the global trend over the last decade, I would say there is no uniform trend showing a global crisis, and, where things are getting worse for teenagers, no evidence that it is the result of the spread of technology.”

If Haidt is the public face of worry about teenagers and phones, Przybylski is probably the most prominent skeptic of the thesis. Others include Amy Orben, at the University of Cambridge, who in January told The Guardian, “I think the concern about phones as a singular entity are overblown”; Chris Ferguson, at Stetson University, who is about to publish a new meta-analysis showing no relationship between smartphone use and well-being; and Candice Odgers, of the University of California, Irvine, who published a much-debated review of Haidt in Nature, in which she declared “the book’s repeated suggestion that digital technologies are rewiring our children’s brains and causing an epidemic of mental illness is not supported by science.”

Does that overstate the case? In a technical sense, I think, no: There may be some concerning changes in the underlying incidence of certain mood disorders among American teenagers over the past couple of decades, but they are hard to separate from changing methods of measuring and addressing mental health and mental illness. There isn’t great data on international trends in teenage suicide — but in those places with good reporting, the rates are generally not worsening — and the trends around anxiety, depression and well-being are ambiguous elsewhere in the world. And the association of those local increases with the rise of the smartphone, while now almost conventional wisdom among people like me, is, among specialists, very much a contested claim. Indeed, even Haidt, who has also emphasized broader changes to the culture of childhood , estimated that social media use is responsible for only about 10 percent to 15 percent of the variation in teenage well-being — which would be a significant correlation, given the complexities of adolescent life and of social science, but is also a much more measured estimate than you tend to see in headlines trumpeting the connection. And many others have arrived at much smaller estimates still.

But this all also raises the complicated question of what exactly we mean by “science,” in the context of social phenomena like these, and what standard of evidence we should be applying when asking whether something qualifies as a “crisis” or “emergency” and what we know about what may have caused it. There is a reason we rarely reduce broad social changes to monocausal explanations, whether we’re talking about the rapid decline of teenage pregnancy in the 2000s, or the spike in youth suicide in the late ’80s and early 1990s, or the rise in crime that began in the 1960s: Lives are far too complex to easily reduce to the influence of single factors, whether the factor is a recession or political conditions or, for that matter, climate breakdown.

To me, the number of places where rates of depression among teenagers are markedly on the rise is a legitimate cause for concern. But it is also worth remembering that, for instance, between the mid-1990s and the mid-2000s, diagnoses of American youth for bipolar disorder grew about 40-fold , and it is hard to find anyone who believes that change was a true reflection of underlying incidence. And when we find ourselves panicking over charts showing rapid increases in, say, the number of British girls who say they’re often unhappy or feel they are a failure, it’s worth keeping in mind that the charts were probably zoomed in to emphasize the spike, and the increase is only from about 5 percent of teenagers to about 10 percent in the first case, or from about 15 percent to about 20 percent in the second. It may also be the case, as Orben has emphasized , that smartphones and social media may be problematic for some teenagers without doing emotional damage to a majority of them. That’s not to say that in taking in the full scope of the problem, there is nothing there. But overall it is probably less than meets the eye.

If you are having thoughts of suicide, call or text 988 to reach the 988 Suicide and Crisis Lifeline or go to SpeakingOfSuicide.com/resources for a list of additional resources.

Further reading (and listening):

On Jonathan Haidt’s After Babel Substack , a series of admirable responses to critics of “The Anxious Generation” and the smartphone thesis by Haidt, his lead researcher Zach Rausch, and his sometime collaborator Jean Twenge.

In Vox, Eric Levitz weighs the body of evidence for and against the thesis.

Tom Chivers and Stuart Ritchie deliver a useful overview of the evidence and its limitations on the Studies Show podcast.

Five experts review the evidence for the smartphone hypothesis in The Guardian.

A Substack survey of “diagnostic inflation” and teenage mental health.

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Teens and social media use: What's the impact?

Social media is a term for internet sites and apps that you can use to share content you've created. Social media also lets you respond to content that others post. That can include pictures, text, reactions or comments on posts by others, and links to information.

Online sharing within social media sites helps many people stay in touch with friends or connect with new ones. And that may be more important for teenagers than other age groups. Friendships help teens feel supported and play a role in forming their identities. So, it's only natural to wonder how social media use might affect teens.

Social media is a big part of daily life for lots of teenagers.

How big? A 2022 survey of 13- to 17-year-olds offers a clue. Based on about 1,300 responses, the survey found that 35% of teens use at least one of five social media platforms more than several times a day. The five social media platforms are: YouTube, TikTok, Facebook, Instagram and Snapchat.

Social media doesn't affect all teens the same way. Use of social media is linked with healthy and unhealthy effects on mental health. These effects vary from one teenager to another. Social media effects on mental health depend on things such as:

• What a teen sees and does online.
• The amount of time spent online.
• Psychological factors, such as maturity level and any preexisting mental health conditions.
• Personal life circumstances, including cultural, social and economic factors.

Here are the general pros and cons of teen social media use, along with tips for parents.

Healthy social media

Social media lets teens create online identities, chat with others and build social networks. These networks can provide teens with support from other people who have hobbies or experiences in common. This type of support especially may help teens who:

• Lack social support offline or are lonely.
• Are going through a stressful time.
• Belong to groups that often get marginalized, such as racial minorities, the LGBTQ community and those who are differently abled.
• Have long-term medical conditions.

Sometimes, social media platforms help teens:

• Express themselves.
• Connect with other teens locally and across long distances.
• Learn how other teens cope with challenging life situations and mental health conditions.
• View or take part in moderated chat forums that encourage talking openly about topics such as mental health.
• Ask for help or seek healthcare for symptoms of mental health conditions.

These healthy effects of social media can help teens in general. They also may help teens who are prone to depression stay connected to others. And social media that's humorous or distracting may help a struggling teen cope with a challenging day.

Unhealthy social media

Social media use may have negative effects on some teens. It might:

• Distract from homework, exercise and family activities.
• Disrupt sleep.
• Lead to information that is biased or not correct.
• Become a means to spread rumors or share too much personal information.
• Lead some teens to form views about other people's lives or bodies that aren't realistic.
• Expose some teens to online predators, who might try to exploit or extort them.
• Expose some teens to cyberbullying, which can raise the risk of mental health conditions such as anxiety and depression.

What's more, certain content related to risk-taking, and negative posts or interactions on social media, have been linked with self-harm and rarely, death.

The risks of social media use are linked with various factors. One may be how much time teens spend on these platforms.

In a study focusing on 12- to 15-year-olds in the United States, spending three hours a day using social media was linked to a higher risk of mental health concerns. That study was based on data collected in 2013 and 2014 from more than 6,500 participants.

Another study looked at data on more than 12,000 teens in England between the ages of 13 to 16. The researchers found that using social media more than three times a day predicted poor mental health and well-being in teens.

But not all research has found a link between time spent on social media and mental health risks in teens.

How teens use social media also might determine its impact. For instance, viewing certain types of content may raise some teens' mental health risks. This could include content that depicts:

• Illegal acts.
• Self-harm or harm to other people.
• Encouragement of habits tied to eating disorders, such as purging or restrictive eating.

These types of content may be even more risky for teens who already have a mental health condition. Being exposed to discrimination, hate or cyberbullying on social media also can raise the risk of anxiety or depression.

What teens share about themselves on social media also matters.

With the teenage brain, it's common to make a choice before thinking it through. So, teens might post something when they're angry or upset, and regret it later. That's known as stress posting.

Teens who post content also are at risk of sharing sexual photos or highly personal stories. This can lead to teens being bullied, harassed or even blackmailed.

Protecting your teen

You can take steps to help your teens use social media responsibly and limit some of the possible negative effects.

Use these tips:

Set rules and limits as needed. This helps prevent social media from getting in the way of activities, sleep, meals or homework.

For example, you could make a rule about not using social media until homework is done. Or you could set a daily time limit for social media use.

You also could choose to keep social media off-limits during certain times. These times might include during family meals and an hour before bed.

Set an example by following these rules yourself. And let your teen know what the consequences will be if your rules aren't followed.

• Manage any challenging behaviors. If your teen's social media use starts to challenge your rules or your sense of what's appropriate, talk with your teen about it. You also could connect with parents of your teen's friends or take a look at your teen's internet history.
• Turn on privacy settings. This can help keep your teen from sharing personal information or data that your teen didn't mean to share. Each of your teen's social media accounts likely has privacy setting that can be changed.

Monitor your teen's accounts. The American Psychological Association recommends you regularly review your child's social media use during the early teen years.

One way to monitor is to follow or "friend" your child's social accounts. As your teen gets older, you can choose to monitor your teen's social media less. Your teen's maturity level can help guide your decision.

Have regular talks with your teen about social media. These talks give you chances to ask how social media has been making your teen feel. Encourage your teen to let you know if something online worries or bothers your teen.

Regular talks offer you chances to give your child advice about social media too. For example, you can teach your teen to question whether content is accurate. You also can explain that social media is full of images about beauty and lifestyle that are not realistic.

• Be a role model for your teen. You might want to tell your child about your own social media habits. That can help you set a good example and keep your regular talks from being one-sided.

Explain what's not OK. Remind your teen that it's hurtful to gossip, spread rumors, bully or harm someone's reputation — online or otherwise.

Also remind your teen not to share personal information with strangers online. This includes people's addresses, telephone numbers, passwords, and bank or credit card numbers.

• Encourage face-to-face contact with friends. This is even more important for teens prone to social anxiety.

Talk to your child's healthcare professional if you think your teen has symptoms of anxiety, depression or other mental health concerns related to social media use. Also talk with your child's care professional if your teen has any of the following symptoms:

• Uses social media even when wanting to stop.
• Uses it so much that school, sleep, activities or relationships suffer.
• Often spends more time on social platforms than you intended.
• Lies in order to use social media.

Your teen might be referred to a mental healthcare professional who can help.

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• Hagan JF, et al., eds. Promoting the healthy and safe use of social media. In: Bright Futures: Guidelines for Health Supervision of Infants, Children, and Adolescents. 4th ed. https://publications.aap.org/pediatriccare. American Academy of Pediatrics; 2017. Accessed Oct. 3, 2023.
• Social media can help connect: Research-based tips from pediatricians for families. Center of Excellence on Social Media and Youth Mental Health. https://www.aap.org/en/patient-care/media-and-children/center-of-excellence-on-social-media-and-youth-mental-health/. Accessed Oct. 3, 2023.
• Health advisory on social media use in adolescence. American Psychological Association. https://www.apa.org/topics/social-media-internet/health-advisory-adolescent-social-media-use. Accessed Oct. 3, 2023.
• Social media and teens. American Academy of Child & Adolescent Psychiatry. https://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Social-Media-and-Teens-100.aspx. Accessed Oct. 3, 2023.
• Social media and youth mental health: The U.S. surgeon general's advisory. U.S. Department of Health and Human Services. https://www.hhs.gov/surgeongeneral/priorities/youth-mental-health/social-media/index.html. Accessed Oct. 3, 2023.
• Teens, social media and technology 2022. Pew Research Center. https://www.pewresearch.org/internet/2022/08/10/teens-social-media-and-technology-2022/. Accessed Oct. 3, 2023.
• Popat A, et al. Exploring adolescents' perspectives on social media and mental health and well-being — A qualitative literature review. Clinical Child Psychology and Psychiatry. 2023; doi:10.1177/13591045221092884.
• Valkenburg PM, et al. Social media use and its impact on adolescent mental health: An umbrella review of the evidence. Current Opinion in Psychology. 2022; doi:10.1016/j.copsyc.2021.08.017.
• Berger MN, et al. Social media use and health and well-being of lesbian, gay, bisexual, transgender, and queer youth: Systematic Review. Journal of Medical Internet Research. 2022; doi:10.2196/38449.
• Self-Harm. Pediatric Patient Education. https://publications.aap.org/patiented. Accessed Oct. 3, 2023.
• Liu M, et al. Time spent on social media and risk of depression in adolescents: A dose-response meta-analysis. 2022; doi:10.3390/ijerph19095164.
• Coyne SM, et al. Does time spent using social media impact mental health? An eight year longitudinal study. Computers in Human Behavior. 2020; doi:10.1016/j.chb.2019.106160.
• Viner RM, et al. Roles of cyberbullying, sleep, and physical activity in mediating the effects of social media use on mental health and wellbeing among young people in England: A secondary analysis of longitudinal data. The Lancet. Child & Adolescent Health. 2019; doi:10.1016/S2352-4642(19)30186-5.
• Riehm KE, et al. Associations between time spent using social media and internalizing and externalizing problems among US youth. JAMA Psychiatry. 2019; doi:10.1001/jamapsychiatry.2019.2325.
• Hoge E, et al. Digital media, anxiety, and depression in children. Pediatrics. 2017; doi:10.1542/peds.2016-1758G.
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Social media affects people's views on mental illness

Subtle differences in messages have impact, study finds.

Even subtle differences in the wording of social media messages may be enough to sway young people's beliefs about depression and anxiety and their treatment.

In a new study, researchers found that college students were more optimistic about the possibility of successfully treating mental health problems after they read social media messages conveying what is called a "growth mindset."

But social media posts written with a "fixed mindset" led young people to feel that depression and anxiety were more stable and innate, and not so easy to treat.

Growth mindset is the belief that a feature, such as mental health, can be improved with effort. A fixed mindset is the belief that a feature can't change, no matter how hard you try.

The results are important because young people spend a lot of time on social media and those with depression and anxiety may be encountering a lot of messages about their condition, said Whitney Whitted, lead author of the study and a doctoral student in psychology at The Ohio State University.

"These relatively subtle messages may be influencing whether they believe they have any possibility of working through their depression and anxiety and getting better," Whitted said.

The study, published recently in the Journal of Clinical Psychology , involved 322 undergraduate students.

Participants viewed a series of messages (tweets) from the social media site X, formerly Twitter. They were randomly assigned to view tweets about mental health with a growth mindset or a fixed mindset, or a control condition in which the tweets did not involve mental health at all.

In the fixed mindset condition, the tweets portrayed mental health as a fixed condition that does not change. (For example, one tweet said, "I can't wait for my seasonal depression to be over so that I can get back to my regular depression.")

Participants in the growth mindset condition read tweets that emphasized the fluid nature of mental health and the ability to recover from and take control of mental illness. (In one tweet, the user captioned "I got this" to a meme that read "telling those anxious thoughts who's really in control.")

After reading the tweets, participants completed a survey assessing their beliefs about how long depression and anxiety normally last and whether they ever go away; the effectiveness of treatment for depression and anxiety; and beliefs about how much control people have in recovering from mental illness.

Results showed that participants who read the growth mindset tweets were more likely than others to say depression and anxiety don't have to be permanent conditions and that people can take steps to alleviate the symptoms.

In contrast, those who read the fixed mindset tweets had less optimistic views about the permanence of mental illness and the ability of people to treat it.

It is notable that this short intervention had an impact, said study co-author Jennifer Cheavens, professor of psychology at The Ohio State University.

"It was just a few minutes of people reading these tweets with small variations in how the messages about mental illness were framed," Cheavens said. "But it made a difference in what these participants reported they believed."

Of course, it is not known how long the changes connected to reading the social media messages will last. But the results could be encouraging for several reasons.

For one, it suggests that growth mindset social media messages may help persuade people with depression or anxiety that it is worthwhile to seek help, the researchers said.

It can also help with people who are already in therapy.

"We want our clients to put in the hard work necessary to overcome their problems -- but they have to believe it is possible," Cheavens said.

"This study suggests there may be ways to give them a boost, to help persuade them that working hard in therapy can pay off in the end."

Whitted said the findings are especially important now, given how much time young people spend on social media. Participants in this study reported using social media one to three hours a day.

"What we found is that what young adult college students view on social media has the potential to impact what they believe about mental illness," Whitted said.

"It is important that the messages they receive accurately reflect what we know about mental illness, especially the fact that it is treatable."

Other co-authors were Matthew Southward of the University of Kentucky; Kristen Howard of the Milwaukee VA Medical Center/Medical College of Wisconsin; Samantha Wick of Miami University; and Daniel Strunk of Ohio State.

• Mental Health
• Popular Culture
• Media and Entertainment
• Public Health
• Social Issues
• Social cognition
• Clinical depression
• Social inclusion
• Mental illness
• Panic attack
• Cognitive dissonance
• Hearing impairment

Story Source:

Materials provided by Ohio State University . Original written by Jeff Grabmeier. Note: Content may be edited for style and length.

Journal Reference :

• Whitney M. Whitted, Matthew W. Southward, Kristen P. Howard, Samantha B. Wick, Daniel R. Strunk, Jennifer S. Cheavens. Seeing is believing: The effect of subtle communication in social media on viewers' beliefs about depression and anxiety symptom trajectories . Journal of Clinical Psychology , 2024; 80 (5): 1050 DOI: 10.1002/jclp.23647

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Social Media and its Impact on Society

This essay about the impact of social media on society examines its influence across several domains including communication, business, politics, and personal identity. Social media has transformed communication, enabling rapid and widespread sharing of information but often at the expense of deeper, more meaningful interactions. In business, it has revolutionized marketing and customer engagement, though it also presents challenges in reputation management due to its viral nature. Politically, social media has empowered activism and democratized information dissemination, yet it also facilitates the rapid spread of misinformation. On a personal level, while it offers opportunities for self-expression and community building, it can also lead to comparison, anxiety, and issues with self-esteem. The essay concludes that social media’s effects are complex and multifaceted, requiring a balanced and mindful approach to harness its benefits and mitigate its drawbacks.

How it works

Social media isn’t just another tech trend; it has become a pivotal part of how society operates on a daily basis. Whether it’s scrolling through Instagram photos, tweeting in real-time, or engaging in Facebook debates, social media platforms have fundamentally altered our communication landscape, business practices, political processes, and even our personal identities. The extent of its influence is vast, affecting nearly every aspect of modern life.

Let’s begin with communication, the cornerstone of social media’s impact.

These platforms have made it incredibly easy to stay connected with friends and family across the globe. With a few clicks, we can share life updates, celebrate milestones, and maintain relationships that might otherwise fade. This hyper-connectivity is a double-edged sword, though. While we enjoy the ability to keep up with everyone’s lives, the quality of our interactions can sometimes suffer. Social media tends to encourage brief, superficial exchanges over more meaningful conversation, which can dilute the depth of our relationships. Moreover, the omnipresence of these platforms can make it difficult to disconnect, leading to an always-on culture that prioritizes digital communication over real-world interactions.

From a business perspective, social media has revolutionized the marketplace. It’s a powerful tool for branding and marketing, offering businesses of all sizes a platform to reach a global audience without the overhead costs traditionally associated with advertising. Small startups and large corporations alike use social media to engage directly with consumers, gather valuable feedback, and boost brand loyalty. Yet, this accessibility also comes with high stakes. The viral nature of social media means that a single negative review or a poorly thought-out post can quickly spiral into a public relations nightmare. Companies must navigate these waters carefully, balancing promotion with genuine engagement to maintain their reputations.

In the political arena, social media has dramatically changed how information is disseminated and consumed. It has empowered grassroots movements, allowing ordinary individuals and activists to mobilize support and bring attention to causes that may have previously gone unnoticed. The #MeToo and #BlackLivesMatter movements, for example, both gained traction and global attention largely through social media. However, the flip side is that social media can also spread misinformation and propaganda at alarming speeds. The line between factual reporting and biased or false information has blurred, complicating public discourse and potentially influencing elections and policy decisions based on skewed or inaccurate data.

When it comes to personal identity, social media platforms serve as stages for self-expression and exploration. They allow users to craft and curate digital personas, experiment with identity, and find community. This can be particularly liberating for people in marginalized groups or those seeking a sense of belonging. However, the pressure to maintain an idealized online image can have detrimental effects on mental health. Constant exposure to perfect life snapshots of others can lead to comparison and dissatisfaction with one’s own life. Many users experience anxiety, depression, and self-esteem issues as they strive to live up to unrealistic standards set by the highlight reels they see online.

The impact of social media is complex and multi-dimensional. It connects us, empowers us, and opens up a new world of opportunities. But it also challenges us to navigate privacy issues, mental health struggles, and the digital divide between online personas and real-life complexities. As we move forward, finding a balance will be key. We need to harness the benefits of these digital tools while remaining aware of their risks and limitations.

By adopting a mindful approach to social media usage, we can protect our mental health and personal relationships from the negative aspects that come with digital life. Engaging with these platforms responsibly and critically is essential for ensuring that social media remains a force for good in modern society rather than a source of conflict or discontent. As users, it’s up to us to shape the role that social media plays in our lives, making informed choices about how we interact with these powerful tools.

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Social isolation and loneliness Print this page

• Stress and trauma 14 Feb 2024
• Physical health of people with mental illness 14 Feb 2024
• Prevalence and impact of mental illness

On this page:

Who experiences social isolation and loneliness?

Preventing and reducing social isolation and loneliness, where can i go for more information.

Loneliness and social isolation were concerns before the onset of the COVID-19 pandemic but have been exacerbated in the subsequent years.

In 2022, males aged 15–24 tended to experience more social isolation and loneliness than females.

Social isolation and loneliness are among the many factors that can be detrimental to a person’s wellbeing.

Social isolation and loneliness can harm both mental and physical health and may affect life satisfaction. They are concerning issues in Australia due to the impact they have on peoples’ lives and wellbeing.

Loneliness has been linked to premature death, poor physical and mental health (Holt-Lunstad et al. 2015), greater psychological distress (Manera et al. 2022) and general dissatisfaction with life (Schumaker et al. 1993). Loneliness among Australians was already a concerning issue before the COVID-19 pandemic, to the extent that in 2022 it has been described as one of the most pressing public health priorities in Australia (Ending Loneliness Together 2022).

Social isolation has been linked to mental illness, emotional distress, suicide, the development of dementia, premature death and poor health behaviours (smoking, physical inactivity and poor sleep) – as well as biological effects, including high blood pressure and impaired immune function (Cacioppo et al. 2002 and Grant et al. 2009 in Holt-Lunstad et al. 2015). Social isolation is also associated with psychological distress (Manera et al. 2022) and sustained decreases in feelings of wellbeing (Shankar et al. 2015). Conversely, more frequent social contact is associated with better overall health (Botha 2022).

The difference between social isolation and loneliness

Social isolation ‘means having objectively few social relationships or roles and infrequent social contact’ (Badcock et al. 2022:7). It differs from loneliness, which is a ‘subjective unpleasant or distressing feeling of a lack of connection to other people, along with a desire for more, or more satisfying, social relationships’ (Badcock et al. 2022:7). The 2 concepts may, but do not necessarily, coexist (Badcock et al. 2022; Relationships Australia 2018) – a person may be socially isolated but not lonely, or socially connected but feel lonely.

Social isolation

In 2022, almost 1 in 7 (15%) Australians (18% of males and 12% of females) were experiencing social isolation. Compared to just before the pandemic (2019) the proportion of young people aged 15–24 experiencing social isolation increased markedly over 2020 and 2021. During the later years of the pandemic (2021 to 2022) the proportion of young females (15–24 years) experiencing social isolation decreased (23% in 2021 down to 17% in 2022), while the proportion of young males continued to increase (from 22% to 25% over this time). The 35–44 year age group was the only one for whom social isolation continued to increase from 2021 (16% in 2021 to 17% in 2022) (Figure SIL.1).

Figure SIL 1: How has social isolation changed over time?

Line graph and butterfly chart showing the per cent of males and females of various age groups experiencing social isolation, from 2001 to 2022. The proportion of males aged 15–24 experiencing social isolation from 2001 to 2019 remained relatively steady between 11% and 15%, before increasing to 19% in 2020 and continuing to increase to 22% in 2021, then dropped to 21% in 2022.    

Source: AIHW analysis of Household and Labour Dynamics in Australia (HILDA) data, waves 1–22.

In 2022, just over 1 in 6 (16%) Australians were experiencing loneliness. As of 2022, about 1 in 5 (17%) males and 1 in 6 (15%) females aged 15–24 were experiencing loneliness. An increasing number of people aged 15–24, have reported experiencing loneliness since 2012. In contrast, the frequency of people aged 65 and over reporting loneliness has been steadily declining since 2001 (Figure SIL 2).

Figure SIL 2: Per cent of people aged 15 and over experiencing loneliness, by sex and age group, 2001–2022

Line graph and butterfly chart showing the per cent of males and females of various age groups experiencing loneliness, from 2001 to 2022. In 2001, 15% of people aged 15–24 were lonely, compared to 16% in 2022. The proportion of people aged 65 and over who are lonely has decreased from 20% in 2001 to 16% in 2022. 

Australia’s available data on loneliness do not allow for reliable international comparisons. In a recent systematic review of loneliness in 113 countries led by Australian researchers, Australian data could not be compared with those of other countries due to a lack of comparable prevalence data – except for the adolescent age group (Surkalim et al. 2022). To date, the Organisation for Economic Co-operation and Development has not reported comparable data for Australia on its measures of ‘people feeling lonely’ and ‘people feeling left out of society’ (OECD 2022, 2023).

Domestic and family violence

Family, domestic and sexual violence is a major health and welfare issue in Australia, occurring across all socioeconomic and demographic groups, but predominantly affecting women and children (AIHW 2022). 

Social isolation is a well-recognised tactic of coercive control used by perpetrators to control their victims (Boxall and Morgan 2021). It ensures the victim does not hear other people’s perspectives: perpetrators control the information the victim receives, reduce their help-seeking opportunities, and control the victim’s ability to leave the abusive relationship (Stark 2007). Recent studies on the impact of the COVID-19 pandemic on Australians are identifying some adverse outcomes of stay-at-home orders associated with increased social isolation that put some women and children at higher risk of experiencing family violence (Morgan and Boxall 2020; Pfitzner et al. 2022). 

An online survey of 166 practitioners conducted in Victoria during the 2020 lockdowns revealed that women’s experiences of intimate partner violence worsened because of their increased social isolation, which reduced their ability to seek external help and support (Pfitzner et al. 2022). This trend was also identified in other cities and countries, with perpetrators using the social isolation provided by the stay-at-home orders to increase abusive behaviours towards victims within their homes (Piquero et al. 2021). An Australian study suggests the combination of increased social isolation and economic stress associated with the COVID-19 pandemic did increase the risks of domestic and family violence for women in current cohabiting relationships (Morgan and Boxall 2020). 

For more information, refer to Family, domestic and sexual violence .       

Engaging in volunteer work and maintaining active memberships of sporting or community organisations are also associated with reduced social isolation (Flood 2005). Participating in paid work and caring for others have been proposed as safeguards against loneliness. However, it is unclear whether community engagement can consistently act as a protective factor against loneliness. For example:

• one study found that loneliness is lower in people who spend at least some time each week volunteering (Flood 2005)
• another study found no relationship between loneliness and volunteering, or between loneliness and socialising and participating in sport and community organisations (Baker 2012).

For people aged 25 to 44, being in a relationship is a greater protective factor against loneliness for men than for women (Baker 2012). Women living with others and women living alone report similar levels of loneliness, while men living alone report higher levels of loneliness than men living with others (Flood 2005).

The role of social media

Whether social media has potential benefits or negative impacts on people’s experiences of social isolation has been discussed since the advent of this medium. There is no straightforward relationship however, between social media use and experiences of social isolation and loneliness, whether positive or negative. 

Researchers have identified some positive impacts of how social media can help people feel socially connected, especially adolescents (aged 11–19) who are looking for peers online to boost their psychosocial wellbeing, discuss identity development and encourage a sense of belonging (Allen et al. 2014). Other research has showed that using social media benefited young people (aged under 21) who experienced higher levels of social anxiety by increasing their ability to socialise, reducing their feelings of social isolation (Lin et al. 2017). 

Even though adolescents can use social media to create supportive communities, research shows that the relationship between its use and loneliness can work both ways. When it is used to escape physical social interactions, feelings of loneliness were found to increase. People experiencing loneliness may benefit from external support with the use of the Internet to ensure they engage in existing friendships and learn how to develop new ones online to reduce feelings of loneliness and social isolation (Nowland et al. 2017). 

More research has emerged since the pandemic started that investigates the use of social media by people of all ages and their experiences of social isolation, but findings are not always positive. For example, a study of people living in Norway, the United States of America, the United Kingdom and Australia looked at the impact of people’s use of social media during the pandemic. The researchers found an association between emotional distress and more frequent use of social media (Geirdal et al. 2021). 

Another international study investigating current research between online social networking and mental health outcomes for people aged 50 and over found that social media enhanced communication with family and friends, provided greater independence and self-efficacy, aided in the creation of new communities online, helped to form positive associations with wellbeing and life satisfaction, and was associated with decreased depressive symptoms (Chen et al. 2021). 

As more studies are conducted through the pandemic and beyond, an understanding of how social media affects feelings of social isolation and loneliness may become clearer. 

Although social isolation and loneliness are now well-recognised public health concerns, major gaps remain in understanding what works to resolve them (Smith and Lim 2020). Due to our diverse social needs, preferences and resources, there is no ‘one size fits all’ solution (Ending Loneliness Together 2022). 

Companion animals

Pets can play an integral part in people’s lives, regardless of the person’s culture, profession or age. Companion animals are one source of external support that can bring both physical and mental health benefits (Brooks et al. 2016). All types of companion animals may contribute to reducing social isolation and feelings of loneliness (Brooks et al. 2018; Kretzler et al. 2022). 

Multiple studies have found an association between pet ownership and lower experiences of social isolation, particularly for children (Christian et al. 2020; Hartwig and Signal 2020; Kretzler et al. 2022). Further, research suggests that companion animals may positively influence experiences for older people (aged 60 and over) by increasing their sense of purpose and meaning, facilitating increased social interaction, reducing loneliness and improving emotional resilience (Gan et al. 2019), as well as being potentially a protective factor against suicide (Young et al. 2020a). Owning a pet increases the opportunity for people to get to know their neighbours and for social interactions and forming friendships (Wood et al. 2015). 

Brooks and colleagues (2018) systematically reviewed 17 studies that investigated the relationship between companion animals, specifically domestic animals, and the assistance these animals provided in helping people to manage their mental health conditions. The quantitative studies produced mixed findings, with people experiencing positive, negative and neutral impacts of their companion animal on their personal mental health. 

Qualitative studies suggest, however, that people with mental health conditions may benefit from the direct support their companion animals provide. This support includes helping their owners to manage their mental health condition, reducing people’s stress and regulating emotions – particularly beneficial during times of crisis, improving people’s quality of life, providing a consistent source of comfort, and aiding social and community interactions. Companion animals were found to help mitigate feelings of social isolation and loneliness by providing physical warmth and companionship, and opportunities for non-judgemental communication for their owners. Further, they may offer a distraction or disruption when their owners experience panic attacks and other symptoms of mental illness (Brooks et al. 2018). On the other hand, negative impacts included difficulties with the daily commitment of pet ownership and the psychological stress when losing a companion pet. 

Since the start of the COVID-19 pandemic, studies have mostly shown that the association between pet ownership, loneliness and social isolation has strengthened (Kretzler et al. 2022). One study found that cats gave people an outlet for stress through the strong bonds they had established with owners, and the affection and comfort they provided, thus acting as a buffer to the social isolation created by the lockdowns (Currin-McCulloch et al. 2021). Dogs provided people with daily reinforcement of positive behaviours such as routine, exercise and play, which all contributed to decreased feelings of social isolation (Bussolari et al. 2021). 

It is not yet clear whether this strong relationship between people and their pets at the levels seen in the early years of the COVID-19 pandemic will persist in the future (Hughes et al. 2021; Young et al. 2020b). 

For more information about social isolation and loneliness, see:

• Bankwest Curtin – Stronger together: loneliness and social connectedness in Australia
• Measuring what matters
• Ending Loneliness Together

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