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The content teens have access to can be extreme, harmful and sensitive, For example people hurting themselves and showing videos of challenges that are risk taking. Watching this type of content will give teenagers the influence to mimic it.

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Mental health issues among teens have been rising for more than a decade, and some experts wonder how much social media use is to blame. If you're a parent questioning if-and how-you should monitor the way your teenager uses social media, you're not alone.

In the spring of 2023, United States Surgeon General Vivek Murthy, MD, MBA, released an advisory called Social Media and Youth Mental Health, in which he says there is growing evidence that social media is causing harm to young people's mental health. Soon after, the American Psychological Association (APA) issued its own health advisory. A year later, in June 2024, Dr. Murthy called for a surgeon general's warning label on social media platforms, which would require an act of Congress to implement.

The issue is complicated, however. While there are indicators that it can have a profound risk of harm to teens (more on that below), social media use aimed at making healthy connections with others may actually be beneficial to some people. Dr. Murthy's report indicates that more research is needed to fully understand the impact of social media. For parents, this means there are no easy answers.

"The issues we face now with social media are similar to those we faced when television came out," says Linda Mayes, MD, chair of the Yale Child Study Center (YCSC). She explains that, as with TV watching, there are pros and cons to social media for young people. "So, how do we help parents filter out the parts that may be detrimental?"

Below, Dr. Mayes and YCSC's Yann Poncin, MD, a child psychiatrist, offer advice for parents trying to help their teenagers use social media in a positive way.

But first, some background.

Social media use and teens: Background, benefits, and harms

As a parent, you might ask yourself, "What, specifically, about social media use can have a negative impact on my teen?"

Dr. Murthy's advisory was based on what it describes as a "substantial review of the available evidence." It raises a variety of concerns, including the amount of time adolescents spend on platforms, the type of content they consume (or are exposed to), and the degree to which their online interactions disrupt activities essential for health, such as sleep and exercise. It points out that social media can also affect young users in different ways, depending on their strengths and vulnerabilities as individuals, as well as their cultural, historical, and socio-economic backgrounds.

The report stresses that the brain is going through a highly sensitive period between the ages of 10 and 19, when identities and feelings of self-worth are forming. Frequent social media use may be associated with distinct changes in the developing brain, potentially affecting such functions as emotional learning and behavior, impulse control, and emotional regulation.

What are the potential benefits of social media use by teens?

Some teenagers experience a benefit when they use social media to foster positive connections with others who share common interests or identities (if they are seeking a connection with others who are, say, members of a particular racial identity), creating a space for self-expression. Relationships formed in communities like these can create opportunities for positive interactions with more diverse peer groups than are available to them offline, according to Dr. Murthy's report.

The advisory points to a 2022 survey of American teenagers and their parents by the Pew Research Center, which showed that a majority of respondents felt that social media helps teenagers feel more accepted (58%), like they have people who can support them through tough times (67%), that they have a place to show their creative side (71%), and that they are more connected to what's going on in their friends' lives (80%).

"Posting to let your friends know how you've been spending your time can be a positive or healthy way to connect and hear about each other's day," says Dr. Poncin. "It's no different than 30 years ago when adolescents would be on the phone for three hours connecting with their friends-only now you're online with your friends, saying, 'Meet you after school,' or 'Did you hear about this?'"

What are the potential harms of social media use by teens?

Over the last decade, increasing evidence has identified the potential negative impact of social media on adolescents. According to a research study of American teens ages 12-15, those who used social media over three hours each day faced twice the risk of having negative mental health outcomes, including depression and anxiety symptoms.

The advisory states that other studies "point to a higher relative concern of harm in adolescent girls and those already experiencing poor mental health, as well as for particular health outcomes, such as cyberbullying-related depression, body image and disordered eating behaviors, and poor sleep quality linked to social media use."

"What's more, the social media algorithms are built to promote whatever you seem interested in," says Dr. Mayes. "If a teen searches for any kind of mental health condition, such as depression or suicide, it's going to feed them information about those things, so soon they may begin to think that everyone around them is depressed or thinking about suicide, which is not necessarily good for mental health."

When does the kind of content teens see become an issue?

Teens can easily access extreme, inappropriate, and harmful content. In certain cases, deaths have been linked to suicide- and self-harm-related content, such as "cutting," partial asphyxiation, and risk-taking challenges on social media platforms, according to Dr. Murthy's report. Studies also found that discussing or showing this content can normalize these behaviors.

Eating disorders are yet another concern. A review of 50 studies across 17 countries between 2016 and 2021 published in PLOS Global Public Health suggested that relentless online exposure to largely unattainable physical ideals may trigger a distorted sense of self and eating disorders. This is considered to be a particular problem among girls.

In addition, people who target adolescents-for instance, adults seeking to sexually exploit teens or financially extort them through the threat or actual distribution of intimate images-may use social media platforms for these types of predatory behaviors, according to the Surgeon General's advisory.

Why is excessive use of social media a problem?

The excessive use of social media can harm teens by disrupting important healthy behaviors. Some researchers think that exposure to social media can overstimulate the brain's reward center and, when the stimulation becomes excessive, can trigger pathways comparable to addiction.

Excessive use has also been linked to sleep problems, attention problems, and feelings of exclusion in adolescents. And sleep is essential for the healthy development of teens, according to Dr. Murthy's advisory.

Social media use in teens: A guide for parents

After reading the background, as a parent, you might ask yourself, "Sure, but do kids really use social media that much?"

Social media use among young people is nearly universal now, based on surveys from the Pew Research Center. In 2022, up to 95% of teenagers surveyed (ages 13 to 17) reported using social media, and more than a third of them use it "almost constantly."

Pew has also tracked which social media platforms (or "apps") teenagers are using. In 2023, it found the majority of teens-9 out of 10 for those ages 13 to 17-use YouTube, followed by TikTok, Snapchat, and Instagram. (Their use of Facebook dropped dramatically; there was also a decrease in the use of Twitter, now called X, although that was not as steep.)

With that in mind, YCSC experts provide a guide for parents concerned about their teens' social media use.

1. Determine the age your child will have access to social media.

Experts are still exploring whether there is a "right age" for a child to access social media. The APA explains that adolescents mature at different rates, which makes establishing a universal age recommendation difficult.

Although the minimum age most commonly required by social media platforms in the U.S. is 13, nearly 40% of children ages 8-12 use social media, according to Dr. Murthy's report. That signals how difficult it can be to enforce these rules without parental supervision.

One strategy is to make a social media plan for your family long before the teenage years, Dr. Poncin says. "In my opinion, elementary school-age children should not have full-on internet access using a device with all the social media apps."

In terms of phones, they can start with a "dumbphone," a cell phone that doesn't have email, an internet browser, and other features found on smartphones, he adds.

For middle-schoolers who show maturity and responsibility-who can get themselves to sleep and do their homework, for example-additional access may be fine, notes Dr. Poncin. But he suggests delaying full access to smartphones for as long as possible, opting for a device allowing you to add more apps as your child matures.

Establishing a family social media plan might also be useful-the American Academy of Pediatrics offers a tool that can help. In addition to setting the age at which you plan to start giving your kids phones or internet access, this plan can be used to establish rules and educate children and teens about being careful about privacy settings, avoiding strangers online, not giving out personal information, and knowing how to report cyberbullying, Dr. Mayes says.

2. Keep devices out of the bedroom.

Research shows a relationship between social media use and poor sleep quality, reduced sleep duration, and sleep difficulties in young people, according to Dr. Murthy's advisory. For teens, poor sleep is linked to emotional health issues and a higher risk for suicide.

According to Dr. Murthy's report, on a typical weekday, nearly one-third of adolescents report using screen media until midnight or later. (While screen media use includes various digital activities, social media apps are the most commonly used applications by teens.)

"Knowing that, try to create a culture at home where all phones are turned off by a certain time, and make sure it's at least one hour before going to bed," Dr. Poncin says.

However, you may find that bedtime rules don't work as well as your kids get older. It may be necessary to ask your teen to put their phone outside the bedroom before going to bed. "But, if the response is, 'I do my homework late and have a group chat about math, so I'm going to need the phone to group chat,' and you suspect your teen isn't being honest, that will be a different conversation," Dr. Poncin says. "But having these open conversations is critical."

3. Keep the lines of communication open, and let your teen make mistakes.

It will be easier to talk to your teens about social media if you have comfortable conversations with them about other issues, the doctors say.

"I don't believe you should monitor the content of your teen's phone, because a teenager should have privacy," Dr. Poncin says. "An important part of the teenage years is figuring out who you are in the world. So, it's important for them to explore and even make mistakes without you hovering around them." The goal is to keep lines of communication open and establish some trust with your child, so they'll come to you if there are issues, he adds.

This, too, is similar to the advice given when parents were concerned about the impact of television on children, adds Dr. Mayes. "Research showed that watching TV in and of itself wasn't bad, but it began to have potentially negative effects on kids' behavior when it was used as a babysitter," she says. "The message to parents was to sit beside their kids and watch TV with them, and then talk about what they're watching."

Neither you nor your teen will be happy if you sit beside them and scroll down your social media feeds together, but you can take the time to ask how social media is working for them, Dr. Mayes suggests. "So, you're not saying, 'Oh no! You're on social media!' Rather, you're normalizing it and making it clear that you're willing to talk about what they're experiencing or learning. This sets it up for them to talk to you if they run into a problem, instead of going to their peers or looking for solutions online," she says.

4. Be mindful of your approach when talking to your teen.

Although keeping the line of communication open matters, how you have those conversations is equally important. If you are concerned about your teen's social media use and feel the need to intervene, you might say something like, "It seems like you're on the phone so much that I don't see you just doing homework like you used to do, so I'm just worried how healthy this is for you in terms of getting your stuff done. What do you think about that?" Dr. Poncin says.

You might even need to be more assertive, for instance, saying, "I've noticed that you're on your phone until 1 a.m. When I go to the bathroom, your light is on, and you're on your phone. That's not healthy. So, can we come up with a plan that you're most comfortable with?"

5. Follow the rules yourself.

As a parent, you are a role model and that means following all the same rules you are setting for your children-if you ask your teenager to limit their screen time, you should do so as well, says Dr. Mayes, noting that it's not uncommon to see parents looking at their phones when they are out with their kids.

You might have a hard time resisting your social media feeds, texts, and emails. Sometimes, it helps to admit to your teenagers that you find it difficult to put down your devices, too. "This a global issue, where parents want their kids to do things differently and better than they do," Dr. Poncin says. "So, once again, having an honest conversation is important."
Note: Cyberbullying and online abuse or exploitation can be reported to the school or the police, or on websites such as Take It Down and CyberTipline, according to the Surgeon General report.

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How Social Media Affects Your Teen's Mental Health: A Parent's Guide

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A 2023 U.S. Surgeon General advisory cited growing concerns that social media use impacts young people's mental health. Yale experts offer advice to parents.

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Teenagers need more sleep than adults do to help them grow and be healthy. These days teenagers would get their sleep schedule messed up because they would stay up to an unfortunate time on social media and the more teenagers lack sleep, they would be tired in school and sleep during lessons and miss out on stuff they'll need in the future.

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he digital landscape has put increased pressure on teenagers today, and we feel it. There are so many social media channels: Facebook, Twitter, Instagram, Snapchat, Tumblr, you name it. I made a conscious decision to avoid Snapchat and Instagram because of the social pressure I saw them putting on my 14-year-old little sister. If my mum turned off the WiFi at 11pm, my sister would beg me to turn my phone into a hotspot. She always needed to load her Snapchat stories one more time, or to reply to a message that had come in two minutes ago because she didn't want her friend to feel ignored. If I refused, saying she could respond in the morning, I'd get the "You're ruining my social life" speech. Even as a teenager as well, I sometimes find this craze a little baffling.

A new study has found that teenagers who engage with social media during the night could be damaging their sleep and increasing their risk of anxiety and depression. Teenagers spoke about the pressure they felt to make themselves available 24/7, and the resulting anxiety if they did not respond immediately to texts or posts. Teens are so emotionally invested in social media that a fifth of secondary school pupils will wake up at night and log on, just to make sure they don't miss out.

Teens are so emotionally invested in social media that a fifth will wake up at night and log on

Perhaps the worst thing about this is that teenagers need more sleep than adults do, so night-time social media use could be detrimental to their health. Research has shown that teenagers need 9.5 hours of sleep each night but on average only get 7.5 hours. A lack of sleep can make teenagers tired, irritable, depressed and more likely to catch colds, flu and gastroenteritis. These days, I am always tired at school, and I'm not one to stay up until 2am chatting with a boy. Homework and the pressure to have the perfect set of grades mean I'm up late working. And it seems that at school, most of my mates are exhausted too.

During the summer holidays, I lost my phone. And for the week that I was phoneless, it felt like a disaster. I love my phone. It gives me quick access to information and allows me to be constantly looped in with my friends, to know exactly what is going on in their lives. So when I didn't have my phone for a week, I felt a slight sense of Fomo, or if you're not up to speed with the lingo, fear of missing out. By the end of the week, I'd got used to not having a phone and I'd quite enjoyed the break from social media. But there was still a lingering sense of sadness at the back of my mind that there would be conversations I had missed, messages that had been sent, funny videos shared and night-time chats that I would probably never get to see.

A separate study by the National Citizen Service found that, rather than talking to their parents, girls seek comfort on social media when they are worried. The survey also suggests that girls are likely to experience stress more often than boys - an average of twice a week.

It's becoming more and more obvious how the pressures of social media disproportionately affect teenage girls. I can see it all around me. Pressure to be perfect. To look perfect, act perfect, have the perfect body, have the perfect group of friends, the perfect amount of likes on Instagram. Perfect, perfect, perfect. And if you don't meet these ridiculously high standards, then the self-loathing and bullying begins.

What is really worrying is that time and time again, these studies pop up and demonstrate that the mental health of teenagers, especially teenage girls, is on the line. We know this. We know the perils of the internet, we've heard about online bullying and the dangers of Ask.fm, we know the slut-shaming that goes on in our schools. We know these things. We know that these studies demonstrate that we have to make personal, social and health education (PSHE) statutory in schools and ensure it covers a range of issues from healthy eating and sleeping to consent. And yet, Nicky Morgan and the government refuse to act. So I ask: what are we waiting for? Inaction on these issues is harming the physical and emotional wellbeing of young people in this country. What has to happen before we do something?

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Social media is harming the mental health of teenagers. The state has to act | June Eric Udorie

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he digital landscape has put increased pressure on teenagers today, and we feel it. There are so many social media channels: Facebook, Twitter, Instagram, Snapchat, Tumblr, you name it. I made a conscious decision to avoid Snapchat and Instagram because of the social pressure I saw them putting on my 14-year-old little sister.

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Teenagers nowadays will spend more of their time on social media instead of hanging out with people and going outside, which would lead to the feeling of isolation. Watching other people engage into different activities will make the person watching feel excluded and feel like they are missing out