Brain Thinking
Brain Thinking
Brain Thinking
“Your Amazing Teen Brain is a must-read for teens and the people who know and love them! Elisa
provides crucial information for teens about the changes occurring in teen brains during adolescence
(spoiler alert: there’s a lot going on!), and she instructs the reader on how to use evidence-based CBT
interventions to help manage mood and create meaning.”
—Marci Fox, PhD, psychologist, author of numerous books on CBT, founding fellow and certified
supervisor for the Academy of Cognitive Therapy, and adjunct faculty at the Beck Institute for
Cognitive Behavior Therapy
“Your Amazing Teen Brain is invaluable! Nebolsine shares research from the past decade about the
adolescent brain, the changes and quirks that occur in the teen years, and makes it understandable
and relevant for teens, parents, clinicians, and teachers. This user-friendly book is a wealth of easy-
to-understand information and practical interventions that teens will embrace.”
—Amy Wenzel PhD, ABPP, clinical assistant professor at the University of Pennsylvania School
of Medicine, adjunct faculty at the Beck Institute for Cognitive Behavior Therapy, and
author/editor of fourteen books and over one hundred peer-reviewed journal articles and book
chapters
“Your Amazing Teen Brain is a must-read for all teens—and those who live with teens! Elisa
Nebolsine writes with clarity and wit, and the result is a powerful, highly engaging resource that
gives teens the information they need to understand their emotions and successfully navigate
through this pivotal developmental stage. By educating teens about the adolescent brain, Nebolsine
empowers them to take charge of their experiences—and she gives them the tools to do this.”
—Sherin Stahl, PhD, faculty in the Yale Child Study Center and department of pediatrics at the
Yale University School of Medicine; also in practice in in Fairfield and Woodbridge, CT
“Excellent and much-needed resource for teens! Adolescence is a challenging time, and this text
provides a basic overview of what’s going on in the teen brain—from intense emotion to complicated
friendships. Elisa explains not only the whys of adolescence, but also provides a map of CBT skills
that allow teens to navigate and even succeed during the teen years.”
—Mary K. Alvord, PhD, psychologist, and coauthor of Conquer Negative Thinking for Teens and
Resilience Builder Program for Children and Adolescents
“I love this book! I want a copy for every teen and parent of a teen in my practice. CBT, the teen
brain, and basic neuroscience? What else do you need? A perfect combination of important facts,
strategies, and skills written in a way that appeals to adolescents.”
—Catherine McCarthy, MD, child and adolescent psychiatrist in Washington, DC
“Your Amazing Teen Brain is a fantastic resource for teenagers trying to understand the incredible
changes they are experiencing. It is clear that Elisa ‘gets’ teenagers. Everyone who reads it will
benefit in some way from reading it. A true winner!”
—Melissa Grady, PhD, associate professor of social work at Catholic University of America, and
coauthor of Moving Beyond Assessment
Publisher’s Note
This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold
with the understanding that the publisher is not engaged in rendering psychological, financial, legal, or other professional
services. If expert assistance or counseling is needed, the services of a competent professional should be sought.
INSTANT HELP, the Clock Logo, and NEW HARBINGER are trademarks of New Harbinger Publications, Inc.
Distributed in Canada by Raincoast Books
Copyright © 2021 by Elisa Nebolsine
Instant Help Books
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Cover design by Amy Shoup
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Foreword
Introduction: A User’s Guide to Your Brain
Chapter 1. Your Brain Is a Little Crazy Right Now…But That’s Okay
Chapter 2. Your Emotions Feel Bigger
Chapter 3. CBT Can Help
Chapter 4. Stress: The Good and the Bad
Chapter 5. Risk, Excitement, and Drama: Your Brain Wants It All
Chapter 6. Peers: They Matter a Lot
Chapter 7. “School Is Your Job Right Now”
Chapter 8. Procrastination: The Villain
Chapter 9. Meditation and Mindfulness
Chapter 10. Why Am I Doing All This? Finding Meaning
Chapter 11. Telling Your Story
Conclusion: Your Path Forward
Acknowledgments
References
FOREWORD
Your Amazing Teen Brain is an amazing book. Written in a highly engaging style, it shows just how
dynamic and powerful the teen mind is. Research has been exploding about the plasticity and changes in
the adolescent brain. Cognitive behavioral therapy (CBT) is a natural fit for understanding and harnessing
the power of the teen brain.
As the president of the nonprofit Beck Institute for Cognitive Behavior Therapy in Philadelphia, whose
mission is to improve lives worldwide through excellence and innovation in CBT research, practice, and
training, I am delighted to introduce this new tool for adolescents. It is a solid, research-based text that is
engaging for teens without being “dumbed down.” The author respects teen readers and writes directly to
them in an honest and straightforward manner.
Elisa Nebolsine has served as an adjunct faculty at the Beck Institute for more than a decade and has
been a leading practitioner of CBT. Her focus, CBT with children, adolescents, and young adults, has led
her to work with clinicians, practices, and agencies across the country as both a clinical supervisor and a
consultant. She brings a wealth of experience, knowledge, and creativity to her work, and these strengths
are communicated in this excellent text.
The book is written for teens, but it also is a great resource for parents, educators, therapists, medical
providers, and other caregivers who want to understand the dynamics of the teen brain and what they can
do to help teens in need. Elisa writes clearly on the teen brain in friendship, emotion, stress, learning (and
procrastination), risk, and mindfulness. She presents clear and action-oriented information, and
consistently ties the research back to practical CBT strategies and techniques that readers can use to
“hack” their responses.
CBT is a powerful intervention, and Elisa understands it well. This text is rich with CBT strategies that
can be used by teens to manage emotions, change negative thinking, and feel better about themselves.
When my father, Aaron T. Beck, MD, developed CBT in the 1970s, he recognized that clients should learn
and practice skills themselves. Your Amazing Teen Brain provides tools to start practicing CBT today.
Your Amazing Teen Brain is a great resource for teens and adults who interact with them. I encourage
you to read it and implement its very helpful, evidence-based, practical strategies.
—Judith S. Beck, PhD
The teen brain is amazing. You, living with this brain, may agree or disagree with that statement. But if
you step back and look at the research on your changing brain, it’s hard to argue that the power of your
brain, right now, in this moment, isn’t awesome. Your brain is changing more now than at any other time
since you were a toddler, but unlike when you were little, you can be an active part of this change. As a
teen, you can make choices on which areas to strengthen and work to get rid of habits and patterns that
no longer serve you well.
I am not a neuroscientist, a biologist, or a neurologist (all types of brain doctors); I am a cognitive
behavioral therapist who works (and lives) with teens. This book is not a technical guide to the brain.
Rather, it is a user’s guide to the teen brain. This book is a tool to help you understand how your teen
brain works, where its weaknesses are (so you can shore them up), and where its strengths are (so you
can use them fully). The tools you will learn are based in cognitive behavioral therapy (CBT from here
out), and CBT is one of the coolest ways to make changes out there. It is based on solid research, it makes
sense, and it really works.
Why do you need to learn about your brain and CBT? Maybe you don’t. Maybe things are perfect right
now, you have no issues, and you wouldn’t change one thing about your life. Except, that if all that were
true, you probably wouldn’t be reading this introduction right now. And even if it is true, you can still
benefit from learning about your teen brain and CBT. Because there is a lot happening in that brain right
now. There are reasons why some things are so hard, why you feel everything so deeply, why people
delight or annoy you in more significant ways than before, and why you really want to find your place and
your meaning. It all has to do with the changes your brain is making right now, in this moment.
CBT IS POWERFUL
CBT was developed in the fifties and sixties by a brilliant psychiatrist, Aaron T. Beck. Dr. Beck, who is still
alive and working as of this writing, challenged the ideas of traditional therapy. He brought a scientific
model of study to emotional and mental illness, and he used research to drive his work. This was a big
deal at the time, and Dr. Beck is credited with changing the fields of psychology and psychiatry.
Dr. Beck was interested in how and why we get sick from depression, anxiety, and other diagnoses,
and he explored how our thoughts (cognitive essentially means “thoughts”) impact our behaviors. For
example, if I think to myself, My life is terrible, and it will never get any better, that thought is more likely
to lead to me sitting on the couch and binge-watching Netflix.
But if I can find a way to change my thoughts to something that is true but also helpful, it will also
impact my behavior. This might look like: I feel terrible right now, but this feeling is temporary. I’ve felt
bad before, and the feeling didn’t last that long. I don’t feel like hanging out with friends right now, but I
know that if I do spend time with them, I will likely feel better. These revised thoughts, while still true, are
more likely to push me to do something (behaviors) that will change how I feel. I think most of us have
had this experience: we don’t want to do something that we know is good for us, we talk ourselves into
doing it, and then we wonder why we didn’t just do it all along because it was so fun.
Dr. Beck, without the current knowledge of the brain and its ability to change, was recognizing that
the more we do something that creates change, the more likely we are to keep doing it—in other words,
neurons that fire together, wire together. If we repeatedly change our thoughts to true and helpful (from
false and unhelpful), we eventually create and strengthen new neural pathways that lead us to feel better.
He went even further and looked at behavior change. If we change our thoughts, we can change our
behavior, but if we change our behavior, can we change our feelings and our thoughts? Yep. We can. He
also found that the beliefs we hold about the world, our innermost beliefs, influence how we think, act,
and feel in situations. Dr. Beck learned that if we can change our thoughts and our behaviors, we can
eventually change negative beliefs that we hold. All this occurs by our brains learning to think differently.
CBT isn’t just a theory; it’s practical too. Dr. Beck’s work led to the development of all kinds of tricks
and tools to use to hack into your brain and manage your mood. There are strategies for staying calm in
moments of crisis, skills that help you boost your mood when it’s getting low, and techniques for getting
along with peers and feeling better.
The teen brain is both incredibly vulnerable and seriously powerful. It’s a tricky combination, and it
explains why you have unbelievable moments of insight right alongside experiences where you act in a
way you almost immediately regret. Riley, who’s fifteen, can figure out the equations to solve complicated
math problems, but he regularly can’t find his shoes. This is the one of the complexities of life at your age
—growth and chaos occurring simultaneously.
Imagine this: You’re living in your dream house, and it’s absolutely perfect. Everything is new and
shiny; it looks just the way you want it to look. But not everything works. In fact, it’s difficult to predict
what will work and what won’t. The lights in your room are installed, but they don’t turn on. The TV and
computer are brand-new, but they don’t turn on either. And the garage door just doesn’t open no matter
how many times you click the button. The teen brain is a little like this amazing house that isn’t quite
ready. At this time in your life, only about 80 percent of your brain is wired for use—which doesn’t sound
that bad, until you start to realize that you really need that other 20 percent (Jensen and Nutt 2015).
Right now, your brain is going through a serious period of reconstruction, and you’re living through it.
Ultimately, the changes are going to be great, but there is challenge for you during the process of change.
But if you understand the challenge and the change, there is much you can do to help yourself not only
get through but actually thrive during your teen years. It may be hard to believe, or maybe you already
know this, but being a teenager can be extraordinary.
First, let’s look at the brain. Here’s the problem: teens have excess gray matter and not enough white
matter in their brains. Gray matter is the structure of your brain, the actual parts of your brain. White
matter is the material that connects the gray matter and helps each section of your brain communicate
with the others. Picture a floating city. All the houses, stores, and buildings are floating on water with no
roads to connect them. And imagine that no one in this city can swim. What do you end up with? A city of
people who can’t connect with each other. But if you build bridges (or offer swimming lessons), people
start to connect and move around the city.
Gray matter is like the houses and buildings of your brain, where information is stored, and white
matter is the bridges, paths, and roadways that connect the gray matter. It’s tough to have a city without
real roads or bridges, and that’s kind of what’s happening in your brain right now. You’ve got the actual
buildings, but now you need the pathways: the roads and bridges that will connect the parts.
Until you build the additional connections, things can be a little tricky. The good news is, you can build
these pathways. You don’t need to wait for them to be built for you.
Neuroplasticity is a big part of this. For most of us, “plastic” refers to something permanent or, at the
very least, difficult to recycle. But for neuroscientists, plastic means changeable. When neuroscientists
talk about the plasticity of the brain, they are talking about the ability of the brain to change itself.
Yes, you can literally change your brain. Right now, your brain is incredibly plastic, and capable of
making real change. Relatively new research shows that you can become smarter during your teenage
years. Truly. Your intelligence can actually change. A study reported in the journal Nature found that 33
percent of teens gain IQ points in their adolescence (Ramsden et al. 2011). You can also make changes to
increase your brain power, to understand the risks of adolescence, and to live more fully and deeply. You
have significant power right now.
In order to use this power, you need to understand the basics of what is going on in your brain. If you
can learn what’s happening, you can also learn how to harness the strengths that are developing. You
have a choice. You can change your brain.
BACK TO FRONT
The human brain develops back to front. Big deal, right? Who cares how it develops? In this case, it
actually does matter. The brain regions that deal with threats develop more quickly than the regions that
help you think in ways that are calm and rational. This makes sense, as our first and foremost job is to
stay alive. Here’s the general layout of the brain:
The brain meets the spinal cord at the brain stem. The structures at the meeting point between the
brain and the spinal cord are responsible for your basic life functions, such as your heart rate and
breathing.
The bump right above this area is the cerebellum. Cerebellum actually means “little brain” in Latin,
and this little brain is a big deal. The cerebellum is all about movement. You don’t think a lot when
you reach for something or ride your bike, but your cerebellum is hard at work helping you stay on
track.
Moving on up to the midbrain, your brain starts to get more interesting. The amygdala and
hippocampus live in the midbrain, and they are a part of something called the limbic system. These
parts of the brain are all about emotion, reaction, memory, and safety. Much more to come about
this part of your brain—in fact, the limbic system is a major player in this book.
Next we look at the prefrontal cortex (there are actually many more parts to your brain, but I’m just
listing the big guys here). The prefrontal cortex, or PFC, is especially important. This is where the
reasoning, logic, processing of emotion, problem solving, and other big “brainy” functions happen.
It’s also where we process our reactions and relationships, and think about how we fit in and matter
in the world.
Back-to-front development of the brain means that the more basic and protective parts of the brain
develop first. In other words, our brains develop in a way that prioritizes threat detection and reaction
over problem solving. This makes sense when you think about how human life used to be thousands of
years ago. At that time, it was much less important to be able to do algebra and much more important to
be able to keep yourself safe. We still need to be able to detect threats and keep ourselves safe—that
hasn’t changed—but we also need to be able to react to situations without freaking out. And the growth
and evolution of our PFC has made this possible. We don’t have to just panic about nonthreatening threats
because we can use our PFC to control our reactions.
SAFETY FIRST
In the ancient past, when humans all lived in the savannah and were hunted by wild animals, they needed
the parts of the brain that detect threats. After all, when you’re faced with a tiger, you don’t really need to
discuss the various ways to run away from that tiger; you just need to run.
Of course, you don’t often see tigers in your life today, except perhaps in a zoo. But the part of your
brain that detects threats, the amygdala, is still as active as it ever was to keep you safe when you run
into things that feel dangerous.
The amygdala is a starring player in the drama that is adolescence. Your amygdala is the reason why
you don’t think about escaping a threat when you’re faced with one; you just react. If this were a movie,
the amygdala would be like the superhero who goes bad and starts to act kind of crazy. But just like in the
movies, where someone figures out what’s bothering the superhero and helps them back on the right
path, we can have a happy ending. It’s just going to take some knowledge and some effort.
The amygdala is referred to as a singular part of the brain, but there are actually two of them. And
these structures are crucial to the human response to threat that’s known as fight, flight, or freeze. Fight,
flight, or freeze refers to an automatic process that happens when we perceive a serious threat or danger,
whether that be a car racing toward you as you cross the street or a final exam that could make or break
your grade. In these moments, your brain isn’t interested in solving math problems or planning what to
wear to school; instead, it wants to keep you safe. So the amygdala gets activated and sends out messages
that you’re in danger. Your heart starts beating faster, sending blood to your muscles, you take deeper
breaths filling your lungs with oxygen for more energy and stamina, you may notice trembling in your
hands and arms as your muscles tense to be available at a second’s notice, and your digestion slows as
your body focuses on the most crucial tasks at hand. All this happens without your choice; it’s an
automatic response by your brain to the perceived danger. But there are ways around this—ways you can
hack your brain so that the way it responds to the situations are thoughtful rather than automatic. This
book will teach you skills and strategies to feel more in control of your beautiful but unpredictable
teenage brain.
The amygdala is fully formed at eight months in utero. You can’t talk, laugh, or recognize your dog at
that point in your life, but you can react to a threat. The ability to react to a threat is such an important
one that our brains prioritize its development. Which is a really good thing most of the time…
Fast-forward to life in the present day, and the threats we face now aren’t life-threatening in the same
way as the predators of the past were. But our amygdala continues to be fully developed by the time we’re
born. It still wants to protect us, but unfortunately it’s trying to keep us safe from things like big tests,
surprise assignments, large presentations, or friends we’re afraid might judge us. This means the
amygdala is reacting to these events in ways that let us use less of our thinking skills (which are very
needed for those tasks) and more of our reacting skills (not helpful).
Kelly, a tenth grader, took AP history to “look good” for college applications. To be clear, Kelly hates
history. She finds it boring, her memory for dates and battles is not strong, and she gets very anxious
about tests. Fast-forward to spring of her sophomore year, and the night before the AP test. She lies
awake in bed, consumed with worry. She can’t sleep; she is thinking about how much she doesn’t know,
what else she should have studied, and her general lack of skills and knowledge.
When she arrives at the school, and the test is finally sitting right in front of her, she can’t remember
anything. Zero. She just stares at the test. Her heart is beating fast, her hands are a little shaky, and her
stomach starts to hurt. Her amygdala is hard at work “protecting” her. It’s interpreting her level of fear as
a serious threat. It has her ready to run, fight, or stay perfectly still to avoid the threat. Unfortunately, this
is exactly the opposite response to the one she needs—which is to stay calm, focus on the questions one at
a time, and do her best to answer them as well as she can. As you can see, Kelly’s amygdala plays a
starring role in the anxious response.
And as if that weren’t bad enough, your threat-detection system isn’t the only thing that’s making your
brain reactive. There are also certain hormones being released in your brain in adolescence that interfere
and steer you down paths that may not be the most helpful at this time. These chemicals stir up your
brain’s reactivity and make things even harder.
NEUROTRANSMITTERS
Neurotransmitters are the chemicals that allow your brain’s cells to talk to each other. These chemicals
zip down your brain’s neurons until they reach the end of the cell, at which point they literally squirt a
chemical message across the synapse (the gap between neurons) to the neurotransmitter on the other
side. They are fast moving and effective communicators in your brain.
Researcher Dean Burnett uses the following analogy to describe neurotransmitters in action. He
imagines them like old-fashioned warriors on horseback. They race down pathways trying to get
information to other members of their military, but they are limited by geography. The horseback warriors
run into cliffs and ravines. They must therefore tie the message to an arrow and shoot the arrow across
the ravine to where the next soldier waits to pick it up and move it forward (Burnett 2018).
Dopamine, for instance, is a neurotransmitter that can be seriously helpful. It makes you feel good for
doing things that are good for you. If you’re thirsty and you drink water, you get a little dopamine hit. If
you stick with a hard project and complete it, you get a dopamine hit. Dopamine is like your friend who
cheers you on and encourages you. Of course, you also get a dopamine hit if you eat twelve doughnuts in
one sitting, so the friend quality can sometimes be in question.
In puberty, your base dopamine levels are highest at the early stages, but by age seventeen they start
to decline. In a 2013 program presented at Cornell University, Dr. Lawrence Steinberg said that there is
no other time in your life when things will feel as good as during early to middle puberty (ages fourteen to
seventeen). You have so many dopamine sensors that experiences can feel truly awesome. And, because
things have the potential to feel so amazing, you seek out experiences that make you feel good.
Unfortunately, these ages are also the riskiest time of your life for precisely the same reasons.
In one of the many ironies of adolescence, you get a bigger hit of dopamine for doing new things—
seeking experience. What this means is that you get less reinforcement for mundane everyday tasks that
you actually need to do (homework!), and you easily feel bored. But, if you do something crazy and risky,
you get more dopamine rewards than at other times. Basically, you get less positive reinforcement for the
necessary and more negative reinforcement for the fun (Siegel 2013). This is a bummer because your
brain really wants reinforcement right now, and it seeks ways and places to feel good.
This period is risky because your brain wants to feel more positives than ever before. It pushes you to
seek new and novel sensations, and you get big rushes of dopamine when you do things that feel good. At
the same time, your PFC isn’t really connected well (remember the floating city) so your brain has a more
difficult time controlling emotions. Your brain can feel amazing because of all the dopamine sensors, but
remember that when you’re feeling that awesome experience, you also have to consciously think through
what you’re doing and make sure it makes sense. As always, easier said than done.
Dopamine is just one of the neurotransmitters in your brain. Another significant one that also is in less
supply in adolescence is serotonin. For whatever reason, serotonin levels shrink when you go through
puberty. This is a serious problem as serotonin contributes to helping you manage anxiety, stress, and
your overall mood. When serotonin levels dip, it gets much harder to avoid feeling anxious and stressed
much of the time. Serotonin is lowest between ages fourteen and seventeen, but it does start to climb
again as you move closer to eighteen.
Finally, melatonin, another neurotransmitter, does a major shift during puberty. Melatonin helps us
regulate sleep, and in adolescence it suddenly causes you to stay up later. Literally. Melatonin releases in
your brain up to two hours later in your teen years. You may have noticed that as you got older you had a
harder time going to bed early and felt more tempted to stay up late. This isn’t just you. It’s a
characteristic of adolescence. Thanks to melatonin levels, the teen brain undergoes a true shift to staying
up later. This makes it very hard when you have to get up early for school, and it is one of the many
reasons school should have a later start time for teens, but more on that another time…
So now you’ve got a basic background on your brain. It’s oversimplified, and it won’t help you much
with a bio exam, but it’s enough to start you out on learning what you can do to help your brain. I’ll be
referring back to the parts discussed and also introducing new brain parts and functions as we move
forward.
Next up: we’re going to look more closely at the thinking parts of the brain (the PFC) and CBT, an
intervention that can help you work with your thoughts and behaviors to feel more in control. In fact, CBT
can actually change your brain. Of course, any skill, thought, or behavior you practice consistently can
change your brain, but CBT is a researched way of making some cool changes.
You aren’t imagining it. Your feelings are much bigger and much more intense, and happen quicker than
before. This is an awesome gift. An overwhelming gift. You get to truly feel alive. But it is also a burden to
have to feel things so deeply.
Feelings are information. It’s as simple (and as complicated) as that. When you experience a feeling,
your brain is interpreting your body’s biochemical responses to a situation. In that way, feelings are
messages from your brain and body to pay attention to what is going on inside you and around you.
Our feelings activate different parts of our brain. When you have big and intense feelings, your
amygdala gets activated. The amygdala is part of your limbic system, and the limbic system is all about
emotion, reaction, memory, and keeping you safe. And the amygdala is the part of the limbic system that is
in charge of managing threat through the fight, flight, or freeze system. So if you experience an emotion
in a big way, your amygdala (and the rest of the limbic system) gets turned on.
Again, your amygdala wants to keep you safe, so it tries to figure out if this feeling or emotion is
signaling some type of threat. If this emotion is letting you know about a threat, the amygdala
hyperfocuses on the threat to encode it into memory and protect you from this threat in the future. In
other words, the more emotion is in a memory, the more likely you are to remember it. Which is why we
remember the bad memories so clearly. Our brain wants us to learn from them, so high-emotion
experiences get stored more deeply.
I imagine the amygdala as a little almond-shaped army general whose eyes shoot bright green lasers
that lock on to the threat. The general is solely focused on this danger so that it can take in all the
information about it, remember it forever, and thereby keep you safe. But as the amygdala literally laser
focuses on the threat, all sorts of other things are happening in the background. The teacher may be
talking about an upcoming final exam, kids might be whispering to each other, and your brain is,
unfortunately, hyperfocused on the paper in front of you, missing everything else around you.
The other problem, and the bigger problem, with this hyperfocus on threats is that the amygdala and
PFC can’t both be working fully at the same time. If the amygdala is fully active, the PFC is not. When the
amygdala gets turned on, every other part of the brain defers to its decisions and judgments; everyone
follows the general’s orders and does exactly what they’re told. The PFC is essentially turned off until the
amygdala calms down. The PFC can’t do good work when it’s constantly interrupted by the general
shouting orders to stand down.
Right now, your amygdala general is perceiving all kinds of situations and experiences as true danger.
This perception is inaccurate. Your amygdala is overreacting to situations because it is more sensitive and
less connected at this age. We have to figure out a way to get more accurate information to the general.
We need the general to be able to know whether something is a real threat or just feels bad in the
moment. This requires the general to understand a very important fact. Feelings lie. Feelings are not
always accurate.
FEELINGS LIE
I know, this sounds weird. We’ve all been told to “trust your gut” and “listen to your inner voice,” but in
reality, this doesn’t always work. If you’re worried about going to a party, you’re not sure who is going to
be there that you know, and you feel scared, is that feeling really accurate? Is there a true danger in going
to the party? It’s unlikely that the fear you feel is justified by a true threat to your safety, but you
nonetheless feel scared.
In CBT, we challenge the idea that feelings are always accurate. In fact, we think a lot about how
feelings can be misleading. One psychological test evaluates anxiety by listing a bunch of words on a
paper. People who have anxiety are more likely to see words like “cancer,” “murder,” or “death” before
people who don’t have a problem with worry. The idea is that if we look for something, we find it. And
when our brain is always looking for anxiety, it will find it. The same is true when we’re sad. We often see
and feel things as much worse or more difficult than they actually are. And when we act on those
mistaken feelings, we behave in ways that are counterproductive. For instance, when we’re sad, it feels
better to lie on the couch in our sweatpants than it does to do schoolwork. That’s also not very helpful;
often, the work we haven’t done piles up and becomes unmanageable. Looking at feelings realistically and
factually (trying to find the evidence for them) is a crucial way to work on this skill.
There are specific ways that feelings can lie or mislead, and we call these types of ways cognitive
distortions. Our thoughts get distorted in ways that are strikingly similar and predictable. If you google
“cognitive distortions,” you’ll get a whole list of ways that our brains trick us into believing something is
true—even when it isn’t. Cognitive distortions are thinking errors, and we all make thinking errors.
Here’s an example: Alex, a fifteen-year-old, gets his AP history test results, and he got a D. He thinks
to himself, I always mess up. I always get bad grades! If we look at the facts, Alex rarely gets bad grades.
In fact, he does extremely well in school. But in this moment, his thoughts have tricked him into believing
this happens all the time. This type of thinking error is called an overgeneralization.
If Alex were to have a different thinking error, one called mental filtering, he would see only the bad in
a situation and filter out the good. For example, Alex’s teacher tells him that she wants him to represent
the school for a science project, but only if he can revise his experiment a little first. Alex’s first thought is
not WOW! I’m being asked to represent the school! His first thought is I must have done something really
wrong. I have to revise my project? I messed up. Mental filtering is when we get a lot of good information,
but instead of focusing on the good, we find the small negative details and make those the focus of our
attention.
Everyone makes thinking errors. Everyone. The nice thing about cognitive distortions is that they are
universal. It isn’t just you who has thinking errors, it isn’t just teens. Every single one of us has thinking
errors, and if we can learn the most common ones, we can often catch them and change them. We’ll talk
about automatic thoughts in later chapters, but cognitive distortions can often be a tool for understanding
how thoughts and feelings can mislead us. Remember, just because something feels true doesn’t mean it
is true. What are the facts?
Once you have the basic facts, try asking yourself a few more questions. In this case, I would want to
know:
If you don’t see anyone else, and if no one is directly looking at you, is it realistic to assume, based on
the facts, that at worst two people were giggling at you, and at best, no one was? My guess is your
feelings are tricking you. Anxiety is notorious for making things seem bigger and worse than they really
are. If your feelings are inaccurate, how does that change how you think about the situation? Does it help
to remember that this feeling is temporary and will end? And, if you were to give presentations regularly
(as in every day) for a couple of weeks, what difference would that make in how you felt right now? Would
you perhaps habituate to the anxiety that giving presentations causes you?
Again, anxiety—or anything you feel—isn’t always accurate. You might be looking at the situations
you’re in in ways that are a little distorted. And how you feel is influenced by other factors, too, like
whether you’re well rested, whether you’re eating well, exercising, and taking care of yourself, and the
kind of support you have from others.
So now you know that feelings are information, and if you interpret your feelings and the situations
that cause them more accurately, you can choose how to respond. And you can choose to respond in ways
that are helpful in dealing with the situations you’re facing and not so amygdala driven. Let’s explore a
technique you can use to put these insights into practice, called name to tame. I imagine you’re rolling
your eyes as you read that, but it’s a legit strategy. The process of identifying, naming, a feeling is an
essential part to managing it.
NAME TO TAME
The first step to managing emotions is to be able to identify what it is that you’re feeling. This may sound
ridiculously simple and even a little patronizing. Let me explain why this matters and how it works.
In some ways, your amygdala (and your limbic system in general) is like a toddler. You’ve probably
seen a little kid screaming and flailing around at the store or at a relative’s or friend’s house. They are
bright red, inconsolable and completely irrational. It’s a little disconcerting to watch a full-blown toddler
tantrum. It’s intense, visceral, and overwhelming. And, as uncomfortable as it is to see a toddler lose it,
imagine if an adult lost it this way. It would be downright scary.
Toddlers are known for their temper tantrums; it’s developmentally appropriate for their age. Toddlers
have very limited language. They don’t have the words to say “I absolutely must have another cookie
because the first one was so delicious, and I can’t imagine not having a second.” Instead, they feel the
emotion and express it without language. It isn’t pretty; all that raw emotion without language can be
misunderstood and is very off-putting to those who witness it. And it also isn’t very effective at getting
toddlers what they want. Unfortunately, sometimes emotional experiences in adolescence can feel the
same: big emotions and no words to describe them. That’s when the amygdala is in charge.
Naming is a very human way of differentiating things. When we name something, we make it
personal, unique, or just easier to recognize. If you were at the dog park and your pup, Scooby, was taking
another dog’s toy, you would probably yell “Scooby, drop it!” What would happen if you just yelled “Drop
it!” out loud? I imagine a lot of confused dogs and owners would be staring back at you. It’s important to
name your dog so that he understands you’re talking to him. The same is true for emotions. We have to
name them to identify them.
None of your feelings are named Scooby (I hope), but they do all have names. Specific names that
describe them. Jealousy is often called the green-eyed monster because it feels so strong and powerful.
Anger is often described as fire or flame because of how quickly it can ignite and spread. The names of
the emotions tell us about what we’re experiencing and give us and others an idea of what the experience
is like.
Emotions often arise from the limbic system. Emotions, by their nature, are intense. And while we give
them simple names, they’re quite complex. For instance, the anger you may feel at someone else is
different from the anger you may feel toward yourself. And sometimes we may feel different, even
conflicting emotions at the same time. For instance, we might feel joy when we win a game, combined
with sadness or even guilt for the friend of ours who was on the losing team. Emotions can be hard to
understand, and, as a result, they are often misinterpreted or misinformed. So we need to get the PFC to
help us understand emotions and get a handle on why and how they have their power.
Often, the best way to do this is to put words to what you feel. Marc, a teen I know, regularly writes in
a journal on his phone about what he is feeling. I encourage Marc to do this because (1) he finds it helpful
and (2) I know that exploring emotions through writing (and language) is a great way to manage them.
Once we bring words and language into the experience of the emotion, we can start to process and
understand the emotion rather than just riding its existing wave of energy and momentum. We move out
of the tantrum and into an understanding of what we’re feeling and why we’re feeling it.
There is no doubt that therapists love to get kids to identify their feelings, but there is real research
behind the idea that naming our emotions helps to tame or manage them. Researchers at UCLA used an
fMRI (a machine that shows brain responses in real time) to show the effect of labeling emotions. They
showed angry faces to participants, and when participants were able to simply identify that the face was,
in fact, an angry face, the amygdala had less activation (Torres and Lieberman 2018). When the amygdala,
and limbic system in general, are less revved up, the PFC gets more involved and helps us respond
instead of reacting. The researchers compared putting emotions into words to hitting the brakes at a
yellow light. You get time to stop before moving into danger.
In another study at UCLA, researchers looked at how we overcome fear. Participants were asked to try
to touch very large, very hairy, and very creepy spiders. Most people did not want to do this, and they
struggled with the task. The researchers found that when the participants were able to name and describe
their emotions (“I am so scared, this spider looks terrifying!”) they were much more likely to be able to
actually touch the spider (ew!). The act of naming our fear helps us move out of the pure emotional
reaction (think temper tantrum) into a more conscious PFC-friendly state (Kircanski, Lieberman, and
Craske 2012).
Naming emotions sounds easy, but, as with most things, there is effort and practice involved. The first
step is to recognize what you’re feeling. I don’t know about you, but there are times when I’ve been crying
and assumed I was sad. As I thought it over, however, I realized I was also angry. Tears didn’t just equal
one emotion, they reflected several. Learning to recognize the emotions we’re feeling and name them is
tricky. But the more you do it—actually pause when you’re in the grip of a strong feeling and think about
exactly what it is you’re feeling, doing your best to be specific—the better at it you will become.
When my oldest daughter was little, we went for a walk in the woods. We got to a creek, and she kind of
freaked out. She was scared to go across, she thought she would slip and fall, and she couldn’t figure out
where to put her feet to make it across the rocks. Eventually we made it over, and we soon came to an
unexpected steep cliff (maybe not a cliff, but a really steep drop) that we had to scramble down, using our
hands as much as our feet to make it safely. Whew! It was scary, but we were fine. We got to the bottom,
kept walking, and had a great time.
On our way back, we crossed the same creek that initially had scared her so much. She didn’t even
hesitate to cross it—just skipped right over the rocks. When I pointed out to her how well she had done,
she didn’t believe it was the same creek. Of course it was, but the other, steeper and scarier, parts of our
walk had changed how she viewed this creek.
This is the idea with CBT. It’s not the situation, but rather how we view the situation. The creek wasn’t
the problem, it was her thoughts about the creek that got in the way of her crossing it. We know this
because when the scary thoughts weren’t present, she skipped right over it without a second glance.
POWER THOUGHTS
So we can replace negative thoughts with more reasonable thoughts. Not with thoughts that are
ridiculously positive or upbeat, but with reasonable, helpful thoughts. If we can replace negative thoughts
with more helpful thoughts, can we also just add in new thoughts on their own? Thoughts that are helpful
but don’t necessarily replace anything? Yes! Absolutely!
Power thoughts, or coping thoughts, can be enormously helpful. You don’t have to build these
thoughts solely as a response to a negative, opposing thought; rather you can build these thoughts
preventively. You can create a reserve of thoughts that empower you, and make you feel confident and
strong. This reserve is something you can hold on to and look at both in times of comfort and times of
distress. And the more you practice these power thoughts, the stronger the neural pathways and the more
accessible the thoughts.
What’s your favorite quote? I’m a huge fan of inspirational quotes, and I even had some put onto a
keychain fob that I carry around with me. One of my favorite quotes is from a Clive James poem:
“Remember this day, it’s already melting.” That’s a quote I use when I want to savor an experience. It
reminds me that our days are short and time is precious. Or when I want to keep going even though it’s
really hard and it would be easier to just quit, I’ll repeat to myself (and this is a little embarrassing) “Just
keep swimming.” That quote is from Dory in Finding Nemo. Silly, but it works to motivate me. What are
the quotes that motivate you, and when do you use them?
Once you have your quotes identified, and you know when you want to use them, choose your favorite.
Write it down, make it look awesome, and carry it around with you—maybe as a note or a reminder in your
phone, or on a sticky note you put on your bedroom mirror where you can see it in the mornings, or on a
little ornament you can put on your keychain. Start reading your quote to yourself in different settings
(you’ll learn more about why this works so well in Chapter 7) and in different emotional states (you
already know why this works), and make sure to repeat it to yourself multiple times throughout the day.
You’ll know the neural path is getting established when the quote comes to you unbidden when you need
it. That is proof not only of the power of plasticity but also of the power of your effort.
Thoughts matter. A random bizarre thought is no big deal, that’s normal and it happens to everyone,
but thinking the same negative things over and over is a problem. We end up inadvertently strengthening
those thoughts (remember, what fires together, wires together). We don’t mean to do this. No one wants
to reinforce the negative, but we actually have to deliberately work at building the positive neural
pathways. Luckily, this is possible. You can do it. So start catching and changing those thoughts, build up
your power thoughts, prime your brain for happiness, and savor experiences.
When you learn to catch thoughts, you can start to change thoughts. You can also recognize your
negative thoughts and learn more about what’s bringing you down. Stress is one of the biggest feelings
you have to manage in the teen years, and your thoughts can make that stress bigger or they can help you
hack into the stress energy and use it to your advantage. Knowing how to work with your thoughts makes
a big difference in how you manage your stress.
Read on to learn more. Using a mix of CBT and neuroscience, you’re going to find out how to change
your entire perspective on stress so you can move out of anxiety and fear and move into doing what you
want to do.
CHAPTER 4.
The good news is that stress can be helpful. Really. Stress can motivate you to complete a project, meet a
deadline, and run faster in your track meet. The bad news is that too much stress can be a problem. The
teen brain is very vulnerable to stress. Stress can actually shrink some of the cells in the hippocampus
and amygdala, causing memory loss and increased reactivity. The even worse news is that social stress
(stress about friends and fitting in) is at its absolute highest levels during adolescence (Shellenbarger
2016). But there are ways to think about stress differently that can actually change how your brain and
body react to it.
The experience of stress is temporary, and when you understand your stress response better, you can
navigate it more effectively. You can even learn to use it to your advantage by thinking of stressful
situations as challenges rather than stressors.
Another major stress response, again defined by Dr. McGonigal, is the tend-and-befriend response.
This response involves seeking out others to assist you with whatever is causing your stress. This kind of
connection with others actually produces oxytocin, which causes you to feel a little more courageous and
a lot closer to the people around you. Dr. McGonigal hypothesizes that this response served an
evolutionary process in encouraging our ancestors to seek out others and thereby build their community
and safety network. In today’s world, it can help you build the kinds of friendships and connections that
can help you deal with things that would otherwise be very challenging (McGonigal 2015).
I can still clearly remember my tenth-grade driver’s ed class. Mr. Sutton played movies for us with titles
like Highway of Death and The Road to Your Grave. (Okay, I made the second one up, but it’s not far off.)
The images of gory accident scenes were meant to scare us into understanding the risks of speeding or
driving while distracted. And these images may not have changed my driving habits (more on that later),
but they certainly stuck with me.
The reason for the graphic images in driver’s ed classes is because adults hope to scare teens into
acting with caution. Adolescence is the highest risk time for death by accident, homicide, or suicide
(Steinberg 2014). And car accidents in particular are by far the biggest cause of death in adolescence,
accounting for well over two thousand deaths in 2018 alone. This breaks down to more than seven teens
per day dying in car crashes and hundreds of teens being injured on a daily basis (CDC 2020).
But the issue isn’t that teens don’t understand the risks of, say, driving super fast; you actually do
know that certain behaviors are more dangerous. Your brain is excellent at reasoning, and by your late
teens your memory and intelligence will be equal to your adult level (Steinberg 2014). The problem is that
even though you know this, you still are drawn to the risky behaviors. Your brain is seeking positive and
new experiences and feelings.
We can blame dopamine for this pleasure-seeking drive in adolescence. Our PFC and limbic system
are always in communication, however imperfect (because they are not fully wired yet). The limbic system
creates the emotional response to a situation, and the PFC helps decide how to respond to that situation.
The PFC keeps us from chasing after every butterfly flitting by (or whatever it may be that tempts us), but
the limbic system can up the ante by increasing the strength of the emotions we experience. The stronger
the emotion, the more likely we are to follow it. And some people just have limbic systems that seem to
feel things more. As a teen, your limbic system feels things intensely. It is constantly challenging your PFC
by insisting that big feelings be given a level of importance. So what’s the PFC to do?
Let’s dig into this relationship between emotion and reaction or risk and reward in the teen brain so
we can figure out why risky things feel so tempting to you right now—and how you can navigate this so
you can learn to try out new things, which is part of being a teen, without taking on dangerous risk.
Luckily, Helen knows the basics of CBT, and she realized that if she could start catching, checking,
and changing her automatic thoughts, she might be able to get more information about what was going on
for her personally. She also might be able to use them to get her PFC working a little more. So Helen
thinks back to that night and that drive. She’s not 100 percent certain of the exact thoughts, but she
thinks they were something like: This is amazing. I want to make this night awesome for everyone. I want
them to want to hang out with me all the time.
There are some good parts to those thoughts, but can you also see where the challenge is? If Helen is
feeling so good, if she attributes this “so good” feeling to driving fast and reckless, does that mean she
needs to do that whenever she wants to feel good? It sounds almost silly, but actually, yes. Your teen brain
really wants dopamine. If it feels like fast driving is the way to get it, then it will push you to do it again
and again. When you hear about people “chasing the high,” it means chasing the good feeling. At no other
time in your life will your brain be so vulnerable to starting habits that involve chasing that high.
You probably noticed the other automatic thought that Helen remembered: I want them to want to
hang out with me all the time. If I were with Helen, I would want to hear a lot more about that thought. I
can’t be sure, but it kind of implies that she doesn’t think they do want to hang out with her all the time.
When you have this happen, when you catch an automatic thought that seems to have a bigger or deeper
meaning, it’s time to explore it. Write it down (the act of writing engages more of your brain, from your
lovely PFC to the parts that control hand movements, the speech center, and more) and ask yourself: What
would it mean if [insert the fear the thought seems to imply and what it would mean about you]. So
Helen’s thought I want them to want to hang out with me all the time might be phrased like this: What
would it mean if they didn’t really want to hang out with me? What would that say about me?
As Helen thought this over, she started to realize that she does worry about her friends really wanting
to be with her. Sometimes she feels like she’s on the edge of the group, not fully in the group. And she
worries that they really don’t want to hang out with her because she’s kind of introverted and boring. Let
me be clear—Helen is introverted, but she is not boring. Nonetheless she feels boring, and she worries
that kids think that about her.
This is great insight on Helen’s part, and something we want to explore further, but it also lets us
know a couple of Helen’s vulnerabilities. She is worried about being boring, which she might try to
compensate for by doing things like driving too fast. And she is not sure she fits in with her group. Which
means she’s more vulnerable to doing things that she thinks will make kids like her more. This is not bad.
Helen is not unique or unusual. She struggles with things most teens struggle with, and it’s totally okay
and normal. What’s different about Helen is that she is doing the work to figure out where she is
vulnerable so that she can shore up that area and not give in to these risky impulses without thought.
Helen’s story illustrates the complicated nature of the brain and risk as a teen. You already know
about peer influence, and her story gives a glimpse as to how that happens. Peers actually do make a big
difference in how you will act in certain situations, and the next section looks further at this.
RISK ALONE VS. RISK WITH FRIENDS
You are significantly more likely to do something dumb if you are with friends. I once asked a fifteen-year-
old boy I work with if he would ever jump into the Potomac River (a big, dirty river near where I live in
Washington, DC). He laughed and said, “No way!” (A favorite science experiment for kids in the DC area
is to show the levels of E.coli in the water—it’s never a low number.) I then named five of his friends.
These were kids he talked about a lot, and the kids he tended to hang out with outside of school. “So if A,
B, C, D, and E all jumped into the river in some silly prank, you wouldn’t do it?” He laughed again. “Okay, I
might if we were doing it together.” If he had really thought that through, he probably would have caught
himself (we all resist the idea that we’re influenced by peers), but he answered quickly and honestly. We
all are more likely to do something if others are doing it, but you, as a teen, are much, much more likely to
do it. And without foreknowledge, you won’t even realize that you’re doing it. It just seems so normal and
natural.
Have you had this experience—being tempted to do something because it was new or fun, even if you
knew it might not be the best or safest thing to do in that moment? We all have this experience
sometimes. The key, as always, is to slow down long enough to really understand what you’re thinking and
feeling in such moments, and then to realistically observe the situation you’re in, in order to make a
conscious choice about how you want to act, beyond what your ventral striatum is driving you to do.
Obviously I’m making this sound much easier than it really is, but I think you get the idea, and I’m sure
you’ve done it before. Think back to a time when you did slow down your reaction (and were so glad that
you did!)
And there are other ways to hack your overactive reward system. Focusing on what you value in life
can help you decide if a particular behavior is one you actually want to do—if a particular risk is one you
want to take. You have your own moral compass, and that still works, no matter how active your ventral
striatum may be. It takes a conscious effort to check in with yourself about what you believe and what you
think is right, but it’s an effort worth making.
Be aware, the teen brain can be manipulated, and people always seem ready to try. It is no accident
that cigarette and vape manufacturers target teens; the teen brain is a vulnerable target in the world of
advertising. If you can stay true to your core values despite the pressure, you will tend to feel happier. For
example, teens were less likely to smoke if they were told that secondhand smoke harms those around
them; trying to scare them with pictures of gross lungs was ineffective. And, in the same vein, teens were
more likely to eat healthy if they were told that big food companies were trying to manipulate them into
eating junk food through ads and other media. In other words, if you can connect the behavior you want
(to exercise or eat healthy) to some broader social value you hold, like your love for your family or your
desire to make your decisions for yourself rather than for a company who wants you to behave a certain
way, you will be more successful (Blakemore 2018).
Another strategy for reducing your likelihood of risk is to challenge yourself not to do what you’re
tempted to do. That is, to use your self-talk. I have the hardest time talking teens into using this most
helpful strategy, and the main reason is because it’s “too basic.” But sometimes there’s a reason why basic
things work. Self-talk is one of the most effective strategies for changing your thoughts and your behavior.
Helen from the previous section might use self-talk like this: “Helen, you want these kids to like you. You
want to prove you’re not boring, but you can do this in other, safer ways. Remember that time you guys all
walked around downtown and just laughed and told stories? That was just as fun as the time you guys
spent driving. Helen, they do like you (they hang out with you all the time), and you don’t have to keep
proving it.”
That’s one example, but now let’s look further at self-talk. It’s one of my personal favorite strategies
(“Elisa, keep writing. Do not pick up your phone. Stay focused and write. You can do hard things.”) and my
hope is to convince you to give it a try. The next section looks at self-talk and how it works.
TALKING TO YOURSELF
Self-talk is quite literally talking to yourself. No matter whether or not we admit it, we all talk to
ourselves. But my experience is that teens often talk to themselves in a very negative way. Remember the
core beliefs we talked about in Chapter 1? The beliefs we hold about ourselves, others, and the world?
Often these beliefs show up in the way we talk to ourselves. If you have the belief that something is wrong
with you, that you are defective in some way, then you might have thoughts like I can never do anything
right or I always screw up.
Here’s the weird part. Sometimes we aren’t even aware that we’re having these automatic thoughts.
Automatic thoughts are just below the surface of our awareness, and they reflect something about
ourselves. When Helen dug into her automatic thoughts, she realized she was taking risks because of
deeper fears about fitting in or being thought of as boring.
If you start to notice your automatic thoughts, you will probably notice that they are not the most
positive. It’s surprisingly tricky to notice your thoughts, and I often ask teens to think back on an event
and guess what their thoughts might have been. Ideally, you catch automatic thoughts in the moment, but
looking back works if you’re having a hard time coming up with any.
We want to know the automatic thoughts that come up when you’re struggling with something,
embarrassed, or having some negative emotion. Notice what is going through your mind—write it down or
record it. Once you get used to catching these thoughts, you can start to find patterns. Maybe you always
tell yourself that you’re “weird,” “awkward,” or “embarrassing.” Or maybe you start to realize that you
actually call yourself names and criticize yourself. One kid I know routinely tells herself she’s an “idiot,”
“clueless,” or just “not smart at all.” She would never talk to another person that way, but she regularly
speaks to herself like that.
Self-talk is a powerful tool that can be used to engage the PFC, while making some of these age-
appropriate brain tendencies less mindless. In other words, your brain is going to do what it wants to do
right now, but you actually can change both your brain itself and your behaviors by using self-talk. When
you deliberately tell yourself what you want yourself to do (I know, it sounds nuts) you pull in the PFC and
move out of the limbic system’s overreactions.
What about you? What risky things do you sometimes feel tempted to do? And what could you say to
yourself in such moments to slow down and pull yourself out of amygdala-driven behavior and back into
your PFC? Try to avoid judging yourself for wanting to do risky things. As you’ve seen, it’s normal to want
to do them at your age. What’s amazing is that you’re actually working on ways to avoid giving in to those
impulses.
Take a minute here to write down or think through things you could say to yourself if you start to take
risks that don’t fit with your beliefs and values. Self-talk works best when you’re kind, compassionate, and
instructive, so take it easy on yourself as you go through this. If you get stuck, think about how you would
talk to a friend who was in the same situation. This is a good rule of thumb if you’re someone who tends to
talk negatively to yourself. Asking yourself How would I say this to ____ can help you notice the negativity
and switch it up to more productive and effective self-talk.
I witnessed self-talk in action when I was teaching my son to drive. Unlike his big sister, who just took
off when she learned, he started talking out loud to himself. He repeated instructions—“Turn on the
clicker here, good, you’ve got this”— and he also praised himself. I’m not sure he was even aware that he
was speaking out loud until I noticed it and complimented him on it. Of course, that was a rookie mistake
on my part, and he completely stopped talking aloud after my comment, but my hope is that he continued
talking about it in his head.
There’s good research showing that self-talk helps you control your emotions, your thoughts, and your
behaviors—but you have to do it the right way. Researchers at Michigan State University actually studied
the way it works best. Referring to yourself by your name (rather than using “I”) activates your medial
prefrontal cortex (remember, the PFC is the thinking part of the brain), allowing you more control.
These researchers were interested in how other people speak to each other, and they noted that when
we talk to others we invariably use their names to attract their attention. They theorized the same would
be true when talking to ourselves, and the research was able to show that a third-person approach was
more effective than generic self-talk. When we use self-talk effectively, we lower our heart rate, stress
response, and become more in control of our emotions. We activate the PFC and pull ourselves out of the
amygdala’s path (Kross et al. 2014).
Self-talk is so important because it keeps your thinking brain on, reducing risk in the process. As you
may have noticed, we’re constantly looking for ways to keep your very awesome PFC engaged and alert.
Positive and instructive self-talk is a fairly easy and straightforward way for you to keep yourself in the
moment and aware of the risk and the reward. Which is good, because as a teen you’re going to face risks,
and your dopamine is going to want you to say “Yes!” to risks that may cause harm.
A VULNERABLE BRAIN
It’s easy to think Kids have been doing this stuff forever, and most kids do just fine. But as an adolescent
therapist and the mom of three teenagers myself, I am surprised by the danger of even small amounts of
drinking and drug use. This is truly new and terrifying research. It’s also true that the risk of dying from
an accident in adolescence is two to three hundred times more likely than it is when you’re a child or an
adult (Steinberg 2014). And, even if people in my generation did this and survived to tell, I find myself
wondering if IQs were reduced during that time.
Your brain is seriously vulnerable to the effects of drinking and drugs right at the time that it is most
invested in seeking rewards, like the pleasure of a new, cool experience or the respect and approval of
your friends. This seems unfair and illogical, but it is what it is. Recent reports show that 40 percent of
American high-school students drink every month and up to one-fifth of those teens binge drink each
month. Adolescents still get in cars with teens who have been drinking and let them drive. Increasing
numbers, some around 25 percent and some higher, report smoking marijuana at least monthly, 20
percent still smoke cigarettes, and around 35 percent vape regularly (Steinberg 2014).
What’s your experience? Have you been around kids who drink and use drugs? Have you felt pressure
to use when you weren’t sure you wanted to? Used because you wanted to? This is a great moment to
think about your relationship to drinking and drugs. If you do use, are you more likely to use in certain
situations or with certain friends? Do you ever worry about how much you use? If you don’t use, why not?
What keeps you grounded so you don’t feel the need? Is that something you can put into words and hang
on to?
Adolescents understand risk. If you ask “How risky is having unprotected sex?” they will universally
say that it’s risky. But, if you ask “How would you compare the benefits of unprotected sex with the risks?”
you will get different answers based on the age of the kid. Dr. Steinberg found that teens aged fourteen to
seventeen are much more likely to respond that the benefits of unprotected sex outweigh the risks
(Steinberg 2013). In other words, having unprotected sex is so pleasurable to the adolescent brain that
even though they fully understand the risks (disease, infection, pregnancy), they may still choose the risky
behavior.
The key to hack your brain’s attraction to reward is, again, to know your values and what you really
want—and to be aware of your thoughts in moments of temptation, and the thinking traps you might be
falling into. The tools you’ve learned in this book will be helpful to you in doing this!
Despite understanding risk, adolescents really, really like rewards. Given a choice between a
guaranteed five-dollar reward or a 50 percent chance to win ten dollars and 50 percent chance to come
away with nothing, most adolescents will take the gamble. Adults will almost always choose the sure thing
(Reyna et al. 2011). Do you see the problem here? Even though you intellectually get the cost of a
behavior, you’re more likely to take a dumb risk because you want the good feelings.
You, as an adolescent, feel rejection by peers deeply. In fact, there is no other time in your life when
you will feel rejection as strongly as you do right now. This part of your brain, the part that manages this
distress, is still developing, and it causes you to be particularly sensitive to peer rejection or exclusion
(Blakemore and Mills 2014). This actually leads to more risk-taking behaviors. Because you have a strong
incentive not to feel so bad, you’re more likely to do risky things in order to get your peers’ approval.
Combine this with a ventral striatum that is actively seeking reward, and it’s a tough combination to
manage.
The next chapter will go into the friendship and peer factors that influence your brain. It will break
down the responses you’re most likely to have when you interact with your peers and what motivates
those, and you’ll learn how you can build the friendships and connections to others you need to handle
your stress, feel good, and do whatever it is you want to do with your amazing teen brain.
CHAPTER 6.
Friendships in adolescence are different. When you were younger, who your friends were probably had a
lot to do with where they lived, if your parents knew each other, or what activities you did together. As a
teen, it’s not as easy, in ways that are both good and bad. You may have more choice in whom you hang
out with—and that might make the task of finding the people you really fit with and feel good around
harder, not easier. A lot of kids miss the simplicity and security of their old friendships, but they also
recognize that their new friendships are deeper. In fact, one of the things most teens want from a friend is
the ability to share secrets, and to trust completely (Way 2013).
Of course, relationships that are this deep and intense can also affect you very deeply and intensely. In
one study, kids ages ten to twelve said that friends were important, but that their self-worth wasn’t
affected by what their friends thought. Fast-forward and ask the same question of a group of thirteen-to-
sixteen-year-olds, and it’s a very different response. The teenagers reported feeling more personal success
and self-worth when they were accepted by their peers. They also reported a greater sense of failure and
low self-worth when they were rejected (Blakemore 2018). It makes sense: your brain is growing in new
ways; your life is expanding in new ways; you’re trying new things and trying to figure out where you fit
in, where your niche is.
Research has shown again and again that for young people, having a reciprocated friend—meaning
you both like each other—protects you from some of the negative effects of stress or bullying. This is one
of those findings that makes sense. If you have a close friend, you have emotional support, you have
empathy, and you have some protection from things that often feel dangerous, like the judgments of
others.
Struggling to find a group or just not fitting in with your current group feels absolutely terrible. As a
teen, you actually feel loneliness and rejection much more strongly than you will at any other age in your
life. And your brain wants you to be in a group because “groups” mean “safety.” If you’re in a group, you
have people you can count on, people you can care for just as they care for you—which was important for
survival in the past and is important for connection in the present.
Your brain is so invested in your finding a group that it makes you feel acutely terrible if you’re alone,
and it may push you to accept friendship even from people who may not have your best interests at heart.
This isn’t very helpful or motivating, of course. You don’t usually want to talk to people when you feel
miserable, and no one likes to think that their friends may not actually be their friends. And your brain
may also give you a push toward kids you do like. This is a time to think about your friendships, the kids
who support you and who you support back. Friendships are one of the few things that show up
consistently on measures of happiness. Friends matter. But your brain has a secondary agenda here, and
with this knowledge you need to make sure you’re seeking friends who nourish and encourage you, rather
than kids who bring you down.
Having this information about how your brain prioritizes friendships right now lets you work on
prioritizing the type of friendships you want. You will feel a pull for friends, any friends, at this time in
your life (it’s those thoughts again), but you get to choose positive relationships. You can choose
friendships that aren’t about status as much as they’re about feeling safe and able to grow and change.
And, if you’re like many teens, you may realize as you read this chapter that you’ve gotten stuck in some
negative or even harmful relationships. Maybe you hang out with people who make you feel bad or even
bully you, just because you want to have someone to hang out with. Now you know that your brain is
pushing you toward relationships at any cost, and you can make deliberate and conscious choices about
what you really want.
FRIEND? OR NOT?
What are the qualities of a good friendship in the teen years? Some of the most desirable skills of
friendship include the ability to take another’s perspective, a sense of humor, impulse control (sounds
weird, but if you think about it, it makes sense), and empathy (Allen et al. 2012). And the most protective
factors good friendship can give you include a sense of security, someone to talk to, someone to learn
from, and someone to help you solve problems.
Do you have good, strong, reciprocal friendships in your life right now? Take some time to think or
maybe even journal about the ways in which your friendships are strong. You can also think about ways
you can be a better friend to the people you’re friends with, so that they can enjoy more of those
protective factors of friendship from your company, and so you can keep your friendships strong for years
to come.
Here’s another thing: friendships in adolescence are fluid. That means they can change. Hopefully you
have good friends in your life: people you can be yourself around, and who give you as much as you give
them. Everyone deserves those. But if you’re alone right now, that doesn’t mean you’ll be alone forever. In
fact, you can make changes right now. Often, it starts with finding your niche.
FINDING A PLACE
Niche groups—groups of people who share common qualities, like similar interests—start forming in
midadolescence, and knowing and owning your strengths helps you figure out which group you choose to
be in. Did you notice that word “choose”? That’s important because knowing about the way groups form in
adolescence means you get to have more control and more choice in how you proceed.
Let’s do a little self-research. Step one is to identify your strengths. List them all on a piece of paper—
even if you don’t think they matter. Collect everything you do and can do well and write these things
down. Once you’ve done this, go through and circle your favorite strengths. For example, you might be a
great piano player, but you just don’t care that much about piano, so you decide not to circle it. You do,
however, feel really good about your ability to get along with most people. (This is a real strength and it
counts!) So you circle it.
Once you’ve identified your favorite strengths, start brainstorming how to connect with kids with
similar interests. If you circled soccer, but you’re not up to the school team, is there a local rec league you
can join? If you circled art, but your schedule doesn’t leave room for an art elective, take a look at your
school’s club list and find one that relates to art. If you don’t think your high school has a club that meets
your needs, you can actually start one of your own. Most high schools encourage students to start their
own groups. (And, as a bonus, it looks good for college applications, if that’s something you’re thinking
about.) Whatever you try, know that this is where you get to take back the reins and start creating or
finding your niche group.
Ultimately, unconsciously going along with the status quo—with what other people think is popular—is
understandable and easy to do. Status is a thing—we all instinctively look at others to see how “cool” they
are. We measure how cool a person is using standards that are sometimes pretty shallow—like the way
someone is groomed (that’s a real thing!), how attractive we think they are, and whether they own cool
things. And we all sometimes try to change our behavior in ways that will make others see us as cool
people. This isn’t to say you should start posing for all your selfies in sexualized postures with lots of
luxury goods if you want to be seen as cool! But it does give you an awareness of your and everyone’s
tendency to unconsciously view certain things as higher status. Finally, everyone wants others to
recognize them as valuable and accepted. These tendencies are all part of the way we’ve evolved as
human beings. But, now that you know how it all works, you don’t have to let yourself get quite as swept
up in the flow. You can find the acceptance we all need without compromising your values or doing things
that don’t feel genuinely you. Again, the key is to know and own who you are.
How many times have you heard that line? It’s kind of weird, because the way your school success is
measured doesn’t really relate to how well you will do in college, or at a job. For example, for 88.5 percent
of kids, SAT scores are not predictive of college success; and there’s no correlation between GPA and
future job success (Achor 2010). And yet there is a very large correlation between GPA, SAT scores, and
college acceptance. This doesn’t make sense, but it’s all too real. Lucky for you, there are ways to learn
better and more efficiently so that if you have to play this game, at least you’re on a level field. It’s also
worth understanding how you learn, so you can keep learning and growing throughout your life.
The good news: Remember the ventral striatum? The part of your brain that is supersensitive to
rewards in the teen years? The ventral striatum considers getting answers correct rewarding. This means
that you can use your brain to motivate you. The more answers you get right, the more the striatum gets
activated. Once it’s activated, dopamine is released, you feel good, and you want to get even more right.
Your brain can learn more effectively and more efficiently. You just need to learn some tools and
techniques to hack into your brain’s powers. You will also need to resist the urge to repeat old ways of
studying that are not effective. This is probably the hardest part; for whatever reason, we humans love to
do the same thing over and over—even when it isn’t really working. So let’s take a look at how you can
learn better.
Take good study breaks. If you’re wondering whether there’s research on the best way to benefit from
study breaks, good news, there is! Generally, the research has shown that the ideal study break is twenty
minutes or less. One kind-of-obvious point is that breaks that involve video games or social media, or are
too long, often make it impossible to come back to your work.
In the very best case, a twenty-minute study break will involve either exercise or a short power nap.
Exercise during a study break is super-effective. Dr. Barbara Fenesi and colleagues did a study where
they looked at types of study breaks, and how the study breaks impacted attention, short term learning,
and long-term learning. They found that the teens who exercised during breaks performed better both on
tests that day and on tests in the near future. The kids who exercised also reported that they felt they had
better focus and understood more after their exercise break. The title of Dr. Fenesi’s paper was
appropriately named “Sweat So You Don’t Forget” (Fenesi, 2018). Why not give it a try?
Naps also help, but this is a tricky one. I know way too many teens who take long naps in late
afternoon or evening, and then stay up late to do homework. This is a bad strategy. It messes up your
sleep cycle and contributes to your always feeling tired. Naps should only happen before four p.m., and
they shouldn’t be longer than twenty minutes. If you can’t take a nap using those guidelines, you’re better
off avoiding naps.
Short power naps (under twenty minutes and before four p.m.) do help with memory. Dr. Sara
Mednick, a nap researcher, found that ten- to twenty-minute naps helped with memory, focus, and
concentration. Naps seem to give your brain a soft reset. You wake up feeling more relaxed, less anxious,
and more able to take in information (Mednick 2006).
Try setting smaller goals. If you’re struggling to stay on task as you study, try setting small goals that
you can get through in reasonable amounts of time. When your brain perceives that you’re getting close to
completing a task, it goes faster. In fact, the closer you get to meeting a goal, the harder you work and the
faster you go. This is called the gradient theory, and it comes out of the work of a psychologist named
Clark Hull. He initially did experiments with rats and saw that the closer they got to the cheese at the end
of a maze, the faster they solved the maze (Hull 1938). The same has proven true with people. If we can
trick ourselves into thinking we’re almost done, our brains work harder and faster.
Avoid just reviewing notes over and over. Surprised? This is the number one way kids tell me they
study. Just reading your notes over and over, like so many teens (and kids and adults) do isn’t effective.
This is more akin to cramming than anything else. Is there effort involved when you read your notes over?
Do you start to tune out after a while? This type of learning is easy, feels logical—and just doesn’t work.
Remember: we want your brain to work. Your brain holds information and keeps it when it has to
remember and think hard.
Rereading information involves pretty low stress and low effort. You aren’t having to test yourself, and
the answers are right in front of you. It’s very easy in this situation to say to yourself, Oh, I get this.
Rereading gives a false sense of security about learning and is one of the least effective learning
strategies out there. Called the fluency illusion, it’s exactly how we trick ourselves into believing that we
know the information that is literally available to us and right in front of our face. Now, let’s talk about
something else that does work—testing yourself and giving your brain a challenge as you go over material
you need to learn.
Test yourself. I know. This sounds awful, and, honestly, who wants to take more tests? Don’t you do
enough of that already? Unfortunately (or fortunately), this is one of the most effective learning strategies.
Testing forces us to organize the material in our brain, and it changes how we think about that material.
Science writer Benedict Carey calls this technique pretesting. Pretesting helps you identify what you
don’t know, and it also makes your brain work harder to pull information out of your memory. And, as you
now know, when your brain has to work to retrieve information, the information is more cemented in your
hippocampus. Your brain synapses are able to strengthen the memory (Carey 2015).
There are several ways that testing yourself actually makes you learn more effectively. The first has to
do with timing. The longer the delay between studying and testing, the better. As you know, cramming
doesn’t work because your brain forgets everything when it isn’t reinforced. But if you test yourself a
week before and then a few days before a test, you get a big advantage in learning (Halamish and Bjork
2011).
Testing yourself also helps if you can make sure to change up the language and style of the test. If you
need to be able to understand and explain concepts, then just memorizing the vocabulary or set answers
won’t work. When you change up your approach, you’re actually asking yourself questions about the
material. You are moving the information around in your mind and thinking about it with different
language. The more you do this, and the more effort you put into learning, the more the information
sticks.
Testing yourself can be as simple as using flashcards and asking yourself what the meaning of a term
is. Self-testing can be on an online quiz, the answers at the end of the chapter, or even a study guide. But
once you have those questions down, you do need to ask them in different ways and with different words
so you haven’t simply memorized the question and answer. Remember, the effort of retrieving memories is
the way we learn best. Don’t make it too hard but also avoid making it too easy. You want to work your
brain.
Give and get positive feedback as you study and test yourself. Positive interactions with other
people improve your performance. In one study, happiness researchers found that the quality of adults’
work improved when there was a 3:1 ratio of positive to negative interactions. In fact, in the highest-
performing work environments, there is a 6:1 ratio of positive to negative interactions. The researchers
found that positive feedback leads to positive change. They even found that outside of work when people
have three positive thoughts to each negative thought, they report being happier, more optimistic, and
more fulfilled (Fredrickson and Losada 2005). Pretty cool, right? So, try going out of your way to support
others and to allow yourself to be supported and complimented—especially when you’re dealing with
something difficult or challenging. You’ll likely find that the more you practice giving positive compliments
and feedback, the easier it will get, and the more positive compliments and feedback you receive, the
easier the work you have to do will seem.
I once heard an author who had written a book on procrastination describe it as his “most purchased and
least read book.” It made me laugh, especially because I owned the very book he was describing, and I
had read only bits and pieces of it. If we procrastinate even on books about procrastination, then we’re in
trouble. The word itself comes from the Latin verb procrastinare which means “to put off until tomorrow.”
But, if you dig deeper, you get to the Greek word akrasia, also part of the origin of the word, and akrasia
means “the state of mind in which someone acts against their better judgment through weakness of will.”
Akrasia is where it gets interesting. “State of mind” refers to a temporary state—not something
permanent. States of mind change. And if we can change our state of mind, does that mean we can get out
of the habit of procrastinating? Yep. CBT and neuroscience will again lead the way.
Piers Steel, a researcher on procrastination, and a self-proclaimed procrastinator, clarifies that people
don’t procrastinate intentionally. Steel told the author of a New Yorker article, “One thing that defines
procrastination isn’t a lack of intention to work. It’s difficulty following through on that intention.” And
this isn’t a new thing. There are actual Egyptian hieroglyphics that read “Friend, stop putting off work
and allow us to go home in good time.” Procrastination has been around as long as humans, and it has
interfered with our success throughout time (Konnikova 2014).
Adolescence, as you probably guessed, is a time when procrastination becomes even more
challenging. It’s the same problem we keep running into: the PFC just isn’t fully connected yet. The PFC is
crucial for productivity as it allows us to hold information in our minds and keep it accessible while we
work with it. If we can’t access information, it becomes very frustrating, making it easier to justify
procrastinating.
Procrastination isn’t even enjoyable. Teens tell me this all the time. They are busy avoiding doing work
by using their phones or computers, but the thing they are supposed to be doing is always present. It’s
kind of like a cloud hanging over them. It would be one thing if they could just have a total blast
distracting themselves, but the truth is that procrastination dulls the joy of whatever it is you’re doing to
avoid doing the actual thing.
When you procrastinate on studying or writing papers, you may eventually get them done, but in
general, teens say the work they turn in or the studying they do isn’t as good as it could have been. This
just feels bad. As you’re going to read in a couple of chapters, we all need a sense of meaning and purpose
in our lives, and when we don’t do the things that give us a sense of our own power and ability, it often
feels terrible.
Teens and young adults report that procrastination is one of the biggest obstacles to their success.
They describe feeling powerless against procrastination. And, while it’s true that procrastination has a
strong pull, you can resist it.
Ineffective: “You can’t get this done in time; there’s no point in trying.”
Effective: “This isn’t going to be easy, but you’re going to have to do it at some point. Get it done
and then you get to relax without the guilt hanging over you. You got this.”
When we do work, we’re often acting toward a longer-term goal. If you start studying on Monday for a
test that is on Friday, then you’re motivated by the goal of doing well on Friday’s test. Of course, it’s not
always easy to justify time on Monday for something that doesn’t occur until Friday. And for some kids,
it’s really, really hard. Boys tend to struggle more with procrastination than girls, and teens who already
fall further on the impulsive side also struggle more. In fact, impulsivity is related to procrastination. Dr.
Steel, the procrastination researcher you read about earlier, has shown that procrastination is related to
poor self-control, which is also a factor in impulsivity. Basically, impulsivity is acting when we should wait,
and procrastination is waiting when we should act (Konnikova, 2014). And teens are one of the groups
that struggle most with self-control, and therefore with impulsivity and procrastination.
Let’s look at Mateo. Mateo is sixteen, and a self-described “crazy bad procrastinator.” Mateo regularly
waits until the last minute to do schoolwork, and he often stays up way too late on the night before it’s
due. He rushes to do the assignment in the least amount of time possible, and his grades reflect his
procrastination. The few times he was able to follow the ideas laid out in Chapter 7, he got high marks.
But when he reverts back to procrastination (no judgment, we’ve all done it) he suffers in both grades,
sleep, and mood. But Mateo thinks there is no other way. “I can’t make myself do it unless I know I have
no other option.”
You may remember that the basic idea of CBT is that it’s not the situation that causes the problem, but
rather it’s how we perceive the situation that leads to the challenge. Mateo believes he cannot complete
work unless he does at the last minute. His automatic thoughts support this belief. But, as you already
know, our beliefs can be wrong. Let’s see how you (and Mateo) can apply that point in real time to help
get you out of the cycle of procrastination.
ATTENTION IS LIMITED
If you had a glass of water and drank it all, it would be empty. I know, an uninspired example, but it’s true.
The glass would no longer hold water unless you refilled it. Attention is kind of the same. We only have so
much at one time, and unless we refill it (more on that to come) we run out.
Another way of looking at this is to think of your attention like a flashlight. If you point a flashlight at
an area or object, that area or object is lit up. You can see where the beam of light is pointed, and the area
illuminated by the light appears bright and clear. The areas to the side of the light are still dark, but the
targeted area is visible. It takes energy to keep the flashlight bright and focused on the specific area; the
light won’t stay as bright as the batteries get dim, and your hand will get tired from holding the light so
still. Our ability to pay attention is similar. We can focus intensely for a while, but our attention will
eventually waver. It takes a lot of effort to hold our attention on one area, and eventually, like the
flashlight does, our attention weakens.
And when we run out of the ability to focus our attention, our brains are less able to filter out all the
extra stimulation coming in from the world. You know when you’re totally caught up in something and you
lose track of time? You look up and might notice that it’s gotten dark or started raining—all while you
were focused on something else. In order to pay attention to that degree, the brain has to focus hard—it
literally blocks out other conscious thoughts. When that attention runs out, suddenly there is all kinds of
information from the world at hand flooding into your brain. It can be hard to figure out how to regain
your focus and not get lost in all the distractions you’re facing.
Mateo would tell you that he can totally pay attention when he is racing to finish work at the last
minute. The flashlight is focused only on the task he is completing, and he keeps his eyes on the work. But
attention does not last forever. So while Mateo may be able to use the stress response (remember the
cortisol, norepinephrine, and adrenalin that are rushing through him) to keep himself on task, his level of
focus will flicker.
As you know, work done in a serious rush and at the last minute is generally not the same quality as
work done over time with revisions and remembering. Mateo, in his late-night cramming, is working with
a flashlight that goes in and out. That turns off and on. He keeps shaking it and turning it to get at least
some light, but the quality is less. His attention is running out, and his work quality is suffering as a
result. But if he resists the temptation to procrastinate, sets up a schedule that allows him to learn and
really handle the work he needs to do in a manageable way, and sticks with the commitments he makes in
this schedule, he can keep his attention consistent and strong. And he can succeed. The most important
component of Mateo’s success will be his motivation. If he lets his thoughts shift to the negative and self-
defeating, he will be fighting against his own limbic system. But, if he can remember the bigger why
involved in the tasks he has to do, he will be more likely to change his thoughts to motivate his behavior.
Changing thoughts can help change behaviors. This is especially true with procrastination where our
brain tries to trick us into giving up just because the limbic system doesn’t want us to feel uncomfortable.
Changing thoughts to increase motivation and have a sense of meaning or purpose can make a big
difference in this situation. And there’s more we can do to battle procrastination. We can also look at
strategies to change behaviors. This is the full CBT picture: thoughts and behaviors.
Big goals help us have a broader sense of motivation. They can also feel kind of distant sometimes.
They may even be a bit daunting to consider. In fact, they can be so big that they steer you to
procrastination too. So, we also need to look at ways we can break down our big goals into smaller goals,
to keep us on track and help us move forward in a way that feels real and possible. I’m sure you’ve heard
the saying that a journey of a thousand miles begins with a single step. Let’s try to break up your big goal
and make it easier to attain. Baby steps ahead.
BEYOND PROCRASTINATION
In this chapter, we discussed strategies for avoiding procrastination. Start small. Change your thoughts to
challenge the negative automatic thoughts that encourage you to give up (thanks, limbic system). Change
your behaviors that make it easy to procrastinate by moving your phone and other distractions far away
when you need to concentrate. Have a bigger goal in mind—a reason for what you’re doing. Use your
learning strategies. And now that you’ve got these new skills, you may want to amplify your gains. The
next chapter is about meditation and mindfulness, two strategies that make learning and living a little
easier. You’ll learn more ways to manage your mood and calm your mind.
CHAPTER 9.
Do the words “meditation” and “mindfulness” bring up images of someone sitting cross-legged, wearing
white robes and chanting “Ommmm”? If so, that’s totally okay. It’s not a wrong image, but it’s also not a
complete image. Meditation and mindfulness have been around for centuries, and there’s a reason for
that. They work. You may be surprised to know there are research studies that support meditation and
mindfulness for everything from stress management, improved emotional regulation, increased
compassion, and a reduced automatic reaction to attractive food. There is one study that even finds
mindfulness reduces prejudice against different races and ages (Lueke and Gibson 2014).
MEDITATION
Meditating is the act of focusing on breath, a word, or an image in order to reach a different state of
consciousness or being. Some people describe this state as peace; others talk about feeling connected to
the world; still others focus on the benefits attaining a state of serenity can have for your awareness of
yourself and your ability to be and act with calm and ease in your day-to-day life.
Ultimately, the goal of meditation is to move out of the chaos of the moment and into a space that’s
more centered. Sound appealing? Imagine if you could calm your mind when it was freaking out,
completely irrational, or just feeling like everything was terrible. That actually can happen.
After you meditate for a bit, your brain learns to calm down, and the limbic system (home of the fight,
flight, or freeze response) is more relaxed. FMRI studies show that teens who meditate regularly are more
able to respond rather than just react. Teen meditators are less driven by their limbic system and more
driven by their frontal cortex (Sanger and Dorjee 2015). In other words, you get to think before you just
react out of emotion.
Meditation is a practice. If you want to get better at basketball, you practice dribbling and shooting; if
you want to get better at meditating, you practice meditating. Some people choose to do formal
meditation training programs to get this practice, like one teenager I worked with, Cathy. She had read
about the research on meditation, and she wanted to try it out. I have seen meditation help many kids, but
none as much as Cathy. When Cathy meditates, you can tell. She is visibly calmer and better able to deal
with conflicts that come up, and she will tell you she feels much more confident and comfortable. Cathy
learned a type of meditation that focuses on a single word, called a mantra. But meditation often starts by
simply focusing on your breath.
Not everyone has a response as strong as Cathy’s, and not everyone needs to go through a whole
meditation training program. You can learn how to meditate from YouTube or books, and you can commit
to practicing so that your meditation becomes routine. In my experience, kids who stick with meditating
for a week or so, even for just a few minutes a day for a couple of weeks, have some type of response.
They report changes that include feeling like they can concentrate more, feeling more content, and feeling
more in control of their emotions.
I’ve included some basic steps as a guide on how to meditate, but you can also google “how to
meditate” and you’ll be amazed at what you come up with. Just remember to keep it simple. You don’t
need fancy cushions and bells. You just need a few minutes and a quiet space.
HOW TO MEDITATE
My basic steps for meditation come from the work of Joseph Goldstein, a world-renowned meditation
teacher. He makes meditation simple and doable. Mr. Goldstein says, “If you’re sitting and feeling the
breath…and connecting with the breath, and then your mind wanders and … you see that, and you come
back [to your breath]. No matter how many times you do that, you’re doing [meditation] right” (Harris
2019). Basically, if you’re sitting and focused on your breath, you’re meditating. It’s okay if your mind
wanders while you meditate; just notice it when it wanders, and pull your focus back to your breath.
Set a timer with a gentle ringtone for anywhere between three and five minutes. (We’re starting small.)
Get comfy. Sitting is best, and it can be on a chair, on the floor, or wherever you’re comfortable. Mr.
Goldstein recommends sitting in a “dignified” posture, which means a posture that honors the work
you are doing. Try to sit up straight (but not in an uncomfortable way), and to hold your head up. You
are practicing something important, and your body reflects that importance.
Settle into the sitting position. Gently close your eyes. Notice your body. Notice where it feels relaxed
and where it doesn’t. Focus in on the tense areas and slowly work to relax them.
Notice your breathing. Notice how the air comes in, notice how your stomach and chest rise and fall.
Notice the exhalation. Don’t change your breathing; just notice your own natural breathing rhythm.
When you notice yourself becoming distracted, just gently pull your thoughts back to your breathing.
It’s absolutely fine that you were distracted. That’s normal and natural. Just bring your thoughts back
to your breath.
Keep breathing. When the timer goes off, slowly open your eyes and bring your attention back to the
room. Don’t rush to jump up; take your time adjusting to the light and being aware of your
surroundings.
And that’s it. Meditation is most effective when you have a regular practice, and daily meditation is
best. If you can practice for five minutes a day for a week, and then build up to ten minutes, and then
maybe to fifteen, you’re on your way. Most people find it works best to choose a regular time of day to
practice so that it becomes routine. First thing in the morning, right when you wake up, or before you go
to bed at night tend to be times that work well. It’s okay if you miss a day too; forgive yourself, and
meditate the next day.
MINDFULNESS
Mindfulness is being fully aware of the present moment without judging it. Mindfulness involves bringing
your mind and your body together. For example, if you’re eating cereal and playing a game on your phone,
you’re probably not really tasting or enjoying the cereal. In fact, your mind is likely far away from the act
of eating and much more focused on the game you’re playing. Before you know it, the cereal is gone, and
you can’t remember actually eating it.
Mindfulness involves paying attention to right now. This moment. This sounds simple, but it is often
seriously hard. As I was writing this, I was trying to practice being mindful of my environment, and the tea
I was drinking. I was trying to just drink the tea without judgment. But my first thoughts were judgments:
This could use a little more sugar and It’s so warm and I wonder if this is going to wake me up a bit.
Judgment is so much a part of our lives that it is challenging to experience things without judgment.
Judgment isn’t always negative; we may be making good judgments, like about how good the tea tastes
once the level of sugar is right. But when we make judgments of any kind, we’re inevitably seeing things
in one way. And, as you know, things aren’t usually just one way.
Here’s an example: Spencer doesn’t like Josh. He has known Josh since second grade, and all through
elementary school, Josh would do stupid and hurtful things—Spencer thought he was a jerk. Now that
they’re older, though, Spencer is trying to practice being mindful, and he finds himself focusing on it while
he’s walking through the hallway at school. Josh calls out to him, and Spencer quickly loses his mindful
state and thinks What does he want? This kid is so annoying. He walks away from Josh. He doesn’t even
acknowledge him.
There is so much going on in our minds all the time: school assignments, friend drama, family, and
more. It’s hard to focus on the moment we’re in. Our brain is constantly feeding us information about the
past, the future, our fears, and our obligations. Spencer’s brain reminded him that he found Josh
annoying, but if Spencer had been in the moment, able to separate himself from his automatic judgments,
he would have seen that Josh’s face looked sad. He might have noticed that Josh’s voice sounded different
as he called out to Spencer. He would have realized that Josh was uncomfortable, and he could have
responded differently. He could have shown kindness or compassion.
Mindfulness has a strong connection with kindness and compassion. In fact, people who are less
mindful tend to be more negative. Harvard researchers did a study where they checked in with people
throughout the day and asked them to describe their thoughts at the moment of check-in. The scientists
found that about half of the time most people were lost in their thoughts and not focused on the moment
going on around them. And, the research found, the more a person’s mind wanders, the more it tends to
move toward negativity, anxiety, jealousy, anger, regret, and self-criticism (Killingsworth and Gilbert
2010).
If most of us are lost in our thoughts much of the time, and if getting lost in our thoughts means we
tend to go down paths that lead us to more negative thoughts, then it makes sense that mindfulness can
make us feel happier. It pulls us out of feeling bad about the past and scared about the future, and helps
us focus on this moment. Right now.
So, if pulling out of feeling bad and really entering the present moment sounds like something you
want—and most of us do—how do you become more mindful? Mindfulness is often described as paying
attention on purpose, with deliberation. You’ve done this before. You know when you’re struggling to pay
attention to someone and you force yourself to really listen to what they’re saying. That is mindfulness:
being fully present in the very moment we’re in. It’s pretty cool.
Here are some basic steps to mindfulness:
Take a deep breath in through your nose and let it out through your mouth.
Notice your body—your feet on the ground, your bottom and back on your chair. Feel the surface that
supports your body.
Notice any feelings that you’re currently experiencing. Try not to judge the feelings; instead, notice
them and name them—I am feeling worried because of the test today.
Allow yourself to feel the feeling. Invite the worry in. Experience it, and then let it go. Imagine the
feeling is a cloud slowly moving across the sky. It is less and less visible.
A lot of teens I know like practicing mindfulness. It feels good, and they enjoy being in the moment.
The problem they run into is that they forget to practice. It’s not that they don’t want to practice, but all
the noise in their head takes over and they forget. That’s okay. That’s why we’re doing this in in the first
place! Here are a few strategies to help you remember to practice mindfulness:
Write yourself an encouraging sticky note that you change and move around as your practice of
mindfulness evolves. The sticky note might read something like: “Be mindful. Take a breath and notice
this moment.” The first day it’s on the mirror in your bathroom, the second day it’s on your closet door.
The third day, you rewrite it, with a new color sticky note; it now reads: “Stop. Take a moment, right now,
to be mindful of this moment.” After two more days, you change the colors and the message and location
again—and you keep going, checking to see how your mindfulness habit is progressing.
Make your mindfulness a daily commitment tied to something you do regularly. For example,
every time you wash your hands you will remember to breathe and be fully present in the moment. The
easiest way to have success with this strategy is to write down the behavior you are linking with
mindfulness each morning. As you’re eating breakfast, make a note on an index card or on your phone
that says something like “I will focus on mindfulness every time I sit down.”
A bracelet or watch you wear regularly can also serve as a reminder to be mindful. Switch from
the wrist where you usually wear the watch or bracelet, and every time you go to look at the time or feel
the bracelet, there will be a little jolt of “Wait, what?” that reminds you to be mindful. If you don’t
normally wear a watch or bracelet, tie a piece of string loosely around your wrist or wear a rubber band.
It’s a little cue you will periodically notice throughout the day that can remind you to practice
mindfulness.
A PLACE TO START
Richard Davidson, a professor at the University of Wisconsin, has spent his career studying the effects of
meditation and mindfulness on health and happiness. Because of Davidson’s efforts, the school even has a
full-time mindfulness coach as part of their athletics department; they take mindfulness and meditation
seriously. And they have the research to prove the benefits.
Davidson’s research shows that learning mindfulness and meditation increases participants’ overall
well-being. When he talks about meditation and mindfulness, he is quick to mention that Americans are in
an epidemic of loneliness and depression. And the data he uses to show the high rates of depression and
loneliness all predate the COVID-19 pandemic. So how do we use meditation and mindfulness in our lives
more regularly? We practice and practice and practice (Dahl, Wilson-Mendenhall, and Davidson et al.
2020).
A fourteen-year-old I know, Kara, was very excited about the idea of mindfulness. I explained the
basics to her, and she rushed out and bought several books on the topic. But she didn’t read the books,
and as much as she liked the idea of mindfulness, it was hard for her to actually put it into practice. I can’t
remember, I get distracted, and I love the idea, but I just don’t have time were some of the thoughts she
shared that interfered with her practice. I’ve been there. I commit to an idea, I love the idea, but I never
quite get around to putting it into practice. I think most of us have had this experience, and when it
happens, we often have to regroup and start smaller.
Kara and I looked at the thoughts she had collected, and we used them as data points for where she
struggled. Once the day got going, it was hard to make time for mindfulness, and she often simply forgot.
Understandable. Instead of expecting herself to practice throughout the day, she changed the expectation
to one time a day. She decided to practice mindfulness right away when she woke up. Knowing that she
was still likely to forget, she put a sticky note over her phone when she went to bed, with the word
“MINDFULNESS” in all caps on the front. When she woke up in the morning, she knew the first thing she
would do would be to reach for her phone, and this note jolted her back to her goal.
Kara began to practice mindfulness first thing when she woke up in the morning. The sticky note
worked! She used her mindful time in the morning to set an intention for the day. Once she woke up, she
got out of bed and got comfortable in a nearby chair. She took three long deep breaths, in through her
nose and out through her mouth, and then she focused on the day ahead. She asked herself, What is my
hope for today? Kara was asking herself to focus on how she wanted to act that day—how to be the Kara
she truly was inside.
After a few weeks of practicing each morning, Kara noticed themes in her intentions. She regularly
wanted to be kind to herself, to be forgiving of others, and to be fully invested in the present moment. The
morning practice started to spread, and without even realizing it, she found herself taking the three deep
breaths at different points during the day and reminding herself: Be kind and loving to myself. Be
forgiving of others. And focus on this moment right now, pulling my thoughts back when they move too far
ahead or behind.
Kara’s life did not become suddenly perfect or easy, but she did find a greater sense of calm and trust
in herself. She felt a little more in control of her emotions, and she noticed that she enjoyed experiences a
little more. She also was able to catch her negative voice, the one that always told her she wasn’t good
enough, and to challenge that negative voice a bit more. She didn’t fight it, but she did remind herself to
be kind and loving to herself. And, more often than not, it worked.
Meaning is one of the pillars of a good life. We all want to feel like we matter, and that our time on earth
makes a difference. Meaning is what we think and feel inside ourselves; it is the idea we move to, and the
hope we hold on to. Purpose is the bigger plan for how we create meaning. Meaning and purpose matter a
great deal in your teen years. Most adolescents are actively seeking to have an impact, to create change,
and to make the world better. It’s not a coincidence that some of the biggest social change movements
from the Vietnam era to the modern day gun violence protests have been driven by teenagers. You have a
sense of power and agency, and you’re able to work together to make real differences in the world.
It turns out that when we have a sense of meaning and purpose, we do better. What’s more, meaning
and purpose take on a new, special importance in adolescence. Right now, your frontal cortex is becoming
developed enough to allow you to have big, deep thoughts about the meaning of life. When you were
younger, any time you had these “higher level” thoughts, you would not only activate your frontal lobes
but also your amygdala. The thoughts were always highly tinged with intense emotion. As you move later
into your teen years, you get to have the big thoughts without the constant roller coaster of emotions; it
becomes a more subtle but still powerful experience. As a teen, you’re also more and more able to actually
act on these big, deep thoughts about the meaning of life and what you want your life to be about.
Finding a purpose and committing to your meaning can be both liberating and scary. It can feel
uncomfortable to make yourself vulnerable enough to say what really matters to you. Some kids I know
fear that they won’t be able to follow through on what they say they will do or live by and feel too worried
about the potential embarrassment. Other kids are afraid their ideas will be judged as weird or stupid. An
irony of adolescence is that just as you’re becoming most passionate and committed toward your life and
what you want it to be, you’re also at the point where you most fear others’ judgments.
Your experiences with CBT and mindfulness have probably taught you, though, that the ways we tend
to judge things aren’t always accurate. And pursuing the things that are meaningful to you actually is
more important than the ways you might be judged by other people. Not just because of your belief in this
greater thing, but also because when you have a sense of meaning that informs what you do, you typically
end up feeling better and performing better. The research on this is very clear. Teens who have a stronger
sense of meaning feel better about themselves, are less bored, are less likely to become depressed, are
less likely to abuse alcohol or drugs, and are more likely to report a sense of happiness and well-being
(Bronk 2014). Teens who have a sense of meaning even sleep better (Kim, Hershner, and Strecher 2015).
Of course, you aren’t helping others only to make yourself feel good, you also know it’s the right thing
to do. But this feedback loop is pretty interesting. When I try to explain how this works to kids, I usually
start by having them tell me that I’m stupid. They tend to look at me strangely. I explain that I really do
want them to call me stupid, and I go further to tell them that I’m really not worried about being stupid. I
deliberate choose that insult, because I feel okay about it. I wouldn’t ask them to say something that I was
touchy about (like how my stomach pouched in the pants I was wearing), but stupid is fine for me.
Eventually they say, “Elisa, you’re stupid.” I respond quickly and with emotion, and I say, “No, actually
you’re stupid!” They often jerk back a little (I’m usually pretty nice), and I immediately ask, “Did that
make you want to come back at me? To insult me a little more?” They usually say yes. And of course they
do. If I’m being rude to them, it makes them want to be mean back to me. I can influence their response to
me by how rude I am to them.
But this works both ways. So while I can make you mad at me, I can also make you feel more kind or
generous toward me by practicing those traits on you. This isn’t done to be manipulative; it’s done to
create a positive feedback loop between us, where we both like and enjoy each other, and to keep our
relationship positive and affirming rather than negative. These prosocial behaviors (respect, listening,
kindness) are usually (and usually, unfortunately, does not mean 100 percent every time) reflected back to
me. This makes our ability to engage feel more positive and safer, and allows us to connect on a deeper
level.
Meaning and happiness are related, but they’re not the same thing. Meaning, as you know, is using
your strengths in service something greater than yourself. Happiness tends to be more focused on
immediate pleasure in the moment. If I were going to think of this visually, I would see happiness as a
butterfly—fragile and often in movement, and meaning as the bed of flowers—requiring tending, but more
stable and always growing.
Emily Esfahani Smith, a positive psychology researcher who studies this idea, has found that people
who report being happy tend to be more self-focused. Their happiness is an experience of comfort and
ease, much more about feeling good in the moment. People who report high levels of meaning in their life
tend to feel connected to something greater than themselves and are interested in building and
strengthening themselves (Smith 2017).
This idea was explored in a study by Roy Baumeister, a psychologist at the University of Florida. In his
study, Dr. Baumeister had two groups of college students. One group was assigned the task of doing
something that made them happy every day (for example, sleeping late, playing games, shopping, eating
sweets), and one group was assigned the task of doing something meaningful every day (for example,
forgiving a friend, studying, helping someone). At the end of the study, the happiness people did feel
happier. The meaning people did not feel happier, but they did feel a sense of meaning in their lives. Fast-
forward three months, and the happiness people no longer felt happier, but the meaning people felt even
more enriched, inspired, and like they were a part of something bigger than themselves (Baumeister et al.
2013).
So it really comes down to this: which are you more interested in? Happiness or meaning? Happiness
feels good, but it is fleeting. Meaning also feels good (mostly), and it has greater permanence. When we
work toward something we believe in, we tend to feel better about ourselves and the world.
But we also want to feel good now. And your brain, at this moment, feels things so intensely that
feeling good actually means feeling awesome. This brings us to another element of the equation, one that
makes it easier to stick with the pursuit of meaning, which can be hard, and resist the temptation for easy
happiness: purpose.
I applied to only one graduate school. Looking back, it was a pretty dumb move, and I was lucky I was
accepted. But I wasn’t surprised that I got in. Not because I was such a great candidate, but because the
personal essay I submitted had a line that I considered (and, honestly, still consider) to be powerful. I
can’t remember what the actual essay was about, but I remember concluding by relaying a conversation
with a friend who had asked me what the meaning to life was. I wrote that, of course, the meaning to life
was living. I got in, and to this day I credit that line.
Since my kids were little, I have told them that the reason we’re here on this earth is to help other
people. That, I guess, is my purpose. But my meaning is to live. It’s remarkably easy to exist, to repeat
patterns, to do the same things, to relax every evening in front of the TV, but what does it mean to really
live? To exist in a way in which we experience meaning, purpose, pain, and joy. Being alive and living are
different things, and we have choices about which one we adopt. Do we just live or are we actually alive?
Part of the way we make the choices about how we want to live is through our narratives.
Your narrative is the story you tell yourself about your life. There can be many meanings given to the
same situation. How you perceive an experience is subjective, which means you can choose to tell a story
to help or to hurt you. I know a teen, Rebecca, who was bullied every single day during middle school. She
literally ate lunch in the bathroom to avoid being teased, and she dreaded going to school each morning.
She went home from school and straight to her room, immersed herself in videos, and reemerged only
briefly for meals. She was quiet, disconnected from her family, and overwhelmingly sad. Her thoughts
focused on how terrible her life, how much she hated herself, and that she was sure her future was
destined to be awful.
Her family noticed something was going on, and even though she didn’t share what it was, they acted.
Her parents signed her up for a summer camp focused on the outdoors. In the camp, kids learned simple
survival techniques and an appreciation for nature. Rebecca was not excited, and she was not grateful for
the opportunity. But she went, and she made it a life-changing experience for herself. She became
physically stronger over the summer, and that change felt powerful. The kids at the camp didn’t relate to
her the same way that the kids at school did; they didn’t have preconceived ideas about who she was and
how to act around her. This freedom from a limiting past narrative allowed Rebecca to realize that she
could make friends, and that she wasn’t damaged or defective as she had previously believed.
Rebecca’s favorite part of the camp was the campfire, and this is where stories were told. One of the
stories was the tale of the phoenix, a bird that could be born again. The phoenix would burst into flames
and then, from the flames, would emerge a new bird with greater powers. This story resonated for
Rebecca, this idea of rebirth and re-creation, and she made the story part of her own narrative. She would
re-create herself. She would still be Rebecca, but she wouldn’t be the Rebecca who hid. She would be
Rebecca who stood strong in plain sight.
Rebecca began to craft a new narrative about herself, and her new story reframed her past
experiences and used that summer as a time of re-creation. Rebecca’s story was about her struggle: She
didn’t pretend that the mistreatment by her peers hadn’t happened, and she didn’t rewrite the story to
soften their guilt or minimize the pain she had experienced. Instead, she retold her narrative as a survivor.
As someone who had been through a terrible ordeal and risen from its ashes to be herself again. She
thought of herself as the phoenix. Kids at school had tried to make her believe that she was nothing, but
she was actually capable of rebirth from the flames and the pain around her. She was a strong person who
had endured unfairness. She was far tougher than most kids her age, and now she was also far stronger.
She would rise again.
Stories are one of the oldest traditions of humans. As long as we have had language, there have been
stories, and there is reason for that. Stories are for sharing information, for learning, and for providing
motivation, meaning, and purpose. Our brains remember information better in story form, and the
emotion the stories elicit provides motivation and change. Let’s look more closely at how this works in the
brain.
You now have an owner’s manual to your brain that is full of research-based CBT strategies to help you
navigate your path forward. Your path is influenced by this stage of your brain, but it still is your path. You
have an understanding of the unique challenges of being an adolescent, and hopefully you also have an
understanding of the awesome (true definition: being marked by awe) abilities of your teen brain. You can
learn more, feel more, and do more than at any other time in your life before.
Yes, there are costs to this power. Your brain is constantly seeking reward, and it loves to feel good.
The wiring is not fully complete, and this presents some problems as emotions become amplified when
they can’t connect to the PFC. But you know this now, and you can do things about it. You can use your
thoughts when you realize your emotions are surging. You can choose to just feel, or you can choose to
change and manage your emotions. It’s like you’re in control of a beautiful car with crazy-fast acceleration
but slightly lagging brakes. If you know how to use the brakes, understand their quirks and their
limitations, then you can still drive the way you want to drive.
Feelings, friends, stress, learning, chilling, meaning—all this is doable, because you understand the
dynamics of yourself, of the age, and of others. And you now get to craft your story moving forward. It
doesn’t have to be about the you that you were, but it does need to be about the you that you want to be.
ACKNOWLEDGMENTS
It is with gratitude that I acknowledge the efforts of the New Harbinger team in helping this book come
together. Jess O’Brien, my acquisitions editor, helped shape the idea of this book and advocated for its
creation. He is patient, full of good will, humor, and consistent encouragement. Vicraj Gill is a detailed and
thoughtful editor who can organize and make sense of almost anything. Copy editor Karen Schader misses
nothing and questions gently. Karen is a true support and she makes my writing better.
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Elisa Nebolsine, LCSW, is owner and clinician at CBT for Kids, a private practice in Alexandria, VA. She
is adjunct faculty at the Beck Institute for Cognitive Behavior Therapy, adjunct faculty at the Catholic
University of America, and a diplomate of the Academy of Cognitive Therapy. She has presented locally
and nationally on the topic of cognitive behavioral therapy (CBT), and is a consultant for schools,
agencies, and other organizations on the implementation and use of CBT with children, teens, and young
adults. She is author of The Grit Workbook for Kids.
Foreword writer Judith S. Beck, PhD, is president of the Beck Institute for Cognitive Behavior Therapy
and clinical professor of psychology in psychiatry at the University of Pennsylvania. She is author of the
seminal text, Cognitive Therapy, which has been translated into more than twenty languages, and whose
third edition contains a recovery orientation.