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215: Behavior Decoded: Why Teens Avoid Treatment and How to Help

July 29, 2024
In this episode, we explore why teens resist treatment and share effective strategies to encourage them toward better mental health and well-being.
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[embed]https://player.captivate.fm/episode/1b12a545-c1ea-42a1-87ee-2352f5a8ca5f/[/embed]When your teen refuses treatment or support, it’s heartbreaking. You see their pain, yet every suggestion feels like a battle. You’re not alone—and it’s not bad parenting. It’s a dysregulated brain.In this episode, I’ll break down why teens resist help and how parents can rebuild trust. You’ll learn to reduce conflict and guide your teen toward healing—without power struggles or guilt.

Why does my teen refuse treatment even when they’re struggling?

Teens often say “no” because they’ve lost trust in the process. Other times, it’s about control. Refusing treatment is one way teens try to feel powerful in a world that often decides everything for them.Try this:

  • Acknowledge their feelings: “You’ve been through a lot with doctors—no wonder you’re hesitant.”
  • Offer real choices: provider gender, session format, or timing.
  • Protect privacy: clarify what’s shared and what stays between them and the clinician.

How do I get my teen to open up about anxiety, OCD, or mood issues?

Talking about emotional struggles can feel exposing. Lead with calm curiosity, not interrogation.What helps:

  • Use simple brain-based language: “Your brain’s in stress mode. Let’s calm it first so talking gets easier.”
  • Ask small questions: “Would it help to talk while driving instead of face-to-face?”
  • Create safety: listen more than you lecture.

Example: A parent who simply sat beside their teen during a short walk noticed that “walls” lowered faster than during any talk at the dinner table.You don’t have to figure this out alone.Become a Dysregulation Insider VIP and get your FREE Regulation Rescue Kit:How to Stay Calm When Your Child Pushes Your Buttons and Stop Oppositional Behaviors.Head to www.drroseann.com/newsletter and start your calm parenting journey today.

Could family stress be fueling the resistance?

Absolutely. If the household feels tense or reactive, teens instinctively guard themselves. When adults regulate first, teens feel safer.Try:

  • Lower your tone and slow your breathing during conflict.
  • Model help-seeking by showing you value your own self-care.
  • Involve your teen in decisions about lifestyle changes or supplements.

How can I create a plan my teen will actually follow?

Teens buy in when they help build the plan. Start small and focus on what regulates the brain first.Make the plan:

  • Begin with sleep, nutrition, and movement—foundations that change everything.
  • Add personalized steps (like choosing which supplement or tool to start with).
  • Celebrate tiny wins, not just outcomes.

Explore more in Emotional Dysregulation Treatment: What Really Works for Teens.

What if stigma or peer pressure keeps them from getting help?

In many communities, therapy still feels “taboo.” Normalize it as brain training, not “fixing.” Compare it to sports coaching or tutoring—ways to build skills.Offer discreet options (telehealth, evening sessions) and focus on benefits teens care about—better mood, sleep, energy, and confidence.🗣️ “Providing teens with choices in other areas can make them more open to treatment—it empowers them to feel involved in their own care.” — Dr. Roseann

A Calmer Path Forward Starts Here

When your teen refuses treatment, don’t push harder—pivot smarter. Start with regulation, empathy, and small wins. When they feel seen and in control, resistance fades and hope returns. It’s a dysregulated kid, and you’ve got this.

FAQs: Teen Refuses Treatment

What should I do first when my teen refuses therapy?

Regulate the environment and yourself, then offer two clear, low-pressure choices.

Can family tension worsen treatment resistance?

Yes. A calm, regulated parent reduces a teen’s need to resist for control.

How do I reduce stigma about mental health?

Reframe therapy as brain and emotional training that builds strength and self-confidence.When your child is struggling, time matters.Don’t wait and wonder—use the Solution Matcher to get clear next steps based on what’s really going on in your child’s brain and behavior.Take the quiz at www.drroseann.com/help

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Dr. Roseann Capanna-Hodge: Revolutionizing Children’s Mental Health

Dr. Roseann Capanna-Hodge’s podcast, It’s Gonna be OK!™: Science-Backed Solutions for Children’s Behavior and Mental Health, is in the top 2% globally. The podcast empowers parents with natural, science-backed solutions to improve children’s self-regulation and calm their brains. Each episode delivers expert advice and practical strategies, making it indispensable for parents of neurodivergent children or those with behavioral or mental health challenges.

Dr. Roseann, founder of The Global Institute of Children’s Mental Health and Dr. Roseann, LLC, created the Neurotastic™ Brain Formulas and BrainBehaviorReset® method. With her extensive experience, she provides families with hope and effective strategies to manage conditions like ADHD, anxiety, OCD, and PANS/PANDAS.

Forbes has called her “A thought leader in children’s mental health,” highlighting her revolutionary impact on mental health education and treatment. Through her podcast and innovative methods, Dr. Roseann continues to transform how we approach, treat and understand children’s mental health.
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