Mental illness can afflict youth of all ages and may stem from a wide variety of factors including Genetics, family dynamics, social environment, addictions, beliefs, school and social stressors, broken and/or blended families, etc. Many teenagers who struggle with mental illness believe that no one can help them with their problems because their problems are too big or they do not want to bother their family or anyone else with their problems. Unresolved and unexpressed thoughts and feelings can affect or lead to mental health and behavioral problems such as anxiety, addiction, depression, eating disorders, self-harm and in severe cases, suicidal ideation, gestures and attempts. Proper assessment and treatment is necessary to help youth understand the challenges they are struggling with. Youth need consistent and strong support from family, friends and others to help them resolve and work through their mental health challenges and in many cases a mental health professional is also necessary. It is difficult for both youth and parents when a youth struggles with mental illness. Confusion and grief are common emotions felt by both the youth and their parents and both would benefit from therapy. Treating youth with mental illness is an ongoing process and should include both individual and family counseling, but at least individual counseling. Additionally, medication management may be necessary and collaboration between the therapist, family and child psychiatrist or family physician is recommended.