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Colman Noctor: Pressure to be perfect undermines mental health of teen girls

Colman Noctor: Pressure to be perfect undermines mental health of teen girls

Irish Examiner13-05-2025

A Shona Project survey suggests that teenage girls are struggling. This will likely come as no surprise to parents.
In today's fast-paced, high-pressure world, raising adolescent girls can feel like walking a tightrope. One moment they're laughing with friends, and, the next, they're overwhelmed by anxiety, tears, or are withdrawn.
As a parent of a pre-teen daughter, I can confirm that this emotional rollercoaster can be worrying and confusing. For the girls, the stress of navigating a world consumed by performance while undergoing dramatic hormonal changes is challenging.
The Shona Project, a non-profit organisation that mentors girls, spoke to more than 1,000 of them aged between 12 and 19 in Ireland. It revealed widespread anxiety, pressure, and safety concerns.
The key findings present a bleak picture of how girls and young women perceive themselves and their life experiences:
67% said their school environment is not a safe or welcoming space;
89% reported carrying anxiety or worry that no one knows about;
79% said they sometimes feel 'no good at all';
70% feel social media is negatively impacting their mental health.
These findings reflect similar studies across the globe, which show a marked increase in anxiety disorders, depression, and related issues among teenage girls.
According to the Centres for Disease Control (CDC) in the US, the percentage of teenage girls reporting persistent feelings of sadness or hopelessness rose from 36% in 2011 to 57% in 2021.
A 2023 UNICEF report highlighted that adolescent girls globally report higher levels of psychological distress than boys, with anxiety, self-harm, and body image issues dominating.
Complex issues lie behind these statistics, the most obvious being the rise of social media and the subsequent social-comparison trap.
American sociologist Jonathan Haidt suggests that girls, more than boys, engage in social media in ways that increase their emotional vulnerability. According to a 2019 Lancet study, more frequent use of social media was linked to worse mental health outcomes in girls than in boys. Girls are more likely to internalise appearance-based comparisons, cyberbullying, and social exclusion.
The curated perfection of Instagram, TikTok, and Snapchat creates a toxic comparison loop. Adolescent girls are at a developmentally sensitive stage where peer approval, appearance, and belonging matter deeply. Seeing idealised versions of others' lives and bodies can erode self-esteem and increase anxiety.
One 14-year-old girl interviewed as part of the Shona Project study described the challenges of social comparison well when she said: 'My life revolves around school and tech, which isn't necessarily a good thing. Apps like TikTok have made it so hard to be a woman: You can never look good enough or say the right thing or speak the right way.'
Study expectations
Social media pressures are not the only factors causing young girls to struggle; academic and societal issues are also involved. Girls often feel intense pressure to perform well academically, participate in extracurricular activities, and meet high expectations from parents, teachers, and themselves.
A 2020 study published in Developmental Psychology found that girls were more likely to internalise stress related to school performance than boys, which can lead to increased anxiety. While there is an argument to be made that school systems are more suited to girls than to boys, the flip side is the increased expectations placed on girls to perform academically. I have worked with teenagers for more han 25 years, and, every year, the 'acceptable' level of academic achievement seems to get higher.
The recent messaging about increasing the number of girls in STEM subjects and careers, which males typically dominate, is commendable, but does it add more pressure on teenage girls to excel?
Young girls receive mixed messages. They are told to be confident, but not arrogant; ambitious but also likeable; thin, but not obsessed with their bodies. Undoubtedly, this ongoing tightrope walk contributes to their anxiety, uncertainty, and emotional exhaustion.
Hormonal changes play a role, too. Puberty hits girls earlier than boys, and this brings with it not just physical changes, but a host of emotional and neurological shifts.
The adolescent brain, particularly the prefrontal cortex, which is responsible for decision-making and emotion regulation, continues to develop and remains highly vulnerable to environmental stressors. Developing good decision-making skills in a world of information overload and constant comparison is bound to be challenging.
Meanwhile, the amygdala, the part of the brain responsible for our responses to fear and emotion, becomes hyperactive during adolescence. As girls tend to mature earlier than boys, they feel the brunt of these changes sooner.
Pandemic isolation
While anxiety and depression were already rising before covid, the pandemic acted as an accelerant. Lockdowns, school closures, and social isolation disrupted support systems, adding uncertainty. The impact was all the more significant for teenage girls, who rely on peer interaction and structured environments.
A 2022 survey by the American Psychological Association found that adolescent girls were among the hardest-hit demographically, reporting the highest levels of pandemic-related emotional stress.
But there's good news: Parents can play a decisive role in protecting and nurturing their daughters' mental health, just as they can their sons'.
Girls need to know that their feelings are valid and important, no matter how irrational they may seem. As parents, we need to create an open-door policy where emotional expression is welcome, not judged or minimised. Instead of rushing to offer solutions, try listening with empathy.
American psychologist and bestselling author Mel Robbins says one of the most critical interventions when conversing with a teenager is to preface what you say with the sentence, 'Are you looking for my advice or do you just want me to listen and support you?' This simple intervention can go a long way toward a more productive and helpful conversation.
Dr Lisa Damour, psychologist and author of Untangled: Guiding Teenage Girls Through the Seven Transitions into Adulthood, emphasises that teen girls need a 'secure emotional base'.
Just being present and consistent gives them a sense of stability in a chaotic world.
Help your daughter understand that anxiety, or worry, is a natural human emotion designed to protect us, and is not a flaw or weakness. Teach her the difference between everyday stress and chronic anxiety. Normalising emotional responses helps young girls to realise that maybe they are not the problem, but the situation is. If a girl is working hard to maintain a high academic standard, attending training multiple times a week to keep her place in the county camogie squad, and struggling to find time to maintain her friendships, remind her that she is not finding it difficult to keep up with the demands because she is a poor time manager, but because the expectations being placed on her are unrealistic.
While mood swings and withdrawal are part of adolescence, persistent changes in behaviour may indicate something more profound. Watch for ongoing sleep problems, a sudden drop in academic performance, avoidance of social activities or changes in eating habits, as these symptoms can indicate that she may be struggling with an emerging mental health condition and needs support.
While many suggest a total ban on social media, in my experience, this rarely works in isolation and can encourage secretive use. The global social media crisis requires collective action, so attempting to resolve it in isolation is unlikely to be effective.
Parents should try to co-create boundaries around smartphone use, especially at night.
Encourage phone-free periods and discuss what she is watching online. Is she following uplifting accounts? Or ones that fuel body insecurity?
One of the most critical parental interventions is celebrating effort, not perfection. Young girls often feel they must 'have it all together'. Reinforce the message that it's OK to make mistakes and that a person's worth is not tied to achievements. Praise her for effort, resilience, and kindness, not just grades, trophies, or appearances.
Be aware, also, of any inadvertent pressure you may be applying to her. While parents have little to no control over many aspects of the adolescent experience, parental pressure is one area where we can act.
If, despite these interventions, your daughter's anxiety continues to interfere with her daily life, school attendance, friendships, or sleep, you may need to reach out to a professional for help.
A strong emotional connection with your daughter, grounded in trust and empathy, is one of the best buffers against anxiety. Collectively, we need to meet our young girls where they are, not where we want them to be, and offer the support they need, so their world becomes less threatening and pressurised.
Communicating with teenage daughters may be harder because they spend so much time online. But if we listen to the evidence of the Shona Project report, it seems they need our support now more than ever.
Dr Colman Noctor is a child psychotherapist
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FactCheck: False claims about toxins, Vitamin D and ‘cooked' skin in viral claims about suncream
FactCheck: False claims about toxins, Vitamin D and ‘cooked' skin in viral claims about suncream

The Journal

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  • The Journal

FactCheck: False claims about toxins, Vitamin D and ‘cooked' skin in viral claims about suncream

SUMMER HAS BEGUN, meaning soaring temperatures (maybe), shining sun (possibly), and weeks of balmy, good weather (probably not). It's also a time you'll hear good advice to wear suncream, but an odd chorus of counter advice has taken hold with false and harmful claims that suncreams can be dangerous. These include incorrect suggestions that sun scream is full of 'toxins', can block vitamin D or cause cancer. These claims, which have long been espoused online, came to the fore in Ireland recently in reaction to the appearance of skincare expert Eavanna Breen on TV to talk about the dangers of sun exposure and the importance of wearing suncream. 'I opened a can of worms,' Breen said in a 19 May Instagram video. 'People saying in the comments that I didn't know what I was talking about. That suncreams are full of toxins and we shouldn't be putting them on our skin.' Breen is correct. Social media is rife with posts that make false claims about suncream (also called sunscreen), often from accounts that claim to give health advice, can accumulate hundreds of thousands or even millions of views. Although many of the most popular versions of these posts are not from Ireland their influence has been felt here, particularly in alternative medicine circles. 'It's this rejection of what they need – man made or synthetic – versus what they deem natural,' says David Robert Grimes, a science writer who studies how misinformation spreads. By way of example, he shows why this belief is false: 'Arsenic, Uranium and Ebola are all 'natural'.' Grimes conducted research for his PhD into UV radiation, which is what can make sunlight so damaging. 'A tan is your body's way of screaming at you 'get me out of the sun'. It is an adaptive response to UV radiation,' he summarises. 'The idea [among those spreading misinformation] is that suncream is made by man, so putting it on your skin is bad, but the sun is natural, therefore it's good,' Grimes said. He noted that a similar logic is often used by people who go against vaccines; viruses are natural, while vaccines contain ingredients which are synthetic. Nevertheless, the vaccines in use are much less likely to cause you harm than being infected with the live virus. Grimes also said that many of these outlandish claims often do well because of social media algorithms, which promote them into people's feeds. People who scroll on social media sites are more likely to click on and react to counterintuitive claims, even if it's to argue against them. On many social media sites, such interactions push those posts higher in the feed so that even more people can see them. On the flip side, standard advice can struggle to make an impression; even if it is correct, people have heard it all before. steffyweffy777 / YouTube Anti-sunscream claims tend to fall into three main categories: that suncream is toxic; that suncream does more harm than good by blocking vitamin D production; and that there were no skin cancers in the past before suncream was used. These claims can be dangerous. UV radiation, such as that from the sun or tanning beds, is the main factor for most skin cancers in Ireland. There were, on average , 7,545 cases of Basal cell carcinoma and 1,243 cases of melanoma, both types of skin cancer caused by the sun, diagnosed annually between 2018 and 2022. According to an analysis by the National Cancer Registry, rates of both these cancers are increasing. If people forego suncream, especially if they do so thinking that the sun's rays must be healthy for them, they are putting themselves at risk needlessly. Toxins One of the major claims made against suncream is that it contains toxic ingredients. 'What if slathering toxic, cancer-causing chemicals on our skin in the name of 'protection' was doing more harm than good?' one post we found on Facebook by a skincare company asked. However, unlike posts by other users that appear to be dispensing odd health advice for social media engagement, the motivation behind that one is clear: it also promotes the company's own suncream, which it says is made from beef fat and 'non-nano zinc'. (Zinc is a standard sun-blocking ingredient in mineral suncreams. It's what makes them, and other formulas like Sudocreme, white). Other false claims claiming there are toxins in suncream are not as explicit, but rather implied; they often try to sell 'non-toxic' suncream to a public while amping up the suspicion of 'chemicals', such as those listed on the back of most suncream bottles. However, as David Robert Grimes points out, even the chemical description of an apple can sound sinister when you don't know what the terms mean. 'Unless you're talking about particles of light, everything in our tangible universe is chemical,' he said. Long lists of exotic-sounding chemicals make up many anti-suncream posts, which warn that these chenmicals can be dangerous. They often refer to oxybenzone, octinoxate, oxytocinate, octisalate, octocrylene, homosalate, parabens, PUFAs, avobenzone, or nanoparticles. 'If you can't pronounce it, your liver's already struggling,' one of these posts, viewed tens of thousands of times on X, reads. 'These ingredients don't block UV rays. They absorb them. Convert them into heat. Your skin turns into a microwave. Congrats, you're cooked.' The last part of this claim is partly true, but is misleading in a way that purposely makes the process sound more sinister than it is. Some sunscreen ingredients do absorb UV rays and convert them into tiny amounts of heat, but nowhere near the levels needed to cook or microwave a person's skin. The heat generated is negligible , and is far less damaging than the DNA mutations that UV radiation can cause on the skin when they are left unblocked. Advertisement Concerns about the chemicals in suncreams are also partly based in fact — some of the ingredients do have potentially negative health effects in high doses, which is why they are regulated. In order to prevent this from happening, Europe places regulatory limits on them so they are far below any harmful thresholds when they are used in suncream. 'Sunscreens are cosmetic products and as such manufacturers must comply with strict European regulatory standards that include governance on ingredients, safety and labelling,' the Health Products Regulatory Authority (HPRA) told The Journal. 'The HPRA's role as the competent authority is to ensure cosmetic products on the Irish market are safe for consumers and meet the requirements of the cosmetics regulation. 'When a cosmetic product comes to the Irish market, it undergoes a safety report, including product testing and likely exposure levels. 'Ingredients used in cosmetic products must be safe and must abide by the minimum standards to be met by all cosmetic products placed on the market.' For sunscreams specifically, this means that only protective UV filters approved for that purpose may be used. A list of UV filters allowed in cosmetic products, as well as what concentrations and what products they can be used in, is available on the European Commission website here . 'The HPRA continuously evaluate the inclusion of cosmetic ingredients at European level and in collaboration with other EU markets, to ensure the highest standards of consumer safety are maintained. 'Consumers should check for a European address on the label. If it is not there, it might indicate that the product has been imported from outside the EU and may not meet European requirements for safety assessment.' Vitamin D and cancers A near constant refrain on posts encouraging people to forego suncream is that sunlight is needed to make vitamin D. 'Sunlight increases your body's production of Vitamin D which fights cancer. Sunscreen is full of chemicals that cause cancer,' a post by a self-described 'Naturopath' said on X last July. To date, the post has accumulated more than 2.4 million views, according to X's analytics. An identical post by an anti-Covid vaccine account using the exact same wording was also posted last August, and has accumulated a further 3.6 million views on the platform. Although research has looked at whether Vitamin D can prevent cancers, the evidence has been ' mixed ' and there is no credible evidence that skipping sunscreen to boost Vitamin D is worth the well-established risk of UV-induced skin cancers . 'We don't have rickets,' David Robert Grimes says. 'That is your bog-standard test for nutritional deficiency.' While it may seem intuitive that suncream, which blocks the sun's harmful rays, would reduce the amount of Vitamin D produced in the skin, experiments have shown that volunteers that used suncream in the sun maintained vitamin D production, while reducing sunburns . 'Our bodies can still make vitamin D from sunlight even when using suncream,' the HSE told The Journal by email. 'The Department of Health recommends vitamin D supplements for everyone. The amount you need depends on your age, skin tone, your situation and the time of year.' Cancer rates 'We were exposed to the sun for hundreds of thousands of years and were doing just fine until sunscreen was invented in 1938,' a post on X last June said. It was from an account that describes themself as 'the most canceled scientist'. 'Since then, melanoma rates began to skyrocket in the 1950s, yet people blame the sun rather than the toxic chemicals in sunscreen.' The post has been viewed more than 1,800,000 times. Melanoma is a particularly dangerous form of skin cancer. Skin cancer diagnoses have increased over the last century, but there is no evidence that sunscreen is responsible. The rise is more accurately explained by much more obvious factors. 'Improved diagnostics, better reporting, and also that we live longer, and we have more time to accumulate that DNA damage that can lead to things like skin cancer,' David Robert Grimes said, listing other reasons why more cases of skin cancer are recorded now than in the past. Melanomas have been recorded in history , including in the writings of Hippocrates, as well as archaeological evidence of melanomas on 2,400-year-old Peruvian mummies. However, historical statistics on rates of skin cancers are scant. National Cancer Registry Ireland began collecting data on cancer cases in 1994. 'Over 5,000 cases of skin cancer were diagnosed in Ireland in 1994,' a spokesperson for the HSE told The Journal. 'It can take decades for skin cancer to develop after exposure to UV radiation. Many of those diagnosed with skin cancer in 1994 would have been exposed many years earlier when sunscreen was much less widely used or available.' The connection between UV rays and skin damage is well established, as is suncream's ability to stop these rays. Pyro Labs / YouTube Grimes also listed living longer as a reason that more skin cancers are being detected nowadays. 'Cancer is primarily a disease of aging,' Grimes said. 'Most cancers manifest post your 60s, right? There are exceptions, but almost all of them are associated with aging. The damage is done much earlier on, and then decades later, the cancer emerges. You might have got some exposure in your 30s that eventually leads to cancer in your 60s. 'So as we live longer, we get more cancers.' Ingredients in suncreams are regularly revised in the EU based on the latest science and have strict limits to make sure their use is safe. Many claims about suncream being bad for you are based on incorrect data or faulty reasoning. Not wearing suncream on sunny days can quickly lead to visible radiation burns and genetic damage, which increase the likelihood of cancer developing. Want to be your own fact-checker? Visit our brand-new FactCheck Knowledge Bank for guides and toolkits The Journal's FactCheck is a signatory to the International Fact-Checking Network's Code of Principles. You can read it here . For information on how FactCheck works, what the verdicts mean, and how you can take part, check out our Reader's Guide here . You can read about the team of editors and reporters who work on the factchecks here . Readers like you are keeping these stories free for everyone... It is vital that we surface facts from noise. Articles like this one brings you clarity, transparency and balance so you can make well-informed decisions. We set up FactCheck in 2016 to proactively expose false or misleading information, but to continue to deliver on this mission we need your support. Over 5,000 readers like you support us. If you can, please consider setting up a monthly payment or making a once-off donation to keep news free to everyone. Learn More Support The Journal

Teen, 19, dies after viral TikTok ‘dusting' challenge went wrong leaving family ‘utterly devastated'
Teen, 19, dies after viral TikTok ‘dusting' challenge went wrong leaving family ‘utterly devastated'

The Irish Sun

time7 hours ago

  • The Irish Sun

Teen, 19, dies after viral TikTok ‘dusting' challenge went wrong leaving family ‘utterly devastated'

A TEEN, 19, has died after taking part in the viral TikTok "dusting" challenge that went wrong, leaving her family "utterly devastated". Renna O'Rourke, from Arizona, tragically passed on Sunday after being in an intensive care unit for a week. 4 Renna O'Rourke, from Arizona, tragically passed on Sunday Credit: Facebook 4 Renna and her boyfriend used an app delivery service to have the cleaning agent delivered to their door Credit: Facebook 4 Renna went into cardiac arrest before later being declared brain dead Credit: YouTube Dusting involves young people inhaling aerosols like spray deodorant, paint thinner or keyboard cleaners. Renna went into cardiac arrest before later being declared brain dead after using a cleaning product to take part in the deadly challenge. The teen's heartbroken dad Aaron O'Rouke described how his daughter dreamed of fame. He told Aaron and his wife Dana shared their daughter's tragic story to raise awareness of the social media challenge. Dana said: "There's no ID required. It's odorless. It's everything kids look for. "They can afford it, they can get it, and it doesn't show in mom and dad's drug test." The mom explained how Renna and her boyfriend used an app delivery service to have the cleaning agent delivered to their door. Most read in The US Sun She told "We want to make sure that we use our tragedy so that no other parent has to experience looking at their child on life support and a ventilator and not breathing on her own all because she huffed out of a can." Pheobe Bishop cops arrest 34-year-old flatmate who was last to see missing Aussie teen on explosive journey to airport Dr. Randy Weisman, from the HonorHealth Scottsdale Osborn Medical Center, explained how inhaling aerosols can make users feel drunk or euphoric for a few minutes. But such use can result in liver failure, heart failure and lung disease among other irreversible issues - or death. He told AZFamily: "This is extremely concerning. "When they inhale these chemicals in the gas it will actually replace the oxygen within their lungs and within the rest of their body." Renna's parents said that the only light to come from her passing is that her organs have gone on to save at least six other people. Mom Dana said: "Through that we're finding strength and purpose. "She will be unbelievably missed, leaving the most aching hole in our lives, but if her life is to mean anything, we are going to do what we can to prevent somebody else's child from being where ours is right now. "She will be unbelievably missed, leaving the most aching hole in our lives, but if her life is to mean anything, we are going to do what we can to prevent somebody else's child from being where ours is right now." A post on the Read more on the Irish Sun "She was the light in every room she walked into, and the pain that her family and friends feel is simply immeasurable. "We want to use the proceeds of this fundraiser to cover the extensive medical bills , burial costs, therapy costs, and to spread awareness about the dangers of Huffing/Dusting, the practice of inhaling keyboard cleaner or similar." 4 Renna's parents said that the only light to come from her passing is that her organs have gone on to save at least six other people Credit: Facebook

Parents of teen who died in dangerous TikTok trend highlight dangers of ‘dusting'
Parents of teen who died in dangerous TikTok trend highlight dangers of ‘dusting'

Sunday World

time10 hours ago

  • Sunday World

Parents of teen who died in dangerous TikTok trend highlight dangers of ‘dusting'

Also known as 'chroming' or 'huffing' the activity can make the user feel drunk and euphoric for a couple of minutes but can also be deadly The parents of a teen who died in a dangerous TikTok trend have highlighted their daughter's story in a bid of warn others of the dangers. Renna O'Rourke of Arizona died in the social media challenge, known as 'dusting' in which participants sniff computer dusting spray to get high. Also known as 'chroming' or 'huffing' the activity can make the user feel drunk and euphoric for a couple of minutes but can also be deadly. Renna O'Rourke as a child News in 90 Seconds - 7th June Renna, who always dreamed of being a star, had told her dad 'I'm gonna be famous', died of sudden sniffing death syndrome at age mother Dana O'Rourke described her as 'vivacious and caring and loyal' as she warned of the potential killers in cabinets. 'There's no ID required (to purchase) said Dana. 'It's odourless. It's everything kids look for. They can afford it, they can get it, and it doesn't show in mom and dad's drug test.' Dr Randy Weisman who leads the Intensive Care Unit at HonorHealth Scottsdale Osborn Medical Center said that in a short amount of time, the damage is done after just one huff and can be irreversible and even deadly. 'She's not the only one that this has happened to. Several other teenagers have succumbed to this same disorder,' said Dr Weisman. 'She spent the next seven days in the ICU. She never regained consciousness,' Dana added. 'We don't have children to bury them.' Elena Zavalza, programme director with notMYkid, joined Good Morning Arizona with advice for parents around the "chroming" and "dusting" trends. 'This is extremely concerning,' she said. 'When they inhale these chemicals in the gas it will actually replace the oxygen within their lungs and within the rest of their body.' In a message for parents, Dana said: Don't take your kids' word for it. Dig deep. Search their rooms. Don't trust and that sounds horrible, but it could save their life,' she said. A GoFundMe has been started to help pay for medical bills and burial expenses. 'On Sunday, June 1 at 1.30pm, our wonderful daughter, after 4 days in the ICU, was pronounced brain dead,' the page reads. 'She was the light in every room she walked into, and the pain that her family and friends feel is simply immeasurable. We want to use the proceeds of this fundraiser to cover the extensive medical bills, burial costs, therapy costs, and to spread awareness about the dangers of Huffing/Dusting, the practice of inhaling keyboard cleaner or similar. 'We are currently actively working on both a TV news segment and pursuing legislation to help prevent any other families from having to go through this.'

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