Pediatric anxiety disorders are highly prevalent and while pharmacological intervention seems to be an effective treatment, the validity of reported adverse side effects remains unclear. <br/><br/>Objective: To analyze the nature of evidence regarding adverse side effects in the pharmacological treatment of pediatric anxiety disorders. <br/><br/>Approach: A search using Google Scholar, PubMed, and PsychInfo was conducted for meta-analyses of pharmacological treatment of pediatric anxiety disorders as well as randomized controlled trials. The focus was on adverse events.<br/><br/>Results and Conclusion: Reportings of a limited number of adverse events were found among resources available to clinician and patient informed sources to inform pharmacological treatment of pediatric anxiety disorders. Only a small fraction of adverse side effects were found in the research literature. This finding raises concerns about making informed decisions to treat pediatric anxiety disorders with pharmacotherapy.

The thesis project merges interdisciplinary research to develop a self-directed creative intervention for immigrant youth, allowing them to make sense of their social and cultural identities. It takes research on self-awareness, multicultural identification, perceived belonging, and bibliotherapy to create a guided journal titled "Unearth," filled with art and writing prompts that are age-appropriate for adolescents and that serve as avenues for self-exploration. The project ultimately engages a focus group discussion to understand the usability and accessibility of the intervention.

Given the growing reports of toxic gymnastics culture and evidence of mental health issues in gymnasts, this study aims to fill in the gaps surrounding the causes of poor mental health and wellbeing of gymnasts as a result of negative gymnastics culture focusing on the idea of mental toughness. Current college gymnasts (n=7) completed a questionnaire and in-person interview to discuss their ideas around mental toughness, their experience with gymnastics culture and the coaching behaviors that create it, and their understanding of their own mental health. 7 participants completed all materials. Results showed that all participants had a mental toughness score falling in the “average” or “good” range with a mean score of 85 out of 140. Mental toughness was mentioned in a negative context 95 times overall and a in positive context 41 times overall during interviews. 6 participants rated their overall experience of gymnastics culture as average and 1 rated it as good, but when reflecting on their most negative experiences of gymnastics culture 4 participants rated their experience as average and 3 rated their experiences as bad. All participants expressed having experienced symptoms of poor mental health in the past 4 months and witnessed symptoms of poor mental health in teammates. 6 participants were unlikely to communicate their symptoms and 4 were unlikely to seek professional help, yet the number of participants likely to offer direct support or encourage teammates to communicate symptoms with a coach/trainer was 5 and 4 respectively. Negative mentions of mental health overall (118) was three times higher than positive mentions of mental health (43) during interviews. As a whole, gymnasts who experienced negative gymnastics culture struggled to recognize poor mental health/wellbeing and viewed mental toughness as synonymous with enduring mental and physical pain. Starting gymnastics at a young age and development in the sport and ideas becoming internalized as part of self, as well as negative coaching behaviors and abuse were referenced as potential reasons for poor understanding of mental health in gymnasts. Recommendations for improvement of gymnastics culture to prevent the negative consequences on gymnasts understand of their mental health include (1) acknowledgement and awareness by coaches of the impact their behaviors can have on gymnasts, (2) building strong personal connections with gymnasts, (3) increasing coaches and support staffs understanding of mental health symptoms so they can recognize them in gymnasts, and (4) promoting and encouraging meaningful conversations around mental health to remove stigma and fear of retaliation for gymnast.

Exercise has emerged as an effective way to treat anxiety and depression. This project first examines the early research on this topic so we can provide a historical context for the thesis. We then look into the contemporary context, where we can see how the topic is being talked about in modern forms of media. Finally, we apply the research to college students. At the end of the paper, you will find a brochure we made specifically for the college student struggling with anxiety or depression.