3 Adolescent Mental Health Red Flags Providers Should Watch for During Summer

How school breaks can mask or amplify eating disorders, anxiety, and OCD symptoms and how to intervene
Summer break is often thought of as a time of freedom and fun for teens, but for many adolescents, the shift away from school-year structure can quietly amplify mental health struggles. Without the built-in routines, peer interactions, and external observations of teachers and school counselors, symptoms of anxiety, obsessive-compulsive disorder (OCD), and eating disorders (ED's) can become more entrenched while going unnoticed.
As healthcare providers, summer is a critical time to proactively watch for emerging or worsening behaviors, especially among teens already at risk. Whether you’re a therapist, pediatrician, school staff member, or part of an interdisciplinary care team, it’s important to recognize these three red flags in adolescent patients—and know how to respond effectively.
3 Signs of Mental Health Struggles in Teens and Adolescents
1. Increased Social Withdrawal and Avoidance of Activities
Without the structure of school and extracurriculars, teens with anxiety or OCD may begin to withdraw socially. This withdrawal can look like:
- Canceling plans repeatedly or refusing to leave the house
- Avoiding previously enjoyed hobbies or summer activities
- Expressing vague fears or discomfort around social situations
Why it matters: Social isolation can be both a symptom and a contributor to worsening anxiety, depression, and OCD. Without early intervention, avoidance can solidify into long-term patterns that disrupt development and recovery.
How to intervene:
Encourage parents to maintain predictable daily schedules and gently support social interaction. Recommend therapy focused on exposure and response prevention (ERP) for OCD or CBT for social anxiety. If you suspect anxiety is interfering with functioning, initiate a clinical screening and consider referring to a mental health specialist.
2. Shifts in Eating Patterns or Exercise Behavior
Summer often disrupts regular meal routines, making it easier for disordered eating behaviors to go unnoticed. Watch for:
- Teens skipping meals, grazing all day, or obsessively “eating clean”
- Excessive or rigid exercise routines that intensify with added free time
- Visible weight fluctuations or expressed body dissatisfaction
Why it matters: Summer can be a high-risk time for the onset or escalation of eating disorders, especially for teens experiencing identity changes, body image concerns, or heightened perfectionism. Diet culture and appearance ideals are amplified in the summer, especially on social media sites where teens are spending their free time. With fewer adults monitoring mealtime and activity, unhealthy patterns can escalate quickly.
How to intervene:
Ask direct, nonjudgmental questions about eating habits, body image, and physical activity. Normalize discussions about nutrition, self-esteem, and time spent on social media. If you identify red flags, provide resources for ED-specific care and refer to a registered dietitian or therapist trained in eating disorder treatment.
3. Heightened Rituals or Perfectionism
The lack of structure in summer can intensify OCD symptoms or perfectionistic thinking. This might look like:
- Obsessive planning or excessive list-making
- Time-consuming rituals that interfere with daily life
- Extreme distress when plans change or routines are interrupted
Why it matters: Teens with undiagnosed OCD or perfectionistic tendencies may struggle without the predictable framework of school. What may seem like “quirks” or strong preferences can actually indicate underlying anxiety disorders that deserve clinical attention.
How to intervene:
Explore the function behind the behavior- what purpose does the ritual or routine serve for the teen? Consider early referral to a provider specializing in ERP or anxiety-focused treatment. Educating parents about early signs of OCD is also crucial, as they may simply misinterpret these behaviors as discipline or motivation.
Don’t Wait Until Fall: Early Identification Matters
Summer offers a unique window for providers to identify and support adolescents who may otherwise go unnoticed. By paying attention to subtle signs and initiating conversations, we can help teens access care before symptoms worsen.
Want to learn more about how to support teen mental health this summer?
Join us for our
Summer Series- a free, virtual training series designed to equip providers with practical tools, clinical insights, and a deeper understanding of the full spectrum of eating disorders. Led by Thrive’s founder and nationally recognized eating disorder specialist Kat Geiger, DCSW, LCSW, CEDS-C, PMH-C, this series will break down myths, build clinical confidence, and provide tangible steps you can bring back to your practice immediately.
Let’s Thrive Together
Sign up here to receive access to our clinical tools, webinars, and free CEU trainings with eating disorder and OCD experts.
Together, we can help teens move through summer with more support, stability, and self-understanding.
Thrive Wellness is here to support providers and families across the continuum of adolescent mental health care. To make a referral for specialized mental health support, click here.


