

每年6月第三個星期五為「國際停止網路霸凌日」(Stop Cyberbullying Day),提醒社會正視青少年在數位時代中所面臨的隱形風險。與此同時,Netflix推出的迷你影集《混沌少年時》(Adolescence),描繪青少年在面對同儕排擠、網路言論攻擊時的無助與掙扎,亦引發教育現場與家庭普遍共鳴。
精神科醫師 蔡佩蓁醫師(振芝映煦心身醫學診所院長)指出,劇情雖屬虛構,但真實中確實存在許多類似狀況,不同於成人,青少年的心理困擾常以非典型的方式呈現。
精神科醫師教你從行為 看出青少年情緒異常5大警訊
蔡佩蓁醫師指出,若孩子出現以下五種行為變化,家長可視為早期心理困擾的提醒訊號:
- 1.反覆以「我沒事」等語句淡化自身情緒
- 2.對性別、認同、外貌等議題產生強烈焦慮或否定
- 3.社交模式明顯轉變,或長時間沉迷特定網路社群
- 4.言語與情緒表現出現對立,例如冷漠中帶有敵意或激動
- 5.與家庭、學校互動明顯減少,逐漸疏離原本支持系統
她表示,這些行為變化往往不易在第一時間被發現,也不必然意味著病理問題,但若能在日常中建立穩定對話與信任感,有助於提早辨識並回應孩子的心理需求。
給父母的3個應對建議
至於父母可採取的行動,蔡醫師建議:
- 先創造安全對話空間,再引導行為:當孩子情緒強烈時,用傾聽代替指正,先穩定關係,有助於降低對立與防衛。
- 從生活細節開始對話:可從具體情境切入,例如:「今天在學校,有沒有發生什麼特別的事?」比起問「你怎麼了?」更容易打開話題。
- 困擾持續超過兩週,建議尋求專業評估:若情緒起伏明顯干擾生活,家長不必單打獨鬥,可諮詢心理師或兒少精神科,及早介入。
心理照顧不只診間 藝術課程與營隊活動提供新入口
隨著兒少心理健康議題受到重視,部分醫療單位也開始嘗試非制式的心理照顧模式。位於台北市的振芝映煦心身醫學診所,針對青少年常見的表達困難與壓力調節需求,設立專屬友善空間,並推出結合創作、互動與生活應用的主題課程與夏令營。
課程以非語言表達為特色,無需事前技巧,即可透過創作探索內在。例如,以藝術為媒介的「療癒畫」、運用自然素材創作的「永續工坊」、以及以「正念呼吸」為主軸的身體覺察課程,皆為常態性小班教學。
此外,診所將於暑期舉辦三日沉浸式營隊《E心E意探險家》,課程主軸涵蓋情緒教育與數位素養,透過動物輔助治療、角色互動劇場、網路風險模擬、情緒任務闖關等九大主題,幫助青少年在多元體驗中培養自我理解與判斷能力。活動亦設計家長參與機制,包含家長共學任務與成果發表會,期望強化家庭支持連結,打造具延續性的心理照顧系統。
診所團隊表示,這類活動的目的是補足傳統醫療系統之外的心理教育空白,也讓青少年與家長能有更多元、低門檻的互動起點。
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