Jan Hamilton , MS, PMHNP, 
Psychiatric Nurse Practitioner

Doorways LLC.

 1825 E. Northern Ave. 

Suite 200

Phoenix, AZ 85020


(602) 997-2880  


A Note from Jan
Founder of Doorways 
The headline was horrifying.
"12-Year-Old Girl Live-Streams Her Suicide on Facebook"
Our lives and the lives of our children have become entrenched in the use of social media. We check social media on our smartphones almost every minute of the day. We even sleep with our phones next to us in bed!

Some studies are finding that the more time that teens are spending on social media, the greater their risk for depression.

According to a study by the University of Pittsburgh, over 1,787 U.S. young adults ages 19-32 visited about 30 different platforms, 30 times a week and spent an average of 61 minutes a day on those various social media sites. Of those, a high amount of depression was found in no less than 25 percent of those that participated in the study.

Researchers are still trying to determine if it's the social media that is causing the depression or if higher numbers of teens with depression flock to social media.

My assessment is that the use of social media can definitely contribute to depression symptoms.

I can't tell you how many times kids tell me that they don't feel loved, or they don't feel like they are "good enough" or "pretty enough" or even just "enough."

When asked why they feel this way, they give example after example of where they are being ignored or bullied or snubbed on social media (or at least they think they are.)

When people get a "like" or a comment on social media, it gives them a temporary sense of feeling good.

One study says, "every time we post, share, 'like,' comment or send an invitation online, we are creating an expectation...We feel a sense of belonging and advance our concept of self through sharing."

Conversely, when we don't get the positive responses we desire, we can experience negative feelings. 

We may feel that because we didn't get a response on our Facebook post that people don't like us, that we're not good enough.

While researchers have found a correlation between the use of social media and depression, they are in no way are suggesting that everyone that uses social media is going to get depressed.

Whether you are concerned that your teen is depressed or not, it is still a good idea to monitor their social media usage in terms of sites they are visiting and the amount of time they are spending on them. 
If you or someone you know has concerns that social media is causing depressive thoughts for your teen or worsening your teen's depression, we welcome you to give us a call. We provide free consultations to worried parents. 
Don't wait to call if you're worried about your child. We have caring, confidential providers at Doorways who will listen without judgment and help point you in the right direction.
We are here to help.
Jan Hamilton, MS, PMHNP-BC
Psychiatric Nurse Practitioner
Doorways, LLC
1825 E. Northern Ave., Ste. 200
Phoenix, AZ  85020

PS. We are hiring eating disorders specialists and family counselors.  If you know of anyone who would enjoy helping teens, young adults, and families in a fun, faith-based, environment, please share this email with them. 


Meet Stephanie Otte, LAC, 
Licensed Associate Counselor
Stephanie graduated with her Masters of Counseling from Arizona State University. 

Stephanie has worked with adolescents and young adults for eight years tutoring, mentoring, and on staff/ volunteering with Young Life. Stephanie specializes in topics such as anxiety, self-esteem, depression, anger management, trauma abuse and recovery, and conflict-resolution. Stephanie is a Licensed Associate Counselor with Doorways and works primarily with the OCD/Anxiety and DBT Intensive Outpatient Programs.

Now Hiring!
We are looking to fill the following positions. 

Please help spread the word! 

Calendar of Events
Open Groups at Doorways

Adolescent Eating Disorders IOP for ages 13-18

This ED IOP is 3 days per week, a total of 10 hours per week.  Open enrollment, join any time.

OCD/Anxiety Disorders IOP for ages 13-17

For those adolescents who suffer with the effects of OCD and severe anxiety in their lives, this IOP will be of great benefit towards overcoming their symptoms. Find out more.

DBT Skills IOP for ages 13-17

The DBT Skills IOP program gives adolescents the tools they need to have successful relationships and boundaries. DBT is a highly interactive skills-based group program. It's not a program where you just sit. Find out more.

If you know anyone who may benefit from any of our IOP programs, please don't hesitate to give us a call at 602.997.2880.

We are also contracted with Aetna, Blue Cross Blue Shield, Cigna, and United Behavioral Healthcare for our IOP's. 

Help Your Teen Manage the Stress of High School

Teens are increasingly finding themselves stressed out. The American Psychological Association , reports that stress is incredibly common among teens. And, it comes as no surprise that teens' biggest source of stress is school. As a parent, find out how you can help your teen identify and manage their stress. 
Mental Health Danger Signs in Teens
As teens are developing, they go through a series of changes physically, emotionally, socially and intellectually. For a lot of teens, these changes can be overwhelming. According to Healthy Children , this is a critical time and these pressures can lead to mental health issues presenting themselves. As a parent, it is important for you to know what to look for so that you can determine if your teen is just experiencing "normal" teenage behavior or is beginning to suffer from mental health issues.

Is Social Media Negatively Impacting Your Teen's Body Image?

 According to a recent report from Common Sense Media, teens are spending an average of about nine hours on social media daily and this does not include what they may be using at school.

Social media sites like Facebook, Instagram, and Snapchat have become an integral part of teenager's lives, something that many teens feel they can't live without. One of the more negative sides of social media use is how these media are serving to influence a teen's personal body image.