Census data between 2007 to 2009 shows that 24 percent of 20- to-34-year-olds lived with their parents at some point.

The transition from being an adolescent who is cared for by family and community to becoming an independent young adult has become even harder. Achieving financial independence amidst mounting student debt in the most recent recession can be discouraging.

Having a withdrawn, struggling, angry and depressed child at home makes parents feel helpless and leads to terrible conflicts even for the strongest and most caring families.

Not all young people manage this transition. Depression, anxiety and substance abuse can derail them during this treacherous time. Problems with attention, organization and self-discipline can interfere. Friends may be good or bad influences on them. The range of issues this group faces is broad. Young people struggle with their identity (‘who am I, what are my strengths and what will be my future?’). They look for peer security (‘where do I belong now?’). Insecurity and fear around intimacy and sexuality abound: (‘am I lovable, attractive and can I find a partner?’); Economic independence is challenging: (‘why go out and find a $10 per hour job when a sandwich costs $8 anyway’). They deal with the allure and escape of drugs and alcohol; (‘drinking, marijuana and illegal drugs give me a well-deserved break’). These are just the more obvious issues.

Of course the strength in this age group is tremendous as well. I have seen and heard firsthand how much bonding, healing and growth can happen during the college years. Often this experience gives young people their much needed sense of belonging and acceptance – a boost that can propel them forward towards their early career and life goals. It can happen anywhere!

When I listen carefully to my young adult patients I find that they are often their own worst critics. Caught in a whirlwind of distractions, conflict and self-loathing their attempts at finding a way forward are inefficient and short-lived. But I find a lot of good news as well – once that treatment alliance is established, strong progress is often relatively smooth and easy – it is the kind of help that the parents can’t give their own children anymore. They can, however, accept feedback and help from working with a caring, skilled professional. It allows them to find that next step forward, and, eventually, take it.