Alliance ruptures are more likely than not to occur in any given session with a young person with Borderline Personality Disorder. Early in therapy, withdrawal type ruptures are more frequent, whereas late in therapy, confrontation ruptures are more frequent. Late in therapy, alliance ruptures should be viewed as opportunities for therapeutic change, rather than barriers to good outcomes.

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Background: Climate change represents a serious threat to human health, including mental health, due to both the traumatizing effects of extreme climate events and the psychological effect of worry about climate change. Objectives: This scoping review aims to search the literature for original research investigating mental health and climate-related negative emotions in young people. Findings will help to understand the current landscape, gaps in the literature, and provide recommendations for future youth mental health research and practice. Methods: A scoping review of the literature examining negative emotions associated with climate change in young people was undertaken. Studies published prior to March 2022 were included if they examined mental ill-health (e.g., symptoms of depression or anxiety) or negative emotions (e.g., distress, worry, concern) associated with the threat of climate change. Results: Of 3939 articles screened, 26 met the inclusion criteria. Together, studies show that young people are worried about climate change. Negative emotions about climate change were correlated with symptoms of mental ill-health. Studies also explored coping strategies young people use to manage their distress caused by climate change. Discussion: The limited literature in this area indicates a key gap in youth mental health research. While available evidence suggests that young people are concerned Reem Ramadan and Alicia Randell joint first-authors.

Background: Human-induced climate change represents a serious threat to human health, including mental health, due to both the traumatising effects of extreme climate events and the psychological effect of worry about climate change. The present scoping review aims to systematically search and synthesise original research related to mental health and climate-related concerns, negative emotions and mental ill-health in young people. Findings will help to understand the current landscape, gaps in the literature, and to provide recommendations for future youth mental health research and practice. Methods: A systematic search and narrative synthesis of the literature published prior to October 2020 examining negative emotions associated with climate change in young people was undertaken. Studies were included if they examined mental ill-health (e.g. symptoms of depression or anxiety) or negative emotions (e.g. distress, worry, concern) associated with the threat of climate change. Findings: Of the 3329 peer-reviewed articles screened, 12 met the inclusion criteria. Together, included studies show that young people are worried about climate change. Studies also explored the coping strategies young people use to manage their distress caused by climate change. Interpretations: The limited literature in this area indicates a key gap in youth mental health research. Available evidence suggests that young people are concerned about climate change, which may increase risk of mental ill-health. Thus, clinicians should assess for and address climate anxiety in young people. Mental health leaders are urged to advocate for urgent climate action to mitigate the effects of climate anxiety in young people.