Social Media and Mental Health: Benefits, Risks, and Best Practices

Social media has become a part of our lives and affects our mental health, relationships, and sense of identity. Many benefits of social media support cognitive health and wellbeing, but some aspects can be detrimental. 

By exploring the benefits, risks, and best practices, counselors can help clients and themselves navigate online spaces with greater awareness and intention.

Mental Health Support & Advice

Many adults and young people are turning to social media for psychological advice and find it to be a place to share their mental health struggles. For them, this is a place they find a sense of connection and emotional support. Social media can help spread awareness about mental health through support groups, sharing of mental health articles, and normalizing the use of mental health counseling. Posts that talk about trauma, anxiety, and depression can decrease the stigma around these and other mental health issues.

In many remote communities, access to mental health counselors is far more limited than in urban settings. Online therapy, digital forums, and virtual support groups bridge that gap, reaching individuals who might go without help. In this way, some forms of social media help clients build a supportive community where they can help themselves. This can be useful in beginning the healing process or complementing professional mental health counseling in more accessible areas. Social media is not intended to be a replacement for therapy, but many people have found some mental health benefits using it.

Misinformation

There is also caution about using social media for mental health support and advice because of misinformation. Some influencers may not hold the proper credentials or licensure to offer mental health advice or help, yet describe themselves as experts. Denniss and Lindberg (2025) state, “Health misinformation has a range of adverse outcomes, including influencing individuals’ decisions and the erosion of trust in authoritative institutions.”

Wealthy corporations and those who back political candidates purchase social media ads or boost posts to spread misinformation and incite outrage. Encountering these types of posts affects the social media user’s mental health.

When clients attend counseling, ask where they are getting their mental health information from, correct any misinformation, and educate them on how to identify professional resources. Have a list of trusted mental health resources and websites available to offer clients. Use a curious, empathic tone, rather than being judgmental or dismissive. It is important to respect client autonomy.  

Self-Expression

Social media allows users to express their creativity and their authentic selves through posts, videos, and online content. Art, writing, and stories can be shared through social media. Some use social media as a journal. Unlike a traditional journal in which a person keeps their thoughts, feelings, and experiences private, they publicly share them with others. 

In a supportive community, this can become a safe space to process feelings and thoughts and to self-reflect. According to research, younger generations, including Generation Z, feel empowered through their social media expressions. Adobe Communications 2022 states, “This demographic often uses these platforms to explore their identities, with many feeling more comfortable in their skin when engaging online”.

When posts are not seen because of an algorithm or not enough people have interacted with them, this can affect the social media user’s mental health. People feel inadequate or lonely when their self-expression is not validated or acknowledged. This is when users may change their expression. Self-expression becomes repressed when a user feels pressured to share content that is popular or supports the algorithm rather than being authentic. In these instances, it becomes a performance to get more likes, comments, and shares. 

Clients who experience this can develop symptoms such as anxiety, depression, and sleep disturbances. As counselors, we can inquire how social media helps clients express who they are and in what ways it holds back their expression.

The Addictive Nature of Social Media

There is no social media use disorder in the Diagnostic Statistical Manual of Mental Disorders. It is possible to become addicted to or misuse social media. Increased social media use or overuse is detrimental to the human brain. In a 2023 research study by Morris III et al., “Problematic use of social media is associated with increased cue reactivity and sensitivity to social-media–related rewards, poor inhibitory control, and limited affective regulation.” 

Social media can present as a form of addiction when used as an escape. This draws the user’s attention away from the present moment through distraction and a promise of social connection. The all-day, all-night availability of social media, enabled by connectivity and notification updates, creates a false sense of urgency to respond. Counselors can assess for depression, social anxiety, trauma, or other misuse disorders in addition to this behavior.

The use of cognitive-behavioral methods can help clients identify and reduce compulsive checking behaviors, develop alternative ways to cope with anxiety or depression, and change how they use social media. In addition, dialectical behavioral therapy (DBT), mindfulness, and motivational interviewing can be utilized to decrease problematic use and increase coping skills. Help the client develop social media boundaries. 

Some clients may need to change their social media habits, such as the frequency or duration of usage, while others may choose to end their social media usage altogether.

Young Brains and Social Media

The population most at risk for mental health issues and social media is adolescents. Adolescence is a time of finding one’s identity, navigating emotions, and managing hormonal changes. The brain is not fully formed until the mid-twenties, making this a vulnerable time for some young adults, especially on social media.

Posts from friends and videos from strangers encourage a variety of risk-taking behaviors. Young people can be lured into sex trafficking and abuse, some self-harm, or others commit suicide. Some young people watch risk-taking behavior on social media and copy it, filming themselves. The temptation to gain social attention through likes, comments, and shares can be overwhelming for some young adults who emulate what they see without considering the consequences. Others may develop FOMO, a fear of missing out. This is a type of anxiety fueled by the thought that others are having more fun and the person is missing out on it. Young adults who experience FOMO often report feelings of anxiety, depression, low self-esteem, and isolation from others.

Social media has been linked to upward comparisons among individual users. Rather than viewers comparing themselves to others who are similar to themselves, people compare themselves to others on social media who have more than they do. 

This can lead to social anxiety, depression, and low self-worth: “High social media use increases the impression among youth that others are better off than themselves, negatively influencing their self-worth and subjective well-being” (Goldberg 2023).

Talk to clients about how many social media users curate their lives to look a specific, polished way, which often is not true to reality. Help clients spend less time on social media by encouraging offline activities and having them consider unfollowing certain pages. 

Cyberbullying & Harassment

Harmful content can range from viewing others being abused, watching violent content, cyberbullying, and harassment. The user cannot control what shows up in their daily feed. Clients can experience helplessness, depression, and anxiety.

Cyberbullying is bullying and harassment that occurs through social media. Texts, messages, and posts can be used to bully others. Cyberbullying usually affects children and teenagers, although adults can also experience cyberbullying. “It may involve name-calling, threats, sharing private or embarrassing photos, or excluding others” (Abramson 2022). 

Clients are helped in counseling through a variety of methods. Start with psychoeducation. Discuss what cyberbullying is and how it affects mental health. What makes cyberbullying different from other forms of bullying is that it can occur at any time of the day, reach a large audience online instantly, and feel impossible to escape.  

It is essential to establish trust and rapport with clients to create a safe environment in which they can openly express their feelings about abuse. Many clients feel afraid, ashamed, or guilty. Utilize cognitive interventions to increase self-worth and self-esteem throughout treatment.

Monitor the client for any safety concerns. When a person feels trapped or humiliated, they are under mental distress. Without proper coping skills and support, this could lead to self-harm or harming others. Evaluate instances of self-harm and any suicidal or homicidal thoughts.

To prevent sleep disruptions, behavioral interventions can include shutting off all phone usage at bedtime and removing the phone from the bedroom or sleeping area.

Screenshots can be taken of the cyberbullying. Encourage the client or their parents to record dates, times, and descriptions of the cyberbullying. If the harassment occurs during school hours, report it to the school. The social media profile pages where the harassment originates can be reported to the social media company and blocked. Consider local laws concerning cyberbullying and when to report to legal authorities.

Counselor Information on Social Media

Counselors who share private details through interviews or social media can be read by their clients. This can lead to unintentional self-disclosures. Since these types of disclosures occur outside of the counseling session, there is no way of knowing how they affect the client.

It is best practice for counselors to share private information on their private social media pages or not at all. Care needs to be taken to avoid harming clients. Professional pages can be publicly accessed by all, including one’s clients. This means professional information is shared, such as articles or videos focused solely on mental health, rather than familial, political, or personal experiences. 

Lisa Hutchison, LMHC

Lisa Hutchison, LMHC

Writer & Contributing Expert

Lisa Hutchison, LMHC, is a licensed mental health counselor for the Commonwealth of Massachusetts. She works for professionals who want to treat and prevent compassion fatigue. With over 20 years of psychotherapy experience, she helps her clients assert themselves, set boundaries, and increase their coping skills. Her specialty is decreasing stress, anxiety, and depression while increasing realistic methods of self-care for those who help others. Ms. Hutchison’s psychological advice has been featured in Reader’s Digest and the Huffington Post. Her articles have been published in numerous magazines, including Grief Digest and Today’s Caregiver.

Lisa is the bestselling author of I Fill My Cup: A Journal for Compassionate Helpers and a faculty member writer for NetCE. Her latest continuing education unit publication is “Setting Ethical Limits for Caring and Competent Professionals.” She has taught creative writing in colleges and presented on boundaries for the compassionate helper; the use of expressive art to heal grief, anxiety, and depression; inspirational and motivational topics; and creative writing techniques.

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