AUTHOR=Di Iorio Giorgia , Esposito Dario , Romano Sara , Panvino Fabiola , Altomonte Benedetta , Conte Giulia , Casini Maria Pia , Terrinoni Arianna , Calderoni Dario , Andò Romana , Quattrociocchi Walter , Vitiello Benedetto TITLE=Navigating child and adolescent mental health in the digital age JOURNAL=Frontiers in Psychiatry VOLUME=Volume 16 - 2025 YEAR=2025 URL=https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2025.1514806 DOI=10.3389/fpsyt.2025.1514806 ISSN=1664-0640 ABSTRACT=Since 2010, there has been a significant increase in mental health issues among children and adolescents, which coincides with the widespread use of social media (SM). While the exact relationship between SM use and psychiatric health remains unclear, growing evidence suggests that excessive screen time is linked to psychosocial symptoms. This article examines the importance of systematically assessing SM use as part of a comprehensive psychiatric evaluation for young individuals. Key factors to consider include the type, content, and purpose of SM use, as well as daily usage patterns and overall screen time. For instance, nighttime SM use can disrupt sleep and contribute to mental health issues. Additionally, while exposure to inappropriate content on SM may negatively affect mental health, positive online interactions can provide support and educational opportunities. Clinicians should also distinguish between different types of SM users—active creators, interactive participants, and passive consumers—since these engagement levels may influence mental health outcomes. Standardized tools for assessing SM use are recommended, though challenges arise due to the rapidly evolving digital landscape. Lastly, fostering open and non-judgmental communication with young patients about their digital habits is essential for understanding the role of SM in their lives and promoting healthier behaviors.