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Teen Mental Health: The 5 Stages Of Healing

Teenage boy talking with a male therapist on a rustic wooden porch overlooking mountains at Turning Winds residential treatment center in Montana.

The 5 Stages of Healing

The way we heal and recover is just like how we grieve—in stages. It helps to understand the stages of healing to understand what you, your teen, or another loved family member may be dealing with at the moment. As with grief, healing is rarely linear, and it all takes time.

The stages of grief—denial, anger, bargaining, depression, and acceptance—are the same for healing, as well as for recovery. Healing and recovery are often used interchangeably, and for the sake of clarity, we’ll stick to the word “healing” here.

Remember that there’s also grief within healing. We are letting go of something we had, did, loved, or believed in, and we’re experiencing the loss as part of the healing process. We can take a deeper look at the stages of healing as it relates to what you or your troubled teen may expect.

Stage One: Denial

If you’re looking at healing through crisis and addiction, understand this stage of denial by remembering you are sensing a loss that you don’t want to experience. Denial is a normal human behavior used as a defense mechanism to buffer these painful emotions. Here are things you or your teen may be in denial about:

  • How you or your teen minimized the problem (such as addiction or other risky behaviors)
  • How you or your teen accuse others of blowing things out of proportion about the problem
  • How you or your teen rationalize the problem by saying a little drinking or drugs ease stress

With time, denial will cease, and the rays of reality start to peak through the clouds. You or your teen start to realize how much has been lost in life—family, friends, jobs, money, respect, and health—due to these behaviors. That’s when the second stage begins.

Stage Two: Anger

Here, you or your teen will be angry with the world and constantly asking “why me?” Your teen, for example, may feel anger when he or she realizes how many relationships and positive opportunities were destroyed because of addiction and risky behaviors. You’ll recognize the anger stage if you hear yourself or your teen expressing these questions and regrets:

  • Why am I so unlucky?
  • Why did this happen to me?
  • Why did I let this happen to me?
  • If only I did or did not do (fill in the blank).
  • If there were a God, this wouldn’t have happened to me.

Stage Three: Bargaining

In their own words

I have a really amazing relationship with my family. I have honest relationships that I don’t have to take from them. So, I can have their love and care, and it’s not transactional, and that’s really beautiful.

Andrew · Turning Winds alum

You or your teen will begin to bargain with God, a higher power, or anyone else to make this pain stop. You will hear things such as:

  • I will stop drinking if you let me smoke cigarettes.
  • I won’t harm myself if you let me see a counselor once a week.
  • I won’t run away again if you let me see my boyfriend/girlfriend.

Bargaining occurs because the person experiencing grief feels vulnerable and helpless, and bargaining is the only way to try to control a situation. In grief and healing, you’ll hear examples of bargaining that begin with “what if” or “if only I did…” as a way to try to rationalize what happened.

For example, you may think, “If only I saw the signs, my child would not be troubled or addicted.” Your teen may think during this stage, “If only I didn’t date losers, I wouldn’t have tried so many drugs.”

Stage Four: Depression

This stage is known as the quiet stage of grief and healing. You or your teen may feel exhausted from the other stages, and now the consequences have sunk into the psyche. Often times during a depression stage, you or your teen will not know how to go forward in life. You’ll know you or your teen is depressed when you experience:

Turning Winds Therapy
  • Feelings of overwhelm
  • Foggy, confused brain
  • A heaviness inside your body

Stage Five: Acceptance

This stage may not be quite as joyous as you expect. Acceptance means you or your teen has accepted the loss, the severe consequences, and the fact that there is nothing else to do but move forward. You’ll know the acceptance stage is in full bloom when you hear things such as:

  • A recovery program is the healthiest place for me to be right now.
  • I have the chance to make things right with the people I hurt.
  • I will try to find new opportunities to replace the ones I destroyed when I was addicted.

Passing through these five stages is never easy. It’s a long process, but if you would like the help of a community that fully understands what you and your family are going through. Turning Winds offers treatment services, therapies, and academic programs, all designed to support you and your teen through the stages of healing. Together, we can make a difference!

Contact our admissions team today to learn more about how we can support your family on your child’s healing journey.

Updated Guidance · Last updated August 2026

When Healing Looks Like Regression

A teen who spent weeks demonstrating profound accountability will inevitably wake up one morning furious, blaming everyone else for their placement in treatment. This sudden whiplash from acceptance back to anger is the exact moment families panic, assuming the intervention has failed. In our clinical experience, these abrupt regressions are not setbacks; they are the necessary friction of deep work. The true test of residential care is not how quickly a teen reaches acceptance, but how the milieu holds them when they retreat to denial.

When evaluating a program, look past the promise of a smooth trajectory and ask how the staff manages these backward slides. Ask three specific things: first, how does the clinical team adjust daily expectations when a teen regresses from bargaining back into acute anger? Second, how do you coach parents to avoid reacting defensively when a teen in the depression stage attempts to manipulate their way out of care? Third, how do milieu staff and primary therapists communicate to ensure a sudden shift in stage is met with a unified response? As an American Psychological Association task force concluded from its meta-analyses, relationship factors in therapy are at least as vital to a positive outcome as the treatment method itself.

Programs treating healing as a linear checklist often punish these regressions as non-compliance. We know that stepping backward is often how a teenager gathers the momentum to finally move forward.

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Picture of John Baisden, Jr

John Baisden, Jr

John Baisden Jr is the father of seven inspiring children, and he is married to Kara, the love of his life. Together they have created a family-centered legacy by leading the way with early childhood educational advancement. John loves to write and is an author of a children’s book, An Unlikely Journey and plans to publish additional books. Show More

John is a visionary in his work and applies “outside-the-box” approaches to business practice and people development. He is the Founder of Turning Winds and co-author of Montana Senate Bill 191. He has extensive experience launching and developing organizations. His skills include strategic planning, promoting meaningful leader-member movement, organizational change, effective communication, project management, financial oversight and analysis, digital marketing and content creation, and implementing innovative ideas through influential leadership. As a leader, John seeks to empower others and brand success through collaborative work. His vision is to lead with courage, grit, truth, justice, humility, and integrity while emphasizing relational influence rather than focusing on the sheens of titles, positions, or things.

Finally, John is passionate about life and promoting equity among those who are often overlooked because of differences that frequently clash with the “norm.” He lives in Southern Idaho and loves the outdoors and the life lessons that can be learned in such an informal environment.

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