Cracked Ground

Adult Transitions

What it is:

Based on data from the federal Current Population Survey, approximately 1 in 5 youth between the ages of 20-24 are not working or in school. Commonly referred to as “NEET” (not in employment, education or training), these are young adults who are unable to effectively “launch” into independent adulthood and acheive markers such as independent living, financial independence, or maintenance of vocational or educational goals. Many of these youth have attempted to engage in work or school multiple times without success. While there are a number of challenges that can interfere with maintaining a job or attending classes, for some the primary challenge is anxiety-related avoidance and mood-dependent behavior. Mood dependant behavior refers to the tendency to act consistently with one’s mood (e.g., stay in bed when sad, avoid social interactions when anxious) and difficulty initiating or sustaining behaviors that are mood incongruent due to this discomfort this causes (e.g., attend work when stressed, attend class when overwhelmed or experiencing depressive symptoms).


Typical challenges include: 

  • Frequently starting and stopping employment, education or training programs

  • Trouble going to a job, attending class or completing assignments when feeling sad or worried 

  • Periods of anxiety and depression

  • Difficulty sustaining goal-directed behavior in the face of setbacks or obstacles

  • Vacillation between unrealistic hopefulness and avoidant hopelessness around independent living goals

  • Intense distress related to job or academic expectations

  • Procrastination and numbing behaviors (e.g., gaming, social media, streaming)

  • Difficulty engaging in important tasks during periods of low motivation

  • Arguments (or unwillingness to discuss) with family members around expectations or capabilities

  • Low self-esteem and low belief in their own capability

These are young adults who may experience periods of strong motivation to engage in age-appropriate activities such as pursuing a degree, vocational training or employment, followed by experience of intense anxiety, depression or shame that lead to avoidance and withdrawal from pursuing their goals.  

Associated Concerns: Individuals that struggle with adult transitions often have concerns with anxiety, mood disturbanceperfectionism or shame. They may develop a pattern of oversimplifying the difficulty of “launching” tasks and subsequently avoiding these tasks due to difficult emotions such as shame or anxiety.

Evidence-Based Treatments Offered: An initial assessment is important to determine the most likely cause of the youth’s difficulty with adult transitions. The typical recommendation for these concerns is entry to our EMERGE program. Depending on comorbidities or the intensity of concerns, a variety of treatments such as those intended for anxiety, depression, emotional resilience, eating disorders, substance abuse, or autism-spectrum disorder treatments may be appropriate instead or as an adjunct to the EMERGE program. Treatments may involve Cognitive Behavioral Therapy (CBT), the Unified Protocol (UP) , or Dialectical Behavior Therapy (DBT) may be used.