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The Science and Impact of Phone Addiction with Dr. Elaine Sandler

Dr. Elaine Sandler | Vail Health Behavioral Health
The Science and Impact of Phone Addiction with Dr. Elaine Sandler

Heavy phone and social media use is linked to higher rates of anxiety, depression, stress, and lower self-esteem among teens. Studies show that excessive screen time, late-night use, and constant social comparison significantly worsen mental health. Getting a smartphone before age 13 is associated with poorer emotional well-being later on, especially for girls’ self-worth and boys’ emotional stability.

The harm doesn’t come from phones themselves but from how they’re used: comparison, fear of missing out, disrupted sleep, and less real-world interaction. Replacing face-to-face connection, which builds resilience, with screen time can leave teens feeling lonelier. Smartphones tap into the brain’s reward system. Each notification releases dopamine, encouraging constant checking. Apps use unpredictable “variable rewards,” similar to slot machines, making them especially hard for teens to resist because their impulse-control systems are still developing.

Phone habits also affect families. Adults struggle with distraction too, and constant device use can disrupt meaningful moments like meals and car rides. Improving habits works best when families collaborate, not blame. Real-life examples show that small changes, like keeping phones out of bedrooms, using a phone basket at dinner, or doing homework without a device nearby, can dramatically improve rest, focus, and connection. The goal isn’t to eliminate phones but to restore balance: more sleep, physical activity, creativity, and in-person interaction. Phones serve real needs for safety, school, and social belonging, so setting boundaries should be compassionate.

Healthy boundaries work best when teens help create them. Focusing on “phone-free zones” rather than strict bans reduces conflict. Open conversations, honesty about adults’ own struggles, and truly listening help teens feel respected and willing to engage.

Starting early matters. Kids learn from adults’ behavior, and family-wide agreements make limits easier. For younger children, simple phones or landline alternatives can offer safety without the pressures of social media.

Click here for healthy tech boundary ideas for you and your family.