This category referred to challenges related to mental health, including depression, loneliness, stress, and anxiety. This category was dimensional, ranging from mild symptoms of mental health disorders (e.g., boredom) to severe symptoms (e.g., can't get out of bed). A total of 14.8% of the units were assigned to this category. Adolescents reflected challenges of “feeling lonely” (participant 1,801), “I'm anxious” (participant 1,662), and “dealing with my mental health and the self-consciousness, anger, worry, and disappointment” (participant 1,199). Participants also stated mental health as a challenge broadly, such as “mental health is worse” (participant 1,304).