Emotion regulation (ER) is essential to youth well-being, and cognitive-behavioral therapy (CBT) is an established approach for building ER skills. Clinicians often use creative mediums such as visuals and narratives to support ER through CBT, yet access and personalization remain limited. Generative AI (GenAI) shows promise for addressing these limitations, but its benefits and risks in youth ER remain underexplored, underscoring the need for expert perspectives. We interviewed 20 ER specialists–psychotherapists, art therapists, and psychiatrists–using a GenAI technological probe that generated CBT-based visuals and narratives. Clinicians highlighted GenAI’s potential as a “bridge” to help youth concretely identify and express emotions, practice personalized coping skills, and mediate ER conversations between home and clinics. They also cautioned that the vividness and unpredictability of GenAI outputs may trigger trauma or reinforce maladaptive thinking. We propose psychologically grounded design implications for GenAI to foster safe, engaging youth ER as a foundation for lifelong well-being.

Prior research links teens’ social media use to a reduction in their sense of well-being. The current study investigates how design mediates this link, with an overarching goal of designing better social media experiences for teens. We conducted a mixed-method study with teens (N=25, Mage= 16.5 years) to investigate their moment-by-moment experiences and emotional states while using Instagram. Our analysis showed that teens’ experiences on Instagram often entailed sifting through a content soup dominated by uninteresting, irrelevant content. Boredom served as a reason to enter Instagram, a justification to leave, and as a dominant feeling during a session. The promise of social connection was the main motivator for teens to use Instagram. Teens developed strategies to maintain a state of emotional equilibrium as they sought moments of connection with friends: (1) Feed gatekeeping, (2) Backpedaling away from negative content, (3) Choosing to hide like-counts, and (4) Avoiding notification whiplash.