She Built a Peer Mentorship Program to End Youth Loneliness

Youth Loneliness & Chronic Conditions: The Shared Strength ProjectGuest: Esha Mittal, Founder, The Shared Strength Project

Expert Words: Todd May, MD, Vice President & Medical Director, Health Net

Host: Alex Yarijanian

Episode SummaryOne in three young people in the U.S. live with a chronic condition, according to the National Library of Medicine — yet almost none of the funding, research, or attention going toward senior loneliness has followed youth loneliness into the room. Esha Mittal knows the gap firsthand. Diagnosed with a chronic condition in the fall of her freshman year of high school, she found that the diagnosis-based support groups meant to help her instead became what she calls "a pity party" — rooms where the illness was the only thing anyone had in common.

In November 2025, Esha launched The Shared Strength Project, a mentorship program that pairs youth and young adults living with chronic conditions with mentors matched by shared interest, not shared diagnosis. The model grew directly out of her own experience at UCSF's Wellness Center for Youth and Young Adults with Chronic Conditions, where a nurse practitioner and social worker treated her as a whole person before they ever discussed her symptoms — and where she met the mentor whose own story became the blueprint for the project.

In this episode, Esha walks through what that first isolating year actually felt like, why interest-based pairing works where diagnosis-based support groups didn't, and how a trauma-informed curriculum — built with a licensed social worker — structures every mentor meeting. We also hear from Todd May, MD, Vice President and Medical Director at Health Net, on why "youth loneliness" as a term hasn't yet made it into payer boardroom conversations — even as youth mental health broadly has.

Esha will be speaking at Behavioral Health Tech 2026 in Nashville (September 22–24, Gaylord Opryland Resort and Convention Center) on a panel about designing tools youth and young adults will actually use.

Timestamps00:00 — Cold open: the funding gap between senior and youth loneliness01:39 — Esha's diagnosis, freshman year of high school03:24 — "They did not get it" — the friend-group disconnect04:56 — Why the first (diagnosis-matched) support group made things worse, not better07:20 — Launching The Shared Strength Project (November 2025) and the interest-based pairing model09:19 — Todd May, MD (Health Net) on why youth loneliness hasn't reached payer conversations yet10:33 — Th