Saturday, December 27, 2008
Sue Scheff - Parenting Teens - What Video Games do you kids play?
Violent Video Games
“You can do anything. Just try to kill him.”
– T.J Trimmer, 12-year-old video game player
12-year-old T. J. Trimmer is playing one of his favorite video games- Mortal Kombat.
The goal, he says simply, is to beat your opponent. “You can do anything,” T.J. says, his fingers frantically manipulating dials and buttons. “Just try to kill him. Like right now I’m attacking this guy with, like, punches and kicks. There are all these special moves that you can use…You attack your opponent….it’ll do more damage to him when you have one of (these) weapons.”
But according to new research from Iowa State University, T.J. isn’t just hurting his opponents.
Researchers studies over 1,500 kids and found that the children who played violent video games were more aggressive afterwards than those who did not.
“They’re not just releasing aggression,” says child psychiatrist Dr. Adolph Casal. “They’re practicing aggression. When we practice something, we get good at it. If we don’t practice something, we don’t get good at it. So spending a considerable amount of time in an aggressive, violent situation on a daily basis, is going to improve our aggression skills.”
Of course, T.J. disagrees. “Like this way, you take your anger out on someone else, but you don’t really take it out on someone. You can take it out on this.”
Experts say parents need to set rules about which games they will allow their children to play and for how long.
Tips for Parents
The video-game industry has undergone a dramatic change since the birth of Super Mario, the happy acrobat who once thrilled children for hours as they played with their Nintendo systems. Today, dark and adult-themed games like Grand Theft Auto and Mortal Kombat are outselling kids’ games. Even Nintendo has switched gears by offering games with edgier subjects like the zombies featured in Resident Evil.
Why has the landscape of the video-game industry undergone such drastic change? Consider these statistics from the Entertainment Software Association:
The average game player is 35 years old and has been playing games for 13 years.
The average age of the most frequent game purchaser is 40 years old.
Forty percent of all game players are women. In fact, women over the age of 18 represent a significantly greater portion of the game-playing population (33 percent) than boys age 17 or younger (18 percent).
In 2008, 26 percent of Americans over the age of 50 played video games, an increase from nine percent in 1999.
Thirty-six percent of heads of households play games on a wireless device, such as a cell phone or PDA, up from 20 percent in 2002.
In its annual report at the end of 2008, the consumer watchdog organization the National Institute on Media and the Family (NIMF) gave the video-game industry nearly straight-A’s, with particularly high grades in the rating system and retail policies.
Parents, on the other hand, scored an “incomplete” by NIMF, due mainly to their lack of attention to the ratings system and because most don’t use the parental control features on game consoles.
As a parent, how can you prevent your child from becoming exposed to violent or sexually explicit media? You can start by familiarizing yourself with the video game rating system. The Entertainment Software Rating Board (ESRB) rates every video and computer game for age appropriateness (located on the front of the packaging) and, when appropriate, labels games with content descriptions. The ESRB’s current rating standard is as follows:
E: Everyone
T: Teens (13 and older)
M: Mature audiences (17 and older)
AO: Adults only
Children Now, a research and action organization, offers these additional tips for helping you to choose the right video games for your child:
Know your child. Different children handle situations differently. Regardless of age, if your child becomes aggressive or unsettled after playing violent video games, don’t buy games with violence in them. Likewise, if your child likes playing games with characters that look like her or him, purchase games with characters that fit the bill.
Read more than the ratings. While the ESRB ratings can be helpful, they do not tell the whole story. Some features that you may consider violent or sexual may not be labeled as such by the ESRB. In addition, the ESRB does not rate games for the positive inclusion of females or characters of color. The language on the packaging may give you a better idea of the amount and significance of violence and sexuality and the presence of gender and racial diversity or stereotypes in the game.
Go online. The ESRB website provides game ratings as well as definitions of the rating system. In addition, you can visit game maker and distributor websites to learn more about the contents of a game. Some have reviews that will provide even more information about the game.
Rent before you buy. Many video rental stores also rent video games and consoles. Take a trial run before you purchase a game.
Talk to other parents. Find out which games other parents like and dislike as well as which games they let your child play when he or she visits their house. This is a good way to learn about the games that your child enjoys and those that other parents approve of, and to let other parents know which games you do not want your child playing.
Play the games with your child. Know what your child is being exposed to and how he or she reacts to different features in the games.
Talk about what you see. If your child discovers material that he or she finds disturbing or that you find inappropriate, talk about it. This is a great opportunity to let your child know what your values are as well as to help him or her deal with images that may be troubling.
Set limits. If you are worried that your child spends too much time playing video games, limit the amount of time or specify the times of day that video games can be played.
Put the games in a public space. Just as with the Internet, keep your game consoles and computers in public family space so that you can be aware of the material your child is viewing.
Contact the game makers. If you find material that you think is offensive or inappropriate, let the people who make and sell the games know about it. Likewise, let game makers know if you think that a game provides healthy messages or images. They do care what you think!
To make your search easier, the NIMF cites the following video games that are either positive for children or contain negative images for children to avoid:
Positive games for your child:
Guitar Hero World Tour
Rock Band 2
Rock Revolution
Spider-Man: Web of Shadows
Shaun White Snowboard
Games that are inappropriate for your child:
Blitz: The League II
Dead Space
Fallout 3
Far Cry 2
Gears of War 2
Legendary
Left 4 Dead
Resistance 2
Saints Row 2
Silent Hill: Homecoming
References
Children Now
Entertainment Software Rating Board
Federal Trade Commission
Interactive Digital Software Association
Iowa State University
National Institute on Media and the Family
Friday, December 19, 2008
Sue Scheff - Parenting Troubled Teens- Teen Mischief

Criminal Activity and Your Teen
For many kids, adolescence is a trying phase of life. Body changes, school pressures, and personality changes can be very overwhelming to your teen when occurring all at once. Because of these pressures, adolescents can be more susceptible to things like peer pressure. Whether it’s out of a desire to fit in or stand out, your normally levelheaded teen can be easily pressured into committing dangerous and illegal acts they might never otherwise consider.
Sometimes, these activities are relatively harmless, and can include things like dying their hair a bold color, or cutting a class or two. But often, many teens find the desire to fit in so strong they are willing to compromise their own morals to be part of the ‘in’ crowd. They may be more likely to experiment with drugs or alcohol, or commit other criminal activities, all for the sake of ‘fitting in’.
Though there are many dangers your teen may encounter, this site deals specifically with teenagers and criminal activity, like shoplifting, vandalism, and violent crime. Teens can partake in these activities for many reasons- peer pressure being just one of a long list of possibilities.
My name is Sue Scheff™, and I am not only a parent, but the founder of the Parents Universal Resource Experts (P.U.R.E.)™. P.U.R.E™ came about after I found myself feeling alone and scared when my then-teenage daughter began experiencing troubles of her own. Those of us at P.U.R.E.™ know what many parents go through. We are here for you and want to provide you with resources, advice and the support you’ll need to get through trying times.
Click here for my website on Teen Mischief.
Sunday, December 7, 2008
Sue Scheff: Parenting Difficult Teens
It stems back to "children need to have their self-esteem built up to make good decisions." Today most families are either single parent or both parents are working full time. This is not the fault of the teen, nor is it the fault of the parents. It is today's world and we must try to find the middle. Troubled teens, rebellious teens, angry teens, problem teens, difficult teens, depressed teens; unfortunately are part of the society of adolescents today.
Communication is always the first to go when people get busy. We have seen this over and over again. We have also experienced it and feel that our children shut us out; this can lead to difficult teens and teens with problems. Although we are tired and exhausted, along with the stress of today's life, we need to stop and take a moment for our kids.
Talk and LISTEN to them. Ask lots of questions, get to know their friends and their friend’s parents, take part in their interests, be supportive if they are having a hard time, even if you can't understand it; be there for them.
This all sounds so easy and so simple, but take it from parents that have walked this path, it is not easy. When a parent works a full day, has stress from the job along with household chores, not to mention the bills, it is hard to find that moment. We are all guilty of neglect at one time or another after all, we are only human and can only do so much. We feel the exhaustion mounting watching our teens grow more out of control, yet we are too tired to address it. Out of control teens can completely disrupt a family and cause marriages to break up as well as emotional breakdowns.We know many feel it is just a stage, and with some, it may be. However most times it does escalate to where we are today. Researching for help; PURE is here for you, as we have been where you are today.
Do you have a difficult teen, struggling teen, defiant teen, out of control teen, rebellious teen, angry teen, depressed teen? Do you feel hopeless, at your wits end?
Monday, December 1, 2008
Parents Universal Resource Experts - Sue Scheff - Teens: Sex in the Media
“Every TV show now has like at least one character who is like a slut.”
– Katie Seewald, 14 years old
Parents have heard a thousand times that sex is all over the media. But is the sheer volume of sexual images harming our children? Or is it something else?
A recent movie, “A Guy Thing,” begins with a bachelor (played by Jason Lee) hurrying a woman (Julia Stiles) out of bed after a drunken one-night stand.
The scene is typical of how casual sex is portrayed on television and in the movies.
14-year-old Katie Seewald says, “Every TV show now has like at least one character who is like a slut.”
A study by the Rand Corporation finds that teens who watch shows with heavy sexual content are twice as likely to get pregnant or get someone pregnant compared to kids who don’t watch those shows. Still, while the study demonstrates a correlation between teenage sexual behavior and television content, it does not prove a cause. Are the higher pregnancy rates the result of TV viewing, or is it simply that kids who take sexual risks and end up pregnant are more likely to watch sexual content on TV? It is not clear.
Experts say one problem with television content is that sex seldom has consequences.
“If they see sex without negative consequences…they may think that having, or engaging in sex, may not have negative consequences,” explains Dr. Gina Wingood, Associate Professor at Emory University.
Bo Brewer, 17, agrees, “You never see abortion in movies or on t-v.”
So does 17-year-old Elizabeth Green, “They want everything to be in the heat of the moment, to flow, and having to stop to go put on a condom doesn’t really flow with the storyline.”
The experts’ advice?
Limit the amount of sexual content your kids are allowed to watch and talk with your children about the sexy scenes they see on TV.
Studies show children are much less likely to be influenced by what they see if they know their parents strongly disagree.
“Teens and young people do care what their parents think. And they do care what their parents’ feelings are,” says psychologist Betsy Gard. “And if a parent expresses very strong dislike of a program and explains their reasons, that’s going to have an impact on the teen.”
“And I think it’s kind of up to parents or some figure like that to say ‘well that’s not the way it is, that’s just the way that it is on that t-v show,” says 16-year-old Mary Cloud.
Tips for Parents
The American Academy of Pediatrics has suggested that portrayals of sex on entertainment television may contribute to precocious adolescent sex. Approximately two-thirds of television programs contain sexual content, and adolescents who viewed more sexual content were more likely to initiate intercourse and progress to more advanced non-coital sexual activities. Youths in the top 10th percentile of television sex viewing were twice as likely to have sex as those youths who were in the bottom 10th percentile of viewing.
Adolescence is a key period of sexual exploration and development. This is the time when teens begin to consider which sexual behaviors are enjoyable, moral and appropriate for their age group. Many teens become sexually active during this period; currently, 46 percent of high school students in the United States admit to having had sexual intercourse. Consider the following:
By ninth grade, 34 percent of teens have had sexual intercourse. By 12th grade, this figure increases to 60 percent.
On average, teens watch three hours of television every day.
Watching a program that talked about sex was associated with the same risks as exposure to a program that depicted sexual behavior.
Approximately one in seven television programs includes a portrayal of sexual intercourse.
Television programs with sexual content have an average of 4.4 scenes per hour containing sexually related material.
Youths who watched more depictions of sexual risks or safety were less likely to initiate intercourse.
Watching sex on television predicts and may hasten adolescent sexual initiation. Reducing the amount of sexual content in entertainment programming, reducing adolescent exposure to this content, or increasing references to and depictions of the possible negative consequences of sexual activity could delay when teens embark on sexual activities. A quarter of all sexually active teens will contract a sexually transmitted disease each year. According to 57 percent of adults and 72 percent of teens, the media has given "more attention" to teen pregnancy prevention in recent years.
Remember that as a parent you may be able to reduce the effects of sexual content in the media by watching television with your teenagers and discussing your own beliefs about sex and the behaviors being portrayed. Most parents say they have discussed sex with their teenagers, but far fewer teenagers say they had such talks with their parents. Sixty-nine percent of teens report that it would be "much easier" to postpone sexual activity if they could have "more open, honest conversations" about sex with their parents. In addition:
About 60 percent of teens have a television in their bedroom. The only way to keep parental control of television viewing is to not let your teen have a television in the bedroom.
Unplanned pregnancies and sexually transmitted diseases are more common among those who begin sexual activity earlier.
Two-thirds of sexually experienced teens wish they had waited longer to have intercourse.
Seventy-nine percent of teenage virgins are not embarrassed to tell others they have not had sex.
Youngsters who receive little parental supervision may have more time and freedom to watch sexually based programming and more opportunities to engage in sexual activity.
References
The Henry J. Kaiser Family Foundation
Medical News Today
Pediatrics
Rand Corporation
Talk With Your Kids
USA Today
Monday, November 17, 2008
Sue Scheff: Counseling Cuts Down on Youth Drinking

– Rhonda Jeffries, M.D., Pediatrician
It’s a troubling fact of life: some kids drink.
“Especially the older they get,” says Dr. Rhonda Jeffries, a pediatrician. “And by senior year, 50 percent or more of kids are drinking. And in fact, by 12th grade, usually 80 percent of the kids have tried alcohol.”
But can a doctor persuade kids not to drink? Kids seem to think so.
“I think coming from somebody besides, maybe, just the parents for some people it will help,” says 18-year-old Andrew Scott, a high school senior.
Lars Thrasher, 17, agrees. “I would think it would be more helpful from a doctor,” he says.
And Christine Terrell, calls doctors advice on drinking and other potentially touchy subjects “extremely beneficial.”
According to a study published in the Annals of Family Medicine, when a physician spends just a few minutes talking to kids about the dangers of alcohol, those kids are 50 percent less likely to drink.
Dr. Jeffries says: “If it comes from me, I’m the objective observer. I’m interested in the child, and I try to let them know that. I want what’s best for them, but yet it’s not Mom or Dad saying that.”
The study reports when kids talked with their doctor, they had 55 percent fewer traffic accidents, 42 percent less emergency room visits and fewer arrests for underage drinking. It seems that when doctors warn kids about alcohol, they listen.
Christine Terrell explains: “They’re not invested in you as their child. They’re invested in you for your health, for your interests, for your sake. And I would definitely listen to a doctor, and I have listened to doctors who have talked to me about subjects like that.”
The study suggests it’s a good idea to ask your doctor to talk with your children about alcohol. Of course, experts add, parents should bring up the subject as well. “They need to be open to discussion and to bringing these issues up with their kids,” says Dr. Jeffries. “And I think that parents who are in touch with their kids and connected to them are really helpful in getting their children though adolescence without negative effects.”
LaShauna Pellman, 17, sums it up best. “If my parents tell me something,” she says, “then I listen to them even more.”
Tips for Parents
Alcohol-related fatalities are a leading cause of death among young adults in the United States. In the United States, 70.8 percent of all deaths among persons aged 10 to 24 result from only four causes – motor-vehicle crashes, other unintentional injuries, homicide and suicide.
Should your family doctor take just a few moments to counsel your child about the risks of alcohol, there is great potential for positive outcome. Just a few minutes of a doctor's counseling helped young adults reduce their high-risk drinking and the number of traffic crashes, emergency room visits, and arrests for substance or liquor violations, says a study in the Annals of Family Medicine. Consider the following:
Underage drinking causes over $53 billion in criminal, social and health problems.
Alcohol is a leading factor in the three leading causes of death for 15- to 24-year-olds: automobile crashes, homicide and suicide.
Primary-care doctors should make it a priority to counsel young adults about high-risk drinking. Young adults, ages 18 to 30, who received counseling about reducing their use of alcohol:
Experienced a 40 to 50 percent decrease in alcohol use.
Reported 42 percent fewer visits to the emergency room.
Were involved in 55 percent fewer motor vehicle crashes.
The ways a parent can influence his or her teen’s drinking habits is complex. A universal method regarding what works best in preventing underage drinking may not exist. A study published in the Journal of Adolescent Health found that a parent’s attitude toward drinking influences a child's behavior in various ways. One controversial finding was that teens who drank with their parents were less likely than others to have binged or used alcohol at all in recent weeks. Others, of course, argue passionately that parents who drink with their underage children are not only breaking the law but encouraging dangerous behavior that can lead to life-long consequences.
The Journal study also found that strict parenting can curb kids' drinking. Teens who said they feared they would have their privileges taken away if they got caught drinking were half as likely to drink as those who thought their parents would not punish them. In addition, consider the following:
The average girl takes her first sip of alcohol at age 13. The average boy takes his first sip of alcohol at age 11.
Teenagers who said their parents or their friends' parents had provided alcohol for a party during the past year were twice as likely as their peers to have used alcohol or binged during the previous month.
Nearly 75 percent of teens surveyed said they had never used alcohol.
About 25 percent of teens in the study said they'd been at party in the past year where parents supplied alcohol.
Fourteen percent of teens surveyed said they were with their parents the last time they drank.
References
The Centers for Disease Control and Prevention (CDC)
Focus Adolescent Services
Health Day
National Youth Violence Prevention Center
Reuters
U.S. Department of Health and Human Services
University of California, Irvine
Sunday, November 9, 2008
Parents Universal Resource Experts - Sue Scheff - Alliance for Consumer Education

This site is designed to assist you in learning more about inhalant abuse prevention and giving you tools to help raise the awareness of others. While here be sure to check out our free printable resources, and post any comments or questions on ACE’s community message board.
Thursday, October 30, 2008
Sue Scheff: Mistreated Depression

– David Gore, Ph.D., clinical psychologist
Fifteen-year-old Sarah McMenamin suffers from depression. It started a year ago with the death of her father.
“I was just like, ‘I just want to die,’” she says, describing her feeling before seeing a therapist. “I would never kill myself, but I just wish I was dead, I just wish I was never going to wake up.”
For depressed teens, experts at the American Academy of Child and Adolescent Psychiatry say what can help is medicine – combined with talk therapy.
“I think the therapist helped me,” explains Sarah, “’cause it was talking, you know, I got it out. I didn’t bottle everything up.”
“The advantage to getting some therapy along with medication is that you get to the root of the problem,” explains Dr. David Gore, clinical psychologist. “You get to see why you’re feeling that way. And if you start understanding why you’re feeling that way, chances are pretty good you’ll stop feeling that way.”
But according to a new study from Thomson-Reuters, more teens than ever are getting medication without psychotherapy. Why? Gore has an answer.
“Basically, psychiatrists are pretty busy,” Dr. Gore says. “They don’t want to spend a lot of time with people. They want to get people in and out, maybe two or three an hour. … It pays better to do that than spending an hour doing psychotherapy.”
Three months ago, Sarah started seeing a new doctor.
“Right away he put me on Zoloft,” she says. “He didn’t even know me for an hour and he put me on it.”
But psychologists say medicine alone just won’t work as well.
“You take your pill, you’ll get some immediate relief,” explains Dr. Gore, “but the problem’s going to crop up again in two months or four months or six months. You’ve got to get to the root of the problem.”
Sarah will resume talk therapy again in a few months. She says she is looking forward to it.
“You get it out on the table and you know your feelings’” she says, “and you go in thinking it’s one thing and you come out finding out it’s like 10 different things and you’re like, ‘Wow.’”
Tips for Parents
All teens experience ups and downs. Every day poses a new test of their emotional stability – fighting with a friend, feeling peer pressure to “fit in” with a particular crowd or experiencing anxiety over a failed quiz – all of which can lead to normal feelings of sadness or grief. These feelings are usually brief and subside with time, unlike depression, which is more than feeling blue, sad or down in the dumps once in a while.
According to the Nemours Foundation, depression is a strong mood involving sadness, discouragement, despair or hopelessness that lasts for weeks, months or even longer. It also interferes with a person’s ability to participate in normal activities. Often, depression in teens is overlooked because parents and teachers feel that unhappiness or “moodiness” is typical in young people. They blame hormones or other factors for teens’ feelings of sadness or grief, which leaves many teens undiagnosed and untreated for their illness.
The Mayo Clinic reports that sometimes a stressful life event triggers depression. Other times, it seems to occur spontaneously, with no identifiable specific cause. However, certain risk factors may be associated with developing the disorder. Johns Hopkins University cites the following risk factors for becoming depressed:
Children under stress who have experienced loss or who suffer attention, learning or conduct disorders are more susceptible to depression.
Girls are more likely than boys to develop depression.
Youth, particularly younger children, who develop depression are likely to have a family history of the disorder.
If you suspect that your teen is clinically depressed, it is important to evaluate his or her symptoms and signs as soon as possible. The National Depressive and Manic-Depressive Association cites the following warning signs indicating that your teen may suffer from depression:
Prolonged sadness or unexplained crying spells
Significant changes in appetite and sleep patterns
Irritability, anger, worry, agitation or anxiety
Pessimism or indifference
Loss of energy or persistent lethargy
Feelings of guilt and worthlessness
Inability to concentrate and indecisiveness
Inability to take pleasure in former interests or social withdrawal
Unexplained aches and pains
Recurring thoughts of death or suicide
It is important to acknowledge that teens may experiment with drugs or alcohol or become sexually promiscuous to avoid feelings of depression. According to the National Mental Health Association, teens may also express their depression through other hostile, aggressive, risk-taking behaviors. These behaviors will only lead to new problems, deeper levels of depression and destroyed relationships with friends and family, as well as difficulties with law enforcement or school officials.
The development of newer antidepressant medications and mood-stabilizing drugs in the last 20 years has revolutionized the treatment of depression. According to the Mayo Clinic, medication can relieve the symptoms of depression, and it has become the first line of treatment for most types of the disorder. Psychotherapy may also help teens cope with ongoing problems that trigger or contribute to their depression. A combination of medications and a brief course of psychotherapy are usually effective if a teen suffers from mild to moderate depression. For severely depressed teens, initial treatment usually includes medications. Once they improve, psychotherapy can be more effective.
Immediate treatment of your teen’s depression is crucial. Adolescents and children suffering from depression may turn to suicide if they do not receive proper treatment. Suicide is the third leading cause of death for Americans aged 10-24. The National Association of School Psychologists suggests looking for the following warning signs that may indicate your depressed teen if contemplating suicide:
Suicide notes: Notes or journal entries are a very real sign of danger and should be taken seriously.
Threats: Threats may be direct statements (“I want to die.” “I am going to kill myself”) or, unfortunately, indirect comments (“The world would be better without me.” “Nobody will miss me anyway”). Among teens, indirect clues could be offered through joking or through comments in school assignments, particularly creative writing or artwork.
Previous attempts: If your child or teen has attempted suicide in the past, a greater likelihood that he or she will try again exists. Be very observant of any friends who have tried suicide before.
Depression (helplessness/hopelessness): When symptoms of depression include strong thoughts of helplessness and hopelessness, your teen is possibly at greater risk for suicide. Watch out for behaviors or comments that indicate your teen is feeling overwhelmed by sadness or pessimistic views of his or her future.
“Masked” depression: Sometimes risk-taking behaviors can include acts of aggression, gunplay and alcohol or substance abuse. While your teen does not act “depressed,” his or her behavior suggests that he or she is not concerned about his or her own safety.
Final arrangements: This behavior may take many forms. In adolescents, it might be giving away prized possessions, such as jewelry, clothing, journals or pictures.
Efforts to hurt himself or herself: Self-injury behaviors are warning signs for young children as well as teens. Common self-destructive behaviors include running into traffic, jumping from heights and scratching, cutting or marking his or her body.
Changes in physical habits and appearance: Changes include inability to sleep or sleeping all the time, sudden weight gain or loss and disinterest in appearance or hygiene.
Sudden changes in personality, friends or behaviors: Changes can include withdrawing from friends and family, skipping school or classes, loss of involvement in activities that were once important and avoiding friends.
Plan/method/access: A suicidal child or adolescent may show an increased interest in guns and other weapons, may seem to have increased access to guns, pills, etc., and/or may talk about or hint at a suicide plan. The greater the planning, the greater the potential for suicide.
Death and suicidal themes: These themes might appear in classroom drawings, work samples, journals or homework.
If you suspect suicide, it is important to contact a medical professional immediately. A counselor or psychologist can also help offer additional support.
References
American Academy of Child and Adolescent Psychiatry
American Foundation for Suicidal Prevention
Johns Hopkins University
Mayo Clinic
National Association of School Psychologists
National Depressive and Manic-Depressive Association
National Institute of Mental Health
National Mental Health Association
Nemours Foundation
Thomson-Reuters
Thursday, October 16, 2008
Sue Scheff: Teens, Sex and Depression

– Teagan, 15 years old
Fifteen-year-old Teagan says her new boyfriend is wonderful. “I never thought anyone like Preston could come along,” Teagan says. “He’s the greatest guy I’ve ever known.”
But is she as lucky as she thinks?
Studies show that romantic involvement brings adolescents down, rather than up. What’s more, researchers at the University of North Carolina find that teen girls who are sexually active are twice as likely to be depressed compared to girls not having sex.
But, even among abstinent teens who date, one of the problems is trust.
“Say your boyfriend went off to work and never called you that day,” Teagan says. “And you talked every single day on the phone. I mean you’d be kind of concerned and kind of wondering why. And then someone comes along and says ‘well maybe he’s cheating on you…’”
Combine adolescent insecurity with imagination and the result is a lot of questions: Where is he? Why doesn’t she call? Does he really like me? Why is she talking to that other boy?
That’s where most of the stress comes in,” Teagan says. “Getting thoughts in your head about what might be going on, when it probably isn’t going on at all.”
Experts say parents can help ease their child’s pain by listening and taking them seriously. It’s not puppy love to them, it’s real. “It hurts,” Teagan says, “because I care so much about him.”
Experts also advise teaching your child that early relationships may hurt, but they’re indispensable. “They will have many relationships before they finally settle on a life mate,” says Cheryl Benefield, a school counselor. “Let them know that when things happen, it’s maybe just preparing them for a better relationship in the future.”
Tips for Parents
According to the National Institute of Mental Health, boys and girls seem to be equally at risk for depressive disorders during childhood, but during adolescence, girls are twice as likely as boys to develop depression. Family history and stress are listed as factors, but another factor that often causes depression in girls is the break-up of a romantic relationship.
The authors of a study conducted at Cornell University titled “You Don’t Bring Me Anything but Down: Adolescent Romance and Depression,” found that females become “more depressed than males in adolescence partly as a consequence of their involvement in romantic relationships.” The reason? According to the study, “females’ greater vulnerability to romantic involvement explains a large part of the emerging sex difference in depression during adolescence.”
At any given time, five percent of children suffer from depression. Children under stress, who have experienced a loss, or who suffer from other disorders are at a higher risk for depression. Here are some signs of depression from the American Academy of Child and Adolescent Psychiatry (if one or more of these signs of depression persist, parents should seek help):
Frequent sadness, tearfulness, crying
Hopelessness
Decreased interest in activities, or inability to enjoy previously favorite activities
Persistent boredom; low energy
Social isolation, poor communication
Low self-esteem and guilt
Extreme sensitivity to rejection or failure
Increased irritability, anger or hostility
Difficulty with relationships
Frequent complaints of physical illnesses such as headaches and stomachaches
Frequent absences from school or poor performance in school
Poor concentration
A major change in eating and/or sleeping patterns
Talk of or efforts to run away from home
Thoughts or expressions of suicide or self destructive behavior
Getting an early diagnosis and medical treatment are critical for depressed children.
Depression is a serious condition, which, if left untreated, can even become life threatening. Suicide is the third leading cause of death among young people, leading to nearly 4,000 deaths a year. The rate has tripled since 1960. Therapy can help teenagers understand why they are depressed and learn how to handle stressful situations. Treatment may consist of individual, group or family counseling. Medications prescribed by a psychiatrist may be needed to help teens feel better.
Ways of treating depression include:
Psychotherapy: to explore events and feelings that are painful and troubling. Psychotherapy also teaches coping skills.
Cognitive-behavioral therapy: to help teens change negative patterns of thinking and behaving.
Interpersonal therapy: to focus on ways of developing healthier relationships at home and school.
Medication: to relieve some symptoms of depression (often prescribed along with therapy).
References
Journal of Health and Social Behavior
National Institute of Mental Health
American Academy of Child and Adolescent Psychiatry
National Mental Health Association
University of North Carolina
Wednesday, October 8, 2008
Sue Scheff - Teen Suicide

Because of these social and personal changes, teens are also at higher risk for depression, which can also increase feelings of despair and the desire to commit suicide.
In fact, according to a study by the National Institute of Mental Health (NIMH) almost all people who commit suicide suffer from a diagnosable mental disorder or substance abuse disorder. Often, teens feel as though they have no other way out of their problems, and may not realize that suicidal thoughts and feelings can be treated. Unfortunately, due to the often volatile relationship between teens and their parents, teens may not be as forthcoming about suicidal feelings as parents would hope. The good news is there are many signs parents can watch for in their teen without necessarily needing their teen to open up to them.
At some point in most teens’ lives, they will experience periods of sadness, worry and/or despair. While it is completely normal for a healthy person to have these types of responses to pain resulting from loss, dismissal, or disillusionment, those with serious (often undiagnosed) mental illnesses often experience much more drastic reactions. Many times these severe reactions will leave the teen in despair, and they may feel that there is no end in sight to their suffering. It is at this point that the teen may lose hope, and with the absence of hope comes more depression and the feeling that suicide is the only solution. It isn’t.
Teen girls are statistically twice as likely as their male counterparts to attempt suicide. They tend to turn to drugs (overdosing) or to cut themselves, while boys are traditionally more successful in their suicide attempts because they utilize more lethal methods such as guns and hanging. This method preference makes boys almost four times more successful in committing suicide.
Studies have borne out that suicide rates rise considerably when teens can access firearms in their home. In fact, nearly 60% of suicides committed in the United States that result in immediate death are accomplished with a gun. This is one crucial reason that any gun kept in a home with teens, even if that teen does not display any outward signs of depression, be stored in a locked compartment away from any ammunition. In fact, the ammunition should be stored in a locked compartment as well, and the keys to both the gun and ammunition compartments should be kept in a different area from where normal, everyday keys are kept. Remember to always keep firearms, ammunition, and the keys to the locks containing them, away from kids.Unfortunately, teen suicide is not a rare event.
In the United States, the Centers for Disease Control and Prevention (CDC) estimates that suicide is the third leading cause of death for people between the ages of 15 and 24. This disturbing trend is affecting younger children as well, with suicide rates experiencing dramatic increases in the under-15 age group from 1980 to 1996. Suicide attempts are even more prevalent, though it is difficult to track the exact rates.
Wednesday, October 1, 2008
Sue Scheff: Getting Teens Talking

– Gloria Meaux, Ph.D., psychologist
How much do teenagers tell their parents?
“I hardly share anything with my parents,” says 16-year-old Derek Kelley.
“I share very little with my parents,” says 18-year-old Tyler Wichelhaus.
And Jessie Donaghy gives an example of a question she hates: “How was your day?”
“When you’ve had a horrible day, you just feel like people at school are mad at you,” she says. “Your classes went horribly, you failed a test. It can almost be an insult without them knowing it, because it just seems insensitive.”
Experts say parents are better served asking about something specific: school projects coming up, weekend plans with a friend, or a test that the child may be worried about
“The specific questions, you’ll get more bang for your buck if you want them to communicate back to you than some general question that you could ask a stranger on the street,” says Dr. Meaux.
“Sometimes she’ll be like ‘so how is that situation going with this person’ and I’ll just burst out crying,” says Jessie.
Experts say it starts by being easy to talk to. “You’re sort of the approachable parent, that you listen more than you talk, and listening is the hard thing,” says Dr. Meaux.
And once they truly believe you’re listening, experts say they’ll open up more.
“The more talking they’ll do because they’ll be open,” says Licensed Clinical Social Worker Freddie Wilson. “[They’ll be more open if they feel] you’re open to hearing what I’m saying rather than talking and giving them solutions and solving their problems for them. They want someone to hear them.”
And knowing when your child really needs your ear comes from getting to know your child.
“I’ll look at her and I’ll say ‘You look like you’re down, did something happen?’ Yea. Was it so and so? Yea,” explains Mrs. Donaghy.
“It helps to know that she cares and that she’s actually wanting to know about things,” says Jessie.
Tips for Parents
While the teenage years can be a very frustrating time for parents and teenagers alike, no secret formula exists for talking to teens. But the Harvard School of Public Health’s Parenting Project, which conducted extensive research on parenting teens, found that “significant agreement” exists among experts regarding important basic principles for opening the communication lines.
The project’s most recent report highlights the basics of raising and communicating with your teenagers and includes a list of strategies for each. In the report, Dr. Rae Simpson says parents need to “love and connect” with their teen.
“Teens need parents to develop and maintain a relationship with them that offers support and acceptance,” Dr. Simpson writes, “while accommodating and affirming the teen’s increasing maturity.”
According to the report, you can connect with your teen by following these suggestions:
Watch for moments when you feel and can express genuine affection, respect and appreciation for your teen.
Acknowledge the good times made possible by your teen’s personality and growth.
Expect increased criticism and debate and strengthen your skills for discussing those ideas and disagreements in ways that respect both your teen’s opinions and your own.
Spend time just listening to your teen’s thoughts and feelings about his or her fears, concerns, interests, ideas, perspectives, activities, jobs, schoolwork and relationships.
Treat each teen as a unique individual distinct from siblings, stereotypes, his or her past or your own past.
Appreciate and acknowledge each teen’s new areas of interest, skills, strengths and accomplishments, as well as the positive aspects of adolescence generally, such as its passion, vitality, humor and deepening intellectual thought.
Provide meaningful roles for your teen in the family, ones that are genuinely useful and important to the family’s well being.
Spend time together one-on-one and as a family, continuing some familiar family routines, while also taking advantage of ways in which new activities, such as community volunteering, can offer alternative ways to connect.
By respecting and loving your teenager, you open the lines of communication and build a supportive and trusting environment so that your child feels comfortable opening up to you.
Dr. Simpson offers this key message to parents: “Most things about [your teen’s] world are changing. Don’t let your love be one of them.”
Research has shown that while teenagers want their freedom, they also appreciate their parents showing concern for them and being interested in their daily activities. Experts have listed guidelines for parents to set for their teenagers while still allowing them room to grow.
Monitor what your teen watches on television.
Monitor what your teen does on the Internet.
Put restrictions on the music your teen purchases.
Know where your teen spends his or her time after school and on the weekends.
Expect to be told the truth by your teen about where he or she is going.
Be “very aware” of your teen’s academic performance.
Impose a curfew.
Eat dinner with your teen six or seven nights a week.
Turn off the television during family meals.
Assign your teen regular chores.
By setting some or all of these rules, you will be in control and have a working knowledge of your teen’s activities, while still allowing them to make their own choices and decisions.
References
Bonus Families
Families are Talking
The Media Project
Focus on the Family
Friday, September 26, 2008
Sue Scheff; Middle School Drinking

– Jon Schlanger, Jake’s father
“I’ve heard in other schools that people have been sneaking drugs into their lockers,” Jake says. He’s only ten years old, and he already knows kids who use drugs.
Experts say that today, children younger than ever are exposed to themes once reserved for adults: sex, violence, profanity - as well as drugs and alcohol.
“I think they’re pushed,” explains educator Kay Scott. “You know, pushed by music, pushed by movies, and pushed in some ways by the media.”
Experts add that parents aren’t teaching their elementary school-age kids about the dangers of alcohol.
As Dr. Michael Fishman, an addiction medicine specialist, explains, “Many of the parents are not getting involved as much with kids around education, around negative experiences they’ve had with drugs and alcohol.”
And that’s why Jake’s parents began that conversation two years ago. His father is a recovering alcoholic.
“That was a part of our life and it is a part of our life, so it was appropriate for this family to have that conversation at the time,” says Jon Schlanger, Jake’s dad.
One specific worry for them is that Jake inherited his dad’s genes.
“If one of the parents has the disease of alcoholism, I think at a minimum it’s 25% more likely [that the child will inherit the disease],” explains Dr. Fishman.
Another concern is his age. “The younger they start drinking, the higher risk they’re going to have for alcohol abuse or alcohol dependence,” he continues.
Which is why, Dr. Fishman says every family needs to start the conversation early: “I think the young people are much more aware and ready than many parents may believe.”
Jake’s dad knows he was ready for it, too. “In one respect it forces me to be honest about it; in another aspect, and this was very important to me, is for him to see that when I had a problem that I would try to face it and work through it.”
Tips for Parents
Alcohol-related fatalities are a leading cause of death among young adults in the United States. In the United States, 70.8 percent of all deaths among persons aged 10 to 24 result from only four causes – motor-vehicle crashes, other unintentional injuries, homicide and suicide.
Should your family doctor take just a few moments to counsel your child about the risks of alcohol, there is great potential for positive outcome. Just a few minutes of a doctor's counseling helped young adults reduce their high-risk drinking and the number of traffic crashes, emergency room visits, and arrests for substance or liquor violations, says a study in the Annals of Family Medicine. Consider the following:
Underage drinking causes over $53 billion in criminal, social and health problems.
Alcohol is a leading factor in the three leading causes of death for 15 to 24-year-olds: automobile crashes, homicide and suicide.
Primary-care doctors should make it a priority to counsel young adults about high-risk drinking. Young adults, ages 18 to 30, who received counseling about reducing their use of alcohol:
Experienced a 40 to 50 percent decrease in alcohol use.
Reported 42 percent fewer visits to the emergency room.
Were involved in 55 percent fewer motor vehicle crashes.
The ways a parent can influence his or her teen’s drinking habits is complex. A universal method regarding what works best in preventing underage drinking may not exist. A study published in the Journal of Adolescent Health found that a parent’s attitude toward drinking influences a child's behavior in various ways. Researchers found that teens who drank with their parents were less likely than others to have binged or used alcohol at all in recent weeks.
The study also found that strict parenting can curb kids' drinking. Teens who said they feared they would have their privileges taken away if they got caught drinking were half as likely to drink as those who thought their parents would not punish them. In addition, consider the following:
The average girl takes her first sip of alcohol at age 13. The average boy takes his first sip of alcohol at age 11.
Teenagers who said their parents or their friends' parents had provided alcohol for a party over the past year were twice as likely as their peers to have used alcohol or binged during the previous month.
Nearly 75 percent of teens surveyed said they had never used alcohol.
About 25 percent of teens in the study said they'd been at party in the past year where parents supplied alcohol.
Fourteen percent of teens surveyed said they were with their parents the last time they drank.
References
The Centers for Disease Control
Focus Adolescent Services
National Youth Violence Prevention Center
U.S. Department of Health and Human Services
U.S. Surgeon General
Wednesday, September 17, 2008
Sue Scheff Featured on Talk Radio

Sue Scheff talks about Wit's End! and the struggles parents are facing today with their teens. Learn more and list live! http://www.kandeeg.com/
Sunday, September 14, 2008
Sue Scheff: American School Counselor Association

Saturday, September 6, 2008
New Inhalant Abuse Report from SAMHSA - (The Substance Abuse & Mental Health Services Administration)

The Substance Abuse & Mental Health Services Administration (SAMHSA) just released a new National Survey on Drug Use & Health (NSDUH) Report.
The report is entitled,” Inhalant Abuse and Major Depressive Episode Among Youth Aged 12 to 17: 2004-2006. “The 2006 NSDUH Report surveys youth 12-17 years old to assess “co-occurrence of inhalant use and Major Depressive Episode (MDE) in the past year.”
Some of the findings include:
Inhalant Use:
Past year inhalant use was almost 4 times higher among persons aged 12 to 17 than among young adults aged 18 to 25 (1.3 vs. 0.4 percent).
In 2004 to 2006, 1.1 million youths aged 12 to 17 (4.5 percent) used inhalants in the past year
Females in this age range were more likely than males to use inhalants in the past year (4.8 vs. 4.2 percent)
Youth aged 14 or 15 (5.3 percent) were more likely than youths aged 12 or 13 (4.3 percent) & those aged 16 or 17 (3.9 percent) to have used inhalants in the past year.
Inhalant Abuse & Major Depressive Episode (MDE)
The rate of past year inhalant use was higher among youths aged 12 to 17 who had MDE in the past year than among those who did not (10.2 vs. 4.0 percent)
Males with past year MDE were about twice as likely as those without past year MDE to have used inhalants (9.6 vs. 4.0 percent)
Females with past year MDE were about 3 times as likely as those without past year MDE to have used inhalants (10.5 vs. 3.9 percent)
In each age group, youths with past year MDE were more likely than youths without past year MDE to have used an inhalant in the past year.
Which comes first: MDE or Inhalant Abuse:
An estimated 218,000 (.9 percent) youths aged 12 to 17 used inhalants and experienced MDE in the past year.
43.1 percent experienced their first episode of MDE before initiating inhalant use.
28.3 percent used inhalants before they experienced their first episode of MDE
28.5 percent started using inhalants and experienced their first episode of MDE at about the same time.
Tuesday, September 2, 2008
Teen Pregnancy

Every year approximately 750,000 teenage girls become pregnant in the United States. This is roughly 1/3 of the age group’s population, a startling fact. Worse, more than 2/3 of teens who become mother will not graduate high school. Many young teen girls that are suffering with low self worth or feelings of not being loved believe that having a baby will give them a purpose in life. Unfortunately they are not looking at the whole picture and the reality of raising a child.
These girls are not emotionally prepared to make such a major decision in their young life – yet many are in this situation. As a parent, we need to keep the lines of communication open, as hard as that is, it is necessary.
If you are parent who recently discovered that your teenage daughter is pregnant or may be pregnant, we understand your fear and pain. This is a difficult and very serious time in both of you and your daughter’s life.
No matter what happens, you and your daughter must work together to make the best choice for her and her unborn child. Your support and guidance is imperative as a parent. You can and will make it through this as a family.
For more information on Teen Pregnancy visit http://www.sue-scheff.org/.
Wednesday, August 27, 2008
Sue Scheff: Teen Substance Abuse - Parents Universal Resource Experts

We get calls constantly, that a child is only smoking pot. Unfortunately in most cases, marijuana can lead to more severe drugs, and marijuana is considered an illegal drug. Smoking marijuana is damaging to the child's body, brain and behavior. Even though marijuana is not considered a narcotic, most teens are very hooked on it. Many teens that are on prescribed medications such as Ritalin, Adderall, Strattera, Concerta, Zoloft, Prozac etc. are more at risk when mixing these medications with street drugs. It is critical you speak with your child about this and learn all the side effects. Educating your child on the potential harm may help them to understand the dangers involved in mixing prescription drugs with street drugs. Awareness is the first step to understanding.
Alcohol is not any different with today's teens. Like adults, some teens use the substances to escape their problems; however they don't realize that it is not an escape but rather a deep dark hole. Some teens use substances to "fit in" with the rest of their peers – teen peer pressure. This is when a child really needs to know that they don't need to "fit in" if it means hurting themselves. Using drug and alcohol is harming them. Especially if a teen is taking prescribed medication (refer to the above paragraph) teen drinking can be harmful. The combination can bring out the worse in a person. Communicating with your teen, as difficult as it can be, is one of the best tools we have. Even if you think they are not listening, we hope eventually they will hear you.
If your teen is experimenting with this, please step in and get proper help through local resources. If it has extended into an addiction, it is probably time for a Residential Placement. If you feel your child is only experimenting, it is wise to start precautions early. An informed parent is an educated parent. This can be your life jacket when and if you need the proper intervention. Always be prepared, it can save you from rash decisions later.
A teen that is just starting to experiment with substance use or starting to become difficult; a solid short term self growth program may be very beneficial for them. However keep in mind, if this behavior has been escalating over a length of time, the short term program may only serve as a temporary band-aid.
Drugs and Alcoholic usage is definitely a sign that your child needs help. Teen Drug Addiction and Teen Drinking is a serious problem in today’s society; if you suspect your child is using substances, especially if they are on prescribed medications, start seeking local help. If the local resources become exhausted, and you are still experiencing difficulties, it may be time for the next step; Therapeutic Boarding School or Residential Treatment Center.
Monday, August 18, 2008
Parents Universal Resource Experts (Sue Scheff) Promoting Community Education

By Sue Scheff
One of the most important parts of any community is the local school system, and it’s easy for concerned parents and good citizens to become intimately involved in some important aspects of school decisions. Becoming involved with local schools helps decide the direction of the youth in your community, which is of the upmost importance for the success of any community system.
Many schools also seek volunteer help. This work could include anything from grading papers to providing transportation on school field trips. Most public school systems in this country are overcrowded and underfunded, so any volunteer work is looked upon favorably and can help the schools function better. In the end, maintaining the education of our younger generation is always a major part of a good citizen’s workload.
Another great way to get involved in education is organizing after school programs. Many schools have after school programs that they coordinate with volunteers designed to give kids something productive to do after school. Keeping kids out of trouble after school and stimulating them with meaningful work is an excellent way to promote community involvement and healthy learning. Studies show that kids who participate in afterschool programs and extracurricular activities are much more likely to succeed in school then those who don’t.
http://www.helpyourteens.com/
Wednesday, August 13, 2008
Sue Scheff: Self Mutilation with Teens

Self abuse (or self mutilation) can come in many forms; most commonly it is associated with cutting, hair pulling or bone breaking, but it can also manifest itself as eating disorders like bulimia, and/or anorexia. This site will focus mainly on cutting, which is the most common form of self abuse, with 72% of all self injurers choosing to do so by cutting themselves, and hair pulling. Cutting is exactly as it sounds; when your teen cuts him or herself as a physical expression to feel emotional pain. There are many reasons why teens injure themselves, but many people assume it’s just ‘for attention’. Often this can be an element of why your teen may be abusing him or her self, but just as often it can be something your teen does privately to express the emotional pain they feel inside. And while self injury is a taboo subject, it is estimated that 3 to 6 million Americans self injure themselves in some way, and that number is on the increase- in fact, its already doubled in the past three years.
Why Teens Self Injure
According to experts, one of the most common reasons teens self injure is because the injury is in some way a “release” from emotional anxiety. The pain of the injury provides a distraction from the emotional pain the teen is feeling, and acts almost as a drug to them. It can also help the injured feel ‘human’ again, by putting them in touch with a common human experience: pain.
Another reason teens may self injure is for the attention they get from the physical manifestation of their injuries. For example, some teens may cut because they get attention from the blood and scars obtained from cutting. Teens that cut for attention may feel neglected in some way, and usually do not care if they receive negative or positive attention from cutting.
Statistics have shown time and time again that the “average” cutter (and in fact, self injurer) is most commonly female. According to [Dr. Charles Goodstein of the New York University School of Medicine, cutting regularly occurs in one in every 200 adolescent girls between the ages of 13 and 19. Typically, young women begin cutting in their teens following some sort of physical and/or sexual abuse (most commonly sexual abuse). Statistically, the average female cutter was raised with at least one alcoholic parent in the home. Cutters are also typically of middle to upper middle class backgrounds and usually well educated, though this is not always the case. Experts suggest women may be more prone to cutting or self injury because (as opposed to young men) they are not taught to repress their emotions, so keeping any traumatic ‘secret’ becomes extremely difficult for them. Cutting is then used as an outlet for that anxiety; the bleeding is metaphorically releasing the painful secrets the cutter has been holding on to, without requiring the cutter to tell anyone anything.
Unfortunately, studies have also shown that women who self injure are less likely than men to be taken seriously when and if they do seek help for their disorder. Despite its tendency to appear in young women, it is important to remember that cutting affects both men and women, and can appear in any age group, socio-economic group or education level.
Friday, August 8, 2008
11 Strategies: If You Think Your Kid is Smoking Pot

Therefore, I always tell parents, it is extremely difficult to try to shield a kid today from being exposed to pot because it is so prominent. I believe parents, and what I do with many of my clients, need to spend their efforts trying to equip kids to make the right choices, so when they are exposed to it, they will choose not to smoke.
To be very honest, no matter how strict a curfew you have, how often you drug test your kids, or whether they are an athlete, a scholar or a jock (see Teens Dealing Urine Post), your kid will always find a way to smoke marijuana if they want to. They key is making sure they do not want to.
1) Ask Questions
Before you dive into trying to equip them with the power to ‘say no,’ try to gauge their level of involvement. Ask the tough questions. I am not saying to grill them before they go out, but showing them you are paying attention and are very involved is important and you can get an idea of how much or how little you know about their social life.
2) Listen to the Answers
Most times, when I hear parents talk to their kids, parents do ask questions, but then answer the questions themselves. A question, and then silence will get you a long way. For some reason, even after we have already given a one-word answer, if we feel you are still waiting for more, we either get nervous (a sign we are hiding something) or splurge and let our mouths go. Also look at your kid’s immediate facial response as soon as you ask a question. We are not as good at hiding our emotions and you might be able to gauge a lot by watching our reaction.
3) Look at Their Friends
I constantly hear the “well, it’s not my kid because…” response when I do speaking engagements on this topic. If you feel your child is either an angel or unreadable, look at their friends behavior. Have they gotten in trouble? Are they the ones who make the decisions where to go on the weekends? Friend’s behavior means everything in the world of pot.
4) Talk to Your Friends and Other Parents
Get informed about the pot culture in general and in your specific community. I post frequently on this topic and what kids are doing right now, so you can stay a step ahead. I highly recommend getting together with parent friends and talking about what your kids are doing and sharing notes about what they think is going on.
5) Don’t Lecture!
If you think we are doing pot, dabbling in pot, seeing it at parties or just want to talk to us about it, please talk, don’t lecture. I promise, we have heard all of the negative sides to smoking weed in health class. As soon as you start lecturing us, we stop listening. So, instead of approaching it like a health teacher, ask questions and let us come to our own conclusion, usually we know what is right or wrong, and if we feel like you are talking to us about it, not at us, at least we will come to you if we have questions or problems down the road.
6) Find Out Why:
This is tricky, it is important to understand that, today, pot is not only for ‘the stoner’ kids. All different kinds of kids are doing it and it has become a sort of social unifier. A drama kid and a jock might not hang out at a party, but if they get to the party and share a joint, they are friends. It is really important to understand this new social aspect and that it permeates all kinds of peer groups.
7) Build their Esteem:
If you cannot prevent them from encountering pot, you can empower them to make the right choices. I do believe there is peer pressure to smoke (see video). It is hard to say no when it feels like everyone is doing it and you know that if you smoke, you have the chance to be friends with that jock, who would never talk to you other wise. So encourage them to do esteem building activities, like running for student council, working out, or doing a hobby and help them be proud of who they are by engaging in their unique qualities.
8) Offer Other Activities:
When you talk to your parent friends, make sure everyone is on the same page with curfews and activities. If there is a semi-formal or prom coming up, offer to host a substance-free after party, host bbqs and movie nights. I think many kids smoke simply because there is nothing better to do.
9) Offer Other Options:
As horrible as it sounds, if your kid wants to smoke, they will find a way. Make sure that they know never to drive high. If you think they are smoking and you cannot do anything about it (sometimes it happens), then at least tell them to call you if they are ever in a situation and they will not get in trouble. Many, many, kids drive high or drunk and this worries me more than anything. If you do not think they would call you, then encourage an aunt, uncle, priest, rabbi, teacher, friend to be their secondary support system if they ever need to be bailed out or get a ride home.
10) Give Other Reasons Not to Smoke:
I constantly talk to teens about smoking and always give them non-health class reasons not to smoke which, I believe, appeal more to their interests. I always stress to girls the aging effects of smoking. I spoke to a group of 16 year-olds about ‘anti-partying’ and gave them my reasons not to smoke (they were shocked, because they were so a-typical)
-At a prestigious internship interview, a friend got offered the job and when they asked for a drug test, he knew couldn’t pass it and they took back the offer.
-Gives you lip wrinkles.
-The smoke makes your teeth yellow
-Lowers your sperm count
-Makes you taste bad when you kiss
-(I know a little crude) makes oral sex for your partner taste bad.
-Make allergies worse
-You never know who is going to take an incriminating picture and post it somewhere, or use it against you later.
11) Give Them Excuses
Ok, so maybe they have the self-esteem to say no, and maybe they agree with the reasons above to say no, but sometimes people will not let up with the “just take one hit!, Just try it!” So, think of excuses for them to use. Here are some that I have given and tell teens to use:
-It makes me really sleepy, and I am no fun when all I want to do is sleep.
-I am on a diet, it gives me uncontrollable munchies and I am not giving up my summer goal for one hit.
-It makes me sneeze.
-My parents/job/school/coach drug test me.
-My parents are waiting for me when I get home, and they will smell it/notice it.
-I have dance class/practice/a run tomorrow and I can never perform as well.
-I hate the taste.
**Offer to be the reason! My parents told me to clearly tell people that they were watching me like hawks and that I would get in big trouble if I smoked. This almost always works, because everyone understands strict parents. So tell them to use you as the reason…after all there is some truth to it!
Stay Informed and don’t give up!
Tuesday, August 5, 2008
Preventing Drug Abuse

If you suspect your teen is doing any form of gateway drug, it's important to talk to them about it as soon as possible. Again, it is important to not yell or threaten. You will no doubt be scared and angry, but so is your teen. If they feel as though you don't support them or they can't talk to you, scaring them will only make the problem worse! Try to remain calm.
Assure your teen they can trust you and that you love them and want to help them. Explain harmful side effects of drugs, but assure them it's not too late to get help, and that you will support them. Tell them about any changes you've noticed in their behavior and how those changes make you feel. Let them talk to you, and listen to them. Do not judge them or criticize them.
The first you need to do in order to prevent your teen from abusing drugs, alcohol or tobacco is to take seriously the threat posed by these substances to your child. You have to take seriously the risks posed because this will ultimately be the one catalyst that will allow you to talk to your teen about the problem in a frank and open manner. By taking to heart the importance of the matter at hand, you will be in a better position to urge your teen to do the same. You do not need to be harsh or judgmental with them. It is a better strategy to be as supportive as you can. If you insist on being hostile and angry with your teen, you will likely succeed in pushing them away form you and deeper into possible addiction.
Any treatment plan you decide upon for your teen should be dictated by the substances they abuse and how much they abuse them. For example, to send a child to a strict military-style school because they have tried drugs or alcohol a handful of times is something of an overreaction. Many times if a teen’s experiments with drugs, alcohol and tobacco are minor, a good open talk with them can convey all the information you want, and achieve very positive results in terms of future behavior.
Of course, the story is entirely different if your teen has become addicted to drugs and alcohol. In this instance, a detoxification program may be in order, along with a treatment regimen that helps wean the child off of drugs and replaces that with medicine. Studies have shown that the effectiveness of prescription medicine treatment for substance abuse is greatly enhanced when combined with one-on-one and/or family counseling.
One thing to remember if treatment becomes the order for the day when addressing your child’s substance issues is that relapse after treatment is common. This does not mean that you or your teen have failed any part of the recovery process. Addiction is extremely difficult to overcome and the most important thing to keep in mind is to take things one step at a time.
Sunday, August 3, 2008
Parents Universal Resource Experts (Sue Scheff) Teen Drug Abuse

http://kidshealth.org/teen/drug_alcohol/drugs/know_about_drugs.html
These days, drugs can be found everywhere, and it may seem like everyone's doing them. Many teens are tempted by the excitement or escape that drugs seem to offer.
But learning the facts about drugs can help you see the risks of chasing this excitement or escape. Here's what you need to know.
The Deal on Substances
Thanks to medical and drug research, there are thousands of drugs that help people. Antibiotics and vaccines have revolutionized the treatment of infections. Medicines can lower blood pressure, treat diabetes, and reduce the body's rejection of new organs. Medicines can cure, slow, or prevent disease, helping us to lead healthier and happier lives. But there are also lots of illegal, harmful drugs that people take to help them feel good or have a good time.
How do drugs work? Drugs are chemicals or substances that change the way our bodies work. When you put them into your body (often by swallowing, inhaling, or injecting them), drugs find their way into your bloodstream and are transported to parts of your body, such as your brain. In the brain, drugs may either intensify or dull your senses, alter your sense of alertness, and sometimes decrease physical pain.
A drug may be helpful or harmful. The effects of drugs can vary depending upon the kind of drug taken, how much is taken, how often it is used, how quickly it gets to the brain, and what other drugs, food, or substances are taken at the same time. Effects can also vary based on the differences in body size, shape, and chemistry.
Although substances can feel good at first, they can ultimately do a lot of harm to the body and brain. Drinking alcohol, smoking tobacco, taking illegal drugs, and sniffing glue can all cause serious damage to the human body. Some drugs severely impair a person's ability to make healthy choices and decisions. Teens who drink, for example, are more likely to get involved in dangerous situations, such as driving under the influence or having unprotected sex.
And just as there are many kinds of drugs available, there are as many reasons for trying them or starting to use them regularly. People take drugs just for the pleasure they believe they can bring. Often it's because someone tried to convince them that drugs would make them feel good or that they'd have a better time if they took them.
Some teens believe drugs will help them think better, be more popular, stay more active, or become better athletes. Others are simply curious and figure one try won't hurt. Others want to fit in. A few use drugs to gain attention from their parents.
Many teens use drugs because they're depressed or think drugs will help them escape their problems. The truth is, drugs don't solve problems — they simply hide feelings and problems. When a drug wears off, the feelings and problems remain, or become worse. Drugs can ruin every aspect of a person's life.
Here are the facts on some of the more common drugs:
Alcohol
Amphetamines
Cocaine and Crack
Cough and Cold Medicines (DXM)
Depressants
Ecstasy
GHB
Heroin
Inhalants
Ketamine
LSD
Marijuana
Methamphetamine
Nicotine
Rohypnol
Alcohol
The oldest and most widely used drug in the world, alcohol is a depressant that alters perceptions, emotions, and senses.
How It's Used: Alcohol is a liquid that is drunk.
Effects & Dangers:
Alcohol first acts as a stimulant, and then it makes people feel relaxed and a bit sleepy.
High doses of alcohol seriously affect judgment and coordination. Drinkers may have slurred speech, confusion, depression, short-term memory loss, and slow reaction times.
Large volumes of alcohol drunk in a short period of time may cause alcohol poisoning.
Addictiveness: Teens who use alcohol can become psychologically dependent upon it to feel good, deal with life, or handle stress. In addition, their bodies may demand more and more to achieve the same kind of high experienced in the beginning. Some teens are also at risk of becoming physically addicted to alcohol. Withdrawal from alcohol can be painful and even life threatening. Symptoms range from shaking, sweating, nausea, anxiety, and depression to hallucinations, fever, and convulsions.
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Amphetamines
Amphetamines are stimulants that accelerate functions in the brain and body. They come in pills or tablets. Prescription diet pills also fall into this category of drugs.
Street Names: speed, uppers, dexies, bennies
How They're Used: Amphetamines are swallowed, inhaled, or injected.
Effects & Dangers:
Swallowed or snorted, these drugs hit users with a fast high, making them feel powerful, alert, and energized.
Uppers pump up heart rate, breathing, and blood pressure, and they can also cause sweating, shaking, headaches, sleeplessness, and blurred vision.
Prolonged use may cause hallucinations and intense paranoia.
Addictiveness: Amphetamines are psychologically addictive. Users who stop report that they experience various mood problems such as aggression, anxiety, and intense cravings for the drugs.
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Cocaine and Crack
Cocaine is a white crystalline powder made from the dried leaves of the coca plant. Crack, named for its crackle when heated, is made from cocaine. It looks like white or tan pellets.
Street Names for Cocaine: coke, snow, blow, nose candy, white, big C
Street Names for Crack: freebase, rock
How They're Used: Cocaine is inhaled through the nose or injected. Crack is smoked.
Effects & Dangers:
Cocaine is a stimulant that rocks the central nervous system, giving users a quick, intense feeling of power and energy. Snorting highs last between 15 and 30 minutes; smoking highs last between 5 and 10 minutes.
Cocaine also elevates heart rate, breathing rate, blood pressure, and body temperature.
Injecting cocaine can give you hepatitis or AIDS if you share needles with other users. Snorting can also put a hole inside the lining of your nose.
First-time users — even teens — of both cocaine and crack can stop breathing or have fatal heart attacks. Using either of these drugs even one time can kill you.
Addictiveness: These drugs are highly addictive, and as a result, the drug, not the user, calls the shots. Even after one use, cocaine and crack can create both physical and psychological cravings that make it very, very difficult for users to stop.
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Cough and Cold Medicines (DXM)
Several over-the-counter cough and cold medicines contain the ingredient dextromethorphan (also called DXM). If taken in large quantities, these over-the-counter medicines can cause hallucinations, loss of motor control, and "out-of-body" (or disassociative) sensations.
Street Names: triple C, candy, C-C-C, dex, DM, drex, red devils, robo, rojo, skittles, tussin, velvet, vitamin D
How They're Used: Cough and cold medicines, which come in tablets, capsules, gel caps, and lozenges as well as syrups, are swallowed. DXM is often extracted from cough and cold medicines, put into powder form, and snorted.
Effects & Dangers:
Small doses help suppress coughing, but larger doses can cause fever, confusion, impaired judgment, blurred vision, dizziness, paranoia, excessive sweating, slurred speech, nausea, vomiting, abdominal pain, irregular heartbeat, high blood pressure, headache, lethargy, numbness of fingers and toes, redness of face, dry and itchy skin, loss of consciousness, seizures, brain damage, and even death.
Sometimes users mistakenly take cough syrups that contain other medications in addition to dextromethorphan. High doses of these other medications can cause serious injury or death.
Addictiveness: People who use cough and cold medicines and DXM regularly to get high can become psychologically dependent upon them (meaning they like the feeling so much they can't stop, even though they aren't physically addicted).
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Depressants
Depressants, such as tranquilizers and barbiturates, calm nerves and relax muscles. Many are legally available by prescription (such as Valium and Xanax) and are bright-colored capsules or tablets.
Street Names: downers, goof balls, barbs, ludes
How They're Used: Depressants are swallowed.
Effects & Dangers:
When used as prescribed by a doctor and taken at the correct dosage, depressants can help people feel calm and reduce angry feelings.
Larger doses can cause confusion, slurred speech, lack of coordination, and tremors.
Very large doses can cause a person to stop breathing and result in death.
Depressants and alcohol should never be mixed — this combination greatly increases the risk of overdose and death.
Addictiveness: Depressants can cause both psychological and physical dependence.
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Ecstasy (MDMA)
This is a designer drug created by underground chemists. It comes in powder, tablet, or capsule form. Ecstasy is a popular club drug among teens because it is widely available at raves, dance clubs, and concerts.
Street Names: XTC, X, Adam, E, Roll
How It's Used: Ecstasy is swallowed or sometimes snorted.
Effects & Dangers:
This drug combines a hallucinogenic with a stimulant effect, making all emotions, both negative and positive, much more intense.
Users feel a tingly skin sensation and an increased heart rate.
Ecstasy can also cause dry mouth, cramps, blurred vision, chills, sweating, and nausea.
Sometimes users clench their jaws while using. They may chew on something (like a pacifier) to relieve this symptom.
Many users also experience depression, paranoia, anxiety, and confusion. There is some concern that these effects on the brain and emotion can become permanent with chronic use of ecstasy.
Ecstasy also raises the temperature of the body. This increase can sometimes cause organ damage or even death.
Addictiveness: Although the physical addictiveness of Ecstasy is unknown, teens who use it can become psychologically dependent upon it to feel good, deal with life, or handle stress.
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GHB
GHB, which stands for gamma hydroxybutyrate, is often made in home basement labs, usually in the form of a liquid with no odor or color. It has gained popularity at dance clubs and raves and is a popular alternative to Ecstasy for some teens and young adults. The number of people brought to emergency departments because of GHB side effects is quickly rising in the United States. And according to the U.S. Drug Enforcement Agency (DEA), since 1995 GHB has killed more users than Ecstasy.
Street Names: Liquid Ecstasy, G, Georgia Home Boy
How It's Used: When in liquid or powder form (mixed in water), GHB is drunk; in tablet form it is swallowed.
Effects & Dangers:
GHB is a depressant drug that can cause both euphoric (high) and hallucinogenic effects.
The drug has several dangerous side effects, including severe nausea, breathing problems, decreased heart rate, and seizures.
GHB has been used for date rape because it is colorless and odorless and easy to slip into drinks.
At high doses, users can lose consciousness within minutes. It's also easy to overdose: There is only a small difference between the dose used to get high and the amount that can cause an overdose.
Overdosing GHB requires emergency care in a hospital right away. Within an hour GHB overdose can cause coma and stop someone's breathing, resulting in death.
GHB (even at lower doses) mixed with alcohol is very dangerous — using it even once can kill you.
Addictiveness: When users come off GHB they may have withdrawal symptoms such as insomnia and anxiety. Teens may also become dependent upon it to feel good, deal with life, or handle stress.
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Heroin
Heroin comes from the dried milk of the opium poppy, which is also used to create the class of painkillers called narcotics — medicines like codeine and morphine. Heroin can range from a white to dark brown powder to a sticky, tar-like substance.
Street Names: horse, smack, Big H, junk
How It's Used: Heroin is injected, smoked, or inhaled (if it is pure).
Effects & Dangers:
Heroin gives you a burst of euphoric (high) feelings, especially if it's injected. This high is often followed by drowsiness, nausea, stomach cramps, and vomiting.
Users feel the need to take more heroin as soon as possible just to feel good again.
With long-term use, heroin ravages the body. It is associated with chronic constipation, dry skin, scarred veins, and breathing problems.
Users who inject heroin often have collapsed veins and put themselves at risk of getting deadly infections such as HIV, hepatitis B or C, and bacterial endocarditis (inflammation of the lining of the heart) if they share needles with other users.
Addictiveness: Heroin is extremely addictive and easy to overdose on (which can cause death). Withdrawal is intense and symptoms include insomnia, vomiting, and muscle pain.
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Inhalants
Inhalants are substances that are sniffed or "huffed" to give the user an immediate rush or high. They include household products like glues, paint thinners, dry cleaning fluids, gasoline, felt-tip marker fluid, correction fluid, hair spray, aerosol deodorants, and spray paint.
How It's Used: Inhalants are breathed in directly from the original container (sniffing or snorting), from a plastic bag (bagging), or by holding an inhalant-soaked rag in the mouth (huffing).
Effects & Dangers:
Inhalants make you feel giddy and confused, as if you were drunk. Long-time users get headaches, nosebleeds, and may suffer loss of hearing and sense of smell.
Inhalants are the most likely of abused substances to cause severe toxic reaction and death. Using inhalants, even one time, can kill you.
Addictiveness: Inhalants can be very addictive. Teens who use inhalants can become psychologically dependent upon them to feel good, deal with life, or handle stress.
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Ketamine
Ketamine hydrochloride is a quick-acting anesthetic that is legally used in both humans (as a sedative for minor surgery) and animals (as a tranquilizer). At high doses, it causes intoxication and hallucinations similar to LSD.
Street Names: K, Special K, vitamin K, bump, cat Valium
How It's Used: Ketamine usually comes in powder that users snort. Users often do it along with other drugs such as Ecstasy (called kitty flipping) or cocaine or sprinkle it on marijuana blunts.
Effects & Dangers:
Users may become delirious, hallucinate, and lose their sense of time and reality. The trip — also called K-hole — that results from ketamine use lasts up to 2 hours.
Users may become nauseated or vomit, become delirious, and have problems with thinking or memory.
At higher doses, ketamine causes movement problems, body numbness, and slowed breathing.
Overdosing on ketamine can stop you from breathing — and kill you.
Addictiveness: Teens who use it can become psychologically dependent upon it to feel good, deal with life, or handle stress.
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LSD
LSD (which stands for lysergic acid diethylamide) is a lab-brewed hallucinogen and mood-changing chemical. LSD is odorless, colorless, and tasteless.
Street Names: acid, blotter, doses, microdots
How It's Used: LSD is licked or sucked off small squares of blotting paper. Capsules and liquid forms are swallowed. Paper squares containing acid may be decorated with cute cartoon characters or colorful designs.
Effects & Dangers:
Hallucinations occur within 30 to 90 minutes of dropping acid. People say their senses are intensified and distorted — they see colors or hear sounds with other delusions such as melting walls and a loss of any sense of time. But effects are unpredictable, depending on how much LSD is taken and the user.
Once you go on an acid trip, you can't get off until the drug is finished with you — at times up to about 12 hours or even longer!
Bad trips may cause panic attacks, confusion, depression, and frightening delusions.
Physical risks include sleeplessness, mangled speech, convulsions, increased heart rate, and coma.
Users often have flashbacks in which they feel some of the effects of LSD at a later time without having used the drug again.
Addictiveness: Teens who use it can become psychologically dependent upon it to feel good, deal with life, or handle stress.
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Marijuana
The most widely used illegal drug in the United States, marijuana resembles green, brown, or gray dried parsley with stems or seeds. A stronger form of marijuana called hashish (hash) looks like brown or black cakes or balls. Marijuana is often called a gateway drug because frequent use can lead to the use of stronger drugs.
Street Names: pot, weed, blunts, chronic, grass, reefer, herb, ganja
How It's Used: Marijuana is usually smoked — rolled in papers like a cigarette (joints), or in hollowed-out cigars (blunts), pipes (bowls), or water pipes (bongs). Some people mix it into foods or brew it as a tea.
Effects & Dangers:
Marijuana can affect mood and coordination. Users may experience mood swings that range from stimulated or happy to drowsy or depressed.
Marijuana also elevates heart rate and blood pressure. Some people get red eyes and feel very sleepy or hungry. The drug can also make some people paranoid or cause them to hallucinate.
Marijuana is as tough on the lungs as cigarettes — steady smokers suffer coughs, wheezing, and frequent colds.
Addictiveness: Teens who use marijuana can become psychologically dependent upon it to feel good, deal with life, or handle stress. In addition, their bodies may demand more and more marijuana to achieve the same kind of high experienced in the beginning.
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Methamphetamine
Methamphetamine is a powerful stimulant.
Street Names: crank, meth, speed, crystal, chalk, fire, glass, crypto, ice
How It's Used: It can be swallowed, snorted, injected, or smoked.
Effects & Dangers:
Users feel a euphoric rush from methamphetamine, particularly if it is smoked or shot up. But they can develop tolerance quickly — and will use more meth for longer periods of time, resulting in sleeplessness, paranoia, and hallucinations.
Users sometimes have intense delusions such as believing that there are insects crawling under their skin.
Prolonged use may result in violent, aggressive behavior, psychosis, and brain damage.
The chemicals used to make methamphetamine can also be dangerous to both people and the environment.
Addictiveness: Methamphetamine is highly addictive.
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Nicotine
Nicotine is a highly addictive stimulant found in tobacco. This drug is quickly absorbed into the bloodstream when smoked.
How It's Used: Nicotine is typically smoked in cigarettes or cigars. Some people put a pinch of tobacco (called chewing or smokeless tobacco) into their mouths and absorb nicotine through the lining of their mouths.
Effects & Dangers:
Physical effects include rapid heartbeat, increased blood pressure, shortness of breath, and a greater likelihood of colds and flu.
Nicotine users have an increased risk for lung and heart disease and stroke. Smokers also have bad breath and yellowed teeth. Chewing tobacco users may suffer from cancers of the mouth and neck.
Withdrawal symptoms include anxiety, anger, restlessness, and insomnia.
Addictiveness: Nicotine is as addictive as heroin or cocaine, which makes it extremely difficult to quit. Those who start smoking before the age of 21 have the hardest time breaking the habit.
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Rohypnol
Rohypnol (pronounced: ro-hip-nol) is a low-cost, increasingly popular drug. Because it often comes in presealed bubble packs, many teens think that the drug is safe.
Street Names: roofies, roach, forget-me pill, date rape drug
How It's Used: This drug is swallowed, sometimes with alcohol or other drugs.
Effects & Dangers:
Rohypnol is a prescription antianxiety medication that is 10 times more powerful than Valium.
It can cause the blood pressure to drop, as well as cause memory loss, drowsiness, dizziness, and an upset stomach.
Though it's part of the depressant family of drugs, it causes some people to be overly excited or aggressive.
Rohypnol has received a lot of attention because of its association with date rape. Many teen girls and women report having been raped after having rohypnol slipped into their drinks. The drug also causes "anterograde amnesia." This means it's hard to remember what happened while on the drug, like a blackout. Because of this it can be hard to give important details if a young woman wants to report the rape.
Addictiveness: Users can become physically addicted to rohypnol, so it can cause extreme withdrawal symptoms when users stop.
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Reviewed by: Steven Dowshen, MD
Date reviewed: July 2008
Originally reviewed by: Michele Van Vranken, MD