Sue Scheff: Dating Violence and Teens

Source: Connect with Kids

“Just let it go. If you keep answering the phone calls, you’re only making it available to him. You’re only allowing him to yell at you and to scream at you.”

– Amanda Kramer, 21 years old

Many times, teens feel so overpowered and controlled in abusive relationships that they can’t leave. It takes support from friends and family to help.

Amanda Kramer was no different. “I knew what was going on, I knew it, but it wasn’t strong enough in me to get rid of it,” she says. “I wasn’t strong enough inside.”

Her then-boyfriend was jealous and controlling. He told her if she ever left him, he would kill himself.

She didn’t want to see him in pain. “I told him, ‘I’m sorry, I’m sorry, I’m sorry’ and he told me everything was my fault and that everything was never gonna be okay - but as long as we were together [he wouldn’t kill himself]. And so I went back.”

Experts say this cycle of threats and violence is hard to break. Many times the teens involved are in denial.

“It’s very important, though,” explains domestic violence specialist, Kim Frndak, “that they have facts and information about this issue.”

An estimated one in three teens will be in an abusive relationship; one in four girls will be raped or sexually assaulted.

And the victims don’t always know that the abuse is not their fault.

“It’s very, very important to say, ‘I’m concerned for your safety, you’re not alone, you’re not the only person dealing with this kind of thing, and you don’t deserve to be treated like this’,” explains Frndak.

That’s the message to the child. And, she says, that’s just the beginning.

“Have the guidance counselors and administrators at the school investigate,” she says, “[and] there’s nothing wrong with calling the young man’s parents - because chances are, if he’s behaving this way towards your daughter, he’s done it in the past with other people.”

Finally, she says, parents need to do whatever it takes to keep their child safe.

“If you need to put limitations on your child’s activity - do it. If you need to say, ‘no you can’t go to the mall - you can’t go to the mall, you can only go to the mall if you’re with at least another friend, two friends and you can’t stay beyond such-and-such a time.’”

After four long years, with the help of her friends, Amanda was finally able to break free.

“I stopped answering his phone calls, I deleted every single message that he sent me, emails, IM’s - blocked them, took his number out of my phone and everything stopped,” she says. “Months later it stopped. It finally stopped.”

Tips for Parents

‘Dating violence’ may seem like a vague, murky term, but the National Center for Injury Prevention and Control defines ‘dating violence’ very specifically:

Dating Violence: “The perpetration or threat of an act of violence by at least one member of an unmarried couple on the other member within the context of dating or courtship. This violence encompasses any form of sexual assault, physical violence, and verbal or emotional abuse.”

How often does dating violence happen? Estimates vary, but the NCIPC offers these statistics:

24% of 8th and 9th graders have been victims of nonsexual dating violence.
8% of 8th and 9th graders have been victims of sexual dating violence.
Among high school students, the average prevalence rate for nonsexual dating violence is 22%.
Among college students the rate is 32%.
27% of college females have been victims of rape or attempted rape since age 14.
Over half of 1,000 females at a large urban university surveyed said they had experienced some form of “unwanted sex.”
Women are 6 times more likely than men to experience violence at the hands of an intimate partner.
According to the Massachusetts Department of Education, teen dating violence follows a pattern which is similar to adult domestic violence. The major elements of this pattern are:

Violence that affects people from all socio-economic, racial and ethnic groups.
Repeated violence that escalates.
Violence that increases in severity the longer the relationship continues.
Violence and abusive behaviors are interchanged with apologies and promises to change.
Increase danger for the victim when trying to terminate the relationship.
Occurrence in heterosexual and gay and lesbian relationships.
How can you tell if your teenager may be suffering from dating violence? Here are some signs from the Massachusetts Department of Education.
Is your child involved with someone who:

Is overly possessive and demonstrating a real need to control
Is jealous to the extreme point where it becomes an obsession
Is into controlling your child’s everyday events
Is prone to violent outbursts
Is a person who has a history of poor relationships
Is infringing upon your child’s freedom to make choices for himself/herself
Is limiting the time your child spends with other people
Is using external pressure to influence decision making
Is into passing blame and denying their own mistakes
Is in the habit of using put downs or playing mind games
Is not a person who can be disagreed with easily
Is encouraging your child to keep secrets
Is causing your child to become more withdrawn
And for teenagers trying to get out of a violent relationship, the following advice from the Boulder (CO) Police Department:

Tell your parents, a friend, a counselor, a clergyman, or someone else whom you trust and who can help.

The more isolated you are from friends and family, the more control the abuser has over you.
Alert the school counselor or security officer. Keep a daily log of the abuse.

Do not meet your partner alone.

Do not let him or her in your home or car when you are alone.
Avoid being alone at school, your job, on the way to and from places.
Tell someone where you are going and when you plan to be back.
Plan and rehearse what you would do if your partner became abusive.

References

Boulder (CO) Police Department
California Adolescent Health Collaborative
Children’s Hospital of Philadelphia
Massachusetts Department of Education
National Center for Injury Protection and Control

Sue Scheff: African American Suicide and Kids

Source: Connect with Kids

“A very achieving, gentle, loving, spiritual, sweet child.”
– Doris Smith, describing her son, Mark, who committed suicide.

When he was 10 years old, Mark Smith’s mother and father divorced.

“It affected Mark greatly,” says his mother, Doris Smith. “I found out in later years he told me it devastated him.”

Throughout his teen years, Mark had trouble sleeping and eating. He also talked about death and dying --typical signs of depression.

“He was giving me all the signs and the symptoms of a person who would take their own life,” says Smith.

Finally, he did. With a gunshot to the head.

New research finds that 4 percent of all black teens will attempt suicide. And while it’s still lower than the suicide rate for whites, the gap is closing.

“We’re more aware of it, there’s more reporting of it,” explains Psychiatrist Dr. Saundra Maass-Robinson. “There’s less… I don’t want to say there’s less stigma, but there’s less reluctance for those loved ones to identify it as a suicide than in the past.”

Maass-Robinson says that in the past 18 years, approximately 50 percent of her clients have been black teens. Still, she says, too often the ones that need help never get it.

“I will more often than not hear these young men say they’ve been wanting to get help for a while but their parents have discouraged it. So the very people they turn to for help are still part of the problem.”

Maass-Robinson says if you do see signs of depression -- no matter how subtle – take action.
“As the parent, I always take the position, ‘I know something’s wrong, I’m not here debating that. I’m not here [saying] how are you doing’,” says Maass-Robinson. “If you can’t talk to me, is there anybody you can? Because if you can’t I’m going to find you somebody and we’re going to do this.”

Doris Smith will always wish she had done more…
“I miss Mark so very much,” she says. “He was my only child. There’s not a day that goes by that I don’t think about him.”

Tips for Parents

When someone commits suicide, even people who were close to the victim often voice surprise and shock. Yet suicide is a prevalent issue, particularly among youth, who seemingly have their whole lives ahead of them. Consider the following statistics:

Suicide is the third leading cause of death for people ages 15 to 24. In fact, more teenagers and young adults die from suicide than from cancer, heart disease, AIDS, birth defects, stroke, pneumonia, influenza and chronic lung disease combined.

Risk factors for attempted suicide in youth are depression, alcohol or other drug use, and aggressive or disruptive behavior.

Over the last several decades, the suicide rate in young people has increased dramatically, nearly tripling in the last 50 years.

Male teenagers are much more likely to commit suicide than female teenagers, at a ratio of five-to-one.

Since 1980, suicide rates increased most rapidly among young black males.
According to the American Academy of Child and Adolescent Psychiatry, many of the symptoms of suicidal tendencies are similar to those of depression. Parents should be aware of the following signs that could indicate your child is at risk:

Change in eating and sleeping habits
Withdrawal from friends, family, and regular activities
Violent actions, rebellious behavior, or running away
Drug and alcohol use
Unusual neglect of personal appearance
Marked personality change
Persistent boredom, difficulty concentrating, or a decline in the quality of schoolwork
Frequent complaints about physical symptoms (often related to emotions) such as stomachaches, headaches, fatigue, etc.
Loss of interest in pleasurable activities
Intolerant of praise or rewards
A teenager who is planning to commit suicide may also …
Say that they are “a bad person” or feel "rotten inside."
Give verbal hints such as, "I won't be a problem for you much longer;" "Nothing matters;" "It's no use," or, "I won't see you again."

Put his or her affairs in order; for example, give away favorite possessions, clean his or her room, throw away important belongings, etc.

Become suddenly cheerful after a period of depression.

Have signs of psychosis (hallucinations or bizarre thoughts).

If a child or teen says, "I want to kill myself," or "I'm going to commit suicide," always take the statement seriously and seek evaluation from a psychiatrist and/or physician who specializes in children. People often feel uncomfortable talking about death. However, asking the child or adolescent whether he or she is depressed or thinking about suicide can be helpful. Don’t be afraid that this will "put thoughts in your child's head." Instead, asking the question lets the child know somebody cares, and can give him/her the chance to talk about his/her problems.
Experts at the American Association of Suicidology have developed the following suggestions to help deter someone who might be suicidal:
Be direct. Talk openly and matter-of-factly about suicide.
Be willing to listen. Allow expressions of feelings. Accept the feelings.
Be non-judgmental. Don’t debate whether suicide is right or wrong, or if feelings are good or bad. Don’t lecture on the value of life.
Get involved. Become available. Show interest and support.
Don’t dare him or her to do it.
Don’t act shocked. This will put distance between you.
Don’t be sworn to secrecy. Seek support.
Offer hope that alternatives are available, but do not offer glib reassurance.
Take action. Remove any means, such as guns or stockpiled pills.

Get help from doctors, therapists or agencies that specialize in crisis intervention and suicide prevention.

References
American Association of Suicidology
National Center for Health Statistics
The American Association of Child and Adolescent Psychiatry
University of Michigan

Sue Scheff - Parenting Teens - What Video Games do you kids play?

Source: Connect with Kids

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

Parents Universal Resource Experts - Sue Scheff - Teens: Sex in the Media

Source: Connect with Kids

“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

Sue Scheff: Counseling Cuts Down on Youth Drinking

Source: Connect with Kids

“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.”

– 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

Sue Scheff: Mistreated Depression

Source: Connect with Kids

“Basically, psychiatrists are pretty busy. 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.”

– 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

Sue Scheff: Teens, Sex and Depression

Source: Connect with Kids

“It hurts, because I care so much about him.”

– 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

Sue Scheff: Getting Teens Talking

Source: Connect with Kids

“You can push too much and that’ll shut the child down. So it’s a fine balance: Be available, be a good listener, and also know when you do need to push in case they’re into some things that they shouldn’t be.”

– 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

Sue Scheff; Middle School Drinking

Source: Connect with Kids

“We’ve approached parenting as a life-long process and this is just part of it. We’re just starting him, training him, helping him get set for the rest of his life - to make his own decisions.”

– 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

Inactive Teens by Connect with Kids

“Make time for [exercise] because once you get out of it, it’s so hard to get back in.”

– Tori, 16 years old

They run and play and participate in all sorts of sports. But what happens when little kids become teens?

“After a while, you just become like a couch potato,” says Tori, 16.

When she was a cheerleader in middle school, Tori got plenty of exercise. Now she’s 16, and she admits she hasn’t exercised regularly in years.

“I’m not physically fit,” she says. “I mean, I’m skinny, but I guess it’s just because I have a fast metabolism. But physically fit? Noooo!”

A study in the Journal of the American Medical Association followed more than one thousand children aged 9 to 15.

97% were active when they were 9-years-old, but by the time they were 15, only 31% of teens were meeting the recommended sixty minutes of vigorous physical activity during the week. And only 17% met that target on the weekend.

The older they got, the less they exercised!

Experts speculate, for some it’s just laziness, for other, interests change, or they’re simply too busy.

Tori agrees: “School starts to get harder, and you get more homework, and you want to spend more time with your friends and you need more sleep.”

Still, experts warn that teens must find a way to remain active otherwise they risk becoming obese or sick later in life. Parents can help by getting involved in activities with their children.

“Whether it’s running and pulling a kite in the wind or going out throwing a Frisbee or going for a walk with your dog, if you incorporate those things, you’re just gonna have a better quality of life,” says Jon Crosby, an Atlanta-based sports and fitness trainer.

Tori’s advice to fellow teens: “Make time for [exercise] because once you get out of it, it’s so hard to get back in.”

Tips for Parents

Many studies have found similar results to the UC- San Diego study. University of Pittsburgh researchers report that as girls age, they increasingly get less and less exercise. In their study, published in The New England Journal of Medicine, the researchers evaluated the exercise habits of 1,213 black girls and 1,166 white girls for 10 years, beginning at age 9 or 10. By the time the girls were 16 or 17, nearly 56% of the black girls and nearly 31% of the white girls reported no regular exercise participation at all outside of school.

While this study focused on teenage girls, other research shows that participation in physical activity is decreasing among all American children. The National Association for Sport & Physical Education reports that only 25% of all U.S. kids are physically active. And while most parents believe that their children are getting enough exercise during school hours, the President’s Council on Physical Fitness and Sports (PCPFS) says that only 17% of middle or junior high schools and 2% of senior high schools require daily physical activity for all students.

As a result of this physical inactivity, more and more children are becoming obese. According to the Centers for Disease Control and Prevention, 13% of children aged 6 to 11 and 18% of teens aged 12 to 19 are overweight. These same overweight adolescents also have a 70% chance of becoming overweight or obese adults and are at an increased risk for developing health problems, such as heart disease, type 2 diabetes, high blood pressure and some forms of cancer. In fact, the PCPFS reports that physical inactivity contributes to 300,000 preventable deaths a year in the United States.

Besides preventing the onset of certain diseases, regular physical exercise can also help your child in the following ways, according to the Centers for Disease Control and Prevention:

Helps control weight
Helps build and maintain healthy bones, muscles and joints
Improves flexibility
Helps burn off stress
Promotes psychological well-being
Reduces feelings of depression and anxiety
As a parent, you need to emphasize to your child the importance of physical activity. This can often be a difficult task, as you may encounter some resistance from a child who enjoys sedentary activities like watching television and surfing the Internet. The American Council on Exercise (ACE) recommends the following guidelines for easing your child into an active lifestyle:

Don’t just tell your child that exercise is fun; show him or her! Get off the couch and go biking, rock climbing or inline skating with your child. Skip rope or shoot baskets with him or her.
Invite your child to participate in vigorous household tasks, such as tending the garden, washing the car or raking leaves. Demonstrate the value of these chores as quality physical activity.
Plan outings and activities that involve some walking, like a trip to the zoo, a nature hike or even a trip to the mall.
Set an example for your child and treat exercise as something to be done on a regular basis, like brushing your teeth or cleaning your room.
Concentrate on the positive aspects of exercise. It can be a chance for your family to have some fun together. Avoid competition, discipline and embarrassment, which can turn good times into bad times. Praise your child for trying and doing.
Keep in mind that your child is not always naturally limber. His or her muscles may be tight and vulnerable to injury during growth spurts. Be sure to include stretching as part of your child’s fitness activities.
Exercise and nutrition go hand in hand. Instead of high-calorie foods and snacks, turn your child on to fruits and low- or non-fat foods.
If you discover that your teen is having trouble staying motivated to exercise, the American Academy of Family Physicians suggests these strategies:

Choose an activity that your child likes to do. Make sure it suits him or her physically, too.
Encourage your child to get a partner. Exercising with a friend can make it more fun.
Tell your child to vary his or her routine. Your child may be less likely to get bored or injured if he or she changes his or her exercise routine. Your child could walk one day and bicycle the next.
Ensure that your child is active during a comfortable time of day. Don’t allow him or her to work out too soon after eating or when it’s too hot or cold outside. And make sure your child drinks plenty of fluids to stay hydrated during physical activity.
Remind your child not to get discouraged. It can take weeks or months before he or she notices some of the changes from and benefits of exercise.
Tell your child to forget “no pain, no gain.” While a little soreness is normal after your child first starts exercising, pain isn’t. He or she should stop if hurt.
With a little encouragement and help from you, your child will be up and moving in no time!

References
American Academy of Family Physicians
American Council on Exercise
Centers for Disease Control and Prevention
National Association for Sport & Physical Education
Office of the Surgeon General
President’s Council on Physical Fitness and Sports
The New England Journal of Medicine

Sue Scheff: Grade School Bullying

by Connect with Kids

“A new phrase has entered our vocabulary: “Barbie Brats.” The name applies to an overlooked group of kids- young children, only 6 or 8 or 10 years old, who bully other kids in real life or on the Internet.”

– Louise Myslik, LCSW

Sherrod is only seven, but already, he says, he’s the victim of bullies. Sometimes it’s verbal, at other times, physical.

“They tell me to do stuff and then they push me into a wall.”

“They don’t like him,” says Sherrod’s mother, Sherry Thornton. “They won’t share with him. They do things and just blame it on him.”

Bullying among younger kids is happening more often. In fact, studies show three-quarters of children aged 8 to 11 say they’ve been bullied.

Experts say as kids learn to socialize, sometimes they’re nice and sometimes mean. It’s the mean behavior parents should focus on.

“We can’t assume that kids will be kids [and] at some point, they will grow out of this,” says Louise Myslik, a licensed clinical social worker. “We need to really pay attention to it and help them understand what it means to be mean, what it looks like, how it feels and why it’s not appropriate.”

Experts say parents should first talk to their children about bullying. Also, ask detailed questions.

For instance, says Myslik, “’Do you think your school has bullies? Do you have bullies in your class? What do they do? What do they say? Whom do they hurt? Have you ever been hurt?’”

She says if your child is a bully, don’t ignore the behavior. If your child is the victim, like Sherrod, teach them to speak up – tell an adult, stand up to the bully.

Sherrod’s mother offers him these words, “’Stop. Don’t do that to me. I don’t like that. You’re hurting me or you hurt my feelings,’ she says, “To me, communication is key.”

Tips for Parents

It may seem like innocent child’s play, but physical and verbal taunting can weigh heavily on kids. According to a report, teasing and bullying top the list of children’s school troubles. In a survey called “Talking with Kids About Tough Issues,” authors polled 823 kids ranging in age from 8 to 15. The majority reported teasing and bullying are “big problems” that rank higher than racism, smoking, drinking, drugs or sex.

Australian researchers also found that teenagers who are the targets of repeated taunts, threats and/or physical violence are more likely to develop symptoms of anxiety and depression. Girls appear to be particularly vulnerable.

“Bullying, teasing and harassment are psychological and psychiatric traumas,” says Dr. William S. Pollack, a clinical psychologist at Harvard Medical School. Those traumas can lead to “anxiety, depression, dysfunction, nightmares, and later, incapacity to function actively and healthfully as an adult.”

Experts say it is extremely important to open the lines of communication with your kids.
Consider the following tips:

Start early
Initiate conversations
Create an open environment
Communicate your values
Listen to your child
Try to be honest
Be patient
Share your experiences
Also, watch for behavioral changes. Children who are suffering from teasing and bullying may try to hide the hurt. They become withdrawn from family and friends, lose interest in hobbies, and may turn to destructive habits like alcohol, drugs, and acts of violence.

It is the ultimate responsibility of your child’s school to make the school safe for him/her. Share the following tips with your child, and tell him/her to only do the things recommended below if he/she is comfortable doing them. If your child is not comfortable, encourage him/her to get help from a teacher or counselor. And even when he/she takes the actions below, it is always a good idea for him/her to let parents and teachers know.

Be assertive
Write the harasser a letter
Document incidents
Check with other students
File a formal complaint
References
Kaiser Family Foundation
Children Now
British Medical Journal
U.S. Department of Education
LaMarsh Research Centre

Sue Scheff: Prescription Drugs and Teens

By Connect with Kids

“I know a couple people … the first thing they ever tried, you know, going to their parents’ medicine cabinet and just looking in there and finding what they could get high off of.”

– Marie Bokemeyer, 17

According to the Federal Drug Enforcement Administration, 7 million Americans abuse prescription drugs. And many are just teens.

“Percosets, Valium, Xanax … pretty much anything I could get my hands on,” 17-year-old Mururi Wangu says.

In fact, the abuse of prescription drugs has risen 80 percent in the past 6 years. Experts say, aside from marijuana, teens are abusing these drugs more than all other illicit drugs combined.

Experts say that one reason for such a dramatic jump in abuse numbers is the availability of prescription drugs.

“This is the age of medication,” says Dr. Steven Jaffe, an adolescent psychologist. “I think there’s tremendous amounts of all sorts of medicine out there that are readily available in the bathrooms, in the cabinets at home, as well as on the black market.”

Moreover, since the U.S. Food and Drug Administration approves prescription drugs, teens mistakenly believe that using these drugs – even if they don’t have a prescription – is safe.

“For a while, I thought prescription drugs aren’t as bad because why would the doctor prescribe them if they were dangerous,” 17-year-old Marie Bokemeyer says.

Experts say that’s why parents should start early with a strong, clear message that abusing any kind of drug is wrong. They should also get to know their teens’ friends, limit unsupervised time, keep close track of medications in their homes and don’t assume it can’t happen to their teens.

“I have a thousand parents who say, ‘I didn’t know how much my child was in to.’ And it’s not just denial – teenagers are experts at hiding it,” Dr. Jaffe says.

Adds 17-year-old Kat Peterson: “I didn’t care about the danger of it; that had no effect on me. It was just the convenience of it.”

Tips for Parents

The abuse of prescription drugs has become a major health concern. More teens than ever are turning to their medicine cabinets to get high. Experts say one reason is accessibility. The majority of teens who abuse prescription drugs say they get them for free from their friends or relatives. Another reason these drugs have become so popular is, because the drugs are approved by the FDA, many teens consider them to be safe.

Consider these statistics:

In 2005, 2.1 million teens abused prescription drugs.

Three percent, or 840,000 teens ages 12-17, reported current abuse of prescription drugs in 2005, making this illegal drug category the second most abused next to marijuana (7%).
For the first time, there are just as many new abusers (12 and older) of prescription drugs as there are for marijuana.

One-third of all new abusers of prescription drugs in 2005 were 12-17-year-olds.

Teens ages 12-17 have the second-highest annual rates of prescription drug abuse after young adults (18-25).

Nearly one in five teens (19% or 4.5 million) report abusing prescription medications that were not prescribed to them.

Teens admit to abusing prescription medicine for reasons other than getting high, including to relieve pain or anxiety, to sleep better, to experiment, to help with concentration or to increase alertness.

More than one-third of teens say they feel some pressure to abuse prescription drugs, and nine percent say using prescription drugs to get high is an important part of fitting in with their friends.

Nearly three out of 10 teens (29% or 6.8 million) believe prescription pain relievers—even if not prescribed by a doctor—are not addictive.

In 2004, more than 29 percent of teens in treatment were dependent on tranquilizers, sedatives, amphetamines and other stimulants.

As a parent, it is important to understand that teens may be involved with legal and illegal drugs in various ways. The American Academy of Child & Adolescent Psychiatry (AACAP) reports that many teens begin using drugs to satisfy their curiosity, to make themselves feel good, to reduce stress, to feel grown up or to “fit in.” While it is difficult to know which teens will experiment and stop and which will develop serious problems, the National Institute of Drug Abuse says the following types of teens are at greatest risk of becoming addicted:

Those who have a family history of substance abuse
Those who are depressed
Those who have low self-esteem
Those who feel like they don’t “fit in” or are out of the mainstream
Because the U.S. Food and Drug Administration puts its seal of approval on prescription drugs, many teens mistakenly believe that using these drugs – even if they are not prescribed to them – is safe. However, this practice can, in fact, lead to addiction and severe side effects. The Center for Drug Evaluation and Research cites the following most commonly abused prescription drugs:

Opioids: Also known as narcotic analgesics, opioids are used to treat pain. Examples of this type of drug include morphine, codeine, OxyContin (oxycodone), Vicodin (hydrocodone) and Demerol (meperidine). In the short term, these drugs block pain messages and cause drowsiness. A large, single dose can cause severe respiratory depression and death. Long-term use leads to physical dependence and, in some cases, addiction.

Central nervous system (CNS) depressants: These drugs are commonly used to treat anxiety, panic attacks and sleep disorders. Examples include Nembutal (pentobarbital sodium), Valium (diazepam) and Xanax (alprazolam). CNS depressants slow down normal brain function and can cause a sleepy, uncoordinated feeling in the beginning of treatment. Long-term use can lead to physical dependence and addiction.

Stimulants: These drugs are commonly used to treat the sleeping disorder narcolepsy and attention-deficit hyperactivity disorder. Examples include Ritalin (methylphenidate) and Dexedrine (dextroamphetamine). Stimulants, which can be addictive, enhance brain activity and increase alertness and energy. They elevate blood pressure, heart rate and respiration. Very high doses can lead to irregular heartbeat and high body temperature

How can you determine if your teen is abusing drugs? The AACAP suggests looking for the following warning signs and symptoms in your teen:

Physical: Fatigue, repeated health complaints, red and glazed eyes and a lasting cough
Emotional: Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest

Familial: Starting arguments, breaking rules or withdrawing from the family
School-related: Decreased interest, negative attitude, drop in grades, many absences, truancy and discipline problems

Social: having new friends who are less interested in standard home and school activities, problems with the law and changes to less conventional styles in dress and music
If you believe your teen has a problem with drug abuse, you can take several steps to get the help he or she needs. The American Academy of Family Physicians suggests contacting your health-care provider so that he or she can perform an adequate medical evaluation in order to match the right treatment or intervention program with your teen. You can also contact a support group in your community dedicated to helping families coping with addiction.

Substance abuse can be an overwhelming issue with which to deal, but it doesn’t have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your teen can reap the rewards of a healthy, drug-free life:

Be your teen’s greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.

Encourage your teen to get involved in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available. Sometimes it takes a bit of experimenting to find out which activities your teen is best suited for, but it’s worth the effort – feeling competent makes children much less likely to use drugs.

Help your teen develop tools he can use to get out of drug-related situations. Let him or her know he or she can use you as an excuse: “My mom would kill me if I smoked marijuana!”
Get to know your teen’s friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your teen away from any friends who use drugs.

Call teens’ parents if their home is to be used for a party. Make sure that the party will be drug-free and supervised by adults.

Set curfews and enforce them. Let your teen know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.

Sit down for dinner with your teen at least once a week. Use the time to talk – don’t eat in front of the television.

Get – and stay – involved in your teen’s life.

References
American Academy of Child & Adolescent Psychiatry
American Academy of Family Physicians
Center for Drug Evaluation and Research
Drug Abuse Warning Network
National Institute on Drug Abuse
Partnership for a Drug-Free America
Substance Abuse & Mental Human Services Administration
U.S. Food and Drug Administration

Parents Universal Resource Experts (Sue Scheff) Smoking Harms Your Brain

By Connect with Kids

“I started smoking cigarettes when I was 10, I started smoking weed and drinking when I was 13, I started doing crystal [methamphetamine] when I was 14, I started doing cocaine when I was 15.”

– Renee, 15

Some teenagers think the only danger in smoking cigarettes is lung cancer. But new research shows that smoking may cause irreversible damage to the brain.

I tried it because I thought it was cool,” says Renee, 15.

Renee started smoking cigarettes in the 4th grade.

“I started smoking cigarettes when I was 10, I started smoking weed and drinking when I was 13, I started doing crystal [methamphetamine] when I was 14, I started doing cocaine when I was 15.”

According to the National Center on Addiction and Substance Abuse, teens who start smoking at a young age are three times more likely to binge drink, 13 times more likely to smoke marijuana, and seven times more likely to use cocaine or heroin.

Recent studies may shed light on this type of behavior. In experiments with rats, results show that nicotine exposure changes brain receptors -- increasing the desire for other addictive drugs.

“Our experiment would suggest that just one exposure to nicotine, the active component of tobacco, can produce a long-term change in the behavior of the animal that probably results in a change in the brain,” says Frances Leslie, Ph.D., professor of pharmacology.

“It’s hard at the moment to know how that translates into human behavior, but I think that it’s unquestionable that there will be changes in behavior as a result of early smoking,” says Leslie. “And it’s quite logical to believe that one of those changes in behavior might be increased drug use … drugs like cocaine and amphetamines and heroin.”

Now in rehab, Renee takes her addiction one day at a time.

“Because recovery is your whole life if you’re an addict, you have to do it until the day you die,” says Renee.

Tips for Parents

The majority of teens -- a total of 82 percent -- do not smoke.

Cigarettes are stimulants. Within seven seconds of inhaling on a cigarette, the nicotine reaches your brain, stimulating the nervous system, increasing heart rate, raising blood pressure and constricting small blood vessels under the skin.

Nicotine in cigarettes is as addictive as cocaine and heroin. It is difficult to quit once you are addicted.

Ninety-eight percent of smokers start before the age of 17.

The majority of “experimenters” go on to a lifetime of smoking.

Teens most commonly report that they start to smoke because "it's cool" (60%) or because of the behavior of friends (57%).

Almost twice as many females (15%) than males (8%) stated "weight control" as a perceived reason that youth start to smoke.

Kids often use smoking to:

Manage their moods – to calm nerves and ease stress, sort out their thoughts, relieve boredom, gear up for a social event, or to "zone out" from their troubles.

Look and feel older – if friends smoke, they may feel left behind on a journey that looks grown-up and adventurous. Media contributes to this idea.

Fit in and find friends - Cigarettes can be borrowed and traded and used to build friendships. Kids may also go along with smoking because they don’t want to lose their friends.

Studies show that parents, even those who smoke, can and do have an impact on whether their children smoke.

Talk about your own experiences with smoking or not smoking, and what smoking means to you.
Talk about family members with smoking-related illnesses.

Ask your kids what smoking means to them. Listen. Be patient.

Provide hard facts that may make them think twice about smoking.

References
National Center on Addiction and Substance Abuse
Chronic Disease & Injury Prevention Team at the Middlesex-London Health Unit

Sue Scheff: Rebellious Teenagers - Disrespect, Violence and Unruly Behavior

Civil Wars by Connect with Kids

You see them everywhere you go – rebellious teenagers whose attitudes, language and behaviors are disrespectful and inappropriate. Is it an unavoidable part of growing up or a more serious sign of a truly angry kid?

More than 80 percent of teachers surveyed said students today are, in fact, more disrespectful than ever before – talking back, cheating, bullying, cursing. Is this the most uncivil generation in history? And if so, are they learning it from adults, the media, our fast-paced culture? Where do we draw the line when it comes to rebellious teenagers?

Personal Insights on what drives an angry kid

In Civil Wars, you’ll hear from rebellious teenagers whose bad behavior had them on the verge of getting kicked out of school… and how they turned their lives around. You’ll see entire schools that have eliminated bullying and violence and learn why they believe having well-mannered, civil kids is so important.

This is not a subject kids like to talk about with adults, but once they hear each angry kid in Civil Wars tell their stories, they’ll open up so that the entire family comes away with a whole new perspective.

Order now to get your own insights into the lives of rebellious teenagers. You'll learn how to deal with an angry kid.

Sue Scheff: Cell Phones and Risk

By Connect with Kids

“Don’t put the power in the instrument. The power is in you, the power is in the family, the power is in the communication system of the family. And that will give you safety.”

– Allen Carter, Ph.D., psychologist

Cell phones are a great way for teens to stay in touch with their parents -- especially if it’s an emergency. But do they also give teens a false sense of security?

Fifteen-year old Eimani likes to stay connected. She uses her cell phone as a safety precaution when she’s out with friends or by herself.

“That’s a parent’s worse fear. Something’s gone on and we don’t know where our kids are,” says Miyoshi, Eimani’s mother.

“If I’m in a spot or a jam, my mom will be there. And if I have a cell phone, I can ring my mom up at the drop of a dime,” says Eimani.

But can she? Can she dial that fast in an emergency? According to a study from Ohio State University, 42 percent of girls said they would be willing to walk somewhere after dark if they had a cell phone. However, experts say a cell phone doesn’t replace common sense. If you wouldn’t ordinarily let your child go someplace or stay out late, don’t change those rules just because they now have a phone.

“Don’t put the power in the instrument. The power is in you, the power is in the family, the power is in the communication system of the family, and that will give you safety,” says Allen Carter, Ph.D., psychologist.

Miyoshi says the cell phone is another layer of protection, but it won’t replace logic.

“You have to teach your kids common sense. If something happens, get somewhere safe,” says Miyoshi.

Tips for Parents

Listen to and act on your intuition. It’s better to be safe and risk a little embarrassment than to stay in an uncomfortable situation that may be unsafe. (Iowa State University -- Department of Public Safety)

If you are in danger or being attacked and want to get help, yell “Call 911!” or give specific directions to onlookers; for example: “You! Get the police!” or “Walk me to the store on the corner, I’m being followed.” (Iowa State University -- Department of Public Safety)

Vary your routine: drive or walk different routes every day. If you suspect that someone is following you, by foot or in a car, don’t go home (or they will know where you live). Go to a trusted neighbor or to a public place to call the police, or go directly to the police station. (Iowa State University -- Department of Public Safety)

Do not label keys with your name or any identification. Don’t talk about your social life or vacation plans where strangers can overhear you. (Iowa State University -- Department of Public Safety)

Students need to be aware of their surroundings when they're out using their cell phone. "In some cases, walking with a cell phone might make them vulnerable, either to crime or to an accident," says Ohio State University. (MSNBC)

If you don't carry a cell phone, consider getting one. Did you know that cell phones, even when they are not connected to a cell phone service provider, can still be used to call 911? (California Polytechnic State University)

References

Iowa State University -- Department of Public Safety
MSNBC
Jack Nasar, professor of city and regional planning at Ohio State University
California Polytechnic State University

Parents Universal Resource Experts (Sue Scheff) Dating Violence and Cell Phones

By Connect with Kids

“It’s a loss that you can’t comprehend; it’s a void that can never be filled again.”

– Tom Santoro, father

Studies show that one in three teenage girls has been in a relationship where she has feared for her safety. One in five has been physically abused; one in four has been verbally abused. Even when your daughter is at home, that doesn’t mean she is out of harm’s way.

“The old saying, “If I can’t have her, no one else can’ came true for Lisa,” says Tom Santoro, Lisa’s father.

Lisa Santoro, 18, was brutally murdered by her ex-boyfriend.

“It’s a loss that you can’t comprehend; it’s a void that can never be filled again,” says her father.

In the weeks between their break-up and her death, Lisa’s ex-boyfriend, Timothy Bucholz, began stalking her.

“We found out afterwards that he kept calling her after the breakup. We found out he started to follow her around,” says Santoro.

According to a survey by Teenage Research Unlimited, one in three teens is a victim of cyber-stalking -- harassment either by phone calls or text messages.

“He would call and cry, say that he was upset that she had broken up with him. There were other conversations where he started telling her that he wanted all his stuff back,” says Laura Mejia, Lisa’s friend.

Experts say it can be hard to tell that your teen is being stalked, especially if she has her own cell phone. But there are warning signs.

“You see differences in the way your child behaves. There may be depression, there may be isolation, there may be a nervousness around the telephone ringing. There may be telephone calls coming to your child’s cell phone all hours of the night. You hear the phone ring several times, it‘s the same person,” says Kim Frndak, domestic violence specialist.

“Maybe the child sees the caller ID and puts the phone away,” Frndak continues. “They may or may not want to tell you what’s going on, but that’s a big red flag -- the harassing phone calls and stalking behaviors.”

Frndak says if the harassment continues, call the parents of the stalker.

“You may get some resistance, but there’s absolutely nothing wrong with saying ‘I’m going to call’ because chances are if he’s behaving this way towards your daughter, he’s done it in the past with other people,” says Frndak.

“And she has got to realize you’re doing this for her protection. I know as a teenager they don’t like it, but it’s something you have to do as a parent,” says Santoro.

Tips for Parents

Abuse can be physical, emotional or sexual. Slapping, hitting and kicking are forms of physical abuse that can occur in both romances and friendships. (Nemours Foundation)

Dating abuse is linked to patterns of violence that may negatively affect future relationships. If your child has been abused or is participating in some of the risky behaviors listed above, encourage him or her to seek help from a doctor or mental health professional to cope with emotions or to learn how to stop unhealthy habits and behaviors. (Nemours Foundation)

Emotional abuse (teasing, bullying and humiliating others) can be difficult to recognize because it doesn't leave any visible scars. Threats, intimidation, putdowns, and betrayal are all harmful forms of emotional abuse that can really hurt. (Nemours Foundation)

You may be involved in an abusive relationship when someone …

harms you physically in any way, including slapping, pushing, grabbing, shaking, smacking, kicking, and punching.

tries to control different aspects of your life, such as how you dress, who you hang out with, what you say.

frequently humiliates you or makes you feel unworthy (for example, if a partner puts you down but tells you that he or she loves you).

coerces or threatens to harm you, or harm himself, if you leave the relationship.

twists the truth to make you feel that you are to blame for your his actions.

demands to know where you are at all times.

constantly becomes jealous or angry when you want to spend time with your friends.

If you believe you are in an abusive relationship and you want to end it, experts recommend:
First, make sure you're safe. A trusted adult can help. If the person has physically attacked you, get medical attention or call the police immediately.

Don’t wait; assault is illegal, and so is rape — even if it's done by someone you are dating. (Nemours Foundation)

Avoid the tendency to isolate yourself from your friends and family. You might feel like you have nowhere to turn, or you might be embarrassed about what's been going on, but this is when you need support the most. People such as counselors, doctors, teachers, coaches, and friends will want to help you, so let them. (Nemours Foundation)

Ending abuse and violence in teen relationships is a community effort with plenty of people ready to help. Seek out crisis centers, teen help lines and abuse hotlines. These organizations have professionally-trained staff to listen, understand and help. (Nemours Foundation)

References
Nemours Foundation