Parents Universal Resource Experts - Sue Scheff - ADHD Teens and Puberty

By ADDitude Magazine

What parents of ADHD boys should watch for as their sons pass through adolescence.

Until he was 10 or 11, Robert was cheerful and lively, if sometimes distractible and hyper. Then came 12 and 13. “He alternates between couch potato and monster,” says his mother, Anne. “What happened to my sweet little boy?”

What happened were puberty (physical changes) and adolescence (psychological and social changes), which occur when children begin maturing into adults. Some kids begin to “act” like adolescents before puberty; others may not accept the role of adolescent until long after puberty. Whenever they happen, you’re in for a bumpy ride.

Fortunately, boys with attention deficit disorder (ADD ADHD) don’t seem to have more difficulty coping with puberty than others. However, their particular problems and stresses may differ somewhat. Here are some issues to consider.

Refusing medicine
“Raging hormones” can cause intense physical and psychological changes. Teens often find body changes distressing and desperately want to fit in. That’s why many kids who cooperatively took medication in elementary school begin to protest and rebel in their teens; they don’t want to be singled out by going to the school office or health room.

Try to understand and help. If you can find an appropriate medication in a long-acting formulation, your child won’t have to take medicine in school. You can even allow a short trial off medication which may help your teen understand the need to continue taking it. Before discontinuing medication, consult with your family doctor or a mental health professional.

Peer pressure
All children need to feel accepted by their peer group. If the years of having ADHD (and possibly a learning disability) have resulted in poor social skills and limited success with friends, early adolescence may be painful.

The danger for some kids is that they may seek out any peer group that accepts them. Socially rejected ADHD boys frequently latch on to other “misfits” who do not do well in school or sports. The combination of a misfit peer group, the need to be accepted, and low self-esteem places ADHD teens at great risk of alcohol and drug use. Get educated and if you suspect these problems, get help.

Lack of supervision
Experimentation with alcohol, drugs, and sex doesn’t take place on weekend nights. The riskiest hours are between 3 and 6 P.M. on school days. Kids are often unsupervised because both parents work. They frequently visit friends’ houses with no adult present.

Be proactive. If you can’t supervise your teens after school, make sure they’re involved in sports, arts, community service or other activities that are supervised by adults. Keep tabs on where they are and what they’re doing at all times.

Comorbid disorders
People with ADHD are at increased risk of comorbid disorders (two or more conditions that occur at the same time). Depression and anxiety disorders often first show up between the ages of 8 and 12, and again in early adolescence. Watch your child for symptoms, and seek help if you think there’s a problem.

Also watch for signs of Conduct Disorder and Oppositional Defiant Disorder, which are marked by antisocial, hostile, and unusually oppositional behavior. These disorders frequently place impulsive ADHD boys in dangerous, even criminal situations. Intervention is imperative.

Medication changes
Most boys on medication for ADHD do not need to change medication as they enter puberty. Even significant weight increases may not warrant an increased dose. If the dose used earlier in life still works, don’t change it.

The good news is that about half of ADHD kids improve significantly after puberty. Many no longer need medication. The rest will probably need medication through adolescence and possibly into adulthood.

On balance, most ADHD boys pass through adolescence with no more difficulty than others. Becoming a couch potato is not a disorder. However, seek professional advise if your son seems unusually sad, withdrawn, angry, or anxious. Don’t wait for a problem to escalate into a crisis. Even if your concerns are unfounded, it’s better to discuss them with a mental health professional than to wish you had acted sooner.

Parents Universal Resource Experts (Sue Scheff) Discipline Without Regret: Tips for Parents of ADHD Children

How parents can set boundaries for ADHD children without yelling, screaming, or losing your cool. The smart way to discipline.


Click Here for Entire Article.

Parents Universal Resource Experts (Sue Scheff) Inhalants A Deadly Drug of Choice

By PATTY PENSA

South Florida Sun-Sentinel

FORT LAUDERDALE, Fla. — Jason Emanuel was a troubled 20-year-old whose drug of choice was keyboard cleaner.

He sucked can after can of products such as Dust-Off until his lips turned blue and the euphoria set in. He came to a Delray Beach, Fla., sober house to get clean.
Instead, he was arrested for “huffing” three times over four weeks and died after his final high set off a seizure.

Jason Emanuel’s case reflects the danger of household products in the hands of young people looking for an easy hit. Indeed, Emanuel chose inhalants because there is no middle man, other than a checkout clerk. Compared with other drugs, the number of people who die from inhalants is small, but there is growing concern over the No. 1 drug of middle-schoolers, who studies show see huffing as a low-risk hit.

“Jason was not a criminal,” his adoptive father, Chris Emanuel, said. “He wasn’t a guy that would stick up the 7-Eleven. He had a problem and eventually it defeated him.”

The coroner’s report, which determines cause of death, is not complete yet.

Chris Emanuel last saw his son in mid-December, about the same time the North Carolina native was first arrested in Boynton Beach, Fla. Twice police found him in his car huffing outside Wal-Mart. A third time, he was outside SuperTarget. Each time, he appeared unsteady on his feet and was incoherent, according to police reports.

Using Jason Emanuel as an example, police in January called a news conference to warn parents about huffing. They called him the “poster child” for inhalant abuse. More than 2 million kids ages 12-17 chose an inhalant to get high, according to the Alliance for Consumer Education, which operates the Web site inhalant.org.

What they huff is found at home, with more than 1,400 household products as potential hits.
“This is a tragic situation that highlights the dangers of inhalant abuse and should force every parent to have a conversation with their children about the deadly consequences,” police spokeswoman Stephanie Slater said in a statement.

Inhalants affect the body like alcohol does: slurred speech, lack of coordination and dizziness. Some users experience hallucinations and delusions. More severe are the long-term effects, such as liver and kidney damage, hearing loss, limb spasms and brain damage.

Because the high lasts only a few minutes, users prolong the feeling by huffing for hours. Chemical-induced cardiac arrest can happen any time, said Dr. Jeffrey Bernstein, medical director of the Florida Poison Control covering South Florida.

Even without an autopsy, Jason Emanuel’s final encounter with police on Feb. 26 reveals the role inhalants played in his death. Days before, he was kicked out of the Delray Beach halfway house where he came to get sober. For three days he lived in his car, and on the last, sheriff’s deputies were called to Wal-Mart west of West Palm Beach, Fla.

Jason Emanuel told the deputies he had been huffing that afternoon, said Sheriff’s Office spokeswoman Teri Barbera. Paramedics took him to the hospital and, on the way, he suffered a seizure and stopped breathing.

On average, 100 to 125 people across the United States die from inhalants annually, said Harvey Weiss, spokesman for the National Inhalant Prevention Coalition. But the numbers may be higher, he said. There is no national clearinghouse on inhalant-related deaths.

An interim report from Florida’s medical examiners attributes three deaths to inhalants in 2007. In contrast, cocaine killed 398 people in the state last year. The prescription drug Oxycodone claimed 323 lives. Anti-drug advocates say inhalants are just as dangerous.

“You see kids on YouTube joking around, laughing and having fun, and the risk really isn’t conveyed,” said Colleen Creighton, the consumer alliance’s executive director. “The frightening thing for us is how young the kids are who are using.”

A government study released last month showed inhalants are the drug of choice for 12- and 13-year-olds. As they get older, many teens switch to marijuana.

Jason Emanuel was the opposite. His father said he smoked marijuana in high school but took up huffing about a year ago.

“He got off marijuana because he didn’t like finding dealers,” he said. “You can go to any place and find an inhalant.”

Jason Emanuel grew up in an upper-middle-class neighborhood in Charlotte, N.C. The product of private schools, he was a bright kid who had big ambitions. Ultimately, he dropped out after his first semester at Appalachian State University to go into rehab.

His parents sent him to rehabilitation centers around the United States, but he veiled his troubles to his friends.

“He just didn’t act like someone who was a drug addict,” Elliot Engstrom, 19, a childhood friend, said.

“With my generation, people get so concerned with drugs you hear about in pop culture. That’s really not the problem. It’s the prescription drugs and the stuff you buy at Wal-Mart.”

http://www.inhalant.org/

Sue Scheff - Inhalant Abuse Learn More

Monitoring your child will make your child much less likely to use Inhalants or other drugs.


· Know where your child is at all times, especially after school
· Know your child's friends
· If you find your child unconscious, or you suspect your child is under the influence of an Inhalant, call 911 immediately.

If you suspect your child might be abusing Inhalants, call the Poison Control Center at 1-800-222-1222; or call the '1-800' number on the label of the product.

According to the Partnership for a Drug-Free America, "if you talk to your kids about the risks of drugs, they are 36% less likely to abuse an Inhalant." Parents can make a tremendous impact on their kids' choices by talking to them.

Visit http://www.inhalant.org/

Sue Scheff: Love Our Children USA

Love Our Children USA™ is the national nonprofit leader in breaking the cycle of violence against children. The organization has become 'the Go-To' prevention organization for all forms of violence and neglect against children in the U.S.

Love Our Children USA eliminates behaviors that keep kids from reaching their potential. We redefine parenting and create kid success with prevention strategies and positive changes in parenting and familyattitudes and behaviors through public education. Honoring andrespecting children of all ages ... empowering and supporting kids, teens, parents and families through information, resources, advocacy and online mentoring. Our goal is to keep children safe and strengthen families -- Our message is positive ... one of prevention and hope

The funds we receive go towards: Assisting Children and Families with Information and Resources, Public Education, Community Outreach and Awareness, Youth For Youth Partnership, National Love Our Children Day, Bullying and Cyberbullying Prevention, Internet Safety, Positive Parenting Education, National District Attorney's Child Protection Task Force, Darko Rapotez Memorial College Scholarship Fund For Aged Out Foster Youth, National Block Parenting Progam, Youth Safety Programs, a Wish Program for child victims and foster kids, creating a 24 Hour Toll-Free Hotline, Speaker Bureaus and Advocacy. Funds enable us to produce and distribute over 35 guides for parents and children, maintain and enhance our extensive web resources, conduct the necessary research to help us focus on the trends of violence against children and produce effective anti-violence messages.

Sue Scheff: What your children are doing shouldn't be a mystery

Who’s pressuring your kids? Who’s offering them alcohol or drugs? Who’s talking to them on the Internet?

Whether we’re teachers, parents, counselors…sometimes we just don’t know what’s really going on in a child’s life. If you want to talk to your kids about the challenges they face, but aren’t sure what to say, our programs will help…with real kids sharing their true stories, and advice from experts, educators and parents who have “been there.”

Click here for a fantastic educational resource to help you help your kids!

Do you have a struggling teen? At risk teens? Defiant Teen? Teen Depression? Problem Teen? Difficult Teen? Teen Rage? Teen Anger? Teen Drug Use? Teen Gangs? Teen Runaways? Bipolar? ADD/ADHD? Disrespectful Teen? Out of Control Teen? Peer Pressure?

Find about more about Boarding Schools, Military Schools, Christian Boarding Schools, Residential Treatment Centers, and Therapeutic Boarding Schools.

Sue Scheff - Teenage Depression

Teen Depression Risk Factors by DepressionReport.info

There are a number of factors that put a teen at a higher risk for developing depression. Many of these risk factor are red flags for parents, friends, and loved ones to watch out for in a teenager. These factors include:



Experiencing problems or difficulty at school.

Going through a traumatic event. Examples include parents who get divorced, abusive parents, the death of a loved one, or a break up with a boyfriend or girlfriend.

Weight loss or weight gain.

Difficulty dealing with anger.

Developing an interest in violence or a becoming increasingly fearful of violence.

Difficulty sleeping.

Developing an interest in drugs or alcohol.


Teenage depression is the leading cause of teenage suicide. Yet, approximately 80% of teenagers thinking of suicide leave clues. Through careful observation and an understanding of the risk factors of teenage depression, many of these suicides can be prevented.


Causes of Teenage Depression

Teenage depression is largely caused by stress. During the adolescent years, a person undergoes a number of emotional, physical, and mental changes. First of all, hormones start raging and bring with them a plethora of confusing emotions. In addition, teenagers often feel a great deal of pressure from their parents and from teachers to do well in school and to participate in athletics. Furthermore, peer pressure and an overwhelming desire to do whatever it takes to fit in with their peers causes teenagers a great deal of stress.

The stress teenagers feel can result in anger, nervousness, and an inability to concentrate. It can also lead to physical symptoms such as nausea and headaches. Ultimately, the stress can cause social withdraw and depression.


Preventing Teenage Depression

Thankfully, there are several steps a parent can take to prevent teenage depression from setting in on their child.

The first is to always utilize positive disciplinary techniques. Desirable behaviors should be reinforced through praise and recognition rather than utilizing punishment and shame techniques. Punishment and shaming only serves to leave the teenager feeling worthless and inadequate.

At the same time, parents must be careful not to overprotect or to overdirect their teenagers. Children and young adults need to make mistakes and learn from those mistakes.

Protecting your teen from experiencing mistakes, or continually telling your child what to do rather than letting him or her make independent decisions, will ultimately make them feel as if you have know faith in his or her ability to make decisions.

It is also important to never push your teen to participate in certain activities because you want him or her to reach your unachieved goals. Your child needs to find his or her own sense of identity and worth.

Parents Universal Resource Experts (Sue Scheff) Preventing Teen Drug Abuse

Preventing Drug Abuse: What Can You Do?

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.

For more information about Teen Drug Abuse.

By Sue Scheff, Parents Universal Resource Experts

Wit's End! Book Information

Do you have a struggling teen? At risk teens? Defiant Teen? Teen Depression? Problem Teen? Difficult Teen? Teen Rage? Teen Anger? Teen Drug Use? Teen Gangs? Teen Runaways? Bipolar? ADD/ADHD? Disrespectful Teen? Out of Control Teen? Peer Pressure?Find about more about Boarding Schools, Military Schools, Christian Boarding Schools, Residential Treatment Centers, and Therapeutic Boarding Schools.

Teen Depression and Your Teenager - by Sue Scheff

Depression, as a clinical illness, will affect about 20% of teens before they reach adulthood.

Many young teens suffer from depression as result of situations surrounding their social or family life, but many are succeptable to the disease regardless of race, gender, income level or education. It is very important for parents to keep a watch on their teens - and to maintain a strong level of communication.

My name is Sue Scheff and I understand how difficult it can be dealing with a troubled teenager. Through my organization Parents Universal Resource Experts, I work with parents like you every day, looking for help and answers in desperation. You are not alone!
Here we have compiled some of the best articles and resources on teen depression for parents in need of help.

Depression is the most common mental health disorder or illness in the US among teenagers and adults. Statistics show that this is a very large and concerning problem.




About 20 percent of teens will experience teen depression before they reach adulthood.
Somewhere between 10 and 15 percent of teens show symptoms of depression at any given time.

About 5 percent of teens are suffering from major depression at any one time.

As many as 8.3 percent of teens suffer from depression for at least a year at a time.

Most teens with depression will suffer from more than one episode. 20 to 40 percent will have more than one episode within two years, and 70 percent will have more than one episode before adulthood. Episodes of teen depression generally last about 8 months.

Dysthymia, a type of mild, long-lasting depression, affects about 2 percent of teens, and about the same percentage of teens develop bipolar disorder in their late teenage years. 15 percent of teens with depression eventually develop bipolar disorder.

A small percent of teens also suffer from seasonal depression, usually during the winter months in higher latitudes.

30 percent of teens suffering from depression will also develop one or more problems with substance abuse.

Less than 33 percent of teens suffering from depression successfully seek and receive help for their disorder.
Common warning signs/symptoms of teenage depression

Changes in eating and sleeping habits (eating and sleeping too much or too little)

Significant change in weight (loss or gain)

Often misses school and/or shows bad school performance

Reclusive, withdrawing from friends or family members

Quick to show anger/rage

General restlessness or anxiety

Overreacts to criticism, even constructive

Seems very self conscious, guilty

Unusual problems with authority

No longer partakes in or enjoys activities and events they once loved

Indecision, lack of concentration, or forgetfulness

Feelings of worthlessness or guilt

Frequent health complaints despite being healthy

Lack of motivation and enthusiasm for every day life

Drug/alcohol abuse

Mentions or thoughts of suicide
There are many causes of teen depression. The most common causes are:


Significant life events like the death of a family member or close friend, parents divorce or split, breaking up with a boyfriend or girlfriend, or moving to a new school/area.
Emotional/Physical neglect, being separated from a nurturer, abuse, damage to self esteem.

Many changes happening too quickly can cause depression. For some teens, any major change at one time can trigger symptoms.
Stress, especially in cases where the teen has little or no emotional support from parents, other family members, or friends.

Past traumatic events or experiences like sexual abuse, general abuse, or other major experiences often harbor deep within a child and emerge in the teen years. Most children are unable to process these types of events when they happen, but of course, they remember them. As they age, the events/experiences become clearer and they gain new understanding.

Changes associated with puberty often cause emotions labeled as depression.
Abuse of drugs or other substances can cause changes in the brainÕs chemistry, in many cases, causing some types of depression.

Some medical conditions such as hypothyroidism are believed to affect hormone and mood balance. Physical pain that is chronic can also trigger depression. In many cases, depression caused by medical conditions disappears when medical attention is sought and treatment occurs.

Depression is a genetic disorder, and teens with family members who have suffered from depression have a higher chance of developing it themselves.
For more information visit http://www.suescheff.org/ or http://www.helpyourteens.com/

Parents Universal Resource Experts (Sue Scheff) ADHD is Real

By Connect with Kids

“Kindergarten is when we started with the diagnosis. His kindergarten teacher noticed it, said he just couldn’t focus, couldn’t stay on task.”

– Katherine, mother

Hundreds of thousands of kids have been diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) and many are taking stimulant medicine to help them succeed in school. Will these kids have to take pills for the rest of their lives? New research says maybe not.

Nine-year-old Mitchell has ADHD.

“Kindergarten is when we started with the diagnosis. His kindergarten teacher noticed it, said he just couldn’t focus, couldn’t stay on task. So we took him to his pediatrician and he noticed it right in his office and said, ‘Let’s try to get him on some medicine,’” says Katherine, Mitchell’s mother.

Since then, Mitchell has been on a stimulant ADHD medicine. But will he need the medication forever? Not necessarily, according to new research. Researchers at the National Institute of Mental Health performed brain scans of more than 400 children. They found that children with ADHD had a three-year delay in development of the frontal lobe -- the area of the brain responsible for attention and planning.

“This study is important because now it links the behavioral disorder with a more medical or organic finding on brain development. I think it should also help parents to feel that it is a true disorder and is something that we’re trying to treat and to help the children get on task,” says Thomas Burns, Psy.D., Children’s Healthcare of Atlanta.

What’s more, says Burns, that three-year delay means some children with ADHD may outgrow their disorder.

“There’s a subset of kids that appear to catch up over time and for those children, it would fit with a small subset of the kids diagnosed with ADHD that appear to grow out of it in their teens,” says Burns.

Mitchell hopes he’s one of those kids.

“I think I might outgrow it,” says Mitchell.

”Yes, I’m thinking with our help we can overcome it and eventually get him off the medicine,” says Katherine.

Tips for Parents

Children with ADHD have impaired functioning in multiple settings, including home, school and relationships with peers. If untreated, the disorder can have long-term adverse effects into adolescence and adulthood. (National Institute of Mental Health, NIMH)

NIMH reports that symptoms of ADHD will appear over the course of many months, and include:

Impulsiveness: a child who acts quickly without thinking first.

Hyperactivity: a child who can't sit still; walks, runs or climbs around when others are seated; talks when others are talking.

Inattention: a child who daydreams or seems to be in another world, is sidetracked by what is going on around him or her.

If ADHD is suspected, the diagnosis should be made by a professional with training in ADHD.

This includes child psychiatrists, psychologists, developmental/behavioral pediatricians, behavioral neurologists, and clinical social workers. (NIMH)

For children with ADHD, no single treatment is the answer for every child. A child may sometimes have undesirable side effects to a medication that would make that particular treatment unacceptable. And if a child with ADHD also has anxiety or depression, a treatment combining medication and behavioral therapy might be best. Each child’s needs and personal history must be carefully considered. (NIMH)

Some people get better results from one medication, some from another. It is important to work with the prescribing physician to find the right medication and the right dosage for your child. For many people, the stimulants dramatically reduce hyperactivity and impulsivity and improve their ability to focus, work and learn. The medications may also improve physical coordination, such as that needed in handwriting and in sports. (NIMH)

References

National Institute of Mental Health (NIMH)
Children’s Healthcare of Atlanta