Sue Scheff: Teenage Depression and Substance Abuse

Every day in our schools and communities, children are teased, threatened, or tormented by bullies. To help care for our youth, the Substance Abuse and Mental Health Services Administration (SAMSHA) developed webpages and resources (print and online) that serve can as useful tools to parents, educators, and everyone with today’s children, teens and tweens.

• About Bullying http://mentalhealth.samhsa.gov/15plus/aboutbullying.asp
• Systems of Care http://www.systemsofcare.samhsa.gov/
• National Strategy for Suicide Prevention http://nmhicstore.samhsa.gov/suicideprevention/pubs.aspx
• National Suicide Prevention Initiative http://mentalhealth.samhsa.gov/cmhs/nspi/

These sites offer parents, caregivers, educators, and other professionals a great opportunity to know the facts, recognize signs and symptoms, and access easy to read tips on how to talk to children about mental health. These resources can help caregivers build healthier, safer environments and support anti-bullying initiatives.

For additional information on this topic and more, or to order resources at no cost, please call the SAMHSA hotline at 1-877-SAMHSA-7 or visit http://www.samhsa.gov/shin/.

Sue Scheff: Teenage Depression

Source: USA Today

Experts: Doctors should screen teens for depression.

If you have teens or tweens, government-appointed experts have a message: U.S. adolescents should be routinely screened for major depression by their primary care doctors. The benefits of screening kids 12 to 18 years old outweigh any risks if doctors can assure an accurate diagnosis, treatment and follow-up care, says the independent U.S. Preventive Services Task Force.
It’s a change from the group’s 2002 report concluding there wasn’t enough evidence to support or oppose screening for teens. The task force, though, says there’s still insufficient proof about the benefits and harms of screening children 7 to 11 years old.

Depression strikes about 1 out of 20 teens, and it’s been linked to lower grades, more physical illness and drug use, as well as early pregnancy.

Questionnaires can accurately identify teens prone to depression, plus there’s new evidence that therapy and/or some antidepressants can benefit them, the expert panel says in a report in today’s Pediatrics . But careful monitoring is vital since there’s “convincing evidence” that antidepressants can increase suicidal behavior in teens, the report says.

Accompanying the task force advisory in Pediatrics is a research review saying there have been few studies on the accuracy of depression screening tests, but the tests “have performed fairly well” among adolescents. Treatment can knock down symptoms of depression, say the reviewers from Kaiser Permanente and the Oregon Evidence-Based Practice Center in Portland, Ore.

In a “show me the money” volley back, pediatricians also weigh in on the topic in today’s issue of their journal. Insurance plans and managed care companies that stiff or under-pay pediatricians for mental health services throw up barriers to mental health care in doctors’ offices, says the American Academy of Pediatrics. Kids’ doctors should be compensated for screenings, as well as consults with mental health specialists and parents, AAP recommends.

Parents Universal Resource Experts - Sue Scheff - Teen Suicide and Depression

If your teen tells you he or she has been experiencing suicidal thoughts or feelings, or if you think your teen may be feeling suicidal but is not telling you, get help immediately. Do not call your teen’s bluff- take all mentions and threats of suicide seriously. There are many mental health professionals trained to deal with suicidal feelings and suicide specifically in teens, and many pediatricians or family physicians can refer parents to specialists if there is an urgent need for your teen to be treated. Another resource is your local emergency room. If your teen is suicidal, do not leave him or her alone, and do not wait for an appointment to see a doctor or specialist- take your teen immediately to the closest ER, where a psychological evaluation can be performed without an appointment. This can literally be the difference between your teen’s life and death.

Some less obvious signs that your teen may be contemplating suicide include depression, withdrawal from daily activities your teen once enjoyed, dramatic personality shifts, drug or alcohol use, lack of attention to personal hygiene, violent behavior or outbursts, running away, decline in school attendance and grades, and change in sleeping patterns. Also, if your teen has already attempted suicide once before, they may be more likely to try again if adequate treatment was not received following the first attempt.

Other behaviors may include: giving away important personal belongings, statements by your teen that he or she is a “bad person” or that he or she “won’t be a problem for much longer”, or any signs of psychosis, which can include hallucinations or bizarre thoughts. According to NIMH, often times many of these warning signs go without notice by family and friends until it is too late. Further complicating matters, just because your teen is exhibiting any of these signs does not mean he or she is suicidal. This is why it is crucial to keep the lines of communication open between yourself and your teen. There is no better way to predict or decipher suicidal feelings than to simply ask your teen how he or she is feeling.

Sue Scheff: Teen Self Esteem and Teen Depression

Teen low self esteem can lead to teen depression. Author Gary Nelson has written a most compelling story of his journey with his son and family dealing with teen depression in his new book.

Read his recent post - that can help many parents take a moment to pause and consider their own teens and how they are feeling.

Source: Dr. Gary Nelson - Author of “A Relentless Hope, Surviving Teen Depression’

Depression hides under a lot of rocks, including “low self-esteem.” It is truly amazing how many different ways depression can hide and fail to be recognized for what it is - a potentially very dangerous illness that can wreck and even take the lives of teens and adults. Many times I’ve listened as a pastoral counselor and pastor as teens have told me that they believed for a long time that they had suffered from “low self-esteem.” In most cases that meant they had been suffering from depression but never knew it. They and others around them simply thought they had “low self-esteem.” That also means the teen went all that time suffering instead of getting the necessary help. Learn to look under the rocks. When you hear a teen say they just suffer from “low self-esteem,” take a closer look. You might just lead them toward the help they need.
For more information on teen depression check my website: www.survivingteendepression.com

My new book, “A Relentless Hope: Surviving the Storm of Teen Depression” is available at Amazon and other outlets.

Depressed Teens and New Years Resolution by Gary Nelson

Teens suffering from depression and related illnesses like anxiety and bipolar disorder find it very difficult to even make New Year's resolutions, let alone keep them. Depression and its relatives very quickly tend to overwhelm teens. When faced with the idea of change depressed teens often see a mountain so huge that it seemingly can never be climbed or chiseled slowly into a molehill. They quickly feel overwhelmed and often respond with some thought or statement like, "It's too big. I'll never be able to do it... so why bother to even try." The teen then falls deeper into their pit of despair. One of the first things that the depression "steals" from the depressed teen is their ability to take large, seemingly impossible tasks and break them into smaller, manageable pieces. Most of us take this ability for granted and practice this making of mountains into manageable molehills everyday. Depressed teens want to change. They want healing. They just don't see a way over the mountain. The depression has them hog-tied, leaving the teens looking like they're just lazy and don't "want" to try. These depressed teens need help, not judgement. They need hope. For more information on this and other aspects of teen depression check out my new book, A Relentless Hope: Surviving the Storm of Teen Depression. If you have a teen who is struggling you might also want to check out Sue Scheff's new book, Wit's End.

Sue Scheff - Parenting Teens - Self Injury

Self abuse (or self mutilation) can come in many forms; most commonly it is associated with cutting, hair pulling or bone breaking, but it can also manifest itself as eating disorders like bulimia, and/or anorexia. This site will focus mainly on cutting, which is the most common form of self abuse, with 72% of all self injurers choosing to do so by cutting themselves, and hair pulling. Cutting is exactly as it sounds; when your teen cuts him or herself as a physical expression to feel emotional pain.

There are many reasons why teens injure themselves, but many people assume it’s just ‘for attention’. Often this can be an element of why your teen may be abusing him or her self, but just as often it can be something your teen does privately to express the emotional pain they feel inside. And while self injury is a taboo subject, it is estimated that 3 to 6 million Americans self injure themselves in some way, and that number is on the increase- in fact, its already doubled in the past three years.

Learn more - click here.

Sue Scheff: Teen Depression and the Holidays

We hear about many people that are suffering this year with saddness and depression. Whether it is an economy that leaves us frustrated we can’t give our kids what we would like to, or simply the feeling of hopefulessness.

Teens can suffer too. Teen Depression can lead to negative behavior and sometimes worse.

Learn more about Teen Depression.

Teenage depression is more than just bad moods or broken hearts; it is a very serious clinical illness that will affect approximately 20% of teens before they reach adulthood. Left untreated, depression can lead to difficult home situations, problems at school, drug abuse, and worse, violence toward themselves and others.

Certain 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. Understanding the causes and warning signs of the illness can help parents prevent their teens from falling in to depression.

Learn more about surviving Teen Depression in Gary E. Nelson’s book, A Relentless Hope: Suviving the Storm of Teen Depression.

Parents Universal Resource Experts - Sue Scheff - Teen Depression

Teenage depression is more than just bad moods or broken hearts; it is a very serious clinical illness that will affect approximately 20% of teens before they reach adulthood. Left untreated, depression can lead to difficult home situations, problems at school, drug abuse, and worse, violence toward themselves and others.

Certain 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. Understanding the causes and warning signs of the illness can help parents prevent their teens from falling in to depression.
Learn more here.

Sue Scheff - Teenage Depression

Teenage depression is more than just bad moods or broken hearts; it is a very serious clinical illness that will affect approximately 20% of teens before they reach adulthood. Left untreated, depression can lead to difficult home situations, problems at school, drug abuse, and worse, violence toward themselves and others.

Certain 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. Understanding the causes and warning signs of the illness can help parents prevent their teens from falling in to depression.

My name is Sue Scheff™ and I understand how difficult it can be dealing with a troubled teenager because I have been there! My experiences lead to the founding Parents Universal Resource Experts, an organization dedicated to parental support, education and resources. I work with parents like you every day, looking for help and answers in desperation. You are not alone!

This website is dedicated to the bringing parents the best information about teenage depression; causes, symptoms, statistics and preventative measures.Please visit our newly added informative section on teenage anxiety, the lesser known, but equally serious, relative of depression.

Learn more click here.

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: Tips for When Your Child Starts Dating

Source: OneToughJob

Your Child's Behavior at 12 -15 years old

As your child moves from childhood into the teenage years, she will encounter many social and cultural challenges. It is an exciting time and yet a scary time for your child. As she moves more toward independence, she will be convinced she knows everything, you know nothing and you were literally born yesterday. In fact, at this time, she needs you more than ever. By knowing what to expect at this stage of your child's life, you are better equipped to interact effectively with her. By communicating clearly with your child and listening to what she has to say and the emotions she is expressing, you can help your child through this stage.

Tips for Dating

1.Talk with your child about what she hopes for from dating and from relationships.
2.Let her know your concerns and hopes for her as she goes out on dates.
3.Know who your child is hanging out with and dating.
4.Talk with the parents of those kids.
5.Set clear rules about who can be with her in your home when there are no adults present.
6.Teach manners and how to be respectful of others.
7.Let your child know she can always call home if she is uncomfortable or feels worried.
8.Tell your child to have fun—dating should be fun.

Sue Scheff: Teen Substance Abuse

Why do they start? What Should I Look For?

A major factor in drug use is peer pressure. Even teens who think they're above the influence of peer pressure can often find it hard to refuse trying drugs when they believe their popularity is at stake. Teens may feel that taking drugs or alcohol to fit in is safer than becoming a perceived social exile, and may not realize that their friends will not abandon them simply for refusing a joint or bottle of beer. A popular adage that is thrown around regarding peer pressure says if your friends would abandon you for not accepting an illegal substance, they're not "real" friends- but try telling this to a teenager. A more effective method is to acknowledge the pressure to fit in and work with your teen to find solutions to these problems before they arise. Suggest that your teen offer to be the designated driver at parties, and work with them to develop a strategy for other situations.

Even agreeing to back your teen up on a carefully crafted story can help enforce your bond with them- giving them the okay to tell their friends to blame you or that you give them random drug tests will go a long way. Knowing they have your support in such a sensitive subject can alleviate many of their fears, and knowing they can trust you helps instill the idea they can come to you with other problems. This is also an excellent time to remind them to never allow friends to drive under the influence and to never get into a car with someone under the influence. Reassure your teenager that if they should give in to peer pressure and become intoxicated or high, or if they have no sober ride home though they are sober themselves that it is always okay to call you for a ride home. Some parents may want to consider getting teens a cell phone for emergency use, or giving them an emergency credit card for cab fare.

Depression is another major factor in drug use. For more in depth information on teenage depression, please visit Sue Scheff™'s Teen Depression Resource. Despite the fact that many substances actually make depression worse, teenagers may be lured in by the initial high, which in theory is only replenished by more drugs. Thus begins the vicious cycle that becomes nearly impossible to break without costly rehabilitation. If you notice your teen is acting differently, it may be time to have a talk with them to address these changes. Remember- do not accuse your teen or criticize them. Drug use is a serious cry for help, and making them feel ashamed or embarrassed can make the problem worse. Some common behavior changes you may notice if your teen is abusing drugs and alcohol are:

Violent outbursts, disrespectful behavior
Poor or dropping grades
Unexplained weight loss or gain
Skin abrasions, track marks
Missing curfew, running away, truancy
Bloodshot eyes, distinct "skunky" odor on clothing and skin
Missing jewelry money
New friends
Depression, apathy, withdrawal
Reckless behavior

Sue Scheff: Parents Learn More About Teen Depression

Teenage depression is more than just bad moods or broken hearts; it is a very serious clinical illness that will affect approximately 20% of teens before they reach adulthood. Left untreated, depression can lead to difficult home situations, problems at school, drug abuse, and worse, violence toward themselves and others.

Certain 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. Understanding the causes and warning signs of the illness can help parents prevent their teens from falling in to depression.

My name is Sue Scheff™ and I understand how difficult it can be dealing with a troubled teenager because I have been there! My experiences lead to the founding Parents Universal Resource Experts, an organization dedicated to parental support, education and resources. I work with parents like you every day, looking for help and answers in desperation. You are not alone!

This website is dedicated to the bringing parents the best information about teenage depression; causes, symptoms, statistics and preventative measures.

Please visit our newly added informative section on teenage anxiety, the lesser known, but equally serious, relative of depression.

Learn more- click here.

Why is My Child So Distressed?

By Jane Hersey
Author of "Why My Child Can't Behave"


Many things can lead to the development of behavior problems in children, and there are many ways to address them.

If the reasons for a child's problems stem from a family situation, interaction with peers, events at school, etc., then the place to look for resolution is clearly there. But if the child has always been hard to parent, the answers might be as close as your kitchen pantry. Here are some children whose families have found answers in their kitchen.

Joshua had a history of social and behavior problems and was expelled from several day care centers and private schools. He did not cope well in special classrooms with a ratio of six children and three teachers. His diagnoses included: severe ADHD, ODD (oppositional defiant disorder), OCD (obsessive compulsive disorder), Tourette syndrome and mood disorder syndrome. He was angry, aggressive, compulsive, threatening to kill others and himself, and nothing helped. The counseling, drugs, and even the psychiatric facility did not impact on his downward spiral.

Betsy was only 7 years old, but was haunted by thoughts of death; one of the pieces of art work she brought home from school was a black paper with three tombstones, bearing the initials of her parents and herself. She quietly planned on ways that she could end her life, which held no joy for her despite a loving family that desperately tried to help her.

Sean was expelled from preschool for his violent aggression and uncontrollable behavior. His family tried a therapeutic preschool, and he was at risk of being kicked out of a hospital treatment center because even they could not deal with this little boy's behavior. No amount of medicine controlled his “bi-polar behavior” and psychotic episodes, and his parents were told that Sean was “seriously mentally ill” and would require life-long support.

Frank had a history of violent behaviors and at age 17 it was only a matter of time before he would be incarcerated. But he heard about a special diet and decided he wanted to try it. His meeting with the doctor who was using this diet to help children like Frank, Sean, Betsy and Joshua meant flying from Tennessee to California. Because his mother was afraid of him, Frank's older brother accompanied him to visit with the doctor, Ben Feingold, who was chief of allergy at the Kaiser-Permanente Medical Center in California.

Dr. Feingold discovered that some of the many chemicals routinely added to foods have the ability to affect any system of the body, including the brain. When a child is predisposed to be sensitive to these chemicals, they can wreak havoc. In order for a brain to function well, there are many chemical and electrical processes that must work appropriately; in other words, a lot things have to “go right.” When you add in a potent chemical such as an illicit drug (or even a legal one) our brain chemistry can be dramatically affected. Our bodies handle food additives and drugs in a similar manner.

All of these children described above have stories with happy endings once the offending chemicals were identified and removed. Joshua is an outstanding young man who has won numerous honors in school, in sports, and is a leader in an Air Force program for future officers.

Betsy is a normal, happy girl, Frank is a successful adult and Sean has no remnants of any “permanent mental disorder.” In fact, his mom reports he has recently joined the church choir.

Our bodies are composed of the food we eat; this is where we obtain nutrients of all types, including essential fatty acids, trace minerals and the many vitamins a healthy human body requires. But more and more children are no longer consuming food. Instead they are existing on a diet of synthetic substances that do not deliver the needed components to keep bodies working well and keep our brains operating rationally. These so-called foods might look like real food, fooling our eyes. They might even taste like food, fooling out taste buds. But our bodies are not fooled and when they do not receive the nutrients they need in order to function, things begin to go wrong. In addition to the nutrients they do not receive children today are ingesting a chemical stew of foodless ingredients, many of which are derived from crude oil (petroleum).

Dr. Feingold's experience with troubled children showed that there are a few food additives that appear to be the worst offenders, and removing them brought about significant – often dramatic – changes in behavior, mood, and the ability to focus and learn. These additives include synthetic food dyes (such as Yellow 5 and Red 40); they are created from crude oil, and most of the dyes added to our food start out in petroleum refineries in China. Common preservatives, artificial flavors and even fragrances typically are created from petroleum; rose petals no longer are the source of those pretty scents!

The Feingold diet has been helping families for decades, and the non-profit Feingold Association continues to offer information and support to those who want to learn more. Parent volunteers show others how they can find the foods they enjoy, but minus the unwanted additives; most of them are available at neighborhood supermarkets. See www.feingold.org .

In addition to removing the offensive additives, researchers have found the many benefits of adding supplements to nutrient-starved bodies.

Researchers at Oxford University have shown that the behavior of young male prisoners calmed down when their diet was supplemented with a combination of vitamins, minerals and essential fatty acids (EFAs). Other British research has shown the dramatic benefits of the EFAs, including help for children with ADHD and autism. In the US EFA research has been ongoing at Purdue University for many years.

When nourishing food was given to teens in juvenile detention facilites the improved behavior was documented. And when the Appleton Alternative High School in Wisconsin switched from the usual school food to fresh, healthy food, the behavior problems evaporated and learning improved.

Another risk factor for children with behavior and learning problems.

The drugs that are generally given to children with these problems offer additional concerns. While they may bring about improvements, they are not risk-free. The Food and Drug Administration now requires ADHD drugs to carry warning labels that some children might have reactions that include:

psychotic behavior, depression, suicidal thoughts, hallucinations, violence, as well as a host of health effects including cancer, liver damage, strokes and heart attacks.

Risk factors with antidepressants and related drugs

Psychotropic drugs are routinely given to children who are diagnosed as depressed, bi-polar, etc., and these also carry warnings that side effects can include depression and violent behaviors. It can be difficult to sort out whether a behavior is originating within the child or is a side effect of some of the medications he is taking. The fact that all of these drugs are now being given to children who are still infants raises many red flags. Who knows what long-term effects they will have?

While it's comforting to think that only a minority of children experience the most dangerous reactions, the number of children now being medicated means that a minority can be a very large number of children. (It has been estimated that 10% of all 10-year-old boys in the United States are now on drugs for ADHD.)

A new awareness in Europe

The scientific evidence for the harm caused by petroleum-based food dyes is now so compelling that the British government is seeking to ban them and the European Parliament has voted to require warning labels on foods that contain them. While dyes are not the only additives that can cause adverse reactions, they are the most notorious, the easiest to replace, and offer no value to the consumer.

So, for the child whose behavior has gone over the edge, or if you worry that your youngster is on this path, one simple change that you can implement with no risk, very little cost, and relatively small effort, is to replace those mixes, cookies, candies, sodas, and fast food with nearly-identical versions that are free of the worst of the additives. And while you're at it, try eating the good food yourself; every parent needs to have their brain cells working at optimum levels as they deal with that temporary insanity called “adolescence.”

(Sue Scheff) HIV Complacency by Connect with Kids

By Connect with Kids

“The HIV and AIDS education prevention message is not being delivered to youth in a way that motivates them to change behaviors.”

– Edward Gray, Ed.D., commenting on the rise of HIV infection rates among young people

Qaadir has friends who are gay… so does Wesley. But when it comes to HIV, the virus that causes AIDS, many kids don’t seem concerned.

“Most kids my age, they don’t think HIV is a serious problem,” says Wesley, 14.

“There’s medicines for this disease and…for this disease…for that one, and they’re not thinking if they catch this it might be a lifelong thing,” adds 15-year-old Qaadir.

In fact, according to the Centers for Disease Control, after years of decline, the number of AIDS cases among people ages 15 to 24 has risen 15 percent in the last five years.

“It’s a very alarming trend,” says Dr. Edward Gray, professor of counseling.

As medications have allowed people with HIV to live longer, healthier lives, the image kids have of the virus isn’t someone dying, but instead, someone who appearsto be living a healthy, normal life.

“The story now about AIDS is that it’s a trip to the doctor and it’s medication,” says Gray, “Whereas 20 years ago, the story of AIDS was going to funerals.”

Gray says parents need to help their children understand that the AIDS virus is still incurable and deadly, and that those who live with it face a daily struggle.

“Most people don’t want to take needles, and most people don’t want to be regimented that every three hours they’re popping a dozen pills,” says Gray, “I mean people [with AIDS] take cocktails of pills, it’s not just one thing. And just that kind of burden might grab their attention.”

Qaadir agrees. “I mean, you don’t want to wake up every morning and if you cough have to go to the doctor because you might be, you know, ready to pass out from whatever disease.”

Tips for Parents

Recent reports show that nearly half of high school students are or have been sexually active. Unfortunately, with sexual activity comes an increase in Sexually Transmitted Diseases (STDs). That’s why it is extremely important to talk to your kids about being sexually responsible – before they engage in sex. Consider the following statistics provided by The Alan Guttmacher Institute:

Every year three million sexually active teens – about one-in-four – acquire an STD.
A single act of unprotected sex with an infected partner puts a teenage woman at a one percent risk of acquiring HIV, a 30 percent risk of getting genital herpes, and a 50 percent chance of contracting gonorrhea.

Chlamydia is more common among teens than among older men and women. In some testing situations, 10 to 29 percent of sexually active teenage women and 10 percent of teenage men were found to have Chlamydia.

Teens have higher rates of gonorrhea than sexually active men and women aged 20 to 44.
Talking to your child about sex and sexually transmitted diseases may not be something you look forward to, but it could be the most important step in protecting your child from risky sexual behavior. Studies show that teenagers who feel highly connected to their parents are far more likely to delay sexual activity than their peers. Before approaching this sensitive topic, consider the following tips developed by Peer to Peer: Stop, Think, Be Safe!

Start early – Research shows that younger children seek their parent's advice more than adolescents, who tend to depend more on their friends and the media. Take advantage of the opportunity to talk with your young children about sexual health. Discussing dating, relationships, STDs and HIV can make a lasting impression. And it gives you a chance to provide your children with accurate information that reflects your personal values and principles. The quality of parent-child relationships has an important influence on adolescents' sexual behaviors.
Initiate conversations with your child – Don't wait for your children to ask you about sex, HIV or STDs. Although you can hope that your children come to you with their questions and concerns, it may not happen. Use everyday opportunities to talk about issues related sexual health. For example, news stories, music, television shows or movies are great starters for bringing up health topics. If your family is watching a television show where the teenagers are promiscuous or a teen is pregnant, ask your kids what they thought of the program when it’s over. Ask if they agree with the behavior or decisions of the teenagers in the show. Just a few questions can start a valuable conversation.

Talk WITH your child, not AT your child – Make sure you listen to your children the way you want your children to listen to you. Try to ask questions that will encourage them to share specific information about feelings, decisions and actions. Try to understand exactly what your kids are saying. It is important for your kids to feel that they have been heard. Try not to be judgmental. Let your kids know that you value their opinions, even when they differ from your own.

Create an open environment – Research shows that kids who feel their parents speak openly about sex and listen to them carefully are less likely to engage in high-risk behaviors, compared to teenagers who do not feel they can talk with their parents about sex. Adolescents who report a sense of connection to their parents, family and school, and who have a higher grade point average, are more likely than other teens to wait to engage in intercourse.

Teens who report previous discussions of sexuality with parents are seven times more likely to feel able to communicate with a partner about HIV/AIDS than those who have not had such discussions. An open family environment not only reduces sexual risk-taking behaviors, it also gives teenagers a safe place to ask questions and get accurate information. As parents, be available, honest and attentive. Praise your children for coming to you to talk about sex, which will teach them that you are always available for information or advice.

Be prepared and practice – It isn't necessarily easy to talk about sex with your kids. In fact, it can be extremely difficult for some parents. Don't be afraid to practice. You can practice in front of a mirror, with your spouse or partner, or with friends. Your ability to speak comfortably about sexual health will make your children more comfortable asking questions and discussing sensitive issues.

Be honest: It's okay to say, "I don't know" – When your children trust and value your opinion, they will be more likely to come to you with their questions and concerns. It’s also important to know that you do not need to be a sexual health expert. It's okay if you don't know all the answers to all of your children's questions. It’s okay and honest to say, "I don't know."

In fact, if you don't know the answer to a question, you can search for the correct information together.

Communicate your values – In addition to talking to your children about the biological facts of sex, it's important that they also learn that sexual relationships involve emotions, caring and responsibility. Parents need to share their values and principles about sex. Although your children may not adopt these values as their own, they are an important source of information as your children develop their own set of values about sexuality.

References
Centers for Disease Control and Prevention
Peer to Peer: Stop, Think, Be Safe!
U.S. Department of Health & Human Services
Campaign for our Children, Inc.

Sue Scheff: What is Inhalant Abuse?

Inhaled chemicals are rapidly absorbed through the lungs into the bloodstream
and quickly distributed to the brain and other organs. Within minutes, the user
experiences intoxication, with symptoms similar to those produced by drinking
alcohol. With Inhalants, however, intoxication lasts only a few minutes, so some
users prolong the “high” by continuing to inhale repeatedly.


Short-term effects include:

headaches, muscle weakness, abdominal pain, severe
mood swings and violent behavior, belligerence, slurred speech, numbness and
tingling of the hands and feet, nausea, hearing loss, visual disturbances, limb
spasms, fatigue, lack of coordination, apathy, impaired judgment, dizziness,
lethargy, depressed reflexes, stupor, and loss of consciousness.
The Inhalant user will initially feel slightly stimulated and, after successive
inhalations, will feel less inhibited and less in control. Hallucinations may
occur and the user can lose consciousness. Worse, he or she, may even die.
Please see Sudden Sniffing Death Syndrome below.


Long-term Inhalant users generally suffer from:

weight loss, muscle weakness,
disorientation, inattentiveness, lack of coordination, irritability and depression.
Different Inhalants produce different harmful effects, and regular abuse of these
substances can result in serious harm to vital organs. Serious, but potentially
reversible, effects include liver and kidney damage. Harmful irreversible effects
include: hearing loss, limb spasms, bone marrow and central nervous system
(including brain) damage.


Sudden Sniffing Death Syndrome:

Children can die the first time, or any time, they try an Inhalant. This is
known as Sudden Sniffing Death Syndrome. While it can occur with many
types of Inhalants, it is particularly associated with the abuse of air conditioning
coolant, butane, propane, and the chemicals in some aerosol products. Sudden Sniffing Death Syndrome is usually associated with cardiac arrest. The Inhalant causes the heart to beat rapidly and erratically, resulting in cardiac arrest.

http://www.inhalant.org/

http://www.helpyourteens.com/

Parents Universal Resource Experts (Sue Scheff) Teens and Anxiety

Teen Anxiety

The lesser known relative of depression, anxiety, afflicts people of all ages and can be especially detrimental for teenagers. It is completely normal and even common for individuals to experience anxiety, particularly during stressful periods, such as before a test or important date (think Prom). For many, this is beneficial, serving as motivation to study hard and perform well; however, for many, anxiety goes beyond standard high-stress periods. While occasional stress is nothing to worry about and can even be healthy, many people experience anxiety on an ongoing basis. People, especially teenagers, who suffer from anxiety disorders, find that their daily life can be interrupted by the intense, often long-lasting fear or worry.

Anxiety disorders are not fatal; however, they can severely interfere with an individual's ability to function normally on a daily basis. The intense feelings of fear and worry often lead to a lack of sleep as it makes it very difficult for people to fall asleep. Those with anxiety disorders also commonly suffer from physical manifestations of the anxiety. The anxiety can cause headaches, stomach aches, and even vomiting. In addition stress can cause individuals to lose their appetite or have trouble eating. One of the more difficult aspects for students to deal with is difficulty concentrating. When one is consumed with worry, his or her mind continuously considers the worrisome thoughts, making it considerably harder for teenagers to concentrate on school work and other mentally intensive tasks. These affects of anxiety can make it difficult for teenagers to simply get through the day, let alone enjoy life and relax.

While there seems to be no single cause of anxiety disorders, it is clear that they can run in a family. The fact that anxiety disorders can run in families indicates that there may be a genetic or hereditary connection. Because a family member may suffer from an anxiety disorder does not necessarily mean that you will. However, individuals who have family members with this disorder are far more likely to develop it.

Within the brain, neurotransmitters help to regulate mood, so an imbalance in the level of specific neurotransmitters can cause a change in mood. It is this imbalance in a neurotransmitter called serotonin that leads to anxiety. Interestingly, an imbalance of serotonin in the brain is directly related to depression. For this reason, SSRI medications, more commonly referred to as anti-depressants, are often used to help treat an anxiety disorder. Medication can provide significant relief for those suffering from anxiety disorders; however, it is often not the most efficient form of treatment.

In addition to medication, treatments for anxiety disorders include cognitive-behavioral therapy, other types of talk therapy, and relaxation and biofeedback to control muscle tension. Talk therapy can be the most effective treatment for teenagers, as they discuss their feelings and issues with a mental health professional. Many teens find it incredibly helpful to simply talk about the stress and anxiety that they feel. Additionally, in a specific kind of talk therapy called cognitive-behavioral therapy teens actively "unlearn" some of their fear. This treatment teaches individuals a new way to approach fear and anxiety and how to deal with the feelings that they experience.

Many people attempt to medicate themselves when they suffer from stress or anxiety. While individuals find different ways to deal with the intense worry that they may experience, self medication can be very detrimental to their body. It is not uncommon for people who suffer from anxiety disorders to turn to alcohol or drugs to relieve the anxiety. While this may provide a temporary fix for the afflicted, in the long run it is harmful. By relying on these methods, individuals do not learn how to deal with the anxiety naturally. Reliance on other substances can also lead to alcohol or drug abuse, which can be an especially significant problem if it is developed during the teen years.

Statistics on teen anxiety show that anxiety disorders are the most common form of mental disorders among adolescents:

8-10 percent of adolescents suffer from an anxiety disorder
Symptoms of an anxiety disorder include: anger, depression, fatigue, extreme mood swings, substance abuse, secretive behavior, changes in sleeping and eating habits, bad hygiene or meticulous attention to, compulsive or obsessive behavior
One in eight adult Americans suffer from an anxiety disorder totaling 19 million people
Research conducted by the National Institute of Mental Health has shown that anxiety disorders are the number one mental health problem among American women and are second only to alcohol and drug abuse among men
Anxiety disorders cost the U.S. $46.6 billion annually
Anxiety sufferers see an average of five doctors before being successfully diagnosed

Learn more about Teen Anxiety.

Learn More about Teen Depression by Sue Scheff

Visit Teen Depression - a website with information for parents regarding today's teens and pre-teens.

New England Inhalant Abuse Prevention Coalition

Inhalant Information

Click on the links below for more information about inhalant abuse, prevention, and treatment.
Prevention Videos

Prevention Information

Treatment Information

Inhalant Web Sites

Our Prevention Approach Inhalants, more than any other drug, are readily available to children, and can be deadly on first use. Therefore, to do no harm, inhalant prevention messages for children should not teach them what products can be abused, how to abuse inhalants, or what their euphoric effects are. We do not want to engage their curiosity.

Today’s prevailing expert consensus about best practices recommends disconnecting inhalant abuse prevention from substance abuse prevention for children who do not already know about inhalants. Instead, education about inhalants should stress their poisonous, toxic, polluting, combustible and explosive nature and should emphasize product safety. When targeting young children who have had little or no exposure to the nature of inhalants, there is no reason to make the association for them, thereby giving them an easily accessible way to get high. When children already know about inhalants as a drug, we still teach about it as we would for a naïve child, but may add a substance abuse component. The materials in this section follow this approach.

http://www.inhalant.org/
http://www.helpyourteens.com/