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/

Sue Scheff: The Dangers of Inhalant Abuse

Visit www.inhalant.org

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.

Learn more:

Visit www.inhalant.org

www.helpyourteens.com

www.witsendbook.com

Sue Scheff: Teen Eating Disorders

By Johanna Curtis

Teen Eating Disorders – Recognising Bulimia and Anorexia

Does Your Teenage Boy or Girl Show Weight Loss, Increased Body Hair, Acne?: How to Spot the Signs of an Eating Disorder

Is your teen losing weight, suffering from severe acne, hiding food, or fasting? Could it be Anorexia or Bulimia? Causes, symptoms and treament discussed.

Is your teen losing weight, suffering skin problems like severe acne, hiding food, binging, vomiting or fasting? He or she might have an eating disorder.

Anorexia nervosa and Bulimia are serious eating disorders that have severe health impacts, sometimes even causing death in teens as young as eleven or twelve.

Weight loss, over-excercising, teenage acne,counting calories, depression and disorted body image, binging or uncontrolled eating, vomiting, and hiding food. These are just some of the symptoms. There are many others.

Symptoms of Anorexia:

Weight loss-15% below the ideal weight for her age and height.
Being obsessive about counting calories and eating fat-free foods.
A fear of gaining weight.
Being cagey about eating habits.
Obsessive and compulsive or excessive exercising.
Abusing laxatives or diuretics.
Mood and emotional problems like depression or anxiety.
A severely distorted self and body image.
Loss of bone mass.
Absence of menstrual periods.
Low body temperature.
Death-from dehydration, heart failure or other causes.

The main symptom of Anorexia Nervosa is a marked fear of being fat and obssessions about being and becoming thin. This usually translates into intense and secretive efforts to avoid food. No matter how thin an anorexic girl or by becmes they will still see themselves as fat. Ultimately the person will starve themselves, and use excercise and laxatives to aid this process.

Unfortunately attempting to force an anorexic teen to eat will likely end in failure and might even make the problem worse. This is because the disorder isn’t really about food or weight. Some patients become obsessed with other health concerns like treating acne, hair care, or how they dress and behave.

Anorexia is more than just a desire to look good or be accepted. Teens with these diseases are looking for more than just a perfect body. Anorexia is a complex psychological disorder that is linked to severe depression and low self-esteem.

Symptoms of Bulimia:

Uncontrollable eating (binge eating).
Dieting, fasting and vomiting as weight control measures.
Visiting the bathroom often after eating –usually to purge.
Heartburn, indigestion or sore throat.
Being obssessive about body weight.
Mood changes and depression.
Hoarding or hiding food.
Dental changes such as loss of enamel, cavities and abrasions –due to frequent vomiting.
Dehydration and electrolyte loss.
Bowel, kidney and liver damage.
Irregular heartbeat and possible cardiac arrest.

Teens with bulimia eat very large amounts of food and then induce vomiting to remove the food from their bodies. They are not comfortable or happy with their self and body image.

Most appear to be of normal weight, which can make the disorder difficult to spot, but some are underweight or overweight. Some sufferers also abuse drugs and alcohol. Bear in mind that many obese people have binge eating disorder but this is not the same as Bulumia.

Who gets Anorexia and Bulimia?

Around 75% of girls are not happy about their weight or feel they are too fat. Anorexia occurs only in 1% of girls worldwide. Do bear in mind that while eating disorders are more common in girls they also affect teen boys.

About 90% of sufferers are girls between 12 and 25 (National Alliance for the Mentally Ill). Fewer than 10% are boys or men. It is more prevalent in groups that value slim physiques such as athletes, dancers or models. As already mentioned eating disorders may be masked in seeking treatment for acne, skin problems, tooth decay etc. just as an adult might.

What causes eating disorders?

It is not known exactly why one person will develop an eating disorder and another won’t. In two thirds of cases dieting can trigger the disease, but this is not the only important trigger mechanism. Most girls and boys with eating disorders have low self and body image or co-existing emotional disorders like anxiety and depression.

How dangerous are eating disorders?

The effects of both Anorexia Nervosa and Bulimia can be very damaging to the general health. They can even cause death. Diuretics (water pills), laxatives, and weight loss pills can be very damaging to the body’s organs. Syrup of ipecac is often used to induce vomiting and is also deadly if used in excess. Very low body weight on its own offers some life-threatening complications.

Some effects are minor such as skin, hair problems and back acne, for which treatment might be sought. Most teenagers do not need any type of diet, except a healthy one. If your teen is overweight good eating habits and exercise is usually all that is needed to bring the problem under control.

The body mass index (BMI) of a teen is more important than calorie and pound counting. A body mass index below the 5th percentile for the child’s age and sex can be considered underweight. Consult BMI tables for more information.

How to help your teen cope with an eating disorder:

Teens can be helped to avoid falling prey to unhealthy obsessions with food or weight by learning early on to associate healthy eating with good health and self-love. Avoid excessive focus on weight within the family and place the emphasis on lifestyle changes not dieting.

If you suspect that your teen has an eating disorder, use "I” statements and make sure he or she understands that you are concerned not judging. It is important to LISTEN. The average teen finds it hard to share emotions, and these teens are especially blocked or sensitive.

In Anorexia nervosa it is very important that some weight is regained as soon as possible so this should be an important goal of treatment. To do this, teens will need to overcome fears and perceptions in a therapeutic setting. In most cases any eating disorder is best dealt with at a clinic or facility especially tailored for this.

Concerned parents can call the National Eating Disorders Association’s Toll-Free Information and Referral HelpLine at 1-800-931-2237.

If you uncover that your child does have an eating disorder he or she needs to be evaluated as soon as possible. Eating disorders need to be properly diagnosed by medical and psychiatric professionals. They always need medical attention.

The National Institute of Mental Health has an online brochure on eating disorders that discusses current research.

Eating Disorders will also provide parents with information. Teens should read: Eating Disorders: Facts for Teens.

Sue Scheff: Parenting ADHD Children - Advice for Moms

By ADDitude Magazine

Moms' advice for parenting ADHD children, creating an ADD-friendly household and smoothing out daily rough spots

It’s the stuff attention deficit disorder (ADD ADHD) days are made of: You’re trying to get your daughter to finish her homework, but she insists on doing cartwheels across the living room. Or you’ve already had two big dustups with your son — and it’s only 9 a.m.

Sound familiar? Parents of ADHD children have a lot on their plates. And while doctors, therapists, and ADD coaches can offer helpful guidance, much of the best, most practical advice on parenting ADD children comes from those who have been there, done that. In other words, from other ADHD parents.

For this article, ADDitude asked members of support groups across the country (both live and online) for their tried-and-true parenting skill tips for monitoring behavior problems, disciplining and smoothing out the daily rough spots. Here’s what they said.

The morning routine
In many families, the friction starts soon after the alarm clocks sound. It’s not easy to coax a spacey, unmotivated child out of bed and into his clothes; the strategizing required to get the entire family fed and out the door on time would test the mettle of General Patton.

Getting off to a slower start can make all the difference, say parents. “We wake our son up a half-hour early,” says Toya J., of Brooklyn, New York, mother of eight-year-old Jamal. “We give him his medication, and then let him lie in our bed for a while. If we rush him, he gets overwhelmed — and so do we. Once the meds kick in, it’s much easier to get him going.”

Some parents aren’t above a little bribery. “In our house, it’s all about rewards,” says Jenny S., of New York City, mother of Jeremy, age seven. “Every time we have a good morning, I put a marble in the jar. For every five marbles, he wins a small reward.”

Amy B., of Los Angeles, mother of Jared, age seven, is another believer in reward systems. “If the TV is on, it’s impossible to get him moving. Now the TV stays off until absolutely everything is done and he’s ready to go. He moves quickly because he wants to watch that television.”

Another way to keep your morning structured and problem-free is to divide it into a series of simple, one-step tasks. “I’m the list queen,” says Debbie G., of Phoenix, mother of Zach, 10. “I put a list on his bedroom door that tells him step-by-step what he needs to do. I break his morning routine down into simple steps, like ‘BRUSH TEETH,’ ‘MAKE BED,’ ‘GET DRESSED,’ and ‘COME DOWNSTAIRS FOR BREAKFAST.’ The key is to make it easy to follow.”

What about kids who simply cannot, or will not, do what’s asked of them? When 10-year-old Liam refuses to comply, his mom, Dina A., of New York City, shifts into “if-you-can’t-beat-’em,-join-’em” mode. “I can’t believe I’m admitting this,” she says, “but I wake him up and bring him cereal in bed. Once he’s gotten something to eat, he’s not as crabby.”

Behavior patterns
At first glance, a child’s misadventures may seem random. But spend a week or two playing detective, and you may see a pattern. Pay attention to the specific situations that lead to trouble and — even more important — to the times of day when trouble usually occurs.

“You may find that tantrums come at certain times of the day,” says Laura K., of San Francisco, mother of Jack, eight. “With my son, we found that it was right after the medication wore off. So we asked the doctor for a small booster dose to get us through. It’s worked wonders for cutting down on the bad behavior.”

Sometimes children simply fail to see the connection between how they behave and how they’re treated. In such cases, behavior charts are a godsend. The idea is to post a chart, specifying the behaviors you expect and the rewards the child will earn for toeing the line.

Renee L., of Northbrook, Illinois, mother of Justin, nine, explains: “Once children see that good behavior gets them privileges and bad behavior gets them nothing, they’re more likely to comply.” It helps to focus on only a few behaviors at a time.

Sue Scheff: Huffing, Inhalant Use and Drug Addiction

As a parent advocate, I am shocked at the growing abuse of inhalants among teens and pre-teens. This is a subject that is not discussed enough. Inhalant are easily accessible in most homes today. Learn more by visiting http://www.inhalant.org/ - After being contacted by a wonderful and caring mother that lost her son to inhalant use, I feel I need to help her be a voice to educate parents everywhere.

What is Inhalant Abuse?

Inhalant abuse refers to the deliberate inhalation or sniffing of common products found in homes and communities with the purpose of “getting high.” Inhalants are easily accessible, legal, everyday products. When used as intended, these products have a useful purpose in our lives and enhance the quality of life, but when intentionally misused, they can be deadly. Inhalant Abuse is a lesser recognized form of substance abuse, but it is no less dangerous. Inhalants are addictive and are considered to be “gateway” drugs because children often progress from inhalants to illegal drug and alcohol abuse. The National Institute on Drug Abuse reports that one in five American teens have used Inhalants to get high.

Inhalation is referred to as huffing, sniffing, dusting or bagging and generally occurs through the nose or mouth. Huffing is when a chemically soaked rag is held to the face or stuffed in the mouth and the substance is inhaled. Sniffing can be done directly from containers, plastic bags, clothing or rags saturated with a substance or from the product directly. With Bagging, substances are sprayed or deposited into a plastic or paper bag and the vapors are inhaled. This method can result in suffocation because a bag is placed over the individual’s head, cutting off the supply of oxygen.

Other methods used include placing inhalants on sleeves, collars, or other items of clothing that are sniffed over a period of time. Fumes are discharged into soda cans and inhaled from the can or balloons are filled with nitrous oxide and the vapors are inhaled. Heating volatile substances and inhaling the vapors emitted is another form of inhalation. All of these methods are potentially harmful or deadly. Experts estimate that there are several hundred deaths each year from Inhalant Abuse, although under-reporting is still a problem.

What Products Can be Abused?

There are more than a 1,400 products which are potentially dangerous when inhaled, such as typewriter correction fluid, air conditioning coolant, gasoline, propane, felt tip markers, spray paint, air freshener, butane, cooking spray, paint, and glue. Most are common products that can be found in the home, garage, office, school or as close as the local convenience store. The best advice for consumers is to read the labels before using a product to ensure the proper method is observed. It is also recommended that parents discuss the product labels with their children at age-appropriate times. The following list represents categories of products that are commonly abused.

Click here for a list of abusable products.