ADHD Medications and Alternatives

As many people know, I have an ADHD son. Way back when he was diagnosed, it was something we didn’t quickly decide. There are alternatives to medications, such as The Feingold Program, and depending on each family and their lifestyle, it is a personal decision. For us, medication worked the best, however I am very open minded that each child is different and if this is something you are contemplating, take your time to do your research. My son is older now and doesn’t take the medication any longer, so in our case, he did grow out of it. By his first year of college, he discovered he was able to continue his studies without medication. He will be finishing his 4 year degree next year and continuing to medical school. I say this as a proud mother, but also to let you know that whatever your decision is right for your family, they can be success.

Source: ADDitude Magazine

Making the decision can be tough… Consider this expert advice when determining whether ADHD medication or an alternative treatment is right for your child.

by Edward Hallowell, M.D.

After a child is diagnosed with attention deficit disorder (ADD ADHD), one of the most difficult decisions for a parent to make is whether to start him or her on medication. I’ve been there myself. Two of my three children have ADHD, and, although my wife and I eventually decided to try medication — which, by the way, has helped both of them immensely without any side effects — arriving at that decision took careful reflection.

When it was suggested that my kids try medication, I had my concerns. I know that ADHD drugs are safe and effective, but I worried that perhaps, for some unknown reason, they might harm my children’s health. Although stimulant medications have been with us for more than 60 years, I wondered if some new side effect might emerge.

I countered those concerns by worrying about the potential “side effects” of not taking the medication: namely, my children struggling to stay focused and getting frustrated when they couldn’t. After envisioning that scenario, the decision became far less difficult.

Take your time

Each parent — and child — comes to the question of medication with different assumptions. My strong advice is to take your time, honor your feelings, and find a doctor who will remain patient, a professional who will provide information — not hurried commands — as you wrestle with your decision.

From a medical standpoint, the decision is obvious. Medication is by far the most proven, safe, and effective treatment for ADHD. Careful, controlled studies have established that a trial of medication makes sense once the diagnosis is made. Remember that a trial of medication is just that — a trial. Unlike surgery, it can be undone. If the medication doesn’t work or if it produces side effects, the physician can reduce the dosage or discontinue it. No harm done. But unless your child tries the medication, you will never know if it can benefit him or her as it has other children and adults.

Do some fact-finding

From a personal, parental standpoint, though, the decision is anything but easy. It takes time and requires talking with your doctor and other experts. You might want to research the medication online and find out what the latest studies conclude about it. Get all the facts, and make a scientific, rather than a superstitious, decision. But I urge you never to start your child on medication until you’re comfortable doing so. Don’t feel that you’re trying your doctor’s patience or that your questions are foolish. Nothing done out of love for your child is foolish.
However, I also urge you not to reject medication out of hand. Many parents have heard so many bad things about ADHD drugs that they’re willing to travel to Tibet to find an alternative treatment before giving medication a try. It’s very important to do your homework and separate the facts from the myths before dismissing the treatment.

Honor your feelings

When I give lectures, people often ask me if I “believe in” medication for children and adults with ADHD. My reply is that medication isn’t a religious principle; it’s a medical treatment. My feelings about ADHD medications are similar to those about medications in general: They’re great when they’re used properly, and they’re dangerous when they’re not.
Sometimes it takes months or even years before parents decide to put their child on medication. Every parent has his or her own timetable. Stick with yours.

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.

Sue Scheff: Parent Choices for At Risk and Struggling Teens

Local Therapy:

Local therapy is a good place to start with children that struggling at home and school. To locate a local therapist, it is beneficial to contact your insurance company for a list of adolescent therapists in your area. If you don’t have insurance when calling therapists, ask them if they accept sliding scales according to your income. Check your yellow pages for local Mental Health Services in your area or ask your Pediatrician or Family Doctor for a referral.

Military Schools and Academies:

Military Schools have been around for over a hundred years. Many parents are under the misconception that Military Schools are for at risk children. Military Schools are a privilege and honor to attend and be accepted into. Your child must have some desire to attend a Military School. Many children believe Military Schools are for bad kids, however if they visit a campus they may realize it is an opportunity for them. Many parents start with a Military Summer program to determine if their child is a candidate for Military School.

Military Schools usually do not offer therapy, unless contracted on the outside of the school. They offer structure, positive discipline, self-confidence, small class sizes and excellent academics. Military Schools can build a student’s self-esteem; motivate them to benefit their future both socially and academically.

Traditional Boarding Schools:

Traditional Boarding Schools are like Military Schools, in which your child will have to want to attend and be accepted into the school. There are many excellent Boarding Schools that offer both academics and special needs for students. Many specialize in specific areas such as fine arts, music, and competitive sports. In most cases, therapy is not offered unless contracted on the outside.

Therapeutic Boarding Schools (TBS):

Therapeutic Boarding Schools offer therapy and academics to students. Usually the student has not done well in a traditional school and is making bad choices that could have an effect on their future. Although many of the students are exceptionally smart, they are not working to their ability. Sometimes peer pressure can lead your child down a destructive path. Removing them from their environment can be beneficial to them to focus on themselves both emotionally and academically.

Christian Boarding Schools:

Christian Boarding Schools and Programs for struggling teens offer therapy and academics. They have a spiritual foundation that can assist a child to better understand Christianity as well as bring them closer to a Higher Power. Many offer Youth Groups and activities that can create life skills for a better future. A program with a Christian setting may enhance a child’s better understanding of the world today.

Residential Treatment Center (RTC):

Residential Treatment Centers, similar to a TBS, offer therapy and academics. However Residential Treatment Centers are for children that require more clinical support. Their issues are more specific with substance abuse, eating disorders, self-mutilators, and other behavioral issues.

Summer Programs:

Summer programs are a great place to start if your child is beginning to make bad choices or losing their motivation. Finding a good summer program that can build self-confidence can be beneficial to student’s prior starting a new school year.

Visit http://www.helpyourteens.com/ for more information and a free consultation.

Sue Scheff: Parents Learn More about Teen Medicine Abuse

Source: StopMedicineAbuse

Welcome to the Five Moms: Stopping Cough Medicine Abuse Campaign

Learn about teen cough medicine abuse.Share information about abuse.

First launched in May 2007, the Five Moms Campaign has reached over 24 million parents with these basic messages to parents about preventing teen cough medicine abuse.When the campaign launched, teen cough medicine abuse was on the increase. Now, nationwide statistics point to a slight decrease. That’s great news, but more work has to be done to eliminate this type of substance abuse behavior among teens.

CHPA brought together five moms—a pediatric nurse practitioner, an accountant, a D.A.R.E. officer, an educator, and an author—from different backgrounds and from all over the country to encourage parents to get involved in stopping cough medicine abuse. And now Five Moms is part of the StopMedicineAbuse.org effort.

Join the campaign. Membership is free and entitles you to the monthly e-newsletter and occasional e-mail updates. (Read our privacy policy.)

Tell your friends about teen cough medicine abuse. You can use the English or Spanish tell-a-friend feature.

Learn more about the issue, how to talk with your teens about drug abuse, and how to protect them from different online threats.

Parents Universal Resource Experts - Sue Scheff - Teen Aniexty

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

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 - Parents Learn More about Inhalant Abuse

As the new year has started, parents need to become more educated and informed about today's teens and the issues they face.

Many parents know about substance abuse, and teach our kids to say no to drugs - but do you know about Inhalants? Ordinary household items that can be lethal to teens looking for a quick and inexpensive high? More importantly, sometimes deadly high.

Parent learn more about Inhalant Abuse.

Here is a great "talking tips" page from The Alliance for Consumer Education (ACE) - take the time to learn more today. You could save a child's life.