Sue Scheff: Teen Depression

As I saw on the news, experts are saying that parents with children between the ages of 12-18 should have them screened for depression. It is not about promoting medication, it is about helping to understand if there are areas in their lives that can be causing stress and anxiety that can leave to making negative choices such has experimenting with substance abuse, hanging with a less than desirable peer group, feelings of low self worth, etc. Like adults, children can be prone to depression and stress and not mature enough to understand these feelings. With this, acting out in a negative way can follow. Take time to learn more.

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: African-American Suicide

Source: Connect with Kids

“A very achieving, gentle, loving, spiritual, sweet child.”

– Doris Smith, describing her son, Mark, who committed suicide.

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

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

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

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

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

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

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

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

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

Maass-Robinson says if you do see signs of depression -- no matter how subtle – take action.

“As the parent, I always take the position, ‘I know something’s wrong, I’m not here debating that. I’m not here [saying] how are you doing’,” says Maass-Robinson. “If you can’t talk to me, is there anybody you can? Because if you can’t I’m going to find you somebody and we’re going to do this.”

Doris Smith will always wish she had done more…

“I miss Mark so very much,” she says. “He was my only child. There’s not a day that goes by that I don’t think about him.”

Tips for Parents

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

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

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

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

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

Since 1980, suicide rates increased most rapidly among young black males.

According to the American Academy of Child and Adolescent Psychiatry, many of the symptoms of suicidal tendencies are similar to those of depression. Parents should be aware of the following signs that could indicate your child is at risk:

Change in eating and sleeping habits
Withdrawal from friends, family, and regular activities
Violent actions, rebellious behavior, or running away
Drug and alcohol use
Unusual neglect of personal appearance
Marked personality change
Persistent boredom, difficulty concentrating, or a decline in the quality of schoolwork
Frequent complaints about physical symptoms (often related to emotions) such as stomachaches, headaches, fatigue, etc.
Loss of interest in pleasurable activities
Intolerant of praise or rewards
A teenager who is planning to commit suicide may also …

Say that they are “a bad person” or feel "rotten inside."
Give verbal hints such as, "I won't be a problem for you much longer;" "Nothing matters;" "It's no use," or, "I won't see you again."

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

Become suddenly cheerful after a period of depression.
Have signs of psychosis (hallucinations or bizarre thoughts).
If a child or teen says, "I want to kill myself," or "I'm going to commit suicide," always take the statement seriously and seek evaluation from a psychiatrist and/or physician who specializes in children. People often feel uncomfortable talking about death. However, asking the child or adolescent whether he or she is depressed or thinking about suicide can be helpful. Don’t be afraid that this will "put thoughts in your child's head." Instead, asking the question lets the child know somebody cares, and can give him/her the chance to talk about his/her problems.

Experts at the American Association of Suicidology have developed the following suggestions to help deter someone who might be suicidal:

Be direct. Talk openly and matter-of-factly about suicide.
Be willing to listen. Allow expressions of feelings. Accept the feelings.
Be non-judgmental. Don’t debate whether suicide is right or wrong, or if feelings are good or bad. Don’t lecture on the value of life.
Get involved. Become available. Show interest and support.
Don’t dare him or her to do it.
Don’t act shocked. This will put distance between you.
Don’t be sworn to secrecy. Seek support.
Offer hope that alternatives are available, but do not offer glib reassurance.
Take action. Remove any means, such as guns or stockpiled pills.
Get help from doctors, therapists or agencies that specialize in crisis intervention and suicide prevention.

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

Sue Scheff: Stop Bullying Now!

Kids today, both teens and pre-teens, can be extremely mean and cause emotional issues to their target. What can parents do? Read more about how you can help stop bullying.
Source: Stop Bullying Now!

What Can Adults Do?

Welcome to the Take a Stand. Lend a Hand. Stop Bullying Now! adult pages. As an adult, one of best ways you can help stop or prevent bullying is to be educated about, and sensitive to, the issue. Bullying is NOT a rite of passage - an undesirable, but sometimes unavoidable, reality of growing up. Rather, bullying is a serious public health issue that affects countless young people everyday. Further, research shows that the effects of bullying can last well into adulthood. Whether you are a concerned parent, an educator or school employee, a health and safety professional, or someone else who works with children, there are many things you can do to help.

Sue Scheff: Teen Depression

Source: Connect with Kids

“Just this gloom was like hanging over my head and I knew something wasn’t right but I wasn’t exactly sure what it was.”

– Amy, 16 years old

New research from Columbia University finds that nearly 50 percent of teens suffer from some form of depression, anxiety, or a number of other psychiatric disorders.

“A lot of people I know get depressed all the time about lots of stuff,” says 15-year-old Meagan.

“It’s like everything’s all on your shoulders and you have to take everything at once,” says Meredith, 14.

Sixteen-year-old Amy agrees, “Just this gloom was like hanging over my head and I knew something wasn’t right but I wasn’t exactly sure what it was.”

“My parents went through an awful divorce my ninth grade year and I was devastated, worse than my heart could ever imagine,” says 18-year-old Brittany, “and it hurts a lot, and I still hurt to this day and I’m a senior in H.S.”

The symptoms vary: some kids may be lethargic and withdrawn; others may show agitation and frustration, even aggression. Often, there is a drop in grades.

And sometimes these symptoms can cause parents to punish the child, instead of providing treatment.

“Rather than thinking of children’s misbehaviors as discipline problems or misbehaviors as deliberate,” says psychologist Sunaina Jain, Ph.D., “it’s important to see them as communications from the child.”

Experts say lots of kids experience depression or anxiety, often mild and temporary, but not always. And that’s why parents need to constantly check their child’s emotional pulse.

“You know it doesn’t take hours and hours. Even a few minutes of checking in with each other every day is a great way of saying you know I’m here, I’m interested in you,” says Jain.

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.

Possible Symptoms:

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 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 this behavior may not appear to be depression, in fact it may suggest that your teen 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 lack of interest 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
Columbia University
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 - Troubled Teens and Parenting

Are you a parent dealing with a defiant, belligerent at risk teenager and you are at your wit’s end - It may be time to think about intervention. It is out of love that we seek to give our teens a second opportunity in life. If it is obvious they are escalating in a downward path, as a parent, it is our responsibility to find help. Whether it is seeking local therapy or support groups, or taking the major step of residential boarding schools - be a proactive parent.

If you are debating residential therapy for your teen, learn more about this extremely daunting and confusing industry.

Yes, you need to get help - but educate yourself first.

Learn more about Wit’s End at http://www.witsendbook.com/ and author Sue Scheff at http://www.suescheff.com/ -the response has been overwhelming!

If you are struggling with your teen today - pick up Wit’s End and learn more!

For a quick read, check out http://www.aparentstruestory.com/ - the foundation of Wit’s End!

Parents Universal Resource Experts - Sue Scheff - Hate Websites

As someone that is familiar with hate websites/sites since I was a victim of them, they are nothing short of malicious attacks intended to hurt others. I always go back to my favorite Blog about these many types of people who seemingly take pride in harming others, The Top Ten Blogger Personas - The Mobosphere Unveiled by John Dozier. My next book, due out in fall 2009, will cover this subject in detail. Whether you are a business owner, husband, wife, teacher, professional - you need to be aware of your online presence - Internet Gossip vs Internet Fact - how do you know?

Connect with Kids offers some valuable tips for parents to help keep their kids safe in space. Unfortunately trying to keep up with the Internet can be difficult, however we need to communicate with our kids about ugliness that can lurk online.

Source: Connect with Kids

“Hate, unfortunately – it’s a virus. There’s been racism, anti-Semitism. There’s been discrimination against people throughout the ages. The Internet just provides an instant tool and access to it.”
– Deborah Lauter, Anti-Defamation League

By some estimates, 70 million kids are logging onto the Internet every day, and many are viewing sites that are increasingly disturbing.

Jesse Granger, 15, says, “I’ve come across hate websites. There was one about the Ku Klux Klan, and it had a lot of pictures of recent parades and marches.”

Sixteen-year-old Quincy Kelly saw a web site that “was talking about how slaves should be happy that they got brought over to America from Africa.”

Deborah Lauter of the Anti-Defamation League has been monitoring these sites for years. “Hate, unfortunately – it’s a virus,” she says. “There’s been racism, anti-Semitism. There’s been discrimination against people throughout the ages. The Internet just provides an instant tool and access to it.”

It’s also a sophisticated tool, especially in terms of attracting young web surfers.

Lauter says, “Some of the [hate] websites actually have games for children. The websites are attractive visually. There are puzzles, word games – it’s pretty sick when you look at them.”
And kids don’t even have to be looking for them to inadvertently access them.

“A perfect example would be a student doing Internet research and they plug in something as simple as ‘Martin Luther King,’ which is a very typical one. And some of these racist websites will be accessed and a kid could go on and start researching and think what’s there is fact,” says Lauter.

That’s where parents come in, she says, to make sure their kids are aware.

“[Children] need to understand to look at things critically,” says Lauter. “They need to understand that not everything on the Internet or everything they read is the truth.” And as kids become more sophisticated and Internet savvy, they will learn to weed out fiction from fact.
Matthew Burnett, 14, agrees. “If you use your common sense you can see through most of it,” he says.

And 15-year-olds Kelly Raines and Rebecca Turner say, “I think that if people are going to put that on, they’re going to put that on. And it’s just a matter of whether you take it, or like, just be like, ‘that’s stupid.’ I’m not going to worry about that.”

Tips for Parents

The Internet has opened the door to a wealth of information at our fingertips. But it has also brought instant accessibility to illegal drugs, pornography, hate websites and more. It’s important to set guidelines regarding your child’s Internet usage. Consider these important steps from the University of Oklahoma police department:

Learn about the Internet – If you are just starting out, see what information and classes are offered by your local library, community center, schools or newspaper.

Get Involved – Spend time online with your child — at home, at the library or at a computer center in your community. Your involvement in your child’s life includes his/her online life. Your participation and guidance is important to help ensure your child’s Internet safety.

Stay Informed – Learn about the latest parental control tools that can help you keep your child safe online. Stay abreast of what’s in the news about kids and web sites.

Become an Advocate for Kids – If you see online material or practices you do not like, contact your Internet Service Provider (the company that provides you with a connection to the Internet) or the company that created the material. Take advantage of this unique opportunity to help this growing medium develop in positive ways for kids.

According to SafeKids.com, there are steps you can take to help prevent your child from seeing inappropriate content on the Internet. Consider the following suggestions:

In an online public area such as a chat room or bulletin board, never give out identifying information, including name, home address, school name or telephone number.

In an email, do not give out identifying information unless you are certain you are giving it to someone both you and your child know and trust. Think carefully before revealing any personal information such as age, marital status or financial information. Consider using a pseudonym or unlisting your child’s name if your service allows it.

Get to know the sites and services your child uses. If you don’t know how to log on, have your child show you. Find out what types of information the services and websites offer, how trustworthy the information is and if parents can block objectionable material.

Never allow a child to arrange a face-to-face meeting with another computer user without parental permission.

Never respond to messages or bulletin board items that are suggestive, obscene, belligerent, threatening or make you feel uncomfortable. Encourage your children to tell you if they encounter such messages. If you or your child receives a message that is harassing or threatening, forward a copy of the message to your service provider and ask for their assistance.
Remember that people online may not be who they seem. Because you can’t see or even hear people over the Internet, it is easy for them to misrepresent themselves. For example, someone who says he/she is an expert in a certain field may actually be a biased individual with an agenda or someone with harmful intentions.

Not everything you read online is true. Be wary of any offers that require you to come to a meeting or have someone visit your house. Also, research several different sources of information before referring to something you read on the Internet as “fact.”

Set reasonable rules and guidelines for computer use. Discuss these rules and post them near the computer as a reminder. Remember to monitor your kids’ compliance with these rules, especially when it comes to the amount of time your children spend on the computer. A child’s or teenager’s excessive use of online services or bulletin boards, especially late at night, may indicate a potential problem. Remember that personal computers and online services should not be used as electronic babysitters.

Make computers a family activity. Consider keeping the computer in a family room rather than the child’s bedroom. Get to know your children’s “online friends” just as you do their other friends.

References
Federal Bureau of Investigation
National Center for Health Statistics
SafeKids.com
Smart Parent
The Police Notebook
The University of Illinois

Sue Scheff: Teenage Drinking

Are you concerned about your teen or tween drinking? Do you smell alcohol on their breathe? Maybe they experimented for the first time - maybe they will get really sick and promise never again. Or maybe they really enjoyed it!

Parents need to step up and educate their pre-teens and teens of the dangers of alcoholism, especially if there is a family member that suffers from this. Many believe this is a genetic disease, but I encourage all parents to whether this runs in the family or not, to be aware of this peer pressure. Much of this substance abuse can be started by peer pressure - a desire to fit in. To be cool. Well, be a cool parent and learn about this and talk to your kids about it before it becomes a problem.

Source: We Don’t Serve Teens

Teens Don’t Just Drink. They Drink to Excess.

More than 10 percent of eighth graders, 22 percent of sophomores, and 26 percent of seniors report recent binge drinking (5+ drinks on the same occasion).
Statistics show that the majority of current teen drinkers got drunk in the previous month. That includes 54 percent of the high school sophomores who drink and 65 percent of the high school seniors who drink.

Reducing underage drinking can reduce drinking-related harm.

Brain Development and Alcohol Abuse

Research indicates that the human brain continues to develop into a person’s early 20’s, and that exposure of the developing brain to alcohol may have long-lasting effects on intellectual capabilities and may increase the likelihood of alcohol addiction.

The age when drinking starts affects future drinking problems. For each year that the start of drinking is delayed, the risk of later alcohol dependence is reduced by 14 percent.

Drinking and Driving

Car crashes are the leading cause of death among people ages 15 to 20. About 1,900 people under 21 die every year from car crashes involving underage drinking.

Young people are more susceptible to alcohol-induced impairment of their driving skills. Drinking drivers aged 16 to 20 are twice as likely to be involved in a fatal crash as drinking drivers who are 21 or older.

Suicide

Alcohol use interacts with conditions like depression and stress, and contributes to an estimated 300 teen suicides a year.

High school students who drink are twice as likely to have seriously considered attempting suicide, as compared to nondrinkers. High school students who binge drink are four times as likely to have attempted suicide, as compared to nondrinkers.

Sexual Behavior

Current teen drinkers are more than twice as likely to have had sexual intercourse within the past three months than teens who don’t drink.

Higher drinking levels increase the likelihood of sexual activity.

Adolescents who drink are more likely to engage in risky sexual activities, like having sex with someone they don’t know or failing to use birth control.

Other Risks

Teens who drink alcohol are more likely than nondrinkers to smoke marijuana, use inhalants, or carry a weapon.

Binge drinking substantially increases the likelihood of these activities.

Academic Performance

A government study published in 2007 shows a relationship between binge drinking and grades. Approximately two-thirds of students with “mostly A’s” are non-drinkers, while nearly half of the students with “mostly D’s and F’s” report binge drinking. It is not clear, however, whether academic failure leads to drinking, or vice versa.

For further information on the risks of adolescent alcohol use, visit the National Institute on Alcohol Abuse and Alcoholism.

Don’t serve alcohol to teens.

It’s unsafe. It’s illegal. It’s irresponsible.