Month: September 2011

Categories
Anxiety Bullying

Bullies: Not My Child!

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In today’s seemingly accepting society, why does bullying continue to be such a terrible epidemic? Why are gay teens still heavily targeted by kids in schools and social settings? And why are kids who are outside of the normative pop-culture box automatically seen as gay or weird? I see this behavior even at the elementary school level, where the biggest insult a child can throw at someone they don’t like is a gay slur. We have a problem–one that’s resulted in numerous suicides by teens breaking under the pressure of needless harassment and hatred.

Schools have anti-bullying programs in full effect, and in many ways, they are effective in eliminating the acute bullying attacks that kids experience. What is missing, however, is a way for kids to deal with the subtle bullying that continues to happen in the hallways and playgrounds. For instance, a child that alerts an authority will often fall subject to additional bullying for “telling,” enduring the continuation of threats and shaming albeit in subversive and low whispers. This goes on to create an intensely hostile environment for the victim and those who witness this behavior. I worry that the gap between the administration and hallway socialization is ultimately pushing bullying underground.
“When children feel threatened, they cannot learn,” says Arne Duncan U.S. Education Secretary. Time and time again we see a bullied child revert inward to escape the emotional trauma induced by bullying antics, leaving things like school work on the wayside. Honestly, fractions become banal when one’s fighting for their survival on the social level.

Many things define bullying:

  • Verbal: name-calling and teasing.
  • Social: spreading rumors, leaving people out on purpose, breaking up friendships
  • Physical: hitting, punching, shoving
  • Cyberbullying: using the Internet, mobile phones, or technology to cause harm.

Remember, an act of bullying can fall into any of these categories, be it in one area, or several.

The BULLIED may:

  • Have higher risk of depression and anxiety, including the following symptoms, that may persist into adulthood:
    • Increased feelings of sadness and loneliness
    • Changes in sleep and eating patterns
    • Loss of interest in activities
  • Have increased thoughts about suicide that may persist into adulthood. In one study, adults who recalled being bullied in youth were 3 times more likely to have suicidal thoughts or inclinations.
  • Are more likely to have health complaints. In one study, being bullied was associated with physical health status 3 years later.
  • Have decreased academic achievement (GPA and standardized test scores) and school participation.
  • Are more likely to miss, skip, or drop out of school.
  • Are more likely to retaliate through extremely violent measures. In 12 of 15 school shooting cases in the 1990s, the shooters had a history of being bullied.

And the BULLY may:

  • Have a higher risk of abusing alcohol and other drugs in adolescence and as adults.
  • Are more likely to get into fights, vandalize property, and drop out of school.
  • Are more likely to engage in early sexual activity.
  • Are more likely to have criminal convictions and traffic citations as adults. In one study, 60% of boys who bullied others in middle school had a criminal conviction by age 24.
  • Are more likely to be abusive toward their romantic partners, spouses or children as adults.

And the WITNESSES:

  • Have increased use of tobacco, alcohol or other drugs.
  • Have increased mental health problems, including depression and anxiety.
  • Are more likely to miss or skip school

Where the concern lies mostly in helping the bullied, and punishing the bully, it helps to remember that the latter is suffering as well. What makes a bully is often times another bully. It’s important that in our ardent efforts to heal the effects of bullying, we don’t forget to examine the cause. If you discover that your child is the bully, get them help. Find out the cause of their violence and do something about it.

Bullying impacts everyone: the bullied, the bully, and the witness. No one gets out unscathed.

Statistics sourced from:
StopBullying.gov

Get into ACTION:
Challenge Day (www.challengeday.org)

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Categories
Mental Health

Adolescent Treatment: Mind and Body As One

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Since 2002, Visions has been in the forefront of providing adolescent treatment. Being well-versed in the characteristics of adolescent behaviors and cognitive development, it was only natural for us to refine our Mental Health Track in order to provide an optimal treatment model for teens. As we’ve seen time and time again, drugs and alcohol aren’t always the sole, causative factor in behavioral issues. Often times, there’s a mental-health component which needs to be addressed with the same skill and finesse used in the treatment of substance abuse.

It’s not easy being a teenager: for one, there’s the physical awkwardness, there’s the social constructs of trying to fit in and be liked, and there’s the desire to do well in school and meet the expectations of your parents. It’s tough. There’s no denying that. For some, it’s harder than others, and the pressure of “doing it all” is simply too much, which can present as the self-deprecating feelings of hopelessness, anxiety, and depression, et cetera. Unfortunately, the environment of adolescence isn’t always conducive to one talking to their friends about these experiences without the fear of being stigmatized. Most of the time, one’s left trying to figure things out for themselves, and that never really works out well.

This October, Visions will light the path to a refined treatment model, addressing the complex issues relating to adolescent mental health. By thoroughly addressing and updating the mental-health component to our existing modalities, we will ultimately provide an environment which will allow teens struggling with mental-health issues to truly achieve physical and psychological health. The goal is to do so while also removing the stigma typically associated with mental-health issues.

We all come with the physiological footprints of our families. On occasion, we need help navigating those seas so we may begin to create new, emotionally sound paradigms in which to live our lives. Between successfully providing mental health, substance abuse, and family treatment, I believe we are well on our way to helping families achieve this goal.

Categories
Addiction

Social Media: Helpful or Harmful?


The National Center on Addiction and Substance Abuse at Columbia University’s (CASA Columbia) recently published
 their 16th annual back-to-school survey which takes a look at adolescent behaviors regarding substance abuse in relation to social media. CASA Columbia took a look at American teens ages 12-17, their social media use and how it might ultimately affect their alcohol and drug abuse behaviors, and parent involvement or lack thereof. The findings, though not terribly surprising, were substantial: “70% of teens report spending time on social networking sites on a typical day,” which come out to approximately 17 million 12-17 year olds doing participating in some sort of social media activity on a typical day.
With the naturally uncensored dynamics of teen behavior, the typical day-to-day posts can range anywhere from being tagged in a drunken photo from the previous weekend’s house party to the false braggadocio of one’s sexual prowess. From the outside looking in, sites like Facebook and MySpace certainly show implications of promoting an environment of peer pressure. After looking at the results from this study, that impression is pretty spot on:

“Compared to teens that have never seen pictures of kids getting drunk, passed out, or using drugs on social networking sites, teens that have seen these images are:
• Three times likelier to use alcohol;
• Four times likelier to use marijuana;
• Four times likelier to be able to get marijuana, almost three times likelier to be able to get controlled prescription drugs without a prescription, and more than twice as likely to be able to get alcohol in a day or less; and
• Much likelier to have friends and classmates who abuse illegal and prescription drugs.”

Where parents tend to fall flat is in relation to their ignorance and denial of the powerful effects of suggestion, a key factor associated with the subversive allure of social media sites. Parents must be careful not to adopt the “Not my child” attitude and get informed instead. According to the CASA study, “Eighty-seven percent of parents said they think spending time on social networking sites does not make it more likely their child will drink alcohol; 89 percent of parents felt it would not make their child more likely to use drugs.” That’s not a particularly positive result, and frankly, it confirms the high level of denial that aids and abets the social media petri dish of reckless behavior.
This isn’t hopeless, though. The results of the CASA study present an opportunity for change. It’s a chance for us fuddy-duddy adults to learn to look at the world from the lenses of our kids. We were teens once, too, and though memories are often clouded, it behooves us to remember that we were once reckless and secretive and convinced that our parents were the enemy. Joseph A. Califano, Jr., CASA Columbia’s Founder and Chairman and former U.S. Secretary of Health, Education, and Welfare suggests the need for parents to “give their children the will and skill to keep their heads above the water of the corrupting cultural currents their children must navigate.” While I agree that our kids need the skills and strength of character to manage social media, I think we need to be careful not to incite a sense of imminent fear, but instead look at the results of this study as something from which we can nurture an opportunity for behavioral metamorphosis. Growing up is scary enough.
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Categories
Depression Mental Health

Depression in Adolescence

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Depression affects teens as well as adults but is often missed partly because it can co-occur with the natural emotional ups and downs that are part and parcel to being a teenager. Simply put, growing up is a naturally stressful process, and that’s without any external conflicts acting as a contributing factor! The other organically occurring components fostering an environment for adolescent depression are things like hormones, and conflict with parents. When we include disturbing events like a breakup, death of a friend or relative, or difficulty at school, one’s susceptibility to depression increases.

Adolescence is a time for expressing independence, which sometimes means drawing a firm line in the sand with one’s parents in order to create autonomy. On occasion, those efforts can create a snag in parent/child communication. Puberty is inherent to the organic and experiential part of being human. It also means there is going to be infallibility and imperfection. Sometimes, as parents, we forget what it was like and spend too much time reacting and taking things personally and not enough time taking action. Think of it this way: if a teen is suffering from depression, they more than likely won’t tell you. In fact, they may be surreptitiously hoping that you take notice, because talking about it might be too scary or embarrassing.

According to the National Comorbidity Survey-Adolescent Supplement (NCS-A) via the National Institute of Mental Health (NIMH): “About 11% of adolescents have a depressive disorder by age 18. Girls are more likely than boys to experience depression. The risk for depression increased as a child gets older.” And according to the World Health Organization (WHO), “Major depressive disorder is the leading cause of disability among Americans age 15-44.” Further, the NIMH site notes that since childhood behaviors vary from one childhood stage to another, “it can be difficult to tell whether a child who shows changes in behavior is just going through a temporary ‘phase’ or is suffering from depression.

Since symptoms of adolescent depression differ slightly than those of an adult, it’s important to pay attention to any idiosyncrasies that may occur (sans getting over-analytical and paranoid). A child who’s depressed may complain of being sick, they may suddenly become excessively clingy, and they may often refuse to go to school; A teen, on the other hand, may sulk, get in trouble at school, be an overall grump, and feel a general sense of being misunderstood.

Symptoms of depression can include some or all of these factors:

  • Appetite changes (usually a loss of appetite but sometimes an increase)
  • Difficulty concentrating
  • Difficulty making decisions
  • Episodes of memory loss
  • Fatigue
  • Feeling upset, restless, and irritable
  • Feeling worthless, hopeless, sad, or self-hatred
  • Loss of interest or pleasure in activities that were once fun
  • Thinking or talking about suicide or death
  • Trouble sleeping, too much sleeping, or daytime sleepiness

Sometimes a person’s behavior may change, or there may be problems at home or school without any symptoms of depression:

  • Acting-out behaviors (missing curfews, unusual defiance)
  • Criminal behavior (such as shoplifting)
  • Irresponsible behavior
  • Poor school performance, grades dropping
  • Pulling away from family and friends, spending more time alone
  • Use of alcohol or other illegal substances

If you notice any of these behaviors lasting for more than two weeks, it’s time to seek help, particularly if these behaviors are beyond the normative rollercoaster ride consistent with adolescence.

For additional information and for documentation of sources for this article:


Depression in Children and Adolescents (Fact Sheet)
Use of Mental Health Services and Treatment Among Children (www.nimh.nih.gov)
Adolescent Depression (www.nlm.hih.gov)
Adolescent Depression (PubMedHealth: www.ncbi.nlm.nih.gov)
Adolescent Depression (https://health.nytimes.com) 

Categories
Recovery

Back to School: Let’s Get This Party Started!

School has started, though the remnants of the Summer heat are still lingering about. It’s also prime time for the first of many anticipated school parties! For the newly sober, and even for those with a little time under their belts, this might be a source of contention or stress. So, how DO you participate while staying safe and sober?
For starters:
  • Bring a friend with you that has your best interests in mind. In other words, someone who isn’t on the fence about you being clean and sober! 
  • Arrange for your own transportation so you don’t have to rely on someone else if you want to make a quick exit. 
  • Have a plan, and give yourself an out so you don’t get stuck in a bad situation.
  • Call your sponsor and let your sober network know what you’re doing: Share your plan!
  • Communicate with your parents and let them know what’s going on.
  • Concerned there won’t be any non-alcoholic beverages? Bring your own! 
The trouble with school parties is, often times they’re organized with this idea that getting wasted is the end goal (I’m reminded of Superbad here, despite it’s over-the-top depiction of adolescence!). If a school party falls into your weekend plans, go with a good head on your shoulders and a positive plan of action. Walking a sober path is a learned skill, but it’s not impossible. It takes time to develop positive patterns of behavior while still maintaining our social status amongst our peers. Sometimes, it’s a matter of educating those around us; sometimes it’s about walking away and starting anew.

Sobriety will teach you that fun doesn’t have to include a blackout and a night praying to the porcelain God. Nor does it have to include glib confirmations of the night’s events from friends the next day. Eventually, taking responsibility for your actions will be the de rigueur choice rather than fighting to maintain an old ideal. At some point, you might even discover that you are pretty darn fun all on your own, even whilst pumped up on silliness with a water chaser. 
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