Suicide so often “comes as a surprise” to those left behind, but in all honesty, the signs
were more than likely always there. The identifying factors that lead up to this type of tragedy are many, but in our busy, multitasking lives, we tend to overlook them or dismiss them as part and parcel to growing up, particularly the subtle hints. While I can’t speak for most kids or adults, I can tell you that the inner turmoil which occurs in the mind of someone who’s suffering from suicidal thoughts is akin to severe emotional isolation—with it comes the delusion that one is “the other,” so different from those around them, they can’t even begin to integrate. Often times, those who are bullied struggle with suicidal ideation. Often times, no one even knows.
Of late, there have been several anti-bullying videos, songs, as well as organizations who are ardently amping up their efforts to bring awareness to this issue. It’s not that bullying in and of itself is tantamount to suicide, but those that are bullied often get to a place emotionally where they simply give up trying. If drugs and alcohol can’t numb the pain, or if cutting can’t raise the endorphins enough to eradicate one’s uncomfortable emotions, then suicide suddenly can look like an option. According to the National Institute of Mental Health (NIMH) and the CDC, “Nearly five times as many males as females ages 15-19 died by suicide,” and “Just under six times as many males as females ages 20-24 died by suicide.” Risk factors for suicide attempts include things like:
Depression and other forms of mental illness
Addiction;
A family history of mental disorders or substance abuse;
Family history of suicide;
History of physical or sexual abuse;
Firearms in the home
Incarceration
Exposure to suicidal behavior of others (family members, friends, media)
It’s important to note, however, that suicide is an extreme reaction to stress. There are many people in and out of recovery who can check off many of the above factors but are not suicidal. Regardless, the risks are notable and should be viewed with great concern and scrutiny.
I remember being a teen and feeling isolated and very much like “the other.” The irony is, the one and only time I was directed to the suicide hotline, I wasn’t actually suicidal. I was just a surly teen. Later, however, the internal dialogue of self-loathing and lack of self-worth drove me to put myself in more and more unsafe places. It wasn’t until many 4th steps later when I realized my actions were not only a cry for help, they were, in fact a means of subversive suicidal ideation. As a teen, I needed my parents and didn’t have them, either due to their emotional unavailability or their absence. As a parent myself, I have learned that despite the adolescent, parent-hating bluster, I am needed—we are needed. A child who can come home and talk openly to a parent is, in my opinion, less likely to revert inward. Talking about being bullied, asking for help, and getting it, is invaluable, and we, as parents, need to provide the environment in which our kids can safely do that. If not, then we risk being left behind, drowning in grief and unanswerable questions.
**If you or someone you know is thinking about or talking about suicide,take it seriously. You can call the National Suicide Prevention Lifeline at 1-800-273-TALK (8255). It is available 24/7.
Social anxiety/social phobia is an anxiety disorder characterized by a significant fear
of social interactions and interactions with other people which bring about feelings of “self-consciousness, judgment, evaluation, and criticism”1 by those they interact with. In other words, “the extreme fear of being scrutinized and judged by others in social or performance situations.”2 What social anxiety is NOT is simple shyness, but rather a more deeply internalized anxiety disorder. Recently, the National Institute of Health analyzed data gleaned from a study done by the National Comorbidity Survey Replication Adolescent Supplement (NCS-A S), which surveyed more than 10,000 adolescents (ages 13-18). The survey involved a structured, diagnostic interview, assessing a “broad range of mental health disorders.” Those who met all eight “lifetime DSM-IV criteria for social phobia, including one or more social fears, were classified as having social phobia, regardless of shyness.”3
Results of this survey are interesting:
Overall, 43% of males and 51% of females rated themselves as shy, but only 12% of these youth met criteria for social phobia.
5% of youth who did not rate themselves as shy met social phobia criteria.
Prevalence of social phobia increased with age:
6.3% of 13- 14-year-olds
9.6% of 15- 16-year-olds
10.4% of 17- 18-year-olds
Compared to shy adolescents, those with social phobia/social anxiety were more likely to suffer from some form of an anxiety disorder, major depressive disorder, oppositional defiant disorder, or addiction. Also notable were definitive issues with school, work, family relationships, and social interactions. Additionally, the statistics show “only 23% of adolescents with social phobia sought professional treatment for anxiety, and just 12% received psychiatric medication.” More than anything, what these results challenge is the perceived perception that social anxiety/social phobia is the “‘medicalization’ of a normal human emotion.”
To outsiders, someone stricken with social anxiety may seem particularly shy, quiet, or reserved, but to the individual suffering, the internal pull of panic-ridden thoughts is often unbearable. What’s interesting, however, is that when alone, one suffering from social anxiety is usually okay. A key factor in the behavior being more than “just shyness” is when the mere thought or suggestion of any social interaction coming into play brings about the emergence of internal panic. Those that suffer may experience “significant emotional distress”4 in these types of situations:
Being introduced to other people
Being teased or criticized
Being the center of attention
Being watched while doing something
Meeting people in authority (“important people”)
Most social encounters, particularly with strangers
Making “small talk” at parties
Going around the room in a circle and having to say something
Our friends and family members suffering silently need our support. It’s time we gave this disorder the attention it deserves so those suffering can find some solace and relief. It’s one more thing that requires us to remove the stigma so healing can begin.
On the heels of my recent blog about fat talk and its negative ramifications, I am broaching the subject of food, anxiety, and eating disorders once again. It’s almost Thanksgiving, after all, a holiday which not only acts as a huge trigger for many suffering from or recovering from an eating disorder, but is often used as fodder for fat jokes and the subsequent fat talk. As if sitting down to dine with your already dysfunctional family isn’t enough.
As we set our gaze upon Thanksgiving and give thanks for all that we have, those suffering from an eating disorder may be having an entirely different experience. For one thing, the entire day is purportedly built upon the foundation of food; one is expected to eat…a lot. With an eating disorder, those expectations can bring about a legitimate sense of fear, shame and anxiety. For example, an anorexic may be overly concerned with the appearance that he or she is not only eating, but enjoying a “normal” amount of food, while someone suffering from bulimia or binge-eating disorder may struggle with trying to manage their urges to binge and/or purge. For both, there are triggers everywhere, from the wide array of food being offered to someone’s not-so-subtle commentary about your, or even their, current weight, shape, size, et cetera.
Eating disorders and disordered eating are complex conditions, emerging from a combination of behavioral, biological, psychological, emotional, interpersonal and social factors. For many, food becomes the one thing that is controllable, giving someone who feels inherent powerlessness some perceived power. My own experience is just that: I grew up in an out-of-control, dysfunctional environment, where food was used as a vehicle for mixed messages; controlling its intake became paramount to my own survival. Or at least I thought it did. What it really ended up doing was leaving an indelible mark of low self-esteem and body dysmorphia. I still occasionally encounter negative behaviors from some family members when I see them, but now I view it as an opportunity to stand up in the face of adversity, plant my feet in my recovery, and dine with dignity. See here for NEDA’s “Factors that may Contribute to Eating Disorders.”
Some things to think about for the holidays:
Get support: either via a therapist, a sponsor, or a good friend. Make sure that you have someone you can lean on during this holiday season. You don’t have to manage Thanksgiving alone.
Make a plan: I always make sure I have what I call an “escape” plan for these sorts of things. In other words, make yourself a schedule so you don’t have to wing it.
Don’t skip meals in “preparation” for the holiday: Maintain your regular eating schedule that’s become a part of your recovery. For example, don’t skip breakfast so you can “have room” for the Thanksgiving meal.
Ignore and don’t engage in the fat talk: It’s neither an act of self-care or helpful. If someone is engaging in this age-old, negative behavior: walk away or disengage. Other people’s issues surrounding food are not yours to manage.
Be kind to yourself: If you fall down and slip into old behavior, don’t use it as a springboard to self-destruction. Allow yourself to enjoy the things you like. I find that knowing my triggers allows me to navigate the stormy sea of family and impulse with better judgment. You can do this!
Breathe: Yes, that’s right. Breathe. If you’re feeling overwhelmed, take a step back and take 10 deep breaths and find your center. This really does help. (This is also the other reason bathrooms exist!)
Lastly, remember what Thanksgiving is really about: It’s not about the food. Not really. It’s about being grateful for those around you and for the blessings in your life. Bask in the glory of your recovery and sobriety, for without those, the least of your worries would be whether or not you can eat a piece of pumpkin pie!
I honestly wish this commentary occurred less than it actually does, but the reality is, it doesn’t. It occurs on a daily basis in the lives of girls (and boys) from elementary school age to women in their older years. It’s the baseline for many conversations and it’s more often than not done without concern for those around them. Think about this: when someone who’s a size 2 says to a friend who’s a size 10 that she feels “fat,” there is an implication of body-image judgment, regardless of intent or level of self-esteem of the person hearing the comment. As soon as we start adding to the ever-present dialogue that one body type is somehow better than another, we inadvertently fuel the fire of low self-esteem and negative body image. In fact, when asked about the consequences of fat talk, Elizabeth Easton, PsyD and clinical director of child and adolescent services at the Eating Recovery Center says, “Negative body image is an easy hook for individuals who struggle with self-esteem or identity to latch onto as a way to feel more confident and even accepted by others.” Fat talk is damaging, no matter how you look at it.
Parents play a huge part in this as both contributors and as allies in our efforts to combat this type of language. We need to be mindful of what we say about ourselves, letting go of the delusion that we are “just talking about ourselves,” because in the eyes of an impressionable young girl or boy, the negative impact is very real. We are our kids’ first teachers, and if we teach them to hate themselves because of our own perceived weight problem, we potentially create a lifetime of body-image issues that can translate into disordered eating and/or eating disorders. I’ll never forget the kindergartener at my son’s school who burst into tears during a dress rehearsal because her costume made her look fat (she was playing Toto!); or the 8-year-old who won’t eat because she’s afraid she might get fat. Neither of these kids have a weight problem: rather, they have a perception problem brought on by the fear-inducing commentary from their parents, peers, and media. Fat talk is a real issue and one we need to ardently address. There are some very real consequences to this constant barrage of body bashing, and it shows in these eating-disorder statistics from NEDA:
In the US, as many as 10 million females and 1 million males are struggling with an eating disorder such as anorexia or bulimia;
80% of American women are dissatisfied with their appearance;
The mortality rate for 15- 20-year-old females who suffer from anorexia is 12 times the death rate of all other causes of death;
Anorexia has the highest premature fatality rate of any mental illness;
40% of newly identified cases of anorexia are girls 15-19;
54% of women would rather be hit by a truck than be fat;
81% of 10 year olds are afraid of being fat (Mellin et al., 1991).
42% of 1st-3rd grade girls want to be thinner (Collins, 1991).
67% of women 15-64 withdraw from life-engaging activities like giving an opinion, going to school, and going to the doctor because they feel badly about their looks;
Most fashion models are thinner than 98% of most American women (Smolak, 1996);
Over one-half of teenage girls and nearly one-third of teenage boys use unhealthy weight control behaviors such as skipping meals, fasting, smoking cigarettes, vomiting, and taking laxatives (Neumark-Sztainer, 2005);
46% of 9-11 year-olds are “sometimes” or “very often” on diets, and 82% of their families are “sometimes” or “very often” on diets (Gustafson-Larson & Terry, 1992);
91% of women recently surveyed on a college campus had attempted to control their weight through dieting, 22% dieted “often” or “always” (Kurth et al., 1995);
35% of “normal dieters” progress to pathological dieting. Of those, 20-25% progress to partial or full syndrome eating disorders (Shisslak & Crago, 1995);
25% of American men and 45% of American women are on a diet on any given day (Smolak, 1996).
Next time you wonder if you look fat in your outfit, or feel compelled to use body bashing as a conversation starter, name 3 things that are positive about yourself. Challenge yourself to be kinder to YOU so you can affect positive change on those around you. You’re worth it.
References for aforementioned Statistics as documented at NEDA:
Collins, M.E. (1991). Body figure perceptions and preferences among pre-adolescent children. International Journal of Eating Disorders, 199-208.
Crowther, J.H., Wolf, E.M., & Sherwood, N. (1992). Epidemiology of bulimia nervosa. In M. Crowther, D.L. Tennenbaum. S.E. Hobfoll, & M.A.P. Stephens (Eds.). The Etiology of Bulimia Nervosa: The Individual and Familial Context (pp. 1-26) Washington, D.C.: Taylor & Francis.
Fairburn, C.G., Hay, P.J., & Welch, S.L. (1993). Binge eating and bulimia nervosa: Distribution and determinants.
In C.G. Fairburn & G.T. Wilson, (Eds.), Binge Eating: Nature, Assessment, and Treatment (pp. 123-143). New York: Guilford.
Gordon, R.A. (1990). Anorexia and Bulimia: Anatomy of a Social Epidemic. New York: Blackwell.
Grodstein, F., Levine, R., Spencer, T., Colditz, G.A., Stampfer, M. J. (1996). Three-year follow-up of participants in a commercial weight loss program: can you keep it off? Archives of Internal Medicine. 156 (12), 1302.
Gustafson-Larson, A.M., & Terry, R.D. (1992). Weight-related behaviors and concerns of fourth-grade children. Journal of American Dietetic Association, 818-822.
Hoek, H.W. (1995). The distribution of eating disorders. In K.D. Brownell & C.G. Fairburn (Eds.) Eating Disorders and Obesity: A Comprehensive Handbook (pp. 207-211). New York: Guilford.
Hoek, H.W., & van Hoeken, D. (2003). Review of the prevalence and incidence of eating disorders. International Journal of Eating Disorders, 383-396.
Mellin, L., McNutt, S., Hu, Y., Schreiber, G.B., Crawford, P., & Obarzanek, E. (1991). A longitudinal study of the dietary practices of black and white girls 9 and 10 years old at enrollment: The NHLBI growth and health study. Journal of Adolescent Health, 27-37.
National Institutes of Health. (2005). Retrieved November 7, 2005, from https://www.nih.gov/news/fundingresearchareas.htm
Neumark-Sztainer, D. (2005). I’m, Like, SO Fat!. New York: The Guilford Press. pp. 5.
Shisslak, C.M., Crago, M., & Estes, L.S. (1995). The spectrum of eating disturbances. International Journal of Eating Disorders, 18 (3), 209-219.
Smolak, L. (1996). National Eating Disorders Association/Next Door Neighbors Puppet Guide Book.
Sullivan, P. (1995). American Journal of Psychiatry, 152 (7), 1073-1074.
A history of sexual violence can create an ideal environment for a variety of mental-health issues, addiction, and alcoholism. Often, the triggering event or events are hidden in the annals of one’s mind and perceived as shameful, deep, dark secrets too horrible to share…with anyone. As a result, drugs, alcohol, and risk-taking behaviors are often seen as the primary issue when one enters treatment. Time and again, we see that this isn’t always the case; That becomes clear when we look at it in terms of statistics:
One out of every 6 American women has been the victim of an attempted or completed rape in her lifetime (14.8% completed rape; 2.8% attempted rape)[1];
29% are age 12-17;
44% are under age 18;
80% are under age 30.; 12-34 are the highest risk years.
Girls ages 16-19 are 4 times more likely than the general population to be victims of rape, attempted rape, or sexual assault;
7% if girls in grades 5-8 (approx. ages 10-13) and 12% of girls in grades 9-12 (approx. ages 14-17) said they had been sexually abused;
3% of boys grades 5-8 and 5% of boys in grades 9-12 said they have been sexually abused[2].
As I frequently tweet Intervention, one of the things I notice on a regular basis is the consistency in which the women on the show are frequently struggling with a history of sexual violence, and are using drugs, alcohol, and promiscuity as their primary coping skill. From the outside looking in, it’s clear that the goal is to try to desensitize and anesthetize feelings of shame and guilt, et cetera; in other words, do anything and everything NOT to feel, remember, re-experience, or suffer from the emotional attachment to the event itself.
Twelve-step programs were written with specific goals in mind: to stop the alcoholic/addict from drinking and using. The steps work well in that regard, mostly because they are based on the disease model, addressing issues of alcoholism and addiction accordingly. However, the same tools provided to address addiction issues don’t always work in concert with mental-health issues, particularly those attached to sexual violence. We know the steps adequately provide an alcoholic/addict with the necessary skills needed to learn to take responsibility for and subsequently change their negative behaviors. They do so by asking the addict/alcoholic to take responsibility for their actions, face their fears, and acknowledge that they took part in creating their own demise. However, being sexually abused or raped isn’t a negative behavior to be changed but rather a causative, biting factor in things like:
Depression
Post-Traumatic Stress Disorder (PTSD)
Alcohol and Drug Abuse
Suicidal Ideation
Eating Disorders
What then, do we do from a recovery standpoint when the predominant disease model isn’t geared to address issues of this caliber? The Big Book, the 12-step primer, was written by men addressing men’s issues, in a time when women were typically viewed as the ones affected by their spouse’s alcoholism and not as the alcoholics themselves. As more women began to come forward as alcoholics and addicts, the tools didn’t always adapt to the new issues that arose because of gender disparity, but rather, they stayed the same, assuming a one-size-fits-all mentality. In the cases of women dealing with sexual violence, being asked to take responsibility for an abuse event has the potentiality to create more or actually deepen the existing trauma, particularly if the innate issues of shame and guilt associated with it are ignored. The reality is, being victimized by sexual violence is not the fault of the victim. What does need to be addressed, however, is the anger, self-victimization, and negative behavioral byproducts occurring as a result.
We clearly have a multi-layered healing process on our hands, so first, the negative coping skills must be eliminated: Sobriety is an obvious first step and necessary component to support the healing process. Additionally, working with meditation and mind-body awareness techniques are also useful in helping one manage their anxiety, negative feelings toward oneself, and in re-building self-esteem. A therapist skilled in treating PTSD and this sort of trauma is also important, particularly since this is often a lifelong process.
It is in forgiving ourselves that we have the ability to become free.
[1] National Institute of Justice & Centers for Disease Control & Prevention. Prevalence, Incidence and Consequences of Violence Against Women Survey. 1998.
[2]1998 Commonwealth Fund Survey of the Health of Adolescent Girls. 1998
OCD is a form of anxiety occurring when the brain has difficulty dealing with worries and concerns. As a result, someone with OCD will constantly worry and obsess over things that may seem banal to a non-sufferer. For some kids, their worries are focused on cleanliness or germs, resulting in repetitive hand-washing rituals. For others, it could be repeatedly straightening out an area, trying to achieve perfection. These obsessive and repetitive behaviors are done ritualistically or compulsively in order to quell the pervasive anxiety induced as a result of obsessive thought patterns. Often, an OCD sufferer will focus on things being in “order” or “just right,” also as a means to reduce the lingering, scary thoughts infiltrating their minds. While some kids may recognize they don’t need to act on these behaviors, the disorder itself propels then to do it anyway. It’s not their fault. Interestingly, acting on the repetitive thought patterns does minimally reduce the anxiety, albeit temporarily.
I want to point out that worrying is also a natural part of childhood, so is having small rituals (like wearing your lucky t-shirt before a game), being super organized, double-checking to make sure the door’s locked, et cetera. Kids and teens naturally worry about things, be it school, whether they’re liked, whether they “look cool” for school or to impress that guy or girl, or whether their parents are ever going to get along. With OCD, these rituals become extreme. So, if you notice repetitive, ritualistic, and compulsive behaviors becoming more extreme and negatively impacting one’s day-to-day life, then it’s appropriate to take a closer look at the cause and take action.
That means seeing a psychologist or psychiatrist who will ask questions about obsessions or compulsions. Some of these questions may include:
Do you have worries, thoughts, images, feelings, or ideas that bother or upset or scare you?
Do you feel you have to check, repeat, ask, or do things over and over again?
Do you feel you have to do things a certain number of times, or in a certain pattern?
Once the diagnosis is made, then treatment can begin. Cognitive Behavioral Therapy (CBT) is a preferred treatment for OCD. A CBT therapist will work with a child or adolescent with OCD and help them learn that they are in charge, not the OCD. Often the CBT will integrate Exposure and Response Prevention (ERP) as part of the treatment. With ERP, the strategy is to gradually expose the sufferer to their trigger (fears) so they can develop skills and learn not to respond to them with such urgency. The process allows the OCD sufferer to begin to recognize that their fear is just that: a fear, not a reality; it also helps the brain “reset” the very mechanisms that trigger the obsessive behavior. It’s important to remember that treatment for Obsessive-Compulsive Disorder takes patience, time, diligence and hard work.
Remember, there is no shame in asking for help or in getting treatment. Having OCD doesn’t mean you’re crazy, or broken in some way. There is a solution.
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.
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:
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:
The death of Amy Winehouse, mere months after another misfired attempt at rehab leaves
me thinking more and more about the misleading notion of a revolving door in recovery. I am reminded of the perceived invincibility we tend to have when we’re using and how deadly that assumption can be. Unfortunately, we’ve been subjected to inadvertent voyeurism as we’ve fallen witness to Winehouse’s public demise.
As part of a recovery community, we can certainly sit and proselytize about the myriad things she could have or should have done differently, but the fact remains: she was an addict, and her addiction ultimately won this round. Self-loathing, lack of self-worth, and self-sabotage are all symptomatic traits of addiction; Amy Winehouse expressed hers soulfully in her music, and I can’t begin to imagine the driving, internal heartache, which led her to continue on such a fatal path.
I worry that the hype around her death will somehow take the focus off of addiction or worse yet, romanticize the life and death of an extremely talented, yet deeply suffering young woman. It’s sad that we’ve lost another addict, but sadder still that it’s not surprising. The fact is, fame, talent and genius don’t make us invincible, nor do those qualities place us in an elite, protective capsule. Addiction doesn’t care. It never has and it never will.
While addiction is a treatable disease, it will always remain one that requires willingness on the addicts’ part. Without that, we risk ending up with dust in our eyes. Truth be told, I’m deeply saddened by the loss of Amy; not so much because she was a gifted artist with a broad future ahead of her, but because she could have been any one of us. She could have been a loved one; she could have been you; she could have been me.
A new CASA (The National Center on Addiction and Substance Abuse) report on adolescent substance abuse hit the wires today. Their findings were disheartening, stating, “Adolescent substance abuse is America’s #1 health problem.” The report studied smoking, drinking, the misuse of prescription drugs, and illicit drugs. CASA also delved into the science of addiction itself, identifying it as a “complex brain disease with origins in adolescence,” and going on to document how “adolescence is the critical period for the initiation of substance use.” They not only looked at the drugs being used or the age of the user, but at American culture itself—for example, the way the media romanticizes the use of alcohol in its advertising.
90 percent of Americans who meet the medical criteria for addiction started smoking, drinking, or using other drugs before age 18.
1 in 4 Americans who began using any addictive substance before age 18 developed an addiction, compared to 1 in 25 Americans who started using at age 21 or older.
75 percent of all high school students have used addictive substances including tobacco, alcohol, marijuana or cocaine; 1 in 5 of them meet the medical criteria for addiction.
46 percent of all high school students currently use addictive substances; 1 in 3 of them meet the medical criteria for addiction
The ads we see plastered on enormous billboards on the busiest corners in Los Angeles are there to intrigue us. They aren’t just selling a beer, or some whiskey, they’re selling a lifestyle: one that’s full of handsome men and gorgeous women, all ready and willing to party at will. Life looks perfect in those ads, but we all know it is anything but perfect. It sure can seem alluring, though, particularly when we’re young, rebellious, and feeling the pressures of growing up and being “cool.” The intrigue is also directly fueled by the current generation’s perpetually perceived boredom, which stems from our culture of instant gratification. In our current climate, drugs and alcohol are culturally accepted: we have medical marijuana and a pill for every problem.
Our brains are vulnerable in adolescence and at the height of development. In fact, they aren’t fully developed until we’re around 25! As we spoke about in our recent post, once we begin indulging in the use of mind-altering substances, we are essentially performing science experiments on ourselves.
Susan Foster, senior investigator of the study, notes: “By recognizing this as a health problem and respondingto it, we can actually make the difference by improving the life prospects ofteens and saving costs in society.” This brings us back to what I always say, get involved and start talking to your kids! Teens are under an inordinate amount of pressure: school, peers, hormones, et cetera. At some point, we have to start looking at how those we love are actually managing such an incredible stress load. I once heard a therapist say, “Little people, little problems; big people, big problems.” She was specifically talking about the value in addressing issues when they begin rather than waiting things explode. When we’re trying to preserve and heal family dynamics, it’s far less challenging to deal with an angry 8-year-old than a drug-addicted teen.
