Sue Scheff: ADHD Medication or 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: Positive Parenting

Source: Love Our Children USA

Knowing that the world we live in today is very different, Love Our Children USA recognizes that we must redefine parenting.

No one is a perfect parent and there is no magical way to raise children. And we know kids can be challenging!

Parenthood and caring for a child is a gift bestowed upon us which comes with the greatest responsibility and pledge … to guarantee the safety, nurturing, loving environment and physical and emotional wellness of our children … for ALL children!

Anyone and everyone can learn good parenting skills. Even parents who are overwhelmed, or alone. The first three years of your child’s life are crucial. Those are the years that your child will develop significant intellectual, emotional and social abilities. That’s when they learn to give and accept love. They learn confidence, security, and empathy … they learn to be curious and persistent …everything your child needs to learn to relate well to others, and lead a happy and productive life. The first three years are the doorway to forever!

Learn more here: http://www.loveourchildrenusa.org/parent_positiveparent.php

Parents Universal Resource Experts - Sue Scheff- Teen Pregnancy on the Rise?

Teen birth rates up? Parents need to take steps to learn why - what can they do to help their young teens understand having a child is not easy. Before you are faced with this difficult and sensitive situations, continue opening communication about sex as well as contraceptives. Years ago a young teen getting pregnant seemed like the worst possible situation - now having unprotected sex can not only lead to pregnancy and big decisions for young teens, but deadly diseases. Take time to learn more.

Source: Connect with Kids

“It does give them another way to look at themselves, and to look at their bodies as a powerful force and not just sort of ornamental.”
– Laura Mee, Ph.D., Child Psychologist.

One girl gives birth to a baby. Another plays basketball with her brother. What’s the connection?

Studies show girls who play sports are less likely to have sex and less likely to get pregnant. One reason may be these athletes gain confidence and respect for their bodies.

“It does give them another way to look at themselves, and to look at their bodies as a powerful force and not just sort of ornamental,” explains child psychologist, Dr. Laura Mee.

Experts say experiencing pressure on the court gives them the strength to resist pressure from a boyfriend. And, in their free time, it gives them something else to focus on besides how they look, “Their hair, their clothes, their, like reputation… mostly all they want to do is impress the boys,” says 12-year-old Claire.

What’s more, studies have found that athletic girls have higher self-esteem, better grades and less stress.

So, experts say, encourage your daughters to get involved in sports and then cheer them on. “Make it as important that your daughters have sporting events as you would for your son that you treat them as equally as you possibly can, that you support and encourage and that the other children, whether they are male or female, support and encourage each other in their sports activities,” says Mee.

Tips for Parents

Sex is something parents should constantly discuss with their teens, but you should really give your teens “the talk” before summer and Christmas vacation. According to one study, teens are much more likely to lose their virginity during the months of June and December than any other time of the year. Almost 19,000 adolescents in grades seven through twelve participated in the survey, which identified the month they had sexual intercourse for the first time. The survey also asked if the act was with a romantic partner or was more “casual.”
The findings, published in the Journal of Marriage and Family, show June as the most popular month, followed closely by December. Summer and Christmas vacations are believed to be the cause with school out and teens with time on their hands. More events are also planned in June, including high school proms, graduations and summertime parties. The “holiday season effect” makes December the second highest month for teen sex. Experts explained that during the holidays, young females in relationships are more likely to have sex. The holidays usually bring people together and make them closer. The same is true with teenagers.

All studies indicate messages from parents regarding sex are extremely important to teens (Washington State Department of Health). In fact, teens state parents as their number one resource for information on the topic. This talk may be uncomfortable for many parents, so the National Parent Teacher Association (PTA) has provided the following tips for parents:

Practice. It may take practice to feel comfortable talking about sex with your kids. Rehearsing with a friend or partner can help. Be honest. Admit to your child if talking about sex is not easy for you. You might say, “I wish I’d talked with you about sex when you were younger, but I found it difficult and kept putting it off. My parents never talked to me about it, and I wish they had.”

Pay attention. Often parents do not talk to their teens about sex because they did not notice they wanted or needed information. Not all teens ask direct questions. Teenagers are often unwilling to admit they do not know everything. Notice what is going on with your child and use that as a basis for starting a conversation about sexual topics.

Look for chances to discuss the sexual roles and attitudes of men and women with your child. Use television show, ads and articles as a start.

Listen. When you give your full attention, you show that you respect your child’s thoughts and feelings. Listening also gives you a chance to correct wrong information they may have gotten from friends. As you listen, be sensitive to unasked questions. “My friend Mary is going out on a real date,” could lead to a discussion of how to handle feelings about touching and kissing.
Parents can also share their feelings on the topic through words and actions. The best way is to talk to teens. Even though it may seem like they are not listening – they are. To have a healthy and effective discussion on sex, the Advocates for Youth Campaign encourages parents to:
Educate yourself and talk with your children about issues of sexuality. Do not forget about discussing the importance of relationships, love, and commitment.

Discuss explicitly with preadolescents and teens the value of delaying sexual initiation and the importance of love and intimacy as well as of safer sex and protecting their health.

Encourage strong decision-making skills by providing youth with age-appropriate opportunities to make decisions and to experience the consequences of those decisions. Allow young people to make mistakes and encourage them to learn from them.

Encourage teens to create a resource list of organizations to which they can turn for assistance with sexual health, and other, issues. Work together to find books and Web sites that offer accurate information.

Actively support comprehensive sexuality education in the schools. Find out what is being taught about sexuality, who is teaching it, and what your teens think about it.

Actively voice your concerns if the sexuality education being taught in local public schools is biased, discriminatory, or inaccurate, has religious content, or promotes a particular creed or denomination.

Demonstrate unconditional love and respect for your children.

References
Advocates for Youth Campaign
Journal of Marriage and Family
National Parent Teacher Association
Washington State Department of Health

Sue Scheff: These Moms Know Best Website

These Moms Know Best is a website that combines parenting with great insight and ideas for moms!

As a parent, do you and your teenager have challenging mornings on school days? Are you wondering what you can do to help make your school mornings less stressful? Here are 6 tips to help you and your teenager experience a stress free school morning.
Visit: http://www.thesemomsknowbest.com/categories/Motherhood/Teens/ for more!

Parents Universal Resource Experts - Sue Scheff - Teen Truancy

Truancy is a term used to describe any intentional unauthorized absence from compulsory schooling. Children in America today lose over five million days of their education each year through truancy. Often times they do this without the knowledge of their parents or school officials. In common usage the term typically refers to absences caused by students of their own free will, and usually does not refer to legitimate "excused" absences, such as ones related to a medical condition. It may also refer to students who attend school but do not go to classes. Because of this confusion many schools have their own definitions, and as such the exact meaning of the term itself will differ from school to school and district to district. In order to avoid or diminish confusion, many schools explicitly define the term and their particular usage thereof in the school's handbook of policies and procedures. In many instances truancy is the term referring to an absence associated with the most brazen student irresponsibility and results in the greatest consequences.

Many educators view truancy as something much more far reaching than the immediate consequence that missed schooling has on a student's education. Truancy may indicate more deeply embedded problems with the student, the education they are receiving, or both. Because of its traditional association with juvenile delinquency, truancy in some schools may result in an ineligibility to graduate or to receive credit for class attended, until the time lost to truancy is made up through a combination of detention, fines, or summer school. This can be especially troubling for a child, as failing school can lead to social impairment if the child is held back, economic impact if the child drops out or cannot continue his or her education, and emotional impact as the cycle of failure diminishes the adolescent's self-esteem.

Sue Scheff: Parent-Teen Sex Talk

Source: Connect with Kids

“I always get a little bit nervous because I always worry about what they might ask me about my own life.”

– Judy Crim, Mother

When 12-year-old Sean Crim has a question about sex he asks his mother. “I would probably rather get information about sex from my parents. They always tell me the truth and they’ve never really lied to me about anything,” he says.

But for his mom, talking about sex isn’t easy. “I always get a little bit nervous because I always worry about what they might ask me about my own life,” says Judy Crim.

It’s an issue for lots of parents. If your children ask about your life before marriage, how would you answer? Sean’s mom says it’s happened to her.

Judy says, “We talk about what was going on when I was a teenager, what teenagers were actively doing. And they’ll say mom did you do any of that?”

It’s an awkward question. Experts say if you are too uncomfortable…you don’t have to answer.

Leola Reis of Planned Parenthood says, “They are still the parent and some of that is not really appropriate. I don’t think you need to lie, I think you can withhold that information. ‘This conversation is not really about me and what I did. It’s what my hopes are for you. And let me tell you some of the things I’ve learned.’”

But if you decide to talk about your past, experts say don’t lie, and remember that you don’t have to say too much. Reis suggests sentences like ”I’m not really comfortable with some of the things I did as a young person.’”

Still, your past can be a lesson for kids about avoiding mistakes. Judy Crim says, “I can also offer them if I made a choice to do something, what regret did I have to live with? What guilt do I have to live with? And how did that affect my life?”


Tips for Parents
Recent studies have shown a decrease in the prevalence of many sexual behaviors among high school students throughout the United States, including sexual intercourse. Further, studies from the Centers for Disease Control and Prevention show the percentage of sexually active students who used a condom at last intercourse continued to increase.

Even though the number of sexually active teens is in decline, the percentage of sexually active teens is still alarming. Consider the following statistics taken from a recent Youth Risk Behavior Survey:

Nationwide, 47.8% of students had ever had sexual intercourse (Table 61). Overall, the prevalence of having had sexual intercourse was higher among male (49.8%) than female (45.9%) students; higher among black male (72.6%) and Hispanic male (58.2%) than black female (60.9%) and Hispanic female (45.8%) students, respectively; and higher among 9th-grade male (38.1%) than 9th-grade female (27.4%) students.
7.1% of students had had sexual intercourse for the first time before age 13 years
14.9% of students had had sexual intercourse with four or more persons during their life
35.0% of students had had sexual intercourse with at least one person during the 3 months before the survey
Among the 35.0% of currently sexually active students nationwide, 61.5% reported that either they or their partner had used a condom during last sexual intercourse
Open communication and accurate information from parents increase the chance that teens will postpone sex. According to the American Academy of Child & Adolescent Psychiatry, in talking with your child or adolescent, it is helpful to:

Encourage your child to talk and ask questions.
Maintain a calm and non-critical atmosphere for discussions.
Use words that are understandable and comfortable.
Try to determine your child’s level of knowledge and understanding.
Keep your sense of humor and don’t be afraid to talk about your own discomfort.
Relate sex to love, intimacy, caring and respect for oneself and one’s partner.
Be open in sharing your values and concerns.
Discuss the importance of responsibility for choices and decisions.
Help your child to consider the pros and cons of choices.
By developing open, honest and ongoing communication about responsibility, sex and choice, parents can help their youngsters learn about sex in a healthy and positive manner.


References
Centers for Disease Control & Prevention
American Social Health Association
American Academy of Child & Adolescent Psychiatry

Parents Universal Resource Experts (Sue Scheff) More Teens Are Getting Plastic Surgery

By Connect with Kids

“I could not stand to look in the mirror one more day looking at me the way I was. I just couldn’t do it.”

– Ashleigh Giglio, 18 years old

The body changes … the teasing. Our insecurity with our own bodies begins in puberty and can continue throughout life. How should parents respond when teenagers say they hate the way they look?

Ashleigh, 18, recently had plastic surgery on her nose to correct a bump caused by a childhood injury. “After she had it done she’s been a different person,” says her mom, Ridley Giglio. “She’s happy. She’s happy all the time.”

Like Ashleigh, many kids grow up disappointed with the way they look.

In 2007, 11.7 million Americans had cosmetic surgery. More than 200,000 were just teens.

But is cosmetic surgery a good option for younger teenagers? Experts say probably not, unless the anxiety is extreme. “The time that parents really need start getting concerned is when these concerns that a teenager has actually gets in the way of them doing things,” says child psychiatrist Shannon Croft. “They don’t want to go to school because somebody is going to notice how they look. They start avoiding social situations, party’s friends they normally would go to,” he says.

Most of the time, concerns about appearance are normal, and dissipate over time, Croft says. “Usually as people get older they get more comfortable with how they look and their body, and a lot of these concerns will diminish on their own.”

Ashleigh’s younger sister Angela wants cosmetic surgery, too. But her mother has decided that at age 14 she is too young. “Angela, that would be something when she’s older, evaluate it then. I just think right now, she’s got the family nose. And there’s nothing wrong with that,” Ridley Giglio says.

Tips for Parents

For most children, adolescence is time of introspection and self-evaluation. Virtually every facet of their lives is put under a microscope as they try to determine where and how they “fit in’ with their family, their peers, and the world at large. Typically, part of this self-evaluation process is focused upon physical appearance. Unfortunately for some teens, the nature of their evaluation tends to be hypercritical, and not very well based in reality. For example, a teenager may become convinced that her nose is too big, her breasts are too small, his teeth are crooked, her hips are too big, and other common misconceptions. Regardless of whether the perceived flaws are real or imagined, the emotional upset and pain experienced by these teens is very real and very painful to them.

How can parents help their teens deal with body image misperceptions? Dr. Rex Forehand, a psychologist specializing in child and adolescent issues, suggests that parents consider the following ideas in helping their children deal with their negative feelings.

Listen and respond when your child talks about negative perceptions of her or himself.
Don't just "wave it off". The negative perception may not be true, but it is important to your child.

Talk and respond with empathy but don't dwell on the negative perception (don't bring it up).
If the negative perception is false, reassure your child. If there is some truth to the negative perception (your child does have ears that stick out, acne, etc.), "counter argue" by presenting the positives of your child.

Work on building your child's self-esteem by:
limiting negative feedback to your child;
praising his efforts and positive behavior;
spending quality time with your child;
accepting your child by communicating love and affection;
teaching your child to use positive self-talk. That is, encourage your child to say positive things about him or herself whenever they do something positive. Parents can do this through modeling by complimenting themselves whenever they do something positive, and by complimenting their child by using phrases such as "you should be so proud of yourself for..."

References
American Society for Aesthetic Plastic Surgery
Grady Healthcare Systems

Sue Scheff - Daily Routines for Kids

Take the nagging out of parenting!

Find it hard to “Get out the door” on time in the morning? Want to end those
bedtime battles? Want your kids to be more independent?

On·Task On·Time for Kids takes the nagging out of parenting. Designed by a mom
of triplets plus one, this unique time management system supplies 52 full-color task
stickers to organize three routines: Morning (getting ready for school), Afternoon
(transitioning from school to home activities), and Evening (getting ready for bed).
Individualized routines are put together by parents and children to fit their life style.

Daily routines are created by applying task stickers to a Routine Disk. The Routine
Disk is inserted onto the On·Task Timer Unit and the child sees what tasks should
be completed, what tasks should be done now, and what tasks are coming up next.

Parents don’t need to remind or nag. The words, “Oops, I forgot!” are a thing of
the past. Turn normally stressful, transition times into self-esteem building
experiences. A reward chart is included to acknowledge success and independence.
On·Task On·Time for Kids is designed for children between the ages of five and
twelve, and is available with girl or boy illustrations.


Visit www.timelymatters.com for more information. I recently was made aware of this informational website.

Sue Scheff: Building Social Skills with your ADHD Child

By ADDitude Magazine

Role-playing strategies to help your child get along with others—even bullies.

Making eye contact. Not interrupting. Taking turns. If your child with attention deficit disorder (ADD ADHD) needs help with these and other social skills, you may want to give “role-playing” a try. By testing out various personas, he can see how simple changes in what he says and does can help him get along better with friends and family members.

Role-playing works with almost any child who is old enough to talk. It’s especially good for teaching children how to deal with teasing — a problem familiar to many kids with ADHD.

Consider the case of Joe B., a nine-year-old I recently treated. Joe’s parents sought my help because he kept overreacting to playful (but sometimes hurtful) verbal banter that came his way during recess. On one such occasion, after Joe did something silly, a playmate laughed at him and called him a “turkey head.” Enraged, Joe shoved the boy and burst into tears. He looked like a crybaby.

Joe acknowledged shoving the other boy, but said to me, “He started it.” Joe felt it was the other boy who needed to change. I explained to Joe that he couldn’t always control what other people did, but that he always had a choice about how to react. “You’re the boss of yourself,” I told him.

Talking things over made Joe feel better, and I decided that role-playing might help Joe avoid future incidents. Here are the basic steps I used with Joe that you might try with your own child:

Define the problem. Talk things over until you understand the exact nature of the problem facing your child. Joe’s problem, of course, was that he felt angry and sad when kids called him names—and couldn’t stop himself from lashing out physically.
Acknowledge bad feelings. Let your child know that it’s normal to be upset by teasing. Joe’s parents and I made sure that he understood that—and that it was not OK for children to pick on him.
Discuss alternative ways to respond. Explain to your child that there are many ways to respond to teasing, some good and some not so good. Shoving the teaser was a bad choice. Joe and I explored better options, including walking away from the encounter and saying “I don’t care” over and over, until the teaser got bored. Ultimately, Joe decided he’d simply say, “Please stop it.” He said that gave him a sense of control over the situation.
Reenact the situation. Once you’ve armed your child with socially acceptable ways to respond, let him play the role of the child being teased while you play the teaser. Then switch roles, varying the “script” to explore the different ways in which the scenario could play out. You might videotape the role-playing sessions and review the tapes at a later time with your child to reinforce appropriate behavior.
Celebrate success. If your child comes home announcing that he has used the lessons learned in role-playing, congratulate him. Give him a high-five, and tell him how proud you are — even if he didn’t do everything you had practiced. This is not the time to nit-pick.
Role-playing didn’t help Joe right away. But one day, a few weeks after we began our sessions, Joe was beaming when he came into my office. Once again, a playmate had teased him, but this time Joe hadn’t struck back. “I told him I didn’t care what he thought,” Joe explained.

Over time, as we continued our sessions, Joe got even better at controlling his behavior on the playground. Other children accepted him as one of the gang, and that made him feel good about himself.

Parents Universal Resource Experts (Sue Scheff) Prescription Drugs and Teens

By Connect with Kids

“I know a couple people … the first thing they ever tried, you know, going to their parents’ medicine cabinet and just looking in there and finding what they could get high off of.”

– Marie Bokemeyer, 17

According to the Federal Drug Enforcement Administration, 7 million Americans abuse prescription drugs. And many are just teens.

“Percosets, Valium, Xanax … pretty much anything I could get my hands on,” 17-year-old Mururi Wangu says.

In fact, the abuse of prescription drugs has risen 80 percent in the past 6 years. Experts say, aside from marijuana, teens are abusing these drugs more than all other illicit drugs combined.

Experts say that one reason for such a dramatic jump in abuse numbers is the availability of prescription drugs.

“This is the age of medication,” says Dr. Steven Jaffe, an adolescent psychologist. “I think there’s tremendous amounts of all sorts of medicine out there that are readily available in the bathrooms, in the cabinets at home, as well as on the black market.”

Moreover, since the U.S. Food and Drug Administration approves prescription drugs, teens mistakenly believe that using these drugs – even if they don’t have a prescription – is safe.

“For a while, I thought prescription drugs aren’t as bad because why would the doctor prescribe them if they were dangerous,” 17-year-old Marie Bokemeyer says.

Experts say that’s why parents should start early with a strong, clear message that abusing any kind of drug is wrong. They should also get to know their teens’ friends, limit unsupervised time, keep close track of medications in their homes and don’t assume it can’t happen to their teens.

“I have a thousand parents who say, ‘I didn’t know how much my child was in to.’ And it’s not just denial – teenagers are experts at hiding it,” Dr. Jaffe says.

Adds 17-year-old Kat Peterson: “I didn’t care about the danger of it; that had no effect on me. It was just the convenience of it.”


Tips for Parents

The abuse of prescription drugs has become a major health concern. More teens than ever are turning to their medicine cabinets to get high. Experts say one reason is accessibility. The majority of teens who abuse prescription drugs say they get them for free from their friends or relatives. Another reason these drugs have become so popular is, because the drugs are approved by the FDA, many teens consider them to be safe.

Consider these statistics:

In 2005, 2.1 million teens abused prescription drugs.

Three percent, or 840,000 teens ages 12-17, reported current abuse of prescription drugs in 2005, making this illegal drug category the second most abused next to marijuana (7%).

For the first time, there are just as many new abusers (12 and older) of prescription drugs as there are for marijuana.

One-third of all new abusers of prescription drugs in 2005 were 12-17-year-olds.
Teens ages 12-17 have the second-highest annual rates of prescription drug abuse after young adults (18-25).

Nearly one in five teens (19% or 4.5 million) report abusing prescription medications that were not prescribed to them.

Teens admit to abusing prescription medicine for reasons other than getting high, including to relieve pain or anxiety, to sleep better, to experiment, to help with concentration or to increase alertness.

More than one-third of teens say they feel some pressure to abuse prescription drugs, and nine percent say using prescription drugs to get high is an important part of fitting in with their friends.

Nearly three out of 10 teens (29% or 6.8 million) believe prescription pain relievers—even if not prescribed by a doctor—are not addictive.

In 2004, more than 29 percent of teens in treatment were dependent on tranquilizers, sedatives, amphetamines and other stimulants.

As a parent, it is important to understand that teens may be involved with legal and illegal drugs in various ways. The American Academy of Child & Adolescent Psychiatry (AACAP) reports that many teens begin using drugs to satisfy their curiosity, to make themselves feel good, to reduce stress, to feel grown up or to “fit in.” While it is difficult to know which teens will experiment and stop and which will develop serious problems, the National Institute of Drug Abuse says the following types of teens are at greatest risk of becoming addicted:

Those who have a family history of substance abuse
Those who are depressed
Those who have low self-esteem
Those who feel like they don’t “fit in” or are out of the mainstream

Because the U.S. Food and Drug Administration puts its seal of approval on prescription drugs, many teens mistakenly believe that using these drugs – even if they are not prescribed to them – is safe. However, this practice can, in fact, lead to addiction and severe side effects. The Center for Drug Evaluation and Research cites the following most commonly abused prescription drugs:

Opioids: Also known as narcotic analgesics, opioids are used to treat pain. Examples of this type of drug include morphine, codeine, OxyContin (oxycodone), Vicodin (hydrocodone) and Demerol (meperidine). In the short term, these drugs block pain messages and cause drowsiness. A large, single dose can cause severe respiratory depression and death. Long-term use leads to physical dependence and, in some cases, addiction.

Central nervous system (CNS) depressants: These drugs are commonly used to treat anxiety, panic attacks and sleep disorders. Examples include Nembutal (pentobarbital sodium), Valium (diazepam) and Xanax (alprazolam). CNS depressants slow down normal brain function and can cause a sleepy, uncoordinated feeling in the beginning of treatment. Long-term use can lead to physical dependence and addiction.

Stimulants: These drugs are commonly used to treat the sleeping disorder narcolepsy and attention-deficit hyperactivity disorder. Examples include Ritalin (methylphenidate) and Dexedrine (dextroamphetamine). Stimulants, which can be addictive, enhance brain activity and increase alertness and energy. They elevate blood pressure, heart rate and respiration. Very high doses can lead to irregular heartbeat and high body temperature

How can you determine if your teen is abusing drugs? The AACAP suggests looking for the following warning signs and symptoms in your teen:

Physical: Fatigue, repeated health complaints, red and glazed eyes and a lasting cough
Emotional: Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest

Familial: Starting arguments, breaking rules or withdrawing from the family
School-related: Decreased interest, negative attitude, drop in grades, many absences, truancy and discipline problems

Social: having new friends who are less interested in standard home and school activities, problems with the law and changes to less conventional styles in dress and music

If you believe your teen has a problem with drug abuse, you can take several steps to get the help he or she needs. The American Academy of Family Physicians suggests contacting your health-care provider so that he or she can perform an adequate medical evaluation in order to match the right treatment or intervention program with your teen. You can also contact a support group in your community dedicated to helping families coping with addiction.

Substance abuse can be an overwhelming issue with which to deal, but it doesn’t have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your teen can reap the rewards of a healthy, drug-free life:

Be your teen’s greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.

Encourage your teen to get involved in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available. Sometimes it takes a bit of experimenting to find out which activities your teen is best suited for, but it’s worth the effort – feeling competent makes children much less likely to use drugs.

Help your teen develop tools he can use to get out of drug-related situations. Let him or her know he or she can use you as an excuse: “My mom would kill me if I smoked marijuana!”
Get to know your teen’s friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your teen away from any friends who use drugs.

Call teens’ parents if their home is to be used for a party. Make sure that the party will be drug-free and supervised by adults.

Set curfews and enforce them. Let your teen know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.

Sit down for dinner with your teen at least once a week. Use the time to talk – don’t eat in front of the television.

Get – and stay – involved in your teen’s life.

References
American Academy of Child & Adolescent Psychiatry
American Academy of Family Physicians
Center for Drug Evaluation and Research
Drug Abuse Warning Network
National Institute on Drug Abuse
Partnership for a Drug-Free America
Substance Abuse & Mental Human Services Administration
U.S. Food and Drug Administration

Parents Universal Resource Experts (Sue Scheff) Teens Smoking and How Parents Can Prevent It

By Aurelia Williams

Teen smoking statistics are on the rise. It is very important that children are informed of the teen smoking statistics and the harmful effects of smoking.Having involved parents — those who know a lot about their children’s friends, activities and performance in school — can help children overcome peer influence to start teen smoking, according to a study by a researcher at the National Institute of Child Health and Human Development (NICHD).

The study also confirmed earlier findings that the more widespread children think smoking is, the more likely they are to start. Moreover, children who are socially competent — who have the ability to exercise self-control and good judgment — and have parents who monitor their behavior tend not to start smoking. The study, which was published in the December 2002 issue of Prevention Science, surveyed students in four middle schools in a suburban Maryland school district.

Why Parental Involvement Is Key

While researchers have known that both peers and parents play an important role in whether young teens and preteens start smoking, they’ve known less about whether the effects of peer influence on starting smoking is affected by other factors, such as parents’ involvement and children’s adjustment to school and degree of social competence.

“Many children start to experiment with smoking in early adolescence,” said Duane Alexander, M.D., director of the NICHD. “Many then go on to develop a life-long addiction that can cause them serious health problems later in life. This study shows that by staying involved in their children’s lives, parents can help them to avoid the smoking habit.”

Bruce Simons-Morton, Ph.D., of NICHD’s Division of Epidemiology, Statistics and Prevention Research, surveyed 1,081 students in four middle schools at the beginning and again at the end of sixth grade. The students completed a questionnaire that measured a variety of factors, including their friends’ behavior and expectations; their own ability to resist dares, resolve conflicts and retain self-control; and how well they follow rules, complete school work on time and get along with classmates and teachers. The questionnaire also asked children about their parents’ involvement in their lives, their parents’ expectations for them and whether their parents check to see if the children have done what they’ve been asked to do.

The researchers found that teens with friends engaging in problem behavior — those who smoked, drank, cheated on tests, lied to parents, bullied others or damaged property — were more likely to smoke if their parents were relatively less involved than if their parents were relatively more involved. This finding pertained to all of the children studied — boys, girls, African-Americans, whites, children living with one parent and children with mothers who had not attended college. Parents’ expectations about smoking and whether an adult at home smokes did not significantly influence children’s decision to start smoking.

“Parents’ involvement may be particularly important during early adolescence,” said Dr. Simons-Morton. “It is a time when many young people first begin asserting their independence from their parents, but before peer influences reach their full strength. It’s also a time when young people are still sensitive to their parents’ values and concerns, and may be reluctant to try smoking, because they know their parents would disapprove.”

The study also confirmed two earlier findings. The researchers found that students who provided higher estimates of how many other youth smoke were more likely to smoke than those who provided lower estimates. This finding was true regardless of whether children had relatively more or relatively fewer friends who smoked. In addition, the researchers found that sixth graders who had the ability to exercise self-control and good judgment, and had parents who monitored their behavior, were less likely to start smoking. Dr. Simons-Morton noted that the study was not a nationally representative survey, but was limited to four middle schools in one suburban location. Also, some groups of children may not have been fully represented in the study, because their parents did not give permission for them to participate, or because they were absent from class on survey days.

From a December 2002 National Institutes of Child Health and Human Development news release. Providing teen smoking statistics and other health relate information

www.helpyourteens.com

www.witsendbook.com

Parents Universal Resource Experts (Sue Scheff) Building Social Skills for ADHD Children

By ADDitude Magazine

Role-playing strategies to help your child get along with others—even bullies.

Making eye contact. Not interrupting. Taking turns. If your child with attention deficit disorder (ADD ADHD) needs help with these and other social skills, you may want to give “role-playing” a try. By testing out various personas, he can see how simple changes in what he says and does can help him get along better with friends and family members.

Role-playing works with almost any child who is old enough to talk. It’s especially good for teaching children how to deal with teasing — a problem familiar to many kids with ADHD.

Consider the case of Joe B., a nine-year-old I recently treated. Joe’s parents sought my help because he kept overreacting to playful (but sometimes hurtful) verbal banter that came his way during recess. On one such occasion, after Joe did something silly, a playmate laughed at him and called him a “turkey head.” Enraged, Joe shoved the boy and burst into tears. He looked like a crybaby.

Joe acknowledged shoving the other boy, but said to me, “He started it.” Joe felt it was the other boy who needed to change. I explained to Joe that he couldn’t always control what other people did, but that he always had a choice about how to react. “You’re the boss of yourself,” I told him.

Talking things over made Joe feel better, and I decided that role-playing might help Joe avoid future incidents. Here are the basic steps I used with Joe that you might try with your own child:

Define the problem. Talk things over until you understand the exact nature of the problem facing your child. Joe’s problem, of course, was that he felt angry and sad when kids called him names—and couldn’t stop himself from lashing out physically.
Acknowledge bad feelings. Let your child know that it’s normal to be upset by teasing. Joe’s parents and I made sure that he understood that—and that it was not OK for children to pick on him.
Discuss alternative ways to respond. Explain to your child that there are many ways to respond to teasing, some good and some not so good. Shoving the teaser was a bad choice. Joe and I explored better options, including walking away from the encounter and saying “I don’t care” over and over, until the teaser got bored. Ultimately, Joe decided he’d simply say, “Please stop it.” He said that gave him a sense of control over the situation.
Reenact the situation. Once you’ve armed your child with socially acceptable ways to respond, let him play the role of the child being teased while you play the teaser. Then switch roles, varying the “script” to explore the different ways in which the scenario could play out. You might videotape the role-playing sessions and review the tapes at a later time with your child to reinforce appropriate behavior.
Celebrate success. If your child comes home announcing that he has used the lessons learned in role-playing, congratulate him. Give him a high-five, and tell him how proud you are — even if he didn’t do everything you had practiced. This is not the time to nit-pick.
Role-playing didn’t help Joe right away. But one day, a few weeks after we began our sessions, Joe was beaming when he came into my office. Once again, a playmate had teased him, but this time Joe hadn’t struck back. “I told him I didn’t care what he thought,” Joe explained.

Over time, as we continued our sessions, Joe got even better at controlling his behavior on the playground. Other children accepted him as one of the gang, and that made him feel good about himself.

Sue Scheff: Body Image in Teens by Sarah Maria

By Sarah Maria www.breakfreebeauty.com

Body Image in Teens

If you're in high school, most of your friends are probably on a diet. A recent study shows that 90% of junior and senior girls are on a diet regularly, even though only 10-15% are actually overweight.

The modeling industry also promotes the idea that you need to diet and exercise religiously. Fashion models are actually thinner than 98% of American women. An average woman stands 5'4" tall and weighs about 140 lbs, while the average fashion model is a towering 5'11" tall and weighs under 117 lbs.

In reality no amount of dieting, exercise and discipline can earn you a magazine cover-ready body because those photos have been Photo Shopped, doctored and airbrushed. Don't waste your time attempting to be what you are not, instead; focus on cultivating who you are!

Body Image Tips
As you progress through puberty and your high school years, your body changes as fast as your favorite ringtones. But learning to appreciate your body and have positive self image is a task that few adults have even mastered. Here are some tips to help you learn to love yourself:

Learn to Cook- It is never too early to learn to cook. In just a few years, you will be on your own and you will be expected to feed and take care of yourself. Get some practice at home by preparing some family meals or meals for just yourself. Try some new foods by looking through cookbooks and online. Impress your friends by having a dinner party. This also helps you understand how food functions within a regular diet. Learn how to cook healthily so you can eat healthily, but don't spend too much time worrying about food!

Don't Diet!- Dieting is a great way to ruin your eating habits and your relationship with food and your body. Instead, learn about healthy eating and exercise habits. The healthy habits you learn while you are young will serve you throughout your life!

People Watch- Go to the mall or a public space and people watch. How many are fat or thin? How tall are most women? Men? What do you like or dislike about people's styles, looks or body type? How much of their appearance is "style" and how much is their actual body types? Cultivate the ability to see style and beauty in everyone. As you learn to do this, you can be a trend-setter instead of a trend-follower.

Keep it Real- Remember, people only pick the best photos to be on their MySpace or Facebook page. Remind yourself that they all have bad hair days, the occasional zit or an unflattering outfit choice.

Stay Well Rounded- Sign up for activities that you have never tried. Join an intramural sport or speech meet. Build up your college resume by participating in extracurricular activities. It's a great way to broaden your social circle and prepares you for college or a job.

Be a Trend Setter- Don't just follow the crowd - create your own crowd by being a trend setter. Find your own style and look by experimenting with your hair, makeup and clothing. What is your look trying to say? Does it match what you want people to think about you? Someone has to set the trends. Why not you?

Learn to meditate- It is never too early to learn to meditate. You will find that this is a skill you can use all your life. By focusing inward, it is easier to distill the truth rather than listening to outside influences. It will also help you manage the stress of your busy life.


Parental Tips
If you are a parent of a teen, you know the challenges of living with an emotional, possibly aloof teenager who begs for guidance but disregards most of what you say. Their alternating moods and attitudes make approaching a touchy subject like body image feels dangerous. The following are some tips to help with a positive body image:

Have an Open Door Policy-You'd like your teen to approach you with any problem she is facing but often you aren't sure if she's coming to you, going to her friends or suffering alone. Encourage regular candid conversation by noticing what times and places your teen is most likely to talk. Is she a night owl? Does she talking on a long drive? Is she more comfortable emailing? Use the time and venue that is most comfortable for her and encourage open sharing.

Limit Harmful Media- Put your teen daughter on a media diet. Don't feel you need to restrict website, magazine or TV shows entirely. Just be cautious of what mediums she concentrates on. Be especially mindful of any one celebrity that she idolizes or photos that she tears out and stares at repeatedly. Discuss how all magazine photos are airbrushed and doctored.

Compliment Her and Her Friends- Make a point to compliment both your daughter and her friends on a well-put together outfit or a new hair style. Teens are trying on new looks and personalities as their bodies change. Let them know that they have hit on a good look when they experiment in the right direction.

Make sure to compliment them on things not related to their appearance as well. A good grade, a valiant sports effort or kind deed also deserve notice. Try to practice a 90/10% rule. Let 90% of your comments and insights be positive and only 10% should be carefully worded constructive criticism.

Resources:

Health AtoZ: Is it a Diet or an Eating Disorder?


Eating Disorder Statistics

http://www.freewebs.com/anadeath/statistics.htm

Sue Scheff: Teens with ADD: Transitioning to Adulthood

By ADDitude Magazine

How to help your teenager with ADD make a smooth transition to an adulthood with greater responsibility.

Welcome to adulthood! Late adolescence and early adulthood are exciting times, bringing tremendous change and personal growth. From choices about higher education to decisions about a career and family, there is so much ahead that it may seem overwhelming. Take heart - every adult has faced these same decisions and met the same challenges. You'll do fine.

As a young teen with attention deficit disorder (ADD ADHD), however, be aware that you have some additional responsibilities and concerns to shoulder. As someone who has been there, let me outline six points to consider, and offer some advice and inspiration, as you enter the next phase of your life.

Read entire article here: http://www.additudemag.com/adhd/article/839.html

Sue Scheff: How Special Time Works With Teens

Author: Patty Wipfler
Source: Hand in Hand



Special Time* is a simple idea that carries a lot of power! It's a highly dependable way to build and to rebuild a close connection with a child.

The power of Special Time is that it puts the parent in the "back seat" of the parent/child relationship. The child does the steering. Until you do Special Time, it's hard to detect habits of control and direction that you may have adopted in your interactions with your child. Special Time helps a parent pull away from those habits, and gives the child a chance to bask in the parent's approval and demonstrate his own preferences and interests.

Children often ask for kinds of play or interaction that a parent wouldn't usually choose, or wouldn't think of. The child's choices are a direct but nonverbal communication about what he likes, his issues, or possibly the places he has become stuck in a rut of fascination or worry. But in any case, Special Time makes it safe for a child to "show himself" in ways that he might not usually dare to, because the parent has agreed to pay attention, to support the child's ideas, and has sworn not to allow anything to interrupt. The sense of closeness and caring that children derive from Special Time builds their confidence in their ability to think, to love, and to learn.

Used wisely, Special Time can be a powerful tool for creating and repairing connection between parent and teen, too. Here are a few things to remember when setting out to try Special Time with your teenager.

Teens need their parents to reach out for a genuine connection. Think for a minute about why you want to be close to your teenager. Think about what you used to love to do with him or her, and what has been fun recently. Think about his or her longings and the things your teen is interested in. Offer to spend one-on-one time, not because you "should," or because a problem needs to be solved, but because you want your life and his life to be good, and good together.
It's helpful to set the guidelines, so your teen's hopes aren't raised, then dashed unnecessarily. How much time can you really spend? How much money can you spend? Do you have transportation? How far can you go? Will you buy things you don't usually allow, i.e., candy, soda, body piercings, or not?

Don't bring up sore subjects. This is a time to put your attention on the good things about your teen, not on your irritations or worries. If you must bring up difficult topics, make an appointment for that, totally separate from Special Time. Let this time be led by your teen, not your worries or upsets.

If your offer of time together is rejected, don't give up! There are at least two things you can do to move things forward.


The first and most important one is to set up a good amount of time for a Listening Partnership, so you can talk fully about yourself and your teenager. What's great in your relationship with him, and what's difficult? What was life like for you at that age? What was your relationship like when he was an infant? A toddler? It's surprisingly helpful for parents to have 45 minutes or an hour to consider the big picture of their relationship without advice or interruption. Talking about one's own experiences, and noticing the feelings that make it hard to show respect, affection, or encouragement toward your teen will help to move the relationship between you forward.

The second thing a parent can do is to initiate time together without announcing it, and without drawing attention to it. This might mean taking a magazine into your teenager's room and plopping down on the bed while he's doing homework, moving close to really listen to the words of the songs on your daughter's favorite CD, or being awake and ready with a snack when your teen comes home late at night. Prepare yourself to pay attention to your teen, but in a low-key way. You're "leaning toward him," not rushing in to ask questions or try to be his best friend. Look for opportunities to offer approval. Discipline yourself not to ask probing questions. Just hang out.

You're "trolling" for an opportunity to engage. Your teen might not take immediate advantage of your unspoken availability. He may look like he doesn't notice. That's fine. You're learning to let him be in the driver's seat during these unannounced Special Times. You are making a commitment in your mind and heart to offer your attention, and to trust him to take the offer eventually. Every time you hang around, content to be in your teen's presence, you're making it safer for your teen to eventually talk with you about important things. The path won't be short or certain, but carving out times when you decide not to be busy, and you set out no demands or expectations, will take you in a good direction.

Special Time, tailored by you for your own circumstances with your teenager, can make a big difference at times of trouble. Having one-on-one time during which you offer approval, interest, and no reference to difficulties can help break the isolation that glues a rough spot affecting a teen and his parents in place.

Read entire article here: http://www.education.com/reference/article/Ref_How_Special_Time/

Parents Universal Resource Experts (Sue Scheff) Is Your Child in Trouble?

Is Your Child in Trouble?

This article from the American Chronicle by Genae-Valecia Hinesman lists and details several signs that parents should watch out for, as they may indicate problems in your child's life. Many of these signals are also applicable for inhalant abuse, but this is a great article to read for any parent.

1. Erratic Behavior


"As young people carve out their own individuality separate from that of their parents´, and seek an answer to the proverbial question, "Who AM I?" they could clash more frequently with those around them. They may be happy one minute and sullen the next. Even this is normal. However, if your child starts reacting violently, either at home or at school, clearly something is seriously wrong."

2. Loss of Coordination, Glazed Eyes, Slurred Speech

"Without question, only two things can explain these symptoms. The first is that the person in question has suffered a stroke or a seizure. The second is that this person is inebriated. Both situations require immediate action. If your child is intoxicated, your first duty is to keep them from leaving the house until sober, for their own safety and the safety of others.

Once they are coherent, find out what they were taking and where they obtained it. If they were found unconscious, and taken to a hospital, medical testing will be able to provide a toxicology report. Encourage them to seek help, if addicted, and at least undergo counseling to learn how to avoid future dependency. Help in any way you can, but let them know that they must want to help themselves, in order to successfully change for the better."


3. Persistant Sadness and Withdrawel from Others

"Any child showing these signs for more than two weeks without interruption is clearly depressed. A change in eating habits and/or grooming has probably also been noticed. If so, something, or a combination of things, has triggered these changes. Your job is to find out what."

4. Honor Student to Dropout

"If your consistently top-notch student suddenly loses interest in school with grades in two or more classes plummeting, take heed! Straight A´s simply don´t turn into D´s overnight. Sit down with him or her and find out what´s happening in your child´s life.

Whatever it happens to be, let him or her know that you´re willing not only to help, but to listen as well. Refuse to accept "Leave me alone!" or "Nothing!" as acceptable answers. If they won´t talk to you, find another trusted adult with whom they will talk. Seek professional help if they need it."


5. Drastic Social Changes

"Friends and companions can and sometimes should, change a bit by the time your child leaves high school. Nevertheless, if your child´s associates suddenly are vastly different in negative ways from those they used to spend time with, this is usually a very bad sign. It´s even more telling if they now avoid or shun their old friends for no readily apparent reason."

6. Finding Unusual Possessions

"Discovering drugs, whether prescription, over-the-counter, or illegal narcotics that you had no idea that your child was using calls for immediate address. The same can be said for condoms, birth control devices, cigarettes, alcohol, and drug paraphernalia of any kind.

Recently, even glue, industrial products, and cleaning supplies have been used as inhalants (known among teens as "huffing") by kids seeking to get "high"-- often with fatal results. Finding these in your child´s room, pockets, or belongings is just as serious as finding a weapon. More than a red flag, this is a screaming siren!"


7. Legal Troubles

"Finally, if your child has been arrested at least once, this is clear indication that the situation is rapidly careening beyond the scope of your reach. By the time law enforcement becomes involved two or more times, your child has become society´s problem and the courts will soon decide his or her future.

Repeated run-ins with legal authorities can never be overlooked as "just a phase". There may still be hope, but only if drastic measures are taken and your child still cares enough to save himself or herself. Only so many chances are given to legal offenders. Don´t let time run out. Intervene while you still can."


These are all excellent points and can be of help to parents who ask, "is my kid abusing inhalants?" The warning signs are often subtle, but they are there.





http://www.inhalant.org/


http://www.helpyourteens.com/


http://www.witsendbook.com/

Sue Scheff: Why Kids Steal

By KidsHealth http://www.kidshealth.org/

Kids of all ages - from preschoolers to teens - can be tempted to steal for different reasons:Very young children sometimes take things they want without understanding that things cost money and that it's wrong to take something without paying for it.Elementary school children usually know they're not supposed to take something without paying, but they may take it anyway because they lack enough self-control.

Preteens and teens know they're not supposed to steal, but they may steal for the thrill of it or because their friends are doing it. Some might believe they can get away with it. As they're given more control over their lives, some teens may steal as a way of rebelling.Read entire article here:

http://www.kidshealth.org/parent/positive/talk/shoplifting.html