Sue Scheff: Mistreated Depression

Source: Connect with Kids

“Basically, psychiatrists are pretty busy. They don’t want to spend a lot of time with people. They want to get people in and out, maybe two or three an hour. … It pays better to do that than spending an hour doing psychotherapy.”

– David Gore, Ph.D., clinical psychologist

Fifteen-year-old Sarah McMenamin suffers from depression. It started a year ago with the death of her father.

“I was just like, ‘I just want to die,’” she says, describing her feeling before seeing a therapist. “I would never kill myself, but I just wish I was dead, I just wish I was never going to wake up.”

For depressed teens, experts at the American Academy of Child and Adolescent Psychiatry say what can help is medicine – combined with talk therapy.

“I think the therapist helped me,” explains Sarah, “’cause it was talking, you know, I got it out. I didn’t bottle everything up.”

“The advantage to getting some therapy along with medication is that you get to the root of the problem,” explains Dr. David Gore, clinical psychologist. “You get to see why you’re feeling that way. And if you start understanding why you’re feeling that way, chances are pretty good you’ll stop feeling that way.”

But according to a new study from Thomson-Reuters, more teens than ever are getting medication without psychotherapy. Why? Gore has an answer.

“Basically, psychiatrists are pretty busy,” Dr. Gore says. “They don’t want to spend a lot of time with people. They want to get people in and out, maybe two or three an hour. … It pays better to do that than spending an hour doing psychotherapy.”

Three months ago, Sarah started seeing a new doctor.

“Right away he put me on Zoloft,” she says. “He didn’t even know me for an hour and he put me on it.”

But psychologists say medicine alone just won’t work as well.

“You take your pill, you’ll get some immediate relief,” explains Dr. Gore, “but the problem’s going to crop up again in two months or four months or six months. You’ve got to get to the root of the problem.”

Sarah will resume talk therapy again in a few months. She says she is looking forward to it.

“You get it out on the table and you know your feelings’” she says, “and you go in thinking it’s one thing and you come out finding out it’s like 10 different things and you’re like, ‘Wow.’”

Tips for Parents

All teens experience ups and downs. Every day poses a new test of their emotional stability – fighting with a friend, feeling peer pressure to “fit in” with a particular crowd or experiencing anxiety over a failed quiz – all of which can lead to normal feelings of sadness or grief. These feelings are usually brief and subside with time, unlike depression, which is more than feeling blue, sad or down in the dumps once in a while.

According to the Nemours Foundation, depression is a strong mood involving sadness, discouragement, despair or hopelessness that lasts for weeks, months or even longer. It also interferes with a person’s ability to participate in normal activities. Often, depression in teens is overlooked because parents and teachers feel that unhappiness or “moodiness” is typical in young people. They blame hormones or other factors for teens’ feelings of sadness or grief, which leaves many teens undiagnosed and untreated for their illness.

The Mayo Clinic reports that sometimes a stressful life event triggers depression. Other times, it seems to occur spontaneously, with no identifiable specific cause. However, certain risk factors may be associated with developing the disorder. Johns Hopkins University cites the following risk factors for becoming depressed:

Children under stress who have experienced loss or who suffer attention, learning or conduct disorders are more susceptible to depression.
Girls are more likely than boys to develop depression.
Youth, particularly younger children, who develop depression are likely to have a family history of the disorder.
If you suspect that your teen is clinically depressed, it is important to evaluate his or her symptoms and signs as soon as possible. The National Depressive and Manic-Depressive Association cites the following warning signs indicating that your teen may suffer from depression:

Prolonged sadness or unexplained crying spells
Significant changes in appetite and sleep patterns
Irritability, anger, worry, agitation or anxiety
Pessimism or indifference
Loss of energy or persistent lethargy
Feelings of guilt and worthlessness
Inability to concentrate and indecisiveness
Inability to take pleasure in former interests or social withdrawal
Unexplained aches and pains
Recurring thoughts of death or suicide

It is important to acknowledge that teens may experiment with drugs or alcohol or become sexually promiscuous to avoid feelings of depression. According to the National Mental Health Association, teens may also express their depression through other hostile, aggressive, risk-taking behaviors. These behaviors will only lead to new problems, deeper levels of depression and destroyed relationships with friends and family, as well as difficulties with law enforcement or school officials.

The development of newer antidepressant medications and mood-stabilizing drugs in the last 20 years has revolutionized the treatment of depression. According to the Mayo Clinic, medication can relieve the symptoms of depression, and it has become the first line of treatment for most types of the disorder. Psychotherapy may also help teens cope with ongoing problems that trigger or contribute to their depression. A combination of medications and a brief course of psychotherapy are usually effective if a teen suffers from mild to moderate depression. For severely depressed teens, initial treatment usually includes medications. Once they improve, psychotherapy can be more effective.

Immediate treatment of your teen’s depression is crucial. Adolescents and children suffering from depression may turn to suicide if they do not receive proper treatment. Suicide is the third leading cause of death for Americans aged 10-24. The National Association of School Psychologists suggests looking for the following warning signs that may indicate your depressed teen if contemplating suicide:

Suicide notes: Notes or journal entries are a very real sign of danger and should be taken seriously.

Threats: Threats may be direct statements (“I want to die.” “I am going to kill myself”) or, unfortunately, indirect comments (“The world would be better without me.” “Nobody will miss me anyway”). Among teens, indirect clues could be offered through joking or through comments in school assignments, particularly creative writing or artwork.

Previous attempts: If your child or teen has attempted suicide in the past, a greater likelihood that he or she will try again exists. Be very observant of any friends who have tried suicide before.

Depression (helplessness/hopelessness): When symptoms of depression include strong thoughts of helplessness and hopelessness, your teen is possibly at greater risk for suicide. Watch out for behaviors or comments that indicate your teen is feeling overwhelmed by sadness or pessimistic views of his or her future.

“Masked” depression: Sometimes risk-taking behaviors can include acts of aggression, gunplay and alcohol or substance abuse. While your teen does not act “depressed,” his or her behavior suggests that he or she is not concerned about his or her own safety.

Final arrangements: This behavior may take many forms. In adolescents, it might be giving away prized possessions, such as jewelry, clothing, journals or pictures.

Efforts to hurt himself or herself: Self-injury behaviors are warning signs for young children as well as teens. Common self-destructive behaviors include running into traffic, jumping from heights and scratching, cutting or marking his or her body.

Changes in physical habits and appearance: Changes include inability to sleep or sleeping all the time, sudden weight gain or loss and disinterest in appearance or hygiene.

Sudden changes in personality, friends or behaviors: Changes can include withdrawing from friends and family, skipping school or classes, loss of involvement in activities that were once important and avoiding friends.

Plan/method/access: A suicidal child or adolescent may show an increased interest in guns and other weapons, may seem to have increased access to guns, pills, etc., and/or may talk about or hint at a suicide plan. The greater the planning, the greater the potential for suicide.

Death and suicidal themes: These themes might appear in classroom drawings, work samples, journals or homework.

If you suspect suicide, it is important to contact a medical professional immediately. A counselor or psychologist can also help offer additional support.

References
American Academy of Child and Adolescent Psychiatry
American Foundation for Suicidal Prevention
Johns Hopkins University
Mayo Clinic
National Association of School Psychologists
National Depressive and Manic-Depressive Association
National Institute of Mental Health
National Mental Health Association
Nemours Foundation
Thomson-Reuters

Sue Scheff: Defiant Teens, Disrespectful Teens - Frustrated Parents

As the founder of Parents’ Universal Resource Experts (P.U.R.E.) I have found that children that have ODD (Oppositional Defiance Disorder) are very confrontational and need to have life their own way. A child does not have to be diagnosed ODD to be defiant. It is a trait that some teens experience through their puberty years. Defiant teens, disrespectful teens, angry teens and rebellious teens can affect the entire family.

An effective way to work with defiant teens is through anger and stress management classes. If you have a local therapist*, ask them if they offer these classes. Most will have them along with support groups and other beneficial classes. In today’s teens we are seeing that defiant teens have taken it to a new level. Especially if your child is also ADD/ADHD, the ODD combination can literally pull a family apart.

You will find yourself wondering what you ever did to deserve the way your child is treating you. It is very sad, yet very real. Please know that many families are experiencing this feeling of destruction within their home. Many wonder “why” and unfortunately each child is different with a variety of issues they are dealing with. Once a child is placed into proper treatment, the healing process can begin.

For more information and help - visit www.helpyourteens.com or www.witsendbook.com

Pros and Cons of Teen Partying by Vanessa Van Petten

Parties are a regular occurrence during the course of a teenager’s high school career. They typically involve bad DJing, a lot of red plastic cups, and plenty of people. They can be a lot of fun, but they can also have unfavorable endings if you don’t act responsibly.
Pros

It’s a great way to meet new people

There is usually a good mix of classmates, familiar and unknown, and students from other school. Attending a party can provide you with the opportunity to encounter a new group of characters outside your usual circle of friends. It’s always fun to make new acquaintances and create new ties.

Fun way to de-stress after the school week

Who doesn’t want to kick back and unwind after a long week of tests and homework? Parties are entertaining, adult-free social gatherings where we can just relax and be ourselves. There’s no pressure from parents to be serious and mature. Instead, we can be silly and giggly, far away from the demands of the scholastic atmosphere.

The “high school experience”

Fun, carefree, and sometimes secret house parties have a short lifespan. Once you’re out of high school and onto college, your schedule becomes increasingly busy. Your mind is no longer solely occupied with the latest drama in the locker room and what you plan on doing over the weekend. Suddenly you have a nightly paper to write and career choices to make. Once responsibility has taken over, you’ll become less available for late-night-partying and more focused on what you want to do with your life when school’s over. So enjoy your worry-free time and make the most of it.

Cons

ALCOHOL

I’ve found that the negative side of partying tends to be centered around the underage drinking part. Even though it is illegal to purchase alcohol until you are at the ripe old age of 21, teens don’t usually have a problem getting their hands on it. Besides the easy access at home, there are a lot of places that either don’t card or don’t pay much attention to fake IDs.

Unpleasant Side Effects

It doesn’t take very much alcohol for teenagers to get “the buzz”, and the consumption generally doesn’t stop at that point. In addition using alcohol as party refreshments, drinking games like Quarters and Beerpong are both common and popular. The ingestion of large amounts of alcohol at a time can lead to all kinds of undesirable side effects. They include: dizziness, memory loss, slurred speech, nausea, intense headaches, sensitivity to noise, poor judgment, impaired coordination and dexterity, and vomiting.

Boredom

When you’ve opted not to drink, and EVERYONE else is drinking, a party can become very dull, very fast. “Drunkards” or drunken teens usually find anything and everything around them to be hilarious and amusing. Their speech is slurred and their thought process has been altered, making it difficult to hold a conversation with them. When you are sober, this scene may not seem quite so comical. Instead, all you’ll see is a bunch of teenagers, falling all over themselves laughing and doing things that are totally out of character. And you’re the one who ends up sitting on the couch for the rest of the night, watching all your drunken friends enjoy themselves.

My advice: Have a good time but be cautious. It’s fine to get together and hang out with friends but it’s always good to be aware of your surroundings and be mindful of the consequences of your actions.

Visit www.onteenstoday.com for more information.

Parents Universal Resource Experts - Sue Scheff - Teen Defiance and Rebellious Teens

Parent's Universal Resource Experts has found that children that have ODD (Oppositional Defiance Disorder) are very confrontational and need to have life their own way. A child does not have to be diagnosed ODD to be defiant. It is a trait that some teens experience through their puberty years.

Defiant teens, disrespectful teens, angry teens and rebellious teens can affect the entire family.An effective way to work with defiant teens is through anger and stress management classes. If you have a local therapist*, ask them if they offer these classes. Most will have them along with support groups and other beneficial classes.

In today's teens we are seeing that defiant teens have taken it to a new level. Especially if your child is also ADD/ADHD, the ODD combination can literally pull a family apart.
You will find yourself wondering what you ever did to deserve the way your child is treating you. It is very sad, yet very real. Please know that many families are experiencing this feeling of destruction within their home. Many wonder "why" and unfortunately each child is different with a variety of issues they are dealing with. Once a child is placed into proper treatment, the healing process can begin.

If you feel your teen is in need of further Boarding School, Military School or Program Options, please complete our Information Request Form.

Do you have a struggling teen? At risk teens? Defiant Teen? Teen Depression? Problem Teen? Difficult Teen? Teen Rage? Teen Anger? Teen Drug Use? Teen Gangs? Teen Runaways? Bipolar? ADD/ADHD? Disrespectful Teen? Out of Control Teen? Peer Pressure?

Find about more about Boarding Schools, Military Schools, Christian Boarding Schools, Residential Treatment Centers, and Therapeutic Boarding Schools.