Showing posts with label teen health. Show all posts
Showing posts with label teen health. Show all posts

Tuesday, December 31, 2013

Teens Smoking Cigarettes

Smoking cigarettes is bad for you. 

However I do explain to parents, although I never condone smoking, there may come a time we have to pick and choose issues.  If your teen or child is smoking cigarettes while their peers are smoking pot, we need to be grateful.  Let's face it, chances are good it may lead to something more.

Most know it, yet peer pressure can sometimes outweigh it when it comes to kids.

Kids can get pretty creative when it comes to hiding their bad habits from parents and most parents assume that their child would never do anything like take drugs, drink alcohol or smoke cigarettes. In all cases there are certain signs to watch for that let you know if your child is indulging in any of these risky behaviors, no matter how crafty they may be at trying to hide them.
Here are some signs to watch for if you think your child may be smoking.
  1. More use of breath mints or chewing gum – Has your child suddenly felt it necessary to always chew gum or have breath mints? If so, there is a chance that they might be trying to cover up the bad breath that smoking causes.
  2. The dirty ashtray smell – Chances are if you confront your child about smelling like a dirty ash tray, their first response will be to blame it on the friends they hang around. This may or may not be true. If their clothes and possessions constantly and regularly smell like smoke, then there is a pretty good chance they are smoking.
  3. Yellowing teeth – Smoking causes the teeth to yellow from all of the chemicals they’re exposed to, so if your child’s teeth are beginning to turn a shade of yellow then you may have a problem on your hands.
  4. Shortness of breath – Smoking does affect the lungs and decreases lung capacity, so if your child is beginning to get easily winded it may be time to sit down and have a talk with them.
  5. Bad breath – If your child has really bad breath that reeks of smoke, it’s definitely time for you to have a heart to heart conversation about smoking and all of its negative side effects.
  6. Poor performance in athletics – If you see your once active child suddenly begin to decline in athletic performance this could be a sign that tobacco use is to be blamed.
  7. Yellowed fingers – Nicotine from cigarettes can cause yellowish staining of the fingers that commonly hold the cigarettes. If you’ve already had a suspicion you’ll want to watch for those telltale stains.
  8. Unexplained coughing – Children can cough due to colds and allergies but if your child is coughing and there is not a cause of which you are aware, you may want to ask some questions.
  9. Their space becomes off limits for you – As kids get older they want their privacy and their space becomes sacred to them. This is natural, but only within reason. If their room becomes completely off limits to you, look into the reason why. Does the room smell like smoke? Are they constantly burning incense?
  10. Overuse of perfume or cologne – Attempting to hide the smell of smoke on their clothes by using extra perfume or cologne is another possible sign that your child could be using cigarettes.
While none of these signs alone are necessarily cause for concern two or more together may warrant a closer look. If you find that you do need to talk to your child, do your best to stay calm and keep the lines of communication open.

Now is not the time to lecture or sermonize. Find out what the appeal to smoking is and remind your child about the costs both financially and to their health. Having an open and honest conversation will show your child that you are genuinely concerned about their well-being and hopefully will cause them to rethink developing this unhealthy habit.

Source: Summer Nanny

Tobacco Free Florida Quitline is a tremendous resource and hotline for both parents and teens to help you and your child kick this habit.

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Saturday, November 12, 2011

Teen Drugs, the risks, the dangers and how you can help prevent teen drug abuse

Parents and teachers today need to know as much as they can about street drugs and substances that our kids are exposed to.  NIDA has an extensive and informative website that educates us - and will give you insights to keep our communities as drug-free as possible.  First we have to know what we are up against.

Anabolic Steroids—Hand out this "damage diagram" activity and help kids understand the big picture about steroids' side effects.
Brain & Addiction—Try this activity to get the brain going and the discussion flowing.
Ecstasy—Find out how much your students know or don't know about ecstasy. Have them try this quiz.
HIV, AIDS, and Drug Abuse—Teach your children/students the connection between drugs and HIV infection.
Inhalants—Students will learn how the chemicals in inhalants can change how the brain and body work by finding their match.
Marijuana—A friend on "weed" is a friend in need-of your kids' knowledge. Download and discuss this email-writing activity.
Prescription Drug Abuse—Have your students take this quiz to learn more about the dangers of prescription drug abuse.
Stimulants—Help your children/students better understand the symptoms and consequences of stimulant abuse by having them fill in the missing blanks of this diagnostic report.
Tobacco Addiction—Try this matching activity in class to help kids understand nicotine's causes and effects.
Mind Over Matter—This series is designed to encourage young people in grades five through nine to learn about the effects of drug abuse on the body and the brain.
Mind Over Matter Teacher's Guide—Use this Teacher's Guide in conjunction with the Mind Over Matter magazine series to promote an understanding of the physical reality of drug use, as well as curiosity about neuroscience.


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Wednesday, July 20, 2011

Teens Starting College: Are they ready emotionally?

Everyone emotionally and mentally struggles at least once during college, but even individuals with no prior history of mental illness run the risk of losing control under pressure.

Mental illness continues to mystify the mainstream, and students already stressed and anxious about classes, relationships, jobs and activities end up suffering from the stigmas just as much as the conditions themselves. But they don’t have to nurture their pain in quiet. More and more individuals (students or not), their loved ones and organizations are speaking up in favor of psychological help in all its forms.

The following list represents some of the most common conditions occurring on campuses globally, though by no means should it be considered a comprehensive glimpse at an issue far more broad and complex.
  1. Clinical Depression: At least 44% of college students have reported suffering from some degree of clinical depression — and the number only escalates from there as years tick past. Thanks to prevailing social stigmas regarding psychiatric help, only 23% of victims reported that they’d be comfortable discussing their treatment. Considering the amount of stress, anxiety, sleeplessness and inter- and intrapersonal issues characterizing the college experience, it makes sense that an overwhelming number of students succumb to the symptoms. And, unfortunately, many of the common comorbid conditions and illnesses as well.
  2. Generalized Anxiety Disorder: Statistics from 2000 reveal that roughly 10% of college students received a diagnosis of generalized anxiety disorder, but in all likelihood the numbers have jumped over the past 11 years. Females suffer from such conditions at a rate of five times more than their male peers, though the numbers may be skewed due to unfair social perspectives regarding men and mental illness. Panic attacks inextricably tie into GAD and related disorders, and the afflicted — regardless of whether or not they attend college — can experience them either spontaneously or based on an external or internal cue. Do keep in mind that not all anxiety disorders manifest themselves via panic attacks, nor are all panic attacks inherently indicative of an anxiety disorder.
  3. Anorexia Nervosa: At least 91% of female college students have attempted to control their weight via extreme dieting, though not all of these cases can be considered anorexia, of course. Bulimia is actually more prevalent on campus, although anorexia kills more of its victims. Between 10% and 25% of total individuals with this tragic eating disorder die either from the disease itself or complications stemming directly from it. As with other diagnoses of its type, anorexia rarely ravages alone. Not only can it exist side-by-side with bulimia, EDNOS or binge eating disorder, it oftentimes settles in as a result of depression, compulsions or severe anxiety. Lifetime statistics show that between 0.5% and 3.6% of American women suffer from this condition at some point in their lives. With eating disorders on the whole, one of the major associated tragedies is the recovery rate. Only around 60% of victims make a full recovery, with 20% making some headway and the remaining 20% not really coming around.
  4. Bulimia Nervosa: Bulimia nervosa can either exist as comorbid with anorexia nervosa, binge eating disorder or EDNOS or on its own, though almost always stems from a mood, anxiety or compulsive disorder rather than flying entirely solo. Roughly 19% of female college students suffer beneath the destructive diagnosis, although males do suffer from it as well. This compares with the 1.1% to 4.2% of women who struggle with bulimia at any point in their lifetime — not just the college years.
  5. Substance Abuse: College males admit to past-year drug abuse at a rate of 40%, compared to the 43% of their un-enrolled peers. Females represent an inverse, with 35% of students abusing drugs versus 33% for those outside of college. A total of 37.5% of full-time students and 38.5% of part-timers admitted to illicit substance abuse. Roughly half of the college demographic engages in destructive alcohol consumption, with 1,700 dying, 599,000 injured, 696,000 assaulted and 97,000 raped or sexually assaulted yearly as a direct result. The reasons for these behaviors are as many and varied as there are individuals to display them, although a desire to fit in, depression, anxiety and other mental health issues are frequently to blame.
  6. Suicidal Thoughts and Actions: 7.5 out of every 100,000 college students commit suicide, with males between the ages of 20 and 24 standing as the most at-risk demographic. Graduate students are also more vulnerable, claiming 32% of these tragedies. At least 10.1% of total college kids admitted to seriously contemplating suicide, and 1.4% said they attempted it within the past year. The myriad emotional, mental and physical challenges of college life leave so many overwhelmed by hopelessness, stress and despair. Suicide often — but, of course, not always — represents the extreme end of anxiety, depression, eating disorders, compulsive disorders and other mental health conditions. And the general stigma surrounding the seeking of professional help, particularly amongst men, certainly doesn’t quell the problem any.
  7. Self-Injury: A 2006 study by Princeton and Cornell researchers revealed that 14% of male and 20% of female students repeatedly engaged in some sort of compulsive self-injury. Cutting, burning, and other dangerous releases provide a similar temporary comfort as drug and alcohol abuse. And, understandably, tend to correlate directly with anxiety, mood disorders, eating disorders, and even suicidal thoughts and behaviors, although single or repeated instances of physical, mental, and emotional abuse as well as lowered self-esteem can factor in at any time as well. 41% of college-aged self-injurers began hurting themselves between the ages of 17 and 22, although the national average is between 14 and 15. Unfortunately, only around 7% of these individuals seek psychological assistance for their torment.
  8. Obsessive-Compulsive Disorder: OCD afflicts one out of every 40 adults, one out of every 100 children and 250 out of every 10,000 college students. Considering higher education already severely taxes kids without any preexisting mental health conditions, it might prove hellacious to those suffering from the compulsive disorder. If left untreated, sufferers run the risk of succumbing to depression and anxiety (both of which are oftentimes co-morbid with OCD), substance abuse, self-injury or even suicide.
  9. Post-Traumatic Stress Disorder: It’s difficult to really gauge just how many college students truly suffer from Post-Traumatic Stress Disorder, as its symptoms almost always overlap with depressive and anxiety issues — not to mention the fact that both often grow from it. The condition settles in after any number of triggering incidents, but military service and sexual assault (up to and including rape) tend to garner the most attention. Both also impact college students and college-aged as well. An estimated 11% to 20% of Iraq and Afghanistan war veterans are expected to return home with PTSD. At least 20% of college females reported being victimized by rape at some point in their life, and on a national level only 18% actually take it to the authorities. Women under the age of 30.8 (specifically, those in the 16 to 19 range) are the most vulnerable demographic to sexual assault and rape, comprising 80% of reported cases.
  10. Phobias: Whether mild and largely harmless or in need of professional intervention, specific phobias are incredibly common both on and off college campuses. Arachnophobia appears to be the most prevalent, afflicting a staggering 34% of the student populace. The only one with any real relevance or influence on college life was public speaking, which terrified 31%. Surprisingly enough, 18% of respondents said they thought they might greatly benefit from pursuing counseling or other form of psychological assistance.
Source:  Accredited Online Colleges

Be an educated parent, you will have healthier teens.

Sunday, November 21, 2010

Teens and Sex: Remaining a Virgin in College


Believe it or not, some teens do in fact want to remain virgins until marriage. If you are part of this group and have managed to survive high school with your virginity still intact, then you have completed a huge accomplishment. But you will learn early on that during college you will be faced with a variety of different challenges that might make your vow of celibacy hard to keep. But there are some easy and practical ways that you can remain a virgin in college.

The first thing you need to do is know your limits. If you wish to remain a virgin, this doesn't mean that you have to cast off the opposite sex indefinitely, but you do need to be open about your desire to remain a virgin and set your limits. As cliché as it may sound, many lose their virginities because they were "caught up in the heat of the moment." So it's best not to put yourself into a situation that could jeopardize your virginity. For example, if you have no intentions of surpassing passionate kissing (or whatever your limit may be) let your partner know and make sure that it never truly gets past that point.  Know your limits and stick to them. If your boyfriend/girlfriend or date becomes agitated with your limits, then it's probably best you send them on their way and find someone else who is understanding. And there are people out there who are understanding, don't doubt that.

Another way to remain a virgin in college is to avoid temptations like alcohol. All too often males and females lose their virginities with a one night stand because they were drunk.  Not only do they lose something in an instant they've worked their whole lives to keep, but drunken sex is also a common way people contract STDs and get pregnant (they tend to forget about using contraceptives). Avoiding temptations doesn't necessarily mean you can't have fun and go to parties, but you can either not consume alcoholic drinks all together, or at least make sure you drink responsibility.  Limit yourself to one or two, nursing them rather than "chugging," and eat a good meal beforehand.

Lastly, don't make having sex, or rather not having sex, a goal. This is because if you constantly have it on your brain, it will become an active part of your thinking process. Once it's a part of your thinking process, you will either have to constantly resist the urge or you will let it take over your life—potentially sabotaging a wonderful relationship for fear that you will be pressured into having sex. Instead of worrying about having sex or not having sex, immerse yourself in your other interests and your school work. When your mind is stimulated and satisfied in other ways, you will become less interested in sex.

By-line:
This guest post is contributed by Kate Willson, who writes on the topics of top online colleges.  She welcomes your comments at her email Id: katewillson2@gmail.com.  This article is reprinted with the author's permission.

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Monday, July 5, 2010

Sue Scheff: Teen Girls Coping with Stress by Drinking

This is another fantastic and educational guest Blog by Parenting Expert, Michele Borba. As this first summer holiday weekend approaches, be an educated parent when it comes to raising your teenager.+

Teen girls-more than boys-get high to cope with home stress. Nine research-based tips to curb a troubling trend

By Michele Borba

Think drinking is only a “boy” problem? Just-released data from the Partnership for a Drug-Free America may make you think again. The survey results on 3287 teens in grades nine through twelve reveal a troubling trend—especially for girls. And why kids are getting high is particularly disturbing. Study highlights include:
  • More than two-thirds of teen girls admit using drugs to help them cope with stress at home
  • Half of the girls said that drugs help them forget their troubles
  • Teens state a key reason for drug and alcohol use is as a way to “escape for a short period of time”
  • Research found alcohol and marijuana use increasing in boys and girls alike

Key Findings from the 2009 Partnership Attitude Tracking Survey (Get Smart About Drugs)

Teen Alcohol Use
53% of girls: in 2008
59% of girls: in 2009
50% of boys: in 2008
52% of boys: in 2009

Teen Marijuana Use
28% of girls: in 2008
39% of girls: in 2009
34% of boys: in 2008
39% of boys: in 2009

Make no mistake: Teen substance abuse is a serious health problem with devastating consequences. If there is a ray of hope it’s this: Research also shows that the reason most frequently quoted by kids for not drinking is their desire not to harm the relationship they have with their parents. Hint: A parent’s caring, involved relationship with their child is the best solution to underage drinking.

Here are research-based tips from the chapter on Drinking in my book, The Big Book of Parenting Solutions: 101 Answers to Your Everyday Challenges and Wildest Worries. Please use them so you can use your influence and turn this troubling trend around.

9 Parenting Solutions to Turn A Troubling Youth Trend Around


1. Get savvy. Please don’t use a “Not my kid” kind of attitude. Forget the “He’s too young” or  “Not my daughter!” attitude as well. Teen drinking and substance abuse is a growing problem that we simply can’t ignore. Kids are taking their first drink at younger ages. Drinking amongst the girl scene is also increasing. We all need to take a reality check.

2. Be a good model of restraint. Teens get their views about alcohol from watching your behavior and listening to your comments. This research also is a warning that we not glamorize alcohol or say we’re using pills or alcohol as a way to unwind, “I sure could use a drink!”  The research shows that teen girls in particular are getting high as a way to cope. Beware!

3. Set clear rules against drinking and drugs. Feel free to be puritanical and strict. Consistently enforcing those rules and monitor your kid’s behavior all help reduce the likelihood of underage drinking. A study of over 1000 teens found that kids with “hands on” parents who establish clear behavior expectations, monitor their comings and goings, and aren’t afraid to says no are four times less likely to engage in risky behaviors like drinking. Be a parent, not a pal.
4. Start those talks earlier and talk often. You must talk to your child about drinking and the earlier the better. Before age nine, kids usually perceive alcohol negatively and see drinking as “bad” with negative consequences. By around the age of thirteen kids views of alcohol, change and become more positive and harder to change. Some kids are experimenting with drinking as young as ten or eleven. It’s never too early to start this talk, so don’t put it off.


5. Watch out for TV advertising. Long-term studies show that kids who see, hear and read more alcohol ads are more likely to drink and drink heavier than their peers. A study with third, sixth and ninth graders found those who alcohol ads desirable are also more likely to view drinking more positively. Use those frequently-aired beer and vodka commercials during those ballgames you’re watching together as opportunities to discuss your values, concerns, and rules about drinking and pill popping.

6. Dispel the “quick fix” myth. The increase use of prescription drugs as well as cold medications amongst teens is also a growing and serious problem. Those TV commercials can give kids a very wrong impression: “The quick fix to any problem is a pill.” Calvina Fay, executive director of the Drug Free America Foundation points out, “We’ve become a society that basically says, “If things aren’t perfect in your life, take a pill. This cause our young people to see drugs as an answer.” Instead, we must help our kids grow strong from the inside-out. Boost authentic self-esteem. Get her involved in healthy activities. Turn him on to positive peers. Keep a strong relationship.

7. Reduce stress and teach coping strategies. The 2009 National Survey on Drug Use and Health (by the Substance Abuse and Mental Health Services Administration) found that stress is the main reason teen girls are using drugs. Girls also related that they are using drugs as a way to cope with problems at home. (This confirms research from varying sources showing teen stress is mounting as well as teen depression). Keep a lid on the stress at home. Find ways to cope as a family (walking, exercising, eating healthier, sticking to a sleep routine). Teach coping strategies and stress reducers to your teen (yoga, deep breathing, stress management techniques).

8. Get on board with other parents. Forty-one percent of boys in the report responded: “parties are more fun with drugs” (an increase from 34% in 2008). More than half also reported that drugs help them relax in social settings. Know your kid’s friends and their parents. Call any parent hosting a party to ensure they are really supervising those sleepovers or parties.

A word to the wise: 99 percent of parents say they would not be willing to serve alcohol at their kid’s party, though 28 percent of teens say they have been at supervised parties where alcohol is available. Ninety-eight percent of parents say they are present at teen parties at their home, but 33 percent of teens say parents are rarely or never at teen parties. Though the teen party scene maybe several years away, get to know those parents now. They will be hosting those parties your child may be attending in just a few short years.


9. Watch the home scene. More kids take their first drink at your home or at the home of their friends. In fact, 60 percent of eighth graders say it is fairly or very easy to obtain alcohol-and the easiest place is in their own home. Count those bottles in your liquor cabinets. Lock up your liquor supply (and don’t tell your kids where the key is). Check your credit card: the hottest new place kids buy alcohol is on the Internet. Watch your medicine cabinet (abuse of prescription drugs, cold and cough syrup medication is on the rise). Stay alert!

Get educated. Stay involved! And know you do make a difference!

Now go talk to your kids.

GO!

Michele Borba is the author of over 25 books, her latest and one of her best is The Big Book of Parenting Solutions! There isn’t a parenting topic she doesn’t discuss.

Monday, June 21, 2010

Sue Scheff: Summer Depression and Teens - Waves of Depression

The sun is shining, the beach goers are splashing and the kids are smiling.  Why are some people and teens struggling with depression?

Depression can be a transient response to many situations and stresses. In adolescents, depressed mood is common because of the normal maturation process, the stress associated with it, the influence of sex hormones, and independence conflicts with parents.

  • About 20 percent of teens will experience teen depression before they reach adulthood.
  • Somewhere between 10 and 15 percent of teens show symptoms of depression at any given time.
  • About 5 percent of teens are suffering from major depression at any one time.
  • As many as 8.3 percent of teens suffer from depression for at least a year at a time.
  • Most teens with depression will suffer from more than one episode. 20 to 40 percent will have more than one episode within two years, and 70 percent will have more than one episode before adulthood. Episodes of teen depression generally last about 8 months.
  • Dysthymia, a type of mild, long-lasting depression, affects about 2 percent of teens, and about the same percentage of teens develop bipolar disorder in their late teenage years. 15 percent of teens with depression eventually develop bipolar disorder.
  • A small percent of teens also suffer from seasonal depression, usually during the winter months in higher latitudes.
  • 30 percent of teens suffering from depression will also develop one or more problems with substance abuse.
  • Less than 33 percent of teens suffering from depression successfully seek and receive help for their disorder.
Sources: National Institutes of Health and Sue Scheff Teen Depression Website


If you feel your teen is struggling with depression, be sure to reach out and try to get them to talk about it.  Local therapy is always a good place to start.   www.helpyourteens.com

Be an educated parent, you will have healthier and safer teens.

Read more.

Sunday, April 18, 2010

Sue Scheff: Childhood Obesity - Food Revolution, French Fries Are a Veggie?

As Jamie Oliver's new show continues to explode with the reality of how unhealthy eating can effect our lives and shorten them, one of his recent episodes shocked us as he was told that "French fries count as a vegetable".

Maybe this is not shocking to some dieticians, however to many people this was a moment of that left us scratching our heads. You mean greasy French fries are considered a veggie? Seems strange, however that is exactly what a food service director stated on Food Revolution in an elementary school in Huntington, West Virginia.

So do French fries count as a vegetable? Yes, they do, according to the government.

French fries have been on the list of "fresh" vegetables since 1996 under the Perishable Agricultural Commodities Act. They are considered fresh because they fall short of the guidelines that would qualify them as "processed."

"When I found out that a French fry was considered a vegetable, it insulted me, it upset me, and it was a small little inkling as to why maybe we have the problems that we've got," said Jamie Oliver.

If you would like to do something about making a change, you can start by signing Jamie's Petition.

First Lady Michelle Obama is also promoting healthy eating options, exercise and education on making better food choices with the Let's Move Campaign which she recently brought to South Florida.

Be an educated parent, you will have healthier teens and children.

Watch video for the French fry controversy. Read more.

Thursday, January 14, 2010

Sue Scheff: Teens, Kids and Physical Education


Let's face it, more and more kids today are engrossed with their computers and cell phones. Less are participating in physical activity. Years ago a game of kick-ball in the neighborhood was a weekly or even daily event afterschool. Today with the fear of our kids being kidnapped or the kids simply more interested in their technology, teens and kids are not getting enough exercise.

Parents it is time to speak up. PE 4 Life is an organization that can help you bring more psychical education into your school district and your community.

Do you realize that schools have devalued and cut physical education to the point that the majority of children get one day of PE per week? Children today have a shorter life expectancy than their parents for the first time in one hundred years because of the epidemic of obesity, according to Dr. William Klish, Professor of Pediatrics and Head of Pediatric Gastroenterology at Baylor College of Medicine. Lack of PE at school is a disservice to your child's health. Speak up. Demand that your school offers daily quality physical education.

Use PE4life as a resource partner to enhance your school's PE program. A recent study revealed that 81% of teachers and 85% of parents favor requiring students to take physical education every day at every grade level. As parents, you can rally people in your community to get involved by ordering a PE4life Community Action kit video and show it to the PTA, the school board and other community groups. The next step is to invite PE4life to make a presentation to your school leaders, bring a team of people to train at a PE4life Academy, or invite PE4life to do an in-service for your school staff. As your resource partner, PE4life can provide these and many other services to your school as you work to get children more active and healthy.

PE4life Core Principles

We believe PE should:

  • Be directed to all students, not just the athletically inclined
  • Offer a variety of fitness, sport, leisure and adventure activities
  • Provide a safe and encouraging learning environment
  • Utilize individual assessments
  • Incorporate current technology
  • Extend beyond the walls of the gymnasium
  • Ideally, be offered to every child every day
Today’s “New P.E.,” as exemplified by PE4life, is a health-and-wellness-based approach to physical education that caters to all students, not just the athletically inclined. Students are encouraged to pursue a variety of sports and physical activities (team and individual) – for a lifetime.

Source: PE4LIFE - visit today and learn more!

Watch video and read on Examiner.

Monday, September 28, 2009

Sue Scheff: Is your child overscheduled?



There was a time when concerns about overscheduling kids would have been laughable. That was before scheduled play dates and after-school classes came into the picture. Now, kids race from soccer games to Mandarin class to music practice, while frazzled parents follow along wondering what happened to free time. “If you have to schedule a child’s play dates more than a week or two ahead, that child is probably overscheduled,” says Jacqueline Golding, Ph.D, Adjunct Professor at the University of California, San Francisco.


“If kids have to stay up at night past a reasonable bedtime more than once in a great while in order to do their homework after their after-school activities…they’re definitely doing too much.” “Too much over-scheduling limits two very important developmental elements,” says Vicki Panaccione, Ph.D, a child psychologist and Founder of the Better Parenting Institute.


“One is unstructured play time…kids have very little time to interact with peers without it being orchestrated. They don’t have to make any decisions or navigate friendships on their own. The other crucial element is quiet time. Kids do not know how to spend down time and entertain themselves…they need time to create their own stimulation, and not have others be the suppliers.” Sounds reasonable, right? Unfortunately, we live in a competitive society, and many parents worry that their kids will fall behind if they don’t use every spare moment enhancing their resumes. While it’s true that college admissions have become increasingly competitive, it’s also true both that there are enough spots to go around and that more and more freshmen are showing up burned-out and overwhelmed. Free play helps children develop their imaginations and their independence, build friendships, and shake off stress.
These gifts don’t show up on college applications but they benefit kids their whole lives. “As a rule of thumb, children should only be involved in one sport and one other kind of activity at a time,” says Panaccione. Every child is different, though, so one kid’s invigorating schedule is another’s overscheduled nightmare. A lot depends on age and temperament. If your child becomes irritable, complains of frequent stomachaches or headaches, starts having nightmares, or regresses or withdraws emotionally, he or she might be feeling overscheduled. So take it down a notch! It will give both of you a break.

Thursday, August 13, 2009

Sue Scheff: Body Dysmorphic Disorder




Body Dysmorphic Disorder


“I realized something today: I would rather be dead than be ugly.”

– Francy, 19, suffers from Body Dysmorphic Disorder

One of the stranger parts of Michael Jackson’s life was called Body Dysmorphic Disorder (BDD): an obsession with how you look, particularly a fixation on a physical defect, whether real or imagined. An estimated nine million Americans suffer from the disorder.

“It’s an overwhelming anxiety, you just feel so ugly and so disgusting, and there’s nothing you can do about it,” says 19 year-old Francy. She’s been suffering from BDD for almost ten years.

Emory University psychiatrist, Dr. Philip Ninan explains, “Body Dysmorphic Disorder is a sense of imagined ugliness that the person perceives there’s something wrong with the way they look.”

Though no one else can see them, when Francy looks in the mirror, all she can see are flaws. “I see my face being way too round. My skin looks blotchy. My lips look too small. (My) hair looks frizzy and flat,” she says.

Every teenager worries about how they look, but BDD is much more. It is a mental disorder and usually begins in adolescence. It can be debilitating. Francy says, “I probably spent hours a day in front of the mirror. If I’m having an attack, I can’t leave the mirror; I can’t look away. And your mind is racing while you’re looking in the mirror, and it’s just, you’re telling yourself how ugly and disgusting you are. You know there’s a lot of times when I just want to lock myself up in my room and look in the mirror all day ‘cause it’s so hard to be around other people.”

Many people with BDD avoid social situations altogether or worse. “I realized something today. I would rather be dead than be ugly,” Francy reads from a computer bulletin board posting.

Dr. Ninan says she’s not alone. “The risk of suicide attempts is relatively high with people with this kind of problem.” That’s why getting the proper treatment is crucial. Anti-depressants and cognitive-behavior therapy have been successful. And without it, BDD won’t go away, something Francy knows firsthand. “I know I need to get on medicine. I can’t do this alone anymore,” she reads.
Experts say online support groups like the one Francy posts to can be an important step in getting kids to realize they need help. Discovering that they’re not alone, and hearing from others with the same problem can be invaluable.

Tips for Parents

Body Dysmorphic Disorder (BDD) is listed in the DSM-IV under somatization disorders (the conversion of anxiety into physical symptoms), but clinically it seems to have similarities to Obsessive-Compulsive Disorder (OCD). BDD is a preoccupation with an imagined physical defect in appearance or a vastly exaggerated concern about a minimal defect. The preoccupation often regards facial features, hair or odor, and can cause significant impairment in the individual’s life where the affected thinks about his or her perceived defect for at least an hour per day. The affected individual may fear social ridicule, may consult dermatologists or plastic surgeons, and may undergo painful or risky procedures in an attempt to change the perceived defect. Among the detrimental effects of BDD are constraints on friendships and difficulty in concentrating on schoolwork because of obsessive thoughts on appearance. BDD can lead to social isolation, school dropout, major depression, unnecessary surgery, and even self-amputation or suicide. Behaviors associated with BDD include:

■Frequent glancing in reflective surfaces.
■Avoiding mirrors.
■Comparison to photographs of other females (this trait rarely surfaces in BDD males).
■Skin picking.
■Repeated measuring or touching the defect.
■Repeated requests for reassurance of the defect.
■Elaborate grooming rituals.
■Camouflaging one’s appearance with the hand, a hat or makeup.
■Avoiding social situations where others may see the defect.
■Avoiding social situations where photographs may be taken.
■Anxiety in social situations.
■Predetermined positioning, or sitting in a preplanned place they perceive as having flattering lighting and showing their “good side.”

This disorder often begins in adolescence. It is often difficult to get individuals with BDD to seek the treatment they need through a psychiatrist as they consider their problem to be physical rather than mental. Should the individual see a dermatologist or plastic surgeon, a good technique is to inform that doctor of the situation in advance. This physician can then strategically encourage the patient to accept the help of a psychologist or psychiatrist. Treatment of BDD usually involves:

■SSRI medications like sertraline or fluoxetine.
■Cognitive-behavior psychotherapy where the doctor helps the patient resist their compulsions.
■Family behavioral treatment.
■Gradual, progressive facing of feared situations.
■Discouraging surgical remedies.
■Therapy to help the patient understand that his/her perceptions are distorted.
■Involvement in support groups.

References
■BDD Central
■Dictionary.com
■eMedicine
■Northern County Psychiatric Associates

Saturday, August 1, 2009

Sue Scheff: Teen Pregnancy - The Importanct of Communication

The Importance of Communication

While communication between your daughter and yourself can be a large key to preventing pregnancy, it is an even more important part of working through a pregnancy. Discovering your daughter is pregnant may feel like the worst possible thing that could happen. Your emotions may be paralyzing - you may be unsure of how to accept the situation or how to address it.

The first thing you must remember that all of the feelings you have are multiplied by ten for your daughter. She is angry and afraid and unable to solve her problems on her own.

While you may be angry and disappointed in her choices, be sure that she knows she is not alone. What is done is done - there is no use in resenting what has happened. Together, accept that the situation must be dealt with quickly.

Discuss the situation. Does she know how long she has been pregnant? If not, when was her last period? Has she taken a pregnancy test? With these initial answers, make a doctors appointment as soon as possible. These questions may be hard for her to answer, and may upset her further. Make sure that you don't push her to answer you. Making her comfortable will make her more inclined to share.

You will need to also address the situation regarding the baby's father. Has he been told? His parents? Do what you can to get a honest answer about her relationship with him. His role is important as well, considering he is the baby's father.

The initial conversations between you and your daughter will set the tone for the rest of her pregnancy. Regardless of her decisions, she will need you ever step of the way. Opening the communication lines right away and keeping them strong will give your daughter the support she needs to make it through her pregnancy.

Visit www.sue-scheff.org for more information on teenage pregnancy.

Saturday, July 11, 2009

Sue Scheff: Teen are having more plastic surgery



Teens are having more plastic surgery.


I’m not talking about reconstructive surgery, I’m talking about plastic surgery for cosmetic reasons: Breast enhancement. Botox. You know — procedures that are supposed to “improve” one’s looks and, many people assume, bolster one’s self esteem.


According to the American Society for Aesthetic Plastic Surgery, the number of plastic surgery procedures (among teens 18 and younger) has increased from 59,890 in 1997 to more than 205,119 in 2007. That number includes surgical procedures such as breast reduction and nonsurgical procedures such as laser hair removal, micro-dermabrasion and chemical peels. Nearly 8,000 breast augmentation procedures were performed on females 18 and younger in 2007. The most frequently performed surgical procedure among teens was otoplasty (having ears pinned or reshaped).

In “Real Girls, Real Pressure: A National Report on the State of Self-Esteem”, a survey of more than 1,000 girls in the United States showed that 70 percent of girls ages 8 to 17 believed that they “are not good enough or do not measure up in some way, including their looks, performance in school and relationships with friends and family members.” Distressing, yes? If you combine this information with the information about plastic surgery increasing…well, you see where I’m going.

Forget the word cosmetic and remember the word surgery.

Teens bodies are still changing. Their facial skeletal structure is still changing. Is it possible that what bothers them today will change and NOT bother them when they reach adult-hood? I would just raise this issue and ask if we are projecting our definition of adult beauty onto younger and younger girls (and boys). Here are some other articles on this subject you might be interested in:

Monday, May 18, 2009

Sue Scheff: Teens and Physical Education


So many parents today are concerned that our kids are wired in rather than physical activities. Gone are the days when all the neighborhood kids would play kick ball, or just simply play outside! Now their sidekicks, cell phones, Ipods, computers, etc.. consume their lives. As a parent - let’s get our kids moving and exercising. Not only does it promote their physical health, it is time to get back to social skills - face to face, not screen to screen.


PE4Life offers a vast amount of information to help educate you in this area. Take some time to read their ideas, articles, communities activities and more.


PARENTS


Parents are busy with a full workday, helping their children with homework, engaging their children in after school activities, and so on. This doesn’t leave a whole lot of time for physical activity in your own lives. Do you realize that schools have devalued and cut physical education to the point that the majority of children get one day of PE per week? Children today have a shorter life expectancy than their parents for the first time in one hundred years because of the epidemic of obesity, according to Dr. William Klish, Professor of Pediatrics and Head of Pediatric Gastroenterology at Baylor College of Medicine. Lack of PE at school is a disservice to your child’s health. Speak up. Demand that your school offers daily quality physical education. Use PE4life as a resource partner to enhance your school’s PE program. A recent study revealed that 81% of teachers and 85% of parents favor requiring students to take physical education every day at every grade level. As parents, you can rally people in your community to get involved by ordering a PE4life Community Action kit video and show it to the PTA, the school board and other community groups. The next step is to invite PE4life to make a presentation to your school leaders, bring a team of people to train at a PE4life Academy, or invite PE4life to do an in-service for your school staff. As your resource partner, PE4life can provide these and many other services to your school as you work to get children more active and healthy.


The PE4life Approach to Physical Education:


Be offered to every child every day


Be available for all students, not just the athletically inclined
Provide a wide variety of sports and fitness activities to promote an active and healthy lifestyle
Assess students on their personal progress toward fitness and physical activity goals
Incorporate technology on a regular basis


Extend beyond the walls of the gymnasium to form community and business partnerships

Today’s “New P.E.,” as exemplified by PE4life, is a health-and-wellness-based approach to physical education that caters to all students, not just the athletically inclined. Students are encouraged to pursue a variety of sports and physical activities (team and individual) – for a lifetime.


Get Involved—Become a Friend of PE4life, get your community involved, sign up up for the PE4life newsletter and communicate to government leaders.


News & Info—Get the latest information on physical education, childhood obesity, exercise and the brain, youth fitness and legislative news. Also link to other great websites.


Results—Review research findings and measurable outcomes of PE programs.


Grant Info—Find creative sources of funding for the physical education program at your child’s school and a forum where you can ask questions or share your thoughts and successes.


PE4life Program Services—Find information about our Program Service Packages, how to order our services, training dates, academy locations, and testimonials.


Events–Find dates for Academy Training, National PE4life Day, PE4life Workshops, and PE Conferences.

Wednesday, May 13, 2009

Sue Scheff: Families Fighting Flu


As a parent, you want to do everything in your power to protect your children. With the recent H1N1 flu outbreak (initially called “swine flu”), FFF is sharing some important steps that you can take right now to help protect you and your loved ones.


1. Covering your nose and mouth when you cough or sneeze. You can even teach your children to cough into their elbows.


2. Stressing the importance of washing hands often with soap and water. Any alcohol-based hand cleansers are effective as well.


3. Disinfecting frequently touched surfaces with an appropriate bleach-based solution. As you know, germs can spread by touching infected surfaces and then your eyes, nose or mouth.


For more information, please visit http://www.familiesfightingflu.org/ and please listen to this Public Service Announcement: http://www.westglen.com/online/17695.mp3

Thursday, April 30, 2009

Sue Scheff: Parenting and The Swine Flu




“During a time if people are nervous or scared, we can run out of essential goods. And so if people begin to prepare now and stock up on those things that can keep over time, such as non-perishable food and water and medicine… they’ll be in better shape for the pandemic.”

– Rachel Eidex, Centers for Disease Control

The outbreak of the swine flu has many Americans, parents especially, worrying about their own safety and the safety of their children. Before a possible pandemic, the CDC has several recommendations.

First, get in touch with your child’s school. “I think they should ask the schools, does the school have a plan for pandemic influenza, what is the plan,” explains Rachel Eidex of the Centers for Disease Control.

And, explains Jacquelyn Polder, also of the Centers for Disease Control, “How will they plan to communicate with parents regarding when the school will close or when it will open.”

Next, the CDC recommends that families have plan that, according to Eidex, would include, what you’re going to do if your children stay home from school.” Also, who will take care of the kids, should they stay in the house, if they do go out- where can they go? And, just as important, how do you keep the family entertained for days on end.

Georgie Renz, mother of two, has an idea, “Board games, songs, please, don’t let the t-v go away!”

Number three on the CDC’s list: stock up on supplies. Families should have at least two weeks of food and medicines stored. “During a time if people are nervous or scared, we can run out of essential goods,” explains Eidex. “And so if people begin to prepare now and stock up on those things that can keep over time, such as non-perishable food and water and medicine… they’ll be in better shape for the pandemic.”

Finally, Eidex advises the best prevention is good hygiene, “Wash their hands regularly. After sneezing, after coughing, after blowing their nose.”

And that’s not always easy for little kids, like 11 year old Morgan, to remember, “Cause sometimes I just get distracted and forget.”

Mother of three, Debra Mecher says, “You have to reiterate, you have to stress ‘wash your hands before you eat, wash your hands after you use the bathroom. Wash your hands whenever you’ve touched something that maybe wasn’t clean.”

And there is no better time to prepare than right now.

“Rather than sitting around and worrying about it and dwelling on it, just get yourself ready the best you can,” says Mecher.

Swine flu is a respiratory disease of pigs caused by type A influenza viruses that causes regular outbreaks in pigs. People do not normally get swine flu, but human infections can and do happen. Swine flu viruses have been reported to spread from person-to-person, but in the past, this transmission was limited and not sustained beyond three people.

Tips for Parents

According to the World Health Organization (WHO), Swine Flu is currently at a phase 4 pandemic alert. Phase 4 is “characterized by verified human-to-human transmission of an animal or human-animal influenza reassortant virus able to cause ‘community-level outbreaks’.” This current outbreak has infected over 250 people in 7 countries. There are over 2,000 more cases still unconfirmed by laboratory testing.

The symptoms of swine flu in people are similar to the symptoms of regular human flu and include fever, cough, sore throat, body aches, headache, chills and fatigue. Some people have reported diarrhea and vomiting associated with swine flu. In the past, severe illness (pneumonia and respiratory failure) and deaths have been reported with swine flu infection in people. Like seasonal flu, swine flu may cause a worsening of underlying chronic medical conditions.
There are antiviral medications used to treat swine flu. Antiviral drugs are prescription medicines (pills, liquid or an inhaler) that fight against the flu by keeping flu viruses from reproducing in your body. If you get sick, antiviral drugs can make your illness milder and make you feel better faster. They may also prevent serious flu complications. For treatment, antiviral drugs work best if started soon after getting sick (within 2 days of symptoms). There is no vaccine, however, to prevent contracting the swine flu.

The CDC gives these tips on how to stay healthy:

Cover your nose and mouth with a tissue when you cough or sneeze. Throw the tissue in the trash after you use it.
Wash your hands often with soap and water, especially after you cough or sneeze. Alcohol-based hands cleaners are also effective.
Avoid touching your eyes, nose or mouth. Germs spread that way.
Try to avoid close contact with sick people.
Influenza is thought to spread mainly person-to-person through coughing or sneezing of infected people.
If you get sick, CDC recommends that you stay home from work or school and limit contact with others to keep from infecting them.
Emergency warning signs that your child may need urgent medical attention include:

Fast breathing or trouble breathing
Bluish skin color
Not drinking enough fluids
Not waking up or not interacting
Being so irritable that the child does not want to be held
Flu-like symptoms improve but then return with fever and worse cough
Fever with a rash

References
Centers for Disease Control and Prevention
World Health Organization

Thursday, April 2, 2009

Sue Scheff: Teen Drug Testing


Many parents contact us asking about home drug tests when they suspect their teens are using substances. As we have discussed over and over, having an open line of communication with our kids is the first step towards finding out what they are feeling, what peer pressure they are facing and if they are experimenting with drugs. Talk to your teen - and don’t stop talking.




These tricks are out there on the Web, so parents need to be informed

Google “beat drug test,” and the search engine spits out page upon page of ploys and products that can make incriminating urine seem drug free. All it takes is a computer-savvy teen to access them. The ease of cheating, in fact, is one of at least seven reasons parents shouldn’t try to test their kids for drug use. Instead, experts say, they should seek out a professional assessment.


“Cheating remains the Achilles’ heal of drug urine testing in all settings,” says Robert DuPont, president of the Institute for Behavior and Health Inc. and former director of the National Institute on Drug Abuse. With increasing opportunities for testing—by prospective employers, schools, and parents—experts worry that teens may have more impetus than ever to try. Last week, at the American Association for Clinical Chemistry’s annual meeting in Washington, D.C., toxicologist Amitava Dasgupta of University of Texas-Houston medical school demonstrated various ways that employees try to beat workplace drug tests—and how experts foil these schemes in the laboratory. There’s nothing to stop kids from using the same tricks, and there’s no guarantee that parents will be able to catch them at home.
Here are five ways—some of them downright dangerous—that teens may try to cheat drug tests. They’re all described elsewhere on the Internet, so parents should be aware of them.
1. Tampering. A sprinkle of salt or a splash of bleach, vinegar, detergent, or drain cleaner is all that’s needed to muck up a urine specimen. These and other household substances are all too often smuggled into the bathroom and used to alter the composition of urine, making the presence of some illegal substances undetectable, says Dasgupta. Same goes for chemical concoctions sold all over the Internet. Sometimes these additives or “adulterants” will cloud or discolor urine, easily casting suspicion on the specimen, but others leave the sample looking normal. Laboratory toxicologists employ simple tests to catch these cheats. For example, a few drops of hydrogen peroxide will turn urine brown if it’s been mixed with pyridinium chlorochromate, an otherwise-imperceptible chemical designed to foil drug tests.
2. Water-loading. Gulping fluids before providing urine, a long-standing tactic, is still the most common way that teens try to beat tests, says Sharon Levy, a pediatrician and director of the Adolescent Substance Abuse Program at Children’s Hospital Boston. Whether cheats use salty solutions to induce thirst, flushing agents that increase urine output, or just plain old H20, their aim is to water down drugs so they can’t be detected. Some testing facilities may check urine for dilution and deem overly watery samples “unfit for testing.” But consuming too much fluid too quickly can occasionally have dire consequences. “Water intoxication” reportedly killed a woman following participation in a radio show’s water drinking contest, says Alan Wu, a professor of laboratory medicine at the University of California-San Francisco.
3. Switching drugs. Perhaps most alarming, says Levy, is that teens bent on defeating drug tests will sometimes switch their drug of choice to an undetectable (or harder to detect) substance that’s considerably more hazardous. Inhalants, for example, include numerous types of chemical vapors that typically produce brief, intoxicating effects. “You don’t excrete [inhalants] in your urine,” says Levy, but “inhaling is acutely more dangerous than marijuana.” Indeed, inhalants can trigger the lethal heart problem known as “sudden sniffing death” in otherwise healthy adolescents, according to the National Institute on Drug Abuse. The tragic case of young David Manlove is an example.
4. Popping vitamins. Perhaps it’s because niacin (aka vitamin B3) is known to aid metabolism, or perhaps it’s because Scientologists are said to take it in excess to flush their bodies of toxins. Whatever the reasons, some teens got the idea that extreme doses of this vitamin would erase any trace of their illicit drug use. Instead, it almost cost them their lives. In two separate incidents, emergency physician Manoj Mittal of Children’s Hospital of Philadelphia has found adolescents who downed at least 150 times the daily recommended dose of niacin (15 mg) to cheat drug tests. (He described the cases last year in the Annals of Emergency Medicine.) Both kids were vomiting, had low blood sugar, and had “significant” liver toxicity when they arrived at the ER. And the niacin didn’t even do what they’d intended; both tested positive for illicit drugs. “People might think that since [niacin] is a vitamin it’s harmless,” says Mittal. “But these cases suggest that our bodies have limits.”


5. Swapping urine samples. Whether they use a friend’s clean urine, synthetic pee, or even freeze-dried urine purchased online, some teens try to pass off foreign samples as their own, says Levy. The biggest tip-off is temperature. “Anything significantly lower than body temperature is suspicious,” says Dasgupta, which is why some have tried to shuttle samples in armpits or taped to thighs to keep them warm. Possibly the oddest trick of all is a device marketed to those trying to beat witnessed drug collections, says Wu: a sort of prosthetic penis called the “Whizzinator” that claims to come equipped with clean urine “guaranteed” to remain at body temperature for hours, with the help of special heat pads. “Believe it or not, [the prosthesis] comes in different colors,” says Wu.