Why Cities are Banning E-cigarettes

Why Cities are Banning E-cigarettes

San Francisco bans e-cigarette sales due Tobacco companies target teens with flavored nicotine and no health data from the FDA. Tobacco companies say they are safe but no research data to prove it. San Francisco passes ban on e-cigarette sales, a US first

https://www.cnn.com/2019/06/25/health/san-francisco-e-cigarette-ban-sales-bn/index.html

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Common Mistakes Teenagers Make on Social Media

Common Mistakes Teenagers Make on Social Media

In today’s world texting has become a very common way for people to communicate with each other. If I go to a baseball game or the theater, I see adults texting the entire time. I have even seen people fired via text. While it is becoming very common with adults, it is even more common with teenagers. The teenagers I see for psychotherapy text all the time. It appears that texting is now the preferred way that teenagers communicate with each other. If you remove their cellphones and they cannot text, many teens become very upset and I have seen many become violent.

While technology is advancing at a fast pace, our laws and ethics are having a difficult time keeping up with the latest advances. However, when laws are passed or ethical standards set, many teenagers and adults are not aware of the new laws. This is creating a tremendous problem for teenagers and their families. I have worked with many teenagers who are struggling with an issue due to texting and they had no idea they were doing anything inappropriate.

First, it is important to note that any time you post something, tweet or text, it is on the internet forever. This is why many celebrities have won very large monetary judgements against people who have posted false or embarrassing material. You can remove it from the site it was posted to, but it still can found on other sites. Therefore, if a teenager post something, they need to think about the fact that it will be out there forever and anyone can see it. This may lead to embarrassing situations.

Let’s consider the most common problems that teenagers encounter. The first one is texting sexually explicit photographs to their boyfriend/girlfriend. At the time they think it is no big deal. However, high school romances typically do not last. If one of the individuals feels hurt, they can post that sexually explicit picture all over the Internet. It can be sent to their families and friends. In fact, their entire school could see it. This would be extremely embarrassing. Even if the person who posted the picture is punished, the picture is still out there and the damage is done.

Additionally, teenagers fail to think about the fact that they are under 18 years old. Therefore, they could be violating child pornography laws by sending the picture or by receiving it and having a copy on their cellphone. In fact, Congress is trying to pass stricter laws regarding teenagers texting sexually explicit picture. Therefore, besides being very embarrassed, the teenagers involved might find themselves facing legal charges for violating child pornography laws.

The second major issue is harassment. Friends get mad at each other or often one teenager is singled out and they become the object of numerous texts telling them they are ugly, no one likes them etc. These texts can be sent so often and by some many other teenagers that the teen who is the target commits suicide. There are numerous examples of this and a common one is accusing a teenager of being gay. This is not harmless teenage game playing. This harassment can be vicious. They are also cases where the teenagers sending these texts have been charged with stalking or more serious charges if the teenager committed suicide.

When this occurs, the teenagers are shocked. They think they were just teasing another kid and it was harmless. They have no idea what this teenager is already dealing with in their life or what it can be like to have numerous classmates texting you every day all day long. It is not harmless teasing, but because technology has increased so quickly it is not the same teasing that use to occur at school. We have not had enough time to think about this point.

A surprising issue is that texting is an excellent way for schools or police to arrest teenagers for dealing drugs, buying or using drugs. I have worked with many teenagers from numerous schools where the school catches someone using or selling marijuana on school grounds. The school then checks the student’s cellphone and looks at the text history. The school then starts calling in the student’s on the text history and asking about drug use or selling. One teenager getting caught at school can result in ten teenagers being expelled. The teenagers are usually in shock. First, they never thought they were doing anything wrong and they never thought a text could get them in trouble. However, it can and it does. I have seen many teenagers for psychotherapy because of a text found by the school.

Finally, texting and posting can destroy a high school student’s plans for the future. Many colleges now look online when a student applies to their college. If they feel the teen is not someone they want representing their University due to their social media post, they will not be admitted to the University. It can also impact a teen even if a University accepts them. Harvard University once again told a student they had accepted that their admissions to Harvard had been revoked due to racist social media they found posted by the teen. Harvard did this two years ago to ten students. The lesson is think before you post because it could change your entire life.

Parents, we see adults getting into trouble due to texts they have sent, what makes us think that teenagers can’t get into trouble too? Remember they are not grown adult yet, so their ability to think logically as an adult is not fully developed. Even if it was, technology is moving so fast that adults are getting into trouble due to texting.

Therefore, we cannot expect teenagers to be able to sort all of this out on their own. Talk to your teen about texting, you may need to monitor their texting. There are apps that can help teenagers identify texts that may be inappropriate. Bottom line teenagers need to support and guidance from their parents regarding the ever evolving technology that we are facing. If we cannot keep up with the ethical issues, how can a teenager?

Dr. Michael Rubino is a psychotherapist with 20 years of experience working with children and teenagers. He also treats Internet addiction. For more information on Dr. Rubino’s work or his private practice visit his website at http://www.RubinoCounseling.com or his Facebook page at http://www.Facebook.com/drrubino3. Dr. Rubino also offers a summer workshop for teenage boys to help them understand how to be a responsible teenager and avoid trouble with school, friends or the police. Please contact him for more information.

Fourth of July Activities and Teenage Injuries

Fourth of July Activities and Teenage Injuries

The 4th of July weekend is around the corner and many teenagers will be involved in various activities. It’s a popular weekend for teenagers to be out drinking and also swimming with friends. Most people assume these are every day activities and everyone will have a good time.

However, this is not reality. Every year 5,000 teenagers are killed in motor vehicle accidents and 400,000 are injured (CDC statistics). These injures may range from cuts and bruises to someone being paralyzed.

Also regarding swimming, there are 3,500 accidental drowning every year. And out of these drownings 1 out of 5 are teenagers (CDC statistics). This is the number who die. It doesn’t include brain injuries due to lack of oxygen to the brain or breaking a neck by diving. A broken neck can result in death, paralysis or being in a Halo Brace for 6 months. Again this is an activity we assume is safe and nothing would happen swimming in a friend’s pool.

With the Fourth of July weekend coming up, there are going to be a lot of parties and drinking. There are also going to be a lot of drunk driving accidents, drownings and accidental overdosing. You have no way to know if you or your family might be one of the unlucky families this weekend. It could be your teen who is killed or it could be you. Therefore, talk to your teens about their plans and about safety.

You never know what is going to happen in life. Especially given everything that is happening all over the world. And if you look at the above statistics, you never know when or if something is going to happen.

A mother experienced this fact when her son committed suicide. Suicide is the third leading cause of death for teenagers. After that she wrote the following poem to her son. She also encouraged all parents of teenagers to remember to say “I love you,” to your teenager. You may not get another chance.

I Love You

How could you?

They asked you,

How could you?

But you could not answer

As you were not here.

Why would you?

They asked you,

Why would you?

But their questions fell onto

The world’s deafest ears.

I loved you!

They told you,

I loved you.

But they told you too late,

Through their tears.

I’ll miss you,

They told you,

I’ll miss you.

And in death now

They hold you more dear.

The point is don’t take the risk. Since you never know what may happen and many teens feel that their parents don’t care, take the opportunity while you have it to express your feelings. Don’t spend the rest of your life regretting I never told him I loved him or wondering if that would have made the difference.

Dr. Rubino is a psychotherapist is Pleasant Hill who specializes in treating children and teenagers. He has over 20 years of working with teens. To find out more about his work or to contact him visit his website at http://www.RubinoCounseling.com.

Summer Activities and Teenage Concussions

Summer Activities and Teenage Concussions

It is summer time and school is out. Many children are engaged in summer activities such as swimming, water skiing and diving. Others are preparing for next year’s football season and cheerleaders are preparing too. While we use to assume these activities were safe, we now know they can be dangerous.

Many parents of high school athletes are aware of the dangers of concussions. Even one concussion can cause permanent damage according to recent research studies. However, there is another condition that parents need to be aware of when their child plays sports. This disorder is CTE. CTE is Chronic Traumatic Encephalopathy (CTE) it is a progressive degenerative disease of the brain found in athletes (and others) with a history of repetitive brain trauma, including symptomatic concussions as well as asymptomatic subconcussive hits to the head.

Our brain sits in our skull surrounded by fluid. Therefore, any time anyone hits their head or their head is jarred around, the brain moves in this fluid hitting the front and back of your skull or the sides of the skull depending on what direction the force came from. When the brain hits the skull it can cause bruising and microscopic tears of very fine nerve fibers. Nerve fibers that are too small to be seen on an MRI or a CT scan.

Physicians have known that CTE effects boxers for many years, however, it was just recently that evidence showed that football players are at risk too. This was the main focus of the movie, Concussion, starring Will Smith. The NFL did everything they could to stop the filming of this movie. The movie shows how CTE results in the patient becoming severely depressed and psychotic. Many of the patients with CTE commit suicide. Also many CTE patients were football players.

Why is this important for parents to know? It is important because CTE is caused by chronic head injuries. Head injuries that date back to when a teenager was playing high school sports. Therefore, it is important for parents to ensure that their teenager’s school is using the latest safety gear, especially for the head, and to take any head injuries seriously. There is no way to tell what will happen when these teenagers become adults.

For many years, football and schools have reported that they are developing helmets that protect the head better. However, these safer helmets are not being used in high schools or professional football. Schools and professional football are monitoring players closer after a head injury, but still little to nothing is being done to protect the brain prior to an injury.

As an adolescent psychotherapist who has been practicing for over 20 years, I am seeing more evidence of this every year. Every year I am seeing more teens with Post Concussion Syndrome. This disorder may occur after a concussion and can be associated with headaches, mood swings and memory difficulties. The teenagers who experiences this Syndrome becomes very frustrated because they are aware of the changes in their mind and because no one can say how long the symptoms will continue. In fact, no one can guarantee that the symptoms will disappear.

This becomes very frustrating to the teenager and their parents. Some teenagers are so overwhelmed that they start self-medicating with drugs and alcohol. Anything that they think might help. Others become so depressed because they fear that the symptoms are permanent that they become suicidal and may attempt suicide.

For many years these head injuries in teenagers were down played because there was not enough evidence to indicate that teenagers could be impacted by head injuries. Well the research clearly indicates that teenagers can suffer long term results from a single concussion. Additionally, this can create symptoms that are overwhelming for the teenager and their family. Imagine being a parent and you see your child suffering with Post Concussion Syndrome and there is nothing you can do to stop it. Parents also become depressed and nervous that their child may never recover.

Everyone’s brain is different and so is the recovery process. This means we have no way of knowing how many Concussions or head traumas it takes before CTE is started in someone. It also means we have no way to determine how long it will take for someone to recover from a concussion or if they will have permanent impairments. We only can tell after it occurs not before.

We do know that patients recovering from Post Concussion Syndrome or dealing with CTE can benefit from psychotherapy. Often this option is not given to teenagers because again many people believe teenagers are very unlikely to suffer with these issues. However, if you look at the research it indicates that teenagers can and do suffer from Post Concussion Syndrome and teenage head injuries can cause CTE.

As a psychotherapist who treats teenagers with head injuries, I strongly encourage every parent to watch the movie, Concussion. Also before your child starts playing any competitive sports, such as football or soccer, go online and research head injuries and signs and symptoms of concussions. Also if you teenager does sustain a head injury while playing sports or just playing have them evaluated. You never know how severe a head injury is by just looking at someone. A few years ago an actress fell in the snow and her friends said to go to the doctor she said she was fine. Two hours later she was dead. When she fell she caused her brain to bleed and she died.

The lesson from this story is as your teens go swimming, camping, climbing, suffering etc., over the summer monitor if they have a head injury. It can happen as easily as two kids hitting their heads together while wrestling and playing. If you notice any changes or your teen is complaining of not feeling well have them examined by a physician. Also keep track of how many head injuries they have sustained over time. If they get a concussion by diving maybe they need to take it easy for the rest of the summer.

Above all, use your best judgement as a parent. Do not be afraid to ask for a CT scan or an MRI if your child suffers any type of head injury. If your teenager does sustain a concussion and you notice a personality change or memory issues do not hesitate to seek psychotherapy for your child and for yourselves. Also don’t hesitate to talk to your teenagers high school. If the teenager is having problems concentrating after a head injury, the school may need to provide them with accommodations until the child recovers.

This can be an overwhelming and frightening topic to consider but the more you educate yourself, the easier it will be to manage. If you have additional questions regarding the personality changes or neuropsychological changes with head injuries, please feel free to contact me.

Dr. Michael Rubino has been treating children and teenagers for over 20 years. He also has training in neuropsychology. For more information about Dr. Rubino’s work or private practice visit his website at http://www.RubinoCounseling.com or his website that deals with accommodations at school http://www.LucasCenter.org or his Facebook page http://www.Facebook.com/drrubino3

Every Parent Makes Mistakes

Every Parent Makes Mistakes

This weekend we celebrate Father’s Day and last month we celebrated Mother’s Day. These days are set aside to provide us time to tell are parents how much they helped us as children and how much they mean to us. However, not everyone feels this way about their parents. Some people have a parent who abandoned them and others have parents who were physically and emotionally abusive. Therefore, Father’s Day and Mother’s Day are not happy days for many people because they had parents but their parents were not there for them. As a result, many people are angry and hurt by their parents and don’t want to celebrate their relationship with their father or mother.

While this is true that many parents were far from perfect parents, at times there are reasons why parents acted the way they did as a parent. I do not say this to excuse their behavior and parenting style because they are responsible for how they decided to act and parent. I say this to help people, who had abusive parents or parents who were not emotionally available, understand why their parents acted the way that they did. Many people who had less than perfect parents tend to blame themselves for their parents actions. This often results in people carrying around hurt, anger and shame that they do not need to. Also they tend to make excuses for their parents behavior because they are afraid what other people will think of them not their parents. They feel people will assume they must have been terrible kids to raise so their parents actions were justified. This only adds to their hurt, anger and shame.

The truth is many parents abandoned their children or are physically and emotionally abusive because their parents were the same way, but worse. They had no role models showing them how responsible parents should act. Also our society provides little assistance or education to new parents. Therefore, they are left on their own to figure out how to act as a parent. This is a difficult task and then when you add the pressures from work and paying bills some parents cannot tolerate the stress. They use whatever is easiest for them which is usually using the same techniques that their parents used.

As a psychotherapist when I work with a patient or a teen, I do a family history. I find out from the adult what life was like when they grew up and what life was like when their grandparents grew up. If I’m working with a teen who is dealing with substance abuse or physical or emotional abuse at home, I find the pattern in the family history. Typically, the pattern goes back to the great grandparents if people can remember that far back. This means we are dealing with a problem that has been going on for over four generations and being transmitted from generation to generation.

How can this happen? It can happen very simply. In the early 1900s very, very few people believed in psychotherapy. In the 1950s people still did not believe in it except for “really crazy” people who were locked up in hospitals. This stigma still continues to this day. When people call to schedule a psychotherapy appointment for their teenager, many ask if they come to therapy will it prevent their teenager from being accepted to colleges or getting jobs in the future. If a teenager contracts a sexually transmitted disease, these questions are not asked. In fact, many middle schools give condoms to sixth graders. Our priorities are off if we don’t worry about a sixth grader’s future when we give them a condom, but we worry about their future if they go to psychotherapy to improve their lives.

Therefore, the main point is that our society to this day still places a negative stigma on psychotherapy and getting help. Therefore, many parents in the 1950s had no help when they became parents. Children do not come with instructions and there were few parenting classes at that time. Therefore, few parents knew what to do as a parent and there were few resources available to help parents who were overwhelmed.

Bottom line, your mother or father may not have been perfect and may have mad a lot of terrible mistakes, but they did the best they could at the time with what they knew. I have found this many times when I have interviewed the parents and sometimes the grandparents of a teen I’m seeing in psychotherapy. They admit they made mistakes, but they did not know what else to do at the time.

Therefore, for those of you who had abusive or neglectful parents, you are entitled to your feelings, but try to understand they did the best they could do. Maybe you can’t forgive them, but don’t blame yourself or feel ashamed. You did nothing to create the situation and there was no way you could have made it better. For teenagers today, again you did not create the problem and the problems have nothing to do with you as a person. Also you cannot change your parents. You can try to understand that they did their best in the past, however, now that you are in therapy they have an option to improve the situation. They can begin their own psychotherapy and address their own issues.

Decade after decade we are seeing the same parenting issues being passed down from generation to generation. We need to stop this pattern. We must remove the stigma associated with psychotherapy and the stigma associated with needing assistance with problems. No child comes with a parenting guide when they are born. As a result, parents will and do make mistakes. Instead of making them feel ashamed and embarrassed, we need to provide parents with options for seeking help such as more parenting classes. We need classes which focus on raising a toddler and other for adolescents. Also for parents who were abused themselves they need individual and group psychotherapy. Why do we keep repeating these mistakes and allowing the cycle of abuse to be transmitted to another generation.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children, teenagers and their families. For more information regarding his work or private practice visit his website http://www.RubinoCounsling.com or his Facebook page http://www.Facebook.com/drrubino3

Children Need a Dad too

Children Need a Dad too

We have all heard very often how important a mother is to a child especially a young child. While this is true Dads are just as important to children and young children. I say Dad because any man can father a child, but it takes work to be a Dad to a child.

Because of the stereotype we have about men in our culture, Dads are often not considered to be important in children’s lives. We tend to focus on mothers and what they provide children. Also because men tend to work a lot and have a tendency not to express emotions, many people assume Dads are usually not emotionally available to children.

However, if we look at the stereotype it also demonstrates why Dads are important. Dads are the male role models to their sons. Dads teach their sons how to treat women, their wives and their children. They teach their sons how a man is supposed to act in relationships and react to people in general.

Dads are also role models for their daughters. Their daughters see how their Dads treat their Moms. This is the first example girls have of how they should be treated in an intimate relationship. If their Dad is verbally and physically abusive, they will most likely expect their boyfriend or husband to treat them that way. Additionally, if girls are exposed to a Dad who is verbally, emotionally or physically abusive, they are more likely to have low self-esteem as adults and be bullied as a child. Boys also are more likely to suffer from low self-esteem and be bullies, if their Dad is verbally, emotionally or physically abusive.

Additionally, boys tend to look for validation from their Dads that they are doing a good job developing into an adult man. If their Dad is not emotionally available, many boys interpret this as they are a failure to their Dad and they become hurt and angry. Since men and boys tend to have difficulties expressing their emotions, because men don’t express sadness or similar emotions, they tend to express these emotions as anger. In other words, boys and men tend to project their pain onto others.

If we change our mind set and see how valuable a Dad is to kids then may be Dads can start meeting the emotional needs of their children and families. However, this requires men to stop living up to the stereotype society has about how men are supposed to act. Since men tend to focus on the stereotype about male behavior, they tend to pass this stereotype on to their sons.

I have a friend who was able to ignore the male stereotype and write a wonderful poem to his son. He wanted his son never to doubt how he felt about him and he wanted to make sure he shared it with his son. What a tremendous gift he gave to his son! Also what a fantastic role model he is being to his son about how to be a Dad.

I asked for his permission to print it here and he graciously said yes. I hope other Dads will read this and share a gift like this with their son or daughter. Also I hope it helps to eliminate the false stereotypes we have about Dads.

I never want this to go unsaid, about my son,

So here in this poem, for all to hear

There are no words to express how much you mean to me,

with a smile upon my face, and warm feelings in my heart, I must declare!

A son like you, always polite and full of joy,I thought could never be.

Since the day you were born, I just knew you were like a mini me,

from your first breath I knew,

God sent me a blessing- and that was you.

For this I thank him every day,

You are the true definition of a son, in every way.

Your kindness and caring with love for all,

you give my life meaning, for us to share.

Becoming your father has shown me a new sense of being.

I want you to know that you were the purpose of my life,

Turning everything I ‘am – into a happy place.

Always remember that I know how much you care,

I can tell by the bond that we share.

For a son like you there could be no other,

And whether we are together or apart,

Please do not ever forget-

You will always have a piece of my heart.

This is a fantastic example of a Dad!

Dr. Michael Rubino is a psychotherapist with 20 years experience working with children & teens. He is an expert in this area of treatment. For more information about his work or private practice visit his website at http://www.rcs-ca.com, http://www.RubinoCounseling.com or follow him on Facebook http://www.Facebook.com/drrubino3 or on Twitter @RubinoTherapy.

Teens Ask Please Accept Me For Who I Am

Teens Ask Please Accept Me For Who I Am

Being a teenager in today’s world is very difficult. Teenagers face expectations regarding needing to make money to be a success. They face stereotypes about how boys must act if they want to be men and girls face stereotypes about how they must act to be considered women. I hear teens tell me everyday how overwhelmed and confused they are trying to fit into all the necessary stereotypes. They feel overwhelmed because at times they are not sure how to act and confused because at times they don’t agree with the stereotype. If they don’t, they are not sure what to do. This is a lot of pressure for a 13 year old child to be trying to cope with on a daily basis. It’s no surprise that many teens turn to drugs as a way to cope. It is also not a surprise that Cutting is at epidemic rates for teens and suicide is now the second leading cause of death for teens (CDC)

Now what if you don’t fit into the stereotypes? What if you suffer from depression? If you have a learning disability? Or if you are homosexual or bisexual? What do these teenagers do? This is how they were born and they cannot change that fact. Many of these teens will struggle trying to fit the stereotypes and also try desperately to hide from friends and family that they do not fit the teenage stereotypes. Some are lucky and parents or a teacher intervene helping them to get the help they need. Many are not so lucky and often choose suicide. Teenagers who are homosexual or questioning their sexuality are five times more likely than the average teen to think about and attempt suicide (CDC). These are very scary and sad facts.

The CDC found one in five teenagers are dealing with mental health issues such as depression, anxiety or stress. Many may think about psychotherapy but quickly block that option. Only “crazy people” need psychotherapy. If they had to go to therapy they are really a “loser.” For teenagers who are willing to try therapy, they often cannot find a therapist who treats teenagers or their family cannot afford it. Also for many cultures such as Latin or Asian, they believe that personal issues need to be resolved within the family and you would never share intimate family issues with strangers. Therefore, for these teens psychotherapy is not an option.

However, as a psychotherapist who specializes in treating teenagers, I hear daily from teens that all they want is to be accepted for who they are and they don’t want to have to always hide. The teen with depression or the learning disabilities wants to be considered just as important as the star quarterback on the football team. They want this from their school, their friends, society and finally from their families. Is this too much to ask for?

These teenagers are not stealing or doing anything to be ashamed of, they are being themselves just the way they were born. Why can’t they be accepted and celebrated? The answer is they can! It is something I teach them in every session we have together. There are organizations such as Alive and Free in San Francisco and Challenge Day in the San Francisco Bay Area who work with teens and society so these teens can feel accepted being themselves.

Another organization addressing this issue is called Born This Way. It was started by Lady Gaga and her organization works with teens and society so all teens feel accepted for who they are just the way they were born. Lady Gaga explains the mission of her foundation this way, “Safety, skills, and opportunity. Number one, I want everyone to feel safe in their community: school, home, whatever city you live in. Two: developing the skills that are needed to be a loving, accepting, and tolerant person, and to also inject that sentiment into all the people around you, being a supportive human being. And the third is opportunity. I believe once you feel safe in your environment and you acquire the skills to be a loving and accepting person, the opportunities for you are endless to become a great functioning human in society.”

For people who do better by hearing something or seeing it, I have included a link to a YouTube video where Lady Gaga explains Born This Way, https://youtu.be/

The concept really is very simple. Why can’t we accept children and teenagers just the way they were born. Every person is unique and everyone has talents to contribute to the world. So why do we pressure boys into the stereotype the must have big muscles and play sports to be a man? Why do we tell girls that boys are smarter and if someone touches them in a way they do not like it is their fault because of the clothes they are wearing. This is insane!

If we do away with the stereotypes and focus on teenagers liking their own personalities and bodies, we would have less cutting, suicide and drug use. We would also have many more teenagers who are happy and successful at life. Being happy is a successful life not a big bank account. Therefore, let’s get started on helping teens. We need people to support more organizations like the ones I named above. If we do we can eliminate the stereotypes and stigma of not fitting a stereotype. We also need to make psychotherapy more accessible to all teenagers and remove the negative stigma associated with mental health care. Now some people may think what I am proposing is impossible and just a dream. However, you are seeing more groups like the ones I mentioned open every year. We are seeing teenagers and parents being attracted to them. It is possible to improve the lives of children and teenagers. It may need to start with a dream. Dreams do come true look at what Walt Disney created with his dream.

Dr. Michael Rubino is a psychotherapist with over 20 years experience working with children and teenagers. He is on the nations advisory board for Alive and Free. For more information about his work and private practice visit his website http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3 or on Twitter @RubinoTherapy.