Teenagers are using cough medicine as a cheap form of LSD

Teenagers are using cough medicine as a cheap form of LSD

Many parents who are raising teenagers know they need to be concerned that their teenager may abuse alcohol, marijuana, ecstasy and many other drugs. However, parents who have children who are just starting high school, may not be aware of the fact that they need to worry about their teenager abusing cough medicine. Some parents may be concerned because some cough medicines contain alcohol. However, teenagers are abusing Robitussin on a frequent basis. They are not abusing it for the alcohol, they are abusing it for the dextromethorphan (DXM). This substance is high dosages can cause hallucinations and symptoms similar to using LSD.

Teenagers have been using Robitussin for a while and the number of teenagers abusing DXM has been increasing. A study in 2008, showed the overall use of DXM since 2000 increased by a factor of 10. However, for teenagers the increase is by a factor of 15. In order for a teenager to have hallucinations from DXM, they have to use 10 to 50 times the recommended dosage. Many parents may wonder will this amount of DXM be enough to cause their teen to overdose. Most teenagers do not overdose on DXM. However, many teenagers typically use alcohol or other drugs along with DXM. This combination can be lethal.

DXM has been around since the 1950’s. However, as I stated above since 2008 the amount of teens using DXM has increased by a factor of 15. Also DXM is used in many over the counter drugs for the cold and flu. So Robitussin is the most common over the counter medication teenagers are using, there are many other over the counter drugs that contain DXM and that teenagers are abusing too. The increase has been occurring since 2008, I have had teenagers talking about how they sneak it out of their house, get it from a friend or steal it from CVS or Walgreens. However, stealing it from a pharmacy has become more difficult because pharmacies are now keeping these medications behind the counter.

One of the primary reasons teenagers are abusing DXM is that it is cheaper than LSD or other drugs that create hallucinations. Also because these medications are over the counter it was a very easy way for them to obtain the DXM. However, as I stated, now most drugs containing DXM are kept behind the pharmacy desk and in order to buy them you need to show identification to the pharmacy. Most pharmacies require people to be 18 years or older in order to purchase medicine containing DXM.

Even with these medicines being kept behind the pharmacy counters, many teenagers have figured out ways to obtain over the counter medications containing DXM. Many teenagers know that pharmacists are aware that they are watching Robitussin so they are using other over the counter medications containing DXM. Teenagers have developed their own terms for these medications so parents may not know if their teenager is using DXM because their teenager is using different terms than referring to specific medications. I have included a link to the slang terms that teenagers are using to refer to DXM. The slang terms can be found in the following article https://www.webmd.com/parenting/glossary-dxm-drug-abuse. Parents I would strongly recommend reading this article so you can be aware if your teen is using DXM but referring to it with a different name.

Since DXM has been around for a while and more and more teenagers are using it because it is cheap and easy to get, in addition that it is in many over the counter medications, parents may have a difficult time knowing if their teenager is abusing DXM. Therefore, I have also included a link to an article which lists the symptoms you would see when someone is under the influence of DXM. Besides listing the symptoms of being under the influence, this article also lists the daily behavior changes you will see in a teenager who is abusing DXM. Here is the link to the article with the symptoms and behavior changes associated with DXM abuse https://drugabuse.com/library/dextromethorphan-abuse/#signs-and-symptoms.

As a psychotherapist who specializes in treating teenagers, I can say I have seen a significant increase in the number of teenagers using DXM. Ten years ago, occasionally one of the teenagers I would be working with had a history of using or were currently using DXM. Today it is very common. In fact it is almost as common as marijuana. Therefore, my recommendation to parents is to take the time and read the links I have provided and do your own research. While by its self DXM is not typically lethal, teenagers combine this drug with other drugs which can cause someone’s death. Also what I have observed is that DXM tends to lead to teenagers trying other drugs that can be very deadly. Therefore, my recommendation to parents is pay attention if you notice a change in your teenager’s behavior and if you feel it may be drug related buy a drug testing kit from a pharmacy and test your teen.

Dr. Michael Rubino is a psychotherapist with over 20 years experience. He is recognized as an expert in the treatment of children and teenagers. For more information regarding his work or private practice visit his website http://www.rcs-ca.com or follow him on Twitter @RubinoTherapy.

Trusting A Teenager’s judgement

Trusting A Teenager’s judgement

Working with teenagers as a psychotherapist, I very often hear from parents that they feel their teenager is not responsible and they have concerns about trusting their teenager. I also hear from teenagers how they are upset with their parents for not trusting them and not allowing them to make decisions. I understand the parents’ concerns, but at times they are being unfair and unrealistic about their ability to control their teenagers’ decisions.

We routinely tell teenagers that they need to be responsible for their choices and actions. However, we seldom allow teenagers the ability to make their own decisions. It is not uncommon that parents have set rules and curfews for their teenagers. Also with the advancement in technology many parents have software installed on their teenagers’ cellphones so they can read their teenagers’ emails or texts. Also they have GPS programs so they can determine where there teenager is and try to figure out what they are doing.

Teenagers are aware that their parents have software programs on their cellphones so they can read their emails or texts or use a GPS program to determine where they are and what they are doing. This usually makes teenagers upset that their parents do not trust them. Teenagers’ tell me if they want me to be responsible how can I be responsible if they do not give me a chance? Also most teenagers have found ways to bypass these programs or they have developed a Texting code so parents will not know what they are texting about to their friends.

Teens there are some facts you need to be realistic about too. You cannot demand that your parents treat you like adults, but if you get into trouble, you want mom and dad to fix it. If you want people to respect your choices and opinions, then you must be prepared to accept the consequences and reactions from other people regarding your choices and opinions. You cannot have it both ways.

The other fact that parents need to accept is you cannot control everything your teenager is doing. You can monitor your teen all you want, but if a teenager wants to do something they will figure out away to do it. Also if you want your teen to be responsible you have to learn to accept their decisions and the consequences that may result from their choices. Additionally, your teenager needs to learn their decisions have consequences and teenagers need to learn to accept the consequences for their actions.

What parents need to do is have a calm conversation with their teenager. During this conversation you discuss issues that your teenager will be facing such as alcohol, drugs, sex and their futures. Explain what you expect and what you are willing to do or not to do. Therefore, they may begin to understand what consequences they will face depending on the decisions they make. They also may start to understand that you will not always be able to solve their problems. If they want to be treated as adults, they need to be able to deal with the consequences of their actions.

This is an important lesson for teenagers to learn. They need to understand that their actions have consequences and they are responsible for dealing with these consequences. One consequence may be that as parents you may be upset with their decision. This is a consequence that they need to be able to accept. Not everyone is going to always accept or approve of your choices. Teenagers need to learn this fact. It is important that they understand that their choices have consequences and they are responsible for their choices.

It is important that parents learn to accept the fact that they cannot control their teenager’s choices all the time. Allowing them to learn from their poor choices is the best way for them to learn responsibility. It is also away for parents to learn to allow their teenagers to grow up and be responsible adults. Yes at times this may be difficult, but parents need to be realistic that they cannot control their teenager. Also it is better if they make mistakes before they are 18 years old. Typically these mistakes can be resolved easier if they are under 18 years old. When they are 18 years old or older, they face the same consequences as a grown adult not the consequences teenagers face. Parents it is important to remember that part of your teenager becoming an adult is allowing them to make choices and to learn from those choices. Also the time to start educating them about choices and right and wrong is when your child is in elementary school. If you wait until they are teenagers, they think they know more than they do and they are less likely to listen to you.

Dr. Michael Rubino has over 20 years experience working with teenagers and their families. He is considered an expert working with teenagers. For more information regarding Dr. Rubino’s work and private practice visit his website at http://www.RubinoCounseling.com or his Facebook page at http://www.Facebook.com/Drrubino3.

Important New Facts about Teenagers and Vaping

Important New Facts about Teenagers and Vaping

Teenagers know it is illegal for them to use marijuana in the open. Therefore, many teenagers have found ways that they can use marijuana and feel it is legal and safe. They don’t worry about anyone noticing they are smoking or that anyone can smell marijuana. The answer Many teenagers believe e-cigarettes, vaping pens and Hookah pens are the answer. Unfortunately, parents and teachers are not fully aware of this methods and teens can use them in class and at home.

Vaporizing is the newest method teens are using. They use vaping pens for nicotine and for marijuana. I have seen teens actively using vaporizing pens on school campuses and trying to use them in my office. They feel they are safe and they will not get into trouble using them.

Many people will say E cigarettes and vaping are safer than smoking. Teenagers have believed this for years and used this argument as a reason they should be allowed to use them. However the newest research does not indicate that is true. Research by the CDC indicates that vaping or using e-cigarettes put teenagers at a higher risk to become addicted to strong drugs than marijuana.

A teenager’s brain is still developing. This is why if they sustain a head trauma, their prognosis and recovery is better than someone who is 40 years old. Research is showing that since the neural pathways in a teenage brain are still developing, when teenagers vape it creates changes in the teenage brains. The research by the CDC indicates that these changes increase the probability that the teen will become addicted easier to stronger drugs than marijuana.

Another research study just released shows just using an e-cigarette or vaping just once creates changes in a person’s artery. For example, after vaping once the femoral artery narrows. The research does indicate that after a few hours it returns to it’s normal size, but the question they are now exploring is do these changes become permanent at some point.

Finally, the most recent results to be released by the CDC indicate that a number of states are investigating the link between vaping and severe lung damage and illnesses. California is investigating 19 cases where teens who used vaping pens on a regular basis were admitted to hospitals with rare lung issues.

Besides these results teenagers believe by vaping they are exposed to less THC. However, research indicates the opposite. Vaping weed allows more THC into a teenager’s body and brain. In fact, people who vape weed state that it creates more of an intense body high that lasts for a day or two. People warn that if someone is not use to this it can create a traumatic experience for the teen. With vaporizing someone can do what is referred to as a volcano. The weed is vaporized into a plastic bag so it can be inhaled over time.

People who I have spoken to state vaporizing is not as safe as teens think. The body high it creates and the length of the high could be traumatic for a teenager. However, they are seeing more teens getting into it even though they don’t know exactly what they are getting into. Combine these facts with the recent research results and it is becoming more apparent that vaping is not as safe as teenagers think and that teenagers do not have all the facts about vaping.

Parents do your own research and talk to your teens. There are more and more drugs out there and more ways to use them than ever before. Teenagers don’t know exactly what they are getting into and can end up in a bad situation. They need your guidance more than ever regarding these new drugs and methods of use.

The Hookah Pens and Vaporizers are very popular today. In addition so are the designer drugs such as Mollies and Thunder Bolts. No one knows exactly what is in them so many Emergency Room doctors are unable to treat these teens and they die.

Another thing teens are using is GNC stores. Everything in there is a vitamin so it does not have to be tested by the FDA. However many of these vitamins used at the right amount give teens a long lasting high. Many parents don’t suspect anything because their teen says they are taking vitamins for their sport team their on. Look at and research anything they are taking.

Well your teenager has found a new toy to use. Many teens have been smoking Hookah because they believe that it is safer than cigarettes or marijuana. Unfortunately they are wrong. It is just as dangerous and might be more dangerous.

Smoking Hookah is a group activity that is common in the Middle East and India. Since it is a group activity, it is appealing to teens. Also since many adults here in the United States know little about it, this makes it more appealing to teens because it is easier to lie about. If you look up Hookah, you will find there are numerous places that teens can go in Pleasant Hill, Walnut Creek and Concord to buy a Hookah pipe and Hookah to smoke. There are also Hookah cafes similar to Starbucks where teens can go and smoke it. And now finally there is the Hookah pen. It looks like a regular pen so they can take it any where such as school and smoke.

However, the Hookah pipe can be used for smoking more than Hookah. The teens are combining Hookah with marijuana to get high. Now that there is a Hookah pen, or vaporizer pen, teens can easily take this to school and smoke during class. As a parent you may want to discuss Hookah with your teen and see what they know or don’t know. You may want to discuss the pros and cons too. Also remind them if they get caught with the pen on campus, they are in trouble.

One thing this should point out to parents is that you should never let your your guard down. Teens are always developing new ways and new devices to get high. Check out this video on YouTube to learn more about these pens.

Read more about the effect of these “waterpipe” smoking devices from the World Health Organization.

Dr. Michael Rubino specializes in treating teens. He has over 20 years experience treating children and teenagers. For more information on Dr Michael Rubino’s work or his private practice visit his web site at http://www.RubinoCounseling.com or his Facebook page at http://www.Facebook.com/drrubino3.

What A Parent Can Do, If They Think Their Teen is Suicidal

What A Parent Can Do, If They Think Their Teen is Suicidal

Many parents ask me, if their child could be suicidal and what to do if their child is suicidal? The concern is worrying more parents since the CDC no longer rank suicide as the third leading cause of death and now rates it as the second leading cause of death for kids 10 to 18 years old. In addition, parents are worrying more about suicidal teenagers as we learn more about suicides of survivors involved in mass shootings. The idea is very scary especially because we do not discuss mental health issues in our society. As a result, parents are not sure what signs they should be looking for or what to do if they feel their teen is suicidal. Parents are aware there is a teenage suicide epidemic, but have no idea what to do or how to get help.

A successful suicide attempt is definitely a tragedy for the entire family. However, an unsuccessful attempt can be a tragedy for the child and the family too. Depending on the method used, a child who has an unsuccessful attempt may have to live their entire life with major medical complications. They can cause brain damage which may cause them to lose the ability to speak or the ability to breath on their own. Therefore, they may spend the rest of their life on a ventilator. Guns are one of the top three ways teenagers attempt suicide. However, teenagers are not aware that guns jump when fired. Many teens who use a gun do not kill themselves, but they do shoot off their face. The result is they have to have numerous surgeries to reconstruct their face, but their face and life are never the same.

I read this very good article describing what to do if you think your child is suicidal. It provides the steps you need to take in a non-threatening manner. It also addresses issues parents often may not think about, if they are concerned about their child being suicidal. The most important step is don’t be afraid to ask your child if they are feeling suicidal. It is a myth that if you ask someone if they are suicidal that you will cause them to become suicidal. In fact, you may save their life by asking them if they are suicidal. By asking you let them know it’s ok to talk about their feelings. Also by asking you reassure them there is nothing wrong with them and that you are emotionally strong enough to cope with the situation. Therefore, you may save their life by asking, if they are feeling suicidal.

Another reason many parents do not ask their teenager about suicide is the negative stigma associated with suicide. Often when someone dies of suicide the family will give another reason. Many families also request suicide not be listed as the cause of death. The Lighthouse Project conducted at Columbia University is attempting to remove this stigma. The Project has also developed questions that family members, friends and first responders can ask a person who they think might be suicidal. The questions have shown to be very effective at identifying someone who is suicidal and having the person to get help. I am including the link to the Lighthouse Project so you can learn more about it and download the questions that are most appreciated for you, if you feel someone in your life maybe suicidal. http://cssrs.columbia.edu/

I have included the link to this article and I encourage parents to read it and to save it. What to Do if You’re Worried About Suicide |. https://childmind.org/article/youre-worried-suicide/#.W9PRyfwKel8.twitter.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating suicidal children and teenagers. For more information on his work or private practice visit his website http://www.RubinoCounseling.com or Facebook page http://www.facebook.com/drrubino3.

Gratitude is A Daily Lesson for Teenagers

Gratitude is A Daily Lesson for Teenagers

We live in an area where most kids have more than they need. For example, most fifth graders have Smartphones, IPads and laptops. However, many parents worry are they providing their children with enough. Many parents are so worried about if the teen or child has enough that they often don’t realize how fortunate most children are in this area.

While parents are worrying about meeting the needs of their teens so they have they same amount of stuff as other kids, they often forget to teach their teens about gratitude. Yes it is very important to meet a child’s basic needs, but it is also important that teens are grateful for what they do have and the sacrifices their parents make for them.

Gratitude is an important lesson and gift for children. What some parents may want to do is instead of buying your child a large number of things is to teach their child about gratitude. In the United States, we have many children who are homeless and hungry. Yes, in the United States, we do have homeless children. We also have many children who have more toys than they need and are unaware that there are children who are homeless in our Country. Therefore, think about taking you and your family to the to buy children who cannot afford them back to school supplies. May be you and your family can donate some time at a homeless shelter or cleaning out your closets and donate items you are no longer using to the Salvation Army. While doing these things, teach your child about the fact that there are others in need and to appreciate what they have in their lives. Also that giving can be more important than receiving.

Furthermore, I read an article by Joshua Becker and he listed gifts that parents give to their children every day and that children usually do not forget these gifts. I think it is important for parents to remember the daily priceless gifts we give children daily. Especially when your teen tries to make you feel guilty because other parents give their teens more.

Here are some of Joshua Becker’s thoughts. I have countless memories. Very few childhood memories actually include the things I received. I distinctly remember the year that I got a blue dirt bike, the evening my brother and I received a Nintendo, and opening socks every year from my grandparents. But other than that, my gift-receiving memories are pretty sparse. Which got me thinking… what type of gifts can we give to our children that they will never forget? What gifts will truly impact their lives and change them forever?

To that end, here is an alphabetical list.

35 Gifts Your Children Will Never Forget:

1. Affirmation. Sometimes one simple word of affirmation can change an entire life. So make sure your children know how much you appreciate them. And then, remind them every chance you get.

2. Art. With the advent of the Internet, everyone who wants to create… can. The world just needs more people who want to…

3. Challenge. Encourage your child to dream big dreams. In turn, they will accomplish more than they thought possible… and probably even more than you thought possible.

4. Compassion/Justice. Life isn’t fair. It never will be – there are just too many variables. But when a wrong has been committed or a playing field can be leveled, I want my child to be active in helping to level it.

5. Contentment. The need for more is contagious. Therefore, one of the greatest gifts you can give your children is an appreciation for being content with what they have… but not with who they are.

6. Curiosity. Teach your children to ask questions about who, what, where, how, why, and why not. “Stop asking so many questions” are words that should never leave a parents’ mouth.

7. Determination. One of the greatest determining factors in one’s success is the size of their will. How can you help grow your child’s today?

8. Discipline. Children need to learn everything from the ground-up including appropriate behaviors, how to get along with others, how to get results, and how to achieve their dreams. Discipline should not be avoided or withheld. Instead, it should be consistent and positive.

9. Encouragement. Words are powerful. They can create or they can destroy. The simple words that you choose to speak today can offer encouragement and positive thoughts to another child. Or your words can send them further into despair. So choose them carefully.

10. Faithfulness to your Spouse. Faithfulness in marriage includes more than just our bodies. It also includes our eyes, mind, heart, and soul. Guard your sexuality daily and devote it entirely to your spouse. Your children will absolutely take notice.

11. Finding Beauty. Help your children find beauty in everything they see… and in everyone they meet.

12. Generosity. Teach your children to be generous with your stuff so that they will become generous with theirs.

13. Honesty/Integrity. Children who learn the value and importance of honesty at a young age have a far greater opportunity to become honest adults. And honest adults who deal truthfully with others tend to feel better about themselves, enjoy their lives more, and sleep better at night.

14. Hope. Hope is knowing and believing that things will get better and improve. It creates strength, endurance, and resolve. And in the desperately difficult times of life, it calls us to press onward.

15. Hugs and Kisses. I once heard the story of a man who told his 7-year old son that he had grown too old for kisses. I tear up every time I think of it. Know that your children are never too old to receive physical affirmation of your love for them.

16. Imagination. If we’ve learned anything over the past 20 years, it’s that life is changing faster and faster with every passing day. The world tomorrow looks nothing like the world today. And the people with imagination are the ones not just living it, they are creating it.

17. Intentionality. I believe strongly in intentional living and intentional parenting. Slow down, consider who you are, where you are going, and how to get there. And do the same for each of your children.

18. Your Lap. It’s the best place in the entire world for a book, story, or conversation. And it’s been right in front of you the whole time.

19. Lifelong Learning. A passion for learning is different from just studying to earn a grade or please teachers. It begins in the home. So read, ask questions, analyze, and expose. In other words, learn to love learning yourself.

20. Love. …but the greatest of these is love.

21. Meals Together. Meals provide unparalleled opportunity for relationship, the likes of which can not be found anywhere else. So much so, that a family that does not eat together does not grow together.

22. Nature. Children who learn to appreciate the world around them take care of the world around them. As a parent, I am frequently asking my kids to keep their rooms inside the house neat, clean, and orderly. Shouldn’t we also be teaching them to keep their world outside neat, clean, and orderly?

23. Opportunity. Kids need opportunities to experience new things so they can find out what they enjoy and what they are good at. And contrary to popular belief, this doesn’t have to require much money.

24. Optimism. Pessimists don’t change the world. Optimists do.

25. Peace. On a worldwide scale, you may think this is out of our hands. But in relation to the people around you, this is completely within your hands… and that’s a darn good place to start.

26. Pride. Celebrate the little things in life. After all, it is the little accomplishments in life that become the big accomplishments.

27. Room to Make mistakes. Kids are kids. That’s what makes them so much fun… and so desperately in need of your patience. Give them room to experiment, explore, and make mistakes.

28. Self-Esteem. People who learn to value themselves are more likely to have self-confidence, self-esteem, and self-worth. As a result, they are more likely to become adults who respect their values and stick to them… even when no one else is.

29. Sense of Humor. Laugh with your children everyday… for your sake and theirs.

30. Spirituality. Faith elevates our view of the universe, our world, and our lives. We would be wise to instill into our kids that they are more than just flesh and blood taking up space. They are also made of mind, heart, soul, and will. And decisions in their life should be based on more than just what everyone else with flesh and blood is doing.

31. Stability. A stable home becomes the foundation on which children build the rest of their lives. They need to know their place in the family, who they can trust, and who is going to be there for them. Don’t keep changing those things.

32. Time. The gift of time is the one gift you can never get back or take back. So think carefully about who (or what) is getting yours.

33. Undivided Attention. Maybe this imagery will be helpful: Disconnect to Connect.

34. Uniqueness. What makes us different is what makes us special. Uniqueness should not be hidden. It should be proudly displayed for all the world to see, appreciate, and enjoy.

35. A Welcoming Home. To know that you can always come home is among the sweetest and most life-giving assurances in all the world. Is your home breathing life into your child?

Of course, none of these gifts are on sale at your local department store. But, I think that’s the point.

Dr. Michael Rubino has 20 years experience working with teens and their parents. For more information about Dr. Rubino’s work and his private practice visit his website at http://www.RubinoCounseling.com or follow him on Twitter @RubinoTherapy.

Gifted Kids Sometimes Need Special Ed Too

Gifted Kids Sometimes Need Special Ed Too

Many parents are very happy to hear that their child has been classified as “gifted.” They assume that their child will do very well in school and have a very bright future because they are “gifted.” While “gifted” children may excel in certain academic areas, often they have difficulties in other social situations or academic areas. These children are called twice exceptional children. Research by John Hopkins estimates that one out of five children are twice exceptional or 2E which is a more common term. Therefore, John Hopkins estimates that there are approximately 700,000 2E children in the United States.

Wikipedia defines 2E children in the following way:

A 2e child usually refers to a child who, alongside being considered gifted in comparison to same age-peers, is formally diagnosed with one or more disabilities. Although 2e can refer to any general disability, it is often used to refer to students with learning disabilities, although research is not limited to these areas, and a more holistic view of 2e can help move the field forward. The disabilities are varied: dyslexia, visual or auditory processing disorder, obsessive-compulsive disorder, sensory processing disorder, autism, Asperger syndrome, Tourette Syndrome, or any other disability interfering with the student’s ability to learn effectively in a traditional environment. The child might have a diagnosis of attention deficit hyperactivity disorder, or diagnoses of anxiety or depression.[6] Often children with 2e have multiple co-morbid disabilities than present as a paradox to many parents and educators.

Many people may find this hard to believe, however, as a psychotherapist who specializes in treating children and teenagers, I have seen many “gifted” children who do have the disabilities listed above. A common issue I have encountered is that “gifted” children often have difficulties making friends and dealing with social situations. If they had not been classified as “gifted”, parents would see that they do meet the criteria for Asperger’s Syndrome. Another common issue I have seen in psychotherapy with “gifted” children is that they have difficulties organizing their ideas and maintaining sustained attention. These children meet the criteria for ADHD.

One of the primary difficulties for these children is since they have been classified as “gifted,” many schools do not want to offer support services for a “gifted” child who has ADHD or a processing problem. Because they are not receiving the academic support they need, many of these children suffer with depression, anxiety and low self-esteem. These children often become very frustrated and start to act out at home and at school. They are trying to tell the adults in their lives that everything is not okay and they need help. I have seen this many times with “gifted” children that I see for psychotherapy. It also creates a great deal of stress for the parents. They can see their child is having difficulties and the child is complaining about difficulties, but the school tells the parents the child is doing fine because they are “gifted.”

The research from John Hopkins University shows us that the two are not mutually exclusive. A child can be “gifted” in one area and have a learning disability in another area of life. Therefore, a “gifted” child may need a 504 plan or an individualized educational plan (IEP). Therefore, if you are the parent of a 2E child and you notice that your child is having difficulties at school, do not be afraid or nervous to advocate for your child. To make this easier, I have included a link which discusses misconceptions about 2E children, 7 Myths About Twice-Exceptional (2E) Students http://u.org/2hp0dNU. I am also providing a link to a newsletter for an organization which helps parents with 2E children and advocates for them, https://www.google.com/url?sa=t&source=web&cd=3&ved=0ahUKEwiv8PmrxYDYAhUH6oMKHbmyD10QFggiMAI&url=http%3A%2F%2Fwww.2enewsletter.com%2Farticle_2e_what_are_they.html&usg=AOvVaw35GmKdn_P9FJzqMBPkMMrD.

If this sounds like your child do not panic. Arrange to have your child evaluated by a mental health clinician who is familiar with 2E children. They can help you develop a treatment plan and let you know if your child needs accommodations at school. If your child needs accommodations at school do not pay for any psychological testing for your child. According to California law, the school district has the right to test the child first. They do not have to accept outside testing, if the district has not tested the child. If you disagree with the school district’s testing, say so and request a second evaluation. This evaluation is completed by a professional not associated with the school district and the school district pays for the testing not you.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. In fact, he specializes in treating children and teenagers. If you want to know more about Dr. Rubino’s work or private practice visit his websites http://www.RubinoCounseling.com, http://www.LucasCenter.org or his Facebook page http://www.Facebook.com\drrubino3.

Ignoring Mental Health Creates Major Issues for Teens & Their Families

Ignoring Mental Health Creates Major Issues for Teens & Their Families

I have had many parents tell me they had a tremendous difficulty finding mental health care for their child. As a psychotherapist who specializes in treating teenagers, I have seen how teenagers and their parents do not receive the access to the mental health care they deserve. This topic is very important now because the President states we have an issue with Mental Health care in our Country. Hopefully this article will explain the difficult people experience when they need mental health care and specifically what teenagers and their parents deal with and the changes that we need to make.

We often hear parents complain that their teenager is driving them crazy or a teenager complaining how unfair their parents are to live with on a daily basis. However, there are another set of complaints that get ignored on a routine basis. The complaints that get ignored are parents begging for mental health care for their teen or a teen crying out for help by cutting themselves or running away.

Many of us assume that if a parent wants mental health care help for their teen or if a teen needs help, all either one of them has to do is ask for help. Unfortunately, this is not how our world works.

It is very common for parents to ask everyone they can think of for help for their teenager and the only answer they get is, “I am sorry we cannot help you or your child. We don’t handle that issue.” It is also not uncommon for teens to ask for help by admitting to someone that they are feeling suicidal and the teen is told stop being so dramatic or “sorry there is nothing we can do for you at this time, but try calling this number.”

Some of you may assume that I must be exaggerating, but I am not. I have had many parents beg me to see their child because no one has any appointments or they don’t deal with teen issues. When I interview these parents, they have been every where asking for help, but no one has offered any help or they are referred to someone else because they don’t deal with their child’s issues. Many parents tell me they had called over 20 psychotherapist and had no replies. My office was the only office to call back.

For example, one Thanksgiving I had a mother have my answering service page me and she was begging me for help because her teen was suicidal. I was referred her to the mother by the County hospital because the County hospital said they had no room for her son. When speaking to the mother it was obvious the teenager needed to be hospitalized. When I asked her why her son was not in the hospital, she again told me the County hospital gave her my telephone number because they had no more beds for suicidal teenagers. No one in the system cared what she was dealing with and how concerned she was about her son. I also have had the Crises Unit at the County Hospital not to send anyone over because they had no space for suicidal teens. So if I have a suicidal teen, what do I do?

Again, some people might believe these are isolated cases. Sadly these are not isolated cases. I specialize in treating suicidal and bipolar teens. There have been a number of times I have sent a suicidal teen by ambulance from my office to the County hospital only to have the teen released in less than an hour because the hospital had no beds. I had one person on the Psychiatric Crises Unit tell me on the telephone unless the person had a shotgun in their mouth not to send them to the Hospital because they had no beds for suicidal teens.

Now, some of you may assume the situation would be different if the teen had private insurance because I have been referring to the County Hospital. If you are thinking having private insurance would make a difference, you are wrong. I have had many private insurance companies deny my request to authorize additional therapy sessions for a suicidal teenager. When I remind the insurance that the teen is suicidal and needs therapy to prevent them from acting on their feeling, they often say to refer them to a community counseling center. When I remind them that most non-profit counseling centers have closed due to the economy, they simply say sorry they have exhausted their benefits and they will no longer cover their treatment.

This puts the therapist in a difficult position. Do you just discharge the teen or do you continue to treat the teen for a low fee or for free? When 1 out of 5 teens have a psychological condition that needs treatment, what do you do when treatment is denied or there are no treatment options? Also, when you examine the results further you find that teens who need therapy but fail to receive it are more likely to get involved with drugs, crime, are more likely to drop out of school, more likely to get pregnant or father a child and that child is more likely to become a foster child. These teens are also more likely to end up on probation, homeless and on welfare.

As a society we do not place much emphasis on mental health care. Mental health care programs are always some of the first programs cut when the budget is cutback. In fact if you look at the recent cut backs due to the Congress not balancing the budget, mental health programs were some of the first programs to be cut.

I find it very interesting that Contra Costa County had enough money to build a new Juvenile Hall, which is three times the size of the old Juvenile Hall, but there was not enough money to fund mental health services which were cut.

We often look at teens who are acting out and blame their parents. We ask why don’t they get their child the help they need? What stops them from helping their teenager? Why is the teen always getting involved with drugs or not going to school? The answer could be because the teen needs mental health care and the parents have been and continue to try to get their teen help but their is no help available. The teen may be acting out because they are tired of asking for help and being in pain so they start looking for the easiest way out of pain.

If we want our teenagers to grow up to become productive members of society, then we need to provide them with the mental health care they need. If we want parents to be responsible parents then we need to provide parents options for how to get their teens help when they ask for it.

What can we do? We can write our Congressmen and Senators and demand that they fund community mental health centers. We need more mental health clinics. We don’t need an useless wall on the Southern border.

We can also demand that private insurance companies be required to offer teenagers and provide their families adequate mental health benefits based on what professional therapists are recommending. The professional treating the child knows what the child needs not some clerical worker with a Bachelors degree who is answering phone calls at the insurance company.

In short, if we want our teenagers to survive their teen years we all need to act together and demand that our children receive the treatment they need and deserve. Private insurance companies make huge profits and drive the cost of health care up based on how they do business. If we don’t start to speak up for our kids, they will never receive the care they need. Look at your next pay stub and look at how much you pay for health insurance and compare that to the benefits you receive.

Dr. Michael Rubino has over 20 years experience treating children and teenagers. If you would like more information about his work or private practice visit his website at http://www.RubinoCounseling.com or his Facebook page at http://www.Facebook.com/drrubino3.

Are We Ever Going to Protect the Children?

Are We Ever Going to Protect the Children?

Schools all across the country are starting a new year and students are wanting to know if it is safe for them to go to school. Why would a child worry about their safety at school? Because of all the mass shootings in the United States and our government has failed to pass any sane gun laws protecting children. As of July 31, 2019, there had been 248 mass shootings, 246 people killed and 979 injured. Given the number of shootings this year, it averages out to a mass shooting every 1.2. days. These statistics were valid as of July 31st. Since then there have been the shootings in Texas and Ohio. Therefore, there have been 250 mass shootings this year (it’s only August) and we are still waiting on the total number of people who have been killed or injured.

Initially after the recent shootings, the President said we would definitely be taking action and there would be universal background checks. Today he made a public statement from the Oval Office that there would be no universal background checks. He stated that the people who helped him win the election would not be happy with universal background checks. He had been speaking to the chairman of the NRA today. Therefore it appears, the money the NRA donates to his campaign is more important than the children of the United States.

Last week the President tried to say it was a mental health issue and he said that again today. He also reinforces the negative stigma about mental health in our country. When he refers to a mental health issue, he also calls the people “sick” and states they need to be looked up. The research clears shows that people with mental health issues pose a danger to themselves by cutting or committing suicide. The research clearly shows that people with mental health issues are rarely dangerous to society. The Director of the American Psychiatric Association issued a statement last week stating the same information.

Mental health is not an issue with mass shootings, hate is the issue. In fact this week, three men planing mass shootings were arrested. One of the men arrested issued a statement that he was planing the shooting because he hated anyone who was not white. He was also at the Charlottesville protest and stated to a reported he believed in only a nation for white people and was advocating killing anyone who was Jewish. This man is not being labeled as mental ill. He is being charged with charges related to a Hate crime. Again in order to be charged with a Hate crime you must be attacking someone because you hate them due to their ethnicity, religion, sexual orientation etc. The Klu Klux Klan has held rallies and have been accused of killing people for years, but no one in the group is labeled mentally ill. The KKK is labeled as a hate group.

So when I have children coming into my office saying they are afraid of being killed and the mass shooter drills scare them, what do I say to them? How can I say we are doing everything we can to protect them, when our government is not doing anything. Children hear things and they will know that I am lying. Most would have heard some where that the President refused universal background checks. For therapy to work, the children need to trust me. If I lie, they will not trust me. Also with the statistics I cited for this year alone, how can I tell a child there is nothing to worry about.

The other issue is how do parents get children and teenagers to come to a psychotherapist’s office. The President has been on national television stating all mass shooting is due to mental illness. He refers to the people as “sick puppies” and that they need to be “locked up in asylums.” Teenagers and children will be worried that their parents are taking them to my office to be locked up. Many teenagers need psychotherapy. According to the CDC, one out of five children need psychotherapy. Anxiety disorders and depression have increased significantly. Cutting is an epidemic in teenagers and children. I have children as young as 10 who self- mutilate. Also suicide was the third leading cause of death for kids 10 to 18 years old. In the last few months, the CDC changed suicide from the third leading cause of death to the second leading cause of death. There are many children who need psychotherapy, but will be afraid of being locked up and will fight their parents about going to therapy.

Also what about the people who experienced a mass shooting, their family and friends and the first responders, their lives have been changed for ever. They are going to need years of psychotherapy to cope with their PTSD. However, besides be labeled as a victim, they are not going to want to be looked at as a “sick puppy” because they need therapy. This is what they will think and feel because of how the President and Senate have responded to mass shootings. We already have survivors of mass shootings and family members committing suicide because they cannot stand the pain. We have seen the same thing from veterans committing suicide because they did not have access or were embarrassed to seek psychotherapy. When will we learn? When will we stop demonizing mental health?

Since it appears the President will not act, we need to learn from the high school students from the Parkland, Florida shooting and take action ourselves. Remember by acting you may be saving the life of your child or a loved one. Call the Senators for your state and demand sane gun laws and if they are too afraid of the NRA, you will vote against them in the next election. Next, contact Mitch McConnell and demand that he bring the sane gun laws to the Senate floor for a vote. If he received numerous phone calls demanding action or people with be supporting who ever runs against him, he will bring the bills to a vote. He only cares about keeping his senate seat. If he cared about the families devastated by these shootings, he would have been there trying to help instead of staying on vacation. His contact information is below:

Senator Mitch McConnell : U.S. Senate, 317 Russell Senate Office Building, Washington, DC 205100001

ph: (202) 224-2541

fax: (202) 224-2499

Some people will say I have no right to be writing this article. However, I see and hear the kids crying daily because they are afraid of being killed or their parents being killed. I also am trained in Critical Indent Debriefing and trauma therapy. I am tired of hearing how the first responders lives are being changed and the night terrors they experience. I am not afraid of the NRA. We have a huge problem with hate and race in our Nation that must be addressed. Also we also do not have adequate mental health services in our Nation. This is why the suicide rate went from the 3rd leading cause of death to the second leading cause of death for kids. Mental health issues is not causing the mass shootings! If it was we would have had the problem in the 1970s and 1980s, but we didn’t.

Dr. Michael Rubino is a psychotherapist with over twenty years experience treating children and teenagers. He is also trained to treat victims of trauma and to do Critical Incident Debriefing. For more information regarding Dr. Rubino visit his website http://www.RubinoCounseling.com or Facebook page http://www.Facebook.com/drrubino3

Hate is The Problem Not Mental Health

Hate is The Problem Not Mental Health

The United States has an epidemic of mass shootings. According to the CDC, there is a mass shooting every eight days. Furthermore, since Columbine 214,000 students have experienced a school shooting with over 141 students killed. With the shooting at the Gilory Garlic Festival, in El Paso, Texas, Daytona, Ohio and last night Philadelphia, Pennsylvania, the statistics from the CDC seem to be right. Since the shooting in Parkland, Florida, teenagers have been marching and contacting Congress to pass sane gun laws. Unfortunately, their requests have been ignored. Instead, the President has decided to blame people who have mental health issues.

Today he again blamed people with mental health issues and said the answer is we need to build more mental health asylums. According to him, these people all need to be locked up. His idea and approach to these mass shootings has only served to increase the negative stigma about mental health issues and those people who are dealing with mental health issues. Besides the solution he proposed, the language he uses reinforces the negative stigma. He has referred to some of the shooters as “sick puppies.” These shooters who have committed these terrible crimes have done horrific things to families and communities, but they are still human beings.

His idea that all mass shooters have a mental illness is ignorant and wrong. Most mass shooters have been single, white males. Additionally, the Chairman of the American Psychiatric Association issued a statement last week documenting that most people with mental illness are dangers to themselves more than others. I have been treating people for various mental health issues for over 20 years. During that time I have dealt with many patients who were suicidal, cutting or burning themselves and trying to starve themselves. They were all hurting themselves and did not want anyone else to get hurt. I have never had a patient threaten to hurt others physically. Therefore, my work and the work of my other colleagues support the statement by the American Psychiatric Association. Patients with mental illnesses are rarely violent to others they tend to be dangerous to themselves.

Many people are afraid to seek help for themselves or their teenagers for fear of what will happen if they are diagnosed with a mental health issue such as depression. They are afraid of losing health insurance, not being able to get a job or their teen may not be able to get into a college. Overall they are afraid of becoming society outcasts and losing their rights. The way the President has referred to shooters as “sick puppies” has only served to reinforce the negative stigma about mental health issues. If he is saying people with mental health issues need to be locked up in asylums, people are going to be less likely to seek help. Suicide is now the second leading cause of death for teenagers. If we take the President’s approach, it will become the number one cause of teenage deaths.

The President did get one aspect of the shootings right. He stated hate is involved. When these shooters are investigated they all have hate towards certain groups. These mass shootings are hate crimes. Hate crimes were created for people who are victims of a crime due to their ethnic background, religion or sexuality. To be charged with a hate crime you need to hate someone not be mentally ill. The Klu Klux Klan has been terrorizing and killing people for years due to someone’s ethnicity or religion. No one has ever called a member of the KKK mentally ill. People refer to the KKK and other groups like them as hate groups not mentally ill groups. So instead of blaming mass shootings on people who have mental illnesses, why don’t we address the source of the problem? Everyone of these shooters have left writings and social media posts showing their hate for a particular group and their plans to kill as many people as they can that belong to this group. Hate is the problem.

We do not need asylums to help people with mental health issues. We need more community based programs and we need insurance companies to cover the necessary treatment a person needs if they have a mental health issues. Most people are born with mental health issues such as depression or develop an issue such as PTSD or traumatic brain injury from a car accident or being exposed to a traumatic event. Therefore, mental health issues are really not that different than physical health issues except there is funding to treat physical health issues and not enough to treat mental health issues.

If you are dealing with a mental health issue, please ignore the President and seek treatment. You will not be put into an asylum. If you are having issues, the sooner you seek treatment the better. The only time a person is hospitalized is if you are actively suicidal. This means you have decided to kill yourself and have everything ready to do it. Otherwise, you do not need to worry about being hospitalized.

Please write your Senator and demand that they pass sane gun laws so children are safe to go to school. Also ask for stricter laws for perpetuators of hate crimes. Finally ask for funds for community mental health centers and mental health education. We need to educate the public about mental health issues so we can remove the stigma the President is promoting.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating teenagers and children. He is also a founding member of the National Street Soldier Advisory Board, a community based program for teenagers. For more information about his work visit his website http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3

The Truth is Teenagers Do Need Sleep

The Truth is Teenagers Do Need Sleep

Summer is coming to an end and school is beginning. This means kids and teenagers will not be able to stay up late and sleep in. Many kids feel they did fine over the summer, so sleep in not really as important as adults say. However, a new study was published again showing how important sleep is for children and teenagers. Here is the link to the study ChildrensMentalHealthWeek.org.uk/Research. Sleep is very important for children and teenagers. In fact, as you see research shows that sleep has a big impact on our mental health and physical health. Research continues to show that sleep deprivation can cause a person to suffer a psychotic break or if the depreciation is really severe it can even result in a person’s death. I received some very good information regarding sleep and mental health. It was provided by Jenny Thompson who is associated with http://www.bettermattressreviews.com. Given it is children’s mental health week, I think it is valuable information for everyone so I have provided it below.

Mental health and sleep are closely related. Sleep problems frequently accompany mental illness, and can even be the first warning sign of a disorder. In turn, lack of sleep worsens mental health symptoms, creating a vicious cycle.

Mental illness is common, with almost 20 percent of Americans suffering from at least one mental health disorder. While only 10 to 18 percent of the general population experience sleep issues, as many as 50 to 80 percent of people with mental illness have trouble sleeping.

Mental health disorders are the largest cause of insomnia. 40 percent of insomniacs and over 46.5 percent of hypersomnias have a comorbid mental health disorder. On the other hand, only 16.4 percent of people have a mental health disorder without any kind of sleep issues.

Sleep problems are closely correlated with ADHD, anxiety disorders, bipolar disorder, depression, and schizophrenia. Below we’ll review how sleep affects several mental health disorders, and provide tips for getting better sleep.

Schizophrenia and sleep

Schizophrenia affects 1 percent of people, or 3 million Americans. Onset often occurs in late adolescence or the early 20s. Individuals with schizophrenia suffer from psychoses such as delusions and hallucinations, and experience difficulty focusing their thoughts and expressing themselves.

Up to 80 percent of people with schizophrenia have sleep problems, including:

Irregular sleeping hours. They may fall asleep anytime during the day or night rather than during the typical overnight sleep period of most people. They may have consistently delayed melatonin release that shifts their sleep pattern later than normal, slowly shift their circadian rhythm later and later each day, or follow no consistent sleep-wake patterns at all.

Irregular sleep quantity. They may get too much (hypersomnia) or too little (insomnia) sleep, as a result of medication side effects, fear or anxiety due to hallucinations (which may cause them to sleep more to escape, or conversely to be afraid of nightmares), or the irregular sleep hours cited above.

Sleep apnea. Individuals with sleep apnea literally stop breathing during the night, due to blocked airways or a miscommunication between the brain and the breathing muscles.

Less refreshing sleep overall. Due to the issues described above, people with schizophrenia experience less refreshing sleep overall because they have trouble getting sufficient amounts of REM sleep.

For many people with schizophrenia, an onset of sleep problems can be a warning sign that psychosis is starting or returning.

A 2012 study of mice found that abnormalities in the SNAP-25 gene are linked to schizophrenia as well as disrupted sleep-wake cycle, suggesting that resolving sleep issues may less or resolve schizophrenia symptoms.

Anxiety disorders and sleep

Generalized anxiety disorder, panic disorder, obsessive-compulsive disorder, social phobias, and PTSD are all associated with having anxious thoughts while trying to fall asleep at night and related insomnia.

Source: The National Academies Press

Panic episodes may waken an individual with panic disorder from sleep, thus disrupting their overall sleep quality. Likewise, individuals with PTSD are prone to vivid re-experiencing traumatic nightmares which heighten their bedtime anxiety and also cause interrupted sleep.

Individuals with mood and anxiety disorders may be prescribed various medications such as antidepressants and mood stabilizers which can further interfere with sleep.

Insomnia not only accompanies anxiety; it can cause it. When individuals experience chronic sleep deprivation, it disrupts their serotonin and gamma-Aminobutyric acid neurotransmitter levels, which can result in anxiety. One study found that having insomnia increased one’s risk to have yet another mood or anxiety disorder one year later.

Depression and sleep

Insomnia is one of the biggest risk factors for depression. Lack of sleep worsens mood, and the effect is even worse for individuals with a mood disorder. Depressed people with sleep issues have a higher risk of suicide than depressed individuals without sleep problems.

Treatment is also complicated. While antidepressants boost mood and alertness to help treat depression, that same alertness makes the insomnia persist – and not addressing the insomnia can make individuals less responsive to treatment. But certain prescription drugs for insomnia, like Rozerem, may worsen depression. The key is to find a treatment plan that helps both issues, but not at the expense of either.

Depression and sleep issues are bidirectional. That means the problems of one can worsen the other. The good news is, that also means the improvement of one often fixes the other. For example, 35 million Americans suffer from mild depression (dysthymia). For many, their comorbid insomnia goes away once they begin taking antidepressants.

Bipolar disorder and sleep

Bipolar disorder affects 3 percent of Americans, or 6 million adults. In addition to severe changes in mood, behavior, and energy levels, individuals with bipolar disorder may also experience the following sleep problems:

Insomnia, or difficulty falling or staying asleep

Hypersomnia, or oversleeping, especially during depressive episodes

General sleeplessness, where individuals feel fine even when they’ve had significantly less sleep, although this abnormal sleeping pattern eventually catches up with them

Delayed sleep phase syndrome, where the individual has a delayed circadian rhythm, causing them to naturally start to fall asleep or wake up later than others and experience excessive daytime sleepiness as a result

Irregular sleep-wake patterns from manic episodes and related hyperactivity at night

REM sleep issues like vivid nightmares

Sleep apnea affects one-third of individuals with bipolar disorder, resulting in less restful sleep overall and excessive daytime sleepiness

For individuals with bipolar disorders, different sleep issues may arise depending on when they are in a manic or depressive state.

In fact, for 75 percent of individuals with bipolar disorder, sleep problems are one of the biggest warning signs that they are about to experience a manic episode. For example, sleep loss from chronic sleep deprivation or even a night of jet lag can induce a manic episode. Manic periods are so arousing that individuals can go for days without sleep, or sleep drastically less amounts than usual and not feel tired. However, that lack of sleep makes its mark in other ways, as they’ll still experience the other symptoms of sleep deprivation felt by everyone, including increased irritability, trouble focusing, reduce judgment, depressed mood.

As they enter depressive episodes, bipolar people may experience insomnia or hypersomnia, both extremes which cause further imbalances in mood and increased anxiety.

In between manic and depressive episodes, individuals with bipolar disorder experience poorer quality sleep, occasional insomnia, and interrupted sleep.

Sleep tips for individuals with mental health disorders

There are various psychotherapies that treat mental illness, sleep therapies for sleep problems, and other behavioral changes that can help individuals with mental health disorders sleep better at night.

1. Practice good sleep hygiene.

It all starts with good sleep habits. Good sleep hygiene includes keeping the bedroom cool, dark, and quiet, and limiting stimulating activity before bed, such as watching television, using the computer, or engaging in heavy exercise. Heavy meals, as well as alcohol, drugs, and caffeine, should be avoided in the early evening and late night hours.

2. Be careful with napping.

For individuals with excessive daytime sleepiness, power naps of 20 minutes can help give a sense of refreshment. However, naps longer than 20 minutes should be avoided as they can contribute to insomnia later that night.

3. Try sleep therapy.

There are various psychotherapy options that assist individuals with mental health disorders. There are also many specific therapies designed to treat comorbid sleep problems.

Cognitive behavioral therapy (CBT) has proven very effective for treating insomnia. CBT first helps the patient recognize their harmful or disruptive thought patterns and habits. Then, they learn to replace them with positive thoughts and better ways to cope so they can calm anxieties surrounding sleep as well as the rest of their lives. One study in particular found that six 20-minute sessions of CBT resulted in a nearly 50 percent decrease in insomnia, 20 percent decrease in depression and anxiety, and 25 percent decrease in paranoid thoughts, and 30 percent decrease in hallucinations.

Sometimes taught as part of CBT, meditation and deep breathing exercises can soothe anxious thoughts and help relax the body for sleep. You can find audio files of guided meditation and relaxation exercises on the MIT Medical website.

Sleep restriction therapy involves setting a strict bedtime and waketime, and only staying in bed for that allotted amount of time, regardless of how much sleep the individual actually enjoys. Eventually the body gets used to the new sleep-wake cycle and begins to sleep and wake at the proposed appropriate time. A small 2013 study found that sleep restriction therapy improved sleep and reduced symptoms of insomnia for patients with bipolar disorder.

Chronotherapy works similarly by gradually adjusting the bedtime and waketime. It’s a newer therapy and the research is still bearing out.

Bright light therapy helps reset a person’s circadian cycle and make them feel more awake in the morning. Exercising outside in the morning in areas of bright sunlight can provide a similar effect.

4. Explore natural remedies.

Melatonin supplements help kickstart melatonin production in the brain. These can be helpful for insomnia or anyone who has difficulty falling asleep due to a period of mania or delayed sleep-phase syndrome. Valerian root can also help induce sleep. Both melatonin supplements and valerian root are widely available at pharmacies.

5. Keep a sleep diary.

If you’re concerned you may have a comorbid sleep disorder, a sleep diary can help you track your sleep habits. Note when you fell asleep and when you woke up, the total amount of time you were asleep, and anything abnormal that happened during your sleep, such as nightmares or snoring. If you find you’re not getting enough sleep, you can meet with a sleep specialist for a diagnosis and share your diary with them.

You may also want to consult a mental health professional for an evaluation and/or your primary care physician.

Dr. Rubino has over 20 years experience as a psychotherapist treating children and teenagers. Many children and teenagers have undiagnosed sleep problems. For more information regarding Dr. Rubino’s work or private practice visit his websites http://www.rcs-ca.com or http://www.RubinoCounseling.com or visit his Facebook page http://www.Facebook.com/drrubino3.