Sexual Abuse in Girl Athletes

Sexual Abuse in Girl Athletes

Sexual abuse was discovered in women’s gymnastics and now women’s soccer. There are allegations that sexual abuse is occurring in girl athletes in high school and younger. Parents need to be aware of the signs of sexual abuse https://www.cnn.com/2022/10/03/us/us-soccer-women-misconduct/index.html

New Information About Head Injuries and Teenagers

New Information About Head Injuries and Teenagers

Many parents of high school athletes are aware of the dangers of concussions. Research now shows that 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 a few years ago 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 professional football players who started playing in High School.

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. Furthermore, this week evidence was uncovered showing that professional football players may not receive an adequate evaluation for a concussion if they are hit during a game. In fact, it is believed that even with all the information we have regarding concussions that many professional football players continue in games even though they have a concussion.

This issue game up during the week when a player for the Miami Dolphins suffered a hit and was assessed not to have a concussion. He resumed play and four days later sustained another hit and was diagnosed with a concussion. He was believed to be suffering from second impact syndrome. “What we currently believe second impact syndrome to be is a second blow to the head or second concussion prior to the resolution of a first one. And that can result in uncontrolled swelling of the brain,” explained Steven Broglio, director of the University of Michigan’s Concussion Center. Broglio is a certified athletic trainer and is a lead author on the National Athletic Trainers’ Association position statement on management of sport concussion (CNN). It is estimated that it takes approximately 14 days for the brain and the brain chemistry to return to normal after the brain sustains a hit causing a jarring motion of the brain. Often these injuries have no symptoms (CDC).

If professional football players are being allowed to play with concussions and are developing second impact syndrome, what are happening to high school athletes? Researchers such as, Neuroscientist Julie Stamm, a clinical assistant professor in the Department of Kinesiology at the University of Wisconsin-Madison, are questioning the protocol being used to assess athletes for concussions (CDC). If professional athletes are not being adequately assessed and now developing a new condition, second impact syndrome, what is occurring with high school athletes?

As an adolescent psychotherapist who has been practicing for 25 years, I am seeing more evidence of student athletes sustaining head injuries every year. Every year I am seeing more teens with Post Concussion Syndrome. This may occur after a concussion and can be associated with headaches, mood swings and memory difficulties. The teenagers who experiences this Syndrome become very frustrated because they are aware of the changes 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.

Another issue to consider, athletes can develop second impact syndrome which can lead to CTE, causing patients to have mood swings and feel like they are going crazy. They do not understand what is happening inside their head. Many teenagers who act out often report the same feelings and the fear that they are going crazy. Many of these teenagers have had head injuries. It is possible that teenagers may also suffer from second impact syndrome, post concussion syndrome or developing CTE?

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. If we are unable to adequately assess concussions, how many players are developing second impact syndrome? 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.

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 25 years. Dr. Rubino specializes in treating children, teenagers, trauma victims including first responders. He also has training in neuropsychology. For more information about Dr. Rubino’s work or private practice visit his website at www.RubinoCounseling.com or his website that deals with accommodations at school www.LucasCenter.org.

Coping with the Epidemic of Anxiety Disorders in Children and Teenagers

Coping with the Epidemic of Anxiety Disorders in Children and Teenagers

Over the years children and teenagers have been exposed to stressful life events especially the last two years. The teens today have grown up with daily school shootings and mass shooting drills. Imagine being a second grader having to rehearse a man with a gun is on campus and you don’t know if you are going to live or die. Teenagers today have also grown up with terrorist alerts and having to be searched anytime they went to a concert or places such as Disneyland. Finally they have had to cope with COVID. Over 1,000,000, and counting, Americans have died from this virus (CDC). Many children and teenagers have lost grandparents, siblings and parents to this virus. Therefore, we also have many children and teenagers who are dealing with grief due to the loss of a loved one. We thought we had turned a corner regarding the Coronavirus, but we found out we have not turned a corner and we are still having spikes in the number of cases. There are still people being diagnosed daily with the Coronavirus and people dying daily from Covid. Many of these people have been vaccinated, however, most people being diagnosed and dying have not been vaccinated. Additionally, this time the virus is effecting teenagers and children. Since schools have resumed on site classes at least 1,000 children have died due to the Coronavirus virus (CDC).

This is a lot for a child or teenager to have to adjust to. Remember, their brains are not fully developed yet. Therefore they cannot understand things like adults do. Furthermore, they have very active imaginations which are fueled by misinformation on social media or from people such as Tucker Carlson on Fox. Having to cope with all of this together has resulted in a significant increase in depression, suicide, drug overdose and anxiety disorders. At my office we get at least 20 requests daily for teenagers seeking psychotherapy due to anxiety disorders.

The fact that we thought we were on the right track with the Coronavirus and we continue to have spikes is confusing and irritating to teenagers. Just as we think we are returning to our normal lives, we see that we need to still take precautions and maybe we will never return to our pre-Covid lives. Again we are not able to give children and teenagers any definite answers regarding when life will return to something normal. Now we have changed the rules again and they are expected to adjust.

With everything teenagers have had to cope with growing up, terrorist attacks, war, the economy collapsing, mass shooting and now the Coronavirus, we failed to make plans for their mental health care. Yes hospitals were running out of beds and physicians have become exhausted, but we are also running out of psychotherapists. Also psychotherapists are exhausted because they are dealing with adults and teenagers daily who dealing with depression, suicide and anxiety. However, psychotherapist do need some breaks so they can keep going. Finally, more and more insurance companies are declining claims or raising copayments so high that families cannot afford their copayments.

This is occurring when children and teenagers desperately need psychotherapy. Prior to the pandemic, anxiety disorders in children and teenagers were at epidemic rates (CDC). Since the pandemic there has been a 25% increase in children and teenagers being diagnosed with anxiety disorders. At this point anxiety disorders are the most common psychiatric diagnosis for children and teenagers (CDC). Yes depression, suicide, grief and trauma diagnoses have increased since the pandemic, but we have seen the largest increase in anxiety disorders (CDC). As a result, many children and teenagers have severe anxiety regarding school and many are stating they cannot go to school due to anxiety disorders.

This lack of mental health care is unacceptable in the United States. Parents call the Human Resource Department at your work. They negotiate your benefits with the insurance companies. Therefore, they can renegotiate your coverage so you receive the benefits your family needs. Also call your Senators and demand that insurance companies need to provide mental health care.

As a result, many parents have asked me how to determine if their child is coping with anxiety and what to do if they are coping with anxiety. I can understand why parents are concerned especially because many children tend to try to hide their anxiety because they don’t want to worry their parents. Additionally, parents are trying to find psychotherapist who can treat children and teenagers are parents are trying to figure out how they can afford therapy with the cost of living increasing and insurance companies restricting coverage.

Therefore, the APA (American Psychological Association) developed guidelines that parents can use to determine if their child is dealing with anxiety and what to do if they are dealing with anxiety. You can also use the guidelines for depression too. I have provided an outline to the APA guidelines below:

The American Psychological Association (APA) offers the following tips to recognize if children may be experiencing stress or anxiety:

• Withdrawal from things the child usually enjoys

• Trouble falling or staying asleep

• Unexpected abdominal pain or headaches

• Extreme mood swings

• Development of a nervous habit, such as nail-biting

Parents can actively help kids and adolescents manage stress by:

Being available

• Start the conversation to let kids know you care about what’s happening in their lives.

• Notice times when kids are most likely to talk – for example, in the car or before bed.

Listening actively

• Stop what you’re doing and listen carefully when a child begins to open up about their feelings or thoughts.

• Let kids complete their point before you respond.

• Listen to their point of view even if it’s difficult to hear.

Responding thoughtfully

• Resist arguing about who is right. Instead say “I know you disagree with me, but this is what I think.”

• Express your opinion without minimizing theirs – acknowledge that it’s healthy to disagree sometimes.

• Focus on kids’ feelings rather than your own during conversation.

• Soften strong reactions, as kids will tune you out if you appear angry, defensive or judgmental.

• Word swap.

o   Say ‘and’ instead of ‘but’

o   Say ‘could’ instead of ‘should’

o   Say ‘aren’t going to’ instead of ‘can’t’

o   Say ‘sometimes’ instead of ‘never’ or ‘always’

Consider

• Model the behavior you want children to follow in how they manage anger, solve problems and work through difficult feelings. Kids learn by watching their parents.

• Don’t feel you have to step in each time kids make what you may consider a bad decision, unless the consequences may be dangerous. Kids learn from making their own choices.

• Pay attention to how children play, the words they use or the activities they engage in. Young children may express their feelings of stress during play time when they feel free to be themselves.

• It is important to explain difficult topics in sentences and even individual words kids will understand. For little kids it might mean saying simple things like, “We love you and we are here to keep you safe.” For adolescents, it’s important to be honest and up front about difficult topics and then give them a little space to process the information and ask questions when they’re ready.

Call a psychotherapist who specializes in treating children and teenagers, if stress begins to interfere with your child’s daily activities for several days in a row. It is very important that you contact a mental health clinician so you get an accurate diagnosis and an appropriate treatment plan for your child.

You can find additional helpful information about kids and stress by visiting the Centers for Disease Control and Prevention’s Helping Children Cope webpage at https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/for-parents.html.

Dr. Michael Rubino is a psychotherapist with over 25 years experience treating children and teenagers. For more information about Dr. Rubino’s work visit his website at www.RubinoCounseling.com or his Facebook page at www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple or on Audible.

Middle School in the Year 2022

Middle School in the Year 2022

The school year is beginning and many parents are focused on their children’s transition into High School, College or Kindergarten. However, there is another important transition for children, Middle School. This is a major transition for pre-adolescents. As a psychotherapist who works with adolescents, I am very familiar with what is happening on High School and Middle School campuses and how big the transition is into Middle School these days. When kids transition to middle school they have to adjust to changing classes, having more than one teacher, increased homework and they are starting puberty and unsure of themselves. They are also not sure about all the academic changes. In addition to academic changes, physical changes with their own bodies, there are all the new social issues. Friends become more important and some students are talking about girlfriends, boyfriends and sex. This is a lot to adjust to at age 11. This is why we are seeing a significant increase in the number of middle school students being diagnosed with depression and anxiety disorders (CDC) In addition to all of these changes, there are all the stories they have heard about middle school. This only increases the stress and anxiety that middle school students in 2022 are feeling.

Many parents assume middle school in 2022 is similar to when they attended middle school, however the middle school in 2022 is very different than the middle school most parents attended. One example, when I ask parents, who have a child going into middle school or a child in middle school, if they have spoken to their child about drugs, alcohol and sex, I am told no and parents are surprised I asked this question about middle school students. I hear parents say every day that they don’t need to worry about drugs, alcohol or sex with their child in middle school because their child is too young for that right now. Well the reality is that Middle School Students in 2022 are drinking, using drugs and having sex. Many parents are unaware of what is happening in Middle Schools these days. Drugs and alcohol are just the tip of the iceberg. Children that are in the age group of middle school are now involved numerous dangerous activities such as selling drugs.

To begin with, most middle school campuses are better pharmacies than your pharmacy. I have had middle school kids say they can get Vicodin, Concerta, Ecstasy and of course weed and alcohol on their school campus. Some kids use at school and some use after school and on the weekends. More and more middle school kids are deciding to experiment with drugs and alcohol due to the pressure to feel successful as a teenager and so they fit in with friends. They also feel overwhelmed by the school shootings and the pandemic and they are looking for an escape. They see other kids at school using and they want to be part of the popular group so they think about and often try drinking or vaping.

Also many middle school kids are sexually active, but they don’t think they are sexually active. They think because they are not engaging in intercourse that they are not sexual active. Most 6th graders tell me oral sex doesn’t count as being sexually active. The kids say they are just “messing around” with each other and do not consider this sex. They also have no idea about sexually transmitted diseases or how to protect themselves from contracting STDs or getting pregnant. However, the number of middle school kids engaging in oral sex and intercourse has increased significantly over the last few years. The rate is now high enough that some middle schools, such as the San Francisco School District, are disrupting condoms to middle school kids. Yes, Middle Schools are giving condoms to children in the sixth grade. These kids are only 11 years old.

Another common issue in middle school is bullying. However, we are not just talking about one kid teasing another kid at school anymore. Today there is for a group of kids teasing one kid and it is not just at school. Now kids are using Facebook, Twitter, Instagram, Snapchat and texting by cellphone to tease and harass other kids. As many of you may recall there have been a number of kids who have committed suicide due to the teasing occurring at school. I wrote an article about a middle school girl who committed suicide and in her obituary she left a note to the other students just asking them to be nice to each other.

Another issue with teasing and dating is that students are not aware of the laws. As a result, many middle school students find themselves in trouble with the school district and often the police too. Harassment in middle school and dating often involves students texting or emailing pictures. Students are not aware that if they text a nude photo of another student or themselves that they have violated child pornography laws. Something many parents and students are not aware of is that a child can be charged with violating child pornography laws. When a child texts a nude photo of a middle school student, who is under 18 years old, it violates child pornography laws and the child who texts it and received it can both be arrested. The law is violated because the child in the photo is under 18 years old.

Also many kids in middle school, especially boys, don’t feel safe and are afraid of someone trying to beat them up before or after school. They say they have to fight because other kids are recording it and posting it on YouTube. Boys are bragging about their fights on YouTube and comparing how many people have watched their fight with their friend’s fight. Therefore, boys feel they must fight, otherwise if they don’t fight the other kids will think they are a “whimp.” Due to this fear many middle school students carry knives, metal pipes, guns or anything they can think of to protect themselves. This is very sad that kids have to live in fear for their lives and for safety reasons many middle schools have metal detectors. The number of mass shootings at schools and the mass shooting drills they do at school exacerbate this fear. It’s sad that a place they should feel safe in that students now are afraid for their lives. Also parents and students don’t realize, if a student is caught with any of these items on campus, they can be removed from their entire school district and required to go to continuation school. In addition, the school can have the student arrested. Due to mass shootings, schools take anyone possessing items that can severely hurt someone very seriously.

These are just a few of the issues that are occurring at all middle schools and they are very serious. Your child is not going to come to you to ask about these issues or tell you about them because they feel embarrassed and they are afraid of getting in to trouble. So parents even though you may feel embarrassed or awkward discussing these issues with your 11 year-old child, please do so. If you notice anything about your child’s behavior that seems different to you and you feel a sense of concern, ask your child about what is happening at school and with friends. Mention they are getting older and as a result the issues in their lives are becoming more difficult. Therefore, when you talk to your pre-teen mention drinking, sex or being teased and ask if they need to talk about it and they can talk about it anytime they need to. You may be saving their lives because they are dealing with things they know nothing about and these things can kill or have life long effects.

Here is a YouTube video that might help:

Life Talk | PSA: This could be your child (Teen drinking, alcohol,partying,peer pressure)

Dr Michael Rubino is an expert dealing with adolescents and adolescent issues. He has over 25 years experience treating children, adolescents, trauma victims and first responders. For more information about Dr. Michael Rubino’s work visit his website www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/Drrubino3.

Why Teenagers Stop Listening to Their Parents

Why Teenagers  Stop Listening to Their Parents

Many teenagers report being frustrated with their parents because they feel that their parents do not listen to them. As a result, many teenagers decide not to listen to their parents. They feel their parents are disrespecting them by not listening, so why should they be respectful to their parents and listen to them. This does create a number of arguments at home because many parents get very upset when they feel their teenagers are not listening to them.

Honestly, the teenagers are probably right at times. Many parents may not really be listening to their teenagers, even though they feel that they are listening. Most people have poor listening skills. These are not skills we are taught in school or at home. Most people tend to be focusing on how they are going to respond to the person talking rather than completely listening to the other person.

Since this is a common issue, what happens when children and teenagers feel that their parents are not really listening to them? What teenagers have told me is that they feel angry and that their parent does not care about their feelings. When teenagers have these feelings they tend to stop talking to their parents and to act out. When they feel that their parents don’t care, they feel like they have permission to do whatever they want and at times they act out using drugs or not going to school as a way to get their parents attention.

Teenagers may act like they know everything and that they are not afraid of anything or confused about what to do, but this is only an act. They do not know how to handle everything and often feel overwhelmed by life choices. As a result they turn to their parents. However, if their parents are not fully listening they feel hurt and rejected. As teenagers their communication skills and reasoning skills are not fully developed. Therefore, they don’t know how to let their parents know they feel hurt and rejected. They also do not know how to let you know that they feel you are not listening and they need your help. Most teenagers feel saying they need their parents as a sign of weakness. This is because they are not fully mature and they are still children and they need their parents.

For many parents this may come as a shock. It comes as a shock because of how teenagers tend to react to their parents. Again, because teenagers are not fully mature they tend to act like they know everything and don’t need their parents. However, as I stated above teenagers do need and want their parents support. However, due to their immaturity, teenagers act like they don’t need their parents. However, parents need to understand that teenagers are not fully mature yet and their actions do not always match how they are feeling.

With this being said, it is very important that parents listen to their teenagers. However, since communication skills are a problem for most people especially listening skills, I have provided a list of listening skills that parents may want to try. Remember these skills don’t come naturally to most people so it will take a while for you to improve your skills. Also since teenagers can be confusing at times it makes listening even harder at times. In addition to these skills, if you are listening to your teenager, but you are still confused try asking a clarification question. Repeat back what you thought you heard and ask your teenager if you heard them correctly. This shows you are listening, you care and you want to focus on their concerns. This is exactly what teenagers are wanting from you. Here are the skills you may want to try:

1)  Purposefully strive to focus on listening with an open mind, refrain from jumping to conclusions or forming an opinion while your child is talking.

2)  Do not hurry them, listening requires patience.  Wait for your child’s thoughts to take shape  and give time for the words to form and find expression.

3)  Always show respect and courtesy in listening to what your child has to say, no matter how much you may disagree with them.

4)  Your own body language is important, make eye contact and always provide your attentive and undivided attention.

5)  Don’t be thinking about how you will respond as this will take your concentration away from what they are really saying.

6)  Exercise awareness of your child’s nonverbal cues, facial expression, tone of voice, body stance, general mood and attitude.

7)  Don’t interrupt, hear them out and wait for the appropriate opportunity to ask questions.

8)  Always remain calm when listening and never show your personal feelings of anger or disappointment.

9)  Think of listening as personal growth as your children will always have something to say which will help you to grow.

10) Practice active listening with your heart to genuinely empathize with your child. Put yourself in their shoes to genuinely understand their feelings and emotions.

Remember this will take time and effort. However, by trying you are improving your relationship with your teenager and this is a tremendous benefit to you and your teenager if you can improve your relationship. Teenagers are facing a great deal of confusing and dangerous situations in today’s world and they need their parents now more than ever.

Dr. Michael Rubino is a psychotherapist with over 25 years experience treating children and teenagers. For more information about Dr. Rubino’s work or private practice visit his website at www.RubinoCounseling.com or his Facebook page at www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple.

Examine the Issue of Teenage Suicide

Examine the Issue of Teenage Suicide

September is dedicated to suicide prevention. Therefore, I decided to write this article. As a psychotherapist who treats teenagers, I work with many parents who are worried that their teenager is depressed and may be suicidal. Many parents worry because suicide is a mental health issue for children and teenagers that often is ignored. In fact, suicide is no longer the third leading cause of death for children 10 to 18 years old, it is now the second leading cause of death for this age group (CDC). Also suicide is becoming more common in our society. If we look at the past few years Kate Spade, a designer, and Anthony Bourdain, the chef from CNN, both a profile people have committed suicide. Suicide is also common in soldiers who have been deployed over seas. Additionally, suicide is occurring more often in teenagers who have survived school mass shootings and for first responders for mass shootings and those dealing with Covid patients (CDC). Therefore, it is becoming common in our society, however, there are few resources available to people. Also the negative stigma associated with suicide prevents people and families from taking about the issue. I hope the information in this article helps you understand the issue of suicide. To start off with, I have included an article where six people describe their suicidal feelings and the help they need http://linkis.com/huffingtonpost.co.uk/AlJc2

http://linkis.com/huffingtonpost.co.uk/AlJc2.

In today’s society there has been a significant increase in depression, anxiety and suicide among teenagers and children. Depression and anxiety disorders are now at epidemic rates for children and teenagers (CDC). Additionally, as I stated above, suicide is now the second leading cause of death in children 10 to 18 years old. Yes 10 year old children are committing suicide daily. The increase is significant enough that Netflix was running a series about teenagers feeling suicidal. The show was called 13 Reasons Why. The suicide rate for teenagers has been increasing yearly for several years. It is increasing faster in teenage girls and is considered an epidemic. It is estimated 800,000 people a year commit suicide and approximately 25 times that attempt suicide (CDC). Again, suicide remains the second leading cause of death for kids 10 to 18 years old and it rises every year and we are not providing resources (CDC).

In my practice I am seeing more and more children and teens reporting they feel depressed, anxious and overwhelmed. One of the main reasons I hear for these feelings is that children feel a great deal of pressure to succeed in school. I have kids in 5th grade and 6th grade worrying about grades. They are worried not because their parents will get mad because if they don’t get As, they are worried that they will not get into a good college and won’t get a good job and won’t be able to afford a house. They only feel like a success if they can make a lot of money. They don’t even consider how compassionate and caring many of them are and the good they offer our world. In their eyes, compassion is nothing if you are not driving a Mercedes.

This is a great deal for a 5th grader or 6th grader to worry about at their age. It is also a terrible way for them to value theirselves. This is how we create Bullies because compassion is looked at as a weakness. Also because money and possessions are becoming more important than people.

I also see middle school students and high school students involved in several sports and other activities such as Boy Scouts. The kids are feeling pressured to do extracurricular activities not for fun but for their resume. They are again concerned about getting into a good college and being a success. This pressure is not coming from parents either. It is pressure kids are now placing on themselves. Again they believe they need to grow up and make a lot of money to be happy and successful.

Recent studies are showing a correlation between lack of fun and time to relax with the increase in depression in children and teenagers. A study in Psychology Today discusses this issue. I have included the link so parents can read this study and think about it. Also so you can look at your children and talk with them. See if they are enjoying life or feeling overwhelmed because they need to succeed. Money pays the bills but doesn’t guarantee happiness https://www.psychologytoday.co.

Many parents are not sure what to look for and do not want to over react. If you notice these signs they are indicators that your teen may be feeling suicidal and needs to be assessed by a mental health clinician. The major warning signs are:

• Aggressive behavior

• Verbal outbursts

• Withdrawal from friends

• Writing or talking about suicide

• Dramatic mood swings

• Reckless behavior

• Refusal to engage in daily responsibilities

• Giving way personal items of worth such as jewelry or furniture

If you notice any of these signs don’t be afraid to ask your

teenager if they are feeling suicidal or thinking about suicide.

Many people have the misconception that if you ask someone

about suicide that you will cause them to think about suicide.

This is not true. By asking someone if they are feeling suicidal,

you are letting them know that it is safe for them to talk about their feelings,

including suicidal feeling. If someone is feeling suicidal it

is essential that they feel safe to talk about their feelings and

thoughts. Therefore, asking your teen if they are feeling

suicidal will not hurt them, it can help them to talk and possibly

save their life.

I understand that the topic of suicide is scary and something our

society denies and views it as there is something wrong with

anyone feeling suicidal. But the truth is, it is a mental health

issue and it is nothing to be ashamed of. It is also an epidemic for

teenagers. If we want to prevent the number of suicides from

rising and help teenagers who are currently feeling suicidal,

we must talk openly about suicide and seek mental health care for

teenagers who are feeling suicidal.

Another factor related to this issue is family and friends. If someone commits suicide, family

and friends tend to feel guilty and ashamed. They blame themselves for the suicide and feel they

should have prevented it. However, if the person doesn’t express their feeling and there are few

resources, how do you prevent it? Also because of the huge negative stigma associated with

suicide, family and friends are embarrassed to talk about death. As a result, many families

and friends fail to get help after a suicide and their lives may be ruined for the rest of their lives.

We seldom consider the impact that suicide has on the family and friends. I have included a link

to an article which discusses the impact suicide has on family and friends

https://nypost.com/2018/06/06/after-kate-spades-death-think-of-the-survivors/. We need to

consider these issues and start to provide more resources for people feeling suicidal and family

and friends who survive a suicide.

Dr. Michael Rubino is psychotherapist who specializes working with children, teenagers, trauma survivors and first responders for over 25 years. For more information about Dr. Rubino and his work visit his website www.RubinoCounseling.com, www.rcs-ca.com or follow him on Twitter @RubinoTherapy.

I Think My Teenager is Suicidal, What do I do?

I Think My Teenager is Suicidal, What do I do?

Since September is dedicated to preventing suicide, I decided to write this article for parents. Many parents ask me, if their child could be suicidal and what to do if their child is suicidal? This concern has increased since the CDC no longer ranks 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. Furthermore, since the quarantine for the Coronavirus there has been a significant increase in suicides and deaths from drug overdoses. As a result, parents are worrying more about if their teenager may be feeling suicidal. Additionally, before the quarantine, parents were worrying more about suicidal teenagers as we learned more about suicides of survivors involved in mass shootings due to survivors dealing with survivor guilt. The issue of suicide 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/. It is a very good list of questions and the research shows that the questions are very effective at identifying someone who is suicidal.

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.

Bottom line, if you feel your teenager is suicidal do not be embarrassed. Make an appointment to have your teen evaluated by a psychotherapist who specializes in suicidal teenagers. If you walk in on an attempt, call 911 immediately.

Dr. Michael Rubino is a psychotherapist with over 25 years experience treating suicidal children and teenagers. For more information on his work or private practice visit his website www.RubinoCounseling.com or Facebook page www.facebook.com/drrubino3.

Without Gun Control We will have a Generation of Anxious and Depressed Children

Without Gun Control We will have a Generation of Anxious and Depressed Children

During the past several months there has been a significant increase in mass shootings and people being killed by guns. In fact there has been such a significant increase that mass shootings barely make the news anymore. This weekend there were at least 11 mass shootings across the country. There were shootings at Coney Island back east and another in Bend, Oregon and another in Stockton, California just to name a few (NBC, ABC, CNN). A 10 year old boy in Chicago was shot and a 4 year old in Philadelphia, who was waiting for a haircut was shot too. Both boys were innocent bystanders just trying to live their lives as children.

How are children or anyone suppose to live their lives normally when so far in 2022 we have had an increase of 50% in the number of mass shootings compared to 2020 (Gun Violence Archive). Currently 2022 has the most mass shootings on record for a year and the year is not over yet (CDC, Brady Gunn Violence Campaign). Many children are afraid of attending school due to the mass shooting in Uvlade, Texas where 18 elementary school children and 2 teachers were killed. Can we blame children when every weekend there are numerous mass shootings across the country with numerous people being killed. Also the shootings are usually done with an automatic gun. The most common is the AR15.

As a psychotherapist who treats children and teenagers, I hear many children and teens talking about their safety at school and around town while they are playing or hanging out. I have had many children state they are afraid to go to school because they are afraid of being killed. Yes anxiety disorders and depression have increased significantly since the pandemic, however, anxiety and depression in children and teenagers were increasing prior to the pandemic. Anxiety and depression disorders started increasing as school mass shootings increased (CDC). I have seen this in public too. I was attending the play Oklahoma and when they shot the stage gun, the 12 year old behind me started having a panic attack and had to leave because they were afraid of being killed. It did not matter what the parents said or did. They automatically had a link between the sound of a gun and people dying. No child should have to be that afraid.

Teenagers are taking somewhat of a different response to the mass shootings. Many teenagers are also suffering from anxiety and depression disorders such as elementary children (CDC). However, many teenagers also seem to believe if they have a gun that will keep them safe. While researching this issue of gun violence, I read an article by Cody Fenwick regarding children and gun violence. His article was very alarming. Since there has been a significant increase in mass shootings, more teenagers have been trying to find ways to have access to guns. As I stated for some teenagers they say they feel safer if they can access a gun. However, the major issue is that suicide has been significantly increasing for teenagers over the years (CDC). Suicide is now an epidemic in teenagers and guns are one of the most popular methods of suicide for teenagers. Many children who are bullied are choosing guns for suicide too. Therefore, as we examine how mass shootings are impacting our society, it’s important to look at how easy access to guns is resulting in an increasing number of teenagers committing suicide.

Many of us feel because we live in Pleasant Hill, Walnut Creek, Lafayette or Orinda that our children and teenagers do not have to worry about gangs or gun violence. Unfortunately, this is not the truth. According to a research study in the Journal of Pediatrics, guns continue to be the third-leading cause of death for Americans younger than 18 years old, killing around 1,300 children and teenagers a year in the United States. In addition, almost 6,000 children and teenagers are injured per year by guns. Many teenagers are permanently disabled from these injuries. For teenagers who commit suicide, guns are the second-leading cause of death. The CDC has recently moved suicide from the third-leading cause of death for teenagers to the second-leading cause of death. This is a scary fact that the rate of teenage suicides are increasing not decreasing.

The study in the Journal of Pediatrics examined data from the Centers for Disease Control and Prevention and the Consumer Product Safety Commission between 2002 and 2014. The study found that boys, especially older boys such as teenagers and minorities, were much more likely to be the victims of gun violence. The study did not say anything about where the boys lived. The facts are children who are male and teenagers, are at a higher risk for becoming a victim of gun violence regardless of where they live. Therefore, teenagers in our area are at risk of becoming a victim of gun violence.

The study does indicate there has been a decrease in accidental deaths such as boys cleaning a gun. However, the rate as a method for suicide has increased. I have mentioned before that suicide is no longer the third leading cause of death for 10 year old boys. It is now the second leading cause of death for boys 10 to 18 years old. This study confirms that statistic and indicates the preferred method of suicide for boys and teenagers are guns. According to Katherine Fowler, one of the lead researchers at the CDC, “Firearm injuries are an important public health problem, contributing substantially to premature death and disability of children.” Understanding their nature [guns] and impact is a first step toward prevention.”

When we look at these numbers, can anyone argue against taking steps to protect our children? Can you imagine a 10 year old boy using a gun to kill himself? Can you imagine a 10 year old boy feeling that his life is so bad at the age of ten that death seems like a better option than living? At the age of 10, he has given up hope for a decent life. This is a sad fact. Can you imagine being the parent or sibling of a 10 year old suicide victim and finding your child’s brains all over the room? How did a 10 year old get a gun for suicide? How does a teenager get a gun to shot and kill people at their high school?

The study also indicates that in recent years guns were responsible for a large number of adolescent, males who were murdered. The study documented that deaths in the category of murder for boys under the age of 18 years old decreased to 53 percent. This is a decrease yet the rate is still 53%. The other causes of gun-related deaths include:

• 38 percent — suicides

• 6 percent — unintentional deaths

• 3 percent — law enforcement/undetermined cause

The study found 82% of deaths by guns were boys. This means 82% of gun deaths were boys who were children or teenagers. Putting it another way, this means these boys were not even 18 years old yet at the time of their deaths. The study also found that white and American Indian children have the highest rate of suicide using a gun. How did they get access to the guns?

We also like to think that the United States in one of the most advanced nations in the world. However, the statistics show that the United States has the highest rate in the world for children under 14 years old committing suicide. Again, the United States has the highest rate of children under 14 years old using a gun to commit suicide. That number scares me and is appalling to me. However, as an adolescent and child psychotherapist, I do not doubt it. I have heard 6 year old boys seriously discussing suicide.

Furthermore, I hear teenagers routinely talking about needing to carry a knife or gun with them for protection. They tell me you never know when you will be jumped or there will be a mass shooting and you need to be able to protect yourself. In fact, a few years ago a teenager was shot on his front door step in Danville over a marijuana deal which went bad. When I mention to teens the risks they are taking carrying a gun, they tell me there is no guarantee they will live until 30 years old anyway. They would rather die protecting themselves than doing nothing.

As a society, we need to look at these numbers and ask ourselves some questions. What are we going to do in order to improve gun safety? How are adolescent boys getting access to guns? Most importantly, why are children as young as 6 years old thinking about suicide? Also what are we going to do so that children who are suicidal have access to mental health care? This is our problem because it does happen in Pleasant Hill, Walnut Creek, Lafayette, Orinda and Danville.

Finally, we are only in the month of August and the number of Americans killed to date is more than in 2019 (CDC). We are seeing mass shootings increase, violence against Asian Americans and Jewish Americans, Transgender teenagers and police killings. What is happening in the United States? We are the only Country in the world dealing with mass shootings? However, we claim to be the most advanced nation in the world. Maybe Congress needs to look at these numbers and think about their actions. For example, Republicans stating the attack on the US Capital was not violent is crazy. It was violent. Several police officers were killed and they wanted to hang the Vice President. I think that qualifies as violent. We have videos of people assaulting the Capital Police and demanding to hang the Vice President. The Republicans in the House of Representatives remove Represetative Cheney from her leadership post because she won’t lie and say that Biden did not win the Presidential Election. Finally, you have a Republican representative comparing the requirement to wear masks in the House Chambers because everyone in the House of Representatives are not vaccinated. Someone who speaks the truth is removed and someone who makes racist, homophobic and anti Semitic statements is praised. This may be one part of the issue. We need to support people who are treating other people appropriately and we need to speak out and refuse to allow people who are treating people like garbage to continue to be allowed to treat people like garbage. Bottom line, we can no longer ignore the public health emergency created by guns and we must act an enact sane gun laws. People have to wear seatbelts in cars but you can still drive. You need to be 21 years old to drink or buy alcohol, but this law has not prevented adults from using alcohol. Therefore, sane gun laws will not take away guns from everyone! We are a nation of intelligent people please start using your common sense regarding guns.

If we don’t start to address this public health issue, we are going to continue to have children and teenagers who have severe anxiety and depression disorders and suicide rates for children and teenagers will continue to increase. By not controlling guns, mass shootings and the other violence, such as hate crimes, we are expecting children to grow up in a very scary, unpredictable world. Anxiety and depression are the sane responses. Are we going to allow mass shootings to continue or are we going to enact sane gun laws and provide children with a safe place where they can grow up? We owe it to the children.

Dr. Rubino has 25 years experience as a psychotherapist working with children and teenagers. For more information about his work or private practice visit his website at www.RubinoCounseling.com or his Facebook page www.Facebook.com/drrubino3.

Without Gun Control We Will Continue to have Anxious and Depressed Children

Without Gun Control We Will Continue to have Anxious and Depressed Children

During the past several months there has been a significant increase in mass shootings and people being killed by guns. In fact there has been such a significant increase that mass shootings barely make the news anymore. This weekend there were at least 11 mass shootings across the country. There were shootings at Coney Island back east and another in Bend, Oregon and another in Stockton, California just to name a few (NBC, ABC, CNN). A 10 year old boy in Chicago was shot and a 4 year old in Philadelphia, who was waiting for a haircut was shot too. Both boys were innocent bystanders just trying to live their lives as children.

How are children or anyone suppose to live their lives normally when so far in 2022 we have had an increase of 50% in the number of mass shootings compared to 2020 (Gun Violence Archive). Currently 2022 has the most mass shootings on record for a year and the year is not over yet (CDC, Brady Gunn Violence Campaign). Many children are afraid of attending school due to the mass shooting in Uvlade, Texas where 18 elementary school children and 2 teachers were killed. Can we blame children when every weekend there are numerous mass shootings across the country with numerous people being killed. Also the shootings are usually done with an automatic gun. The most common is the AR15.

As a psychotherapist who treats children and teenagers, I hear many children and teens talking about their safety at school and around town while they are playing or hanging out. I have had many children state they are afraid to go to school because they are afraid of being killed. Yes anxiety disorders and depression have increased significantly since the pandemic, however, anxiety and depression in children and teenagers were increasing prior to the pandemic. Anxiety and depression disorders started increasing as school mass shootings increased (CDC). I have seen this in public too. I was attending the play Oklahoma and when they shot the stage gun, the 12 year old behind me started having a panic attack and had to leave because they were afraid of being killed. It did not matter what the parents said or did. They automatically had a link between the sound of a gun and people dying. No child should have to be that afraid.

Teenagers are taking somewhat of a different response to the mass shootings. Many teenagers are also suffering from anxiety and depression disorders such as elementary children (CDC). However, many teenagers also seem to believe if they have a gun that will keep them safe. While researching this issue of gun violence, I read an article by Cody Fenwick regarding children and gun violence. His article was very alarming. Since there has been a significant increase in mass shootings, more teenagers have been trying to find ways to have access to guns. As I stated for some teenagers they say they feel safer if they can access a gun. However, the major issue is that suicide has been significantly increasing for teenagers over the years (CDC). Suicide is now an epidemic in teenagers and guns are one of the most popular methods of suicide for teenagers. Many children who are bullied are choosing guns for suicide too. Therefore, as we examine how mass shootings are impacting our society, it’s important to look at how easy access to guns is resulting in an increasing number of teenagers committing suicide.

Many of us feel because we live in Pleasant Hill, Walnut Creek, Lafayette or Orinda that our children and teenagers do not have to worry about gangs or gun violence. Unfortunately, this is not the truth. According to a research study in the Journal of Pediatrics, guns continue to be the third-leading cause of death for Americans younger than 18 years old, killing around 1,300 children and teenagers a year in the United States. In addition, almost 6,000 children and teenagers are injured per year by guns. Many teenagers are permanently disabled from these injuries. For teenagers who commit suicide, guns are the second-leading cause of death. The CDC has recently moved suicide from the third-leading cause of death for teenagers to the second-leading cause of death. This is a scary fact that the rate of teenage suicides are increasing not decreasing.

The study in the Journal of Pediatrics examined data from the Centers for Disease Control and Prevention and the Consumer Product Safety Commission between 2002 and 2014. The study found that boys, especially older boys such as teenagers and minorities, were much more likely to be the victims of gun violence. The study did not say anything about where the boys lived. The facts are children who are male and teenagers, are at a higher risk for becoming a victim of gun violence regardless of where they live. Therefore, teenagers in our area are at risk of becoming a victim of gun violence.

The study does indicate there has been a decrease in accidental deaths such as boys cleaning a gun. However, the rate as a method for suicide has increased. I have mentioned before that suicide is no longer the third leading cause of death for 10 year old boys. It is now the second leading cause of death for boys 10 to 18 years old. This study confirms that statistic and indicates the preferred method of suicide for boys and teenagers are guns. According to Katherine Fowler, one of the lead researchers at the CDC, “Firearm injuries are an important public health problem, contributing substantially to premature death and disability of children.” Understanding their nature [guns] and impact is a first step toward prevention.”

When we look at these numbers, can anyone argue against taking steps to protect our children? Can you imagine a 10 year old boy using a gun to kill himself? Can you imagine a 10 year old boy feeling that his life is so bad at the age of ten that death seems like a better option than living? At the age of 10, he has given up hope for a decent life. This is a sad fact. Can you imagine being the parent or sibling of a 10 year old suicide victim and finding your child’s brains all over the room? How did a 10 year old get a gun for suicide? How does a teenager get a gun to shot and kill people at their high school?

The study also indicates that in recent years guns were responsible for a large number of adolescent, males who were murdered. The study documented that deaths in the category of murder for boys under the age of 18 years old decreased to 53 percent. This is a decrease yet the rate is still 53%. The other causes of gun-related deaths include:

• 38 percent — suicides

• 6 percent — unintentional deaths

• 3 percent — law enforcement/undetermined cause

The study found 82% of deaths by guns were boys. This means 82% of gun deaths were boys who were children or teenagers. Putting it another way, this means these boys were not even 18 years old yet at the time of their deaths. The study also found that white and American Indian children have the highest rate of suicide using a gun. How did they get access to the guns?

We also like to think that the United States in one of the most advanced nations in the world. However, the statistics show that the United States has the highest rate in the world for children under 14 years old committing suicide. Again, the United States has the highest rate of children under 14 years old using a gun to commit suicide. That number scares me and is appalling to me. However, as an adolescent and child psychotherapist, I do not doubt it. I have heard 6 year old boys seriously discussing suicide.

Furthermore, I hear teenagers routinely talking about needing to carry a knife or gun with them for protection. They tell me you never know when you will be jumped or there will be a mass shooting and you need to be able to protect yourself. In fact, a few years ago a teenager was shot on his front door step in Danville over a marijuana deal which went bad. When I mention to teens the risks they are taking carrying a gun, they tell me there is no guarantee they will live until 30 years old anyway. They would rather die protecting themselves than doing nothing.

As a society, we need to look at these numbers and ask ourselves some questions. What are we going to do in order to improve gun safety? How are adolescent boys getting access to guns? Most importantly, why are children as young as 6 years old thinking about suicide? Also what are we going to do so that children who are suicidal have access to mental health care? This is our problem because it does happen in Pleasant Hill, Walnut Creek, Lafayette, Orinda and Danville.

Finally, we are only in the month of August and the number of Americans killed to date is more than in 2019 (CDC). We are seeing mass shootings increase, violence against Asian Americans and Jewish Americans, Transgender teenagers and police killings. What is happening in the United States? We are the only Country in the world dealing with mass shootings? However, we claim to be the most advanced nation in the world. Maybe Congress needs to look at these numbers and think about their actions. For example, Republicans stating the attack on the US Capital was not violent is crazy. It was violent. Several police officers were killed and they wanted to hang the Vice President. I think that qualifies as violent. We have videos of people assaulting the Capital Police and demanding to hang the Vice President. The Republicans in the House of Representatives remove Represetative Cheney from her leadership post because she won’t lie and say that Biden did not win the Presidential Election. Finally, you have a Republican representative comparing the requirement to wear masks in the House Chambers because everyone in the House of Representatives are not vaccinated. Someone who speaks the truth is removed and someone who makes racist, homophobic and anti Semitic statements is praised. This may be one part of the issue. We need to support people who are treating other people appropriately and we need to speak out and refuse to allow people who are treating people like garbage to continue to be allowed to treat people like garbage. Bottom line, we can no longer ignore the public health emergency created by guns and we must act an enact sane gun laws. People have to wear seatbelts in cars but you can still drive. You need to be 21 years old to drink or buy alcohol, but this law has not prevented adults from using alcohol. Therefore, sane gun laws will not take away guns from everyone! We are a nation of intelligent people please start using your common sense regarding guns.

If we don’t start to address this public health issue, we are going to continue to have children and teenagers who have severe anxiety and depression disorders and suicide rates for children and teenagers will continue to increase. By not controlling guns, mass shootings and the other violence, such as hate crimes, we are expecting children to grow up in a very scary, unpredictable world. Anxiety and depression are the sane responses. Are we going to allow mass shootings to continue or are we going to enact sane gun laws and provide children with a safe place where they can grow up? We owe it to the children.

Dr. Rubino has 25 years experience as a psychotherapist working with children and teenagers. For more information about his work or private practice visit his website at www.RubinoCounseling.com or his Facebook page www.Facebook.com/drrubino3.

Facts about Attending High School in 2022

Facts about Attending High School in 2022

All over the Country teenagers will be starting their first year in high school or returning to high school. Typically I would recommend that parents think back to their first day of high school and how they felt and what they were expecting high school to be like and how they were expecting there other kids to act. I did this to help parents relate to some of the feelings their teenager maybe having as a way for parents to help their teenagers starting high school. This may help parents with some of the issues facing their teenagers, but teenagers starting high school or resuming high school in 2022 do so with mass school shootings occurring on a regular basis and we are still dealing with a deadly pandemic. Therefore, high school students are facing additional issues besides the typical first day of school issues. They are facing life and death issues, we never had to face in high school. Additionally, they see that the government is doing very little to protect from gun violence. Therefore, today’s teenagers are facing overwhelming issues we never had to face when we went to high school. This can make it difficult for parents to be able to completely understand the feelings teenagers and having starting high school.

High school students, in fact all students, are starting school when there is a significant increase in the Coronavirus due another new variant. As a result, many people including teenagers are contracting the virus (CDC). The number of people contracting the virus is similar to the numbers we were seeing a year ago (CDC).

Therefore, high school students are starting high school not knowing if they will or will not contact the virus. Yes there are vaccinations they can get and they can wear masks, all of which decreases their chances of getting the virus, but some governors, school boards and parents are refusing these options. People are objecting because they say the precautions are not necessary and do not work. However, teens are hearing that the virus is spreading rapidly in most counties in the country. In fact, some counties such as Los Angeles County and considering returning to indoor mask mandates (LA County Public Health). Having to keep up with homework and after school activities, such as sports, is a lot for most teenagers without having to worry about the pandemic. Teenagers are worried about it because I hear them tell me about their concerns and some students would prefer to go back to remote learning due to the threat posed by the virus.

In addition to worrying about contracting the virus, students return to school having to deal with mass shootings. According to the Gun Violence Archives, there has been more than one mass shooting a day so far this year. The Gun Violence Archives also report there has been a 50% increase in mass shootings since 2020. Unfortunately, the recent shooting at the school in Texas showed we have not improved how we handle these shootings. The police waited outside for 77 minutes while children and teachers bled to death. Since most teenagers have smartphones, they have access to all of this information. They know the number of shootings are increasing, police are not handling the situations and the government refuses to pass laws that can have a real impact on gun violence. They also see the news that the mass shootings are a problem for the United States and they seldom occur in other countries. Given this environment, it is no surprise that we are seeing a significant increase in depression and anxiety disorders in teenagers (CDC). Teenagers today are not crazy and do not live in a fantasy world. They have access to the news very easily and they are very aware about what is occurring in our Country. Based on what the see and the lack of help by the government feeling anxious and depressed is a normal response.

One other issue, besides worrying about contracting the virus and mass shootings, students have missed an entire year of high school. Therefore, students who are sophomores never had a freshman year and have no idea what to expect. Teenagers who were enjoying their high school experience have missed out on an entire year. Therefore, students starting high school and returning to high school in 2022 are doing so facing many issues that students usually never face. For example, the main issue is adjusting from remote learning to being back in the class. Their school days are longer, they have more homework and they are around more people. This is not a simple adjustment. As a result of all the issues we have seen a significant increase in depression and anxiety in high school students (CDC).

Parents hopefully you can remember everything teenagers and you are facing as your teenagers start high school. You may need to contact your teenager’s school and ask for assistance from the school. You may need to seek out a psychotherapist who specializes in treating teenagers and have your teenager participate in psychotherapy. There is no shame in doing this because teenagers are facing tremendous mental health issues and many need help. Since the pandemic and school resuming, there has been a significant increase in the number of teenagers needing psychotherapy (CDC). In fact we are running out of psychotherapist who are able to treat these teenagers. No one planned on how to adequately handle the number of teenagers needing psychotherapy due to the pandemic.

Parents all you can do is to be patient and listen to your teenagers and seek the help you feel is appropriate. Also do not forget yourselves. Parents are under a great deal of stress too and you may need psychotherapy too. If you try to work together and are patient with each other, you should be able to handle the stress teenagers are facing due to the pandemic.

In addition to the pandemic, students starting high school still deal with common anxieties most teenagers have faced over the years. One common stressor for many teenagers are the stories they have heard about how seniors picking on and teasing the freshman students. Another common fear for freshman is that they are going to get lost on the campus and not be able to find their classrooms. Your teenagers are at a point in their life where they want to make a good impression on the other students. At their age image is very important. Therefore the idea of being teased by the seniors or getting lost on the campus can be very stressful and also create a great deal of anxiety for a student starting high school.

As parents, you can talk to your teenagers about your first days days at high school and reassure them that the stories they hear about Freshmen being targets for the seniors are greatly exaggerated. Also you can try to go with them over to the school before it starts and walk around the campus so they can get use to where everything is at their new school. Another thing you can do is remind them that everyone makes mistakes so if they do get lost the first day it is not a big deal. Remind them there will be a lot of other kids starting their first day of school too and there will be other kids getting lost. This is also another opportunity to continue to establish an open relationship with your teenager. The more you talk with each other, you increase the likelihood that they will feel comfortable coming and talking to you about issues they will have while in high school.

Another issue facing some students is starting all over. In middle school may be everyone knew them and they were in the “popular group.” Now no one knows them and they need to start all over. This may be frightening to them, but remind them there will be many times in life when they will need to start as the new person. Also remind them, if they were able to do it in middle school, they can do it in high school too. Be sure to encourage them to have faith in themselves because it won’t happen over night. Now for many students middle school was a nightmare. They may be looking forward to starting over. Again remind them if they have the desire to try they can do it. All the Freshmen are starting all over just like them, but also to be patient because it may not happen as quickly as they like.

Also before school actually starts is a very good time to establish what your expectations are regarding grades and after school activities and hanging out with friends. At this time is a good time to establish what your expectations are homework, after school jobs and weekend curfews. If you establish an understanding between yourself and your teenager before these situations arise you can save yourself a lot of time arguing with your teenager. However as you establish these guidelines you want to have a conversation with your teenager about these issues. Remember your teenager is starting to enter the adult world, if you simply just tell them these are the rules, they will feel that you are being unfair and they will try to find a way around your rules. If you have a discussion with them about the rules they will feel that their opinions were respected, they are more likely to feel that the rules are fair and are more likely to follow the rules. It is also a good idea to write a contract with all the things you agreed to. If you write the agreements down and there is a misunderstanding you simply need to refer back to the contract. Also this is another opportunity for you to establish a relationship with your teenager where they feel comfortable enough to come to you and discuss any problems they may be having. You are also role modeling to them how to have an adult discussion and how to negotiate fairly and respectfully with other their people.

Of course you also want to take this opportunity to discuss with your teenager the fact that they are going to be faced with making decisions about alcohol, drugs and sex. This is a good time to provide them with the education they will need in order to cope with these situations. It is even more important today because technology has changed a number of rules. For example, if a girl texts a nude photo to a boy, he is guilty of having child pornography. Yes it was mutually agreed to but they are still under 18 years old so it is a crime. Texting is another area where they can get into trouble. If someone takes a text as a threat they can get into trouble for bullying or assault. As I said, technology has changed the rules and many of us have not been able to keep it. Therefore, remind them that information they may receive from their friends may not always be accurate. Furthermore, encourage them that at any time if they have any questions or concerns regarding these matters or any other matters you are always there to listen and to talk with them.

One thing to remember is acronym HALT. I teach this often with anger management, but it helps with communication too.

H – hunger

A – anger

L – lonely

T – tired

If either one of you are having these feelings, it is generally not a good time to have a discussion. Also if either one of you is feeling like this and you may not be listening to each other. Therefore, if either one of you are having these feelings or don’t feel like talking, then it’s better to postpone the conversation until you are both ready to talk.

Lastly, remind them that they are starting a brand-new phase in their life and it is normal to feel anxious and stress. Also remind them that these feelings are normal in the beginning but they usually quickly disappear after they have started school.

Besides having to face the pandemic, high school students today also have to face the issue of school shootings, as I mentioned above. Sadly, this is another stressful subject you may want to discuss with your teenager. Develop a plan with your teenager about what they would do if there was a shooting at their school. Also discuss with them what to do if they hear rumors or have concerns about how another student is acting. Finally, discuss how you can help if they are feeling worried or not safe at school. It is sad, but this is the world we live in today. Talking to you teen can help decrease anxiety and help you to maintain open communication with your teenager.

A few things you can do on the first day of classes to help with any anxiety are you can get up in the morning with them and have breakfast with them before they go to school. You can also put a note of encouragement in their backpack that they will find when they are at school and this can help reassure them and remind them how much support they have at home. Finally, you can arrange to be at home when when they get home from their first day of high school so you can talk about it with them. Also plan to have a family dinner to discuss everyone’s first day of school and offer encouragement where needed. These are just a few ideas to help with the transition process.

One final issue to remember, since there has been a significant increase in anxiety and depression in high school students, many students are having difficulties in class and completing their homework. If they are having difficulties, they may be entitled to a 504 plan or an Individual Educational Plan (IEP). Most school districts will offer you a 504 plan because it is easy for the school and costs the school no money. However, if your teen is having significant problems with school demand in writing that they be evaluated for an IEP. There is nothing to be ashamed about and an IEP will not prevent your child from going to college or getting a job. If you need further information regarding IEPs refer to my articles regarding IEPs or contact my office regarding an IEP consultation.

Dr. Michael Rubino is a psychotherapist who specializes in treating children and teenagers. He has over 25 years experience working with teenagers. To learn more about his private practice in Pleasant or the work he has done over 25 years visit his web site at www.RubinoCounseling.com or his Facebook page at www.Facebook.com/Drrubino3 or his podcasts on Spotify or Apple.