A Self-Absorbed Teenager is Normal

A Self-Absorbed Teenager is Normal

Many times I hear parents ask for help because there teenagers are too self-absorbed. All they do is think about what they want and what they need. Well, teenagers are supposed to be self-absorbed. Okay yes some teenagers can go overboard, but in general being self-absorbed is part of being a teenager.

Developmentally, teenagers are in the process of defining their own identities and discovering their own value systems. They are trying to define themselves as young adults and how they are going to relate to people in their lives and what they do and don’t believe in. In order to accomplish this goal, it does require a fair amount of self-reflection and exploring the world. It also requires a great deal of focus on their feeling so they can form their identities and value systems. At times, it may seem like a teenager is self-absorbed and only thinking about themselves. Externally this is how it may look to parents, but internally it feels very different to the teenager.

Remember when you were a teenager or some of the things your teenager may have said to you. Teens often talk about feeling very confused about their emotions or overwhelmed by their emotions. They often state they are not sure what to feel or think about their emotions. Also many teens often express feeling overwhelmed by what is happening in the world and are not sure what they should do as an adult or what people expect from them. It is a very confusing time and requires a fair amount of introspection from the teenager.

Very often in therapy, I serve as a sounding board for teens to sort out the feelings they are having about themselves and the expectations they feel from people in their lives. Also they often are trying to sort out how they want to act as an adult and they are trying to understand what is expected of them as an adult.

This is a very confusing time and requires a great deal of introspection because no one teaches teenagers about what it takes to be an adult and often no one discusses these issues with them. Some parents do try to discuss feeling and expectations with teenagers, but often these conversations result in an argument. Remember a teenager’s brain is still not fully developed. The prefrontal cortex which handles most of what we are discussing is still developing in a teenager. Because of this many teens may feel like they are being talked down to and they get angry. Parents often forget how teenagers think and don’t know how to approach their teenager which can result in an argument. Even though the parent and teen may have the best intention of trying to discuss this turmoil it still can result in an argument.

As I said in the beginning some teenagers are too self-absorbed. They are not trying to resolve emotional turmoil they are just selfish or spoiled. If your teenager appears more self-absorbed than they average teenager or if people are commenting on how selfish your teenager is then you need help. At this point I recommend therapy. The teenager won’t listen to you because parents know nothing in their opinion. Often in therapy I say the same things as parents and the teen will listen because I am not Dad or Mom and they don’t feel like they are admitting they are inadequate accepting my suggestion. The main point is they understand they are too self-absorbed and how to change it.

So if your teen is somewhat self-absorbed, relax it is part of being a teenager. They will out grow it around 17 or 18 years old. In the meantime, work with your teen doing your best to help them sort out the emotional turmoil they are experiencing internally. If you feel lost as a parent or if you see your teenager struggling very hard then you may want to consider having your teenager attend therapy to cope with this emotional turmoil.

Dr. Michael Rubino has over 18 years experience working with teens and parents and is recognized as an expert in this area. For more information regarding Dr. Rubino’s work and private practice visit his website at http://www.rcs-ca.com

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Mental Health Issues Are Not A Punishment

Mental Health Issues Are Not A Punishment

Mental health is a topic we tend to avoid in our society. We avoid it so much that the month of May is dedicated to Mental Health Awareness. Many people are afraid that if other people know they are feeling down or anxious that people will think they are crazy. Many people think of someone living in the streets when you mention mental health. This is not reality. This negative stigma makes it difficult for adults to seek help for mental health issues. This negative stigma also makes it very difficult for children to ask for help when they feel depressed or anxious. They are afraid their friends won’t understand and won’t want to be friends with them. They are also afraid their parents will think they are crazy and be disappointed with them. These ideas are incorrect, but if mental health is overwhelming for an adult, imagine how it can be for a child.

It is very important that children and teenagers do ask for help when they are experiencing mental health issues. The CDC estimates 1in 5 children need psychotherapy for a mental health issue. Furthermore, the CDC has stated that Suicide is an epidemic for children between the ages of 10 and 18 years old. Cutting, self-harming behaviors, are also now at an epidemic rate in children. Most teenagers I work with, as a psychotherapist, have had suicidal thoughts and have cut before starting therapy with me. They also tell me about many of their friends who are feeling suicidal and cutting. According to the CDC, the Suicide rate and the number of teenagers engaging in self-harming behaviors has been increasing every year for the past decade.

While the need for teenagers needing psychotherapy is increasing, the reluctance to attend psychotherapy is increasing. Most teenagers I see for psychotherapy are afraid that their friends would stop being their friends if they knew they were going to therapy. They are afraid it makes them crazy and nothing will help because they are weak. They blame themselves for the feelings they are having. They are shocked when I explain that they are not weak and it is not their fault.

We need to change this stigma associated with mental health. Mental health should be treated the same way a physical health because they are the same. Clinical depression is caused by a chemical imbalance in the brain. If some one is diabetic, do we call them crazy or weak because their pancreas is not producing the correct level of insulin? No we do not. Therefore, when we have numerous research studies which show a link between physical health and mental health, why do we continue to view mental health so negatively? By doing so we are causing a number of teenage deaths. Suicide use to be the third leading cause of death for teenagers, however now according to the CDC it is the second most common cause. Many teens also die every year from eating disorders. Eating disorders occur in both girls and boys despite the belief girls only have eating disorders. Bullying is a severe problem and many teenagers are opting to commit suicide rather than discuss the pain and torture they are experiencing due to being bullied. This does not make sense that teenagers should be dying because the teen or their family are embarrassed to seek treatment.

I was researching this subject and found a video by the Anna Freud Institute. It is called, “We all have mental health.” It is a short video directed at teenagers and middle school students. It discusses the issue in a very relaxed manner and provides teenagers with options for how they can talk about their own feelings. I encourage parents, teachers and anyone who deals with children to watch this video. You may want to watch it with your teen and begin a discussion about feelings. The link to the video is https://youtu.be/DxIDKZHW3-E.

We need to start to change the negative stigma associated with mental health. Besides causing the deaths of teenagers, this stigma effects an entire family. A death impacts everyone in a family. Not being able to talk openly about a death because it was related to a mental health issue, creates more problems for the survivors. Nothing will change until we start to approach mental health differently. I also encourage you to look at the foundation started by Prince William and Henry, Heads Together. It provides a number of ways we can start to change the negative stigma associated with mental health and save lives.

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

This is Me!

This is Me!

Our society places a lot of expectations regarding how teens should look and act. However not everyone fits into these molds.

We set standards about physical appearance for teens & create depressed kids. Listen to these lyrics. No teen should be ashamed of their body & personality. They deserve to feel proud. They deserve to be proud of the body and personality they were born with as a baby.

As adults we need to learn to accept teens for who they are not what we expect. Every teen should be able to say “this is me!” They also deserve the people in their lives to accept them. If we did maybe suicide and Cutting would not be epidemics in the teenage population. Maybe we could prevent teenage girls and boys from developing eating disorders and drug addictions.

Please listen to these words and think about how teens saying these words feel. The Greatest Showman – This Is Me (Official Lyric Video) https://youtu.be/CjxugyZCfuw via @YouTube.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating adolescents. For more information on his work or private practice visit his website http://www.RubinoCounseling.com

Dad’s are Important too

Dad’s are Important too

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

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

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

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

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

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

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

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

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

So here in this poem, for all to hear

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

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

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

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

from your first breath I knew,

God sent me a blessing- and that was you.

For this I thank him every day,

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

Your kindness and caring with love for all,

you give my life meaning, for us to share.

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

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

Turning everything I ‘am – into a happy place.

Always remember that I know how much you care,

I can tell by the bond that we share.

For a son like you there could be no other,

And whether we are together or apart,

Please do not ever forget-

You will always have a piece of my heart.

This is a fantastic example of a Dad!

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

A Man Not Ashamed to Admit He Has Anxiety

A Man Not Ashamed to Admit He Has Anxiety

In our society people do not discuss mental health and it is something people feel embarrassed about. They also feel shame if they have mental health issues or if they go to a psychotherapist. However, our lives have become very complex and difficult, especially for children and teenagers. Besides coping with everyday life issues, we now face mass shootings and killings on a regular basis. Technology is advancing very quickly and the way we do things is changing very quickly too. As soon as we learn one thing, there is a new way to do the task that we need to learn. This makes our lives stressful and creates anxiety.

While we have this negative stigma about mental health, teenagers worry about it a great deal. Especially since 1 out of 5 teenagers deal with mental health issue. As a psychotherapist who treats teenagers, I see a large number of teens for panic attacks especially boys. I believe teenage boys are more prone to anxiety attacks because of the stereotype that boys don’t cry and they see emotions as weak. However, in our society men do cry and have emotional problems. Emotions are not a sign of weakness for men and boys. The documentary, “The Mask You Live In,” address this issue that men and boys face. I recently read an article by the basketball player, Kevin Love, which addresses this issue and explains how it impacts men and boys. I have included what he wrote so you can understand what men and boys face in our society.

On November 5th, right after halftime against the Hawks, I had a panic attack.

It came out of nowhere. I’d never had one before. I didn’t even know if they were real. But it was real — as real as a broken hand or a sprained ankle. Since that day, almost everything about the way I think about my mental health has changed.

 

“I DID ONE SEEMINGLY LITTLE THING THAT TURNED OUT TO BE A BIG THING.”

Kevin Love discusses his decision to seek help after suffering from a panic attack. (0:54)

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I’ve never been comfortable sharing much about myself. I turned 29 in September and for pretty much 29 years of my life I have been protective about anything and everything in my inner life. I was comfortable talking about basketball — but that came natural. It was much harder to share personal stuff, and looking back now I know I could have really benefited from having someone to talk to over the years. But I didn’t share — not to my family, not to my best friends, not in public. Today, I’ve realized I need to change that. I want to share some of my thoughts about my panic attack and what’s happened since. If you’re suffering silently like I was, then you know how it can feel like nobody really gets it. Partly, I want to do it for me, but mostly, I want to do it because people don’t talk about mental health enough. And men and boys are probably the farthest behind.

I know it from experience. Growing up, you figure out really quickly how a boy is supposed to act. You learn what it takes to “be a man.” It’s like a playbook: Be strong. Don’t talk about your feelings. Get through it on your own. So for 29 years of my life, I followed that playbook. And look, I’m probably not telling you anything new here. These values about men and toughness are so ordinary that they’re everywhere … and invisible at the same time, surrounding us like air or water. They’re a lot like depression or anxiety in that way.

So for 29 years, I thought about mental health as someone else’s problem. Sure, I knew on some level that some people benefited from asking for help or opening up. I just never thought it was for me. To me, it was form of weakness that could derail my success in sports or make me seem weird or different.

PHOTO BY CHRISTIAN PETERSEN/GETTY IMAGES

Then came the panic attack.

It happened during a game.

It was November 5th, two months and three days after I turned 29. We were at home against the Hawks — 10th game of the season. A perfect storm of things was about to collide. I was stressed about issues I’d been having with my family. I wasn’t sleeping well. On the court, I think the expectations for the season, combined with our 4–5 start, were weighing on me.

I knew something was wrong almost right after tip-off.

I was winded within the first few possessions. That was strange. And my game was just off. I played 15 minutes of the first half and made one basket and two free throws.

After halftime, it all hit the fan. Coach Lue called a timeout in the third quarter. When I got to the bench, I felt my heart racing faster than usual. Then I was having trouble catching my breath. It’s hard to describe, but everything was spinning, like my brain was trying to climb out of my head. The air felt thick and heavy. My mouth was like chalk. I remember our assistant coach yelling something about a defensive set. I nodded, but I didn’t hear much of what he said. By that point, I was freaking out. When I got up to walk out of the huddle, I knew I couldn’t reenter the game — like, literally couldn’t do it physically.

Coach Lue came up to me. I think he could sense something was wrong. I blurted something like, “I’ll be right back,” and I ran back to the locker room. I was running from room to room, like I was looking for something I couldn’t find. Really I was just hoping my heart would stop racing. It was like my body was trying to say to me, You’re about to die. I ended up on the floor in the training room, lying on my back, trying to get enough air to breathe.

The next part was a blur. Someone from the Cavs accompanied me to the Cleveland Clinic. They ran a bunch of tests. Everything seemed to check out, which was a relief. But I remember leaving the hospital thinking, Wait … then what the hell just happened?

PHOTO BY JED JACOBSOHN/THE PLAYERS’ TRIBUNE

I was back for our next game against the Bucks two days later. We won, and I had 32. I remember how relieved I was to be back on the court and feeling more like myself. But I distinctly remember being more relieved than anything that nobody had found out why I had left the game against Atlanta. A few people in the organization knew, sure, but most people didn’t and no one had written about it.

A few more days passed. Things were going great on the court, but something was weighing on me.

Why was I so concerned with people finding out?

It was a wake-up call, that moment. I’d thought the hardest part was over after I had the panic attack. It was the opposite. Now I was left wondering why it happened — and why I didn’t want to talk about it.

Call it a stigma or call it fear or insecurity — you can call it a number of things — but what I was worried about wasn’t just my own inner struggles but how difficult it was to talk about them. I didn’t want people to perceive me as somehow less reliable as a teammate, and it all went back to the playbook I’d learned growing up.

This was new territory for me, and it was pretty confusing. But I was certain about one thing: I couldn’t bury what had happened and try to move forward. As much as part of me wanted to, I couldn’t allow myself to dismiss the panic attack and everything underneath it. I didn’t want to have to deal with everything sometime in the future, when it might be worse. I knew that much.

So I did one seemingly little thing that turned out to be a big thing. The Cavs helped me find a therapist, and I set up an appointment. I gotta stop right here and just say: I’m the last person who’d have thought I’d be seeing a therapist. I remember when I was two or three years into the league, a friend asked me why NBA players didn’t see therapists. I scoffed at the idea. No way any of us is gonna talk to someone. I was 20 or 21 years old, and I’d grown up around basketball. And on basketball teams? Nobody talked about what they were struggling with on the inside. I remember thinking, What are my problems? I’m healthy. I play basketball for a living. What do I have to worry about? I’d never heard of any pro athlete talking about mental health, and I didn’t want to be the only one. I didn’t want to look weak. Honestly, I just didn’t think I needed it. It’s like the playbook said — figure it out on your own, like everyone else around me always had.

PHOTO BY JEFF HAYNES/NBAE/GETTY IMAGES

But it’s kind of strange when you think about it. In the NBA, you have trained professionals to fine-tune your life in so many areas. Coaches, trainers and nutritionists have had a presence in my life for years. But none of those people could help me in the way I needed when I was lying on the floor struggling to breathe.

Still, I went to my first appointment with the therapist with some skepticism. I had one foot out the door. But he surprised me. For one thing, basketball wasn’t the main focus. He had a sense that the NBA wasn’t the main reason I was there that day, which turned out to be refreshing. Instead, we talked about a range of non-basketball things, and I realized how many issues come from places that you may not realize until you really look into them. I think it’s easy to assume we know ourselves, but once you peel back the layers it’s amazing how much there is to still discover.

 

A message from Kevin Love’s Grandma

 

“HAPPY BIRTHDAY, KEVIN.”

Kevin’s grandmother records a greeting for his 25th birthday in 2013. (0:33)

Since then, we’ve met up whenever I was back in town, probably a few times each month. One of the biggest breakthroughs happened one day in December when we got to talking about my Grandma Carol. She was the pillar of our family. Growing up, she lived with us, and in a lot of ways she was like another parent to me and my brother and sister. She was the woman who had a shrine to each of her grandkids in her room — pictures, awards, letters pinned up on the wall. And she was someone with simple values that I admired. It was funny, I once gave her a random pair of new Nikes, and she was so blown away that she called me to say thank you a handful of times over the year that followed.

When I made the NBA, she was getting older, and I didn’t see her as often as I used to. During my sixth year with the T-Wolves, Grandma Carol made plans to visit me in Minnesota for Thanksgiving. Then right before the trip, she was hospitalized for an issue with her arteries. She had to cancel her trip. Then her condition got worse quickly, and she fell into a coma. A few days later, she was gone.

I was devastated for a long time. But I hadn’t really ever talked about it. Telling a stranger about my grandma made me see how much pain it was still causing me. Digging into it, I realized that what hurt most was not being able to say a proper goodbye. I’d never had a chance to really grieve, and I felt terrible that I hadn’t been in better touch with her in her last years. But I had buried those emotions since her passing and said to myself, I have to focus on basketball. I’ll deal with it later. Be a man.

The reason I’m telling you about my grandma isn’t really even about her. I still miss her a ton and I’m probably still grieving in a way, but I wanted to share that story because of how eye-opening it was to talk about it. In the short time I’ve been meeting with the therapist, I’ve seen the power of saying things out loud in a setting like that. And it’s not some magical process. It’s terrifying and awkward and hard, at least in my experience so far. I know you don’t just get rid of problems by talking about them, but I’ve learned that over time maybe you can better understand them and make them more manageable. Look, I’m not saying, Everyone go see a therapist. The biggest lesson for me since November wasn’t about a therapist — it was about confronting the fact that I needed help.

PHOTO BY BRANDON DILL/AP IMAGES

One of the reasons I wanted to write this comes from reading DeMar’s comments last week about depression. I’ve played against DeMar for years, but I never could’ve guessed that he was struggling with anything. It really makes you think about how we are all walking around with experiences and struggles — all kinds of things — and we sometimes think we’re the only ones going through them. The reality is that we probably have a lot in common with what our friends and colleagues and neighbors are dealing with. So I’m not saying everyone should share all their deepest secrets — not everything should be public and it’s every person’s choice. But creating a better environment for talking about mental health … that’s where we need to get to.

Because just by sharing what he shared, DeMar probably helped some people — and maybe a lot more people than we know — feel like they aren’t crazy or weird to be struggling with depression. His comments helped take some power away from that stigma, and I think that’s where the hope is.

I want to make it clear that I don’t have things figured out about all of this. I’m just starting to do the hard work of getting to know myself. For 29 years, I avoided that. Now, I’m trying to be truthful with myself. I’m trying to be good to the people in my life. I’m trying to face the uncomfortable stuff in life while also enjoying, and being grateful for, the good stuff. I’m trying to embrace it all, the good, bad and ugly.

I want to end with something I’m trying to remind myself about these days: Everyone is going through something that we can’t see.

I want to write that again: Everyone is going through something that we can’t see.

The thing is, because we can’t see it, we don’t know who’s going through what and we don’t know when and we don’t always know why. Mental health is an invisible thing, but it touches all of us at some point or another. It’s part of life. Like DeMar said, “You never know what that person is going through.”

Mental health isn’t just an athlete thing. What you do for a living doesn’t have to define who you are. This is an everyone thing. No matter what our circumstances, we’re all carrying around things that hurt — and they can hurt us if we keep them buried inside. Not talking about our inner lives robs us of really getting to know ourselves and robs us of the chance to reach out to others in need. So if you’re reading this and you’re having a hard time, no matter how big or small it seems to you, I want to remind you that you’re not weird or different for sharing what you’re going through.

Just the opposite. It could be the most important thing you do. It was for me.

Dr. Michael Rubino is a psychotherapist with over 20 years of experience treating teenagers and children. For more information about Dr. Rubino’s work or private practice visit his website http://www.RubinoCounseling.com or follow him on Twitter @RubinoTherapy.

Facts about Children and Guns

Facts about Children and Guns

With the recent shootings around the world and San Diego, I hear many children and teens talking about their safety at school and around town while they are playing. Many teenagers seem to believe if they have a gun that will keep them safe. While research this issue I read an article by Cody Fenwick regarding children and gun violence. His article was very alarming. September was dedicated to suicide prevention and October is dedicated to the issue of bullying so this month and last month were dedicated to safety issues involving teenagers and children. Therefore, it seems appropriate to address the issue of guns because they are a popular method of suicide and they can be used to bully kids too.

Many of us feel because we live in Pleasant Hill, Walnut Creek or Lafayette that our children and teenagers do not have to worry about gangs or gun violence. Unfortunately, this is not the truth. According to a new 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. Many teenagers are permanently disabled from these injuries.

The study 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. 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 the third leading cause of death for 10 year old boys. 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?

The study 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.

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 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. When I mention to teens the risks they are taking, they tell me there is no guarantee they will live until 30 years old. 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? 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 and Lafayette.

Dr. Rubino has 20 years experience as a psychotherapist working with children and teenagers. For more information about his work or private practice visit his website at http://www.RubinoCounseling.com.