Mental Health Crisis Created by the Coronavirus

Mental Health Crisis Created by the Coronavirus

We have a major mental health crisis coming our way and we are not prepared. Before the Coronavirus pandemic one out of five teenagers met the criteria for a mental health diagnosis and needed psychotherapy (CDC). In addition depression, anxiety and cutting were at epidemic rates for teenagers (CDC). To make matters worse, suicide had been the third leading cause of death for teenagers prior to the pandemic and has been moved from the third to the second leading cause of death for teenagers (CDC). Additionally, African-American teenagers were committing suicide at five times the rate of Caucasian teenagers (CDC). This means prior to the pandemic, we had many teenagers dying due to suicide and the rate has been increasing every year for the past ten years (CDC). In 2018 over 6200 teenagers between 10-18 committed suicide (CDC). If the number of teenagers committing suicide is increasing every year significantly, then how many teenagers committed suicide last year? How many teenagers will attempt or commit suicide this year?

Here are the statistics for teenage mental health prior to the pandemic. We know since the pandemic the number of teenagers reporting depression and anxiety have significantly increased and so have the number of teenage suicides and death due to drug overdoses have increased since the pandemic. I have seen a significant increase in patients calling my office for psychotherapy for their teenagers and children. How are we going to provide all these children and teenagers with psychotherapy? Additionally, many parents are having to stop their child’s psychotherapy because they can no longer afford the copayments. Many parents have lost their jobs or have had their hours cut which reduces their monthly income. Therefore, many parents are having to choose between paying rent and buying food or their child’s therapy. I am willing to make accommodations so the children and teenagers I treat can stay in therapy, however many therapists will not make accommodations. So what happens to all these children who need therapy because the pandemic has exacerbated their mental health issues? Why should parents have to decide between food on the table or therapy for their depressed teenager?

Another fact we cannot overlook is that this week we reached the point where 200,000 Americans have died due to the Coronavirus. This means there are 200,000 families who are grieving. Many children have lost parents and grandparents. Many parents have lost their parents and have lost their child too. The Coronavirus does and has killed children. How do we provide grief counseling to all of the grieving families and friends? With a record number of people out of work order besides finding therapists to help all these family members, how do you provide therapy at an affordable price? If you have a family of four that needs therapy, the monthly cost for therapy will be very expensive. Again people are having to choose between food for the family or therapy for the family.

Another factor impacting the mental health of children and parents is school. Because the President refuses to issue a national mandate regarding masks, children and teenagers are having to attend school remotely. Fourth percent of the parents in our Country have had to adjust their work schedules so there is someone at home to help the children. This has resulted in many parents having to reduce their pay. Again making it difficult to pay the rent and afford food. Additionally, many children and teenagers are becoming very frustrated because the remote learning is not well coordinated and they want to give up on school. This is adding more stress to families who are already over stressed. They are needing psychotherapy to help them, but they cannot afford therapy. Again what are we going to do to help these families?

One final point for this article, we hear that people have and do recover after being diagnosed with the Coronavirus. This is true, however, we have now learned something new about this new virus. A number of people who recover go on to develop what is being to referred to as “long haul syndrome.” People who develop this syndrome have heart palpitations, neurological problems, losing their hair and a condition referred to a brain fog. At this point no one knows how long it will last and who will develop it. It also is creating mental health issues such as depression. These people and their families will require therapy too. Again, how do we provide affordable therapy to these people? Since there is a negative stigma about mental health, we do not have enough therapists in the United States to treat all these people. Right now of course we are looking for a cure to the virus but we have not been paying attention to the collateral damage this virus has caused and how are we going to cope with it. Mental health is a major area, but we have not been paying attention to the mental health issues created by this virus and how are we going to address the mental health needs of the United States.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. For more information about his 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.

An Important Role Model for All Teenagers

An Important Role Model for All Teenagers

On Friday, September 18, 2020, we lost an American legend and a person who taught all of us some very important lessons. The person we lost was Supreme Court Justice Ruth Bader Ginsberg at the age of 87. While the politicians are arguing about who and how her place on the Supreme Court will be filled, let us take sometime to look at her legacy and honor what she has done for the United States. She fought for the rights for many people and groups who were discriminated against due to the law. She truly worked and devoted her life to make our Country “a more perfect Union.” Additionally, she is and excellent role model for teenagers. Yes she is a role model for teenage girls, but she is also an excellent role model for teenage boys too. Let’s take a moment to look at the lessons she taught teenagers and how teenagers can use the lessons she provided.

Justice Bader Ginsberg personally faced discrimination and negative stereotypes and she learned first hand how they were unfair to the person but also how the stereotypes and discrimination hurt our nation too. Justice Bader Ginsberg had three strikes against her. She was a woman, she was Jewish and she was a mother. Here are two examples of the discrimination and negative stereotypes she faced during her life. She lived in Nebraska with her husband and she was working for the United States Social Security office in Nebraska. When she had her first child she was demoted and received a pay cut because women with children should not be working. Another example is after she was accepted to Harvard University. A professor called her aside and asked her to justify why she should be at Harvard and deny a man from attending Harvard. She did not allow these acts of discrimination to stop her. She understood why she was facing the discrimination and she would not let the discrimination stop her from moving forward with her life and the discrimination did not stop her from fighting against it and other inequalities many people faced.

After Justice Bader Ginsberg finished her law education and she graduated tied for first place at Cornell University, she was unable to get a job at a law firm because she was a woman, Jewish and a mother. Married Jewish women were not supposed to be attorneys. They were suppose to stay at home and raise a family. Again the discrimination would not stop her from fulfilling her life’s dream and her potential. She became an attorney for the ACLU and started to challenge discrimination and prejudice legally. She also had a husband, Marty Ginsberg, who supported her. He was an attorney too, but he believed that his wife had the right to be an attorney too and encouraged her to continue.

She did continue and people started to notice her talent and she started to change barriers. She took on discrimination against women, discrimination against voting rights for minorities and discrimination against people with disabilities. Her talent was recognized by President Carter who appointed her to be a Federal Judge and then President Obama appointed her to the Supreme Court. She over came the fact that she was a woman, Jewish and a mother. She made the world better for herself and for thousands of American citizens.

In addition to all the discrimination she faced, she also faced numerous bouts of being diagnosed with cancer. Many people may have retired after their first diagnosis, but not Justice Bader Ginsberg. She continued to work through chemotherapy, radiation and surgeries. She did not allow cancer to stop her from fighting for people’s rights. If she was not able to make it to the Court, she participated via conference calls from her home and even from her hospital bed. This is a person with a strong drive and who was not going to let anything get in her way of making our Country “a more perfect Union” for everyone regardless of their gender, race, religion or sexual orientation.

Now that we of an understanding of what she faced and her work, let’s look at the important lessons she taught teenagers. First, she showed that one person can make significant changes in our world. Also her friendship with Justice Scalia (a strong republican) taught us that you can respect and be kind to people with different opinions from you. In fact, you can even be friends with someone who has different opinions or different background from you. This is very important for teenagers to remember that you can be kind and respect people who are different from you or has different beliefs.

Another very important lesson she taught teenagers is not to let someone else’s prejudice or negative stereotype about you to stop you from fulfilling your dreams or to cause you to doubt yourself. If I had listened to people when I graduated from U.C. Berkely, I would have never earned my doctorate degree. I was told when I graduated from U.C. Berkeley that people with physical and neurological disabilities don’t go on to get advanced degrees. I should just be happy getting a job. I ignored the comments and discrimination I faced a long the way and I earned a Master’s degree and my Doctorate degree. I followed Justice Bander Ginsberg example and followed the faith I had in myself and ignored the stereotypes and discrimination. Girls and other teenagers who are belong to a minority, also need to believe in themselves and follow their dreams. Do not let someone else tell you what you can achieve in your life based on their prejudices or stereotypes they hold. Follow the belief you have in yourself and pursue your dreams.

Another lesson Justice Bader Ginsberg taught teenagers is you have an obligation to speak out against injustices and to help other people by helping to eliminate discrimination and negative stereotypes. As our Constitution states, “all men are created equally.” If that statement is going to mean anything then everyone regardless of ethnicity, financial class, gender or religious beliefs need to have the same opportunities as white Americans. Therefore, supporting groups such as Black Lives Matter and other groups addressing the systemic discrimination in our Country is our responsibility. Justice Bader Ginsberg’s life was dedicated to eliminating systemic discrimination and racism. This is why her last request was her successor be named by the winner of the Presidential Election on November 3rd. We can help ensure that the intent of her last wish will be carried out if teenagers speak up and demand that any systemic discrimination or racism they observe is changed.

Justice Bader Ginsberg lived her life showing us that no one has the right to define us as a person and in the United States we are all equal and deserve to be treated equally with kindness and respect. I hear many teenagers telling me they feel the same way when I see them for therapy. Therefore, we can honor this amazing lady by encouraging our teenagers not to allow stereotypes and racism to define them as people. Furthermore, we can honor this amazing lady by encouraging our teenagers to speak up and fight against racism and discrimination they see in our society. Remember Justice Bader Ginsberg’s belief that everyone in the United States deserves to be treated with dignity, respect and kindness regardless of ethnicity, gender, sexual orientation, financial class or disability status.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. For more information about his 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.

IEPs and 504 plans Exist with Remote Schooling Too

IEPs and 504 plans Exist with Remote Schooling Too

While most of the schools in California are using remote learning, it does not mean that Individual Educational Plans (IEP) and 504 plans are obsolete. In fact, due to remote learning and the pandemic many students are experiencing increased problems with learning and need IEPS and 504 plans as a result. Unfortunately I have been contacted by many families who were in the process of having their IEP meetings when the schools shut down suddenly due to the Coronavirus. These families have been contacting the school to finish their child’s IEP, but the district continues to postpone. Additionally, some children who didn’t have difficulties when they were in class are having difficulties with remote learning and increased anxiety due to the Coronavirus. Therefore, parents you are correct when you are asking to have your child’s IEP completed. Legally the school districts must complete a student’s IEP. The pandemic does not allow them to legally abandon IEPs and 504 plans. Also until they finalize the new IEP, the district legally must comply with the existing IEP on file. Furthermore, for parents who have children who need an IEP due to the remote learning or anxiety due to the pandemic, you can still legally request an IEP for your child. Additionally, school districts must comply with the existing IEP guidelines and laws. The pandemic does not allow a school district not to comply with the IEP and 504 laws.

It should be a straight forward process if your child needs an IEP, but many school districts play games with the process because it cost them money. However, they have enough money for IEPs. It comes down to a school districts priorities and how they choose to spend their money. Therefore, don’t be afraid to demand what your child is entitled to.

In order to help you understand how severe the schools play games with the process, here is one family’s experience trying to get their child an IEP and how the school district abused the family. The names have been changed for the family’s privacy. However, this same story happens daily to many families and children. In fact, I have three other families I am currently working with where the school district is doing similar things. Instead of decreasing, it appears the abusive behavior by the school districts is increasing every year. Therefore, parents please read carefully because you never know when you may be facing the same issues.

The story of Tara and her daughter Payton is a common story I have heard many times from families who have children who need an IEP. Prior to the age of 4 years old Payton was diagnosed with a speech and auditory processing difficulties. Payton was behind in her speech developmental milestones and attending preschool to address these issues. However, no one explained to Tara, Payton’s mother, what this diagnosis meant or the prognosis. Neither did anyone explain to Tara about the special education services she was entitled to.

Payton started kindergarten and do to her difficulties she needed to repeat kindergarten. Again, no one explained to Tara, Payton’s mother, how this may impact Payton and they also did not explain any other options, Tara agreed. She was not alarmed because Tara had to repeat kindergarten herself.

However, this started a never ending cycle, where Payton was not meeting the standards for her grade level even when she was receiving Resource Assistance. Tara stated some Resource Teachers were great and others knew very little about auditory processing issues so her daughter received no help.

Tara, watching her daughter struggle, decided to do her own research. She found out more about her daughter’s learning disability and that there was a private school which specialized in this learning disability. Mount Diablo School District continued to lie to Tara as she asked more questions. Also the District went to Payton’s father and lied to him. They told him if Payton’s mother was successfully in getting Payton into the private school, he would have to pay upfront. The District said they would reimburse him later. This is a lie. Also it is not uncommon for the school district to take advantage of a divorce situation and play the parents against each other.

This resulted in a long fight with the school district and in the family court. Payton is in 6th grade and after many years and a great deal of time and money, the fight continues. Mount Diablo School District never looked at the price Payton was paying not receiving the education she is entitled to and having to endure her parents fighting each other in the courts.

This could have been handled very easily if someone was honest with Tara and told her what her daughter was entitled to and if the District followed the legal guidelines. However, they lie to parents all the time hoping parents will give up. If they do, then the District doesn’t need to pay anything and can use the money how they want. Tara was a prime target. A single parent who does not have a lot of time or money. Mount Diablo misjudged Tara, she would not give up on her daughter.

Tara also found out something else parents need to be aware of when dealing with the IEP process. The parent liaisons provided by the district are not there to help the parent or the student. They serve as another way to confuse parents by providing incorrect information to parents. Most parents trust these people believing they are on the student’s side, but they really are there to support the District.

As I said, Tara and Payton’s story is not uncommon. I have worked with many other families who have very similar stories. Also as I stated above, the number of families in these situations are increasing not decreasing. Parents tend to believe school districts have the students best interest at heart. This is how it is suppose to be. However, I have worked with families across the United States and what I have seen is that school districts have their best interest at heart not the students. Tara had a very good way of stating the problem, “the child is the one who struggles for not having their needs met academically”.  How many more parents are out there with struggling students who have been given the same bad information?  I don’t know.  But we need to help them help their child, or these children will be at risk of dropping out and struggling the rest of their lives.  The school district is actually helping create children who are unable to get jobs and will be unable to afford decent housing when they become adults.  And that is a very very scary reality, no one wants to talk about it because it’s not their child who is at risk. However, it could very easily be your child. What do you do then?

Parents need to come together and demand that their children be provided the accommodations they are entitled to. Look up the educational law so you are aware of the appropriate procedure and accommodations. Also do not be embarrassed for standing up for your child’s rights. You are just being a good parent. The school districts need to look at how they are treating children. Also when it comes time to elect the school board, research the candidates and elect those who have a history which demonstrates they truly care about children.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating teenagers and children. In addition he has over 20 years experience serving as an IEP advocate for families. For more information about Dr. Rubino’s work or private practice visit his websites www.RubinoCounseling.com or www.LucasCenter.org or listen to my podcast Understanding Today’s Teenagers on Spotify and Apple.

Teenagers Encourages Us to Accept Our Differences

Teenagers Encourages Us to Accept Our Differences

We have many stereotypes about groups, such as people who enjoy sports, and about people from different ethnicities, financial status and education status, such as did they go to college or not. Most teenagers have been taught these stereotypes and feel that they need to conform to the stereotypes even if they disagree with the stereotypes. However, many teenagers also feel and believe that these stereotypes are wrong. As a result, they ignore the stereotypes they were taught and treat everyone with dignity and respect regardless of the person’s ethnicity or financial class. I have many teenagers asking me during their sessions how they can ignore the stereotypes without getting into trouble. They can clearly articulate why the stereotypes are wrong, but they know many adults strongly believe in the stereotypes and if they ignore the stereotypes, they could get into trouble with the adults who believe the stereotypes. They know taking a stand could create problems with parents, extended family and teachers just to name a few. However, they feel if they are going to be true to themselves, they must take the stand regardless of the cost.

We are seeing that the teenagers born after the year 2000, tend to have these beliefs and tend to act on them. As I have said before, the teenagers born after the year 2000 are a unique group and have different ideas and beliefs based on the many things they have experienced that no other group have kids have ever experienced. Remember these kids were born primarily after the 9/11 terrorist attack and have grown up with warnings about terrorist attacks and increased terrorist attacks around the world. Additionally our Country has been at war since they were born too. They also lived through the great recession and many where impacted by it. Finally, they have grown up with mass school shootings which around 2018 were occurring daily. Also because of this fact, they had mass shooter drills not fire alarms. All of this will impact how they see and react to the world.

Another thing these teenagers were exposed to were messages via movies and non-profit groups who work with teenagers and children that there was hope for the world and they were the hope. The children and teenagers were hearing they had the ability to change the world through their actions and by voting. Many children and teenagers have paid attention to these messages and believe them. As a result, they are trying to change the world.

Disney provided many movies with positive messages for children and teenagers. Beauty and the Beast taught children not to judge by appearance. You need to look inside the person to get an accurate view of their heart and beliefs. The movie, Frozen, taught children that it was alright to disregard the typical male stereotype. The movie said boys do cry and it’s normal. Finally, the movie showed that love is more powerful than hate. You can get more done and live a happier life by loving those around you instead of hating people. Finally in the High School Musical movies, children were taught that it’s normal for people to have different interests and the stereotypes could be wrong. In these movies you had a hispanic teenage girl as the lead and in the movie she was the smartest person and should how you could expect others without judging. You also had a white, overweight cheerleader, a black girl who was extremely intelligent and you had a black basketball player who also liked to cook. All the characters violated the ethnic stereotypes and all the characters were very good friends. In fact, the final song discusses how we are all in this together and need to work together and accept each other just the way we are. There was no need to judge and it was alright for people to have differences. A very powerful message. This message was also highlighted in the movie The Greatest Showman, a movie about P.T. Barnum. The newspaper critic provides the message of the movie, “putting people together of all different sizes and colors could be considered a celebration of humanity.” Again another message to accept people as they are and it’s alright for people to have differences. In fact, we should accept and celebrate our differences.

Children and teenagers watched these movies and paid attention to the message these movies were delivering. In addition to these movies you also have groups, such as Challenge Day, working with teenagers. These groups educate teenagers it’s alright to be different and the stereotypes regarding men and women are outdated. They are educating teenagers that everyone has the right to be accepted and loved just the way they were born. Additionally, teenagers are receiving the message they are the future and they can change the world. Teenagers are listening to this message and also starting to act.

A great example of how teenagers have listened to these messages are the teenagers from the high school in Parkland, Florida. These teenagers had to endure a horrific experience with a mass shooter at their high school. Typically after a shooting everyone discussed how changes need to be made. However, changes never seem to occur. However, these teenagers decided to take action. They formed a group to meet with politicians and demanded changes. These teenagers formed the group March for Our Lives and have established satellite groups in most states of the United States. They are still meeting with politicians but now all over the Country. They are also protesting and educating the public using social media.

Black Lives Matter is another great example. Teenagers are tired of seeing people being discriminated against because of their ethnicity. They feel everyone is equal it doesn’t matter if you are white, black, brown or asian. We are all equal and deserve to be treated with dignity and respect. The teenagers are willing to put their beliefs into actions. They are willing to hold peaceful protests and to educate others about how society needs to change and accept everyone. They are determined to give meaning what is in scribed on the Statue of Liberty, “Give me your tired, your poor, Your huddled masses yearning to breathe free, The wretched refuse of your teeming shore. Send these, the homeless, tempest-tossed to me, I lift my lamp beside the golden door.” This statement implies that we all need to be treated equally. It also indicates our Country world eliminate systemic racism and discrimination.

Our Country is facing numerous issues regarding race and ethnicity. I think we need to remember what is on the Statue of Liberty and we need to pay attention to what the teenagers are pointing out and requesting our Country to do. The time has come to address systemic racism and discrimination in this United States. If we do, we will make life better for everyone in the Country. A very common mistake is this systemic discrimination only impacts people of color, however as the Disney movies point out is the systemic discrimination impacts people who are white too. Think about it because it does have an impact on our lives. A negative impact. The movies, novels and history have shown us that hate is toxic and love sets you free and improves your life. Listen to the teenagers and choose love.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating 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 or his podcasts on Spotify or Apple.”

Helping Teenagers Understand Responsibility

Helping Teenagers Understand Responsibility

We have people blaming teenagers and college students for not wearing masks, having big parties, such as pool parties, on the weekends and that college students are hanging out at bars and as a result of their behavior we blame them for Coronavirus rates increasing across the Country. College students and teenagers have been involved in a number of protests, such as Black Lives Matter, and we are saying the virus is increasing because of protestors not wearing masks and not social distancing too. Finally, we are looking at teenagers and college students across the Country having Coronavirus parties and this is another reason the virus is spreading. As of today, August 4, 2020, there have been 159,000 deaths in our Country due to the Coronavirus and we are averaging 1,000 more every day (CDC). There are a tremendous amount of people who have died in our Country and in my opinion we are being unfair blaming teenagers, college students and protestors.

If we look at the White House, what do we expect from teenagers? Today in an interview the President stated yes a 1,000 people are dying, but that is how it is. No empathy in his tone of voice and taking no responsibility. He has been holding press conferences about the Coronavirus and he has stated people can wear masks but he will not require it. Additionally, he has been going all over the Country and he does not wear a mask. He wore one only once. Therefore, what message is he sending to the Country and teenagers especially? Additionally at the President’s press conferences he continues to state that the malaria drug is a cure for the virus. However, numerous studies by our top medical experts have all shown that the drug is ineffective and can cause deadly side effects. Yet he stands in front of the Country and makes it a popularity contest by saying people like Dr. Fauci better. Again this is what teenagers do, if you confront them on a story that they cannot back up with facts, they say you don’t like me. How can we expect teenagers to be responsible about their actions, when the President cannot be reasonable about his actions?

The President has been pushing that all school children must return to school on time and in their school buildings. However, his son’s school has delayed the beginning of their school until October and they will be doing remote learning (ABC, CBS News, CNN). Again we have a message of do as I say not as I do. What are teenagers and college students going to think when it is clear the President is willing to gamble with their lives, but not his son’s life or his family’s life?

Let’s take a different look at this situation. If your teenage son was not doing well in school and he was in danger of not passing his classes and his response to you was, “it is what is.” How would you feel? If this same son spent every weekend hanging out with friends and not doing his homework or studying, what would you think? Furthermore, if your teen did see any reason to spend his weekend trying to repair his grades and he believed it was more important to hang out with friends because he needed a rest, what would you think? I don’t think you would approve of your son’s behavior. We are in the middle of a global pandemic and the President spends his weekends golfing not addressing the pandemic. Today, 8/4/20, was the first time in six months that he attended a meeting of the Coronavirus Task Team (ABC, CBS News, CNN). Looking at the standard the President is setting for teenagers, I’m sure, as I stated above, you would be disappointed in your son’s behavior, but how can you say anything based on the President’s actions? How do you argue with your teenager to do his geometry homework, when the President is ignoring 159,000 Americans dying?

Parents you are faced with only one option in my opinion. You need to explain to your son that yes the President is not being responsible and ignoring his duties. However, two wrongs do not make a right. The President can choose to be irresponsible and he will have to face the American voters and may lose his job. Just like the President will be judged by the voters for his choices, you need to point out to your son that his teacher will judge his choices about studying by the grade he receives in the class. Additionally, you will be judging his choices about school based on the grades he receives in his classes. Finally, you need to point out and educate them on the fact that just because someone else chooses to ignore their responsibilities, even if he is the President, it does not give him the right to ignore his responsibilities. The final choice is up to him and he must face the consequences for his actions.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. For more information about Dr. Rubino’s work or private practice visit his website at http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3 or listen to his podcast on Apple or Spotify.

Should Schools Reopen in the Middle of a Pandemic?

Should Schools Reopen in the Middle of a Pandemic?

Are we thinking about the safety of our children, school personnel and family members, when we are debating should we or should we not reopen schools in two to four weeks? Currently, the Coronavirus is out of control in Florida, Georgia, Alabama, Texas, Arizona and California. Florida has used all of their ICU beds, in Georgia surgeons don’t have enough masks for surgeons and State officials in Texas, Arizona and California are requesting that their states be shut down and return to shelter in place (CDC, CNN, ABC News). Furthermore, the latest results indicate that people under 40 are the ones who are currently being infected (CDC). In addition to this fact, research does indicate that children can contract the Coronavirus and can die from the Coronavirus. A couple of weeks ago an 11 year old boy, in Florida, died due to the Coronavirus (CDC, CNN).

If the virus is out of control and children can contradict it and die, why are we pushing them to go to the school site, where social distancing is impossible? Additionally, many of these children have parents and grandparents living with them who are at high risks. Therefore, by going to school, they are exposing their families to the Coronavirus. How would a 10 year old boy feel if he brought the virus home and his grandparents caught it and died? It would be devastating to the child. The child could also transmit the virus to his teacher or his teacher’s parents who live with her. Again, if any of them died the little boy would be devastated and emotionally scared for life.

Chris Cuomo interviewed a wife, on his show Prime Time, whose husband was on a ventilator due to the Coronavirus. She had the virus too. They were not sure if her husband would survive. The family contracted the virus because their 21 year old son went to a party. The mother reported that emotionally her son was devastated. He was worrying that by going to his friend’s party, his father might die and he was blaming himself. If a 21 year old young man is having severe emotional difficulties dealing with this situation, how would an eight or 10 year old child handle it?

As a psychotherapist who specializes in treating children and teenagers, I have been asking my patients about how they feel about returning to their classrooms this semester or doing remote learning like they were doing at the end of last year? All the children and teenagers have discussed how it would be nice to return to school so they can see their friends. However, they all are also worried about contracting the Coronavirus and they are concerned about pacing the Coronavirus on to someone in their family. As a result of this fear, all the kids want to do remote learning. Additionally, all the children and teenagers that I work with do not trust the White House to protect them. We forget this is the generation that has grown up with Smartphones. As a result, they have access to news reports and are aware of what is happening in our Country. They also have opinions about the Coronavirus and how it has been handled. They also have opinions about the Black Lives Matter movement and the recent protests that have occurred across the Country.

When the physicians who are experts regarding this virus and public health experts all agree that returning to the classrooms at this time is not safe for the students, their families or for teachers or other school personnel, I think we should listen to them. They said we were reopening the government too fast and look at the mess we are in at this time. As of July 25, 2020, over 145,000 Americans have died and the state of California reported the highest number of people dying in the state today and Florida now has more reported cases than New York at its peak (CDC). This is for today. The numbers in Florida, Texas, Arizona and California continue to rise which means more people will be dying.

Besides medical professionals and educational professionals recommending that we have children do school by remote learning, children and teenagers are requesting remote learning. They are afraid of catching the Coronavirus. Again, the research indicates that children and teenagers do contradict the Coronavirus. When they do they are more at risk to develop a unique complication which is similar to Kawasaki‘s disease. As a result of this fact and other things we do not know about the Coronavirus, children and teenagers can and do die from the Coronavirus (CDC).

The only reason I can see to rush children and teenagers back into classrooms is so President Trump looks like he is doing something about the Coronavirus and being President. If he was serious about protecting our children, he could have started developing a plan to return children to school back in April instead of waiting until two weeks before schools start and then just ordering the children back to school with no safety plans. He also could have urged the public to wear face masks in April and May when that was the recommendation of the medical professionals. Instead, he waited until his poll numbers were so low, he had to do something. Having children return to classrooms is a very serious issue considering how this virus acts and the lack of information we have about the Coronavirus. We would need safety plans for teachers, school staff members, students and families of the students and teachers, if we were serious about children and teenagers returning to the school site safely. With all this happening, what is President Trump doing today? He is playing golf. He is not addressing this serious issue about the schools or any issues associated with the pandemic. Additionally, when the press asked KellyAnn Conway what the President was gong to do about his son Barron, Ms. Conway said it was a private matter between the First Lady and the President and they would be making the decision they felt was in their son’s best interest (ABC, CBS, Fox News, CNN). She never said Barron would be returning to the classroom. Therefore, if the President is not rushing his son back to school, why should your child go back with no firmly established safety procedures.

Given the fact that the White House has failed to take the pandemic seriously and the medical experts are recommending that remote learning is the safest option at this time, I would recommend listening to the medical experts. Additionally, many teachers are stating that it is not safe to return to the classrooms under the current conditions. Finally, the students are saying that they do not feel safe returning to the classrooms and instead they prefer remote learning because it’s safer. I think we owe it to the children and teenagers to listen their concerns and resume this semester via remote learning. In the meantime we need the government to seriously address the pandemic so we can return to normal lives like other countries.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. For more information regarding Dr. Rubino’s work visit his website at http://www.RubinoCounseling.com, his Facebook page at http://www.Facebook.com/drrubino3 or his podcasts, Understanding Today’s Teenagers.

Outside Family Activities during the Pandemic

Outside Family Activities during the Pandemic

Since the Coronavirus has hit, we have had to change our work lives and family lives. Change the family life has been a challenge for many parents. It has become more of a challenge since summer has started and the kids want to go outside. They are tired of being inside. I found some good recommendations on Lori Lite’s blog regarding reducing stress for children. All of these activities can be done wearing a mask and keeping the social distancing requirements. These are perfect activities during the pandemic and with the State being closed down. Also getting outside in the fresh air and sunshine is great for the whole family since we have been locked down for several months. It’s a great family bonding experience and a great way to reduce everyone’s stress. Here are some fun outdoor activities to do as a family:

Go For a Walk:
Not only is this a completely free activity, but it is also an excellent opportunity to talk more with your family. However, remember you need to wear your masks, keep appropriate social distance from others and use your sunscreen. Take the time to ask them about they are feeling about the situation with school, friends, or anything else that interests them. You can take a walk around the block or head to a trail nearby. This is also a great way to get in more exercise as a family and can encourage a healthier lifestyle. You can easily take a walk after dinner or make a day out of it as well. It’s amazing the topics of conversation that come up with kids when there aren’t the distractions of being inside, screens, phones, or chores.

Go For a Ride:
Riding with family, like walking, is great bonding activity. Again, remember your helmets, masks, sunscreen and to social distance from others. At first, it’s good to do it on footpaths and then get to cycle-paths to build up each of your skills and also to bit by bit learn how you ride together and communicate with each other. Like walking, it’s amazing the conversations that will arise with your family. The beauty of cycling with your family is the different places you can see. You can do an off-road trail and explore the bush. You can ride around a harbor, lake, river or parkland – chatting about the wildlife, views, houses and architecture. As long as you remember to social distance from others and to wear your masks. Of course, you don’t have to ride all the time, there will be plenty of playgrounds to stop at and explore and many times there are great trees which are just beckoning your kids to stop, get off their bikes and climb. Consider making cycling a regular family adventure and build lifetime memories with your kids!

Have a Picnic
Enjoy the next sunny day with your family by having a picnic. You and your kids can prepare the food together in the morning. Choose foods you all love and have them help pack everything you need for the picnic. Then you all can spend the day in the park or even your backyard enjoying each other’s company. If you are at a park, remember your masks and to keep appropriate social distance from others. Picnics can also be an opportunity to play games, try out new recipes, and find new parks around your neighborhood. 

Water Balloon Fight:
You and your kids can do this in the backyard or even at the nearby park. Grab a large bucket and a bunch of balloons to fill with water. You can make your own rules with this kind of activity or even make it into a hide-and-seek game. This will also get your family moving and exercising without even realizing it. Again, remember you still need your masks and to social distance from others at a park. You can change it up by using raw eggs at times. This may be a good idea if it’s a little too cold for water balloons.

These are a few ideas. Now that we have started the ball rolling, you can also ask your kids about activities or games they may want to play. You may be amazed at their creativity and again it’s a great way to keep the communication flowing between you and your kids.

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

Is my Teenager Depressed due to the Coronavirus?

Is my Teenager Depressed due to the Coronavirus?

Because we do not deal well with mental health issues in our society, there are a lot of myths about mental health. There are a lot of misconceptions about depression in particular. Over the last two years depression and anxiety have reached epidemic rates in teenagers (CDC). In fact, suicide in now the second leading cause of death for children 10 years old to 18 years old (CDC). The increase has been attributed to the numerous mass shootings and the mass shooter drills give have had to do in school. Now teenagers are having to deal with the Coronavirus and having to shelter in place for over thee months. Research has shown that having to shelter in place has exacerbated depression for some teenagers and has caused some teenagers to become depressed and anxious (CDC). Since many parents have been consulting me about how to tell if their teenager is depressed, I was reading an article by Dr. Jerome Yelder, Sr., which outlines many symptoms of depression. He explained them so they are easy to understand and covered all symptoms parents need to be aware of regarding depression. This is important because typically children and teenagers do not act like adults do when they feel depressed. I have outlined his list below for you to review and decide if you feel your teenager needs to see a mental health clinician for depression.

Sleep Problems
Depression can affect your body as well as your mind. Trouble falling or staying asleep is common in people who are depressed. But some may find that they get too much shut-eye.

Chest Pain
It can be a sign of heart, lung, or stomach problems, so see your doctor to rule out those causes. Sometimes, though, it’s a symptom of depression.
Depression can also raise your risk of heart disease. Plus, people who’ve had heart attacks are more likely to be depressed.

Fatigue and Exhaustion
If you feel so tired that you don’t have energy for everyday tasks — even when you sleep or rest a lot — it may be a sign that you’re depressed. Depression and fatigue together tend to make both conditions seem worse.

Aching Muscles and Joints
When you live with ongoing pain it can raise your risk of depression.

Depression may also lead to pain because the two conditions share chemical messengers in the brain. People who are depressed are three times as likely to get regular pain.

Digestive Problems
Our brains and digestive systems are strongly connected, which is why many of us get stomachaches or nausea when we’re stressed or worried. Depression can get you in your gut too — causing nausea, indigestion, diarrhea, or constipation.

Headaches
One study shows that people with major depression are three times more likely to have migraines, and people with migraines are five times more likely to get depressed.

Changes in Appetite or Weight
Some people feel less hungry when they get depressed. Others can’t stop eating. The result can be weight gain or loss, along with lack of energy. Depression has been linked to eating disorders like bulimia, anorexia, or binge eating.

Back Pain
When it hurts you there on a regular basis, it may contribute to depression. And people who are depressed may be four times more likely to get intense, disabling neck or back pain.

Agitated and Restless
Sleep problems or other depression symptoms can make you feel this way. Men are more likely than women to be irritable when they’re depressed.

Sexual Problems
Hopefully your teenager is not sexually active. While they may not have the sexual problems adults do, when they are depressed, they may show a lack of interest in dating or relationships and tend to isolate. They also may feel they are sexually unattractive.

If you’re depressed, you might lose your interest in sex. Some prescription drugs that treat depression can also take away your drive and affect performance. Talk to your doctor about your medicine options.

Exercise
Research suggests that if you do it regularly, it releases chemicals in your brain that make you feel good, improve your mood, and reduce your sensitivity to pain. Although physical activity alone won’t cure depression, it can help ease it over the long term. If you’re depressed, it can sometimes be hard to get the energy to exercise. But try to remember that it can ease fatigue and help you sleep better.

If you feel you child or teenager are experiencing the above symptoms and may be depressed, have them evaluated by a mental health clinician who specializes in treating children and teenagers. Remember, children and teenagers often display different symptoms when they are depressed so it is often misdiagnosed. Also do not be embarrassed or ashamed. The pressure children and teenagers are facing in the world today can be very overwhelming and can easily cause a depressive episode. The Coronavirus was the straw that broke the camels back for many teenagers. The most important thing is if your child or teenager is experiencing depression, get then the treatment they need.

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

Dealing with Anxiety When the Coronavirus is Out of Control

Dealing with Anxiety When the Coronavirus is Out of Control

Anxiety is a common issue for children especially when we were all on quarantine and kids having to attend school from home. Remember children’s imaginations are very active. During the last few months we have had conflicting information from the White House and the medical doctors, such as Dr. Fauci who is the expert, about the Coronavirus and what we need to do. Therefore, there has not been a lot to explain to children and they have heard a lot on the news. Many parents tell me they have limited the access to news but with their IPads, phones and friends, they hear more than we are aware of. Also don’t forget, prior to the pandemic the children were dealing with mass shootings on a daily basis. Therefore, children and teenagers already were dealing with a lot of anxiety before the beginning of the pandemic.

The White House had told us they had the virus under control and it was time to start reopening the economy. However, we now find out that this was not the truth. In fact, today our Country had its highest numbers for new cases, hospitalizations and deaths, since the beginning of the pandemic. Many states such as Florida, Texas and Arizona are reporting numbers indicating the virus is out of control in their states. The doctors are clearly stating we opened too soon and we will need to at least pause reopening and in many cases possible go back to shelter in place. California is re-evaluating their numbers and most countries will be issuing new health orders that will take effect immediately. This will definitely increase anxiety for children, teenagers and parents. In other words, it will increase anxiety for everyone.

According to the CDC and what I have seen in my patients, anxiety has been at epidemic levels for children for awhile. The most common reason children are coming into therapy right now is anxiety or depression associated with the state of our Country (mass shooting, riots and the pandemic). Many parents want to know what they can do in between therapy sessions to help their child with their anxiety, especially now since, many people are experiencing an increase in anxiety as the pandemic spins out of control. I ran across an acronym by Lori Lite that is designed to help children who are anxious. The acronym is ASSURE. I will explain what is stand for and how to use it below.

A – Align with your child
 with their body language
 with their tone and volume of speech
 validate their feelings
S – Share your experience
your feelings in stressful moments
mistakes you’ve made and how you emerged from them
how you cope with stress in day-to-day situation
perspective you’ve gained from seeing “this too shall pass”
S – Skills-training
give them words for feelings and worries
get them involved in appropriate exercise and activities to release stress
teach and model coping strategies like visualization, deep breathing, positive imagery
U – Uncover stress-related signs and symptoms
body aches – head, stomach
irritability and mood change
appetite change
sleep changes
R – Reassure them
that they’ll come through
that you’re there for them
that you’re proud of the effort they’re investing in calming and coping
things will normalize – recall examples
E – Engage the topic when they’re calm
listen to what they say and don’t say
respect their process in overcoming stress and worry
brainstorm options while they’re calm, since that’s when the “thinking” part of the brain is turned on.
This may not eliminate their anxiety all together, but it should help reduce their anxiety. Also remember if their anxiety is severe also seek psychotherapy for your child with a therapist who specializes in treating children. Psychotherapy can now be done via telemedicine so there is no risk of exposing them to the virus. Between the mass shootings and the pandemic caused by the Coronavirus, our children are living through historic times. We have never experienced events like we currently are experiencing so there should be no surprise that children may need psychotherapy at this time.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. His practice does offer telemedicine. For more information regarding his work or private practice visit his website at http://www.RubinoCounseling.com or his Facebook page at http://www.Facebook.com/drrubino3.

Teenagers Need Appropriate Role Models

Teenagers Need Appropriate Role Models

As a psychotherapist who specializes in treating teenagers, I often hear how they are disrespectful, oppositional and have little to no respect for authority figures and rules. I also hear how many people feel that their teenagers do not feel the rules apply to them and that teenagers feel they can pick and choose the rules they are going to follow. Because I work with teenagers daily, I would agree many teenagers due act like this at times. However, when I watch the news this week, it makes sense why teenagers are acting the way they do. We have a President who is making fun of a pandemic and refuses to comply with the laws. He wants everyone else to comply with the laws, but he doesn’t want to. Therefore, he refuses and we are supposed to say that his behavior is acceptable.

Look at what has occurred in Tulsa, Oklahoma and Phoenix, Arizona. Both states are experiencing a significant increase in the number of people being hospitalized with the Coronavirus virus. Dr. Fauci, the leading expert in the world regarding the virus, has stated that the virus is out of control and we need to practice social distancing and wear masks to try to manage the virus. In fact, other countries such as South Korea and New Zealand have been able to control the Coronavirus by using testing, social distancing and requiring people to wear masks. Everyone in these countries had to follow these guidelines even their leaders. These are also the recommendations of the CDC. They are recommending testing, social distancing and face masks as a way to control the virus.

Now the President is aware of these guidelines and he should be setting the example as the President, however he is doing the opposite. He had a rally in Tulsa, Oklahoma ignoring all the guidelines and 10 of his staff people contracted the Coronavirus. Today he is holding a rally in Phoenix, Arizona where wearing face masks is an order by the mayor, but the President is not using a mask. He is blatantly ignoring the rules which everyone else in Phoenix, Arizona must follow. Additionally, his refusal regarding anyone wearing masks has intimidated the mayor and governor of Arizona. They are allowing the rally to take place with no social distancing being used and no one being required to wear a face mask. Arizona has already used 80% of their ICU beds for patients with the Coronavirus and they recorded another recorded breaking number of hospitalizations today (CDC). Is holding the rally today under the conditions the President wanted, responsible behavior for the President? Why is the President allowed to ignore the laws of Phoenix, Arizona? The mayor was afraid to enforce the law on the President’s rally and said so in an interview she gave regarding the rally and the President and face masks (CNN). She did not want to argue with the President or upset him.

Now you have teenagers seeing these events and hearing the requirements for social distancing and wearing face masks. You also have teenagers seeing the President disregarding all the rules and nothing happening to him. Additionally, they hear about the President lying about the virus. At the rally in Tulsa he stated the virus was not a big deal and prior to the rally he said the numbers for the virus were very low and it was just going to disappear. All these statements are lies. The number are going up and the virus is not disappearing. Florida, Texas, Arizona, Oklahoma and California are all reporting record number of new Coronavirus cases and record number of hospitalizations since the pandemic started (CDC). However, nothing happens to the President when he lies and misleads the public about the pandemic which endangers lives. In fact, his staff claims he was just joking so we can ignore his remarks. However, the President proudly contradicted his staff and said he doesn’t joke around. If the President can lie about something as serious as the pandemic and no one holds him accountable, what are we teaching teenagers?

As for respect, he continues to use Twitter to call people names, threaten people exercising their right to freedom of speech and complaining that the media and Supreme Court don’t like him and are being unfair to him. This is exactly the type of behavior we expect and see from teenagers using social media. However, how do we expect them to follow the rules, when the President ignores the rules. In fact, when teenagers are getting in trouble for their posts they feel it’s unfair because the President is never held accountable for his posts. Society is expecting them to comply with the laws, but the President, the most powerful man in the world, doesn’t have to follow the laws. We are being hypocrites and teenagers have a right to complain.

I wrote a prior article on this subject, but I am writing this one today because the situation is very serious. We have a President who demeans people daily and who is misleading people regarding the status of the pandemic. We are supposed to be the strongest and be the smartest nation in the world, however we have the largest number of people with the Coronavirus virus and the most deaths than any other nation in the world. His disregard for the medical experts recommendations are putting people’s lives in danger and causing the death of thousands of people. In addition to this serious issue, he is teaching the teenagers of our Country that it is acceptable to demean people, to be disrespectful, to lie and to just think about what is best for you ignoring everyone else. If we do not act, the Coronavirus will kill thousands of additional people, maybe one of your children, and some teenagers will see his behavior as acceptable and act like him. We will have a very difficult time changing how these teenagers act and some of them we won’t be able to change their attitudes. Therefore, we will have a generation of lying, narcissistic, racist adults. This is a sad outlook for our Country. Parents this leaves you with a very tough job. Explaining to your teenagers why it’s important for them to act as respectful, caring people regardless of how the President acts and to vote for role models you want your teenagers to follow.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. 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.