Talking To Kids about Mass Shootings

Talking To Kids about Mass Shootings

Mass shootings have become a daily occurrence in our country. Just the other day there was another shooting at the Naval Base in Pensacola, Florida. Closer to home there was a threat of a possible shooting at Foothill Middle School in Walnut Creek. The police determined in was not a valid threat and it was a kid trying to scare people. However, I did receive calls from parents asking me, how do I talk to my child about this threat? Many parents said to me before it was easier because the shootings were far away. Now it was in our backyards and parents were not sure what to do.

It is not surprising that parents are feeling overwhelmed. According to the CDC, as of November 15th which was the 319th day of the year, there have been 336 shootings as in November 15th for the year 2019. Also there have been 250 deaths and 979 injuries in 2019. According to the CDC, there have been a total of 1347 deaths and 1684 injuries in mass shootings many of them occurred at schools. With the recent shootings at Santa Clarita and the Naval Base, the numbers will increase. When you look at these numbers and you look at there are 1.2 shootings, this is very overwhelming. It is difficult for adults to comprehend how do you discuss with a 10 year old child.

Many people think they can ignore discussing it with their children because they do not watch the news. They may not watch the news, but the hear people talking and see things on the internet. Also most schools have intruder shooting drills now. So children are very aware of mass shootings. In fact, over the last 2 years, I have seen a significant increase of children for anxiety, depression and not wanting to go to school. The kids tell me they are afraid of getting killed if they go to school. Therefore, parents need to discuss mass shootings with their children.

When you speak to your children you need to do so in an age appropriate manner. Reassure them everyone is doing everything they can to keep them safe. Do not deny that there have been shootings at schools because they know there have been shootings. If you lie about the shootings, they will not trust what you have to say. The main point children are looking for is that people are there to keep them safe and everyone is doing everything possible to keep them safe. Children look towards adults to keep them safe so it is very important as parents you say and do whatever you can to reassure your child, you are doing everything you can to keep them safe.

This is a very difficult topic for children and parents. As a parent you want to reassure your child, but you do not want to lie. I have included a link to a very good video. It goes over different age groups and explains to parents how to approach your child regarding this issue. I encourage every parent to watch it and to talk to your child. Remember, if you do so in a loving way, you will help your child a great deal. The most important thing to them is that you love them and they know you are trying to keep them safe. https://youtu.be/Ddk0RUKbAMk.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. He is also certified to treat trauma victims. For more information regarding Dr. Rubino visit his website at http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3.

Smartphone as Holiday Gifts for Teenagers

Smartphone as Holiday Gifts for Teenagers

It is the Holiday Season and many middle school students will be asking for their first cellphone or Smartphone and many high school students will be asking for the newest smartphones available such as the IPhone 11. In today’s society many people including teenagers view cell phones as a necessity of life. I have seen teenagers argue with their parents how they could not function at school or in life without their cellphones. In fact, some teenagers become physically violent, if you take their phone. Most teenagers also say they need Smatphones, a regular cellphone will not work. However, cellphones are a privilege not a necessity. We need to remember that fact. Yes for some parents it is a tool they use to keep in contact with their child and for their child to use if they feel they are in danger. However a regular cellphone will do this it doesn’t have to be an IPhone 10XR or 11.

During the Holidays many elementary, middle school and high school student will be asking to upgrade their phones. They need the latest version otherwise they cannot function at school or contact their friends. Therefore, many children will be asking for the IPhone XR or 11. Most children and teenagers who are asking for these expensive phones usually never consider the price. They believe they are entitled to have the latest cellphone.

Many people have forgotten that cellphones are privileges especially teens and children in Middle School. They have grown up with everyone having a cellphone so they don’t see it as a privilege. This is a common argument I encounter between children and parents. The other argument that is common between parent and teenagers is many teens tell their parents if they cared, they would by them a smartphone. Being a parent is not a popularity contest determined by how much money you spend. As a parent you need to do what you feel is best for your child.

Parents if you stop and think about it, why does an 11 year old child need an IPhoneXR? They do not need to track mileage or expense accounts nor do they remember their own appointments. There is really no reason they need a Smartphone. Setting limits where they use them is important too. Why do they need their cellphone when they go to bed? Most teens who take their cellphones to bed will typically spend hours texting friends or watching YouTube. When morning comes, they are too tired to get up because they were awake until 3am playing with their phone.

Smartphones are an area where technology has moved faster than our ethics. If you think about it, IPhones and Smartphones were not around in the year 2000. Now everyone including a majority of teens have an IPhone or Smartphone. In my opinion an adolescent does not need a cellphone until they enter Middle School and at that point all they need is a basic cellphone. They need a basic phone so they can check-in with you if their plans change or if they feel they are in need of help.

As I stated above, there is no reason that a teenager really needs a Smartphone. They are not taking care of a family nor are they running a business. Therefore, a basic cellphone should be adequate for what they need it for. I understand that given the way our society has changed some parents may find that it is helpful to their family if a child in middle school has a cellphone. This is a decision that every parent needs to make based on their family’s situation.

The parent needs to make this decision, not let the child guilt them into buying them a cell phone. If you are divorced and have children, this may be extremely difficult, but the decision about if your child gets a cellphone or not, should be a joint decision by both parents and a decision you both agree on. One parent should not buy a cellphone without consulting the other parent and they should not use it as a weapon in the divorce.

If you decide that your middle school child is mature enough for a cellphone, you should discuss the rules and guidelines about using the phone prior to getting a phone. Some things to discuss are who they give their cell number to, not texting during class and not taking it into the bedroom at night so they can text most of the night. As I stated, many kids will text with their friends until 2 or 3 am and then be too tired for school the next day.

Also there should be a discussion about sharing photos. You never know what someone will do with a photo if they get mad with you. Also there needs to be a discussion about the law. It is not uncommon for teens to send their boyfriend/girlfriend nude photos of themselves. What they don’t understand is they are under the age of 18 years old. Therefore, if they have a nude picture of their 15 year old girlfriend, they can be charged with possession of child pornography. Many may say this won’t happen to me, but I have had a number of teens in psychotherapy because they were charged with having child pornography. Also you need to remember, once those pictures are out on the internet, they are out there forever. There also needs to be a discussion about on-line perpetrators too. There are many pedophiles on line trying to lure unsuspecting teens into their plans. Your children need to understand this is a real risk and what to watch for.

Finally, it should be made clear that the phone does not belong to the child — the phone belongs to you the parent. Yes you are giving them the phone to use, but it still belongs to you. If you ask for it back, then the child hands it over no questions asked. Also if you feel they are using their phone in an inappropriate manner, all you need to do is call your cellphone carrier and request that their phone line be suspended. It cost you nothing and it is an easy way to control the phone. When you feel that your child has earned the right to have the cellphone back all you do is call your carrier to reinstate that phone line.

It is very important that you and your teen have an agreement about conditions regarding their cellphone use. All of these conditions and agreements should be written down in an agreement that you sign and the child signs. You each get a copy of the agreement and one copy is posted on the refrigerator. If there are any disputes about a rule, you simply go back to the agreement and you follow what is written. A written agreement is very important because I have seen parents have conversations, make agreements and then 6 months later there is a disagreement and everyone’s memory is slightly different so you have a big fight.

Also given how many adults have gotten into trouble with their Smartphones, if you are going to allow your child to use any kind of cellphone you must discuss the pros and cons so the child does not get into major trouble with the phone.

Below I have included a sample contract that you can use with your child and modify as you need.

Cellphone Contract

I, child’s name, will not bring my cellphone to the family dinner table.

I will not go over our plan’s monthly minutes or text message limits. If I do, I understand that I may be responsible for paying any additional charges or that I may lose my cellphone privileges.

I understand that I am responsible for knowing where my phone is, and for keeping it in good condition.

I understand that my cellphone may be taken away if I talk back to my parents, I fail to do my chores, or I fail to keep my grades up.

I will obey rules of etiquette regarding cellphones in public places. I will make sure my phone is turned off when I am in church, in restaurants, or quiet settings.

I will obey any rules my school has regarding cellphones, such as turning them off during class, or keeping them on vibrate while riding the school bus.

I promise I will alert my parents when I receive suspicious or alarming phone calls or text messages from people I don’t know. I will also alert my parents if I am being harassed by someone via my cellphone.

I will not use my cellphone to bully another person.

I will send no more than _____ texts per day I understand that having a cellphone can be helpful in a emergency, but I know that I must still practice good judgment and make good choices that will keep me out of trouble or out of danger.

I will not send embarrassing photos of my family or friends to others. In addition, I will not use my phone’s camera to take embarrassing photos of others. I understand that having a cell phone is a privilege, and that if I fail to adhere to this contract, my cell phone privilege may be revoked.

Parent Responsibilities I understand that I will make myself available to answer any questions my tween might have about owning a cellphone and using it responsibly.

I will support my child when he or she alerts me to an alarming message or text message that he or she has received. I will alert my child if our cellphone plan changes and impacts the plan’s minutes.

I will give my child _______ warning(s) before I take his or her cellphone away

Signed ______________________________ (Tween) Signed ______________________________ (Parents). Date ______________________________

Dr. Michael Rubino has been working with middle school and high school students for over 20 years. He is considered an expert in this field. Dr. Rubino is one of the founding members of the National Alive & Free Program, a program designed to work with teens. For more information about Dr. Michael Rubino’s work and private practice visit his website at http://www.rcs-ca.com or http://www.rubinocounseling.com or follow him on Twitter @RubinoTherapy.

The Holidays and Special Need Children

The Holidays and Special Need Children

The Holidays are here and many people expect it to be a great family time and a great deal of fun for the kids. However, this is not true for every family or child. The Holidays can be a very difficult time for a child who has Autism or is on the Autistic spectrum or have other types of Cognitive Disabilities. The noise and having a lot of people being around can be upsetting to them. Also many children on the spectrum are use to a certain daily routine. The festivities of the Holidays can disrupt their routine and upset them.

The Holidays, as I said above, are supposed to be a happy time. Therefore, when parents, who have a child on the autistic spectrum, see their child getting upset or agitated, it is difficult for them. Additionally, many parents who have children on the spectrum worry about how other people will react or judge their child.

All of this worry for the parents and change for the kids can make the Holidays a stressful time for autistic children. I did read a very good article by Lori Lite which has good ideas for parents to use during the Holidays. These ideas can help make the Holidays a happy time for your child and for your family. I would suggest trying these ideas and not worrying how other people may or may not judge your child. Being Autistic is nothing to be ashamed about. I treat many autistic children and they are usually very caring, smart children. We need to change our views regarding autism. It is a medical condition like diabetes or being blind. We make accommodations for children with these issues so we can make accommodations for a child with Autism. Therefore, try some of these ideas to help you and your child enjoy the Holidays.

Get Ready: Social stories, books, and movies can be a big help in preparing your child emotionally for holidays. Comfortable clothing and small dose exposures to holiday sounds can help physically. Think ahead with an eye for anxiety causing issues. If wrapping paper too loud? Use easy open bags or just decorate with a bow. Are the electronic bears with bells at Grandma’s house going to cause sensory overload? Ask her to unplug them before you get there. Let friends and family know about triggers ahead of time. If your child doesn’t like to be hugged suggest a handshake or just a wave. Your friends, family, and special needs children will be glad you did.

Prepare Your Children For Gatherings: Eliminate unnecessary anxiety associated with getting together with family members you rarely see by looking through photos of relatives prior to your event. Play memory games matching names to faces. This will help your children feel more comfortable with people they may not have seen in a while. Aunt Mary won’t seem quite so scary when she bends down to greet your child.

Use Relaxation Techniques: Incorporate deep breathing or other coping strategies into your day. Let your children see you use techniques when you are feeling stressed. Encourage them to use relaxation techniques on a daily basis. Breathing, visualizing, and positive thinking are powerful tools.

Incorporate Positive Statements Into Your Dinner: This is empowering and reflective. Each person at the table can state an attribute of their own that they are thankful for. For example, “I am thankful that I am creative.” Feeling stressed? Try, “I am thankful that I am calm.” Your special needs child can prepare ahead with a drawing or sign language if they want to participate without speaking.

Don’t Rush: It’s simple; none of us are very good at rushing in a relaxed way. The two just do not go together. It is impossible for children or teens to rush without getting angry. Make sure you leave enough time to enjoy the journey and avoid meltdowns. Children with special needs should be given notice of transitions.

Write Things Down: Getting the constant chatter and lists out of your head decreases stress and anxiety. Kids love making lists. Give them a clipboard or dry erase board. Help your child make a list of what they want to do for the holiday. It might be helping decorate or what to pack for self-care relaxation bag. This will help you relax and help your children feel involved. Encourage them to add happy words like laugh or draw a smile face on their list.

Schedule Downtime: Don’t overbook your children. It’s important to use holiday time for relaxation. Try staying in pajamas till noon. Pop your favorite popcorn and watch a movie when you wake up. You’ll be surprised how an hour or two of relaxation can rejuvenate your children’s bodies, minds, and spirits.

Shopping: Avoid taking your children shopping on the busiest shopping days of the year. The chaos, noise of large crowds, and long lines will definitely add stress to your life. If your child is absolutely known to meltdown during shopping you can select a few gifts and bring them home. Set up a shopping experience in your home for your child. The whole family can participate. Have a checkout counter and a gift-wrapping table.

Be Flexible: Relax your expectations and definitions of what a fun experience is for your children. Most of us do not need the full blown exhausting experience of holidays to reflect that we had a good time. A few positive minutes is worth a lifetime of memories!

Let The Children Participate: Let your children do one thing for the holiday that makes them feel proud. Kids can collect acorns or place a few jingle bells into a bowl for a beautiful stress free centerpiece.  Children can fold the napkins or put the forks out. Let them draw a special picture to place on your guest’s chair. Be prepared to accept their participation as perfect and wonderful. Restrain for correcting or straightening out the napkins and enjoy the holidays with your special needs child!

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. Many of these children and teens are on the Autistic Spectrum. For more information regarding Dr. Rubino’s work or private practice visit his website http://www.RubinoCounseling.com or Facebook http://www.Facebook.com/drrubino3

Surviving Winter Break with Your Teenager Not in School

Surviving Winter Break with Your Teenager Not in School

It’s the Holiday Season and most people are excited and feeling overwhelmed too. Teenagers are very excited about Winter Break. They have no school for at least two weeks and are looking forward to staying up late, sleeping in and spending times with friends. However, many parents are not so excited about Winter Break. Most parents have to work full time so they are concerned about what their teenager will be doing while they are working and there are some family activities planned which means their teenager cannot spend all of the break with friends. Therefore, parents are starting to wonder how to handle this situation so Winter Break is enjoyable for everyone.

It might help parents, to have a better understanding of how their teenagers look at Winter Break. In their minds, they have spent a great deal of extra time during December studying for midterms, finals and completing final projects. They have had to give up some time with friends and there were several nights they had to stay up late studying. Therefore, they feel they are entitled to sleep in and spend time with their friends. Additionally, a number of juniors and seniors have friends who will be returning from their first year at college. Therefore, Winter Break is the only time they have to spend with them. Again, they feel entitled to the time because they spent a lot of extra time studying so they are entitled to some free time. Another factor is that many teenagers consider some of the family activities scheduled to be boring compared to hanging out with friends.

Now parents can just say this is what you will be doing over Winter Break because we are your parents. This will result in a great deal or arguing and teenagers sneaking off to spend time with friends. This approach is not very effective and results in a great deal of unhappiness for parents and teenagers. Winter Break feels like a prison sentence not anything to celebrate.

I recommend sitting down with all your children and developing a plan for Winter Break. First explain how you envision the break going and the activities you have planned and want your children to participate in. Explain to them why you want them to participate in these activities and what it means to you. Next let your teens discuss what plans they had for break and why these plans are important to them. This allows you and your teenagers to discuss everyone’s plans and a solution that will work for everyone. Remind your teenager that your daily expectations regarding vaping, alcohol and their over all behavior still apply. You are not setting up new house rules. You are simply setting up a schedule for Winter Break.

As for the days, I recommend setting a time they need to up by such as 10:30am. This gives them time to sleep but not sleep the day away. Also leave a couple chores they can help with when they get up. Such as cleaning up their own dishes and maybe cleaning the kitchen or doing some laundry or putting some clothes away. After that they can spend time with their friends. Ask them to tell you what they plan on doing the night before and ask them to check in by text at certain times. Also agree on a time they need to be home. During the week maybe require they are home three nights a week for a family dinner. The other nights and weekends, they can have dinner with friends or bring a friend home for dinner. Whatever they do, they need to tell you before, check in occasionally by text and be home by a certain time. As for bed time don’t spend a great deal on that one. Allow them to go to bed when they want as long as they are able to get up by the agreed upon time. If they miss getting up on time 3 times in a row, then you set a bed time. This is only for teens in high school. For children in middle school and elementary school, you need to set a bed time.

As you are coming up with these agreements, you are also writing them down on a contract that everyone will sign and get a copy to keep. Therefore, if there is a misunderstanding, you just refer back to the contract. You also should agree upon consequences if someone violates the contract and include them in the contract.

Now the big issue to confront, how much evening time your teen will spend with friends and what activities you have planned that they will attend. This is not easy. I usually suggest if the activity is a big family activity including extended family or a family tradition then your teenager needs to attend. Depending on the activity may be the can bring a friend or leave early. As for time with their friends, ask what they have planned and see how it fits into the family schedule. Most often teenagers won’t know their plans yet because they need to talk to their friends. Therefore, give them time to talk to their friends and add their events to the calendar. One important thing to remember, your teenagers are becoming young adults and need their social time too. Therefore, try to be flexible with them. If it is a family event, they definitely should be present and participate. If it is a community event or neighborhood party, it is probably fine to allow them to miss it and spend time with their friends.

As for the time they spend with friends, it is fine to require that they tell you what they will be doing and where they will be. Setting a time to be home is appropriate too. Also it is fine to ask them to check in by text too. One thing you may consider is setting up an activity with your teenager and their friends so you can spend time with them and see how they are maturing. If you decide to try doing an activity with your teen and their friends, only do it if your teenager is agreeable and allow them to plan the activity.

Remember, everything you agree to with your teenager, you will write down in your Winter Break contract. Everyone will sign it and get a copy so if there is a misunderstanding you simply refer back to the contract.

Finally, let your teenager know you are aware that they are getting older and they are starting to have social lives of their own and this is why you are having this discussion. Explain that hopefully this will help eliminate fighting over their break, but nothing is perfect. Therefore, issues may come up that you have not discussed. Ask, if an issue does occur, that everyone tries to discuss it remembering you all have the same goal of everyone enjoying the holiday. Hopefully if you keep this in mind and discusses any issues that occur it can be a happy holiday break for everyone.

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

All I Want for Christmas is A Blanket

All I Want for Christmas is A Blanket

A teacher did a typical holiday activity and asked her first grade class to write letters for Christmas. She asked each student to write one thing they want and something they need. One of the children wrote this heartbreaking letter:

See the video above

The fact that is even more heartbreaking is she was not the only child in the class to write such a letter. Several children requested food and blankets too.

We assume that hunger is not a problem in the United States. However, one in five children live below the poverty level and do not have enough to eat on a regular basis. Many of these children are homeless too. It’s not because they have drug addicted parents either. Many of their parents work 2 or 3 jobs, but the cost of living in the United Stares is so high, they still cannot provide their children with the basic necessities of life.

I do see children in this situation for psychotherapy. These children are often depressed and see no hope for the future. They feel that they will be homeless for their entire life. I am able to provide these children psychotherapy because I see them pro bono.

The other sad fact is that the United States government is considering cutting programs which assist these families and this will make life worse for these children. Many of these programs are their only source of food. The children are the future of our country. Why would the United States, considered the richest country in the world, cut programs that will increase the number of children living in poverty? Should a child in the United States, need to be asking Santa Claus for food and a blanket? Are we really willing to cut these vital programs that these children who are legal United States citizens and turn around and spend $5 billion dollars on a wall. Where are our priorities?

We cannot control what the government is doing except by voting and speaking out to our Senators. In addition, especially at this time of year, we can donate to food banks, churches and non-profits which assist families in need. In addition to donating to these organizations, you and your family can volunteer some time over the Holidays to assist these programs. The Holidays are the busiest time of year and they can always use volunteers. Furthermore, besides donating or volunteering during the Holidays, it is something we can do throughout the year.

There is no reason that a child who lives in the richest country in the world needs to be asking for a blanket at the Holidays. Leaving the children and families in this situation only creates more problems later in life. Research shows children who grow up under these conditions are more likely to have mental health issues as adults. We can change this by donating to non-profit

Dealing with the Holidays when you have Mental Health Issues

Dealing with the Holidays when you have Mental Health Issues

For many people the Holidays can be a stressful time. For some people there is the stress of not having enough money. For others, they lost a loved one this year and this is the first Holiday without their loved one. For others, there are family issues that make this a difficult time of the year. Finally, for people with mental health issues, the Holidays can be a very difficult time.

For people with mental health issues the Holidays can be difficult for many reasons. They may be dealing with family issues, financial issues or not feeling happy. Not feeling happy can be difficult because everyone is supposed to be happy during the Holidays. At least this is what we are told by society. Also some people with mental health issues may find the Holidays difficult because their condition is not stabilized yet or the Holidays can be a trigger for their mental health issues. I see this with the patients I work with who are Bipolar or patients who are dealing with eating disorders. Just to name a couple of mental health issues that are triggered by the Holidays.

People who are suffering with mental health issues that are triggered by the Holidays need support and understanding. You cannot just tell them to pull it together or to take a pill. It is not that easy for them. If it was, they would automatically take those steps on their own to solve the situation.

There are some things that people with mental health issues can do that may help them. Dr. Pooky Knightsman, who deals with her own mental health issues, describes some of these options in her video. I have included a link to it so you can watch it. If you have a loved one who has mental health issues, please watch this video and may be you and suggest some of these ideas to your loved one. If they work that would be fantastic for the person coping with mental health issues. If they do not work, please understand the person is not having issues on purpose. If you love them you need to be patient and understanding and help them through this difficult time. Here is the link to Dr. Knightsman YouTube video https://youtu.be/ch5JLIYyPtU.

Dr. Michael Rubino is a psychotherapist with 20 years experience treating children and teenagers many of them are Bipolar. For more information regarding Dr. Rubino’s work or his private practice visit his website http://www.RubinoCounseling.com.

Dealing with Christmas after A Divorce

Dealing with Christmas after A Divorce

The Holiday season is usually a difficult and stressful time for many families. Everyone trying to make plans and trying to see grandparents and other family members. It can be especially difficult for divorce families. After a divorce the issues often become even more stressful.

One thing that parents need to remember is that they decided on the divorce the children did not. I often hear arguments about parents want their time or wanting to continue their family’s holiday traditions. However, they often ignore what the children want to do.

Many times a divorce may be finalized, but the parents are not done fighting with each other. Therefore, the use the Holidays as a reason to continue to argue or try to hurt each other. What they forget is they are really hurting their children more than each other.

Based on dealing with families who are divorced, I make the following recommendations to parents. First, parents need to remember that Holidays are more about the children and family not their divorce. Next they need to develop a plan together regarding the Holidays. The first step is for the parents to talk together about what the children seem to enjoy the most about each Holiday. Also parents should also ask the children what they enjoy most about the Holidays.

After you have this information then sit down civilly and see how you can allow the children to do what they enjoy most about the Holidays. Another thing to remember is the children should not be forced to choose between Mom and Dad. Come up with a plan where the children have equal time with both parents. Also they should have equal time with grandparents, cousins and other Extended family from Mom and Dad’s side.

The other thing is don’t turn the Holidays into a competition. Gifts should not be used to influence the children. You should discuss with each other what your children want and what you plan to get the children. When you were married you discussed what to get them so even after the divorce you can coparent and discuss what is realistic and what is not.

Finally, remember the Holidays are a time to get together as a family and enjoy each other. Therefore, for the sake of your children put your divorce aside and decide how this can be a happy family time for everyone. If you can do things together, that would be the ideal situation. If you can’t then being kind to each other and making the Holiday season fun for the children is the goal for you as parents. Stated another way, the children should still feel like they have one family during the Holidays not two. Maybe things are being done a little differently because of the divorce but they still have a mother and father.

If you achieve this goal, it will make you feel better too. A divorce should not wreck your lives. Obviously, your lives will change after a divorce but you can still be a family.

Dr. Michael Rubino has over 20 years experience as a psychotherapist working with children/teenagers and families. For more information about Dr. Rubino’s work or private practice visit his website at http://www.rcs-ca.com or Facebook page http://www.Facebook.com/drrubino3.