Teenagers Need to Earn Their Parents’ Respect

Teenagers Need to Earn Their Parents’ Respect

This article is slightly different from my other articles. This article is written for teenagers. Since most families have been spending more time together due to the pandemic and shelter in place orders, the issue of respect has been a popular household topic. Many teenagers feel very mature and often feel entitled to more freedom because they feel they are mature for their age, in their opinion. This is a common argument I hear from teens and they say they feel disrespected by their parents. Most parents have a different point of view and feel disrespected by their teenagers.

Parents while the target audience for this article is teenagers, you may find some of the issues I mention helpful when speaking with your teen. You may be able to use this article as a way to start a discussion with your teen about your house rules and respect.

In my office, I hear daily from teenagers how they feel disrespected by their parents. This is common problem between teens and their parents and has increased with the quarantine situation. Teenagers feel disrespected by their parents and that their parents treat them like children. Sometimes this may be true, but overall teens are expecting too much from their parents.
Yes it is true that as teenagers you are becoming young adults and that you should be able to handle more responsibility. The big word in that last sentence is SHOULD. Just because you turn 13 or 16 doesn’t mean you are in charge of your life. You are a YOUNG adult. Noticed I capitalized the word young. There is still a number of life experiences for you to learn and until you do, your parents are responsible for you, especially during the pandemic. There is a lot we do not know about the Coronavirus and the situation is changing daily with new health orders. It’s your parents responsibility to ensure you are safe.

A number of you have heard your parents say when you are 18 you can do as you like and that is the truth. Prior to you turning 18, any trouble you get into, your parents are responsible for it. If you damage property, your parents are legally responsible. If you get arrested and put in Juvenile Hall, your parents receive a bill from the County for the length a time you were in Juvenile Hall. In other words, legally and financially you are responsible for yourself and your actions. However, your parents are still available to help especially during the pandemic when no one is sure about what is happening in the world.

You may think that prior to the age of 18 that you do not need your parents, but you need their permission to drive and basically for anything you want to do. Even if they give you permission for you to drive and you get your license, they have the ability to have your driver’s license suspended at any time they want while you are under the age of 18. Also if your parents are divorced, both parents must sign the consent for your driver’s license. You cannot play your parents against each other to get your driver’s license.

As I started off, now that you are a teenager you SHOULD be able to handle more responsibility. This responsibility is not an automatic gift you receive when you turn 13. This respect you so desperately want is something you have to earn. How do you earn it? You earn it by respecting the rules that your parents have set and by taking care of your responsibilities – for a teen, your primary responsibility is school. This means going to school on a regular basis (or completing your online assignments during the pandemic), doing your homework and turning it in, earning decent grades and not making poor choices such as drinking alcohol or smoking cigarettes, marijuana or vaporizing. You may say this is unfair, well welcome to the adult world.

Ask your parents how many times they have to do something at work they feel is unfair, but if they want their job they have to do it. Ask your parents how many days they get up tired or not feeling well and they would prefer to stay home from work, but they still go to work. They go to work because the have a family to support and bills to pay. Your parents want you to succeed in life. If you feel they really are not giving you enough freedom, then ask your parents if you can discuss this issue with them. However, ask in a mature, respectful manner do not demand a conversation. When you discuss the issue with your parents have some things you have been doing, e.g., your homework, respecting curfew, that demonstrate you can handle more responsibility. Do not just demand it because your friends have it.

Remember the respect and maturity that you want, you must earn. You earn it by respecting your parents, other adults and recognizing that you have responsibilities. You do not get it because you turned 13 or because your friends have it. This can be a difficult time of life, but it can be a time when you learn a lot about the world and yourself. If you remember you need to earn your parents trust and you actively try to do so, your parents will work with you and start to trust you. The choice is yours, you can make your teen years difficult or make them easier by working with your parents – you decide.

Dr. Michael Rubino is a psychotherapist who specializes in treating teenagers. He has over 20 years experience working with teenagers. For more information about Dr. Rubino’s work with teenagers or his private practice visit his websites http://www.rcs-ca.com, http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3.

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 are Trying to be Their Friend’s Therapist during the Pandemic

Teenagers are Trying to be Their Friend’s Therapist during the Pandemic

There is an issue I have encountered many times working with teenagers in psychotherapy that is seldom talked about. The issue is teenager’s trying to act as a therapist to the friends or girl/boy friend. This issue is increasing due to the pandemic and quarantine. Many teenagers are experiencing more anxiety (CDC) and boredom due to being at home more and no school. There have been many times that a teen will tell me their girlfriend is suicidal and ask me what they should do to help her? Often a teen will ask could they just bring their girlfriend into one of their sessions. They argue since I am helping them, I can help their girlfriend. At this point we need to have a conversation about how therapy works and the situation that they are in at that point.

In terms of me just seeing the girlfriend, I explain I need parental consent because she is under 18 years old. I also explain if she is suicidal the parents should be involved. Sometimes the teen explains their girlfriend is living in an abusive household and the parents would never agree to psychotherapy. In these situations, I provide the suicide crises number and tell the teen to have the girlfriend call the crises line and they will get her help. Some teens will exaggerate a situation just so I will see the girlfriend. Therefore, it may be a normal argument between a teenager and parent that I may be entering. Therefore, I provide the crises line and 911 so the situation can be assessed. If the girl does need help, I don’t want to ruin the chances of her getting psychotherapy by acting too fast. I also need to be careful how I handle the situation with my patient. If he is wanting me to see his girlfriend, I have established a therapeutic relationship and trust with him and I do not want to spoil that bond.

The other part of this situation and the more important part is the teen trying to act like their friend’s psychotherapist. Many teens feel since they have been coming to therapy and making progress, if I give them some advice they can help their friend. I explain that they do not having the training needed to be a therapist. I also point out they are not emotionally ready to be a psychotherapist. Many teens feel a very close bond to their friends and girlfriends because they have shared a lot of very personal information and have been open emotionally. While this may be true, it is not the same as psychotherapy.

Why is it important to discuss this issue? What if a teen tries to be their friend’s therapist and the friend commits suicide. They teen will be emotionally devastated and blame themselves. The parent of the teen who committed suicide may blame the teen too. Maybe they were not handling the situation correctly and the teen might have been saved if they had been hospitalized. However, the teen was never hospitalized because their friend was acting as the therapist. The teen could be in a lot of trouble. I have seen this happen. I have had parents come in for grief therapy because their child committed suicide and their child’s friend was acting as therapist and keeping everything a secret. This is a very sad and tragic situation for all involved.

Any time I have a teen asking me about a friend I explore the situation to determine if they are acting as therapist. If they are I explain to the teen why this is inappropriate. I acknowledge how close they are to their friend and how much they care about their friend. I then point out because they care so much they want to do what is best for their friend. I ask them how they would feel if their friend committed suicide? I point out that they are in a very difficult situation that they are not emotionally prepared for or professionally trained for. We discuss that this doesn’t mean anything negative about them. We discuss how they are expecting too much of themselves. I explain if they really want to help their friend, they will encourage their friend to seek help or they may need to tell someone such as the school counselor or their friend’s parents. Sometimes they say, “but I promised to keep it a secret.” I explain sometimes you may need to break a promise to help someone. I also point out their friend may initially be mad but if they truly care they need to do what is best for their friend.

Teenage suicide is an epidemic. The CDC just moved suicide from the third leading cause of death to the second leading cause of death for teenagers. Also the CDC has noted there has been an increase in anxiety, depression and suicides since the beginning of the pandemic. Additionally, teenagers are turning to cutting more often to deal with their feelings about life and the pandemic. Therefore, at this time in our history, this issue has become a bigger issue and needs to be addressed. The situation where friends try to act like the therapist happens more often than people realize. I had a situation occur this week. After explaining the situation to the teen, they spoke to their friend and their friend is now in therapy. This was a good ending. I would estimate 1 out of 3 teens ask me about their friends and are trying to be the therapist to their friend. Besides teens feeling they can handle this situation because they feel so close to their friend, I believe this occurs due to our views on mental health.

Because of the mental health stigma many teens are reluctant to go to therapy. They don’t want to be labeled as “crazy” or “weird.” Furthermore, it is not easy for teens to get therapy. Many psychotherapist prefer not to work with this age group for various reasons. Also many families cannot afford psychotherapy and many insurance companies do not cover psychotherapy. As a result, teenagers tend to turn to each other when they are encountering emotional issues. Research indicates that teens turn to their friend first when they encounter emotional issues. If we want to stop teenagers from acting like psychotherapist and if we want teenagers to get appropriate mental health care, we need to talk to teenagers about why they can’t act as a friend’s therapist and we need to increase access for teenagers to mental health care and remove the mental health stigma.

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

Gay Pride and Teenagers

Gay Pride and Teenagers

This month we celebrate Pride month. We celebrate that people have a right to be homosexual, transsexual and transgender. We also celebrate a recent Supreme Court ruling guaranteeing gay and transgender people are entitled to the same protection on their jobs as everyone else. In a number of ways, this is correct. Homosexual marriage has been legal in our country for a few years and there are many laws now.Therefore, the laws are acknowledging that regardless of sexual orientation, we are all human beings entitled to the same rights.

While there has been progress is it enough? As a psychotherapist who treats adolescents, I would say no. I still have parents who bring their teenager who identifies as homosexual or transgender into therapy. They do not bring the teen in for therapy to help them deal with the social pressures they are encountering at school and other places. No they bring their teen into me so I can fix them. Many parents still consider these feelings to be a teenage phase or that someone convinced their child to think and feel this way. When I explain to parents there is nothing to fix, many parents do not believe me. They tell me they will take their teen to someone who will fix them.

It is true that at times during adolescence or young adulthood, college age, that some people may have doubts about their sexuality and may even experiment. Just because some teens do question doesn’t mean every teenager questions. Think back to when you were a teenager, sexual feelings were very confusing. Therefore, some teens do question. However, I also have seen many teens who are not questioning. I have worked with many teens who know their sexuality for sure. They are not questioning and many of these teens tell me they have known their sexuality since they were little children.

When parents are still brining teens in for me to fix them and they are still being harassed and bullied at school, I do not think we have made a lot of progress. Yes some progress has been made, but we still need to make more progress.

One example that indicates we still need to make progress is suicide. The suicide rate for teenagers in general has increased from the third leading cause of death to the second leading cause of death. However, the rate is much different for homosexual or transgender teenagers. It is estimated that the suicide rate for teens who identify as homosexual, transgender, transsexual or questioning is five times the rate of the “average” teenager (The Trevor Project)). Think about this, for the general population of teens suicide is the second leading cause of death and those who identify as LGBT are five times more likely than the average teen to commit suicide. This means there are millions of teens killing themselves due to their sexual feelings and stereotypes that are outdated. Also the five times is an estimate. Many teens who attempt or commit suicide may have told no one about their sexual feelings. Also sexuality is not part of an autopsy. Therefore, the number is probably higher.

Another fact which indicates we still have work to do is that teenagers who identify as homosexual or transgender have few places to go to for help. Many are afraid to seek therapy from a private therapist because they are afraid the therapist will tell their parents. Legally a psychotherapist cannot tell parents if their teen is questioning their sexuality, but many teens are not willing to take that chance. There are very few non-profit groups dedicated to the topic because stereotypes still exist. I practice in the East Bay Area of San Francisco and I only know of one non-profit, the Rainbow Center, which provides services to teenagers who are questioning their sexuality.

Fifty years later, after people were killed in a nightclub for being gay, teenagers should not have to be dealing with these stereotypes at home and at school and there should be support services available. We need to eliminate the stigma associated with sexuality and mental health, we need to educate parents and schools about teenagers sexuality and we need more mental health services for teens. As psychotherapist we need to do a better job of educating the public that if a teenager tells us they are homosexual or transsexual or transgender, we cannot break confidentiality. Meaning we can tell no one not even there parents. We also need to educate parents this is not a disease that we cure. Sexuality is a normal part of being a human being and there are various forms of sexuality and they are all normal. Again, think about those suicide rates and how many teens we lose every year because of a stereotype. This is ridiculous!!

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

How To Improve Your Relationship with Your Teenager During the Pandemic

How To Improve Your Relationship with Your Teenager During the Pandemic

Many parents worry because their teenager talks more to their friends than to them. Often many parents feel like a failure because their teenager is spending more time with friends than them. However, with the quarantine many teenagers have not been able to hang out with friends. They have maintained contact by texting, FaceTime, Zoom and gaming. Some parents have seen this as an opportunity to increase the amount of time they spend with their teenagers and as an opportunity to improve their relationship with their teenagers. This is an excellent idea. Unfortunately some parents who are concerned that their teen spending too much time with friends may result in their teen becoming involved with drugs or other issues. They feel they can use this extra time to pry into their lives and find out what their teenager is really doing. Unfortunately, this idea eliminates the opportunity of improving your relationship with your teenager. By improving your relationship with your teenager, you increase the probability that your teenager will open up to you if they are in trouble. Unfortunately many parents tell me they have decided they way to resolve this issue is that, “”I am going to be my teenager’s best friend” as a way prevent these problems or finding out about them. Unfortunately, many of these parents do not understand that it is normal developmentally for teens to spend more time with their friends.

The solution that you are going to be your teen’s best friend is wrong!! You do not want to be your teen’s friend. You need to be your teen’s parent. Your teen has enough friends. Your teen doesn’t need another friend, they need a parent. They need someone to educate them about life and how to make decisions.

Remember, as a parent it is your responsibility to help guide your teen to be successful as an adult and in life as a productive member of society. This means at times you will have to set firm boundaries, educate them about life and sometimes tell your teen no. It is important to remember being a parent is not a popularity contest. You must set appropriate limits for your teen which means at times they will be mad at you. It is okay if they are mad at you. This is part of the process a teenager experiences as they are maturing into an adult.

Despite what they say, most teens want and like boundaries. At times they can be very helpful to your teen. They may be faced with a great deal of peer pressure to do something that they do not want to do and they can use you as the excuse why they cannot do it. Some may say this is immature because the teen is using their parent as an excuse, but we put our teens in a very, very difficult world so I think they are allowed some extra help now and then.

Another reason why should you not be your teen’s friend because your word and rules will mean nothing to your teen, if you are their friend. A friend is defined as a close associate. In other words, teenagers see their friends as equals. Now think about what this implies, if you are equals, you are on the same level as your teen. Therefore, they think they know as much as you do and since you are equals they can choose to follow your rules or ignore them as they see fit.

I run into this problem daily in my office. A parent will say “we have always been best friends, I talk to my teen and their friends about everything and we have good times together hanging out. I don’t understand why they disregard my authority as their parent.”

The answer is simple: you eliminated your authority as the parent and made yourself an equal as a friend. If you want your teen to respect your authority as the parent, you must remain the parent and not be the friend.

Consider the decisions these teens have to make every day. They are faced with issues regarding alcohol, drugs, sex, gangs and decisions about careers in their future. Teens live in a very difficult and complex world today. They need parents to help set appropriate boundaries and guide them so they make the best choices for themselves and avoid a great deal of trouble. You can only do this as a parent. Remember, as a parent you are not in a popularity contest. You have a responsibility to help guide your teen. If you want to help them survive high school then be the parent and make the tough, unpopular decisions that are in your child’s best interest. This will help your teen to respect you and the rules you made earlier you can enforce. If you set yourself as friend and equal, your teen loses respect for you, your advice and your rules. You find yourself powerless and you leave your teen on their own to decide what is appropriate behavior.

This is a difficult time for you and your teenager, but if you maintain your role as parent and your teen maintains their role as child you both will survive high school easier. Of course there will be difficult moments, but nowhere near as difficult if you blur the relationship boundaries.

Dr Michael Rubino has over 20 years experience working with teenagers and their parents. He is well respected in the community. To learn more about his work or private practice, visit his website at http://www.rcs-ca.com or http://www.RubinoCounseling.com. You can also visit his Facebook page http://www.Facebook.com/drrubino3. You can also email him from this website, if you have questions.

Money Doesn’t Make You Happy

Money Doesn’t Make You Happy

Being a teenager in today’s world is very difficult. Besides dealing with mass school shootings and now the uncertainty of life due to the Coronavirus, they face other daily challenges. Many teenagers believe they must grow up and have jobs with fancy titles, make a lot of money and drive fancy cars to be a success as an adult. They face stereotypes about how boys must act if they want to be men and girls face stereotypes about how they must act to be considered women. I hear teens tell me everyday how overwhelmed and confused they are trying to fit into all the necessary stereotypes. They feel overwhelmed because at times they are not sure how to act and confused because at times they don’t agree with the stereotype. If they don’t, they are not sure what to do. This is a lot of pressure for a 13 year old child to be trying to cope with on a daily basis. It’s no surprise that many teens turn to drugs as a way to cope. It is also not a surprise that Cutting is at epidemic rates for teens and suicide is now the second leading cause of death for teens (CDC)

Now what if you don’t fit into the stereotypes? What if you suffer from depression? If you have a learning disability? Or if you are homosexual or bisexual? What do these teenagers do? This is how they were born and they cannot change that fact. Many of these teens will struggle trying to fit the stereotypes and also try desperately to hide from friends and family that they do not fit the teenage stereotypes. Some are lucky and parents or a teacher intervene helping them to get the help they need. Many are not so lucky and often choose suicide. Teenagers who are homosexual or questioning their sexuality are five times more likely than the average teen to think about and attempt suicide (CDC). These are very scary and sad facts.

The CDC found one in five teenagers are dealing with mental health issues such as depression, anxiety or stress. Many may think about psychotherapy but quickly block that option. Only “crazy people” need psychotherapy. If they had to go to therapy they are really a “loser.” For teenagers who are willing to try therapy, they often cannot find a therapist who treats teenagers or their family cannot afford it. Also for many cultures such as Latin or Asian, they believe that personal issues need to be resolved within the family and you would never share intimate family issues with strangers. Therefore, for these teens psychotherapy is not an option.

However, as a psychotherapist who specializes in treating teenagers, I hear daily from teens that all they want is to be accepted for who they are and they don’t want to have to always hide. The teen with depression or the learning disabilities wants to be considered just as important as the star quarterback on the football team. They want this from their school, their friends, society and finally from their families. Is this too much to ask for?

These teenagers are not stealing or doing anything to be ashamed of, they are being themselves just the way they were born. Why can’t they be accepted and celebrated? The answer is they can! It is something I teach them in every session we have together. There are organizations such as Alive and Free in San Francisco and Challenge Day in the San Francisco Bay Area who work with teens and society so these teens can feel accepted being themselves.

Another organization addressing this issue is called Born This Way. It was started by Lady Gaga and her organization works with teens and society so all teens feel accepted for who they are just the way they were born. Lady Gaga explains the mission of her foundation this way, “Safety, skills, and opportunity. Number one, I want everyone to feel safe in their community: school, home, whatever city you live in. Two: developing the skills that are needed to be a loving, accepting, and tolerant person, and to also inject that sentiment into all the people around you, being a supportive human being. And the third is opportunity. I believe once you feel safe in your environment and you acquire the skills to be a loving and accepting person, the opportunities for you are endless to become a great functioning human in society.”

For people who do better by hearing something or seeing it, I have included a link to a YouTube video where Lady Gaga explains Born This Way, https://youtu.be/

The concept really is very simple. Why can’t we accept children and teenagers just the way they were born. Every person is unique and everyone has talents to contribute to the world. So why do we pressure boys into the stereotype the must have big muscles and play sports to be a man? Why do we tell girls that boys are smarter and if someone touches them in a way they do not like it is their fault because of the clothes they are wearing. This is insane!

If we do away with the stereotypes and focus on teenagers liking their own personalities and bodies, we would have less cutting, suicide and drug use. We would also have many more teenagers who are happy and successful at life. Being happy is a successful life not a big bank account. Therefore, let’s get started on helping teens. We need people to support more organizations like the ones I named above. If we do we can eliminate the stereotypes and stigma of not fitting a stereotype. We also need to make psychotherapy more accessible to all teenagers and remove the negative stigma associated with mental health care. Now some people may think what I am proposing is impossible and just a dream. However, you are seeing more groups like the ones I mentioned open every year. We are seeing teenagers and parents being attracted to them. It is possible to improve the lives of children and teenagers. It may need to start with a dream. Dreams do come true look at what Walt Disney created with his dream.

Dr. Michael Rubino is a psychotherapist with over 20 years experience working with children and teenagers. He is on the nations advisory board for Alive and Free. For more information about his work and private practice visit his website http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3 or on Twitter @RubinoTherapy.

Teenage Suicide During the Quarantine

Teenage Suicide During the Quarantine

Many parents ask me, if their child could be suicidal and what to do if their child is suicidal? This concern has increased since the CDC no longer ranks suicide as the third leading cause of death and now rates it as the second leading cause of death for kids 10 to 18 years old. Furthermore, since the quarantine has been in place, there has been an increase in suicides and deaths from drug overdoses. As a result, parents are worrying more about if their teenager may be feeling suicidal. Additionally, before the quarantine, parents were worrying more about suicidal teenagers as we learned more about suicides of survivors involved in mass shootings. The issue of suicide is very scary especially because we do not discuss mental health issues in our society. As a result, parents are not sure what signs they should be looking for or what to do if they feel their teen is suicidal. Parents are aware there is a teenage suicide epidemic, but have no idea what to do or how to get help.

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

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

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

I have included the link to this article and I encourage parents to read it and to save it. What to Do if You’re Worried About Suicide |. https://childmind.org/article/youre-worried-suicide/#.W9PRyfwKel8.twitter.
Bottom line, if you feel your teenager is suicidal do not be embarrassed. Make an appointment to have your teen evaluated by a psychotherapist who specializes in suicidal teenagers. If you walk in on an attempt, call 911 immediately.

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

What’s Next?

What’s Next?

The quarantine has caused financial and emotional problems for many people. It has disrupted what we consider normal life and many people do not see an end in site. As a result, many people have been demanding and demonstrating that the quarantines in all the states end so they can resume their lives. The President has been leading people to believe that this is a very easy task. However, reopening the economy is not as easy as the President or as many people may think it will be. The medical professionals have stated we are moving too fast and we need to listen to the medical experts who study viruses not the President.

We still have people contracting the virus and dying from the virus at an alarming rate. Los Angeles County reported a significant increase in deaths due to the virus over the weekend. New models just released expect that towards the end of May and the beginning of June we will see another significant increase in the number of people dying from the virus and contracting it.

Yes having to shelter in place is boring and it is costing people their jobs. Therefore, we have people worrying about how they will pay their bills and we have people who are becoming depressed and anxious due to not being able to leave the house. They feel that once the quarantine is lifted everything will be alright, but will it?

After the quarantine, what’s next? We cannot resume life as normal because we are still dealing with the virus. Therefore, we will need to wear masks and maintain social distancing requirements. As a result, we will not be able to attend movies or concerts. Restaurants will not be the same either due to social distancing requirements. Children and teenagers will not be able to attend school in the same manner and our work environments will change significantly too.

Now the quarantine and worry about contracting the virus has already placed a great deal of stress on many people. There now will be people who will be afraid of leaving the house because they are afraid of catching the virus. Besides these people, other people will be feeling stressed and depressed due to all the changes needed to open the economy. They were hoping to return to their lives and they will find out that they have to adjust to an entirely new lifestyle.

In addition to these changes, we will still be facing the issue of needing to take precautions so we do not catch the virus and we will still be worrying about family members who are at high risk due to age or other health underlying health conditions getting the virus. Additionally, we will continue to have family members who contract the virus and die. Just because we open the economy doesn’t mean people won’t be catching the virus and dying. Also it does not mean the economy will return to normal and people will be able to find new jobs. If restaurants are only allowed to operate at 25% capacity and tables need to be six feet apart in addition to having to use disposable menus, would you want to go to a restaurant under those conditions? The answer is most likely no. Therefore, since business will be down in numerous industries, no one will be hiring and people still will be worrying about paying the bills.

As a result of working with trauma victims for over 20 years, I understand the first impulse is to try to resume living your daily life as soon as possible so you feel a sense of control over your life that was taken from you. We have all been traumatized by the Coronavirus. We are the United States and we can handle anything. However, the Coronavirus has turned the tables on us. We are not in control, the virus is in control.

So what’s next? We listen to the medical professionals and we follow their advice. We have made some progress getting a handle on the virus. However, if we move to fast, the virus will come back and many more people will become sick and die. The President is not allowing the professionals to speak out because it is not good for his image. For those of you who say this is wrong, when there was a cruise ship in the San Francisco Bay waiting to dock, the President stood outside the CDC and said, “I don’t want it to dock because the increased numbers don’t look good for me”. We need to consider what is best for the entire country not just the President.

Therefore, as difficult as it maybe, we need to listen to the medical and mental health experts and develop a safe plan to reopen the country. A plan which will minimize the number of people who will become ill and a plan that addresses the mental health issues that will be triggered and exacerbated by reopening the economy.

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

How Much Screen Time is Appropriate before Bed?

How Much Screen Time is Appropriate before Bed?

How much time a child or teenager spends on electronics is always a big debate between parents and their children. Many teenagers act like they cannot live without them. Also teenagers tend to argue there are no negative side effects to computer screens. Many parent feel differently and have research to back up their point of view. However, most teenagers dismiss their parents opinions and they feel their parents are overreacting.

One of the major concerns parents have is what do electronics do to a child’s sleep. Many parents feel if a child or teen uses electronics up until the time they go to bed, the child will have a hard time getting to sleep and staying asleep. By the way, parents are correct based on all the research in this area. Parents also are concerned about teenagers watching YouTube or texting on their phones until 3 or 4am in the morning and then being to tired the next day for school or anything.

During the quarantine this probably has become a bigger issue in some households because kids don’t need to get up for school. I have written previous articles recommending that electronics be limited and definitely not before bedtime. I did some more research in this area and found the following information by Lori Lite maybe helpful in determining how much screen time is appropriate before bed. She runs a program and website regarding helping kids to relax and control anger.

First let’s start by looking at how electronics impact children and teenagers brains. Electronics, and especially screens, can be stimulating. While that might be a good thing during the day, it’s not at night when it’s time for kids to sleep.

Part of the stimulation from electronic screen time is from the blue wave light that comes from screens. During the day, many things stimulate our brains, and blue wave light is one of them. But at night, blue wave light exposure sends a signal to the brain that it’s daytime. When exposed to blue wave light, children may struggle to wind down and begin the process of falling asleep.

Besides the effects of blue wave light, screen time affects sleep if children become stimulated having conversations over the phone or text, playing games, or engaging in social media. Video games or movies might include disturbing themes or images that will affect sleep and emotional health.

How to Manage Screen Time for Better Sleep

Your pediatrician may have their thoughts about how screen time affects sleep Limiting screen time mostly to daytime hours is best. Blue wave light exposure during the day isn’t as problematic as nighttime exposure. And stimulation from screens during the day is normal.

As parents, it’s essential to set clear rules on screen time use. A good rule of thumb is to avoid screen time at least 2 hours before bedtime. Encourage kids to engage in other relaxing evening activities during that time as part of a healthy bedtime routine. They can read a book, work on a puzzle while listening to relaxation music, and get ready for the next day. The other rule parents should enforce is to avoid screen use in your child’s bedroom. Their bedroom should be an environment devoted to sleep and relaxation, and when you bring screens into it they may be tempted to engage rather than sleep).

Another factor to consider is how screen time has replaced play time in some households. Kids who are using screens for many hours a day may be sedentary while they do so. Activity and exercise are a part of a healthy lifestyle, as they reinforce a circadian rhythm that’s in sync with the environment and allow kids to be tired when it’s time for bed.

Screens have become a part of everyday life and are an important tool for kids and adults. It’s imperative for parents to show their children the proper way to use screens without negatively affecting their lives. Take the lead to demonstrate responsible use so children can enjoy screen time as well as a good night’s sleep.

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.