The 4th of July after the Coronavirus

The 4th of July after the Coronavirus

The 4th of July weekend is around the corner and many teenagers will be involved in various activities. It’s a popular weekend for teenagers to be out drinking and also swimming with friends. This weekend many teenagers will be wanting to be with friends especially after being locked in due to the Coronavirus. Additionally, many things are opening up so people will be able to go places and do things that they have not been able to due to the Coronavirus. Therefore, there will be a lot of celebrating this year.

However, this is not reality. Every year 5,000 teenagers are killed in motor vehicle accidents and 400,000 are injured (CDC statistics). These injures may range from cuts and bruises to someone being paralyzed.

Also regarding swimming, there are 3,500 accidental drowning every year. And out of these drownings 1 out of 5 are teenagers (CDC statistics). This is the number who die. It doesn’t include brain injuries due to lack of oxygen to the brain or breaking a neck by diving. A broken neck can result in death, paralysis or being in a Halo Brace for 6 months. Again this is an activity we assume is safe and nothing would happen swimming in a friend’s pool.

With the Fourth of July weekend coming up, there are going to be a lot of parties and drinking. There are also going to be a lot of drunk driving accidents, drownings and accidental overdosing. You have no way to know if you or your family might be one of the unlucky families this weekend. It could be your teen who is killed or it could be you. Therefore, talk to your teens about their plans and about safety.

You never know what is going to happen in life. Especially given everything that is happening all over the world. And if you look at the above statistics, you never know when or if something is going to happen.

A mother experienced this fact when her son committed suicide. Suicide is the second leading cause of death for teenagers. After that she wrote the following poem to her son. She also encouraged all parents of teenagers to remember to say “I love you,” to your teenager. You may not get another chance.

I Love You

How could you?

They asked you,

How could you?

But you could not answer

As you were not here.

Why would you?

They asked you,

Why would you?

But their questions fell onto

The world’s deafest ears.

I loved you!

They told you,

I loved you.

But they told you too late,

Through their tears.

I’ll miss you,

They told you,

I’ll miss you.

And in death now

They hold you more dear.

The point is don’t take the risk. Since you never know what may happen and many teens feel that their parents don’t care, take the opportunity while you have it to express your feelings. Don’t spend the rest of your life regretting I never told him I loved him or wondering if that would have made the difference.

Dr. Rubino is a psychotherapist is Pleasant Hill who specializes in treating children and teenagers. He has over 20 years of working with teens. To find out more about his work or to contact him visit his website at http://www.RubinoCounseling.com.

Issues and Symptoms Associated with Teenage Depression

Issues and Symptoms Associated with Teenage Depression

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. Additionally, we are now seeing children as young as eight years old committing suicide (CDC). Teenagers today have also been dealing with the Coronavirus and having to shelter in place and school remotely for the past 18 months. Research has shown that having to quarantine and attend school remotely 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. Additionally a study in the American Journal of Psychiatry shows that 75% of teenagers who experience depression without psychotherapy will experience issues with depression and mood disorders as adults. Therefore, it is very important that teenagers who are dealing with depression do receive psychotherapy. I have outlined the list of depression symptoms 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 www.RubinoCounseling.com or his Facebook page www.facebook.com/drrubino3 or his podcasts on Spotify or Apple.

Look at the World Today and Teenagers are Acting Normal

Look at the World Today and Teenagers are Acting Normal

Many teenagers and children are reporting increased symptoms of depression and anxiety and being afraid to go outside (CDC). They are also reporting feeling nervous about the future of the world and they feel they are living in chaos right now. They are not sure who to believe at times and they are confused about what is happening in our Country. They are not the only ones feeling this way. Many adults are having the same feelings. If we stop and look around, anyone would be worried and concerned about the future and their safety.

As of today, June 20, 2021, there have been 272 mass shootings and as I am writing this that number is wrong because there was another mass shooting in Oakland, California a couple hours ago. According to the statistics by Gun Violence Archives, 8100 people have been shot so far in 2021 and 54 people a day are killed by guns. According to the Gun Violence Archives in 2019 there were only 164 mass shootings by this time in 2019. This means we have seen a 65% increase in mass shootings in 2021.

In addition, we are seeing other gun violence too. A woman was shot at her job because she asked a customer to wear his mask. Children as young as 6 years old and 4 months have been victims of road rage or drive by shootings. Every day children and teenagers are hearing about more and more people who were shot and died. Why shouldn’t children and teenagers be experiencing more anxiety, depression and Post Traumatic Stress Disorder. They are living in a war zone. They children in Israel and the Middle East are safer from gun violence (Gun Violence Archives). This is the United States! This is insane that we are dealing with so much gun violence. It has become a Public Health issue. However, as we see gun violence increasing, the governor of Texas is allowing people to carry guns without having to get a permit. This makes no sense!

In addition to the gun violence, our government is in chaos. We still have people stating Trump won the Presidential Election even though all 50 states have certified that he lost and furthermore the US Supreme Court has certified the election was valid and Trump lost. However, we have Senators blaming the FBI for stealing the election from Trump and they are blaming the FBI for the attack on the US Capital Building. This is confusing and makes people worry about the future of our Nation.

On January 6th, Trump supporters tried to over through our Government. Some Senators claim it was a peaceful protest. However, videos released this week show Trump supporters attacking the US Capital Police and screaming that they were going to hang the Vice President. Two officers were killed and several others have since died from their wounds or have committed suicide due to PTSD. These officers saved our Country, yet some Senators state it was a peaceful protest and they refused to grant the officers the Congressional Gold Medal and they have refused to authorize a committee to investigate this attack on our Nation. This is an insult to the US Capital Police and it leaves our Country at risk for another mass of protestors to attack our Country. Numerous Congressmen and Senators who have told the truth about that day and the election have received numerous death threats and need additional security to ensure their safety and lives.

In addition to all this chaos, we have been dealing with a extremely deadly virus for the last year. Children and teenagers have not been able to go to school, see friends and many have had numerous deaths in their families. Over 540,000 Americans have died from the Coronavirus Pandemic. We now have vaccinations which will help stop the spread of this virus, however some people are refusing to get vaccinated due to bizarre theories by Qanon and there is no scientific evidence to back up any of their reasons. Also some people are claiming we have beat the Coronavirus. We have not beat the virus! The strain coming from India is much more dangerous and lethal. The vaccines can help stop the spread of this strain and stop further mutations. Remember children under 12 have not been vaccinated yet. Therefore, children are at risk of being attacked by this new strain. Despite what people say, children do get the Coronavirus and they are at risk of developing a rare condition where their immune systems attack their bodies. Children have died from the Coronavirus and more will die this winter if we refuse to get vaccinated and allow the virus to spread.

People may think children and teenagers are not aware of these issues but they are very aware of these issues. They can see the pop ups on their cellphones, iPads and laptops. They are searching the internet about all the chaos that is occurring in our Country. During their sessions I have had children and teenagers discussing all of these issues because they are worried about their safety and the safety of their families. Many children and teenagers have lost loved ones due to the Coronavirus or gun violence and they do not want to lose more family members. Furthermore, they are looking at the fact that we cannot keep order in our Country and questioning how are we going to keep them safe. As a result, many children and teenagers are suffering from depression, anxiety, trauma and some do not want to leave their homes. How can we blame them?

There is nothing wrong with children and teenagers today who are reacting to the chaos they are being forced to live in. They are perfectly sane and having sane reactions. The inappropriate reactions are coming from adults who refuse to stand up and demand that our Government acts and acts quickly. When we allow these shootings or people to disrespect someone because they are telling someone they need to wear a mask or we do nothing to stop the hate crimes against Asians, Jewish people and Transgender people, we are part of the problem. Anytime we see someone being disrespectful or spreading these insane theories we must speak up. We must speak up so our children and teenagers have a chance of feeling safe and not being killed by a gun. Children and teenagers are not over reacting. Adults are under reacting and not holding our elected officials responsible for not acting. Adults are responsible for not setting an example in public and treating everyone with the dignity they deserve. We are all people and everyone deserves to be treated with dignity and respect not hate or punished because they will not lie for people who choose to believe in and follow a narcissistic man who only caress about himself. The choice is yours do you want your children and teenagers to feel safe or to live in fear and believe there is no hope for the future.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers and trauma victims including first responders. For more information about his work visit his website at www.RubinoCounseling.com or his Facebook page at www.Facebook.com/drrubino3 or his podcasts on Spotify and Apple.

Helping Kids Cope with Today’s World

Helping Kids Cope with Today’s World

We are expecting children and teenagers to cope with and adjust to a a number of teenagers. One main issue is the pandemic and Coronavirus. They have had to deal with remote learning and then all of a sudden they are expected to go back to school. In addition to the changes in school many teenagers are dealing with the deaths of parents, grandparents and other people close to them. In addition they were locked in their houses for a year without being able to see friends. This is a lot for children and teenagers to adjust to.

Now we are starting to reopen the Country and children and teenagers again have to cope with mass shootings again. Therefore, they are dealing with more people dying and afraid that they may be killed too. As of today, June 13th, there have been 270 Nass shootings. This is a significant increase from 2019. We have experienced a 65% increase in Nass shootings since 2019 and the year is only half over (Gun Violence Archive).

Teenagers and children are also seeing a tremendous increase in violence in our Country. Hate crimes against Asian Americans have increased significantly and so have hate crimes against people who are Jewish (CDC). In addition there is violence occurring around people having to wear face masks in certain situation. A flight attendant on Southwest Airlines had her front teeth punched out of her mouth by a passenger because she asked him to wear a masks. Besides people arguing about face masks, they are arguing about the Coronavirus vaccinations which ever Public Health Professional states we need to overcome this pandemic. However, we are hearing people purpose crazy ideas such as the vaccinations will make you magnetic and Bill Gates has placed mico chips in the vaccines. The pandemic is scary enough without people making up insane conspiracies that may scare children.

Add to these issues such things as the violent attack on the US Capital Building and we have children and teenagers living in a chaotic environment. To add to the pressure we are expecting children and teenagers to simply adjust to all the chaos. We expect them to ignore it and go on like nothing has changed. Children and teenagers are expected to be able to achieve at school and not act out due to the chaos in their lives.

It’s not realistic and it’s not happening. There is a significant increase in the number of teenagers and children reporting anxiety disorders and depression. Additionally, we have seen an increase in the number of teenagers committing suicide and dying from drug overdoses. Teenagers and children are desperately looking for a peaceful environment. In my office we have seen an increase by a factor of 20 of teenagers and children seeking therapy due to the chaos. We must provide teenagers and children with mental health care and sane gun laws to help them cope with this chaos they are experiencing.

I have included a link to an article which provides suggestions parents can try to help their children and teenagers cope with the chaos we are living in currently. https://www.kqed.org/mindshift/57946/striving-or-thriving-steps-to-help-kids-find-balance-and-purpose.

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

Teenagers Learn About Life by Making Mistakes

Teenagers Learn About Life by Making Mistakes

Dealing with teenagers, at times, can be very difficult for parents, especially when teenagers think they have all the answers. In my experience as a psychotherapist who has been working with teenagers as for over 20 years, I am a strong believer in allowing teenagers to learn from their mistakes. When they make mistakes there are consequences that follow these mistakes. From my experience, teenagers need to be allowed to make mistakes and learn from the consequences. I know some parents try to warn their teenagers about potential mistakes. However, many teenagers feel they know more than you. Therefore, allowing them to make mistakes is the only way some teenagers learn that their actions have considered .

As I just stated, teenagers being allowed to make mistakes helps to teach teenagers that their actions have consequences. They also put responsibility for the mistake on to the teenager. Therefore, they cannot blame parents or teachers for their mistakes. They have to deal with the consequences of the choices they made. They cannot blame you because they made the choice not you.

As a way to help teenagers learn from their mistakes is to set up a behavior contract. A written contract which specifies the consequences for your teenager when they make a mistake saves a lot of arguments. A written construct signed by you and your teenagers which spells out their consequences, if they make a mistake or poor decision can save you and your teenager a lot of arguments. Also it helps your teenager to take responsibility for their actions because the contact focuses on their choices only.

While I believe contracts and consequences work well with teenagers, some parents have difficulties. I often hear from parents that their teenager doesn’t care about the consequences or the contract. The parents find this very frustrating. Therefore, I have listed below suggestions that can help you improve the odds of a contract and consequences working with your teenager.

1. Use Consequences That Have Meaning

It’s almost never effective to give your child a consequence in the heat of an argument. Often, parents will be either too harsh or too lenient, because nothing appropriate comes to mind immediately. I advise parents to sit down and write a Consequences List and then discuss it with your teenager. If they are included in the process, the likelihood of success is higher. When compiling a list of consequences, remember that you want the consequence to be things that will get your teenagers attention, because you want your child to learn from the consequences. If, like most teens, your teenager acts like they cannot live without their cellphone, don’t hesitate to use losing use of their cellphone as a consequence. It’s also important to think about what you want him to learn—and this lesson should be attached to the consequence. So let’s say your teenager swears at his younger siblings all the time. Obviously you want him to stop swearing and use more appropriate language. Therefore, an effective consequence would be that he would lose his cellphone for 2 days. This gives him time to think about other ways he can handle his behavior. You may even try talking with him about other ways to handle himself instead of swearing.

2. Don’t Try to Appeal to Charge A Teenager’s Behavior with Speeches

Yes as a parent you are trying to teach and educate your teenager about how to act and treat others as adults so they can function in the world. However, remember your teenager thinks they know everything about today’s world and you are out of touch with today’s world. Therefore, if you try lecturing or speeches, they automatically tune you out and don’t listen to what you are saying. When everything is calm, you might try mentioning to them that you would like to talk with them. An informal conversation, especially with boys, tends to be more effective than a lecture.

3. Make Consequences Black and White

When you give a consequence, the simpler you keep things, the better. Again, you don’t want to get into legalese or long speeches. What you want to do is lay out your consequences for your teenager’s inappropriate behavior very clearly. It’s often helpful if he knows ahead of time what will happen when he acts out. Just like there are speeding signs on the highway, the consequences for your teenager’s behavior should be clear to him. Therefore, using a contract allows you to make it clear to your teenager if they make this choice then here is the consequence. Also by having them sign the contract, they cannot say they were not aware of the rules. Also it removes you as the bad guy. You are not imposing a punishment, you are simply complying with the contact that you made with your teenager. I often point out to teenagers that the contract is an insurance policy for them. If they make a mistake, their parents have to stick with the contract. Therefore, if their parents were really upset at the moment and wanted to remove their cellphone for ever, but the contract only states a week, their parents have to go with the week. This often helps with getting teenagers to accept the contract.

4. Have Problem-Solving Conversations

I think it’s vitally important to have problem-solving conversations with your teenager after an incident has occurred. Obviously, you want to wait until everyone is calm. When everyone has settled down then try a conversation about what they can do differently or help they can ask for if a similar situation occurs and this may help them avoid making a mistake and getting into trouble again in the future.

Conversations like these are how you get your teenager to think about alternative solutions to problems which can help them make better choices. Also reminding them that they can ask for help can be a tremendous help. Often teenagers think that they must solve all their problems on their own. Teenagers, especially boys, look at asking for help as a sign of weakness. It is helpful to remind them that no one has all the answers and at times the mature thing to do is to ask for help. Therefore, asking for help is not always a sign of weakness.

5. Don’t Get Sucked into an Argument over Consequences

Don’t take the bait every time your teenager is trying to argue with you. Most teenagers verbal skills are not fully developed. However, most teenagers know if they can get you into an argument that the original topic will get lost and you end up arguing about something else. It’s not that teenagers have this planned out in their heads, but as I said their verbal skills are not fully developed. Therefore, they feel more comfortable in an argument because those skills are developed and they have some idea how to handle the situation. Therefore, if you are getting pulled into an argument call a time out and say you prefer to discuss the issue when you are both calm. This will surprise them and hopefully cause them to think about the situation.

6. Don’t Teach Your Child How to “Do Time”

Many parents get frustrated and ground their kids for long periods of time in order to make the punishment stick. Personally, I think that’s a mistake. If you simply ground your child, you’re teaching him nothing. But if you ground him until he accomplishes certain things, you can increase the effectiveness of the consequence. So if your teenager loses his video game privileges for 24 hours, he should be doing something within that time frame that helps him improve his behavior. Simply grounding him from his video games for a week will just teach him how to wait until he can get them back. He is not learning anything about the mistake he made and he is also learning nothing about how he could have handled the situation differently. Again, we want consequences to be learning experiences. A consequence that doesn’t fit the crime will just seem meaningless to your child, and won’t get you the desired result. Remember, you don’t want to be so punitive that your child simply gives up. That will never translate to better behavior.

7. Engage Your Child’s Self-interest

Learn to ask questions in ways that appeal to your child’s self-interest. So for example, you might say, “What are you going to do the next time you think Dad is being unfair so you won’t get into trouble?” In other words, you’re trying to engage his self-interest. If your child is a teenager, he won’t care about how Dad feels. Adolescents are frequently very detached from that set of feelings. They might feel guilty and say they’re sorry later, but you’ll see the behavior happen again. So learn to appeal to their self- interest, and ask the question, “What can you do so you don’t get in trouble next time?”

8. How Will I Know If a Consequence Is Working?

Parents often say to me, “My child acts like he doesn’t care. So how do I know if the consequence I’m giving him is actually working?” I always tell them, “It’s simple—you’ll know it’s working because he’s being held accountable.” Accountability gives you the best chance for change.

9. Some Things Should Never Be Used as Consequences

In my opinion, there are certain things that should never be taken away from kids. For instance, you should never prohibit your child from going to the prom. Not ever. That’s a milestone in your child’s life; personally, I think that milestones should not be taken away. Your child is not going to learn anything from that experience. Unless the mistake was so big such as robbing someone then you may need to go that far. I recommend using your own judgment regarding how your teenager acts before making this a consequence.

The same approach should be taken for sport. Teenagers can learn a great deal from sports. However, if they make a severe mistake missing a practice or a game maybe an appropriate consequence. However, removing them from the team all together maybe a mistake. However, remember the coach has the ultimate power over his players. Many teams have a code of conduct that players must follow. Therefore, if they violate the coaches rules, they maybe removed from the team. This will impact them more than if you did it.

10. Don’t Show Disgust or Disdain

When giving consequences to your teenager, you need to be consistent and firm, but don’t show disgust or disdain. If you are attacking them as a person, their sense of self is not fully developed yet. As a result, you may inflict a wound to their self-esteem that may cause more problems than you intended. You are trying to raise someone who can function as a healthy adult, not somebody who feels they’re a constant disappointment to you. It’s very important to shape your behavior so that your child knows you’re not taking his mistakes personally. Remember, the look on your face and the tone of your voice communicates a lot more to your child than your words do. Positive regard is critical for getting your message across.

It’s important to remember that life is very tough for many teenagers, especially with Nass shootings and the Coronavirus. Going to school is difficult, both academically and socially, and there is tremendous pressure on children and teens to perform today. Personally, We need to remember that and teenagers should be recognized and respected for what they have to deal with in today’s world. Think of it this way: what you’re really trying to do is work on your child’s behavior to get him to try to do different things. So if your child misbehaves and you ground him from everything indefinitely, you’re losing sight of all the other things he did right—and he will, too.

Consequences have shown to be an effective way to help teenagers learn what is appropriate and not appropriate. It is an approach I strongly believe in. Hopefully these tips will help you use consequences effectively with your teenager.

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

High School Graduation is an Emotional Time Especially this Year

High School Graduation is an Emotional Time Especially this Year

This year many schools are having graduation ceremonies. Due to the success of the vaccines, the CDC has acknowledged that it would be safe to hold graduation ceremonies. This is very different from last year when graduation ceremonies were canceled due to the Coronavirus. While schools are having graduation ceremonies, they will most likely be different for the graduates. It will be different because for many of the graduates the last year and half they were attending school remotely. For many students they returned to school for the last two months of the school year. While the class of 2021 did not have the typical path through school, they still completed school and deserve to celebrate with family and friends at their graduations. The Coronavirus will most likely make this year’s graduations different than past years, it is still a time to honor the graduates of 2021. For many graduates their graduation may not be what they expected due to the death of a parent, grandparent or someone else in their lives due to the Coronavirus.

As I stated for many high school graduates, this year graduation ceremonies will be somewhat differently emotionally. However, High School graduation still marks a big accomplishment for teenagers. They have finished their basic education and they are ready to move on to their life plans as a young adult. For many students this means going to a four year college and earning a Bachelors degree. In addition, many graduates will be celebrating scholarships they received and awards they received for their academic or other accomplishments in high school. They also have friends and family there to join them in celebrating their accomplishments. Of course this is a happy day and it deserves to be celebrated.

While this is the stereotype we think about regarding graduation, it’s not the reality for every student. Some students have worked very hard and maintained very good grades, but they did not get accepted into a college they can afford and they did not receive any awards or scholarships. Instead of going to a four year university, they will need to attend the local two year junior college and try to transfer into a four year university. Other students who have learning disabilities are just barely graduating and had to wait to the last minute to see if the past all of their classes. Some did not pass and they have to go to summer school so they may be allowed to participate in the ceremony but they are not finished yet. These students do not get to live the stereotype and often feel embarrassed and ashamed when they compare themselves to the other students in their graduating class.

I had also mentioned celebrating with family and friends. For some students this can be very difficult. If their parents had a hostile divorce, the divorce may be being dragged into the graduation. Instead of a celebration, the parents may be making the graduation a civil war. The graduate may be forced to take sides in regards to who they can invite to the ceremony. Do they invite mom’s side or dad’s side. This can change a happy event into a very stressful event the graduate does not want to be involved in. For some graduates a mother or father has passed away and graduation day is another reminder that this very special person is no longer physically present. Therefore, graduation may be a stressful or sad day.

Another aspect that is overlooked is graduation is an ending. It marks the end of a teenager’s high school experience. Many teens have been very involved with their school and have developed close relationships with teachers and school staff and they have developed very close friendships with their classmates. Graduation marks an end to their high school life. They need to say goodbye to these people and move on to a school they do not know and may not know anyone else who is attending their college. I remember one high school secretary’s comment when she looked at the senior class, “I have never seen so many kids look so happy and sad at the same time”.

In addition to saying goodbye to their high school family, graduates need to say goodbye to their families. If they are going away to school, they will no longer living with their parents or siblings. While they may complain about their families, they will miss them too. Mom and Dad will miss their graduated too. So while traditional we tend to only focus on the positive, which is not uncommon for our society, we also need to acknowledge that graduation marks an ending too. An ending to their high school family, friends they have created and to their high school activities along with a change in the graduates life. They no longer are a high school kid. They are a college student and a young adult and need to start their lives all over. This will have happy moments and sad one too. It’s important to acknowledge both.

While high school students will be starting their lives over, I have included a small segment of a speech by Martin Luther King, Jr. It empathizes that you need to define yourself, don’t let others try to decide who are going to be in life https://www.facebook.com/goalcast/videos/1294330473977473?s=1391497228&v=e&sfns=mo.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and adolescents. He has appeared on television and radio shows and is considered an expert in adolescent psychology. For more information regarding his work or private practice visit his website at www.RubinoCounseling.com, www.rcs-ca.com or his Facebook page www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple.

Texting the New Way Teenagers Communicate

Texting the New Way Teenagers Communicate

In today’s world texting has become a very common way for people to communicate with each other, especially for teenagers. Before the Coronavirus, when I would go to a baseball game or the theater, I would see adults texting the entire time. I have even seen people fired via text. We also had a President who made major announcements via Twitter. His actions made teenagers feel that Texting is normal. Additionally, it’s no surprise teenagers today feel texting is the normal way to communicate. One reason is because they grew up with it and everyone is texting. Any teenager today is part of what I refer to as the IPhone generation. Since these kids were born there have been Smartphones that they have been using. Therefore, texting or having instant access to information via the internet is normal to them. They never have seen an encyclopedia or a card catalog at a library. The teenagers I currently see for psychotherapy, use texting as their primary way of communicating with each other. Besides texting by Smartphones, teenagers also now text each other as they play video games online. Try removing a teenager’s Smartphone or gaming console so they cannot use them or text, many teens become very upset and some even become violent. Additionally many parents don’t feel texting is really communicating, however adults need to pay attention to how often they text people.

While technology is advancing at a fast pace, our laws and ethics are having a difficult time keeping up with the latest advances. However, when laws are passed or ethical standards set, many teenagers and adults are not aware of the new laws. This is creating a tremendous problem for teenagers and their families. I have worked with many teenagers who are struggling with an issue, such as being accused of threatening someone via text, but they had no idea they were doing anything inappropriate.

Additionally now we have the Coronavirus pandemic and teenagers have been attending school remotely and were not able to hang out with friends like they did before the pandemic. Therefore, for many teenagers texting has become their lifeline helping them stay in touch with their friends. Again these teenagers have grown up with texting so it’s normal to communicate via text. Many parents don’t understand how texting is the same as talking to another person. However, remember when you were in High School most teenagers spent hours on the telephone because we couldn’t text.

Something that it is important for teenagers to remember is that any time you post something online, tweet or text, it is on the internet forever. Some teens will say when they text it’s just from phone to phone. However, it remains on the phone forever and also on the server that provides your cellphone service. In other words, someone can get your text history from Verizon. This is why many celebrities have won very large monetary judgements against people who have posted false or embarrassing material on the internet. You can remove it from the site it was posted to, but it still can found on other sites. Therefore, if a teenager post something, they need to think about the fact that it will be out there forever and anyone can see it. This may lead to embarrassing situations.

Most teens worry about their grades and after school activities because they do not want to wreck their chance of getting into the University of their choice. However, many teenagers are not aware that many colleges check social media sites and the internet when they apply. The schools search for the applicant’s sites but also search to see if the applicant is on friend’s sites. They look at your pictures and opinions and decide do they feel they want you representing their school to the world. They can get your text history depending on how closely they choose to examine your background.

Let’s consider the most common problems that teenagers encounter with texting. The first one is texting sexually explicit photographs to their boyfriend/girlfriend. At the time they think it is no big deal. However, high school romances typically do not last. If one of the individuals feels hurt, they can post that sexually explicit picture all over the Internet. It can be sent to their families and friends. In fact, their entire school could see it. This would be extremely embarrassing. Even if the person who posted the picture is punished, the picture is still out there and the damage is done.

Additionally, teenagers fail to think about the fact that they are under 18 years old. Therefore, they are violating child pornography laws by texting the picture or by receiving it and having a copy on their cellphone. In fact, Congress is trying to pass stricter laws regarding teenagers texting sexually explicit picture. Therefore, besides being very embarrassed, the teenagers involved might find themselves facing legal charges for violating child pornography laws.

The second major issue is harassment. Friends get mad at each other or often one teenager is singled out and they become the object of numerous texts telling them they are ugly, no one likes them etc. These texts can be sent so often and by some many other teenagers that the teen who is the target commits suicide. There are numerous examples of this and a common one is accusing a teenager of being gay. This is not harmless teenage game playing. This harassment can be vicious. They are also cases where the teenagers sending these texts have been charged with stalking or more serious charges if the teenager committed suicide.

When this occurs, the teenagers are shocked. They think they were just teasing another kid and it was harmless. They have no idea what this teenager is already dealing with in their life or what it can be like to have numerous classmates texting you every day all day long. It is not harmless teasing, but because technology has increased so quickly it is not the same teasing that use to occur at school. We have not had enough time to think about this point.

Another major issue is that texting is an excellent way for schools or police to arrest teenagers for dealing drugs, buying or using drugs. I have worked with many teenagers from numerous schools where the school catches someone using or selling marijuana on school grounds. The school then checks the student’s cellphone and looks at the text history. The school then starts calling in the student’s on the text history and asking about drug use or selling. One teenager getting caught at school can result in ten teenagers being expelled. The teenagers are usually in shock. First, they never thought they were doing anything wrong and they never thought a text could get them in trouble. However, it can and it does. I have seen many teenagers for psychotherapy because of a text found by the school.

Finally, new research is showing that texting is increasing the rate of depression in teenagers. Texting creates more access in some ways, however, it is isolating too. When you text you lose the personal interaction which is very important. People do need personal interaction for their mental health. When teenagers text they miss out on the personal interaction. This can and does at times lead to a lonely feeling. If a teenager is already having a hard time and then they experience of feeling isolated too, this can lead to depression. Research is showing an increase in teenage depression and I am seeing an increase in the number of teenagers I am seeing for depression. Therefore, we need to take a closer look at teenagers and texting.

So we are facing a difficult situation. Teenagers today tend to use texting as their primary way of communication. Given the pandemic we are dealing with at this time it makes sense for them to text each other. However, our ethics have not kept up with technology and there are a number of ways teenagers can get into trouble texting. Additionally, research indicates that texting can increase the feelings of isolation and depression in teenagers. Feeling many teenagers and trying to avoid during the Coronavirus pandemic. One way they feel that helps them is texting friends. However, this maybe incorrect according to the research. Therefore, parents are facing a difficult situation when it comes to their teenagers texting each other.

At this point, my professional opinion is that parents sit down with their teenagers and discuss the pros and cons about texting and that parents limit texting to an hour everyday. Additionally, you may want to set up an agreement where your teenager allows you to monitor their texting in away that is comfortable for you and your teenager. Remember to be patient during this conversation because everyone is dealing with stress due to the pandemic.

Dr. Michael Rubino is a psychotherapist with 20 years of experience working with children and teenagers. He also treats Internet addiction. For more information on Dr. Rubino’s work or his 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.

Mental Health Care in 2021 in the United States

Mental Health Care in 2021 in the United States

The month of May is dedicated to mental health awareness. I decided to use this opportunity to frankly discuss the mental health care system in the United States and what many families and patients have to go through and often not receive any help. Unfortunately, this is very common that many teenagers and adults fail to receive mental health care or receive inadequate mental health care.

Many people assume that the United States provides the best physical and mental health care in the world. However, this is not the case. One example of this fact comes from the ABC News Show 20/20. An Olympic Athlete had been living with Bipolar Disorder for over 20 years and never diagnosed. She had been reporting difficulties with depression for years, but her complaints were dismissed. The alarming fact is that even though her brother committed suicide due to being Bipolar her symptoms were dismissed. We know that Bipolar Disorder is inherited and suicide tends to run in families. In other words, if a family member committed suicide it puts you at a higher risk for suicide. The family never discussed the brother’s suicide due to shame associated with suicide and mental illness. Therefore, clinicians treating her may never have been told that her brother committed suicide. The Athlete and her husband asked for help for 10 years and despite the fact she had all the symptoms and a family history of Bipolar, no one diagnosed her. She lives in the United States, her brother committed suicide because he was Bipolar and it still took 10 years for her to be diagnosed with Bipolar Disorder and not dismissed by psychiatrist as someone who was over reacting. Now that she is diagnosed she is dealing with the shame of being Bipolar. However, the shame associated with mental illness and suicide might have contributed to her not being diagnosed earlier. Often patients come in to my office for help, but I may not get all the vital information for months because the patient is embarrassed and worried how I might react to their family history.

We often hear parents complain that their teenager is driving them crazy or a teenager complaining how unfair their parents are to live with on a daily basis. Many people assume this is normal life with a teenager. However, according to the CDC, one out of five teenagers have a diagnosable mental health condition and would benefit from psychotherapy. The parents of these teenagers are begging for help, but they are ignored. Many people assume they are over reacting. Furthermore, there is a strong negative stereotype about mental health in our Country and people prefer not to be associated with someone who has a mental health issue. Many people act like mental health issues are catchy and a sign of weakness and lower intelligence. None of these ideas are true. In fact, many very famous people have mental health issues themselves or in their families.

Therefore, you have some parents begging anyone who will listen for help. You also have teenagers who are crying out for help by cutting themselves or acting out trying to get people’s attention. Many of us assume if the parents are begging or the teenager is cutting themselves that they will receive mental health care. Unfortunately, this is not how our world works. I have been working as a psychotherapist who treats teenagers for over 20 years. There have been many times I could not have a suicidal teenager hospitalized because the hospital had no beds for a suicidal teenager or the insurance refused to authorize the admission to the hospital.

This is a very important point for people to understand. As the psychotherapist, I do not determine the treatment plan for a teenager or child. Your insurance company dictates the treatment plan. They have decided what diagnosis they will cover and what treatment modalities they will pay for. Additionally, they decide how much they will pay. I have seen some teenagers and the insurance would only allow $25 per session. Many people assume the insurance company pays psychotherapist or hospitals their entire fee. They pay the psychotherapist or hospital the rate they decide. If the psychotherapist wants to work with that insurance company they must agree to accept the insurance company’s rate. This is why health care providers always ask for your copay. The copay is part of the rate. If the insurance rate is $50 and your copay is $25, if the provider does not collect your copayment, the insurance only pays $25. This is why many providers do not accept insurance. They dictate the course of therapy even though they no nothing about the teen and they under pay the provider. Insurance companies make a great deal of money by charging high premiums and refusing to pay for treatment. This is not fair or appropriate.

Therefore, parents are seeking help, but they are told they need to contact someone else, they have contacted the wrong place. For example, one Thanksgiving I had a mother have my answering service page me and she was begging me for help because her teen was suicidal. I referred her to the County hospital because based on what she said the teen needed to be hospitalized. She told me the County hospital gave her my telephone number because they had no more beds for anyone who was suicidal. The parents tell me they feel like no one cares. She did everything she should have, but she could not get help. Her son needed to be hospitalized for his safety, but the hospital refused to admit him.

Again, some people might believe this is an isolated case. Sadly this is not an isolated case. As I said, I specialize in treating suicidal, bipolar and teens who are trauma victims. There have been a number of times I have sent a suicidal teen by ambulance from my office to the County hospital only to have the teen released in less than an hour because the hospital had no beds. I had one person on the Psychiatric Crises Unit tell me on the telephone unless the person had a shotgun in their mouth not to send them to the Hospital because they had no beds for suicidal teens. The hospital only has a couple of beds for suicidal teenagers based on the State budget. Anytime cuts need to be made to the State budget, mental health is always the first area to be cut.

As a result of budget cuts and insurance companies denying treatment, the therapist in a difficult position. Do you just discharge the teen or do you continue to treat the teen for a low fee or for free? Remember 1 out of 5 teens have a psychological condition that needs treatment, what do you do when treatment is denied or there are no treatment options? Besides 1 out of 5 teens needing mental health care, the CDC has recently moved suicide from the third leading cause of death to the second leading cause of death for children 10 to 18 years old. Therefore, there are many teens who desperately need mental health care and may die without it. Also, when you examine the results further you find that teens who need therapy but fail to receive it are more likely to get involved with drugs, crime, are more likely to drop out of school, more likely to get pregnant or father a child and that child is more likely to become a foster child. These teens are also more likely to end up on probation, homeless and on welfare.

As a society we do not place much emphasis on mental health care. Mental health care programs are always some of the first programs cut when the budget is cutback. Our priorities need to be examined. I find I t very interesting that Contra Costa County had enough money to build a new Juvenile Hall, which is three times the size of the old Juvenile Hall, but there was not enough money to fund a large number of mental health services which had to be cut.

We often look at teens who are acting out and blame their parents. We ask why don’t they get their child the help they need? What stops them from helping their teenager? Why is the teen always getting involved with drugs or not going to school? The answer could be because the teen needs mental health care and the parents have been and continue to try to get their teen help but their is no help. The teen may be acting out because they are tired of asking for help and being in pain so they start looking for the easiest way out of pain.

If we want our teenagers to grow up to become productive members of society then we need to provide them with the mental health care they need. If we want parents to be responsible parents, then we need to provide parents options for how to get their teens help when they ask for it.

With the number of mass shootings, the significant increase in the number of children with anxiety disorders and the epidemic of teenagers cutting and teenage suicide, I am surprised we have not made it easier and more affordable for teenagers to get adequate mental health care. In addition to the issues I stated above, the Coronavirus has created a number of mental health issues for children and teenagers. Grief due to the death of family members, drug use and overdoses have increased and so have anxiety and depression increased due to the pandemic. However, I don’t see any plans to deal with the large number of teenagers who are going to need help. I have seen a significant increase in the number of teenagers needing mental health care since the Pandemic started. I have also seen insurance companies refusing to cover mental health, so what do we do?

I have been treating teens for over 20 years and it is still a problem to get a teenager residential care if they need it. Also it is still difficult to get teens medication at an affordable price. I had a teen the other day who needs medication but they had no medical coverage to see a psychiatrist. The parent made an appointment but the fee for the visit was $450 and they would not reduce the fee. So again what do they do?

We can write our Congressmen and Senators and demand that they fund community mental health centers. We can also demand that private insurance companies be required to offer teenagers and their families adequate mental health benefits based on what professional therapists are recommending. The professional treating the child knows what the child needs not some clerical worker with a Bachelors degree who is answering phone calls at the insurance company.

In short, if we want our teenagers to survive their teen years we all need to act together and demand that our children receive the treatment they need and deserve. Mental health care is not a dirty word. There is no difference between mental health and physical health. Therefore, they needed to be treated the same and we need to eliminate the stigma associated with mental health issues.

Finally, private insurance companies make huge profits and drive the cost of health care up based on how they do business. If we don’t start to speak up for our kids, they will never receive the care they need. Look at your next pay stub and look at how much you pay for health insurance and compare that to the benefits you receive. When you take your teenager to a psychotherapist most insurance companies only pay the therapist $75. Your copay is part of the payment. Your premiums are high, but they do not pay it out to providers they keep it.

Dr Michael Rubino has over 20 years experience treating children and teenagers dealing with anxiety, depression and trauma. To find out more about Dr Michael Rubino and his private practice visit his website at www.RubinoCounseling.com or his Facebook page www.Facebook.com/drrubino3 or his podcasts on Spotify and Apple

Leave Your Divorce at Home and Don’t Take it to Your Teen’s Graduation

Leave Your Divorce at Home and Don’t Take it to Your Teen’s Graduation

Last year due to the Coronavirus most graduations either were canceled or occurred virtually. This year due to the the success of the vaccines, many schools are having graduation ceremonies. This is fantastic for High School students and college students. However, if a High School Senior’s parents are divorced, their High School Graduation can create a number of problems. This article address the issues associated with divorce and High School Graduation and provides some solutions to the issues.

Divorce brings a lot of new situations in to a people’s lives especially if you have children. Hopefully, when you and your spouse divorced it was done in a civil manner and the children were not put in the middle of the divorce. This is the ideal situation, however, we do not always get the ideal situation. Very often divorces are high conflict and the two of you argue over everything and anything. Usually in these high conflict divorces, the children are put in the middle and used as weapons. The children feel they have to choose between their mother and their father. This is a very sad situation.

This conflict usually interferes with visitations and holidays too. Parents argue about pick up times and drop off times, how long they have the children for holidays and there is often arguments about can a child bring toys or clothes from Dad’s house to Mom’s house. In short, parents argue about everything and the children become sick and tired of the arguing.

The other factor that adds to this is grandparents saying negative things about the ex wife or ex-husband. This only increases the pressure and stress the children are dealing with after a divorce.

The final stressor is when one or both parents remarry or have a long term boyfriend or girlfriend. Then the arguments about she is not my child’s mother or he is not my child’s father and I don’t want them involved in my child’s life start. Also a new girlfriend or boyfriend can cause teens to argue with their parents because they want their parents back together.

In short in a high conflict divorce, children live in a war zone. They become use to arguing about everything and often feel they must choose sides. At times some children do choose sides hoping to end the fighting or because they are so confused. This type of divorce creates a great deal of issues for children and I cannot cover all the issues in this blog. I would need a book to cover all the issues. Most the time, teens become sick and tired of the fighting and wish that their parents would stop fighting so they could at least not have to worry about what will cause the next argument.

Graduation is one of those issues. Parents will often start arguing about issues such as, “I paid for everything you needed for high school and now your father wants to come.” Or “if your mother shows up, after everything she has done, I won’t be in the same room as her.” And of course there is always the issue of “he better not bring her to my child’s graduation.” What is a teenager to do?

They have spent the last four years working very hard in high school and graduation is a day for them to celebrate their accomplishment. They also usually want the people who they love and care about to be there with them to celebrate their accomplishment. However, how does this happen when Mom and Dad and grandparents are stating their terms about who can attend graduation and how graduation day will go because of the divorce.

Your teenager did not get divorced. You and your spouse divorced and even though you are no longer married, you are both still parents for your teenager and you need to act like parents and adults. This means putting aside all your feeling and issues so your teenager can truly celebrate their day, their graduation. Most parents have told their teens to stop being selfish and to think about someone else, at some point during High School. Well isn’t it time that you followed your own advice. Stop thinking about yourselves and your divorce and think about your teenager and how you can make your teenager’s graduation a happy day for them.

What you need to do is you and your ex spouse need to sit down together or email each other and discuss how the two of you can put your issues on hold for one day so your teenager can have what they deserve, a happy graduation. The two of you need to talk with grandparents too and other extended family and inform them what will be allowed and what will not. This doesn’t mean you have to act like best friends. You simply need to be civil to each other. If you don’t think you can sit next to each other at the graduation, then one of you sits on the left and one sits on the right. You don’t have to have a joint party either. You can decide to have separate parties. The key is communicating with each other before the graduation and decide how you can do it civilly. This will be the best graduation present that you can give your teenager. If you can allow them to have their graduation day to celebrate their accomplishment without having to worry about what fight there will be. You are also teaching them a lesson about love, being parents and relationships.

The most important thing to do is remember this is a celebration. So let your teenager celebrate and allow yourselves to celebrate with your teenager as their mother and father. Remember the divorce ended your marriage not your relationship together as parents. Do not allow your divorce to deprive you from enjoying your child’s High School graduation day with them. They only graduate from high school once.

Dr. Michael Rubino has 20 years experience working with teenagers and families coping with divorce. He is an expert in providing psychotherapy treatment for children and teenagers. For more information about Dr. Rubino or his 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.