Why Men and Boys Avoid Seeking Help for Their Stress

Why Men and Boys Avoid Seeking Help for Their Stress

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

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

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

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

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

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

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

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

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

Then came the panic attack.

It happened during a game.

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

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

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

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

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

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

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

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

Why was I so concerned with people finding out?

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

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

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

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

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

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

A message from Kevin Love’s Grandma

“HAPPY BIRTHDAY, KEVIN.”

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Issues Associated with Texting that Teens Seldom Consider

Issues Associated with Texting that Teens Seldom Consider

In today’s world texting has become a very common way for people to communicate with each other. If I go to a baseball game or the theater, I see adults texting the entire time. I have even seen people fired via text. We now have a President who makes major announcements via Twitter. His actions make teenagers feel Texting is normal. While it is becoming very common with adults, it is even more common with teenagers. The teenagers I see for psychotherapy text all the time. It appears that texting is now the preferred way that teenagers communicate with each other. If you remove their cellphones and they cannot text, many teens become very upset and I have seen many become violent.

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 due to texting and they had no idea they were doing anything inappropriate.

First, it is important to note that any time you post something, tweet or text, it is on the internet forever. This is why many celebrities have won very large monetary judgements against people who have posted false or embarrassing material. 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.

Let’s consider the most common problems that teenagers encounter. 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 could be violating child pornography laws by sending 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.

Parents, we see adults getting into trouble due to texts they have sent, what makes us think that teenagers can’t get into trouble too? Remember they are not grown adults yet, so their ability to think logically as an adult is not fully developed. Even if it was, technology is moving so fast that adults are getting into trouble due to the rapid change in our lives due to technology. Therefore, we cannot expect teenagers to be able to sort all of this out on their own. Talk to your teen about texting, you may need to monitor their texting. There are apps that can help teenagers identify texts that may be inappropriate. Bottom line teenagers need to support and guidance from their parents regarding the ever evolving technology that we are facing. If we cannot keep up with the ethical issues, how can a teenager?

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 http://www.RubinoCounseling.com or his Facebook page at http://www.Facebook.com/drrubino3.

There is No Reason to be Ashamed of Mental Health

There is No Reason to be Ashamed of Mental Health

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

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

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

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

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

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

Furthermore, at this time in our world, when we are in the middle of a pandemic which besides killing thousands of people daily, it is creating mental health issues for those in quarantine, those with the virus and our first responders. These issues will not disappear quickly just like the virus will not disappear quickly. As a result, we will have even more people needing mental health care. How will they receive it if they feel ashamed for needing treatment or if we continue to treat mental health as a disease? Mental health and physical health go hand in hand, when will we treat them equally?

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

Teenagers Need to Earn Their Parents Respect

Teenagers Need to Earn Their Parents Respect

As an adolescent psychotherapist one of the major issues I deal with is respect. Teenagers feel disrespected by their parents and parents feel dissected by their teenagers. At this time of year with high school beginning many teenagers believe they are entitled to more respect because they are now high school students. They feel they should be allowed to make more of their own decisions and that their parents do not need to know everything about their friends or activities.

This article is somewhat different from the ones I usually write. While it is helpful for parents, I am directing a great deal of it towards teenagers.

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 have graduated from middle school or high school doesn’t mean you are in charge of or that you are ready to handle all aspects of your life. You are a YOUNG adult. Noticed I capitalized the word young. There are still a number of life experiences for you to learn from and until you do, your parents are responsible for and probably need to help you.

A number of you have heard your parents say when you are 18 years old you can do as you like. This is the case if you are in a situation where you can financially support yourself and provide for all your needs. If you are still financially dependent on your parents, even though you are 18, your parents do have a right to set certain rules that you need to follow.

Prior to you turning 18, any trouble you get into, your parents are legally responsible for the damage. If you damage property, your parents are legally responsible. If you get arrested and put in Juvenile Hall, your parents receive a bill from County for the length a time you were in Juvenile Hall. These are just a few examples that your parents have being your parent.

You may think that you do not need your parents, but you need their permission to drive and basically for anything you want to do in life. Even if they give you permission 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.

As I started off as 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, doing your homework, earning decent grades and not making poor choices such as drinking alcohol or drugs. For teenagers who have graduated high school you may feel the above guidelines do not apply to you. However, if you parents are assisting to pay for college, your living expenses and such things as your health insurance, the guidelines apply to you too. 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 you graduated high school. 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.

Parents while your teenagers have a lot to learn and do need to demonstrate they can handle responsibility, you need to give them opportunities to earn your respect. You have to have faith in your teenager and say yes sometimes even when you have doubts. Obviously you start by saying yes to the little request and allow them to earn your respect. Also if you have doubts or concerns talk to your teenager about high school or college. If you have open minded conversations with your teenager, they will respect and trust you. This provides a situation where you and your teen can have open, honest conversations in the good and bad times. It can help you develop a closer relationship with your teen and you can assist your teenager in becoming a responsible young adult you can be proud of.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating adolescents and children. To learn more about his work or private practice visit his website www.RubinoCounseling.com or www.rcs-ca.com or his Facebook page www.Facebook.com/drrubino3.

The Connection between Bullying and Suicide in Children

The Connection between Bullying and Suicide in Children

Before the pandemic most kids and teenagers complained how they hated school and wanted to stay home. However, after a year of remote learning most kids and teenagers want to go back to the classroom and also see their friends again. However, as kids return to school a common issue is returning. The issue is kids being teased and bullied. In the 21st century bullying doesn’t just happen at school, it now occurs on line via texting and by kids posting things on Facebook, Snapchat and Instagram to name a few social media sites. Therefore bullying and teasing can occur 24 hours a day, seven days a week. Therefore, kids who are being bullied or teased never get a break from it.

Often when a child is being bullied they do not say anything to their parents until the bullying is really bad. They are afraid, especially boys, that you will see them as weak. They are also afraid that you will be disappointed in them for not defending themselves. Parents it’s important that you understand that you have not said anything or done anything to create this feeling in your child. Our society teaches children these messages, especially boys. Children receive these messages about being strong and solving their own problems from television, music, and video games. This is what the documentary “The Mask You Live In”, is trying to address. It is on YouTube and it might be helpful if you watch it.

It is very important to take bullying very seriously these days. It is no longer just one kid calling another kid names. The bullying today occurs at school and may include threats of being killed and it goes beyond school. As I noted above, today’s bullies can continue their bullying via text messages, emails, Facebook, Twitter, Instagram and Snapchat. So the bullying becomes non-stop. It can really make someone feel worthless and that they would be better off dead. One example of a child being overwhelmed by bullying is a 13 year old boy, on the east coast, who committed suicide because he could not tolerate the bullying any longer. The boy committed suicide to escape the bullying. He is not the first child to commit suicide due to bullying. One 15 year old girl committed suicide due to bullying and she left a note to be placed in her obituary. In the note she asked kids to be kind to each other. Some kids are turning to drugs and alcohol to numb the pain and we are seeing a significant number of accidental overdosages resulting in teenagers’ deaths. We assume they were accidents, they could also be suicides staged to look like accidents. Also suicide has recently been moved from the third leading cause of death for kids 10 to 18 years old to the second leading cause of death for kids. Therefore, if kids have turned to suicide to escape bullying, the rate of bullying has most likely increased significantly.

Bullying is not just an elementary school issue. It occurs in High School and College too. A few years back a college student committed suicide because his roommate secretly filmed him in his dorm room with another guy having sex. When the tape was posted on the college’s email for others to see, the boy was so ashamed because he had not made it publicly known that he was gay. He was so upset and humiliated that he ended up committing suicide.

As the rates for bullying in middle schools increase, the number of suicides and drug use increase too. However, this issue also occurs in elementary school and elementary students are committing suicide or starting to use alcohol and marijuana. We know it is a very serious problem in Elementary schools because suicide it is no longer the third leading cause of death for 10 year old children. Suicide is now the second leading cause of death for 10 year old kids according to the CDC statistics.

Additionally, I am seeing more and more elementary students in therapy because they are being bullied on line or at school as schools reopen. Many of these children are embarrassed because they feel they should be able to stop the bullying. They are also embarrassed and often don’t want me to tell their parents because they believe they must of done something to deserve being bullied. I explain to them they do not deserve it and they should not have to stop it on their own. I also explain that their parents would want to know so they can help them. I need to emphasize that Mom and Dad won’t blame them or be ashamed of them. It is amazing to see how relaxed these children become when I tell them this about their parents.

What should a parent do? One thing is parents should watch for the following warning signs that your child is a victim of a bully:

Avoiding activities they used to enjoy

Loss of friends or avoiding social situations

Problems sleeping

Complaining of stomachaches or headaches

Loss of appetite

Declining grades

Missing or damaged clothing or belongings

Self-destructive behaviors like running away from home

If you notice any of these or just have a sense something is wrong then talk to your child. However, when you talk to your child reassure them they did nothing wrong, there is nothing wrong with them and you are not upset or disappointed with them. Try to develop a game plan of how you are going to deal with it together and ask how you can be supportive. Also ask your child to promise you if they feel really sad like they want to hurt themselves that they will talk to you before they do anything. You may think this is ridiculous, but I use a no suicide contract with many children that I work with and they honor it. The contract lets them you know that you care about them and it is okay to talk about their feelings.

The other thing you can do as a parent is go to your child’s school and ask what is the school’s policy on bullying. You can also ask how the school watches for bullying, how is the policy enforced and what is being done to prevent bullying. You may ask the school to contact or you can volunteer to contact a group such as Challenge Day. This is an international organization that addresses bullying and they are located in Concord, California. I have seen their work and it is fantastic and kids love it.

Another thing you can do as a parent is start talking to your child about bullying on an occasional basis. This gives you a chance to let them know it’s not their fault and to develop a plan of action if it does occur. You should also discuss drugs and alcohol at the same time. I work with kids all day long and at times I am still shocked at how young kids are when they are starting to get involved with drugs and alcohol.

Keeping an open line of communication with your child is very important if you want them to come to you. Research still indicates that children are more likely to turn to their friends when they have a problem. This is good that they have this emotional support, but their friends don’t have the answers or solutions that they need. Remember it is best to speak to your child when you are in a calm environment and no one else, such as brothers or sisters, are around. Also remember the word HALT. It stands for:

Hungry

Angry

Lonely

Tired

If you sense your child is experiencing any of these feelings it is not a good time to talk. When you talk with your child you want it to be productive and for your child to feel like they are not being judged. Therefore, sometimes it is better to put off a conversation so you don’t end up in an argument. This is more likely to close the line of communication with your child.

I have mentioned several times that being bullied is not their fault. What I have seen from working with children who are bullies, abusive men and reviewing the research is that bullies really have very low self-esteem. In fact many times they lack a sense of themselves. The only way the feel important or alive is by putting someone else down. They do this because they are afraid the other kids might be able to figure out how lousy they feel about themselves. It is often said the best defense is a good offense. They hope that by acting like the big guy on campus that other people will see them as the big guy and they are able to keep their secret. Kids usually do this because it was done to them too.

Therefore, we need to remember the bully is usually a kid who has been abused too and is crying out for help. If we are going to stop the problem of bullying we need programs to help the bullies too. They are only repeating what they have been taught.

One last comment, I saw a school install a “buddy bench.” If anyone had been bullied, having a bad day, feeling lonely, all they had to do was sit on the buddy bench. Another student or teacher would then go over and ask how they could help. There was no shame associated if you sat on the buddy bench. It was presented as a brave choice. The school was using it as part of their program to stop bullying at school. This fantastic idea came from a 10 year old student. Children often have fantastic answers and we need to listen.

Dr. Michael Rubino specializes in working with children and teenagers. He has over 23 years experience working with children and teens especially those who are victims of trauma. For more information about Dr. Rubino’s work or private practice visit his website at www.RubinoCounseling.com or his Facebook page at facebook.com/drrubino3 or his podcasts on Spotify or Apple.

Helping Teenagers Get Enough Sleep

Helping Teenagers Get Enough Sleep

It’s getting close to the end of summer and for many teenagers will be returning to school soon. For most students they will be returning to their school sites. This means no more remote learning and students will need to be getting school on time in the mornings. In order to do so they need to get a good nights sleep. However, many parents have been reporting that with the remote schooling students were able to sleep in because school was starting later. As a result, many teenagers have developed poor sleep habits such as staying up later at night and taking naps during the day. Many parents are concerned how they are going to get their children and teenagers back to a health sleep pattern so they can function at school and get up on time for school.

I have had many parents asking me and emailing me regarding getting children and teenagers back on a healthy sleep pattern for school. Many parents are looking at this as an opportunity to get their children and teenagers on a healthy sleep pattern because their teenagers were never on a healthy sleep pattern to begin with. As a result I researched teenage sleep patterns and found some very good information from James Maas, PhD., who specializes in sleep patterns, and he wrote the book, Power Sleep for Success. According to Dr. Maas many teenagers are sleep deprived because beginning at puberty up until the age of 25 around midnight teenagers brains begin producing human growth hormones and reduces the amount of melatonin the brain produces. As a result, teenagers are not ready to sleep until 2am and their brains are ready to wake up at 11am. Dr. Maas refers to this as Chronic Delayed Phase Syndrome and states that every teenager suffers from it.

Since the amount of natural melatonin being produced in teenagers brains is reduced, many parents try providing their teenagers with melatonin supplements. The parents hope that by increasing the amount of melatonin in their teenagers brains with melatonin supplements that teenagers will be able to sleep easier. However, this may not be the case.

Dr. Maas has this to say about melatonin supplements. He states they are not the best way to get your sleep. First, 3 mg of melatonin is the maximum amount that an adult needs, and many over-the-counter formulations start at 5 mg. Some even go to as high as 10 or 12 mg. You are peeing away a lot of melatonin that your body doesn’t need and can’t process. It does work, but there are other options on the market that work just as well as melatonin or better: (1) lavender, either in tea or in a spray; and (2) valerian root. These two over-the-counter supplements actually have been clinically proven to have a sleep-inducing effect.

Dr. Maas has outlined several steps that teenagers can go through before trying to go to sleep. He believes that if children and teenagers follow these steps on a regular basis that it will help a teenager fall asleep. He also believes these steps will help teenagers get enough sleep so they are not sleep deprived and are ready for school the following day. Here are the steps Dr. Maas recommends that children and teenagers follow before their bedtime:

1. Take a warm bath or shower an hour before bed to relax and to signal to the brain that it’s time to begin to unwind.

2. Avoid eating food late at night that is likely to disturb your sleep: heavy, greasy, spicy, or difficult-to-digest foods like pizza, garlic, or anything really fatty. Instead try fruit (bananas or grapes) or lean protein such as tuna.

3. Get your homework done earlier in the afternoon or evening while you are still awake and alert. This will also reduce your stress if you don’t have so much homework to do in the evening close to bedtime.

4. Watch how you are spending your waking hours. Teenagers don’t typically have great time management skills. They can get caught up on social media or on their phones, which are a huge distraction and eat up that part of the day when you should be in study mode. Catch up on your social things after your homework is over.

We know that the amount of sleep that a child or teenager gets is related to how well they do in school, but it is associated with many more aspects of a teenager’s life. Dr. Maas noted that sleep is really the one thing that underlies all of good health. Good health refers to both physical and mental health. When you are getting enough sleep, stress goes down and immunity goes up. It’s linked to greater longevity and reduced risk of car accidents, cancers, and heart attacks. If teenagers could add just one more hour of sleep to their daily routine, they would find that they have a higher GPA, that their athletic skills are better, and that their social life and ability to manage stress and anxiety improve. Everything hinges on getting enough sleep. If I could tell teenagers one thing, it’s this: If you want to do well in school and on the athletic field, getting more sleep is the single best thing you can do. I have seen this in many teenagers that I see for psychotherapy. Additionally, most teenagers who are having difficulties with anxiety or suicidal thoughts are sleep deprived.

Therefore, parents it is important to make sleep an important issue with your children and and teenagers. If you explain to your children and teenagers why it should be a priority, you increase the probability that your children and teenagers will understand why sleep is important and will work with you to help them increase their amount of sleep especially as they try to adjust their schedules and lives to a post pandemic world.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children, teenagers, trauma victims and 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 or Apple.

Yes, You can Take Your IEP to College

Yes, You can Take Your IEP to College

Working with children and adolescents I have had many parents ask about 504 plans and Individual Educational Plans (IEP). Parents tend to focus on the assistance their child may need in elementary or high school due to a learning disability or mental health issues. Working over 20 years as a psychotherapist, what I have observed is that children who need assistance in elementary and high school typically need assistance in college. However, many students are not aware that they are entitled to assistance in College too. Now that schools and colleges are reopening many college students are planning on returning to campus and high school seniors who are graduating are preparing to leave for college. Parents are trying to anticipate what their child will need at college, such as laptops etc. However, do not forget their Individual Educational Plan (IEP) so they can arrange for accommodations at their college.

From my experience, most families assume there is no assistance in college. However, typically if a child has an IEP, they are also entitled to assistance in college. Most colleges in their Counseling departments have people and programs designated to help disabled students. A student with a physical or learning disability or mental health issue such as ADHD or depression would qualify for assistance by the Disabled Students Program at a college. I have recently been receiving many questions from Parents about what happens to their child’s IEP when the go to college and questions from parents who have college freshmen asking about their child’s IEP. Therefore, I thought it would be beneficial to provide information about how IEPs are handled by colleges. In addition to an IEP, any student with a learning disability or mental health issue is entitled to accommodations by their college because they are covered by the Americans with Disabilities Act of 1991.

Additionally, if you live in California and you have a physical or learning disability or a mental health issue and if you had or did not have an IEP while in school, you may qualify to be a client of the California Department of Rehabilitation. This Department is responsible for assisting people in California, with a disability, find a job and get the education they may need to find a job. The Department may assist their clients by providing tuition assistance for community or state colleges and provide financial assistance to buy text books and school supplies. What they are able to do depends on the State budget.

This is another reason for parents to insist when their child does need an IEP that the school district places the child on an IEP. The lies schools tell parents that an IEP will prevent their child from getting into a college, the military or getting a job are not true. Another reason to insist on the IEP, if your child qualifies for an IEP, as a result of having an IEP, your child can be granted accommodations on the SAT or ACT. These are tests seniors typically need to take when they are applying to four year universities. The common accommodation most students require is additional time to complete the tests. I have had many teens with ADHD come to me seeking accommodations on the SAT or ACT. A common requirement that the testing boards require is that a student needs to have had an IEP if they are seeking accommodations on these tests.

Therefore, many students who have disabilities or mental health issues can receive assistance in college. While many people may be surprised, it is true. However, for many college students finding the assistance can be confusing and overwhelming. For a Freshman in college, dealing with heath or mental health issues, the confusion and embarrassment the feel at times because of society’s stereotypes can cause students to give up. The best place for a college freshman to start is the student counseling center. They can then direct them to the correct department and they can avoid some of the embarrassment and confusion.

Also I was contacted by bettercollege.com with a resource guide they developed for college students with mental health issues. While their guide was created for students with mental health issues, it can also be used as a guide for students with physical or learning disabilities. This guide can help a student not feel so overwhelmed or embarrassed too.

Since I feel this is a valuable guide to Freshman students and their families, I am including a link to this resource guide below:

Guide to College Planning for Psychiatrically Impaired Students – https://www.bestcolleges.com/resources/college-planning-with-psychiatric-disabilities/

Dr. Michael Rubino is a psychotherapist with over 20 years experience working with children, teenagers and college students. For more information about Dr. Rubino’s work and private practice visit one of his web sites www.RubinoCounseling.com or www.rcs-ca.com or his Facebook page www.Facebook.com/drrubino3.

The Pandemic has Exacerbated Teenage Camouflaging Behavior

The Pandemic has Exacerbated Teenage Camouflaging Behavior

There is a behavior that is becoming common in teenage and tween girls that has been identified by an adolescent psychologist who specializes in treating teenage girls. The behavior that has been identified is called “Camouflaging.” This behavior left unidentified can lead to low self-esteem, depression, cutting, abusive relationships etc. It is becoming very common in teenagers right now. When I was a guest co-host on the Street Solider Radio Show on KMEL, and the teens were talking about how they change the beliefs and how they change how they dress because they are afraid of being rejected by their friends is Camouflaging. Covering up their outside person so no one can identify the true person inside. Friends are a very important issue for teenagers right now. Remember due to the Coronavirus most teenagers have not had contact with their friends in over a year. Many teens are worried about how their friends have changed over the year and are afraid of losing their friends.

Therefore, Camouflaging is when an adolescent girl changes how she looks in terms of make up and how she dresses, her opinions and things about herself she is willing to deny or things she will start doing in order to be accepted by her friends. The real problem occurs when the girl is changing so much about herself or does it for so long that she forgets or losses track of her real self. Besides changing how she feels, she may forget her core beliefs and do things she doesn’t believe in.

While this behavior has been identified in girls and the research appears correct, I believe this behavior applies to boys too.

Many adolescent boys change the way they dress, their beliefs and the way they act to be accepted by their friends. I hear many of these boys telling me in therapy that they feel lost. They tell me they no longer have an idea of who they really are or believe in or feel. These boys often turn to alcohol, drugs, sex and cutting. They usually turn to these behaviors to numb out their lost feeling or to try to remember their real selves. Often they turn to these in order to forget the shame and guilt they have due to something they did in order to fit in with their friends.

As a result, many teens start acting like someone they are not just to be accepted. This fear of not being accepted and forgetting their real self because they has been covering their true self up for so long or denying their true feelings for so long can result in boys and girls having low self-esteem and/or feeling depressed. It can also result in girls or boys getting involved in emotionally or physically abusive relationships because they don’t feel they are entitled to anything more. They no longer love themselves so how could anyone else love them.

As I stated this behavior can result in low self-esteem and depression in addition to behaviors as cutting, eating disorders, drug use, becoming sexually active etc. Often boys and girls cut just so they can feel as I stated above. The constant denying of their emotions or values can cause boys and girls to lose a sense of their true feelings. Therefore, cutting can occur so boys and girls feel or can cope with denying themselves. Denying their feeling or who they are can result in boys and girls feeling very confused or lost. Therefore, they look for behaviors that help them remember who they are or will numb out the list and confused feelings. They also seek behaviors that help them deal with changing their beliefs. Again this can trigger eating disorders, drug abuse or other self-destructive behaviors. This helps numb out the confusion and disappear of denying their feeling and trying to forget their true self. This can cause feelings of depression and anxiety too.

What should parents look for in their teens? If your son or daughter tries to stop wearing his or her glasses or if he or she all of a sudden changes how he or she dresses or acts these are possible warning signs. Another change could be not doing as well in their classes because they are afraid of looking too smart. Basically, if you see signs indicating that your teenager is trying to deny who they are so they will be accepted by others. It’s more than the common issue of trying to be accepted by friends, they are forgetting themselves and beliefs to fit in.

While it is normal for teenagers to make changes in their attitudes or how they dress, we are talking about something that goes far beyond normal self-expression. We are referring to changes where a teenager is trying to deny who they are because they feel they are unacceptable.

This is what we are talking about. If teenagers are changing their hair or how they dress as a way to express themselves that is normal teenage behavior. However, if teenagers are doing it just to fit in and they end up losing a sense of their true self this is camouflaging.

As I stated, Camouflaging results in depression or low self-esteem because the teenager is forgetting their true self. If they are doing it as a way of trying to experiment with their self expression, the teenager is happy and confident as stated above. This is the main point to understand. Experimenting with their dress and beliefs etc. is normal for teens and helps teenagers identify themselves, however denying or camouflaging their feelings results in teens losing themselves and many behavior problems. This is the main thing for parents to watch for in their adolescents behavior.

If you go onto Yahoo and look up Camouflaging you will find a segment on Good Morning America about Camouflaging. In fact, here is the link to the GMA segment https://gma.yahoo.com/video/parents-worry-tween-teen-camouflaging-122935763.html?soc_src=copy. Also if parents look at the February issue of Teen Vogue, you will find an article about Camouflaging.

Dr Michael Rubino has over 20 years experience working with teenagers and their families. Dr Rubino is considered an expert psychotherapist in the treatment of teens. For more information about Dr Rubino and his private practice visit his website at www.rcs-ca.com, www.RubinoCounseling.com or www.RubinoCounseling.com or his Facebook page at www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple.

Looking at the Issue of Teenagers Cutting

Looking at the Issue of Teenagers Cutting

Today’s teenagers are under a great deal pressure. In fact, according to the CDC, 1 out of every teenager has a diagnosable mental health issue. In addition, depression, anxiety, drug overdoses and suicide are currently at epidemic rates for teenagers. In fact, suicide was the third leading cause of death for teenagers and now it is the second leading cause of death (CDC). Furthermore, cutting or self-harming behaviors are also at epidemic rates for teenagers (CDC). Self-harming behaviors include teenagers cutting themselves with knives or scissors in addition to scratching themselves severely and sometimes teenagers may even use erasers to erase their skin and cause sores. These are only a few examples.

Ten years ago if I asked a teenager if they were cutting or had ever cut, once in a while I would get an answer of yes. Today when you ask teenagers about cutting most teenagers answer yes. In fact, it’s no longer just teenagers. Children as young as 8 or 10 years old often respond yes to this question. This is alarming, but it is evidence of the amount of emotional pressure these kids have to deal with today.

When you ask a teenager about cutting behavior, they usually respond it was easier to deal with the physical pain than the emotional turmoil they were dealing with inside. Others will say the cutting takes their mind off of the emotional situation and others even say it makes them feel human. So as you can see there are numerous reasons, but teenagers are also very embarrassed and ashamed about the cutting behavior. If I am treating a teen who is engaging in cutting I must be very sensitive and non-judgmental about the behavior if I’m going to help. In addition, the family needs to be non-judgmental as well. Teenagers do not cut for the attention and as I stated above they are embarrassed about their behavior. If they sense that someone is viewing them in a negative way, they will not talk about it. Additionally, teenagers who are engaged in cutting hide their cuts so no one will know about their behavior.

Therefore, when treating or dealing with a teenager who is cutting you need to be patient and non-judgmental. Remember they are resorting to this behavior because it is the only way they are able to deal with the emotions they are feeling and the situations they are facing. Life today can be very overwhelming and often teenagers are not prepared for what they have to face in life and they are embarrassed to ask for help too. Often they are embarrassed because our society looks down on people dealing with mental health issues. I recently had a 13 year old ask me, why don’t we place more emphasis on mental health so people can get the help when they need it? A very good question to ask. Our society has a very strong negative stereotype regarding mental health and therapy. As a result, it is very difficult for teenagers to ask for and receive the mental health care they need.

After being treated for cutting, many teenagers are still embarrassed and feel awkward about their past behavior. Many times teenagers are left with scars on their bodies from cutting. Most families cannot afford plastic surgery and insurance will not cover it, even though it is a mental health need and in my opinion should be covered. The point is many teenagers continue to feel embarrassed and ashamed of the scars years after they have stopped cutting. Below is a blog from a teenager who discusses how they feel about their scars and people’s reactions. It also may help give you some insight to what teenagers are going through these days and how many of them are feeling overwhelmed by life. Instead of ignoring their cries for help we need to figure out how we can help them without making them feel embarrassed or crazy.

My self-harm scars are “hideous.” I’m covered in them. Head to toe. No amount of time, no amount of fading will make them unnoticeable. That doesn’t mean I hate them. It doesn’t mean I’m embarrassed by them. I am aware that they make other people uncomfortable and there are times, when out of respect for others, I will cover them. There are other times when I won’t cover them. Whether I choose to cover them or not, I don’t feel that I should have to explain my choice. If I choose to cover them, it doesn’t mean I’m ashamed or feel forced to cover them. If I choose not to cover them, it doesn’t mean I want attention.

I regularly see people comment on social media saying, “If you make a public post people have the right to say whatever they want.” Apparently this entitles people to be nasty and judgmental. It excuses them from filtering what they say and think. It exempts them from extending basic decency and courtesy to others.

I’ve heard the same said about people who walk around with self-harm scars exposed. No. Just because you can see my scars doesn’t give you a free pass to say what you want. You don’t get to say, “You’re too pretty for that.” You don’t get to say, “You’re too smart for that.” It doesn’t matter whether you know me or not. They are my scars from my battles. Even if you know me, I can guarantee you won’t know all about my battles. You won’t know my darkest moments or thoughts. If you’re a stranger? What could you possibly think you know about my life? You don’t get a say on what my scars look like. You don’t get a say on whether or not I’m too pretty, too smart or too strong for that. You don’t get a say on whether or not I cover them.

Yes, you can see them. Yes, they are “hideous.” Look away. Walk away. Think about it by all means. Talk to someone else about it. If you’re game, educate yourself on it. Take responsibility for what you are doing. Take responsibility for what you are saying. Yes, you can see my scars but that doesn’t make me responsible for your reaction.

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