The Negative Stigma Applied to Mental Health

The Negative Stigma Applied to Mental Health

In our society there is a huge negative stereotype about mental illness and treatment for mental illness. Given we live in the United States in the 21st century, this is quite surprising. Especially since statistics show the 1 in 5 people could benefit from psychotherapy (CDC, 2014).

Most people when they think about psychotherapy or mental illness, think of someone sleeping in the street or some one with severe schizophrenia. Because of this stereotype many people feel ashamed or embarrassed if they are told they need therapy. Family members also feel ashamed and embarrassed and never mention it to other people if someone in their family needs psychotherapy. People are afraid that other people will think they are “crazy” too, if someone in their family is going to therapy. However, most people who need treatment for a mental illness need treatment for depression or anxiety not schizophrenia.

Research studies show that most depression is due to a chemical imbalance in brain. Diabetes is due to the pancreas not being able to coordinate glucose levels in the body. We don’t make a person with diabetes feel embarrassed or ashamed so why do we make someone dealing with depression feel embarrassed or ashamed?

What is the cost of this stereotype? People who have depression are at risk for suicide. The Center for Disease Control statistics show that suicide is the third leading cause of death for people aged10 to 24. Yes ten year old children are suffering from depression and are killing themselves. One of the most common methods is a gun. People assume this is a guarantee. Wrong, a gun is not a guarantee. Quite often the gun jumps and the person lives. However, they have to undergo multiple surgeries to try to rebuild their face. However, no matter how good the surgeon, the person is left with multiple permanent scars. Psychotherapy and medication might have prevented the suicide attempt.

However, because of our negative stereotype, depression and suicide have never been taken seriously. The Golden Gate Bridge is the most common place in the world for people to jump off when they are trying to commit suicide. It wasn’t until just recently that the Bridge District voted on what type of anti-suicide barrier they are going to build. However, even though they have voted for an anti-suicide net, last week they were still debating the details. The Golden Gate Bridge is 78 years old. It has taken 78 years to do something about a life or death issue and they are still debating over minor details. BART has been around for decades and people have been jumping in front of trains for years. This year BART is starting an anti-suicide campaign. How many lives were lost needlessly to suicide, prior to this campaign and why have they waited so long to put one in place?

Often we assume it is a money issue. Only poor people commit suicide because they cannot afford treatment. The suicide of Robin Williams destroyed that myth. He had plenty of financial resources for treatment and had been in and out of treatment centers for years. In an interview with Dyane Swayer he described how overwhelming depression is, he said, “no matter what there is always that little voice in the back of my mind saying jump.” If that voice is always there but society is saying there is something wrong with you for having depression in the first place or because you have not over come it, are you going to ask for help or keep seeking help? No.

Yes society often blames the patient. Why don’t they try harder? Why didn’t they think of their family? After Robin Williams’ suicide a number of comedians and actors talked about their silent struggle with depression. Rosie O’Donnell stated it best, “when you are that deep down in that black hole with intense emotional pain, the only think you can think about is how to stop the pain. You don’t think about your family or anything else.”

I ask you to think about your opinion or thoughts about mental illness. Think about a 10 year old boy feeling that suicide is the only way out of his pain. Think about the fact that he is dealing with a medical diagnosis similar to diabetes or high blood pressure. If this is right, why is there this negative stigma about mental illness? If a child has diabetes he receives medical treatment, there are summer camps and there is no shame put on the child or the family. Think about the fact that the bill President Trump is pushing would make Depression and anxiety pre-existing conditions so insurance companies could deny people health care.

We need to make a change in how we view or react to mental illness. We live in the United States of America and we are supposed to be the super power in the world. You wouldn’t think that in the most powerful nation in the world that the third leading cause of death for our children is suicide. We must change this ridiculous stereotype we have about mental illness and start providing people and children with appropriate treatment for their mental illness. The life you save might be your’s child’s life or the life of a family member or friend.

We may want to look at England. The Duke and Duchesses of Cambridge and Prince Henry have formed a program called, Heads Together. The goal of the program is to eliminate the negative stereotype about mental health and to make sure people who need psychotherapy receive it. In fact, the Duchess of Cambridge said publicly that if either of her children ever need psychotherapy that they will receive it. We might want to follow their example.

Dr. Michael Rubino is a psychotherapist who specializes in treating children and teenagers. Dr. Rubino has over 20 years experience as a psychotherapist. He is very active in eliminating the stereotype about mental health. He is an active member in Heads Together in London, a non-profit founded by Prince Willam, Henry and Princess Kate to help people understand that people need mental health care. For more information about Dr. Rubino’s practice or his work visit his website at http://www.rubinocounseling.com or follow him on Twitter @RubinoTherapy.

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6 years After Sandy Hook

6 years After Sandy Hook

‪Watch this video that the parents from the Sand Hook Elementary school produced to mark the 6 year anniversary. We need to listen and enact sane gun laws to protect our children. We have laws mandating car seats & seat belts & no one has lost their right to drive. Why should guns be different?Point Of View https://youtu.be/94P_WNFTFoM via @YouTube‬

Family and the Holidays

Family and the Holidays

It is the Holiday Season and many people think about family in addition to gifts. However, in our fast pace world and chaotic lives we sometimes forget the importance of passing on traditions from generation to generation. Another problem that impacts this is our society has become very mobile. We no longer live close to our relatives. It’s not uncommon for grandchildren to live in California and grandparents to live back east. Also with jobs becoming more difficult to find and the cost of living increasing families are moving where ever they can find a job or to a place to live that is affordable.

However, since many families are not living close to each other, family members cannot provide they support they could in the past, such as watching grandchildren after school. Additionally, children cannot as easily establish close relationships with grandparents and aunts and uncles, when they live close by. These adults could serve as additional role models and inform parents if something seemed off with the child. They are also able to spend additional time with the children and reinforce what parents are teaching their children and reinforce the family traditions and values.

The other thing that the close connection to generations provided was a sense of security. If there was a problem a child knew they could turn to their parents, aunts or uncles or cousins. It also helped a child’s self-esteem. You had the adults who could reinforce that you were worthy and you had cousins who would defend you at school or in the neighborhood because you were worth it. Also your older cousins could help you learn what to expect as you went from grade to grade. There was a sense of support and security that most children don’t have today. Furthermore, children with support from extended family members are less likely to get involved with drugs and alcohol.

The advancement in computers and communication may provide a way to try to recreate this sense of family. With such things as Skype, where you can talk and see the other person, it’s almost like being with the person, but it is not the same. Children can Skype with grandparents, aunts and uncles and cousins too. We just have to make time for it. For those families that live close to each other, you need to remember the value of family and make time for family. At times it may be difficult, but you will find that the time and effort are worth it. I have found that children with close family ties and connections to their cultures do better in school and life. They have a sense of pride and a sense of where the came from that other children don’t.

I have attached a link to an article with a link to an article about sharing traditions with family. Check out this article from First 5 LA: http://www.first5la.org/index.php?r=site/article&id=3615&utm_content=buffere936a&utm_medium=social&utm_source=twitter.com&utm_campaign=buffer.

I think you will find it interesting.

Dr Michael Rubino has been working with children/teens and their families for over 20 years and is well respected. For more information at Dr Rubino’s work or his private practice visit his website at http://www.rcs-ca.com or his Facebook page http://www.Facebook.com/drrubino3.

Dealing with the Holidays and Visitation after a Divorce

Dealing with the Holidays and Visitation after a Divorce

After a divorce there are still issues to address. One of the major issues is child custody and visitation, especially exchanges for visitations. The issues usually are addressed in the divorce settlement and the Court Mediation report. However, even though the Mediation Agreement attempts to address these issues, there are usually still issues. My experience working with divorced families is that these issues often become a major problem and source of stress during the Holidays. Each parent tends to have their own opinion on how to handle visitation during the Holidays.

I have parents who are divorced come in very often arguing about issues that occur during visitation exchanges. A majority of times these issues are addressed by the Mediation Agreement. However, many parents are still fighting with each other after their divorce is final. Typically I see this when one or both parents are not ready to let go of each other yet. Arguing over the visitation exchanges is a way to still keep them in contact with each other. However, parents do not pay attention to the price the children are paying. By focusing on visitation exchanges this puts the children in the middle of the divorce.

By focusing on visitation and putting the children in the middle of the divorce, I see children who become depressed and anxious. Often these children start acting out at school and home and their grades start to decline. Also many of these children often start drinking or using marijuana so they can numb themselves out and ignore their parents’ arguments. Most of these children ask me, why can’t they just stop fighting? They are already divorced, what else do they want?

Goldberg Jones is a very good divorce attorney who writes articles regarding issues related to divorce and how these issues impact the children and the family. He wrote a very good article regarding visitation exchange issues. I found the suggestions very good and helpful. I would recommend that divorced parents read these ideas and try them. Therefore, I have included them in this article for you to review and try. You have nothing to lose by trying and you could help reduce the stress your children experience with visitation. You may also reduce your stress and frustration and allow yourself to let go of the marriage and move on with your life.

How often visitation issues occur often depends on the custody agreement, parenting plan, and level of visitation. It may be a couple of times a week, once a month, or around major holidays, but it’s likely going to be a repeating event.

In the best of times, even if both parents can be civil, custody exchanges will probably still be a little awkward. In less amicable scenarios, prepare for outward hostility that resembles the opening scene in Saving Private Ryan. Pack a helmet and prepare to duck.

In more combative circumstances, it helps to have a strategy in place to keep things civil. That’s easier on everyone, especially the kids. There are ways to cut down the amount of face time and limit the friction. It may never be easy or ideal, but it helps with stress level and peace of mind, for both the parents and the children—no kid wants to watch mom and dad fight.

1. CUSTODY EXCHANGES AT THE BABYSITTER’S

In contentious situations, the more you see your ex, the more potential there is for friction and conflict. Sometimes it’s simply best not to see each other if you can avoid it. There are practical ways to circumvent this. One common approach is to make custody exchanges at a babysitter’s house or at daycare.

One parent drops the kids off and the other parent picks them up. If you schedule it right, the two of you may almost never come face-to-face. Because there are other people involved, you may encounter scheduling hurdles. Clear communication about who is picking up the kids and when is key. But once you iron out the kinks, this strategy helps limit contact and potential fights.

2. CUSTODY EXCHANGES AT SCHOOL

Similar to using daycare to facilitate custody exchanges, you can use your child’s education to the same end. Again, one parent drops the kids off at school in the morning while the other picks them up after. This has the desired effect of not having to see your ex more than is absolutely necessary. It can be useful in situations where parents are prone to fighting.

Like with the child care, you’ll need to arrange this with school administrators. Schools like to know they’re handing kids over to right people. But if there is clear communication between all the involved parties, it’s possible to make these arrangements work.

3. CUSTODY EXCHANGES IN PUBLIC

Many people want to avoid causing a scene in public. If you and your ex can’t handle custody exchanges without fighting, consider meeting in a public place. Choose a neutral spot where neither parent is likely to start a ruckus. If such a place exists. In some situations, nowhere is off limits, but being exposed often encourages both parties to be on their best behavior.

Where depends a great deal on the people involved. Pick a centrally located park. The mall, a restaurant, or a coffee shop where you know the regulars are all options. Extreme cases may call for supervised visitation centers or even a police station. Then again, if you just kind of rub each other the wrong way from time to time, a supermarket parking lot may work fine.

4. INVITE A THIRD PARTY WITNESS

While people are reluctant to fight in public, they’re also often hesitant to start trouble in front of friends or acquaintances. One strategy that can smooth over problematic custody exchanges is bringing along a third party. A mutual friend or even authority figure can help keep the peace, especially if it’s someone who knows both parents.

If there are individuals both of you maintain a relationship with, that might be the ideal fit. This approach often serves to calm down heated emotions. And if things do escalate, having a witness never hurts.

If you do go this route, it’s important to give some thought to who you bring along. If you have a new spouse or significant other, consider the ramifications of their presence. Is that going to touch on a sore spot and ignite lingering resentment? In some situations, it might be best to ride solo instead of risking a potential fight.

5. COMMUNICATE VIA ALTERNATE MEANS

Visitation, overnights, and custody exchanges often become logistical tangles. With football games, school plays, robot camp, and the many other activities children participate in, scheduling gets complicated. Pulling it off requires regular communication. If there are problems in this area, conflict often arises. When it involved kids, some level of contact must exist. Fortunately, there are alternative means of communication.

You may have mutual friends or family members willing to serve as go-betweens. Though it tends to get expensive fast, enlisting a lawyer or mediator is another potential strategy.

Thanks to modern technology, you have more outlets than ever before. If you can’t talk on the phone or in-person, email, texting, instant messaging, and other online options exist. Websites like Our Family Wizard provide shared scheduling services and online tools for co-parenting. There are even numerous smartphone apps for tracking parenting schedules and children’s activities. 6.

6. PREPARE FOR CUSTODY EXCHANGES AHEAD OF TIME

Preparation in advance of custody exchanges is key. The more prepared you are, the faster and smoother they’ll go. Before your ex picks up the kids, take the time to gather everything they need for this particular stay. Whether it’s a quick overnight or a two-week vacation, make sure to gather the essentials.

Did you pack all of the regular medications they take? Do they have all the school books they need to get their homework done? That report on the solar system isn’t going to write itself. If your daughter has a baseball game, pack the mitt and cleats. If your son can’t sleep without his special stuffed zebra, it needs to make the trip. Knowing you have everything set reduces the amount of time you have to interact with someone you’d rather not see.

Think about what the kids can’t live without and send it with them. Otherwise, you risk a middle-of-the-night call or visit from your ex. If the goal is to limit the amount of contact, that defeats the purpose, doesn’t it?

After a divorce, it may be quite some time before you want to see your ex again, if ever. But when you have kids, that’s not really an option. Custody exchanges can be tough, but it’s something you have to deal with.

For the sake of the kids, for their well-being—as well as your own—it’s important to try to make these encounters as smooth and painless as possible. Have a plan, be efficient, and keep your seething emotions in check for a few minutes. Hopefully, that’s all you’ll need. Taking steps to limit conflict in a custody exchange is healthier for everyone involved.

If you have questions about child custody or parenting plans, feel free to contact Goldberg Jones at his San Diego office.

I think these are all very valid points and important issues to consider and feeling that often occur during and after a divorce. I often recommend the same approach and encourage parents to consider the same issues in regards to their children and themselves. Divorce is a very painful experience even when it is handled well and with respect for each other. However, the truth is most children I see for divorce issues are because their parents are still hurting so they children sense it and take on the family pain trying to solve it. So please try these ideas.

Dr. Michael Rubino has over 20 years experience treating children and teenagers. He is an expert in treating children who are involved in a high conflict divorce. For more information regarding Dr. Michael Rubino or his practice visit his website at http://www.rcs-ca.com or michaelrubino.tribesites.com or Facebook page at http://www.facebook.com/drrubino3.

Coping with the Holidays After A Divorce

Coping with the Holidays After A Divorce

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

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

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

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

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

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

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

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

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

How To Cope with the Holidays after A Divorce

How To Cope with the Holidays after A Divorce

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

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

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

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

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

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

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

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

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