The quarantine and domestic violence

The quarantine and domestic violence

The isolation of the quarantine can exacerbate mental health issues such as anxiety & depression. People are cut off from their normal support system such as psychotherapy and this can trigger their mental health issues. Another issue is Domestic violence victims, stuck at home, are at risk during coronavirus pandemic. The victim is isolated with the abuser who may use the isolation to increase their control over the person. Also being isolated can cause the perpetrator to become anxious and out of control of life so they turn to domestic violence again to help them feel empowered again. If you know someone at risk call and checkin on them. If you do not receive an answer or the conversation seems odd to you, call your local police and ask them to do a safety check. Explain why you are asking for the safety check so the officers know what to look for. You may be saving a life.

I have included a link to an article which will explain in more detail why the quarantine places victims of domestic violence at risk. https://www.cnn.com/2020/03/27/health/domestic-violence-coronavirus-wellness-trnd/index.html.

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

Dealing with Teenage Issues during the Quarantine

Dealing with Teenage Issues during the Quarantine

During this period of quarantine common issues parents have with their teenagers may intensify. Let’s face it being together 24/7 for at least three weeks can and will bring up a lot of old and petty issues. One such issue you may face with your teenager is their bedroom. Many parents tell me that their teenager’s bedroom is like a junk yard. Parents are embarrassed by the bedroom and feel the teenager is being disrespectful. Many parents ask me should they demand that their teenager clean their bedroom. Also many parents ask about is it appropriate if they search their teenager’s bedroom. Also during the summer, but I hear it all year long, parents feel teenagers spend too much time in their room Let’s deal with this one issue at a time.

Parents it is very important to remember to pick and choose your battles. There are a lot of issues you will need to discuss with your teenager. Therefore, it is important to ask yourself, is it worth an argument? Teenagers are at a point in their life where they do need their privacy. They are also at a point where they are trying to find their own identity. Their bedroom is a place they use for part of this process. Also you want your teenager to learn responsibility. Their room is something they can be responsible for.

My recommendation is not to make an issue of their bedroom. During this quarantine you and your teenager will become stressed over numerous issues. Also in the long run you will have more important issues such as school, how late your teen wants to stay out, where they want to go and the common issues of alcohol, drugs and sexual activity. Therefore, their bedroom really is a minor issue. In my opinion it is not worth the fight. Arguing about their bedroom, which they view as their private space, can lead to bigger problems with some of the other issues I listed above. During this quarantine period, teenagers need a private space so they can take mental breaks. Also remember these are only some of the issues you will need to set guidelines and expectations about your teenager’s behavior after the quarantine. This is why I strongly recommend leaving the bedroom alone.

Many parents ask me, “then I should just let them live in a junk yard?” The answer is yes. However, there are some guidelines I do set with teenagers. I tell them that Mom and Dad are not going to clean their room as long as they comply with the following guidelines:

The bedroom door must be able to be closed so no one else has to look at the mess.
People can walk by the room without smelling anything such as rotting food.
There are no ants or bugs going into or coming out of the room.
They do not keep dishes in their room so Mom has dishes when she needs them.
They are responsible for getting their clothes out of the room and cleaned. They are also responsible for putting away their laundry.

If they do not follow these guidelines, then they are giving Mom and Dad permission to go in and clean the room as they see fit. I ask the teenager and parents to both agree to these guidelines. I also recommend writing down the guidelines. Therefore, two months from now if someone remembers the agreement differently, you have a document you can refer back to which states what everyone agreed to.

Therefore, I recommend to parents if their teenager can agree to these guidelines, let them live in a junkyard. If they forget to get their clothes to the washer then they will be the one wearing dirty clothes. This is helping them to learn responsibility. It also gives them a sense of independence which they need.

I remind teenagers, if you do not want Mom and Dad cleaning their room then they need to abide by the guidelines. I also remind them it is their responsibility to get their clothes to the washer. If they don’t then they will be wearing dirty clothes to school. I also remind them that they cannot stay home from school because they do not have any clean clothes. I am basically telling the teenager that their parents and I feel they are responsible enough to take care of their room. This again helps the teen feel more mature and understand that they have to start assuming more responsibility for theirselves.

Now for the next issue, searching your teenager’s room. I do not think it is something parents should do on a regular basis just because their child is a teenager. As parents you have a responsibility to make sure you are raising a responsible young adult and if they need help, you have an obligation to provide them with the help they need. Therefore, if you have valid reasons to believe your teenager is using drugs or alcohol on a regular basis, then yes search the room. A valid reason would be noticing the smell of marijuana on their clothes or coming from their room. Finding marijuana or alcohol bottles in their backpack or car that they use. Other signs could be changes in their behavior and grades that are associated with drug use. However, before searching the room, I would recommend when your child enters middle school that you discuss with your child about the conditions which would make you search their room. If you feel it is necessary, tell your teen that you will be searching their room. Obviously, you do not tell them a week a head of time so they can hide things. I suggest you calmly inform them when they are home that you will be starting to search their room in a few minutes. It is important you explain the reasons why you are searching their room.

Parents may be concerned about an argument. This may start an argument, but this argument is worth it. Remind your teen about the agreement the two of you had made about searching their room. If you feel your teenager is not mature enough to abide by the agreement and is likely to start a physical fight, then you do not tell them and search it when they are out of the house. Remember you are only searching the room if you feel your teen is having a serious problem and need professional help. As a parent, it is your responsibility to get them help when they need it. You will want to remember this fact because your teenager may be very angry with you. However, it is better to have an angry teenager than a dead teenager. Many of the drugs teens are using today can kill someone very quickly and teenagers are not usually aware of all the risks.

Therefore, in general respect the privacy of your teenager’s bedroom, however, if you notice signs that indicate your teen is having difficulties then search the room.

As for the last issue that become more apparent during the quarantine is parents feel teenagers spend too much time in their bedroom. They hear them staying up late, sleeping until noon and the rest of the time playing games on their laptops and talking with friends using the games. Yes this can be an issue. The best approach is to discuss this issue prior to summer. However, if you did not, it is not too late. Let your teen know you need to talk to them about their room. Do not attack telling them they are spending too much time in their room. They will simply stop listening and the discussion is over. Before talking to them think about what and why you are concerned about the time in their room. One major reason hopefully is you want the opportunity to spend some time with them. Explain your concerns and some possible solutions you have developed. At this point ask your teen how they feel and do they have any solutions. If you have a calm, caring conversation and you are willing to consider all options, you should be able to resolve the issue. Most teens want to hear that their parents care and want to spend time with them. They tend not to admit to these feeling but they are their. Also teens do better when they feel you have listened to their ideas and are not just telling them what to do.

Remember the quarantine is stressful and scary for everyone. This is not a time you want to be arguing daily with your teenagers. If we all remember we are all in the same situation and decide to work together, we can get through this quarantine together.

Dr. Michael Rubino has over 20 years experience as a psychotherapist who teats teenagers and children. For more information regarding Dr. Rubino’s work or private practice visit his website at http://www.RubinoCounseling.com or his Facebook page at http://www.Facebook.com/drrubino 3.

The Least Restrictive Environment

The Least Restrictive Environment

Many schools are currently closed due to the coronavirus, however they can still have IEP meetings or the meeting will resume when school resumes. This will give parents time to prepare for their IEP meetings. An IEP refers to an Individualized Educational Plan that the parents and school agree upon to help a student who is having difficulties learning at school. This plan is a legal agreement which states the school environment and accommodations a child needs in order to benefit from their education. Unfortunately not all schools tell parents about all of their rights they have at their child’s IEP meetings (Individualized Educational Plan). Also they do not fully explain all the terms. This creates a great deal of confusion and anxiety for parents. Typically any time I write an article regarding IEPs, I receive emails from parents across the country asking if they are being treated fairly in their IEP meetings.

A common term that is used at IEP meetings is Least Restrictive Environment. At times this term is used to deny a child services. Parents may be asking about Resource Assistance or a Special Day Class and the school may say the Resource Room is not an option because it is not the least restrictive environment. They may insist that the child be placed in a general educational classroom. In other words, the typical classroom people think about when they think of a classroom. However, placing a child in a general education classroom or school is not always the least restrictive environment. Also schools and at times parents may worry about how much inclusion their child will be receiving with the proposed IEP.

Inclusion refers to providing children, who need special educational services, access to the general educational atmosphere and students. However, this is not always the least restrictive environment for your child. The least restrictive environment is the environment in which your child will benefit the most from their education. This may not always be a general education classroom. Remember, least restrictive refers to the environment where your child has the least amount of difficulties learning so they can benefit fully from their education. Therefore, a Special Educational Classroom may be the least restrictive environment for your child depending on their educational needs. If they will benefit more from their education in a Special Day Classroom then that is the least restrictive environment for your child.

This can be a confusing term to understand especially since most people have been lead to believe that inclusion is the same thing as the least restrictive environment. I have included a link to a video which further explains this term. I strongly recommend you watch it so you have a clear understanding of what least restrictive environment refers to and what inclusion refers to https://youtu.be/I7HFRF8y288.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers in Special Education. He often assists parents with IEPs and school accommodations. For more information about Dr. Rubino’s work or private practice visit his websites www.RubinoCounseling.com, his Facebook page www.Facebook.com/drrubino3 or www.LucasCenter.org.

Being A Teenage Boy in 2020

Being A Teenage Boy in 2020

Being a teenage boy in 2020 is very difficult for many boys. Most teenage boys are still trying to live up to to the old stereotype regarding what it takes to be a “man.” As a result of trying to live up to this image, it cost many teenage boys a big price. Many boys get into trouble because of this stereotype and they don’t deserve it. They need someone to explain to them what is acceptable or not acceptable for young men in 2020. This is what this article will try to address.

First let’s look at the traditional stereotype. According to the traditional stereotype boys need to be tall, their muscles need to be in shape. Many teenage boys are working day and night so they have a six pack. Many boys feel inadequate about their bodies if they do not have a six pack.

Besides having to be physically fit, they need to be able to take on any challenge, they should be able to handle alcohol, drugs. and sex and are not emotional. If they are not able to handle these issues they are looked down upon and as weak. This makes it difficult for teenage boys to make the decisions that are best for them. Furthermore, these issues do not make someone a man. Yes men need to deal with them, but if a man doesn’t drink alcohol or a teen is waiting to have sex, he is still a man. At times it more difficult to say no instead of going along with the crowd and say yes when you don’t want to.

Another issue boys have to face is technology. Boys have to be careful about what they post in today’s world. Colleges and employers now search the web when you apply to a college or a job. They look for posts containing alcohol or posts containing negative statements about girls, sex or racial slurs. Many teenagers have had their acceptance to college revoked due to what they posted online. The best example is Harvard University. A couple years ago they revoked the acceptance to several freshmen because of racial slurs and slurs about women they had posted. The teens thought it would be looked at as boys being boys but many places no longer accept this excuse. Sadly many boys are getting in trouble for their behavior because in the past it was acceptable and no one has really explained to teenage boys that i

their current behavior is no longer acceptable.

Another issue which gets teenage boys into trouble is texting. Specifically sexting or sending nude or sexually suggestive photographs. Many teenage boys feel their is no problem with these issues because they is mutual consent. However, what teenagers forget is that since they are under the age of 18, this is considered child pornography. While they may have mutual consent, if you are sending sexually explicit material to anyone under the age of 18, you are violating child pornography laws. Typically boys are the ones who are blamed and may face legal charges. The tragic part of this situation is the boy had no idea he was doing anything wrong. He never knew because no one ever explained that he was making a mistake.

Another area which gets boys into trouble is language. Many teenage boys are use to swearing when they talk because that is how boys think they are suppose to talk. Again often the boys get into trouble because they are doing what they see and hear other boys talk. However, no one has told the boys that the language they are using where they are using it is not appropriate. They are acting based on this old stereotype so they will be accepted. Before punishing the boys, they need to educate the boys and give them a chance.

Bottom line, the old stereotype regarding male behavior is in appropriate and boys are being taught they must use alcohol, be physically aggressive towards others and they must be sexually active if they want to be considered men. This behavior can get teenage boys now into major trouble. Therefore, we need schools and male role models to educate young teenage boys that the old male stereotype is outdated. We need the schools and male role models to educate young teenage males what behavior is appropriate regarding alcohol, language and sexual activity. Also teenage boys today need male role models to educate them how to respect themselves. If we don’t start to educate teenage males about how the old stereotype is inappropriate, how can we expect boys to react appropriately?

Furthermore, this old stereotype is resulting in many teenagers and men to feel isolated and depressed because they have to ignore their feelings in order to follow this stereotype. The suicide rate for teenage boys’ has increased from the third leading cause of death to the second leading cause of death. Therefore besides ruining people’s lives, including girls, the old male stereotype is costing the lives of teenagers. The time has come to make a change.

Dr. Michael Rubino has over 20 years experience working with male teenagers. He is a cofounder of the National Advisory Board for Alice and Free which addresses issues such as this one. For more information regarding his work and private practice visit his website www.RubinoCounseling.com or his Facebook page www.Facebook.com/drrubino3

Helping Your Child Cope with The Coronavirus

Helping Your Child Cope with The Coronavirus

Many people are concerned about the coronavirus. They are worried about being exposed and they are worried about what happens if they contract the virus. Many people are stock piling water, soap, disinfect wipes and surgical masks. People are even canceling their vacation plans. When so many adults are worried and taking numerous precautions, children begin to worry about their safety. They are afraid to go to school because they don’t want to catch the coronavirus. This excessive anxiety is not good for children. Therefore, parents need to get the accurate information and discuss it with their children.

This is a new virus and spreading faster and easier than expected. However, when you compare this virus to the influenza (the flu), the flu is much more contagious and deadly. According to the CDC, 49,000,000 people in the United States contracted influenza this year, typically referred to as the flu, and 20,000 people died from the flu this year. When you contrast this with the coronavirus, there are currently 500 reported cases and 17 deaths as of March 6, 2020 according to the CDC. While these numbers will rise as we continue to test people, it appears that the flu virus is responsible for more deaths. The coronavirus is getting a great deal of attention because we do not have specific protocols for how to prevent and treat this virus yet. The CDC is still developing guidelines for how we need to respond and are currently working on a vaccine.

Therefore, parents it is important that you calmly talk to your child about the current situation. Explain that this is a new virus and the doctors need time to decide what is the best way to treat it and that the flu is more dangerous than the coronavirus. Explain that until the doctors know the best way to treat the virus that it is very important that they wash their hands after using the bathroom, playing outside or touching things outside of the house. Tell them to sing happy birthday while washing their hands with soap and water. This is a good way to know they have washed their hands long enough. Also let them know if their is no soap or water, they can use hand sanitizer instead and that is good enough. Also remind them to try not to touch their eyes, nose or mouth when they are at school or playing because it is a way to catch germs. Also if they sneeze or cough to cover their mouths. Remind them the doctors are doing everything they need to in order to figure out the best way to deal with the coronavirus so they do not need to worry.

Another aspect to address is if they notice they are coughing, feeling achy and like they have a fever to tell you. If they have these symptoms you will take them to the doctor who will tell you what to do. Remind them they do not need to worry about dying. Remind them more people die from the flu and nothing happened to them. Also point out that the people who have died from the coronavirus were usually around 75 or 80 years old and already had health problems such as problems with their heart. The reports show that children their age have nothing to worry about.

This should help your child’s anxiety about the current virus out break. In the meantime pay attention to the reports from the CDC and look at what you and your family have planned. If you have plans to go to events where there are a lot of people such as sporting events you may want to change your plans until the CDC has developed firm guidelines to deal with the current situation. If you stay calm, your child should stay calm. Make the best decisions for you and your family based on the information you have at the time. If we all stay calm and follow common sense guidelines, we should all be fine. Remember the statistics for influenza are much worse than the coronavirus. The flu virus changes every year too. Therefore, staying calm and following the CDC guidelines is the best approach at this time.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating teenagers and children. He has a sub specialty in medical psychology. For more information about Dr. Rubino’s work or his private practice visit his website at www.RubinoCounseling.com or his Facebook page at www.Facebook.com/drrubino3

The High School Prom in 2020

The High School Prom in 2020

Yes it is that time of year again — Prom Season. I am already hearing teens worrying about who to ask and parents who are shocked at how much the prom can cost. Along with the prom come the concerns of who will I go with? What will I wear? How much can I spend on a dress? And a number of other issues. Hopefully, you and your teen have already discussed the issues around dating and have agreements regarding dating. If not, Prom may be a harder issue because now you have to deal with issues regarding dating and Prom.

As a parent, the first thing to do is to contact your teen’s High School and see what rules and guidelines the school has already established. Many High Schools have rules regarding who can attend, such as only students of that high school can attend, a dress code (such as how low cut a dress can be or colors for tuxedos) and some high schools require you to inform them if you are going and your date’s name and the telephone numbers for both set of parents. They do this so if your teen fails to arrive by the designated time or if there are any problems at the Prom, they know who to call.

Another reason to contact the school is to find out where the Prom is being held. Due to the number deaths associated with alcohol or drug use, and now with the concern about the virus, a number of high schools have decide to have the entire Prom on the school campus. They serve dinner and have the dance at the school. Once you have the details then it is time to discuss with your teen what your expectations are regarding the Prom. This is also the time where you will set the rules for the Prom and make your agreements with your teen.

Assuming the Prom is not being held at the campus and instead being held at a Hotel, there are a few items to discuss. The first issue is price. Most teens want to go to an expensive dinner, hire a limo for the night and for the girls there is the Prom dress. I have seen teens spend over $2,000 on their Prom dresses. A limo for the night can cost $2000 and dinner can cost $350. If you have this money and are willing to indulge your teen then there is no problem. However, most parents don’t have this extra money so you need to agree on a budget. For example, a limo is not a necessity for the Prom. As a parent you may feel safer with a limo because your teen is not driving. Also there is a law and limos cannot carry liquor when they are driving for Proms and they must card anyone consuming alcohol in the limo and passengers must use seat belts. You can bring the price down by having your teen split the cost of the car with 2 to 3 other couples. However, you will want to talk to the parents of your teen’s date and any friends they are going with to ensure all the parents agree.

Another option is letting your teenager pay for part of their prom. There is nothing wrong with expecting them to contribute to the cost of their prom. In fact, it is a good way to educate them about money. If they are having to spend their own money, they may choose some cheaper options. This is a good way to start teaching your teen about managing money. You can have your teen purchase the prom tickets, pay for the dinner, girls can pay for part of their dress and boys can pay to rent a tuxedo and for a corsage for their date. As a parent you may want to help with the limo, if they are using one, and the Prom pictures. Some teenagers may need some help budgeting money and parents can help teens with figuring out ways to budget and less expensive options for some items. For example, parents can suggest a very nice restaurant that is not very expensive.

If you have a daughter you need to negotiate the cost of the dress or consider renting a dress. In my opinion she does not need to spend $500 on a dress or more to look good. The same rule goes for her hair. She does not need to spend $300 on styling her hair for one night. She can rent a dress and there are beauticians who do not charge as much but still do an excellent job.

You also need to talk with your teen regarding your expectations about consuming alcohol, using drugs and sexual activity on Prom night. Many teens plan After Parties for their Proms. Quite often at the After Parties is where the drinking, drug use or sexual activity occurs. This is another reason why it is important to know who your teen will be going with to the Prom and their parents. You should never allow your teen to go to an After Party where there is no adult supervision. If the party is at a friend’s house with adult supervision and you have spoken with the adult, there should be no problem. If your teen wants to rent a hotel room so their date and their friends can have a party, this is a huge problem and should not be allowed. There are too many incidents where teens overdose, drink to the point of alcohol poisoning, get pregnant or trash the hotel room. Most hotels will not rent a room to someone under 18, but many teens find away around this rule using friends or cousins who are 18 years or older. Also some parents will rent the room for their teen because they want to be viewed as the nice parent. Remember being a parent is not a popularity contest and some times you need to make an unpopular decision because that is what is best for your teenager. This is also a reason why you would want to talk to the parents of the friends your teenager is going to the Prom with. You may want to ask if any of the parents agreed to rent a hotel room.

Another issue to discuss is curfew. Yes it is their Prom and you want them to have a good time, but there is no reason why they need to stay out the entire night or for the entire weekend. If there is adult supervision the entire time it may work. If there is not adult supervision it is a recipe for disaster. Yes some parents plan a breakfast for the morning after the prom. They may serve breakfast at 4 am. If there are plans such as these, your teen could simply text you at some point that everything is going fine. No one needs to know that they checked in with you.

One other issue you need to be prepared for is if your teen does not have a date for the Prom. This can be devastating to a teenager. If this occurs reassure them that it means nothing about them as a person and allow them to express their feelings. Many schools are realizing how much pressure having a date is placing on teenagers and some teens are not ready to date in High School. Therefore, a number of High Schools have changed policies regarding the Prom. Many schools allow teens to make a choice. If they want to take a date they can or if they do not want to take a date and just go with friends that is fine. So if your teen does not have a date and the school does not require one explain not everyone is ready to date in High School and there is nothing wrong with them. Reinforcing their self-esteem can be very important because as a teen many teenager’s self-esteem are fragile and they need your support.

For teenagers who are questioning their sexuality or who have decided they are homosexual or bisexual, the prom can present additional challenges. Some High Schools have LGBT clubs so there probably won’t be an issue. However, many high schools do not have LGBT clubs. If your teenager has decided they are not heterosexual, then I suggest you call the High School and see what arrangements have been made. They have the same right to attend the Prom as the other students.

Finally, you need to have a discussion with your teen regarding acting responsibly and to have self-respect. The Prom is a major event and it is another step that your teen is taking into the adult world. They need to remember if they want to act like adults, they have to be willing to accept being treated like an adult. So if they violate the rules that their school has established for the Prom, they may be giving up their right to graduate with their class. The Prom should be a happy event that you and your teen both remember for a long time. If you discuss the issues before the Prom and come to agreements that you both accept then it should be a safe, happy event for all. Good luck!

Dr. Michael Rubino specializes in working with teenagers, their parents and high schools. For more information on his work visit his website www.rubinocounseling.com, his Facebook page www.Facebook.com/drrubino3 or follow him on Twitter @RubinoTherapy.

Boys Have Eating Disorders Too

Boys Have Eating Disorders Too

This week is National Eating Disorder week. Here are important facts about eating disorders everyone needs to know. Eating disorders and body image issues are a major problems for teenagers. Despite what most people may think, these issues impact girls and boys. Most people assume eating disorders only impact girls, but they impact boys too. Boys worry about their abdominal muscles having the “six pack” look and how strong they are compared to other boys. Also for some sports such as wrestling they must make a certain weight to compete. Therefore, they worry about their weight. So eating disorders impact boys too.

Looking at the prevalence of eating disorders in teens can be very difficult. Some break the statistics down to diagnoses such as anorexia. While some focus on under eating, teenagers who over eat can also have an eating disorder. Another classification is unhealthy eating that many teens engage in. Some may skip meals or some may consume to many calories to make weight for their sport and then go days without eating. Therefore, eating disorders can take many shapes and forms. Overall, it is estimated that eating disorders impact 5% of female teenagers and 1% of male teens (NIMH). However, the number for males is considered to be under reported. This assumption exists due to the belief many have that eating disorders only impacts girls. Therefore, there is an assumption that the 1% for boys is an underestimate due to under reporting. Working with adolescents I am sure the 1% is incorrect. I hear many teenage boys complain about their bodies or needing to make weight for their sport. I also hear things they do such as only drinking water a week before a weigh in or loading up on protein drinking before working out. What they report may not fit the picture of anorexia we have, but it definitely is not healthy and is involved with body image. This is a major factor in all eating disorders whether it be anorexia or over eating.

One reason I’m addressing this subject is as I stated above most people assume that eating disorders do not impact boys. Eating disorders impact boys and teens from every economic level, ethnicity and religion. They are an equal opportunity disorder. Another reason I’m addressing this issue is suicide is the number one mental health issue killing teenagers in our country. Eating disorders are the second leading mental health issue killing teenagers. It is estimated that every 62 minutes someone dies from an eating disorders (NIMH). The death may occur after someone has received treatment and is considered in recovery. Eating disorders take such a toll on teenage bodies they may die even though they are considered to be recovered. The singer Karen Carpenter is a prime example. She struggled with an eating disorder for years and struggled with treatment too. However, she finally reached a point where she was considered recovered from her eating disorder and started to resume her life. Unfortunately, she died suddenly one day from a heart attack. The toll the eating disorder put on her body weakened her heart severely. So severely that it caused her to have a heart attack even though she was in recovery.

This is a very sad story and fact. We can avoid these issues by early diagnosis and treatment. We also must realize that eating disorders impact boys too. If we do not we are not addressing the entire problem. We need to address how our society look at men’s bodies and women’s bodies and the expectations we place on both genders. No one can live up to the female and male stereotypes we have created. In order to change these stereotypes we need to start with teenagers and provide them with enough self-esteem to reject the stereotypes.

As I stated early treatment is necessary. To have early treatment we must have early diagnosis. I have included a link to a video by Dr. Pooky Knightsmith which discusses the ten common warning signs of an eating disorder in teens and children, please watch this video https://youtu.be/nKwbE8mP_PA.

If your teen or child displays any of these warning or signs or if you feel your teen maybe struggling with an eating issue, make an appointment with an adolescent psychotherapist who specializes in adolescents and eating disorders. Do not feel ashamed or embarrassed. A mental health issue is no different than a physical health issue. We only believe their is a difference due to the stigma we have created. However, keeping this stigma is endangering the lives of many teens so help your teen and ignore the stigma. Help them deal with their health issue.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating teenagers and children. He also treats teens including boys with eating disorders. For my information about his work and private practice visit his website www.RubinoCounseling.com or his Facebook page www.facebook.com/drrubino3.