Teenagers Abusing ADHD Medication

Teenagers Abusing ADHD Medication

As a psychotherapist, who specializes in treating teenagers, I often hear parents concerns about their teenager using marijuana or alcohol. Besides the concern that their teenager may be using there is also the concern about their teenager becoming addicted to alcohol or marijuana. In addition to marijuana and alcohol, parents are concerned about their teenagers using other drugs such as, methamphetamine or heroin. While there is an epidemic of methamphetamine, heroin and opioid addiction in our Country, there is another drug parents need to be concerned about.

Methamphetamine is a very popular drugs with teens because it is easy to get and there are a number of ways to use it. Also many teenagers like the effect that they receive from methamphetamines. They get an adrenal rush and can stay up for days at times. Therefore, it makes it easier for them to get all their work done and study for tests. Many teenagers are involved with numerous school activities, trying to maintain a good grade point average and want to spend time with their friends. They often find out that they don’t have enough energy to keep up with their schedule. The boost they receive from the methamphetamine helps them keep up their schedule and to complete all their school assignments. However, buying methamphetamines can be a dangerous thing to do and if they are caught with methamphetamines, they are in a lot of trouble.

Many teenagers do not want to run the risk of being caught with or buying methamphetamines. Therefore, teenagers have found away around the risk, medications for Attention Deficit Hyperactivity Disorder (ADHD). Most medications for ADHD such as Ritalin or Concerta are stimulant based. In other words, they contain a form of methamphetamine. Therefore, if a high school student who does not have ADHD takes Concerta, they experience the same effect as if they took methamphetamine such as cocaine. They get a burst of energy and can stay up all night so they can finish their work.

During mid terms and finals (which are occurring now), I hear many teenagers talk about taking Concerta or other ADHD drugs so they have the energy to study and complete all their assignments while still spending time with friends. Some teenagers will complain to their parents they have noticed they have problem paying attention in class and concentrating on their homework. They hope their parents will think maybe they may have ADHD and need medication. If they are successful, their parents will take them to the physician so they can get a prescription for ADHD medication. On the other hand, teenagers who are suppose to be taking medication for ADHD often sell their medication. They can sell it very easily to friends at school and they can make good money too. Many of these teenagers feel they don’t need their medication so they are happy to sell it.

The buying and selling of ADHD medications on high school campuses is a daily occurrence. Most research studies indicate it starts in 8th grade and continues in high school. Many teenagers rely on ADHD medications to help them when they feel they are falling behind in school. Many teenagers see no problem using the ADHD medications because they were prescribed by a doctor. However, they were not prescribed to them. Therefore, the dosage they are taking may be too much for their body. If this is the case, one negative side effect is a very rapid heart rate which can damage the heart muscle. Also I have seen teenagers combine these medications with energy drinks which have very large amounts of caffeine. I have had teenagers report they felt like their heart was going to come out of the chest because it was beating so fast. In addition, they also report not being able to sleep for days because they are “wired”.

This is a major danger when teenagers use ADHD medications to stay awake. They can become wired the same way as if they used cocaine or smoked methamphetamines. Also taking these ADHD medications opens the door to teenagers experimenting with such drugs as cocaine. They like the effect of the ADHD medication and wonder how other drugs may feel or they may not be able to get their ADHD medication any longer so they start experimenting. In fact, research indicates that teenagers who abuse ADHD medication are more likely to use methamphetamines or heroin.

In addition to opening the door to other drugs, they are risking their health and life. If they heart rate is racing and their blood pressure is rising they can induce a heart attack. Also parents may notice there is something wrong, but if they do not know their teenager has been taking ADHD medication, there is no way for a parent to tell a physician. Therefore, the teenager may not get the medical help they need in time. In addition to the physical symptoms, using too much methamphetamine can cause psychotic symptoms and the teenager may need to be hospitalized. The bottom line is just because the ADHD medication came from a pharmacy does not make it safe for everyone. I have included a link for parents which discusses the dangers and symptoms that parents need to be aware of regarding teenagers abusing ADHD medications https://drugabuse.com/library/adderall-abuse/#effects-of-adderall-abuse.

Hopefully, parents can take this information and discuss the situation with their teenagers. Encourage them that if they are feeling overwhelmed by school and life to talk to you not to turn to a drug. A drug will never solve the problem and more likely create more problems. Also let your teenager know all you expect is the best they can do naturally. You do not expect perfection.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating teenagers and children. He is a founding member of the National Advisory board for the Alive and Free program. For more information regarding Dr. Rubino’s work or private practice visit his website http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3.

We are Accepting Mass Shooting as Normal Daily Events

We are Accepting Mass Shooting as Normal Daily Events

many children who are suffering with severe anxiety and refusing to go to school. They are terrified of going to school. Why would a child be terrified of going to school? Because of all the mass shootings in the United States and our government has failed to pass any sane gun laws protecting children. As of July 31, 2019, there had been 248 mass shootings, 246 people killed and 979 injured. Given the number of shootings this year, it averages out to a mass shooting every 1.2. days. These statistics were valid as of July 31st. Since then there were three more shootings in California, Texas and Ohio. Therefore, there have been 250 mass shootings this year (it’s only August) and we are still waiting on the total number of people who have been killed or injured.

The statistics from the Gun Violence Archive reported above are no longer accurate. As of September 24, 2019, there have been 334 mass shootings, 1347 killed this year in mass shooting and 1,684 people injured. The really sad fact is these statistic are no longer valid. Yesterday there was a mass shooting in Long Beach. People were at a Halloween party and someone started shooting at them and killing people. The statistics on this incident have not been released yet. The really sad thing is this barely mad the news. Most people have not heard about the shooting and the was very little news coverage about the event. Why? Because these shooting are becoming normal to us. No one is shocked to hear about another shooting, they have learned to expect it. The GVA has reported that 2019 will be the year with the most mass shooting events, deaths and injuries based on the statistics to date. What are we doing to change the problem? It is getting worse not better and the President and Congress take no action.

Initially after the recent shootings, the President said we would definitely be taking action and there would be universal background checks. He then made a public statement from the Oval Office that there would be no universal background checks. The President stated the background checks we currently have are enough to keep us safe. He also publicly stated that the people who helped him win the election would not be happy with universal background checks. He had been speaking to the chairman of the NRA that day. Therefore it appears, the money the NRA donates to his campaign is more important than the children of the United States.

The President has tried to say it is simply a mental health issue. By doing so he doesn’t help the issue and he reinforces the negative stigma about mental health in our country. When he refers to a mental health issue, he calls the people “sick” and states they need to be locked up. The research clears shows that people with mental health issues pose a danger to themselves by cutting or committing suicide. The research clearly shows that people with mental health issues are rarely dangerous to society. The Director of the American Psychiatric Association issued a statement stating the same information.

Mental health is not an issue with mass shootings, hate is the issue. In fact the FBI was able to arrest three men planing mass shootings. One of the men arrested issued a statement that he was planing the shooting because he hated anyone who was not white. He was also at the Charlottesville protest and stated to a reported he believed in only a nation for white people and was advocating killing anyone who was Jewish. This man is not being labeled as mental ill. He is being charged with charges related to a Hate crime. Again in order to be charged with a Hate crime you must be attacking someone because you hate them due to their ethnicity, religion, sexual orientation etc. The Klu Klux Klan has held rallies and have been accused of killing people for years, but no one in the group is labeled mentally ill. The KKK is labeled as a hate group.

So when I have children coming into my office saying they are afraid of being killed and the mass shooter drills scare them, what do I say to them? How can I say we are doing everything we can to protect them, when our government is not doing anything. Children hear things and they will know that I am lying. Most would have heard some where that the President refused universal background checks. For therapy to work, the children need to trust me. If I lie, they will not trust me. Also with the statistics I cited for this year alone, how can I tell a child there is nothing to worry about.

The other issue is how do parents get children and teenagers to come to a psychotherapist’s office. The President has been on national television stating all mass shooting is due to mental illness. He refers to the people as “sick puppies” and that they need to be “locked up in asylums.” Teenagers and children will be worried that their parents are taking them to my office to be locked up. Many teenagers need psychotherapy for mental health issues such as depression. According to the CDC, one out of five children need psychotherapy. Anxiety disorders and depression have increased significantly. Cutting is an epidemic in teenagers and children. I have children as young as 10 who self- mutilate. Also suicide was the third leading cause of death for kids 10 to 18 years old. In the last few months, the CDC changed suicide from the third leading cause of death to the second leading cause of death. There are many children who need psychotherapy, but will be afraid of being locked up and will fight their parents about going to therapy.

Also what about the people who experienced a mass shooting, their family and friends and the first responders, their lives have been changed for ever. They are going to need years of psychotherapy to cope with their PTSD. However, besides be labeled as a victim, they are not going to want to be looked at as a “sick puppy” because they need therapy. This is what they will think and feel because of how the President and Senate have responded to mass shootings. We already have survivors of mass shootings and family members committing suicide because they cannot stand the pain. We have seen the same thing from veterans committing suicide because they did not have access or were embarrassed to seek psychotherapy. When will we learn? When will we stop demonizing mental health?

Since it appears the President will not act, we need to learn from the high school students from the Parkland, Florida shooting and take action ourselves. Remember by acting you may be saving the life of your child or a loved one. Call the Senators for your state and demand sane gun laws and if they are too afraid of the NRA, you will vote against them in the next election. Next, contact Mitch McConnell and demand that he bring the sane gun laws to the Senate floor for a vote. If he received numerous phone calls demanding action or people with be supporting who ever runs against him, he will bring the bills to a vote. He only cares about keeping his senate seat. If he cared about the families devastated by these shootings, he would have been there trying to help instead of staying on vacation. His contact information is below:

Senator Mitch McConnell : U.S. Senate, 317 Russell Senate Office Building, Washington, DC 205100001

ph: (202) 224-2541

fax: (202) 224-2499

Some people will say I have no right to be writing this article. However, I see and hear the kids crying daily because they are afraid of being killed or their parents being killed. I also am trained in Critical Indent Debriefing and trauma therapy. I am tired of hearing how the first

The Link between Social Media and Teenage Depression and Anxiety

The Link between Social Media and Teenage Depression and Anxiety

Over the past few years we have noticed a significant increase in anxiety and depression in children and teenagers. We have identified some reasons, but not all of the reasons. Social media and smartphones have been identified as one source related to anxiety and depression in children and teenagers. Many parents agree and have described their teenagers becoming violent if they do not have access to their social media. It does appear that smartphones and social media do contribute to anxiety and depression in children.

A study done in South Korea appears to support the fact that social media and smartphones do increase anxiety and depression in teenagers. They also have documented teenagers being addicted to social media and smartphones.

South Korea is more technologically advanced than the United States. Therefore, it makes sense they are better able to document some of these issues than we are in the United States. South Korea found that 90 percent of their children over the age of 11 years old use smartphones and social media on a regular basis. They also found that 30 percent of these teens were addicted to social media and smartphones. Some teens were using their smartphones for 13 to 15 hours a day. The teens stated they usually start texting their friends and then may be using YouTube and 13 hours later they were still on their phones. They had no idea they had been using their smartphones as much as they were using their smartphones. Parents also noted their teenagers becoming violent if their phones were removed.

Since it definitely appears these teenagers are addicted to their smartphones, South Korea developed rehabilitation centers for teenagers addicted to social media and smartphones. These rehabilitation centers are reporting that they are very successful. The main component of their programs is teaching the teens to interact with people directly not using their phones or social media. Therefore, teens talk directly to each other and they do things together without technology. These programs have just started so we don’t know how long the teens continue this behavior once they leave the rehabilitation center. However, so far it looks very good.

South Korea researchers have been studying the brain activity of teenagers who have become addicted to social media and smartphones too. What they have discovered is since the adolescent brain is still developing, social media and smartphones impact the development of an adolescent brain. Specifically, they noted that teenagers who were addicted to social media and smartphones show less development in the frontal lobes of the brain. The frontal lobes are involved in the higher functions of our brain such as assessing, reasoning and decision making. The researchers have concluded that because the frontal lobes are not fully developing it is leading to anxiety, depression and violent outburst that we are observing in teenagers. While this may sound very alarming, there is a positive note to this problem. The researchers have also noted that if the amount of technology use is reduced to a healthier level such as two hours a day, the frontal lobes can start to grow again and even develop to their normal size. Remember in adolescence, a teenagers brain and central nervous system are still developing. Therefore, if you remove something slowing development, the brain can compensate and resume its normal development.

As a psychotherapist who treats teenagers, I would agree this is one issue why teenagers and children are reporting increased anxiety and depression. However, issues such as mass shooting and mass shooter drills are also definitely resulting in increased anxiety and depression in children and teenagers. The rise in anxiety and depression in children is a complex situation and we need to solve it a step at a time. Therefore, I would recommend that parents monitor how many hours their children use their smartphones and social medial per day. Not including homework, I would recommend one to three hours a day. Also I strongly recommend no smartphones in the bedrooms when children and teens go to bed. Hopefully this will help.

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

Coping with Grief during the Holidays

Coping with Grief during the Holidays

The Holidays are typically a happy time for many people. However, for others it can be a very difficult time. If you lost someone close during the year, the first Holiday season can be very difficult. Also maybe the death occurred last year, you can still be grieving the loss of your loved one. Our society doesn’t really talk about grief. In our society grief is a topic we avoid. We all know it exists but we try our best to ignore it. This makes it very difficult for people who are grieving. Since we do not openly discuss it, people are.not sure what is appropriate in terms of expressing grief or how to respond to someone grieving especially during the Holidays.

A major part of the grieving process is learning how to continue your life without your loved one. This can be a difficult process especially depending on how the death occurred and if you had a chance to say good bye. Regardless of if it was sudden or expected there is a grieving process people undergo. There are stage theories about grief, but I encourage people not to worry about those theories, grief is an individual process and you need to allow yourself to experience it the way you need to. In other words, there is no right or wrong way to grieve.

In terms of the feeling of grief, the best way I have heard it explained is think about it as an ocean wave. You never know when the wave will come in or when it will go out so you just have to experience as it happens. However, you know the wave will eventually go out so you do your best to deal with it until it goes back out. However, it’s important to remember it will be back again until you are finished grieving.

During the Holidays you need to take care of yourself and ask others to understand that you are grieving and ask for their support. Maybe you cannot do what you have always done during the Holidays. Maybe this year you need to do something totally different such as go on a trip. Maybe you need to allow yourself some quiet time so you can remember your loved one in the way which feels appropriate to you. The important thing is to do what you feel is appropriate for you. There is no right or wrong way to express grief at anytime especially during the Holiday Season.

It is a good idea to try to develop a general idea for how you plan to cope with the Holidays. However, it’s also important to remember that you need to be flexible. You may have a plan for the Holidays which sounds like it will help you cope with your grief during the Holidays. However, at the last minute you discover it won’t work and you need to change it. If that is the situation, then change your plans at the last minute. You need to do what you need to in order to cope with your grief during the Holidays.

When developing a plan include the immediate family because everyone is grieving and you can support each other. In other words, it is a good idea to try to openly discuss with the family how you each feel you can cope with your grief and the Holidays. If there are children involved, pay close attention to the children. They may have difficulty expressing their thoughts and feelings and may be very confused.

Also remember there is no timeline on grief. So it may take you a year to process your grief, while it may take someone else two or three years. The main point is do not impose a time frame on yourself or anyone else. If you notice grief is paralyzing you or a family member, you may want to suggest therapy so they can get the additional support they need. Again grief is a very individual process so some people may need psychotherapy and others may not.

The main point is to remember this Holiday will be very different and not to put a lot of expectations on yourself. Do what you can and if you cannot do something do not force yourself. Do not be embarrassed to ask others for emotional support or to cry. Cry as much as you need to. The bottom line is this Holiday is going to be different and you may not be happy and filled with joy. If that is the case, you are not doing anything wrong. You are simply experiencing your grief and it is important to allow yourself to grieve.

On last point, some people find volunteering at a homeless shelter or food bank to be helpful. Helping others and helping others to live without having to struggle can help with some of the helplessness you may be experiencing. Again, do what you and your family need to in order to make it through the Holiday. Do not worry how others may possibly be judging if they are judging you. They are not dealing with the grief, you and your family are dealing with the grief.

I have also included a link to a website that provides additional information about grieving during the Holidays. Having a list to refer back to can be helpful. Please take care of yourself and family during this emotional time. Coping with grief and loss during the holidays – https://go.shr.lc/2AoQ1yR via @Shareaholic.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers and working with people who are grieving. 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.

The Holidays Increase Loneliness not Suicide

The Holidays Increase Loneliness not Suicide

The Holiday Season is just around the corner. Many people assume the Holidays and depression go together. In addition to assuming the Holidays and depression go together, people assume that suicide rates increase during this time of year. Well according to the statistics from the CDC, suicide rates actually drop during the Holiday Season. The study by the CDC is not sure why they drop but they do. May be they drop because during this time of year we pay more attention to depression and suicide. There are a number of ads and social media posts where people can call if they feel suicidal.

What the CDC did find is that loneliness increases during this time of year. During the Holidays there are songs and plenty of television shows regarding getting together with family and friends. You also have people talking about all the Holiday parties that they have to go to. Furthermore, you hear people talking about how well their lives are going. However, this is not the case for everyone.

If you are a military family, a loved one may be stationed overseas and won’t be home for the Holidays. Also during the year some close friends or loved ones may have died and you are grieving their death. It is during this time when most people are talking about family and friends that you remember the people you have lost over the year. The first Holiday Season without a close loved one or friend can be very difficult. You may not feeling like celebrating or you may have to change Holiday traditions which can make some one feel sad and lonely. However, it may be necessary so you can tolerate the Holidays.

Another common difficulty during this time of year is money. Many people feel like they need to spend a great deal of money to show love. They may just be able to pay their monthly bills and cannot afford Holiday gifts. Why do we need to spend money to show that we care? What if you write a letter to someone telling them how important they are to you and how much you appreciate them. Isn’t that the real purpose of the Holiday Season? Isn’t this the time of year we take to tell people in our lives how much we appreciate them. Also it’s an opportunity to tell people we tend to ignore, people sleeping on the street or who are dealing with mental illness that they are important too? Everyone is important and should be included. Also instead of spending a lot of money, you can donate your time so someone who is struggling financially or emotionally has an easier time.

As a psychotherapist, I have seen that people dealing with mental illness feel lonely and out of place during this time of year. They don’t often feel the joy of the season. Sometimes they struggle just to make it through the day. Also mental illness is something we don’t discuss as a society. We tend to act like it doesn’t exist so we ignore the issue. Also since it is an uncomfortable issue for many people the feelings of shame and embarrassment become associated with mental illness. This makes it less likely for people dealing with it or families who have a family member dealing with it to talk about it or seek help. This can make people feel lonely and isolated especially during this time of year.

We seldom acknowledge the daily struggle that people and families dealing with mental illness go through on a daily basis. It is important to acknowledge that mental illness is not a weakness it is a medical condition. There is no reason to look down on someone with mental illness. We offer encouragement and support to people with cancer, why can’t we do the same for people with mental illness?

I have included a link to a video where a teenager discusses dealing with depression https://youtu.be/dAzqGcOLXBs. Listen to what he has to say and answer the question, does he deserve to be looked down upon because he is depressed?

Also remember the Holidays can be a lonely time for people. So if you see someone who looks like they are having a hard time or know someone who is struggling during this season, try to help. Do something kind for them. Another thing to remember, being kind to people should be a year round activity for all of us. We should not just be kind during the Holidays. If we try to be kind all year, we may be able to decrease how many people feel lonely and depressed. Also if we are kind and offering support year round may be we can eliminate the negative stereotype associated with mental health.

Dr. Michael Rubino specializes in treating depression and suicide especially depressed and suicidal children and teenagers. For more information about Dr. Rubino visit his websites at http://www.RubinoCounseling.com, http://www.rcs-ca.com or his Facebook page http://www.Facebook.com/drrubino3

How to Cope with the Holidays if You have An Eating Disorder

How to Cope with the Holidays if You have An Eating Disorder

It’s getting close to Halloween which mean Thanksgiving, Christmas, Hanukkah and other holidays are around the corner. The Holiday Season can be difficult for many people for various reasons. The Holidays can exacerbate family disagreements, someone may be grieving the loss of a loved one or some people are barely surviving financially and have no idea how they can afford gifts for their children. Another major stressor during the Holidays is food.

There are a number of Holiday parties and family dinners. They tend to all revolve around food. Many people are concerned how they will survive the Holidays without gaining a lot of weight with all the food they will be eating. However, if you have an eating disorder, the Holidays can pose a different problem. How do you survive the parties and dinners without drawing attention to yourself because you do not want to eat? What do you do if people are telling you to eat? For someone with an eating disorder, which could be anorexia or overeating, the Holiday Season can be a very stressful time. How to you survive without people noticing you have an eating disorder or if they know, how do you survive without lectures and feeling like everyone is watching what you do or don’t eat.

Dr. Pooky Knightsmen has created a video dealing with how to cope with the Holidays if you have an eating disorder. She offers some very good strategies to help a person cope with the Holidays. Also if you have a loved one or close friend with an eating disorder, I would strongly recommend you watch it too. This will help you understand what your loved one is dealing with during the Holidays and provide you with ways that you can help make the Holidays less stressful for your loved one with an eating disorder. Here is the link to the video. Eating Disorders: Managing the festive period https://youtu.be/L4nCW2NEoUg via @YouTube.

Remember, the Holidays are about spending time with family and friends not about food. If we remember the Holidays are a time to show people you care and bring people together, people with eating disorders do not have to live in fear of the Holidays.

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

Different types of Neglect

Different types of Neglect

This is a very good way to look at neglect

There are three main ways we can observe neglect:

1. Material neglect involves a child being left without food or clothes or medical attention.

2. Circumstantial neglect occurs when a child is loved by both parents, but is expected to take care of themselves during some part of the day. It’s clear to the child that their parent(s) value attachment behavior, but circumstances such as work prevent them from being around as much as they want. When they are home, though, they offer a secure-functioning relationship.

3. The more disruptive kind of neglect is associated with parenting styles that are dismissive or derogating of attachment values.

These parents can be home physically all the time, but their child will few (if any) have autobiographical memories. An example you might hear would be, “Mom was always home working, she just didn’t like to be interrupted… ever.”

The child generally is expected to perform a certain function for either or both parents, often related to parental self-esteem. Islands (avoidants) tend to report more neglect than do partners with other organized attachment systems.