Dealing with Anxiety When the Coronavirus is Out of Control

Dealing with Anxiety When the Coronavirus is Out of Control

Anxiety is a common issue for children especially when we were all on quarantine and kids having to attend school from home. Remember children’s imaginations are very active. During the last few months we have had conflicting information from the White House and the medical doctors, such as Dr. Fauci who is the expert, about the Coronavirus and what we need to do. Therefore, there has not been a lot to explain to children and they have heard a lot on the news. Many parents tell me they have limited the access to news but with their IPads, phones and friends, they hear more than we are aware of. Also don’t forget, prior to the pandemic the children were dealing with mass shootings on a daily basis. Therefore, children and teenagers already were dealing with a lot of anxiety before the beginning of the pandemic.

The White House had told us they had the virus under control and it was time to start reopening the economy. However, we now find out that this was not the truth. In fact, today our Country had its highest numbers for new cases, hospitalizations and deaths, since the beginning of the pandemic. Many states such as Florida, Texas and Arizona are reporting numbers indicating the virus is out of control in their states. The doctors are clearly stating we opened too soon and we will need to at least pause reopening and in many cases possible go back to shelter in place. California is re-evaluating their numbers and most countries will be issuing new health orders that will take effect immediately. This will definitely increase anxiety for children, teenagers and parents. In other words, it will increase anxiety for everyone.

According to the CDC and what I have seen in my patients, anxiety has been at epidemic levels for children for awhile. The most common reason children are coming into therapy right now is anxiety or depression associated with the state of our Country (mass shooting, riots and the pandemic). Many parents want to know what they can do in between therapy sessions to help their child with their anxiety, especially now since, many people are experiencing an increase in anxiety as the pandemic spins out of control. I ran across an acronym by Lori Lite that is designed to help children who are anxious. The acronym is ASSURE. I will explain what is stand for and how to use it below.

A – Align with your child
 with their body language
 with their tone and volume of speech
 validate their feelings
S – Share your experience
your feelings in stressful moments
mistakes you’ve made and how you emerged from them
how you cope with stress in day-to-day situation
perspective you’ve gained from seeing “this too shall pass”
S – Skills-training
give them words for feelings and worries
get them involved in appropriate exercise and activities to release stress
teach and model coping strategies like visualization, deep breathing, positive imagery
U – Uncover stress-related signs and symptoms
body aches – head, stomach
irritability and mood change
appetite change
sleep changes
R – Reassure them
that they’ll come through
that you’re there for them
that you’re proud of the effort they’re investing in calming and coping
things will normalize – recall examples
E – Engage the topic when they’re calm
listen to what they say and don’t say
respect their process in overcoming stress and worry
brainstorm options while they’re calm, since that’s when the “thinking” part of the brain is turned on.
This may not eliminate their anxiety all together, but it should help reduce their anxiety. Also remember if their anxiety is severe also seek psychotherapy for your child with a therapist who specializes in treating children. Psychotherapy can now be done via telemedicine so there is no risk of exposing them to the virus. Between the mass shootings and the pandemic caused by the Coronavirus, our children are living through historic times. We have never experienced events like we currently are experiencing so there should be no surprise that children may need psychotherapy at this time.

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

Teenagers are Trying to be Their Friend’s Therapist during the Pandemic

Teenagers are Trying to be Their Friend’s Therapist during the Pandemic

There is an issue I have encountered many times working with teenagers in psychotherapy that is seldom talked about. The issue is teenager’s trying to act as a therapist to the friends or girl/boy friend. This issue is increasing due to the pandemic and quarantine. Many teenagers are experiencing more anxiety (CDC) and boredom due to being at home more and no school. There have been many times that a teen will tell me their girlfriend is suicidal and ask me what they should do to help her? Often a teen will ask could they just bring their girlfriend into one of their sessions. They argue since I am helping them, I can help their girlfriend. At this point we need to have a conversation about how therapy works and the situation that they are in at that point.

In terms of me just seeing the girlfriend, I explain I need parental consent because she is under 18 years old. I also explain if she is suicidal the parents should be involved. Sometimes the teen explains their girlfriend is living in an abusive household and the parents would never agree to psychotherapy. In these situations, I provide the suicide crises number and tell the teen to have the girlfriend call the crises line and they will get her help. Some teens will exaggerate a situation just so I will see the girlfriend. Therefore, it may be a normal argument between a teenager and parent that I may be entering. Therefore, I provide the crises line and 911 so the situation can be assessed. If the girl does need help, I don’t want to ruin the chances of her getting psychotherapy by acting too fast. I also need to be careful how I handle the situation with my patient. If he is wanting me to see his girlfriend, I have established a therapeutic relationship and trust with him and I do not want to spoil that bond.

The other part of this situation and the more important part is the teen trying to act like their friend’s psychotherapist. Many teens feel since they have been coming to therapy and making progress, if I give them some advice they can help their friend. I explain that they do not having the training needed to be a therapist. I also point out they are not emotionally ready to be a psychotherapist. Many teens feel a very close bond to their friends and girlfriends because they have shared a lot of very personal information and have been open emotionally. While this may be true, it is not the same as psychotherapy.

Why is it important to discuss this issue? What if a teen tries to be their friend’s therapist and the friend commits suicide. They teen will be emotionally devastated and blame themselves. The parent of the teen who committed suicide may blame the teen too. Maybe they were not handling the situation correctly and the teen might have been saved if they had been hospitalized. However, the teen was never hospitalized because their friend was acting as the therapist. The teen could be in a lot of trouble. I have seen this happen. I have had parents come in for grief therapy because their child committed suicide and their child’s friend was acting as therapist and keeping everything a secret. This is a very sad and tragic situation for all involved.

Any time I have a teen asking me about a friend I explore the situation to determine if they are acting as therapist. If they are I explain to the teen why this is inappropriate. I acknowledge how close they are to their friend and how much they care about their friend. I then point out because they care so much they want to do what is best for their friend. I ask them how they would feel if their friend committed suicide? I point out that they are in a very difficult situation that they are not emotionally prepared for or professionally trained for. We discuss that this doesn’t mean anything negative about them. We discuss how they are expecting too much of themselves. I explain if they really want to help their friend, they will encourage their friend to seek help or they may need to tell someone such as the school counselor or their friend’s parents. Sometimes they say, “but I promised to keep it a secret.” I explain sometimes you may need to break a promise to help someone. I also point out their friend may initially be mad but if they truly care they need to do what is best for their friend.

Teenage suicide is an epidemic. The CDC just moved suicide from the third leading cause of death to the second leading cause of death for teenagers. Also the CDC has noted there has been an increase in anxiety, depression and suicides since the beginning of the pandemic. Additionally, teenagers are turning to cutting more often to deal with their feelings about life and the pandemic. Therefore, at this time in our history, this issue has become a bigger issue and needs to be addressed. The situation where friends try to act like the therapist happens more often than people realize. I had a situation occur this week. After explaining the situation to the teen, they spoke to their friend and their friend is now in therapy. This was a good ending. I would estimate 1 out of 3 teens ask me about their friends and are trying to be the therapist to their friend. Besides teens feeling they can handle this situation because they feel so close to their friend, I believe this occurs due to our views on mental health.

Because of the mental health stigma many teens are reluctant to go to therapy. They don’t want to be labeled as “crazy” or “weird.” Furthermore, it is not easy for teens to get therapy. Many psychotherapist prefer not to work with this age group for various reasons. Also many families cannot afford psychotherapy and many insurance companies do not cover psychotherapy. As a result, teenagers tend to turn to each other when they are encountering emotional issues. Research indicates that teens turn to their friend first when they encounter emotional issues. If we want to stop teenagers from acting like psychotherapist and if we want teenagers to get appropriate mental health care, we need to talk to teenagers about why they can’t act as a friend’s therapist and we need to increase access for teenagers to mental health care and remove the mental health stigma.

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

What are We Teaching Children and Teenagers about the United States

What are We Teaching Children and Teenagers about the United States

Many people complain about how teenagers act and their disrespect for adults and rules. However, what do we expect? We are teaching teenagers to be selfish, not to comply with the rules and not to be respectful to other people. How are we teaching teenagers to act this way? We are teaching them to act this way because we have a President who acts this way and no one is stopping him. People just say, “well that is how Trump acts.” We would not say that if it was a teenager calling his teacher a whore.

A perfect example is the rally he is planning on holding in Tulsa, Oklahoma. Tulsa just recorded the highest number of hospitalizations today for the Coronavirus (CDC). In fact, the United States also recorded the highest number of new Coronavirus infections today (CDC) and the World Health Organization reported today the world reported the highest number of new cases of the Coronavirus since the beginning of the pandemic. These numbers are not due to increased testing either. We know this by the number of people being hospitalized. The mayor of Tucson, Arizona stated yesterday that her city was running out of ICU beds for Coronavirus patients. Dr. Fauci, the expert regarding viruses, stated inside events, such as Trump’s rally, are dangerous at this time. Every other leading public health expert agrees with Dr. Fauci.

However, President Trump is having a rally in Tulsa, Oklahoma with over 20,000 people in an enclosed space and people are not required to wear face masks anyway. If it is so safe as Trump claims, why is the Trump campaign requiring people who attend the rally to sign a statement that they will not hold the Trump campaign legally liable if they catch the Coronavirus? Trump doesn’t care if he is exposing 20,000 people to a deadly virus, which we have no cure for, all he cares about is getting his way and having his rally. Never mind that Major League Baseball cannot have games due to the risk of the Coronavirus nor can the National Basketball League have games with fans due to the risk the Coronavirus poses, but Trump can hold his campaign rally. We are telling children and teenagers they cannot go to Disneyland, water parks or play with friends, but Trump is holding a rally because he wants to. If you were a child or teenager, would this make sense to you?

I ask you, what are we teaching children and teenagers? Why should they follow the rules? What they are seeing if you scream enough and insult enough people, you get your way. We need to remember that developmentally teenagers frontal lobes are not fully developed so they do not reason like adults. Therefore, yelling and insulting people in authority is how they tend to react when they want their way. What motivation do they have to change when they see Trump using the same tactics and getting his way.

We are urging teenagers not to bully and to be sensitive to what they post on social media because it can negatively impact other people. In fact, teenagers have had their acceptance to colleges revoked and teenagers have been charged with harassment because of what they posted about other kids or races on social media. This seems unfair when the President insults people daily on Twitter. He never thinks about how his tweets may impact people. In fact, the tweet he posted today about his rally threaten people with physical violence if they protested against his rally. Additionally, this threat may stop people from exercising their right to freedom of speech. Trump feels because we have freedom of speech in our Country he is entitled to hold his rally. However, if we want to protest the rally, he wants to deny us the same access to the rights he has as a citizen. How do we tell teens not to bully or intimidate other people, when the President is allowed to do it daily without any consequences?

Another example of the President’s disregard for the law and disrespect for people came this week when the Supreme Court decided he could not deny transexual employees their legal rights as employees. Regardless of their sexual orientation, they were protected by the same laws as everyone else. Also the Supreme Court decided he did not follow the law appropriately when he tried to end the DACA program. Again the Supreme Court states our Country has laws and the President must obey the laws. However, by what and how he treated these two groups of people, he demonstrated to teenagers you don’t have to follow the laws, if you are the boss. Thankfully, the Supreme Court sent a message that everyone must follow the laws including the President.

Some people may say I’m making a big deal over nothing and teenagers don’t care about anything Trump may do. As a psychotherapist who specializes in treating teenagers, I can tell you that you are wrong. I have many teenagers ask me why is the President allowed to be insulting on Twitter or use sexual or racial slurs or make fun of people with disabilities. They say it makes no sense because if they did anything like Trump does on Twitter, they could be asked to leave their school for inappropriate conduct. They feel the double standard is unfair.

I also have teens who are using racial slurs or insulting people daily and when I point out that their behavior is inappropriate, they tell me it’s not because the President does the same things and worse. They are right about Trump’s behavior. Therefore, how do I dispute their point?Explain there are two set of laws in our Country. One set for every day citizens and another set for white billionaires. No teenagers will accept that excuse nor could I bring myself to say that to them.

Finally, Trump has forgotten how are Country was formed. The United States has always been referred to as the great America melting pot. Meaning we accept people of all colors, creeds and sexual orientations and by all of us working together and respecting what we bring to the United States that we were building a Country for everyone. However, the last couple of weeks show that Trump does not appear to believe in this concept. His campaign adds use racist symbols and statements. His White House will not acknowledge there is institutional racism in the United States. In fact, when asked they deny it and state it does not exist. How can we expect teenagers not to think sexist and racist behavior is okay when the White House supports sexist and racist attitudes in their statements and actions?

Finally, when will the adults in our Country stand up and say enough is enough? Our children deserve better, but if we allow Trump to continue to be an egotistical, sexist, bigot with no empathy for other people, what are we doing to our children? What are we telling girls or children with disabilities about their worth as people? What are we teaching are children about how to treat some one who is black, hispanic or has different religious beliefs than their’s? We are basically telling children the values used to create the United States are no longer relevant. You only are important and have rights if you are white and your family has a great deal of money. Basically the Constitution is dead if we allow Trump to continue as he is acting now.

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

Money Doesn’t Make You Happy

Money Doesn’t Make You Happy

Being a teenager in today’s world is very difficult. Besides dealing with mass school shootings and now the uncertainty of life due to the Coronavirus, they face other daily challenges. Many teenagers believe they must grow up and have jobs with fancy titles, make a lot of money and drive fancy cars to be a success as an adult. They face stereotypes about how boys must act if they want to be men and girls face stereotypes about how they must act to be considered women. I hear teens tell me everyday how overwhelmed and confused they are trying to fit into all the necessary stereotypes. They feel overwhelmed because at times they are not sure how to act and confused because at times they don’t agree with the stereotype. If they don’t, they are not sure what to do. This is a lot of pressure for a 13 year old child to be trying to cope with on a daily basis. It’s no surprise that many teens turn to drugs as a way to cope. It is also not a surprise that Cutting is at epidemic rates for teens and suicide is now the second leading cause of death for teens (CDC)

Now what if you don’t fit into the stereotypes? What if you suffer from depression? If you have a learning disability? Or if you are homosexual or bisexual? What do these teenagers do? This is how they were born and they cannot change that fact. Many of these teens will struggle trying to fit the stereotypes and also try desperately to hide from friends and family that they do not fit the teenage stereotypes. Some are lucky and parents or a teacher intervene helping them to get the help they need. Many are not so lucky and often choose suicide. Teenagers who are homosexual or questioning their sexuality are five times more likely than the average teen to think about and attempt suicide (CDC). These are very scary and sad facts.

The CDC found one in five teenagers are dealing with mental health issues such as depression, anxiety or stress. Many may think about psychotherapy but quickly block that option. Only “crazy people” need psychotherapy. If they had to go to therapy they are really a “loser.” For teenagers who are willing to try therapy, they often cannot find a therapist who treats teenagers or their family cannot afford it. Also for many cultures such as Latin or Asian, they believe that personal issues need to be resolved within the family and you would never share intimate family issues with strangers. Therefore, for these teens psychotherapy is not an option.

However, as a psychotherapist who specializes in treating teenagers, I hear daily from teens that all they want is to be accepted for who they are and they don’t want to have to always hide. The teen with depression or the learning disabilities wants to be considered just as important as the star quarterback on the football team. They want this from their school, their friends, society and finally from their families. Is this too much to ask for?

These teenagers are not stealing or doing anything to be ashamed of, they are being themselves just the way they were born. Why can’t they be accepted and celebrated? The answer is they can! It is something I teach them in every session we have together. There are organizations such as Alive and Free in San Francisco and Challenge Day in the San Francisco Bay Area who work with teens and society so these teens can feel accepted being themselves.

Another organization addressing this issue is called Born This Way. It was started by Lady Gaga and her organization works with teens and society so all teens feel accepted for who they are just the way they were born. Lady Gaga explains the mission of her foundation this way, “Safety, skills, and opportunity. Number one, I want everyone to feel safe in their community: school, home, whatever city you live in. Two: developing the skills that are needed to be a loving, accepting, and tolerant person, and to also inject that sentiment into all the people around you, being a supportive human being. And the third is opportunity. I believe once you feel safe in your environment and you acquire the skills to be a loving and accepting person, the opportunities for you are endless to become a great functioning human in society.”

For people who do better by hearing something or seeing it, I have included a link to a YouTube video where Lady Gaga explains Born This Way, https://youtu.be/

The concept really is very simple. Why can’t we accept children and teenagers just the way they were born. Every person is unique and everyone has talents to contribute to the world. So why do we pressure boys into the stereotype the must have big muscles and play sports to be a man? Why do we tell girls that boys are smarter and if someone touches them in a way they do not like it is their fault because of the clothes they are wearing. This is insane!

If we do away with the stereotypes and focus on teenagers liking their own personalities and bodies, we would have less cutting, suicide and drug use. We would also have many more teenagers who are happy and successful at life. Being happy is a successful life not a big bank account. Therefore, let’s get started on helping teens. We need people to support more organizations like the ones I named above. If we do we can eliminate the stereotypes and stigma of not fitting a stereotype. We also need to make psychotherapy more accessible to all teenagers and remove the negative stigma associated with mental health care. Now some people may think what I am proposing is impossible and just a dream. However, you are seeing more groups like the ones I mentioned open every year. We are seeing teenagers and parents being attracted to them. It is possible to improve the lives of children and teenagers. It may need to start with a dream. Dreams do come true look at what Walt Disney created with his dream.

Dr. Michael Rubino is a psychotherapist with over 20 years experience working with children and teenagers. He is on the nations advisory board for Alive and Free. For more information about his work and private practice visit his website http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3 or on Twitter @RubinoTherapy.

Don’t Judge A Book By It’s Cover

Don’t Judge A Book By It’s Cover

These last couple of weeks there have been numerous protests regarding how African Americans are treated by police and by society in general. The point that has been being made over and over is that African Americans are not treated fairly in our society. Many people felt that with the election of President Obama that racism was over. Many people felt if a Black man could be elected President, how could our society be racist?

However, the racism and prejudice still continue. The death of George Floyd was a prime example that racism continues in our society. Additionally, the protestors are not just talking about obvious racism, they are protesting institutional racism which exists at many levels in our society. One place in exist is in our schools. Children and teenagers are not born with racism and prejudice, but we teach it to them as they grow up. We need to change how children are raised if we want to eliminate racism and prejudice.

One example is Jill Elliot’s blue eyed/brown eyed exercise. The day after Martin Luther King assignation’s, she put her third grade class through this exercise. At first she told her class research showed that Blue eyed people were better and made all the brown eyed children wear a necklace identifying them as brown eyed people. Within a couple of hours these third grade students, who they day before were treating each other as equals, were putting down the brown eyed children. The next day she said she had been mistaken and Brown eyed children were better so all the blue eye children needed to wear the necklaces. Again within a couple hours all of the Brown eyed third graders were forming prejudice attitudes about the blue eyed children and treating them according to these prejudice attitudes. This amazing exercise demonstrated how easily prejudice and racism are taught and how easily children will adapt to and treat others with the prejudice attitudes they have been taught by society. This was a very bold step for Mrs. Elliot to take, but it taught us a lot. Her exercise still works today. Oprah had Mrs. Elliot on a show and put the audience through the same exercise and 50 years later the results were the same. The thing many of us have found so amazing about this exercise is that with very little information prejudice and racism can take hold of people very quickly without people being aware of what is happening. In the original third grade class you had best friends stop being friends due to eye color. Thankfully the results were not long lasting. On the third day when Mrs. Elliot explained what she did the children stopped treating each other differently. However the point was clearly made how easy it is to teach children to be prejudice and how easy it is to keep prejudice and discrimination going.

The 1984 movie, The Breakfast Club, is another excellent example of how we teach children to be prejudice and to discriminate. In the movie five teenagers representing the common high school stereotypes, the rich popular kid, the jock, the nerd, the weirdo and the juvenile delinquent, are all together having to serve Saturday school for various mistakes they made at school. The teacher overseeing the Saturday school reacts to the teens according to the stereotype the fit. He asks them to write an essay describing themselves.

At the beginning of the movie the teens treat each other according to the stereotypes. As a result, they are rude to each other and put each other down when ever they can. They never stop to think how they are making each other feel even when it’s obvious they are hurting someone’s feelings. It’s all part of the stereotypes they have learned so it’s alright. In other words, they are already operating from a point of view that some people matter and other people do not matter. If they don’t matter you can say or do whatever you want to them and not feel guilty or any remorse.

However during the course of the day, they begin to notice and learn things about each other. They start to learn that they are not as different from each other as they thought. They begin to identify things they have in common and notice they have the same feelings as each other. Once they remove the stereotypes they started to see how similar they were to each other. However, then the question came up, what happens when they return to school on Monday? Could they maintain the friendships they made that day? Finally one person speaks up and says no due to the peer pressure. They felt they would have to continue to follow the stereotypes at school if they wanted to keep their other friends. Even though they had learned how wrong the stereotypes were and the friendships they were missing out on, they felt no one else would understand and accept what they were doing. Since this was a movie they were able to discuss the price they were paying conforming to the stereotypes and the friendships they were losing. At the end they decided to abandon the stereotypes and take the risk of no conforming to the norm, so they could maintain their friendships. Exactly what we need teenagers to do if we are going to eliminate racism and discrimination.

As for the easy, they wrote a group easy for the teacher. They realized that no matter what they said the teacher would still see the stereotypes; the princess, the jock, the nerd, the weirdo and the juvenile delinquent. I find the closing line very interesting because they state what they discovered during the day was each of them had parts of all the stereotypes as part of their personalities. Therefore, no one was better or worse, they were all equal and deserved to be treated equally. They also felt no need to explain themselves to the teacher because in their opinion he was going to continue to see what he wanted. It would not matter to him what they said. He already made up his mind about them.

This movie does an excellent job showing how teenagers learn to conform to society’s prejudices and discrimination. However, it also provides hope that if we take down the preconceived ideas that we may discover the similarities we share and celebrate the our differences. Wouldn’t the world be boring, if we all were the same? Also the United States has always been referred to as the great American melting pot. The meaning is clear our Country was suppose to accept all who want to join and contribute their unique cultures. When did we forget this point?

The children and teenagers are the future of our Country. We need to listen to them and we need to allow them to have experiences like the Breakfast Club. There is a group Challenge Day that does provide this opportunity for teenagers. As adults we need to be honest with ourselves about the prejudice attitudes we teach children. Parents demand that your schools make Challenge Day and other programs like it as part of the school’s Curriculum. We need to end racism, discrimination, people not being given a fair chance to succeed and especially people being killed.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. He is a founding member of the national Street Soldier Advisory Board and has worked with Challenge Day. For more information about Dr. Rubino’s work visit his website at http://www.RubinoCounseling.com or his Facebook page at http://www.Facebook.com/drrubino3.

Teenagers Growing up with Racism

Teenagers Growing up with Racism

This week our nation witnessed another senseless tragedy the murder of George Floyd by the police. Is this the first time that a Blackman or another minority has been mistreated by the police or society no! However, what are we teaching our children with the violent protest that have been occurring all over the Country.

Our children have grown up with chaos. They were first exposed to 9/11, then terrorist attacks, a war which has gone on for 17 years, mass shootings at their schools and finally being in quarantine for 2 1/2 months due to the Coronavirus virus. This is a lot for a child to comprehend. They already believe they won’t live past 30 because of the violence in the world. What will these violent protests do to this belief?

Is there a reason for the protest? Yes. We all saw a man brutally murdered for no reason by the police again. Are minorities treated fairly in our Country, No. I am a psychotherapist who has over 20 years experience working with teenagers. Many of the teenagers I have worked with have been on probation, expelled from school or picked up by the police for walking around our city treats. I have also went to Juvenile Hall many times to continue a teenager’s therapy or to complete a Court Ordered assessment. What I have seen over and over is that minority teenagers are not treated the same as Caucasian teenagers. Minority teenagers always receive the tougher punishments while Caucasian teenagers walk away with a warning. However, financial class makes a difference too. If you are a poor Caucasian teenager you are treated like a minority. One judge even referred to one poor white teenager’s family as “trailer trash.” The teen was devastated but no one in authority gave it a second thought.

What we need to do for our children is elect leaders who will demand a change in the system. The President encourages this discrimination. He called the people “thugs” in his tweet and uses other racial statements. Anytime there has been a racial issue he tends to ignore it choosing to focus on how he is mistreated. Also look at his history of how he has referred to people of color, women, people with disabilities and people who live below the poverty level. He makes fun of them and blames them for the problems in our Country. We can change this with our votes.

However, if we are going to really address the issue we must all look at ourselves. Listen to Michael Jackson’s song “Man in the Miroor.” He states, “I’m going to make a change and I’m starting with the man in the mirror.” We have all been brought up in this society where minorities or anyone who is slightly different is not treated equally. Every person wether you are white, black or brown has some racist attitudes. Therefore, to eliminate the inequality in our Country, we must address our issues first and then teach our children about these issues. Burning a building or breaking car windows will change nothing. The Mayor of Atlanta said it best last night. I have included a link to her speech. I encourage each and every one of you to listen to it and apply to your own lives. Give our children a chance at a better life by having the courage to face your racism https://youtu.be/BVs8JXqLPs8.

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

Coping with Mental Health Issues Created by the Coronavirus

Coping with Mental Health Issues Created by the Coronavirus

The fear of contracting the coronavirus and the fear of the unknown consequences if you do contract the virus is placing many people under a great deal of stress. In addition to the fear of contracting the virus, many worry about transmitting the virus to family members over 65 or family members who have preexisting medical conditions. Adding to this stress is the fact that you may have the virus and not have any symptoms. Therefore, you may have the virus, feel fine and be transmitting the virus to numerous people because you are unaware that you have the virus. Normally, people could be tested to find out if they have a virus or medical condition that is contagious. However, in the situation we are currently in, we do not have the option of getting tested for the virus. Therefore, you have to live with the uncertainty.

Besides the worry and stress about contracting the coronavirus, we also must deal with the quarantine. Our everyday lives have been turned upside down. Many of us are not able to see loved ones and friends like we usually would do. Furthermore, many people cannot work and are worrying about how they are going to pay their bills and buy food. This is another stressor for us and that is food. Many of us are going to grocery stores finding the shelves empty. People are hoarding food even toilet paper because they are afraid stores may close or stores will not be able to get merchandise anymore. Finally, being stuck living with the same people day after day without a break from each other causes stress and arguments.

The Mayo Clinic has been studying the impact that the virus and quarantine have on us and our mental health. Here is what they found:

Stress is a normal psychological and physical reaction to the demands of life. Everyone reacts differently to difficult situations, and it’s normal to feel stress and worry during a crisis. But multiple challenges daily, such as the effects of the COVID-19 pandemic, can push you beyond your ability to cope.

Many people may have mental health concerns, such as symptoms of anxiety and depression during this time. And feelings may change over time.

Despite your best efforts, you may find yourself feeling helpless, sad, angry, irritable, hopeless, anxious or afraid. You may have trouble concentrating on typical tasks, changes in appetite, body aches and pains, or difficulty sleeping or you may struggle to face routine chores.

When these signs and symptoms last for several days in a row, make you miserable and cause problems in your daily life so that you find it hard to carry out normal responsibilities, it’s time to ask for help.

Get help when you need it

Hoping mental health problems such as anxiety or depression will go away on their own can lead to worsening symptoms. If you have concerns or if you experience worsening of mental health symptoms, ask for help when you need it, and be upfront about how you’re doing. To get help you may want to:

• Call or use social media to contact a close friend or loved one — even though it may be hard to talk about your feelings.

• Contact a minister, spiritual leader or someone in your faith community.

• Contact your employee assistance program, if your employer has one, and get counseling or ask for a referral to a mental health professional.

• Call your primary care provider or mental health professional to ask about appointment options to talk about your anxiety or depression and get advice and guidance. Some may provide the option of phone, video or online appointments.

• Contact organizations such as the National Alliance on Mental Illness (NAMI) or the Substance Abuse and Mental Health Services Administration (SAMHSA) for help and guidance.

If you’re feeling suicidal or thinking of hurting yourself, seek help. Contact your primary care provider or a mental health professional. Or call a suicide hotline. In the U.S., call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or use its webchat at suicidepreventionlifeline.org/chat.

Continue your self-care strategies

You can expect your current strong feelings to fade when the pandemic is over, but stress won’t disappear from your life when the health crisis of COVID-19 ends. Continue these self-care practices to take care of your mental health and increase your ability to cope with life’s ongoing challenges.

In addition to the facts above, people who have the virus have been reporting feeling anxious and depressed. They have also reported the virus has impaired their ability to make decisions. The bottom line the virus is creating mental health issues for those dealing with the quarantine, first responders, medical personnel and people with the virus. We are focusing on getting the virus under control which we must do. However, after we get control of the virus, we will need to address the mental health issues created by this pandemic. At this point, we have no idea how many will need mental health care and for how long. Therefore, as we focus on finding a cure, we may want to start to prepare for the mental health issues which will occur after the quarantine.

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

Coping with Mental Health Issues Created by the Coronavirus

Coping with Mental Health Issues Created by the Coronavirus

The fear of contracting the coronavirus and the fear of the unknown consequences if you do contract the virus is placing many people under a great deal of stress. In addition to the fear of contracting the virus, many worry about transmitting the virus to family members over 65 or family members who have preexisting medical conditions. Adding to this stress is the fact that you may have the virus and not have any symptoms. Therefore, you may have the virus, feel fine and be transmitting the virus to numerous people because you are unaware that you have the virus. Normally, people could be tested to find out if they have a virus or medical condition that is contagious. However, in the situation we are currently in, we do not have the option of getting tested for the virus. Therefore, you have to live with the uncertainty.

Besides the worry and stress about contracting the coronavirus, we also must deal with the quarantine. Our everyday lives have been turned upside down. Many of us are not able to see loved ones and friends like we usually would do. Furthermore, many people cannot work and are worrying about how they are going to pay their bills and buy food. This is another stressor for us and that is food. Many of us are going to grocery stores finding the shelves empty. People are hoarding food even toilet paper because they are afraid stores may close or stores will not be able to get merchandise anymore. Finally, being stuck living with the same people day after day without a break from each other causes stress and arguments.

The Mayo Clinic has been studying the impact that the virus and quarantine have on us and our mental health. Here is what they found:

Stress is a normal psychological and physical reaction to the demands of life. Everyone reacts differently to difficult situations, and it’s normal to feel stress and worry during a crisis. But multiple challenges daily, such as the effects of the COVID-19 pandemic, can push you beyond your ability to cope.

Many people may have mental health concerns, such as symptoms of anxiety and depression during this time. And feelings may change over time.

Despite your best efforts, you may find yourself feeling helpless, sad, angry, irritable, hopeless, anxious or afraid. You may have trouble concentrating on typical tasks, changes in appetite, body aches and pains, or difficulty sleeping or you may struggle to face routine chores.

When these signs and symptoms last for several days in a row, make you miserable and cause problems in your daily life so that you find it hard to carry out normal responsibilities, it’s time to ask for help.

Get help when you need it

Hoping mental health problems such as anxiety or depression will go away on their own can lead to worsening symptoms. If you have concerns or if you experience worsening of mental health symptoms, ask for help when you need it, and be upfront about how you’re doing. To get help you may want to:

• Call or use social media to contact a close friend or loved one — even though it may be hard to talk about your feelings.

• Contact a minister, spiritual leader or someone in your faith community.

• Contact your employee assistance program, if your employer has one, and get counseling or ask for a referral to a mental health professional.

• Call your primary care provider or mental health professional to ask about appointment options to talk about your anxiety or depression and get advice and guidance. Some may provide the option of phone, video or online appointments.

• Contact organizations such as the National Alliance on Mental Illness (NAMI) or the Substance Abuse and Mental Health Services Administration (SAMHSA) for help and guidance.

If you’re feeling suicidal or thinking of hurting yourself, seek help. Contact your primary care provider or a mental health professional. Or call a suicide hotline. In the U.S., call the National Suicide Prevention Lifeline at 1-800-273-TALK (1-800-273-8255) or use its webchat at suicidepreventionlifeline.org/chat.

Continue your self-care strategies

You can expect your current strong feelings to fade when the pandemic is over, but stress won’t disappear from your life when the health crisis of COVID-19 ends. Continue these self-care practices to take care of your mental health and increase your ability to cope with life’s ongoing challenges.

In addition to the facts above, people who have the virus have been reporting feeling anxious and depressed. They have also reported the virus has impaired their ability to make decisions. The bottom line the virus is creating mental health issues for those dealing with the quarantine, first responders, medical personnel and people with the virus. We are focusing on getting the virus under control which we must do. However, after we get control of the virus, we will need to address the mental health issues created by this pandemic. At this point, we have no idea how many will need mental health care and for how long. Therefore, as we focus on finding a cure, we may want to start to prepare for the mental health issues which will occur after the quarantine.

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

Why Are We Afraid of Mental Health?

Why Are We Afraid of Mental Health?

Many people in our society appear to feel mental health issues only apply to drug addicts or “street people.” In India they refer to these people as the “untouchables.” In India and here in the United States, we don’t pay a great deal of attention to theses people except for being annoyed how they make our cities look dirty and many people are afraid to walk pass them because they may be attacked or they are afraid of catching some disease from these “street people.” However this is not reality. Mental health impacts adults, children, teenagers and it impacts people who are poor and rich. Also every ethnicity and sexual orientation has mental health issues. The bottom line is mental health impacts all of us. We all have mental health issues just like we all have physical health issues.

By ignoring mental health issues, we are doing a great deal of harm to children and teenagers. By conservative results, one out of every five teenagers has a mental health issue which requires treatment. Since the year 2000, every year the number of teenagers diagnosed with depression and anxiety have increased. Additionally, drug abuse has been increasing as teenagers try to self-medicate. Finally, the suicide rate has increased every year. It use to be the third leading cause of death for teenagers. Now it is the second leading cause of death for teenagers and it is close to becoming the number one leading cause of death for kids 10 years old to 18 years old.

The issue has become so serious that Time magazine and Kaiser Permanente joined together and produced a video discussing the epidemic of mental health issues children are experiencing and the lack of treatment due to our attitudes. Here is a link to the video https://about.kaiserpermanente.org/total-health/health-. Please watch this video so you understand what we are discussing.

As a psychotherapist who treats children and teenagers, I can confirm what this video is showing. Since the year 2000, I have seen an explosion of children and teenagers needing psychotherapy for anxiety, depression, self-mutilating (cutting themselves) and suicide. I have added extra hours but I still cannot meet the demand to see everyone calling my office. This is a major tragedy. Since people are so ashamed of mental health if they call and cannot get an appointment, they will probably give up on therapy. Why do I say this? I say this because the children and teenagers who come in for therapy are embarrassed and ashamed. They tell me there is something wrong with them and they fear they never will get better. Why do they feel this way? They feel this way because they hear how people talk about people with mental health issues and the stereotype that it only happens to “street people.”

We must remove this mental health stigma. This stigma is resulting in the deaths of many children, teenagers and adults. The majority of people who have mental health issues can live happy, productive lives with appropriate treatment. In fact, one of the leading researchers on Bipolar Disorders has Bipolar Disorder and is a professor at Harvard University. Therefore, this outdated stereotype about mental health is costing the lives of children for no reason and is preventing us from making scientific advances. A teenager with a mental health issue may be able to discover a cure for cancer, but it will never happen if the need psychotherapy.

Psychotherapy is not easy and can be very painful. Anyone who is willing to participate in psychotherapy because they need it should be given encouragement and support not looked down upon. It is similar to ancient times when women were considered dangerous and could not be around anyone when they were undergoing their menstrual cycle. We now know this idea is crazy. If you look at the research we know the same facts about mental health. Therefore, why do we continue to use the old stereotype. If we want the mental health issues in children and teenagers to decrease and if we want to decrease the number of people living in the street, we need to provide mental health services to anyone who needs them without making the person feel embarrassed or ashamed.

Some people may say I have no right to say what I am saying. I disagree with that opinion. I am dealing with this epidemic daily, therefore I know what children and teenagers are facing. Part of helping them face their issues is speaking out on their behalf.

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