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.

Try Looking at the Quarantine as a Gift

Try Looking at the Quarantine as a Gift

Many people are tired of being quarantined and demanding that the quarantine be ended. However, medical experts argue that it is too soon. They have stated if we are not careful with the virus there will be a worse wave during the winter and eventually 70% of the people in the United States could contract the virus. While the medical facts are being debated, we can look at and take advantage of the opportunities provided by the quarantine.

Yes, I am not crazy, the quarantine does offer us some great opportunities. Typically we most of us live in a very fast past, chaotic lifestyle. Many times when I try to schedule a psychotherapy appointment for a ten year old child, it is very difficult. Between school, homework and after school sports, most kids are on at least two teams, we can barely find time to schedule a psychotherapy appointment. Now with the quarantine in place we can all take a break and slow down. We can also look at what we have been missing.

A major area to evaluate is your family. Prior to the quarantine, an average family of four did not eat dinner together and spent very little time together. Parents typically saw their children either when they were driving them to school or to practice for a sport. Also spouses often saw each other in the morning on the way out to work and in the evening when they were going to bed. It was not uncommon to hear the primary way that a married couple communicated was via text and email. This communication pattern often extended to their teenagers too.

I have heard from many families that because of the quarantine they have time to talk to each other. So take advantage of this time have game nights, movie nights and reconnect to your children and spouse. Amazon sells games which provide the beginning of a sentence and then the person must finish it. Children and teenagers love this game and it’s a great way to reconnect and find out what is going on in their lives. Also if you look at my Facebook site I have posted several handouts that do the same thing. You and your spouse can do this at a separate time so the two of you can reconnect. Hopefully you will see what you have been missing and make it a routine. So when the quarantine is ended, you could dedicate at least one night where the entire family has dinner together and you spend the evening together playing a game or talking.

Besides reconnecting with your family, you can try to reconnect with friends and extended family. Use your phone to call someone and see how they are doing and what has been going on in their lives. You can use FaceTime or Zoom so it feels more personal. Post on your Facebook page that you want to reconnect and encourage people to message you or call. We spend so much time working, many of us find it very difficult to spend time with friends or extended family. The quarantine gives us that time. Therefore, make the most of it. Typically if you were at home for a week it would be because you are sick. If you are sick, you won’t feel like reaching out to others. The quarantine gives you plenty of time to reach out to others. Therefore, take advantage of the time you have been given.

Finally, you can use this time to re-evaluate your life and how you are spending your time. Are you doing what you really want to do? Do you find you enjoy family time and time with friends? Are you satisfied with your job? Is there a hobby you want to start or try? These are all things you now have time to think about. You may find you are very happy with your life prior to the quarantine or you may decide there are some changes you want to make. If you are not content with how you are living your life, this can lead to depression, drinking problems, gambling addictions, anything to take your mind off the fact that you are not happy. The quarantine gives you time to decide if you are happy or not and if not what you want to do about it. Therefore, my recommendation to people is stop complaining about the quarantine and make use of the time you have been given. Yes the quarantine is boring, but it is necessary for our health. This may help us understand our children and teenagers when we say no to them. Therefore, look at this time as a gift and re-evaluate your life. Take advantage of this time. It maybe the best thing you have ever done for yourself and family.

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

Teenage Boys and Porn Addiction

Teenage Boys and Porn Addiction

I have wrote previous articles about the old stereotype regarding what it takes to “be a man” and how this stereotype negatively affects teenage boys. This stereotype typically leads young men to become sexually active in middle school, according to the current research data, and it also leads to a sense of isolation. Teenage boys have been lead to believe they should be prepared to handle life like a grown man. However, they are not fully mature nor are they prepared to handle everything on the own. However, due to the stereotype they feel they cannot ask for help or share their concerns with their friends. Hence they feel isolated, alone and like failures at the age of 16 years old.

This article is going a step further and discussing the epidemic of addiction to porn that many teenage boys and men are dealing with today. In our society sex is a tabooed subject. It is unusual if anyone sits down with a teenage boy and discusses sex. They typically learn by talking to friends, having sex or the most common way pornography. However, no one discusses how to treat a sexual partner, diseases you can catch and the importance of mutual consent.

Many parents may feel this issue doesn’t apply to their son. However, with the internet being available on laptops, game centers and phones most people stumble on to pornography by accident and very easily. Look online for yourself. It is very easy to access pornography in today’s world. Most research studies indicate that most boys have been exposed to pornography between the ages of 8 years old and 10 years old. Their young minds are not prepared to process what they are seeing nor are they prepared for the feeling they experience and how their bodies respond to what they are seeing. They continue to watch and to go back to the sites over and over and many become addicted. Even though pornography addiction is not a formal psychiatric diagnosis yet, most research studies have concluded that the number of teenage boys visiting porn sites at least once a day has reached epidemic rates. Some teenage boys have self reported going to porn sites five to 10 times a day. Therefore, while the DSM V does not list porn addiction as a formal diagnosis, many researchers and clinicians believe that people especially teenage boys can become addicted to pornography.

Lisa Ling did an episode about porn addiction in her series This is Life. I have included the YouTube link here to the episode. YouTube does charge $1.99 to watch the episode but if you have teenage boys it is well worth the cost. She was able to talk to men in their thirties, homosexual men and an 18 year old high school senior who openly discussed their struggles with pornography and masturbation. They all explain how easy it was to become addicted but how difficult it is to stop. Some men had been trying for years to stop using pornography and still can’t succeed. Here is the link https://youtu.be/UqoCg9Srs18.

Additionally, these men and teenager discussed how pornography has negatively impacted their lives. Besides the guilt and shame they felt about their addiction, they reported difficulties with obtaining and maintaining an erection. Many also reported a decreased interest in having sex. They no longer felt interested in women sexually. They stated they were sexually interested in pornography only. One man stated the only way he could have sex with a woman was to fantasy about porn. Many of you may think these issues primarily pertained to the men in their thirties or 40s. Well these issues impacted the entire group even the 18 year old high school senior. The 18 year old high school senior reported he was only able to get an erection if he was watching pornography. He also stated he no longer was finding girls his age sexually attractive. He stated he found he was more attracted to pornography and despite his desire to stop he was not able to stop watching pornography.

Overall most of the men reported feeling isolated and lonely due to pornography. They felt embarrassed to tell their families or to seek help. Even if they wanted help, they did not know where to go to get help. The man who arranged this group that Lisa interviewed started a website NoFab. It is an online support group helping men over come their addiction to pornography and masturbation. When I say men, most guys on the site are between 18 and 24 years old. This site found that teens between the ages of 13 and 16 are at the greatest risk for becoming addicted to pornography. Most likely because at that age a boys hormones are out of control and they have little to no sexual experience. So unfortunately what they learn about sex comes from pornography a fantasy world.

This subject also pertains to teenage boys during the quarantine. How many teenage boys are spending more time in their bedrooms on their laptops and smartphones. How many are bored of being in the house and looking for something new. Well pornography is new and can eliminate being bored. We have no idea how many teenage boys may be starting their pornography addiction during the quarantine.

Father’s if you noticed changes in your teenage son in the past and you think it may be related to pornography or if he is spending a lot more time in his room since the quarantine then talk to him about pornography. However, do so calmly and gently. Remember how you felt at his age and if the subject of sex came up. You don’t want to embarrass him or make him feel his sexual feeling are wrong or perverted. Explain that pornography is a fantasy and not reality. It is adult entertainment not entertainment for teenagers. Also explain how it can give a boy the wrong idea about how to treat a woman or what she really wants. Basically, do not be afraid to have an open, frank discussion about sex and pornography. Also don’t be afraid to ask if they feel they are having problems with pornography. Reassure them if they are, you will not get mad and you will help them find help for the issue. Remember don’t shame them. Be there as their father to eliminate the lonely, isolated feeling and help them on the road to recovery. Also tell them how proud you are that they were brave enough to speak up and ask for help.

If your teenager needs help look for a psychotherapist who specializes in teenagers, addiction issues and sexual issues. Pornography addiction is not like being an alcoholic. A person can stop drinking alcohol, however, they cannot stop having sexual feelings. Sexual feelings are part of being human so they have to learn a new way to relate to their sexual feelings.

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

Could My Child have ADHD?

Could My Child have ADHD?

School is now in its second semester and many parents are tired about fighting over homework or telephone calls from school that their child is being disruptive in class again. The school or family members may be suggesting to parents that the child has ADHD and needs medication. Many parents are not sure about the diagnosis and they are concerned about their child taking ADHD medication. I hear this very often from parents and do many assessments on children to determine if a child has ADHD. Yes ADHD is a really disorder, but too many teachers and schools rush to the conclusion that a child has ADHD and needs medication.

According to statistics by the American Psychological Association, five percent of children in the United States have ADHD. It is also more common in males and it does tend to run in families. According to the CDC 15.9% of boys and 5.6% of girls have ADHD. However, not every child who has ADHD requires medication. Many children can be treated with psychotherapy and behavior modification. Therefore, if your child is diagnosed with ADHD do not rush to medicate your child. There are different subtypes of ADHD and different severities of the diagnosis.

If you child does have ADHD, they are entitled to accommodations such as extra time taking a test. It’s important to get them the accommodations they need. Children who have ADHD, but do not receive accommodations tend to show signs of low self-esteem around the fifth grade. These would be covered by a 504 plan. However, if your child has severe ADHD and needs resource assistance too, they are entitled to an Individual Educational Plan (IEP). Many schools may tell parents ADHD does not qualify for an IEP. This is not true. The severity of the ADHD determines if a child needs an IEP. They would qualify under the categories of Emotional Disturbance or Other Health Impairments.

If you feel your child may have ADHD or their school suggests the idea, make sure you have your child appropriately assessed by a professional who specializes in ADHD. In the past schools would often diagnosis children with ADHD. Schools are no longer supposed to make this diagnosis. If they feel a child might have ADHD, they are supposed to have your child evaluated. Many parents take their child to their pediatrician, however, many pediatricians are not trained in diagnosing ADHD. I would suggest having your child evaluated by a mental health clinician trained in working with children and in assessing for ADHD.

As I stated above, if you are going to have your child evaluated for ADHD, make sure you take your child to a mental health clinician who specializes in children and in doing assessments. The assessment for ADHD is not very difficult and an appropriate evaluation by an appropriate mental health clinician should cost around $250 depending on where you live. I have seen some parents who have spent thousands of dollars getting CT scans, MRIs and PET scans. You do not need an expensive scan of your child’s brian to diagnosis ADHD.

The DSM V, the diagnostic manual that mental health clinicians use, list the criteria needed for the diagnosis. I am including a link to the Center for Disease Control which list the criteria for the diagnosis and other information about ADHD, http://www.cdc.gov/ncbddd/adhd/diagnosis.html. Typically the diagnosis can be made by a clinician interviewing the parents, having a play session or two with the child and observing the child at school or consulting with the teachers. However, remember if you are going to have your child evaluated for ADHD, you want a mental health clinician who specializes in treating children and assessing children for ADHD. Your child’s pedestrian should be able to refer you to someone or if you call your insurance they will probably have referrals.

Before you rush to have your child assessed, remember some basic facts. Most children between the ages of two to five are very active. They also have very short attention spans. Sometimes you need to give a child some time to mature especially if you have a boy. Remember boys mature slower than girls and tend to be more active than girls. It is important to keep these facts in mind when you are wondering if your child has ADHD.

Now if you child is more hyperactive than other kids his age or his attention span is shorter than most kids his age, there might be an issue. Also if there is a strong family history of ADHD in the family such as his father had ADHD as a child and paternal and maternal uncles all had ADHD as children, there might be an issue. Also if your child was born premature or there were complications during the pregnancy or child birth, there might be an issue. Premature babies or babies with a difficult pregnancy or birth are more likely to have ADHD and learning disabilities.

Bottom line, if someone suggests that your child has ADHD don’t rush to the pedestrian seeking medication. Compare your child’s behavior to other children and consider the risk factors. If your child doesn’t have many risk factors for ADHD maybe wait six months and reassess the situation. The most important thing to remember is if you decide to have your child assessed for ADHD, make sure you go to a mental health clinician who specializes in children and ADHD. You want a mental health clinician who specializes in treating children with ADHD and assessing children for ADHD. Also remember you do not need any expensive scans like a CT scan. There are other treatment options besides medication, so do not rush to medicate your child either. Consider all the treatment options.

Dr. Michael Rubino specializes in treating children and assessing children. He has over 20 years experience treating and assessing children and teenagers. For more information about Dr. Michael Rubino’s work visit his websites at http://www.rcs-ca.com, http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/Drrubino3

Teenagers and Valentine’s Day

Teenagers and Valentine’s Day

Valentine’s Day is coming and if you have a teenager so is teenage drama. There are two main issues which parents and faced with around Valentine’s Day. The first issue is if your teenager is not dating someone. Your teenager is embarrassed and feels like no one will ever love them. The second issue is if your teenager is dating someone. Then there are issues such as gifts, the cost of the gifts and how late they can stay out on Valentine’s night. To many adults some of these issues seem very clear cut, but to some teenagers it’s a matter of life or death.

Let’s start with the first issue, your teen is not dating anyone. This can make them feel worthless, ugly and they may even feel no one will ever love them. The teenage years are very confusing especially when it comes to a teenager’s self-esteem. Most teens are trying to live up to their image of a “normal teenager.” If your teenager is not dating, explain to them that many teenagers do not date in high school. In fact, many people do not start dating until college. Try explaining some of your high school experiences if you feel that would help. Also point out their positive traits and things they do that you are proud of. Help their self-esteem by pointing out things they may over look. Try to change the focus slightly for them. Discuss that St. Valentine’s Day is about being with people who you love and care about. Maybe you can go out as a family for dinner or they have some friends who also are not dating and maybe they can do something together. The main point is let them know whether someone is dating or not it has nothing to do with their self-esteem and when they are ready they will start dating too. Do as much as you can to destruct the “average teenage image” that is incorrect.

If your teen does have a girlfriend or boyfriend, there are a number of different issues you get to confront. The first issue is gifts. Many teenagers have no concept of money and plan these elaborate gifts for their valentine. As they start to assembly the gifts, the quickly determine that they cannot afford everything they planed on buying. At this point, many teens expect mom and dad to help out because it’s Valentine’s Day. This is when mom and dad need to discuss with their teenager about budgeting money. Also it’s important to discuss what is appropriate and not appropriate at their age for gifts. For example, diamond earrings from Tiffany’s are not appropriate. Instead, may be they can buy flowers, a card or go to an outlet and look at costume jewelry. Also explain it’s really the thought that counts not how much or where they purchased the gift. For example, if their Valentine has a teddy bear collection that would be appropriate and showed you had been paying attention to the things that are important to them.

When your teen is dating another major issue is curfew and what they will be doing. Since St. Valentine’s Day is a romantic day, many teenagers may be planning on having sex. Unfortunately, in today’s world teens are becoming sexually active often around the sixth grade. However, typically sixth graders do not consider oral sex as being sexually active. Therefore, St. Valentine’s Day is another opportunity to discuss sexuality with your teenager. You can explain your expectations, the consequences of being sexually active (pregnancy and STDs) and precautions they need to take if they decide to become sexually active. Just because you discuss precautions doesn’t mean you are giving your approval and you can tell your teenager that fact.

Besides discussing sexual activity take this opportunity to discuss drinking alcohol or using drugs. Many teens believe vaping is now safe, but we still do not have all the answers and teens need to beware of these facts. They also need to be aware that using some drugs just once can cause someone to die or become addicted. Again they need the real facts so they can make responsible choices. For example, antidepressants and drugs for ADHD do not interact well with street dugs such as molly or pink and can result in death.

These are a few examples of what parents of teenagers face today. My best advice is not to avoid the subjects. Look at this as an opportunity to improve your communication with your teenager and to ensure they are getting the appropriate information. You cannot stop what they will encounter or do once they walk out your front door, but you can do your best to prepare them and to let them know you are always there no matter what. If they make a mistake, you prefer to help them deal with it appropriately rather than hide it from you.

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

Teenagers and Dating Relationships

Teenagers and Dating Relationships

Having a girlfriend or boyfriend is very important to many teenagers. Often teenagers feel defective if they do not have a girlfriend or boyfriend. Many people are familiar with this line, “you complete me,” from the movie, Jerry McGuire, starring Tom Cruise. A deaf couple signs this message to each other in an elevator and Tom Cruise’s character assumes they must really be in love. However, this may not be the reality. In reality it may be an unhealthy relationship.

As a psychotherapist with 20 years experience treating couples and teenagers, I have observed a common mistake that many people make regarding relationships and love. Many people tell me they feel an emptiness inside themselves and describe it as a “big empty hole.” They assume that a relationship will fill this emptiness. In other words, they are relying on their partner to eliminate the empty feeling they are experiencing.

This is a mistake. The only person that can fill that emptiness you feel is you. When I work with couples or an individual who is experiencing this emptiness, they usually are upset with their partner. They are upset because their partner is not filling the emptiness. Also the other partner is frustrated because they are tired of having to constantly reassure their partner. They report they are tired of always having to worry about meeting their partner needs and that their needs are constantly being pushed aside.

This type of pattern is very common in relationships where there is domestic violence or a substance abuse problem. Also jealousy is a major issue in these relationships. The person who is experiencing the emptiness is very sensitive to feeling rejected or abandoned. This is usually a result from childhood issues that have never been addressed. However, as an adult, if they sense these feelings in their relationship they tend to over react to them. The person may drink excessively to reduce their fears and men often result to verbal or physical abuse. Anything that will keep their partner in the relationship and continue to fill the empty space.

This tends to occur because as we grow up there is a great deal of pressure for people to be in relationships. You see this in children in first grade or kindergarten when adults jokingly ask children if they have a boyfriend or girlfriend. If a child doesn’t they often feel there is something wrong with them.

I see this issue a lot with teenagers. I have teenagers who feel they are defective because they never had a girlfriend or boyfriend. This defective feeling increases significantly, if the teenager never has been on a date. They believe if they are going to be a “normal” teenager, they must at least be dating. Boys tend to believe they must be sexually active too. I have had teenagers tell me they felt suicidal or were using drugs because they did not have a girlfriend or boyfriend. They are willing to risk their lives using drugs or believe they are better off dead, if they don’t have a girlfriend or boyfriend. They are so tied up trying to live the stereotype, they can’t believe that many teenagers do not have a girlfriend or boyfriend and do not date in High School.

This pattern continues into adulthood. Many women feel defective if they are 30 years old and not married. Men feel as if they are not men if they do not have a girlfriend. Both men and women often settle for anyone as long as they can say they are in a relationship.

As children, we never learn how to love and care for ourselves. Ask someone if they would go out to dinner by themselves and most people look terrified by the idea. They have no idea what they would do and they are afraid about what other people with think. This is a sad state that we cannot love ourselves. If we always need someone to reinforce we are lovable, we turn our power over to strangers. If someone says something nice about us we feel good, if they say something hurtful, we feel unworthy as a person. But, why should someone else determine our value? We should be the one who judges if we are lovable or not. A relationship should add to our life like a bottle of wine adds to a meal. A relationship should not define us as a person.

As a result of this problem, many couples end up divorcing because a partner is tired of having to reassure their spouse daily. I have seen these divorces become very nasty and costly. So both parties are hurt even more and so are the children. They only people benefiting are the attorneys.

We also have this same issue with teenagers. However, when they break up it tends to be more dramatic. A teenager may start to use drugs, develop an eating disorder, start cutting, become depressed and may attempt suicide. The behaviors are not uncommon after teenagers break up.

We see this acting out behavior more in teenagers and children. Teenagers and children are desperate to feel that they are loved by their parents especially. If they don’t feel they are loved, there is a tendency to act out. Disney’s movie, Frozen, has a segment where the trolls explain that if someone doesn’t feel loved they may act out in pain or make poor decisions in an attempt to find love. Oprah, during her last show, had a very good way of expressing this need. She stated, “everyone wants to know: ‘Do you see me? Do you hear me? Does what I say mean anything to you.” The program Challenge Day, which Oprah recommends, states what teens are looking for this way: every teenager wants to feel safe, loved and celebrated. I see it every day, when teens don’t feel loved, they act out. Negative attention is better than no attention.

How do we handle this issue? We need to start to acknowledge as a society that a relationship doesn’t make you a complete person. Only you can make yourself feel complete as a person. Also we need to remove the stigma of seeking mental health care. We need to encourage adults who feel incomplete without a relationship to seek psychotherapy and deal with their issues. Parents, if you notice that your teenager is desperate to be in a relationship, help them get psychotherapy so they can deal with the pain they are feeling. Remember this emptiness feeling typically begins in childhood. Therefore, if we show children and teens that they are loved or get them help when they are acting out, we can prevent them from dealing with this emptiness for years.

Again, please remember a relationship should add to your life, it should not make you a person or define you as a person.

Dr. Michael Rubino has 20 years experience working with families and teenagers. If you would like more information about his work or private practice visit his website at http://www.rubinocounseling.com or his Facebook page http://www.Facebook.com/drrubino3.

Honoring Dr. Martin Luther King, Jr.

Honoring Dr. Martin Luther King, Jr.

Today is Martin Luther King, Jr. Day. The purpose of this day is to honor the memory of Dr. King and his message of acceptance and tolerance. However, are we honoring his memory and message? An argument could be made that no we are not honoring him or his message. In fact, you can say we have forgotten his message. Hate crimes have been increasing and antisemitic acts have increased significantly. Some people are trying to find out why, but the Executive Branch appears to be ignoring these changes.

In addition to an increase in hate crimes, we have had mass shootings targeting people who were homosexual or Jewish. This does not honor Dr. King and his message of love and acceptance.

If we are not honoring his message, what are we teaching children born after the year 2000? These children never had a chance to be exposed to Dr. King’s message nor have they seen the discrimination that has occurred in the past. Many teenagers are wearing shirts or getting tattoos with racist symbols. Many of these teens have no idea what these symbols really mean. For many people we have felt we made a great deal of progress in our country regarding race relations. In fact, we had an African-America President. Therefore, some people have feel we qdo not need to teach children about past discrimination.

However, discrimination based on race, color, creed, sexuality and physical ability is very much alive in the United States. We do need to teach children about Hitler and the Holocaust. We need to teach children about the White Supremest. We need to educate our children about their message and their symbols they use. We also need to educate children about how easily these people can come back and that discrimination still exist in the United States.

Dr. King’s message was to accept everyone and respect their human dignity. We have no right to judge someone based on race, color, creed, sexuality or physical ability. We are all human beings and deserve to be treated respectfully. He did point out that there are people who will decide to judge and hate others based on differences. Dr. King, like Ghandi before him, pointed out that we accept these people too. They are still people even though they are choosing to be cruel to others.

While he told people to acknowledge these people as human beings, he did not say to accept their hate. His message, like Ghandi, was nonviolence. You can accept the person without being cruel to them because of their message. Dr. King believed the power of love is stronger than the power of hate. Finding away to accept and love those who judge you is the strongest way of fighting the hate in their hearts.

If we look around, this message is still be taught to children. As adults we need to reinforce it. The Disney movie Frozen is an example. In the movie it teaches children how if someone does not feel love they will act out and make poor decisions. It also teaches that “love will thaw.” In other words, love is a stronger force than hate and can eliminate hate. This movie also looks at judging people based on differences. So here is a modern day example of Dr. King’s message. Love and acceptance will triumph over hate. As adults we need to reinforce this message to our children.

The High School Musical movies, by Disney, teach kids to accept people for who they are, not based on stereotypes. Therefore, a very smart girl can be pretty and a great dancer. A boy who is great at basketball can also enjoy baking and be a great baker too. These are great examples of accepting people for who they are and who they were meant to be. This is Dr. Martin Luther King’s message.

It is very important that we do so at this time in our country. We have people killing people due to the color of the skin, their religion or sexuality. This is not what Dr. King was teaching us. We have people in our government who want to treat people differently because of their color, religion or sexuality. Again this is not Dr. King’s message. Dr. King did not want us to hate these people either. He encouraged all of us to accept and love each other. Love can triumph over hate. It has in the past and it can again.

Therefore, in order to honor Dr. King and his message sit down with your children and teenagers and educate them about Dr. King’s message. Love is stronger than hate. I have included one of his quotes at the top of this blog that you can use.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating teenagers and children. He is also one of the founding members of the National Alive and Free Board. For more information regarding his work or private practice visit his website http://www.RubinoCounseling.com or his Facebook page http://www.facebook.com/drrubino3.

Grieving During the Holiday Season

Grieving During the Holiday Season

It’s the Holiday Season a time to spend time with family and friends. However, many people have lost a loved one this year or they are still grieving the lost of a loved from from last year or the year before. Grief has no time limits on how long it will last. I have had many patients ask me how to respond to a family member or friend who is grieving especially during this time of year. People ask me questions about grief because our society has a very difficult time with death and grief. We try not to discuss it and avoid the topic. With a mass shooting happening every 1.2 days (CDC). It becoming very difficult to avoid this topic.

While doing research regarding grief for patients who have asked me what to say to grieving people, I found this information from the grief center. I think it is very good information and very easy to understand. Therefore, I will present the information in three sections.

The 10 Best and 10 Worst Things to Say to Someone in Grief

Sheryl Sandberg’s post on Facebook gave us a great deal of insight into how those in grief feel about the responses of others to loss. Many of us have said “The Best” and “The Worst.” We meant no harm, in fact the opposite. We were trying to comfort. A grieving person may say one of the worst ones about themselves and it’s OK. It may make sense for a member of the clergy to say, “He is in a better place” when someone comes to them for guidance. Where as an acquaintance saying it may not feel good.

You would also not want to say to someone, you are in the stages of grief. In our work, On Grief and Grieving, Elisabeth Kubler-Ross and I share that the stages were never meant to tuck messy emotions into neat packages. While some of these things to say have been helpful to some people, the way in which they are often said has the exact opposite effect than what was originally intended.

The Best Things to Say to Someone in Grief

1. I am so sorry for your loss.

2. I wish I had the right words, just know I care.

3. I don’t know how you feel, but I am here to help in anyway I can.

4. You and your loved one will be in my thoughts and prayers.

5. My favorite memory of your loved one is…

6. I am always just a phone call away

7. Give a hug instead of saying something

8. We all need help at times like this, I am here for you

9. I am usually up early or late, if you need anything

10. Saying nothing, just be with the person

The Worst Things to Say to Someone in Grief

1. At least she lived a long life, many people die young

2. He is in a better place

3. She brought this on herself

4. There is a reason for everything

5. Aren’t you over him yet, he has been dead for awhile now

6. You can have another child still

7. She was such a good person God wanted her to be with him

8. I know how you feel

9. She did what she came here to do and it was her time to go

10. Be strong

Best & Worst Traits of people just trying to help

When in the position of wanting to help a friend or loved one in grief, often times our first desire is to try to “fix” the situation, when in all actuality our good intentions can lead to nothing but more grief. Knowing the right thing to say is only half of the responsibility of being a supportive emotional caregiver. We have comprised two lists which examine both the GOOD and the NOT SO GOOD traits of people just trying to help.

The Best Traits

Supportive, but not trying to fix it

About feelings

Non active, not telling anyone what to do

Admitting can’t make it better

Not asking for something or someone to change feelings

Recognize loss

Not time limited

The Worst Traits

They want to fix the loss

They are about our discomfort

They are directive in nature

They rationalize or try to explain loss/li>

They may be judgmental

May minimize the loss

Put a timeline on loss

The above information is meant to be used as a guideline. Everyone goes through the grieving process in their own way. It is very important to understand that point. It is also important to remember while the above is a guideline, the most important thing is your intent. So if you say a worse thing but you said it out of love the person will understand. The guideline will hopefully make you more comfortable to offer support to your grieving loved one or friend. Because someone who is grieving need people to talk to without people feeling awkward.

Dr. Michael Rubino is a psychotherapist who has over 20 years experience treating adolescents, children and their families. For more information regarding Dr. Rubino visit his website http://www.rcs-ca.com or on Twitter @RubinoTherapy