A Mom is Not Always the Person who gave Birth to You

A Mom is Not Always the Person who gave Birth to You

Tomorrow is Mother’s Day and many people will be celebrating it with the person who gave birth to them and raised them as a child. However, this is not the case for everyone. For some people their mother died during childbirth or due to cancer or a car accident. The point is the mother who gave birth to them may not have raised them. This is the same for situation for anyone who was adopted. This also may apply to people who grew up in foster care or for people who’s mother had a drug or alcohol addiction. This situation may apply to many children and teenagers right now.

The point I am trying to make is just because someone gave birth to a child it does not make them a mom. It does make them a mother, but a mom is the person who is their when you are sick, struggling with your homework or you are being teased at school. They teach you about the world and they let you know that they will always love you. They will love you their entire life no matter what happens in your life. This provides a child with a sense of safety and self-esteem.

However, Mother’s Day focuses on the person who gave birth to a child not the person who necessarily raised the child. For many children and teenagers this leaves them feel confused and like they are different from others. They feel this way because they don’t have a relationship with their birth mother. They have a relationship with the person who raised them and that is mom to them. Many feel strange wishing the person who raised them Happy Mother’s Day because that is not how we tend to think about Mother’s Day.

I have had many teenagers ask me what they should do about Mother’s Day because they were not raised by their biological mother. Maybe they were raised by their grandmother or a foster mother. What I explain to them is being a mom takes more than just giving birth to a child. I also explain that someone may give birth to a child but because of life circumstances they are not prepared or able to be a mom. This doesn’t mean they were not loved by their birth mother. It simply means their birth mother for what ever reason was not capable of being a mom. Therefore, instead of being selfish, they allowed someone who was ready to be a mom to raise them. It is very important to let the teenager know that just because their birth mother was not capable of being a mom does not mean they were not loved or wanted.

Regarding Mother’s Day, I let them know there is no problem celebrating it and acknowledging the person who raised them. Again it might be an adoptive parent, a grandmother, a foster mother or a combination of people. The point is they have the right to celebrate and acknowledge whoever feels like mom to them. They do not need to worry about what other people may think. I also point out that whoever they choose to acknowledge and celebrate the day with will feel honored. Many children don’t get to choose who was a mom to them, but they do. Being a Mom is one of the most important jobs a woman can have in life. If you are deciding to honor someone as your Mom they will feel very lucky. They will feel happy that you think so much of them that you want to honor them on Mother’s Day. Therefore. don’t worry about what others may think, celebrate the day with the person you identify as Mom.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers and trauma victims. If you would like more information about his work or private practice visit his website at www.RubinoCounseling.com or his Facebook page at www.Facebook.com/drrubino3 or his podcasts on Spotify and Apple.

Yes, You can Take Your IEP to College

Yes, You can Take Your IEP to College

Working with children and adolescents I have had many parents ask about 504 plans and Individual Educational Plans (IEP). Parents tend to focus on the assistance their child may need in elementary or high school due to a learning disability or mental health issues. Working over 20 years as a psychotherapist, what I have observed is that children who need assistance in elementary and high school typically need assistance in college. However, many students are not aware that they are entitled to assistance in College too. Now that schools and colleges are reopening many college students are planning on returning to campus and high school seniors who are graduating are preparing to leave for college. Parents are trying to anticipate what their child will need at college, such as laptops etc. However, do not forget their Individual Educational Plan (IEP) so they can arrange for accommodations at their college.

From my experience, most families assume there is no assistance in college. However, typically if a child has an IEP, they are also entitled to assistance in college. Most colleges in their Counseling departments have people and programs designated to help disabled students. A student with a physical or learning disability or mental health issue such as ADHD or depression would qualify for assistance by the Disabled Students Program at a college. I have recently been receiving many questions from Parents about what happens to their child’s IEP when the go to college and questions from parents who have college freshmen asking about their child’s IEP. Therefore, I thought it would be beneficial to provide information about how IEPs are handled by colleges. In addition to an IEP, any student with a learning disability or mental health issue is entitled to accommodations by their college because they are covered by the Americans with Disabilities Act of 1991.

Additionally, if you live in California and you have a physical or learning disability or a mental health issue and if you had or did not have an IEP while in school, you may qualify to be a client of the California Department of Rehabilitation. This Department is responsible for assisting people in California, with a disability, find a job and get the education they may need to find a job. The Department may assist their clients by providing tuition assistance for community or state colleges and provide financial assistance to buy text books and school supplies. What they are able to do depends on the State budget.

This is another reason for parents to insist when their child does need an IEP that the school district places the child on an IEP. The lies schools tell parents that an IEP will prevent their child from getting into a college, the military or getting a job are not true. Another reason to insist on the IEP, if your child qualifies for an IEP, as a result of having an IEP, your child can be granted accommodations on the SAT or ACT. These are tests seniors typically need to take when they are applying to four year universities. The common accommodation most students require is additional time to complete the tests. I have had many teens with ADHD come to me seeking accommodations on the SAT or ACT. A common requirement that the testing boards require is that a student needs to have had an IEP if they are seeking accommodations on these tests.

Therefore, many students who have disabilities or mental health issues can receive assistance in college. While many people may be surprised, it is true. However, for many college students finding the assistance can be confusing and overwhelming. For a Freshman in college, dealing with heath or mental health issues, the confusion and embarrassment the feel at times because of society’s stereotypes can cause students to give up. The best place for a college freshman to start is the student counseling center. They can then direct them to the correct department and they can avoid some of the embarrassment and confusion.

Also I was contacted by bettercollege.com with a resource guide they developed for college students with mental health issues. While their guide was created for students with mental health issues, it can also be used as a guide for students with physical or learning disabilities. This guide can help a student not feel so overwhelmed or embarrassed too.

Since I feel this is a valuable guide to Freshman students and their families, I am including a link to this resource guide below:

Guide to College Planning for Psychiatrically Impaired Students – https://www.bestcolleges.com/resources/college-planning-with-psychiatric-disabilities/

Dr. Michael Rubino is a psychotherapist with over 20 years experience working with children, teenagers and college students. For more information about Dr. Rubino’s work and private practice visit one of his web sites www.RubinoCounseling.com or www.rcs-ca.com or his Facebook page www.Facebook.com/drrubino3.

As Schools Reopen the Issue of Bullying Returns Too

As Schools Reopen the Issue of Bullying Returns Too

As more people in the United States are vaccinated for the Coronavirus, we are seeing the number of cases and deaths significantly decline. While we have not over come the Coronavirus yet, we are able to start to resume many everyday activities. One of these activities is reopening schools and children and teenagers returning to school.

Before the pandemic most kids and teenagers complained how they hated school and wanted to stay home. However, after a year of remote learning most kids and teenagers want to go back to the classroom and also see their friends again. However, as kids return to school a common issue will return. The issue is kids being teased and bullied. In the 21st century bullying doesn’t just happen at school it now occurs on line and via texting too.

Often when a child is being bullied they do not say anything to their parents until the bullying is really bad. They are afraid, especially boys, that you will see them as weak. They are also afraid that you will be disappointed in them for not defending themselves. Parents it’s important that you understand that you have not said anything or done anything to create this feeling in your child. Our society teaches children these messages, especially boys. Children receive these messages about being strong and solving their own problems from television, music, and video games. This is what the documentary “The Mask You Live In”, is trying to address. It is on Netflix and it might be helpful if you watch it.

It is very important to take bullying very seriously these days. It is no longer just one kid calling another kid names. The bullying today occurs at school and may include threats of being killed and it goes beyond school. Now bullies can continue their bullying via text messages, emails, Facebook, Twitter, Instagram and Snapchat. So the bullying becomes non-stop. It can really make someone feel worthless and that they would be better off dead. One example of a child being overwhelmed by bullying is a 13 year old boy, on the east coast, who committed suicide because he could not tolerate the bullying any longer. The boy committed suicide to escape the bullying. He is not the first child to commit suicide due to bullying. One 15 year old girl committed suicide due to bullying and she left a note to be placed in her obituary. In the note she asked kids to be kind to each other. Some kids are turning to drugs and alcohol to numb the pain and we are seeing a significant number of accidental overdosages resulting in teenagers’ deaths. We assume they were accidents, they could also be suicides staged to look like accidents. Also suicide has recently been moved from the third leading cause of death for kids 10 to 18 years old to the second leading cause of death for kids. Therefore, if kids have been commuting suicide to escape bullying, the rate of bullying has most likely increased significantly.

Bullying is not just an elementary school issue. It occurs in High School and College too. A few years back a college student committed suicide because his roommate secretly filmed him in his dorm room with another guy having sex. When the tape was posted on the college’s email for others to see, the boy was so ashamed because he had not made it publicly known that he was gay. He was so upset and humiliated that he ended up committing suicide.

As the rates for bullying in middle schools increase so do the number of suicides and drug use increase. However, this issue also occurs in elementary school and elementary students are committing suicide or starting to use alcohol and marijuana. We know it is a very serious problem in Elementary schools because suicide it is no longer the third leading cause of death for 10 year old children. Suicide is now the second leading cause according to the CDC statistics. Also fifth graders are beginning to use alcohol and marijuana.

Additionally, I am seeing more and more elementary students in therapy because they are being bullied on line or at school as schools reopen. Many of these children are embarrassed because they feel they should be able to stop the bullying. They are also embarrassed and often don’t want me to tell their parents because they believe they must of done something to deserve being bullied. I explain to them they do not deserve it and they should not have to stop it on their own. I also explain that their parents would want to know so they can help them. I need to emphasize that Mom and Dad won’t blame you or be ashamed of you. It is amazing to see how relaxed these children become when I tell them this about their parents.

What should a parent do? One thing is parents should watch for the following warning signs that your child is a victim of a bully:

Avoiding activities they used to enjoy

Loss of friends or avoiding social situations

Problems sleeping

Complaining of stomachaches or headaches

Loss of appetite

Declining grades

Missing or damaged clothing or belongings

Self-destructive behaviors like running away from home

If you notice any of these or just have a sense something is wrong then talk to your child. However, when you talk to your child reassure them they did nothing wrong, there is nothing wrong with them and you are not upset or disappointed with them. Try to develop a game plan of how you are going to deal with it together and ask how you can be supportive. Also ask your child to promise you if they feel really sad like they want to hurt themselves that they will talk to you before they do anything. You may think this is ridiculous, but I use a no suicide contract with many children that I work with and they honor it. The contract lets them you know that you care about them and it is okay to talk about their feelings.

The other thing you can do as a parent is go to your child’s school and ask what is the school’s policy on bullying. You can also ask how the school watches for bullying, how is the policy enforced and what is being done to prevent bullying. You may ask the school to contact or you can volunteer to contact a group such as Challenge Day. This is an international organization that addresses bullying and they are located in Concord, California. I have seen their work and it is fantastic and kids love it.

Another thing you can do as a parent is start talking to your child about bullying on an occasional basis. This gives you a chance to let them know it’s not their fault and to develop a plan of action if it does occur. You should also discuss drugs and alcohol at the same time. I work with kids all day long and at times I am still shocked at how young kids are when they are starting to get involved with drugs and alcohol.

Keeping an open line of communication with your child is very important if you want them to come to you. Research still indicates that children are more likely to turn to their friends when they have a problem. This is good that they have this emotional support, but their friends don’t have the answers or solutions that they need. Remember it is best to speak to your child when you are in a calm environment and no one else, such as brothers or sisters, are around. Also remember the word HALT. It stands for:

Hungry

Angry

Lonely

Tired

If you sense your child is experiencing any of these feelings it is not a good time to talk. When you talk with your child you want it to be productive and for your child to feel like they are not being judged. Therefore, sometimes it is better to put off a conversation so you don’t end up in an argument. This is more likely to close the line of communication with your child.

I have mentioned several times that being bullied is not their fault. What I have seen from working with children who are bullies, abusive men and reviewing the research is that bullies really have very low self-esteem. In fact many times they lack a sense of themselves. The only way the feel important or alive is by putting someone else down. They do this because they are afraid the other kids might be able to figure out how lousy they feel about themselves. It is often said the best defense is a good offense. They hope that by acting like the big guy on campus that other people will see them as the big guy and they are able to keep their secret. Kids usually do this because it was done to them too.

Therefore, we need to remember the bully is usually a kid who has been abused too and is crying out for help. If we are going to stop the problem of bullying we need programs to help the bullies too. They are only repeating what they have been taught.

One last comment, I saw a school install a “buddy bench.” If anyone had been bullied, having a bad day, feeling lonely, all they had to do was sit on the buddy bench. Another student or teacher would then go over and ask how they could help. There was no shame associated if you sat on the buddy bench. It was presented as a brave choice. The school was using it as part of their program to stop bullying at school. This fantastic idea came from a 10 year old student. Children often have fantastic answers and we need to listen.

Dr. Michael Rubino specializes in working with children and teenagers. He has over 20 years experience working with children and teens especially those who are victims of trauma. For more information about Dr. Rubino’s work or private practice visit his website at http://www.rubinocounseling.com or his Facebook page at facebook.com/drrubino3 or his podcasts on Spotify or Apple.

Dealing with Mother’s Day When Many People are Grieving

Dealing with Mother’s Day When Many People are Grieving

Many people assume Mother’s Day is a happy day for people because they can honor their mother. However, this year for many people Mother’s Day maybe a very difficult day. We have many adults and children who maybe grieving the death of their mother or grandmother due to the Coronavirus. Additionally, due to the Coronavirus restrictions some people still may not be able to celebrate with their mother’s or grandmothers. Therefore, making it a sad day for them. Remember over 560,000 Americans have died due to the Coronavirus. Many people who died were mothers and grandmothers so there will be a lot of grieving families this Mother’s Day.

In addition to the Coronavirus, there are other reasons that Mothers Day maybe difficult for people and children. For some people their mother may have died when they were children. For some people their mother may have left them when they were children and they had to live in foster care. For others, their parents separated and their father raised them and they rarely or maybe never saw their mother. Therefore, Mother’s Day may not be a happy day. Also for children who were raised in foster care all their lives, today typically is a very difficult day.

While this may not be a happy day for adults, it also can be a very difficult day for children too. Some children may be dealing with the death of their mother. As I stated above, some children may have a mother who died from the Coronavirus or their mother may have left the family and are not involved with them any longer. Seeing television commercials or having other family members tell them that it still can be a good day can be difficult for them. Also if their school is making Mother’s Day gifts it can be difficult for children whose mothers have died or left the family.

I work with many of these children, I described above, in psychotherapy. Many don’t express their feeling, but they tend to deal with the emotional pain by acting out. They may be very oppositional during the week and the day as away to express their feelings. Other children may isolate and not want to be involved with anything having to do with Mother’s Day.

I have had parents ask me how they should handle Mother’s Day when a parent has passed away or left the family. They understand that it is a difficult day, but they do not know what to do in order to help their children.

My recommendation is let the child cope with the day in the way they need to. Try not to make an issue about the day. The other thing I recommend to a parent is to talk to their child. Acknowledge that Mother’s Day may be difficult but it is just one day. They may have a rough day today but tomorrow is another day. I also recommend to a parent, when a parent has passed away, to ask the child if there is anything they may want to do. A child may want to release a ballon with a note, they may want to visit the cemetery or they may want to do something for an aunt or another female role model in their life. If they do have an idea, go with what they want to do. If they don’t have an idea, let them know that is okay. If they come up with an idea then you can do it. If they do not have an idea, then remind them it’s just one day that you all need to get through and tomorrow will be better.

This approach can help children whose mother has left the family. Many children may believe their mother will return one day. Confronting this belief around Mother’s Day is not the time to confront it. However, if they have an idea regarding how they want to honor their mother, allow them to do it.

Hopefully this will help parents understand the issues their children may be dealing with on Mother’s Day and make it easier for everyone.

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

Teenagers Continue to Experience Vicariously Trauma Daily

Teenagers Continue to Experience Vicariously Trauma Daily

Many people tend to assume only people who were directly exposed to a trauma will experience issues related to the trauma and may develop Post Traumatic Stress Disorder (PTSD). However, this is not the truth. Many people may not have lived through the trauma, but they may know someone who did or they were exposed to very explicit images of the trauma or have been hearing about the trauma a lot on the news. It may also trigger memories of a trauma they experienced in their lives or in their family. This can cause what is referred to as vicarious trauma. Vicarious trauma is when someone is traumatized by an event but they did not experience the event themselves. Simply knowing about or hearing about the event is traumatizing to them. This is happening to many children and families in the United States. However, when are we going to pay attention to the way children in the United States are being traumatized over and over?

If this sounds confusing, let’s look at what children and teenagers have been dealing with and living through the last few years. This last year teenagers and children have been living with the trauma of the Coronavirus. Their schools were closed without warning and so were the sports and other after school activities stopped suddenly. In addition they were not able to hang out with friends and had to go to school remotely.

In addition to these changes, many children and teenagers had family members they could no longer see, such as grandparents and many had family members who died due to the Coronavirus. However, they were not able to attend funeral services and say goodbye. Over 525,000 Americans died to the Coronavirus. All of those people had family members and friends who are grieving for them still. A fact we tend to overlook. However, children and teenagers are dealing with it daily especially if they lost a parent, grandparents or a sibling.

While children and teenagers are still dealing with how poorly the Pandemic was handled by the government, now many are being told we are reopening states including schools. Therefore, they no longer have to deal with remote school now they will be back in their classrooms. This brings up anxiety about how school will be because they still need to be cautious so they don’t contract the Coronavirus. Many children and teenagers have told me they are very worried about being exposed to the Coronavirus or their parents being exposed to the Coronavirus.

In addition to the Coronavirus, children and teenagers now have to worry again about mass shootings. We just started opening the Country and already there have been two mass shootings. This brings up the anxiety and vicarious trauma children have been exposed to regarding school shootings for years. They have been increasing every year since 2010 (CDC) and in 2019 by November there had been 336 mass shootings averaging out to a mass shooting every 1.2 days (Gun Violence Archive). These are overwhelming statistics for adults and we are expecting children and teenagers to cope with them. The students know there have been no changes to the gun laws. Therefore, they are having to return to school and worry about mass school shootings.

Look at what they are returning to when they return to school. Today in most United States schools, the classroom doors are kept lock while class is in session and no one can enter a school campus without checking in with the main office and they must wear an identification badge while on campus. In fact, all school employees must wear official school identification badges while at work. Many elementary students noticed these changes and have asked why the door must be locked? Students are told it is for their safety. The school is preventing any people who do not belong at the school from getting near the students. No one mentions someone with a gun, but children have heard about and remember all the mass shootings and they know why the door needs to be locked. I have many elementary students mention this to me during their therapy sessions.

Now when we were in school we had fire alarm drills in case there ever was a fire in the school. No one thought much about them. Some students felt the fire alarm was too loud but no one really worried about a fire happening at school. We never worried about it because we never heard about any school fires and people dying.

Today students face more than fire alarm drills. Schools routinely have active shooter drills. During these drills students are taught to shelter in place and to remain very quiet so the shooter will not enter their room. Therefore, besides having heard about and remembering mass school shootings, school students know they are returning to a place where they could be killed. They know they are practicing what to do in case there is a shooter at their school trying to kill them. Therefore, they worry about could a shooting happen at their school and could they die. As a result of these fears, the CDC has documented that anxiety disorders and depression had significantly increasing in children since school shootings increased and they have documented a further increase in anxiety and depression due to the Coronavirus.

To add to the trauma students now face, if there is an incident, such as a bank robbery, involving someone with a gun near a school, the police put the school on lock down. The students must shelter in place and they don’t know if the person with the gun will come to their school or not. This creates a significant amount of anxiety for children and many are traumatized by the incident. Here is another incident causing trauma for children and teenagers. How many do we expect them to cope with at their ages? When will we provide mental health care for the children, teenagers, their parents, the school staff and the first responders? All of these people are being exposed to trauma regarding the Coronavirus and mass shootings on a regular basis. This creates traumatic reactions and exacerbates old traumatic reactions.

Another issue which adds to this trauma is gun control. Since the shooting in Florida many students have been actively campaigning for sane gun control. However, nothing has been done to enact sane gun control laws. High school students know nothing is being done and elementary children are hearing nothing is being done about guns. This makes them worry because they know guns are still out there that can be used to kill them. The shooting which occurred in New Zealand cause high school and elementary students to wonder why our Country does nothing about gun control. Our government has done nothing even though students and parents are demanding safe gun laws. While our government debates the issue, more students were killed and may be killed. Just look at the two mass shooting this past week. However, New Zealand in a matter of 3 weeks after a shooting banned all assault weapons. This makes students wonder why we have not done anything when we have a bigger problem with mass shootings. Also it doesn’t make them feel safe at school because they do not feel like a priority. Some people will say children and teenagers are not aware of such issues. However, remember with their Smartphones they have instant access to the news and this generation of teenagers are politically active.

Working with teenagers and children I have seen that anxiety and trauma reactions have

increased significantly for children. Also children are afraid of returning to school because they might be killed. These are responses to the mass shootings. Every time there is a mass shooting children become more anxious and afraid. We had two mass shootings this last week and as I am writing this article another mass shooting is occurring in the Florida Keys. We have just started to open the Country and we already have had 3 mass shootings. This will exacerbate previous traumatic reactions and create new ones. We are expecting children and teenagers to cope with the Coronavirus and mass shootings at the same time. For those children and teenagers not directly effected by the virus or shootings, they still have to cope with the issues which results in vicarious trauma.

Furthermore, if we want to reduce the vicarious trauma children and teenagers experience, we must be honest and not lie to children and teenagers. Remember, they have their smartphones phones and easy access to news and videos clips of the news. The best example is when the US Capital building was attacked by people trying to prevent President Biden from winning the Presidential Election. There have been Republican Congressmen and Senators saying they were safe and down playing the event. However, police were killed and injured and people were chanting “hang Pence”. To me that doesn’t sound safe. Additionally, despite the video showing these protesters breaking windows, spraying police with pepper spay and beating officers with flag poles, the former President Trump went on television saying the protesters were hugging the police, waving hello and walking calmly into the Capital. This type of blatant lie causes teenagers not to trust authority figures because they may be lying and it can cause them to second guess what they saw in the video. This creates a situation where teenagers do not know who to trust and this exacerbates their fear and traumatic reactions because they feel they have no one to trust. Children and teenagers need the truth in age appropriate terms. The truth is easier to handle than their emotions.

Summing up, children and teenagers in the United States have been traumatized and vicariously traumatized by mass shootings and the Coronavirus. As we start to open up the Country, they continue to have to deal with the Coronavirus and mass shootings. Therefore, they continue to be traumatized and vicariously traumatized. Many will need psychotherapy to help them with these issues. The American Association of Children and Adolescent Psychiatry has put out the following guidelines. If you notice any of these signs or symptoms in your child or teenager it explains how to start to talk to your child or teenager and how to find the appropriate psychotherapist for your child. It is important to get a therapist who specializes in anxiety disorders and trauma issues http://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/FFF-Guide/Talking-To-Children-About-Terrorism-And-War-087.aspx.

One final aspect about vicarious trauma that has emerged regarding mass shootings and the Coronavirus is suicide. Family members and survivors of mass shootings are feeling survivors guilt and as a result committing suicide. There was a report of 3 people who committed suicide who either survived a mass shooting or their child died in one. This has been occurring for a long time. It has been occurring since Columbine. Family members feel they can no longer cope with the pain. Survivors can’t cope with the guilt of surviving. Family and friends of some one who was killed or injured in a mass school shooting have had their lives changed forever! People, family members and first responders, especially hospital workers dealing with the Coronavirus are also committing suicide. They are dealing with depression, anxiety and trauma reactions on a daily basis. However, we do not have adequate mental health resources to help these people. Also people assume after a few months, most people may be grieving but can handle their situation. This is not true. They are experience anxiety and trauma that for many of them is very confusing. This only increases the anxiety and trauma. The children experiencing the shooter drills are also confused by their anxiety and traumatic reactions. They do not know what to do and this causes isolation and the feelings increase.

We must eliminate the stigma associated with mental health issues. We also need to make sure that anyone who is even remotely exposed to a mass shooting (including first responders and emergency room physicians) or anyone who has had to deal with the Coronavirus have access to mental health care. Not just for a month or two but for as long as they need psychotherapy and they should be able to receive the therapy without worrying about the cost.

We have a generation of children growing up with anxiety and traumatic reactions. If we don’t help them now, they will only get worse as time goes on. May be we need to take a lesson from New Zealand and how they responded to a mass shooting. They banned assault weapons after one shooting. We have been having shootings for 20 years and have done nothing, why? We have a great deal of information about the Coronavirus and we are arguing about wearing masks. Why?

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers and specializes in treating trauma. For more information about his work or private practice visit his website www.RubinoCounseling.com or his Facebook page www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple.

Is it stress or a mental health issue?

Is it stress or a mental health issue?

With all the stress teens have in their lives now, how do parents determine the difference between stress and a mental health issue and the need for therapy? Stress Response or Mental Health Disorder? How to Tell the Difference https://www.healthgrades.com/right-care/mental-health-and-behavior/stress-response-or-mental-health-disorder-how-to-tell-the-difference

The Pandemic has Exacerbated Teenage Camouflaging Behavior

The Pandemic has Exacerbated Teenage Camouflaging Behavior

There is a behavior that is becoming common in teenage and tween girls that has been identified by an adolescent psychologist who specializes in treating teenage girls. The behavior that has been identified is called “Camouflaging.” This behavior left unidentified can lead to low self-esteem, depression, cutting, abusive relationships etc. It is becoming very common in teenagers right now. When I was a guest co-host on the Street Solider Radio Show on KMEL, and the teens were talking about how they change the beliefs and how they change how they dress because they are afraid of being rejected by their friends is Camouflaging. Covering up their outside person so no one can identify the true person inside. Friends are a very important issue for teenagers right now. Remember due to the Coronavirus most teenagers have not had contact with their friends in over a year. Many teens are worried about how their friends have changed over the year and are afraid of losing their friends.

Therefore, Camouflaging is when an adolescent girl changes how she looks in terms of make up and how she dresses, her opinions and things about herself she is willing to deny or things she will start doing in order to be accepted by her friends. The real problem occurs when the girl is changing so much about herself or does it for so long that she forgets or losses track of her real self. Besides changing how she feels, she may forget her core beliefs and do things she doesn’t believe in.

While this behavior has been identified in girls and the research appears correct, I believe this behavior applies to boys too.

Many adolescent boys change the way they dress, their beliefs and the way they act to be accepted by their friends. I hear many of these boys telling me in therapy that they feel lost. They tell me they no longer have an idea of who they really are or believe in or feel. These boys often turn to alcohol, drugs, sex and cutting. They usually turn to these behaviors to numb out their lost feeling or to try to remember their real selves. Often they turn to these in order to forget the shame and guilt they have due to something they did in order to fit in with their friends.

As a result, many teens start acting like someone they are not just to be accepted. This fear of not being accepted and forgetting their real self because they has been covering their true self up for so long or denying their true feelings for so long can result in boys and girls having low self-esteem and/or feeling depressed. It can also result in girls or boys getting involved in emotionally or physically abusive relationships because they don’t feel they are entitled to anything more. They no longer love themselves so how could anyone else love them.

As I stated this behavior can result in low self-esteem and depression in addition to behaviors as cutting, eating disorders, drug use, becoming sexually active etc. Often boys and girls cut just so they can feel as I stated above. The constant denying of their emotions or values can cause boys and girls to lose a sense of their true feelings. Therefore, cutting can occur so boys and girls feel or can cope with denying themselves. Denying their feeling or who they are can result in boys and girls feeling very confused or lost. Therefore, they look for behaviors that help them remember who they are or will numb out the list and confused feelings. They also seek behaviors that help them deal with changing their beliefs. Again this can trigger eating disorders, drug abuse or other self-destructive behaviors. This helps numb out the confusion and disappear of denying their feeling and trying to forget their true self. This can cause feelings of depression and anxiety too.

What should parents look for in their teens? If your son or daughter tries to stop wearing his or her glasses or if he or she all of a sudden changes how he or she dresses or acts these are possible warning signs. Another change could be not doing as well in their classes because they are afraid of looking too smart. Basically, if you see signs indicating that your teenager is trying to deny who they are so they will be accepted by others. It’s more than the common issue of trying to be accepted by friends, they are forgetting themselves and beliefs to fit in.

While it is normal for teenagers to make changes in their attitudes or how they dress, we are talking about something that goes far beyond normal self-expression. We are referring to changes where a teenager is trying to deny who they are because they feel they are unacceptable.

This is what we are talking about. If teenagers are changing their hair or how they dress as a way to express themselves that is normal teenage behavior. However, if teenagers are doing it just to fit in and they end up losing a sense of their true self this is camouflaging.

As I stated, Camouflaging results in depression or low self-esteem because the teenager is forgetting their true self. If they are doing it as a way of trying to experiment with their self expression, the teenager is happy and confident as stated above. This is the main point to understand. Experimenting with their dress and beliefs etc. is normal for teens and helps teenagers identify themselves, however denying or camouflaging their feelings results in teens losing themselves and many behavior problems. This is the main thing for parents to watch for in their adolescents behavior.

If you go onto Yahoo and look up Camouflaging you will find a segment on Good Morning America about Camouflaging. In fact, here is the link to the GMA segment https://gma.yahoo.com/video/parents-worry-tween-teen-camouflaging-122935763.html?soc_src=copy. Also if parents look at the February issue of Teen Vogue, you will find an article about Camouflaging.

Dr Michael Rubino has over 20 years experience working with teenagers and their families. Dr Rubino is considered an expert psychotherapist in the treatment of teens. For more information about Dr Rubino and his private practice visit his website at www.rcs-ca.com, www.RubinoCounseling.com or www.RubinoCounseling.com or his Facebook page at www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple.

Teenagers Respond Better to Discipline

Teenagers Respond Better to Discipline

As a psychotherapist who works with children and adolescents, I often hear how their parents are too strict and unfair. Many children and adolescents feel their parents punishments are not appropriate and their parents are out of touch with today’s world. I also hear parents tell me no matter what rules or punishments they impose that their children refuse to follow the rules. While this disagreement has been going on for many, many years, I would imagine with the Coronavirus and teenagers doing school remotely and not able to spend time with friends that the argument has become unbearable for some families by this time.

From my experience, one of the major issues in this situation is the difference between discipline and punishment. Many people may feel there is no difference between the two concepts. However, there is a major difference between the two terms. The difference can determine how many arguments you and your teenager have regarding the issue.

Discipline is used to teach a child or teenager about rules and life. Punishments are used to tell a child or teenager they did something wrong such as breaking a house rule. However, punishments often have no association to the broken rule and often make a child feel like they are bad and they often don’t know which rule they broke. Punishments do not teach they only make a child feel bad or angry. For example, if it was the child’s turn to take out the garbage and they forgot and played their video game online with friends. Discipline would be having them take out the garbage and clean the dinner table for a week and they could not play their online game. A punishment would be that they were grounded and had to stay in their room for two weeks without any electronics. What connection does the grounding have to forgetting to take out the garbage?

Research has shown that discipline is a more effective way to teach children\teenagers about rules and appropriate behavior. The discipline needs to have some association with the rule that was broken. A punishment which tends to make a child think they are bad and has no association to the rule they broke typically teaches a child nothing. What it typically does is make a child feel like they are a bad person and they often don’t understand why they are being punished. All punishment tends to teach some children and teenagers is that they are worthless and they feel unlovable.

I had a fourth grader ask to come to therapy because they were tired of getting in trouble at home. They felt like they were a bad person and he had no idea why he was doing bad things at home on a regular basis. Therefore, the punishments taught him nothing except it did lower his self-esteem. Research also has shown that children and teenagers who feel they are bad people are more likely not to graduate high school and to get involved with drugs and alcohol. They feel they are bad so they feel they should be doing things associated with “bad kids.” They give up trying because they don’t believe anyone will see them as a lovable person who is worth something.

As I stated discipline has been shown to be more effective with children and teenagers. However, before a parent imposes discipline there are important steps for the parent to take:

1. First, the parent needs to let the child\teenager know that they love them and that the child\teen is not bad, but they made a mistake.

2. The parent needs to explain to the child when they made a mistake and what was the mistake. Additionally, emphasizing to the child that they are not the mistake, their choice was a mistake.

3. Explain that they are imposing the discipline to help the child learn from their mistake and hopefully they won’t make the same mistake again.

4. Let the child know when the discipline starts and ends. Also do not make it too long or severe. It should be in proportion to the mistake. It should also needs to be age appropriate.

5. Finally, ask the child if they understand and if they have any questions.

One thing that makes disciplining a child or teenager easier is having a behavior contract. It is important that parents sit down with their child or teenager and develop a behavior contract regarding house rules and expectations a parent has for them and consequences if the child violates the contract. Therefore, if your child makes a mistake, the consequence is already known because it is in the contract. Therefore, it is less likely that the child will feel like a bad person or confused about the consequences because everyone in the family agreed to them. This also makes it easier the mistake was the choice they made not them.

I recommend contracts on a regular basis. The contracts help reinforce the discipline and that choices have consequences. Therefore, the parent is teaching a child to think before they act. Thereby, significantly decreasing the odds that they will make a bad choice. It can also help a child deal with peer pressure because you have already discussed what you feel is appropriate and inappropriate. A contract also help to reduce arguments at home. If everyone agrees to the contract and a teenager violates the contract they cannot blame Mom and Dad for the consequences. Mom and Dad are only enforcing the agreed upon contract. The teenager needs to take responsibility for their choice.

Dr. Michael Rubino is a psychotherapist with 20 years experience treating children and teenagers. For more information about Dr. Michael Rubino’s work visit his website at www.RubinoCounseling.com or his Facebook page www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple.

When Do We Address the Issues Impacting Teens and our Nation?

When Do We Address the Issues Impacting Teens and our Nation?

As we start to re-open the Country issues we have not been paying attention to are reemerging. Those issues are mass shootings and hate crimes directed at people of certain races. This past week 6 South Korean women were killed in Atlanta by a mass shooter. Additionally people died in the hospital. The statistics we have from the Gun Violence Archive for 2019 through November of 2019 indicate there were 336 mass shootings that year.

The official statistics for 2019 indicate1347 people were killed in mass shooting and 1,684 people injured in 2019. Additionally, these statistics don’t account for how many families have been changed forever and how many first responders are dealing with traumatic reactions.

At the beginning of 2020, we started to focus on the Pandemic and were not focusing on mass shootings. We have over 500,000 Americans who have died due to the Coronavirus. Therefore, in addition to people grieving and dealing with traumatic reactions due to mass shootings, we have added over 500,000 American families who are grieving and dealing with traumatic reactions due to the Coronavirus. In addition to family members, again we have first responders who have been emotionally impacted by the Coronavirus virus.

Finally, the other issue we have had going on, but not paying attention to are hate crimes directed at Asian Americans. Donald Trump blamed China for the flu and assigned a racial slur to it. As a result, many Asian Americans have been yelled at, spit on and killed. There are numerous older Asian Americans who have been attacked walking on the streets and have died from their injuries. Again, we are adding to the Americans grieving. We have Americans involved with mass shootings, the Coronavirus and Asian Americans all grieving and dealing with traumatic reactions. We have a tremendous amount of people grieving and coping with trauma in the United States, but what are we doing about it?

In 2019, former President Trump said he would address the mass shootings in the United States. He said we would definitely be taking action and there would be universal background checks. He then made a public statement from the Oval Office that there would be no universal background checks. The President stated the background checks we currently have are enough to keep us safe. He also publicly stated that the people who helped him win the election would not be happy with universal background checks. He had been speaking to the chairman of the NRA that day. Therefore it appears, the money the NRA donated to his campaign was more important than the children of the United States.

The former President initially said he would support sane gun laws and the he decided that the issue was simply a mental health issue. By doing so he did not help the issue and he reinforced the negative stigma about mental health in our country. When he referred to a mental health issue, he called the people “sick” and stated they need to be locked up. The research clears shows that people with mental health issues pose a danger to themselves by cutting or committing suicide. The research clearly shows that people with mental health issues are rarely dangerous to society. The Director of the American Psychiatric Association issued a statement stating the same information (2019).

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

As children start to resume going back to their schools and they come into my office saying they are afraid of returning to school due the mass shooter drills and the possibility of a mass shooting, what do I say to them? How can I say we are doing everything we can to protect them, when our government is not doing anything. We have not passed any sane gun laws. How can I say don’t worry when every day in 2019 there was a mass shooting and more students were killed at a school? Children today also hear the news easily and they will know that I am lying. Remember, most teenagers and middle school students have access to the news very easily because the news updates pop up on their phones. In order for therapy to work, the children and teenagers need to trust me. If I lie, they will not trust me. Again, with the issues I cited for this year alone, how can I tell a child there is nothing to worry about.

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

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

Since the former President refused to act, we need to learn from the high school students from Parkland, Florida shooting and take action ourselves. Remember by acting you may be saving the life of your child or a loved one. Call the Senators for your state and demand sane gun laws and if they are too afraid of the NRA, you will vote against them in the next election. Next, demand they make decisions about the Coronavirus based on the medical experts. Several states reopened for Spring Break even though public health experts said it was too soon. The result, Florida again is seeing a significant increase in the number of Coronavirus cases. Finally, demand that Congress take steps to protect Asian Americans.

There have already been 3,800 Asian Americans attacked this year and most victims were women (NBC news). These number is probably lower than reality because most Asian Americans tend not to report these attacks to the police because they fear for their safety. A majority of the victims are older and many of them were killed. Why have Asian Americans been attacked so often this year? The former President Trump has blamed China for the Coronavirus. Many of his followers have misinterpreted Trump’s racist remarks as a reason to blame Asian Americans for the Coronavirus Pandemic. This is absurd because there are strains that came from Europe in addition to China. The Asian Americans did not create or cause the Coronavirus and they are Americans just like the rest of us are Americans. Therefore, they are entitled to the same rights and protection. However, most Asian Americans are now worried about their grandparents leaving their houses. Again we have more Americans grieving and dealing with traumatic reactions. When are we going to learn that we are all in this together and need to work together to solve these issues?

No American should be afraid to go outside because they may be shot, catch a deadly virus or attacked because of their ethnicity. We have a number of Americans who are suffering emotionally and need professional mental health care. We need to focus on providing mental health care to those who are in need of it and also how we are going to work together to solve our issues in the United States.

Some people will say I have no right to be writing this article. However, I see and hear the kids crying daily because they are afraid of being killed or their parents being killed. I also am trained in Critical Indent Debriefing, certified as a first responder therapist and specialize in treating trauma victims. I am tired of hearing how the first responders lives are being changed and the night terrors they experience. I am not afraid of the NRA stopping sane gun laws. We have a huge problem with hate and race in our Nation that must be addressed. Also we also do not have adequate mental health services in our Nation. This is why the suicide rate went from the 3rd leading cause of death to the second leading cause of death for kids. Mental health issues are not causing the mass shootings! If it was we would have had the problem in the 1970s and 1980s, but we didn’t.

Dr. Michael Rubino is a psychotherapist with over twenty years experience treating children and teenagers. He is also trained to treat victims of trauma, he is certified as a first responder therapist and to do Critical Incident Debriefing. For more information regarding Dr. Rubino visit his website http://www.RubinoCounseling.com or Facebook page www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple.