Suicide, Bullying A Few Ways Teens Cry Out for Help

Suicide, Bullying A Few Ways Teens Cry Out for Help

This article discusses a number of reasons why teenagers have mental health issues and how we can help. Some of the issues I treat teenagers for are suicide, cutting, bullying, drug abuse, early sexual activity and poor performance at school. A number of these issues can lead to a teenager feeling suicidal. Suicide has risen from the second to the third leading cause for death for children 10 to 18 years old. If we are going to prevent suicide and other issues such as bullying we must prevent the issues which can result in suicidal feelings and actions.

I have been working with teenagers for over 20 years. In those years I have seen many teenagers for many different reasons. However, when the teenager tells me why they are doing what they are doing, I often hear very similar answers for a number of different issues. It sounds odd and surprising, but when you look at it from the teenager’s point of view it makes sense.

What I have heard very often over the last 20 years is that the teenagers who are bullying, cutting, depressed, using drugs or having sex, do not feel loved by their families. In fact, they feel no one cares about them and no one cares how they feel or what they do. Therefore, they act out. They have decided negative attention is better than no attention. So if they are bullying someone, coming home high, threatening suicide or having sex, they will get attention for their negative behavior.

Furthermore, teens are now forming friendships with other teens who bully, use drugs, are suicidal or sexually active. This common bond makes them feel someone else understands and cares about them. This is how gangs form and pressure members to do things they usually would not do. The teenager feels they have a family and people who care about them. They are so desperate for love that they will do anything to stay as a gang member. They will do anything to avoid that lonely, empty feeling.

This really should not be surprising. We have seen and heard about this is in the popular media for years. The Disney movie, Frozen, mentions that people make poor choices and mistakes if they do not feel loved. The movies, The Breakfast Club & Good Will Hunting, both demonstrate the point of teens acting out and doing anything for friends so they feel loved. The play, West Side Story, is another good example. Also in her last show Oprah said that one thing she had learned is that everyone wants to know, “am I important to you, do you hear me, do you see me?.” The teenagers that I have worked with all tell me the same thing. Also it is amazing that when they test me enough and they see that I do care how they are willing to try to change.

The problem is that with society today everyone is concentrating on their own lives and they have little time to acknowledge the people around them. Parents are having to work two to three jobs to support their families. Parents assume that their teenagers will see how hard they are working and know their parents are working that hard because they love them. However, teenagers’ brains are not fully developed yet so their reasoning skills are not like an adult’s reasoning. Teenagers need to hear, I love you, from their parents and need one on one time with their parents.

Parents cannot be the only people letting teenagers know that they are important. We are asking too much of parents to be the only ones. Teachers need to show they care by staying after school to help teens who have questions or are confused or need to talk. We need to look at the movies, television and music that teenagers are listening to. Also we need to look at society. Society gives a message of looking at for number one. There are not a lot of role models encouraging teens to accept one another as they are and to support each. Look at the President and how he bullies and insults minorities, women and people who disagree with him on Twitter on a daily basis.

What is the answer? We need to change our priorities and tell our teenagers and children that we love them and care about them. Schools need to bring in programs such as Challenge Day which teach teenagers to accept each other and care for each other. We need to encourage our teenagers to follow the Harlem Globetrotter’s program. They refer to it as the ABC program. A is for being assertive, B is for being brave and C is for compassion. In other words, when you see someone being a bully or harassing someone, speak up and say it is wrong, report it and show the victim some compassion. If every time a teenager notices that someone in their class seems down and they ask the person if they are alright we can make a big change in these negative behaviors such as suicide, bullying and drug use. Also if parents ask their teenager how they are doing without judgement or fear of punishment we could change a lot of these negative statistics. Think about it, why would a teenager say yes I have been using drugs or cutting if they are afraid of getting into trouble?

Summing it up, if we are going to solve issues such as bullying, domestic violence, suicide and cutting to name a few, we need to all work together. We need to let people know that we care and show it. We also need to be brave enough and assertive and speak up when we notice someone being bullied or report when we have noticed someone vandalizing someone’s property. We need to provide teenagers with positive role models and insist that our schools use programs such as Challenge Day and Alive & Free. We all need to work together and speak up about things that are wrong if we want things to change.

Dr. Michael Rubino is a psychotherapist in private practice with over 20 years experience working with teenagers and children. He is considered an expert in the treatment of teens and children. For more information regarding his work or private practice visit his websites, http://www.RubinoCounseling.com, http://www.rcs-ca.com or visit his Facebook page at http://www.facebook.com/drrubino3.

Why Teens are Feeling Lonely and Isolated

Why Teens are Feeling Lonely and Isolated

“What are we doing to our kids?” is a quote from Cameron Crowe, who wrote the movie Fast Times at Ridgemont High a movie from 1982. Cameron Crowe was discussing the movie with CNN for their special report on movies. He explained he went undercover in a high school as a high school senior to write the movie. He stated he was shocked at how sexually active these kids were in high school. He stated between the focus on sex and working, the kids were being denied their adolescence. They were going from kids to adults very quickly. Sadly what Cameron Crowne noticed in 1982 has continued and has only become worse.

Cameron Crowe was commenting on high school students in 1982. However, what he noticed occurring in high school in 1982 is now occurring in middle school today. In middle school today it is not uncommon for kids to be sexually active. In fact, many middle schools now provide condoms to sixth graders. In addition to sex, kids in middle school are using drugs. They are not just using marijuana. Many middle school students are using concerta, ecstasy and other designer drugs.

In addition to being sexually active and using drugs many middle school students are worrying about how much money they will make at their jobs. Kids are looking at different careers and thinking about how much they will get paid and what they will be able to afford. They wonder about, how big of a house or what type of car will they be able to afford as adults? Mr. Crowe’s observation was correct in 1982 and today. Kids are losing their childhood too early and they are losing their childhood earlier and earlier. In 1982 it was high school now in 2019 it is occurring in middle school. When will it start occurring in fifth grade?

A result I have observed working with teens and kids as a psychotherapist is that kids are feeling lonely and isolated. In 2000, I was noticing this in a few teenagers now in 2019 a majority or teens and middle school students report feeling lonely and isolated. I am also beginning to hear this from fifth grade boys too. Besides loneliness increasing in middle school and high school, the number of kids feeling depressed is increasing significantly. It makes sense. If a child is feeling lonely and isolated those feeling tend to lead to depression.

You may ask with their focus on friends and sex, how are they feeling lonely or isolated? With this focus on friends, sex, drugs and the future comes a great deal of competition. Everyone wants to look like they know exactly what they are doing. Therefore, they may be talking and texting each other, but they focus more on shallow issues. No one really opens up about their true fears and worries. As a result, they feel lonely and isolated.

A very good example of this are teenage boys. Most teenage boys are trying to live up to the outdated stereotype about what it takes to be a man. According to the stereotypes men don’t cry, don’t focus on emotions because they are weak and must be sexually active to be a man. There is a documentary, The Mask You Live In, which focuses on boys conforming to this outdated stereotype. Overwhelming the boys in the documentary reported feeling lonely and isolated. They shared they had no one who they could talk to when they felt overwhelmed or confused by life. They always had to have the right answer and they did not always what was the right answer. As a result, they made mistakes and they felt lonely not being able to ask for help. They felt like they had to hide their true feelings which makes them feel lonely.

I have seen the same thing with teens texting or communicating while playing video games with friends. All the teens say this is the only way they can communicate with their friends. Many teens become angry or violent if you take away their phones. However, the teens I work with in psychotherapy tell me they often feel lonely and isolated. The admit to texting with friends for hours. However, they also explain they don’t really talk about important things such as feeling afraid. Also they admit texting is not the same as talking to someone face to face. They continue with texting because that is what everyone is doing and they don’t want to look different or weak.

Another aspect to teenage boys and girls trying to live up to an image is what they are missing. As a result of closing themselves off emotionally, they never know if someone cares and who to trust. They never know if they are cared for or loved. This can create major issues for teens. In the Disney movie Frozen, they point out how people will act out in pain and make mistakes when they don’t feel loved or cared for by people. The movie also points out how opening yourself up so you can feel love will help people change and make better choices. The lead character, Elsa, when she felt lonely and afraid could not control her power and it only caused destruction. When she finally opened herself up and saw she could be loved she discovered the good her powers could do. When she was afraid she isolated and when she felt loved she opened up and interacted with others. I see this happen daily with teens. When they feel no one cares, they isolate themselves and say hurtful things to keep themselves isolated. When they discover people care, they allow themselves to open up and start to share their true feelings and interact with others. They are very happy and surprised when they make this discovery.

In 1982 the world was much easier. In today’s world things are moving fast and make it easy for people to isolate by texting or using social media to communicate. Also teenage boys and girls feel pressure to outdated stereotypes about men and women. There are few people telling teens they don’t need to follow these stereotypes. We also need to set examples about communication. Adults need to not text so much and rely on social media enough. Parents need to take time talking with their children as soon as they are born. Technology can be a great thing but it is making many people feel lonely and isolated. Teens as well as adults. We need to study technology and look how it is impacting our lives and the lives of our children. One thing for sure, I have seen technology increasing the amount of teens feeling lonely and depressed. We don’t want our kids to lose out on their childhood. Therefore, we need to study the impact technology has on us and teach our children how to use it responsibly. Also we need to teach teenage boys and girls that they don’t need to live up to the outdated stereotypes about men and women. We need to encourage our kids to be themselves and to accept themselves. Hopefully this will help our children reclaim their childhood and be kids.

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

Why Teenagers Should Not Try to be Their Friend’s Therapist

Why Teenagers Should Not Try to be Their Friend’s Therapist

There is an issue I have encountered many times working with teenagers in psychotherapy that is seldom talked about. The issue is teenager’s trying to act as a therapist to the friends or girl/boy friend. There have been many times that a teen will tell me their girlfriend is suicidal and ask me what they should do to help her? Often a teen will ask could they just bring their girlfriend into one of their sessions. They argue since I am helping them, I can help their girlfriend. At this point we need to have a conversation about how therapy works and the situation that they are in at that point.

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

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

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

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

Teenage suicide is an epidemic. The CDC just moved suicide from the third leading cause of death to the second leading cause of death for teenagers. The situation where friends try to act like the therapist happens more often than people realize. I had a situation occur this week. After explaining the situation to the teen, they spoke to their friend and their friend is now in therapy. This was a good ending. I would estimate 1 out of 3 teens ask me about their friends and are trying to be the therapist to their friend. Besides teens feeling they can handle this situation because they feel so close to their friend, I believe this occurs due to our views on mental health.

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

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

Teens Ask Please Accept Me For Who I Am

Teens Ask Please Accept Me For Who I Am

Being a teenager in today’s world is very difficult. Teenagers face expectations regarding needing to make money to be a success. They face stereotypes about how boys must act if they want to be men and girls face stereotypes about how they must act to be considered women. I hear teens tell me everyday how overwhelmed and confused they are trying to fit into all the necessary stereotypes. They feel overwhelmed because at times they are not sure how to act and confused because at times they don’t agree with the stereotype. If they don’t, they are not sure what to do. This is a lot of pressure for a 13 year old child to be trying to cope with on a daily basis. It’s no surprise that many teens turn to drugs as a way to cope. It is also not a surprise that Cutting is at epidemic rates for teens and suicide is now the second leading cause of death for teens (CDC)

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

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

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

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

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

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

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

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

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

Mental Health Care in the 21st Century

Mental Health Care in the 21st Century

In our society there is a huge negative stereotype about mental illness and treatment for mental illness. You would think with all the advancements in the world and society, that our attitude towards mental health would have changed by now. However, it has not and that is why the month of May is dedicated to mental health awareness. Many people are surprised that in the United States in the 21st century, statistics show that 1 in 5 people could benefit from psychotherapy (CDC). Also suicide is the third leading cause of death for children 10 years old to 18 years old (CDC).

Most people when they think about psychotherapy or mental illness, think of someone sleeping in the street or some one with severe schizophrenia. Because of this stereotype many people feel ashamed or embarrassed if they are told they need therapy. Family members also feel ashamed and embarrassed and never mention it to other people if someone in their family needs psychotherapy. People are afraid that other people will think they are “crazy” too, if someone in their family is going to therapy. However, most people who need treatment for a mental illness need treatment for depression or anxiety not schizophrenia.

Research studies show that most depression is due to a chemical imbalance in brain. Diabetes is due to the pancreas not being able to coordinate glucose levels in the body. We don’t make a person with diabetes feel embarrassed or ashamed so why do we make someone dealing with depression feel embarrassed or ashamed?

What is the cost of this stereotype? People who have depression are at risk for suicide. The Center for Disease Control statistics show that suicide is the third leading cause of death for people aged10 to 24. Yes ten year old children are suffering from depression and are killing themselves. One of the most common methods is a gun. People assume this is a guarantee. Wrong, a gun is not a guarantee. Quite often the gun jumps and the person lives. However, they have to undergo multiple surgeries to try to rebuild their face. However, no matter how good the surgeon, the person is left with multiple permanent scars. Psychotherapy and medication might have prevented the suicide attempt.

However, because of our negative stereotype, depression and suicide have never been taken seriously. As a result, the Golden Gate Bridge is the most common place in the world for people to jump off when they are trying to commit suicide. It wasn’t until just recently that the Bridge District voted on what type of anti-suicide barrier they are going to build. However, even though they have voted for an anti-suicide net, they are still debating the details. The Golden Gate Bridge is 78 years old. It has taken over 78 years to do something about a life or death issue and they are still debating over minor details. BART has been around for decades and people have been jumping in front of trains for years. However, BART understands the issue and that it must be addressed despite the stigma. BART has an anti-suicide campaign showing we can address the issue of mental health without shame.

Often we assume it is a money issue. Only poor people commit suicide because they cannot afford treatment. The suicide of Robin Williams destroyed that myth. He had plenty of financial resources for treatment and had been in and out of treatment centers for years. In an interview with Dyane Swayer he described how overwhelming depression is, he said, “no matter what there is always that little voice in the back of my mind saying jump.” If that voice is always there but society is saying there is something wrong with you for having depression in the first place or because you have not over come it, are you going to ask for help or keep seeking help? No.

Yes society often blames the patient. Why don’t they try harder? Why didn’t they think of their family? After Robin Williams’ suicide a number of comedians and actors talked about their silent struggle with depression. Rosie O’Donnell stated it best, “when you are that deep down in that black hole with intense emotional pain, the only think you can think about is how to stop the pain. You don’t think about your family or anything else.”

I ask you to think about your opinion or thoughts about mental illness. Think about a 10 year old boy feeling that suicide is the only way out of his pain. Think about the fact that he is dealing with a medical diagnosis similar to diabetes or high blood pressure. If this is right, why is there this negative stigma about mental illness? If a child has diabetes he receives medical treatment, there are summer camps and there is no shame put on the child or the family. Think about the fact that the bill President Trump is pushing would make Depression and anxiety pre-existing conditions so insurance companies could deny people health care.

We need to make a change in how we view or react to mental illness. We live in the United States of America and we are supposed to be the super power in the world. You wouldn’t think that in the most powerful nation in the world that the third leading cause of death for our children is suicide. We must change this ridiculous stereotype we have about mental illness and start providing people and children with appropriate treatment for their mental illness. The life you save might be your’s child’s life or the life of a family member or friend.

We may want to look at England. The Duke and Duchesses of Cambridge and Prince Henry have formed a program called, Heads Together. The goal of the program is to eliminate the negative stereotype about mental health and to make sure people who need psychotherapy receive it. In fact, the Duchess of Cambridge said publicly that if either of her children ever need psychotherapy that they will receive it. We might want to follow their example.

Dr. Michael Rubino is a psychotherapist who specializes in treating children and teenagers. Dr. Rubino has over 20 years experience as a psychotherapist. He is very active in eliminating the stereotype about mental health. He is an active member in Heads Together in London, a non-profit founded by Prince Willam, Henry and Princess Kate to help people understand that people need mental health care. For more information about Dr. Rubino’s practice or his work visit his website at http://www.rubinocounseling.com or his Facebook page http://www.Facebook.com/drrubino3.

How The Stigma Associated with Mental Health is Preventing People from Receiving Mental Health Care

How The Stigma Associated with Mental Health is Preventing People from Receiving Mental Health Care

A great article showing how the stigma regarding mental health can isolate people. We must realize mental health is normal and we must stop shaming people who need help. How Stigma Can Lead to Isolation | NAMI: National Alliance on Mental Illness https://www.nami.org/Blogs/NAMI-Blog/February-2019/How-Stigma-Can-Lead-to-Isolation

Giving Teenagers A Positive Image of Being a “Man”

Giving Teenagers A Positive Image of Being a “Man”

The stereotype of “being a man” was addressed in the documentary The Mask You Live In. It pointed out how the stereotype we currently use is very unhealthy for men and teenage boys. It results in many teen boys feeling isolate and doing things they do not want to just so they can fit in.

There have been many psychotherapists and school programs working with teenage boys helping boys see how this stereotype hurts them and other people in their lives. Finally a major company has stepped up and is trying to communicate to men and teenagers how much the old stereotype hurts men.

We need to support Gillette. Finally, a major company steps up and speaks out against the old stereotype of what a “man is” & states that men need to change. Great message for teens. We Believe: The Best Men Can Be | Gillette (Short Film) https://youtu.be/koPmuEyP3a0 via @YouTube

As a psychotherapist who specializes in working with teen boys, I see daily how trying to live up to the old stereotype creates problems. They feel very relieved to hear that there is another option. Please watch this commercial with your teenage son and discuss with him how men really act and there is nothing wrong with them if they ignore the old male stereotype.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating adolescent boys. For more information about his work, such as being a founding member of the National Alive and Free Advisory Board, visit his website http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3.