Why Teenage Boys Refuse Psychotherapy

Why Teenage Boys Refuse Psychotherapy

Teenage males and men hate to go to therapy. Therefore, let’s address this issue. Here is a link for a movie, “The Mask You Live In” https://youtu.be/hc45-ptHMxo. The above trailer contains explicit language, but it is language your third grader hears every day at school, from friends and television. Men and teenage boys are very resistant to taking care of their physical and mental health. The question then becomes, why? If you watched the trailer, you will have a very good idea why.

In our society there is a stereotype of what it takes to be a “man.” A man is strong, healthy, and can take care of himself, knows everything about sex and is sexually active, has a lot of money and never afraid to fight and never cries. These are a just a few parts of the stereotype. Many parents may be saying, “but I don’t bring up my son like that.” You don’t have to, but it is part of our society. If a little 5 year old boy falls down at school, the school staff picks him up and tell him shake it off, don’t cry, take it like a man. A boy playing soccer or baseball gets hurt during the game, the coach says shake it off, take it like a man. You have even saw examples of it on Dancing with The Stars. A couple of times some of the men have started to get teary eyed and the asked for the camera to be moved because they did not want anyone seeing them cry.

Boys continue to be exposed to the stereotype in high school. There is a major focus on losing their virginity as fast as possible and sleeping with as many girls as possible. They can’t be a man if they are a virgin. Also boys are getting into fights and having a friend record it and post it on YouTube. They want everyone to see how tough they are and it makes them feel like a man. Also in High School boys stop accepting and asking for help, they are a man and they can handle life on their own. Also look at the movies and video games boys play. They have to do with fighting, killing and sex. Emotions are never mentioned and if a boy does cry he is called a “sissy, or a fag” just to list a few.

If men and boys are living with this stereotype going to a physician or a therapist is a very dangerous thing to do. They might have to confront the fact that they are not able to do everything by themselves and they might need help. This would mean they are not the tough guy. Also they know physicians and therapists have treated other men and they are afraid how they might be compared to other males. If they are not as tall or as strong or don’t measure up to the other men they are not a man. They feel like a failure.

Going to a therapist is extremely dangerous for boys and men. Therapists ask you to deal with your feelings. What if they cry or admit they feel overwhelmed by life or inadequate to other men? If they do, they worry about their identity as a man. I have men and teenagers who cry in my office. They all get really embarrassed and beg me not to tell their family and want to know if other guys cry have ever cried in my office. They need reassurance that they are still a man. The truth is it takes more strength to cry than not to cry, but most guys don’t believe this due to the male stereotype.

We need teenage boys to focus on their emotions. The best way for us to help boys and men is to eliminate this stereotype. Parents contact your son’s school and ask them to invite groups to the campus that are trying to eliminate this stereotype. Challenge Day is an excellent organization which tries to help teenage males face their feelings. Also monitor what they watch and how they talk with friends. Fathers don’t be afraid to cry and go to the doctor regularly and ask for help. Look for movies that show males as men even though they don’t follow the stereotype. This is a problem in our society which leads to crime, killings and needless deaths from heart attacks and strokes. It is going to take all of us to solve the problem.

While teenage boys resist therapy for these reasons, you need to remember you are the parent. If you notice your teenage boy is depressed and talking about suicide, therapy is not a choice. Yes you want to give choices about their lives, but remember they still are kids and cognitively not able to reason as an adult. Therefore, at times you must say there is no choice. Would you give them a choice of having surgery, if they had appendicitis?

Dr. Michael Rubino is a local psychotherapist who specializes in treating children and teens. He had over 20 years experience working with teenagers. To find out more about Dr. Rubino and his practice or to contact him visit his website at http://www.RubinoCounseling.com or Facebook page at http://www.Facebook.com/drrubino3

Super Bowl Sunday and Domestic Violence

Super Bowl Sunday and Domestic Violence

The teams have won their positions in the Super Bowl and in next week the Super Bowl will be played in Miami, Florida. Many people look forward to Super Bowl parties and having a fun weekend. In some ways, the Super Bowl has almost become a holiday for some people. However, it is not a fun weekend for everyone. For many it is a weekend of terror.

Because people tend to drink more alcohol at the parties or just at their homes watching the game, this can raise tension between people. The result can be violence. In fact some statistics rate Super Bowl Sunday as the day of the year that the most domestic violence occurs. It is serious enough that the NFL has started running PSAs regarding domestic violence.

To get a better idea click this link http://jezebel.com/the-super-b… and read the statistics and watch the PSA.

The other issue is that children are exposed to the domestic violence which occurs on Super Bowl Sunday and the rest of the year. This can have a serious impact on children. They can grow up thinking it is acceptable to hit their partner or to be verbally abusive to their partner. They may also grow up thinking that if they are hit by a boyfriend or girlfriend that they deserve it. So they do not end the relationship or seek help because they believe the deserve to be abused.

Domestic Violence is a very complex problem that can go back many generations. It is also one of the reasons for bullying that we see at schools. Children are acting out what they see and hear at home. Therefore, domestic violence effects the entire family. It effects adults and children in very dramatic ways.

As I stated above, children who witnessed domestic violence are impacted by it too. Domestic violence occurs with teenagers too and is just as serious. Click this link and learn the shocking facts https://youtu.be/cSJmTrxO16M.

I encourage you to learn more about this issue and to talk to your teenagers about it. No one has a right to hit them or to verbally tear them apart. If they feel they are in an abusive relationship, there is help. If your teenager or anyone feels like they are involved in an abusive hotline call the National Domestic Abuse Hotline at 1-800-799-7233.

As for Super Bowl weekend, remember it is just a game and a chance to have a good time. Help yourself and your friends and watch how much alcohol people are consuming. If you think someone has had too much to drink tell them in a caring manner. Try to agree before the game that there will be no fighting and it is a day for everyone to have fun no matter who wins. Also serve plenty of food. Just a few things you can do to decrease the odds of a fight occurring.

Dr. Michael Rubino specializes in treating children and adolescents and he is certified in the assessment and treatment of Domestic Violence. For more information about his work or private practice visit his website at http://www.rubinocounseling.com or follow him on Twitter @Rubinotherapy or visit his Facebook page at http://www.Facebook.com/drrubino3.

Honoring Dr. Martin Luther King, Jr.

Honoring Dr. Martin Luther King, Jr.

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

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

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

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

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

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

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

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

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

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

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

Divorce Impacts Children emotionally during and after, If Parents Don’t Put Their Egos Aside

Divorce Impacts Children emotionally during and after, If Parents Don’t Put Their Egos Aside

As a psychotherapist who specializes in treating children and teenagers, I have worked on many high conflict divorces. I have been the therapist for the children, an Expert Witness regarding custody, worked as part of the mediation team and served as a 730 Court Appointed Expert regarding custody and visitation. In the various roles I have had in high conflict divorce cases and also the average divorce cases, there is a common issue I have encountered. The issue I have encounter is making decisions. Many times I have seen divorce cases become vicious because one parent is reluctant about making a decision. They feel they have made too many concessions already or they feel they will look weak. So in other words the decision now becomes a matter of pride and not what is in everyone’s best interest.

Divorces are very emotional and hurtful experiences for both partners. They are also very hurtful and emotional experiences for the children. The children feel like they are in the middle of a civil war and that they need to pick a side. This is usually an impossible task for a child. They have to decide who the love more, mom or dad, how does a child make this choice? Parents often get so caught up in the fight that they do not see what they are doing to their children. I have had children tell me they wish this whole divorce stuff would go away because they cannot stand it. They cannot choose between their mother or father. They are also afraid of what will happen if they make a choice or if they do not make a choice. They feel they are in a no win situation.

I usually meet with the parents to tell them how their child is handling the divorce. Very often the first half an hour to 45 minutes I hear from the parent how unfair this whole divorce has been and how much it has cost them and they are running out of money. Mothers have their reasons about how unfair Courts and attorneys are to mothers and fathers also complain that the Court and attorneys are unfair to fathers. They also talk about a particular decision that is being made at that point. Such as what school the children will go to or how holidays will be divided.

Typically at this point both parents feel they have had to give in a lot and they are not going to give in anymore. All this attitude does is create more attorney bills and put the children under a great deal of stress. By this point in the divorce process many children are having difficulties with their school work, their parents and teenagers often have started to use alcohol or pot for a temporary escape from the stress. Younger children usually start reporting stomach aches and headaches and often have started to wet their beds at night again. These are all common reactions for younger children under stress.

When I do meet with the parents, I encourage them to take a step back and look at the entire situation. What is the divorce costing them financially, emotionally? Also what is the divorce costing their children emotionally in the short term and long term? I ask them is the price worth the fight? They are possibly doing damage to their relationship with their children and they are effecting how their children will view and think about relationships. Also they are damaging their relationship with the other parent. After the divorce is finalized, the other parent is not going to disappear. They have children together. Therefore, they are going to need to co-parent together. With all the bad blood being created, it may make it very difficult to co-parent together so the arguing and attorney bills will continue. However, the most important point is the children will still be caught in the middle. This will create emotional damage for the children. They can understand the arguing during the divorce, but not after. At that point, the children expect their parents to act like adults.

Trying to help the children, I encourage the parents to put their egos away and what ever one is telling them that they deserve. I encourage the parents to use their emotions and imagine how their children are feeling and how their children will feel the longer that the fighting continues. I recommend to parents that they need to put their children first and make the decision that is best for their children not their ego. They may win this battle, but is it worth losing the war. They lose the war by the emotional turmoil they are creating for their children. We also know from research studies that putting children under this type of stress can have long lasting effects.

Therefore, I point out it is more important to do what is best for the children. It might be hard right now, but in the long run their children will be happier and so will they. Therefore, my recommendation when making decisions regarding child support, visitation or anything to do with the children is to put pride to the side and do what is in your children’s best interest. It is your responsibility as a parent. Also remember you are ending your marriage, but you still need to co-parent with the person you are divorcing. Again as a responsible parent, you need to make the decision that will allow you to co-parent.

One issue that I have not explicitly stated. The approach I am discussing are for divorces where a spouse had an affair or is tired of being married etc. I am not discussing a marriage where there was domestic violence, child abuse physically or emotionally or severe substance abuse by one parent. If any of these issues exist then it is a different matter and requires a different approach.

Dr. Michael Rubino is a psychotherapist who has worked with children, teenagers and divorce cases for over 20 years. For more information regarding Dr. Rubino’s work or private practice visit one of his websites at http://www.rcs-ca.com, http://www.RubinoCounseling.com or his Facebook page at http://www.Facebook.com/drrubino3 or follow him on Twitter @RubinoTherapy. Th

Grieving During the Holiday Season

Grieving During the Holiday Season

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

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

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

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

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

The Best Things to Say to Someone in Grief

1. I am so sorry for your loss.

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

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

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

5. My favorite memory of your loved one is…

6. I am always just a phone call away

7. Give a hug instead of saying something

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

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

10. Saying nothing, just be with the person

The Worst Things to Say to Someone in Grief

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

2. He is in a better place

3. She brought this on herself

4. There is a reason for everything

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

6. You can have another child still

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

8. I know how you feel

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

10. Be strong

Best & Worst Traits of people just trying to help

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

The Best Traits

Supportive, but not trying to fix it

About feelings

Non active, not telling anyone what to do

Admitting can’t make it better

Not asking for something or someone to change feelings

Recognize loss

Not time limited

The Worst Traits

They want to fix the loss

They are about our discomfort

They are directive in nature

They rationalize or try to explain loss/li>

They may be judgmental

May minimize the loss

Put a timeline on loss

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

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

Children and Holiday Gift Issues

Children and Holiday Gift Issues

At this time of year most people are worried about finishing Christmas shopping before Christmas and buying the right gifts for everyone. People also worry about how much to spend and who to buy a gift for. While we have these worries so do many of our family members and friends. It is especially difficult for families who cannot afford to spend money on gifts because they can barley afford the rent. We need to remember how much someone spends on a gift is not the point. The thought is what is important. Someone can make a gift and that gift is just as important as the gift someone bought. Parents need to educate children about this fact and model appropriate behavior for children.

One of the most awkward situation is what to do when someone receives a gift they don’t like or want. This is even more of a sensitive situation when a child or teenager receives a gift they don’t want. It is more difficult because children and teenagers often do not have the social skills to cope with the situation.

All of these worries regarding gifts can ruin Christmas for people. We should be more concerned about spending time with the people who are important to us not gifts.

This is a lesson parents need to teach to their children. The Holidays are not about gifts, they are about love.

In preparing for this article I found as list by Marie Hartwell-Walker, Ed.D. which deals with this issue. She outlined the topic in away to make it easy for parents to use with their children. I have included her points below:

▪ Be sure the adults model gratitude and courtesy.It’s impossible to teach children to be gracious if they are watching their parents and other role models behave badly. Raising children well often means cleaning up our own acts. When we remember to regularly say please and thank you and demonstrate our gratitude both for the gifts we receive and the givers who enrich our lives by their very presence, we provide our children with powerful lessons in both politeness and love. When we thank our children for presents they give us — whether it is a drawing they made or something they purchased — we show them how good it makes people feel to be appreciated.

▪ Talk to your child about what giving is all about. Ideally, it is an act of love and caring. It’s a way people say, “You’re special to me. I want to make you happy.” Even when a gift is a disappointment, the intention was to please.

▪ Kids as young as 5 can learn to figure out something positive to say about a disappointing gift.Finding a reason to be grateful when it would be so much easier to get upset is an invaluable life skill. At age 8, Jocey’s son could have said, “I’ll like playing with this fire truck with my little brother.” (At only 3, my son was too young to be that sophisticated when confronted with the robot though he surprised us all by finding a way to make it less scary.) Give your kids some practice by imagining together some outrageous “gifts” and thinking about what positive things they could say to compliment the gift or the giver.

▪ Teach them that if they can’t find something to like about the gift, they can always focus on the love. Someone loved them enough to think about what to get, to go to the store to buy it, and to wrap it up and deliver it. They can always tell the person that it makes them feel good and special that someone went to all that trouble.

▪ Emphasize that it’s never, ever, okay to hurt the giver’s feelings. They mustn’t poke fun at the gift or embarrass the giver — even if the giver isn’t there to hear it. Laughing at another’s expense isn’t being funny. It’s just unkind. If those unkind comments get back to the person, it can damage the relationship.

▪ Reassure your children that if they really, honestly don’t like a gift, they can quietly come to you later to talk about it. Often gifts can be exchanged or a parent can tactfully help the giver better understand what would be a better choice at another time. And sometimes at least, what at first seemed like the most inappropriate, useless gift ever can become a dear reminder of the person who gave it.

While how a child might respond to gift is an issue, buying gifts can be an issue. Also regifting can be an issue. Again gift buying and regifting can become major issues for some families. In an attempt to avoid this issue, I have included a link regarding gift giving and receiving etiquette. I think it can help many families with some common gift buying and receiving issues. http://www.designsponge.com/20…

Dr Michael Rubino has over 20 years experience as a psychotherapist working with children and adolescents. For more information about his work and services offered at his private practice visit his website at http://www.rcs-ca.com, http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3.

Talking To Kids about Mass Shootings

Talking To Kids about Mass Shootings

Mass shootings have become a daily occurrence in our country. Just the other day there was another shooting at the Naval Base in Pensacola, Florida. Closer to home there was a threat of a possible shooting at Foothill Middle School in Walnut Creek. The police determined in was not a valid threat and it was a kid trying to scare people. However, I did receive calls from parents asking me, how do I talk to my child about this threat? Many parents said to me before it was easier because the shootings were far away. Now it was in our backyards and parents were not sure what to do.

It is not surprising that parents are feeling overwhelmed. According to the CDC, as of November 15th which was the 319th day of the year, there have been 336 shootings as in November 15th for the year 2019. Also there have been 250 deaths and 979 injuries in 2019. According to the CDC, there have been a total of 1347 deaths and 1684 injuries in mass shootings many of them occurred at schools. With the recent shootings at Santa Clarita and the Naval Base, the numbers will increase. When you look at these numbers and you look at there are 1.2 shootings, this is very overwhelming. It is difficult for adults to comprehend how do you discuss with a 10 year old child.

Many people think they can ignore discussing it with their children because they do not watch the news. They may not watch the news, but the hear people talking and see things on the internet. Also most schools have intruder shooting drills now. So children are very aware of mass shootings. In fact, over the last 2 years, I have seen a significant increase of children for anxiety, depression and not wanting to go to school. The kids tell me they are afraid of getting killed if they go to school. Therefore, parents need to discuss mass shootings with their children.

When you speak to your children you need to do so in an age appropriate manner. Reassure them everyone is doing everything they can to keep them safe. Do not deny that there have been shootings at schools because they know there have been shootings. If you lie about the shootings, they will not trust what you have to say. The main point children are looking for is that people are there to keep them safe and everyone is doing everything possible to keep them safe. Children look towards adults to keep them safe so it is very important as parents you say and do whatever you can to reassure your child, you are doing everything you can to keep them safe.

This is a very difficult topic for children and parents. As a parent you want to reassure your child, but you do not want to lie. I have included a link to a very good video. It goes over different age groups and explains to parents how to approach your child regarding this issue. I encourage every parent to watch it and to talk to your child. Remember, if you do so in a loving way, you will help your child a great deal. The most important thing to them is that you love them and they know you are trying to keep them safe. https://youtu.be/Ddk0RUKbAMk.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. He is also certified to treat trauma victims. For more information regarding Dr. Rubino visit his website at http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3.