Teenage Cutting Increases due to the Pandemic

Teenage Cutting Increases due to the Pandemic

Last year when I was guest co-hosting the Street Soldier radio show on 106.1 KMEL, the topic was how teenagers are impacted by social media. The topic of depression and cutting came up during the conversation. The adults were shocked to hear about cutting and the teens tended to feel the cutting was more of an issue for the girls. However, as a psychotherapist who works with teenagers, I have observed the increase in teenage cutting over the years. I have also observed that a behavior that once was believed to occur mainly in girls is also occurring in teenage boys too. From what I have seen it appears that just as many boys are cutting as girls. I mentioned when I was co-hosting last year before the Coronavirus. Since the Coronavirus pandemic and quarantine the number of teenagers cutting has significantly increased (CDC).

The first question I often receive when I mention cutting is, what is it? Cutting is any behavior that a person engages in with the goal of self-mutilating. Teenagers cut with razors, knifes, paper clips, staples, using erasers or even scratching themselves. These are just a few ways teenagers have found to self-mutilate themselves. Since this is an activity associated with a great deal of guilt and shame, I am sure there are more ways that we have not learned about yet.

Also because cutting is associated with a great deal of guilt and shame our statistics on how many teenagers cut are not entirely accurate. Most recent studies indicate that approximately a third of all teenagers have tried cutting or actively cutting (CDC). If you noticed the research shows a third of all teenagers, which means boys too. I am seeing cutting become more popular with teenagers especially with boys who say they are cutting, have cut or are thinking about it. Therefore, cutting not only occurs in girls but it is occurring in boys too. We need to be aware of the fact that cutting is becoming more popular with teenagers. It is important because cutting can lead to accidental suicide attempts if an artery is cut or permanent damage if nerves in the arm or legs are severely cut. These are things that teenagers and parents don’t think about.

Why do teenagers cut? The reasons I commonly hear is it is easier to deal with the physical pain than the emotional pain they are feeling. Teens who are severally depressed state that cutting reminds them they are alive. They are so depressed that they feel nothing, but when they cut they feel. Also teenagers cut as a way to punish themselves because they are ashamed about something they did or they feel they have let their parents down. Cutting is a way for teenagers to deal with the guilt and shame they are experiencing. It is also a way that they can feel in control of life when their life feels or the world feels out of control or overwhelming.

Since the Coronavirus pandemic many teenagers are feeling overwhelmed and powerless. They also see very little hope for things to improve. As a result, many more teenagers have started cutting since the beginning of the pandemic. It is a way teenagers can try to cope with feeling overwhelmed and powerless due to the pandemic. I have had more teenagers reporting incidents of cutting and more friends who are cutting since the beginning of the pandemic and as the pandemic continues.

If we look at how boys are raised, cutting is a good fit for boys. Most boys grow up learning that boys can’t cry and if you express feelings of sadness or disappointment you are weak. Teenage boys are always supposed to look like life is perfect and they can handle anything without help. Cutting allows them to express sadness, fear or embarrassment in private. No one knows they are cutting or how they are feeling. Unfortunately, this leads to a vicious circle where emotions can get out of control and a boy may end up doing something he never indented to do. The number of boys cutting has increased due to the pandemic because they feel overwhelmed and out of control. There is nothing they can do about the Coronavirus and how their lives have changed due to the Coronavirus.

At this point, most people working with teenagers consider cutting an epidemic. In fact, the CDC does consider teenage cutting to be an epidemic. Additionally, the little research we have about this behavior supports this idea, but we are unable to determine how severe the epidemic is in teenagers. When I mention cutting to a teenager now, they don’t look shocked. Instead they talk about it like we are talking about the weather. They often tell me about friends who are cutting too. Most teens who cut have friends that cut. Most teenage boys who have girlfriends tend to have girlfriends who cut too. As I stated above, the number of teenagers cutting has increased significantly since the Coronavirus pandemic because many teenagers are feeling helpless and overwhelmed by life. No one alive has ever dealt with a pandemic so teenagers feel helpless and hopeless about life. This has been my experience.

Cutting can be a very dangerous behavior and does need to be treated with psychotherapy. If you feel your teen may be cutting, talk to them in an understanding manner. Do not give them any reason to feel guilty or ashamed if they say yes. As I stated above, the teen already feels a great deal of shame and if they feel they will be looked at in a shameful manner or that you will be shocked they will never open up to you. You need to reassure them you love them and you only care about their safety.

I said it needs to be treated with psychotherapy. Find a psychotherapist who specializes in treating teenagers and in treating self-mutilating behavior. If you have to go to someone who is doing teletherapy due to the pandemic that is fine. This is very important because if the therapist acts negatively or shocked, the teenager will shut down and therapy may not work with any other therapist because the teenager now assumes everyone is judging them. I have had teens test me in various ways because of what a previous therapist said about their behavior or what the therapist said to their parents. They need to feel safe and accepted by their therapist if therapy is going to work.

I have included some risk factors and warning signs for you to be aware of in case you think your teen might be cutting:

Risk Factors

Knowledge that friends or acquaintances are cutting

Difficulty expressing feelings

Extreme emotional reactions to minor occurrences (anger or sorrow)

Stressful family events (divorce, death, conflict)

Loss of a friend, boyfriend/girlfriend, or social status

Negative body image

Lack of coping skills

Depression

Warning Signs

Wearing long sleeves during warm weather

Wearing thick wristbands that are never removed

Unexplained marks on body

Secretive or elusive behavior

Spending lengthy periods of time alone

Items that could be used for cutting (knives, scissors, safety pins, razors) are missing.

While this is a scary subject, I have worked with many teens who have overcome this issue. The important thing is as parents you are accepting and non judgmental. Also you need to be aware that this issue does exist. My last point is that boys cut too. Girls are not the only teenagers engaging in this behavior.

Dr. Michael Rubino has over 20 years experience treating children and teenagers. He has treated many teenagers who cut and is considered an expert in this area. For more information regarding Dr. Rubino visit his websites www.rcs-ca.com , www.RubinoCounseling.com , or his Facebook page, http://www.Facebook.com/Drrubino3

Children’s Right to Psychotherapy is at Serious Risk

Children’s Right to Psychotherapy is at Serious Risk

Parents our elections are coming up and it is very important that you vote and call your Senators regarding health care. Currently President Trump has several suits in the Courts to eliminate the Affordable Care Act and pre-existing conditions. Yes he signed an Executive Order, but insurance companies do not have to comply with the Order. The Executive Order are only recommendations so insurance companies can and will ignore it. I have been a psychotherapist for over 20 years and I have seen how the Affordable Care Act has benefited thousands of people. Before we had it, many people were denied or could not afford psychotherapy.

Before the ACA, if you had ever taken antidepressants, your insurance could deny to cover psychotherapy for you or require you to pay a very high copayment. I saw this happen many times to patients I was treating prior to the ACA. Depression and anxiety are considered pre-existing conditions. Also in your insurance contact there is a standard clause that if the insurance company wants to see all your medical records you cannot stop them. I had insurance companies make these requests and I checked with numerous attorneys and the answer always was the same. The way the insurance writes their contract, you cannot stop them from getting all your records from the day you were born. If you refuse, they can terminate your insurance coverage. Insurance companies typically will ask for all your records because if you had psychotherapy as a teenager that is a pre-existing condition. Therefore, they can deny to cover your psychotherapy. They could even terminate your health insurance all together.

What if you have children? If you have a child with Autism, ADHD or if they were ever suicidal, your child will not be able to get insurance coverage or the psychotherapy they desperately need. Before the ACA I had many families in this exact situation. Many would automatically terminate therapy. Research now shows if children with these issues receive therapy when they are very young we can improve the outcome for them as adults. However, without the ACA, insurance companies specify these issues as pre-existing conditions and therefore the child is not entitled to psychotherapy. I often provided psychotherapy to these families at a fee they could afford. However, not every therapist can afford to lower their fees and I can only do it for a certain number of families because it cost money to run a business.

This election and these cases before the Courts could have disastrous effects on you and your children if the pre-existing clause is eliminated. The President has stated he will protect the clause, but his actions indicate he will eliminate it if he can. If this clause is eliminated anyone who has dealt with depression or ADHD will not be able to get insurance or if they can the rate will be very high. Remember if the clause is eliminated it will not just stop you or your child from receiving therapy it will also stop you from receiving medical care. So if you develop long haul syndrome after having the Coronavirus, you will not be able to get insurance coverage. The Coronavirus is a pre-existing condition. Another fact is that 1 out of 5 children meet the criteria for a diagnosable mental health issue (CDC). This means 1 out of 5 children have a pre-existing condition. So parents please vote and call Senators and save the pre-existing condition clause. Please do not trust President Trump to do it.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers for more information about Dr. Rubino visit his website at http://www.RubinoCounseling.com

An Important Role Model for All Teenagers

An Important Role Model for All Teenagers

On Friday, September 18, 2020, we lost an American legend and a person who taught all of us some very important lessons. The person we lost was Supreme Court Justice Ruth Bader Ginsberg at the age of 87. While the politicians are arguing about who and how her place on the Supreme Court will be filled, let us take sometime to look at her legacy and honor what she has done for the United States. She fought for the rights for many people and groups who were discriminated against due to the law. She truly worked and devoted her life to make our Country “a more perfect Union.” Additionally, she is and excellent role model for teenagers. Yes she is a role model for teenage girls, but she is also an excellent role model for teenage boys too. Let’s take a moment to look at the lessons she taught teenagers and how teenagers can use the lessons she provided.

Justice Bader Ginsberg personally faced discrimination and negative stereotypes and she learned first hand how they were unfair to the person but also how the stereotypes and discrimination hurt our nation too. Justice Bader Ginsberg had three strikes against her. She was a woman, she was Jewish and she was a mother. Here are two examples of the discrimination and negative stereotypes she faced during her life. She lived in Nebraska with her husband and she was working for the United States Social Security office in Nebraska. When she had her first child she was demoted and received a pay cut because women with children should not be working. Another example is after she was accepted to Harvard University. A professor called her aside and asked her to justify why she should be at Harvard and deny a man from attending Harvard. She did not allow these acts of discrimination to stop her. She understood why she was facing the discrimination and she would not let the discrimination stop her from moving forward with her life and the discrimination did not stop her from fighting against it and other inequalities many people faced.

After Justice Bader Ginsberg finished her law education and she graduated tied for first place at Cornell University, she was unable to get a job at a law firm because she was a woman, Jewish and a mother. Married Jewish women were not supposed to be attorneys. They were suppose to stay at home and raise a family. Again the discrimination would not stop her from fulfilling her life’s dream and her potential. She became an attorney for the ACLU and started to challenge discrimination and prejudice legally. She also had a husband, Marty Ginsberg, who supported her. He was an attorney too, but he believed that his wife had the right to be an attorney too and encouraged her to continue.

She did continue and people started to notice her talent and she started to change barriers. She took on discrimination against women, discrimination against voting rights for minorities and discrimination against people with disabilities. Her talent was recognized by President Carter who appointed her to be a Federal Judge and then President Obama appointed her to the Supreme Court. She over came the fact that she was a woman, Jewish and a mother. She made the world better for herself and for thousands of American citizens.

In addition to all the discrimination she faced, she also faced numerous bouts of being diagnosed with cancer. Many people may have retired after their first diagnosis, but not Justice Bader Ginsberg. She continued to work through chemotherapy, radiation and surgeries. She did not allow cancer to stop her from fighting for people’s rights. If she was not able to make it to the Court, she participated via conference calls from her home and even from her hospital bed. This is a person with a strong drive and who was not going to let anything get in her way of making our Country “a more perfect Union” for everyone regardless of their gender, race, religion or sexual orientation.

Now that we of an understanding of what she faced and her work, let’s look at the important lessons she taught teenagers. First, she showed that one person can make significant changes in our world. Also her friendship with Justice Scalia (a strong republican) taught us that you can respect and be kind to people with different opinions from you. In fact, you can even be friends with someone who has different opinions or different background from you. This is very important for teenagers to remember that you can be kind and respect people who are different from you or has different beliefs.

Another very important lesson she taught teenagers is not to let someone else’s prejudice or negative stereotype about you to stop you from fulfilling your dreams or to cause you to doubt yourself. If I had listened to people when I graduated from U.C. Berkely, I would have never earned my doctorate degree. I was told when I graduated from U.C. Berkeley that people with physical and neurological disabilities don’t go on to get advanced degrees. I should just be happy getting a job. I ignored the comments and discrimination I faced a long the way and I earned a Master’s degree and my Doctorate degree. I followed Justice Bander Ginsberg example and followed the faith I had in myself and ignored the stereotypes and discrimination. Girls and other teenagers who are belong to a minority, also need to believe in themselves and follow their dreams. Do not let someone else tell you what you can achieve in your life based on their prejudices or stereotypes they hold. Follow the belief you have in yourself and pursue your dreams.

Another lesson Justice Bader Ginsberg taught teenagers is you have an obligation to speak out against injustices and to help other people by helping to eliminate discrimination and negative stereotypes. As our Constitution states, “all men are created equally.” If that statement is going to mean anything then everyone regardless of ethnicity, financial class, gender or religious beliefs need to have the same opportunities as white Americans. Therefore, supporting groups such as Black Lives Matter and other groups addressing the systemic discrimination in our Country is our responsibility. Justice Bader Ginsberg’s life was dedicated to eliminating systemic discrimination and racism. This is why her last request was her successor be named by the winner of the Presidential Election on November 3rd. We can help ensure that the intent of her last wish will be carried out if teenagers speak up and demand that any systemic discrimination or racism they observe is changed.

Justice Bader Ginsberg lived her life showing us that no one has the right to define us as a person and in the United States we are all equal and deserve to be treated equally with kindness and respect. I hear many teenagers telling me they feel the same way when I see them for therapy. Therefore, we can honor this amazing lady by encouraging our teenagers not to allow stereotypes and racism to define them as people. Furthermore, we can honor this amazing lady by encouraging our teenagers to speak up and fight against racism and discrimination they see in our society. Remember Justice Bader Ginsberg’s belief that everyone in the United States deserves to be treated with dignity, respect and kindness regardless of ethnicity, gender, sexual orientation, financial class or disability status.

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

Teenagers Playing a Deadly Game with Benadryl

Teenagers Playing a Deadly Game with Benadryl

Teenagers will find ways to get high because they believe that it is fun. However, many teenagers are not aware that the ways they are choosing to get high can cause serious health risks even death. Teenagers were using the cough medicine, Robitussin, because it contains DMX an provides an easy high. Well teenagers are now using another allergy medication. Teenagers are now using the medication Benadryl made by Johnson and Johnson.

Many parents are familiar with Benadryl. It is a common medication pediatricians prescribe to parents when their children have allergies. This medication is considered safe for young children and parents can purchase it over the counter. Additionally, many pediatricians suggest that parents use this medication when children are having difficulties sleeping. Besides being a safe allergy medication for young children, it also has a tendency to make children and adults drowsy. Most people fall asleep after taking Benadryl.

Now the app TikTok has found away to abuse this medication. People who use TikTok have issued a challenge to other TikTok users. The challenge is to take as many Benadryl pills as they can so they start hallucinating and experience a high. Therefore, we have teenagers across the country taking dozens of Benadryl pills. Teenagers are able to get Benadryl easy because it is sold over the counter and is considered a safe allergy medication by most people. Therefore, most parents won’t suspect anything if their teenager tells them they are taking Benadryl for their allergies.

However this challenge posted on TikTok is dangerous and deadly. Johnson and Johnson has stated that Benadryl was not designed with the intention of taking dozens of Benadryl pills at a time. At this point a 15 year old girl has died from taking too many Benadryl pills. Additionally, three 15 year old teenage girls in Fort Worth, Texas are in the hospital because they took too many Benadryl pills. Johnson and Johnson has stated that if you take to much Benadryl it can cause seizures and serious heart problems. The company has the guidelines on the bottle regarding what is an appropriate dosage of Benadryl for different ages and weights. Johnson and Johnson is warning parents about this TikTok challenge so parents can address it with their teenagers.

Parents TikTok is very popular with teenagers right now. Teenagers are not thinking about how dangerous this challenge can be and that people can die. If your teenager uses TikTok discuss this challenge with them and watch to see if your teenager has any Benadryl. If they use TikTok and have Benadryl take the medication away from them. You may be saving their lives.

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

Teenagers Need to Know They are Important

Teenagers Need to Know They are Important

I have many teenagers who see me for therapy believing that no one loves them and that they are worthless. They tell me their parents don’t love them, their siblings don’t care about them and no one at school cares about them. They feel they are unloveable and no one cares if they live or die. Because they have this belief, they don’t care about themselves. They don’t care how they are doing in school and they see no future for themselves. As a result they don’t care what happens to them either.

There are many reasons why children have this feeling about themselves. For some their parents were drug addicts, for some were sexually or physically abused, some have gone from foster home to foster home their entire lives. As a result, they see no hope and no future for themselves. The most important point is not why teenagers have developed this attitude about themselves, it’s that they have this attitude. We need to look at what this belief will do to these teenagers and their lives.

Many teenagers who feel unlovable turn to drugs or alcohol to numb these feelings. Some turn to self-mutilating behaviors, such as cutting, again as a way to numb these feelings or as a way of punishing themselves. Often teenagers become sexually active at an very early age. They equate sex with love. Also many of these teens become involved with gangs and bullying. The gangs serve as a psedufamily for the teenagers. In fact, gangs consider their members as family members. Bullying is another way teens numb out their pain. They believe by making someone else look weak that it makes them look strong and people will respect them and love them. Also they can it is a way they feel they can hide from other that they feel worthless.

The above stated behaviors are a few ways that teenagers deal with feeling unlovable. However, the number of teenagers who feel this way are creating numerous problems for everyone. As a result of teens feeling unlovable, we have a severe drug problem in the teenage population. Teenagers are dying from accidental drug over dosages at an epidemic rate. According to the CDC the number of teens using drugs, such as heroin and meth, is at an epidemic rate. Cutting, suicide and being murdered are all at epidemic rates for teenagers (CDC). All because many of them don’t feel loved.

We are receiving this message in many ways that teenagers need to feel loved. In Disney’s movie, Frozen, they mention that people make poor choices and do hurtful things because they feel unloved. The movie goes further to say that if people feel loved you would be amazed at how they can change. Oprah in her last show commented on one thing she had learned from her show was that everyone wants to know that they are important to someone and that someone sees them and cares about what they say and do. Challenge Day, a program designed to work with teenagers, believes all teens deserve to feel loved and cared for by people. I have worked with Challenge Day and I am amazed every time that this big, tough teenager ends up crying on the floor when he realizes that someone cares. Teenagers are trying very hard to let us know they need to be loved when they act out. I have teenagers telling me they are willing to take a chance of overdosing just so they can escape the pain of feeling abandoned and unloved. It is heartbreaking to hear a teen tell you this as they try to hide the fact that they are crying.

We know love makes a difference to many people so why not teenagers? The teenagers I work with don’t really want to be the tough guy. They want to know that they are loved. When I tell a teen I’m working with in therapy that they deserve to be loved, they think I’m crazy. They test me in numerous ways to get me to throw them out of my office. They are testing the point I made that they are lovable. They try everything they can think of to prove me wrong. However, in reality they are hoping to fail and prove that I am right that they are lovable. So, I hold strong and tell them I won’t change my mind and I will not give up. I will not throw them out of therapy. If they decide to walk out that is their choice and I can’t stop it, but I will not throw them out because I know they are worthy of being loved. I also let them know if they do walk out that my door will always be opened to them.

After testing me, many of these teens decide they are worth it and decide to make a future for themselves. It is amazing to see and it is very nice to see. However, there are those teenagers who walk out and that is very disappointing. It’s not disappointing because I lost it is disappointing because the teenager will continue to live in pain.

The main point is that Challenge Day, Alive and Free (another program for teens) and other therapists like myself cannot be the only ones trying to help teenagers. We need everyone to help. Parents, teachers, physicians, psychotherapists, the juvenile justice system and our communities. We need to let children know from the day that they are born that they deserve to be loved and that they are important members of our society. We cannot continue to wait until these children are teenagers to tell them they are lovable. Waiting until they are teenagers may be too late and the teen may not believe you. If we start when they are babies, they will grow up with a sense that they are important and deserved to be loved. This could help reduce how many teens turn to drugs or violence.

So, think about how you can show a teenager that they deserve to be loved and that they are important. If everyone starts with one teenager, you would be surprised the changes we can make in someone’s life and the world.

Dr. Michael Rubino is a psychotherapist who specializes in treating children and teenagers. He has over 20 years experience treating teenagers. If you want more information about Dr. Rubino visit his website at www.RubinoCounseling.com or his Facebook page at www.facebook.com/drrubino3.

Helping Teenagers Understand Responsibility

Helping Teenagers Understand Responsibility

We have people blaming teenagers and college students for not wearing masks, having big parties, such as pool parties, on the weekends and that college students are hanging out at bars and as a result of their behavior we blame them for Coronavirus rates increasing across the Country. College students and teenagers have been involved in a number of protests, such as Black Lives Matter, and we are saying the virus is increasing because of protestors not wearing masks and not social distancing too. Finally, we are looking at teenagers and college students across the Country having Coronavirus parties and this is another reason the virus is spreading. As of today, August 4, 2020, there have been 159,000 deaths in our Country due to the Coronavirus and we are averaging 1,000 more every day (CDC). There are a tremendous amount of people who have died in our Country and in my opinion we are being unfair blaming teenagers, college students and protestors.

If we look at the White House, what do we expect from teenagers? Today in an interview the President stated yes a 1,000 people are dying, but that is how it is. No empathy in his tone of voice and taking no responsibility. He has been holding press conferences about the Coronavirus and he has stated people can wear masks but he will not require it. Additionally, he has been going all over the Country and he does not wear a mask. He wore one only once. Therefore, what message is he sending to the Country and teenagers especially? Additionally at the President’s press conferences he continues to state that the malaria drug is a cure for the virus. However, numerous studies by our top medical experts have all shown that the drug is ineffective and can cause deadly side effects. Yet he stands in front of the Country and makes it a popularity contest by saying people like Dr. Fauci better. Again this is what teenagers do, if you confront them on a story that they cannot back up with facts, they say you don’t like me. How can we expect teenagers to be responsible about their actions, when the President cannot be reasonable about his actions?

The President has been pushing that all school children must return to school on time and in their school buildings. However, his son’s school has delayed the beginning of their school until October and they will be doing remote learning (ABC, CBS News, CNN). Again we have a message of do as I say not as I do. What are teenagers and college students going to think when it is clear the President is willing to gamble with their lives, but not his son’s life or his family’s life?

Let’s take a different look at this situation. If your teenage son was not doing well in school and he was in danger of not passing his classes and his response to you was, “it is what is.” How would you feel? If this same son spent every weekend hanging out with friends and not doing his homework or studying, what would you think? Furthermore, if your teen did see any reason to spend his weekend trying to repair his grades and he believed it was more important to hang out with friends because he needed a rest, what would you think? I don’t think you would approve of your son’s behavior. We are in the middle of a global pandemic and the President spends his weekends golfing not addressing the pandemic. Today, 8/4/20, was the first time in six months that he attended a meeting of the Coronavirus Task Team (ABC, CBS News, CNN). Looking at the standard the President is setting for teenagers, I’m sure, as I stated above, you would be disappointed in your son’s behavior, but how can you say anything based on the President’s actions? How do you argue with your teenager to do his geometry homework, when the President is ignoring 159,000 Americans dying?

Parents you are faced with only one option in my opinion. You need to explain to your son that yes the President is not being responsible and ignoring his duties. However, two wrongs do not make a right. The President can choose to be irresponsible and he will have to face the American voters and may lose his job. Just like the President will be judged by the voters for his choices, you need to point out to your son that his teacher will judge his choices about studying by the grade he receives in the class. Additionally, you will be judging his choices about school based on the grades he receives in his classes. Finally, you need to point out and educate them on the fact that just because someone else chooses to ignore their responsibilities, even if he is the President, it does not give him the right to ignore his responsibilities. The final choice is up to him and he must face the consequences for his actions.

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 at http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3 or listen to his podcast on Apple or Spotify.

Outside Family Activities during the Pandemic

Outside Family Activities during the Pandemic

Since the Coronavirus has hit, we have had to change our work lives and family lives. Change the family life has been a challenge for many parents. It has become more of a challenge since summer has started and the kids want to go outside. They are tired of being inside. I found some good recommendations on Lori Lite’s blog regarding reducing stress for children. All of these activities can be done wearing a mask and keeping the social distancing requirements. These are perfect activities during the pandemic and with the State being closed down. Also getting outside in the fresh air and sunshine is great for the whole family since we have been locked down for several months. It’s a great family bonding experience and a great way to reduce everyone’s stress. Here are some fun outdoor activities to do as a family:

Go For a Walk:
Not only is this a completely free activity, but it is also an excellent opportunity to talk more with your family. However, remember you need to wear your masks, keep appropriate social distance from others and use your sunscreen. Take the time to ask them about they are feeling about the situation with school, friends, or anything else that interests them. You can take a walk around the block or head to a trail nearby. This is also a great way to get in more exercise as a family and can encourage a healthier lifestyle. You can easily take a walk after dinner or make a day out of it as well. It’s amazing the topics of conversation that come up with kids when there aren’t the distractions of being inside, screens, phones, or chores.

Go For a Ride:
Riding with family, like walking, is great bonding activity. Again, remember your helmets, masks, sunscreen and to social distance from others. At first, it’s good to do it on footpaths and then get to cycle-paths to build up each of your skills and also to bit by bit learn how you ride together and communicate with each other. Like walking, it’s amazing the conversations that will arise with your family. The beauty of cycling with your family is the different places you can see. You can do an off-road trail and explore the bush. You can ride around a harbor, lake, river or parkland – chatting about the wildlife, views, houses and architecture. As long as you remember to social distance from others and to wear your masks. Of course, you don’t have to ride all the time, there will be plenty of playgrounds to stop at and explore and many times there are great trees which are just beckoning your kids to stop, get off their bikes and climb. Consider making cycling a regular family adventure and build lifetime memories with your kids!

Have a Picnic
Enjoy the next sunny day with your family by having a picnic. You and your kids can prepare the food together in the morning. Choose foods you all love and have them help pack everything you need for the picnic. Then you all can spend the day in the park or even your backyard enjoying each other’s company. If you are at a park, remember your masks and to keep appropriate social distance from others. Picnics can also be an opportunity to play games, try out new recipes, and find new parks around your neighborhood. 

Water Balloon Fight:
You and your kids can do this in the backyard or even at the nearby park. Grab a large bucket and a bunch of balloons to fill with water. You can make your own rules with this kind of activity or even make it into a hide-and-seek game. This will also get your family moving and exercising without even realizing it. Again, remember you still need your masks and to social distance from others at a park. You can change it up by using raw eggs at times. This may be a good idea if it’s a little too cold for water balloons.

These are a few ideas. Now that we have started the ball rolling, you can also ask your kids about activities or games they may want to play. You may be amazed at their creativity and again it’s a great way to keep the communication flowing between you and your kids.

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

A Dangerous New Teenage Activity

A Dangerous New Teenage Activity

There is a disturbing new dangerous trend occurring in teenagers that parents need to know about so they can talk to their teenager. We know that many teenagers feel a sense of being invulnerable and nothing bad will happen to them and their friends. It appears that teenagers in Alabama are putting this belief to the ultimate test (CDC, CNN). As a result, they are risking their lives, their friends lives and the lives of their families for a few hundred dollars.

The starting point of this risky behavior is in Alabama and city mayors and paramedics have heard about the risky behavior and they are very concerned. Teenagers are having Coronavirus parties. They invite people who are infected with the virus to a party and then they sell tickets to the party to their friends and other teenagers. The first person who can provide proof from a physician that they have contracted the virus after attending the party wins all the money that was collected. Teens are using social media and word of mouth to advertise these Coronavirus parties. They do not consider how dangerous these parties are and that they are playing Russian Roulette with their lives and with the lives of any one they come in contact with after the party.

We know that teenagers brains are not fully developed until they are 25 years old and the last part of the brain developing is the prefrontal cortex. This part of the brain is responsible for more advanced functions such as reasoning and dealing with abstract concepts. Therefore, when the White House and President Trump are saying 99% of Coronavirus infections are not serious, some teenagers will listen to President Trump. Also when President Trump states we have the virus under control, again some teenagers will listen. They have difficulties reconciling statements from Dr. Fauci and the University of Washington which indicate the virus is not under control and reaching very dangerous levels in our Country. They are not sure who to believe. Also most teenagers don’t listen to a lot of news so they are not aware that United State citizens cannot fly to Europe because the virus is so much out of control in the United States that other countries don’t want to expose their citizens to the virus again. Even if you want to go to New York, the state of New York is requiring people to go into a 14 day quarantine. New York finally has the virus under control in their state and Governor Cuomo is doing what he needs to so New York keeps the virus under control. Therefore, since teenagers are hearing the virus is not a big threat and the President refuses to wear a mask, they are not aware how the virus is really impacting people or how dangerous it can be.

As a result, these Coronavirus parties don’t seem very dangerous to them and they could win $200. They are unaware that they can die from the Coronavirus. An 11 year old boy died in Florida from the Coronavirus so children do die from the Coronavirus (CDC). They also are unaware of the risk they are taking with their families lives. These parties seem like fun to them. It is summer and they are looking for ways to have fun especially having been in quarantine for the past 2 months. Additionally, no one can give them definite answers about school yet. Maybe they will be going to school on line or maybe they are going back to school part time. How they resume school also has an impact on their ability to see their friends and have fun hanging out with their friends. Therefore, they are dealing with a lot of uncertainty that no one can answer right now. However, these parties mean fun with their friends now, they can win some money and the President is saying they don’t need to worry about the virus. As a result, it is easy for their brains to decide to go to the party and have fun with their friends. Currently, it’s the only answer that makes sense to them when they look at how the President and the government are responding to the pandemic.

We are in the middle of a global pandemic. As of today, 136,000 people in the United States have died from the Coronavirus (CDC). Today another 792 people in the United States died (CDC). When we have hundreds of people dying everyday from the Coronavirus, we should not be making this a political issue. All this accomplishes are more people getting infected and more people dying. It also increases the amount of stress and anxiety that our children and teenagers are experiencing. This anxiety results in more teenagers needing psychotherapy for anxiety disorders and more teenagers turning to alcohol, drugs (CDC) and now Coronavirus parties as a way to cope.

Parents what your teenagers need from you is for you to discuss the current situation with them and what are the current recommendations from the CDC. For example, when they go outside they need to wear a face mask and to keep 6 feet in between them and other people. Also to wash their hands regularly and to avoid touching their faces when they are out. Also have an age appropriate conversation about how dangerous the virus can be. Therefore, explain to teenagers how these Coronavirus parties are very dangerous. They can also transmit the virus to other family members or friends who have other health conditions resulting in that person’s death. Furthermore, if they do catch the virus some studies are showing people can have life long after effects such as depression or neurological issues. Overall the message should be since we do not know what this virus can do, it’s not something to ignore and needs to be taken seriously.

Discuss that you understand there are conflicting reports at times and this can be confusing. Therefore, if they hear things that are confusing or friends saying things that do not make sense, they should ask you. Together you can discuss the confusing information and look up the latest information on the CDC website or your county’s Coronavirus website. Bottom line explain that yes this is a very confusing time but if you work together as a family you can help each other to understand what is happening and to stay safe. Let the politicians play games with their careers and lives, but not your children’s or family’s lives.

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

Teenagers Need to Earn Their Parents’ Respect

Teenagers Need to Earn Their Parents’ Respect

This article is slightly different from my other articles. This article is written for teenagers. Since most families have been spending more time together due to the pandemic and shelter in place orders, the issue of respect has been a popular household topic. Many teenagers feel very mature and often feel entitled to more freedom because they feel they are mature for their age, in their opinion. This is a common argument I hear from teens and they say they feel disrespected by their parents. Most parents have a different point of view and feel disrespected by their teenagers.

Parents while the target audience for this article is teenagers, you may find some of the issues I mention helpful when speaking with your teen. You may be able to use this article as a way to start a discussion with your teen about your house rules and respect.

In my office, I hear daily from teenagers how they feel disrespected by their parents. This is common problem between teens and their parents and has increased with the quarantine situation. Teenagers feel disrespected by their parents and that their parents treat them like children. Sometimes this may be true, but overall teens are expecting too much from their parents.
Yes it is true that as teenagers you are becoming young adults and that you should be able to handle more responsibility. The big word in that last sentence is SHOULD. Just because you turn 13 or 16 doesn’t mean you are in charge of your life. You are a YOUNG adult. Noticed I capitalized the word young. There is still a number of life experiences for you to learn and until you do, your parents are responsible for you, especially during the pandemic. There is a lot we do not know about the Coronavirus and the situation is changing daily with new health orders. It’s your parents responsibility to ensure you are safe.

A number of you have heard your parents say when you are 18 you can do as you like and that is the truth. Prior to you turning 18, any trouble you get into, your parents are responsible for it. If you damage property, your parents are legally responsible. If you get arrested and put in Juvenile Hall, your parents receive a bill from the County for the length a time you were in Juvenile Hall. In other words, legally and financially you are responsible for yourself and your actions. However, your parents are still available to help especially during the pandemic when no one is sure about what is happening in the world.

You may think that prior to the age of 18 that you do not need your parents, but you need their permission to drive and basically for anything you want to do. Even if they give you permission for you to drive and you get your license, they have the ability to have your driver’s license suspended at any time they want while you are under the age of 18. Also if your parents are divorced, both parents must sign the consent for your driver’s license. You cannot play your parents against each other to get your driver’s license.

As I started off, now that you are a teenager you SHOULD be able to handle more responsibility. This responsibility is not an automatic gift you receive when you turn 13. This respect you so desperately want is something you have to earn. How do you earn it? You earn it by respecting the rules that your parents have set and by taking care of your responsibilities – for a teen, your primary responsibility is school. This means going to school on a regular basis (or completing your online assignments during the pandemic), doing your homework and turning it in, earning decent grades and not making poor choices such as drinking alcohol or smoking cigarettes, marijuana or vaporizing. You may say this is unfair, well welcome to the adult world.

Ask your parents how many times they have to do something at work they feel is unfair, but if they want their job they have to do it. Ask your parents how many days they get up tired or not feeling well and they would prefer to stay home from work, but they still go to work. They go to work because the have a family to support and bills to pay. Your parents want you to succeed in life. If you feel they really are not giving you enough freedom, then ask your parents if you can discuss this issue with them. However, ask in a mature, respectful manner do not demand a conversation. When you discuss the issue with your parents have some things you have been doing, e.g., your homework, respecting curfew, that demonstrate you can handle more responsibility. Do not just demand it because your friends have it.

Remember the respect and maturity that you want, you must earn. You earn it by respecting your parents, other adults and recognizing that you have responsibilities. You do not get it because you turned 13 or because your friends have it. This can be a difficult time of life, but it can be a time when you learn a lot about the world and yourself. If you remember you need to earn your parents trust and you actively try to do so, your parents will work with you and start to trust you. The choice is yours, you can make your teen years difficult or make them easier by working with your parents – you decide.

Dr. Michael Rubino is a psychotherapist who specializes in treating teenagers. He has over 20 years experience working with teenagers. For more information about Dr. Rubino’s work with teenagers or his private practice visit his websites http://www.rcs-ca.com, http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3.

Dealing with Anxiety When the Coronavirus is Out of Control

Dealing with Anxiety When the Coronavirus is Out of Control

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

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

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

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

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