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

Teenagers Need Appropriate Role Models

Teenagers Need Appropriate Role Models

As a psychotherapist who specializes in treating teenagers, I often hear how they are disrespectful, oppositional and have little to no respect for authority figures and rules. I also hear how many people feel that their teenagers do not feel the rules apply to them and that teenagers feel they can pick and choose the rules they are going to follow. Because I work with teenagers daily, I would agree many teenagers due act like this at times. However, when I watch the news this week, it makes sense why teenagers are acting the way they do. We have a President who is making fun of a pandemic and refuses to comply with the laws. He wants everyone else to comply with the laws, but he doesn’t want to. Therefore, he refuses and we are supposed to say that his behavior is acceptable.

Look at what has occurred in Tulsa, Oklahoma and Phoenix, Arizona. Both states are experiencing a significant increase in the number of people being hospitalized with the Coronavirus virus. Dr. Fauci, the leading expert in the world regarding the virus, has stated that the virus is out of control and we need to practice social distancing and wear masks to try to manage the virus. In fact, other countries such as South Korea and New Zealand have been able to control the Coronavirus by using testing, social distancing and requiring people to wear masks. Everyone in these countries had to follow these guidelines even their leaders. These are also the recommendations of the CDC. They are recommending testing, social distancing and face masks as a way to control the virus.

Now the President is aware of these guidelines and he should be setting the example as the President, however he is doing the opposite. He had a rally in Tulsa, Oklahoma ignoring all the guidelines and 10 of his staff people contracted the Coronavirus. Today he is holding a rally in Phoenix, Arizona where wearing face masks is an order by the mayor, but the President is not using a mask. He is blatantly ignoring the rules which everyone else in Phoenix, Arizona must follow. Additionally, his refusal regarding anyone wearing masks has intimidated the mayor and governor of Arizona. They are allowing the rally to take place with no social distancing being used and no one being required to wear a face mask. Arizona has already used 80% of their ICU beds for patients with the Coronavirus and they recorded another recorded breaking number of hospitalizations today (CDC). Is holding the rally today under the conditions the President wanted, responsible behavior for the President? Why is the President allowed to ignore the laws of Phoenix, Arizona? The mayor was afraid to enforce the law on the President’s rally and said so in an interview she gave regarding the rally and the President and face masks (CNN). She did not want to argue with the President or upset him.

Now you have teenagers seeing these events and hearing the requirements for social distancing and wearing face masks. You also have teenagers seeing the President disregarding all the rules and nothing happening to him. Additionally, they hear about the President lying about the virus. At the rally in Tulsa he stated the virus was not a big deal and prior to the rally he said the numbers for the virus were very low and it was just going to disappear. All these statements are lies. The number are going up and the virus is not disappearing. Florida, Texas, Arizona, Oklahoma and California are all reporting record number of new Coronavirus cases and record number of hospitalizations since the pandemic started (CDC). However, nothing happens to the President when he lies and misleads the public about the pandemic which endangers lives. In fact, his staff claims he was just joking so we can ignore his remarks. However, the President proudly contradicted his staff and said he doesn’t joke around. If the President can lie about something as serious as the pandemic and no one holds him accountable, what are we teaching teenagers?

As for respect, he continues to use Twitter to call people names, threaten people exercising their right to freedom of speech and complaining that the media and Supreme Court don’t like him and are being unfair to him. This is exactly the type of behavior we expect and see from teenagers using social media. However, how do we expect them to follow the rules, when the President ignores the rules. In fact, when teenagers are getting in trouble for their posts they feel it’s unfair because the President is never held accountable for his posts. Society is expecting them to comply with the laws, but the President, the most powerful man in the world, doesn’t have to follow the laws. We are being hypocrites and teenagers have a right to complain.

I wrote a prior article on this subject, but I am writing this one today because the situation is very serious. We have a President who demeans people daily and who is misleading people regarding the status of the pandemic. We are supposed to be the strongest and be the smartest nation in the world, however we have the largest number of people with the Coronavirus virus and the most deaths than any other nation in the world. His disregard for the medical experts recommendations are putting people’s lives in danger and causing the death of thousands of people. In addition to this serious issue, he is teaching the teenagers of our Country that it is acceptable to demean people, to be disrespectful, to lie and to just think about what is best for you ignoring everyone else. If we do not act, the Coronavirus will kill thousands of additional people, maybe one of your children, and some teenagers will see his behavior as acceptable and act like him. We will have a very difficult time changing how these teenagers act and some of them we won’t be able to change their attitudes. Therefore, we will have a generation of lying, narcissistic, racist adults. This is a sad outlook for our Country. Parents this leaves you with a very tough job. Explaining to your teenagers why it’s important for them to act as respectful, caring people regardless of how the President acts and to vote for role models you want your teenagers to follow.

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.

What Every Parent Needs to Know about IEPS and 504 plans

What Every Parent Needs to Know about IEPS and 504 plans

It appears to be getting close to the beginning of the school year. However, with the Coronavirus still around and a threat and for some areas the Shelter in place order is still in effect, we do not know how the school districts are planning to operate school this year. Even though we don’t have an answer regarding how school districts plan on operating, I have been getting questions about IEPs (Individualized Educational Plan). Parents are having difficulties arranging meetings and getting specific answers what will be included in their child’s IEP or is the school going to offer them a 504 plan instead. The IEP process is difficult under normal conditions. When we are in the middle of a pandemic it can become very overwhelming and confusing. Additionally, many parents do not know what an IEP is or what a 504 Plan is in regards to a child’s education. Also many parents are not aware of their rights or their child’s educational rights. I receive numerous emails from parents anytime I write about IEPs. Therefore, here is an article describing IEPs and 504 plans for parents. Hopefully this will explain the differences between an IEP and 504 plan and help parents understand what their child is legally entitled to regardless of what the teacher is trying to make you believe.

Parents here is important information about Individualized Education Plans (IEP) and 504 agreements. Besides ensuring that your child receives a good education, you do not need to pay for items such as special computer programs that the school district should be paying for not you. If your child has an IEP the school district is responsible for most educational expenses even a private school if necessary. Please read this article so you understand your rights and your child’s rights.

The beginning of the school year is fast approaching. Besides the mad dash to get ready for school and schools are going to start assessing students to determine if they qualify for an Individualized Educational Program (IEP). I am already hearing from parents how school districts are misleading them and pressuring them to sign an agreement for a 504 before the parents clearly understand the difference between an IEP and 504 plan. The definition for both is further down in this article. An IEP and 504 are not the same. An IEP is legally enforceable and has legal guidelines and time frames. An IEP follows a student from school to school or state to state. A 504 is not legally enforceable and doesn’t follow a child nor are there legal guidelines.

An IEP will not stop your child from getting a job or from getting into college. In fact and college because they still would be entitled to assistance and the State of California may pay for their books. Also educational records are confidential therefore, no one would know your child had an IEP in school.

Many schools say your child must be two grades below in order to qualify for an IEP. If you said your child had a math or reading disability this is true. However, if they have ADHD, Bipolar, school anxiety etc. they can qualify under OTHER HEALTH IMPAIRMENTS. All your child needs is a diagnosis such as ADHD which would interfere with their ability to fully benefit from their learning experience in the classroom. The 2 grade below level qualification doesn’t apply to this category.

Also if you have a child in private school and they would benefit from additional assistance, contact your child’s public school district. Even though they attend private school the public school district is legally obligated to provide your child with services.

One more issue, never pay for outside testing before the school district tests your child. They have the right not to accept any outside testing until they test the child. If you disagree with the district’s testing then you can request an objective testing from an outside professional and you can request that the school district pays for the testing and you can select the evaluator.

An IEP or an Individualized Education Plan is a document that outlines the specialized education services that a student will receive due to their disability. It ensures the student will receive the assistance necessary so they will receive an education.

When most parents hear disability, they usually think of a person in a wheelchair or a student wIth a learning disability. There are various condItions that can qualify as a disability. Depression, Bipolar Disorder or even diabetes. The disability is any condition that will interfere in the student receiving the same education as other students. The students who qualify for an IEP need accommodations which meet the criteria of needing specialized education. As I stated above their are numerous conditions which may qualify a student for an IEP.

if a student does qualify for an IEP, they also qualify for Special Education. Many parents hear this and are afraid or embassies. There is nothing to be afraid of or embossed about. If a student qualifies for Special Education, if the student needs speech therapy or special computer programs, the school district is obligated to provide the services to the student at no expense to the student’s family.

There is also an option called a 504 Plan. This was established in the Rehabilitation Act of 1973. The 504 plan ensures that a student with a disability will receive accommodations so they will receive the same education as other students. However, the 504 plan does not qualify a student for Special Education services and It is not overseen as closely as an IEP plan.
Currently, many districts are telling parents that their child does not need or qualify for an IEP and a 504 plan is just a good. This is not true. Many school districts are telling parents that their child does not qualify for an IEP because the IEP is more expensive for the district and most districts are trying to save money.The districts take advantage of the fact that as parents, you do not know all the differences between an IEP and a 504 so they can talk a family into a 504 plan easily.

If you find that your child is having difficulties at school due to a learning disability, health issue or emotional issue, consult an outside professional before you automatically assume that the school is giving you the appropriate recommendation.

I see many parents who have been told that their child is better with a 504 plan and that is not the truth. You can consult an educational consultant or a therapist who works with children. You can contact me at via my website http://www.rcs-ca.com. I help many families at their child’s IEP meeting. The main thing is, do not be afraid to ask if your child should have a 504 or an IEP. Also don’t let the district make you feel guilty because you want time to think and investigate the options. This is your child and you should never sign anything until you are sure it is in your child’s best interest.

I have added a link to a chart that will help you compare the two and understand the differences.

504 Plan vs. IEP – Education Centerwww.ed-center.com/504This pages lists the differences between an IEP and a 504 plan.

I have also added a link to a video which helps to explain the differences between an IEP and 504 plan.

Dr. Michael Rubino has over 20 years experience working with children and teens. He also has over 20 years experience working with children in Special Education and was an Intern for the AB3632 program which works with children in Special Ed and IEPs. For more information about Dr. Rubino’s practice visit his website at http://www.rcs-ca.com or his website that deals specifically with IEPs, lucascenter.org or his Facebook page at http://www.Facebook.com/drrubino3.

Helping Children Cope with Anxiety during the Pandemic

Helping Children Cope with Anxiety during the Pandemic

Anxiety is a common issue for children especially during the quarantine and having to attend school from home. Remember children’s imaginations are very active. During the last few months we have had little to no information about how the Coronavirus works. 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, there is a lot going on to cause anxiety in children.

According to the CDC and what I have seen in my office, anxiety is at epidemic levels for children. The most common reason children are coming into therapy right now is anxiety or depression. Many parents want to know what they can do in between therapy sessions to help their child with their anxiety. 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.

Why Are We Ashamed of Mental Health?

Why Are We Ashamed of Mental Health?

Mental health is a topic we tend to avoid in our society. We avoid it so much that the month of May is dedicated to Mental Health Awareness. Many people are afraid that if other people know they are feeling down or anxious that people will think they are crazy. Many people think of someone living in the streets when you mention mental health. This is not reality. This negative stigma makes it difficult for adults to seek help for mental health issues. This negative stigma also makes it very difficult for children to ask for help when they feel depressed or anxious. They are afraid their friends won’t understand and won’t want to be friends with them. They are also afraid their parents will think they are crazy and be disappointed with them. These ideas are incorrect, but if mental health is overwhelming for an adult, imagine how it can be for a child.

It is very important that children and teenagers do ask for help when they are experiencing mental health issues. The CDC estimates 1in 5 children need psychotherapy for a mental health issue. Furthermore, the CDC has stated that Suicide is an epidemic for children between the ages of 10 and 18 years old and is the second leading cause of death for kids 10 to 18 years old. Cutting, self-harming behaviors, are also now at an epidemic rate in children. Most teenagers I work with, as a psychotherapist, have had suicidal thoughts and have cut before starting therapy with me. They also tell me about many of their friends who are feeling suicidal and cutting. According to the CDC, the Suicide rate and the number of teenagers engaging in self-harming behaviors has been increasing every year for the past twenty years.

While the need for teenagers needing psychotherapy is increasing, the reluctance to attend psychotherapy is increasing. Most teenagers I see for psychotherapy are afraid that their friends would stop being their friends if they knew they were going to therapy. They are afraid it makes them crazy and nothing will help because they are weak. They blame themselves for the feelings they are having. They are shocked when I explain that they are not weak and it is not their fault.

We need to change this stigma associated with mental health. Mental health should be treated the same way a physical health because they are the same. Clinical depression is caused by a chemical imbalance in the brain. If some one is diabetic, do we call them crazy or weak because their pancreas is not producing the correct level of insulin? No we do not. Therefore, when we have numerous research studies which show a link between physical health and mental health, why do we continue to view mental health so negatively? By doing so we are causing a number of teenage deaths. Suicide use to be the third leading cause of death for teenagers, however now according to the CDC it is the second most common cause, as I stated above. Many teens also die every year from eating disorders. Eating disorders occur in both girls and boys despite the belief girls only have eating disorders. Bullying is a severe problem and many teenagers are opting to commit suicide rather than discuss the pain and torture they are experiencing due to being bullied. This does not make sense that teenagers should be dying because the teen or their family are embarrassed to seek treatment.

I was researching this subject and found a video by the Anna Freud Institute. It is called, “We all have mental health.” It is a short video directed at teenagers and middle school students. It discusses the issue in a very relaxed manner and provides teenagers with options for how they can talk about their own feelings. I encourage parents, teachers and anyone who deals with children to watch this video. You may want to watch it with your teen and begin a discussion about feelings. The link to the video is https://youtu.be/DxIDKZHW3-E.

We need to start to change the negative stigma associated with mental health. Besides causing the deaths of teenagers, this stigma effects an entire family. A death impacts everyone in a family. Not being able to talk openly about a death because it was related to a mental health issue, creates more problems for the survivors. Nothing will change until we start to approach mental health differently. I also encourage you to look at the foundation started by Prince William and Henry, Heads Together. It provides a number of ways we can start to change the negative stigma associated with mental health and save lives.

Furthermore, at this time in our world, when we are in the middle of a pandemic which besides killing thousands of people daily, it is creating mental health issues for those in quarantine, those with the virus and our first responders. These issues will not disappear quickly just like the virus will not disappear quickly. As a result, we will have even more people needing mental health care. How will they receive it if they feel ashamed for needing treatment or if we continue to treat mental health as a disease? Mental health and physical health go hand in hand, when will we treat them equally?

Dr. Michael Rubino is a psychotherapist with over 20 years experience working with teenagers and children. 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.

The Least Restrictive Environment

The Least Restrictive Environment

Many schools are currently closed due to the coronavirus, however they can still have IEP meetings or the meeting will resume when school resumes. This will give parents time to prepare for their IEP meetings. An IEP refers to an Individualized Educational Plan that the parents and school agree upon to help a student who is having difficulties learning at school. This plan is a legal agreement which states the school environment and accommodations a child needs in order to benefit from their education. Unfortunately not all schools tell parents about all of their rights they have at their child’s IEP meetings (Individualized Educational Plan). Also they do not fully explain all the terms. This creates a great deal of confusion and anxiety for parents. Typically any time I write an article regarding IEPs, I receive emails from parents across the country asking if they are being treated fairly in their IEP meetings.

A common term that is used at IEP meetings is Least Restrictive Environment. At times this term is used to deny a child services. Parents may be asking about Resource Assistance or a Special Day Class and the school may say the Resource Room is not an option because it is not the least restrictive environment. They may insist that the child be placed in a general educational classroom. In other words, the typical classroom people think about when they think of a classroom. However, placing a child in a general education classroom or school is not always the least restrictive environment. Also schools and at times parents may worry about how much inclusion their child will be receiving with the proposed IEP.

Inclusion refers to providing children, who need special educational services, access to the general educational atmosphere and students. However, this is not always the least restrictive environment for your child. The least restrictive environment is the environment in which your child will benefit the most from their education. This may not always be a general education classroom. Remember, least restrictive refers to the environment where your child has the least amount of difficulties learning so they can benefit fully from their education. Therefore, a Special Educational Classroom may be the least restrictive environment for your child depending on their educational needs. If they will benefit more from their education in a Special Day Classroom then that is the least restrictive environment for your child.

This can be a confusing term to understand especially since most people have been lead to believe that inclusion is the same thing as the least restrictive environment. I have included a link to a video which further explains this term. I strongly recommend you watch it so you have a clear understanding of what least restrictive environment refers to and what inclusion refers to https://youtu.be/I7HFRF8y288.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers in Special Education. He often assists parents with IEPs and school accommodations. For more information about Dr. Rubino’s work or private practice visit his websites www.RubinoCounseling.com, his Facebook page www.Facebook.com/drrubino3 or www.LucasCenter.org.

Why Are We Afraid of Mental Health?

Why Are We Afraid of Mental Health?

Many people in our society appear to feel mental health issues only apply to drug addicts or “street people.” In India they refer to these people as the “untouchables.” In India and here in the United States, we don’t pay a great deal of attention to theses people except for being annoyed how they make our cities look dirty and many people are afraid to walk pass them because they may be attacked or they are afraid of catching some disease from these “street people.” However this is not reality. Mental health impacts adults, children, teenagers and it impacts people who are poor and rich. Also every ethnicity and sexual orientation has mental health issues. The bottom line is mental health impacts all of us. We all have mental health issues just like we all have physical health issues.

By ignoring mental health issues, we are doing a great deal of harm to children and teenagers. By conservative results, one out of every five teenagers has a mental health issue which requires treatment. Since the year 2000, every year the number of teenagers diagnosed with depression and anxiety have increased. Additionally, drug abuse has been increasing as teenagers try to self-medicate. Finally, the suicide rate has increased every year. It use to be the third leading cause of death for teenagers. Now it is the second leading cause of death for teenagers and it is close to becoming the number one leading cause of death for kids 10 years old to 18 years old.

The issue has become so serious that Time magazine and Kaiser Permanente joined together and produced a video discussing the epidemic of mental health issues children are experiencing and the lack of treatment due to our attitudes. Here is a link to the video https://about.kaiserpermanente.org/total-health/health-. Please watch this video so you understand what we are discussing.

As a psychotherapist who treats children and teenagers, I can confirm what this video is showing. Since the year 2000, I have seen an explosion of children and teenagers needing psychotherapy for anxiety, depression, self-mutilating (cutting themselves) and suicide. I have added extra hours but I still cannot meet the demand to see everyone calling my office. This is a major tragedy. Since people are so ashamed of mental health if they call and cannot get an appointment, they will probably give up on therapy. Why do I say this? I say this because the children and teenagers who come in for therapy are embarrassed and ashamed. They tell me there is something wrong with them and they fear they never will get better. Why do they feel this way? They feel this way because they hear how people talk about people with mental health issues and the stereotype that it only happens to “street people.”

We must remove this mental health stigma. This stigma is resulting in the deaths of many children, teenagers and adults. The majority of people who have mental health issues can live happy, productive lives with appropriate treatment. In fact, one of the leading researchers on Bipolar Disorders has Bipolar Disorder and is a professor at Harvard University. Therefore, this outdated stereotype about mental health is costing the lives of children for no reason and is preventing us from making scientific advances. A teenager with a mental health issue may be able to discover a cure for cancer, but it will never happen if the need psychotherapy.

Psychotherapy is not easy and can be very painful. Anyone who is willing to participate in psychotherapy because they need it should be given encouragement and support not looked down upon. It is similar to ancient times when women were considered dangerous and could not be around anyone when they were undergoing their menstrual cycle. We now know this idea is crazy. If you look at the research we know the same facts about mental health. Therefore, why do we continue to use the old stereotype. If we want the mental health issues in children and teenagers to decrease and if we want to decrease the number of people living in the street, we need to provide mental health services to anyone who needs them without making the person feel embarrassed or ashamed.

Some people may say I have no right to say what I am saying. I disagree with that opinion. I am dealing with this epidemic daily, therefore I know what children and teenagers are facing. Part of helping them face their issues is speaking out on their behalf.

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

Helping A Child Grieve the Loss of a Parent, Sibling or Close Friend

Helping A Child Grieve the Loss of a Parent, Sibling or Close Friend

The tragic deaths of Kobe Bryant and his 13 year old daughter along with the seven of their friends has brought up the issue of grief and especially the issue of children and teenagers grieving the death of a parent, sibling or close friend. Our society does not deal with grief in the first place. Therefore, when the person grieving is a child grieving the loss of a parent or sibling, we really do not know how to respond. Many people may decide to give the child privacy because they do not know what to say and it is easier. However, unless the child has asked for privacy, this is the wrong approach.

The death of a parent, sibling or close friend for a minor child or teenager violates how we expect life to occur. We expect kids to grow up, develop an adult life with loved ones and friends and also they will have a career. We assume people will die later in life such as 80 years old and people will lose their parents and sibling started around the age of 60. When it occurs at the age of 13 years old it violates all our assumptions about life. The 13 year old child must deal with something we assumed they would not have to face until they were 60 years old. We are in shock because our assumptions about life have been violated and we can’t imagine how the 13 year old can handle this tragedy.

The 13 year old must now figure out how they are going to continue living their life without the parent, sibling or close friend that they lost. This is a large part of grief learning to live your life without the loved one you lost. This is difficult for adults it is especially hard for a child or teenager. A fact we need to remember as the teen is grieving and as you are trying to help them and be supportive.

The first major point to remember is grief is not the same for everyone and there is no right or wrong way to grieve. There are stage theories about the grieving process. The main stage theory is by Kübler-Ross. This theory states there are five stages of grief. However, research has shown that grieving is an individual process and people experience different emotions depending on their process. Therefore, do not force a teen into the emotions you believe they should have as the grieve. Allow them to have whatever feelings they need to. In other words, if they don’t get angry or cry, it’s okay. They will have their own way of expressing the feelings they need to express. Allow them and support them in this process. Reassure them that whatever feelings they have or don’t have is normal and their is nothing wrong with them.

They are going to need to talk at times about the death. Be open and honest with them about the death. Hiding facts will not help them and cause more harm when they find out everyone was keeping a secret from them. Talk to them on their level using the terms they use. Try not to avoid the subject. If you avoid it, you send a message to the teen that they should avoid the topic too. This prevents the teen from coming to terms with the death.

Be prepared that children and teenagers will have a lot of different emotions regarding the loss. Therefore, expect mood swings and try to provide healthy ways for teenagers and children to express their feelings. Such as hitting a pillow for anger, writing a letter to the loved one to help with the feeling of missing the person who died. Also ask the teen if they have an idea on ways to express their feelings. Teenagers and children often have the best ideas. The main point is help them express their grief in a healthy manner rather than turning to drugs or alcohol.

As they are starting to express more emotions, this is a good time to bring up the idea of psychotherapy. Most people who experience a close personal loss can benefit from psychotherapy. Children and teenagers are no different. At first, the concept of therapy may be too soon. Remember to allow the child to go through the process at their pace. Often it helps to make a deal about psychotherapy. Ask the child or teenager to try a minimum of six sessions. After six sessions the need for therapy can be reassessed. If they are benefiting they continue, but if everyone feels they were doing just as well before they started therapy then they can stop. They can always resume therapy if needed.

Allow them to be involved in the funeral services. Many people feel a funeral is too much stress for a child or teenager having a difficult time accepting the death. The point of a funeral is a way to say good-bye to the loved one. I have worked with many children who were not allowed to plan or attend the funeral and they are usually mad that they didn’t get to say good-bye like everyone else. Remember to have some flexibility. Allow the child to participate in the part of the funeral services they want to participate in. If they do not want to go to the cemetery no problem. After the funeral mass have someone take them to where the reception is being held, while everyone else goes to the cemetery.

Finally, remember to be flexible with children and teenagers who are grieving. The grieving process takes at least a year. Therefore, there may be issues at school, with grades and mood swings. It will be a tough year for everyone. Especially birthdays and holidays during that first year. Therefore, you know it’s going to be difficult so don’t expect perfection. Allow the child time to continue grieving. If their grades fall for one year no big deal. This also may be another time to try therapy. If you remember everyone is hurting and everyone tries to work together, you will make it through this tragedy. It may not seem like it, but you will.

Dr. Michael Rubino is a psychotherapist who specializes in treating children and teenagers. He has over 20 years experience treating kids and does specialize in working with grieving teenagers. For more information about his work visit his website http://www.RubinoCounseling.com or visit his Facebook page at http://www.Facebook.com/drrubino3.

Dealing with the Holidays when you have Mental Health Issues

Dealing with the Holidays when you have Mental Health Issues

For many people the Holidays can be a stressful time. For some people there is the stress of not having enough money. For others, they lost a loved one this year and this is the first Holiday without their loved one. For others, there are family issues that make this a difficult time of the year. Finally, for people with mental health issues, the Holidays can be a very difficult time.

For people with mental health issues the Holidays can be difficult for many reasons. They may be dealing with family issues, financial issues or not feeling happy. Not feeling happy can be difficult because everyone is supposed to be happy during the Holidays. At least this is what we are told by society. Also some people with mental health issues may find the Holidays difficult because their condition is not stabilized yet or the Holidays can be a trigger for their mental health issues. I see this with the patients I work with who are Bipolar or patients who are dealing with eating disorders. Just to name a couple of mental health issues that are triggered by the Holidays.

People who are suffering with mental health issues that are triggered by the Holidays need support and understanding. You cannot just tell them to pull it together or to take a pill. It is not that easy for them. If it was, they would automatically take those steps on their own to solve the situation.

There are some things that people with mental health issues can do that may help them. Dr. Pooky Knightsman, who deals with her own mental health issues, describes some of these options in her video. I have included a link to it so you can watch it. If you have a loved one who has mental health issues, please watch this video and may be you and suggest some of these ideas to your loved one. If they work that would be fantastic for the person coping with mental health issues. If they do not work, please understand the person is not having issues on purpose. If you love them you need to be patient and understanding and help them through this difficult time. Here is the link to Dr. Knightsman YouTube video https://youtu.be/ch5JLIYyPtU.

Dr. Michael Rubino is a psychotherapist with 20 years experience treating children and teenagers many of them are Bipolar. For more information regarding Dr. Rubino’s work or his private practice visit his website http://www.RubinoCounseling.com.

We are Accepting Mass Shooting as Normal Daily Events

We are Accepting Mass Shooting as Normal Daily Events

many children who are suffering with severe anxiety and refusing to go to school. They are terrified of going to school. Why would a child be terrified of going to school? Because of all the mass shootings in the United States and our government has failed to pass any sane gun laws protecting children. As of July 31, 2019, there had been 248 mass shootings, 246 people killed and 979 injured. Given the number of shootings this year, it averages out to a mass shooting every 1.2. days. These statistics were valid as of July 31st. Since then there were three more shootings in California, Texas and Ohio. Therefore, there have been 250 mass shootings this year (it’s only August) and we are still waiting on the total number of people who have been killed or injured.

The statistics from the Gun Violence Archive reported above are no longer accurate. As of September 24, 2019, there have been 334 mass shootings, 1347 killed this year in mass shooting and 1,684 people injured. The really sad fact is these statistic are no longer valid. Yesterday there was a mass shooting in Long Beach. People were at a Halloween party and someone started shooting at them and killing people. The statistics on this incident have not been released yet. The really sad thing is this barely mad the news. Most people have not heard about the shooting and the was very little news coverage about the event. Why? Because these shooting are becoming normal to us. No one is shocked to hear about another shooting, they have learned to expect it. The GVA has reported that 2019 will be the year with the most mass shooting events, deaths and injuries based on the statistics to date. What are we doing to change the problem? It is getting worse not better and the President and Congress take no action.

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

The President has tried to say it is simply a mental health issue. By doing so he doesn’t help the issue and he reinforces the negative stigma about mental health in our country. When he refers to a mental health issue, he calls the people “sick” and states they need to be locked up. The research clears shows that people with mental health issues pose a danger to themselves by cutting or committing suicide. The research clearly shows that people with mental health issues are rarely dangerous to society. The Director of the American Psychiatric Association issued a statement stating the same information.

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

So when I have children coming into my office saying they are afraid of being killed and the mass shooter drills scare them, what do I say to them? How can I say we are doing everything we can to protect them, when our government is not doing anything. Children hear things and they will know that I am lying. Most would have heard some where that the President refused universal background checks. For therapy to work, the children need to trust me. If I lie, they will not trust me. Also with the statistics I cited for this year alone, how can I tell a child there is nothing to worry about.

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

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

Since it appears the President will not act, we need to learn from the high school students from the Parkland, Florida shooting and take action ourselves. Remember by acting you may be saving the life of your child or a loved one. Call the Senators for your state and demand sane gun laws and if they are too afraid of the NRA, you will vote against them in the next election. Next, contact Mitch McConnell and demand that he bring the sane gun laws to the Senate floor for a vote. If he received numerous phone calls demanding action or people with be supporting who ever runs against him, he will bring the bills to a vote. He only cares about keeping his senate seat. If he cared about the families devastated by these shootings, he would have been there trying to help instead of staying on vacation. His contact information is below:

Senator Mitch McConnell : U.S. Senate, 317 Russell Senate Office Building, Washington, DC 205100001

ph: (202) 224-2541

fax: (202) 224-2499

Some people will say I have no right to be writing this article. However, I see and hear the kids crying daily because they are afraid of being killed or their parents being killed. I also am trained in Critical Indent Debriefing and trauma therapy. I am tired of hearing how the first