What is PTSD?

May 21st, 2013
Do you know the signs of PTSD? photo credit: Sean Molin Photography via photopin cc

Do you know the signs of PTSD? photo credit: Sean Molin Photography via photopin cc

There has been a lot of press in recent years about the many post-9/11 veterans coming home with PTSD or Post Traumatic Stress Disorder.  What many people don’t realize is that you don’t have to survive a war to be affected by this condition.  Anyone, including children and teenagers, who experiences a traumatic event can develop the disorder and many who do will require treatment to overcome its challenges and obstacles.  When left undiagnosed or untreated, PTSD can cause long-term problems that negatively impact quality of life.  Because of the potential for lasting consequences, it is important for parents to understand what can cause the disorder, what symptoms teenagers with PTSD often experience, and how to get help for the disorder.

When the Worst Happens

There is no question that traumatic events impact everyone who is touched by them.  Survivors and witnesses of trauma often experience a period of extraordinary stress and undergo a period of extreme emotional response following the event.  Many of those touched by trauma will have trouble sleeping, experience difficulty concentrating, and develop anxiety specific to the circumstances of the event.  These are all normal reactions experienced when we are exposed to trauma.

But these normal post-traumatic responses are generally worst immediately following the event and then begin to fade and dissipate in the days and weeks that follow.  In some cases, however, these responses do not fade but intensify instead lasting for months or even longer.  This is when our response shifts from a normal reaction to a diagnosable disorder.

Cause and Effect

Although PTSD is directly caused by experiencing some form of trauma, there is not a specific list of traumatic events or circumstances that cause PTSD.  It can result from catastrophic events that impact thousands like an earthquake to individually impacting events like sexual abuse. However, experiencing trauma, no matter how catastrophic, does not guarantee that any specific individual will develop PTSD.  The important thing to understand is that anyone who experiences trauma including those who are directly involved, those who are peripherally involved, and even those who simply witness the event, can develop this condition, but not everyone will. Even if someone has experienced multiple “smaller” incidences of traumatic events, they can end up with PTSD symptoms that are very disruptive and interfering.

Why One and Not the Other

There is no clear distinction between people who develop PTSD and people who don’t.  There are some theories that PTSD stems from a disruption in the fight or flight response, the physiological response we experience when faced with fear, danger, or trauma.  This is the biological process responsible for the surge of adrenaline we get when someone almost hits us while changing lanes or that makes it possible for a mother to lift a car off of her child.  It is one of our base survival responses and is triggered during traumatic experiences.  The thinking is that for some people, the exposure to trauma changes the way this biological process works, creating a new, very sensitive trigger that is directly correlated to the traumatic event.   This new trigger sets off the fight or flight reaction outside of the normal parameters which creates the anxiety, fear, flashbacks, and other symptoms associated with PTSD.

If you are concerned that your teen may be suffering from PTSD, schedule an appointment with a mental health practitioner to have them evaluated.  For many people, PTSD does not resolve on its own or get better over time which is why getting help is the best path to recovery.

Working Towards Wellness

May 20th, 2013
English: KUNSAN AIR BASE, South Korea— Airmen ...

Exercise regularly to help maintain physical as well as mental health. (Photo credit: Wikipedia)

This May, join us in celebrating National Mental Health Month by raising awareness about mental health issues and helping everyone understand the benefits of treating mental health conditions.  According to the National Institute of Mental Health (NIMH), 1 out of 4 adults in America suffers from a diagnosable mental health condition in any given year.  This means that mental health issues affect us all, either directly and indirectly.  This month, commit to learning more about our country’s mental health challenges and to taking steps in your own life to work towards wellness.

The focus of this year’s campaign is wellness.  Many times, when confronted with mental health conditions, our focus narrows to getting healthy.  While this is an important part of the process, the goal for every American is not only to achieve a healthy mental state, but to maintain that mental health as well.  By shifting the focus from getting better to staying better, the campaign aims to help everyone, even those without mental health issues, understand how important an attitude of wellness is to maintaining both your physical and mental health.

Wellness, like health, can mean different things to different people.  At the core, it is the absence of disease but it is also much more than simply not being sick.  Wellness is about our overall well-being.  It involves more than just our mental health.  It is about achieving a state of health physically, emotionally, spiritually, and mentally.   It is the tools and techniques we develop that help us overcome adversity, manage change, and recover from illnesses of all kinds.  Wellness is about getting healthy and staying that way.

The numbers tell a story that most of us don’t like to hear.  No matter how happy we are, how successful we feel, how much money we make, or how healthy we feel today, we are all at risk of developing a mental health disorder.  While this may be something we think happens to other people, the truth is that is happens to all of us and the best way to safeguard ourselves is to pay attention to our overall well-being.  When we are taking care of ourselves and making sure our most important needs are being met, we are working towards wellness.

The national campaign stresses the following four steps as the key to following your own Pathway to Wellness:

  • Eat a balanced diet filled with healthy food and plenty of water.
  • Exercise regularly to help combat stress and increase resilience.
  • Remember to relax, to laugh, and to let go.
  • Get a good night’s sleep.

In addition to these four steps on the Pathway to Wellness, commit to making your mental health as important as your physical health.  Make regular mental health checkups part of your overall health management plan and make it a habit to monitor your own mental and emotional well-being.

Take time this month to lend your voice to the awareness campaign and encourage everyone in your life to seek their own Pathway to Wellness.

 

What Every Parent Needs to Know about Eating Disorder Symptoms

May 15th, 2013
Picnic plate full of assorted food.

As a parent, do you know the warning signs of eating disorders? (Photo credit: Wikipedia)

Millions of people in the U.S. are impacted by eating disorders every year.  This includes those suffering from the eating disorder as well as their family members and friends.   Unfortunately, many people who have these disorders do not get the help, support, and treatment they need to be healthy.   Recent research indicates that as many as half a million teenagers may be suffering from an eating disorder but according to the National Association of Anorexia Nervosa and Associated Disorders (ANAD) on average only 1 in 10 people with these conditions get treatment.  This means we all need to do a better job of identifying those who are in trouble, preventing disorders from developing, and treating those who are struggling; the consequences of doing any less are simply too high.

Prevention and early detection are critical to minimizing the long term damage suffered by those who are dealing with these potentially life-threatening conditions.  The key to early detection is to know what to look for and what actions to take if you suspect that someone in your life is suffering from an eating disorder.  To help, here are the most common immediate symptoms of the most prevalent eating disorders.

Anorexia Nervosa

  • Unusual eating habits or patterns, may skip meals and/or avoid certain foods
  • Eating only small amounts
  • Weighing and measuring food
  • Obsessive calorie counting
  • Excessive exercise
  • Intense fear of gaining weight

Bulimia Nervosa

  • Bingeing or eating excessive amounts of food in a single sitting
  • Inability to control their bingeing
  • Self-induced vomiting
  • Abuse or misuse of laxatives or diuretics
  • Skipping meals
  • Excessive exercise
  • Intense fear of gaining weight

Binge Eating Disorder

  • Bingeing or eating excessive amounts of food in a single sitting
  • Inability to control their bingeing
  • Eating to discomfort and eating when not hungry

These behaviors and symptoms can indicate the presence of an eating disorder and if you are concerned that your teen may be struggling with any of these disorders, you should make an appointment to discuss your concerns with their doctor.

The longer term symptoms and consequences of these eating disorders, which are outlined below, are increasingly more serious which underlines why prevention and early detection is so critical.

Anorexia Nervosa

Bulimia Nervosa

  • Dehydration and electrolyte imbalance
  • Constipation, bloating, and diarrhea
  • Dental problems including loss of enamel, gum disease, and cavities
  • Throat and esophageal problems including tears and ruptures
  • Anemia
  • Dry skin
  • Vomiting blood
  • Irregular heart beat
  • Low blood pressure
  • Heart failure

Binge Eating Disorder

  • Obesity
  • Type 2 Diabetes
  • High blood pressure
  • High cholesterol
  • Gallbladder disease
  • Heart disease
  • Specific kinds of cancer

Newest Intensive Outpatient Program Track: OCD/Anxiety Disorder IOP

May 9th, 2013

Newest Intensive Outpatient Program Track: OCD/Anxiety Disorder IOP

OCD/Anxiety Disorder IOP

Who:  Boys and Girls, ages 12-17.  This track is open enrollment (you may join at any time).

What:  Small group format good for adolescents who are struggling with extreme social phobia, extreme fears, and can’t talk to people.

When:  Tuesdays, Thursdays, Fridays, June 25 – August 16 (8 weeks), 10:00 a.m. – 1:30 p.m.

Where:  Doorways Arizona, 1825 E. Northern Ave, Suite 200, Phoenix, Arizona 85020

How:  Email Trina or call Doorways, (602) 997-2880

 

Other Intensive Outpatient Program Tracks

 

Young Adult Trauma IOP is for ages 17-25.  This track is 3 days per week, a total of 10 hours per week. Open enrollment, join any time.

The Adolescent Eating Disorders IOP is for ages 13-18. It is 3 days per week, a total of 13 hours per week.  Open enrollment, join any time.

If you know anyone who may benefit from either of these specialty programs, please don’t hesitate to give us a call at 602.997.2880.

How to Talk to Teens about Weight

May 1st, 2013
Fat teen staring at junk food

Do you struggle to find the words to talk with your teen about their weight?  (Photo credit: Gaulsstin)

The conflicting messages our society sends about size and weight are all around us.  Whether you are browsing the tabloid rack at the grocery store or flipping through the channels, you can find some super thin celebrity explaining how this system or that system made it incredibly easy to get the body they have.  Every news outlet is talking about how the obesity epidemic is endangering the future of our country while parents wrestle with competing concerns about what is best for their child.  On one hand, they are focused on preventing the development of eating disorders, keeping their teen from being bullied, and worrying about how to get them into a healthier lifestyle.  On the other, they know how important it is to boost their self esteem, be supportive, and be accepting, no matter their size or shape.

If you are wondering how to help your teenager change their habits and adopt a healthier lifestyle without damaging their self esteem, you are not alone.  The truth is most of us adults could do with a healthier lifestyle too.  If you are overweight, self-conscious about your size, always on a diet, or have simply given up, that is the behavior you are modeling for your child.  They see you struggle, give in, and give up while the picture perfect person on TV talks about how easy it is to drop 60 pounds in just 6 weeks with only 60 minutes a day.  The messages that are getting through are not the ones they need in order to do the work required to create and maintain a lifestyle that supports good health.

While talking about weight with your teen may not be any more comfortable than talking about sex with them, it can be just as important.  Most experts recommend a low-key, life encompassing approach.  Rather than having an intervention-style sit down serious talk about weight concerns, look for natural opportunities to discuss good health, healthy weight loss, and to offer assistance and support.   You don’t need to focus on the fact that your teen is overweight, they already know that.  Focus instead on how you can provide a better model to follow and on letting your teen know that you are there for them, are concerned for them, and are willing to help and support them with this struggle.  To help guide your conversation, here are some do’s and don’ts that can make talking to your teen about weight less of a minefield.

  1. Do talk about making healthy choices whenever the opportunity naturally arises.  Shopping for groceries, making meals, planning menus, and doing something active together all provide great natural times to talk about what it takes and means to be healthy.
  2. Do talk to your teen’s doctor about any concerns you have.
  3. Do pay as much attention to who your teen is as you do to what size they are, how they look, or what they are putting in their mouth.
  4. Don’t sugar coat.  No matter what anyone else says, losing weight is hard and it isn’t fun.  Despite the wide range of products that promise otherwise, there is no quick fix and no short cut.   It takes time, patience, and perseverance, commitment, dedication, and focus.
  5. Don’t talk about dieting.  Keep the focus on eating healthy and being active.
  6. Don’t be a food cop or a weight watcher.  You teen needs support, encouragement, and advice not constant monitoring, questioning, and criticism.

If you have any questions about how to best talk with your teen about weight, please don’t hesitate to give us a call and speak with a registered nutritionist.

The Newest Teen “Addiction”: Smartphones

April 24th, 2013
Smartphone Evolution

Do you suffer from the “addicting” power of a smartphone?  (Photo credit: Phil Roeder)

Do you know where your smartphone is?  Odds are that your teenager does.  A new survey sponsored by Facebook and conducted by IDC shows that the majority of smartphone users in the 18-24 year old age group reach for their smartphone as soon as they wake up.  For younger teens, the smartphone has become synonymous with their social life and while they might forget their homework or lose their keys, you can bet they know where their phone is all the time.

For a generation of parents who were likely adults before they even saw their first cell phone, watching their teens near constant typing, texting, and tweeting has become a cause for worry.  Is there a line to be drawn that limits smartphone use?  Is all this virtual interaction impeding the development of social skills they will need as adults?  Has this generation shifted from avid users to addicts?

Unfortunately, the speed at which technology is changing our world makes it impossible to gauge the long term and sometimes even the short-term effects of these changes.  The previous generation of parents had 30+ years to wonder about whether or not television was bad for kids before cable came along.  Meanwhile today’s parents have watched the smartphone, Facebook, texting, tweeting, skyping, and gaming change everything about how their teens interact with each other and the world around them.  When it comes to knowing what is best for our teens, it is easy to feel as if we are all strangers in a strange land.

If you are concerned about the time your teen spends interfacing with technology rather than interacting with face to face friends, there are some things you can do.

1.     Look in the Mirror

What many parents don’t see is that they are modeling the very behavior that is causing them concern in their teenagers.  If you can’t sit at the dinner table without checking your email, don’t expect your children to have better boundaries than you do.

2.     Define the Line

There is a fine line between normal teenage smartphone use and addiction to smartphone use.  Addictive behavior patterns are fairly standard, regardless of what you are addicted to.  If you know what an addiction looks like, it will be easier for you to see where that fine line is so that you can give your teen the freedom to be a teen or get them help if that’s what they need.

3.     Remember They are Not You

It can be hard for parents to grasp that the life their teen is living is vastly different from their own.  The teens of the 70s, 80s, and 90s bought CDs at the mall, watched all the same shows on TV, and spent as much time as possible together without any parents around.  Today’s teens have an entire virtual world to spend time together that is parent-free.  They don’t need to spend Friday night at McDonald’s or meet up with their friends at the mall in order to spend time together and stay connected.  They are always connected in a way us parents can only begin to comprehend.

The best things you can do as parents is provide a good example, set boundaries you believe in, and get help for your child if they need it.

How Parents Can Help Prevent Eating Disorders

April 17th, 2013
Mom and teenager

What messages are you sending to your teen impacting their self-image?  (Photo credit: Tammy McGary)

When it comes to preventing a child or teen from developing an eating disorder, the best place to start is with their parents.  According to the National Eating Disorder Association (NEDA), studies have shown that eating disorder prevention programs can help keep disordered eating from developing by shifting perspectives, changing attitudes, and discouraging disordered eating behaviors.  As parents play an important role in establishing and developing healthy attitudes about food and weight, their influence can make a real difference as their child moves through adolescence.

Follow these suggested tips and strategies to make sure you are doing everything you can to try and prevent your child or teen from having to deal with an eating disorder.

  1. Take a long look in the mirror.  Your attitude about your own weight has a direct impact on child.   Your attitudes about exercise, food, and weight will shape how your child feels about these things.   If you are obsessed with your weight, participate in yo-yo dieting, avoid any physical activity, talk negatively about other people’s bodies, or have a disconnected perspective of your own weight, your child may, too.
  2. Watch what you say.  Whether you are making disparaging comments about your own weight, your child’s weight, or the weight of that celebrity on television, you are telling your own child that weight is somehow related to worth.
  3. Focus on what you want.  Whether you are worried that your daughter wants to be too thin or that your son is overweight, the best approach is to focus on what you want for them rather than on what you don’t.  This means keeping your focus on developing and maintaining behaviors that promote health rather than focusing on how much they weigh.
  4. Make sure you send the right message.  We, as people, are less likely to feel pressured to change to meet the ideals of others if we feel like we are fine just the way we are.  This is the most important message parents can give their kids to keep disordered eating from developing.
  5. Be a role model.  Actions speak louder than words and if you want your child to live an active lifestyle filled with healthy food and healthy attitudes, you need to live in that world first and show them how.
  6. Don’t be a food dictator.  Help your child develop healthy eating habits by supporting their exploration into their own tastes.  Encourage them to stay tuned in to their body so that they can learn how to eat when they feel hungry and to not eat when they don’t.  Instead of requiring clean plates, suggest smaller serving sizes.  Rather than counting their calories, get them involved in meal planning and preparation and choose healthy nutritious options together.
  7. Be accepting.  Help your child develop a strong sense of their own self-worth by showing them it is ok to be who they are, no matter what that means.  Be accepting of other people and celebrate differences so that your child grows up understanding that who people are is more important than how they look.

What is Dialectical Behavior Therapy (DBT)?

April 8th, 2013
DBT looks very different than you might imagine therapy sessions in your mind.

DBT looks very different than you might imagine therapy sessions in your mind.

When most of us think of therapy, we picture a scene similar to the one most commonly portrayed on TV.  There is a wood paneled office featuring a therapist in a chair and a patient on a couch.  In reality, therapy can look very different depending on the kind of therapy that is going on.  There are several types of therapy that can be very beneficial in helping teens overcome their mental health challenges.  DBT, which stands for Dialectical Behavior Therapy, is a specific kind of therapy that can be very beneficial for a variety of issues.

DBT was originally developed as a treatment for borderline personality disorder (BPD).  DBT combines several different therapeutic approaches in an effort to help participants develop more comprehensive and extensive coping mechanisms.  This approach uses individual cognitive behavioral therapy techniques, mindfulness, reality testing, distress tolerance, assertiveness training, and group sessions to facilitate modifications in behavior.

A foundational part of DBT is building a relationship between the mental health practitioner and the teen that focuses on creating an alliance rather than making enemies or acting adversarial.   By offering validation and acceptance, the mental health practitioner creates a safe space for the teenager to express feelings that can then be redirected into healthy behavior changes.

DBT incorporates both individual therapy sessions and group sessions.    This two-pronged approach is part of the reason DBT can be so successful.  The group sessions give teens the skills they need to overcome challenges like regulating emotions, practicing mindfulness, increasing effectiveness, and tolerating distress.   Interacting with others their age also gives them the opportunity to practice utilizing these skills with their peers.  The individual sessions provide time to deal with emotional issues in a one-on-one setting.  By incorporating both types of therapy, DBT ensures that teenagers get the individual attention they need while they build and practice the skills they need to self-manage.

Across the different approaches to therapy, DBT is the approach that puts the most focus on developing coping skills.   DBT has been used for 40 years and in the last decade has become an integral part of most, successful eating disorder treatment programs.   DBT breaks the teen’s life up into four main areas, relationships, thoughts, feelings and behaviors.   Because all of these areas are typically deregulated during the course of the illness, DBT is tailor-made for treating eating disorders.

In addition to helping those dealing with eating disorders, DBT can also help teenagers who are engaging in self-harm and struggling with suicidal thoughts.  This approach helps teens develop the skills they need to regulate their emotions, control their behavior, and become more resilient when faced with difficult situations.   The benefit of taking DBT approach is that troubled teens can get the help they need to overcome maladaptive behaviors.

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Causes of Eating Disorders

April 2nd, 2013
Groceries

Do you know all the variables that can cause an eating disorder in your teen?  (Photo credit: andrefaria)

When a teenager is diagnosed with an eating disorder one of the most common questions parents ask is what caused the disorder to develop.  This is an understandable response, but the unfortunate fact is that there isn’t a simple answer to this question.  Disordered eating is a complex problem and there are many factors that can contribute to its development.   According to the National Eating Disorder Association (NEDA), eating disorders evolve out of a combination of behavioral, biological, emotional, psychological, interpersonal, and social factors.   This means that each individual that is diagnosed has their own set of circumstances within those common factors that lead to the development of their disorder.

Many people assume that when a person struggles with disordered eating it is about the food, their weight, or even their appearance.  On the surface the outward symptoms of an eating disorder might support that assumption.  For example, someone who is suffering from anorexia nervosa may seem obsessed with their weight and their caloric intake.  They might track every calorie they ingest, worry about getting fat, and obsess about exercising.   All these seem to support the assumption that the person has an issue with their weight.  However, most experts agree that many people with eating disorders use food and their control over food as a coping mechanism.   The exertion of extreme control over their diet can help them feel in control when other things are out of control, overwhelming, or too emotionally charged to handle.

Although there is often no clean, simple cause to blame when an eating disorder is diagnosed, there are some common factors that are known to contribute to their development.

Biological Factors

  • Some people that suffer from eating disorders have a chemical imbalance in their brain associated with the neurological chemicals that control things like appetite and hunger.
  • There appears to be a significant genetic component to disordered eating.
  • More research needs to be done in this area to study how genetics and neuro-chemicals can contribute to disordered eating.

Emotional Factors

  • There is evidence that stressful times, major life changes, and traumatic events can lead to the development of an eating disorder.  If you consider that disordered eating is about establishing a feeling of control over one’s life, it makes sense that events that shake up a person’s world or alter it altogether could lead to the development of these conditions.

Psychological Factors

  • Issues with self-confidence, self worth, and self-esteem can contribute to disordered eating.
  • Feelings of hopelessness, inadequacy, anxiety, and loneliness can also lead to the development of a disorder.
  • Mental health conditions like depression and anxiety might also precede or go hand in hand with the development of an eating disorder.

Interpersonal Factors

  • Problems interacting with other people and trouble with personal relationships can be a contributing factor along with struggling to express emotions and difficulties dealing with feelings.
  • A history of being bullied, especially if the bullying behavior centered on weight.
  • A history of some form of abuse including physical, sexual, or emotional abuse.

Social Factors

  • Cultural messages that value beauty over other attributes and that associate beauty with a specific body type.
  • Stress related to prejudice, discrimination, bullying, or other forms of harassment and abuse.

Eating disorders are very serious, often life-threatening. A person struggling with an eating disorder needs professional help; they can’t win this battle on their own. If you know someone you suspect may be struggling with an eating disorder, or if you have any questions about how to know for certain, please give us a call. We would love to help. Their life could depend on it.

How to Help Your Teen Get a Good Night’s Sleep

March 26th, 2013
Sleeping

Do you know if your teen is getting the sleep they need? (Photo credit: Ed Yourdon)

Although most teenagers would likely disagree, it simply isn’t true that teenagers need less sleep than their parents.  According to the National Sleep Foundation, most teens need at least 9 hours of sleep every night which is slightly more than their parents need.  Unfortunately, today’s teens often struggle to get the sleep they need.  It may seem that it is computers, cell phones, and video games that are keeping our teens up, but their own biology may also be working against them.

Why Teens Struggle with Sleep

Research indicates that the circadian rhythm of teenagers makes it difficult for them to fall asleep before 11 or 12 at night.  With early morning school start times, it can be almost impossible for teens to get the sleep they need at night.  Add in all those electronic gadgets and the normal stress and pressure of being a teen and it is easy to understand why teens have trouble getting the sleep they need.

How Lack of Sleep May be Hurting Your Teen

The consequences of sleep deprivation are wide ranging and significant, especially during the teen years.  A study by the National Sleep Foundation showed that 85% of teens routinely get less than 8.5 hours of sleep on school nights.  Even losing 30 minutes of sleep a night can result in sleep deprivation and over just a few days, the sleep debt incurred can impede everything from driving to learning.  Teenagers that aren’t getting the sleep they need may experience any or all of the following symptoms:

  • Trouble with cognitive tasks and memory
  • Difficulty concentrating, listening, and problem solving
  • Problems with behavior including anger, impatience, and  inappropriate outbursts
  • Increases in  overeating
  • Weight gain and obesity
  • Drowsy driving accidents
  • Depression and other mood disorders
  • Increased likelihood of risky behavior

What Parents Can Do to Help

First and foremost, set a good example.  If you aren’t getting the sleep you need at night, you aren’t showing your teen that sleep is a priority. Help everyone in your household get a good night’s sleep by creating an atmosphere that supports healthy sleep habits and good sleep hygiene.

  • Prioritize – Make sleep as important to your family’s overall health as a balanced diet and an active lifestyle
  • Be Consistent – Waking up and going to bed at the same time every day helps ensure you get the sleep you need and makes it easier to fall asleep at night
  • Create a Supportive Sleep Environment – Check everyone’s sleep environment for a comfortable sleep surface and temperature.  Make sure sleep environments are free of excess light, noise, and other distractions.
  • Eliminate Electronics – Leave laptops, cell phones, game systems, and all other gadgets in some other room.

Helping your teenager get enough sleep is one of the most important things you can do to safeguard their health.  Sleep is as important to your child’s physical and mental well-being as clean air, good food, and a happy home.

This Month Eat Right, Your Way, Every Day

March 18th, 2013
Shopping

Consult with a registered dietician for tips on how to consume a healthy diet (Photo credit: USDAgov)

When it comes to knowing what you should be eating and what you should not, there is no one better to ask than a registered dietitian or dietetic technician.  These food and nutrition experts are the MVPs in our war against obesity.  This month, the Academy of Nutrition and Dietetics is sponsoring National Nutrition Month to increase awareness about the importance of making healthy food choices based on reliable information and promote the development of good habits around eating and exercise.

The theme for this year’s campaign is “Eat Right, Your Way, Every day” which encourages people to adopt healthy eating habits that work for their own individual lives.  By incorporating healthy eating habits into your everyday life and developing your own personalized healthy eating style, you are creating the right conditions to change your relationship with food for the better.  Many people struggle to adopt eating plans and exercise programs from television, videos, and books because those programs are not a good enough fit for their lives.  One of the benefits of working with a nutritional expert like a registered dietitian is that they specialize in creating personalized, individual nutrition plans based on your individual preferences, likes, habits, and history.

You can also establish a personalized eating plan on your own by following these simple steps.

1.     Eat What You Like

In order to eat your way to better health, you need to eat the healthy food that is part of your meal plan rather than spontaneously grabbing the unhealthy food calling your name from the convenience store shelf!  It is much easier to do this if you have already identified healthy options that you like to eat.  If you don’t like what you are eating, it will be harder and harder to stick with your healthy plan over time.

2.     Look at Your Lifestyle

Some of us are active, some of us are not.  Some of us eat meat, some of us do not.  There are many different ways that our lifestyle impacts our food choices.  The key to making sure those choices are healthy ones is knowing how the way you live affects what you eat.

3.     Eat Inside and Outside the Box

Many of the foods we feed our family are inspired by or drawn from our cultural heritage.  Make sure your personalized eating plan includes these favorite foods.  But don’t limit yourself to those foods you grew up eating; you should also look to eat healthy options that are outside your “box” as well.  There is a world of healthy food out there, full of nutrition and flavor, just waiting for you to find it.

4.     Don’t Confuse the Baby and the Bathwater

Just because your favorite dish from childhood could have been named “heart attack on a plate” doesn’t mean you have to skip it.  Try modifying the recipe by doing things like swapping out healthier versions of high fat, high calorie ingredients or using different cooking techniques until you find a version of that fabulous family favorite.  There is no need to give up the food you love, but you may need to change how, when, and how often you eat those foods in order to improve your overall health.

For more information on National Nutrition Month and other ideas on how to eat right, your way, every day, visit the National Nutrition Month website.

 

Working Towards a Win-Win

March 12th, 2013
Kinsler argues with umpire

Disagreeing with your teen doesn’t have to be win-lose with someone getting “tossed from the game.” Follow these tips towards finding a win-win solution. (Photo credit: sidehike)

When it comes to the relationship between parents and teenagers, there are few skills that can make things better, faster, than mastering the art of compromise.  Many of the families we work with are stuck in a never-ending battle of wills.  On one side are the parents who believe that they know what is best for their teen and on the other is the teenager who doesn’t necessarily agree.  This dynamic, which is present in all families with teenagers, is not a sign of trouble but rather a sign that the teenager is developing their own sense of self and individual identity.  However, unless families have the skills they need to effectively manage this battleground, this healthy dynamic can turn toxic.  If both sides insist on standing their ground, these small battles and minor skirmishes can morph into a full-scale war where no one wins, everyone is unhappy, and the parent-child relationship is left in tatters.

In order to understand why compromise is so important, it helps to take a step back and re-examine our role as parents.  Many parents feel like it is our job to control every aspect of our children’s lives and sometimes control, discipline, and a “do what I say” mentality is what is needed, even with teenagers.  Unfortunately, it can be easy for parents who are tired of their teen arguing with everything they say to dig in their heels and fortify this position.  The answer to every question, request, or argument becomes some version of “because I said so.” When parents choose this place to stand their ground, most teenagers will take up an opposite position, assuming that the only way to make their voice heard is to shout louder and rebel more.  When no one is willing to stand down, everyone loses.

However, if our job as parents is to teach our children what they need to know in order to successfully navigate the world on their own, we make room for flexibility as well as “do what I say” moments.  We make it possible to find a middle ground when it makes sense without relinquishing our right to exert control when it matters.  We create space to teach our teens how to compromise, how to negotiate, and how to stand their ground when the situation warrants it rather than feeling like the only way to win is for someone else to lose.

Working towards a win-win situation starts with a discussion where everyone feels heard and understood.  It is important that this discussion is centered on communicating each side’s position and doesn’t include judgment, criticism, or demands.  The key concept parents need to keep in mind is that sometimes it is better to lose a few battles in order to win the war.  If winning the war means producing a self-sufficient, self-confident young adult that willing contributes to society, it can be easier to let go of battles that aren’t likely to affect the overall outcome.  For example, your daughter’s desire to dye her hair purple may offend your parental sensibilities. But if allowing her to win this battle makes her feel heard, supports her search for her own identity, and allows you to stand firm on something that is more important without being seen as a dictator, it may be better for her in the long run if you back down.

Dating Violence and Teens

March 4th, 2013
Teenagers of various backgrounds in Oslo, Norw...

Though technology affords teens the ability to interact without being together, teen violence and abuse still readily exists.. (Photo credit: Wikipedia)

Times have changed since today’s parents were teenagers and the rules about almost everything seem to be different.  Parents who used to spend hours hanging out with their friends at the arcade or the mall now wonder if their child is well-adjusted and socially engaged because they don’t seem to hang out with their friends much at all.  What many parents don’t realize is that the way teenagers interact and engage with each other is completely different from their own experience.   Teens used to need to be separate from their parents physically in order to interact with other teens without parental awareness or involvement.  But now, all they need is an internet connection and a smart phone and they can get that separation without ever having to leave the living room.

These differences cross all the different types of relationships teenagers engage in, including dating.  Where parents “went out” with each other, figuratively and literally, today’s teens may never go “out” on what their parents would recognize as a date.  So much has changed in the span of a generation that it can be difficult for parents to understand their teen’s relationships or even recognize when they are involved in one.  Even though technology affords teenagers the ability to interact with one another without leaving their own family’s living room, they may still meet up with each other outside of their home and possibly get involved in behavior that could be dangerous, even though it wouldn’t be recognized as a typical dating scenario. Unfortunately, there is one thing about teen relationships that hasn’t really changed in the face of technology, the possibility that a teenager’s relationship will become abusive.

According to the Centers for Disease Control, 9% of teenagers report that they have experienced some form of physical abuse in the past 12 months.   If you factor in other forms of partner abuse including emotional, sexual, and psychological, 1 in 4 teens report some form of dating violence each year.  The long term consequences of dating violence amongst teens are significant.  Teenagers who experience or witness dating violence can find it difficult to excel academically and may be more likely to skip school or drop out.  Victims of this kind of abuse are more likely to smoke, use illicit or illegal drugs, struggle with eating disorders, and consider suicide.  The pregnancy rate amongst teen girls who have been victims of dating violence is 3 times higher than their peers.

What Parents Can Do

One of the most important things parents can do is to talk to their teenagers about dating violence.  Teaching teens what is and is not a healthy relationship helps them see when a boyfriend or girlfriend’s behavior crosses the line.  Teach teens these warning signs that their relationship is becoming or has become abusive:

  • Being called names
  • Being embarrassed, put down, or degraded in front of others
  • Possessiveness including non-stop texting and calling, demanding to know whereabouts and who they are with
  • Threats
  • Controlling behavior
  • Any physical violence
  • Pressure to have sex or forced sex

Additionally, parents need to know which warning signs to watch for so that they will know if their teen is in trouble but unable or unwilling to report it.  Parents need to be alert for:

  • Rapid drops in grades
  • Changes in mood or personality
  • Struggling to make decisions
  • Hesitant to offer their opinion, even when asked
  • Signs of physical abuse
  • Negative attitude and talk towards themselves

If your child is being abused, contact the police department immediately.

Man-Makers Group

February 28th, 2013

Who:  Teen guys, ages 13-17. Group limited to 8 members.

What:  Topics to be covered include:

  • Social & relationship skills
  • Conflict resolution & anger management
  • Emotional control
  • Values & character building
  • Male identify development

When:  Mondays, weekly starting at 4:30 p.m. (open enrollment)

Led by: Josh Harper, MEd, MS

Where: Doorways Arizona, 1825 E. Northern Ave, Suite 200, Phoenix, Arizona 85020

Cost:  $45 per session -OR- prepay for 8 sessions by March 4 and pay $300 ($60 discount).

How: Email Trina or call Doorways, (602) 997-2880

Eating Disorder Awareness Week 2013

February 24th, 2013

Do you know someone who struggles with food?  Since millions of us are battling eating disorders, odds are that you do, even if you don’t realize it.  Helping raise awareness about eating disorders is the goal of Eating Disorder Awareness Week which begins on February 24th this year.  Organized by the National Eating Disorder Association (NEDA), Eating Disorder Awareness Week offers a chance for everyone to educate themselves about eating disorders and then do just one thing to spread the word and increase awareness about these life threatening disorders that too often go untreated.

Regardless of who you are and whether or not an eating disorder or disordered eating has touched your life, there are things you can do to help spread awareness and precipitate change.

The first is to know the facts.  Clinically significant eating disorders will affect 20 million American women and 10 million American men at some point in their lifetime.  These disorders are real and take real, long-term help to overcome.  They can have significant, serious, life-long and even life threatening consequences.  They impact every area of a person’s life and can be debilitating both physically and mentally.

The second is to know the most common disorders and the signs that someone is struggling with them.

  • Anorexia Nervosa - When a person participates in self-starvation, depriving the body of calories in order to become thinner.  People who struggle with Aorexia Nervosa lose excessive amounts of weight, are preoccupied with food and obsessive about calories, fat, and dieting.   For more information about Anorexia Nervosa, click here.
  • Bulimia Nervosa - When a person goes through cycles of binge eating followed by activities like purging or excessive exercising to “make up for” the binge.  When someone is struggling with bulimia nervosa there may be external clues that indicate the presence of bingeing and purging behavior like large amounts of missing food, empty food wrappers, or packaging from laxatives or diuretics.  For more information about Bulimia Nervosa, click here.
  • Binge Eating Disorder  – When a person participates in regular episodes of binge eating that is not accompanied by other behaviors intended to compensate for or get rid of the extra calories. When someone is struggling with binge eating disorder, they will consume large amounts of food within a short time frame and may avoid eating with others to hide this behavior.  For more information about Binge Eating Disorder, click here.
  • Eating Disorder Not Otherwise Specified (EDNOS) – Some people who struggle with disordered eating exhibit a range of symptoms that prevent them with being diagnosed with each of the three primary disorders above.  In these cases, a diagnosis of EDNOS enables those people to get the help and support they need even though they don’t fit the criteria for a specific eating disorder.  For more information on EDNOS, click here.

The third thing you can do to help spread the word and raise awareness about eating disorders is to do “just one thing” during this year’s Eating Disorder Awareness Week.  For more information about eating disorders and for ideas on how you can get involved, visit the National Eating Disorder Association.

Eating Disorders Awareness Week

Eating Disorders Awareness Week

How Many Calories Should My Child Be Eating?

February 18th, 2013
boys-and-girls-club-of-ada-county

Do you know how much your teen should be eating? (Photo credit: USDAgov)

In today’s world, it can be difficult for parents to know what healthy eating looks like in teenagers.  On one hand, conventional wisdom says that growing teenagers will eat you out of house and home. On the other hand, the news is packed with stories about the obesity epidemic and how so many of our teens are overweight and facing life-long health problems.  With conflicting messages coming from the media, many parents are looking for guidance or a frame of reference of what a healthy teenage diet looks like and when it may be time to seek the help of a professional.

As with most things, the real answer is that the amount of calories your teen needs each day really depends on your teen.  Student athletes likely need more calories than their more sedentary peers.  Boys generally need more than girls.  Teens in the midst of a growth spurt may need more calories than those who are not.  However, there are some basic guidelines that can give parents an idea of how much is too much, how much is not enough, and what really makes up a healthy balanced diet for today’s teen.

There are three factors that you need to take into account when determining how many calories your child needs each day.  The first is whether or not they are male or female.  The guidelines recommended by the National Institutes of Health indicate that the number of calories needed by males and females is different beginning around age 9.  The second factor is age.  Specific guidelines for each age range are provided below.  The third factor is activity level.  Of the three, this is the only factor that is subjective.  The NIH guidelines use three different activity level classifications:

  • Not Active – Teens who fit in this box don’t play sports and are not very active.  They participate in the kind of light activity that comes from living their lives like walking to class or doing chores around the house.
  • Somewhat Active – Teens who are considered somewhat active expend more energy than the first group,  participating in 30-40 minutes of physical activity over the course of a day like participating in gym class or playing basketball with friends after school.
  • Very Active -  Teens that should be classified as very active get more than 40 minutes of physical activity each day and participate in activities like organized sports teams with daily practices and dance training.

Once you have determined your teen’s activity level, you can use the NIH’s recommended calorie range below to estimate how many calories your teenager needs to eat each day to be healthy.

  • Boys age 9-13
    • 1,600-2,000 calories if they are not active
    • 1,800-2,200 calories if they are somewhat active
    • 2,000-2,600 calories if they are very active
  • Girls age 9-13
    • 1,400-1,600 calories if they are not active
    • 1,600-2,000 calories if they are somewhat active
    • 1,800-2,200 calories if they are very active
  • Boys age 14-18
    • 2,000-2,400 calories if they are not active
    • 2,400-2,800 calories if they are somewhat active
    • 2,800-3,200 calories if they are very active
  • Girls age 14-18
    • 1,800 calories if they are not active
    • 2,000 calories if they are somewhat active
    • 2,400 calories if they are very active

Unless parents are concerned that their teen’s health is being impacted by how they are eating, it isn’t necessary or advisable for parents to track daily calorie intake or strictly monitor everything a teenager eats.  Modeling healthy eating habits and providing healthy balanced meals are the best things parents can do to help teens eat healthily in general.  However, if you are concerned about your child’s weight or how much/little they are eating, schedule an appointment with a medical practitioner, licensed nutritionist, or dietitian.

 

Eating Disorders: An Image Problem Kills

February 14th, 2013

An image problem can kill a politician, and as it turns out, a little girl. 

For millions of females with eating disorders, the stakes couldn’t be higher. Because anorexia has the highest mortality rate of any mental illness. To learn more, go to myneda.org.

Print

Eating Disorders: What’ll We Lose on This Diet?

February 13th, 2013

 

What’ll we lose on this diet? Lots of people every year. 

People with Bulimia don’t just induce vomiting. They induce heart arrhythmias, intestinal bleeding, and rupturing of the esophagus. It can be life threatening, but it can also be treated. For more information, go to myneda.org.
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Doorways Now Offering Weight Loss and Nutrition Services

February 13th, 2013
Rachel Brogan MS, RD, Registered Dietitian

Rachel Brogan MS, RD, Registered Dietitian

Doorways is now offering weight loss and nutrition services

  • Weekly one-on-one with our dietician
  • Personal eating plan
  • Get help with eating issues
  • Get the accountability, support and resources you need

Rachel is also available to speak to groups and organizations about healthy eating.

Rachel received her Masters of Science degree in Human Nutrition from the University of Nebraska in 2003. She worked at Remuda Ranch for over five years treating adult women, girls, and boys with anxiety and eating disorders. She specializes in adolescent eating disorder treatment, weight management, and family education. She is excited about leading adolescents and young adults into a more positive relationship between their bodies and food.

For more information call Doorways at 602-997-2880.

Inspiring Empathy in Your Teens

February 12th, 2013
Do you know what steps to take to help develop empathy in your teen? photo credit: Rosie O'Beirne via photopin cc

Do you know what steps to take to help develop empathy in your teen? photo credit: Rosie O’Beirne via photopin cc

If there is one thing we as a society could do to decrease the incidence of bullying, combat domestic violence, and ensure today’s children will become upstanding compassionate adults, it would be to teach and foster empathy in our children and in each other. 

Examples of what happens when empathy is absent are all around us.  You need only tune into the news to hear about another senseless act of violence or about one teen doing something terrible to another.  Parents, civil, leaders, and mental health practitioners alike are looking for answers to the near-epidemic level of bullying behavior that seems to touch every child’s life in one way or another.  Experts struggle to understand why even the most popular, likable, well-adjusted adolescents seem open to participating in behavior previously seen primarily in those who struggled to adhere to social norms.  Regardless of the other factors that cause and contribute to these challenges, at the root of each one is a lack of empathy.

What is Empathy?

When you feel empathy for another person, you understand the feelings they are having. By putting yourself in their place, by feeling what they are feeling, you are able to react and respond in ways that are comforting, helpful, and supportive.

For example, you are waiting in line at the grocery store with several other people.  The cashier is currently helping a young mother with two small children who are acting out and behaving badly.  The woman is struggling to finish her purchase while also keeping track of and trying to placate her two toddlers.  How you respond to this situation will vary greatly on the amount of empathy you feel for the woman.  If you can imagine what it is like to be her in that moment, to feel the things she is feeling, you are more likely to be patient, understanding, and possibly even offer to help.  However, if you cannot empathize with her, you are more likely to be judgmental, more likely to assume she isn’t a good mother since she cannot control her children, and perhaps even tap your foot or make a rude comment aimed at letting her know how much she is inconveniencing you.

The difference in these two reactions shows why empathy and lack of empathy in our teens can be so problematic.  If you know how to have empathy for others, you are less likely to participate in behaviors that hurt people because you understand how much that behavior hurts the other person and don’t want to subject them to that pain.

Teaching Empathy

While it is never too late to help someone learn to feel empathy towards others, it is a skill that is best learned in small steps from toddlers to teens and beyond.   Most people are born with the capacity to feel empathy, but it isn’t something that happens on its own; it must be taught, modeled, and reinforced throughout a child’s life.  If your child seems to be lacking in empathy for others, start by examining your own family dynamics.  Children, including teens, learn what they live.  If we want them to be caring, understanding, empathetic members of society, we must model that behavior in our own lives.

If you have any questions about how best to foster empathy in your teen, or if we can address any other concerns you may have, please give one of our counselors at Doorways a call. We would love to talk with you and answer any questions you may have.

 

Related Articles:

Eating Disorders: The Monster Isn’t Under the Bed. It’s In the Fridge

February 12th, 2013

The monster isn’t under the bed. It’s in the fridge. 

People with eating disorders often distort the size of their food so they’ll eat less. They distort the size of their body so thin looks fat. Which yields a fact that isn’t distorted at all-  without treatment, many won’t survive. But, to read about those who have, go to myneda.org.

NEDA Ad

Eating Disorders: Losing Weight Not Hope

February 11th, 2013

 

How did it go from losing weight to losing hope? People with anorexia see themselves as much bigger than they actually are. And everyone sees the problem as being much smaller. Truth is, anorexia has the highest death rate of any mental illness. But there are cures. Go to myneda.org.

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National Eating Disorders Association PSA: Self Esteem. Breaking the Status Quo

February 8th, 2013

Self-Esteem: Breaking the Status Quo

National Eating Disorders Association PSA: “The Letter”

February 7th, 2013

 

The Letter

DBT Group for Adolescents

February 6th, 2013

DBT Group for Adolescents

Who:   Male and Female Adolescents, ages 13-17.  Group is open enrollment (you may join at any time).

What:  Interactive, experiential, and educational group that teaches DBT life coping skills.

When:  Mondays, 6:30 p.m. – 8:00 p.m.

Led By:  Sam Lample, LPC, Chase Kerrey, LAC, and Sarah VanHolland, LPC

Where:  Doorways Arizona, 1825 E. Northern Ave, Suite 200, Phoenix, Arizona 85020

Cost:  $45 per session -OR- prepay for 8 sessions and get a $60 discount

How:  Email Trina or call Doorways, (602) 997-2880

National Eating Disorders Association PSA: Save a Life

February 6th, 2013

 

Save a Life

A Silent Epidemic: Eating Disorders Among Males

February 5th, 2013

 

 

 

Ten million males in the United States will suffer from a clinically significant eating disorder at some point in their life. 

Eating Disorders and Males

National Eating Disorders Association PSA: Perceptions

February 5th, 2013

 

Perceptions

What Causes Eating Disorders?

February 4th, 2013
The image of perfection most often promoted in the media, magazines, movies, and online has a powerful effect on how we see ourselves. photo credit: zen via photopin cc

The image of perfection most often promoted in the media, magazines, movies, and online has a powerful effect on how we see ourselves. photo credit: zen via photopin cc

This is one of the questions parents ask us all the time.  Whether their child has already been diagnosed with an eating disorder or they are interested in information on preventing an eating disorder, most parents want to know where it starts, what makes one person develop an eating disorder but not another, and most importantly, what they can do to help.  The truth is there is no singular, quantifiable cause or reason why some teens struggle with eating disorders and others do not.  There are however, some factors that may increase the likelihood of a specific person being diagnosed with an eating disorder.  These risk factors range from societal pressures to self image and do not always lead to an eating disorder but they do increase the risk and can be used as warning signs that parents can learn to look for.

Social Warning Signs

The image of perfection most often promoted in the media, magazines, movies, and online has a powerful effect on how we see ourselves, how we see each other, and whether or not we are “acceptable” in our eyes or the eyes of others.  For adolescents, the pressure to be accepted, to fit in, is already extreme.  When the person they see in the mirror doesn’t match what they have been told is desirable or acceptable, the pressure to change how they look can become all encompassing.  For some, this will lead to the development of an eating disorder.

Biological Warning Signs

Unfortunately, one of the most common things parents should be looking for may be hiding in plain sight.  According to the Alliance for Eating Disorders, 50-80% of a person’s risk for developing an eating disorder may be genetic.  These disorders tend to run in families.  While biological factors can affect males and females, research shows that girls whose mother or sister have now or have ever had Anorexia Nervosa are twelve times more likely to develop this eating disorder and four times as likely to develop Bulimia as their peers without this risk factor.

Psychological Warning Signs

Many people with eating disorders also struggle with other mental health problems.  This means that people who have been diagnosed disorders that are commonly also seen in those with eating disorders have a higher risk of also developing an eating disorder.  Commonly co-morbid mental health disorders include depression, anxiety, post traumatic stress disorder (PTSD), and obsessive compulsive disorder (OCD).

Interpersonal Warning Signs

Other factors that increase the risk of developing an eating disorder center on certain types of life experiences.  People who have been physically, sexually, or emotionally abused have a higher risk for eating disorders.  Being bullied, especially if the bully or bullies targeted the person’s weight, size, or other physical characteristics also increases the risk that an eating disorder will develop.   Traumatic events like the death of a family member or a difficult divorce can also increase the risk of developing an eating disorder as part of coping or escaping from the event.

One of the most important things parents can do is provide a mitigating influence when it comes to the messages teens get about how they should look.  Remind boys and girls that the men and women who look like fashion models make up less than 2% of all the women in America.  Make sure the messages being sent inside the home to boys and girls are healthy and encourage acceptance, embrace diversity, and ensure each child feels loved for everything they are, not just how they look.

National Eating Disorders Association PSA: Questions

February 4th, 2013

 

QUESTIONS

 

National Eating Disorders Week: February 26 – March 2, 2013

January 31st, 2013

According to the National Association of Anorexia Nervosa and Associated Disorders, everyone is at risk for an eating disorder, regardless of their age, creed or color. Fortunately with greater understanding, increased awareness, and reduced stigma, people can have improved skills to prevent or reduce the suffering associated with this life-threatening illness. This year, National Eating Disorders Week is February 26 – March 2, 2013.

Below is a list of resources about Eating Disorders. You can use them for yourself or download and pass them on to others who are struggling with an eating disorder or would like more information.

ANAD Eating Disorder Fact Sheet

ANAD Pledge

ANAD 8 Steps

ANAD Caring for Someone With an Eating Disorder

ANAD “Confront”

ANAD Overexercise

ANAD Reading List

 

Lonely or Alone? Teens and Solitary Time – Part 2

January 28th, 2013
Nick gets his window seat

Do you know how to tell if your teen is lonely or depressed? (Photo credit: Qfamily)

In our previous Lonely or Alone? post, we introduced the idea that when our teens seek solitude and spend time alone, it is not always something parents should be concerned about.  There are both healthy and unhealthy reasons that teens separate themselves from their family.  It is common for teens that are shy or introverted to seek more alone time then their more outgoing and extroverted peers and siblings.  Teens also need time on their own just like adults do.  Spending time with other people takes energy and everyone needs downtime to process their own thoughts and let down their emotional guards.

Unfortunately, there are as many unhealthy reasons for teens to separate themselves from others as there are healthy reasons.  For parents, the key is to understand how these are different and when spending time alone can be a warning sign that something else is going on or that their teen is not okay.  To help you understand if your teenager is lonely or just spending time alone, here are the most common unhealthy reasons teens shut other people out.

Outcast and Outsider

Unfortunately, the teen years revolve around social interaction with peers and popularity matters more during these years than at any other time in life.  If your teen is feeling like an outsider, is treated like an outcast, is being bullied, or can’t find a place to fit in, they may be spending so much time alone because of these factors.

These feelings can easily spiral out of control because popularity during the teen years often comes down to who you hang out with.  If you have seen any of those teen movies where the bookish girl becomes popular simply because the popular boy starts paying attention to her, you understand how this works.  The problem is, it also works in the opposite direction.  The more unpopular a teen becomes, the less people will be willing to be seen with them, hang out with them, or be willing to be their friend.

If your teen is lonely because they are a social outcast, you need to help them understand that there is nothing wrong with them and that there are places where they will fit in. You just need to work together to find the people who get them.

Withdrawing From Their Life

Another unhealthy reason teens seek solitary time is when they are extremely unhappy after being betrayed, violated, rejected, or disappointed.  Circumstances may leave your teen feelings anxious, discouraged, guilty, shameful, or like they are a failure.  These extreme feelings can be so overwhelming and intense that the teen withdraws, allowing depression to control their emotional state and seeing their world as a hopeless place.   This creates an environment that has no room for other people and no energy for the kind of social interaction that could combat the negativity.

If your teen is withdrawn and seems to look at life through sad, hopeless glasses, it is time to seek professional help from a mental health professional.  If you have any questions about behavior you see exhibited in your teen, give one of our certified counselors at Doorways a call today. We would love to help!

Related Articles:

The War on Women’s Bodies: The Media, Body Hatred, & Eating Disorders

January 23rd, 2013

 

NEDA

Lonely or Alone? Teens and Solitary Time – Part 1

January 21st, 2013
Teenagers of various backgrounds in Oslo, Norw...

Do you know the warning signs to look for if your teen is lonely or depressed? (Photo credit: Wikipedia)

Parents face many challenges as they guide and usher their teenagers through the final years of adolescence on their way to becoming young adults.  One of the most common is knowing when their teen’s behavior is normal and a sign of healthy adaptation and when it is abnormal and requires attention.  It is normal for teenagers to spend time away from their families, often secluded in their rooms.  For many parents this change in behavior can feel like their child is pulling away, like there is some problem or tension within the family.  This can lead to concern about whether or not this alone time is healthy or if it is a sign that their child needs help.

Like most parenting challenges, there is no easy answer or fail-safe guideline that can be used to know the difference.  In part, it depends on your child.  Some people are more introverted than others, which means that some teens will seek more solitary time than their peers.  Other teens may find the demands of socializing and school draining and seek alone time as a way to re-energize and rejuvenate themselves.  A teenagers desire to spend time alone is not a cause for concern.  In fact, this kind of separation is an important part of their development.  But in order to provide for and protect their children, parents need to be able to tell between solitude that signifies healthy development and solitude that signifies danger ahead.

To help understand if your teenager is lonely or just spending time alone, here are the most common healthy reasons teens seek solitude.

Shyness

Even teenagers who were outgoing as children can experience periods of shyness as teenagers.  The teen years bring changes to almost every aspect of life and it is perfectly normal for teens to become fearful of things like saying the wrong thing, looking silly or strange, being rejected by others, or not fitting in with their peers.  These types of fears can result in periods of shyness when your teen withdraws and seeks the comfort and safety of solitude.   While feeling and acting shy is not cause for parental concern, parents can help their teen through these phases by offering encouragement and support.

Spending Time Alone

Sometimes, we all just need to spend some time by ourselves.  Being with other people requires a lot of energy no matter what age you are because you have to consider the other people’s needs, opinions, and feelings while moderating what you say and how you act.  This can be draining even if you aren’t a teenager trying to navigate a constantly shifting and completely unforgiving social network while also building the skills to do so.  Sometimes, your teenager just needs to not have to worry about anyone else for awhile so they can recharge their own batteries.  This is healthy behavior and no cause for concern.

Being an Introvert

As mentioned above, some people, including teenagers, are simply more introverted than others.  Introverted teens thrive when they get to spend enough time on their own.  They benefit from honoring this side of themselves and the best thing parents can do is be understanding and supportive of their need for this solitary space.  However, even introverted teens need social interaction.  Creating relationships, connecting with others, and establishing solid communication skills are as essential for introverts as they are for extroverts and teens that isolate themselves in order to avoid these situations may need encouragement in these areas.

Regardless of what may be leading your teen or adolescent to spend time alone, be aware of any signs of depression that may be causing this behavior. Be on the lookout for any of the following signs of depression. If you have any questions, please don’t hesitate to give one of our counselors at Doorways a call.

  • Fatigue
  • Mood changes
  • Loss of enjoyment in activities, socializing, and pastimes
  • Lack of energy
  • Changes in sleep patterns
  • Problems with concentration
  • Changes in eating habits that includes craving high sugar foods

 

Helping Teens Feel Safe in an Unsafe World

January 17th, 2013
Teens Feeling Safe

How do you help your teen feel safe in today’s world of uncertainty? photo credit: Laura4Smith via photopin cc

The school shooting in Newtown, Connecticut was a tragedy beyond measure.  When events like this occur, it shakes the foundation on which all our lives are built.  This is as true for our teenagers as it is for us parents.  Everyone searches for some way to make sense of the awful events of that day, even those of us who live in different towns, cities, and states.  We do this because we need to be able to explain what happened in order to be able to convince ourselves it can never happen to us.  In these difficult times, being able to restore our own sense of safety and security is of the utmost importance and seeking these kinds of answers is one of the ways we do that.  However, even as we seek these answers and explanations for ourselves, we need to be conscientious about how we are communicating about this tragedy with our children.  Here are some tips for how you can help your children through this and other tragic events.

1.     Consider How to Communicate

As we saw with the media coverage in the hours and days after the shooting, confusion, misinformation, and distress are common in the aftermath of tragedy.  If the trained journalists reporting on TV can get things wrong, think of how hard it can be for your teen to decipher fact from fiction and determine truth from sensation.  This is one reason that communicating effectively with your teen is even more important at these times.  Make sure you use age appropriate language and don’t overwhelm your children with information they don’t need or may not know how to deal with.  Stick to the facts, be clear, and keep things simple.

2.     Answer Tough Questions

One of the things everyone wants to know when something terrible happens is why it happened.  Children and teens are no exception.  The search for reason in an unreasonable situation is how we try to make sense of senseless acts.  The challenge for parents is to help their children understand that these things happen for a variety of reasons like mental illness, religious or political fanaticism, or simple hatred without turning any specific group into the “bad guy.”  For example, while some of the people who have been responsible for mass shootings have suffered from mental illnesses, not everyone with a mental illness can or would hurt other people.

3.     Stress Safety

Another of the most common questions we all ask at times like these “is will it happen again” or more importantly, “how can I make sure it never happens to me?”   The truth is, random acts of violence will always happen and there is no way to protect ourselves from each and every eventuality.  People do terrible things and there is no way to ensure it will never happen to you.  Despite this, even teens need to re-establish a sense of security, to find a way to feel safe in their world.  The best way to do this is to focus on ways to make ourselves safer rather than on our inability to control the random acts of others.

5 Tips for Teens on Dieting

January 8th, 2013
friday afternoons -- a foray into the land of ...

Half of teenage girls and a quarter of teenage boys have used dieting in an attempt to change their body. (Photo credit: justonlysteve)

There is a lot of pressure on today’s teens to go on a diet.  Some feel this pressure because they are overweight or struggling to maintain a healthy weight.  Others are at a healthy weight but feel pressure to be thinner or to look a certain way.   These pressures encourage teens to “go on a diet” and to try the latest “thing” for losing weight.  According to the National Institute of Health, half of teenage girls and a quarter of teenage boys have used dieting in an attempt to change their body.  Teens of all sizes believe that dieting will help them get the body they believe will make them beautiful, popular, and happy.

Unfortunately, this is simply untrue.  In fact, research has shown that teens who diet have lower self esteem, feel less connected to their families and friends, and don’t feel like they have control of their lives.  In some cases, dieting, especially when it is done over and over, can actually lead to weight gain and weight problems later in life.  No matter how popular a diet is or what kind of claims are made about how successful it is, the simple fact is that dieting doesn’t work almost all the time.

Here is the thing.  Dieting, as we think of it in our culture, is something temporary.  It may mean eating healthier foods, restricting calories, following strict rules, skipping certain meals, or only eating or not eating specific foods, but it is always a temporary change.  This is the most important reason that dieting doesn’t work.  Even if the changes being made lead to a healthier diet, the temporary nature of dieting means that once you achieve your goal, you will go back to your regular, potentially less healthy, eating habits.  For many people, a return to their regular eating habits often means a return to their previous weight.  This is how the rollercoaster of dieting begins.

The temporary nature of dieting is the foundation of this rollercoaster.  Cutting calories drastically, skipping anything with carbs, and other dieting tactics can have unexpected effects.  Dieting can decrease a person’s metabolism which can actually lead to gaining more weight than they lost once they stop following the diet.  Restricting calories, cutting out certain types of foods, and being hungry can also make people moodier and make it harder to concentrate.  In fact dieting, in the long-run, can actually result in an increase in overall body weight.  This can mean lifelong issues with weight – even for those teens that were not overweight to start with!

So, what is the answer?  Stop dieting.  Maintaining a healthy weight should be a lifelong goal which means you need a long term solution.  Rather than turning to dieting, try these healthy eating tips instead.

  • Eat small meals such as 1/2 sandwich, some fruit, or some vegetables 4 or 5 times a day.
  • Drink enough water.  Teens need 64-80 ounces of water each day.  Staying hydrated helps stabilize appetite and eliminate cravings.
  • Eat a variety of foods and participate in fun physical activity on a regular basis.
  • When eating out, assess how much you may want to eat ahead of time and then stop when you are full.
  • If you find that you are eating when you are emotional, choose something besides food to help you cope.

If you have any questions about how your adolescent or teen can maintain a healthy body weight, a certified nutritionist at Doorways can help. Please give us a call and we would love to talk more with you.

 

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Man-Makers Group

January 5th, 2013

Who:  Teen guys, ages 13-17. Group limited to 8 members.

What:  Topics to be covered include:

  • Social & relationship skills
  • Conflict resolution & anger management
  • Emotional control
  • Values & character building
  • Male identify development

When:  Mondays, starting February 18th from 4-7 p.m. (3-hour group for 8 weeks).

Led by: Josh Harper, MEd, MS

Where: Doorways Arizona, 1825 E. Northern Ave, Suite 200, Phoenix, Arizona 85020

Cost:  $90 per session -OR- prepay for 8 sessions and pay $650 (a $70 discount)

How: Email Trina or call Doorways, (602) 997-2880

Are New Year’s Resolutions Good or Bad for Teens?

December 31st, 2012
Diabetes365 Day 48 November 24 - The family

What resolutions should you encourage your teen to make this year? (Photo credit: Bernard Farrell)

‘Tis the time of year when everyone is gearing up for gift giving, merry making, and resolution setting.  One question we hear discussed a lot this time of year is whether or not it is a good idea to encourage teenagers to set New Year’s Resolutions.  On one hand, parents are wary of putting pressure on their teens to lose weight or improve their grades because they don’t want to undermine their self confidence.  On the other hand, New Year’s Resolutions are really nothing more than goals that happen to be set on a particular day and participating in goal setting may be exactly what some teenagers need.

So the answer is, it depends.  It depends on the teenager, the goal, and other factors that are not always within our control.  The process of goal setting is inherently good, regardless of whether or not the goals are achieved.  According to a study  from the University of Scranton, if you go through the process of setting resolutions or goals, you are twice as likely as someone who doesn’t to achieve what you are striving for.  Those who don’t set goals, who don’t think about where they are going and how they want to get there, have only a 4% chance of getting what they want.

Here are some of our favorite tips for helping teens set goals, track their progress, and celebrate their successes.

1.     All for One

Pick goals as a family and you will start out with a built in support system.  It is always easier to make lasting life changes when the people around us are doing it with us.  Things like getting more exercise, eating a healthier diet, or spending more time together are great goals you can pursue as a family.

2.     Individual Goals, Family Support

You don’t all have to have the same goals to be supportive of each other.  Let each family member set their own resolutions but then have a family meeting to discuss each person’s resolutions and how each person can be supportive and helpful  to the other members of the family.  If Mom wants more time to exercise, other family members might offer to take over some family chores to free up her time and support her goal.  Have regular family meetings to talk about how each person’s goals are going.

3.     Together and Apart

You can also combine the two approaches above and have some family goals like being more active in the community or doing volunteer work together each month as well as setting individual goals.  This approach ensures you will have some family bonding but also addresses the needs and wants of the individuals in the family.

To help you kick start your goal setting for 2013, here are some ideas for individual and family goals.

Individual Goals

  1. Commit to helping out around the house in one new way every week.
  2. Make a commitment to watch less TV.
  3. Decide to be nicer to other family members, especially if they look up to you.
  4. Resolve to ask for help when you need it and take help when it’s offered.
  5. Resolve to volunteer and give some of your time to someone else.

Family Goals

  1. Resolve to be a healthier family and to get more physical activity.
  2. Commit to eating dinner together at the table several nights a week.
  3. Decide to spend more quality time together.
  4. Choose a home improvement project or a vacation that the family can plan and undertake together.
  5. Commit to saying one sincere, positive thing about each member of your family every day.

 

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You are Invited to our Open House & 5th Anniversary Celebration!

December 26th, 2012

  

You are Invited to our OPEN HOUSE & 5th Anniversary Celebration!

Please join us on Friday, February 15th from 3:00 – 7:00 p.m.  

Meet our staff, tour our expanded facility, learn about our new programs.

Please mark your calendars!  We’d love you have you drop by!

Our Open House is sponsored in part by these wonderful treatment partners:

 

DBT Group for Young Adults

December 26th, 2012

DBT Group for Young Adults

Who:  Young Adults, Male and Female, ages 18- 25. Group is open enrollment (you may join at any time).

What: Interactive, experiential, and educational group that teaches DBT life coping skills.

When: Tuesdays, 6:30 p.m. – 8:00 p.m.

Led By: Caleb Mitchell, LPC

Where: Doorways Arizona, 1825 E. Northern Ave, Suite 200, Phoenix, Arizona 85020

Cost: $45 per session -OR- prepay for 8 sessions and get a $60 discount

How: Email Trina or call Doorways, (602) 997-2880

Why Parents Should Help Their Teens Become Quitters

December 26th, 2012
Young Smoking

The American Cancer Society is sponsoring the 37th Annual Great American Smokeout to encourage teens to stop smoking (Photo credit: M Hooper)

There are many things that parents aspire to teach to their teens, but being a quitter isn’t usually one of them.  However, when it comes to smoking and tobacco use, helping teens become quitters is the best thing parents can do.  On November 15th, the American Cancer Society sponsored the 37th annual Great American Smokeout, when smokers across the country are encouraged not to smoke for an entire day.  By encouraging people to think about quitting, make a plan to quit, or even commit to being smoke-free for an entire day, the American Cancer Society wants to help every smoker take a step towards choosing a healthier life.

A recent survey amongst high school students found that while the number of teens who are smoking has decreased in recent years, almost 20% of our teens smoke.   When you consider the immediate and long term health consequences of smoking and the fact that the majority of smokers started smoking during their teen years, promoting non-smoking among teens is something we as a society needs to support.

For teachers, parents, mentors, and teens themselves, the Great American Smokeout offers another opportunity to talk about smoking, to help those that are smoking to get the help they need to quit, and to do what can be done to keep teens from taking up smoking in the first place.

For parents of teen smokers, there are some things you can do to help your child become a quitter.

1.     Talk, Listen, but Don’t Yell

While your teen needs to hear, in no uncertain terms, that they need to quit smoking, that message needs to be delivered in a way that your teen can digest it.  Yelling, shaming, berating, and giving your teen ultimatums is not the way to get this message across.  Arguments and anger are more likely to make your teen defensive than receptive, which is what they need to be in order to hear the truth behind what you are saying. Be calm, curious, and clear in order to convey your message.

2.     Put Yourself in Their Shoes

The best way to help your teen quit is to start by trying to understand what made them start smoking and why they continue to do so.  For many teens, smoking signifies rebellion, adulthood, and independence.  It can make them feel cool or help them fit in to a specific social set.  It can increase their confidence or even make them feel glamorous.  If you can have a calm conversation about why your teen is smoking, you can gain an understanding of why this dangerous behavior appeals to them and help them find other ways to get whatever it is they feel smoking is giving them.

3.     Paint them a Picture

While the dangers of smoking are well-known, smoking can seem like something that may impact your health at some point which means that it isn’t always easy for teens to understand how those dangers actually affect them right now.  Paint them a picture of what smoking is doing to them right now.   Smoking gives you bad breath and can make people not want to date them.  Smoking makes your hair, clothes, car, and belongings smell.  Smoking turns your teeth yellow, can make your skin pale, and sucks out all your energy.  Things like dancing and playing sports can be harder to do when you smoke and because you must go outside and away from others in order to do it, smoking can actually isolate you more than it helps you feel included.

Sharing these messages with teens, providing them with the tools and support they need to quit, and standing by them even if they struggle to quit are the best things parents can do to help their teens turn the tide and become non-smokers for life.

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Family Traditions that Stand the Test of Time

December 20th, 2012
New Years Eve 2011 London

Ring in the new year with these holiday traditions (Photo credit: Sean MacEntee)

The holiday season is the time of year most associated with family traditions It makes sense that many of our favorite traditions would form and flourish when we are most likely to be spending the most time with close friends and extended family.  And while the holidays are not the only time when families come together and traditions are formed, many of our longest lasting and most memorable traditions come out of this time of year.

Traditions are important for families of all types and sizes.  They are one of the things that unite us and make us feel a part of something bigger than ourselves.  Our traditions provide a sense of stability and security in an often uncertain and unstable world.  They are one of the ways we connect with each other and their repetitive nature strengthens that connection year after year.  Our traditions bring us close and form the foundation of many of the memories that will be cherish from childhood through the lives our own children and long after we have passed them on to the next generation.

Here are a few of the most beloved family traditions that can help your family come together and connect this holiday season.  Remember, traditions don’t have to be complex, extravagant, expensive, or intense.  Sometimes it is the simplest things that make the most lasting impression!

1.     Baking Bonanza

One of the hallmarks of the holiday season is the cookies, cakes, and other sweet treats that always seem to be available.  You can turn your holiday baking into a family tradition by bringing together all the bakers for a day to make all the candies and cookies you need for the whole season.  Everyone brings a few recipes, everyone pitches in, and everyone leaves with a wide range of sweets and treats and closer ties to family.

2.     Holiday Film Festival

Count down the days left until Christmas by hosting a holiday film festival.  Ask family members to suggest their favorite movies and then watch one movie each night to get everyone in the holiday spirit.  Put out cookies and pop some popcorn and share the holiday movies that have been memorable to each member of the family.  Who knows, “The Grinch” might become Grandma’s new favorite and your teenager might be inspired by “It’s a Wonderful Life.”

3.     New Year, New You Fondue

Rather than ringing in the New Year at a ritzy romp with a couple hundred people you don’t know, stay home and welcome the New Year with family and friends.  Fondue is a great way to share a fun leisurely meal and it can provide a nice change from the heavier, more formal meals that are common at Hannukah and Christmas.  Spend this time looking back at the year you are leaving behind and ahead at the year to come.  Ask everyone to pick their favorite things about the old year and a few things they are looking forward to in the New Year.  Just be careful you don’t get so wrapped up in conversation that you miss midnight!

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Common Mistakes Many Parents Make

December 17th, 2012
Big Little Brother Brock

It is easy to make these parenting mistakes  (Photo credit: beX out loud)

As most parents can tell you, about the time you start feeling like you have things under control and you know what to do and how to be the best parent to your child is about the time they morph into someone completely different and become teenagers.  This means that parents may need to make some changes to what tools they have in their parenting toolbox in order to keep up.  This transition can be as difficult for parents as it is for their teens and invariably, all of them will make some mistakes.   Here are some of the most common mistakes we see parents of teenagers make.

1.     Looking for the Bad Rather than the Good

The teenage years can be tumultuous and trying.  However, it is important that parents don’t fixate on any negative expectations.  The old saying goes, “whether you think you can or think you can’t, you are right.”  When it comes to parenting teenagers, that should say “whether you think they are good or think they are bad, you are right.”  Oftentimes, when parents spend all their energy waiting and watching for the worst, they miss out on all the best things about their teens.  In fact, all these negative expectations can actually bring about the bad behavior the parent is hoping to avoid.

2.     Failing to Use their Own Instincts

One of the most obvious examples of this is people who read too many parenting books.  This is actually a mistake parents can make at every stage of their child’s life.  Parents who turn to other sources and who rely on other people’s advice about how to raise their teenagers are disregarding the most effective parenting tool they have at their disposal, their instincts.

3.     Being Overly Controlling

Some parents feel that the best way to make sure their teens avoid problems with alcohol, drugs, sex, pregnancy, and all other teenage dangers is to keep them on a short leash, micromanaging and controlling everything they do.  This may mean that they restrict access to social media sites, have veto power over any wardrobe decisions, and can decide who their teen can and cannot be friends with.  While this may seem like a surefire way to keep them out of trouble, it can actually create two different problems.  First, teens whose parents exert this much control are likely to rebel and to rebel in serious and significant ways.  Part of being a teenager is taking some steps out into the world on your own and when parents prohibit that kind of exploration, it can backfire.  Second, this type of parenting makes it very difficult for teens to learn how to make decisions by themselves.

4.     Not Being Controlling Enough

On the flipside of the parents above, these parents take a laid back approach to parenting and fail to set boundaries, expectations, or standards of behavior.  These are the parents that excuse inappropriate teen behaviors like smoking pot or having casual sex as “teens being teens.”  By allowing their teens to behave however they want, these parents are failing to provide the solid foundation and sound moral compass that will help guide them through adulthood.

Parents of teenagers have a big role to play and have much more influence than they might think.  The teen years may require parents to develop different tools and strategies.  At times, it may feel like nothing they do or say is making a difference.  However, parents are the ones who help teens build that foundation and formulate their own internal compass.

 

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8 Parenting Tips by Chase Kerrey

December 13th, 2012
Teen Wilderness Adventure Camp welcomes kids f...

Follow Chase’s parenting tips to enhance your relationship with your teenager. (Photo credit: Virginia Guard Public Affairs)

by: Chase Kerrey, MA LAC

 

1. Be Relational

By the time parents usually come in for counseling with concerns about their son or daughter the relationship is strained, with the parent oftentimes in a mindset that is attempting to “fix” the child and the child rebelling against this attempt at control. One of the best things parents can do, even during times of stress or strain, is look at their son or daughters behavior as a window into what it’s like to be them. In my experience the healthier families I work with all have something in common: at the end of the day, there is always an undercurrent of interest in relating to and empathizing with other family member’s experiences. In a phrase, they are listening with curiosity.

 

2. Be Mindful

Being mindful is the capacity to take a step back from an experience rather than simply reacting to it. In families the message intended is not always the message received, so the importance is for families to be able to communicate their thoughts and feelings in a way that limits misunderstanding. Children, adolescents, and teenagers are more prone to feelings of shame, worthlessness, incompetence, and failure as they develop physically, psychologically, and neurologically, which means emphasis needs to be placed on behavior when correction is warranted, rather than making generalized statements in the heat of the moment that could be interpreted as a reflection of their worth and value.

 

3. Be Purposeful

After seminars and in family sessions, parents oftentimes come up to me and ask what I believe to be the goal of parenting. The single greatest response that I’ve picked up and subsequently pass on to others is that a parent’s job is to train their child into becoming a functional adult. The profession of parenting in this regard is similar to that of a therapist or long lasting gum manufacturer; the goal is to work oneself out of a job. In every circumstance that you or your spouse come to on the parenting front, ask yourself, “am I preparing my son or daughter to be a contributing member of society, either physically, emotionally, psychologically, intellectually, or spiritually? And if not, what can I do in this situation to point them in that direction, even if it means exposing my child to the natural consequences of his/her behavior? The goal is for your child to graduate from your direct care ready for what the world has to offer and the newfound responsibilities that will undoubtedly come.

 

4. Be Teachable

As a father of a four year old boy and two year old girl, I seem to be reminded daily of the fact that I am a perfectly imperfect parent. Stated bluntly, I believe that we as human beings are destined to mess up, it just depends when and to what extent. With that in mind, the goal for parents is not to spare your child from seeing you make a mistake, but rather in allowing them to see you accept responsibility, pursue reconciliation when warranted, and pick yourself back up without blaming, shaming, or judging yourself or others in the process.

 

5. Be Moderate

This topic centers on the topic of control. Oftentimes we as parents or as individuals handle stress by swinging to one of two extremes: we attempt to control our environment and the people in it, or we do something in the moment that brings pleasure but fails to address the origins of the stress. Both are what therapists call avoidant behaviors, and both ironically cause increases of stress and/or anxiety over time. The goal here is balance or moderation, understanding that to be an adult means to deal with higher and higher levels of ambiguity and to release those things we cannot control, but also to make strides in making positive change in those things we do have some say in.

 

6. Be Balanced

To be a parent means learning to do more with less: less time, less money, more responsibility, more crises that demand our attention. But finding yourself burning the candle at both ends is not the solution, and in fact over time this “white knuckling it” approach will drill you into the ground physically and emotionally. Parents usually tell me in our introductory session, “but Chase, we don’t have time / can’t afford to have balance”, but the reality is that your family cannot afford to have you experience a complete physical or mental breakdown either. The single most important relationship within a family systems perspective is the parent/spousal relationship, and this is due I believe largely to the fact that parents set the emotional tone of the family by how well they are taking care of themselves and each other. Plan regular and predictable quiet times, reading hours, date nights, exercise groups or any other form of self care needed to keep yourself physically and emotionally afloat. It’s not being selfish; it’s being responsible to yourself and your family.

 

7. Be Content

Chances are incredibly good that not every child will grow to have an IQ comparable to Steven Hawking (over 200) or become the next Michael Jordan, but that does not mean that your child will live a life lacking significance or worth if he/she does not attain these goals. Each child has unique giftedness, abilities, and insight to make a mark in this life and in the lives of others. The goal is to identify these gifts and abilities in our kids and cultivate them when they arise, not attempt to manufacture skills and abilities where parents might want them to be. Talking to those who have worked with individuals experiencing end of life scenarios frequently report the most significant variable in those who’ve experienced fulfillment facing death verses despair is the quality of relationships one had and the vulnerability experienced in those relationships, rather than past achievements.

 

8. Be Aware

One of the most difficult things for a parent to do with a child or adolescent struggling psychologically is to pick up the phone and admit that there is a problem outside of their capacity to fix. Many parents do not seek outside advice or support when their child’s symptoms first arise, either due to not seeing the symptoms as significant as they actually are or simply not seeing the symptoms at all. If your child is displaying behavior outside what you would consider to be “normal”, you notice a sudden change or mood swings, your adolescent becomes increasingly isolative or angry, or you simply have that motherly or fatherly “gut” feeling that tells you something’s up, chances are good outside help is warranted.

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What is DBT and How Can it Help My Teenager?

December 11th, 2012
Never say goodbye...

As a parent, there is nothing more frightening than watching your teen struggle and feeling powerless to help them. (Photo credit: merfam)

As parents, there is nothing more frightening than watching our children suffer and struggle, and feeling powerless to help them.   When teens are injuring themselves and struggling with suicidal thoughts and tendencies, that powerlessness can feel overwhelming.  Too often, parents disregard the signs and ignore what is right in front of them because they don’t know how to help.  This “ignore the problem in the hope that it will go away” approach can have serious consequences for their teenager.  Other parents see what is going on but don’t know what to do or how to help.  The first step in getting your teenager help is to acknowledge that there is a problem.  The second step is to find a professional mental health practitioner that can help.

When most people think of getting mental health, they likely envision traditional talk therapy or individual cognitive behavioral therapy, both of which are standard therapeutic approaches used to treat teenagers who are participating in self injuring activities and those who have expressed suicidal thoughts.  Both of these approaches can be very effective in dealing with these issues and any underlying issues like depression and anxiety.  There is also an emerging approach called Dialectical Behavior Therapy (DBT) that has is also proving to be very effective at helping teenagers overcome these challenges.

DBT was originally developed as a way to treat women with borderline personality disorder (BPD).  It combines individual cognitive behavioral therapy techniques, mindfulness, reality testing, distress tolerance, and the concepts used in assertiveness training.   One of the hallmarks of DBT is that the mental health practitioner strives to create a relationship with the teenager that is allied rather than adversarial.  In effect, the therapist or counselor acts as an ally, validating feelings and offering acceptance while helping redirect feelings and behaviors that are destructive or harmful.

DBT also uses a combined approach which incorporates both individual therapy sessions and group sessions.  The group sessions focus on building a skill set that helps teens in four key areas, regulating emotions, practicing mindfulness, increasing effectiveness, and tolerating distress.   One of the reasons DBT can be so effective in helping teens is this two-pronged approach.   While the group sessions give teens the skills they need to overcome these challenges and the opportunity to practice utilizing these skills with other teens, the individual sessions ensure emotional issues and suicidal thoughts and tendencies get the attention they need while the teenager is building the skills they need to self-manage.

DBT can help teenagers who are already engaging in self-harm and may also be helpful in preventing self-harm behavior from occurring.  By giving teenagers the skills they need to regulate their own emotions, become more resilient in dealing with distressing situations, and embrace a mindfulness approach to their lives, DBT can help troubled teens before they seek relief from maladaptive behaviors.   DBT can be effective method for helping those who are already cutting and struggling with suicidal tendencies overcome those challenges as well as a way to prevent these problems before they start.

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Parenting Teens Through Online Mistakes

December 6th, 2012
English: iPhone 4.

Never before has a generation of teenagers been had the ability to impact their entire future with the click of a mouse or upload of a photo. (Photo credit: Wikipedia)

One thing we get a lot of questions about from parents of teenagers is how to help them understand what is ok and not ok to post on social media sites and on the internet in general.   It is an important question, but not one that comes with a quick or easy answer.  Part of the challenge we all face in understanding how social media and interacting in the online world will affect today’s teens is that we have no precedent to use as a starting point.   There has never been a generation of teenagers who had the ability to impact their entire future with one click of a mouse.  While that may sound alarmist, the one thing we do know for certain is that there can be real and lasting consequences when inappropriate things are posted or uploaded online.

In addition to the lack of precedent, teenagers themselves, or rather the fact that they are teenagers, presents another obstacle to helping them understand and adhere to good ground rules.   One of the most significant changes teenagers undergo is establishing their own identity, separate and distinct from their parents.  This often involves things like rebellious behavior, secrecy, and hiding things from parents.

This presented certain challenges and exposed teens to dangers in previous generations but most transgressions had a short shelf life.  Teens may have worried about things that ended up on their “permanent record” but everything else was treated as generally harmless teenage behavior.  That was because there was no fear that a college, future employer, or law enforcement officer would be able to find every inappropriate picture, mean comment, or teenage transgression with nothing more than a computer and a search engine.  The unfortunate truth for today’s teens is that everything they do online, every picture they post, link they share, and comment they make is essentially written to this new permanent record.

Recent years have seen parents go to extremes in an effort to help get this message across to their teenagers.  Tough love parenting tactics like publicly calling teens out on their Facebook page or twitter feed or changing their profile picture to one that indicates they are too immature to use social media have made the news time and again.  But many parents are as uncomfortable with this kind of approach as they are with corporal punishment.  Furthermore, there is no indication that these tactics are effective at curbing the undesired behavior.  In some instances, this approach can drive a wedge between teens and parents or send the message that if someone does something you don’t like; it is ok to humiliate them, especially in public.

Given everything we know, the answer to this question is the same as it is for many of the most common dilemmas parents face when raising teenagers.   In order to help teenagers learn what is acceptable and unacceptable behavior and to understand the consequences of making bad decisions, parents need to consistently and repeatedly communicate with their teenagers, set boundaries and guidelines, explain the consequences, and model the desired behavior.  As with any other decision a teenager needs to make, the key to making the right decision about what to post or say online is knowing how to make a good decision, a skill that every parent can hand down to their teen.

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Who’s Home for the Holidays? Helping Children Cope After Divorce

December 5th, 2012

A Christmas tree inside a home.

The holidays we celebrate this time of year are very family centric.  Unlike the 4th of July or Halloween, Thanksgiving, Hanukah, and Christmas are as much about families and their traditions as they are about anything else.  For children and teenagers with divorced parents, this means that the holiday season can cause more than just a longing for the latest gadget or toy.

As every TV commercial shows some version of a happy family sharing time together, this time of year can highlight the feelings of loneliness and abandonment your child is already experiencing.  While the first holiday season after a divorce is usually the hardest, the pain and sadness of being apart at this time of family togetherness is common long after the dust of that first year settles.

Here are some tips and strategies for helping your family navigate the holiday season with less stress and more joy.

1.    Plan Ahead

Make a plan with your ex-spouse that provides the best holiday experience for your children.  As part of the planning, ask your children how they would like to spend their holidays.  For some, it may be very important to spend time with both parents on special days like Christmas Day.  For others, spending time with both parents is important, but which days or times matters less.   Make sure that the children will have an open line of communication with both parents throughout the season regardless of where they are on any given day.  Talk to your ex-spouse about gift giving and agree to joint gift giving, spending limits, or whatever arrangements works best for your circumstances.

2.   Talk to Your Children

Talk through the plans for each holiday with your children so that they know what to expect and can voice any concerns or frustrations.  Let them know that you want to hear their opinions and welcome their input as you all work together to have the happiest holiday season possible.  Discuss where you will be spending each of the major holidays, how transitions will take place, and what choices the children can make themselves.

3.   Discuss Traditions

For many families, the holidays are full of family traditions and losing these treasured activities can be hard on children.  However, it is not always a good idea to try and replicate cherished memories when one of the key participants is no longer part of the household.   For some families, these traditions can be comforting to the children as a reminder that some things haven’t changed.  For others, it is too painful to participate because it reminds them of how much better things were before the divorce.  Take time out before the holidays to talk through your family traditions with the kids and decide which to keep, which to retire, and what new ones you want to start this year.  The most important thing is to get them involved in the decision.

4.   Focus on the Spirit of the Season

Although it may be hard to see sometimes, traditionally, the holidays are about gratitude, sharing, and giving to others.  Take time each day as your family prepares for the holidays to talk about all the good things in your lives and seek out opportunities to help others.  Volunteering and giving back to those who have less than us is not only a wonderful way to celebrate this season, it can also help bring joy into our own lives.

 

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Helping Teens Establish Healthy Eating Habits

November 13th, 2012
Healthy Eating Habits in Teens

Help your teen establish healthier eating habits.
photo credit: Gaulsstin via photopin cc

There are so many things that parents of teenagers have to worry about that the list can feel endless and overwhelming.  Peer pressure and bullying.  Drugs and alcohol.  Sexual activity, STDs, and teen pregnancy.  Grades.  Mental health issues like depression, anxiety, and suicide.    Most of these have been on parent’s radars in one form or another for decades.  But today’s parents also have to worry about things that their parents and grandparents never did, such as obesity, diabetes, and lack of physical activity.

The obesity rate amongst American adolescents has tripled since today’s parents were children and teens.  More than 15% of 6-19 year olds are overweight according to the American Diabetes Association.  Being overweight in adolescence comes with a host of problems.  While teenagers in past generations would likely cite social issues as the biggest problem overweight teens faced, today’s teens have to deal with that and more.

A study published in the journal Pediatrics found that there was a correlation between body mass index (BMI) and bullying activity.  Those teens with higher than average BMI were more likely than their peers with a normal BMI to be bullied or be the victim of aggressive behavior.  In addition to the social consequences, which can be significant and impact the rest of the teen’s life, there are also serious health consequences.  According to an article published in the New York Times, nearly one in four adolescents in this country are diabetic or on the verge of developing type II diabetes.   This is a staggering statistic considering that a mere ten years ago that figure was one in ten.

However, there is good news for parents.  When it comes to weight, you can make a real difference and there are new tools from the USDA that can help.  In recent years, the federal guidelines for what constitutes a healthy diet have changed.  The new program, Choose My Plate, provides guidelines for how to use the five food groups to ensure a healthy and balanced diet.  Because the program provides these guidelines in a friendly, easy to understand format, it is easy for teenagers to learn and use these skills in their daily lives.

The first thing parents can do is to set a good example.  If your teenager is having trouble maintaining a healthy weight, take a step back and look at the relationship you and the rest of the family have to food.  Showing your teen how to eat healthy provides them with a model to follow.  You also want to look at the kind of food that is available to your teen.  If your kitchen cupboards are full of sweet snacks and soda, and family dinner often involves a fast food menu, you will need to make adjustments so that your teen has the ability to follow a healthy diet.  If they don’t have access to the food they need or are surrounded by food sure to sabotage their best efforts, they may be giving their best effort to eat healthy but lack the support to do so.

You can also work together to use some of the new tools available from the USDA that have been designed to help people follow the My Plate guidelines.   The SuperTracker, which helps you plan and analyze your eating habits, is one of these tools which are both free and easy to use.  They can be found on the USDA’s Choose My Plate site.

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Drowsy Driving: What Parents Can Do to Help Teens Stay Alert and Arrive Alive

November 6th, 2012
Teens and Drowsy Driving

Parents can do their part to help prevent their teen from driving drowsy.
photo credit: beardenb via photopin cc

For teenagers, driving equals freedom.  For parents of teenagers, driving equals a whole new set of dangers to be warned against and worried about.   We remind them to stay focused on the road and to always wear their seatbelt.  We don’t let them drive around with a bunch of their friends or during certain times during the night.  We teach them to drive defensively and tell them to be aware of the other drivers at all times.  We tell them not to text and drive, not to drink and drive, and not to ride with anyone who does either of those things.

We do all this because when it comes to teens and driving, the statistics are simply not on our side.  According to the National Highway Traffic Safety Administration (NHTSA), car accidents remain the leading cause of death for teens in the U.S. and teen drivers are three times as likely as other drivers to be involved in a fatal crash.   Research has shown that the accident rates for teen drivers are so much higher because of several factors.  They lack the experience that comes from driving for several years which means they don’t always know how to react or to handle a situation.  They are over-confident in their own abilities leading them to drive too fast, lose focus, and make errors in judgment.  They also do things that make driving even more dangerous for them and everyone else on the road like drinking, drugging, and texting.  There is one other factor that plays a big part in a teen’s car accident risk and it has to do with their sleep.

Teenagers, as a group, are sleep deprived.  They are biologically programmed to stay up late but still have to get up early to make it to school on time.  This means they are rarely getting the sleep they need which leaves them drowsy in class, drowsy at work and drowsy when they are driving.  If you are always sleep deprived, that feels normal to you which may be leading teens to believe they are not too tired to drive despite the danger.  This is likely one of the reasons drowsydriving.org indicates that half of all crashes where the driver fell asleep at the wheel involve drivers under the age of 25.

There also seems to be a disconnect between the truth about the dangers of drowsy driving and how dangerous most teenagers think it is.  A recent Sleep in America poll conducted by the National Sleep Foundation found that more than half of teens admitted to driving drowsy in the past year and 15% of high school drivers said they drive drowsy at least once a week.   Despite the alarming statistics and the clear and present danger, teens seem to be missing the message about the dangers of drowsy driving.

This is the most important thing that parents can do to help keep their teen drivers safe.  Educate them on the dangers of drowsy driving.  Make sure they know how to tell if they are too tired to drive and that they have a plan for what they will do if they are too tired to drive.   Help them develop healthy sleep habits and treat sleep as a family priority. Lastly, set a good example for your teenager by making sure you are not driving drowsy yourself.

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Doorways Collects Beanies and Blankets for Tumbleweed Center for Youth Development

November 2nd, 2012

Doorways Collects Beanies and Blankets for Tumbleweed Center for Youth Development

Doorways Arizona is doing our annual Doorways Cares initiative.  This November, we are kicking off again our Beanies and Blankets Drive to help The Tumbleweed Center for Youth Development. Please bring your donation of a new beanie cap or lightweight blanket (or both!) to our office beforeDecember 21st and we will deliver them to the homeless teens being helped by the Tumbleweed Center. 

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Protecting Our Children From the Diabetes Epidemic

October 30th, 2012
Obesity and Diabetes

Obesity and Diabetes are very real issues for today’s teens and adolescents
photo credit: FBellon via photopin cc

Every parent wants to protect their children.  Most of us go to great lengths to provide them with a stable home, a good education, and a happy childhood.  We teach them to avoid strangers, to always wear a helmet, and to stop, drop, and roll if there is a fire.  But new research shows that despite our protective instincts and all our efforts, 1 in 4 of our children are in danger and we are not doing what we need to in order to protect them.  This statistic represents the number of adolescents believed to be in danger of developing Type 2 diabetes or who are already diabetic.

We hear a lot about the obesity epidemic on the news and how obesity increases the risk of developing serious health problems like diabetes and cardiovascular disease.  But these new findings indicate that diabetes may progress more rapidly in adolescents than it does in adults and that the standard treatments used to treat the disease in adults do not work the same way for adolescents.

For those who are not currently impacted by diabetes, it may seem strange that researchers are only now learning what seem like basic differences between how the disease functions in people of different ages.  What many do not realize is that Type 2 diabetes is something that adolescents never used to get.  Cases of the disease in adolescents were unheard of prior to the 1990’s.  By the end of that decade, however, about 1 in 10 adolescents had the disease or were at risk for developing it.  By 2008, that figure jumped to 23%, increasing the need to understand why the prevalence is increasing so rapidly, what treatment options are most effective, and what we can do to prevent adolescents from developing the disease in the first place.

In many cases, the progression from pre-diabetes to Type 2 Diabetes is preventable.   This is the good news.  Two of the leading risk factors for developing diabetes that we can control are being overweight and not getting enough physical activity.  With 64% of the adults in America classified as overweight or obese, we need to start by looking at the example we are setting for our children.  Eating healthy and being active start at home.  The first step we can take to protect our children is to look at how we, as a family, are living.  Assessing what we are eating, our attitudes about food, and the subtle messages we may be sending related to food are the first step.  Looking at how active we all are, both individually and as a family, is the next step in making the changes that may be needed to safeguard everyone’s health.

November is American Diabetes Month and groups around the country will be working to educate, inform, and raise awareness about the disease.  For parents, teachers, physicians, medical practitioners, and community leaders, this month presents a wealth of opportunities to learn more and to educate others.  The long term health consequences of diabetes paired with the staggering increase in adolescent prevalence within such a short time frame mean that this is a problem we, as a society, need to solve.   They say that it takes a village to raise a child.  In today’s world, it will take the whole village to save that child.

 

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Dealing with Divorce: How Parents Can Help Teens

October 22nd, 2012
Child and Tears

It is possible for parents to help their teen navigate through the difficult time of divorce.

No one likes to think about it and yet 50% of us will end up going through a divorce It is hard enough to deal with the loss of a marriage, but for parents, the loss is made even greater because our actions are directly impacting our children.  As a parent, going through one of the hardest times of our lives, it is our job to make sure it isn’t any harder on our teenagers than it has to be, and that they have the love, support, and guidance to get through the experience undamaged.  This can feel like a tall order, especially if the divorce has left you devastated.

There is good news however, the proverbial light at the end of the tunnel.  It is possible to deal with divorce in a constructive way and create a wonderful new life for you and your family.  Divorce, for children, shows up like an unwanted, unwelcome house guest.  It unpacks its bags and settles in, spreading uncertainty and anger.  Divorce brings uncertainty and anger into our lives.  The key to helping adolescents and teens navigate through this time is to actively manage the baggage this unwelcome guest brought with them.

The first bit of baggage to deal with is uncertainty.  Divorce can upend everything in your family’s lives.  Schedules change, childhood homes get sold, responsibilities increase, and time together often decreases.  Everything your family relied on for stability and comfort may be gone and it may be hard to find anything that feels solid enough to stand on.  This is an unwelcome feeling for anyone, but for teens who are already going through a significant time in their own lives, this guest can throw them completely off balance and leave them wondering which way is up.

While we cannot eliminate every uncertainty during this tumultuous time, there are some things you can do to give your teen some stable ground to stand on.

  • Help them understand that the divorce was not their fault.
  • In an age-appropriate way, talk to them about the reasons for the divorce together.  It is important to remember that blaming and/or shaming each other in front of your children only hurts them more.
  • Do not lie to them or withhold information.
  • Encourage them to ask questions and provide an age appropriate answer.

The other bit of baggage you need to manage is anger.  It isn’t unusual for teens to be angry about the divorce.  They may be angry at one parent, both parents, or simply the world.  If you can put yourself in their shoes, you will see that they have every right to be angry.  Everything in their lives is changing, they feel like their family will never be the same, and there is nothing they can do about it.  There are two important things parents can do to help teens who are angry.  The first is to let them know its ok.  The second is to help them find healthy ways to handle that anger.  Simply sweeping it under the rug or pretending that it isn’t there can make it worse.   Help your teenager by modeling healthy behavior, giving them time and space to deal with the divorce and their feelings at their own pace, and reaffirming that the divorce doesn’t change how you or the other parent feels about them.  If you have questions about how to navigate this journey effectively with your teen, Doorways can help. Give us a call today!

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The Many Faces of ADHD

October 16th, 2012
Teenagers playing soccer in the rain

ADHD Awareness Week runs from October 14-20, 2012 (Photo credit: marlon.net)

The 2012 ADHD Awareness Week campaign seeks to educate and spread understanding about who ADHD affects.  For many who live with this condition, their families, and the providers that work with them, this is a very welcome change.  For years, most ADHD awareness efforts have been focused on dispelling myths, correcting misinformation, and legitimizing this real, brain-based disorder that affects millions of Americans in the collective minds of the public.  The shift in focus for this year’s campaign signifies that the most important thing we need to talk about regarding ADHD is no longer whether or not it is real.  It means we can start talking about who is impacted, how it helps and hurts them, and what can be done to help those with it thrive in all areas of their life.

When it comes to ADHD, there is no discrimination and no bias based on race, ethnicity, religion, age, or even gender.  Anyone can have ADHD.  It is not a white disorder.  It is not something only boys get.  It is not more prevalent in the U.S. than the rest of the world and it is not a condition confined to childhood.  The faces of ADHD are young and old, black, white, and brown, male and female.   They are also rich and poor, successful and unsuccessful, single, married, and divorced, thriving, and struggling.  The many faces of ADHD show us that there is no “typical” person with the condition.

One of the reasons it is so important to understand the diversity of the ADHD population is to help increase the likelihood that those with the condition will be diagnosed.  The clearest path to living successfully with ADHD is proper diagnosis and appropriate treatment.  If people are not aware that ADHD can affect them or their families, it is less likely that they will seek diagnosis, pursue treatment, and take advantage of those things that can help them manage their lives more effectively.  Adults who believe only children have ADHD may not recognize the signs in themselves of their partners.  Parents who think only boys have it may not realize their daughter’s struggles in school are not just bad behavior.   Raising awareness about the many faces of ADHD means we can open the door for more people to get the support and assistance they need to be the best they can be.

ADHD Awareness Week runs from October 14-20 this year and will feature educational opportunities and events across the country.  Take a few minutes this week to learn more about ADHD including the signs and symptoms, the process used for diagnosis, and recommended treatments.  The information available about ADHD has increased significantly in recent years as our understanding of the condition has expanded.  Many things that were “true” for many years have been replaced by new facts based on better science.  From who has it to how it’s treated, the world of ADHD has come a long way in recent years and by raising awareness, educating others, and encouraging people to be informed, those with the disorder are already making the world a little easier to not only survive in, but into a world where people with ADHD can thrive.

 

Bringing an End to Bullying

October 8th, 2012

October is National Bullying Prevention Month and the message of this year’s awareness campaign is “The End of Bullying Begins with Me.”  This is a message that should resonate with everyone including parents, coaches, teachers, and teens.   Most of us have had to deal with a bully at some point in our lives and therefore, we all know how damaging and lasting those kinds of interactions can be.  This month you can make a difference in your family, your school, and your community by participating in activities geared towards raising awareness and empowering others to help put an end to bullying.

There are many ways you can take advantage of the national bullying campaign and do something to educate others, engage your peers, and encourage everyone to take the pledge to be part of the solution.   Here are some great ways you can get involved and help spread the word that the end of bullying begins with each of us.

English: this is my own version of what bullyi...

Help bring an end to Bullying (Photo credit: Wikipedia)

Run, Walk, Roll Against Bullying

This is a fun way to get everyone in your community involved.  Communities around the country will be participating in this unique version of a “Walk-a-thon”.  Participants help raise awareness about bullying while also raising money to support local anti-bullying programs.  Most events are scheduled for October 6th this year and you can download a kit with all the information you need to plan your own Run, Walk, Roll event on the National Bullying Prevention Website.

Wear Orange for Unity Day

On October 10th, people across the country will be wearing orange as a way to raise awareness about bullying and the importance of preventing bullying behavior in all areas of our lives.  Participate in Unity Day by donning orange or get more involved and organize some Unity Day activities at your school.  Follow Unity Day on Facebook for ideas and information.

Sign the Petition

Stand-up for what you believe in by signing the online “The End of Bullying Begins with Me” petition.  Take this a step further and encourage those around you to sign it too.  If you are participating in or hosting an anti-bullying event, provide the means for other attendees to sign the petition too.

Speak Up

Ask local churches, groups, schools, and community organizations if you can come and speak to them about bullying.  Sharing your story is one of the most powerful ways to spread awareness and help people understand the long term consequences and real-life impacts bullying behavior can cause.   If your school is having an assembly, volunteer to speak.  Talk to your school paper about writing a story or an article.  Make a video and share it through social media.

Coordinate a Community Event

Bring your community together to celebrate unity and inclusiveness and cultivate a culture where bullying is non-existent.  Whether you choose a fall festival, a street fair, a dance, or a rally, the most important thing is getting people together to raise awareness and encourage everyone to embrace the idea that the end of bullying begins with each of us.

 

A DBT Group for Young Adults

October 4th, 2012

A New DBT Group for Young Adults

 

Who:  Young Adults, Male and Female, ages 18- 25. Group is open enrollment (you may join at any time).

What: Interactive, experiential, and educational group that teaches DBT life coping skills.

When: Tuesdays, from 6:30 p.m. – 8:00 p.m.

Led By: Sam Lample, LPC and Chase Kerrey, LAC

Where: Doorways Arizona, 1825 E. Northern Ave, Suite 200, Phoenix, Arizona 85020

Cost: $45 per session

How: Email Trina or call Doorways, (602) 997-2880

Family Safety 101: Fire Safety

October 2nd, 2012
Smoke detector

Make sure your family has a plan in the event of fire emergency (Photo credit: Wikipedia)

We often talk about how to keep teens and adolescents safe while they’re amongst their peers, but we don’t often mention the obvious: keeping them safe at home. Last year, there were almost 500,000 structure fires in the U.S. according to the National Fire Protection Association, resulting in the loss of more than 2,500 lives.  While not every fire is preventable or escapable, the chances of surviving a fire in your home are significantly increased when you take the proper precautions ahead of time.  This week (October 7-14) is National Fire Prevention Awareness week and we here at Doorways urge all families to learn about fire safety, develop a fire escape plan, and practice putting that plan into action.  Taking a few minutes as a family to create and implement a plan for fire safety could just save a life.

From the moment the smoke detector or other alert sounds, you have barely two minutes to escape a burning building.  Even if the fire is in a different part of the building, the smoke can quickly overwhelm you, making it difficult to escape.  The key is being alerted in time.  This is why the first step in improving the safety of your family is to ensure you have an adequate number of fully operational smoke detectors in your home.  You need only look at the statistics to understand just how important smoke detectors are for survival.  Almost two-thirds of all fire fatalities in the home occurred in homes without working smoke detectors.

The National Fire Prevention Association indicates that adequate smoke detector coverage entails having one smoke detector in each room where someone sleeps, one outside each sleeping area, and one on each floor of the home.

Once you are confident that all members of the family will be alerted to the presence of a fire, no matter where they are in the home, the next fire safety step in your plan is to know what each of you will do if there is a fire.  This is as important as having smoke detectors.  Surveys found that only 8% of people, when asked, indicated that their first response upon hearing the smoke detector go off at home would be to get out.  When seconds count, hesitating, being indecisive, or doing the wrong thing can be the difference between life and death.

A good fire escape plan identifies two ways out from every room in the house.   Identifying all possible exits is the first step in creating your escape plan.  Walk through the house as a family and talk about all possible escape routes and exits.  Don’t limit your plan to how each person will escape if they are in their bedroom; a good plan ensures all family members know two ways to get out of every room.

You also need to identify an outside meeting place where everyone will go after escaping the home.  This accomplishes two things for fire safety.  First, a plan ensures everyone goes far enough away from the house to be safe.  Second, it ensures you will know who is out and who is not, information that will be critical for the firefighters and rescue workers to know right away.

Lastly, you need to practice your fire safety plan.  Have each person start in different rooms and practice escaping according to the plan.  Remember, in a real fire, there will be thick smoke and the safest place will be close to the ground.  Include maneuvering like this in your escape plan in order to identify if anything is blocking your escape and to familiarize your family with escaping from this vantage point.

Prevention and practice are your best defense against home fire danger.  Take time this week to make sure your family knows what to do when the alarm sounds.

 

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Why You Should Argue with Your Teenager

September 25th, 2012

Did you know having your teen argue with you as a parent might just be a good thing? (image via flickr)

Many parents come to counseling with the goal of having a peaceful, calm household.  They feel like their teenager argues with every request, treats all demands as unreasonable, and believes they know best about everything in their life.  They worry that their relationship seems to center only on conflict and seems to be lacking the closeness that was there when their teenager was still a child.  These parents want help understanding how to make their child stop arguing and how to find that magical conflict-free place they are dreaming about.  But new research shows that a conflict-free household with teenagers that never challenge their parents may not be the nirvana parents are looking for and that some conflict between parents and teens may actually be a good thing.

Researchers at the University of Virginia recently published the findings from a new study in the Journal Child Development.  The goal of the study was to look for key factors or traits that made some adolescents more susceptible to peer pressure, especially peer pressure related to the use of drugs and alcohol.  The research team found that one of the key factors that made some teens more able to stand up to their peers was being able to argue effectively.  Those adolescents who were able to use this skill to combat peer pressure learned it by practicing with their parents.

The study was based on two separate sets of interviews with 157 teens.  The participants were first interviewed when they were 13 and each interview was videotaped and then played back for both the teen and the parent.  The most common things the teens argued about with their parents were chores, money, grades, and friends.   The researchers observed how the parents reacted to viewing the video tape and any subsequent interaction between the parent and the child.

Upon viewing the initial videotape of their teen’s interview, parents in the study had a variety of reactions.  Some parents seemed uncomfortable; others seemed annoyed at their child or defensive about their parenting skills.  But there was one group of parents who used the video as a launching point to delve into the issues raised by the teen and began a discussion immediately to try and resolve the conflict or work through the problem.

The second round of interviews was conducted when the teens were 15 or 16.  The results of these interviews showed that those teenagers whose parents modeled calm conflict resolution and encouraged their teens to argue appropriately, were 40% more likely to stand up to peer pressure effectively.   In essence, learning to argue in a constructive way with their parents provided these teens with skills they then used when interacting with the world outside their family, including their peers.

In order for parents to help their teens acquire these all important skills, they need to create space for teens to argue in a constructive and appropriate way, model the behaviors they want to promote, and listen.  All arguing isn’t going to give teens what they need which is why this modeling is so critical.  Teens need to learn how to argue their point persuasively and calmly without resorting to anger, yelling, whining, throwing insults, or making threats.  The goal is to help teenagers become confident in their ability to express their opinion and stand up for that opinion even when others disagree.

National Childhood Obesity Awareness Month

September 17th, 2012

What things can you do to help fight obesity in your teens? (image via Flickr)

There is no question that obesity at every age is one of the greatest challenges our country faces.  Obesity rates in almost every state for almost every age group have reached epidemic proportions and finding real, long-term solutions to the problem must be a national priority.  Nowhere, however, is this more important than with our children.  According to reports from the CDC, more than 15% of our children between the ages of 2-19 are obese, three times as many as in 1980.  This health crisis is the reason that President Barack Obama designated September as National Childhood Obesity Awareness Month.

Why Being Overweight is a Health Risk

The primary concern with childhood obesity is the long term health consequences that being obese can contribute to like heart disease, high cholesterol, high blood pressure, type 2 diabetes, asthma, and sleep apnea.  These health problems can immediately impact a child’s life and can put that child at risk for life-long weight-related health problems.

In addition to the health consequences, obesity in childhood can result in challenges across many other areas of a child’s life.   Obese adolescents are more likely to face social discrimination including bullying, having problems making friends, and being ostracized from peers.  These years are a critical time for developing social skills, healthy self-esteem, and an individual identity.  Obese teens may lack the opportunities to learn the social skills they need to excel in adulthood.

What Parents Can Do to Help

The key to fighting the battle against childhood obesity is helping children and teens develop healthy eating habits and a healthy relationship with food.  This starts at home.   There is no magic pill or secret formula to maintaining a healthy weight.  Calories coming in need to be balanced with calories out, which means that the calories your child is eating and drinking each day cannot be more than they are expending.  When this relationship is out of balance, children gain weight.

It is important to note that children are still growing and need good nutritious food in order to support normal growth and development.   If your child is overweight or obese, you need to work with their medical professional to develop a plan for reducing their weight in a way that doesn’t compromise their development.  In many cases, this means reducing the rate of weight gain rather than losing weight.

Here are some tips that will help parents create the environment for and support the development of healthy eating habits in their home.

1.     Practice What You Preach

If you want your children to have good eating habits, provide them with a good role model.  Children learn what they live and if you deal with stress by zoning out in front of the TV for hours while eating an entire gallon of Ben and Jerry’s Ice Cream, it will be more difficult for them to develop non-food centric stress management strategies.

2.     Be Positive

Degrading, demeaning, or otherwise making your child feel bad about themselves for being overweight is never going to help them become healthier.  In fact, it may even make it harder for them to make positive, lasting changes that will improve their health and their life.  Focus on positive things, praise their progress, and celebrate success.

3.     Get Everyone Moving

Choose activities for family time that are active like biking, walking, hiking, playing sports, swimming, or doing anything together that gets your family moving.

4.     Set Reasonable Expectations

Set your child up for success by making sure everyone’s expectations are reasonable, realistic, and achievable.  Work with your medical professional to set goals that will support a positive sense of progress and small successes.

 

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Brophy Presentation: Boundaries Within The Family

September 13th, 2012

Boundaries Within The Family

 

Who:  For parents of Brophy Prep or Xavier Prep students.

What: In this presentation Chase Kerrey outlines how families can find balance
between relational intimacy and structured limitation in parenting their
child, adolescent, and/or young adult.

When: Monday, September 24 from 7:00 p.m. – 8:00 p.m.

Led By: Chase Kerrey, LAC

Where: Brophy College Preparatory, 4701 North Central Avenue  Phoenix, AZ 85012

Parenting Primer: Suicide Prevention

September 11th, 2012

One of the challenges of parenting teenagers is to know when their behavior is normal and when they may be struggling in a way that requires professional help.  It is normal for teenagers to withdraw from their parents.  The need to develop a separate and individual identity is one of the developmental changes that need to happen during these years.  But for parents, a teen that is withholding and withdrawing in a healthy way and one that is struggling and suffering in an unhealthy way may not look that different.

Suicide is one of the leading causes of death amongst those ages 10 to 24 and more than half of all high school students admit to having suicidal thoughts in a survey done by the American Academy of Pediatrics.   In order to know when to be hands off and when to jump in, parents need to know the warning signs.

Risk Factors

Being a teenager is tough.  Everything in their lives is changing at an accelerated pace and it can be hard for them to hold onto who they are as their identity, circle of friends, and even their body seems to be constantly shifting.  Teens that don’t have a reliable and trustworthy support system can easily become overwhelmed.  This kind of overwhelm can leave teens feeling as if they are alone in the world and cause them to disconnect from the support system they do have.  Overwhelm, disconnectedness, and feeling alone are all risk factors for suicide in teens.

Many teen suicide attempts can be linked back to a significant or stressful event.   Teens who were abused have a higher risk of suicide.  Girls think about suicide more often and are more likely to attempt it but boys are more likely to succeed in taking their own life.  Mental illnesses like depression and bipolar disorder are also risk factors and teens experiencing these problems should be monitored for the other signs of suicidal tendencies.  Teens who feel unsupported in their sexuality and sexual preference have a higher risk.  Teens who have attempted suicide before or who have a family history of suicide or mental illness also carry a higher risk.

Warning Signs to Watch For

Parents are the best defense in the fight to prevent teen suicide.  In order for parents to be able to help, however, they need to know what to watch out for and when to get help.  Here are some of the most common warning signs.

  • Becoming more rebellious
  • Participating in increasingly dangerous activities
  • Significant shifts in sleep or appetite
  • Dramatic changes in appearance
  • Abuse and use of substances
  • Running away from home
  • Significant drop in grades with no reasonable explanation
  • Pulling away from friends and family

How to Help

First and foremost, listen to your teenager.  One of the most common factors in teen suicide is that the person felt isolated, alone, and as if no one understood them.  Listening and allowing your teen to express the jumble of emotions they are experiencing without judgment or interruption can help them see they are not alone and that they do not have to figure out how to get through this on their own.  If you feel that your child is a danger to themselves, trust your gut and get help.  Don’t wait.  Find a professional that can help your child through the current crisis and build skills to boost their resilience as they move forward through the rest of their lives.

 

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What Your Teen is Actually Doing on Their Phone

September 5th, 2012

Teens use phones for far more than texting and talking today (image via flickr)

The sight of a teenager with their attention focused on a smart phone, thumbs flying and oblivious to the rest of the world, is so common that it has already become a cliché.  If you asked many parents what their teen is doing that requires so much thumb action, the likely answer would be “texting” and much of the time, they would be right.  An average teen currently sends more than 60 text messages a day according to a study by Pew Research.  But what many parents don’t understand is that as teens transition to smart phones, they are doing much more than texting.  Here are some of the other things your teen is on their phone.

1.     Listening to Music – Pandora

There are a wide range of apps that provide access to music on both primary smart phone platforms, but amongst teens, Pandora seems to be the top pick.  The music service allows teens to create their own radio stations by selecting a certain musical group, genre, or song.  Pandora than pulls together similar music to make a custom station.  For teens, this provides easy access to new music all the time without incurring the costs associated with downloading music or purchasing CDs.

2.     Taking and Making Pictures – Instagram

Instagram is the top photo editing app available for smart phones.  Teens love it because they can edit the pictures they take with the cell phone – the primary method most of them use to document important moments in their lives – edit them, and then post them directly to the social network platform of their choice.  It is a completely streamlined way of taking pictures, putting your own spin on them, and then sharing them with the world.

3.     Playing with Their Friends – Zynga’s With Friends Games

This suite of games from Zynga, the company that made Facebook games a household phenomenon, has been popular with smart phone users of all ages right from the start.  The “with friends” apps include:

  • Words with Friends, which is similar to online scrabble
  • Scramble with Friends, which is like a cross between Sudoku and a word search
  • Hanging with Friends, which resembles a game of hangman

These games are fun in their own right, but the “with friends” part of each game is one of the main attractions for teens.  Each game lets you challenge people from your social networks to play, enabling you to play very long distance rounds against people you could never play against in person.  Additionally, because the games are turn based, teens can play when it works for their schedule and aren’t required to be actively playing at the same time as their opponent.

4.     Watching…..Something – YouTube

Smart phones make it possible to access YouTube, Netflix, and many other content providers from anywhere which means your teen might be watching a new movie on Netflix, a funny cat video on YouTube, or an episode of their favorite television show.

Regardless of how your teen uses their smartphone, parents should set limits with the phones. Parents can simply monitor what their teen does on their phone by knowing what apps are loaded, how much they talk and text, as well as simply limiting how much and what times of the day teens are permitted to use them. Simply instituting the rule that there are no phones allowed at the dinner table can go far towards increased healthy communication with your teen. In this age where the world of entertainment can literally be at our fingertips, we need to remember that nothing can replace the value of face to face communication and interaction.

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A DBT Group for Adolescents

August 29th, 2012

A DBT Group for Adolescents 

 

Who:  Male and Female Adolescents ages 13-17. Group is open enrollment (you may join at any time).

What: Interactive, experiential, and educational group that teaches DBT life coping skills.

When: Wednesdays, from 6:30 p.m. – 7:45 p.m.

Led By: Sam Lample, LPC and Chase Kerrey, LAC

Where: Doorways Arizona, 1825 E. Northern Ave, Suite 200, Phoenix, Arizona 85020

Cost: $45 weekly

How: Email Trina at Trina@doorwaysarizona.com or call Doorways, (602) 997-2880.

Doorways is Expanding!

August 27th, 2012

Doorways is Expanding! 

Starting September 1st, we are expanding our offices into the space next door to accommodate our growth. Please pardon our progress and we aim to have all construction completed in October.

New Intensive Outpatient Programs (IOP) Beginning in October

August 27th, 2012

Two New Intensive Outpatient Programs Coming This Fall! 

 

Young Adult Trauma IOP is for ages 17-25.  It is 3 days per week, a total of 10 hours per week.

The Adolescent Eating Disorders IOP is for ages 14-18.  It is 3 days per week, a total of 13 hours per week.

 

 

Parent Alert: What Drugs Teens are Doing Might Surprise You

August 27th, 2012
'Spice' -- a designer synthetic cannabinoid.

‘Spice’ — a designer synthetic cannabinoid. (Photo credit: Wikipedia)

Keeping up with today’s teenagers is hard work.  You would think that with cell phones, Facebook, email, voicemail, and Twitter, parents would have an easier time that ever knowing what their teens like, who their friends are, and what they are up to on their own time.  Unfortunately, all this connectedness hasn’t really helped parents understand their teenagers any better than their parents understood them.  Teens are trendy, parents generally are not.  Teens are all about the next new thing, while parents move at a different pace.  This can be the source of those infamous parent-teen power struggles but it can also create a dangerous communication gap between what parents think kids are doing and what teens are actually doing.  There is no area where this problem is more serious than drug use.

For most of today’s parents, “drugs” means cocaine, heroin, marijuana, crack, and maybe ecstasy and meth.  These were the primary drugs of their youth and they understand them.  They know what to look out for, what the signs are, and when to get help.  What they may not know, is what the list would include if you asked their teenager.  To help parents understand the drug landscape of today, here are some of the drugs today’s teens are exposed to that may be new to parents.

Bath Salts

This synthetic drug which until recently was available to anyone over the counter, is unregulated, and can be deadly.  Although this drug is called bath salts, it has no relationship to anything you put in your bathtub.  It is a synthetic derivative of a stimulant called cathinone which affects the central nervous system.  Sold in foil packages, Bath Salts are sniffed, snorted, swallowed, smoked, and injected.  They are also known under a variety of street names like Bliss, Drone, Purple wave, White Knight, White Lightning, and Vanilla Sky.   Bath Salts mimic the effects of cocaine and were included in the recent federal ban on designer drugs.

2C-E or Europa

This is your teenager’s version of Ecstasy and is a popular party drug.  Effects are similar to those experienced when taking ecstasy and often include vivid hallucinations.

K2 and Spice

According to the CDC, marijuana is the most commonly used illegal drug amongst teens.  K2 and Spice are believed in be in second place.  These synthetic drugs are made from a mixture of legal herbs that is laced with a synthetic cannabinoid and mimic the effects of marijuana.  However, with K2 and Spice, the drug is more potent, remains in the body longer, and doesn’t show up in urine-based drug testing.   Until the recent federal ban on these and other designer drugs, K2 and Spice could be legally purchased in many states and over the internet.

Pharming, Pilz, and Trail Mix

While not drugs, these terms, which describe the casual and often social use of prescription medication should be on every parents radar.  Pilz is the teen term for any prescription medication taken for recreational use.  Pharming means gathering and using “pilz” stolen from their homes and the homes of others.  Trail Mix is something that may be found at parties and social events and is a combination of “pilz”.

 

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Self Harm, No Longer Just a Teenage Problem

August 21st, 2012
Self-harm

Self-harm (Photo credit: Wikipedia)

For most parents, the thought of their teenager intentionally harming themselves can seem inconceivable.   We work hard every day to protect them from the worst of the world and often only see the dangers that are hiding “out there.”  Unfortunately, these two things together can make it very hard to see that one of the dangers might not be out there, but hiding inside our child.

 

Self-harm amongst teens has been on the rise for years due in part to increased awareness and more frequent discussion of self-harm amongst adolescents.  Experts believe that bringing it out into the open may actually have encouraged more teens to try it resulting in more widespread adoption.  Until recently, however, this practice was relegated to the tween and teen years, with most self harm incidents beginning around age 14.  New research published in the journal Pediatrics indicates that children are turning to self-harm as a coping strategy at younger and younger ages.

 

The study used information garnered from interviewing 665 kids in three different grades, third, sixth and ninth.  The participants were from two different parts of the country and the objective of the study was to assess the prevalence of self-harm amongst adolescents.    Interviews were conducted in a laboratory setting and participants were asked to respond based on their entire life experience, not just their recent experiences.

 

One of the most important findings was also one of the most shocking.  Cutting and self-harm, previously thought to occur primarily in the early teen years, is actually starting in elementary school.  The research team found that children as young as 7 may be using self-inflicted injury as a way to manage psychological stress.   Amongst the third grade participants, 8% have injured themselves and more than 60% of those that have caused themselves injury admit to doing it more than once.

 

The study did find that the rate of self-harm is lower in 6th graders with only 4% reporting its use as a self management strategy but any perceived improvement disappears with the results of the 9th grade interviews where 13% admit to engaging in self harm.

 

This means that parents need to know the signs of self harm and start looking for them earlier.  Here are some things parents need to know in order to recognize self-harm when it is happening, prevent additional harm, and help their children when it is needed.

 

1.     Self-harm isn’t just cutting.

 

While cutting may get most of the press, adolescents who engage in self-harm to alleviate frustration, stress, depression, and anxiety may also hit themselves, burn themselves, or do other things that cause injury.

 

2.     Girls do it more, but boys do it too.

 

Although more girls engage in self-harm as a coping strategy, they are not the only ones.  Girls are more likely to cut or carve their skin while boys are more likely to hit themselves or use blunt trauma to cause injury.

 

3.     Self-harm can be used like a drug.

 

For those who can’t quite grasp the concept of using self-harm as a way to cope with emotional stress, it may be helpful to understand why adolescents and some adults engage in it.  Physical pain causes a release of endorphins, which are feel good chemicals in the brain.  This effect blunts all pain, including the emotional distress the person is feeling.  In some ways, it can be compared to using drugs like cocaine, which create the same type of escape.

 

If you are concerned that your child is intentionally injuring themselves, seek professional help.  While these activities are not indicators of suicidal thoughts or precursors to suicidal tendencies, they may point to significant underlying issues that must also be addressed to safeguard the health and wellbeing of your child.

How Old Should My Child Be to Stay Home Alone?

August 13th, 2012

How old should your child be before you allow them to stay home alone? (image via google)

How old your child should be to stay home alone is a question many parents agonize over and one that doesn’t have a clear-cut, straight answer.  Here in Arizona, there is no law dictating the age at which a child is old enough to stay home alone, but that doesn’t mean parents can leave children of any age to fend for themselves.  A child’s readiness to stay home alone is dependent on many factors, most of which are very specific to that child.  This is why it is difficult to give a single clear-cut answer.  The only answer is – it depends on your child.

In order to determine if your child is ready to stay home alone, you need to think about how mature they are, how responsible they are, and how much you trust them to take care of things around the house.    The answers to these questions will help you decide.  Most experts agree, however, that children under 10 are not generally equipped to stay home alone and take care of themselves for long periods of time.

Gauging Readiness

One of the first things you should do is talk to your child and determine how they feel about staying home alone.  Most will be excited and feel they are completely ready for that kind of responsibility.  However, some kids won’t be comfortable with the idea.  For these kids, it is probably better to wait until they are older or become more comfortable.  It is also important to note that just because they say they are ready it doesn’t mean they are actually ready.  This is just a place to start.

Next, think about your child’s maturity level.  This is one of the places where maturity matters.  You may feel totally comfortable leaving your 13 year old home but worry about your 15 year old simply because the 13 year old is more mature.  You may also want to look at how responsible your child is in their everyday life.  Do they do their homework and chores?  Are they good at following directions?  Are they calm problem solvers or do they struggle when things go off course?  Answering these questions will give you important clues to determining if your child is ready or not.

Practice, Practice, Practice

If you and your child both feel they are ready to stay home alone, consider doing a trial run or two first.  This will give your child the sense of what it will be like to stay home alone and enable you both to see if there are things you need to do differently.  Taking a short trip that gets you out of the house for 30-60 minutes but that keeps you close to home is a great way to practice.  This also helps you, the parent, learn to let go a little and become confident that your child will be safe when they are home alone.

Be Prepared

There are some skills that all children who stay home by themselves should have before being alone for any length of time.

  • They should know when, how, and who to call for help if they need it including 911 and non-emergency local assistance.
  • They need to know their address by heart and major cross street names.
  • They need to know how to operate any home security systems in the house and what to do if it goes off.
  • They need to know how to lock and unlock doors and windows.
  • They need to know what to do if the smoke detector goes off, someone comes to the door, the phone rings, or the power goes out.
  • They need to know who they can go to in the neighborhood if they need help.

Remember that being able to stay home alone is a big milestone in a child’s life.  While there is no need to rush it, letting them take on this responsibility once they are ready helps build self-confidence and boosts their self-esteem.

 

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Eating Disorder Dinner Experiential Group

August 10th, 2012

How Writing Helps Teenagers Manage Stress

August 9th, 2012
Stress Management course

Teaching teens to write out their emotionsStress Management (Photo credit: Kansir)

Being a teenager in today’s world comes with the same stresses teens have always faced plus a wide range of new stresses their parents and grandparents never faced.  According to the American Academy of Child and Adolescent Psychiatry, teens are stressed because of academic demands, high expectations, jam-packed schedules, safety concerns, family problems, peer relationships, and financial instability.  Because stress can come from every area of their lives, teens can easily become overwhelmed and many do not have the tools they need to manage that stress on their own.

When teens are stressed and overwhelmed and unable to change their situation it can lead to unhealthy behavior patterns like aggression, withdrawal, depression, anxiety, cutting, acting out, and substance abuse. For parents, this means that helping teens develop adequate stress management techniques is a key component in protecting their mental health.

While there are many different techniques and strategies for managing stress, one of the most effective tools for teenagers is writing.  Many key stressors for a teenager revolve around their feelings.  How do other people make them feel?  How do they feel about other people?  How do they feel about themselves?  With so much going on around them, it can be hard to work through all the different feelings and emotions as they are being bombarded by them all day long.  Writing provides a safe, quiet, accessible, and most importantly, private way to sort out that jumble and get their emotional selves back on solid ground.

Here are some of the ways that the simple act of writing can position teens to manage and alleviate the stress in their lives.

A Safe Place to Vent

Sometimes, you just need to blow off steam and your teens feel this way too.  Unfortunately, they don’t have access to the same outlets you do.  They may feel like they can’t talk to their friends because they will make someone mad, hurt someone, or sound like a crazy person.  They may feel like they can’t talk to you because you won’t understand or you will overreact.  Writing can provide a safe place to vent, to let the energy behind their emotions out so that it doesn’t build up and push them into unhealthy behaviors.

A Space to Sort Things Out

Today’s world moves fast and we can easily become overwhelmed when the things we need to take in, outpace our ability to do so.  When the things we need to manage are too many to be manageable, it can be difficult to think clearly, make decisions, or know where you stand or how you feel.  When teens write, they can slow down the pace of their thoughts.  Bounded by the time it takes to physically commit ink to the page, writing can help create space for them to sort out their emotions, formulate their thoughts, and reconnect with themselves.

Writing isn’t a perfect fit for every teen, but for many it can be a core stress management strategy.  Writing for a certain amount of time everyday can help keep stress from building up and overwhelming them.

 

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When Shyness Crosses into Social Phobia

July 26th, 2012

How can you tell when your introverted teen’s dislike of meeting new people is more than simply being shy?

Everyone experiences moments when they are shy or self-conscious about meeting new people or participating in big groups.  Many children and teenagers have bouts of anxiety about being in front of others, joining new groups, or being around people they don’t know.  This kind of shyness is completely normal.  But a racing heart and stomach full of butterflies can signify something more than just normal shyness.  Some adolescents are dealing with a type of anxiety about social situations that goes beyond being uncomfortable; they are dealing with a disorder called social phobia.

The biggest difference between normal shyness and social phobia is the degree to which it impacts the person’s life.  People who are shy or uncomfortable in public can bring themselves to attend events, make presentations, and interact with others, even though it is difficult.  Those with social phobia generally cannot.  The anxiety they experience is so extreme, it can be unbearable.  People with social phobia may find it impossible to make eye contact, give oral presentations in class, tryout for sports teams, or even join non-competitive extracurricular clubs.

What is Social Phobia?

Social phobia, which is also called social anxiety, is an anxiety disorder that causes extreme self-consciousness and self-isolating behavior.  People with this disorder can be paralyzed by their fear and anxiety and may find it impossible to participate in many everyday activities.   Similarly to other phobias, the fears involved in social phobia are not associated with anything that is actually dangerous but the person’s mind and body react as if it is.  Physical symptoms are the same as they would be if the person was confronted by real danger that triggered their fight or flight response.  This is an important aspect of this disorder that parents must understand.

Signs of Social Phobia

One of the hardest things for parents is to know when their child is simply shy and when they are experiencing social phobia.  Teens experiencing social phobia may feel their heart race, start breathing faster, and break out in a cold sweat when confronted with a social situation.  These are all the effects of an adrenaline rush caused by their social anxiety.   Teens with social phobia will withdraw and go to great lengths to avoid situations that incite this fear.

Effects of Social Phobia

This type of anxiety can be difficult at any life stage, but for teenagers, it can be devastating as so much of a teenager’s life is about social development and social skills.  Teenagers with social phobia may:

  • Be lonely because of their self-isolation and inability to meet new people.
  • Be frustrated because they want to make friends and participate in school activities and social events but their fear keeps them from being able to do so.
  • Be losing out on getting the best education they can because they cannot volunteer, present in class, speak up when they know the answer, or ask for help when they don’t.
  • Be missing opportunities to use or expand their talents.
  • Be missing opportunities to learn new skills, develop new interests, and participate in their own life.

What Parents Can Do

The good news is that the effects of social phobia can be mitigated and teenagers dealing with this anxiety disorder can learn to overcome their fears.  With the support of friends and family and the assistance of a therapist or other mental health practitioner, teens can learn coping skills, success strategies, and tools for managing their anxiety.  This support can enable them to live full, rich lives and ensure they don’t miss out all the great things about being a teenager.

 

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Why Are Tweens So Moody?

July 11th, 2012
English: Polish teenagers. Polski: Polscy nast...

One of the most important things parents can do is validate their tween’s emotions.   (Photo credit: Wikipedia)

Teenagers are moody.  The ups and downs of teen hormones are so commonplace and expected that parents are more likely to be concerned if their teenager doesn’t experience the massive mood swings associated with transitioning from child to adult.  For some parents, however, this behavior comes a little early and is entirely unexpected.  Parents who prepared themselves to deal with the rebellious/belligerent/infatuated/best-day-of-my-life moments typical to teenagers often find themselves ill-equipped to handle the ball of emotions inhabiting their tween’s body.  Children in this age-group can seem just like the child they know and love one minute and a sullen stranger or angry alien the next.

What Makes Them Moody?

Tweens are moody for the same reason teenagers are moody; they are changing into a new person which brings a host of factors into play.  They are in the midst of building a whole new identity, trying to figure out who they are, what they like, and where they fit in.  They are establishing and stabilizing friendships, forming cliques, and creating new communities all the while the elementary school days when everyone was friends with everyone fades further into their past.  Peer pressure begins to play a real role in their lives and the need to fit in becomes one of the most important things in their lives.  Their bodies are starting to change which means hormones are wreaking havoc and often leaving them as bewildered as their parents at their ever shifting behavior.

In short, they have a lot going on!

Now, if there are any additional factors like dysfunction in the family, divorce, or instability at home, these extreme moods can feel like a rollercoaster ride that is all terror and no fun.

What Can Parents Do?

One of the most important things parents can do to help their tweens through this stage is to validate their emotions, take time to talk to them often about what is happening in their lives and what they are going through, and discussing how they are feeling.  As tweens struggle in this limbo between child and teenager, they are looking to assert their independence but still need support, direction and reassurance from their parents and the other adults in their lives.  While they need to start learning to make decisions for themselves, they need guidance and assistance to learn how to make the right decisions that are healthy and appropriate.  Setting appropriate boundaries and providing natural consequences for when those boundaries are pushed is also necessary.

Parents often struggle with communication when their tween seems to be trying on new and different personalities on for size on a daily basis.  However, this is one time that remaining connected and maintaining communication channels is vitally important.  Talk to your tween directly about the changes you are seeing and the behavior you are observing.  Check in regularly to see what challenges they are facing, changes they are going through, or feelings that are experiencing.  It is common for tweens to keep these issues to themselves which is why it is so important for parents to ask, discuss, and guide.

Do’s and Don’ts of Keeping a Close Relationship with Your Tween

  • Do – Use an authoritative parenting style. This means that parents need to have realistic expectations for their tween and be responsive to their needs.
  • Do – Model healthy emotional expression/emotional regulation skills and effective communication skills.
  • Do – Support your tween by assisting with difficult decisions and providing support for their struggles
  • Do – Spend quality time with your tween.  Make it a point to tell them how much they are loved and valued for who they are (not what they do or their appearance) as often as you can.
  • Don’t – Avoid setting appropriate boundaries and allowing for natural consequences.
  • Don’t – Put unrealistic expectations and pressure on them.
  • Don’t – Try to fix their problems.  Instead, assist them in solving their own problems.
  • Don’t – Hesitate to get support from a professional counselor if your tween is struggling to identify, express, or regulate their emotions.

Going Gluten-Free: Necessity or Fad?

July 3rd, 2012
Oat grains in their husks

Oat grains in their husks (Photo credit: Wikipedia)

It feels like everywhere you look these days there is some new piece of nutritional news that has everyone eating this or not eating that.  From carbohydrates to sugar to fat to gluten, it seems like you can find a restrictive diet for almost anything if you read enough magazines or type enough search terms into Google.  As a society, Americans tend to jump on board with each new thing because they are looking for the one right answer or that one magic pill that will let them eat whatever they want without experiencing any health consequences.  Unfortunately, there is no magic pill and there is only one right answer.  To be healthy and maintain a healthy weight, you need to eat the right amount of the right food and stay active.

The newest trend is the gluten-free phenomenon, which has swept the nation to the tune of 178 new gluten-related titles on Amazon.com and the creation of gluten-free versions of almost everything by major food producers.  Don’t misunderstand; the recent craze is great for people who are actually allergic to gluten and have been diagnosed with celiac disease.  The fad-fueled mass appeal means gluten-free foods are more accessible and less expensive than ever.

However, for many people, going gluten-free is just the next way to cut carbs from their daily diets and get quick weight loss results that won’t last.  Cutting gluten from one’s diet is seen by many as a healthier way to eat, but unless you have celiac disease, gluten is not hurting you and not eating it won’t make you healthier.  However, you can actually hurt yourself by cutting it or other types of food entirely from your diet because it can cause nutritional deficiencies and GI distress.  As with any dietary change, people should discuss going gluten-free with a medical professional before they make the change.

There is another side to these restrictive diet crazes and fads that can have very real consequences.  People with eating disorders commonly use food allergies and restrictive diets to mask their disease, creating a legitimate reason for following a restrictive diet.  Claiming to be gluten intolerant is very common amongst those with eating disorders as it coincides easily with eating disorders or disordered eating.  The real problem with these types of nutritional crazes is that they can downgrade the severity of legitimate conditions like celiac disease while encouraging others to participate in eating behaviors that are not healthy and appropriate for their needs.  The bottom line is that unless a person has a medical condition, diagnosed food allergy, or disease that requires a restricted diet, they should not be eating as if they do.

Phoenix Teen Counseling: Mental Health 101: Teen Troubles

June 27th, 2012
Adolescence

Do you know when your teen needs more help than you can provide? (Photo credit: kevinthoule)

The teenage years can be troublesome and traumatic.  Faced with a myriad of pressures from every direction, teenagers often feel that they need twist and morph themselves into someone else in order to fit into other people’s molds.  This is made more difficult because they are only beginning to discover who they are and what they want.   They feel pressured to look a certain way, get good grades, fit in with friends, make the team, get the part, and be popular and sometimes that pressure can be too much.  Teens also have to deal with other issues like family financial problems, divorce, and illness.  Although the majority of teenagers make it through these tumultuous times to become well-adjusted adults, some teens struggle enough that they need professional help.

For parents, understanding when a teenager’s behavior is normal teen angst and when it is not is one of the biggest challenges.  In order to get teens the help they need to successfully navigate whatever challenges they are facing, parents need to know what to look for, what to expect, and when to seek help.  Here is a list of the most common mental health issues teens experience to help parents know when it’s time to seek outside help.

Mood Disorders

Bipolar Disorder – A teen with bipolar disorder has periods of mania and periods of depression.  When they are in a manic period, they may be extremely happy, hyperactive, and/or irritated.  They get by on very little sleep, get involved in multiple projects and activities, and may participate in risky behavior.  When they are in a depressive period, they display the signs of depression.

Depression – When teens are clinically depressed, they experience feelings of sadness and irritability along with several other symptoms that can include changes in appetite or sleep, rapid weight loss or gain, fatigue, loss of interest in previously enjoyable activities, problems concentrating, feeling hopeless, and suicidal thoughts.

Anxiety Disorders

General Anxiety Disorder – Feelings of anxiety are common in teens, but in some cases these feelings can rise to the level of a disorder.  Teens may worry excessively about situations, events, or activities to the extent that it interferes with their normal life.  Symptoms include feeling restless, having trouble sleeping, being irritable, and being unwilling or unable to participate in everyday activities.

Obsessive-Compulsive Disorder (OCD) – Teenagers dealing with OCD have distressing thoughts or impulses that occur over and over and repetitive behavior patterns like hand washing, counting, and hoarding that interrupt their ability to live their life normally.

Eating Disorders

Anorexia Nervosa – Teens with anorexia nervosa do not eat enough to maintain a healthy body weight.  Signs and symptoms include being significantly underweight, dry skin, low blood pressure, depression, moodiness, and unwillingness to eat around others.

Bulimia – Teens with bulimia participate in a cycle of bingeing and purging, eating a large amount of high calorie food and then inducing vomiting.  Bulimics may also use laxatives, exercise, diuretics, and diet pills to prevent weight gain.  Signs of bulimia include obsessing over weight, exercising hours at a time, eating in secret, spending time in the bathroom directly after eating, and low self esteem.

Trauma and Abuse

Teens who have been physically, emotionally, or sexually abused or who have lived through a traumatic event may need assistance to overcome the lasting damage these circumstances can cause.  Teens may experience Post-Traumatic Stress Disorder (PTSD), anxiety, depression, substance abuse, suicidal tendencies, and self harm.

Suicidal Tendencies

According to the American Academy of Child & Adolescent Psychiatry, suicide is the third leading cause of death amongst teenagers.  Warning signs include depression, frequent thoughts of and conversation about death, substance abuse, previous attempts, and traumatic events.

Self-Harm Study Finds Kids as Young as 7 Cut, Burn, Hit Themselves

June 26th, 2012
Ninth grade retreat at Camp Loucon

New study reveals alarming information about young children inflicting self harm. (Photo credit: Kentucky Country Day)

The study, just published in the journal Pediatrics, found nearly 8 percent of third-graders admitted to intentionally hurting themselves. About two-thirds told researchers they had done it more than once.

Researchers discovered that children, even those as young as 7, found that causing physical pain helps them cope with emotional stress. The study found 4 percent of sixth-graders and nearly 13 percent of ninth-graders reported harming themselves.

By ninth-grade, girls were three times more likely to self-injure than boys with cutting and carving of skin the most common method for girls. The findings are based on interviews with 665 kids in the Denver area and central New Jersey.

Depression, anger and anxiety can lead to self-injury,” explains Psychiatric Nurse Practitioner Jan Hamilton. “Parents need to pay attention and ask their children about cuts and bruises.”

Phoenix Teen Counseling: What is Body Dysmorphic Disorder?

June 20th, 2012

Do you know if your teen struggles with BDD? (image via chiesADIbeinasco on Flickr)

Everyone has days when they just don’t feel attractive.  Call it a bad hair day or a fat jeans day or whatever you want; it happens to all of us.  Now imagine feeling that way, all day, every day.  This is what it is like to have Body Dysmorphic Disorder (BDD).  BDD is an all-consuming preoccupation with some perceived flaw or defect in personal appearance.  People with Body Dysmorphic Disorder cannot turn off the voice in their head that is consistently criticizing how they look, making them feel unattractive, and damaging their self worth.

The unrelenting nature of Body Dysmorphic Disorder can lead to suicidal thoughts and behavior.  It can also lead to serial cosmetic surgery that is both unnecessary and does not offer relief. The all-consuming nature of this condition is elevates it to the level of a mental illness.  Everyone has a bad hair day once in awhile, but for people with BDD there are no good days.

Symptoms

Like other chronic anxiety disorders, Body Dysmorphic Disorder has a broad range of symptoms and those with the condition may experience all, some, or any combination of them.  Common symptoms include:

  • Preoccupation with physical appearance or any specific aspect of physical appearance
  • Spending significant amounts of time looking in the mirror
  • Belief that there is a deformity or defect that doesn’t exist
  • Avoidance of mirrors
  • Constant need for others to provide assurance on attractiveness
  • Serial cosmetic surgery
  • Unwillingness to have picture taken
  • Avoiding social situations
  • Wearing clothes or makeup specifically to cover perceived flaws

People with BDD can obsess over their appearance as a whole or any specific body part.  There are some areas of the body that are more commonly the object of the obsession including:

  • Skin/Complexion including obsessing over wrinkles or acne
  • Nose
  • Hair and Baldness
  • Breast Size and Genital
  • Muscle Size

It is not uncommon for the obsessive thoughts to shift from one body part to another over time as the disorder centers on obsessive thoughts rather than actual physical attributes.  In some cases, these thoughts can become so powerful that they result in delusional behavior.

Causes

There is nothing specific that is known to cause Body Dysmorphic Disorder.  Experts in the field agree that, similar to other mental illnesses, it may be caused by a combination of factors like chemical or structural differences in the brain, negative life experience relating to body image, and genetics.

Complications

Like any anxiety disorder, Body Dysmorphic Disorder can make it difficult to live life to the fullest and lead to other problems.  People with BDD may also experience Obsessive-compulsive Disorder (OCD), Depression, eating disorders, social phobia, and other anxiety disorders.  They may have to spend time in the hospital to treat their disorder and choose to undergo unnecessary medical procedures to fix the imagined flaws and defects.  They can become socially isolated, lack close personal relationships, and their disorder can make it difficult to go to work or attend school.    This disorder can also result in suicidal thoughts and tendencies.

Diagnosis and Treatment

Body Dysmorphic Disorder can be diagnosed by a doctor or mental health provider using a series of tests including a physical exam, blood tests, and a psychological evaluation.   However, BDD can be difficult to diagnose if the person with the disorder does not fully participate in any testing by sharing feelings and thoughts openly.   Diagnosis can also be complicated because BDD shares symptoms and traits with other mental illnesses which must be ruled out in order to get to the right diagnosis.   The diagnostic criteria for BDD include extreme preoccupation with some aspect of physical appearance that causes problems in other areas of life.

Treatment of BDD is most successful when the person with the disorder is engaged and willing to participate in the process.  BDD is commonly treated with cognitive behavioral therapy and may also include the use of medication.  In severe cases, hospitalization may be required in order to protect the wellbeing of the person with the condition.

Eating Disorders Affect Everyone in Your Family

June 18th, 2012

Eating disorders affect the entire family (image via kippster on Flickr)

One of the best things about being part of a family is having other people to stand by you and support you so that you don’t feel like you are facing the trials and tribulations of the world on your own.  When there is trouble, the family circles the wagons, pools the resources, devises a plan, and focuses all their energy, attention, and resources on getting through whatever situation they are facing.  For the short term, they are stronger individually than as a group because they can band together.  But this dynamic can create serious problems if a family gets stuck there for the long term, especially if the challenge they are facing means all the attention and all the energy are focused on a single family member.  This is how an eating disorder in one child can impact the lives, behavior, and future of any other children in the family.

In the Beginning

As with any family crisis, most family members have no problem pitching in, taking a back seat, and fending for themselves in the days and weeks immediately following the start of the crisis.  For families that are dealing with eating disorders, this event may be diagnosis, hospitalization, or any point in time when the focus of the family shifts to the child with the disorder.  Siblings understand that their brother or sister is ill and needs help and generally step up to help out however they can.  In most cases, siblings of someone who is struggling with an eating disorder will do all this willingly and without complaint, in the beginning.

When Weeks Become Months and Months Become Years

The real danger to siblings of teens with eating disorders is that unlike many other family crises, there isn’t usually a quick resolution.  According to the National Eating Disorders Association (NEDA), it can take years to recover from an eating disorder.   To siblings, this means that the sacrifices they so willingly made in the beginning may be required for a significant chunk of their childhood or teenage years.

Let’s pretend there is a family with 3 children, Sarah who is 16, John who is 10, and Max who is 7.  Sarah is diagnosed with anorexia and the family rallies around her to provide love and support during her treatment and recovery.  Over the coming months, as Sarah struggles to overcome her disease, John and Max will be struggling too.  They accept getting less attention from their parents because they know Sarah needs them more right now.  They give up activities, sports, and clubs to help ease financial strains and because there is no one around to take them.  They learn to take care of things around the house like dishes and laundry and meals so that they have what they need even when no one is around to provide those things for them.   They may begin to act out or rebel as a way to get their parent’s attention.  They may become resentful of their sister and lose the ability to be sympathetic toward her.  They may pull so far away from the family unit in an effort to protect themselves, that when Sarah is better and the family shifts its focus back to the center, they may find it irreparably broken.

How to Help

The most important thing to understand is that eating disorders don’t just impact the person with the diagnosis and in most families, everyone is going to need assistance, attention, and support to get through the process.  Approach the problem as a family and rally the troops but realize that the battle you are fighting is more like a siege than a head to head fight and plan accordingly.

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10 Ways to Keep Teens Busy and Active this Summer

June 6th, 2012
English: A group of American teens at a swimmi...

Teens at a swimming party in the late summer. (Photo credit: Wikipedia)

Teenagers start looking forward to summer vacation as soon as they come back from Christmas break, but parents often start longing for the first day of school within days of school getting out.  One of the most common summer struggles is finding enriching activities that teens are interested enough in doing that they will get out or bed or off of the computer.  While most parents want their teens to enjoy their school break, they don’t want them sleeping all day and staying up all night playing video games or using the computer.  The key to a successful summer is finding the balance between the two extremes.  Here are 10 things for teens to do this summer to help achieve that balance.

1.     Make a Movie

This can be a great activity for teens to do with their friends and it offers a wide range of learning and enrichment opportunities including writing the script, designing the shots, sets, as well as costumes, filming, editing, and working together as a team.  Once their movie is done, they can upload it to YouTube for all their friends to see.

2.     Play Frisbee Golf

This offers enrichment opportunities and physical activity while giving your teen something fun to do with their friends.  Let your teen design and set-up a Frisbee golf course in a local park and then invite friends over to play in a tournament that lasts all summer long.  Offer a cool prize to the winner at the end of the summer as extra incentive.

3.     Grow Something

While it may not seem like a ton of fun, growing something green can be very rewarding for teens and once the green shoots peek through the dirt, many teens will be hooked on helping it grow to full size.

4.     Have a Movie Marathon

Let your teens plan an all night movie marathon for their friends and neighbors.  Feature teen favorites like the Harry Potter or Lord of the Rings movies and put your teen in charge of the details.  They will learn valuable lessons in planning, budgeting, and logistics.

5.     Organize an Event for Charity

Give your teen the opportunity to learn new skills, have fun with their friends, and give back to their community by organizing an event for charity.  Make it more worth their time by letting them split the proceeds with the charity which can give teens who have had trouble finding summer jobs a way to earn a little money.

6.     Host a Water Balloon War

Let your teen host a water balloon war with the other kids in the neighborhood.  You can even turn this into a neighborhood block party and have a cookout for everyone after the war.

7.     Learn How to Cook on the Grill

Summer is a great opportunity for your teen to learn to cook on the grill.  Work together to try different recipes. You never know; you may create a new family favorite!

8.     Organize a Summer Long Board Game Tournament

Encourage your teen to organize a tournament at a local park or community center that features favorite family board games.  By including games for different age groups, the tournament can appeal to all ages and give families something to do together each week.  Your teen will learn important skills like planning, advertising, organizing, and working with people.

9.     Learn the Stars

Challenge your teen to learn about the night sky over the summer.  Connect them with resources for learning how to use a telescope, to identify the constellations, and any other things that interest them about astronomy.

10.  Have a Photo Scavenger Hunt

Encourage your teen to explore an interest in photography by creating a photo scavenger hunt for them to do over the course of the summer.  Make a list of interesting, unusual, and creative pictures to take over the summer and then turn their best shots into a memory book for the family coffee table.

It isn’t hard to find fun and interesting activities for your teen to do over the summer.  Start with things that your teen is already interested in and provide them with opportunities to explore those interests in ways that expand their skills and enrich their lives.

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How to Help Teens Develop Healthy Eating Habits

May 31st, 2012
Fresh vegetables are important components of a...

Fresh vegetables are important components of a healthy diet. (Photo credit: Wikipedia)

There is no question that one of the most important things parents can teach their children in today’s world is how to eat a healthy diet.  The statistics on childhood obesity are startling now and only projected to continue going up in the coming years.  Obesity can be a contributing factor in several serious, life-long health conditions including high cholesterol, high blood pressure, type 2 diabetes, asthma, and sleep apnea.  Additionally, teens who struggle to maintain a healthy weight often experience social consequences including social discrimination and bullying.  This can have a significant impact on self esteem, self worth, and performance in all areas of life.  When you consider the immediate consequences and long term risks associated with being overweight, it is easy to see why helping teens build good dietary habits is so important.

As a parent, you are perfectly positioned to have a real and lasting impact on this part of your teenager’s life.  Here are 6 ways you can help your teen develop and maintain healthy eating habits.

1.     Be a Good Role Model

Children learn what they live and this holds true for what, how, and why they eat.  If you have problems with your weight and/or have less than healthy eating habits, start by changing the example you are setting.  For some families, making this kind of change together can also be a great bonding experience.

2.     Get Back to Basics

Helping your child understand the mechanics of food as energy and the energy in/ energy out principle provides them with the right foundation to learn how to eat healthily now and throughout their life.

3.     Ditch the Word Diet

Regardless of how the word should be used, diets and being on a diet has a specific meaning and connotation in our culture and describes a temporary way to reduce weight by eliminating food.  However, dieting in this context is different from developing healthy eating habits.  Dieting implies something temporary; healthy habits last a lifetime.

4.     Make Healthy Food Accessible

One challenge for today’s teens is that healthy foods are often harder to come by than less healthy options.  They lead busy lives and need lots of grab and go options to keep their energy up and fuel their activities.  Rather than stocking the cupboards with pre-packaged processed snacks, create a snack shelf in the cupboard and the refrigerator filled with pre-portioned healthy snacks.

5.     Have Dinner Together

If dinner doesn’t work, make it breakfast, but take time everyday to have a healthy meal together.  This provides another opportunity to demonstrate healthy eating habits and provide your teens with examples of what makes up a healthy meal.

6.    Practice Portion Control

The bottom-line is that you can eat all the right foods and still not be as healthy as you could be if you are eating too much.  Most people underestimate how much they are eating everyday because they misjudge portion size.  Providing your children with great examples of standard size portions sets them up to be more in control of how much they eat as they grow into adulthood.

Children learn what they live, make sure that the lesson they are learning about food is how to eat a healthy diet.

 

Physical Fitness and Your Mental Health

May 21st, 2012
Fitball Group Fitness Class Category:Fitness C...

Physical fitness is critical to maintaining overall health. (Photo credit: Wikipedia)

May is National Physical Fitness Month (NPFM) which provides us with a great opportunity to talk about how physical activity, healthy eating habits, and mental health are connected.   The purpose of NPFM is to encourage all Americans to pursue a life filled with physical activity and proper nutrition in order to live healthy lives.

Physical fitness and daily activity are critical to maintaining overall health and the need to encourage activity is more true for teenagers today than at any point in the past.  Between processed foods, sugary soft drinks, increased use of technology, and a lifestyle that is generally more sedentary than that of generations past, it is no wonder that the obesity rate in teens (and everyone else) is on the rise.  The best way to fight this problem is to encourage our teens to adopt a lifestyle that is centered on physical fitness and healthy eating habits.

The benefits of physical activity don’t stop at improving our teenager’s physical health; it can also play a big part in managing mental health.   Unlike obesity, physical activity and healthy food aren’t a way to cure or combat some of the most prevalent mental health conditions our teens face, but being active can help alleviate and manage symptoms.   Treatment recommendations for depression, bipolar, anxiety disorders and ADHD all include physical activity as one of the key components of treatment.   When you consider the entire picture, it is easy to see that helping the teenagers in our lives increase their physical activity is a win, win, win.

Here are some great ways to get teenagers involved in more physical activity.

  1. Make physical activity a priority for your family.  Active parents provide great role models for active teenagers.
  2. Plan family time around active pursuits.  By making the time you spend as a family time you spend being active, you are building stronger bodies and stronger bonds.
  3. Look for physical activities that can be incorporated into your daily routine.  For example, if there are places you can walk to, walk instead of driving.
  4. Plan parties and family gatherings that include physical activity.  Setting up a volleyball net at the graduation party or holding a birthday party at a roller rink are great examples of how to make this work.
  5. Use local resources.  If you live somewhere that people love to go hiking, try hiking.  If you have access to lakes or rivers, try kayaking.
  6. Leverage everyone’s interests.  If you can find physical activities that are also interesting to your family members it will be easier to incorporate them into your overall routine.
  7. Keep it simple.  Physical activity doesn’t have to involve a ton of equipment or expensive fees.  It can be as simple as an after dinner walk, playing Frisbee in the park, or going for a bike ride.
  8. Pick weatherproof activities.  It is definitely easier to be physically active when the weather is right and it’s fun to be outside.  But once it gets too hot, too cold, or there is inclement weather, you can get knocked off your routine.  Find activities that your family can do together no matter the weather.

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How is Faith Based Counseling Different?

May 15th, 2012
Faith Based CounselingWhat type of counseling is right for your teen? (Image via Wikipedia)

For parents who are looking for someone to help their child through a difficult time, the world of mental health can be very confusing.  Within the sphere of mental health services there are psychologists, psychiatrists, therapists, counselors, nurse practitioners, and social workers.  It can be a struggle to determine which type of mental health practitioner is the right type to provide the assistance your child needs.  Additionally, there are specialties within this sphere that can muddy the waters even more.

There is an easy way, however, to know who to turn to when your adolescent needs help.  It comes down to three things.  First, you need to choose someone who is a licensed and trained to assist people with mental health issues.  Second, you need to choose a practitioner that specializes in working with children, teens, and their families.  Third, you need someone who your child can connect with, someone they are comfortable with, and someone with whom they can develop a rapport.

This third element is why you may decide to pursue faith-based counseling.  Shared faith and beliefs can provide a foundation for the connection and rapport that can make all the difference in managing mental health.   Additionally, adolescence is one of the first times in life that people begin to question the beliefs that were handed down to them from their parents in an effort to establish themselves as a separate being.  Religious beliefs are one of these handed down belief systems that may be called into question and having a counselor to talk to who shares those beliefs can make this process less tumultuous.

Faith-based counseling can also be very beneficial for those families and teens that have a strong religious belief and practice.  For these families, their beliefs are so foundational to who they are and how their children are raised that it is critical to have a mental health practitioner who understands not only their faith but how integral that faith is to who they are and how they were raised.  Families and teens can seek the mental health services they need without feeling as though they need to disregard or defend their beliefs.

Some faith-based counseling programs and counselors approach treatment holistically and look to integrate the mental, relational, emotional, and spiritual aspects of care to help the whole person.  Faith-based mental health practitioners may combine faith, spirituality, theological concepts into the traditional therapeutic process.  This approach to mental health management believes that treating these types of problems works best when faith and modern science combine to treat the whole person.

If you feel this is the best approach for your family, make sure you look for faith-based practitioners who also meet the first two qualifications above.  They must be a licensed mental health practitioner and specialize in working with children, teens, and families.  Mental health problems can be very serious and it is crucial that the person you trust with your adolescent’s well-being is trained in treating mental health issues first and foremost.

Now Hiring: Adolescent & Young Adult Psychiatric Nurse Practitioner or Psychiatrist PT, Independent Contractor

May 14th, 2012

Now Hiring: Adolescent & Young Adult Psychiatric Nurse Practitioner or Psychiatrist PT, Independent Contractor

Doorways LLC. is a faith-based counseling organization in Phoenix, Arizona, that provides comprehensive outpatient treatment focused exclusively on adolescents, young adults and their families. Providers at Doorways specialize in treatment for eating disorders, mood disorders, anxiety/OCD, substance abuse, depression, ADD/ADHD, self-harm, suicide prevention, and family counseling.

 

We are seeking a Part-Time, Independent Contract Psychiatric Nurse Practitioner or Psychiatrist; to work 1-2 days per week M-F, flexible hours, at our north Phoenix location.

Minimum Qualifications:   

  • Psychiatric Nurse Practitioner Certification with current unrestricted license from the Arizona State Board of Nursing or Doctor of Medicine or Osteopathic Medicine with current unrestricted license from the Arizona State Board of Medical Examiners
  • Current DEA License, NPI Number
  • Three or more years’ experience in the delivery of mental health treatment of adolescents and young adults
  • Current CPR & First Aid Certifications
  • Empaneled with at least one major insurance carrier in Arizona preferred.
  • Individual malpractice insurance coverage
  • Able to support a faith-based holistic, integrated model of treatment
  • Energetic and passionate regarding working with the adolescent and young adult population
  • Possess excellent interpersonal skills and the desire to grow with a rapidly expanding practice
  • Team Player willing to work with a multidisciplinary team of professionals in treatment planning and provision of care

Responsibilities will include:

  • Psychiatric evaluations and medication management of patients
  • Prescribe, direct, and administer psychotherapeutic treatments and/or medications to treat mental, emotional, or behavioral disorders.
  • Collaborate with our team of professionals for best care practices in the treatment of adolescents, young adults and their families.

 

To apply, please submit cover letter and resume to Jan Hamilton, PMHNP-BC, Psychiatric Nurse Practitioner, Jan@doorwaysarizona.com.  For more information about Doorways go to http://www.doorwaysarizona.com

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May is National Mental Health Month

May 9th, 2012

This month, people all over the country will be working to spread awareness about mental health issues and the benefits of mental health treatment.  At the forefront of this effort is Mental Health America, the oldest community-based network committed to helping people live mentally healthier lives.  Since 1949, Mental Health America has been celebrating National Mental Health Month in May and encouraging everyone to become advocates for important changes to mental health policy and to help raise awareness about mental health conditions.

There are two themes selected for this year’s awareness and educational effort that may resonate with parents, teenagers, and families.

The first theme is Healing Trauma’s Invisible Wounds.  This part of the campaign focuses on how traumatic events can impact people and the larger community.   In many cases, traumatic events can have an overwhelming, often lifelong effect on the physical, emotional, and mental well being of those involved.  It isn’t uncommon for survivors and those around them to forget that the impact can be lasting after the exterior wounds have healed.  Raising awareness about how significant the impacts can be and how therapy can help is the goal of this part of the campaign.

For parents, understanding that trauma is more than just physical injury and that all trauma can leave lasting damage that needs to be treated can give them the information they need to get help for their child.

Traumatic events come in many shapes and sizes and go far beyond those circumstances that result in physical trauma.  According to the Healing Trauma’s Invisible Wounds literature, there are several different kinds of trauma including:

  • Interpersonal Violence including physical, emotional, mental, and sexual abuse, rape, domestic violence, and bullying.
  • Social Violence including terrorism, war, and living under an oppressive political system.  This also includes the trauma experienced by serving in combat.
  • Natural Disasters including hurricanes, tornados, earthquakes, and floods.
  • Accidental Causes like automobile accidents, sports injuries, or other serious injuries sustained under accidental circumstances.
  • Chronic Social Stress including being a victim of racism, sexism, poverty, or cultural problems.
  • Childhood Trauma which includes being neglected, having a parent who is an alcoholic or drug addict, living in a home where domestic violence is present, the loss of a parent, and being the victim of physical, emotional, and/or sexual abuse.

Healing the wounds that traumatic events leave behind is critical in order to help survivors develop healthy coping mechanisms and behaviors.

The second theme is Do More for 1 in 4.  This part of the campaign seeks to increase awareness about the prevalence of mental health conditions amongst U.S. adults.  This call to action aims to inspire people to help the 1 out of every 4 adults who live with a diagnosable mental health condition to get the treatment they need and live the life they deserve.

For parents, understanding how mental health conditions can impact their teens and adolescents, and being open to getting adolescents the help they need early on in their life, can drastically change the course of their lives.

Join us in celebrating Mental Health Month and get involved.  Visit Mental Health America for more information.

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Common Types of Psychotherapy

May 2nd, 2012
Teenager

Are you overwhelmed by the types of Psychotherapy? Read this article to better understand.(Image via Marquette La on Flicker)

For parents new to the world of mental health, the different types of practitioners and the different therapeutic techniques can seem overwhelming.  The good news is that you don’t have to know all the answers in order to find a mental health professional that can help your child.  However, it is helpful to have a basic understanding of the most common types of psychotherapy in use today so that you can feel like you are making an informed decision.  To help you with that understanding, here are the basic definitions of the most common types of psychotherapy.

Cognitive-Behavioral Therapy

One of the most common types of psychotherapy in use today, Cognitive Behavioral Therapy is often combined with other techniques and methodologies to provide the most comprehensive treatment for a client.  In essence, the cognitive-behavioral approach to mental health rests on the idea that children learn what they live.  The environment a person is raised in, the circumstances of their upbringing, and the major events of their childhood and adolescence play a large role in who they become.  If a child is raised by parents that don’t express their emotions in a healthy manner, the child will mimic this dysfunctional response and may struggle to identify and express their own emotions.   Cognitive-Behavioral therapy (CBT) works to replace those dysfunctional thought patterns, responses, and behaviors by introducing healthy alternatives and reinforcing the change through positive experiences.  As the problems each client is facing are different, the techniques, tools, and strategies used in CBT can vary and are generally specific to the needs of the individual client.

Behavioral Therapy

Behavioral therapy is also based around behavior but differs in that it seeks to use changes in behavior to change thought patterns and emotional responses.   This approach to psychotherapy is very structured and includes techniques like self-monitoring, role playing, and behavior modification.

Dialectical Behavior Therapy 

This type of psychotherapy combines cognitive-behavioral techniques geared at learning to regulate emotions and learn to identify reality versus perceptions with practices like mindfulness, acceptance, and distress tolerance.  It was primarily developed as a way to treat people with borderline personality disorder (BPD) and is the first therapy to prove effective in helping those with BPD.  It also shows promise in helping those with spectrum mood disorders like self injury and can an effective approach for treating teens who exhibit cutting behaviors.

Humanistic Therapy

The Humanistic Therapy method of treating those with mental health concerns takes a very different approach than the behavior-based methodologies.  It centers on the concept of self-actualization and the idea that people are responsible for their own choices.  This means that childhood experiences, learned behaviors, and any resulting dysfunction are irrelevant, what matters is taking responsibility for the thoughts, feelings, and behaviors experienced.   Therapy may focus on major internal conflicts like acceptance, authenticity, and individualism.

Psychodynamic/Psychoanalytical Therapy

This is one of the oldest schools of thought around treating mental health concerns and centers on how someone’s childhood, upbringing, and parental relationships are impacting their current lives.  Although psychodynamic analysis may be part of a mental health professionals approach to treatment, it is not generally the only tool in their toolbox.

It is important to remember that these are not the only types or techniques used by mental health practitioners.  There are many other approaches and methods that are valid and proven to help those in need.  The most important factor in getting your child the help they need is to find a mental health professional that your child is comfortable with and partner with them to find the right approach for your child’s needs.

Doorways LLC, Hosts Tissues for Teens Donation Drive to Benefit Crisis Pregnancy Center of Greater Phoenix

April 25th, 2012

Doorways LLC, Hosts Tissues for Teens Donation Drive to Benefit Crisis Pregnancy Center of Greater Phoenix

Doorways LLC, a counseling clinic in Phoenix that specializes in working with adolescents, teens and young adults, is inviting the community to join them in a charity donation drive to help the Crisis Pregnancy Center of Phoenix.

Crisis Pregnancy Center has a “wish list” of much needed items and at the top of their wish list are boxes of tissues because they go through them like crazy! That’s why Doorway is hosting the “Tissues for Teens” donation drive through June 1st, 2012.

The community can help Crisis Pregnancy Center by dropping off donations of new boxes of facial tissues to the Doorways clinic located at 1825 E. Northern Ave. Suite 200, Phoenix, AZ 85020.  The tissues will be distributed to Crisis Pregnancy Center during the first week in June.  For directions or any other information go to http://www.doorwaysarizona.com, or call 602.997.2880.

The Crisis Pregnancy Centers of Greater Phoenix, Inc. (CPC) was founded in 1982 with the vision of serving the physical, emotional, social, and spiritual needs of women and families who are in crisis because of an unplanned pregnancy.

New Group Forming: Journey Group

April 24th, 2012

New Group Forming: Journey Group

Who:  Male and Female Adolescents ages 13-17.

What: A group combining biblical truth with psychology to help adolescents discover who they are, what hides the truth, and how to pursue a lifelong journey towards all we’re created to be.

When: Tuesdays, June 5th through July 24th from 5:30 p.m. – 7:00 p.m.

Led By: Ben Woodruff, LMSW and Chase Kerrey, LPC

Where: Doorways Arizona, 1825 E. Northern Ave, Suite 200, Phoenix, Arizona 85020

Cost: $45 weekly ($360 total) or $300 total if paid by June 5th

How: Call Trina or Denora at Doorways, (602) 997-2880, or email us at Trina@doorwaysarizona.com

 

 

 

 

Distracted Driving: What Parents Need to Know

April 24th, 2012
Person using cell phone while driving.Person uses cell phone while driving. (Image via Wikipedia)

It Isn’t Just Our Teenagers

Distracted driving is everywhere in our society and it isn’t just our teenagers who are failing to give their full attention to the road while they are behind the wheel.  It is very likely that if you drove a car at any point in the last 24 hours, you did something that falls under the heading of distracted driving.  When we hear “Distracted Driving” many of us think it refers to teenagers texting while they drive, which is true, but only part of the problem.

It Isn’t Just About Texting

The term distracted driving has become almost synonymous with texting while driving, but it includes many other activities as well, some of which are very common occurrences during any daily commute.  Distracted driving is defined by the National Highway Transportation Safety Administration (NHTSA) as performing or participating in any activity that could divert the driver’s attention away from driving.  This means that most of the things we do in the car qualify as distracted driving and increase our likelihood of being in an accident.  The NHTSA lists the following activities as distractions that can cause a hazardous driving condition:

  • Texting
  • Using a SmartPhone for any activity
  • Talking on the phone
  • Talking to passengers
  • Using a GPS
  • Reading a map
  • Drinking
  • Eating
  • Grooming (i.e. putting on mascara or lipstick)
  • Messing with the radio

 Texting is the Worst

When you write and send a text message, you have to divert attention from driving to perform the functions required to look at the screen, type in the message, make sure the message is right, and then send it.  This means that you are stealing visual, manual, and cognitive attention from the act of driving which can result in very dangerous consequences.

The Hard Truth

The statistics don’t lie.  In 2009, the NHTSA indicates that 5,474 people died in car accidents where the driver was distracted and 10% of all accidents that year involved some kind of distracted behavior.   Teen drivers are much more likely to be in a fatal accident when they are distracted than any other age group.  Texting while driving makes it 23 times more likely that an accident will occur and sending an average text message takes the drivers eyes off the road for almost 5 seconds.  This is the equivalent of driving the length of a football field blind folded.   Using a headset for phone calls isn’t much safer than just holding the phone in your hand because it still diverts the same amount of cognitive attention.  In fact, research completed by the University of Utah found that using a cell-phone while driving, regardless of whether it is hands-free or not, causes the same delayed reaction drivers who are legally drunk experience.

What Parents Can Do

1.     Set a Good Example

If you don’t want your teens using their cell phones, eating, drinking, talking, or doing other distracting activities while driving, show them by practicing what you preach.

2.     Talk to Teens

Sit down with your teen and explain why distracted driving is so dangerous and what activities constitute distracted driving.  Being clear about which behaviors are putting them at risk will help them to make the right decision when it matters.

3.     Take the Pledge

 

As part of the NHTSA’s awareness campaign, they are asking individuals, families, businesses… really anyone who drives, to take the distraction-free driving pledge.  Avoiding taking those 5 seconds to send a quick text while driving could literally save your life.

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4 Ways Parents Can Help Prevent Teen Pregnancy

April 16th, 2012
Polish teenagers. Polski: Polskie nastolatki.

Parents need to talk with their teens about steps to take to prevent teenage pregnancy. (Photo credit: Wikipedia)

If you have watched the news lately, you may have heard that the latest report from the CDC indicates the birth rate for teen mothers hit a record low in 2010.  This is great news!  However, even with the lower rate, the National Campaign to Prevent Teen and Unplanned Pregnancy says that more than 2,000 teenage girls will get pregnant today.  By the time they are 20, 3 out of every 10 girls will have been pregnant at least once but few of them will have considered the consequences of becoming a teen mother or understand how having a baby will change their life.

 

When it comes to preventing teen pregnancy, parents can have a big impact.  The CDC says that parents who talk to their teens about sex are more likely to be older when they start having sex and will use birth control more consistently.  Here are 4 ways parents can play a part in preventing teen pregnancy.

 

1.     Set Boundaries

Establishing boundaries about what behavior is acceptable and what behavior is important when you are raising children of any age, but when it comes to teenagers, clear expectations are crucial.  You want them to spread their wings and learn to make good decisions on their own but you need to provide a relatively safe space where they can do that.  This is where boundaries come in.  Setting boundaries like curfews, financial responsibilities, and expectations about sexual behavior are the key to letting your teenager test their wings while minimizing the risk.

2.     Talk About Sex

If sex is a taboo topic in your house, your teens won’t feel comfortable coming to you if they have questions or concerns and most importantly, when they need help.  Establishing an open, honest dialogue with your adolescent allows you to answer their questions with accurate information and cuts down on amount of misinformation they take as truth.  In order to guide your teen and be a source of support and wisdom, you all need to feel comfortable discussing sensitive subjects.

3.     Build a Good Relationship

This goes hand in hand with #2.  Having a good relationship with your adolescent means you can act as their guide, their mentor, and their conscience, rather than their warden or adversary.  Don’t mistake a good relationship that is built on trust, discipline, boundaries, and respect as permission to be your teenager’s friend or to abdicate your parental responsibilities in order to keep the ties close.

4.     Take a Stand

When it comes to teenagers and sex, you need to take a stand and tell them straight-up what expectations you have.  Before you can do this, you need to be very clear about where it is that you stand.  How do you feel about teenagers having sex?  What age would be “old enough” in your eyes?  How do you feel about birth control?  Why do you feel the way you do?  If you believe that teenagers shouldn’t have sex until they are 16 or 18, be ready to explain why as this can anchor your values more firmly in your teenagers mind.  They are more likely to adopt your views and live by the values you find important if they understand why you feel the way you do.

On May 2nd, which is the 11th annual National Day to Prevent Teen Pregnancy, schedule in some family time and talk to your teen about sex, teen pregnancy, boundaries, and where you stand on the issues. Make sure one of the voices they hear when they are faced with the tough decisions ahead of them is yours.

Let’s Make April Alcohol Free

April 9th, 2012

April is Alcohol Awareness Month, and this year the National Council on Alcoholism and Drug Dependency (NCADD) has chosen underage drinking as the focus for the annual awareness campaign.  This is a pervasive problem that can have catastrophic, life-long consequences for our nation’s youth.  The statistics are shocking and show that our children are using alcohol early and abusing it long before the leave for college.  The good news is that the percentage of teenagers using and abusing doesn’t seem to be increasing.  The bad news is that it doesn’t seem to be declining either.  With nothing less than the lives and futures of our children at stake, we as a society cannot continue to shrug it off or sweep it under the rug.

The Facts

  • By age 10, 10% of our children have started drinking.
  • By age 13, that number more than triples, approaching 33%.
  • Teens that drank before they were 15 are 5 times more likely to have a problem with alcohol dependence in the last year than those who waited until they were old enough to drink legally.
  • In 2006, almost 30% of American teens between the ages of 12 and 20 report drinking during the past month, with 20% binge drinking and 6% drinking heavily.
  • Binge drinking is common amongst teenagers who drink and 25% of students drank more than 5 drinks in a row within the past 30 days.
  • College students suffer around 600,000 alcohol-related injuries each year and alcohol-related injuries claim the lives of 1,700 college students each year.
  • There are 100,000 alcohol-related sexual assaults or date rapes committed against college students each year.
  • Children of alcoholics may be as much as 10 times more likely to become alcoholics as their peers.

The Dangers

  • Statistics show that underage drinking increases a person’s risk of having an alcohol problem later in life.
  • Alcohol abuse increases the risk factor for developing cancer of the mouth, larynx, and esophagus as well as liver disease.
  • Underage drinking is one of the main causes of death from injuries which is the leading cause of death for Americans under 21.
  • Each year, underage drinking and alcohol-related injuries take the lives of 5,000 people, 38% are car accidents, 32% from homicide, and 6% from suicide.
  • Teenagers are more likely to participate in risky sexual activity when alcohol is involved which results in unplanned and unprotected sex, sex with multiple partners, date rape, unplanned pregnancy, and the transmission of sexually transmitted diseases.

Prevention Tips for Parents and Teens

  1. Parents – Talk to your teens about the dangers of alcohol. Help them understand the consequences and why it is illegal for people to drink before they are 21.
  2. Teens – Don’t be afraid to say no.  Don’t let someone else make your decisions for you.
  3. Parents – Be a good role model and set a good example.  Your teen is more likely to listen to you if you are practicing what you preach.
  4. Teens – Talk to your parents.  Ask questions and make sure you understand the real dangers of drinking.
  5. Parents & Teens – Agree on how you will both handle situations that arise where your teen is present at an event where other teens are drinking alcohol.  By agreeing ahead of time, teens won’t need to be afraid that their parents will freak out, call the police, and ground them until college, and parents will understand how critical their reaction is to maintaining the lines of communication.

Go Alcohol Free

As part of the awareness campaign, NCADD is inviting all Americans to engage in an alcohol-free weekend from April 6 to April 8, 2012 to help spread awareness about alcohol abuse and underage drinking.  For more information about Alcohol Awareness Month, visit NCADD’s website.

Why Is Bullying Such a Big Deal?

April 5th, 2012
Bullying in School

Bully is a huge problem in schools today. Image via Wiki.

It is on the news.  It is a big topic at our schools.  It is the subject of legislation in almost all 50 states.  All this attention on something that has been going on as long as there have been people on the planet seems like an overreaction to some and another example of how today’s parents are coddling their children to others.  While this attitude may seem insensitive and callous, it isn’t usually malicious or ill-intended.  To many of these people, being bullied was just part of growing up, almost a rite of passage that everyone had to deal with in one way or another.

But times have changed and even though the need for some people to bully others remains, today’s bullies are not the bullies from your childhood.

Parents and grandparents of today’s children sometimes struggle to understand why bullying has become such a big deal.  They look back to their childhood and see themselves overcoming being bullied, standing up to their bully, walking away from their bully and becoming the bigger person.  In this light, it is easy to see why people still view bullying as a part of childhood that builds character and teaches valuable life lessons.  However, this nostalgic view of childhood doesn’t fit when superimposed on the lives of children living today.

For previous generations, most bullying happened on the playground, in the park, on the walk home from school.  The places you could be bullied were limited, often to those few locations where there were no adults to intervene.  You could, in theory, kick your bully in the shins and run home to safety.  You always knew who your bully was because he or she was the one standing in front of you acting mean.  Bullying wasn’t really a private matter because it had to be done in person.  Even going after someone in the bathroom carried the risk of others walking in and intervening.  Being a bully was a bad thing and even if the bully had some henchmen, he was the social outcast and the others banded around you when you took your stand.

As a child or teen today, you are generally bullied everywhere except the playground including inside the classroom, at lunch, at home in their bedroom, and in cyberspace.  There is no limit to where or how often someone can bully you because they no longer have to be standing in front of you in order to harm you.  This also means that it is very easy to bully anonymously which removes much of the social pressure not to do it to others.  You can still run home, but you won’t feel any safer there because the way your bully can do the most damage is less likely to be physical than it is to be mental, emotional, and social.

The nature of bullying today, especially cyber bullying, lends itself to private attacks that are both pervasive and unrelenting.  Today’s bullies are also more likely to travel in packs and less likely to be the social outcasts.  They are often popular with lots of friends, which only increases the power they have to hurt others.  Rather than feeling surrounded and supported by all the other kids on the playground who are being bullied by the bad kid, you feel isolated and alone as if you are the only one this is happening to.

Trying to chalk bullying up to a normal part of growing up or downplay the damage it does to the children of today doesn’t make the problem go away, it just makes it harder for the children and teens in your life to come to you and ask for help.  If you know someone you think may be a victim of being bullied, encourage them that they are not alone. Don’t be afraid to talk to a teacher, parent, or healthcare professional to seek help.  We all need to do our part to raise awareness that bullying is happening. In time, hopefully we’ll be able to recreate the cultural norm where once again, bullies aren’t celebrated, but called out for their behavior.

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What if Your Child is the Bully?

March 27th, 2012
Some guys doing intimidation in Instituto Regi...

Some guys doing intimidation in Instituto Regional Federico Errázuriz, Santa Cruz, Chile (Photo credit: Wikipedia)

You get a phone call at work from your daughter’s school.  The Vice Principal would like to meet with you as soon as possible about a bullying incident involving your daughter.  Your heart sinks as you promise to be there as soon as you can.  You wonder if she is ok, worry about the long term ramifications she will face from being bullied, try to figure out what she is getting picked on for and think back over her whole life to see if there is something more you could have done to protect her.

It never crosses your mind that your daughter isn’t the one being bullied; she is the bully.

We as parents struggle to see anything but the best in our children and often it doesn’t seem possible that they could be the one hurting someone else. Unfortunately, the numbers don’t lie which means there are 2.1 million sets of parents out there who have a child who is a bully.  Parents are essential to the prevention and elimination of this kind of behavior and that includes all parents, not just those of the children who are the victims.  Parents of bullies may be the key to turning the tide against this pervasive crime being committed against and by our children everyday.

How Can You Tell if Your Child is a Bully?

The first thing parents need to do is come to terms with the fact that their child is engaging in behavior that is unhealthy for them and damaging to others.  An adolescent that is bullying others is not necessarily a “bad kid” and being the parent of a bully doesn’t automatically mean that you are a bad parent.  People engage in bullying behavior for a reason and the most important thing you can do to help your child is to uncover that reason.

If you are concerned that your child may be bullying others, there are some things you can look for.  Bullies lack empathy and struggle feeling or finding sympathy for others.  Bullies believe that aggression is a valuable tool for dealing with other people and often exhibit a belligerent attitude.  Bullies like to be the leader, the one in charge, and the one who makes and enforces the rules.  When they win, they like to lord it over those they beat and when they lose, it is everyone’s fault but their own.  They are impulsive and may exhibit bullying behavior toward siblings.   Bullying behavior includes any verbal, social, physical, or online action that is repetitive and intentionally harmful.

What Makes Children and Teens Bully Others?

The perception that every bully is a social outcast who is lashing out at others in an attempt to repair or elevate their own self-esteem is outdated.  While this does describe some bullies, it also contributes to the idea that popular, socially-adept adolescents with intact families aren’t bullies, which is not the case.  Teenagers bully others for a variety of reasons many of which start at home.  If your child is being bullied or has been bullied by someone at home, they may model that behavior and bully others.   Children who never learn or lack empathy may become bullies because they don’t take the feelings of the other person into account.  Whatever the reason, adolescents need to be taught that this behavior is never acceptable.

How Does Bullying Affect the Bully?

Being bullied can have devastating, life-long affects, but being the bully can also cause long term problems.  Children who bully others are more likely to struggle in school, to smoke, to drink, and to engage in criminal behavior into their adult years.  When children bully others and experience no repercussions, it reinforces the idea that this behavior is acceptable and that being mean-spirited, dismissive, and degrading to other people can be a source of power.  This is a dangerous lesson that underlines how important it is for parents to stand up, step in, and speak out.

How Can You Help Your Child?

Here are some things you can do to help your child see that bully behavior is not acceptable and encourage them to stop participating or engaging in things that are intentionally damaging to others.

  1. Treat the issue as seriously as it is.  It isn’t a phase or something they will grow out of.  You need to reinforce the idea that intentionally causing harm to others is never acceptable.
  2. Work with your child to uncover the reason for their behavior.  It may be helpful to seek the services and expertise of a medical practitioner, counselor, or therapist. This is also a great time to connect with your child’s teachers, school counselor, or other school resource to talk about any problems or difficulty in school.
  3. Model the behavior you want your child to emulate.  Be empathetic, show sympathy for others, don’t fly off the handle and lash out in anger.
  4. Help your child develop positive problem solving skills.
  5. Never allow bullying behavior to continue in your presence no matter who is doing the bullying.
  6. Talk to your child away from their peers; don’t bring up this or other sensitive topics in front of others.
  7. See the new documentary called Bully as a family and use it as a way to start and/or continue the conversation.

Special Parent Workshop: How to Help Your Son or Daughter Who Has An Eating Disorder

March 21st, 2012

Monday, April 2nd, and Monday, April 9th, 2012

6:30-8:00 PM

$45 per person or $85 per couple

Doorways LLC

1825 E. Northern Ave. Suite 200
Phoenix, AZ 85020
www.doorwaysarizona.com

RSVP: 602.997.2880 or Trina@DoorwaysArizona.com.

Topics Discussed:

  • How to help your son or daughter who has an eating disorder
  • Questions about nutrition
  • Do’s and don’ts of communicating
  • Understanding the emotional and psychological affects of an eating disorder
  • How an eating disorder affects the family and what a family can do

RSVP: 602.997.2880 or Trina@DoorwaysArizona.com.

 

7 Signs Your Child is Being Bullied

March 19th, 2012
Rich bullying Simon

Do you know if your teen is being bullied? Image via Wikipedia

It is on the news.  It is on the web.  It is in your child’s school.  You know that bullying is a problem and are confident you could help your child if they were being bullied.  You may be right; but the reality is, you might not even know that it’s happening.  Studies have shown that although almost 50% of children are bullied at some point in their life, less than half of them will talk to their parents about what is happening.  If the bullying is happening in cyberspace, that drops to 5% according to StopCyberBullying.org.  In order to protect your child, you need to know what to watch for and when to step in and take a stand for your child while teaching them to stand up for themselves.

Here are 7 signs your child may be the victim of bullying.

1.    They Stop Being Social

Tweens and teens are, by their very nature, social creatures.  They have entered the part of their adolescence when the opinions of friends and peers become more important than those of their parents and families.  If your formerly social teen suddenly stops spending hours on the phone, texting at dinner, posting everything to Facebook, or playing their favorite online game, you should take that as a big red flag.   Watch for a suddenly shrinking social circle, unwillingness to participate in activities like dance classes, sports, youth groups, or extracurricular activities they have always enjoyed.

2.     Acting Out at Home

When teens are unhappy, stressed, or struggling with issues they can’t fix, like being the victim of a bully, they often lash out at the people who love them like parents and siblings.  This is a normal response called transference and is a red flag for parents.  Pay attention if your teenager’s attitude toward family members radically changes and they start lashing out angrily at younger brothers and sisters or you.

3.     Avoiding School or Other Places

Teens who suddenly resist going to school without any stated reason may be struggling with a bully.  This holds true for other places as well, especially if it is a place where they generally spend time with their friends or other teens their age.

4.     Grades Take a Nosedive

If your A and B student suddenly starts getting D’s and F’s, you may need to consider that they are being bullied before exacerbating the problem by getting angry, imposing punishments, or otherwise responding to the grades themselves.

5.     Unexplained Illnesses

If your otherwise healthy teen suddenly seems to be sick with generalized, non-specific symptoms all the time, it can be a sign that they are being bullied.  It is important to have them checked out by their pediatrician or family doctor in order to rule out any medical conditions, but if the doctor can’t find an underlying cause, it may be the stress of being bullied.  Feeling unwell can also give teens a way to avoid going to events or interacting with people, which is another red flag.

6.     Changes in Habits or Routines

If your child’s eating habits, sleeping habits, or other routines radically change overnight, it may be a red flag that they are being victimized by a bully.  Teens may suddenly eat much more, stop eating, sleep all the time, have trouble sleeping, and/or experience nightmares as a result of being bullied.

7.     Depressed, Hopeless, Suicidal

Teens who are being bullied can become very depressed and sad and express a feeling of hopelessness about the world and their lives.  They may talk about suicide and blame themselves for things that are not their fault.  While teenagers can be moody, wild shifts in mood accompanied by changes in outlook and attitude may be more than just hormones.

If you suspect your child is being bullied, talk to them, talk to their medical provider, talk to the school, and keep talking until you feel confident that your child’s well-being is not being endangered by another child’s bullying behavior. If bullying is confirmed, you will want to find a counselor who can also help you and your teen process the effects of  bullying on their self esteem.

Finding Help for Your Teen

March 14th, 2012
Teen

You know your teenager is struggling and for whatever reason, you don’t seem to be able to help.  You know you need to find a mental health professional that has the right skills and experience to provide the support and assistance your teen needs.  You know you would do anything to help them find their way through the trials and tribulations of being a teenager.  What you don’t know, is how to get your teen the help he or she needs in order to overcome their obstacles.

There are several factors you need to consider when looking for a therapist, counselor, or other mental health professional to work with your child.  In order to develop a short list of people who might be a good fit for your teen, follow these steps.

1.     Know What You Need

If you are looking for someone to help your teen, odds are you will want someone who specializes in or has experience with working with teenagers.  While this isn’t the most important factor in selecting a professional, it is a good starting place to create a list of candidates.  If your child has a very specific need like treatment for an eating disorder or help with a mental illness like bipolar or depression, you may want to target professionals that specialize in helping with that issue.

2.     Consider Comfort Levels

In order to find the best fit for your teen, you need to consider the type of person they are going to be most comfortable working with.  Do you need a male or a female?  Do you need someone older or younger?  Do you need someone who is more authoritarian and commanding or flexible and fluid?  Look at the type of teachers, coaches, and other non-parent adults that your child has a good connection with for clues about what kind of counselor will be a good fit for them.

3.     Ask for Referrals.

Your teen’s medical provider is a good place to start as many family practice providers and pediatricians have experience working with the local mental health professionals and can recommend those they think would be a good fit for your child.  You can also reach out to other parents, friends, and even coworkers for referrals.

4.     Schedule a Session.

Once you have a list, call each person on it to see if you can come in and talk to them and get a feel for whether or not they will be a good fit for what your teenager needs.   Some professionals provide a brief free consultation for this purpose while others charge a fee for this initial visit.  Use this time to find out about their education, certifications, experience, philosophy, and expertise.  You will also want to determine if their services are covered by your health insurance plan.

Following these steps will make it easier to find a mental health professional that is a good fit for your teen.  The most important factors in choosing a mental health professional for your teenager are how comfortable your teen is with the person and how well they can connect with each other.

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Stressed Out Parents Create Stressed Out Kids

March 12th, 2012
Stress in Families

What impact does your stress have on your family? Image via Wikipedia

Stressed out.  Anxious.  Worried.

If you were asked which members of your family are experiencing high levels of stress and anxiety, which would you choose?  Most of us would choose ourselves, our spouses, or our partners.  We, the parents, are the ones who are worried about paying bills, anxious over the economy and stressed out from being overworked, underpaid, or unemployed.  If you picked yourselves, you are definitely right and possibly wrong at the same time.   By picking yourselves, you are indicating that you are part of the 33% of adults that are routinely experiencing a high level of stress and who would know better than you, right?  However, you may also need to pick your kids, especially if you are one of the 33%.  Because whether you believe it or not, if you are stressed, your stress is rubbing off on your kids.

Do you know how your kids act when they are stressed out?  If you are like most parents, you probably don’t.  The majority of us don’t think our children are overly stressed or worried, even though 1 in 5 of them is experiencing a high degree of stress.  This disparity between what parents think children are feeling and what children are actually feeling is one of the key findings from the 2010 Stress in America survey published by the American Psychological Association .

The APA survey also found that almost 70% of parents feel their own stress has little to no effect on their children.  The children’s responses, however, tell a different story.  When asked how they feel when their parents are stressed, tweens and teens indicated that they feel sad, depressed, worried, frustrated, annoyed, and helpless.

Our kids are also better at reading us than we are at reading them.   You may not be able tell when they are stressed, but you can be sure that they know how you act when your stress begins to boil over.  Almost all children can point to the specific behaviors their parents exhibit when they are stressed out and worried.  Teens cite things like yelling, arguing with others, having no patience, irritability, and being too busy to spend time with them as signs of parental stress.

Signs You Are Stressed

You may think you know how to tell when you are stressed out but the signs are not the same for everyone and there may be subtle cues on the way from stressed to burned-out that you are missing.  The keys to helping everyone in your family reduce their stress level and learn to manage stress more effectively are to understand how stress affects each family member and to help each other see the signs before stress boils over and becomes burn-out.  Here are some of the most common signs of stress in both adults and children.

  1. Attitudes about work or school change becoming more critical and comments about work or school are sarcastic and/or cynical.
  2. Patience decreases or disappears.  Things like traffic, waiting in line, or delays cause immediate responses and angry outbursts.
  3. Everything irritates you.  From the sound of the clock ticking in the kitchen to the way your husband clanks the ice cubes in his glass together when he drinks puts you on edge.
  4. You feel lethargic and don’t seem to have the energy you need to do housework, schoolwork, participate in sports, exercise, visit with friends, or do other activities you normally enjoy.
  5. Things feel hopeless.  Everything seems to be an insurmountable obstacle from a chemistry test to weeding the garden.
  6. Everyone keeps asking you if you are ok.
  7. Even good things don’t make you happy.
  8. Your sleeping and/or eating habits have changed.  You are either sleeping too much or too little, eating more than you should or not at all.

Make stress management a family affair and talk to your kids about the signs of stress, what is stressing them out, and ways you can all work on managing the stress of the family together.  Just remember, talking about stress and how to manage it isn’t a license to discuss all your adult problems with your kids.  You can work as a family to learn to manage stress better without stressing your kids out more by unloading all of your adult problems onto them.

Doorways Celebrates Certified Nurses Day March 19, 2012

March 8th, 2012

Doorways is celebrating Certified Nurses Day, March 19th by honoring its board certified nurses. The following nurses are being recognized for their professionalism, leadership, and commitment to excellence in patient care:

Board Certification of nurses plays an increasingly important role in the assurance of high standards of care for patients and their loved ones. Nursing, like health care in general has become increasingly complex. While a registered nurse (RN) license provides entry to general nursing practice, the knowledge-intensive requirements of modern nursing require extensive education, as well as a strong personal commitment to excellence by the nurs

Doorways encourages national board certification for all its nurses. Patients are encouraged to inquire whether there are certified nurses on staff when they visit a hospital or their primary care provider. There are many nursing certification specialties such as medical-surgical, pediatric, pain management, cardiac vascular, oncology, hospice, case management, emergency nursing, critical care and many others. Many nursing certification bodies exist to serve the full range of specialized nursing care offered in the contemporary health care system; national nurse-certifying bodies should be accredited by either the Accreditation Board for Specialty Nursing Certification (ABSNC) or the National Organization for Competence Assurance (NOCA), or both.

Please join Doorways and the nation’s national nursing certification organizations in honoring those hardworking, dedicated nurses for their professionalism, and a job well done!

About Doorways LLC.

Doorways LLC. is a faith-based counseling organization in Phoenix, Arizona, that provides comprehensive outpatient treatment focused exclusively on adolescents, young adults and their families. Therapists at Doorways specialize in treatment for eating disorders, mood disorders, substance abuse, depression, ADD/ADHD, self-harm, suicide and more.  For more information, visit http://www.doorwaysarizona.com, or call 602-997-2880.

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Build Family Bonds: Life Lessons from Family Game Night

March 7th, 2012
Hasbro Family Game Night

As teens stretch their wings and start functioning farther and farther from the family unit, some parents struggle both with letting go and with finding ways to entice their teens back into the nest for a little family time.  The bonds created by shared experience are just as important to teens as they are to toddlers. If your family has children of different ages, one of the best ways to have fun as a family is to have family game night.

Family game night provides the one thing you need to entice your teen, fun.  It may not be the kind of fun that comes from holding a controller or looking at a laptop, but it may be enough to get them to the table.  Once the game starts, your teen’s competitive nature and the sense of family togetherness will keep them coming back for more.  While the main goal is spending time having fun together, family game night also offers some valuable life lessons that everyone, even Mom and Dad, can benefit from.  As an added bonus, you might make a lifelong memory or two as you battle over the Monopoly Board or trounce each other at Trivial Pursuit.

According to Scholastic.com, the lessons learned on family game night don’t come from playing the educational game with the highest teacher rating or from stocking the shelf with every new game on the market.  The lessons about life are taught in small ways just by playing a game together.   From how to communicate to taking turns, these life lessons serve as good reminders for everyone in the family and reinforce important messages that many teens need to hear.

Lesson 1: Play by the Rules

Life is like a board game in that there are specific rules that everyone is expected to follow.  In life, these rules are represented by laws, company policies, school policies, and family expectations.  During family game night, when you play a board game, it is easy to see that when everyone plays by the rules, the game runs smoothly and everyone has the same chance to win or lose.  This is an important message for teens whose world is often too complex for them to see that they same thing is true.  When everyone follows the rules, things run smoothly and everyone has the chance to win.

Lesson 2: Learning How to Win and How to Lose

One of the most valuable lessons that playing games together during a family game night can teach younger children is that sometimes they will win and sometimes they will lose and they are okay, either way.  It doesn’t matter which as long as they do their best and take their win or their loss gracefully.  Many teens and their parents can benefit from revisiting this lesson.  At the end of the day, everyone has days where they are the winner and everyone has days that they are the loser and remembering that can make it easier to be thankful for the wins and to let go of the losses.

Lesson 3:  What Comes Around, Goes Around

In a board game, just like in real life, if you make a move that knocks your brother back to start, it is very likely that he will be looking for a chance to do the same to you.  If you slip your sister a get out of jail free card just because she needs it, she is more likely to spot you a $100 to buy a little plastic house on your property.  It is one thing to say that you should do unto others as you want them to do unto you; it is another to see your sister’s sadness at losing the game after you sent her back to start every time you could.

To get your family excited about family game night, pick a date and then have everyone nominate a game or two to be played.  Hand out voting tokens as the night approaches and let everyone vote for the games they want to play.  The two or three games with the most votes make the cut.  Make sure you have some great snacks on hand and let the family set the flow and pace of the night.  Focus on having fun with your family and you will be amazed at what everyone learns along the way.

 

Related Articles:

Eating Disorder Awareness: Binge Eating

March 5th, 2012
Secretive

Many people may only associate bingeing with bulimia but there is a new eating disorder recently accepted for inclusion in the DSM V that relates specifically to people who only experience the bingeing side of bulimia.  The new disorder, called Binge Eating Disorder (BED), is more common that anorexia or bulimia and affects about 5 million women and 3 million men in the U.S. according to The National Association of Anorexia Nervosa and Associated Disorders (ANAD).  Unlike the other primary eating disorders, BED affects both genders and all races.

Although people with anorexia may also have bulimia, neither of those disorders co-exist with BED.  It is important to understand that although people with bulimia and people with BED both experience uncontrollable eating binges that are often followed by feelings of guilt and shame, the similarities end there.  In binge eating disorder, there is no purging which is why many of those with BED are overweight or obese.

What Binge Eating Disorder Looks Like

The main element of binge eating disorder is the ravenous cravings that drive those with the condition to binge, often in secret, at all times of the day and night.  People with this condition suffer from body image issues and may use food to handle emotional upset, stress, and other psychological problems.  It can be difficult, even for experts in eating disorders, to differentiate between binge eating and overeating.

  • Someone with BED will binge, eating large amounts of high calorie food in a short time frame which results in negative emotions and anxiety about weight gain.
  • Because people with the disorder don’t participate in other unhealthy behaviors to rid themselves of the extra calories, they gain weight, which feeds their negative self image and causes more emotional stress.
  • This starts the cycle all over again as they experience binge cravings to deal with the stress and unwanted emotions.

Binge eating disorder is not characterized by an occasional episode of overeating, but rather by a compulsion to eat in order to satisfy the specific cravings currently being experienced.

The Real Dangers of Binge Eating Disorder

For people with binge eating disorder the real danger is that bingeing will result in obesity and the person will face the myriad of associated health problems including high cholesterol, high blood pressure, diabetes, gall bladder disease, heart disease, and cancer.  Additionally, people who have binge eating disorder have a higher incidence of some mental illnesses like depression.  The negative emotions and secretive behaviors that are part of the disorder can also make those with the condition feel isolated and alone especially when combined with the societal pressures of being overweight in a world where you are supposed to be thin, to diet, and to lose weight.

How You Can Help

The best way to help someone with an eating disorder is to be understanding, supportive, and patient as they work through their recovery.  For people with binge eating disorder, the prognosis is good.  ANAD indicates that some initial studies into the treatment of BED show a 50% remission rate with medication and cognitive behavioral therapy.

 

 

Eating Disorder Awareness Week

March 1st, 2012
Celebrity Eating Disorders: "Kate Moss"

This week is Eating Disorder Awareness Week and the National Eating Disorder Association (NEDA) is encouraging everyone to join the fight against eating disorders by just doing one thing to help spread awareness because everyone knows someone who is affected by an eating disorder.  Spreading awareness about these disorders is one way we can help the people in our lives that are affected by them.  It doesn’t matter if you are a parent, a teacher, a teenager, a business owner, a politician, or the bagger at the grocery store. There is something you can do this week to spread awareness and support the people around you that have anorexia nervosa, bulimia, binge eating disorder, or any other eating disorders.

The Stats

According to NEDA, an estimated 11 million people across the country are struggling with either anorexia nervosa or bulimia every day.  The battle they are waging is for survival and too many of them are losing the fight.  The mortality rate for girls between the ages of 15 and 24 who have anorexia nervosa is 12 times higher than the mortality rate for these girls from all other causes of death.  The number of Americans who have binge eating disorder (BED) is believed to be in the millions, but similar to the other eating disorders, experts believe that cases are underreported.

Despite the fact that each of the three primary eating disorders can cause serious, life-long health problems and premature death, only 1 in 10 receive treatment according to the National Association for Anorexia and Associated Disorders (ANAD).  Funding for eating disorder research continues to lag behind funding for other disorders, especially when you consider the ratio of dollars spent on research per affected individual.  NEDA indicates that in 2008, the National Institutes of Health provided $7M in research funding for eating disorders which affect 10 million Americans.  That same year, more than $400M was provided for Alzheimer’s research and almost $250M for research into schizophrenia which affect 4.5 million and 2.2 million people respectively.  This means that tax payers funded $113 of research per individual with schizophrenia, $92 per individual with Alzheimer’s, and $0.70 per individual with an eating disorder.

Just One Thing

This week is all about spreading awareness and NEDA is encouraging everyone to do just one thing to help with the fight because even doing just one thing makes a difference.  They offer the following suggestions for things you can do to join the fight.

  1. Speak Up!  You can volunteer to be a speaker in your community during awareness week.  NEDA provides pre-written presentations for volunteer speakers to use.
  2. Post It!  Spread awareness by posting to your social media sites and using your social network to encourage others to get involved.
  3. Speak Out!  Become a media watchdog and join with others who write letters to media outlets about their coverage of eating disorders.
  4. Give It! NEDA provides Healthy Body Image resources like Teaching Kids to Eat and Love Their Bodies Too!! that you can pay to have donated to a middle school in your area.
  5. Print It!  Go the NEDA Awareness Week website and register to participate.  Once registered, you will have access to a bunch of great resources including toolkits for a variety of people.  Download and print kits to give the educators at your local school, coaches of local teams, and parents you know to help spread the word.

Join the fight this week against eating disorders by doing just one thing to make a difference.  Your contribution, whether grand or small, will make a difference in the lives of people you know because everyone knows someone who is affected by an eating disorder.

Healthy Body Image Tips for Pregnant Women and New Mothers

March 1st, 2012

NEDAwareness

These tips are adapted from Does This Pregnancy Make Me Look Fat? The Essential Guide to Loving Your Body Before and After Baby (HCI Books)

by Claire Mysko and Magali Amadei

Take weight out of the equation. This might seem like a radical suggestion considering that pregnancy weight gain and post-baby weight loss are such hot topics of conversation among mothers-to-be and new moms. To add fuel to the fire, weigh-ins are often the center of every visit to the doctor. But truthfully, there really isn’t any reason you need to keep track of your weight. If you know that it could become an unhealthy fixation, tell your OB or midwife that you prefer not to discuss the number unless it becomes a medical issue. When it is necessary to be weighed, you can step on the scale backwards and remind the physician’s assistant that you don’t want to be told your weight. You’ll discover that there are plenty of other interesting—and more substantive–things about becoming a mother that you can talk about than the number on the scale.

Choose a health care provider who is sensitive to food, weight and body image issues. Most women have struggled with poor body image and many have personal experience with disordered eating. That means we need to find prenatal and postpartum healthcare providers who are knowledgeable and compassionate when it comes to these issues. We’ve heard from women who ended up in the examination room—and sometimes even the delivery room—feeling belittled and unsupported by their own doctors. The best way to avoid this scenario is to push through whatever shame you might be feeling and be upfront with your OB or midwife about your history and your pregnancy-related body image fears. If you’re met with criticism or any other reaction that makes you feel uncomfortable, remember that you are well within your rights to walk out that door and find another doctor who will treat you with more respect. Of those we surveyed, 73% of pregnant women with body image issues and histories of eating disorders and disordered eating said they had not discussed this history with their OBs or midwives. It’s time to break that dangerous silence.

Be aware of the triggers of pregnancy. The incessant counting, comparing, and measuring that happens during those nine months and beyond can tap into some of the very vulnerabilities that are linked to eating disorders and food and weight obsessions. Perfectionism, loss of control, feelings of isolation, and memories of childhood often bubble right to the surface. But if you’re getting the support you need, you’ll have a better chance of weathering those storms without resorting to self-destructive habits. Resist the urge to shut down or close off. Remember that there is nothing shameful about asking for help. It’s the most courageous thing you can do for yourself and your baby. Look at your recovery as an ongoing process that will help you reach your full potential as an individual and as a mother.

Break the cycle of body hatred. Allow yourself to celebrate the fact that your body is working some serious magic right now. Before you get stymied by stretch marks or focused on flabby skin, take time to reflect on how you will teach your child—in your words and in your actions—that you appreciate your body. We have the power to help future generations grow up placing a higher value on good health than on weight and physical appearance. But before we can pass along those positive attitudes, we must first embrace them for ourselves.

Everybody Knows Somebody. Get involved in NEDAwareness Week 2012, February 26- March 3! Visit the NEDAwareness Week homepage under Programs & Events to register today and learn more about how you can do just one thing to help raise awareness about eating disorders and become part of the solution.

National Eating Disorders Helpline: 800 931-2237 

A Coaches Guide to Eating Disorders

February 29th, 2012

NEDAwareness

By Roberta Trattner Sherman, PhD, FAED

Sport participation can be a very positive experience for an individual in that it can aid in developing self-esteem, a sense of competence, and physical conditioning, in addition to providing opportunities for healthy competition. At the same time, there are aspects of the sport environment that can increase a person’s risk for developing disordered eating. This concern, however, should not be misconstrued to mean that sport participation should be avoided. It is not sport or sport participation that needs to be avoided, but rather the risks often found in the environment.

Eating Disorders: What They Are and What They Are Not

Eating disorders are not simply “disorders of eating.” Also, they are not simply a misguided attempt to be thin; nor are they simply a sport participant’s means to reduce body weight or body fat in an effort to enhance sport performance. They are mental disorders that manifest themselves in a variety of eating and weight-related signs and symptoms. They are not caused by sports or coaches, although sports and coaches can increase the risk of developing such a disorder or exacerbate an existing disorder. Rather, they are potentially life-threatening disorders with multiple determinants and risk factors, including socio-cultural, familial, and personality factors, as well as genetics.

Identification difficulties.

Athletes are probably more at risk for developing eating disorders than non-athletes because they experience the same eating disorder risks as non-athletes but also face additional risk factors within the sport environment. Because treatment cannot occur until the athlete has been identified as symptomatic, a risk to athletes is that identification is more complicated in the sport environment. Several issues can make identification more difficult. One of these is the (mis)perception of eating disorder symptoms as “normal” or even desirable. For example, dieting, weight loss, and excessive exercise are eating disorder symptoms. However, in the sport world, where leanness and hard training are desirable traits rewarded by many coaches, such symptomatic behaviors, along with perfectionism, are apt to be viewed as traits of a good athlete. Even physiological symptoms such as amenorrhea may be viewed as “normal.” The aforementioned symptoms are even less likely to be viewed as symptoms when the athlete is performing well, because there is often a “presumption of health” with good sport performance.

Recommendations for Coaches

Coaches are in the ideal position to identify symptomatic athletes because they spend so much time with them. It is therefore important for coaches to be aware of the physical/medical and psychological/behavioral signs and symptoms of disordered eating. (See Table) Additionally, coaches have considerable influence with their athletes. Thus, their comments about weight are very powerful. As tempting as it may be to focus on loss of body weight or body fat to enhance sport performance, athletes and coaches need to be aware of issues regarding not only sport performance but also health. Sport performance is like most human behaviors in that it is determined by multiple factors. Leanness for some athletes is probably one of them, but it is one that is likely to increase the risk of disordered eating. Focusing on the other factors such as mental preparation, confidence, and physical factors such as endurance, strength, etc. is less likely to increase the risk. Other than genetics, the factor that probably plays the greatest role in sport performance is (good) health, and other than genetics probably the greatest contributor to good health is good nutrition. Additional information is available to coaches on managing disordered eating from the NCAA Coaches Handbook : Managing the Female Athlete Triad (NCAA, 2005). To download the manual, go here, then follow the link to Female Athlete Triad Prevention. Eating Disorders in Sport (Thompson & Sherman, 2010) provides a thorough discussion of the above topics.

Everybody Knows Somebody. Get involved in NEDAwareness Week 2012, February 26- March 3! Visit the NEDAwareness Week homepage under Programs & Events to register today and learn more about how you can do just one thing to help raise awareness about eating disorders and become part of the solution. Helpline: 800 931-2237

 

References

National Collegiate Athletic Association. (2005). NCAA coaches handbook: Managing the female athlete triad. Indianapolis: The National Collegiate Athletic Association.

Thompson, R.A., & Sherman, R. T. (2010). Eating disorders in sport. New York: Routledge.

Table. Disordered Eating: Signs and Symptoms

Caution: The fact that an athlete displays some of the characteristics below does not confirm that the athlete is engaging in disordered eating. However, the likelihood increases as more signs and symptoms are evident. Also note that this is not a complete list of symptoms, but rather includes the most common ones.

Physical/Medical Signs and Symptoms

  1. Amenorrhea
  2. Dehydration
  3. Gastrointestinal Problems
  4. Hypothermia (cold intolerance)
  5. Stress Fractures (and overuse injuries)
  6. Significant Weight Loss
  7. Muscle Cramps, Weakness or Fatigue
  8. Dental and gum Problems

Psychological/Behavioral Signs and Symptoms

  1. Anxiety and/or Depression
  2. Claims of “Feeling Fat” Despite Being thin
  3. Excessive Exercise
  4. Excessive use of Restroom
  5. Unfocused, Difficulty Concentrating
  6. Preoccupation with Weight and Eating
  7. Avoidance of Eating and Eating Situations
  8. Use of Laxatives, Diet Pills, etc.

Posted with permission from NEDA

 

5 Ways to Help Girls Resist the Pressure to be Perfect

February 27th, 2012

NEDAwareness

These tips are adapted from You’re Amazing! A No-Pressure Guide to Being Your Best Self

by Claire Mysko (Adams Media)

Girls today are told they can do anything. Unfortunately, the message they’re often getting is that they have to do everything–and please everyone while they’re at it. All this pressure is adding up to big time stress. According to The Supergirl Dilemma, a study conducted by Girls Incorporated, more than half of girls in middle school reported that they often feel stressed. By the time girls get into high school, that number jumps to 74%. One third of all girls in grades 3- 12 said they often feel sad and unhappy.

When girls get caught up in the quest to be supergirls, they are less likely to feel confident in themselves and more likely to struggle with low self-esteem and poor body image. Here are five tips to help the girls in your life tackle The Supergirl Dilemma.

  1. Does the pressure to do it all sound familiar? Supergirls and Superwomen hear the same voice, and it says “you’re not good enough.” Remember to give yourself a break and take time for healthy stress relief. If we want to break this damaging “super” cycle and set positive examples, we have to start with ourselves.
  2. Teach girls to be savvy and critical media consumers. Resist the urge to simply lecture about what you think is inappropriate. Instead, ask them what they like about the movies and TV shows they watch and the magazines they read. What do they dislike? Talk about the difference between fantasy and reality by showing girls real examples of retouching. Point out how often retouching is used to make models and actors look artificially flawless.
  3. Encourage girls to exercise their bragging rights. Girls are often hesitant to talk about what makes them amazing because they don’t want to be seen as conceited or they feel like they’re not perfect enough to be proud of themselves. Turn that thinking around by challenging girls to take pride in all of their amazing qualities, not just their achievements. Ask a girl what makes her amazing. If you get a sheepish shrug or an “I don’t know,” press on. You can spark the conversation by sharing a few of her qualities that you think are amazing, but don’t let her off the hook until she can say this sentence out loud: “I’m amazing because…”
  4. Discuss the value of making mistakes and taking healthy risks. Many girls are so focused on being perfect and doing things “right” that they miss out on valuable opportunities because they are so afraid of failure. Share a mistake you made or a risk you took in life that helped you get where you are today.
  5. When girls talk about the pressures they feel, the best thing you can do is listen. Don’t judge, interrupt, or get upset. Remember that what girls need most of all in their lives are supportive adults who take the time to hear what they’re saying.

 

Amazing Girl

  • Asks questions
  • Makes mistakes and learns from
  • Talks about her feelings, fears, hopes, and dreams
  • Tries new things
  • Supports other girls
  • Is proud of her accomplishments, no 
matter how big or small
  • Knows three trusted adults she could 
turn to if she had a problem
  • Knows how to set boundaries and 
say no
  • Takes care of her body, mind, and 
spirit

Super girl

  • Is afraid of not knowing the “right” answer
  • Makes mistakes and agonizes over them
  • Keeps it to herself when she’s stressed or sad
  • Doesn’t take on new challenges
  • Is jealous of other girls’ successes
  • Feels like no accomplishment is good enough or big enough
  • Wants adults to think she is happy, even if she doesn’t always feel happy
  • Sometimes does things she doesn’t want to do if she thinks people might like her more for doing them
  • Wishes she could be smarter, prettier, more popular, more athletic- -the list goes on

Everybody Knows Somebody. Get involved in NEDAwareness Week 2012, February 26- March 3! Visit the NEDAwareness Week homepage under Programs & Events to register today and learn more about how you can do just one thing to help raise awareness about eating disorders and become part of the solution. National Eating Disorders Helpline: 800 931-2237

Can You Tell Anything at All by a Person’s Weight?

February 23rd, 2012

NEDAwareness

By Deb Burgard, PhD

If you have grown up in this culture, you probably associate quite a few things with fatness and quite a few of the opposite traits with thinness. Almost every audience comes up with the same lists:

Fat:

  • Lazy
  • Depressed
  • Sick
  • Out of control
  • Loser
  • Bad

Thin:

  • Productive
  • Confident
  • Healthy
  • Disciplined
  • Sexy
  • Good

Even though these associations are not something people from other cultures (or other times in history) believe, they are so strong and unquestioned in our own time that they form the basis of our weight stereotyping, bias, and stigma.

To test your own associations, go take the Weight version of the Implicit Attitudes Test. The test does not measure whether you inflict weight bias on people, but rather how strongly you have been taught to associate certain concepts with weight.

It might be surprising to know that weight stigma hurts both thin and fat people. In my work with people of all sizes who are struggling with disordered eating, it is clear that a huge factor in their misery is almost always the worry that they will be humiliated and rejected because of their weight – no matter what their weight is. I have had people sitting in my office who look like they walked straight out of a fashion magazine who are convinced they are not thin enough, not perfect enough, and not good enough (and some of them are absolutely accurate about the impossible standards of their world of ballet or modeling or a really bad relationship). Others have endured a lifetime of negative stereotyping and discrimination as fat children or adults, and can’t imagine loving the bodies they blame for the meanness of other people. Still others have witnessed the humiliation of a friend, a parent, a sibling– and are petrified about such a thing happening to them.

So some of them have had actual experiences of weight stigma, some of them give themselves the experience of stigma within their own minds, and some are convinced that it is only a matter of time before the axe falls unless they perfect their bodies to some mythical state. No one feels safe, because everyone has times when we feel something from the “fat” column.

When I work with clients, we have to figure out a way to handle both the real and the self-inflicted experiences of weight stigma , so that s/he can get unstuck and recover. Part of this work is to change one’s own mind about what fat and thin means. Part of it is to change other people’s minds.

And so today in the spirit of changing other peoples’ minds, I ask that we stop for a moment and question this weight stigma stuff, and why we keep it around.

It seems obvious that the diet (i.e., the weight cycling) industry wants to keep it around because how else would you sell a program that never works, over and over again, and not worry about the consumer getting hip to the fact that it is useless? But even though it is a big honking industry (most recently estimated at over $60 billion), most of us are not making money from it and would be fine if it suddenly went out of business. In fact, most of us would be much better off economically with our $500- 1000/year safe in our own pockets rather than the weight cycling industry.

So what about the rest of us who aren’t profiting off this industry? Why would we perpetuate weight stigma? When you look at the lists of traits associated with “fat” and “thin,” what strikes me is that they are such normal human states and traits. Is there a week that goes by when you don’t feel like some of Column A and some of Column B? But the “fat” traits are painful to experience – they are the things we feel when we miss the deadline, can’t get motivated, find ourselves rejected, or are diagnosed with a health problem. We would prefer not to feel them at all, and when we are promised that just by losing weight, we will become a Whole New Person (free of all the “fat” traits!), we think that would be a pretty great deal. That promise sucks us in. We cave to the illusion that life does not have to sometimes feel bad, and we perpetuate the myth that by changing our bodies, we can avoid ever feeling bad. In fact, if you feel bad, it must be your own fault.

The truth is, few people live only in the “Thin” column. And actually, when you think about it, doing so might make you pretty insufferable. It may be the reason some people can be so immensely clueless about the weight stigma they are inflicting on others – being cut off from your own human vulnerability makes it more possible to justify “punishing” other people. Only someone who refuses to identify with the person across from her who is suffering, would add to that suffering.

There are people who understand that weight stigma is causing suffering but feel like it is somehow going to make people care about their health. Like a person will start exercising to lose weight, but not to become more healthy, so we have to keep trying to stigmatize higher weight and promote weight loss.

It is true that people are social animals, and are very punished by being stigmatized. But punishment is famously unpredictable as a motivator. The things people do to leave the stigmatized group are often not at all conducive to their health. Injecting poison into your skin, slicing up healthy body organs, starving yourself, taking drugs, and even repetitive weight loss attempts, are things that make people sicker. Even though I don’t think people would go through half of what they do in the name of weight loss just to have lower blood pressure or better triglycerides or a lower risk of a stroke, I would argue that the net effect of the attempt to leave the stigmatized group is actually less health. Weight loss is not like trying to quit smoking. Weight cycling makes you sicker and fatter. And if your weight loss takes the form of an eating disorder you have a one of the deadliest psychiatric illnesses to battle.

And what about the health burden of weight stigma itself? Historical studies of cultures where higher weight is not stigmatized show that people at higher weights were just as, or even more, healthy than the thinner members of the community. And perhaps the most robust finding in all of epidemiology is that social support is the holy grail of health. How can removing social support – and making people sicker – be a path to making people healthier? How can the US government telling people that we are trying to eliminate them in a generation make them healthier?

The truth is, there is no reason to demonize people of certain weights. The far more effective message is that people can find things to do that support their health at whatever size they are. After all, the same practices and environments support health for thin or fat people. If the same cafeteria feeds the thin kids and the fat kids, why can’t we talk about what is on the menu that supports the health of all the kids? Why do we have to argue that the food has to change so we can have no fat kids? Why can’t we argue that the food should be healthy for the kids–period? We can work to create environments that support people in their efforts to thrive and make lasting efforts to take care of their bodies. Part of creating that environment is ridding it of the pollution of weight stigma.

I grew up during times of great social upheaval, and I have seen a lot of change when it comes to social stigma. Though the world is far from perfect, it is a very different place now than it used to be if you live together without being married, or get divorced, or have a baby as a single parent, or work as a female airline pilot, or get around in a wheelchair, or raise kids as gay parents, or love someone of a different race or religion. Stigma is a kind of fashion. We can change what is fashionable. We can make weight stigma incredibly uncool. Because it is.

So what are you going to do today to end weight stigma, in your mind, and in the world?
Deb Burgard, PhD is a psychologist specializing in eating, weight, and body image concerns. She practices in the San Francisco Bay area, blogs for ASDAH, and is the creator of Body Positive.com.

Everybody Knows Somebody. Get involved in NEDAwareness Week 2012, February 26-March 3! Visit the NEDAwareness Week homepage to register today and learn more about how you can do just one thing to help raise awareness about eating disorders and become part of the solution. NEDA’s Helpline number is: 800 931-2237

Posted with permission from NEDA

25th Annual National Eating Disorders Awareness Week, Feb 26th- March 3, 2012

February 22nd, 2012

Certified Eating Disorder Specialists Available for Interview in Conjunction with 25th Annual National Eating Disorders Awareness Week, Feb 26th- March 3, 2012

According to statistics, more young women in the US die from anorexia nervosia than from any other cause.  That’s why it’s so critical that we raise awareness of eating disorders in the United States.  

February 26th- March 3, 2012, marks the 25th annual National Eating Disorders Awareness Week (NEDAwareness Week) in an effort to bring public attention to the critical need to raise awareness and funding to battle eating disorders in the U.S.    

Who:             Certified Eating Disorder Specialists from Doorways, LLC, the only organization in Phoenix that specializes in the outpatient treatment of teens and young adults with mental health issues.

What:           National Eating Disorders Awareness Week, February 26- March 3rd, 2012

Story Ideas:

  •  How do you know if someone has an eating disorder?
  • What do you do if you suspect someone has an eating disorder
  • How can you get help for someone has an eating disorders

Talking Points & U.S. Statistics on Eating Disorders:  (Source: National Eating Disorders Association)

  •   For females between 15- and 24-years-old-old who suffer from anorexia nervosa, the mortality rate associated with the illness is 12 times higher than the death rate of all other causes of death
  •  We live in a culture saturated with unrealistic body-image messages and almost all of us know somebody struggling with an eating disorder.
  •  Eating disorders are serious illnesses, not lifestyle choices
  •  As many as 10 million females and 1 million males in the U.S. battle anorexia or bulimia. And as many as 13 million more struggle with binge eating disorder. Millions practice disordered eating due to an obsession with dieting
  • Four out of 10 Americans either suffered or have known someone who has suffered from an eating disorder
  • 40% of newly identified cases of anorexia are in girls 15-19 years old
  • There was a significant increase in incidence of anorexia from 1935 to 1989, especially among young women 15-24
  • There has been a rise in incidence of anorexia in young women 15-19 in each decade since 1930
  • Over one-half of teenage girls and nearly one-third of teenage boys use unhealthy weight control behaviors such as skipping meals, fasting, smoking cigarettes, vomiting and taking laxatives
  • Girls who diet frequently are 12 times as likely to binge as girls who don’t diet
  • 42% of 1st-3rd grade girls want to be thinner
  • 81% of 10 –year-olds are afraid of being fat
  • The average American woman is 5’4” tall and weighs 140 pounds. The average American model is 5’11” tall and weighs 117 pounds
  • Most fashion models are thinner than 98% of American women
  • 46% of 9-11 year-olds are “sometimes” or “very often” on diets and 82% of their families are “sometimes” or “very often” on diets.

About Doorways LLC.

Doorways LLC. is a faith-based counseling organization in Phoenix, Arizona, that provides comprehensive outpatient treatment focused exclusively on adolescents, young adults and their families. Therapists at Doorways specialize in treatment for eating disorders, mood disorders, substance abuse, depression, ADD/ADHD, self-harm, suicide and more.  For more information, visit http://www.doorwaysarizona.com, or call 602-997-2880.

 

 

Adolescent DBT Group, Phoenix, Arizona

February 22nd, 2012

Adolescent DBT Group, Phoenix, Arizona

March 15th-May 3rd, 2012.  Enrollment is now open for a new adolescent DBT Group in Phoenix, Arizona.  Join anytime during session.  Read more below:

Who:    This group is recommended for male and female adolescents ages 13-17 who are struggling with their emotions and want to learn how to take back control of their life.  The group exercises are fun and interactive and through them kids learn how to handle stress, be more self confident, regulate mood swings, communicate their feelings and more.

What:    This Dialectical Behavior Therapy (DBT)  group is an interactive and  educationally based group that explains the DBT coping skills to help young adults replace unhealthy and problematic behaviors.

When:  Thursdays, March 15 – May 3, 2012, 6:30 – 8:00 p.m.  Open enrollment, can join any time during 8 weeks.

Led by: Sam Lample, MA, PLC and Chase Kerrey, MA, LAC.

Where: Doorways, 1825 E. Northern Ave, Suite 200, Phoenix, Arizona

Cost:      $45 per session, $360 total. Pay only $300 if paid in full by March 16.How: To sign up or for more information call Trina at Doorways, 602-997-2880 or email her at trina@doorwaysarizona.com.

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Eating Disorder Support Group for Young Women, Phoenix, Arizona

February 22nd, 2012

Eating Disorder Support Group for Young Women ages 17-25.

 March 12th-April 16, 2012 – Enrollment is now open.  See below for more information. 

Who: This group is recommended for young women ages 17-25 who are working through eating disorder issues.

What: A hands-on support group including a faith-based perspective to help in the eating disorder recovery journey.

When: Mondays, February 27 - April 16, 2012, 6:30 - 8:00 p.m.  Open enrollment, can join anytime during the 8 weeks.

Led By: Rachel Daberkow, RD, and Chase Kerrey, LAC.

Where: Doorways, 1825 E. Northern Ave, Suite 200, Phoenix, Arizona

Cost: $45 per session, $360 total. Pay only $300 if paid in full by February 27.

How: To sign up or for more information call Trina at Doorways, 602-997-2880 or email her at trina@doorwaysarizona.com.

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Eating Disorder Awareness: Bulimia

February 14th, 2012
Bulimia Binge

The pressure to be thin in order to fit in is more extreme for today’s teenagers than it was for their parents and grandparents, often resulting in the development of eating disorder and the need for teen counseling.  The obsession with weight that so often contributes to the development of eating disorders like bulimia is starting younger and younger.  The National Association of Anorexia Nervosa and Associated Disorders (ANAD) found that almost half of girls in 1st-3rd grade wish they were thinner and by age 10, 80% of those girls will be afraid of getting fat.  By the time they reach college, more than 90% of them will have been on a diet at some point in their lives and 25% of them will be using the binge and purge cycle associated with bulimia as a way to manage their weight.

Statistics show that more than 80% of eating disorders start before age 20.   As many as 4% of women will struggle with bulimic behaviors at some point in their lifetime and since people with bulimia can be any weight, this eating disorder can be harder to spot than others like anorexia.  It is common, however, for people who are anorexic to also use bulimic behavior to control their weight.

What Bulimia Looks Like

People with bulimia can be any weight- from the kind of underweight associated with anorexia to obese.  Like other eating disorders, those with bulimia are often afraid of being overweight, obsessed with weight management, and always trying to lose weight so that they will be happier with their body.  However, the behaviors people with this disorder use to address those fears don’t generally result in weight loss by themselves.  Bulimic behaviors follow a cycle that starts with the binge.  During a binge, people will eat excessive amounts of high-calorie food in a short period of time and feel like they have no real control over their eating.  After bingeing, the person feels ashamed, disgusted, afraid, or guilty for consuming so many calories and purging feels like a way to rewind the clock and undo the damage.  Purging, which can occur through vomiting, abuse of laxatives, excessive exercise, or starvation, often relieves the anxiety and helps alleviate the negative emotions caused by bingeing.

The shame associated with bulimia often results in secretive behavior and people with the disorder may go to great lengths to hide their abnormal eating habits and purging behavior.   There are however, some signs that can point to a problem with bulimia, if you know what to look for.  People with this disorder are often preoccupied with food, may exercise compulsively for hours each day, frequently go to the bathroom directly after eating, and may take an excessive number of diet pills, diuretics, or laxatives.  There are physical signs as well, but they can be more difficult to spot.  They may have broken blood vessels in their eyes and swollen salivary glands at the corners of their mouths caused by vomiting, small calluses or cuts across their knuckles from inducing vomiting, and problems with their teeth like excessive decay, gingivitis, or loss of tooth enamel.

The Real Dangers of Being Bulimic

Like other eating disorders, bulimia can be dangerous and even life-threatening.  People with bulimia may experience problems with constipation, dehydration, hemorrhoids, and even pancreatitis.  Excessive vomiting can lead to serious damage to the esophagus including tearing and rupture in addition to permanent damage to teeth and gums.  Overuse of laxatives or diuretics can result in electrolyte imbalance, and dehydration.

How You Can Help

People who have eating disorders need the support of those around them.  If someone you know has an eating disorder, the best way to help is to educate yourself about the disorder and provide the support they need throughout their recovery.

Eating Disorder Awareness: Anorexia Nervosa

February 7th, 2012
Celebrity Eating Disorders

It’s no secret that eating disorders are a real and pressing problem for today’s teenagers.  According to the National Association of Anorexia Nervosa and Associated Disorders (ANAD), there are more than 24 million Americans with eating disorders and only 1 out of every 10 of those people will receive any treatment.  ANAD indicates that more than 80% of eating disorders, including anorexia nervosa, begin in adolescence.   Anorexia is the third most common chronic illness amongst adolescents and it carries a mortality rate twelve times that of any other cause of death for females between 15 and 35.

When you consider the life-long consequences and life threatening danger faced by people with anorexia nervosa, it is clear to see that early detection is critical.  Whether you are a parent, a teacher, a coach, a best friend, or a boyfriend, it is more important than ever for everyone to know how to recognize the signs and symptoms of anorexia.  Understanding what to look for and knowing what to do could help save the life of someone you love.

What Anorexia Nervosa Looks Like

Everyone has seen pictures of people with the tell-tale emaciation that can be caused by anorexia nervosa.  But there are many other signs that someone in your life has this eating disorder that are less overt.

  • Food consumption and weight management become an obsession.  This is not your teenage daughter complaining that she looks fat today.  This is an all encompassing obsession with how much food they eat and how many calories and fat grams each bite of food they take contains that can take over their life.
  • Food consumption decreases to starvation levels.  People with anorexia nervosa may stop eating around other people, start making plans that result in them missing regular mealtimes, and use extreme portion control to limit their caloric intake.
  • Irregular growth and loss of hair.  While it may seem strange to have both excess growth and abnormal loss, both can be seen in someone with anorexia nervosa.  Lack of nutrition can cause hair to become brittle and fall out while lack of body fat can signal the body to grow more hair in an attempt to regulate body hair.  This abnormal growth appears as a fine layer of hair on the face and body.
  • Overuse and abuse of laxatives, diuretics, and diet pills.
  • Consistently low body weight paired with a refusal to maintain a normal weight.  This is an important distinction as some people who do not have an eating disorder may be perpetually below their ideal body weight.  But someone who has a body weight more than 15% below their ideal weight who also refuses to gain enough to maintain a normal weight may be anorexic.

The Real Dangers of Being Anorexic

Anorexia nervosa takes an immediate toll on the body that results in abnormal weight loss and nutritional deficiencies.  But it also causes other problems that can take longer to be seen and may have life-long impacts.  It creates a type of mental fog that makes it difficult to concentrate and regulate mood fluctuations.  It causes irregularities in the cardiovascular system including slow, uneven pulse rates, low blood pressure, shortness of breath, and dizziness.  It also impacts the musculoskeletal system and can lead to stunted growth rates, an increase in bone fractures, and osteoporosis.  It can result in abnormalities in thyroid function that cause fatigue, hair loss, and low body temperature.  It can lead to dependence on laxatives or other pharmaceuticals that result in life-threatening conditions like electrolyte imbalances and dehydration.  Overall lack of specific nutrients like potassium can also be immediately life threatening.

How You Can Help

The best way to help someone with an eating disorder is to be there for them and provide the support they need to regain their health throughout the various stages of recovery.  That starts with speaking up when you have concerns and following through until you are no longer concerned or the person in your life gets the help they need.  We at Doorways have trained counselors to treat teens and adolescents struggling with eating disorders such as Anorexia.

It is a common misconception that it takes years to die from anorexia nervosa.  If you are concerned about someone in your life, don’t wait; they may have less time than you think.

DBT Group for Adolescents

February 5th, 2012

DBT Group for Adolescents

Who:   Male and Female Adolescents, ages 13-17.  Group is open enrollment (you may join at any time).

What:  Interactive, experiential, and educational group that teaches DBT life coping skills.

When:  Wednesdays, 6:30 p.m. – 8:00 p.m.

Led By:  Sam Lample, LPC, Chase Kerrey, LAC, and Sarah VanHolland, LPC

Where:  Doorways Arizona, 1825 E. Northern Ave, Suite 200, Phoenix, Arizona 85020

Cost:  $45 per session -OR- prepay for 8 sessions and get a $60 discount

How:  Email Trina or call Doorways, (602) 997-2880

 

Onsite Counseling and Nutritional Services

February 4th, 2012

Doorways is available by contract  to provide confidential, professional, onsite counseling (counceling) services to schools and universities, community organizations, associations and more. Onsite services offered include counseling for:

  • Substance Abuse
  • Domestic Violence
  • Grief & Loss
  • ADHD
  • Anger Issues
  • Sexual Abuse & Trauma
  • Eating Disorders
  • Stress Management
  • Bullying Workshops and Seminars
  • Suicide Prevention Workshops
  • Communication with Teens
  • Alcohol and Drug Abuse Prevention
A dietitian is available to go to your site to provide nutritional advice for:
  • Athletes
  • Vegetarians
  • Internationals confused about American food
  • Allergy sufferers
  • Disordered eating or eating disorder awareness
  • Weight management, how to lose or gain weight
  • Diabetes, and other medical conditions
Workshops are also available on topics such as hydration, how to eat healthy in the cafeteria, snack ideas, how to avoid the freshman 15 and more.
Other counseling and nutritional services are offered off-site at Doorways, LLC for teens and young adults. Cost for offsite services vary.  Please contact Doorways for more information about counseling for teens and young adults-ages 13-25.  Additional services offered at Doorways include:
  • Psychiatric Evaluations
  • Family Counseling
  • DBT Support Groups
  • Medication Management

For more information about onsite counseling services for your school, university, business, or organization contact Doorways at 602-997-2880.

How Sleep May Be Impacting Your Teen

January 30th, 2012
Sleep Deprived Teen

When we are overtired, everything in our life suffers.  We are moody and irritable which affects our personal relationships.  Our ability to concentrate and focus is compromised, making it difficult to learn, retain, and recall information.  We lack energy which makes exercise and physical activity difficult.  We drive when we are drowsy which endangers our lives and the lives of everyone else on the road.  For teens and adolescents, sleep deprivation can cause these problems and more at one of the most crucial developmental periods of their lives.

Why Sleep Matters

Sleep is as important to our health as breathing clean air and eating healthy food.  According to the National Sleep Foundation (NSF), there is a relationship between how much sleep you get, the quality of the sleep you get, and your overall health.  If you don’t get enough sleep, it can impact your hormone levels, impact the way your body handles insulin, and increase your risk of developing diabetes, hypertension, cardiovascular disease, and becoming obese.  In addition to the health risks, sleep deprivation is also the primary cause of drowsy driving and has a detrimental effect on grades and scholastic achievement.

The Facts about Teens and Sleep

If your teen is staying up late and struggling to drag themselves out of bed in the morning, it isn’t because they are being lazy or disobedient; and simply telling them that they need to go to bed earlier isn’t likely to fix this issue. Our biological sleep patterns shift when we are teens making it difficult to fall asleep before about 11:00PM.  Because teens need as much as nine hours sleep each night, this biological shift makes it difficult for teens to get the sleep they need and still get up for school on time.

Teens are not getting the sleep they need.  One study cited by the National Sleep Foundation showed that 85% of teenagers are getting less than 8.5 hours of sleep on most school nights despite the fact that many teens actually need more than nine hours of sleep every night.  Another study  showed that 26% of high school students are sleeping less than 6.5 hours a night which is causing a serious sleep debt to accrue.

The Dangers for Teens

The list of problems that sleep deprivation contributes to is long and varied.  While most of these problems affect anyone who isn’t getting enough sleep, the consequences to teenagers can be different than those for adults.  Here are some of the problems the National Sleep Foundation and the American Psychological Association sleep deprivation in teens can cause:

  • Problems with learning including difficulty concentrating, listening, problem solving, remembering, and with behavior.  Sleep deprivation can lead to aggressive and inappropriate behavior including outbursts, anger, and impatience.
  • Acne.
  • Increases the likelihood of overeating and making bad food choices which when combined with hormonal changes caused by lack of sleep contribute to weight gain and obesity.
  • Increases the use of caffeine and nicotine.
  • Increases the risk of being involved in a drowsy driving accident.
  • May be linked to depression and other mood disorders.

 

The best way to combat sleep deprivation in teenagers is to make sleep a priority and encourage them to follow a consistent sleep routine.  Helping teens learn to use naps appropriately, create a good sleep environment, and stick to a schedule can decrease their likelihood of being sleep deprived while also teaching them the skills they need to be good sleep managers throughout their lives.

Tips and Tricks for Communicating with Your Teen

January 25th, 2012
Communicating with Teens

If you are the parent of an adolescent, it is likely that you will experience problems communicating with them at some point before they become adults.  This is one of the most common problems parents and teens have to overcome and is often the root cause of other problems.

Teens are going through one of the most significant transitions of their lives; they should be learning to make their own decisions, take responsibility for their actions, and to become independent from their parents.  This can be stressful, confusing, and frustrating for them and you as they struggle to handle situations and make decisions without the confidence that comes from experience.  When parents take this struggle and frustration as a personal rejection or label it as just a bad attitude, it can close the door to effective communication at a time when teens need that two way interaction more than ever.

One of the most common mistakes parents make is forgetting that effective communication involves both sending a clear message and trying to receive the message as intended.  Parents need to be able to listen more than they talk.  This can be a challenge when it feels like your teen is being evasive, belligerent, or withdrawn and may feel impossible when it seems like they aren’t listening to you.

Open the door to meaningful communication with your teen by:

  • Being willing to let them talk with you about everything and nothing.  Make sure you have a strong reliable communication channel for the important stuff by using it even when there isn’t anything of great importance to say.
  • Focusing on your teenager, show them you are interested in their life and engaged in your conversation with them by giving them your full attention, listening without judging, and being as respectful to their views and opinions as you expect them to be of yours.
  • Using supportive, engaging language that shows you are listening and invites your teen to ask for advice, seek support, and turn to you in times of trouble.
  • Making sure you stay on the same page by using your own words to restate important points your teen makes to confirm you have a shared understanding.
  • Involving your teen in decision making and troubleshooting as a team.
  • Maintaining a daily connection by spending time together, even if it is only a few minutes before bed or the length of the car ride to school.
  • Using shared interests and activities to provide teens with a pressure-free platform to talk.  It isn’t always easy for them to bring up sensitive issues or to talk through things they are struggling with when they are on the spot.
  • Respecting your teen’s privacy.  This helps foster independence and creates a bond of trust that increases the likelihood that they will come to you when it really matters.
  • Talking to your teen with respect as you would talk to another adult to help them learn how to communicate and interact like one.

Make sure that door stays open by avoiding the following:

  • Talking down to your teen, demeaning their ideas, or using every conversation as a chance to criticize them. You, of course, can disagree and hold to your own standards and expectations of conduct, but let them know that you value what they say and think.
  • Talking over your teen or interrupting them when they are speaking to you.
  • Dismissing your teen’s point of view or their concerns.
  • Being judgmental, criticizing their friends, belittling their beliefs, or overriding your teen’s opinions.

The bottom line is that you want to be the rock they rely on, the person they know they can always turn to when they are struggling or in trouble.  In order to be that person for them, they need to have confidence that you will listen, you won’t fly off the handle, and you will help them find the right solution to their problem.  The keys to fostering that type of relationship are being reliable, listening, staying calm, and helping them figure out how to solve the problems that matter to them.

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The Truth about Teenagers and Texting

January 23rd, 2012
Teens and Texting

The question for parents used to be, “do you know where your children are?”  Now, that question may be changing to “do you know where your child’s cell phone is?”  Research on teens and texting seems to support growing concerns amongst members of the medical and mental health community that there may be a price to all this texting that cannot be mitigated with any unlimited plan.

The Numbers

A study published in 2010 by Case Western Reserve University School of Medicine Master of Public Health program found that heavy usage of texting and other social connection technology is associated with higher rates of unhealthy behaviors.   They determined that teens and adolescents who sent more than 120 texts per school day fell into a category called hyper-texters.

This group was:

  • 40% more likely to have tried cigarettes
  • 41% more likely to have used illicit drugs
  • 55% more likely to have been in a physical altercation
  • 2x as likely to have tried alc
    ohol
  • 3.5x as likely to be sexually active

When the study data was collected, only about 20% of teens fell into this hyper-texting group.  However, according to a poll taken at the end of 2010 by The Nielsen Company, the average teen now sends almost 3,400 texts per month which equates to about 113 texts per day.  This means that most teens are either already hyper-texters or are nearly there.

 

The Concerns

While the statistics are enough to raise the concerns of every parent, there are also concerns about the long term effects these technologies will have on the health and development of teens.   The constant interruption caused by receiving a hundred text messages a day makes it difficult to study, focus, and retain important information.   Some doctors are concerned that teens will develop repetitive motion injuries that impact the development of their arms, hands, and thumbs and even lead to permanent damage. There are also concerns amongst those who see to the mental health of our teens that some aspects of being constantly connected to peers and parents may negatively impact teen’s social and emotional development as well.

What Can Parents Do

The most important thing for parents to do is remain involved.  This means monitoring social networking use and experience, monitoring text message logs, and setting guidelines about texting in school or after bedtime.  Keep communication lines open and make sure you listen significantly more than you talk.  Set a standard for responsible technology use in your house and then provide a good example for your teens to follow.

The Effect of Media on our Teens

January 18th, 2012
Media and Teens

What effect does media have on teens?

More than ever before, the media is all around us.  We experience it on our TVs, on our computers, on our smart phones, in our newspapers, and on the radio.  It is our primary medium for both communication and entertainment.  For teens, this is even truer.  The majority of their lives, including a significant portion of their social interaction, is guided and supported by different kinds of media and the messages that media provides.

The messages that seep into their lives through these media platforms are both subtle and pervasive.  They can alter opinions, change minds, encourage new experiences, and set expectations about the world outside our family.  These messages are both good and bad and teens may struggle differentiating between the two.

Negative Effects

  • School Performance – According to the Kaiser Family Foundation study entitled Generation M2: Media in the Lives of 8-to 18-year-olds, teens that spend more time interacting with media have lower grades and spend less time reading than their peers.
  • Obesity –The Kaiser Family Foundation pulled together the most significant research on childhood obesity and media usage from the last 30 years and presented it in a fact sheet entitled The Role of Media in Childhood Obesity.  Although this analysis found that there are several factors that contribute to the obesity problem, media usage plays an important role.
  • Exposure to advertising – An article from the American Academy of Pediatrics highlights the dangerous and unhealthy messages our teenagers get from advertising about food, body image, smoking, alcohol use, nutrition, sex, and obesity.  Because advertising highlights benefits without showing negative consequences it can create unrealistic expectations for the outcome of specific behavior.
  • Violence – The Kaiser Family Foundation also produced a fact sheet on the relationship between media violence and behavior.  Although no study has established a definitive link between media violence and violent behavior in teens, there is adequate evidence to support a causal relationship between media violence and aggressive behavior.
  • Sex – A study conducted by the RAND Corporation found that teens with significant exposure to sexual content in the media were more likely to become sexually active and had a greater risk for teen pregnancy.

What Parents Can Do

The American Academy of Pediatrics says there are some steps parents can take to minimize the effect media has on their teens.  The most important factor is to stay involved and participate with your teen, especially when they don’t want you to.  For most teenagers, elimination of media, if it were even possible, is not necessarily the right solution.  Media is so pervasive in our culture that providing teens with the skills necessary to question, evaluate, analyze, and discuss the messages they see in media is more effective than outright bans.  By teaching them to process the messages they are being bombarded with everyday, parents are giving them the tools to mitigate the impact of media on their lives.

Parents can also work with their teens to create a media plan that includes watching TV and movies together, limiting media time, restricting programs and content that are not appropriate and setting aside media free time for school work and family meals.  Parents can also limit media usage by keeping televisions, video games, and computers in common areas and out of bedrooms.

Should Your Teen Set New Year’s Resolutions?

January 16th, 2012
New Years Resolutions and Teens

As the first few days of 2012 roll by, many people will be talking about and setting their New Year’s resolutions However, even those who set resolutions don’t always expect them to be successful.  The statistics don’t lie; 35% of those who make resolutions don’t even make it through the first day.  But, statistics go both ways.  According to a study completed at the University of Scranton, almost half of those who set resolutions go on to achieve some degree of success as opposed to only 4% of those who think about setting goals, do not commit to a specific resolution.

If you are interested in helping your teen set and stick to a couple New Year’s resolutions, think about making it a family affair.  Setting goals together fosters the type of supportive environment that helps people succeed at making life changes.  Even if each family member has their own set of resolutions, you can act as accountability partners for each other and work together to stay on track.  In addition to the family unity benefits that this type of activity can offer, getting teenagers to start thinking what they want to achieve will help them develop the skills needed for long-term planning.

If your teen is resisting participation, talk about why goals and resolutions are important from your perspective.  Then listen to their objections thoughtfully.  If you cannot convince them to get on board, seek some kind of compromise.  Resolutions and goals must be sincere to be attainable.  Forced or begrudging participation may result in a list of resolutions, but it isn’t likely to result in long term change.

To help both parents and teens set their resolutions, we pulled together a list of some of the more common resolutions to provide each group a place to start.  As you work through the list and determine your own resolutions, remember that being sincere about the resolutions you set and believing that you can succeed are the two factors that will contribute most to your success.

Ideas for Teens

  1. Commit to helping out around the house in one new way every week.
  2. Commit to being more helpful to your family or more social at school.
  3. Make yourself available take over the care of the family pets.
  4. Make a commitment to turn on the TV less.
  5. Decide to be nicer to your brothers and sisters, especially if they look up to you.
  6. Decide to read more, and to read just for fun.  Set a goal for how many additional books you want to read next year.
  7. Resolve to ask for help when you need it and take help when it’s offered.
  8. Resolve to volunteer and give some of your time to someone else.
  9. Commit to being more organized and make a plan for how you will get organized and stay that way.
  10. Commit to taking school seriously.

Ideas for Parents

  1. Resolve to be a healthier family and set a good example for your children.
  2. Commit to eating dinner together at the table several nights a week.
  3. Decide to focus on getting more quality time with both your children and your spouse or significant other.
  4. Choose a home improvement project or a vacation that they family can plan and undertake together.
  5. Resolve to enforce your own rules.
  6. Commit to helping your children establish and adhere to their own boundaries.
  7. Decide that when interacting with your teen, you will listen more than you talk. 
  8. Commit to saying one sincere, positive thing about each member of your family every day.
  9. Choose to focus on the good decisions your teens make at least as much as you focus on the bad decisions they make.
  10. Resolve to get your teen or your family whatever help they need to overcome their challenges and make it through their struggles successfully.

Doorways Expands Counseling Services at Grand Canyon University

January 11th, 2012

Doorways is contracted with Grand Canyon University to provide confidential, professional, Biblically-based counseling services to students on campus.  Effective immediately they have expanded their hours of availability as well as are now offering nutritional counseling. Appointments may be scheduled through the counselor on campus, or by calling and identifying yourself as a GCU student. There is no charge to students of Grand Canyon University for use of on campus counseling and nutritional services.  On campus services offered include counseling for

A registered dietitian will be on campus every Tuesday from 2:00-4:00 PM and will be available to advise students on a variety of issues.
The dietitian is available at Grand Canyon University to provide nutritional advice for:
  • Athletes
  • Vegetarians
  • Internationals confused about American food
  • Allergy sufferers,
  • Disordered eating or eating disorder clients,
  • Weight management, need for weight loss or gain,
  • Diabetes, and other medical conditions
Workshops are also available on topics such as hydration, how to eat healthy in the cafeteria, dorm room snack ideas, how to avoid the freshman 15 and more.

Other counseling and nutritional services are offered off-site at Doorways, LLC. Cost for offsite services will be the responsibility of the student and include treatment and help for:

  • Psychiatric Evaluations
  • Family Counseling
  • DBT Support Groups
  • Medication Management

For more information about counseling services at Grand Canyon University, click here: GCU Brochure

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Kelsey, Sarah

December 21st, 2011


Sarah Kelsey

Sarah assists Trina in the office on Fridays and occasional evenings. She is studying for her Master’s in Social Work at Arizona State University and has experience working with adolescents through active participation in the Young Life ministry.


Experts From Doorways Earned Highly Sought After Certification!

December 12th, 2011

Experts From Doorways, The Only Mental Health Treatment Center In Phoenix That Focuses Exclusively On Helping Teens And Young Adults, Have Earned The Highly Sought After Certified Eating Disorder Specialist Certification!

(Phoenix, Arizona) December 8th, 2011- Experts at Doorways LLC, a mental health treatment center that focuses exclusively on helping teens and young adults in Phoenix, Arizona, have earned the prestigious Certified Eating Disorder Specialist (CEDS) certification from the International Association of Eating Disorder Professionals.

 

Jan Hamilton, PMHNP-BC, Sam Lample, Licensed Professional Counselor, and Rachel Daberkow, MS., Registered Dietician, have all earned the CEDS certification.  Less than 200 mental health providers in the US have earned this certification.

 

The certification can only be earned by “health care professionals who have met rigorous educational requirements, have accumulated a minimum number of hours of qualifying work experience, have successfully passed a written examination covering the eating disorders field, have made a commitment to stay abreast of current developments in the field through continuing education, and have agreed to comply with the association’s ethical principles.”

 

Go here for more information on the certification: http://www.iaedp.com/overview%204%20Certification%20Overview.htm

 

Doorways, and its experts, are one of the few mental health treatment centers in Arizona certified to help teens and young adults with eating disorders.  They also specialize in treating teens and young adults with issues such as depression, cutting, sexual abuse, trauma, ADD/ADHD, substance abuse and more. 

 

Please keep our certified experts in mind for upcoming stories involving eating disorders in teens and young adults.  They are here to help!

 

About Doorways LLC.

Doorways LLC. is a faith-based counseling organization in Phoenix, Arizona, that provides comprehensive outpatient treatment focused exclusively on adolescents, young adults and their families. Therapists at Doorways specialize in treatment for eating disorders, mood disorders, substance abuse, depression, ADD/ADHD, self-harm, suicide and more.  For more information, visit http://www.doorwaysarizona.com, or call 602-997-2880.

 

MEDIA CONTACT:

Wendy Kenney, Media Relations of 23 Kazoos

Mobile:            480-242-5219

Office:              480-389-5219
Email:              WNKenney@23Kazoos.com
Site:                  http://23Kazoos.com

 

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Helping Teens with Holiday Stress

December 5th, 2011

Is your teen exhibiting signs of holiday stress?

In the frenzy of planning, shopping, wrapping, decorating, entertaining, and visiting that often punctuates the holiday season, it is no wonder that many parents find the time between Thanksgiving and New Year’s Day to be one of the most stressful of the entire year.  Unfortunately, as our stress level increases, we often increase the stress level of those around us while also becoming less able to see the signs of stress the other members of our families’ exhibit.  Without some blatant flashing sign like a school suspension, angry outburst, or emotional meltdown, we may be too wrapped up in our own holiday stress to notice that our teens are having a tough time too.

Teenagers have their own set of holiday stress, especially if they are part of a family that is struggling financially, dealing with a separation or divorce, or facing the holidays without a loved one for the first time.  Stress impacts teens in many of the same ways it impacts adults.  They can experience physical symptoms like headaches and insomnia.  They can struggle emotionally and suddenly have a short fuse and be quick to anger.  They may turn to unhealthy behaviors like binge eating as a way to cope with their stress.

What Can Parents Do to Help?

The first and most important thing is to notice if your teenager is stressed.  According to the American Psychological Association’s Stress in Americastudy(http://www.apa.org/news/press/releases/stress/national-report.pdf) , while almost half of teens report being more stressed out from one year to the next not even 30% of parents noticed.  Pay attention for the signs that your teen is worried and then work together to determine the source of their stress.  Sometimes, just knowing that they aren’t alone can make a huge difference in how much stress they are experiencing.

Here are some other strategies parents can use to put the whole family on a stress-reduction diet for the holidays.

Share

Be honest, but be reassuring.  It may be tempting to take this opportunity to over share with your teen and unload all your adult problems, worries, and concerns onto your teens.  Resist that temptation by remembering that even if they are taller than you or have a moustache, they aren’t adults yet and don’t need to be burdened with adult issues.

Breathe

Institute a 2 minute breathing break a couple times a day where the whole family gets together and focuses on breathing.  Just a couple minutes of deliberate, mindful breathing can wash away worry and alleviate accumulated stress.

Move

With all the holiday hustle and bustle, it is easy for everyone to get out of the habit of exercising.  Since exercise is great for soothing stress, get everyone moving by turning on their favorite music and daring them to dance.  Get off the couch and go for a walk or rearrange the living room, just get everyone moving and burning off some of their stress.

Give

The holidays are a time of giving, but often that means giving presents.  Holiday stress over how many presents they will get, who will get the most, what they want that they won’t get, and feeling guilty for wanting things the family cannot afford can be soothed with a simple shift in priorities.  Take time out of shopping and shipping to volunteer as a family at a soup kitchen, homeless shelter, nursing home, or any other venue that allows everyone in your family to give some of themselves and change their outlook on the holiday season.

Seasonal Affective Disorder in Teens

December 1st, 2011

Do the change in seasons affect your teen?

It isn’t uncommon for people of all ages to get a little down as fall changes to winter, the days get shorter, and the temperatures drop.  In most places around the country, the long, fun, sunny days of summer are gone and the bleak, cold days of winter loom ahead for months.  But for some people, the transition from season to season can cause a type of depression that is much more serious than being bummed out that summer is over.  This condition is called Seasonal Affective Disorder (SAD).  It is a type of depression and it affects more people, of all ages, than you might think.   Current estimates indicate that about 6% of people, including adults, teens, and children, have Seasonal Affective Disorder.

For parents of teenagers, it can be enough of a challenge to figure out what is natural teenage moodiness and what is a mental health concern.   When the source of the moody behavior is Seasonal Affective Disorder, it can be even more challenging because the condition is rare in children and teens.  The average age for onset of the illness is 20 and more females than males are affected.

The main thing that differentiates Seasonal Affective Disorder from depression is the seasonal pattern.  A teenager with this condition will only experience symptoms for the same few months every year.  The most common form of the disorder is winter depression which affects people as the seasons shift from fall to winter.  There is also a form of the disorder called summer depression that begins in the late spring and runs through the summer.

What Causes Seasonal Affective Disorder?

The cause of SAD is unclear but lack of access to sunlight is suspected to play a part in the disorder.  When the amount of sunlight decreases or increases, it may affect the way our body and brain produces chemicals.  People with SAD may be more sensitive to these chemical and hormonal shifts.   These theories are supported by research that shows a person inNew Hampshireis seven times more likely to have SAD than a person inFlorida.  Anecdotal evidence that people with SAD who spend the winter months in a place with more access to sunlight do not experience symptoms.

Who is at Risk for Developing SAD?

While anyone can get this disorder, there are some factors that increase the risk of developing it including:

  • Family history – If you have a close relative with SAD you may be more likely to develop it.
  • Gender – More women have been diagnosed with the disorder than men.
  • Location – People who live far from the equator, either north or south, are more likely to have SAD.
  • Mental Health – Those people with depression or bipolar disorder may find that their symptoms are worse depending on the season.

What are the Signs and Symptoms?

The signs and symptoms of SAD are the same as those for depression but are only experienced during a specific season.  These symptoms include:

  • Fatigue
  • Mood changes
  • Loss of enjoyment in activities, socializing, and pastimes
  • Lack of energy
  • Changes in sleep patterns
  • Problems with concentration
  • Changes in eating habits that includes craving high sugar foods

 How is it Treated?

There are several ways to treat SAD in teenagers.  The first type of treatment involves increasing the person’s exposure to full spectrum lights during the months when they experience symptoms.  These types of light bulbs mimic daylight and can relieve symptoms.  If simple exposure to more light isn’t sufficient to alleviate symptoms, light therapy may be used.  This approach uses special lights as well but concentrates the light in a light box or light panel.  The person with SAD sits in front of the lights for a specific amount of time each day until the seasons change again.  Psychotherapy and medication may also be used to treat teens with SAD.

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Donate Beanie Caps and Blankets to Help Homeless Teens

November 29th, 2011

Doorways LLC, a Phoenix Teen and Young Adult Counseling Center Seeks to Provide over 200 New Beanie Caps and Blankets to Tumbleweeds Center for Youth

On any given day there are over 1800 homeless youth living in the streets of Maricopa County and very few places for them to turn to for help.  One of those places is Tumbleweeds Center for Youth which provides emergency shelter, counseling, and educational and employment assistance to over 3,000 homeless young people per year.

Doorways LLC, a counseling clinic in Phoenix that specializes in working with teens and young adults, is inviting the community to join them in helping out homeless teens by dropping off donations of new beanie caps and lightweight blankets at their clinic located at 1825 E. Northern Ave. Suite 200, Phoenix, AZ 85020.

“Living on the streets is difficult enough, but living on the streets in the winter can be even more so.  By providing homeless youth with their own beanie cap and lightweight blanket that they can take with them we can fill an unmet physical need and in a small way help with their emotional and spiritual needs as well,” says Jan Hamilton, Psychiatric Nurse Practitioner and Founder of Doorways.

Donations of new “Beanies and Blankets” will be accepted through December 20th, 2011.  The donations will be delivered to Tumbleweeds prior to Christmas Day.

For directions or any other information go to www.doorwaysarizona.com, or call 602.997.2880.

 

About Doorways LLC.

Doorways LLC. is a faith-based counseling organization in Phoenix, Arizona, that provides comprehensive outpatient treatment focused exclusively on adolescents, young adults and their families. Therapists at Doorways specialize in treatment for eating disorders, mood disorders, substance abuse, depression, ADD/ADHD, self-harm, suicide and more.  For more information, visit http://www.doorwaysarizona.com, or call 602-997-2880.

Adolescent Substance Abuse: What Parents Need to Know

November 28th, 2011
Teenage Substance Abuse

Overview

No matter what statistics you look at, it’s clear that substance abuse by adolescents is a major public health concern.  Although recent years have seen the percent of adolescents who are abusing substances level off, there are some disturbing trends in which teenagers are using and how early they are starting to use.  When you consider that 90% of adults with substance abuse problems started using before they turned 18 and 50% of those adults started before age 15, the trend towards younger and younger adolescents experimenting and becoming regular users becomes even more important.   

To many adults, the experimentation with drugs and alcohol that occurs during the adolescent years seems like a normal part of growing up.  But using drugs and drinking alcohol aren’t just inappropriate because they are breaking the rules, they can result in very serious consequences to both their future and their health. 

During this phase, teens can have a hard time forming cause and effect connections between choices they make today and the long term consequences of those choices.  Substance use can further lower inhibitions resulting in a string of bad choices.  From the increased risk of being involved in a motor vehicle accident to the increased likelihood of developing a lifelong addiction, substance abuse during adolescence is life threatening and needs to be treated accordingly.

Statistics

According to the current Monitoring the Future Survey as reported by the National Institute on Drug Abuse:

  • The daily use of marijuana increased in 3 of the 4 high school grades year over year and was the highest it has been since the early 80’s amongst those in the senior class.
  • Marijuana use has surpassed cigarette smoking amongst the seniors. 
  • Although cigarette smoking has been declining in recent years, those declines have stalled amongst high school students indicating that smoking may soon be on the rise again.
  • While marijuana is the drug of choice for high school students, prescription drugs and the abuse of over the counter medication are now number two in 12th graders.  Although non-medical use of drugs like Vicodin and Adderall has not increased in recent years, usage statistics remain high.
  • Ecstasy, which had seen years of decreasing use, increased last year in 8th graders. 
  • Overall, alcohol use has continued to decline year over year.

 

Risk Factors

While there is no way to determine which adolescents will try drugs and alcohol or which will become addicted to one of these substances, there are some risk factors that increase the likelihood of developing a serious drug or alcohol problem.  These factors include:

  • Being part of a family with a history of substance abuse problems
  • Being depressed
  • Having low self esteem or feeling as though they do not fit in anywhere
  • Drug availability in the community
  • Learning disabilities and mental health conditions
  • Poor academic performance
  • Being part of an unhealthy social group

 

Warning Signs

There are several warning signs that parents can use to determine if their teenager is in danger.  As many of these signs can also point to problems other than alcohol or drug abuse, it is important to discuss any concerns with a medical practitioner to rule out physical causes.

There are several physical signs like unexplained fatigue, ongoing health complaints, bloodshot eyes, glazed over gaze, and a cough that lasts for weeks and won’t go away.   From an emotional standpoint, adolescents who exhibit sudden changes in personality, rapid mood swings,  increasingly irresponsible behavior, and general lack of interest, especially in things that they were previously interested in should be evaluated.  Other warning signs include starting fights with family members, breaking rules, dressing differently, withdrawing from friends and family, swapping current friends for a different group of friends, skipping school, and requiring significant disciplinary action on a regular basis. 

 

How to Help

There is no question that one of the most effective tools parents have in preventing their teens from abusing drugs and alcohol is the relationship they have and are able to maintain with their teenager.  Parents should initiate discussions on the dangers of substance abuse, be honest, open, and invite their teen to participate.  Parents need to provide a good role model for teenagers to follow by exhibiting responsible behavior, communicating often, and raising issues as soon as they develop in a calm and supportive way.  

Research has shown that parents are in fact the “Anti-Drug” and are the main deterrent against experimenting with drugs and alcohol during adolescence.    The key is building a solid relationship that encourages open communication.  Remain a visible presence in their daily lives by being involved, supporting them in their interests, and attending their activities like games, plays, and concerts.  Be clear, consistent, and fair in setting rules and expectations.  Overly harsh and restrictive rules often have the same result as no rules at all, an increased risk of substance abuse.  Overall, remain an active and interested participant in their lives and be available when they need advice, support, or help as they navigate the challenges of adolescence.

 

Preventing Teen Suicide: What Parents Need to Know

November 23rd, 2011
 
Teenagers

For many parents, it is difficult to understand why an adolescent who has their whole life in front of them, would consider ending it prematurely through suicide.  As children make the transition to teenagers, they become more private and generally stop sharing their thoughts and feelings as openly with their parents.  This can make it even more difficult to gauge when normal teenage angst develops into clinical depression, an anxiety disorder, or suicidal tendencies. 

Many factors may contribute to teen suicide. Compared to the stress and pressures of adulthood, teenage problems may seem small and unimportant to us.  Things like not fitting in at school, being bullied, and losing friends and first loves are just a normal part of growing up to most adults.  It is often hard for us to remember that these normal things often carry a huge emotional toll for teens.  We know that her boyfriend breaking up with her isn’t the end of the world, but it can feel that way to her.  We can see that not making the basketball team doesn’t mean he won’t be successful in life, but it can feel that way to him.

As the third leading cause of death for those aged 15 to 24 and the fourth leading cause for those aged 10 to 14, suicide is a serious issue for teenagers.  A survey of high school students showed that more than half of them had thought about suicide and almost 10% admitted to trying it at least once.  No matter how well-adjusted you think your teen is, it is important to know the warning signs and when to intervene to keep your child safe. 

Who is at Risk?

Adolescence and the teen years are a time of turmoil and rapid change.  Between forming their own identities, learning to deal with new sexual feelings, struggling to figure out where they fit in, and the pressure to perform in school, teens can easily become overwhelmed.  If teens feel like they don’t have a reliable support system or if they lack healthy outlets for dealing with their tumultuous emotions, it can leave them feeling disconnected and alone both of which increase the risk of suicide.

For many teens who attempt or commit suicide, this desperate act comes directly after a stressful event in their lives like the end of a relationship, death of someone close to them, parental divorce or separation, or something they perceive as a life altering failure like being cut from a sports team or doing poorly in school. 

Teenagers, especially girls, who were subjected to any kind of abuse as children are more likely to attempt suicide.  In general, girls are more likely to think about suicide and are twice as likely to attempt suicide as boys.  However, boys are four times as likely to succeed.  The risk of suicide increases when there are guns in the home which means parents need to maintain safe storage practices for all firearms even when their children have grown into teens.

Here are other factors that increase the risk of suicide in adolescents and teenagers:

  • A psychological problem like depression or bipolar disorder. 95% of people who commit suicide were mentally ill when they took their life.
  • Recurrent unpleasant feelings like isolation, distress, hopelessness, worthlessness, and irritability.
  • Learning how to handle emerging sexuality including homosexuality in an unsupportive environment.
  • Previous suicide attempts.
  • A family history of mental health problems or suicide.
  • Being a victim of physical, sexual, or emotional abuse.

The Warning Signs

In order for parents to be able to protect their children from suicide, they need to know what to watch for.  Here are some of the warning signs that your teen may be suicidal.

  • Drastic changes in personality, appearance, sleep habits, or appetite.
  • Relationship drama with a girlfriend/boyfriend.
  • Withdrawing from friends, social groups, and activities.
  • Unexplained drop in grades.
  • Participating in rebellious and/or dangerous behavior
  • Running away from home or giving away personal items that are important to them.
  • Substance abuse.
  • Writing or talking about death and suicide.
  • Previous suicide attempts.

What Parents Can Do

The most important thing parents can do is talk to their children and listen when their children talk to them.  Many teenagers who contemplate suicide feel like no one understands them or cares about them.  Talking to your teen about their lives, expressing your love for them, and ensuring your teen knows you are there to help, no matter what problem they are facing, all help reassure them that you are there, that you care and that you want to understand. 

When your teen opens up, don’t minimize, judge, or dismiss their concerns.  Regardless of whether or not you think her failure to make the cheerleading squad is a life or death situation, she might and downplaying her emotional reaction only shows her you don’t understand what she is going through. 

Pay attention to your parental intuition.  If you feel like something is wrong, don’t downplay your own emotions either.  Ask your teenager about what is going on in their lives, what they are concerned about, and share your concerns with them.  Talk in specifics rather than generalities.  Listen to what they say and don’t say.  Don’t talk over them, interrupt them, correct them, or be dismissive of their concerns or problems.    Ask the other people in their lives like teachers, counselors, and friends.  Don’t shy away from the “s” word.  If you are concerned about suicide, ask directly and invite your teen to participate in an open discussion on the topic.  Get help right now.  If you have concerns about suicide and think there is a possibility of your child being a danger to themselves, don’t wait.  Find a mental health professional to assess your child today.  

 

Sexual Abuse in Teenagers: What Parents Need to Know

November 21st, 2011
Sexual Abuse in Teens

Overview

In order to protect teenagers from sexual abuse, it is important that both parents and teens understand what constitutes sexual abuse.  While it is broadly defined as abuse that can be considered sexual in nature, some acts, like date rape or sexual advances from an adult are generally considered by everyone to be forms of sexual abuse.  But things like voyeurism, exposure to pornography, and exhibitionism that do not involve direct physical contact between a teen and a perpetrator are also forms of sexual abuse and can be as devastating s physical abuse to the victim.

Although most teenage sexual abuse is committed by an adult in a position of power, it is also important for teenagers to understand that the perpetrator doesn’t have to be an adult for sexual activity to be considered abuse.    Teenagers need to be aware that being drunk, drugged, afraid, or otherwise incapacitated does not make sex consensual.  Even if they don’t fight back, unwanted sexual advances and forced sexual activity is sexual abuse and is illegal. 

Statistics

Amongst teenagers, girls are more likely to be the victims of sexual abuse and 1 in 4 girls will have been sexually abused by the age of 18.   The majority of teenage sexual abuse victims know their abuser.  The most common type of abuser is a family member or someone who has close ties to the family.  More than 50% of females who are raped in theU.S.are raped before they turn 18 and teenagers account for more than half of all reported sexual abuse in this country.   Abuse victims have an increased risk of being abused again and teens between 16 and 19 are more than 3 times as likely as anyone else to be the victim of sexual abuse.  The majority of sexual abuse against teenagers happens in their own homes.  Teenagers also make up almost a quarter of sexual offenders. 

While the report rate for sexual abuse across all ages is about 50%, this statistic drops to 31% amongst teenagers.  Due in part to anxiety about the social stigma of being a victim and fears of retribution, many teens choose not to report their abuse in an attempt to forget it happened at all.  Other factors like mediocre arrest rates, conviction rates below 20%, and short prison sentences may also deter victims from stepping forward.

The Signs

It is very common for victims of teen sexual abuse to have changes in behavior and to exhibit the same symptoms as a teen who has survived a traumatic event.  Common behaviors seen in victims of teen sexual abuse include:

  • Increased anxiety and panic attacks
  • Eating disorders
  • Depression
  • Displaced anger
  • Nightmares and difficulties sleeping
  • Problems in school including acting out in class and rapidly falling grades
  • Withdrawing from friends, family, and activities
  • Self destructive behavior like cutting, using drugs, or promiscuity
  • Poor hygiene or excessive bathing
  • Running away
  • Suicidal thoughts, talking about suicide, and attempting suicide
  • Discussing sexual knowledge or language that is not age appropriate

Preventing Sexual Abuse

The best way to help prevent your teen from becoming the victim of sexual abuse is to arm them with information.  Understanding what constitutes sexual abuse can help teens identify and avoid dangerous situations.  Discussing the topic openly lets your teen know that if something does happen, they can come to you for understanding and support.  Help your teen practice saying no and empower them to be the boss of their own body.  Just as with smaller children, don’t force teenagers to hug or have physical contact with family members or any other person if it makes them uncomfortable.  Give them the absolute right to say no if they do not want someone touching them and you will empower them to say no when it matters most. 

How to Get Help

 Sexual abuse is traumatic and can cause serious issues with sexuality, self esteem, trust, loyalty, and the development of healthy relationships.  Teens who have been victims of sexual abuse may be struggling with depression, anxiety, eating disorders, PTSD, cutting, and other self harm or self destructive behaviors.  The first step is to find the right practitioner who can provide the treatment and support needed to overcome the effects of the abuse.  Together with this professional, parents and friends can create a caring, understanding support system to aid in recovery.

 

Drunkorexia (Eating Disorders & Alcohol): What Parents Should Know

November 17th, 2011
Drunkorexia

Most people have heard of anorexia, but have you heard of “Drunkorexia”?  Though not an official diagnosis, this term refers to food restriction and alcohol consumption.  It has become more prevalent among young adults.  It is especially common in college students that are trying to keep themselves thin.  Parents should be aware of this issue so that they can help their adolescents overcome it so that it does not take over their life.  Catching this early is the key to making a full recovery before it begins to get out of hand. 

 

What Is” Drunkorexia”?

“Drunkorexia” is a combination of excessive alcohol consumption and eating disorder behaviors. Generally, college age students will skip meals during the day in order to keep their weight down and the calories that they save is spent on alcohol.  A new study conducted by the University of Missouri that found girls are much more susceptible to this combination than guys.

People that are “Drunkorexic” will purge the alcohol they consume in the attempt to not gain weight   

 

Double Downsides

The problem that teens and young adults are facing is that “Drunkorexia” causes double downsides.  While inadequate nutrition is something that can cause many health issues, the over consumption of alcohol poses many risks as well.  They will not only reap the physical repercussions of anorexia or bulimia, they will also have issues with alcohol abuse including alcohol poisoning and malnutrition.  While intoxicated, teens and college students are also much more likely to fall victim to physical or sexual abuse. 

 

What to Look For

It is a good idea to educate yourself about this disorder, especially if your college student has a history of eating disorders or drinking.  There are a few signs that you can look for that will help you to recognize Drunkorexia in your adolescent.  Here are a few of these signs:

  • Frequently skipping meals
  • Spending a lot of money but having nothing to show for it
  • Poor grades
  • Poor class attendance
  • Rapid weight loss

 

The Good News

Most college campuses have recognized that eating disorder behaviors are a wide spread issue and they offer classes on nutrition and healthy living.  They offer many counseling services to students to educate them on the risks involved with both eating disorders and alcohol abuse.  

Also, there are counseling programs that will offer help to adolescents that are already sunk into the “Drunkorexic” trap.  Whether you have issues with binge drinking, anorexia, bulimia, or a combination, help is available.  Most adolescents will not admit to themselves that they have a problem.  It often takes the help of a friend or parent to get them the help they need. 

Doorways offers many treatment options for those who are dealing with eating and alcohol disorders.  Counseling is typically needed to overcome these disorders and when you choose Doorways as your treatment provider, you will be able to get the help that you need in a faith-based setting.  This is definitely great news for those that are dealing with “Drunkorexia.  “

 

Post Traumatic Stress Disorder (PTSD) and Teens

November 16th, 2011
PTSD and Teens

PTSD and Teens. Image via Wikipedia

PTSD, or Post Traumatic Stress Disorder, used to be something associated only with war veterans and abuse survivors but it can affect anyone who experiences a traumatic event Even though teens and adolescents may show different symptoms than adults , they can suffer from the same disorder and usually require treatment to overcome the challenges it presents.  Understanding the causes and contributing factors can help parents identify when their children need help and how to get them the help they need.

 

What is PTSD?

Post traumatic stress disorder describes the development of a set of symptoms following a traumatic experience.  Everyone who is impacted by trauma may feel extreme stress and suffer from strong emotional responses, difficulties with normal activities like sleeping, eating, and concentrating, and anxiety or fear related to the circumstances of the event.  However, not everyone impacted by trauma also develops PTSD. 

Those who suffer from Post Traumatic Stress Disorder will have symptoms for a month or longer and their symptoms don’t abate with time.  In some cases, symptoms do not start directly following the event and may actually get worse as time passes.   

What Causes PTSD?

Experiencing a traumatic event like a car accident, natural disaster, violent crime, or physical assault can cause Post Traumatic Stress Disorder.  It is not necessary for someone to be injured or even to have directly participated in the event in order to develop PTSD.  In some cases, merely witnessing an event can lead to the disorder.  It is important to note that not everyone who experiences trauma will develop Post Traumatic Stress Disorder just like not everyone who has the same experience will respond in the same way.

One theory about why some people develop PTSD has to do with our bodies fight or flight response, the chemical reaction triggered by fear or danger.  This physiological response is meant to enable us to protect ourselves and respond in critical survival situations.  But in some people, a traumatic event disrupts this response, causing the same kind of chemical reaction in circumstances where it isn’t necessarily warranted.  This can lead to feelings of anxiety, severe stress, fear, and danger when there is no external cause of those feelings.

There are some risk factors that can elevate someone’s likelihood of developing Post Traumatic Stress Disorder.  These risk factors include previous experience with traumatic events, a history of mental illness, lack of social support after the event, and being injured as part of the event.    There are also factors that can make someone more resilient and thereby reduce their risk of PTSD including strong post-event support, feeling positive about how they handled the event, and specific coping strategies for dealing with stressful events. 

What are the Symptoms of PTSD?

Regardless of when PTSD develops, there are some characteristic symptoms that develop after the experience.  People may experience any combination of these symptoms.

  • Nightmares
  • Flashbacks
  • Mental images of the event or it’s aftermath
  • Avoidance of people, places, or things that are reminders of the event
  • Unwillingness to talk about the event or discuss what happened
  • Emotional detachment
  • Edginess, irritability, and hyper-vigilance
  • Trouble sleeping
  • Inability to concentrate
  • Depression and survivor guilt
  • Angry outbursts

While teens and older adolescents may show symptoms similar to adults, they may also act out and become disruptive and destructive.  In young children and some adolescents, PTSD can cause a different set of symptoms including bedwetting, forgetting how to speak, refusing to speak, repeatedly acting out the traumatic event, and having unusual separation anxiety from parents or other adults.

How is PTSD Diagnosed?

PTSD is diagnosed by a doctor, psychiatrist, or psychologist based on a personal interview.  In order to be diagnosed, a person must display a certain set of symptoms for at least one month.  The set of symptoms must include one symptom related to re-experiencing the event like nightmares or flashbacks.  They must also be experiencing at least three avoidance symptoms like refusing to talk about the event or to participate in any activity relating to the event.  Additionally, the person must suffer from at least two different symptoms showing hyper-arousal like irritability and edginess.

PTSD is treatable and sufferers can make a complete recovery but it doesn’t generally resolve without assistance.  PTSD is most commonly treated with counseling or therapy and in some circumstances medication to treat underlying depression or other conditions may be used to help mitigate the effects of the disorder.  If you are concerned that your teen or young child may be suffering from PTSD, schedule an appointment with their doctor to rule out any medical causes of their symptoms and get a referral for a qualified practitioner.

 

Social Phobias: What Parents Need to Know

November 14th, 2011

Social Anxiety Disorder in Teens

Overview

It isn’t uncommon for children and teens to be anxious about social situations and interactions as they move through the different stages from child to adult.  Given that their bodies are constantly changing, the hormonal effects of puberty, and the rapid succession of milestones these adolescents are going through, it is no wonder that they don’t always feel comfortable and worry about how other people are perceiving them.  But for some adolescents and teens, the common anxiety experienced at these stages can become all encompassing and even debilitating.  These adolescents may develop social phobias,  also referred to as social anxiety disorder

 

For teens with the social phobia, social anxiety disorder, the fear of rejection, humiliation, being embarrassed, or having others develop a negative opinion of them becomes excessive.  This makes anything requiring social interaction or that singles out the child a challenge and can lead to avoiding interactions altogether.  Adolescents with social anxiety disorder have difficulty meeting new people, standing up to give a report or solve a problem in front of the class, participating in physical activities and sporting events, and even doing things that seem simple like eating in public. 

 

For parents, it is important to remember that children with social anxiety disorder may respond to situations disproportionately.  In situations where they are not faced with any actual physical danger, they may respond as though they are and experience the same physiological changes like sweaty palms, a racing heart rate, and the activation of their fight or flight reaction.  These can be actual Panic Attacks. Simply telling the teen that they don’t need to be afraid may not alleviate the fear they are experiencing.

 

Symptoms

An estimate from the National Institute of Mental Health indicates that about 12% of those adolescents who call themselves shy may actually have social phobias.  One of the primary ways to differentiate between typical teenage shyness and social anxiety is that shyness doesn’t generally lead to debilitation or consistent avoidance behavior.  The primary symptoms of social anxiety are:

  • Excessive fear and/or anxiety of any individual or group performance like presenting an oral report or participating in a concert with the school chorus
  • Intense fear of social situations and difficulties with social interactions like meeting new people, unstructured conversations, and talking on the phone
  • Social isolation
  • Inability to actively participate in conversations with peers
  • Excessive concern about how others perceive them and fear related to the negative opinions of others
  • Fear of being humiliated or embarrassed which often leads to anxiety about being called on in class or having to participate in classes like gym or music
  • Panic attacks resulting from social situations or experiences (Physical symptoms  like a racing heart rate, rapid breathing or shortness of breath, feeling nauseous, sweating, or blushing)

 

Causes

There are no specific causes of the social phobia, social anxiety disorder.  Like many other anxiety disorders, it develops as a result of a combination of factors including genetics, environment, and life experiences.  Some people may be genetically predisposed to a certain type of temperament, like being shy.  Factors in the environment have a big influence on our perspective and socially anxious parents or siblings model those behaviors for the children and teens in their lives.  If a child watches a parent continually avoid a specific situation or sees them experience intense fear or anxiety about social interactions, it can reinforce any social anxiety the child is already experiencing.  Life experiences also play a big part in the development of an anxiety disorder.  A teenager who is shy and self-conscious may be more likely to develop social anxiety if he is bullied or ridiculed at school. 

 

Treatment

Most social anxiety disorder can be effectively treated with cognitive behavioral therapy that seeks to address the sources of the anxiety and teaches other strategies for managing these kinds of fears.  It may also be helpful for adolescents and teens with the condition to participate in group therapy with others in their age group as this can provide a safe environment that enables them to build social skills and practice positive interactions.

 

Many adolescents and teens with social anxiety may also have another condition.  It is important to the success of treatment to know if there are other co-existing conditions so that they can be treated appropriately.

 

People with social anxiety can learn to manage their fear and make great strides in participating more fully in their own lives.  Parents can support their adolescents by getting them the right help, offering encouragement, and helping celebrate small successes that will build confidence and self esteem. 

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Substance Abuse in College Students

November 10th, 2011
Bonging is popular among college students.

Overview

Statistics about college students and substance abuse are cause for alarm.  According to a report from The National Center on Addiction and Substance Abuse atColumbiaUniversitypublished in 2007, half of all college students binge drink and/or abuse both prescription and illicit drugs.  One out of every four college students meets the medical criteria for substance dependence which is two and a half times the national average.  When you factor in the long term consequences of these behaviors and the cost of college tuition, many college students are on a very expensive road to nowhere. 

There are severe short term consequences of these behaviors as well.  Researchers estimate that 1,700 college students die each year from unintentional alcohol related causes.  The incidence of acquaintance rape, drunk driving, assault, and other serious criminal acts has been shown to increase significantly when alcohol is present. As many as 80% of all campus arrests are alcohol related. 

Are things getting better or worse? 

There are several studies that have been tracking college age substance use over the last 10-15 years and the findings are not encouraging.  The percentage of college students who drank in the fifteen year period from 1993 to 2005 was relatively stagnant at 70% and the percentage of binge drinkers remained constant at 40%.  And this is the good news.

The first area where a significant increase has been noted is in the number of students who binge drink frequently, rising 16% from 1993 to 2001. Increases were also noted in the number of students who drink more than 10 times a month (25%), those who get drunk three or more times a month (26%), and those who drink with the sole purpose of getting drunk (21%).  This means that although the number of college students who are drinking hasn’t increased, the ones who are drinking are drinking more and drinking more often.

The second area where a significant increase is emerging is in the use and abuse of prescription drugs.  The increases in the use of these substances are so high they almost seem outlandish with increases of 450% in the use of drugs like Xanax and 343% in the use of drugs like Vicodin and Percocet.    Adderall, which is the prescription drug that has gotten the most press for abuse by college students, actually has the lowest percentage increase from 1993 to 2001 at 93%.

The third area where increases tell a disturbing story is in the use of illicit drugs.  In the 15 year time span between 1993 and 2005 the percentage of college students using illicit drugs saw significant increases in all areas.  The use of marijuana on a daily basis more than doubled while the use of all other illicit drugs including cocaine, heroin, amphetamines, ecstasy, and hallucinogens increased by 52%.

It is clear to see that the programs and systems put in place over the last two decades to turn the tide of drug and alcohol abuse by American college students are failing.  This means more college students are suffering the consequences of these risky behaviors.

Who is at the highest risk?

Research from the Monitoring the Future organization indicates that there are some subgroups within the college environment which have a higher incidence of substance abuse and therefore are at a greater risk for developing substance abuse problems.  College students who participate in the Greek system and belong to fraternities or sororities are more likely to abuse substances and participate in risky behavior than their non-Greek peers.  Almost 90% of those students who participate in the Greek system drink alcohol compared to 67% of other students.  Students in the Greek system are also more likely to binge drink, 67% vs. 37%, drink and drive, 33% vs. 21%, and smoke marijuana, 21% vs. 16%.   Another subgroup at a higher risk is incoming freshman, 45% of whom were classified as heavy drinkers in 2001. 

Male college students are more likely than female students to have used any illicit drug in the previous 12 month period and for most of the individual illicit drugs, male students were twice as likely as their female counterparts to have used that drug in the last year.  Male students also use marijuana and alcohol on a daily basis at a rate twice that of female students.  All these statistics indicate that male students are at greater risk of substance abuse problems during their college career.

Other research indicates that there are regional differences in the use of alcohol and all drugs that may put some students at higher risk than others.  Students in the Northeast and West have a higher incidence of illicit drug use across the board.  The use of methamphetamines, crystal meth, and ecstasy is the highest in the Western states.  Alcohol use and abuse, including the highest prevalence of binge drinking, occurs more in the Northeast andMidwest.  

Consequences of Abuse

The consequences of substance abuse by college students can be both significant and severe.  Statistics show that the incidence of criminal activity like assault, vandalism, acquaintance rape, and driving under the influence increases with the use of alcohol or other substances.  In 2001 alone, more than 1700 students died as a result of alcohol related injuries.  The number of students who hurt themselves as a result of drinking went up by 38% between 1993 and 2001.  Arrests on college campuses that were alcohol related increased by more than 20% from 2001 to 2005 and accounted for more than 80% of all campus arrests in 2005.  Almost 100,000 students in 2001 alone were victims of an alcohol related rape or sexual assault and nearly 700,000 were assaulted by another student who was binge drinking.

The academic consequences of these behaviors cannot be understated.   According to the National Institute of Alcohol Abuse and Alcoholism (NIAAA) Task Force on College Drinking, one of the main impacts of alcohol use on college campuses is failure to meet academic obligations.  As many as 25% of college students have experienced some academic problem because of their alcohol use including failing tests, skipping classes, falling behind on class work, missing deadlines for papers and projects, and getting lower grades than expected. 

The link between alcohol consumption and grades is so significant it can be used as an indicator.  The findings of a survey conducted over a 3 year period that included almost 100,000 students found that the number of drinks consumed per week directly correlated to the student’s grade point average as follows:

  • Students with A averages consumed 4 drinks per week
  • Students with B averages consumed 6 drinks per week
  • Students with C averages consumed 8 drinks per week
  • Students with D or F averages consumed as many as 10 drinks per week

These findings make it easy to see why there is also a direct relationship between alcohol consumption and college drop-out rates. 

Students who abuse alcohol or other substances are not the only ones impacted by their behavior.  Other students on campus are consistently subjected to circumstances that impact their college experience because of substance abuse by others.  Almost 60% of college students have had to miss sleep or found themselves unable to study because of another student’s drinking or drug use. The safety of students is also compromised by the use of alcohol or drugs by other students.  Almost 30% of students report being insulted or humiliated by another student and 15% have had personal property damaged by someone else’s intoxicated negligence.  These students also find themselves as the victim in many of the crimes mentioned above.

What Makes College Students So Susceptible?

When students make the transition from high school to college, it can be the most challenging experience of their young lives.  The volatility of this time period puts students at risk as they search for new social connections and try to find their place in their new environment.  Additionally, there is this mainstream idea that part of the college experience is drinking, experimenting, and behaving with reckless abandon which leads many students to seek out these experiences as soon as they arrive on campus.  College students are also in the highest risk age group for heavy alcohol consumption and experimentation with the use of multiple substances. 

College students also find themselves dealing with new kinds of stress and pressures that they may be unprepared to handle including financial obligations and responsibility, making major life altering decisions, and separating from parents and other support systems.  Students also look to alcohol and drugs as the means to ensure social acceptance and as tools to create confidence when they are feeling unsure and insecure in their new environment. 

Living arrangements do seem to play a part in determining whether or not a student will use alcohol or other substances.  Students who live at home and commute to college are less likely than those who live in residence halls to abuse alcohol.  However, hovering parents who continually insert themselves into their child’s life can keep college students from achieving the appropriate level of maturity they need in order for them to transition into responsible adults.  Parents who make major decisions for their college age child and regularly rescue them from the consequences of their actions don’t allow them space and opportunity to learn how to make the right decision in difficult situations.

College students are also less likely to seek help, even when they are in very real trouble, because of the social stigma associated with alcohol dependence and drug addiction.

Conclusion

The abundance of research on substance abuse by college students shows that the situation is not improving.  Despite efforts to curb alcohol use and access to illicit drugs on college campuses, the prevailing public attitude that drinking and experimenting with drugs are part of the college experience continues to undermine the ability to make real, lasting changes.  Students are engaging in risky behavior like unprotected sex, driving under the influence, and experimentation with all types of drugs in alarming numbers and many students are paying a steep price for this self-discovery.  As long as it remains socially acceptable and even socially commendable to participate in binge drinking and swap study time for sorority parties, it will be difficult to make the high in higher education mean what it used to mean. 

 

 

Generalized Anxiety Disorder: What Parents Need to Know

October 26th, 2011
A teen singing.

Generalized anxiety disorder most commonly affects those between adolescence and middle age. Image via Wikipedia

Overview

Everyone worries about things, even children and teenagers.  Whether the worry is over the upcoming history test, getting a date to the prom, or making the soccer team, anxiety is a normal part of everyday life.  However, in some people, normal everyday worries can become excessive and everyday things can cause severe anxiety.  This type of anxiety is called Generalized Anxiety Disorder (GAD) and it affects about 3% of the U.S.population each year, including one in eight children.

Generalized Anxiety Disorder is characterized by exaggerated anxiety and unwarranted worry about everyday problems.  People with this disorder may obsess about the worst case scenario in every situation and are unable to stop their anxiety from spiraling out of control.  Women are two times as likely to have the disorder and it most commonly affects those between adolescence and middle age.

 

Teens and young adults with the disorder may not do as well in school, may be susceptible to substance abuse problems, and may struggle with social milestones if it is not treated.  However, with the right combination of treatment, support, and assistance, children with GAD can learn to manage their symptoms and successfully navigate their lives.

 Symptoms

People with GAD experience consistent, persistent, chronic worry or anxiety about things that do not warrant this level of anxiety for more than 6 months.

One of the key differences between the anxiety everyone experiences and GAD is that everyday anxiety is temporary and GAD is not.  Adults and children with GAD can experience heightened anxiety all day, every day and it can interfere with their normal activities.  It is common for those with GAD to use avoidance as a tool for managing their anxiety.  An adolescent who is experiencing temporary anxiety will respond to comforting words, reassurances, and a list of the reasons they don’t need to be anxious.  The anxiety of a child or teen with GAD will not be soothed by these techniques.

In addition to the chronic nature of the anxious thoughts and feelings someone with GAD experiences, there are also some physical symptoms that are often present with the disorder including:

  • Unexplained fatigue and problems sleeping
  • Restlessness, edginess, and irritability
  • Gastrointestinal problems including  nausea and diarrhea
  • Difficulties concentrating and headaches

Causes

Generalized anxiety disorder has no known cause but stress, traumatic events, heredity, and biological factors may contribute to its onset.  It is relatively common and can affect people of all ages.  Although it generally develops gradually over time, many people with the disorder cannot remember a time when they did not experience some level of anxiety.

Treatment

Many people with GAD respond well to cognitive behavioral therapy, medication, or a combination of both.  Therapy can be beneficial in helping a person with the disorder to identify their triggers and modify their thought patterns and behavior.  Techniques for easing anxiety and promoting relaxation can also be beneficial to those with GAD.

It is very common for people with GAD to have a co-existing disorder.  Depression, substance abuse, and other anxiety disorders are commonly seen in those with the disorder.  Getting diagnosis and treatment for any co-existing conditions is an important part of overall treatment for GAD.

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Is Obsessive Compulsive Disorder Affecting My Teenager?

October 24th, 2011
Obsessive Compulsive Disorder in Teenagers and Adolescents

Does your teenager have OCD? Read more to find out.

It can be difficult in this age of acronyms to know when your teenager’s behavior is appropriate for their developmental stage of life of when it’s something that a parent should be concerned about.   With anxiety disorders like Obsessive Compulsive Disorder (OCD), it is even harder to find.  The difference between the two is the impact it has on the child’s daily life. 

What is Obsessive Compulsive Disorder?

Obsessive Compulsive Disorder (OCD) is an anxiety disorder that causes those who suffer from it to experience persistent anxiety, fear, or distressing thoughts and/or exhibit a ritualized behavior as a method to control their anxiety.  For example, a child might be so afraid of germs, they wash their hands every 15 minutes.  The obsessive nature of these thoughts and their compulsion to perform the ritual interfere with the teenager’s daily life.

Someone who is afraid of germs may develop a ritual that involves washing their hands a certain number of times at certain points over the course of the day.  A child who is worried about their house burning down may develop a ritual involving checking their smoke alarms and fire extinguishers to ensure they are operating.  It is important to remember that someone with Obsessive Compulsive Disorder does not believe they can control their compulsions and that these rituals offer only a temporary respite from their anxiety.

People with Obsessive Compulsive Disorder, both children and adults, may realize that their behavior is out of the ordinary but this is not always the case in children.   OCD may be accompanied by other conditions including depression and eating disorders and affects the same number of males and females.  In many cases, Obsessive Compulsive Disorder first presents during adolescence or the teen years.

What Causes Obsessive Compulsive Disorder?

Obsessive Compulsive Disorder is a brain disorder.  Research has shown that it does tend to run in families but there is no clear indication of why one person develops the condition and another doesn’t.  But the truth is clear, that OCD is no one’s fault, and especially does not occur because of something a parent did, or did not do.

What are the Symptoms of Obsessive Compulsive Disorder?

A person suffering from Obsessive Compulsive Disorder will display many of the following symptoms:

  • Repetitive thoughts that are distressing or cause anxiety about several different things.  Common obsessive topics include germs, dirt, crime, sexual acts, cleanliness, violence, or hurting others.
  • Ritual behavior patterns associated with their obsessions that they complete over and over to alleviate the anxiety.  Rituals can involve actions like repetitive hand washing, locking and unlocking doors or windows, counting, and performing things in a specific way again and again.
  • Performing rituals can be distressing and are not a source of comfort or pleasure although they do alleviate feelings of anxiety temporarily.
  • Obsessive thoughts and rituals occupy at least one hour a day and impact the person’s daily life.

Symptoms may come and go over time and it is not uncommon for people suffering from OCD to use avoidance techniques to try and keep their anxiety from being triggered. 

How is Obsessive Compulsive Disorder Diagnosed?

As with many mental health conditions, start with your medical provider who can rule out any physical conditions that may be contributing or causing the symptoms.  This doctor can refer you to a mental health practitioner for diagnosis and treatment. 

How is Obsessive Compulsive Disorder Treated?

Traditional treatment for Obsessive Compulsive Disorder involves both medication and exposure therapy.  This type of therapy is often combined with cognitive behavioral therapy to provide desensitization and alternative coping strategies.  Recent research supported by the National Institutes of Health’s (NIH) National Institute of Mental Health shows that children and teens respond most effectively to treatment with antidepressants in conjunction with therapy. 

If you are concerned that your child or teen is experiencing obsessive thoughts and compulsive behaviors, work with a professional who can assess your child’s behavior and advise you on the appropriate course of action.

 

Cutting and Self Harm- What Parents Need to Know

October 18th, 2011
Cutting and Self Harm- What Parents Need to Know

Why do teens cut themselves? Read more to find out. Image via WikipediaOn a good day, it can be difficult for parents to understand their teenagers. The teen years can be a mix of intense emotions, physical changes, peer pressure, and hormonal overload that can leave teens feeling like visitors in their own bodies. Lacking the emotional maturity and coping skills to deal with this onslaught, some teens turn to cutting and other destructive behaviors for relief. For parents everywhere, this terrifying trend is impossible to understand. To help, here are the basics.

On a good day, it can be difficult for parents to understand their teenagers.  The teen years can be a mix of intense emotions, physical changes, peer pressure, and hormonal overload that can leave teens feeling like visitors in their own bodies.  Lacking the emotional maturity and coping skills to deal with this onslaught, some teens turn to cutting and other destructive behaviors for relief.  For parents everywhere, this terrifying trend is impossible to understand.  To help, here are the basics.

What is Self Harm?

Any behavior that involves deliberately inflicting injury on your own body is considered self harm.  This includes behaviors like cutting, head banging, and burning.  Teenagers use these behaviors as coping strategies to deal with intense emotions that they don’t know how to handle.  It is important for parents to understand that self harm behaviors are not suicide attempts, although they can be a cry for help.

Common forms of self harm include severe scratching, cutting, poisoning, carving into skin, hitting, piercing the skin, biting, and burning.  It is common for people who self harm to use more than one method to cause injury.  The most common locations for self injury are those that are easily reached including legs, arms, and the front of the body.

Why Do Teens Hurt Themselves?

For some teens, self harm provides a respite of some sort.  It may be an outlet for intense emotional turmoil or it could offer a release of mounting tension.  In some teens it even brings a sense of calm and quiet.

Self harm can also be an expression of control in a world that feels completely of control or a distraction from emotional pain.  Teens may use self harm as a way to release emotions, to give their internal feelings an external representation.  In some cases, self harm is a cry for help, while in others it is simply a way to attract attention and manipulate other people.

What Causes it

There is no specific condition that causes teens to self harm.  While teens are the most prevalent sufferers, people of all ages may use self injury as a mechanism for dealing with difficult emotions. Self harm can also manifest in people who are suffering from mental illnesses like depression or eating disorders.

There are, however, some risk factors that can increase the likelihood of a teenager turning to self harm as an emotional outlet.  These factors are:

  • Age – Teenagers in the highest risk age group
  • Mental Health – People who struggle to manage negative emotions, have difficulty with impulse control, and who suffer from specific mental illnesses are more prone to self harm.
  • Life Experiences – Teens who suffered abuse, neglect, or loss during their childhood are more likely than their peers to self harm.

What to Watch For

Most teens that self harm are secretive about their struggle because they are confused and ashamed by their own behavior.  Signs to watch out for are scars, cuts, scratches, wounds, burns, and broken bones.  Teens who wear long sleeves and pants in summer or claim clumsiness as the reason for their injuries may be trying to hide their self injuries.

How to Get Help

If you have a child that is harming themself, consult your medical practitioner and request an evaluation.  These professionals can help guide you in raising the issue with your child and getting them the help they need.  Psychotherapy is the most common treatment for self harm which may include individual counseling for your teen and family group.

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ADHD Awareness Week, October 16-22, 2011

October 16th, 2011

How much do you know about ADHD?  Odds are that unless you or one of your family members are one of the 13 million Americans living with the condition, you probably know less than you think and much of what you know may be incorrect.  The organizations behind the ADHD Awareness Coalition are working to change that with this year’s ADHD Awareness Week theme.  The focus of this year’s campaign is education and information.  People across the country will be urged to “Get the Facts about ADHD”.

For those with ADHD, the stigma attached to the diagnosis remains a real problem.  Decades of scientific research and the acceptance of ADHD as a legitimate diagnosable condition by the medical and mental health communities have not changed the fact that many people continue to question whether or not ADHD is real.  You would not tell a diabetic that they should be able to control their blood sugar themselves and if they can’t it is because they aren’t trying hard enough.  And yet, for many with ADHD, this is the message they are consistently given about their condition.  Changing how people view ADHD can change the lives of those who live with it and open up opportunities for them to thrive and contribute in new and different ways.

In recognition of ADHD Awareness Week, here are the seven facts you need to know about ADHD as outlined by the ADHD Awareness Coalition.  For more information about the coalition or ADHD Awareness Week, visit http://www.adhdawarenessweek.org/.

1.       ADHD is Real

ADHD is a brain-based disorder caused by a neurotransmitter imbalance.  Although ADHD symptoms can be varied in different individuals, it is a diagnosable condition that is listed in the American Psychiatric Association’s Diagnostic and Statistical Manual for Mental Disorders (DSM-IV-TR).  It is recognized by every major medical, psychological, and educational group in the U.S including the American Medical Association, American Academy of Pediatrics, National Institute of Mental Health, Centers for Disease Control and Prevention, American Psychiatric Association, American Academy of Child & Adolescent Psychiatry and the U.S. Department of Education.

2.       ADHD is a Common, Non-Discriminatory Disorder

An estimated 13 million children and adults in the U.S have ADHD.  These people span every race, age, gender, religion, and socio-economic group.  According to the CDC, 9.5% of children in America have been diagnosed with ADHD which means almost 1 in every 10 children is living with the condition.  Although it was initially thought to be a childhood condition that resolved after adolescence, new research has shown that many adults continue to be impacted through their lifetime.

3.       Diagnosing ADHD is a Complex Process

There is a specific diagnostic criterion for ADHD that doctors and mental health professionals use to determine whether or not an individual has ADHD.  However, the incidence of co-existing conditions whose symptoms can mirror or mask ADHD symptoms make this process difficult.  While there is not an ADHD blood test that will definitively determine whether or not someone has ADHD, there are tools and testing available to diagnosticians that enable diagnosis.

4.       Other Mental Health Conditions Often Occur Along with ADHD

It is very common for someone with ADHD to also have some other mental health disorder.   One of the most prevalent co-existing conditions is anxiety disorders which impact 30% of children and 25-40% of adults with ADHD.  Depression is also common amongst those with ADHD and will affect almost 70% at some point in their lifetime.  Those with ADHD are also more likely than those without ADHD to have a sleep and substance abuse disorders.

5.       ADHD is Not Benign

ADHD can impact almost every area of a person’s life.  For children, it can cause issues in school, with learning, in social development, and in building and sustaining relationships.  For adults, it can affect employment, relationships, financial management, and health management.  People with ADHD are more likely to get traffic tickets, be in traffic accidents, get divorced, and develop substance abuse problems.

6.       ADHD is Nobody’s Fault

ADHD is a highly genetic neurological disorder.  Things like family history, gender and environmental toxins may be factors that increase the likelihood of someone developing the condition.  It is not caused by sugar, television, bad parents, bad teachers, lack of morals, food allergies, or laziness.

7.       ADHD Treatment is Multi-Faceted

Most people with ADHD use a combined approach to treatment which may include psychotherapy, medication, coaching, behavior modification, and education.

Doorways specializes in the treatment of ADHD for teens, tweens and young adults.  If you suspect your child has ADHD, please contact your family medical practitioner.

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Helping your Teen Athlete Eat Healthy

October 4th, 2011

Everyone knows that teenagers often have bigger appetites because of their rapid growth.  Teen athletes, who can burn through as many as 5,000 calories a day, need even more food than their peers.  If they don’t get enough calories it affects their energy level and can impact their athletic performance.  In some cases, insufficient calories may even cause problems with their overall growth.  But it isn’t enough for teen athletes to eat enough calories; it is also important that they are taking in the right mix of nutrients and have a relatively balanced diet.

 

Breakfast

Parents can help support the nutritional needs of their teen athletes by starting each day with a healthy breakfast.  Have carbohydrate and protein filled choices such as whole grain bagels, peanut butter, eggs, yogurt and oatmeal available for a quick and healthy breakfast at home or on the go.

Diet

Everyone needs to eat a balanced diet but for teen athletes this is even more important. Their bodies are still growing which means they need the right mix of nutrients to support that growth while also providing the building blocks to boost performance and repair minor injuries.  According to KidsHealth.org, a teen athlete’s diet should be 60-65% carbohydrates, 12-15% protein, and 20-30% healthy fats.  Each of these three is equally important to your teen athlete’s development and performance.  Carbohydrates provide the main fuel source for their body, while protein helps build muscle.  Fats like those found in avocados and fish are critical to athletic performance because they provide the fuel for sustained energy.

Hydration

Teen athlete’s need to pay particular attention to their water intake and be diligent about keeping themselves hydrated.  Drinking water throughout the day as well as before, during, and after physical exertion is the best way to maintain the optimal level of hydration in the body.  When teen athletes become dehydrated, they may feel more tired, have less energy, and be less able to perform as expected on the field.

Calories

While there is no set amount of calories that all teen athletes need each day, the requirements are higher for teens that are active in sports or other physical activities.  On average, teen athletes may need 2,000 calories more per day than their less athletic friends.  The actual number is dependent on the person however and varies based on weight, sport, and age.  The best way to determine the right amount of calories for your teen athlete is to work with a registered dietitian.

Snacks

One of the best ways to help teen athletes get the balanced diet and number of calories they need is to ensure they have healthy, energy boosting snacks available throughout the day.  If your teen has practice directly after school they may be hitting their worst energy slump of the day just as practice is starting.  Depending on what time lunch period is, it may have been 3 or more hours since their last meal and by the time practice is over, they may have gone for seven or more hours without anything substantial to eat.  Pack snacks in their sports bag for before and after practice to ensure they have the energy to power through.   Healthy and energy-boosting snack choices include nuts, dried fruits and fresh fruits and vegetables.

 

By Rachel Daberkow, MS. RD.

 

Sources:

http://www.childrenshospital.org/az/Site988/mainpageS988P0.html

http://www.livestrong.com/article/289346-teenage-athletic-diet/

http://www.livestrong.com/article/74741-eating-teenage-athlete/

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How Do You Know Your Teenager is on Drugs?

September 30th, 2011

As a counselor who works with teens and parents, this is one of the most common questions I am asked. Parents often struggle with this issue because the natural mood swings and personality changes that are a part of the teen years can make it difficult to determine if their child is acting normal or needs help. They are also hesitant to ask difficult questions because they don’t want to damage their relationship with their teen by accusing them of taking drugs.  Maintaining a relationship built on trust can be an important part of successfully navigating the teenage years and it only takes one misstep to demolish the foundation of that trust. Parents may be hesitant to approach their teens when they are concerned because they don’t want to alienate them or push them further away.

In order to know when to be concerned, when to ask questions, and when to intervene, you need to know the facts. Here are the common signs of teenage drug use.

1. Changes in Social Circles
One sign that parents should be watching for is a significant change in their child’s friends or social circles. If your teenager has been friends with the same kids since elementary school and suddenly shifts to an entirely different set of friends, this may be cause for concern. First, look for other factors like joining a new club, or playing on a sports team that may explain an influx of new friends. Changes in social circles or standing by themselves are not always indicative of drug use, but parents should pay attention to these types of changes as they can point toward several teenage problems.

2. Changes in School Participation
Another thing to watch for is the development of a negative attitude about school in general. This includes spending less time and effort on school work and home work, skipping classes, and grades that are going down.

3. Changes in Personality
When teenagers begin using drugs, they often become more secretive and are touchier about privacy and having their own space. Signs of these behavior changes include getting angry if you are in their room, unwillingness to let you borrow their cell phone, refusing to leave their backpacks or school bags where others could access them, or offering vague answers about where they are going and who they are spending their time with.

4. Changes in Aromatic Usage
If your teen suddenly develops the need to burn incense or use room deodorizer on a regular basis, but doesn’t seem more concerned with cleaning their room, they may be trying to hide the smell of smoke or other odors. Intensified use of body spray or perfume is also a sign that something may be amiss.

5. Changes in Financial Needs
One indication that your teen may be using drugs is an increased need for money. This may be evident because of an increase in their requests to borrow money, offers to work around the house for cash, or money disappearing from purses and wallets. Teens that become suddenly invested in selling or pawning things like video games and other electronics may also have a problem that needs parental attention.

Parents and their involvement in their teenager’s lives are still the best deterrent to drug use. Providing a supportive environment with clear expectations helps set the stage for drug-free teen years. But it is equally important to know the signs that your teen is in trouble and how to help them through whatever problems they are facing.

 

by Jan Hamilton, MS, PMHNP-BC
Psychiatric Nurse Practitioner

Sources:
http://www.theantidrug.com/ei/

http://www.theantidrug.com/ei/signs_symptoms.asp

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Parents & Teens: Adventures in Miscommunication

September 9th, 2011

Join us September 14, 2011 at La Casa de Cristo Lutheran Church for an interactive discussion about Adventures in Miscommunication. This is designed for teens and parents.

Sam Lample, Rachel Derbokow and Jan Hamilton will be facilitating.

How Social Media is Affecting our Teens

September 2nd, 2011

How Social Media is Affecting our Teens-

Since computers starting coming into the home and video games left the arcade, parents have expressed concerns about how much is too much and how these virtual interfaces will impact the lives of our children over the long term.  For years, the main concerns around overuse of electronic media have centered on physical activity levels, studying, and the effect of violent, sexist, and racist themes on young minds.   Recently I was asked my thoughts on the impact things like Facebook, Twitter, and video games are having on today’s youth.  My answers might surprise you.

One of the main problems that I see is an increase in teens and young adults with significant social anxiety problems that seem to stem from spending too much time interacting with a computer and not enough time interacting with actual people. This is especially pertinent for teens that are in the 12 to 15 year old range that are actively developing and refining the social skills that will help them throughout their lives.  The more time a child spends in isolation posting on Facebook, playing Xbox, chatting online, texting, and watching YouTube videos, the less time they spend interacting with their peers and families.  These real-world interactions are necessary for developing social skills, understanding social protocols, and building interpersonal relationships.

What Parents Should Look For

  • Parents should trust their instincts and if they are concerned there might be a problem, seek the opinion of a professional.
  • Parents also need to make the distinction between what is normal behavior and what is healthy behavior.  Your son might spend 12 hours a day playing video games which seems normal when compared to his friends, but most health professionals would agree that even if it is normal, 12 hours of video game play in a day is definitely not healthy.
  • Watch for resistance to social situations and avoidance of social interactions.  If your child is having a significant emotional response to a situation that requires social interaction, there may be a social problem that needs to be addressed.

What Parents Can Do

  • The most important step parents can take is to start young.  Set expectations and ground rules about media use early in childhood which will help your child develop good habits as they grow into teenagers.
  • Provide multiple social outlet opportunities for your children through church, community, sports, and educational activities.  But, beware of over-scheduling; children need downtime too.
  • Don’t accommodate their anxiety; it’s ok for them to be uncomfortable in social situations because they are learning how to manage those types of interactions.  Giving in and allowing them to avoid socializing only reinforces the avoidance behaviors.

 

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Teen Relationships and Mood

August 30th, 2011

Few parents escape the teenage years without dealing with daily doses of drama that are an inescapable part of growing up.  But how do you know when your teen is just being over-dramatic, when they are hurting but healthy, or when the drama is a sign of clinical depression?

Many teens today are dealing with the relationship drama that is part of being a teenager and mood difficulties can be the result of all the drama.  Many teens are struggling because they find themselves in relationships, romantic or not, that they aren’t equipped to handle.  Depression can result when a relationship fails or does not work out as they expected and the drama associated with sudden changes in relationships only complicates the situation.

Many teens find themselves in relationships that got too romantic too quickly, and not just in the physical sense.  The end of a whirlwind relationship can be just as devastating if the connection wasn’t physical, if there was an emotional aspect, that’s enough.    The emotional highpoints of a new relationship and the emotional drama experienced when the relationship suddenly disappears can lead teens to feelings of depression.

Social networking, online friendships, and electronic communications have also changed the rules of the teenage game.  Unlike the teen years of their parents, today’s teens are hyper-connected to everyone they know, every minute of the day.  Twenty years ago, a fight between two friends may have resulted in a flurry of phone calls and drawn in three or four other people.  Today, that fight is played out on Facebook in front the entire school.  We know as therapists that human beings are not designed to participate in a hundred relationships at the same time which is in essence what social networking sites like Facebook ask us to do.  As a result of all of these relationships and the hyper-connected nature of their lives, teens today are bombarded with an exponential amount of relationship drama that is playing out like a television soap opera 24 hours a day.

The implied intimacy of knowing the thoughts, feelings, and everyday activities of the people in your life provides the façade of friendship where no real relationship exists.  Many of these online friendships and relationships weren’t built the way real relationships need to be built in order to be sustained.  Pair this with the fact that most people will say things to others online that they would never consider saying in person, and it is easy to understand why all this drama can drag our teenagers further into potential mood problems.

Even more concerning for the long term is how social networking impacts the skills teenagers need to develop in order to be able to handle relationships as they move into adulthood.  Today there is a whole generation of people who have developed friendships online through platforms like Facebook, Twitter, and chat, but these relationships are not the same as relationships that were formed and built in person.  This group of teenagers doesn’t understand how to build real relationships and sustain them over time.  As a result, when a real relationship comes into their life, they don’t know how to participate in it or how to take care of it, because the skills they need are missing.  And when they lose that real relationship, they don’t know to handle the loss because it isn’t the same as having someone de-friend you on Facebook.

So what should parents do to help their child have healthy relationships and avoid relationship-caused mood problems?

  1. Encourage your teenager to get involved in extracurricular activities at school, church or other organizations.  From participating in sports or youth groups or volunteering for a community organization, all of these live activities provide teens with important one-on-one interaction and the opportunity to develop relationships with people.
  2. Monitor computer and cell phone usage; set boundaries.  I’ve heard some parents say that they insist that their kids share their passwords and give their parents 24 hour access to their social media accounts or text messages.  While some might think this is extreme, as parents who are responsible for the well being and safety of our children, it might be a good idea.
  3. Have regular family time.  Another family started a tradition when their children were young of going out to pizza as a family every Friday night.  Often times they would invite friends of the kids.  Even though the children are now teenagers, and one in college they still look forward to going to dinner as a family every Friday night when the can.  The benefit was that the family and kids spent the time eating and having conversation, something they didn’t do when they were all running in different directions.
  4. Encourage your teen to go out with groups of friends instead of just dating one person exclusively.

 

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“Treating the Anxious Boy in an Outpatient Setting”

August 29th, 2011

November 9th, 2011   

(Anxiety and Eating Disorder treatment in preadolescent males)

Presented by Sam Lample along with Rachel Daberkow for Sierra Tucson Professional Networking


“Help! I Can’t Talk to My Teenager, He Says I Don’t Understand!”

August 23rd, 2011

By: Jan Hamilton, MS, PMHNP-BC

Every parent who has ever had a teenager understands this feeling.  It is a topic I get asked about a lot and a frequent topic in family therapy.  As teenagers grow, one of the fundamental changes they are making is the formulation of their own identity, separate and distinct from that of their parents.  In former centuries, this change more closely coincided with actual changes in circumstances as well, like getting married, striking out on their own, or taking on more adult responsibilities.  Even so, there were probably quite a few shouting matches and just as much misunderstanding between parents and their teenagers as there is today.

Communication is the key to helping our teenagers navigate the often rocky path between childhood and adulthood.  Unfortunately, the very nature of that change creates significant challenges and barriers to communication.  In order to keep the communication channels open, parents need to take charge of keeping them clear.  Here are 6 things that will help you communicate better with your teen.

1.      Communication is more than Words

Remember that there is more to communicating than just the words that come out of your mouth.  Your teenager is attuned to the subtle and silent messages you send with your body language and the tone of your voice.  If these messages don’t match, your child will interpret what they think you really mean and respond accordingly.

2.     Watch What You Say

Most teenagers have heard what you are about to say a hundred times.  They can tell by the circumstances, your body language, and the tone of your voice what is coming and if it is old news or an unwelcome message, they may tune it out.  Pay attention to all the messages you are sending and look for ways to impart the same message without wandering into a well-known battlefield.

3.     Listen

Communication is not just about talking or educating the other person or convincing them that your point of view is right.  Communication is about a two-way exchange.  You need to learn to listen, to truly listen, to what your teen is saying before you can learn to communicate with them.  Too often, parents tune out their kids as well, only hearing the things they want to hear or using the time their child is talking to think about what they are going to say next.  Listening to your teenager is the most empowering thing you can do.

4.     Trust Your Parenting

Trust in the foundation you provided them and give them room to make choices, fail, and then learn from their mistakes.  Believe in the guidance and education you instilled in them.  Don’t lecture. Focus on listening and allow them to make decisions for themselves.  Bolster their belief in themselves by showing them you believe in their ability to make good decisions.

5.     Be a Curious Observer

One of the reasons teenagers feel so misunderstood is that their lives, bodies, hormones, and relationships are in a constant state of flux.  You can help them through these challenges by providing validation that they are OK, that they are good people, and that what they are going through is normal.  To do this, you must be curious about their lives, ask open-ended questions, and then listen to what they have to say.  But you must only be an observer; you cannot force openness and you shouldn’t use curiosity to spy or pry into their lives.

6.     Watch Out for Transference

Remember that your child is not you.   If you have issues to work through, take the initiative and work through them yourself, don’t assume your child is going down the same path you did or that they will make the same mistakes you made.  You don’t want to  limit their freedom to find their own path, make their own mistakes, and learn to live with the consequences that result because of your own fears or guilt about your past.  The healthier you are, the better you are able to let go when you need to.

 

About Jan Hamilton, MS, PMHNP-BC

Jan is a nationally Board Certified Psychiatric Nurse Practitioner who specializes in adolescent treatment.  She earned her Master’s of Science and Psychiatric Nurse Practitioner certification through the University of Arizona. She then worked for over eight years at Remuda Ranch providing inpatient services for adolescents and adults suffering from eating disorders. Jan has been a registered nurse for 31 years and worked in a wide variety of medical settings, including 30 years of serving young people through her work with Young Life, an interdenominational outreach program. Her desire to provide quality psychological and psychiatric care for adolescents and young adults in an outpatient, faith based setting has led to the opening of Doorways in 2008.

 

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How Do You Know When Your Teen’s Warning Signs are Really Red Flags?

August 18th, 2011

For parents with children who are suffering from a mental illness, it can be very difficult to know when their child’s problems are typical and manageable, and when those problems begin to endanger other people.

There are warning signs you can watch for if you are concerned that there may be something going on with your child that might endanger themselves or others.  Here are four tips parents can use in these difficult situations.

1.     When Something Feels Off, Pay Attention

As parents, we know our children better than anyone and the most important thing you can do is to trust your instincts.  If something feels off, check it out.  If your child’s behavior seems to change overnight or they suddenly stop participating in things they used to enjoy, talk to them and don’t stop talking and listening until you find out what is going on.

2.     Challenges with Peers

Often times, the peers of teens who act out in dangerous ways or harmed their families also sensed something was off or strange about them.  If your child is having difficulty interacting with their peers, getting bullied, or having trouble fitting in with others in their age group, seek a second opinion.  Often, as parents, we are too close to form an objective opinion about whether our child is struggling to fit in because they have some social anxiety, a few extra pounds, or braces and when their peers avoid them because they sense they are anti-social, odd, or dangerous.  Someone outside the situation can provide valuable insight into what is normal and what needs immediate attention.

3.     Keep Lines of Communication Open

One of the biggest challenges every parent faces is keeping communication going when times get tough.  Often, the times when our children need us the most are also the times they are least likely to seek our counsel or ask for our help.  Create safe spaces for your child to open up about things you don’t approve of so that they don’t let small problems become life-altering situations simply because they didn’t want to get in trouble.  Remember that communicating is a two way street and that you need to listen at least as much as you talk.

4.      No Such Thing as Perfect Parents

Remind yourself that there is no such thing as perfect parents or perfect children.  Be the best parent you can and provide your children with a solid foundation, room to learn to make mistakes, and opportunities to make decisions, even bad ones.  Be there for them in whatever ways you can when they falter but remember that they have free will and they are going to make their own choices.  Even amazing parents can have children who make very bad choices.   But, the opposite is also true, even when parents seem to do everything wrong, most adolescents turn out to be amazing, wonderful adults!

 

Jan Hamilton, MS, PMHNP-BC

Jan is a nationally Board Certified Psychiatric Nurse Practitioner who specializes in adolescent treatment.  She earned her Master’s of Science and Psychiatric Nurse Practitioner certification through the University of Arizona. She then worked for over eight years at Remuda Ranch providing inpatient services for adolescents and adults suffering from eating disorders. Jan has been a registered nurse for 31 years and worked in a wide variety of medical settings, including 30 years of serving young people through her work with Young Life, an interdenominational outreach program. Her desire to provide quality psychological and psychiatric care for adolescents and young adults in an outpatient, faith based setting has led to the opening of Doorways in 2008.

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Ms. Sarah VanHolland Joins Doorways LLC

July 31st, 2011

Doorways LLC announces new services for Spanish speaking adolescents and young adults who struggle with

eating disorders, depression, mood or anxiety disorders, self-harm, trauma or abuse, and ADD/ADHD.

Doorways, LLC. has hired bilingual Spanish provider: Ms. Sarah Van Holland MC, LPC.

Sarah VanHolland MC, LPC, Licensed Professional CounselorSarah earned a master’s degree in counseling from Arizona State University. For the past four years she has worked at an Arizona community mental health agency, providing in-home and school-based assessments as well as counseling Spanish-speaking children and their families.

 

About Doorways:

Doorways, LLC. is a faith-based mental health services organization in Phoenix, Arizona, that provides comprehensive outpatient treatment focused exclusively on adolescents, young adults and their families. Therapists, psychiatric providers and a dietitian at Doorways specialize in treatment for eating disorders, mood disorders, substance abuse, depression, ADD/ADHD, self-harm, suicide and more. For more information, visit http://www.doorwaysarizona.com, or call 602-997-2880.

 

The Art of Recovery

July 29th, 2011

September 24, 2011- Phoenix Convention Center

The Art of Recovery – is a one-day event offering educational workshops, resources and solutions. This Expo is for everyone- people searching for help, those already in recovery, family members especially parents who want to learn about prevention, and anyone whose life has been impacted by addiction.

The 2011 Art of Recovery Expo will take a special focus on substance abuse prevention and will present parents and all youth mentors in the Valley with an important fact-gathering opportunity. The event is free.

For more information: The Art Of Recovery.com

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Bilingual Counselor Joins Doorways Arizona

July 27th, 2011

Sarah VanHolland, MC, LAC, has joined Doorways LLC., as licensed counselor.

VanHolland, who is bilingual in Spanish, earned a master’s degree in counseling from Arizona State University. For the past four years she has worked at an Arizona community mental health agency, providing in-home and school-based assessments as well as counseling Spanish-speaking children and their families.

She was inspired to begin working with young people after a volunteering experience in high school. She also is “passionate about reaching out to underserved people in our community and empowering others to feel valued.”

VanHolland specializes in working with acculturation issues, depression, anxiety, parent-child relationships and advocating for individual education rights within the public school system.

A Phoenix native, VanHolland is married to Ben, a math teacher, and has a one-year-old son.

Doorways LLC is a faith-based counseling organization in Phoenix, Arizona, that provides comprehensive outpatient treatment focused exclusively on adolescents, young adults and their families. Therapists at Doorways specialize in treatment for eating disorders, mood disorders, substance abuse, depression, ADD/ADHD, self-harm, suicide and more. For more information, visit http://www.doorwaysarizona.com, or call 602-997-2880.

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How Social Media is Affecting our Teens

July 27th, 2011
Image representing Twitter as depicted in Crun...

Image via CrunchBase

Since computers starting coming into the home and video games left the arcade, parents have expressed concerns about how much is too much and how these virtual interfaces will impact the lives of our children over the long term. For years, the main concerns around overuse of electronic media have centered on physical activity levels, studying, and the effect of violent, sexist, and racist themes on young minds. Recently I was asked my thoughts on the impact things like Facebook, Twitter, and video games are having on today’s youth. My answers might surprise you.

One of the main problems that I see is an increase in teens and young adults with significant social anxiety problems that seem to stem from spending too much time interacting with a computer and not enough time interacting with actual people. I call this “Social Phobia.” This is especially pertinent for teens that are in the 12 to 15 year old range that are actively developing and refining the social skills that will help them throughout their lives. The more time a child spends in isolation posting on Facebook, playing Xbox, chatting online, texting, and watching YouTube videos, the less time they spend interacting with their peers and families. These real-world interactions are necessary for developing social skills, understanding social protocols, and building interpersonal relationships.

What Parents Should Look For

  • Parents should trust their instincts and if they are concerned there might be a problem, seek the opinion of a professional.
  • Parents also need to make the distinction between what is normal behavior and what is healthy behavior. Your son might spend 12 hours a day playing video games which seems normal when compared to his friends, but most health professionals would agree that even if it is normal, 12 hours of video game play in a day is definitely not healthy.
  • Watch for resistance to social situations and avoidance of social interactions. If your child is having a significant emotional response to a situation that requires social interaction, there may be a social problem that needs to be addressed.

What Parents Can Do

  • The most important step parents can take is to start young. Set expectations and ground rules about media use early in childhood which will help your child develop good habits as they grow into teenagers.
  • Provide multiple social outlet opportunities for your children through church, community, sports, and educational activities. But, beware of over-scheduling, children need downtime too.
  • Don’t accommodate their anxiety; it’s ok for them to be uncomfortable in social situations because they are learning how to manage those types of interactions. Giving in and allowing them to avoid socializing only reinforces the avoidance behaviors.
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What is IOP?

May 7th, 2013
Teen Advisory Committee-13

Doorways Arizona currently offers two ongoing IOP groups. (Photo credit: Vancouver Public Library)

To most people, there are two kinds of mental health treatment. First, there is inpatient treatment where you live at a facility for weeks to months and which includes treatment for chronic issues or addictions and secondly, Outpatient treatment, which is meeting with a group or an individual provider, typically once a week. Here at Doorways, we understand that there are times where adolescents and young adults need more than a weekly one on one with a therapist or other provider, but who don’t need to be in an inpatient program.  In an effort to fill this need, we developed an adolescent and young adult-specific Intensive Outpatient Program (IOP) that target specific disorders.

IOPs meet several times over the course of a week and participants are part of several different kinds of therapy each day.  These programs enable us to provide more comprehensive treatment options in the specific areas where a more intensive experience is warranted.

Doorways currently offers two ongoing IOP groups, the Young Adult Trauma IOP and the Adolescent Eating Disorder IOP.  These specialty groups each meet three days a week and have rolling, open enrollment.

The Young Adult Trauma IOP is for those ages 17-25.  The program requires 10 hours a week spread over a three day period.  Each week, attendees participate in the following different types of therapy and group sessions.

  • Art Group – These groups are designed to enhance and reinforce positive emotion.  Participation helps promote peace and calm.
  • Process Group – These groups help participants practice identifying and expressing emotions, learning to let go of shame, and how to build relationships with interpersonal skills.  By sharing their experiences, participants grow and learn to trust others.
  • Yoga and Mindfulness – This group uses yoga and mindfulness practice to increase participants’ awareness of thoughts, feelings, urges, and actions in an observational and non-judgmental way.
  • DBT Skills Group – These groups use the concepts and theories from Dialectical Behavior Therapy to help participants develop effective life coping skills.
  • Skills Card Process Group – This group expands on the skills learned in the DBT groups and helps participants learn to process thoughts, emotions, feelings, self destructive behaviors, and urges.  The emphasis is to put the skills learned in the DBT groups into practice.
  • Voice, Power, & Trust Group – This group provides participants with a place to tell their story in a safe space and is designed to help trauma victims recover their voice and learn to trust again.
  • Trauma Theory – This session combines psychoeducation and processing in an effort to explore a model of trauma and how it is manifested in adulthood.

The Adolescent Eating Disorders IOP is for those ages 13-18.  The program requires 13 hours a week spread over a three day period.  Each week, attendees participate in a variety of therapy and group sessions.  In addition to the Process Group, Yoga/Mindfulness Group, and DBT Skills Group outlined above, this IOP also includes the following:

  • Group Meals – Each meal or snack is an Exposure with Response Prevention (ERP) session supervised by a dietician or therapist.  ERP is a premiere method of learning to tolerate the kind of anxiety often experienced with eating disorders.
  • Nutrition Group – This group’s focus is promoting a healthy, balanced approach to eating that is supported by the latest research and is taught by a registered dietician with years of experience treating children and adolescents with eating disorders.
  • Body Image Group – This group provides participants with a place to tell their story in a safe space and is designed to help those with eating disorders recover their voice.
  • CRT Group – Cognitive Remediation Therapy (CRT) is on the cutting edge of eating disorder treatment.
  • Parent Group – The goal of this group is to give parents and guardians the necessary information to assist in their loved one’s recovery process.  This group is for parents and guardians only.
  • Parent Update – The focus of this group will be to discuss client progress, barriers, obstacles, concerns, and expectations for the weekend while establishing the type of structure that is conducive to the recovery process.

Chase Kerrey and Sam Lample Present at the 45th Annual Southwestern School for Behavioral Health Studies

April 29th, 2013

978200f0009e4de2ada8172dd480fdddThe 45th Annual Southwestern School (SWS) for Behavioral Health Studies conference will once again be held at Loews Ventana Canyon, August 18 – 22, 2013, in Tucson, Arizona.

This year’s theme is: Embracing Recovery and Wellness –Where Hope Stems from Within.

August 18, 2013 @ 9:00 am – 1:00 pm

Southwestern School for Behavioral Health Studies

7000 North Resort Drive

Tucson,AZ 85750

This interactive demonstration of action methods will allow attendees to witness, practice, and experience strength-based structures that capitalize on clients’ strengths to put recovery and wellness into action.

This is one of the many spectacular sessions offered at the 45th Annual Southwestern School for Behavioral Health Studies. A great way to get your continuing education in the splendor of the Loews Ventana Canyon Resort in Tucson.

 

Chase Kerrey and Sam Lample will present on Trauma, Relational Intimacy and Eating Disorders: A New Look at an Old Problem at the 45th Annual Southwestern School (SWS) for Behavioral Health Studies conference. 

Session 1

The first session will offer an alternative definition of trauma before describing the five key elements of createdness that become wounded when traumatic events occur.  This will lead into a discussion of relational intimacy and its connection to eating disorders before the session ends.

Session 2

The second session will briefly summarize the previous session before spending the majority of the time exploring the intricacies between eating disorders and relational intimacy. Some time will also be dedicated to recognize the biological components of eating disorders by highlighting the role of the insula in body image distortion.

Objectives

  1. Learners will be able to understand the predictable impact of trauma on one’s sense of self.
  2. Attendees will be able to explain how eating disorders create a false sense of relational intimacy.
  3. Participants will be quipped with effective therapeutic strategies to restore relational intimacy.