Thursday, July 3, 2008

Sue Scheff: Prescription Drugs and Teens


“I know a couple people … the first thing they ever tried, you know, going to their parents’ medicine cabinet and just looking in there and finding what they could get high off of.”

– Marie Bokemeyer, 17

According to the Federal Drug Enforcement Administration, 7 million Americans abuse prescription drugs. And many are just teens.

“Percosets, Valium, Xanax … pretty much anything I could get my hands on,” 17-year-old Mururi Wangu says.

In fact, the abuse of prescription drugs has risen 80 percent in the past 6 years. Experts say, aside from marijuana, teens are abusing these drugs more than all other illicit drugs combined.

Experts say that one reason for such a dramatic jump in abuse numbers is the availability of prescription drugs.

“This is the age of medication,” says Dr. Steven Jaffe, an adolescent psychologist. “I think there’s tremendous amounts of all sorts of medicine out there that are readily available in the bathrooms, in the cabinets at home, as well as on the black market.”

Moreover, since the U.S. Food and Drug Administration approves prescription drugs, teens mistakenly believe that using these drugs – even if they don’t have a prescription – is safe.

“For a while, I thought prescription drugs aren’t as bad because why would the doctor prescribe them if they were dangerous,” 17-year-old Marie Bokemeyer says.

Experts say that’s why parents should start early with a strong, clear message that abusing any kind of drug is wrong. They should also get to know their teens’ friends, limit unsupervised time, keep close track of medications in their homes and don’t assume it can’t happen to their teens.

“I have a thousand parents who say, ‘I didn’t know how much my child was in to.’ And it’s not just denial – teenagers are experts at hiding it,” Dr. Jaffe says.

Adds 17-year-old Kat Peterson: “I didn’t care about the danger of it; that had no effect on me. It was just the convenience of it.”

Tips for Parents
The abuse of prescription drugs has become a major health concern. More teens than ever are turning to their medicine cabinets to get high. Experts say one reason is accessibility. The majority of teens who abuse prescription drugs say they get them for free from their friends or relatives. Another reason these drugs have become so popular is, because the drugs are approved by the FDA, many teens consider them to be safe.
Consider these statistics:

In 2005, 2.1 million teens abused prescription drugs.

Three percent, or 840,000 teens ages 12-17, reported current abuse of prescription drugs in 2005, making this illegal drug category the second most abused next to marijuana (7%).
For the first time, there are just as many new abusers (12 and older) of prescription drugs as there are for marijuana.

One-third of all new abusers of prescription drugs in 2005 were 12-17-year-olds.
Teens ages 12-17 have the second-highest annual rates of prescription drug abuse after young adults (18-25).

Nearly one in five teens (19% or 4.5 million) report abusing prescription medications that were not prescribed to them.

Teens admit to abusing prescription medicine for reasons other than getting high, including to relieve pain or anxiety, to sleep better, to experiment, to help with concentration or to increase alertness.

More than one-third of teens say they feel some pressure to abuse prescription drugs, and nine percent say using prescription drugs to get high is an important part of fitting in with their friends.

Nearly three out of 10 teens (29% or 6.8 million) believe prescription pain relievers—even if not prescribed by a doctor—are not addictive.

In 2004, more than 29 percent of teens in treatment were dependent on tranquilizers, sedatives, amphetamines and other stimulants.

As a parent, it is important to understand that teens may be involved with legal and illegal drugs in various ways. The American Academy of Child & Adolescent Psychiatry (AACAP) reports that many teens begin using drugs to satisfy their curiosity, to make themselves feel good, to reduce stress, to feel grown up or to “fit in.” While it is difficult to know which teens will experiment and stop and which will develop serious problems, the National Institute of Drug Abuse says the following types of teens are at greatest risk of becoming addicted:

Those who have a family history of substance abuse
Those who are depressed
Those who have low self-esteem

Those who feel like they don’t “fit in” or are out of the mainstream
Because the U.S. Food and Drug Administration puts its seal of approval on prescription drugs, many teens mistakenly believe that using these drugs – even if they are not prescribed to them – is safe. However, this practice can, in fact, lead to addiction and severe side effects. The Center for Drug Evaluation and Research cites the following most commonly abused prescription drugs:

Opioids: Also known as narcotic analgesics, opioids are used to treat pain. Examples of this type of drug include morphine, codeine, OxyContin (oxycodone), Vicodin (hydrocodone) and Demerol (meperidine). In the short term, these drugs block pain messages and cause drowsiness. A large, single dose can cause severe respiratory depression and death. Long-term use leads to physical dependence and, in some cases, addiction.

Central nervous system (CNS) depressants: These drugs are commonly used to treat anxiety, panic attacks and sleep disorders. Examples include Nembutal (pentobarbital sodium), Valium (diazepam) and Xanax (alprazolam). CNS depressants slow down normal brain function and can cause a sleepy, uncoordinated feeling in the beginning of treatment. Long-term use can lead to physical dependence and addiction.

Stimulants: These drugs are commonly used to treat the sleeping disorder narcolepsy and attention-deficit hyperactivity disorder. Examples include Ritalin (methylphenidate) and Dexedrine (dextroamphetamine). Stimulants, which can be addictive, enhance brain activity and increase alertness and energy. They elevate blood pressure, heart rate and respiration. Very high doses can lead to irregular heartbeat and high body temperature

How can you determine if your teen is abusing drugs? The AACAP suggests looking for the following warning signs and symptoms in your teen:

Physical: Fatigue, repeated health complaints, red and glazed eyes and a lasting cough
Emotional: Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest

Familial: Starting arguments, breaking rules or withdrawing from the family

School-related: Decreased interest, negative attitude, drop in grades, many absences, truancy and discipline problems

Social: having new friends who are less interested in standard home and school activities, problems with the law and changes to less conventional styles in dress and music

If you believe your teen has a problem with drug abuse, you can take several steps to get the help he or she needs. The American Academy of Family Physicians suggests contacting your health-care provider so that he or she can perform an adequate medical evaluation in order to match the right treatment or intervention program with your teen. You can also contact a support group in your community dedicated to helping families coping with addiction.

Substance abuse can be an overwhelming issue with which to deal, but it doesn’t have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your teen can reap the rewards of a healthy, drug-free life:

Be your teen’s greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.

Encourage your teen to get involved in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available. Sometimes it takes a bit of experimenting to find out which activities your teen is best suited for, but it’s worth the effort – feeling competent makes children much less likely to use drugs.

Help your teen develop tools he can use to get out of drug-related situations. Let him or her know he or she can use you as an excuse: “My mom would kill me if I smoked marijuana!”
Get to know your teen’s friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your teen away from any friends who use drugs.

Call teens’ parents if their home is to be used for a party. Make sure that the party will be drug-free and supervised by adults.

Set curfews and enforce them. Let your teen know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.

Sit down for dinner with your teen at least once a week. Use the time to talk – don’t eat in front of the television.

Get – and stay – involved in your teen’s life.

References
American Academy of Child & Adolescent Psychiatry
American Academy of Family Physicians
Center for Drug Evaluation and Research
Drug Abuse Warning Network
National Institute on Drug Abuse
Partnership for a Drug-Free America
Substance Abuse & Mental Human Services Administration
U.S. Food and Drug Administration

Thursday, June 26, 2008

Parents Universal Resource Experts (Sue Scheff) Avoid the Freak-Out Route!


Source: Shoulder to Shoulder



Most parents and teens do battle, and these "power struggles" test everyone's patience. You casually ask your daughter if she is going to wear that shirt, and she retorts, "Don't freak out mom!" What's a parent to do? While these challenges are a normal part of every day life with teens, there are steps to take to avoid (or at least reduce) the "freak out" route.



STAY COOL.If we overreact or lose our cool, we diminish our control with teens and escalate the conflict. Parents show they are in charge by staying calm and dealing with an issue even-handedly. (Yes, it's easier said than done.)



STICK TO THE GROUND RULES.Decide on a few non-negotiable rules. These can be as simple as "no television until homework is finished," or "put dirty clothes in the hamper." When a teen pushes back, don't argue over details or negotiate. Simply say, "Sorry, that is against the family rules." Teens will try and outwit us or start an argument. Don't over-explain, and don't renegotiate. Just remind them of the rule.



IGNORE THE "SMALL STUFF."Many conflicts are not worth your time and energy. Does it really matter if their bedroom is clean for a sleepover? Would it be the end of the world if they play one more CD? Probably not. The key to successful parenting is to know which battles are worth tackling. Concentrate only on those issues that genuinely need your attention to protect your teen's well-being.



KNOW WHEN TO LET IT GO.Conflict carries different meanings and feelings for parents and teens. When teens blow up about something we feel is "insignificant," teens tend to forget about the issue soon afterwards. For us, the tension can linger and make us more upset. Sometimes, we just have to let it go. Learn to ignore the "attitude," the flip remark or the threat of disobedience from your teen.




Read the entire article: http://www.education.com/reference/article/Ref_Avoid_Freak_out/

Tuesday, June 24, 2008

Body Image with Teens - Can it Effect Their Behavior?




Body Image in Teens



If you're in high school, most of your friends are probably on a diet. A recent study shows that 90% of junior and senior girls are on a diet regularly, even though only 10-15% are actually overweight.

The modeling industry also promotes the idea that you need to diet and exercise religiously. Fashion models are actually thinner than 98% of American women. An average woman stands 5'4" tall and weighs about 140 lbs, while the average fashion model is a towering 5'11" tall and weighs under 117 lbs.

In reality no amount of dieting, exercise and discipline can earn you a magazine cover-ready body because those photos have been Photo Shopped, doctored and airbrushed. Don't waste your time attempting to be what you are not, instead; focus on cultivating who you are!

Body Image Tips
As you progress through puberty and your high school years, your body changes as fast as your favorite ringtones. But learning to appreciate your body and have positive self image is a task that few adults have even mastered. Here are some tips to help you learn to love yourself:

Learn to Cook- It is never too early to learn to cook. In just a few years, you will be on your own and you will be expected to feed and take care of yourself. Get some practice at home by preparing some family meals or meals for just yourself. Try some new foods by looking through cookbooks and online. Impress your friends by having a dinner party. This also helps you understand how food functions within a regular diet. Learn how to cook healthily so you can eat healthily, but don't spend too much time worrying about food!

Don't Diet!- Dieting is a great way to ruin your eating habits and your relationship with food and your body. Instead, learn about healthy eating and exercise habits. The healthy habits you learn while you are young will serve you throughout your life!

People Watch- Go to the mall or a public space and people watch. How many are fat or thin? How tall are most women? Men? What do you like or dislike about people's styles, looks or body type? How much of their appearance is "style" and how much is their actual body types? Cultivate the ability to see style and beauty in everyone. As you learn to do this, you can be a trend-setter instead of a trend-follower.

Keep it Real- Remember, people only pick the best photos to be on their MySpace or Facebook page. Remind yourself that they all have bad hair days, the occasional zit or an unflattering outfit choice.

Stay Well Rounded- Sign up for activities that you have never tried. Join an intramural sport or speech meet. Build up your college resume by participating in extracurricular activities. It's a great way to broaden your social circle and prepares you for college or a job.

Be a Trend Setter- Don't just follow the crowd - create your own crowd by being a trend setter. Find your own style and look by experimenting with your hair, makeup and clothing. What is your look trying to say? Does it match what you want people to think about you? Someone has to set the trends. Why not you?

Learn to meditate- It is never too early to learn to meditate. You will find that this is a skill you can use all your life. By focusing inward, it is easier to distill the truth rather than listening to outside influences. It will also help you manage the stress of your busy life.


Parental Tips
If you are a parent of a teen, you know the challenges of living with an emotional, possibly aloof teenager who begs for guidance but disregards most of what you say. Their alternating moods and attitudes make approaching a touchy subject like body image feels dangerous. The following are some tips to help with a positive body image:

Have an Open Door Policy-You'd like your teen to approach you with any problem she is facing but often you aren't sure if she's coming to you, going to her friends or suffering alone. Encourage regular candid conversation by noticing what times and places your teen is most likely to talk. Is she a night owl? Does she talking on a long drive? Is she more comfortable emailing? Use the time and venue that is most comfortable for her and encourage open sharing.

Limit Harmful Media- Put your teen daughter on a media diet. Don't feel you need to restrict website, magazine or TV shows entirely. Just be cautious of what mediums she concentrates on. Be especially mindful of any one celebrity that she idolizes or photos that she tears out and stares at repeatedly. Discuss how all magazine photos are airbrushed and doctored.

Compliment Her and Her Friends- Make a point to compliment both your daughter and her friends on a well-put together outfit or a new hair style. Teens are trying on new looks and personalities as their bodies change. Let them know that they have hit on a good look when they experiment in the right direction.

Make sure to compliment them on things not related to their appearance as well. A good grade, a valiant sports effort or kind deed also deserve notice. Try to practice a 90/10% rule. Let 90% of your comments and insights be positive and only 10% should be carefully worded constructive criticism.

Resources:

Health AtoZ: Is it a Diet or an Eating Disorder?


Eating Disorder Statistics

http://www.freewebs.com/anadeath/statistics.htm

Sunday, June 22, 2008

Sue Scheff: The Dangers of Inhalant Abuse


By http://www.inhalant.org/

Inhaled chemicals are rapidly absorbed through the lungs into the bloodstream
and quickly distributed to the brain and other organs. Within minutes, the user
experiences intoxication, with symptoms similar to those produced by drinking
alcohol. With Inhalants, however, intoxication lasts only a few minutes, so some
users prolong the “high” by continuing to inhale repeatedly.


Short-term effects include:

headaches, muscle weakness, abdominal pain, severe mood swings and violent behavior, belligerence, slurred speech, numbness and tingling of the hands and feet, nausea, hearing loss, visual disturbances, limb spasms, fatigue, lack of coordination, apathy, impaired judgment, dizziness, lethargy, depressed reflexes, stupor, and loss of consciousness. The Inhalant user will initially feel slightly stimulated and, after successive inhalations, will feel less inhibited and less in control. Hallucinations may occur and the user can lose consciousness. Worse, he or she, may even die. Please see Sudden Sniffing Death Syndrome below.


Long-term Inhalant users generally suffer from:

weight loss, muscle weakness, disorientation, inattentiveness, lack of coordination, irritability and depression. Different Inhalants produce different harmful effects, and regular abuse of these substances can result in serious harm to vital organs. Serious, but potentially reversible, effects include liver and kidney damage. Harmful irreversible effects include: hearing loss, limb spasms, bone marrow and central nervous system (including brain) damage.


Sudden Sniffing Death Syndrome:

Children can die the first time, or any time, they try an Inhalant. This is known as Sudden Sniffing Death Syndrome. While it can occur with many types of Inhalants, it is particularly associated with the abuse of air conditioning coolant, butane, propane, and the chemicals in some aerosol products. Sudden Sniffing Death Syndrome is usually associated with cardiac arrest. The Inhalant causes the heart to beat rapidly and erratically, resulting in cardiac arrest.

Learn more:

Visit http://www.inhalant.org/
http://www.helpyourteens.com/
http://www.witsendbook.com/

Thursday, June 19, 2008

Sue Scheff: Teen Suicide - Learn More


Suicide is the third most common cause of death amongst adolescents between 15-24 years of age, and the sixth most common cause of death amongst 5-14 year olds. It is estimated that over half of all teens suffering from depression will attempt suicide at least once, and of those teens, roughly seven percent will succeed on the first try. Teenagers are especially vulnerable to the threat of suicide, because in addition to increased stress from school, work and peers, teens are also dealing with hormonal fluctuations that can complicate even the most normal situations.

Because of these social and personal changes, teens are also at higher risk for depression, which can also increase feelings of despair and the desire to commit suicide. In fact, according to a study by the National Institute of Mental Health (NIMH) almost all people who commit suicide suffer from a diagnosable mental disorder or substance abuse disorder. Often, teens feel as though they have no other way out of their problems, and may not realize that suicidal thoughts and feelings can be treated. Unfortunately, due to the often volatile relationship between teens and their parents, teens may not be as forthcoming about suicidal feelings as parents would hope. The good news is there are many signs parents can watch for in their teen without necessarily needing their teen to open up to them.

At some point in most teens’ lives, they will experience periods of sadness, worry and/or despair. While it is completely normal for a healthy person to have these types of responses to pain resulting from loss, dismissal, or disillusionment, those with serious (often undiagnosed) mental illnesses often experience much more drastic reactions. Many times these severe reactions will leave the teen in despair, and they may feel that there is no end in sight to their suffering. It is at this point that the teen may lose hope, and with the absence of hope comes more depression and the feeling that suicide is the only solution. It isn’t.

Teen girls are statistically twice as likely as their male counterparts to attempt suicide. They tend to turn to drugs (overdosing) or to cut themselves, while boys are traditionally more successful in their suicide attempts because they utilize more lethal methods such as guns and hanging. This method preference makes boys almost four times more successful in committing suicide.

Studies have borne out that suicide rates rise considerably when teens can access firearms in their home. In fact, nearly 60% of suicides committed in the United States that result in immediate death are accomplished with a gun. This is one crucial reason that any gun kept in a home with teens, even if that teen does not display any outward signs of depression, be stored in a locked compartment away from any ammunition. In fact, the ammunition should be stored in a locked compartment as well, and the keys to both the gun and ammunition compartments should be kept in a different area from where normal, everyday keys are kept. Remember to always keep firearms, ammunition, and the keys to the locks containing them, away from kids.

Unfortunately, teen suicide is not a rare event. In the United States, the Centers for Disease Control and Prevention (CDC) estimates that suicide is the third leading cause of death for people between the ages of 15 and 24. This disturbing trend is affecting younger children as well, with suicide rates experiencing dramatic increases in the under-15 age group from 1980 to 1996. Suicide attempts are even more prevalent, though it is difficult to track the exact rates.

Visit Teen Suicide Website.

Tuesday, June 17, 2008

Sue Scheff: Parent Empowerment!




Parent Empowerment!
By Sue Scheff

Are you at your wit’s end? Completely frustrated and stressed out over your child’s behavior? Are you questioning where the child you raised with values went? It is time to empower yourself with information that can help you take control again.

So many parents are desperate to find resolution and peace with their out of control teen. They feel helpless, hopeless, scared, exhausted, and bewildered where this behavior came from.

Many teens are suffering with low self esteem, depression and other negative feelings that are making the act out in defiant ways. It is important to try to resolve these feelings before they escalate to worse behavior, including substance abuse and addiction, sexual promiscuity, eating disorders, self injury, gang involvement, etc.

These teens are usually very intelligent and capable of getting Honor Roll grades, however are not working up to their potential and lack the motivation to succeed and do well. This can stem from peer pressure combined with the teen’s feelings of low self worth. It is one of the most common trends today – highly intelligent teens making bad choices. Are you telling yourself; “This is not my child,” yet soon realize that it is and you must take control of an obvious out of control situation.

As a parent that has experienced and survived a troubled teen – I am introducing “Parent Empowerment” to help you take control of your family again. My goal is that you will learn from my mistakes and gain from my knowledge.

Do you think you are alone? I can assure you, that there are many parents that are in your same situation – and feeling the same frustrations.

Let’s look at things we have tried – and I am confident many of you will see the familiarity with these consequences:

Remove privileges or place restrictions on cell phones, televisions, computers, going out on weekends, friends, phone time at home, etc. In today’s society, although these should be privileges, most are considered normal necessities of a teen’s life. This can be related to entitlement issues. Click Here http://www.helpyourteens.com/entitlement_issues.html Many instances even if you have removed the privileges, the child knows he/she will eventually get them back, and find other means to communicate with their teen world.

Change schools – How many times have we believed if we change the school the problems will go away? Maybe in some cases, however these issues will follow your child into the next school environment. The problems may be masked in the beginning, but in most cases, the trouble will soon arise again. Changing schools, although may temporarily resolve some problems; it is rarely the answer when teens are emotionally struggling.

Have your child go live with a relative out of state? Wow, this is very common, but the other similarity is that in many situations it is a short term resolution before the family is calling and saying they can’t do it any longer – you need to find another alternative for the teen. This can be traumatic and stressful for both families involved and cause friction that could result in more negative feelings.

How many families have actually moved? Believe or not, parents have looked for job transfers or other avenues to try to remove their teen from the environment they are currently in. So many of us believe it is the friends, which it could be, however as parents we need to also take accountability – this is not saying we are to blame, but we need to understand that our children are usually not the “angels” we believe they are. Sure they are athletic, played varsity sports (football, track, golf, swim team, dance etc.), musically gifted, or other special talents as well as were in all advanced placement classes – but reality is, if you are reading this, this has changed.

Seeking a therapist will help. Yes in some cases it will. And of course, we should all try this avenue first. Unfortunately more times than not, the teens are already a master manipulator and can breeze through these sessions convincing the therapist the parents are the problem. I know many of you have probably already experienced this. The other concern with therapy is that in many situations the one hour once or twice a week can barely scratch the surface of what a family with a troubled teen may require.

Was your child arrested? If your child has committed a crime, chances are they will be arrested. If your child has become belligerent in the home and you fear for your safety or the safety of your family, again chances are they will be arrested. In some cases with first time offenders the charges could be dropped. However if this becoming a chronic problem, you seriously should consider outside help. When a teen is arrested and placed in a juvenile detention center, even for one night, they are exposed to a different element that could either scare him/her or harden them. Teens can learn bad habits in these centers, or potentially worse, make friends with teens that have far worse problems than yours.

Scared Straight Programs or Boot Camps – Are they effective? Many parents will seek a local weekend Scared Straight Program or Boot Camp. In some cases, it may have a positive effect on your teen – a wake up call so to speak; however in other cases it may worsen your problem. Depending on your child and the problems you are dealing with or how long they have been going on, may help you to determine if these types of programs would be beneficial or detrimental to them. Some teens will leave a Boot Camp or weekend Scared Straight program with more anger and resentment than when they entered it. The resentment is usually directed at the person that placed them there – not at the program. This can open doors to more destructive behavior. Personally, I am not in favor of Boot Camps or Scared Straight Weekend programs. A visit to a jail with a police officer, giving the teen the awareness of what could happen to them, may be a better way to help the teen to understand consequences of the current behavior.


These above efforts are avenues parents could try before considering any type of boarding school program. I believe exhausting all your local resources should be the first path. Making a decision to place a child outside of the home is a major decision and one that is not to be taken lightly. It is important you educate yourself – empower yourself with information to help you make the best decision for your child. Here is a list of questions to ask schools and programs in order to determine if they are a fit for your teen.

Click here: http://www.helpyourteens.com/questions_to_ask_schools.html
Helpful Hints: http://www.helpyourteens.com/helpful_hints.html when searching for schools and programs.

An educated parent is an empowered parent. Parent Empowerment! Take control of your family life again. Don’t be a parent in denial – take control and become empowered! I believe giving your child a second chance to have a successful life is our responsibility as a concerned parent.

Saturday, June 14, 2008

Parents Universal Resource Experts (Sue Scheff) Tough Talks with your Teen


By Shoulder to Shoulder



It’s not easy talking about sex, drugs, gangs and violence with our teens. But it’s a “must do.” Here are a few pointers and tips for talking with teens about the very real issues they face.



Timing is Everything



Know that teens will catch us off guard when they decide to ask questions about sex or other “tough” topics. Resist the urge to flee. Try saying, “I’m glad you came to me with that question.” This gives us time to think of a response, and will let teens know they can come to parents for advice. It’s important to answer the question right away, rather than put off a teen by saying something like - “you’re too young to know that!” Chances are, the subject has already come up at school and they’re already getting “advice” from their friends. When teens ask questions, look at it as an opportunity to help them learn by sharing our thoughts.



Practice Makes Perfect



As parents, anticipation is our best friend. Anticipate what teens’ questions may be about sex, drugs or alcohol, then think about your responses ahead of time. What to say? It’s different for each family, but become familiar with typical questions and behaviors that occur during the teen years. Do a little digging around popular teen Web sites to find out what’s hot in a teen’s world.



Is It Hot In Here?



If you’re feeling embarrassed or uncomfortable about a question your teen asks, say so. Acknowledging your own discomfort allows your kids to acknowledge theirs - and may make everyone feel a little less awkward all around. It’s also okay for parents to set limits. For example, you do not have to give specific answers about your own teen behaviors.
Read entire article here: http://www.education.com/reference/article/Ref_Tough_Talks_your/