Friday, January 30, 2009

Sue Scheff: Troubled Teenagers by Connect with Kids

The Teenage Brain

Are you dealing with the emotional rollercoaster of raising a teenager? Teens are impulsive, stubborn and moody. A troubled teenager will yell at you one minute and hug you the next. What’s a parent to do? Get The Teenage Brain and see the latest research to help you understand defiant teenagers and how their mind actually works. You’ll improve your parenting skills and learn how to influence troubled teenagers and how to better communicate with them.
Find out what makes defiant teenagers tick.

New research shows that there are clear-cut, physical differences between an adult’s brain and a teenager’s brain – differences that explain typical “teen behavior.” The Teenage Brain is a compelling video program that gives families with troubled teenagers hope while providing the latest facts, tips from experts, advice from health practitioners, stories from teens themselves and much more.

When it comes to teenagers, you can never have enough parenting skills.
If you have teens, part of your job is to develop their mind. New research shows that you can actually shape the structure of your child’s brain – so shouldn’t you understand how troubled teenagers' or defiant teenagers' brains work? Now you can.

“It’s important for parents to understand how the brain works because the brain is incredibly responsive to experiences, and the kind of experiences that parents provide can actually shape the structure of the brain.”

Thursday, January 29, 2009

ADHD and Drug Abuse

Source: Connect with Kids

“In a way that athletes have used steroids and other medications in the past to enhance their athletic performance, Adderall is actually being used to kind of pseudo-enhance their academic performance.”

– Heather Hayes, M.Ed., Counselor.

Nineteen-year-old Marisa McCorkle has been using Adderall for two years.

“I use it for various reasons,” she says, “like tests, it helps me on tests. [And it] helps me stay awake, and [with] studying.”

It sounds like a wonder drug. Adderall – an amphetamine commonly used to treat ADHD. But, studies show it’s being abused more and more.

“In a way that athletes have used steroids and other medications in the past to enhance their athletic performance, Adderall is actually being used to kind of pseudo-enhance their academic performance,” states Heather Hayes, a licensed professional counselor.

One of the biggest problems with using the drug recreationally is that most teens are unaware of its dangers.

Twenty-year-old “Dave,” a college student, says, “I think it’s pretty safe unless you’re taking five at a time.”

But experts say even in small doses, the dangers of taking Adderall can range from headaches, increased heart rate and insomnia to things far worse.

“Any amphetamine has the potential to give someone an amphetamine psychosis,” warns Hayes. “So when you take a lot of amphetamines and you’re not sleeping, then you will literally hallucinate. … [You] will absolutely leave reality and become delusional and paranoid.”

Hayes says parents need to make the dangers of taking Adderall clear to teens. Otherwise, they may continue to believe it’s a cheap and easily available drug that helps them study. Marisa and Dave are examples of students with this belief.

“I get it for free, but I know people who will give … maybe two to five dollars [per pill],” says Marisa.

“Actually, I’m gonna go to my doctor and, uh, try to get a prescription next semester,” says Dave, “’cause I think it’s a really effective way to get good grades. I wouldn’t think it was that hard to, uh, fake having ADD.”

But others say Adderall fools you – that it only seems like it’s helping kids study. Amanda Mattison, 17, has seen first-hand what can happen.

“[Students taking Adderall] can focus when they’re taking it, and they study and they cram for five or six hours and they’re good-to-go for the exam,” she says, “but by the time the exam rolls around, they’re either too worn out or … it’s lost it’s effect.”

“Bottom line,” says Hayes, “Adderall is as dangerous of a drug when unsupervised as any other medication. It’s addictive and it is dangerous.”



Tips for Parents

Adderall, manufactured by Shire Pharmaceuticals Group of the United Kingdom, is a stimulant prescribed for attention-deficit hyperactivity disorder, or ADHD. Shire states, “Adderall isn't intended to enhance test scores and should only be used under medical supervision.”

Adderall is a fast-acting mixture of amphetamines. Amphetamines act on the brain by mimicking the neurotransmitter dopamine, which increases alertness and concentration. Studies conducted by the National Institutes of Health in the late 1970s found that low-dose stimulants increase concentration and alertness in everyone, not just people with attention disorders. Here are some things to know about ADHD:

ADHD is a medical condition linked to a chemical imbalance in the brain. Doctors believe it stems from biological, not environmental, conditions.
Generally, people with ADHD have trouble focusing on tasks or subjects, and they may act impulsively and often get in trouble.
Approximately 3 to 7 percent of school-age children and 4 percent of adults suffer from ADHD.
Adderall is one of a handful of stimulants prescribed for ADHD.
Side effects of Adderall can include loss of appetite, insomnia and weight loss.
During late-night study marathons, students from grade school to med school have long relied on stimulants– which include everything from caffeine to cocaine. But with Adderall, and other similar prescription drugs, some high school and college students are hoping to improve scores on standardized (and even classroom) tests. Other students are turning to alternative medicine, such as hypnosis or herbal supplements, for an extra edge.

The concern with Adderall is not from a single use. One pill won’t kill you. But one pill is likely to lead to a second pill, then a third and a subsequent snowball effect where physical damage can occur. Also, Adderall is relatively easy to obtain. Overall, prescriptions for stimulants have risen from 1.6 million in 2000 to 2.6 million a month in 2004. Adderall XR, a once-a-day, extended-release form of the drug, is the leader in its class, capturing about a third of the market. Consider the following:

Prescription drug use was once rare, but it has now crossed into the mainstream.
Prescriptive amphetamines have figured prominently in calls to emergency departments and poison control centers.
Kids, and even their parents, are desperate for any available academic edge and willing to go to the extreme to obtain it.
Some students feel extra pressure because they feel they are not just failing themselves, but also failing their parents and other family members.
The College Board, the nonprofit administrator of the SAT, has no rules explicitly prohibiting drug use. Spokeswoman Chiara Coletti says, "We certainly do not recommend that students take any drugs or stimulants in hopes of affecting their scores."
Some kids taking Adderall have valid prescriptions, but not all. Under federal law, it's illegal to knowingly possess a "schedule II" drug (like Adderall) without a prescription. But prosecutions for possession are rare.
Many schools would suspend or expel a student caught using marijuana or other street drugs but might not punish students taking prescription drugs to help with test taking.

References
ADHD Support and Resources from Eli Lily
National Institutes of Health
Nature Magazine
Shire Pharmaceuticals Group
TeensHealth
The Wall Street Journal

Thursday, January 22, 2009

Teen Births Rates Up

Source: Connect with Kids

“It does give them another way to look at themselves, and to look at their bodies as a powerful force and not just sort of ornamental.”

– Laura Mee, Ph.D., Child Psychologist.

One girl gives birth to a baby. Another plays basketball with her brother. What’s the connection?

Studies show girls who play sports are less likely to have sex and less likely to get pregnant. One reason may be these athletes gain confidence and respect for their bodies.

"It does give them another way to look at themselves, and to look at their bodies as a powerful force and not just sort of ornamental," explains child psychologist, Dr. Laura Mee.

Experts say experiencing pressure on the court gives them the strength to resist pressure from a boyfriend. And, in their free time, it gives them something else to focus on besides how they look, “Their hair, their clothes, their, like reputation... mostly all they want to do is impress the boys," says 12-year-old Claire.

What’s more, studies have found that athletic girls have higher self-esteem, better grades and less stress.

So, experts say, encourage your daughters to get involved in sports and then cheer them on. "Make it as important that your daughters have sporting events as you would for your son that you treat them as equally as you possibly can, that you support and encourage and that the other children, whether they are male or female, support and encourage each other in their sports activities," says Mee.

Tips for Parents

Sex is something parents should constantly discuss with their teens, but you should really give your teens “the talk” before summer and Christmas vacation. According to one study, teens are much more likely to lose their virginity during the months of June and December than any other time of the year. Almost 19,000 adolescents in grades seven through twelve participated in the survey, which identified the month they had sexual intercourse for the first time. The survey also asked if the act was with a romantic partner or was more “casual.”

The findings, published in the Journal of Marriage and Family, show June as the most popular month, followed closely by December. Summer and Christmas vacations are believed to be the cause with school out and teens with time on their hands. More events are also planned in June, including high school proms, graduations and summertime parties. The “holiday season effect” makes December the second highest month for teen sex. Experts explained that during the holidays, young females in relationships are more likely to have sex. The holidays usually bring people together and make them closer. The same is true with teenagers.

All studies indicate messages from parents regarding sex are extremely important to teens (Washington State Department of Health). In fact, teens state parents as their number one resource for information on the topic. This talk may be uncomfortable for many parents, so the National Parent Teacher Association (PTA) has provided the following tips for parents:

Practice. It may take practice to feel comfortable talking about sex with your kids. Rehearsing with a friend or partner can help. Be honest. Admit to your child if talking about sex is not easy for you. You might say, "I wish I'd talked with you about sex when you were younger, but I found it difficult and kept putting it off. My parents never talked to me about it, and I wish they had."
Pay attention. Often parents do not talk to their teens about sex because they did not notice they wanted or needed information. Not all teens ask direct questions. Teenagers are often unwilling to admit they do not know everything. Notice what is going on with your child and use that as a basis for starting a conversation about sexual topics.
Look for chances to discuss the sexual roles and attitudes of men and women with your child. Use television show, ads and articles as a start.
Listen. When you give your full attention, you show that you respect your child's thoughts and feelings. Listening also gives you a chance to correct wrong information they may have gotten from friends. As you listen, be sensitive to unasked questions. "My friend Mary is going out on a real date," could lead to a discussion of how to handle feelings about touching and kissing.
Parents can also share their feelings on the topic through words and actions. The best way is to talk to teens. Even though it may seem like they are not listening – they are. To have a healthy and effective discussion on sex, the Advocates for Youth Campaign encourages parents to:

Educate yourself and talk with your children about issues of sexuality. Do not forget about discussing the importance of relationships, love, and commitment.
Discuss explicitly with preadolescents and teens the value of delaying sexual initiation and the importance of love and intimacy as well as of safer sex and protecting their health.
Encourage strong decision-making skills by providing youth with age-appropriate opportunities to make decisions and to experience the consequences of those decisions. Allow young people to make mistakes and encourage them to learn from them.
Encourage teens to create a resource list of organizations to which they can turn for assistance with sexual health, and other, issues. Work together to find books and Web sites that offer accurate information.
Actively support comprehensive sexuality education in the schools. Find out what is being taught about sexuality, who is teaching it, and what your teens think about it.
Actively voice your concerns if the sexuality education being taught in local public schools is biased, discriminatory, or inaccurate, has religious content, or promotes a particular creed or denomination.
Demonstrate unconditional love and respect for your children.
References
Advocates for Youth Campaign
Journal of Marriage and Family
National Parent Teacher Association
Washington State Department of Health

Thursday, January 15, 2009

HIV Testing and Teens



Source: Connect with Kids

“Our evidence is that when people find out they’re infected with HIV, they cut down their risky behavior by more than two-thirds.”

– Bernard Branson, M.D., Division of HIV/AIDS Prevention, Centers for Disease Control and Prevention

Does your 13-year-old need an HIV test?

“No, because she’s not sexually active,” says father Mark Alterio, “So I wouldn’t have her screened.”

“I’m a proponent of being more informed,” says mother Ingrid Emmons, “and I feel like if you’re more informed then we can get you the help that you need. So I’d rather know than not know.”

The American College of Physicians is now backing the Center for Disease Control’s recommendations to have everyone between the ages of 13 and 64 tested for HIV.

But why start so young?

“Our information, first of all, from recent surveys suggests that about 47-percent of teenagers, high school students, are sexually active,” says Dr. Bernard Branson, with the CDC’s division of HIV/AIDS Prevention.

According to the Centers for Disease Control, 250-thousand Americans have HIV and don’t know it.

Experts say expanded testing could stop thousands from spreading the virus.

“Our evidence is that when people find out they’re infected with HIV,” says Dr. Branson, “they cut down their risky behavior by more than two-thirds.”

Experts estimate testing will reduce the number of new HIV cases from around 40-thousand to 17-thousand a year.

Screening could especially benefit teenagers.

“Our recommendation is to make this something that’s routine,” says Dr. Branson, “so that it doesn’t cause an adolescent in particular to have to admit something they might prefer not to, in order to get HIV-tested.”

In other words, if it’s not routine, some kids won’t ask to get tested - because it means admitting they were sexually active.

Some parents agree.

“Kids are always hiding something,” says mother Melanie Zentner, “especially in the teenaged years, even if you’re close. So I’d like to know, so you can take care of it right away. That would be my opinion.”

HIV tests cost between eight and 20 dollars each. If there is a positive result, more testing is done to confirm the results.


Tips for Parents
According to the Centers for Disease Control and Prevention (CDC), in 2006, 15 percent of persons diagnosed with HIV/AIDS were 13 to 24. Twenty-six percent were aged 25-34. The typical delay between the exposure to HIV infection and the onset of AIDS means that most of these young adults were infected as teens. There is a growing concern among U.S. health organizations about complacency – referred to as “safe-sex fatigue” – among young people toward HIV infection and AIDS. However, statistics show there is no reason for teens to be complacent about AIDS.

The Kaiser Family FoundationSexual Health of Adolescents and Young Adults in the United States 2008 report finds the following statistics about HIV, AIDS and teens:

The CDC estimates that almost 46,000 young people, ages 13 to 24, were living with HIV in the U.S in 2006. Women comprised 28% of these HIV/AIDS cases among 13- to 24-year-olds.
African-American young adults are disproportionately affected by HIV infection, accounting for 60% of HIV/AIDS diagnoses in 13- to 24-year-olds in 2006.
More HIV infections occurred among adolescents and young adults 13–29 years old (34%) of new HIV infections than any other age group. Most young people with HIV/AIDS were infected by sexual transmission.
In 2006, 16% of young adults ages 18 to 24 reported that they had been tested for HIV in the past 12 months.
The Kaiser study also shows that over the past decade teens have become smarter about sex:

Nearly half (48%) of all high school students in 2007 reported ever having had sexual intercourse, a decline from 54% in 1991. Males (50%) are slightly more likely than females (46%) to report having had sex. The median age at first intercourse is 16.9 years for boys and 17.4 years for girls.
In 2007, among the 35% of currently sexually active high school students, 62% reported using a condom the last time they had sexual intercourse, up from 57% in 1997.1 African-American students (67%) were more likely to report using condoms compared to White (60%) and Hispanic (61%) students. Males (69%) were more like to report condom use than females (55%).
Using a dual method of a condom and hormonal contraceptive is becoming more prevalent for teenage females. The percentage of currently sexually active never-married females 15–19 years of age reporting use of dual methods rose from 8% in 1995 to 20% in 2002.
Sexually active teens need information, skills and support to protect themselves from HIV and AIDS. The American Association for World Health (AAWH) says parents communicating in a positive way about sexuality and risky behaviors can have a “profound influence” in helping young people make healthy decisions. Talking to your teen about AIDS can often be difficult and uncomfortable because it requires talking about issues like sex and drugs. The AAWH suggests the following tips when talking to your teen about HIV and AIDS:

AIDS stands for acquired immunodeficiency syndrome. It is a serious and fatal disease of the human immune system and is caused by a virus called human immunodeficiency virus (HIV). A person will not develop AIDS unless he or she has first been infected with HIV.
HIV can be spread through oral, anal or vaginal sexual activity. The sexual transmission can be from male to female, from male to male, from female to male or from female to female. HIV may be in an infected person’s blood, semen, vaginal secretions or breast milk. It can enter the body through cuts or sores on tissue in the vagina, penis, rectum and sometimes the mouth. The cuts may be so small that you don’t know they’re there.
You can become infected with HIV from even one instance of unprotected sex. While complete abstinence is the surest way to prevent the sexual transmission of HIV, protecting yourself with a latex condom or barrier at every sexual encounter is very important.
Most birth control methods like the pill or diaphragms don’t protect you from HIV.
Whether you inject drugs or steroids or use needles for tattoos or body piercing, sharing needles places you at risk for becoming infected with HIV.
Using drugs of any kind, including alcohol or inhalants, can cloud your judgment. You could become less careful about having sex or injecting drugs – behaviors that place you at risk for HIV.

References
American Association for World Health
American College of Physicians
Centers for Disease Control
The Kaiser Family Foundation

Friday, January 9, 2009

Sue Scheff - Anti-Smoking Advocacy for Teens




“It’s bad for your health and if you smoke, you’re going to get lung cancer. I doubt that there’s 5 percent of kids out there who haven’t already heard that message. That in and of itself is not enough to influence or change their behavior.”

– Andy Lord, American Cancer Society

Two years ago, when Ashley was 17, her mother discovered cigarettes in her daughter’s coat pocket.

“My reaction of course was total shock,” says Ashley’s mother, Sylvia Haney.

Ashley recalls, “And she’s like, ‘What is this? Cigarettes!’ And she’s like, ‘Why are you smoking?’”

But instead of giving her daughter a long lecture, Haney had her join an anti-smoking program called “Youth in Charge.”

“It’s a youth empowerment group [that] lets other youth know the dangers of big tobacco companies, and the manipulation and lies of the big tobacco companies,” says Ashley.

Research has shown that teen smokers who get involved in an anti-smoking program like the one Ashley joined are nearly 40 percent more likely to quit, compared to teens who only received lectures.

“You can lecture, but I can guarantee you it’s going to go in one ear and out the other,” says Ashley.

Experts say the key is to have kids do their own research, find out on their own about the dangers of tobacco, so they learn it firsthand and can tell other kids.

And when they do that, “they draw their own conclusions,” says Andy Lord, with the American Cancer Society. “And at the end of the day when kids draw their own conclusions, they do have ownership of that information. They do feel a revelation, and they do in turn want to go and share that with other folks.”

Ashley adds, “Smoking or using tobacco can kill more than AIDS and HIV, auto accidents, illicit drugs, murders, rapes and suicides combined. I don’t know why you’d want to do it.”

Experts say parents can contact their branch of the American Cancer Society to find a youth anti-tobacco program in their area. For many teens, it is worth discovering. The group’s effect on Ashley was profound.

“Most definitely I will not pick up another cigarette,” she says.

Tips for Parents

Research shows that a vast majority of smokers began when they were children or teenagers. While recent legislation has helped reduce smoking, it still remains an important health concern. Consider the following statistics from the U.S. Surgeon General:

Approximately 80 percent of adult smokers started smoking before the age of 18.
More than 5 million children living today will die prematurely because of a decision they make as adolescents – the decision to smoke cigarettes.

An estimated 2.1 million people began smoking on a daily basis in 1997. More than half of these new smokers were younger than 18. This boils down to every day, 3,000 young people under the age of 18 becoming regular smokers.

Nearly all first uses of tobacco occur before high school graduation.

Most young people who smoke are addicted to nicotine and report that they want to quit but are unable to do so.

Tobacco is often the first drug used by young people who use alcohol and illegal drugs.
Among young people, those with poorer grades and lower self-image are most likely to begin using tobacco.

Over the past decade, there has been virtually no decline in smoking rates among the general teen population. Among black adolescents, however, smoking has declined dramatically.
Young people who come from low-income families and have fewer than two adults living in their household are especially at risk for becoming smokers.

Encourage your child to join an anti-smoking group and support him/her in kicking the habit. If you are currently a smoker, you should also try to stop. Children look to their parents for support and strength; taking the anti-smoking journey alongside your child can be a huge benefit. In addition to attending the meetings, The Foundation for a Smoke-Free America offers these suggestions:

Develop deep-breathing techniques. Every time you want a cigarette, do the following three times: Inhale the deepest breath of air you can and then, very slowly, exhale. Purse your lips so that the air must come out slowly. As you exhale, close your eyes, and let your chin gradually drop to your chest. Visualize all the tension leaving your body, slowly draining out of your fingers and toes -- just flowing on out. This technique will be your greatest weapon during the strong cravings smokers feel during the first few days of quitting.

During the first week, drink lots of water and healthy fluids to flush out the nicotine and other toxins from your body.

Remember that the urge to smoke only lasts a few minutes, and then it will pass. The urges gradually become further and further apart as the days go by.

Do your very best to stay away from alcohol, sugar and coffee the first week (or longer) as these tend to stimulate the desire for a cigarette. Also, avoid fatty foods, as your metabolism may slow down a bit without the nicotine, and you may gain weight even if you eat the same amount as before quitting. Discipline regarding your diet is extra important now.

Nibble on low calorie foods like celery, apples and carrots. Chew gum or suck on cinnamon sticks.
Stretch out your meals. Eat slowly and pause between bites.

After dinner, instead of a cigarette, treat yourself to a cup of mint tea or a peppermint candy.
Keep in mind, however, that in one study, while 25 percent of quitters found that an oral substitute was helpful, another 25 percent didn't like the idea at all – they wanted a clean break with cigarettes. Find what works for you.

Go to a gym, exercise, and/or sit in the steam of a hot shower. Change your normal routine – take a walk or even jog around the block or in a local park. Get a massage. Pamper yourself.
Ask for support from coworkers, friends and family members. Ask for their tolerance. Let them know you're quitting, and that you might be edgy or grumpy for a few days. If you don't ask for support, you certainly won't get any. If you do, you'll be surprised how much it can help.
Ask friends and family members not to smoke in your presence. Don't be afraid to ask. This is more important than you may realize.

On your “quit day,” remove all ashtrays and destroy all your cigarettes, so you have nothing to smoke.

If you need someone to talk to, call the National Cancer Institute's Smoking Quitline at 1-877-44U-Quit. Proactive counseling services by trained personnel are provided in sessions both before and after quitting smoking.

Find a chat room online, with people trying to quit smoking. It can be a great source of support, much like a Nicotine Anonymous meeting, but online.

Attend your anti-smoking meetings. If there are no meetings in your city, try calling (800) 642-0666, or check the Nicotine Anonymous website link below. There you can also find out how to start your own meeting. It's truly therapeutic to see how other quitters are doing as they strive to stop smoking.

Write down ten good things about being a nonsmoker and ten bad things about smoking.
Don't pretend smoking wasn't enjoyable. Quitting smoking can be like losing a good friend – and it's okay to grieve the loss. Feel that grief.

Several times a day, quietly repeat to yourself the affirmation, "I am a nonsmoker." Many quitters see themselves as smokers who are just not smoking for the moment. They have a self-image as smokers who still want a cigarette. Silently repeating the affirmation "I am a nonsmoker" will help you change your view of yourself. Even if it seems silly to you, this is actually useful.

Here is perhaps the most valuable information among these points: During the period that begins a few weeks after quitting, the urge to smoke will subside considerably. However, it's vital to understand that from time to time, you will still be suddenly overwhelmed with a desire for "just one cigarette." This will happen unexpectedly, during moments of stress, whether negative stress or positive (at a party, or on vacation). Be prepared to resist this unexpected urge, because succumbing to that "one cigarette" will lead you directly back to smoking. Remember the following secret: during these surprise attacks, do your deep breathing and hold on for five minutes; the urge will pass.

Do not try to go it alone. Get help, and plenty of it.

References
American Cancer Society
Centers for Disease Control and Prevention
Foundation for a Smoke-Free America
Nicotine Anonymous

Wednesday, January 7, 2009

Sue Scheff - Inflated Self Esteem with Teens

Source: Connect with Kids

“Just be happy about yourself, feel confident in what you can do.”

– Tyler, age 17

Self-esteem is important. “Well of course!” agrees 16-year-old Annie.

“The lower self-esteem you have the more people can pick on you, the more people can mess around and make jokes about you, that’s just how it is nowadays,” explains 17-year-old Tyler.

Researchers from San Diego State University studied annual surveys given to high school seniors since 1975. They found that self-esteem among teens is at its highest level ever.

One example: 65 percent felt confident that they would be successful at their job, compared to just 49 percent back in 1975.

Experts point to the trend in the late 70s, where parents and teachers used praise to boost self-esteem … sometimes instead of kids actually earning praise and recognition.

“To feel good about ourselves, we need things to feel good about,” says Dr. Frank Phajares, Clinical Psychologist. “We need accomplishments, we need mastery experiences, we need real competencies. And when we succeed, that’s when we feel good about ourselves.”

Studies show that earned self-esteem is powerful: kids tend to perform better when they feel good about themselves and are better able to get through disappointments and difficulties in life.

But, experts warn, praise without accomplishment is risky.

“If we just focus on making kids feel good and liking themselves, then I think we are missing the boat and I think we are raising little tyrants who are self-centered, selfish and could disregard other people.”

Tips for Parents


A general increase in the self-esteem of American children is good news, right? Researchers at San Diego State University aren’t so sure. Their study of adolescents and college students from the 1970s to 2000s does show an overall increase in self-esteem, but suggests that the increase is not due to improvements in children’s behavior. Instead, the increase could be the result of educators and parents urging children to feel better about themselves. “The larger social environment is affecting self-esteem, rather than vice versa,” the study’s authors conclude. “The culture we create has an impact on our children’s feelings about themselves.”

Why is self-esteem important in children? According to the National Network for Child Care (NNCC), how children feel about themselves affects the way they act. Most of the time, children with high self-esteem will:

Make friends easily.
Show enthusiasm for new activities.
Be cooperative and follow age-appropriate rules.
Control their behavior.
Play by themselves and with other children.
Like to be creative and have their own ideas.
Be happy, full of energy, and talk to others without much encouragement.
What can you do to help children build high self-esteem? The NNCC offers the following suggestions:

Praise each child's successes (even very small ones). Praise each child who tries hard.
Give sincere affection. Let children know that they are loved and wanted.
Show interest in each child's activities, projects, or problems.
Tell children what to do instead of what not to do. This prepares them for what to do.
Instead of: "Don't throw the ball," say: "Roll the ball on the floor." Instead of: "Don't squeeze the kitten," say: "Hold the kitten gently."
Let children know that mistakes are a natural part of growing up. Everyone (including adults) makes mistakes.
Try to ignore temper tantrums and other negative behavior as much as possible.
Show appreciation when children cooperate, help you, say kind things to other children, obey the rules, and do other positive things.

Remember that learning new skills takes time and practice. Children do not learn new skills all at once.
Respond affectionately when children behave well. Tell children what you like about their behavior.
Let children know that you believe in them and expect them to do well.

References
Personality and Social Psychology Review
National Network for Child Care

Friday, January 2, 2009

Sue Scheff: Where Do Teens Turn for Medical Advice


Source: Connect with Kids


“I had irritation in my special ‘no-no’ place. And that was a question that I wasn’t going to ask my mom.”

– Sheaele, Age 17

So where do teenagers like Sheaele turn when they want a health question answered? Sometimes friends, sometimes teachers… and according to a new survey, nearly half of teens are now going to the Internet to look for medical information.

“If it was a personal problem that I didn’t feel comfortable talking to anybody about, I would probably just look it up online,” says 18-year-old Joe.

But the information teens find on web sites may not always be accurate. Experts say to help a child avoid bad information, parents should do their own search of teen-friendly medical web sites.

Check them out. Then suggest the ones you like to your teen.

“Internet sites that do that, just give clear health information … I think that would be probably a good idea,” says Dr. Dawn Swaby-Ellis, a pediatrician.

But experts have an even better idea for parents: Find a real-life doctor their teen can trust.

“The best guarantee for growing up a healthy, secure, communicative adolescent is for that adolescent to have a constant relationship with a health practitioner over time,” says Dr. Swaby-Ellis.

Because while a doctor can promise teens the privacy they want, unlike the Internet, a doctor can also alert parents in the case of a serious health issue.

“If there’s anything at all that we hear, during an interview with a child alone that sounds like they’re in trouble,” says Swaby-Ellis, then we’ll certainly let (the parent) know.”

Tips for Parents
Previous studies have found that over 60 million Americans use the Internet for health and medical information. Teens make up a sizeable portion of this number; the Project estimates 45% of all children under the age of 18 have Internet access.

Health-related web sites that targeted teens are appearing on the Internet. Sites such as:


iEmily.com
Zaphealth
THINK (Teenage Health Interactive Network)
Teen Growth
These sites are like interactive magazines written specifically for teens. Headlines from a recent ZapHealth page include: “My Friend's Acne” and “Guilt about Drinking.” Other topics on the site include “getting the dirt on important issues like kissing, piercing and buying condoms.”

In addition to articles, these web sites offer:


Information and advice on general, sexual and emotional health
Information on fitness and sports
Family issues
Chat rooms where teens can talk with others with similar concerns
Bulletin boards where teens can post questions and receive answers from health care professionals
Links to other resources

It’s easy, quick and convenient. An added appeal of these sites is that teens can get information anonymously, without having to talk to anyone. The Pew Project says that 16% of web health seekers do so to get information about a sensitive health topic that is difficult to talk about.

Although a teen can get answers to some questions on these sites, the sites caution teens that they are not a substitute for regular healthcare; teens should see their healthcare providers as needed.

ZapHealth also urges children under 18 to talk with their parents or guardians about any health or emotional issues.


References
The Pew Internet and American Life Project
ZapHealth