Middle School Sex

Source: Connect with Kids

“I wanted to be in the 'in' crowd and my friends. And I wanted to be able to say 'yes, I've had sex before,'”

– Katelyn, Age 13

Katelyn is now 16, but when she was only 13, “I started skipping school,” she says. “Having sex.”

“I wanted to be in the ‘in’ crowd and my friends,” Katelyn explains, “and I wanted to be able to say ‘yes, I’ve had sex before’.”

According to a new study by the University of Texas, 12 percent of 7th graders have had sex. Nearly 8 percent have had oral sex. What’s more, nearly a third aren’t using protection.

Experts say one problem is instead of getting information about sex from their parents and other adults, kids are getting it from other kids.

“And a lot of the information that they are getting from each other is poor information, its misinformation, and it’s not good,” says sex educator, Sheena Pope-Holland.

And in a time when sexual messages are everywhere, parents need to have lots of conversations about sex and they need to begin when the kids are young.

“What they can expect to face in terms of pressures from their friends,” explains teen counselor Marie Mitchell, “In terms of what these new feelings will mean in their lives, what the consequences of acting on those feelings might be.”

She says parents also need to be pro-active: Get to know your child's friends. Know what they’re doing and where they're going and when they’re supposed to return.

And make sure your rules are age appropriate.

“You don't allow a 13-year-older to go out on a date by herself, because she's not mature enough to handle those situations,” says Mitchell.

Katelyn has been abstinent for over a year. What convinced her were conversations with teenage mothers.

“That was I think the biggest slap in the face to me…for somebody outside of my family to tell me ‘you’re dumb, you’re stupid, look where I am, I have nothing, I have absolutely nothing…do you want to be like this when you’re my age?’”

Tips for Parents

The American Academy of Pediatrics has suggested that portrayals of sex on entertainment television may contribute to precocious adolescent sex. Approximately two-thirds of television programs contain sexual content, and adolescents who viewed more sexual content were more likely to initiate intercourse and progress to more advanced non-coital sexual activities. Youths in the top 10th percentile of television sex viewing were twice as likely to have sex as those youths who were in the bottom 10th percentile of viewing.

Adolescence is a key period of sexual exploration and development. This is the time when teens begin to consider which sexual behaviors are enjoyable, moral and appropriate for their age group. Many teens become sexually active during this period; currently, 46 percent of high school students in the United States admit to having had sexual intercourse. Consider the following:

By ninth grade, 34 percent of teens have had sexual intercourse. By 12th grade, this figure increases to 60 percent.

On average, teens watch three hours of television every day.

Watching a program that talked about sex was associated with the same risks as exposure to a program that depicted sexual behavior.

Approximately one in seven television programs includes a portrayal of sexual intercourse.
Television programs with sexual content have an average of 4.4 scenes per hour containing sexually related material.

Youths who watched more depictions of sexual risks or safety were less likely to initiate intercourse.

Watching sex on television predicts and may hasten adolescent sexual initiation. Reducing the amount of sexual content in entertainment programming, reducing adolescent exposure to this content, or increasing references to and depictions of the possible negative consequences of sexual activity could delay when teens embark on sexual activities. A quarter of all sexually active teens will contract a sexually transmitted disease each year. According to 57 percent of adults and 72 percent of teens, the media has given "more attention" to teen pregnancy prevention in recent years.

Remember that as a parent you may be able to reduce the effects of sexual content in the media by watching television with your teenagers and discussing your own beliefs about sex and the behaviors being portrayed. Most parents say they have discussed sex with their teenagers, but far fewer teenagers say they had such talks with their parents. Sixty-nine percent of teens report that it would be "much easier" to postpone sexual activity if they could have "more open, honest conversations" about sex with their parents. In addition:

About 60 percent of teens have a television in their bedroom. The only way to keep parental control of television viewing is to not let your teen have a television in the bedroom.
Unplanned pregnancies and sexually transmitted diseases are more common among those who begin sexual activity earlier.

Two-thirds of sexually experienced teens wish they had waited longer to have intercourse.
Seventy-nine percent of teenage virgins are not embarrassed to tell others they have not had sex.

Youngsters who receive little parental supervision may have more time and freedom to watch sexually based programming and more opportunities to engage in sexual activity.

References
The Henry J. Kaiser Family Foundation
Medical News Today
Pediatrics
Rand Corporation
Talk With Your Kids
USA Today

Drinking Roommate

Source: Connect with Kids

“It’s about toughening up and getting coping strategies to deal with the temptations and the problems with roommates.”

– John Lochridge, M.D., Psychiatrist

College freshman Max Bluestein has three roommates. Each spends their time very differently. “One doesn’t drink at all, one drinks a little bit and one drinks a lot,” he says.

And the one who drinks a lot is often coaxing him to skip his studies, and go out. “It’s a lot of peer pressure just to go out a lot,” explains Bluestein.

A study of more than 30,000 college freshman finds that 35 percent of students report spending more time drinking (ten hours a week) than they do studying (just eight hours).

And many say the problem is made worse by a roommate who drinks.

“When somebody’s having fun you don’t want to be sitting there reading and what not,” says freshman Parham Savadkoohi.

“Your mind will be focused on drinking,” says Sophomore Nikki Lee.

“And I know I have a paper due or something I might go and hang out for a little while. It is kind of hard,” says freshman Kristen Collier.

Experts say the problem of underage drinking in college needs to be solved long before college. In high school, parents need to allow kids just enough room to make small mistakes, followed by consequences.

“And if they make other mistakes they get consequences, and through the consequences they learn about decision and then when they get off to college, they’ve had experience at both decision making and consequences, and are perhaps better able to handle these things on their own in college,” explains psychiatrist, Dr. John Lochridge.

“I know what my priorities are, I’ll get my work done though… it is hard,” says Collier.

Tips for Parents

Research defines binge drinking as having five or more drinks in a row. Reasons adolescents give for binge drinking include: to get drunk, the status associated with drinking, the culture of drinking on campus, peer pressure and academic stress. Binge drinkers are 21 times more likely to: miss class, fall behind in schoolwork, damage property, injure themselves, engage in unplanned and/or unprotected sex, get in trouble with the police, and drink and drive.

Young people who binge drink could be risking serious damage to their brains now and increasing memory loss later in adulthood. Adolescents may be even more vulnerable to brain damage from excessive drinking than older drinkers. Consider the following:

The average girl takes her first sip of alcohol at age 13. The average boy takes his first sip of alcohol at age 11.

Underage drinking causes over $53 billion in criminal, social and health problems.

Seventy-seven percent of young drinkers get their liquor at home, with or without permission.
Students who are binge drinkers in high school are three times more likely to binge drink in college.

Nearly 25 percent of college students report frequent binge drinking, that is, they binged three or more times in a two-week period.

Autopsies show that patients with a history of chronic alcohol abuse have smaller, less massive and more shrunken brains.

Alcohol abstinence can lead to functional and structural recovery of alcohol-damaged brains.
Alcohol is America’s biggest drug problem. Make sure your child understands that alcohol is a drug and that it can kill him/her. Binge drinking is far more pervasive and dangerous than boutique pills and other illicit substances in the news. About 1,400 students will die of alcohol-related causes this year. An additional 500,000 will suffer injuries.

A study by the Harvard School of Public Health showed that 51 percent of male college students and 40 percent of female college students engaged in binge drinking in the previous two weeks. Half of these drinkers binged frequently (more than three times per week). College students who binge drink report:

Interruptions in sleep or study habits (71 percent).
Caring for an intoxicated student (57 percent).
Being insulted or humiliated (36 percent).
An unwanted sexual experience (23 percent).
A serious argument (23 percent).
Damaging property (16 percent).
Being pushed, hit or assaulted (11 percent).
Being the victim of a sexual advance assault or date rape (1 percent).

Students must arrive on college campuses with the ability to resist peer pressure and knowing how to say no to alcohol. For many youngsters away from home for the first time, it is difficult to find the courage to resist peer pressure and the strength to answer peer pressure with resounding no. Parents should foster such ability in their child's early years and nurture it throughout adolescence. Today’s youth needs constant care from parents and community support to make the best decisions for their wellbeing.

References
Centers for Disease Control and Prevention
Harvard School of Public Health
National Youth Violence Prevention Center

Teen Depression

Source: Connect with Kids

“Just this gloom was like hanging over my head and I knew something wasn’t right but I wasn’t exactly sure what it was.”

– Amy, 16 years old

New research from Columbia University finds that nearly 50 percent of teens suffer from some form of depression, anxiety, or a number of other psychiatric disorders.

“A lot of people I know get depressed all the time about lots of stuff,” says 15-year-old Meagan.

“It’s like everything’s all on your shoulders and you have to take everything at once,” says Meredith, 14.

Sixteen-year-old Amy agrees, “Just this gloom was like hanging over my head and I knew something wasn’t right but I wasn’t exactly sure what it was.”

“My parents went through an awful divorce my ninth grade year and I was devastated, worse than my heart could ever imagine,” says 18-year-old Brittany, “and it hurts a lot, and I still hurt to this day and I’m a senior in H.S.”

The symptoms vary: some kids may be lethargic and withdrawn; others may show agitation and frustration, even aggression. Often, there is a drop in grades.

And sometimes these symptoms can cause parents to punish the child, instead of providing treatment.

“Rather than thinking of children’s misbehaviors as discipline problems or misbehaviors as deliberate,” says psychologist Sunaina Jain, Ph.D., “it’s important to see them as communications from the child.”

Experts say lots of kids experience depression or anxiety, often mild and temporary, but not always. And that’s why parents need to constantly check their child’s emotional pulse.

“You know it doesn’t take hours and hours. Even a few minutes of checking in with each other every day is a great way of saying you know I’m here, I’m interested in you,” says Jain.

Tips for Parents

All teens experience ups and downs. Every day poses a new test of their emotional stability – fighting with a friend, feeling peer pressure to “fit in” with a particular crowd or experiencing anxiety over a failed quiz – all of which can lead to normal feelings of sadness or grief. These feelings are usually brief and subside with time, unlike depression, which is more than feeling blue, sad or down in the dumps once in a while.

According to the Nemours Foundation, depression is a strong mood involving sadness, discouragement, despair or hopelessness that lasts for weeks, months or even longer. It also interferes with a person’s ability to participate in normal activities. Often, depression in teens is overlooked because parents and teachers feel that unhappiness or “moodiness” is typical in young people. They blame hormones or other factors for teens’ feelings of sadness or grief, which leaves many teens undiagnosed and untreated for their illness.

The Mayo Clinic reports that sometimes a stressful life event triggers depression. Other times, it seems to occur spontaneously, with no identifiable specific cause. However, certain risk factors may be associated with developing the disorder. Johns Hopkins University cites the following risk factors for becoming depressed:

Children under stress who have experienced loss or who suffer attention, learning or conduct disorders are more susceptible to depression.
Girls are more likely than boys to develop depression.
Youth, particularly younger children, who develop depression are likely to have a family history of the disorder.

Possible Symptoms:

Prolonged sadness or unexplained crying spells
Significant changes in appetite and sleep patterns
Irritability, anger, worry, agitation or anxiety
Pessimism or indifference
Loss of energy or persistent lethargy
Feelings of guilt and worthlessness
Inability to concentrate and indecisiveness
Inability to take pleasure in former interests or social withdrawal
Unexplained aches and pains
Recurring thoughts of death or suicide
It is important to acknowledge that teens may experiment with drugs or alcohol or become sexually promiscuous to avoid feelings of depression. According to the National Mental Health Association, teens may also express their depression through other hostile, aggressive, risk-taking behaviors. These behaviors will only lead to new problems, deeper levels of depression and destroyed relationships with friends and family, as well as difficulties with law enforcement or school officials.

The development of newer antidepressant medications and mood-stabilizing drugs in the last 20 years has revolutionized the treatment of depression. According to the Mayo Clinic, medication can relieve the symptoms of depression, and it has become the first line of treatment for most types of the disorder. Psychotherapy may also help teens cope with ongoing problems that trigger or contribute to their depression. A combination of medications and a brief course of psychotherapy are usually effective if a teen suffers from mild to moderate depression. For severely depressed teens, initial treatment usually includes medications. Once they improve, psychotherapy can be more effective.

Immediate treatment of your teen’s depression is crucial. Adolescents and children suffering from depression may turn to suicide if they do not receive proper treatment. Suicide is the third leading cause of death for Americans aged 10-24. The National Association of School Psychologists suggests looking for the following warning signs that may indicate your depressed teen if contemplating suicide:

Suicide notes: Notes or journal entries are a very real sign of danger and should be taken seriously.

Threats: Threats may be direct statements (“I want to die.” “I am going to kill myself”) or indirect comments (“The world would be better without me.” “Nobody will miss me anyway”). Among teens, indirect clues could be offered through joking or through comments in school assignments, particularly creative writing or artwork.

Previous attempts: If your child or teen has attempted suicide in the past, a greater likelihood that he or she will try again exists. Be very observant of any friends who have tried suicide before.

Depression (helplessness/hopelessness): When symptoms of depression include strong thoughts of helplessness and hopelessness, your teen is possibly at greater risk for suicide. Watch out for behaviors or comments that indicate your teen is feeling overwhelmed by sadness or pessimistic views of his or her future.

“Masked” depression: Sometimes risk-taking behaviors can include acts of aggression, gunplay and alcohol or substance abuse. While this behavior may not appear to be depression, in fact it may suggest that your teen is not concerned about his or her own safety.

Final arrangements: This behavior may take many forms. In adolescents, it might be giving away prized possessions, such as jewelry, clothing, journals or pictures.
Efforts to hurt himself or herself: Self-injury behaviors are warning signs for young children as well as teens. Common self-destructive behaviors include running into traffic; jumping from heights; and scratching, cutting or marking his or her body.

Changes in physical habits and appearance: Changes include inability to sleep or sleeping all the time, sudden weight gain or loss and lack of interest in appearance or hygiene.

Sudden changes in personality, friends or behaviors: Changes can include withdrawing from friends and family, skipping school or classes, loss of involvement in activities that were once important and avoiding friends.

Plan/method/access: A suicidal child or adolescent may show an increased interest in guns and other weapons, may seem to have increased access to guns, pills, etc., and/or may talk about or hint at a suicide plan. The greater the planning, the greater the potential for suicide.
Death and suicidal themes: These themes might appear in classroom drawings, work samples, journals or homework.

If you suspect suicide, it is important to contact a medical professional immediately. A counselor or psychologist can also help offer additional support.

References
American Academy of Child and Adolescent Psychiatry
American Foundation for Suicidal Prevention
Columbia University
Johns Hopkins University
Mayo Clinic
National Association of School Psychologists
National Depressive and Manic-Depressive Association
National Institute of Mental Health
National Mental Health Association
Nemours Foundation
Thomson-Reuters

Sue Scheff - Anti-Smoking Advocacy for Teens

Source: Connect with Kids

“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

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

Pro-Ana Websites - Teens and Eating Disorders

Source: Connect with Kids

“I would never want to look at one. I think that would be really depressing to tell you the truth.”

– Mary Hardin, 14 years old

What Mary doesn’t want to see, to millions others is just a few key words and mouse clicks away.

“Who’s the skinniest and how can they stay the skinniest (or) here’s how you can have only one thing to eat all day or how you can survive on water and gum,” explains Bryna Livingston, a licensed clinical social worker who specializes in eating disorders.

Livingston is referring to pro-anorexia websites – where girls are applauded for losing weight and surviving hunger – that are emerging on the Internet. On many such sites, anorexics journal thoughts and feelings and even post pictures of their thin celebrity idols.

“It’s a pseudo-support group, and the problem is you’re not really getting support,” says Livingston. “You’re feeding a competition. You’re feeding a disease, and you’re feeding what you want to hear so you don’t have to make any changes.”

For Mary Hardin, change was hard. She struggled with anorexia for three years. These websites, she says, spell danger. “I think (the websites) could have really made me worse and (made me) fall more into my eating disorder and encouraged me more,” she says. “That’s the last thing I needed was to be encouraged to be in an eating disorder.”

Experts say parents of anorexics have to show tough love, especially if their child is being enticed by these Internet sites. “I’d turn off the computer. I’d get it out of the house,” says Livingston.

Mary’s advice: “Listen to who you trust. Do you trust your family and your friends, or do you trust these people (on the Internet) that you don’t even know that are trying to give you lessons about your life?”

Luckily, Mary avoided the lure of anorexia websites when she was struggling with her illness. After years of therapy and family support, she says she is now healed. “It is possible to recover and to be a healthy girl with a happy life after it all,” she says. “There is hope to get through it.”

Tips for Parents

Many dangerous places exist in cyberspace, especially for those with body image difficulties. A quick, easy Google search can produce a long list of pro-anorexia and pro-bulimia websites – places where those who suffer from eating disorders (ED) support each other and establish a sense of community. There are at least 100 active pro-anorexia and pro-bulimia sites. Some statistics state that several of these sites have accumulated tens of thousands of hits. Many sites treat eating disorders as lifestyle choices, rather than the illnesses they truly are. Most personify anorexia (“Ana”) and bulimia (“Mia”) into companions – individuals one can look to for guidance and strength.

The medical community classifies eating disorders as mental illnesses. Experts say girls with eating disorders focus on their bodies in a misguided bid to resolve deeper psychological issues, believing that they can fix their inner troubles by achieving a perfect outside. Eating disorder specialists say pro-anorexia sites are particularly dangerous since those suffering from the disease are usually in deep denial and cling to the illness to avoid dealing with its psychological underpinnings. Websites that glorify eating disorders make treatment increasingly difficult.

Eating disorders have the highest mortality rate of any mental illness.
There are an estimated 7 million females and 1 million males suffering from eating disorders in the United States.
The Harvard Eating Disorders Center estimates that 3 percent of adolescent women and girls have anorexia, bulimia or binge-eating disorders.

Four-of-five 13-year-old girls have attempted to lose weight.

One study showed that 42 percent of first- through third-grade girls want to be thinner.

About 1 percent of females between 10 and 20 have anorexia nervosa. Between 2 percent and 3 percent of young women develop bulimia nervosa. Almost half of all anorexics will develop bulimia or bulimic patterns.

Without treatment, up to 20 percent of people with serious eating disorders die. With treatment, the mortality rate falls to 2 to 3 percent. The recovery rate with treatment is about 60 percent. Alas, only 10 percent of those with eating disorders receive treatment.

Pro-ED sites are just one reason why parents need to monitor children’s online behavior. In the web journals or logs (blogs) of these sites, users share near-starvation diets, offer tips for coping with hunger and detail ways to avoid the suspicions of family members. They post "thinspiration" – images from the media of their ideal celebrities, such as supermodel Kate Moss and the Olsen twins. They discuss extreme calorie restriction and weight loss through laxatives, diet pills and purging (self-induced vomiting).

Between the ages of 8 and 14, females naturally gain at least 40 pounds.
More than half of teenage girls are – or think they should be – on diets.
Websites were changing the very culture surrounding eating disorders, making them more acceptable to girls on and off the Internet.

Pro-ED sites thrive off the denial aspect of the illnesses while promoting the perceived benefits of having an eating disorder.

References
Anorexia Nervosa and Related Eating Disorders, Inc.
Harvard Eating Disorders Center
The National Institute of Mental Health
Reuters
Socialist Voice of Women
South Carolina Department of Mental Health

Sex in the Media

Source: Connect with Kids

“Every TV show now has like at least one character who is like a slut.”

– Katie Seewald, 14 years old

Parents have heard a thousand times that sex is all over the media. But is the sheer volume of sexual images harming our children? Or is it something else?

A recent movie, “A Guy Thing,” begins with a bachelor (played by Jason Lee) hurrying a woman (Julia Stiles) out of bed after a drunken one-night stand.

The scene is typical of how casual sex is portrayed on television and in the movies.

14-year-old Katie Seewald says, “Every TV show now has like at least one character who is like a slut.”

A study by the Rand Corporation finds that teens who watch shows with heavy sexual content are twice as likely to get pregnant or get someone pregnant compared to kids who don’t watch those shows. Still, while the study demonstrates a correlation between teenage sexual behavior and television content, it does not prove a cause. Are the higher pregnancy rates the result of TV viewing, or is it simply that kids who take sexual risks and end up pregnant are more likely to watch sexual content on TV? It is not clear.

Experts say one problem with television content is that sex seldom has consequences.

“If they see sex without negative consequences…they may think that having, or engaging in sex, may not have negative consequences,” explains Dr. Gina Wingood, Associate Professor at Emory University.

Bo Brewer, 17, agrees, “You never see abortion in movies or on t-v.”

So does 17-year-old Elizabeth Green, “They want everything to be in the heat of the moment, to flow, and having to stop to go put on a condom doesn’t really flow with the storyline.”

The experts’ advice?

Limit the amount of sexual content your kids are allowed to watch and talk with your children about the sexy scenes they see on TV.

Studies show children are much less likely to be influenced by what they see if they know their parents strongly disagree.

“Teens and young people do care what their parents think. And they do care what their parents’ feelings are,” says psychologist Betsy Gard. “And if a parent expresses very strong dislike of a program and explains their reasons, that’s going to have an impact on the teen.”

“And I think it’s kind of up to parents or some figure like that to say ‘well that’s not the way it is, that’s just the way that it is on that t-v show,” says 16-year-old Mary Cloud.

Tips for Parents

The American Academy of Pediatrics has suggested that portrayals of sex on entertainment television may contribute to precocious adolescent sex. Approximately two-thirds of television programs contain sexual content, and adolescents who viewed more sexual content were more likely to initiate intercourse and progress to more advanced non-coital sexual activities. Youths in the top 10th percentile of television sex viewing were twice as likely to have sex as those youths who were in the bottom 10th percentile of viewing.

Adolescence is a key period of sexual exploration and development. This is the time when teens begin to consider which sexual behaviors are enjoyable, moral and appropriate for their age group. Many teens become sexually active during this period; currently, 46 percent of high school students in the United States admit to having had sexual intercourse. Consider the following:

By ninth grade, 34 percent of teens have had sexual intercourse. By 12th grade, this figure increases to 60 percent.
On average, teens watch three hours of television every day.
Watching a program that talked about sex was associated with the same risks as exposure to a program that depicted sexual behavior.
Approximately one in seven television programs includes a portrayal of sexual intercourse.
Television programs with sexual content have an average of 4.4 scenes per hour containing sexually related material.
Youths who watched more depictions of sexual risks or safety were less likely to initiate intercourse.
Watching sex on television predicts and may hasten adolescent sexual initiation. Reducing the amount of sexual content in entertainment programming, reducing adolescent exposure to this content, or increasing references to and depictions of the possible negative consequences of sexual activity could delay when teens embark on sexual activities. A quarter of all sexually active teens will contract a sexually transmitted disease each year. According to 57 percent of adults and 72 percent of teens, the media has given "more attention" to teen pregnancy prevention in recent years.

Remember that as a parent you may be able to reduce the effects of sexual content in the media by watching television with your teenagers and discussing your own beliefs about sex and the behaviors being portrayed. Most parents say they have discussed sex with their teenagers, but far fewer teenagers say they had such talks with their parents. Sixty-nine percent of teens report that it would be "much easier" to postpone sexual activity if they could have "more open, honest conversations" about sex with their parents. In addition:

About 60 percent of teens have a television in their bedroom. The only way to keep parental control of television viewing is to not let your teen have a television in the bedroom.
Unplanned pregnancies and sexually transmitted diseases are more common among those who begin sexual activity earlier.
Two-thirds of sexually experienced teens wish they had waited longer to have intercourse.
Seventy-nine percent of teenage virgins are not embarrassed to tell others they have not had sex.
Youngsters who receive little parental supervision may have more time and freedom to watch sexually based programming and more opportunities to engage in sexual activity.

References
The Henry J. Kaiser Family Foundation
Medical News Today
Pediatrics
Rand Corporation
Talk With Your Kids
USA Today

The Teen Brain

Source: Connect with Kids

“Brain maturation is still going on well into adulthood. And, as a parent, a parent’s job will be to help transition to get to that point in adulthood.”

– Tom Burns, Psy.D., Director of Neuropsychology, Children’s Healthcare of Atlanta

Teenagers and adults don’t often think alike.

“Teenagers – we think totally different,” says 14 year-old Quinton Eberhardt. “We‘re more spontaneous and risky.”

And, teens are more likely to take truly dangerous chances like, “drinking, taking drugs, doing street racing when they’re drunk,” says 17-year-old Vanessa Maymi.

Fourteen-year-old Sam Barksdale sees kids take risks in other ways.

“I know a lot of kids who skate and they … just [jump] over, like, 14 stairs on a piece of wood,” he says.

And 16-year-old Gabriel Vazquez agrees that risk-taking is a part of adolescence.

“We get bored very easily,” he says. “It takes more for us to get excited.”

That need for more excitement isn’t just an adolescent stage – it’s a biological one.

In a study from the National Institute on Alcohol Abuse and Alcoholism, researchers have found that the ventral striatum or reward center of a teenager’s brain is less developed than an adult’s.

“The hypothesis being, in order for them to achieve satisfaction in that area, they would go further behaviorally to achieve it,” says Dr. Tom Burns, director of neuropsychology at Children’s Healthcare of Atlanta. “They would be more likely to drink more or to get involved for example with smoking to reach that level.”

In other words, it takes a bigger, more intense reward to stimulate a teen’s brain. And that could lead some to take risks, ranging from extreme sports to drinking or drugs.

Dr. Burns says, “Brain maturation is still going on well into adulthood. And, as a parent, a parent’s job will be to help transition to get to that point in adulthood.”

And that means giving kids your views and judgment to fall back on until they’re ready to rely on their own.

“They know already, ‘Okay, I learned this and my mom taught me, you know, this ain’t the right thing to go, the right way, and I gotta look at my future,’” says 17-year-old Vanessa Maymi.

Tips for Parents

Recent breakthroughs in technology, specifically brain “scanning” technology, have shown that environmental factors play a much larger role in children’s brain development than experts previously thought. When babies are born, they have all of the neurons or brain cells they will ever have but lack the connections or wiring between the neurons. Research shows that the experiences a child has during the first three years of life have a major impact on how the child’s brain is wired. The American Library Association (ALA) says every nursery rhyme reading or peek-a-boo game helps form and strengthen thousands of connections among the brain, connections that are not easily formed later in life.

The American Academy of Pediatrics (AAP) “strongly recommends” that parents read to their children daily beginning by six months of age. According to the AAP, “Reading aloud to children helps stimulate brain development, yet only 50% of infants and toddlers are routinely read to by their parents. … Reading with your child not only stimulates development of your child’s brain, but it also fuels a close emotional relationship between you and your child.”

One way to help your teen avoid taking risks is by teaching him or her the necessary skills for good decision-making. The Ohio State University Extension outlines the following steps to teach your teen:

Identify and define the problem.

List possible options/alternatives. Use a brainstorming technique where you put a lot of ideas on paper. It is important to let your teen come up with the first idea and put it down even if it doesn’t seem workable to you. If they he or she can’t seem to get started, ask if you may make a suggestion. Making it silly or outlandish may encourage your teen to be free to express his or her ideas. Remember not to be judgmental. This is just a gathering of ideas.

Evaluate the options. Let your teen evaluate the options with you there for guidance, support and encouragement. If you see a point he or she is not thinking of, ask your teen if you can bring up a point. By asking permission, your teen is more likely to really listen to your point and not consider it a lecture or put down of his or her ideas and thought process. Having your teen ask the following four questions can help him or her evaluate the available options: Is it unkind? Is it hurtful? Is it unfair? Is it dishonest?

Choose one option. It is important that the solution to the problem does not create a problem for someone else.

Make a plan and execute it. This is probably the most difficult step. If your teen’s choice is not acceptable to the other person, he or she may need to go back to the list of options.
Evaluate the problem and solution. This is probably the most neglected step in decision-making but it is critical to the learning process. Examine the following issues: What brought the problem about? Can a similar problem be prevented in the future? How was the present problem solved? Your teen can feel good about his or her success – or learn and take ownership of looking for another solution. Avoid saying “I told you so” if your teen’s solution didn’t work.
As your teen begins to make important life decisions, the National PTA advises that you keep the following points in mind:

Help your teen understand that decisions have consequences both for himself or herself and others. For instance, a teen might decide to take up smoking because it looks “mature” without considering that smoking carries a variety of consequences including yellow teeth, smoker’s breath, an expensive habit and increased risk of cancer and heart disease.

Show your teen that not making a decision when one is needed can be as bad as making the “wrong” decision. Your teenage son can’t decide whether to rent a black or white tuxedo for the prom. In the meantime, all the tuxedos are rented, and now he must buy one.

If you are not sure what kinds of decisions your teen is mature enough to handle, give him or her the chance to try making some decisions. Be supportive, friendly and ready at-hand to save the day, if necessary. This will help you and your teen know what he or he is ready to do for him/herself.

Accept your teen’s decisions. Remember, no decision is perfect. Support his or her ability to make decisions.

Understand that many of your teen’s decisions will be based on his or her personal tastes and needs and, therefore, may not match the decision you would have made for him or her.
Lay ground rules or limits for decision-making. If your teen wants to do something that is clearly harmful or unacceptable, explain why you cannot allow him or her to act on that decision.
According to the American Psychological Association, many times you can offset dangerous risk-taking behavior simply by being there. Knowing what is going on in his or her life is the most effective thing you can do to keep your teen physically and emotionally safe:

Encourage positive risk-taking.

Having a solid relationship with your teen, preferably begun when he or she was young, can help him or her make judgment calls when you are not there to supervise. At the least, it will keep the door open for your teen to talk to you about the issues he or she faces.
Be able to speak frankly with your teen about addictive substances. Most important, set a good example.

Establish a pattern of asking and, as much as possible, knowing where your teen is and with whom he or she is spending time.

Searching your teen’s room or insisting on a drug test should not be undertaken lightly. Teens need their privacy. Still, you have a job to protect him or her.

The National Youth Anti-Drug Media Campaign says that sometimes, teens lack the language they need in order to help them stay away from risky situations. Here are some lines you can provide to your teen with in the event that he or she is offered drugs by his or her friends:

“No, thanks. It’s not for me.”
“Why would I want to mess up a good thing? I’m cool the way I am.”
“You’re kidding, right? Why would I do something so dumb?”
“No way, man. Taking drugs is stupid.”
“Can’t do it. Gotta get home.”
“I tried drinking and got sick.”
“That’s illegal. I don’t want to get in trouble.”
“I have a big game tomorrow.”
“I’m up for a scholarship and don’t want to blow it.”
“My parents would kill me.”
“My cousin smoked marijuana and got caught by the police.”
“I can’t use drugs. I have a big test tomorrow.”
“I could get kicked off the team if anyone found out.”

Another essential method of keeping your teen free from risks is to keep the lines of communication open. Keep in mind these points about communication from the Child Development Institute:

Let your teen know that you are interested and involved and that you will help when needed.
Turn off the television or put the newspaper down when your teen wants to converse.
Avoid taking a telephone call when your teen has something important to tell you.
Unless other people are specifically meant to be included, hold conversations in private. The best communication between you and your teen will occur when others are not around.
Embarrassing your teen or putting him or her on the spot in front of others will lead only to resentment and hostility, not good communication.

If you are very angry about a behavior or an incident, don’t attempt communication until you regain your cool because you cannot be objective until then. It is better to stop, settle down and talk to your teen later.

Listen carefully and politely. Don’t interrupt your teen when he or she is trying to tell his or her story. Be as courteous to your teen as you would be to your best friend.

If you have knowledge of the situation, confront your teen with the information that you know or have been told.

Keep “adult talking” (“You’ll talk when I’m finished.” “I know what’s best for you.” “Just do what I say and that will solve the problem”), preaching and moralizing to a minimum because they are not helpful in getting communication open and keeping it open.

Reinforce the idea of open communication by accepting praising your teenager’s efforts to communicate.

References
American Psychological Association
Centers for Disease Control and Prevention (CDC)
Child Development Institute
National Household Survey on Drug Abuse
National PTA
National Youth Anti-Drug Media Campaign
Ohio State University Extension
Youth Risk Behavior Surveillance System

Exercise can Improve Grades

Source: Connect with Kids

“There is a connection between physical activity and learning and it is a positive one - children who are more physically fit do better academically. They concentrate better in the classroom [and] they perform better on math and reading examinations.”

– Dr. David Satcher, former U.S. Surgeon General

In an effort to boost test performance, many schools are taking time away from physical education and using it for more time in class.

But studies now show that rigorous physical activity can actually lead to better grades.

In Broward County, Florida, many schools are getting the message.

Fourth grade teacher Katherine Bennett takes her students out for a five-minute walk after a long lesson.

“I found that when my children start yawning and they start not paying attention, then one way I can refocus those children is to take them out for a brief, little fun walk,” she says. “And by the time we’ve got them back into the room again, they’re ready to study some more.”

In fact, according to new research from the Medical College of Georgia, kids who are active and play hard have higher levels of concentration, better organization skills and are less impulsive than kids who are sedentary.

“The area of the brain that’s involved in cognitive learning is the same area that’s stimulated by physical activity, so the two seem to work hand in hand,” explains Jackie Lund, Ph.D, President of the National Association for Sport and Physical Education.

Former U.S. Surgeon General, Dr. David Satcher agrees, “Children who are physically fit do better academically. They perform better on standardized examinations, they concentrate better, on the other hand, children who are obese are four times as likely to be depressed, very likely to be absent from school.”

What’s more, many kids say it’s easy to get distracted if you have to sit still, all day long, in school.

“After a while I just get antsy and I want to move around - cause I start to get stiff and it’s like, I want to get up and walk around,” complains 18-year-old Eric DeGreeff. “But in class you can’t really get up and walk around,”

That’s why, experts say, if your child’s school does not provide vigorous physical education, you have to speak up.

“If parents go out and demand quality physical education, where their kids are learning and they’re moving and they’re involved in activities that are going to create the next steps for a life time, then they will be heard,” says Lund.

Tips for Parents

“It is helpful to think of the brain as a muscle,” Dr. John Ratey told colleagues at a conference on “Learning and the Brain” in Boston. Dr. Ratey, a clinical associate professor of psychiatry at Harvard Medical School, says the best way to “maximize the brain” is through exercise and movement. Emerging new research on animals and humans suggests his theory may be correct. In particular, the following two studies indicate that physical exercise may boost brain function, improve mood and increase learning:

A four-year study at Albion College in Michigan shows that children who participated in regular exercise (jumping rope, hopscotch, catching and throwing balls) significantly raised their scores on standardized mathematics tests. Teachers also reported that the exercise program helped improve the students’ social and emotional skills.

Investigators from the Howard Hughes Medical Institute have found that running boosts the growth of nerve cells and improves learning and memory in adult mice. According to the study, the brains of mice that exercised had about 2.5 times more new nerve cells than sedentary mice.
Says Dr. Ratey: “Twelve minutes of exercise at 85% of your maximum heart rate is like taking a little bit of Prozac and a little bit of Ritalin in a very holistic manner.”

The National Association for Sport and Physical Education (NASPE) offers the following statistics and recommendations to support that physically active children “learn better”:

Elementary school students should participate in a minimum of 60 minutes of moderate and vigorous activity every day.

Middle and high school students should participate in 30 minutes of physical activity daily.
Play is an essential part of children’s social development.

Children learn how to cooperate, compete constructively, assume leader/follower roles and resolve conflicts by interacting in play.

Only 25% of American children participate in any type of daily physical activity.

More than 300,000 deaths are caused annually by a lack of exercise and a poor diet.

How much exercise does your child need? According to the American Heart Association (AHA), a “healthy level” of physical activity requires regular participation in activities that increase heart rates above resting levels. An active child plays sports, participates in physical education classes, performs regular household chores, spends recreational time outdoors and regularly travels by foot or bicycle.

The AHA offers the following guidelines for maintaining healthy physical activity in children:

Encourage regular walking, bicycling, outdoor play, the use of playgrounds and gymnasiums and interaction with other children.

Allow no more than two hours per day to watch television or videotapes.

Promote weekly participation in age-appropriate organized sports, lessons, clubs or sandlot games.

Have your child participate in daily school or day-care physical education that includes at least 20 minutes of coordinated large-muscle exercise.

Make sure your child has access to school buildings and community facilities that enable safe participation in physical activities.

Provide opportunities for physical activities that are fun, increase confidence and involve friends and peers.

Organize regular family outings that involve walking, cycling, swimming or other recreational activities.

Engage in positive role modeling for a physically active lifestyle.
Experts say it is important for parents to remember that physical activity doesn’t have to be strenuous to be beneficial.

References
American Heart Association
Howard Hughes Medical Institute
Medical College of Georgia
National Association for Sport and Physical Education

Mistreated Depression

Source: Connect with Kids

“Basically, psychiatrists are pretty busy. They don’t want to spend a lot of time with people. They want to get people in and out, maybe two or three an hour. … It pays better to do that than spending an hour doing psychotherapy.”

– David Gore, Ph.D., clinical psychologist

Fifteen-year-old Sarah McMenamin suffers from depression. It started a year ago with the death of her father.

“I was just like, ‘I just want to die,’” she says, describing her feeling before seeing a therapist. “I would never kill myself, but I just wish I was dead, I just wish I was never going to wake up.”

For depressed teens, experts at the American Academy of Child and Adolescent Psychiatry say what can help is medicine – combined with talk therapy.

“I think the therapist helped me,” explains Sarah, “’cause it was talking, you know, I got it out. I didn’t bottle everything up.”

“The advantage to getting some therapy along with medication is that you get to the root of the problem,” explains Dr. David Gore, clinical psychologist. “You get to see why you’re feeling that way. And if you start understanding why you’re feeling that way, chances are pretty good you’ll stop feeling that way.”

But according to a new study from Thomson-Reuters, more teens than ever are getting medication without psychotherapy. Why? Gore has an answer.

“Basically, psychiatrists are pretty busy,” Dr. Gore says. “They don’t want to spend a lot of time with people. They want to get people in and out, maybe two or three an hour. … It pays better to do that than spending an hour doing psychotherapy.”

Three months ago, Sarah started seeing a new doctor.

“Right away he put me on Zoloft,” she says. “He didn’t even know me for an hour and he put me on it.”

But psychologists say medicine alone just won’t work as well.

“You take your pill, you’ll get some immediate relief,” explains Dr. Gore, “but the problem’s going to crop up again in two months or four months or six months. You’ve got to get to the root of the problem.”

Sarah will resume talk therapy again in a few months. She says she is looking forward to it.

“You get it out on the table and you know your feelings’” she says, “and you go in thinking it’s one thing and you come out finding out it’s like 10 different things and you’re like, ‘Wow.’”

Tips for Parents

All teens experience ups and downs. Every day poses a new test of their emotional stability – fighting with a friend, feeling peer pressure to “fit in” with a particular crowd or experiencing anxiety over a failed quiz – all of which can lead to normal feelings of sadness or grief. These feelings are usually brief and subside with time, unlike depression, which is more than feeling blue, sad or down in the dumps once in a while.

According to the Nemours Foundation, depression is a strong mood involving sadness, discouragement, despair or hopelessness that lasts for weeks, months or even longer. It also interferes with a person’s ability to participate in normal activities. Often, depression in teens is overlooked because parents and teachers feel that unhappiness or “moodiness” is typical in young people. They blame hormones or other factors for teens’ feelings of sadness or grief, which leaves many teens undiagnosed and untreated for their illness.

The Mayo Clinic reports that sometimes a stressful life event triggers depression. Other times, it seems to occur spontaneously, with no identifiable specific cause. However, certain risk factors may be associated with developing the disorder. Johns Hopkins University cites the following risk factors for becoming depressed:

Children under stress who have experienced loss or who suffer attention, learning or conduct disorders are more susceptible to depression.

Girls are more likely than boys to develop depression.

Youth, particularly younger children, who develop depression are likely to have a family history of the disorder.

If you suspect that your teen is clinically depressed, it is important to evaluate his or her symptoms and signs as soon as possible. The National Depressive and Manic-Depressive Association cites the following warning signs indicating that your teen may suffer from depression:

Prolonged sadness or unexplained crying spells
Significant changes in appetite and sleep patterns
Irritability, anger, worry, agitation or anxiety
Pessimism or indifference
Loss of energy or persistent lethargy
Feelings of guilt and worthlessness
Inability to concentrate and indecisiveness
Inability to take pleasure in former interests or social withdrawal
Unexplained aches and pains
Recurring thoughts of death or suicide

It is important to acknowledge that teens may experiment with drugs or alcohol or become sexually promiscuous to avoid feelings of depression. According to the National Mental Health Association, teens may also express their depression through other hostile, aggressive, risk-taking behaviors. These behaviors will only lead to new problems, deeper levels of depression and destroyed relationships with friends and family, as well as difficulties with law enforcement or school officials.

The development of newer antidepressant medications and mood-stabilizing drugs in the last 20 years has revolutionized the treatment of depression. According to the Mayo Clinic, medication can relieve the symptoms of depression, and it has become the first line of treatment for most types of the disorder. Psychotherapy may also help teens cope with ongoing problems that trigger or contribute to their depression. A combination of medications and a brief course of psychotherapy are usually effective if a teen suffers from mild to moderate depression. For severely depressed teens, initial treatment usually includes medications. Once they improve, psychotherapy can be more effective.

Immediate treatment of your teen’s depression is crucial. Adolescents and children suffering from depression may turn to suicide if they do not receive proper treatment. Suicide is the third leading cause of death for Americans aged 10-24. The National Association of School Psychologists suggests looking for the following warning signs that may indicate your depressed teen if contemplating suicide:

Suicide notes: Notes or journal entries are a very real sign of danger and should be taken seriously.

Threats: Threats may be direct statements (“I want to die.” “I am going to kill myself”) or, unfortunately, indirect comments (“The world would be better without me.” “Nobody will miss me anyway”). Among teens, indirect clues could be offered through joking or through comments in school assignments, particularly creative writing or artwork.

Previous attempts: If your child or teen has attempted suicide in the past, a greater likelihood that he or she will try again exists. Be very observant of any friends who have tried suicide before.

Depression (helplessness/hopelessness): When symptoms of depression include strong thoughts of helplessness and hopelessness, your teen is possibly at greater risk for suicide. Watch out for behaviors or comments that indicate your teen is feeling overwhelmed by sadness or pessimistic views of his or her future.

“Masked” depression: Sometimes risk-taking behaviors can include acts of aggression, gunplay and alcohol or substance abuse. While your teen does not act “depressed,” his or her behavior suggests that he or she is not concerned about his or her own safety.

Final arrangements: This behavior may take many forms. In adolescents, it might be giving away prized possessions, such as jewelry, clothing, journals or pictures.

Efforts to hurt himself or herself: Self-injury behaviors are warning signs for young children as well as teens. Common self-destructive behaviors include running into traffic, jumping from heights and scratching, cutting or marking his or her body.

Changes in physical habits and appearance: Changes include inability to sleep or sleeping all the time, sudden weight gain or loss and disinterest in appearance or hygiene.

Sudden changes in personality, friends or behaviors: Changes can include withdrawing from friends and family, skipping school or classes, loss of involvement in activities that were once important and avoiding friends.

Plan/method/access: A suicidal child or adolescent may show an increased interest in guns and other weapons, may seem to have increased access to guns, pills, etc., and/or may talk about or hint at a suicide plan. The greater the planning, the greater the potential for suicide.
Death and suicidal themes: These themes might appear in classroom drawings, work samples, journals or homework.

If you suspect suicide, it is important to contact a medical professional immediately. A counselor or psychologist can also help offer additional support.

References
American Academy of Child and Adolescent Psychiatry
American Foundation for Suicidal Prevention
Johns Hopkins University
Mayo Clinic
National Association of School Psychologists
National Depressive and Manic-Depressive Association
National Institute of Mental Health
National Mental Health Association
Nemours Foundation
Thomson-Reuters

Teens, Sex and Depression

Source: Connect with Kids

“It hurts, because I care so much about him.”

– Teagan, 15 years old

Fifteen-year-old Teagan says her new boyfriend is wonderful. “I never thought anyone like Preston could come along,” Teagan says. “He’s the greatest guy I’ve ever known.”

But is she as lucky as she thinks?

Studies show that romantic involvement brings adolescents down, rather than up. What’s more, researchers at the University of North Carolina find that teen girls who are sexually active are twice as likely to be depressed compared to girls not having sex.

But, even among abstinent teens who date, one of the problems is trust.

“Say your boyfriend went off to work and never called you that day,” Teagan says. “And you talked every single day on the phone. I mean you’d be kind of concerned and kind of wondering why. And then someone comes along and says ‘well maybe he’s cheating on you…’”

Combine adolescent insecurity with imagination and the result is a lot of questions: Where is he? Why doesn’t she call? Does he really like me? Why is she talking to that other boy?

That’s where most of the stress comes in,” Teagan says. “Getting thoughts in your head about what might be going on, when it probably isn’t going on at all.”

Experts say parents can help ease their child’s pain by listening and taking them seriously. It’s not puppy love to them, it’s real. “It hurts,” Teagan says, “because I care so much about him.”

Experts also advise teaching your child that early relationships may hurt, but they’re indispensable. “They will have many relationships before they finally settle on a life mate,” says Cheryl Benefield, a school counselor. “Let them know that when things happen, it’s maybe just preparing them for a better relationship in the future.”

Tips for Parents
According to the National Institute of Mental Health, boys and girls seem to be equally at risk for depressive disorders during childhood, but during adolescence, girls are twice as likely as boys to develop depression. Family history and stress are listed as factors, but another factor that often causes depression in girls is the break-up of a romantic relationship.

The authors of a study conducted at Cornell University titled “You Don’t Bring Me Anything but Down: Adolescent Romance and Depression,” found that females become “more depressed than males in adolescence partly as a consequence of their involvement in romantic relationships.” The reason? According to the study, “females’ greater vulnerability to romantic involvement explains a large part of the emerging sex difference in depression during adolescence.”

At any given time, five percent of children suffer from depression. Children under stress, who have experienced a loss, or who suffer from other disorders are at a higher risk for depression. Here are some signs of depression from the American Academy of Child and Adolescent Psychiatry (if one or more of these signs of depression persist, parents should seek help):

Frequent sadness, tearfulness, crying
Hopelessness
Decreased interest in activities, or inability to enjoy previously favorite activities
Persistent boredom; low energy
Social isolation, poor communication
Low self-esteem and guilt
Extreme sensitivity to rejection or failure
Increased irritability, anger or hostility
Difficulty with relationships
Frequent complaints of physical illnesses such as headaches and stomachaches
Frequent absences from school or poor performance in school
Poor concentration
A major change in eating and/or sleeping patterns
Talk of or efforts to run away from home
Thoughts or expressions of suicide or self destructive behavior
Getting an early diagnosis and medical treatment are critical for depressed children.

Depression is a serious condition, which, if left untreated, can even become life threatening. Suicide is the third leading cause of death among young people, leading to nearly 4,000 deaths a year. The rate has tripled since 1960. Therapy can help teenagers understand why they are depressed and learn how to handle stressful situations. Treatment may consist of individual, group or family counseling. Medications prescribed by a psychiatrist may be needed to help teens feel better.

Ways of treating depression include:

Psychotherapy: to explore events and feelings that are painful and troubling. Psychotherapy also teaches coping skills.
Cognitive-behavioral therapy: to help teens change negative patterns of thinking and behaving.
Interpersonal therapy: to focus on ways of developing healthier relationships at home and school.
Medication: to relieve some symptoms of depression (often prescribed along with therapy).
References
Journal of Health and Social Behavior
National Institute of Mental Health
American Academy of Child and Adolescent Psychiatry
National Mental Health Association
University of North Carolina

Pitfalls of Popularity

Source: Connect with Kids

"Part of fitting in and part of being popular is that teenagers who are popular tend to engage in a lot of behaviors that are valued by their peers. Some are good and some are not so good.”

– Marla Shapiro, licensed psychologist

“We didn’t get in until like, really late, so as soon as we got there we went right out,” 18-year-old Candler Reed says, filling her mom in on the details of her weekend.

Candler goes to a lot of parties; she has a lot of friends. For Candler Reed, being popular has its perks. “Having things to do on the weekends, having a very wide circle of friends,” she says.

But it also has its pitfalls. “My social life was first freshman through junior year, that was my first priority, even over my school work.”

She was less likely to do homework, and according to a recent study by the University of Virginia, popular teens, like Candler, are three times more likely to experiment with risky behaviors than their unpopular counterparts.

“Teenagers who are popular tend to engage in a lot of behaviors that are valued by their peers. Some are good and some are not so good,” explains Marla Shapiro, licensed psychologist.

For Candler it was drinking, something her mom was not happy with, “It was disappointing to find out that she was not always where she said she was or doing what she said she was doing.”

Experts say, with popular teens especially, this can be surprising for parents. “We think that oh, our kids are popular, they’re well liked, they get along well with us, they’re doing well, we can relax, these are what you call good kids, and I think the message for parents would be- you can’t ever let your guard down,” explains Shapiro.

Setting a strict curfew, knowing her friends, keeping in constant touch are just a few of the things that worked well for Candler and her mom. “It’s definitely gotten better now, now that we’ve gotten more involved with her life,” explains her mom.

“It’s made me learn, I learned from my mistakes, the mistakes I have made probably trying to be cool and fit in,” says Candler.

Tips for Parents
Many people believe students who are popular set the trends and take the lead in regards to making decisions. However, popular students are just as susceptible to peer pressure as other students – and sometimes more so, because they don’t want to become unpopular or lose their status.

When students – popular or not – are pressured by others to do certain things or go certain places, it can be very stressful. Experts at the Do It Now Foundation suggest the following things to consider to ease the decision-making process:

Identify the problem
Describe possible solutions or alternatives
Evaluate the ideas
Act out a plan
Learn for the future (have reactions in place for certain scenarios)
Being a popular student can be a very enviable position, but for some students it can also be a burden. The possibility of bad influences or advice is increased as more and more people surround an individual. Therefore, it is important for parents of popular children to encourage them to be responsible and develop good decision-making skills, particularly when it comes to comes to deciding what things are more important than others. Experts at Omaha Boys Town Pediatrics suggest the following tips for parents who are concerned with the friends surrounding their children and the influences they have may have on them:

Spend time together – Recent studies indicate that children who feel close to their parents are less likely to be negatively influenced by others.
Use opportunities to teach your children – Some of the time you spend with your children should be used to discuss problems and concerns they might face. These discussions give you an opportunity to offer advice and reinforce your family's morals and values.
Listen carefully to what your children say – Talk with them instead of at them.
Monitor what your children are doing – Keep track of them, watch over them and have them check in and report where they are, who they're with, and what they're doing.
References
Do It Now Foundation
Omaha Boys Town Pediatrics
University of Virginia

Teens and Acne

Source: Connect with Kids

“As far as image, it was a big problem. I was always very self-conscious about it.”

– Brian, 17 years old

“Pimples, zits, whiteheads, blackheads,” 20-year-old Lamont runs down a list of terms associated with a familiar teenage problem: Acne.

“I got it real bad a few years ago,” says Brian, now 17.

Jennifer, also 17, says, “I don’t like it. I’m sure people are looking at it.”

Often how teens see themselves on the outside affects how they feel on the inside.

“We do know that depression is more common in teens with acne,” says Dr. Tiffani Hamilton, a dermatologist.

According to Brian, having acne made him feel “embarrassed to go out and be in malls or whatever just ’cause I was very self-conscious about it.”

“I think some people find it very hard, and you worry a lot because appearance is very important these days,” 17-year old Annabel says.

Along with the teasing come myths and stereotypes that teens with acne must face.

“I think it has to do a great deal with hygiene or taking care of yourself,” Lamont says.

Seventeen-year-old Connie thinks acne may be caused by ”stress or the fact that they’ve just been eating too many junk foods.”

The truth is acne is genetic. And while most teens know to try over-the-counter medications, an estimated 40% of adolescents have acne severe enough to require medical treatment. Many dermatologists say newer prescription medications, like Accutane, work far better than treatments in the past.

Experts say understanding the truth about acne and discovering the right medicine can go a long way in helping your child physically and emotionally.

“[Acne] doesn’t have to be a normal part of your teenage experience. We have lots of treatments. There’s just no reason to feel uncomfortable with your appearance,” Dr. Hamilton says.

Tips for Parents

According to the American Counseling Association, the two major causes of anxiety among high school students are college and acne, which is the most commonly diagnosed skin disorder in the United States. In fact, the American Academy of Dermatology (AAD) says that by their mid-teens, about 40% of adolescents have acne severe enough to require medical treatment by a doctor.

Acne – which includes pimples, whiteheads, blackheads, cysts and pustules – often affects young people at a time when they are undergoing maximum social and physical changes and can produce significant psychological as well as physical scarring. Therefore, if your teen has acne, the AAD says it is important not to brush it off as just a natural stage of life. Consider the negative impacts acne can have on your teen:

Social withdrawal
Decreased self-esteem
Reduced self-confidence
Poor body image
Embarrassment
Feelings of depression
Anger
Preoccupation
Frustration
Higher rate of unemployment


The AAD says the effects listed above are often interrelated, with one effect leading to another and another, only to make the first effect worse. These negative psychosocial effects can have a crippling impact, discouraging your teen from pursuing life’s opportunities.

What exactly causes acne? Experts at UC Davis Health System say that acne occurs at tiny pores associated with hair follicles located on the face, chest and back. Tiny sebaceous glands around these follicles are stimulated by hormonal changes during puberty to produce an oily sebum. In acne, the opening of the follicle gets blocked, preventing the sebum from escaping normally. The resulting blocked pore is commonly called a whitehead. Blackheads occur when whiteheads are exposed to the air. Sometimes bacteria invade the plugged pores, causing tender, red pimples. If they also become filled with pus and fluid, painful cysts result.

While acne is not contagious, several factors contribute to a person’s risk of developing the skin disorder. Children’s Hospital of Iowa cites the following risk factors for getting acne:

Acne can affect people of any age, but it occurs most commonly in teens.
Almost eight in every 10 teens get acne.

If a parent had acne as a teen, his or her child has a greater chance of getting acne.
Some girls get acne a few days before they get their period. It is caused by hormone changes in the body.

If you discover that your teen has acne, the AAD suggests teaching your teen these guidelines for basic treatment:

Do NOT pop, squeeze or pick at acne. This behavior can make acne worse by spreading inflammation. Black heads should be removed only by an experienced health professional. With appropriate treatment, acne should go away without squeezing.

Gently wash the face twice a day with a mild soap and pat dry. Vigorous washing and scrubbing can irritate your teen’s skin and make acne worse. It will not clear up acne on its own – the acne needs to be treated with appropriate acne products.

Use “non-comedogenic” cosmetics and toiletries.

Give the acne products enough time to do their job. Ask a dermatologist or pharmacist for more information about how long a particular product needs before the acne begins to clear up.
Some acne products can increase the skin’s sensitivity to sunlight and ultraviolet light from tanning booths. Use protective clothing and sunscreens, and avoid tanning booths in any case.

It is also important to remind your teen that the following items can make acne worse:

Oil-based makeup, suntan oil, hair gels and sprays
Stress
Menstruation in girls
Too much exposure to the sun
Airborne grease
Irritating clothing or sporting equipment


Consult a dermatologist (a physician who specializes in skin care) if your teen’s acne is severe, with cyst development or scarring, or if an acne problem does not improve after two to three months of treatment with over-the-counter preparations. According to the American Academy of Family Physicians, a dermatologist may recommend antibiotics, which can be very effective for treating acne. They can be taken by mouth, or used on the skin in a lotion, cream or gel. Medications that promote skin shedding, such as those based on vitamin A, including Retin-A, may also be prescribed. One such medication, Accutane, is effective but, like with most medications, can result in side effects as well as cause serious birth defects if a woman uses it during pregnancy.

The best way not to get acne is to prevent it. Children’s Hospital of Iowa gives the following tips to help your teen keep acne at bay:

Gently wash your face twice a day with a mild soap and warm water.
Take off all of your makeup before you go to bed.
If you wear makeup, sunscreen or use lotion, use kinds that say “oil-free,” “non-comedogenic” or “nonacnegenic.” These kinds won’t clog your pores.
If you wear hairspray, cover your face with your hand while you spray. Hair gels and hairspray can irritate your face if they are put near the hairline.
Washing your hair helps keep oil away from your face.
If you work at a place where lots of grease exists, like at a fast-food restaurant or a gas station, wash your face as soon as you get home.
Wash your face after exercising.
Mild cleansers, such as Cetaphil, Purpose and Neutrogena, can be used to wash the face. Antibacterial pads can also be used to clean the face.
Exfoliating cleaners and scrubs can be used. The scrubs are like grainy creams that you spread on the skin. They remove the outer layer of the skin and open pores. Ask a doctor first. They may be too harsh for some skin.

References
American Academy of Dermatology
American Academy of Family Physicians
American Counseling Association
Children’s Hospital of Iowa
UC Davis Health System

Movie Smoking Makes Teens Smoke

Source: Connect with Kids

“That makes a lot of kids think about doing the same thing because these are their role models.”

– Arielle Jacobs, 13 years old

Will kids smoke just because they see an actor or actress in a movie light up? Sixteen-year-old Jay McManeon says, “no way.”

“For me, it doesn’t really matter if I saw someone smoking in the movie,” he says.

But other teens argue that smoking in movies does have an effect on teens.

“If they thought it was cool enough, like you if it was your idol, you might. If he smokes … you might want to do it,” 17-year-old Ryan Moses says.

A new report suggests he’s right.

After a review of more than 1,000 different studies, the National Cancer Institute finds that some kids start smoking because of what they see in the movies.

“Now what that is saying is even if you are doing a lot of things, like not smoking in your house and helping your kids stay away from other influences, the movies can overcome all of that influence,” says Dr. Terry Pechacek of the Centers for Disease Control and Prevention.

Experts say that’s why it’s important for parents to talk to kids about how movies may glamorize smoking and to explain that it’s not reality.

“Kids need resistance skills. They need to be able to interpret the media images,” Dr. Pechacek says.

The CDC produces three-minute video clips, hosted by teen actors, designed to do just that – show kids how actors use smoking in movies as a crutch.

“And there are even people who believe high rates of smoking in movies should be used as a criteria for parents saying, just like sex, just like violence … that I don’t think you should see this movie,” Dr. Pechacek says.

No matter what influences a child to start smoking, few would disagree that stopping is a whole lot harder.

Sixteen-year-old Jay McManeon could not agree more.

“I never think smoking’s an OK thing. It’s bad for your lungs. I just do it ‘cause I’m addicted,” he says.

Tips for Parents

A study published in The Lancet further illustrates how watching television or movies with actors who smoke negatively impacts youth behavior. Researchers from Dartmouth Medical School analyzed the viewing habits of 2,603 nonsmoking children aged 10 to 14, keeping track of how many incidents of smoking occurred in each movie they watched from a list of 50. After two years, they found that 10% of the children took up smoking or had at least tried it. Consider these additional findings from the study:

Of those children exposed to movies with the least amount of on-screen smoking, 22 began smoking.
Of those children exposed to movies with the highest occurrence of on-screen smoking, 107 became smokers.
Approximately 52% of the startup in smoking could be attributed to the movies.
Children of nonsmokers who watched movies with the highest number of smoking scenes were four times more likely to begin smoking than those who viewed movies featuring few smoking actors.
More than 6,000 children under the age of 18 try their first cigarette each day. The Centers for Disease Control and Prevention also reports that more than 3,000 become daily smokers every day. It’s estimated that 4.5 million adolescents in the United States are cigarette smokers. 90 percent of cigarette smokers start before they turn 21.

The statistics show that little progress has been made in the past decade in reducing teen smoking. The American Lung Association calls smoking a “tobacco-disease epidemic” and points to the high rates of cigarette use among high school seniors, particularly girls, as evidence of this lack of progress.

Health and medical experts agree that parents must discourage children from starting to smoke and becoming addicted. Parents should also talk to their children about the health risks of tobacco and set a good example for their children by not smoking themselves. School-based tobacco education programs have also been shown to be effective in reducing the onset of teen smoking.

According to research from the National Center on Addiction and Substance Abuse at Columbia University (CASA), the key to keeping kids from smoking and using drugs is dependent on the extent to which parents take a “hands-on” approach to raising their kids. The more they establish appropriate rules and standards of behavior and monitor their teens, the lower the teen’s risk of substance abuse.

A “hands-on” approach to preventing your teen from smoking, drinking or trying drugs, according to CASA, includes consistently taking 10 or more of these 12 actions:

Monitor what your teen watches on television.
Monitor what your teen does on the Internet.
Put restrictions on the music (CDs) your teen buys.
Know where your teen spends time after school and on weekends.
Expect to be told the truth by your teen about where he or she is going.
Be “very aware” of your teen’s academic performance.
Impose a curfew.
Make clear you would be “extremely upset” if your teen smoked.
Eat dinner with your teens six or seven times a week.
Turn off the television during dinner.
Assign your teen regular chores.
Have an adult present when your teen returns from school.
References
National Cancer Institute
American Lung Association
Centers for Disease Control and Prevention
National Center on Addiction and Substance Abuse at Columbia University
The Lancet