Wednesday, April 30, 2008

Sue Scheff: ADHD Teens and Puberty

By ADDitude Magazine

What parents of ADHD boys should watch for as their sons pass through adolescence.


Until he was 10 or 11, Robert was cheerful and lively, if sometimes distractible and hyper. Then came 12 and 13. “He alternates between couch potato and monster,” says his mother, Anne. “What happened to my sweet little boy?”

What happened were puberty (physical changes) and adolescence (psychological and social changes), which occur when children begin maturing into adults. Some kids begin to “act” like adolescents before puberty; others may not accept the role of adolescent until long after puberty. Whenever they happen, you’re in for a bumpy ride.

Fortunately, boys with attention deficit disorder (ADD ADHD) don’t seem to have more difficulty coping with puberty than others. However, their particular problems and stresses may differ somewhat. Here are some issues to consider.

Refusing medicine
“Raging hormones” can cause intense physical and psychological changes. Teens often find body changes distressing and desperately want to fit in. That’s why many kids who cooperatively took medication in elementary school begin to protest and rebel in their teens; they don’t want to be singled out by going to the school office or health room.

Try to understand and help. If you can find an appropriate medication in a long-acting formulation, your child won’t have to take medicine in school. You can even allow a short trial off medication which may help your teen understand the need to continue taking it. Before discontinuing medication, consult with your family doctor or a mental health professional.

Peer pressure
All children need to feel accepted by their peer group. If the years of having ADHD (and possibly a learning disability) have resulted in poor social skills and limited success with friends, early adolescence may be painful.

The danger for some kids is that they may seek out any peer group that accepts them. Socially rejected ADHD boys frequently latch on to other “misfits” who do not do well in school or sports. The combination of a misfit peer group, the need to be accepted, and low self-esteem places ADHD teens at great risk of alcohol and drug use. Get educated and if you suspect these problems, get help.

Lack of supervision
Experimentation with alcohol, drugs, and sex doesn’t take place on weekend nights. The riskiest hours are between 3 and 6 P.M. on school days. Kids are often unsupervised because both parents work. They frequently visit friends’ houses with no adult present.

Be proactive. If you can’t supervise your teens after school, make sure they’re involved in sports, arts, community service or other activities that are supervised by adults. Keep tabs on where they are and what they’re doing at all times.

Comorbid disorders
People with ADHD are at increased risk of comorbid disorders (two or more conditions that occur at the same time). Depression and anxiety disorders often first show up between the ages of 8 and 12, and again in early adolescence. Watch your child for symptoms, and seek help if you think there’s a problem.

Also watch for signs of Conduct Disorder and Oppositional Defiant Disorder, which are marked by antisocial, hostile, and unusually oppositional behavior. These disorders frequently place impulsive ADHD boys in dangerous, even criminal situations. Intervention is imperative.

Medication changes
Most boys on medication for ADHD do not need to change medication as they enter puberty. Even significant weight increases may not warrant an increased dose. If the dose used earlier in life still works, don’t change it.

The good news is that about half of ADHD kids improve significantly after puberty. Many no longer need medication. The rest will probably need medication through adolescence and possibly into adulthood.

On balance, most ADHD boys pass through adolescence with no more difficulty than others. Becoming a couch potato is not a disorder. However, seek professional advise if your son seems unusually sad, withdrawn, angry, or anxious. Don’t wait for a problem to escalate into a crisis. Even if your concerns are unfounded, it’s better to discuss them with a mental health professional than to wish you had acted sooner.

Tuesday, April 29, 2008

Sue Scheff - Teen Depression


Teenage depression is more than just bad moods or broken hearts; it is a very serious clinical illness that will affect approximately 20% of teens before they reach adulthood. Left untreated, depression can lead to difficult home situations, problems at school, drug abuse, and worse, violence toward themselves and others.


Certain young teens suffer from depression as result of situations surrounding their social or family life, but many are succeptable to the disease regardless of race, gender, income level or education. It is very important for parents to keep a watch on their teens - and to maintain a strong level of communication. Understanding the causes and warning signs of the illness can help parents prevent their teens from falling in to depression.


My name is Sue Scheff™ and I understand how difficult it can be dealing with a troubled teenager because I have been there! My experiences lead to the founding Parents Universal Resource Experts, an organization dedicated to parental support, education and resources. I work with parents like you every day, looking for help and answers in desperation. You are not alone!


This website is dedicated to the bringing parents the best information about teenage depression; causes, symptoms, statistics and preventative measures.


Please visit our newly added informative section on teenage anxiety, the lesser known, but equally serious, relative of depression.


Learn More About Teen Depression.

Monday, April 28, 2008

Sue Scheff: Discipline Without Regret: Tips for Parents of ADHD Children



How parents can set boundaries for ADHD children without yelling, screaming, or losing your cool. The smart way to discipline.


Sunday, April 27, 2008

Parents Universal Resource Experts (Sue Scheff) Inhalants A Deadly Drug of Choice


By PATTY PENSA
South Florida Sun-Sentinel

FORT LAUDERDALE, Fla. — Jason Emanuel was a troubled 20-year-old whose drug of choice was keyboard cleaner.

He sucked can after can of products such as Dust-Off until his lips turned blue and the euphoria set in. He came to a Delray Beach, Fla., sober house to get clean.

Instead, he was arrested for “huffing” three times over four weeks and died after his final high set off a seizure.

Jason Emanuel’s case reflects the danger of household products in the hands of young people looking for an easy hit. Indeed, Emanuel chose inhalants because there is no middle man, other than a checkout clerk. Compared with other drugs, the number of people who die from inhalants is small, but there is growing concern over the No. 1 drug of middle-schoolers, who studies show see huffing as a low-risk hit.

“Jason was not a criminal,” his adoptive father, Chris Emanuel, said. “He wasn’t a guy that would stick up the 7-Eleven. He had a problem and eventually it defeated him.”

The coroner’s report, which determines cause of death, is not complete yet.

Chris Emanuel last saw his son in mid-December, about the same time the North Carolina native was first arrested in Boynton Beach, Fla. Twice police found him in his car huffing outside Wal-Mart. A third time, he was outside SuperTarget. Each time, he appeared unsteady on his feet and was incoherent, according to police reports.

Using Jason Emanuel as an example, police in January called a news conference to warn parents about huffing. They called him the “poster child” for inhalant abuse. More than 2 million kids ages 12-17 chose an inhalant to get high, according to the Alliance for Consumer Education, which operates the Web site inhalant.org.

What they huff is found at home, with more than 1,400 household products as potential hits.

“This is a tragic situation that highlights the dangers of inhalant abuse and should force every parent to have a conversation with their children about the deadly consequences,” police spokeswoman Stephanie Slater said in a statement.

Inhalants affect the body like alcohol does: slurred speech, lack of coordination and dizziness. Some users experience hallucinations and delusions. More severe are the long-term effects, such as liver and kidney damage, hearing loss, limb spasms and brain damage.

Because the high lasts only a few minutes, users prolong the feeling by huffing for hours. Chemical-induced cardiac arrest can happen any time, said Dr. Jeffrey Bernstein, medical director of the Florida Poison Control covering South Florida.

Even without an autopsy, Jason Emanuel’s final encounter with police on Feb. 26 reveals the role inhalants played in his death. Days before, he was kicked out of the Delray Beach halfway house where he came to get sober. For three days he lived in his car, and on the last, sheriff’s deputies were called to Wal-Mart west of West Palm Beach, Fla.

Jason Emanuel told the deputies he had been huffing that afternoon, said Sheriff’s Office spokeswoman Teri Barbera. Paramedics took him to the hospital and, on the way, he suffered a seizure and stopped breathing.

On average, 100 to 125 people across the United States die from inhalants annually, said Harvey Weiss, spokesman for the National Inhalant Prevention Coalition. But the numbers may be higher, he said. There is no national clearinghouse on inhalant-related deaths.

An interim report from Florida’s medical examiners attributes three deaths to inhalants in 2007. In contrast, cocaine killed 398 people in the state last year. The prescription drug Oxycodone claimed 323 lives. Anti-drug advocates say inhalants are just as dangerous.

“You see kids on YouTube joking around, laughing and having fun, and the risk really isn’t conveyed,” said Colleen Creighton, the consumer alliance’s executive director. “The frightening thing for us is how young the kids are who are using.”

A government study released last month showed inhalants are the drug of choice for 12- and 13-year-olds. As they get older, many teens switch to marijuana.

Jason Emanuel was the opposite. His father said he smoked marijuana in high school but took up huffing about a year ago.

“He got off marijuana because he didn’t like finding dealers,” he said. “You can go to any place and find an inhalant.”

Jason Emanuel grew up in an upper-middle-class neighborhood in Charlotte, N.C. The product of private schools, he was a bright kid who had big ambitions. Ultimately, he dropped out after his first semester at Appalachian State University to go into rehab.

His parents sent him to rehabilitation centers around the United States, but he veiled his troubles to his friends.

“He just didn’t act like someone who was a drug addict,” Elliot Engstrom, 19, a childhood friend, said.

“With my generation, people get so concerned with drugs you hear about in pop culture. That’s really not the problem. It’s the prescription drugs and the stuff you buy at Wal-Mart.”

http://www.inhalant.org/

Tuesday, April 22, 2008

Parents Universal Resource Experts (Sue Scheff) Discipline Do’s: Creating Limits for ADHD Children



5 ways for parents of ADHD children to establish a reliable structure and solid limits.


Your child with attention deficit disorder (ADD ADHD) is loving, intelligent, cute, creative — and often wants his own way. He has the talk and charm to out-debate you, and will negotiate until the 59th minute of the 23rd hour. Like salesmen who won’t take no for an answer, he can wear you down until you give in to his wishes.

Sunday, April 20, 2008

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Are you struggling with your teen or pre-teen? Considering outside treatment?


Take a moment to read "A Parent's True Story" and soon you can purchase "Wit's End!" which is where many parents feel when they are desperate with today's kids.

Thursday, April 17, 2008

Parents Universal Resource Experts (Sue Scheff) Kids Addicted to Screens

By Connect with Kids

“Instead of using that time to become an adult, learning how to talk to adults, learning how to talk to women, learning how to talk to men, learning how to figure out what they want to do with their lives -- those are hours that are lost, that can never really be regained,”

– says Dr. Timothy Fong, M.D., addiction psychiatrist

The American Medical Association (AMA) reports that 5 million American kids are addicted to video games. In fact, if you add the time some children and teens spend in front of a screen -- TV, computer, cell phone or video game -- it equals more hours than anything else in their lives except sleep! And that begs the question: if they spend so much time plugged in, what are they missing out on?

Sabrina and her brother Ruben are fighting over the family computer. At the same time, their younger brother Daniel is playing video games with a friend.

“It’s just fun killing other people and stealing their stuff,” says Daniel, 8.

Sister Alinna waits to watch her favorite program on the big-screen TV.

“I dream about watching TV, and I watch Sponge Bob in my head,” says Alinna.

Four kids in one family who love anything with a screen.

“It’s just nowadays it seems like they’re a lot lazier and just want to sit on the tube and on the phone all the time,” says Harry Delano, the children’s father.

In fact, researchers at the University of Montreal found that one-third of teens spend about 40 hoursa week in front of a screen. For all those hours, what are the kids not doing? Experts say they’re not reading, studying, exercising or even just talking with other people.

“Instead of using that time to become an adult, by learning how to talk adults, learning how to talk to women, learning how to talk to men, learning how to figure out what they want to do with their lives -- those are hours that are lost, that can never really be regained,” says Dr. Timothy Fong, M.D., addiction psychiatrist.

Yolanda has tried to limit the time her children spend in front of a screen.

“Well, my mom gives me an hour on Myspace, but I usually do like three hours -- if they don’t notice,” says Sabrina, 16.

“Even though I get frustrated with it, I allow it to happen because that’s what makes her happy,” says Yolanda.

(Links)

If you are interested in this story, you may also be interested in these parent videos:

Tips for Parents

If your children are like most children, they spend too much time glued to the screen watching television, surfing the Internet and playing video games. So how can you break this habit without wrecking havoc in the home? The answer, according to the American Academy of Pediatrics, is to find fun, positive activities that children enjoy and to smartly manage their screen time.

Experts suggest parents limit children’s total screen time to no more than one to two hours of quality programming per day. (CDC)

Following are 10 tips for parents to help their children make a painless transition from couch potato to a physically and pro-socially active child: (CDC)

Remove television sets from children’s bedrooms.

View television programs with children and discuss the content.

Use the VCR to show or record high-quality, educational programming for children.

Suggest several options for positive physical and pro-social activities that are available through local park districts, schools and community programs.

Recommend pro-social activities, such as volunteering at the Humane Society, local nursing homes, special-needs camps, etc.

Encourage alternative activities for children, including hobbies, athletics and creative play.
Form coalitions including libraries, faith-based organizations, and neighborhood groups to help provide physical and social environments that encourage and enable safe and enjoyable physical activity, including new sidewalks, safe parks and keeping close-to-home physical activity facilities open at night.

Ensure that appropriate activity options are available for disabled children.

Serve as a good role model; be active physically, and be available and interested when your children are viewing television and surfing the Internet in the home.

References
CDC
The American Academy of Pediatrics (AAP)

Tuesday, April 15, 2008

Parents Universal Resource Experts (Sue Scheff) The Gap Year




“It might give a student a little bit more direction. They may be refreshed after taking a year off from being in an academic situation.”

– Adam Lips, Emory University, Admissions

For many students, the frenzied, non-stop trek to college begins their first day in high school. And, after four years of study, SAT exams and AP classes, some students are exhausted. That’s why more and more universities are recommending what’s called a “gap” year between high school and college.



Graduation is just around the corner: the end of 12 years of school and then, at the end of the summer, many students will begin college. But not Annie van Beunigan.

“This is kind of the center of Paris, and the Sorbonne is right here,” says Annie, 17, pointing to a map of Paris, France.

Before heading to college, Annie is going to spend a year in France.

“It’s something I’ve wanted to do for a long time. I’m pretty sick of school … I worked pretty hard in high school. I was pretty driven and I just want to take a break,” says Annie.

The U.S. Department of Education reports that half of all college students take six years or more to get a Bachelor’s degree – partly because so many begin their freshman year burned out and unfocused. Experts say a year off can help.

“It might give a student a little bit more direction. They may be refreshed after taking a year off from being in an academic situation,” says Adam Lips, Emory University, Admissions.

“My mom took a year off and went to live in France and she said that was the best year of her life. She learned so much and grew up so much and went back to college and was more focused,” says Annie.

“For a lot of people it builds character. It builds maturity and it lets them make the most of that college experience,” says Lips.

Still, delaying college should not be taken lightly.

“There needs to be a great deal of thought put into what a student is going to do during that year so that it’s meaningful to them … not just taking a year off for the sake of taking a year off. It might be traveling, it might be doing some volunteer work, it might be working on a job,” says Lips.

Annie is optimistic about her year abroad.

“You come back with an open mind and you’ve just learned so much stuff. You learn from people who are different from you. You learn about yourself,” says Annie.

Tips for Parents

For some people, the prospect of starting college, especially going away to school, is scary. It's probably the first time that you'll be totally responsible for your own schedule. What if you intend to go to college but just don't feel ready to start or take a full-time job after high school graduation? You might want to take a year off to pause and regroup. This practice is common in some countries, such as the United Kingdom, where it's called a "gap year." (Nemours Foundation)

Taking time off doesn't mean you should ignore the idea of applying to college. In fact, you may want to consider making your college plans before you become involved in other things, especially if you'll be traveling. Apply to schools and make your choice, then ask for a deferred admission. (Nemours Foundation)

Even if you decide not to apply to college, it can be a great idea to take a year to do something you may not have an opportunity to do again. Lots of volunteer organizations would welcome your time and energy and would provide you with a wonderful learning experience. (Nemours Foundation)

If you take a year off, you will likely learn great life skills -- such as living on a tight budget! Plan how you'll pay your way while you're traveling or doing volunteer work. Can you live at home or with friends? Get a part-time job? (Nemours Foundation)

Taking a year off can give you time to clarify your goals and plan for the future. You may be able to earn money to fund future plans, e.g. graduate study. (Durham University)

A gap year may heighten your enthusiasm for further study and work. You may gain new skills valued by employers, such as team working, organizational skills and problem-solving. (Durham University)

References
Nemours Foundation
Durham University

Tuesday, April 8, 2008

Sue Scheff: Inhalant Abuse Among Teens and Pre-Teens


Inhalant Abuse is becoming a growing problem among teens and pre-teens. With parents, this is a very serious concern that parents need to become educated about.

As a parent advocate, I believe this subject cannot be ignored, and a matter that people need to learn more about.

Inhalant Abuse is a lesser-known form of substance abuse, but is no less dangerous than other forms.The Substance Abuse and Mental Health Service has reported that more than 2.1 million children in America experiment with some form of an inhalant each year and the Centers for Disease Control lists inhalants as second only to marijuana for illicit drug use among youth.

For more information on Inhalant Abuse visit http://www.inhalant.org/ - You could save a life today.

Thursday, April 3, 2008

Sue Scheff - Teen Theft

Teens and Theft: Why it Happens

Too Young to Start


There are almost as many reasons teens steal as there are things for teens to steal. One of the biggest reasons teens steal is peer pressure. Often, teens will steal items as a means of proving’ that they are “cool enough” to hang out with a certain group. This is especially dangerous because if your teen can be convinced to break the law for petty theft, there is a strong possibility he or she can be convinced to try other, more dangerous behaviors, like drinking or drugs. It is because of this that it is imperative you correct this behavior before it escalates to something beyond your control.

Another common reason teens steal is because they want an item their peers have but they cannot afford to purchase. Teens are very peer influenced, and may feel that if they don’t have the ‘it’ sneakers or mp3 player, they’ll be considered less cool than the kids who do. If your teen cannot afford these items, they may be so desperate to fit in that they simply steal the item. They may also steal money from you or a sibling to buy such an item. If you notice your teen has new electronics or accessories that you know you did not buy them, and your teen does not have a job or source of money, you may want to address whereabouts they came up with these items.

Teens may also steal simply for a thrill. Teens who steal for the ‘rush’ or the adrenaline boost are often simply bored and/ or testing the limits of authority. They may not even need or want the item they’re stealing! In cases like these, teens can act alone or as part of a group. Often, friends accompanying teens who shoplift will act as a ‘lookout’ for their friend who is committing the theft. Unfortunately, even if the lookout doesn’t actually steal anything, the can be prosecuted right along with the actual teen committing the crime, so its important that you make sure your teen is not aiding his or her friends who are shoplifting.

Yet another reason teens steal is for attention. If your teen feels neglected at home, or is jealous of the attention a sibling is getting, he or she may steal in the hopes that he or she is caught and the focus of your attention is diverted to them. If you suspect your teen is stealing or acting out to gain your attention, it is important that you address the problem before it garners more than just your attention, and becomes part of their criminal record. Though unconventional, this is your teen’s way of asking for your help- don’t let them down!


By Sue Scheff, Parents Universal Resource Experts