Signs Your Teen May Need To See A Counselor

Bored-teenage-girl-on-couch-jpgVery often I have parents ask me if I think their teen needs counseling. They will tell me about different behaviors they have observed and pretty much ask me if it is “normal”.

The advice I normally give is, if you think your teen needs counseling, they probably do. I have seen more instances of teens not receiving mental health help or receiving it once the issue has gotten out of hand, then I have of parents bringing their teens in for counseling when they are perfectly “normal”.

Don’t get me wrong, I have seen parents who have brought their teens in for counseling only for me to soon realize that it was the parent that actually needed help, and not their teen.

In any case, it never hurts to schedule a session for your teen if you think they may need help. A trained mental health professional will be able to tell you in a couple of sessions or so if your teen needs further help or if the issue extends further into the family system.

Some signs that your teenager may need counseling

  • Mood swings– Yes we all know that teenagers have mood swings. It is definitely part of that developmental age, but as a parent, you should have a general baseline of your teens mood swings. If their mood swings seem extreme or are way outside of your teens normal mood swings (too depressed, too elated, too labile, etc.) trust your gut, it may be worth looking into with a trained professional.
  • Self-medicating– Some teens will try to hide or control their issues, especially when they don’t understand why they think or feel a certain way. Many will turn to drugs, alcohol, sex, self-mutilation, or eating disorders just to name a few, in an effort to make themselves feel better. If you notice your teen involved in any of these things it’s almost a guarantee that they are trying to mask something else, that could be anything from low self-esteem to sexual abuse and it’s worth investigating.
  • Changes in friends– many times when a teen is suffering from a mental illness it will impact their ability to maintain healthy friendships. They may push friends away or become too clingy. You may see some of your teens friends start wanting to avoid them or your teens choices of friends may drastically change.
  • Changes in school performance– is another sign that your teen may be suffering from some form of mental illness. It’s generally hard to concentrate and focus when one is in a poor mental state and this can affect a teens grades and/or conduct.
  • Physical symptoms– if your teen suddenly starts to care less about their appearance, stops taking showers, gains or loses a lot of weight or starts complaining of psychosomatic symptoms like backaches, headaches or stomach aches, these are all possible signs that your teen is dealing with something they can’t handle alone.
  • Behavior changes– behavior like mood can change a lot during the teenage years, but for the most part, if you teens starts presenting as a totally different person to you then it may indicate either a mental illness or substance abuse issue.

Being a teenager is hard and most teens will try their best to hide their problems from their parents, which is why it is imperative that parents are attune with their teenagers. Today it’s even easier for teens to hide how they really feel through social media so parents have to be vigilant to monitor their social media pages as well in order to gain insight into what is really going on with their teen.

With the appropriate help, all mental and emotional issues can be treated and managed so if you  have to ask the question, “Is this normal”, chances are you should contact a qualified mental health professional for a further evaluation.

 

Absolute Yes: How To Learn To Say No To The Things You Really Want To Say No To

unnamedMaking decisions can be very hard to do. Making tough decisions can be even harder and even anxiety provoking, which is why many people end up either in bad decisions, a place of ambivalence or living with more angst than necessary.

Many people are so afraid of making tough decisions that they simply don’t. Unconsciously many of these people will put themselves into positions (i.e., being homeless, being institutionalized, exceptional religiously preoccupied, joining the military, being taken care of by government assistance) so that they don’t have to make many decisions.

One way to make decision making easier is to develop a principle called absolute yes.

The principle is simple. Say no to anything unless it is an absolute yes.  That means if not every part of you, mind body and soul, is not saying yes, than the answer is no, at least for now.

Many of us, besides finding it hard to make a decision, end up saying yes when we really mean no. Sometimes this causes us to end up in undesirable situations all because we didn’t follow through with our true answer.

When you start to use the absolute yes principle, you will see it demands commitment to the truth. It forces us to know ourselves, the little games we play, the excuse, justifications and stories we tell ourselves.  We will start to re-examine situations where we are tempted to sell ourselves short, give our power over to someone else or sabotage our own happiness and success.

It will help us to see through the glitz and temptation that often makes us say yes because we want to be respected and loved, when inside we really want to say no.

Think about it. Many people say yes to having sex, getting married, to having kids when they really want to say no.  Everyone has things that tempt them to say yes; from the sexy bad guy you know will only drain you emotionally, to that second piece of cake or that new red Mustang 5.0 you really can’t afford, but really want.

Saying no to anything unless it is an absolute yes means we have to take a step back from these temptations, put some emotional distance between our desires and what is actually best for us. That is why it is a discipline and a practice which takes time, commitment, especially commitment to personal mastery.

An absolute yes means that there is no doubt and while we may not know what is going to happen next, we take responsibility for our decision and there is no one else to blame for our choice.

Just because something isn’t an absolute yes now doesn’t mean that it will be a no forever. We may require more time, more information, or more insight before our no turns into an absolute yes.

This reflection, gathering information and putting some space between our emotions are all essential parts of effective decision making skills.

Taking an absolute yes approach to making a decision will reduce the amount of stress involved as well as help us to say no to the things we really don’t want to say yes to and say an absolute yes to the things we do. We’ll spend less times doing things we truly don’t want to do and more times really living the life we want to live.

For a more colorful take on Absolute Yes (and a very good read), check out Fuck Yes or Fuck No by Mark Manson.

Reasons You Should Keep An Online Journal

Young Woman Typing on a Laptop at HomeI’ve wrote before about the importance of  journaling and keeping a diary in my post setting up a coping toolbox. Many famous people throughout history have kept journals such as Anne Frank, Kurt Cobain and poet Sylvia Plath.  I’ve kept journals off and on since high school and it’s great to go back and look through some of the old ones to see how things have changed.

The other day I went back through an old journal and realized that in some situations where at the time I thought I was right, I was actually wrong, selfish and insensitive. That doesn’t mean I went and beat myself up over the past, it just gave me a better understanding of the situation and the person I was then compared to the person I am now and the person I want to become.

Journaling is a great way to express yourself, to relieve stress, to work out emotional and relationship problems from the past and present, to better understand yourself, capture life events and become more mentally and emotionally healthy. Check out 100 Benefits of Journaling.

One of main problems of keeping a traditional journal or diary is privacy. I know I’ve been reluctant to truly express myself in paper-bond journals out of fear of someone else reading it. I’ve also had the misfortune of  breaking the trust and privacy of someone I love by reading their personal journal, so I understand the fear of invasion of privacy that keeps many people from journaling altogether.

Thankful there are now many different ways to keep a journal and I encourage everyone to at least try an online journal. Sure you can keep a journal as an encrypted text file on your computer, but it is not as easily available as an online journal that is available from any computer that has internet access.

Many people try to keep journals using Google Docs or similar programs, but most good online journals have close to military grade encryption where no one, including the site owners can/will read your private thoughts. They also have easy ways you can add pictures, print your pages if you so choose to, email them to yourself, even email a page to someone else, annonymously if you want.

When it comes to online journals, there are many to choose from and feel free to do your own research, but here I’ve put my top three recommendations:

  1. Penzu– it’s what I am currently using. They offer a free and easy way to keep an online journal and promise military-grade encryption and 256-bit SSL encryption. You can upgrade to the Pro version of Penzu for $20 a year which for the most part just allows more customization, but it’s not necessary to upgrade or pay. The free version still offers many features and gives you a great place to record your private thoughts. Penzu is one of if not the most popular online journal and I highly recommend it.
  2. 750 Words– encourages you to write 750 words a day, which is about 3 pages. It is private and a simple way to just get your thoughts out. Their tag line is “Private, unfiltered, spontaneous, daily”. I like 750 words a lot and they send you simple emails everyday to remind you to write, I just couldn’t get into the habit of using it as much as I use Penzu.
  3. My Therapy Journal– this online journal is unique in the fact that it is therapy oriented and can be used by those with and without issues they may be in therapy for. For those who are actively in therapy, this is an absolutely great tool and one I actually encourage over Penzu. The one thing I do not like about My Therapy Journal is that you have to pay for a one month ($5.99 per month renewed and billed monthy), three month ($4.99 per month renewed and billed every 3 months) or annual ($2.99 per month renewed and billed annually) membership. I’m not too keen on an online journal that forces you to pay, but like I said, if you are actively in therapy then this is definitely worth it and you get 14 days to try it for free.

There are many different options out there, but these are my top three. If you have any others you would like to add please post them in the comments section.

Regular writing has many, many benefits from improved mental health to creativity. Finding a place you can trust with your thoughts is important and I hope this helps with that discovery.

Parents Call Police When Discovering Their Teen Was Sexting

465702557When the parents of a 13-year-old 8th grader in Virginia discovered that their daughter was sending and receiving nude images of other teens on her tablet, they did what many other parents would do, they questioned their daughter and investigated farther. What they found concerned them enough that they did what many parents would not do, they contacted their local law enforcement agency.

What the parents found were sexual pictures of other teenagers (none of their daughter) and conversations going back and forth with other boys that they found were inappropriate for their daughters age.

“Everybody wanted to be her friend, because according to these people, she was cool now,” the teens mother said.

What also upset them were that older teens who they believe were 17 to 18 were requesting to have sex with their daughter. The parents contacted law enforcement to protect their daughter even if that meant she would also get in legal trouble for sexting.

“We did this now to protect her. For now and in the future, because this could get worse, she could be taken,” the teens mother said.

The teens involved in the sexting can face charges as severe as felonies for possessing child pornography.

While the mom acknowledges that many parents wouldn’t do what she did, she feels like she did what she had to do to protect her daughter from possible sexual abuse now and in the future.

A Couple of Quick facts about sexting

  • 40 percent of teenage girls do it as a joke, 34 percent do it to feel sexy, and 12 percent feel pressured to do it according to research.
  • Sending or receiving a sexually suggestive text or image to someone under the age of 18 is considered child pornography and can result in criminal charges.
  • Sexting is defined by the U.S. court system as “an act of sending sexually explicit materials through mobile phones.” The messages may be text, photo, or video.10. In the U.S., 8 states have enacted bills to protect minors from sexting, and an additional 14 states have proposed bills to legislation.

Someways parents can help prevent sexting is by having conversations with their teens, monitoring their electronic devices and using parent controls.

What would you do if you discovered your teen has been sexting? Would you be willing to contact the local authorities as this mother did?

Robin Williams: Depression, Bipolar Disorder, Substance abuse And Suicide

robin-williams7878It’s hard for many people to understand how someone can be “successful”, and “wealthy” and still be miserable and end up committing suicide, but mental illness and substance abuse doesn’t care about socio-economic status.

There are countless examples of wealthy and famous celebrities who have taken their lives in the face of mental illness and/or addiction. 

Still, many are shocked that someone so funny and loved as Robin Williams, age 63, who’s been battling bipolar disorder, severe depression, drug abuse and alcoholism for a large part of his life, would end up taking his own life. 

For anyone who has ever felt the pain of severe depression knows that once it has a grip on them, it’s almost like being covered in darkness where they can’t see past their failures, no matter how successful they are.

The only thing that they see, hear and think about are their missed opportunities, mistakes and what seems like the bleakness of the future. It doesn’t matter if they are happily married, have accomplished many goals, all they see are their failures. They forget all of their successes and things they should be proud of and just become consumed with feelings of worthlessness, shame and guilt.

When in a deep depression, suicidal thoughts may creep in and become overwhelming to the point where the person feels like they are a burden to the world, especially those close to them. They feel like their spouses, children and friends would be better off without them. Their view of reality becomes severely distorted.

In Robin Williams case, he was married, had children, had a long successful career, was loved by millions, yet he battled addiction, bipolar disorder and depression. At some point in the midst of his depression, the thoughts of being worthless and a burden became overwhelming. 

It also speaks to the point that depression and suicide doesn’t go away at a certain point of wealthiness or happiness. It’s a disease.

Robin Williams is no different than anyone else who suffers from a severe mental illness. About 90% of people who commit suicide have an undiagnosed, untreated or undertreated mental illness. 

Robin Williams was also in the demographic of those highly at risk of suicide which are white, middle aged men with health problems. Robin Williams had been suffering from a heart condition and it’s possible that the thought of losing control of his life, his quality of life or losing his life in general to a physical illness, increased his risk of suicide. 

More than 38,000 Americans commit suicide each year and while depression can last a life time, suicidal thoughts are usually temporary and the act of suicide itself is often impulsive. If we can deter someone from committing suicide they usually will move on from the desire to kill themselves even though the depression continues. 

According to the American Association of Suicidology:

  • 39,518 people died by suicide in the U.S. (2011)
  • 108.3 per day
  • 1 person every 13.3 minutes
  • 3.6 male deaths for each female death by suicide

Comparison to other highly publicized causes of death per year:

  • Homicide 16,238
  • Prostate Cancer 32,050
  • Motor Vehicle Accidents 35,303
  • Suicide 39,518
  • Breast Cancer 39,520

By age:

  • Middle age (45-64 years): 18.6 per 100,000,
  • Elderly: 15.3 per 100,000

*Teens (15-24) is 11 per 100,000*

*The rate for middle aged has been increasing and surpassed the rate for elderly a few years ago*

If you are anyone you know is suffering from suicidal thoughts, the national suicide prevention lifeline can be reached at 1-800-273-8255 or http://www.suicidepreventionlifeline.org

Helping Your Child Prepare For Back-To-School

Photo-Contest-Best-Back-to-School-Moment-mdnIt’s that time of the year again where summer is winding down and both kids and parents are either anxiously or excitedly getting ready for another school year.

Some Children will be going to school for the first time, others to a new school or riding the school bus for the first time. No matter how you look at it, for parents and children, back-to-school can be a stressful time of year.

Many parents while trying to balance work, a family and even preparing for back-to-school, often overlook their children’s anxieties about heading back to school. Without realizing it, they may be setting their kids up for emotional and behavioral failure.

It’s important that parents work with their children to build emotional resilience and help them manage their emotions in order to keep them psychological healthy and in the long run, help the parents be less stressed as well.

Children are incredibly resilient and  capable of dealing with change, often more so than adults, but it’s important that parents provide an environment that fosters communication and sharing of thoughts and feelings about returning to school. Establishing this type of environment where sharing thoughts and feelings about school are encourage will also foster a healthier relationship overall between parent and child.

There are many things you can do to help prepare your child emotionally and psychologically for returning to school. The American Psychological Association (APA) offers the following tips:

  1. Practice the first day of school routine: Getting into a sleep routine before the first week of school will aide in easing the shock of waking up early. Organizing things at home—backpack, binder, lunchbox or cafeteria money—will help make the first morning go smoothly. Having healthy, yet kid-friendly lunches will help keep them energized throughout the day. Also, walking through the building and visiting your child’s locker and classroom will help ease anxiety of the unknown.
  2. Get to know your neighbors: If your child is starting a new school, walk around your block and get to know the neighborhood children. Try and set up a play date, or, for an older child, find out where neighborhood kids might go to safely hang out, like the community pool, recreation center or park.
  3. Talk to your child: Asking your children about their fears or worries about going back to school will help them share their burden. Inquire as to what they liked about their previous school or grade and see how those positives can be incorporated into their new experience.
  4. Empathize with your children: Change can be difficult, but also exciting. Let your children know that you are aware of what they’re going through and that you will be there to help them in the process. Nerves are normal, but highlight that not everything that is different is necessarily bad. It is important to encourage your children to face their fears instead of falling in to the trap of encouraging avoidance.
  5. Get involved and ask for help: Knowledge of the school and the community will better equip you to understand your child’s surroundings and the transition he or she is undergoing. Meeting members of your community and school will foster support for both you and your child. If you feel the stress of the school year is too much for you and your child to handle on your own, seeking expert advice from a mental health professional, such as a psychologist, will help you better manage and cope.

 

Co-Rumination: Talking Too Much Can Lead To Depression And Anxiety In Adolescent Girls

4164756091_80f19ce3e2_zFor the most part, adolescent girls talk more than adolescent boys.  They just do. Little girls generally start talking sooner than boys and even as children are able to verbalize and express themselves much more efficiently. This ability to communicate has many advantages, especially in helping develop social-perspective taking skills (the understanding of other peoples thoughts, motivations, feelings and intentions).

Females are generally more gifted in the area of social-perspective skills which have great benefits including greater quality of friendships, better ability to get along with others, to show empathy and to be great caretakers. However, there is a downside to having well-developed social-perspective taking skills, including what is called co-rumination.

Co-rumination refers to extensively talking about and revisiting problems, focusing on negative feelings and speculating about problems with peers. While it is usually healthy to talk about problems, co-rumination generally focuses more on the problems themselves (especially negatively) and not on actual resolutions and therefore can be maladaptive.

Adolescent girls with good social-perspective skills are more likely to co-ruminate because they find it easier to talk to and relate to their friends about their problems and to understand their friends negative feelings about the problems. This type of understanding breeds closeness.

A  problem with co-rumination is that it exposes the person to their friends problems, worries and negative affect repeatedly which can lead to empathetic distress. Empathetic distress is feeling the perceived pain of another person. Which means not only does the youth have their own problems, they are also taking on the problems of their friends.

When I worked in the high school I would be amazed at how teenage girls would take on each others problems so much so that you would think it were their own. Some would see this as an endearing quality, but much of it was definitely dysfunctional. Sometimes the amount of enmeshment would almost seem pathological. Some teens would find it hard to concentrate because they were so worried about their friends problems even when in all reality, it had no impact on them.

I would listen to them discuss the same problems with each other over and over again offering no real resolutions, but instead harping on and internalizing them in ways that were more detrimental than helpful.

As a counselor, I would encourage problem solving and positive thinking. I would try to help them understand that their friends issue isn’t theirs as well as try to help them understand disclosure. Many teenagers today, in part thanks to social media, share way too much personal information with each other without understanding the impact it may have later.  Not understanding personal boundaries and disclosure is a crucial part of co-rumination and  both rumination and self-disclosure have been linked to increased anxiety.

Girls in friendships with a lot of co-rumination often view their friendships as high quality because there is a lot of understanding and empathizing, but there is often also a lot of internalizing of problems which leads to negatively and has been shown to increase the risk of anxiety and depression.

Boys on the other hand generally do not socialize and c0-ruminate as much as girls do. The trade off is that while they may be more protected from empathetic distress, they are also less likely to have high quality friendships. There must be a balance.

I also believe that the impact of co-rumination and empathetic distress affects people well into adulthood, especially those in enmeshed friendships or in the helping fields where we in some instances we call it secondary PTSD and burnout.

So what do we do with this information?

It’s hard to curtail co-rumination without discouraging social-perspective taking which also has very high and much needed benefits. One solution is to help the individual understand and balance their concerns for other people with their own needs. Helping an individual learn what is their problem, and what is not their problem also helps to start separating some of the negative affects of co-rumination.

Also, focusing on the positive would help a lot. Many young girls focus on and talk about their problems way too much and internalize them instead of resolving them which only makes them feel worse.

I’m not discouraging talking about problems or young girls talking to their friends about their problems, but there is certainly a healthy and unhealthy way for young girls to discuss, think about and solve their issues without ruminating and falling victim to empathetic distress.

Defending Fatherhood: The Impact Of Fathers And Father Figures On Children

Defending Fatherhood: The Impact Of Fathers And Father Figures On Children

bi-fathers-day-istockThe other day I came across a clip of actor Terry Crews as a guest on the show The View. In the clip, Terry Crews was basically defending fatherhood and I was somewhat amazed at how at times it seemed like one or more of the hosts of The View kept trying to attack fatherhood (the clip is at the end of the page). I realized that fatherhood in general is greatly under valued in today’s society.

So many of us have grown up without reliable fathers or father figures in our lives that we diminish the importance of fathers. So many women have been forced to raise children without a decent man in their children’s lives that they start to believe that a child having a father or father figure is an option that they’d prefer to do without.

As men we have to take some blame in this. Many of us have let or children and women down so much that we are considered elective pieces of the family dynamic and are often made to feel that way. Some women will try so hard to prove that they don’t need a man that they will also imply that their children don’t need a father either.

I’m not just talking about single mothers either. Even in marriages the father is often relegated to a relatively small role in raising the children. Sometimes fathers withdraw nearly completely from the task of helping raise the children, believing that child-rearing is a woman’s job and all they have to do is provide.

And while many single mothers do awesome jobs raising well-rounded children, especially the ones that have to, more often than not, those children struggle from the absence of a strong, positive male role model in their lives.

I am not saying that any man will do. Some men are bad fathers, bad role models or just bad people in general. They will do more harm to a child’s development than good. However, there are many good men who want and try to be good fathers, but are limited or not allowed to because of their child’s mother.

When I worked as a children’s therapist I ran into many women who moved multiple states away just to punish their child’s father. They were mad at him for whatever reason and decided to not only distance themselves from him, but to distance him from his children as punishment.

Many single mothers push their child’s father away either by making it extremely hard on him to see his children, or by turning the children against him. They want to make the father feel unwanted and unneeded and if the man isn’t strong enough, he may give up and walk away or greatly diminish his involvement in his child’s life.

Most of the times these children not only suffered from behavioral problems like stress, depression and anxiety, but many of them, especially the young boys ended up acting out in ways that the mother couldn’t handle, especially as they got bigger.

Many of the boys became disrespectful to the mother and women in general. They did poorly in school, got in trouble with the law and basically became unruly and why wouldn’t they? They were trying to figure out how to grow into a man without any decent examples and so they come up with their own, either modeling other young men, poor examples from their neighborhoods, or rappers, athletes or other celebrities.

Some of these same women often sent their boys back to live with their fathers once they got too out of hand, but by then the father-child bond has usually been so disrupted that the father doesn’t know how to effectively parent that child and the child has little understanding or respect for a parent who has been absent from their lives over a period of time.

While I feel that it is extra important that boys have a good male role model, no matter if it’s their biological father, stepfather, uncle, coach, teacher or any other reliable, nurturing, male, it is important that girls have a father figure as well as I wrote in my post absent fathers can lead to depression in teenage girls.

Healthy and respectful male role models can teach young girls how they should expect men to treat them. While at the same time, even fathers who are in the house that are angry and disrespectful to the mother are more likely to have children that develop anxiety, are withdrawn and are more likely to have unhealthy relationships.

So you see, it’s not just about having a man around, it has to be someone who is giving positively to the child’s social-emotional well-being.

Dr. David Popenoe, one of the pioneers of the young field of research into fathers and fatherhood says, “Involved fathers bring positive benefits to their children that no other person is as likely to bring.”

Involved fathers have an impact on a child’s emotional health, cognitive ability and educational outcomes.

Children with involved and nurturing fathers are more likely to be emotionally secure, confident, willing to explore their surroundings and end up with better social relationships. They are less likely to get in trouble at school, have disruptive behaviors or develop anxiety and depression.

Studies suggest that fathers who are nurturing, involved and playful with their infants end up having children with better linguistic skills, cognitive skills and higher IQs.

Toddlers with involved fathers tend to start school more academically ready, more patient and less likely to get frustrated or stressed when compared to toddlers with absent fathers or fathers who aren’t involved.

Adolescents and teenagers with involved, active and nurturing fathers tend to have better intellectual functioning, better verbal skills and higher academic achievement.

All of these benefits are amplified if that involved, nurturing male is the biological father, but it doesn’t have to be in order to still see positive benefits.

I’m not saying that any man will do, or even any biological father because any idiot can become a dad, it doesn’t mean that they will be the best role model for a child. What I am saying is that having a father figure is just as important as having a mother figure for every child. Fathers have a powerful and important impact on the development and health of a child.

Reasons Marriage Counseling will not help you

David Joel Miller's avatarcounselorssoapbox

By David Joel Miller

Are there reasons to avoid Marriage Counseling?

Will Marriage Counseling Help Will Marriage Counseling Help?

Marriage counseling can save your marriage. It can also hasten the end to that relationship. I see many couples who have used to marriage counseling to strength and improve their relationship. There are also those couples, up to half of all couples who attend couples counseling, who end up divorcing soon after the marriage counseling experience.

How can you tell if you are one of those couples that can be helped by marriage counseling or if you are one of those couples where attending a counseling session might end your relationship?

Here are reasons some people need to avoid marriage counseling.

1. You want the Marriage Counselor to decide who is right and who is wrong.

Specifically you want the therapist to tell your partner that they are the one causing the problem.

If you…

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