Sue Scheff - Teen Eating Disorders

As the holidays are here, parents should be aware of their teens and tweens concerns with body image. Today’s peer pressure compounded with Internet Images of what a teen should look like, can add stress and frustration to a young teen (both girls and boys).
Eating Disorders can sometimes be hard to recognize. As a parent, it is important to be informed and know the warning signs.

Here is a great article from Connect with Kids from this week’s parenting articles and tips:

“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

I also recommend you visit a survivor of Eating Disorders, Lori Hanson’s website at http://www.lori-hanson.com/ and check out her book, It All Started with Pop-Tarts.

Parents Universal Resource Experts - Sue Scheff - Teen Depression

A Relentless Hope - Surviving The Storm of Teen Depression - author, Gary E. Nelson, recently was interviewed on a New Mexico News Station.
Watch today - and learn more about teen depression.
http://www.krqe.com/dpp/news/health/health_krqe_albuquerque_dr_nelson_teen_depression_20081103

Sue Scheff: 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

Teen Drug Use

Preventing Drug Abuse: What Can You Do?

If you suspect your teen is doing any form of gateway drug, it's important to talk to them about it as soon as possible. Again, it is important to not yell or threaten. You will no doubt be scared and angry, but so is your teen. If they feel as though you don't support them or they can't talk to you, scaring them will only make the problem worse! Try to remain calm.

Assure your teen they can trust you and that you love them and want to help them. Explain harmful side effects of drugs, but assure them it's not too late to get help, and that you will support them. Tell them about any changes you've noticed in their behavior and how those changes make you feel. Let them talk to you, and listen to them. Do not judge them or criticize them.

The first you need to do in order to prevent your teen from abusing drugs, alcohol or tobacco is to take seriously the threat posed by these substances to your child. You have to take seriously the risks posed because this will ultimately be the one catalyst that will allow you to talk to your teen about the problem in a frank and open manner. By taking to heart the importance of the matter at hand, you will be in a better position to urge your teen to do the same. You do not need to be harsh or judgmental with them. It is a better strategy to be as supportive as you can. If you insist on being hostile and angry with your teen, you will likely succeed in pushing them away form you and deeper into possible addiction.

Any treatment plan you decide upon for your teen should be dictated by the substances they abuse and how much they abuse them. For example, to send a child to a strict military-style school because they have tried drugs or alcohol a handful of times is something of an overreaction. Many times if a teen’s experiments with drugs, alcohol and tobacco are minor, a good open talk with them can convey all the information you want, and achieve very positive results in terms of future behavior.

Of course, the story is entirely different if your teen has become addicted to drugs and alcohol. In this instance, a detoxification program may be in order, along with a treatment regimen that helps wean the child off of drugs and replaces that with medicine. Studies have shown that the effectiveness of prescription medicine treatment for substance abuse is greatly enhanced when combined with one-on-one and/or family counseling.

One thing to remember if treatment becomes the order for the day when addressing your child’s substance issues is that relapse after treatment is common. This does not mean that you or your teen have failed any part of the recovery process. Addiction is extremely difficult to overcome and the most important thing to keep in mind is to take things one step at a time.

Defining Gateway Drugs by Sue Scheff

Defining "Gateway Drugs"

Kids today have much more societal pressure put upon them than their parents generation did, and the widespread availability of drugs like methamphetamines and the "huffing" trend (which uses common household chemicals as drugs) can turn recreational use of a relatively harmless gateway drug into a severe or fatal addiction without warning.

The danger of gateway drugs increases in combination with many prescription medications taken by teens today. These dangerous side effects may not be addressed by your child's pediatrician if your child is legally too young to smoke cigarettes or drink alcohol. Drugs like Ritalin, Prozac, Adderrall, Strattera, Zoloft and Concerta can be very dangerous when mixed with recreational drugs and alcohol. Combining some prescription medications with other drugs can often negate the prescription drug's effectiveness, or severely increase the side effects of the drug being abused. For example, a 2004 study by Stanford University found that the active chemical in marijuana, THC, frequently acted as a mental depressant as well as a physical depressant. If your child is currently on an anti-depressant medication like Prozac or Zoloft, marijuana use can counterbalance their antidepressant effects.

Other prescription anti depressants and anti psychotics can also become severely dangerous when mixed with alcohol. This is why is imperative that you as a parent must familiarize yourself with any prescription medications your child is taking and educate your child of the dangers of mixing their prescription drugs with other harmful drugs- even if you don't believe your child abuses drugs or alcohol.

Marijuana - Why It is More Dangerous Than You Think

Parents who smoked marijuana as teenagers may see their child's drug use as a harmless rite of passage, but with so many new and dangerous designer drugs making their way into communities across the country, the potential for marijuana to become a gateway to more dangerous drugs for your child should not be taken lightly.

Marijuana is the most commonly abused drug by both teens and adults. The drug is more commonly smoked, but can also be added to baked goods like cookies or brownies. Marijuana which is ingested orally can be far more potent than marijuana that is smoked, but like smoking tobacco, smoking marijuana can cause lung cancer, emphysema, asthma and other chronic conditions of the lungs. Just because it is "all natural" does not make it any safer for your lungs.

Marijuana is also a depressant. This means the drug slows down the body's functions and the messages the body sends to the brain. This is why many people who are under the influence of marijuana (or "stoned") they are often sluggish or unmotivated.

Marijuana can also have psychological side effects, both temporary and permanent. Some common psychological side effects of marijuana are paranoia, confusion, restlessness, hallucinations, panic, anxiety, detachment from reality, and nausea. While these symptoms alone do not sound all that harmful, put in the wrong situation, a teen experiencing any of these feelings may act irrationally or dangerously and can potentially harm themselves or others. In more severe cases, patients who abuse marijuana can develop severe long-term mental illnesses such as schizophrenia.

Tobacco - Just Because It Is Legal Doesn't Mean It Is Safe

While cigarettes and tobacco are considered "legal", they are not legal for teens to posses or smoke until they are 18. Still, no matter the age of your child, smoking is a habit you should encourage them to avoid, whether they can smoke legally or not.

One of the main problems with cigarettes is their addictive properties. Chemicals like nicotine are added to tobacco to keep the smoker's body craving more, thus insuring customer loyalty. This is extremely dangerous to the smoker, however, as smoking has repeatedly proven to cause a host of ailments, including lung cancer, emphysema, chronic bronchitis or bronchial infection, asthma and mouth cancer- just to name a few.

In addition to nicotine, cigarettes contain over 4000 other chemicals, including formaldehyde (a poisonous compound used in some nail polishes and to preserve corpses), acetone (used in nail polish remover to dissolve paint) carbon monoxide (responsible for between 5000 to 6000 deaths annually in its "pure" form), arsenic (found in rat poison), tar (found on paved highways and roads), and hydrogen cyanide (used to kill prisoners sentenced to death in "gas chambers").

Cigarettes can also prematurely age you, causing wrinkles and dull skin, and can severely decay and stain teeth.

A new trend in cigarette smoke among young people are "bidi's", Indian cigarettes that are flavored to taste like chocolate, strawberry, mango and other sweets. Bidi's are extremely popular with teens as young as 12 and 13. Their sweet flavors and packaging may lead parents to believe that they aren't "real" cigarettes or as dangerous as brand-name cigarettes, but in many cases bidi's can be worse than brand name cigarettes, because teens become so enamored with the flavor they ingest more smoke than they might with a name brand cigarette.

Another tobacco trend is "hookah's" or hookah bars. A hookah is an ornate silver or glass water pipe with a fabric hoses or hoses used to ingest smoke. Hookahs are popular because many smokers can share one hookah at the same time. However, despite this indirect method of ingesting tobacco smoke through a hose, hookah smoking is just as dangerous as cigarette smoke.

The Sobering Effects of Alcohol on Your Teen

Alcohol is another substance many parents don't think they need to worry about. Many believe that because they don't have alcohol at home or kept their alcohol locked up, their teens have no access to it, and stores or bars will not sell to minors. Unfortunately, this is not true. A recent study showed that approximately two-thirds of all teens who admitted to drinking alcohol said they were able to purchase alcohol themselves. Teens can also get alcohol from friends with parents who do not keep alcohol locked up or who may even provide alcohol to their children.

Alcohol is a substance that many parents also may feel conflicted about. Because purchasing and consuming alcohol is legal for most parents, some parents may not deem it harmful. Some parents believe that allowing their teen to drink while supervised by an adult is a safer alternative than "forcing" their teen to obtain alcohol illegally and drinking it unsupervised. In theory, this does sound logical, but even under adult supervision alcohol consumption is extremely dangerous for growing teens. Dr. John Nelson of the American Medical Association recently testified that even light alcohol consumption in late childhood and adolescence can cause permanent brain damage in teens. Alcohol use in teens is also linked with increased depression, ADD, reduced memory and poor academic performance.

In combination with some common anti-psychotics and anti-depressants, the effects of just one 4 oz glass of wine can be akin to that of multiple glasses, causing the user to become intoxicated much faster than someone not on anti depressants. Furthermore, because of the depressant nature of alcohol, alcohol consumption by patients treated with anti-depressants can actually counteract the anti-depressant effect and cause the patient sudden overwhelming depression while the alcohol is in their bloodstream. This low can continue to plague the patient long after the alcohol has left their system.

Because there are so many different types of alcoholic beverage with varying alcohol concentration, it is often difficult for even of-age drinkers to gauge how much is "too much". For an inexperienced teen, the consequences can be deadly. Binge drinking has made headlines recently due to cases of alcohol poisoning leading to the death of several college students across the nation. But binge drinking isn't restricted to college students. Recent studies have shown teens as young as 13 have begun binge drinking, which can cause both irreparable brain and liver damage.

It is a fact that most teenage deaths are associated with alcohol, and approximately 6000 teens die each year in alcohol related automobile accidents. Indirectly, alcohol consumption can severely alter teens' judgment, leaving them vulnerable to try riskier behaviors like reckless stunts, drugs, or violent behavior. Alcohol and other drugs also slow response time, leaving teenage girls especially in danger of sexual assault. The temporary feeling of being uninhibited can also have damaging future consequences. With the popularity of internet sites like MySpace and Facebook, teens around the country are finding embarrassing and indecent photos of themselves surfacing online. Many of these pictures were taken while the subjects were just joking around, but some were taken while the subjects were drunk or under the influence of drugs. These photos are often incredibly difficult to remove, and can have life altering consequences. Many employers and colleges are now checking networking sites for any reference to potential employees and students, and using them as a basis to accept or decline applicants!

www.helpyourteens.com

Teen Depression by Sue Scheff

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.