Sue Scheff: Top 10 Routine Builders: Organization Help for ADHD Children

Source: ADDitude Magazine

Create better structure with our organization help for children with ADHD.
by Peter Jaksa, Ph.D.

Need organization help? Follow our checklist to create routines that help your child grow and learn.

1. Give specific instructions. "Put away the toys on your carpet on the shelf in the closet." Be consistent — if the toys are stored on the shelf one night, they should be put there every night. Children need to know precisely what you expect.
2. Assign tasks that your child is capable of doing on his own. Success builds confidence. The goal is to teach your child to do things independently.
3. Involve your child in discussions about rules and routines. It will help him understand goals and teach him to accept responsibility.
4. Write down routines as sequences of tasks (two to five items only), and post where easily visible (refrigerator, bathroom mirror). Review lists regularly with your child.
5. Be realistic about time. Make sure you've set aside enough time for the child to complete his homework, clear the dishes, and get out the door in the morning. If the original time frame is leaving you five minutes shy, add five minutes.
6. Expect gradual improvement. It takes time to change old habits and form new ones.
7. Praise effort — not just results. If your child set the table but forgot napkins, acknowledge that she's trying. Reward good behavior more often than you punish bad.
8. Allow for free time in daily routines. Kids — and adults — need downtime.
9. If your child isn't taking to the routine, seek help from a counselor who specializes in ADHD. A pro can help get you on track.
10. Stay focused on the long-term goals. Above all, don't give up!

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.

Sue Scheff - Teen Sex, Social Networking and Parenting

The news today? Teens floating photo's of themselves in their birthday suits, well, more or less. It seems more and more teens are not thinking about the consequences of sending questionable photos through email, texting, social networks etc. Parents need to explain to their child that placing such pictures may potentially cause them "not" to be accepted at a college or not get a job. More and more college admissions offices and potential employee's are Surfing the Net to find out more information on applicants. What you post today, may haunt you tomorrow!

With all the discussions around the nude pictures - it brings up another concern - does this mean your teen is being recognized as a sex object? Does it say he or she is "easy"?

Many people will ask, "where are the parents?", however it is almost impossible to monitor your teen 24/7, especially Online. As parents and adults everywhere, we need to tell our kids how this can harm them in the future. Their BFF today - may be their enemy next summer! Then where will those photos end up?

Keep informed - stay up to date with information for parents and teens.

Visit The National Campaign to Help Prevent Teen and Unplanned Pregnancy.

Sue Scheff: Parenting Difficult Teens

It stems back to “children need to have their self-esteem built up to make good decisions.” Today most families are either single parent or both parents are working full time. This is not the fault of the teen, nor is it the fault of the parents. It is today’s world and we must try to find the middle. Troubled teens, rebellious teens, angry teens, problem teens, difficult teens, peer pressure, depressed teens; unfortunately are part of the society of adolescents today.

Communication is always the first to go when people get busy. We have seen this over and over again. We have also experienced it and feel that our children shut us out; this can lead to difficult teens and teens with problems. Although we are tired and exhausted, along with the stress of today’s life, we need to stop and take a moment for our kids.

Talk and LISTEN to them. Ask lots of questions, get to know their friends and their friend’s parents, take part in their interests, be supportive if they are having a hard time, even if you can’t understand it; be there for them.This all sounds so easy and so simple, but take it from parents that have walked this path, it is not easy. When a parent works a full day, has stress from the job along with household chores, not to mention the bills, it is hard to find that moment. We are all guilty of neglect at one time or another after all, we are only human and can only do so much. We feel the exhaustion mounting watching our teens grow more out of control, yet we are too tired to address it.

Out of control teens can completely disrupt a family and cause marriages to break up as well as emotional breakdowns.We know many feel it is just a stage, and with some, it may be. However most times it does escalate to where we are today. Researching for help; Parents’ Universal Resource Experts is here for you, as we have been where you are today.

Do you have a difficult teen, struggling teen, defiant teen, out of control teen, rebellious teen, angry teen, depressed teen? Do you feel hopeless, at your wits end?

Visit www.helpyourteens.com.

Parents Universal Resource Experts - Sue Scheff - Teen Entitlement Issues

Does your teen have Entitlement Issues?

Does your teen expect more from you than they have earned or deserve?

Many parents only want the best for their children (usually more than they had growing up), but has this actually backfired on families?

In today’s society many teens have major entitlement issues. Many parents feel that giving their teen’s material items will somehow earn them respect. Quite frankly, the opposite occurs in most families. The more we give, the more our children expect and the less they respect us. We literally lose ourselves in buying our children’s love. At the end of the day, no one wins and life is a constant battle of anger, hopelessness, and debt.

While interviewing a young teen, she was recently given a new car – brand new – felt she deserved it since her parents gave her two used ones previously. She is only 17 years old and already controlling her household and believes she was entitled to this car. She shows no appreciation or respect to her parents. Simply, she deserved it. Can you imagine owning 3 cars by the age of 17, yet never buying one? This is an extreme example, but I am sure many parents can relate.

Entitlement issues can lead to serious problems. Teaching your child respect and responsibility should be priority. Although the issues may have started to escalate, as a parent, it is never too late to take control of the situation and say “no” when your teen feels they are entitled to a frivolous item or anything that is considered a privilege.

Life is about responsibility, as parents we need to teach our children responsibility – helping our children comes natural to us, however when it becomes excessive and the child doesn’t appreciate it, it is time to step back and evaluate your situation.


Learn more at www.helpyourteens.com.

Sue Scheff - Parenting Help - Parenting Tips

Sue Scheff – Founder of Parents’ Universal Resource Experts and Author of Wit’s End! Advice and Resources for Saving Your Out-Of-Control Teen
Offers 10 Parenting Quick Tips


1. Communication: Keeping the lines of communication of your child should be a priority with all parents. It is important to let your kids know you are always there for them no matter what the subject is. If there is a subject you are not comfortable with, please be sure your child has someone they can open up to. I believe that when kids keep things bottled up, it can be when negative behaviors can start to grow.

2. Knowing your Children’s Friends: This is critical, in my opinion. Who are your kids hanging out with? Doing their homework with? If they are spending a lot of time at a friends house, go out of your way to call the parent introduce yourself. Especially if they are spending the night at a friends house, it important to take time to call the parents or meet them. This can give you a feeling of security knowing where your child is and who they are with.


3. Know your Child’s Teachers – Keep track of their attendance at school: Take time to meet each teacher and be sure they have your contact information and you have theirs if there are any concerns regarding your child. In the same respect, take time to meet your child’s Guidance Counselor.

4. Keep your Child Involved: Whether it is sports, music, drama, dance, and school clubs such as chess, government, school newspaper or different committees such as prom, dances and other school activities. Keeping your child busy can keep them out of trouble. If you can find your child’s passion – whether it is football, soccer, gymnastics, dance, music – that can help keep them focused and hopefully keep them on track in school.


5. Learn about Internet Social Networking: In today’s Cyber generation this has to be a priority. Parents need to help educate their kids on Cyber Safety – think before they post, help them to understand what they put up today, may haunt them tomorrow. Don’t get involved with strangers and especially don’t talk about sex with strangers. Avoid meeting in person the people you meet online without you being there. On the same note – cell phone and texting – don’t allow your child to freely give out their cell numbers and never post them online. Parents should consider ReputationDefender/MyChild to further help protect their children online.

6. Encourage your teen to get a job or volunteer: In today’s generation I think we need to instill responsibility and accountability. This can start early by encouraging your teen to either get a job or volunteer, especially during the summer. Again, it is about keeping them busy, however at the same time teaching them responsibility. I always tell parents to try to encourage their teens to get jobs at Summer Camps, Nursing Homes, ASPCA, Humane Society or places where they are giving to others or helping animals. It can truly build self esteem to help others.


7. Make Time for your Child: This sounds very simple and almost obvious, but with today’s busy schedule of usually both parents working full time or single parent households, it is important to put time aside weekly (if not daily at dinner) for one on one time or family time. Today life is all about electronics (cell phones, Ipods, Blackberry’s, computers, etc) that the personal touch of actually being together has diminished.

8. When Safety trumps privacy: If you suspect your teen is using drugs, or other suspicious behaviors (lying, defiance, disrespectful, etc) it is time to start asking questions – and even “snooping” – I know there are two sides to this coin, and that is why I specifically mentioned “if you suspect” things are not right – in these cases – safety for your child takes precedence over invading their privacy. Remember – we are the parent and we are accountable and responsible for our child.


9. Are you considering outside treatment for your child? Residential Therapy is a huge step, and not a step that is taken lightly. Do your homework! When your child’s behavior escalates to a level of belligerence, defiance, substance abuse or God forbid gang relations – it may be time to seek outside help. Don’t be ashamed of this – put your child’s future first and take steps to get the help he/she needs – immediately, but take your time to find the right placement. Read Wit’s End! for more information.

10. Be a parent FIRST: There are parents that want to be their child’s friend and that is great – but remember you are a parent first. Set boundaries – believe it not kids want limits (and most importantly – need them). Never threaten consequences you don’t plan on following through with.

Sue Scheff: Counseling Can Cut Back Youth Drinking

Source: Connect withKids

“If it comes from me, I’m the objective observer. I’m interested in the child, and I try to let them know that. I want what’s best for them, but yet it’s not Mom or Dad saying that.”

– Rhonda Jeffries, M.D., Pediatrician

It’s a troubling fact of life: some kids drink.

“Especially the older they get,” says Dr. Rhonda Jeffries, a pediatrician. “And by senior year, 50 percent or more of kids are drinking. And in fact, by 12th grade, usually 80 percent of the kids have tried alcohol.”

But can a doctor persuade kids not to drink? Kids seem to think so.

“I think coming from somebody besides, maybe, just the parents for some people it will help,” says 18-year-old Andrew Scott, a high school senior.

Lars Thrasher, 17, agrees. “I would think it would be more helpful from a doctor,” he says.

And Christine Terrell, calls doctors advice on drinking and other potentially touchy subjects “extremely beneficial.”

According to a study published in the Annals of Family Medicine, when a physician spends just a few minutes talking to kids about the dangers of alcohol, those kids are 50 percent less likely to drink.

Dr. Jeffries says: “If it comes from me, I’m the objective observer. I’m interested in the child, and I try to let them know that. I want what’s best for them, but yet it’s not Mom or Dad saying that.”

The study reports when kids talked with their doctor, they had 55 percent fewer traffic accidents, 42 percent less emergency room visits and fewer arrests for underage drinking. It seems that when doctors warn kids about alcohol, they listen.

Christine Terrell explains: “They’re not invested in you as their child. They’re invested in you for your health, for your interests, for your sake. And I would definitely listen to a doctor, and I have listened to doctors who have talked to me about subjects like that.”

The study suggests it’s a good idea to ask your doctor to talk with your children about alcohol. Of course, experts add, parents should bring up the subject as well. “They need to be open to discussion and to bringing these issues up with their kids,” says Dr. Jeffries. “And I think that parents who are in touch with their kids and connected to them are really helpful in getting their children though adolescence without negative effects.”

LaShauna Pellman, 17, sums it up best. “If my parents tell me something,” she says, “then I listen to them even more.”

Tips for Parents

Alcohol-related fatalities are a leading cause of death among young adults in the United States. In the United States, 70.8 percent of all deaths among persons aged 10 to 24 result from only four causes – motor-vehicle crashes, other unintentional injuries, homicide and suicide.

Should your family doctor take just a few moments to counsel your child about the risks of alcohol, there is great potential for positive outcome. Just a few minutes of a doctor's counseling helped young adults reduce their high-risk drinking and the number of traffic crashes, emergency room visits, and arrests for substance or liquor violations, says a study in the Annals of Family Medicine. Consider the following:

Underage drinking causes over $53 billion in criminal, social and health problems.
Alcohol is a leading factor in the three leading causes of death for 15- to 24-year-olds: automobile crashes, homicide and suicide.

Primary-care doctors should make it a priority to counsel young adults about high-risk drinking. Young adults, ages 18 to 30, who received counseling about reducing their use of alcohol:

Experienced a 40 to 50 percent decrease in alcohol use.
Reported 42 percent fewer visits to the emergency room.
Were involved in 55 percent fewer motor vehicle crashes.

The ways a parent can influence his or her teen’s drinking habits is complex. A universal method regarding what works best in preventing underage drinking may not exist. A study published in the Journal of Adolescent Health found that a parent’s attitude toward drinking influences a child's behavior in various ways. One controversial finding was that teens who drank with their parents were less likely than others to have binged or used alcohol at all in recent weeks. Others, of course, argue passionately that parents who drink with their underage children are not only breaking the law but encouraging dangerous behavior that can lead to life-long consequences.

The Journal study also found that strict parenting can curb kids' drinking. Teens who said they feared they would have their privileges taken away if they got caught drinking were half as likely to drink as those who thought their parents would not punish them. In addition, 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.

Teenagers who said their parents or their friends' parents had provided alcohol for a party during the past year were twice as likely as their peers to have used alcohol or binged during the previous month.

Nearly 75 percent of teens surveyed said they had never used alcohol.
About 25 percent of teens in the study said they'd been at party in the past year where parents supplied alcohol.

Fourteen percent of teens surveyed said they were with their parents the last time they drank.

References
The Centers for Disease Control and Prevention (CDC)
Focus Adolescent Services
Health Day
National Youth Violence Prevention Center
Reuters
U.S. Department of Health and Human Services
University of California, Irvine