Sue Scheff: "Supervised" Underage Drinking

Source: Connect with Kids

“It's kind of like [parents] open the door as soon as you get to the party, and they have a bowl to the side where they take your keys before you even start drinking.”

– Cameron Herron, 19

New research from Penn State University reports that high school kids who aren’t allowed to drink alcohol are far less likely to drink heavily when they get to college. This contradicts the conventional wisdom that forbidding alcohol turns it into a kind of “forbidden fruit” that causes kids to go wild in college.

But still, every year there are parents who break the law: they host a party and serve teens alcohol.

How often does this happen? According to teens, all the time.

“It’s kind of like they open the door as soon as you get to the party,” says 19-year-old Cameron Herron, “and they have a bowl to the side where they take your keys before you even start drinking.”

Why do some parents allow underage drinking?

“Because they would rather it be at their house and for them to have the control,” answers 19-year-old Marlena Flesner, “and for them to know where their kids are.”

“I hear that a lot,” says Dr. Michael Fishman, an addiction specialist, “and the fallacy is ‘to keep the kids safe’.”

That’s the assumption, but is it true? Is it really safer when kids drink with adult supervision?

“I’ve been at parties where I’ve seen a mom say, ‘hey, this kid is a little too drunk - no more for him,’” says 19-year-old Anthony Machalette.

The problem, kids say, is that sometimes there is no supervision.

“And it was pretty much all of us downstairs partying,” recalls 19-year-old Ryan Soto. “The parents are upstairs doing - nothing. They just kind of minded their own business and let us have a party downstairs.”

“Usually they are not around,” agrees Marlena Flesner. “They just kind of host it and sometimes buy the alcohol - or they just allow it.

And often, the kids start drinking at home - but they don’t stay there.

“In fact, some people are going to leave that house intoxicated,” says Dr. Fishman.

“It was a lot of the wealthy parents who had a big house,” says 20-year-old Jessica Holt, about one party she attended. “A lot of people could come. They wouldn’t collect keys or anything.”

Finally, experts say, allowing kids to drink at home sends a message.

“You’re introducing a lifestyle to your 15, 16, 17 year old and that lifestyle is alcohol. And so by allowing them to drink in your home, you’re basically giving them permission to drink in the world at large and any time they’d like,” explains Stacey DeWitt, President of Connect with Kids.

She says it’s easier for kids to say no if you make a stand against underage drinking that is loud and clear.

“I know my mother would kick my behind if I was drinking underage,” says 20-year-old Erin Smith.

Tips for Parents
Research shows that adolescents may be more vulnerable to brain damage from excessive drinking than older drinkers. Alcohol impairs brain activity in the receptors responsible for memory and learning, and young people who binge drink could be facing serious brain damage today and increased memory loss in years to come. If one begins drinking at an early age, he/she is more likely to face alcohol addiction. Consider the following …

■Imaging studies have revealed a connection between heavy drinking and physical brain damage.
■Neither chronic liver disease nor alcohol-induced dementia, the most common symptoms of severe alcoholism, need be present for alcohol-induced, physical brain damage to occur.
■Alcohol-induced brain damage usually includes extensive shrinkage in the cortex of the frontal lobe, which is the site of higher intellectual functions.
■Shrinkage has also been observed in deeper brain regions, including the cerebellum, which helps regulate coordination and balance, and brain structures associated with memory.
■Alcohol abstinence has shown positive results. Even three to four weeks without alcohol can reverse effects on memory loss and problem-solving skills.
Adolescents have a better chance of recovery because they have greater powers of recuperation. If you suspect your child has alcohol-related brain damage, it is imperative to have him or her assessed by a medical doctor or psychologist. Treatment depends on the individual and the type of brain damage sustained. People with impaired brain function can be helped. Often it is necessary to reduce the demands placed on the patient. Also, a predictable routine covering all daily activities can help. Consider the following points when easing your child’s routine …

■Simplify information. Present one idea at a time.
■Tackle one problem at a time.
■Allow your child to progress at his or her own pace.
■Minimize distractions.
■Avoid stressful situations.
■Structure a schedule with frequent breaks and rest periods.
■Consider joining an alcoholism support group.
References
■Alcoholism Home Page
■Better Health Channel
■National Youth Violence Prevention Center
■Psychological Assessment Research and Treatment Services

Sue Scheff: Teen Eating Disorders

Especially young girls today, the peer pressure can encourage your young teen/tween that being “thin” is in. Teen body image can lead to other concerns, whether your child is suffering with some depression, not being able to fit in at school, or just plain feeling fat and ugly - we need to talk to them and explain about Teens and Eating Disorders, including anorexic. Teen Obesity is another issue parents need to learn more about.

Source: Connect with Kids

“I think that it definitely had something to do with my mom and my sister talking about different diets, and at that age …you don’t understand everything that they are discussing and the way that they’re discussing it, and in my head I blew it up as something bigger.”
– Shay Fuell, recovering anorexic

About 2.5 million Americans suffer from anorexia. Shay Fuell was only nine years old when the fixation began.

“(I) was starting to have body-image issues and looking in the mirror sideways and just pinching my skin seeing if there was fat there,” she says.

A few years later, she was 5-feet-2 and weighed 78 pounds.

“Literally, it becomes [a part of] every thought … in your head,” she says. “You can’t think about anything else. You can’t concentrate on anything. You can’t even hold a conversation with somebody because you are thinking about the last meal that you ate or what you should be doing to work out or how you’re going to be able to throw up without anybody knowing.”

According to the Agency for Healthcare Research and Quality, the number of girls under the age of 12 hospitalized for eating disorders has more than doubled since 1999.

“I don’t know if they’re actually developing them younger or if it’s that parents are having a greater awareness of what’s going on with their children,” says Brigette Bellott, Ph.D., a psychologist and eating disorder specialist.

What’s going on, typically, is depression, children obsessed with eating or overly anxious about their weight and their appearance.
“Things to watch,” says Bellott, “what do they believe about their own body? I mean I would ask that: “What do you think about your body, how do you feel about it?”

Experts say it’s crucial for parents to catch the first signs of an eating disorder because the fatality rate for anorexic women is 10 to 15 percent.

“Some of them [die] through malnourishment, some through suicide,” says Mary Weber-Young, L.P.C. “It is the highest mortality rate of any psychiatric illness.”

Shay wasn’t diagnosed until she was 14. It took five difficult years of treatment before she had fully recovered.
“It was an addiction,” she admits. “It was an obsession.”

Tips for Parents

The American Academy of Family Physicians (AAFP) describes an eating disorder as “an obsession with food and weight.” The two main eating disorders are anorexia nervosa (an obsession with being thin) and bulimia (eating a lot of food at once and then throwing up or using laxatives; also known as ‘binging and purging’). Who has eating disorders? According to the National Association of Anorexia Nervosa and Associated Disorders:
Eight million or more people in the US have an eating disorder.

Ninety percent are women
Victims may be rich or poor
Eating disorders usually start in the teens
Eighty-six percent of victims report onset by age 20
Eating disorders may begin as early as age 8
Seventy-seven percent report duration of one to 15 years
Six percent of serious cases end in death
It’s not always easy for parents to determine if their daughter or son is suffering from an eating disorder. But the AAFP does list the following warning signs for anorexia and bulimia:
Unnatural concern about body weight (even if the person is not overweight)
Obsession with calories, fat grams and food
Use of any medicines to keep from gaining weight (diet pills, laxatives, water pills)
The more serious warning signs can be more difficult to notice because people with eating disorders often try to hide the symptoms:

Throwing up after meals
Refusing to eat or lying about how much was eaten
Fainting
Over-exercising
Not having periods
Increased anxiety about weight
Calluses or scars on the knuckle (from forced throwing up)
Denying that there is anything wrong

If left untreated, people with eating disorders can suffer some health problems, including disorders of the stomach, heart and kidneys; irregular periods or no periods at all; fine hair all over the body, including the face; dry scaly skin; dental problems (from throwing up stomach acid); dehydration.

Eating disorders can be treated. The first step is getting back to a normal weight, or at least to the lower limits of the normal weight range, according to Dr. Rex Forehand, a psychologist at the Institute for behavioral Research at the University of Georgia. But more needs to be done, Dr. Forehand says. “Attitudes and beliefs about body weight and eating patterns must also be changed. A comprehensive intervention may be necessary.”

Treatment may require hospitalization. The physician may recommend a dietician. For both anorexics and bulimics, family and individual counseling may be helpful.

References
Agency for Healthcare Research and Quality
American Academy of Family Physicians
National Association of Anorexia Nervosa and Associated Disorders

Sue Scheff: Inhalant Abuse

About a year ago, a mother emailed me about her son’s tragic death - it wasn’t your typical drug overdose, it was normal household items that teens/kids are now using as a high. Inhalant Abuse is not discussed enough, and needs to be. These items are much easier for teens to find and a lot less expensive. A cheap high? It is awful to even have to think like this, but parents needs to be aware and take pre-cautions. As always, communication with our teens is number #1 - and I recommend you visit http://www.inhalant.org/ for more valuable information about this potentially deadly habit.

Source: Connect with Kids

“They didn’t want to believe that I had a problem … their little girl, you know?”
– Kelli Crockett, 18 years old

Five years ago, 18-year-old Kelli Crockett was already drinking and smoking pot, but she wanted a different “high.”

“And I remember in middle school, actually a drug awareness program hearing about the inhalants, like the household products, you know, and I was like, ‘I know we’ve got something around the house,’ and I really wanted to get messed up,” Kelli says.

Air freshener, glue, paint thinner, furniture polish, hair spray: The government estimates over 17 percent of adolescents have tried inhalants at least once.

Certified Addiction Counselor Ashley Kilpatrick explains: “It’s accessible, I mean, that’s what the problem with inhalants is that they’re just so easy, they’re under the kitchen sink.”
Inhalants cut off oxygen to the brain, and that makes them extremely dangerous. Huffing just once can kill.

“It just feels toxic … you’re high for five minutes and then you feel sick,” Kilpatrick says.
Kelli adds, “I hated the way it made me feel, but … when I didn’t have anything else to use or drink or smoke, I did it cause it was around.”

Experts say a child who’s high on inhalants may seem drunk or disoriented. Parents should also look for signs around the house, like aerosol cans that are out of pressure or punctured on the bottom. There’s also a hangover effect.

“Headaches afterwards, dehydration, you know, bad moods, all that can last up to 24 hours after a use,” Kilpatrick says.

But experts say parents won’t see the signs if they’re in denial.
Kelli says it took an overdose that nearly killed her for her parents to notice. “They didn’t want to believe that I had a problem … their little girl, you know?” she says.

Tips for Parents
Nail polish remover, paint thinner, canned whipping cream, marking pens: Each of these common household items – and literally hundreds more – can be abused by inhaling. Inhalants are volatile substances that produce chemical vapors that induce a psychoactive, or mind-altering, effect when inhaled. Kids sniff, or “huff,” to get high.

According to the National Clearinghouse for Alcohol and Drug information (NCADI), sniffing can cause sickness and death. Victims may become nauseated, forgetful and unable to see things clearly. They may lose control of their bodies, including the use of arms and legs. The effects can last 15 to 45 minutes after inhaling. In addition, sniffing can severely damage the brain, heart, liver and kidneys. Even worse, victims can die suddenly – without any warning. It’s called “Sudden Sniffing Death,” which can occur during or right after sniffing. Even first-time abusers have been known to die from breathing inhalants.

More than 1,000 products are potential inhalants that can kill, including:

Cleaning agents
Computer agents
Correction fluid
Deodorizers
Freon
Gases (whippets, butane, propane)
Gasoline
Glue
Hair spray
Lighter fluid
Markers
Paint products
How can you tell if your child may be abusing inhalants? The NCADI lists the following symptoms to look for in your child:
Unusual breath odor or chemical odor on clothing
Slurred or disoriented speech
Drunk, dazed or dizzy appearance
Signs of paint or other products where they wouldn’t normally be, such as on the face or fingers
Red or runny eyes or nose.
Spots and/or sores around the mouth
Nausea and/or loss of appetite
Appears anxious, excitable, irritable or restlessness (chronic inhalers)
Inhalant abusers also may show the following behaviors:
Sits with a pen or marker near nose
Constantly smells clothing sleeves
Shows paint or stain marks on the face, fingers or clothing
Hides rags, clothes or empty containers of the potentially abused products in closets and other places

If you suspect your child or someone you know is an inhalant abuser, you should consider seeking professional help. Contact a local drug rehabilitation center or other service available in your community.

References
National Clearinghouse for Alcohol and Drug Information
National Institute on Drug Abuse

Sue Scheff: Driving While High

Source: Connect with Kids

“Pot is the sneakiest of drugs because it takes out your functioning. It decreases reaction time. It messes up judgment. It messes up driving,”
– Steven Jaffe, MD, psychiatrist

For a young driver, there are so many dangers: speed, ego, inexperience and another often ignored danger: drugs.

“I think it’s very irresponsible and it could lead to a lot of dangerous accidents. It’s just as bad as driving drunk – quite possible even worse,” says 17-year-old Allison Meisburg.

Researchers from the University of Montreal studied the habits of 83 male drivers. They found that nearly 20 percent have been high behind the wheel.

“…and I would estimate at least two or three times that number have been in the car in which the driver was stoned,” says Dr. Steven Jaffe, a psychiatrist, who specializes in substance abuse issues.

“[Driving while high] is not as bad as drinking and driving, but it is still bad of course, because you know your reflexes are delayed and all that jazz,” says 16-year old Justin.
Experts say teens simply don’t realize the dangers.

It’s hard to believe, but some kids believe pot helps them driver better.

“They really think they do,” says Dr. Jaffe. “But they don’t. They really don’t. They don’t realize they are impaired. Pot is the sneakiest of drugs because it takes out your functioning. It decreases reaction time. It messes up their judgment. It messes up driving.”

Dr. Jaffe says parents should adopt a zero-tolerance attitude. Remind your kids that pot is a mind-altering drug and not to ride with drivers who are high on any drug. Then, remind them of the consequences.

“The biggest consequence would be you run into another on-coming car during traffic and you kill them and yourself. That’d be the biggest consequence,” says Reggie, 17.
Dr. Jaffe concurs. “It only takes one time to kill yourself and kill somebody else.”

Tips for Parents

According to government studies, nearly 11 million Americans, including one in five 21-year-olds, have driven while under the influence of illegal drugs. Young adults don’t consider driving while high to be as dangerous as driving while under the influence of alcohol, according to John Walters, director of the White House Office of National Drug Control Policy. Therefore, his office is starting a campaign warning teens about driving while smoking marijuana. Concentration, perception, coordination and reaction time can all be affected for up to 24 hours after smoking marijuana, Walters said.

So how can you determine if your teen has been using drugs, namely marijuana? The experts at the National Institute on Drug Abuse suggest looking for these trouble signs in your teen. He/she may:

Seem dizzy and have trouble walking
Seem silly and giggly for no reason
Have very red, bloodshot eyes
Have a hard time remembering things that just happened
Seem very sleepy or groggy (after the early effects fade, sleepiness may occur)
In addition to these signs, parents should also be alert to changes in any of the following:
Behavior, such as withdrawal, depression, fatigue, carelessness with grooming, hostility and deteriorating relationships with friends and family
Academic performance, including absenteeism and truancy
Loss of interest in sports or other favorite hobbies
Eating or sleeping patterns

Also be on the lookout for:
Signs of drugs and drug paraphernalia
Odor on clothes and in bedroom
Use of incense and other deodorizers
Use of eye drops
Clothing, posters, jewelry, etc., promoting drug use

References
National Institute on Drug Abuse
Parents. The Anti-Drug.
Office of National Drug Control Policy
University of Montreal

Sue Scheff: Parent Teen Drug Use

Source: Connect With Kids

“I thought I was better off knowing what he was doing rather than have him be doing it behind my back, which he did anyway.”

–

Andrew’s mom Pam Wolpa experimented when she was young. She says, “Keep in mind when I was Andrew’s age, I was smoking pot, and wasn’t thinking a whole lot about it.”

So, when Andrew started on marijuana, she never told him no. Pam says, “I thought I was better off knowing what he was doing rather than have him be doing it behind my back, which he did anyway.”

If parents tried drugs in their youth…what should they say to their kids? Experts say one choice is to tell the truth. Dr. Michael Fishman, a director at Ridgeview Institute, a drug rehabilitation center in metro Atlanta says, “I think a child will really perk up and listen when they hear, ‘Oh, really? You experimented? What was that like? Was there peer pressure?’”

He says if parents do admit to using drugs, they should stress their regrets, and make it clear to their kids that drug use is simply unacceptable. Dr. Fishman says, “I think you can use that as an opportunity to say, ‘Yes, I made some mistakes. If I had it to do over, I wouldn’t do it, and it’s very clear that I’m not going to allow that today.”

He also says parents should explain drugs are far more potent today than they used to be. Dr. Fishman says, “When we were growing up the potency of marijuana for THC was maybe 6 to 8 percent. With the hydroponically grown marijuana, we’re seeing anywhere from forty, fifty, sixty or higher percent THC.”

Today, would Pam Wolpa overlook her son’s drug use? She says, “No. Looking back, I would never tell any parent to condone it. Give a clear message from the beginning—it’s not okay.”

Andrew Wolpa says, “The really bad thing is that I’m an 18-year-old in rehab and I still want to try more drugs.”

Tips for Parents
The American Academy of Child and Adolescent Psychiatry (AACAP) describes adolescence as a “time for trying new things.” Teens use alcohol and drugs for many reasons, including curiosity, because it feels good, to reduce stress, to feel grown up or to fit in. Teens at risk of developing serious drug and alcohol problems include those …

With a family history of substance abuse.
Who are depressed.
Who have low self-esteem.
Who feel like they don’t fit in or are out of the mainstream.
In addition, warning signs of teen drug abuse may include …

Fatigue, repeated health complaints, red and glazed eyes, and a lasting cough.
Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest.
Starting arguments, breaking rules or withdrawing from the family.
Decreased interest, negative attitudes, drop in grades, many absences, truancy and discipline problems.
New friends who are less interested in standard home and school activities, problems with the law, and changes to less conventional styles in dress and music.
Peer pressure is one of the most difficult inducements faced by teens to use illegal substances. Experts at the Hazelden Foundation have created the following model that a teen might follow in dealing with pressure to use drugs or alcohol:

Ask questions – Size up the situation before "going along." For example, a classmate might say, "Hey, lets go hang out at the mall" – and have shoplifting in mind. To be responsible, ask, "What are we going to do? How long will we be there?" These questions will help you make informed decisions before getting into a problem situation.
Name the trouble – After you identify the situation, you need to state the possible problem: "That sounds like trouble to me."
State the consequences – Use the threat of punishment as an excuse not to drink. Say something such as, "My parents would ground me for months," or "I could get kicked off the soccer team."
Offer an alternative – If a friend invites you to drink or use drugs, suggest an alternative. "Lets go get pizza." If the friend pressures you more, walk away, but leave the door open. You could say, "Hey, that’s fine. Go do your thing. You’re welcome to join me later."
Get out of trouble – Should you find yourself in a problem situation, get out immediately and call a responsible adult for help.
Drugs are a threat to almost every child, and one of the best ways to help ensure your child will make the right decisions when faced with choices regarding substance abuse is to confront the issue with your child as early as possible. Experts at the American Academy of Pediatrics list the following as ways to address the subject of substance abuse with your child:

Talk with your child honestly. Don't wait to have "the drug talk" with your child. Make discussions about tobacco, alcohol and other drugs part of your daily conversation. Know the facts about how drugs can harm your child. Clear up any wrong information, such as "everybody drinks" or "marijuana won't hurt you."
Really listen to your child. Encourage your child to share questions and concerns about tobacco, alcohol and other drugs. Do not do all the talking or give long lectures.
Help your child develop self-confidence. Look for all the good things in your child – and then tell your child how proud you are. If you need to correct your child, criticize the action, not your child. Praise your child's efforts as well as successes.
Help your child develop strong values. Talk about your family values. Teach your child how to make decisions based on these standards of right and wrong. Explain that these are the standards for your family, no matter what other families might decide.
Be a good example. Look at your own habits and thoughts about tobacco, alcohol and other drugs. Your actions speak louder than words.
Help your child deal with peer pressure and acceptance. Discuss the importance of being an individual and the meaning of real friendships. Help your child understand that he/she does not have to do something wrong just to feel accepted. Remind your child that a real friend won't care if he/she does not use tobacco, alcohol or other drugs.
Make family rules that help your child say "no." Talk with your child about your expectation that he/she will say "no" to drugs. Spell out what will happen if he/she breaks these rules. Be prepared to follow through, if necessary.
Encourage healthy, creative activities. Look for ways to get your child involved in athletics, hobbies, school clubs and other activities that reduce boredom and excess free time. Encourage positive friendships and interests. Look for activities that you and your child can do together.
Team up with other parents. Work with other parents to build a drug-free environment for children. When parents join together against drug use, they are much more effective than when they act alone. One way is to form a parent group with the parents of your child's friends. The best way to stop a child from using drugs is to stop friends from using them.
Know what to do if your child has a drug problem. Realize that no child is immune to drugs. Learn the signs of drug use. Take seriously any concerns you hear from friends, teachers and/or other kids about your child's possible drug use. Trust your instincts. If you truly feel that something is wrong with your child, it probably is. If there's a problem, seek professional help.
According to the National Center on Addiction and Substance Abuse at Columbia University (CASA), parents are the key to keeping kids drug-free. CASA research shows that the extent to which parents take a “hands-on” approach in raising their kids, the more they establish appropriate rules and standards of behavior, and the more they monitor their teens, the lower the teen’s risk of substance abuse. “Hands-on,” according to CASA, includes parents who consistently take 10 or more of the following 12 actions:

Monitor what their teens watch on television
Monitor what they do on the Internet
Put restrictions on the music (CDs) they buy
Know where their teens are after school and on weekends
Expect to be and are told the truth by their teens about where they are going
Are “very aware” of their teen’s academic performance
Impose a curfew
Make clear they would be “extremely upset” if their teen used pot
Eat dinner with their teens six or seven times a week
Turn off the television during dinner
Assign their teens regular chores
Have an adult present when the teens return from school
References
American Academy of Pediatrics
The Hazelden Foundation
The National Center on Addiction and Substance Abuse
Partnership for a Drug-Free America

Parents Universal Resource Experts - Sue Scheff: Sleeping Pills and Teens

Source: Connect with Kids

“Part of it I think now is there is so much more pressure in the academic settings. There are kids who are working tremendous numbers of hours each evening to get their schoolwork done. I get a sense that many of them worry about how they are doing academically, and that tends to spill over into difficulties with sleep.”

– Richard Winer, M.D., Psychiatrist

Whether it’s an over-the-counter medication like Nyquil, or a prescription drug like Ambien or Sonata, more and more teens say they often take something to get to sleep.

“It’s mainly just stress… you want to study and then you realize you need to sleep because you have a test the next day and then you just take something,” says Chelsea, 19.

“An Ambien to knock me out,” adds 19-year-old Jessica.

“I’ll take Nyquil or something like that, just to help me get to sleep easier,” explains Allison, 19.

Why do kids today need help getting to sleep? Experts say there are several answers: greater academic pressure, more stimulation late at night, with cell phones, TV, computer games, instant messaging, more kids with ADHD taking stimulants like Ritalin, and an explosion in the use of caffeine drinks.

The result: at bedtime, many kids are looking for help in a pill.

“Our culture is certainly turned more toward a living better through chemistry approach,” say Psychiatrist Richard Winer, M.D.

He says the problem is the obvious: Sleeping aids can be habit forming. “My bias is toward keeping kids away from medication for sleep if at all possible. Because you don’t want to create some habits that’ll be even harder to break as time goes on in adulthood.”

He says for many kids, the solution is routine: Relax for a while, and then go to bed at the same time every night.

But, for some, the problem is more serious.

“There are a number of kids out there that have honest to goodness insomnia difficulties,” says Dr. Winer, “They have sleep disorders that do require treatment.”

Tips for Parents

A study performed by researchers at Stanford University found that teenagers require approximately one to two hours more sleep than 9- and 10-year-olds, who only require about eight hours of sleep. This goes against the school of thought that allows older kids to stay up later. Parents may want to be on the lookout for the following things, which could be caused from sleep deprivation:

Difficulty waking in the morning
Irritability in the afternoon
Falling asleep during the day
Oversleeping on the weekend
Having difficulty remembering or concentrating
Waking up often and having trouble going back to sleep
Sleep deprivation also can lead to extreme moodiness, poor performance in school and depression. Teens who aren’t getting enough sleep also have a higher risk of having car accidents because of falling asleep behind the wheel.


As the lives of children seem to be getting busier, their sleeping habits may be one of the first things impacted. Sleep, though being something that often gets sacrificed, is actually one of the most important things in a child’s life. Experts say taking sleep medications unauthorized by the FDA for teenage consumption is not the answer, however. Here are some suggestions about sleep:

Sleep is as important as food and air. Quantity and quality are very important. Most people need between seven-and-a-half to eight-and-a-half hours of uninterrupted sleep. If you want to press the snooze alarm in the morning you are not getting the sleep you need. This could be due to not enough time in bed, external disturbances or a sleep disorder.

Keep regular hours. Try to go to bed at the same time and get up at the same time every day. Getting up at the same time is most important. Getting bright light, like the sun, when you get up will also help. Try to go to bed only when you are sleepy. Bright light in the morning at a regular time should help you feel sleepy at the same time every night.

Stay away from stimulants like caffeine. This will help you get deep sleep, which is most refreshing. If you take any caffeine, take it in the morning. Avoid all stimulants in the evening, including chocolate, caffeinated sodas and caffeinated teas. They will delay sleep and increase awakenings during the night.

Use the bed just for sleeping. Avoid watching television, using laptop computers or reading in bed. Bright light from these activities and subject matter may inhibit sleep. If it helps to read before sleeping, make sure you use a very small wattage bulb to read. A 15-watt bulb should be enough.
Avoid bright light around the house before bed. Using dimmer switches in living rooms and bathrooms before bed can be helpful. Dimmer switches can be set to maximum brightness for morning routines.

Don't stress if you feel you are not getting enough sleep. It will just make matters worse. Know you will sleep eventually.

Avoid exercise near bedtime. No exercise at least three hours before bed.

Don't go to bed hungry. Have a light snack, but avoid a heavy meal before bed.

Bedtime routines are helpful for good sleep.

Avoid looking at the clock if you wake up in the middle of the night. It can cause anxiety.

If you can't get to sleep for over 30 minutes, get out of bed and do something boring in dim light till you are sleepy.

Keep your bedroom at a comfortable temperature.

If you have problems with noise in your environment, you can use a white noise generator. A fan will work.

References
American Sleep Apnea Association
National Sleep Foundation
Shuteye
Thomson Reuters

Sue Scheff: Rise in Prescription Drug Abuse

Source: Connect with Kids

“I was a bum, I had slept outside, I mean all the stuff that you hear … and I always pictured a drug addict to be somebody that sleeps under a bridge … and it happened before I even knew it.”

– Andrew Theriot, 21 years old

Andrew Theriot first tried the prescription painkiller OxyContin when he was 17. Within a month, he turned into someone nobody liked. Andrew says, “My friends, nobody trusted me. My family pretty much told me to get out after a long period of time … I would steal things.”

Experts say OxyContin gives an instant feeling of euphoria. Sue Rusche, President of the anti-drug group National Families in Action, says, “I think we have to be honest about drugs. I think we have to tell kids that the reason people use drugs is that drugs make you feel great … at first. And you gotta have that ‘at first’ part.”

Next comes addiction. Andrew spent every minute looking for drugs. He says, “I would wake up every day and I would just be miserable. And the only thing I would look forward to that day would be getting high.”

Addiction brought misery, and so did withdrawal when Andrew was in rehab. He says, “You get sick, you get the cold sweats, throwing up, stomach problems, you can’t eat. I mean I was down to 125 pounds.”

Andrew is now in college. He’s been drug free for two years, and has some advice to parents. “I mean, don’t be enablers. Don’t bail them out of jail. Don’t pay their fines. Don’t give them money. You know, if they want money, get a job. Don’t be the cause of them killing themselves.”

Tips for Parents
OxyContin is a controlled-release pain reliever that can drive away pain for up to 12 hours when used properly. When used improperly, however, OxyContin is a highly addictive opioid closely related to morphine. As individuals abuse the drug, the effects lessen over time, leading to higher dosage use.

Consider the following:

The supply of OxyContin is soaring. Sales of OxyContin, first marketed in 1996, hit $1.2 billion in 2003.

The FDA reports that OxyContin may have played a role in 464 deaths across the country in 2000 to 2001.

In 2000, 43 percent of those who ended up in hospital emergency rooms from drug overdoses – nearly 500,000 people – were there because of misusing or abusing prescription drugs.

In seven cities in 2000 (Atlanta, Chicago, Los Angeles, Miami, New York, Seattle, and Washington, D.C.) 626 people died from overdose of painkillers and tranquilizers. By 2001, such deaths had increased in Miami and Chicago by 20 percent.

From 1998 to 2000, the number of people entering an emergency room because of misusing or abusing oxycodone (OxyContin) rose 108 percent. The rates are intensifying … from mid-2000 to mid-2001, oxycodone went up in emergency room visits 44 percent.

OxyContin is typically abused in one of three ways …

By removing the outer coating and chewing the tablet.
By dissolving the tablet in water and injecting the fluid intravenously.
By crushing the tablet and snorting the powder.
Because the U.S. Food and Drug Administration puts its seal of approval on prescription drugs, many teens mistakenly believe that using these drugs – even if they are not prescribed to them – is safe. However, this practice can, in fact, lead to addiction and severe side effects. How can you determine if your teen is abusing drugs? The American Academy of Child & Adolescent

Psychiatry suggests looking for the following warning signs and symptoms in your teen:

Physical: Fatigue, repeated health complaints, red and glazed eyes and a lasting cough

Emotional: Personality change, sudden mood changes, irritability, irresponsible behavior, low self-esteem, poor judgment, depression and a general lack of interest

Familial: Starting arguments, breaking rules or withdrawing from the family

School-related: Decreased interest, negative attitude, drop in grades, many absences, truancy and discipline problems

Social: having new friends who are less interested in standard home and school activities, problems with the law, and changes to less conventional styles in dress and music

If you believe your teen has a problem with drug abuse, you can take several steps to get the help he or she needs. The American Academy of Family Physicians suggests contacting your health-care provider so that he or she can perform an adequate medical evaluation in order to match the right treatment or intervention program with your teen. You can also contact a support group in your community dedicated to helping families coping with addiction.

Substance abuse can be an overwhelming issue with which to deal, but it doesn’t have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your teen can reap the rewards of a healthy, drug-free life:

Be your teen’s greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.

Encourage your teen to get involved in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available. Sometimes it takes a bit of experimenting to find out which activities your teen is best suited for, but it’s worth the effort – feeling competent makes children much less likely to use drugs.

Help your teen develop tools he can use to get out of drug-related situations. Let him or her know he or she can use you as an excuse: “My mom would kill me if I smoked marijuana!”

Get to know your teen’s friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your teen away from any friends who use drugs.

Call teens’ parents if their home is to be used for a party. Make sure that the party will be drug-free and supervised by adults.

Set curfews and enforce them. Let your teen know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.

Sit down for dinner with your teen at least once a week. Use the time to talk – don’t eat in front of the television.

Get – and stay – involved in your teen’s life.

References
American Academy of Child & Adolescent Psychiatry
American Academy of Family Physicians
Partnership for a Drug-Free America
National Institute on Drug Abuse
U.S. Food & Drug Administration

Sue Scheff: ADHD Drug Abuse

Source: Connect with Kids

“In a way that athletes have used steroids and other medications in the past to enhance their athletic performance, Adderall is actually being used to kind of pseudo-enhance their academic performance.”

– Heather Hayes, M.Ed., Counselor.

Nineteen-year-old Marisa McCorkle has been using Adderall for two years.

“I use it for various reasons,” she says, “like tests, it helps me on tests. [And it] helps me stay awake, and [with] studying.”

It sounds like a wonder drug. Adderall – an amphetamine commonly used to treat ADHD. But, studies show it’s being abused more and more.

“In a way that athletes have used steroids and other medications in the past to enhance their athletic performance, Adderall is actually being used to kind of pseudo-enhance their academic performance,” states Heather Hayes, a licensed professional counselor.

One of the biggest problems with using the drug recreationally is that most teens are unaware of its dangers.

Twenty-year-old “Dave,” a college student, says, “I think it’s pretty safe unless you’re taking five at a time.”

But experts say even in small doses, the dangers of taking Adderall can range from headaches, increased heart rate and insomnia to things far worse.

“Any amphetamine has the potential to give someone an amphetamine psychosis,” warns Hayes. “So when you take a lot of amphetamines and you’re not sleeping, then you will literally hallucinate. … [You] will absolutely leave reality and become delusional and paranoid.”

Hayes says parents need to make the dangers of taking Adderall clear to teens. Otherwise, they may continue to believe it’s a cheap and easily available drug that helps them study. Marisa and Dave are examples of students with this belief.

“I get it for free, but I know people who will give … maybe two to five dollars [per pill],” says Marisa.

“Actually, I’m gonna go to my doctor and, uh, try to get a prescription next semester,” says Dave, “’cause I think it’s a really effective way to get good grades. I wouldn’t think it was that hard to, uh, fake having ADD.”

But others say Adderall fools you – that it only seems like it’s helping kids study. Amanda Mattison, 17, has seen first-hand what can happen.

“[Students taking Adderall] can focus when they’re taking it, and they study and they cram for five or six hours and they’re good-to-go for the exam,” she says, “but by the time the exam rolls around, they’re either too worn out or … it’s lost it’s effect.”

“Bottom line,” says Hayes, “Adderall is as dangerous of a drug when unsupervised as any other medication. It’s addictive and it is dangerous.”



Tips for Parents

Adderall, manufactured by Shire Pharmaceuticals Group of the United Kingdom, is a stimulant prescribed for attention-deficit hyperactivity disorder, or ADHD. Shire states, “Adderall isn't intended to enhance test scores and should only be used under medical supervision.”

Adderall is a fast-acting mixture of amphetamines. Amphetamines act on the brain by mimicking the neurotransmitter dopamine, which increases alertness and concentration. Studies conducted by the National Institutes of Health in the late 1970s found that low-dose stimulants increase concentration and alertness in everyone, not just people with attention disorders. Here are some things to know about ADHD:

ADHD is a medical condition linked to a chemical imbalance in the brain. Doctors believe it stems from biological, not environmental, conditions.

Generally, people with ADHD have trouble focusing on tasks or subjects, and they may act impulsively and often get in trouble.

Approximately 3 to 7 percent of school-age children and 4 percent of adults suffer from ADHD.
Adderall is one of a handful of stimulants prescribed for ADHD.

Side effects of Adderall can include loss of appetite, insomnia and weight loss.

During late-night study marathons, students from grade school to med school have long relied on stimulants– which include everything from caffeine to cocaine. But with Adderall, and other similar prescription drugs, some high school and college students are hoping to improve scores on standardized (and even classroom) tests. Other students are turning to alternative medicine, such as hypnosis or herbal supplements, for an extra edge.

The concern with Adderall is not from a single use. One pill won’t kill you. But one pill is likely to lead to a second pill, then a third and a subsequent snowball effect where physical damage can occur. Also, Adderall is relatively easy to obtain. Overall, prescriptions for stimulants have risen from 1.6 million in 2000 to 2.6 million a month in 2004. Adderall XR, a once-a-day, extended-release form of the drug, is the leader in its class, capturing about a third of the market. Consider the following:

Prescription drug use was once rare, but it has now crossed into the mainstream.

Prescriptive amphetamines have figured prominently in calls to emergency departments and poison control centers.

Kids, and even their parents, are desperate for any available academic edge and willing to go to the extreme to obtain it.

Some students feel extra pressure because they feel they are not just failing themselves, but also failing their parents and other family members.

The College Board, the nonprofit administrator of the SAT, has no rules explicitly prohibiting drug use. Spokeswoman Chiara Coletti says, "We certainly do not recommend that students take any drugs or stimulants in hopes of affecting their scores."

Some kids taking Adderall have valid prescriptions, but not all. Under federal law, it's illegal to knowingly possess a "schedule II" drug (like Adderall) without a prescription. But prosecutions for possession are rare.

Many schools would suspend or expel a student caught using marijuana or other street drugs but might not punish students taking prescription drugs to help with test taking.

References
ADHD Support and Resources from Eli Lily
National Institutes of Health
Nature Magazine
Shire Pharmaceuticals Group
TeensHealth
The Wall Street Journal

Sue Scheff - Where do Teen Turn for Medical Advice

Source: Connect with Kids

“I had irritation in my special ‘no-no’ place. And that was a question that I wasn’t going to ask my mom.”

– Sheaele, Age 17

So where do teenagers like Sheaele turn when they want a health question answered? Sometimes friends, sometimes teachers… and according to a new survey, nearly half of teens are now going to the Internet to look for medical information.

“If it was a personal problem that I didn’t feel comfortable talking to anybody about, I would probably just look it up online,” says 18-year-old Joe.

But the information teens find on web sites may not always be accurate. Experts say to help a child avoid bad information, parents should do their own search of teen-friendly medical web sites.

Check them out. Then suggest the ones you like to your teen.

“Internet sites that do that, just give clear health information … I think that would be probably a good idea,” says Dr. Dawn Swaby-Ellis, a pediatrician.

But experts have an even better idea for parents: Find a real-life doctor their teen can trust.

“The best guarantee for growing up a healthy, secure, communicative adolescent is for that adolescent to have a constant relationship with a health practitioner over time,” says Dr. Swaby-Ellis.

Because while a doctor can promise teens the privacy they want, unlike the Internet, a doctor can also alert parents in the case of a serious health issue.

“If there’s anything at all that we hear, during an interview with a child alone that sounds like they’re in trouble,” says Swaby-Ellis, then we’ll certainly let (the parent) know.”

Tips for Parents
Previous studies have found that over 60 million Americans use the Internet for health and medical information. Teens make up a sizeable portion of this number; the Project estimates 45% of all children under the age of 18 have Internet access.

Health-related web sites that targeted teens are appearing on the Internet. Sites such as:


iEmily.com
Zaphealth
THINK (Teenage Health Interactive Network)
Teen Growth
These sites are like interactive magazines written specifically for teens. Headlines from a recent ZapHealth page include: “My Friend's Acne” and “Guilt about Drinking.” Other topics on the site include “getting the dirt on important issues like kissing, piercing and buying condoms.”

In addition to articles, these web sites offer:


Information and advice on general, sexual and emotional health
Information on fitness and sports
Family issues
Chat rooms where teens can talk with others with similar concerns
Bulletin boards where teens can post questions and receive answers from health care professionals
Links to other resources

It’s easy, quick and convenient. An added appeal of these sites is that teens can get information anonymously, without having to talk to anyone. The Pew Project says that 16% of web health seekers do so to get information about a sensitive health topic that is difficult to talk about.

Although a teen can get answers to some questions on these sites, the sites caution teens that they are not a substitute for regular healthcare; teens should see their healthcare providers as needed.

ZapHealth also urges children under 18 to talk with their parents or guardians about any health or emotional issues.


References
The Pew Internet and American Life Project
ZapHealth

Sue Scheff: Gateway Drug Theory

Source: Connect with Kids

“The more we study marijuana, the more it begins to look just like every other drug of abuse.”

– Dr. Robert Margolis, a drug addiction specialist

Is marijuana a gateway drug?

“I don’t think so,” 18-year-old Katie Falkenberg says.

“I just have known kids who have done it and they don’t do anything else,” adds Randy Glance 17.

“I don’t think it’s gonna lead them into anything bigger,” 17-year-old Cody McGuire says.

But a study in the Journal of the American Medical Association suggests these teens are wrong.

The study examined 311 sets of twins, with one twin in each set having smoke marijuana before age 17.

“And what they found is that the twin who began smoking marijuana at a much earlier age had a very high increase in the probability that that twin would go on to use other drugs other than marijuana,” says Dr. Robert Margolis, an addiction specialist.

“As for me, it led within about a month period to other drugs,” says Kelly Crockett, 18.

Kelly says smoking pot got her closer to people who used hard drugs.

“And it’s like, ‘Hey, you like the way this made you feel? Try this, you know?’ And I was up for it, you know, part of me was like OK, if I say no, you know they won’t think I’m cool anymore,” she says.

Experts say pot also releases dopamine in the brain, just like harder drugs do.

“So if marijuana triggers the release of dopamine and cocaine triggers the release of dopamine and heroin triggers the release of dopamine, it makes sense that smoking marijuana may be priming the brain, getting the brain ready for these other drugs,” Dr. Margolis says.

But experts say many kids – and their parents – think marijuana is virtually harmless.

“Don’t just say, ‘Oh, it’s only marijuana,’” Dr. Margolis says.

Instead, parents should arm themselves with information from credible sources and send a strong message to kids: Marijuana is illegal, unhealthy and could very well be a gateway to other drugs.

“I know that it is, and anyone that thinks that it isn’t, it’s kind of sad to say this, but wait and find out … you probably will, you know,” Kelly says.

Tips for Parents

Does the early use of marijuana lead to the future abuse of harsher drugs? Australian researchers say the findings from their study of twins is further evidence in support of the “gateway” theory – where the use of “soft” drugs like pot fuels a future desire to seek a more intense “high” by trying stronger drugs.

The study, published in the Journal of the American Medical Association, tracked 311 sets of fraternal and identical twins, with each set having one twin who smoked marijuana prior to age 17. Researchers found that the twins who smoked marijuana were two to five times more likely than their siblings to abuse alcohol and harsher drugs, like heroin and cocaine, in their 20s and 30s. In fact, among the early marijuana users, 48% reported using cocaine and other stimulants as adults, 35% tried hallucinogens, 14% used heroin and other opiates, 46% later abused or became dependent on marijuana and 43% became alcohol dependent.

It is important to note, however, that the researchers caution that early marijuana use by no means guarantees abuse of other drugs later on in life. Rather, it is associated with a heightened risk of future abuse.

So how big of a problem is marijuana use during the teen years? According to a recent National Household Survey on Drug Use, 2.7 million Americans aged 12 and older used illicit drugs at least once in the month prior to being surveyed. Of those, the majority, 56.2 said their first drug was marijuana. Consider these additional statistics about marijuana use from the survey:

6 thousand Americans try marijuana for the first time everyday.
The age of first use on average is 17.6 years of age.
Most of the first time users on average were under the age of 18.
Marijuana, the most often used illegal drug in this country, is a green or gray mixture of dried, shredded flowers and leaves of the hemp plant. It is addictive and is known to have both short- and long-term negative effects on the body. The Center for Substance Abuse Prevention cites the following health problems associated with marijuana use:

Short term:

Problems with memory and learning
Distorted perception (sights, sounds, time, touch, etc.)
Trouble with thinking and problem-solving
Loss of coordination
Increased heart rate and anxiety
Long term:

Cancer: Smoking one joint is equivalent to smoking a whole pack of cigarettes.

Lungs and airways: Breathing problems include coughing, wheezing and a greater risk of lung infections.

Immune system: Continued use weakens the immune system, placing an individual at greater risk of sickness.

Reproductive system: Using marijuana increases testosterone levels in women and decreases testosterone levels in men, presents a risk of infertility in women and for men, it delays the onset of puberty and leads to decreased sperm production and quality.

How can you recognize if your teen is using marijuana? The National Institute on Drug Abuse (NIDA) suggests looking for the following physical signs in your teen:

Seems dizzy and has trouble walking
Seems silly and giggles for no reason
Has very red, bloodshot eyes
Has a hard time remembering things that just happened
Becomes very sleepy as the early effects of use begin to fade
The NIDA says that you should also be aware of the following changes in behavior that may indicate marijuana use in your teen:

Withdrawal
Depression
Fatigue
Carelessness with grooming
Hostility and deteriorating relationships with family members and friends
Changes in academic performance
Increased absenteeism or truancy
Lost interest in sports or other favorite activities
Changes in eating or sleeping habits
Signs of drugs and drug paraphernalia, including pipes and rolling papers
Odor on clothes and in the bedroom
Use of incense and other deodorizers
Increased use of eye drops
Clothing, posters, jewelry, etc., promoting drug use

If you suspect that your teen has a drug problem, it is important that you seek immediate treatment. Consult a psychiatrist or mental health professional when making decisions about substance abuse treatment for your teen. Remember that recovery from an addiction is a long-term process and may require frequent and multiple episodes of treatment.

As a parent, you have the most influence over your teen’s choice to use drugs. Therefore, it is important that you address the topic of drug use early on and often. Don’t wait until your teen has a problem with drugs before you bring up the discussion. The Partnership for a Drug-Free America offers these additional strategies for preventing drug use in your teen:

Be involved in your teen’s life. Ask who, what, when and where: Know who your teen’s friends are, what your teen is doing, when he or she will be home and where he or she is going.
Spend quality time with your teen. Eat dinner together, listen to music, watch a ball game or share chores.

Set a firm rule of no drug use in your family.

Commit yourself to a drug-free lifestyle. You are your teen’s most important role model. He or she notices everything you do.

Share your values with your teen. Sometimes it’s as simple as letting your teen know that you don’t want him or her using marijuana.

References
Center for Substance Abuse Prevention
Journal of the American Medical Association
National Household Survey on Drug Use
National Institute on Drug Abuse
Partnership for a Drug-Free America

Sue Scheff: Counseling Cuts Down Youth Drinking

Source: Connect with Kids

“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

Sue Scheff: Connect with Kids - Parenting DVD's

At Connect with Kids, our single aim is to help parents and educators help children. Each week we gather the freshest information from experts at universities, research organizations, hospitals, child advocacy groups and parents and kids themselves. We present that information in video news and feature stories that are understandable, compelling and useful.

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

Mom's Advice May Curb Binge Drinking

Source: Connect with Kids

“My mom is very level-headed, and she knows (I drink). She is very realistic.”

– Erik, college sophomore

College parties involving alcohol are common nationwide, and about one-quarter of all college students are binge drinkers. Twenty-year-old Erik says he is not a binge drinker, and one big reason is a conversation his mother had with him in the summer before his freshman year. “She told me, ‘I’m not naïve. I know you are going to drink. Just drink in moderation, don’t be stupid,’” Erik says.

That kind of warning, and particularly its timeliness, can be very effective, according to a study from Boise State University in Idaho. If mothers talk to their teens about alcohol during the period between high school and college, kids listen, the study found.

After one or more conversations with mom, the odds that a college student will binge drink fell from an estimated one-in-four, to as low as one-in-ten, according to the Idaho study.

A lot of what moms tell us as we grow up tends to stick with us for years, says Gary Santavicca, a family psychologist. “Whether we agree with or want to hear something that she has to say, typically since mother occupies such an important role in our lives, we are going to recall things that she communicates strongly and clearly to us,” Santavicca says.

The Idaho study also tested the effectiveness of specific warnings some mothers gave their kids. Most effective, moms should explain that drinking only makes problems worse, not better. Also, they should put into plain words how drinking could get teens in trouble with police, and how being caught drinking might lead to the publication of their arrest in the newspaper.

Erik says every time he drinks, he remembers what his mother told him about alcohol. “What bounces around in my head when I go to parties, use your head, and have a DD. All the time. Designated Driver all the time, that’s the most important thing,” Erik says.

Tips for Parents

Numerous studies conducted in recent years have noted the prevalence and dangers associated with binge drinking among college students. For example, some studies have revealed that the highest proportion of drinkers, heavy drinkers, and individuals with multiple substance dependencies have tended to be concentrated within the usual age range for college students.

According to research, some of the risks of binge drinking episodes include:

unplanned sexual activity
alcohol-related driving injuries and fatalities
sexual and physical assaults
date rape
physical injury
criminal mischief
property damage
trouble with campus and local police
Researchers have also found evidence for a relationship between parental characteristics and teen drinking tendencies. Some of the parental characteristics and beliefs associated with less teen drinking tendencies include:

parents' attitudes and beliefs about teens not drinking
limited parental alcohol consumption
parental disapproval approval of teen alcohol consumption
parental modeling of appropriate behavior
parental monitoring of the teenager
the quality of the parent—teen relationship
family management practices
parent—friend compatibility

A study, published in the journal Psychology of Addictive Behaviors, shows evidence that discussions of the risks of binge drinking between mothers and teens in the summer immediately preceding the adolescent’s first year of college can help to reduce or prevent binge drinking episodes for those teens. The researchers found that student beliefs about the positive or negative effects of drinking predicted binge-drinking activities. Specifically, if students believe that drinking improved their social behavior or lifestyle, they were more likely to use alcohol and have a tendency to binge drink. According to the authors of the study, however, if mothers talked with students about the negative effects of alcohol and the consequences of drinking, the teens were less likely to do so. In fact, additional preliminary studies indicate that one or more mother-teen discussions before attending college can reduce the statistical risk of those students participating in binge drinking activities from 20% to 10%.

The influence of parents on their teenage children’s use and abuse of alcohol can be very strong. The following suggestions, excerpted from a National Institute on Alcohol Abuse and Alcoholism publication, provide ideas for ways that parents can positively influence their teens’ alcohol related behaviors.

Monitor alcohol use in the home

Connect with other parents to discuss potential alcohol problems among peer groups

Keep track of your teen’s activities, particularly after-school and on weekends.

Develop family rules about teen drinking. Incorporate family values and beliefs about appropriate behavior into the family rules for drinking.

Set a good example. Modeling appropriate behavior in the use of alcohol (i.e. don’t drink and drive) can be an important teaching tool to help your teen with drinking related decisions.

Don’t support teen drinking.

Help your child build healthy relationships.

Encourage healthy alternatives to alcohol.

References
Boise State University
National Institute on Alcohol Abuse and Alcoholism

Exercise Reduces Drug Use

By Connect with Kids

“Studies show that children that are involved in activities and have less time on their hands tend to stay away from drugs easier than kids than kids that have nothing to do after school.”

– David Karol Gore, Phd., Psychologist

17-year old Mururi began using drugs at an early age.

“I mean it started off only on weekends when I was twelve but by thirteen, I was like, ‘I need to get high man. This is boring.’”

Boredom. Researchers at Davidson College studied the affects of cocaine and exercise on rats. They found that when rats get more exercise, they want less cocaine than those who don’t exercise at all.

Experts say, in humans, exercise has the same effect on the reward systems of the brain as do drugs.

Still, as family psychologist, David Karol Gore explains, the way exercise prevents some kids from using drugs may be as simple as this: “Studies show that children that are involved in activities and have less time on their hands tend to stay away from drugs easier than kids than kids that have nothing to do after school.”

His advice?

“Look real carefully at what their teenagers are doing. They need to see how involved they are in activities and if they are not what are they doing with their time.”

Tips for Parents

A study from Columbia University shows that youth who are bored and who have access to extra cash are more likely to abuse drugs. For their study, researchers with the National Center on Addiction and Substance Abuse surveyed 1,987 children aged 12 to 17 and 504 parents, 403 of whom were parents of the surveyed children. They found that kids who are frequently bored are 50% more likely to smoke, drink and use illegal drugs. And those who had $25 or more a week in spending money were nearly twice as likely to succumb to substance abuse. Consider these additional statistics about teens and drug abuse cited by the National Institute on Drug Abuse:

In 2007, the percentage of 8th graders reporting lifetime use of any illicit drug declined was 19%.

In 2007, 15.4% of 12th graders reported using a prescription drug non-medically within the past year. Vicodin continues to be abused at unacceptably high levels.

Between 2005 and 2007, past year abuse of MDMA (ecstasy) increased among 12th graders from 3.0% to 4.5%; and between 2004 and 2007, past year abuse of MDMA increased among 10th graders from 2.4% to 3.5%.

It is important that family members feel as though they can talk to each other about tough issues, such as drug use. Part of this early, open communication includes being a good listener. As a parent, consider adopting these listening techniques provided by the American Council for Drug Education (ACDE):

Give your child an opportunity to talk. Stop talking and give your child sufficient time to complete his or her thoughts and process what has been said.

Demonstrate interest by asking appropriate questions. Questions can help you clarify your child's thoughts and suggestions. Be sure that you are interpreting what has been said correctly.
Listen to the complete message. Listen to the total message before forming a response.

Encourage your child to talk. Use door-opening statements ("You seem distracted today" or "Tell me what is going on") that invite a response.

Focus on content, not delivery. Avoid being distracted by your child's poor grammar or manners. It is what is being said that is important.

Listen for main ideas. Try to pick out the central theme of the conversation.

Deal effectively with emotionally charged language. Be aware of words or phrases that produce anxiety and trigger emotions.

Identify areas of common experience and agreement. Note similar experiences of your own or offer a shared point of view to communicate acceptance and understanding.

Deal effectively with whatever blocks you from listening. Be aware of personal blocks that may prevent you from hearing what your child is saying.

Substance abuse can be an overwhelming issue with which to deal, but it doesn't have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your child can reap the rewards of a healthy, drug-free life:

Be your child's greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.

Involve your child in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available. Sometimes it takes a bit of experimenting to find out which activities your child is best suited for, but it's worth the effort - feeling competent makes children much less likely to use drugs.

Help your child develop tools he can use to get out of alcohol- or drug-related situations. Let him or her know he or she can use you as an excuse: "My mom would kill me if I smoked marijuana!"
Get to know your child's friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your child away from any friends who use drugs.

Call teens' parents if their home is to be used for a party. Make sure that the party will be alcohol-free and supervised by adults.

Set curfews and enforce them. Let your child know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.
Sit down for dinner with your child at least once a week. Use the time to talk - don't eat in front of the television.

Get – and stay – involved in your child's life.

References
American Council for Drug Education
Davidson College
National Center on Addiction and Substance Abuse
National Institute on Drug Abuse
Partnership for a Drug-Free America

Pot in the Summer

By Connect with Kids

“During the summer, I went out more. And during the school year, I was focused on my homework and stuff, and the summer was mostly just a time for me to relax and just chill out and go party.”

– Angelique, 18

For most teens, the summer brings sun, swimming and maybe some extra time spent on the skateboard. But for others, the season marks the time when they first try pot.

“Beginning of summer, first day of summer, in fact,” says Sarah, who’s 19.

“It was during the summer because then we could stay out later and a lot of other kids were out of school, too,” 18-year-old Angelique adds.

In fact, studies show 40 percent of teens who smoke marijuana first tried the drug during the summer.

“They have a lot of free time. A lot of kids are bored during the summer. They’ve got nothing to do. So the fact that a lot of kids are starting to get into things they shouldn’t and experiment isn’t surprising at all,” says addiction counselor Dr. Robert Margolis, who serves as executive director of Solutions Counseling in Atlanta.

Experts say for that reason, parents should keep their children busy during the summer break.

“I think they ought to ask themselves do they have any plan going into the summer for their kids. What are their kids going to do? Are they going to get a job? Are they going to maybe go study someplace … are they going to have something that’s structured to do?” Dr. Margolis says.

He says that regardless of their own personal experiences when they were young, parents should explain the dangers of marijuana, especially at the beginning of the summer.

“What parents need to understand is that this is a very harmful, addictive drug that ruins people’s lives. And they better be prepared with facts to discuss this with their kids,” Dr. Margolis says.

Talks with her parents, and her doctor, finally convinced Angelique to stop smoking marijuana.

“Like they’re more dangerous than cigarettes and all that stuff. I didn’t know that,” she says.

Tips for Parents

The summer months often bring more freedom to teens. But many of them abuse this freedom, as evidenced by data released by the National Household Survey on Drug Abuse that shows 40% of teens first try marijuana during the summer. In fact, about 5,800 teens try marijuana for the first time each day in June and July.

According to the C-D-Cs annual Youth Risk Behavior Surveillance report more than 38% of teens report having use marijuana in their life. Nearly 20% admitted to smoking pot within the past 30 days. 8% of kids tried marijuana prior to turning 13 years of age.

According to the National Institute on Drug Abuse (NIDA), the prevalence of drug use can, in part, be attributed to the overall perceptions and attitudes that drug use – particularly that of marijuana – is not harmful and is insignificant. Yet, those who choose to use this substance do risk developing serious health problems. The NIDA says that marijuana is responsible for the following physical effects in a user:

THC – the main chemical in marijuana – changes the way in which sensory information gets into and is acted on by particular systems in the brain. The system most affected is the limbic system, which is crucial for learning, memory and the integration of sensory experiences with emotions and motivations. Investigations have shown that THC suppresses neurons in the information-processing system of the brain.

A person who smokes marijuana regularly may have many of the same respiratory problems that tobacco smokers develop. The individual may have daily cough and phlegm, symptoms of chronic bronchitis and more frequent chest colds. Continuing to smoke marijuana can lead to abnormal functioning of lung tissue injured or destroyed by marijuana smoke.

Regardless of the THC content, the amount of tar inhaled by marijuana smokers and the level of carbon monoxide absorbed are three to five times greater than among tobacco smokers. This may be due to marijuana users inhaling more deeply and holding the smoke in the lungs.

In order for parents to help curb the growing problem of marijuana use among teens, they must first understand the dangers involved in using the drug. The National Youth Anti-Drug Media Campaign cautions parents to be aware of the following points about marijuana use:

Marijuana is the most widely used illicit drug among youth today.
More teens enter treatment for marijuana abuse each year than for all other illicit drugs combined.
Marijuana is addictive.
Marijuana use can lead to a host of significant health, social, learning and behavioral problems at a crucial time in a young person’s development.
Adolescent marijuana users show lower academic achievement compared to non-users.
Even short-term marijuana use has been linked to memory loss and difficulty with problem-solving.
Time and again, kids say that their parents are the single most important influence when it comes to using drugs.
As a parent, how can you determine if your teen is using marijuana? According to the NIDA, you should look for the following symptoms associated with marijuana use:

Appears dizzy and has trouble walking
Seems silly and giggly for no reason
Has very red or blood shot eyes
Has trouble remembering events that have just occurred
Although these symptoms will fade within a few hours of use, other significant behavioral changes – including withdrawl, depression, fatigue, carelessness with grooming, hostility and deteriorating relationships with family members and friends – may signal that your teen is in trouble. If your teen is using drugs, he or she may also experience changes in academic performance, have increased absenteeism, lose interest in sports or other favorite activities and develop different eating or sleeping habits.

Whether or not you suspect your child is using marijuana, it is crucial that you discuss the issue at an early age. The experts at DrugHelp suggest following these steps when discussing tough issues, like drug abuse, with your child:

Create a climate in which your child feels comfortable approaching you and expressing his or her feelings.

Don't shut off communication by responding judgmentally, saying, "You're wrong" or "That's bad."

Give your child an opportunity to talk.
Show your interest by asking appropriate questions.
Listen to what your child has to say before formulating a response.
Focus on what your child has to say, not on language or grammar.
Use probing questions to encourage a shy child to talk.
Identify areas of common experience and agreement.
Leave the door open for future conversations

References
DrugHelp
National Institute on Drug Abuse
National Youth Anti-Drug Media Campaign
Substance Abuse and Mental Health Services Administration
Centers for Disease Control and Prevention