Sue Scheff: Mistreated Depression

Source: Connect with Kids

“Basically, psychiatrists are pretty busy. They don’t want to spend a lot of time with people. They want to get people in and out, maybe two or three an hour. … It pays better to do that than spending an hour doing psychotherapy.”

– David Gore, Ph.D., clinical psychologist

Fifteen-year-old Sarah McMenamin suffers from depression. It started a year ago with the death of her father.

“I was just like, ‘I just want to die,’” she says, describing her feeling before seeing a therapist. “I would never kill myself, but I just wish I was dead, I just wish I was never going to wake up.”

For depressed teens, experts at the American Academy of Child and Adolescent Psychiatry say what can help is medicine – combined with talk therapy.

“I think the therapist helped me,” explains Sarah, “’cause it was talking, you know, I got it out. I didn’t bottle everything up.”

“The advantage to getting some therapy along with medication is that you get to the root of the problem,” explains Dr. David Gore, clinical psychologist. “You get to see why you’re feeling that way. And if you start understanding why you’re feeling that way, chances are pretty good you’ll stop feeling that way.”

But according to a new study from Thomson-Reuters, more teens than ever are getting medication without psychotherapy. Why? Gore has an answer.

“Basically, psychiatrists are pretty busy,” Dr. Gore says. “They don’t want to spend a lot of time with people. They want to get people in and out, maybe two or three an hour. … It pays better to do that than spending an hour doing psychotherapy.”

Three months ago, Sarah started seeing a new doctor.

“Right away he put me on Zoloft,” she says. “He didn’t even know me for an hour and he put me on it.”

But psychologists say medicine alone just won’t work as well.

“You take your pill, you’ll get some immediate relief,” explains Dr. Gore, “but the problem’s going to crop up again in two months or four months or six months. You’ve got to get to the root of the problem.”

Sarah will resume talk therapy again in a few months. She says she is looking forward to it.

“You get it out on the table and you know your feelings’” she says, “and you go in thinking it’s one thing and you come out finding out it’s like 10 different things and you’re like, ‘Wow.’”

Tips for Parents

All teens experience ups and downs. Every day poses a new test of their emotional stability – fighting with a friend, feeling peer pressure to “fit in” with a particular crowd or experiencing anxiety over a failed quiz – all of which can lead to normal feelings of sadness or grief. These feelings are usually brief and subside with time, unlike depression, which is more than feeling blue, sad or down in the dumps once in a while.

According to the Nemours Foundation, depression is a strong mood involving sadness, discouragement, despair or hopelessness that lasts for weeks, months or even longer. It also interferes with a person’s ability to participate in normal activities. Often, depression in teens is overlooked because parents and teachers feel that unhappiness or “moodiness” is typical in young people. They blame hormones or other factors for teens’ feelings of sadness or grief, which leaves many teens undiagnosed and untreated for their illness.

The Mayo Clinic reports that sometimes a stressful life event triggers depression. Other times, it seems to occur spontaneously, with no identifiable specific cause. However, certain risk factors may be associated with developing the disorder. Johns Hopkins University cites the following risk factors for becoming depressed:

Children under stress who have experienced loss or who suffer attention, learning or conduct disorders are more susceptible to depression.

Girls are more likely than boys to develop depression.

Youth, particularly younger children, who develop depression are likely to have a family history of the disorder.

If you suspect that your teen is clinically depressed, it is important to evaluate his or her symptoms and signs as soon as possible. The National Depressive and Manic-Depressive Association cites the following warning signs indicating that your teen may suffer from depression:

Prolonged sadness or unexplained crying spells
Significant changes in appetite and sleep patterns
Irritability, anger, worry, agitation or anxiety
Pessimism or indifference
Loss of energy or persistent lethargy
Feelings of guilt and worthlessness
Inability to concentrate and indecisiveness
Inability to take pleasure in former interests or social withdrawal
Unexplained aches and pains
Recurring thoughts of death or suicide

It is important to acknowledge that teens may experiment with drugs or alcohol or become sexually promiscuous to avoid feelings of depression. According to the National Mental Health Association, teens may also express their depression through other hostile, aggressive, risk-taking behaviors. These behaviors will only lead to new problems, deeper levels of depression and destroyed relationships with friends and family, as well as difficulties with law enforcement or school officials.

The development of newer antidepressant medications and mood-stabilizing drugs in the last 20 years has revolutionized the treatment of depression. According to the Mayo Clinic, medication can relieve the symptoms of depression, and it has become the first line of treatment for most types of the disorder. Psychotherapy may also help teens cope with ongoing problems that trigger or contribute to their depression. A combination of medications and a brief course of psychotherapy are usually effective if a teen suffers from mild to moderate depression. For severely depressed teens, initial treatment usually includes medications. Once they improve, psychotherapy can be more effective.

Immediate treatment of your teen’s depression is crucial. Adolescents and children suffering from depression may turn to suicide if they do not receive proper treatment. Suicide is the third leading cause of death for Americans aged 10-24. The National Association of School Psychologists suggests looking for the following warning signs that may indicate your depressed teen if contemplating suicide:

Suicide notes: Notes or journal entries are a very real sign of danger and should be taken seriously.

Threats: Threats may be direct statements (“I want to die.” “I am going to kill myself”) or, unfortunately, indirect comments (“The world would be better without me.” “Nobody will miss me anyway”). Among teens, indirect clues could be offered through joking or through comments in school assignments, particularly creative writing or artwork.

Previous attempts: If your child or teen has attempted suicide in the past, a greater likelihood that he or she will try again exists. Be very observant of any friends who have tried suicide before.

Depression (helplessness/hopelessness): When symptoms of depression include strong thoughts of helplessness and hopelessness, your teen is possibly at greater risk for suicide. Watch out for behaviors or comments that indicate your teen is feeling overwhelmed by sadness or pessimistic views of his or her future.

“Masked” depression: Sometimes risk-taking behaviors can include acts of aggression, gunplay and alcohol or substance abuse. While your teen does not act “depressed,” his or her behavior suggests that he or she is not concerned about his or her own safety.

Final arrangements: This behavior may take many forms. In adolescents, it might be giving away prized possessions, such as jewelry, clothing, journals or pictures.

Efforts to hurt himself or herself: Self-injury behaviors are warning signs for young children as well as teens. Common self-destructive behaviors include running into traffic, jumping from heights and scratching, cutting or marking his or her body.

Changes in physical habits and appearance: Changes include inability to sleep or sleeping all the time, sudden weight gain or loss and disinterest in appearance or hygiene.

Sudden changes in personality, friends or behaviors: Changes can include withdrawing from friends and family, skipping school or classes, loss of involvement in activities that were once important and avoiding friends.

Plan/method/access: A suicidal child or adolescent may show an increased interest in guns and other weapons, may seem to have increased access to guns, pills, etc., and/or may talk about or hint at a suicide plan. The greater the planning, the greater the potential for suicide.

Death and suicidal themes: These themes might appear in classroom drawings, work samples, journals or homework.

If you suspect suicide, it is important to contact a medical professional immediately. A counselor or psychologist can also help offer additional support.

References
American Academy of Child and Adolescent Psychiatry
American Foundation for Suicidal Prevention
Johns Hopkins University
Mayo Clinic
National Association of School Psychologists
National Depressive and Manic-Depressive Association
National Institute of Mental Health
National Mental Health Association
Nemours Foundation
Thomson-Reuters

Troubled Teens, Struggling Teens, Teen Depression, Teen Help, by Sue Scheff

Are you at your wit’s end?

Are you experiencing any of the following situations or feeling at a complete loss or a failure as a parent? You are not alone and by being a proactive parent you are taking the first step towards healing and bringing your family back together.

• Is your teen escalating out of control?
• Is your teen becoming more and more defiant and disrespectful?
• Is your teen manipulative? Running your household?
• Are you hostage in your own home by your teen’s negative behavior?
• Is your teen angry, violent or rage outbursts?
• Is your teen verbally abusive?
• Is your teen rebellious, destructive and withdrawn?
• Is your teen aggressive towards others or animals?
• Is your teen using drugs and/or alcohol?
• Does your teen belong to a gang?
• Do they frequently runaway or leave home for extended periods of time?
• Has their appearance changed – piercing, tattoo’s, inappropriate clothing?
• Has your teen stopped participating in sports, clubs, church and family functions? Have they become withdrawn from society?
• Is your teen very intelligent yet not working up to their potential? Underachiever? Capable of doing the work yet not interested in education.
• Does he/she steal?
• Is your teen sexually active?
• Teen pregnancy?
• Is your teen a good kid but making bad choices?
• Undesirable peers? Is your teen a follower or a leader?
• Low self esteem and low self worth?
• Lack of motivation? Low energy?
• Mood Swings? Anxiety?
• Teen depression that leads to negative behavior?
• Eating Disorders? Weight loss? Weight gain?
• Self-Harm or Self Mutilation?
• High School drop-out?
• Suspended or Expelled from school?
• Suicidal thoughts or attempts?
• ADD/ADHD/LD/ODD?
• Is your teen involved in legal problems? Have they been arrested?
• Juvenile Delinquent?
• Conduct Disorder?
• Bipolar?
• Reactive Attachment Disorder (RAD)?

Does your teen refuse to take accountability and always blame others for their mistakes?

• Do you feel hopeless, helpless and powerless over what options you have as a parent? Are you at your wit’s end?


Does any of the above sound familiar? Many parents are at their wit’s end by the time they contact us, but the most important thing many need to know is you are not alone. There is help but the parent needs to be proactive and educate themselves in getting the right help.



Many try local therapy, which is always recommended, but in most cases, this is a very temporary band-aid to a more serious problem. One or two hours a week with a therapist is usually not enough to make the major changes that need to be done.

If you feel you are at your wit’s end and are considering outside resources, please contact us. http://www.helpyourteens.com/free_information.shtml An informed parent is an educated parent and will better prepare to you to make the best decision for your child. It is critical not to place your child out of his/her element. In many cases placing a teen that is just starting to make bad choices into a hard core environment may cause more problems. Be prepared – do your homework.

Many parents are in denial and keep hoping and praying the situation is going to change. Unfortunately in many cases, the problems usually escalate without immediate attention. Don’t be parents in denial; be proactive in getting your teen the appropriate help they may need. Whether it is local therapy or outside the home assistance, be in command of the situation before it spirals out of control and you are at a place of desperation. At wit’s end is not a pleasant place to be, but so many of us have been there.

Finding the best school or program for your child is one of the most important steps a parent does. Remember, your child is not for sale – don’t get drawn into high pressure sales people, learn from my mistakes. Read my story at www.aparentstruestory.com for the mistakes I made that nearly destroyed my daughter.

In searching for schools and programs we look for the following:

• Helping Teens - not Harming them
• Building them up - not Breaking them down
• Positive and Nurturing Environments - not Punitive
• Family Involvement in Programs - not Isolation from the teen
• Protect Children - not Punish them

www.helpyourteens.com
www.suescheff.com

Parents Universal Resource Experts (Sue Scheff) Tough Talks with your teen

By Shoulder to Shoulder

It’s not easy talking about sex, drugs, gangs and violence with our teens. But it’s a “must do.” Here are a few pointers and tips for talking with teens about the very real issues they face.

Timing is Everything

Know that teens will catch us off guard when they decide to ask questions about sex or other “tough” topics. Resist the urge to flee. Try saying, “I’m glad you came to me with that question.” This gives us time to think of a response, and will let teens know they can come to parents for advice. It’s important to answer the question right away, rather than put off a teen by saying something like - “you’re too young to know that!” Chances are, the subject has already come up at school and they’re already getting “advice” from their friends. When teens ask questions, look at it as an opportunity to help them learn by sharing our thoughts.

Practice Makes Perfect

As parents, anticipation is our best friend. Anticipate what teens’ questions may be about sex, drugs or alcohol, then think about your responses ahead of time. What to say? It’s different for each family, but become familiar with typical questions and behaviors that occur during the teen years. Do a little digging around popular teen Web sites to find out what’s hot in a teen’s world.

Is It Hot In Here?

If you’re feeling embarrassed or uncomfortable about a question your teen asks, say so. Acknowledging your own discomfort allows your kids to acknowledge theirs - and may make everyone feel a little less awkward all around. It’s also okay for parents to set limits. For example, you do not have to give specific answers about your own teen behaviors.

Read entire article here: http://www.education.com/reference/article/Ref_Tough_Talks_your/

Parents Universal Resource Experts (Sue Scheff) How to talk to your teen

By ParentingMyTeen http://www.parentingmyteen.com/

As the parent of a teen, you may long for the days when you could hold your child on your lap and they were eager to talk, Those days may be long gone, but you can still find ways to get your teen to talk and really start to connect with your teen.

To many parents, their teen is a closed book and getting a teen to talk can be like trying to make the earth stop rotating. At times it seems impossible to get them to open up and talk about their lives. But talking to your teen and knowing about their lives is one of the best ways to protect them from danger. Spying and snooping around isn’t the best way to get that information either, it will only upset matters if your teen finds out.

Here are a few tips on how to get a teen to talk:

Start young. Keeping a relationship going with your child is easier than starting one when you haven’t had one before. You may find them trying to pull away once they hit a certain age; just keep at it.

Find common ground. To get your teen to talk, first search for things that you and your teen are both interested in. It’s easier to talk about something that you both have in common. That way, you can ask your child about a band’s new album rather than the same old “how was school?”

Be open to what they say. When you get your teen talking, don’t be surprised if they say some things you don’t like. Just be open to what they’re telling you instead of being judgmental. You can tell them you don’t approve of something without attacking them. If they feel comfortable talking about serious things, they’ll be more likely to come to you if they have a problem.

Spend more together. A recent study showed that many teens rate not having enough time with their parents as one of their top concerns. Many teens feel they can’t talk to their parents because they’re always at work or busy doing something else. We often forget to take time out from our hectic lives to pay enough attention to our kids. Some suggestions for spending extra time with your teen are:

Set up a specific time every week to spend time with your teen
Have dinner at the table with the whole family as often as possible
Work out or engage in a sport with your kids
Drive your teen to school instead of sending them on the bus
While your teen may be reluctant to talk to you at first, keep trying. Likely, you’ll eventually break them down and they’ll look forward to talking with you and spending time together.

www.helpyourteens.com

www.witsendbook.com

Parents' Universal Resource Experts (Sue Scheff) Teenage Depression

Teen Depression Risk Factors by DepressionReport.info

There are a number of factors that put a teen at a higher risk for developing depression. Many of these risk factor are red flags for parents, friends, and loved ones to watch out for in a teenager. These factors include:



Experiencing problems or difficulty at school.

Going through a traumatic event. Examples include parents who get divorced, abusive parents, the death of a loved one, or a break up with a boyfriend or girlfriend.

Weight loss or weight gain.

Difficulty dealing with anger.

Developing an interest in violence or a becoming increasingly fearful of violence.

Difficulty sleeping.

Developing an interest in drugs or alcohol.


Teenage depression is the leading cause of teenage suicide. Yet, approximately 80% of teenagers thinking of suicide leave clues. Through careful observation and an understanding of the risk factors of teenage depression, many of these suicides can be prevented.


Causes of Teenage Depression

Teenage depression is largely caused by stress. During the adolescent years, a person undergoes a number of emotional, physical, and mental changes. First of all, hormones start raging and bring with them a plethora of confusing emotions. In addition, teenagers often feel a great deal of pressure from their parents and from teachers to do well in school and to participate in athletics. Furthermore, peer pressure and an overwhelming desire to do whatever it takes to fit in with their peers causes teenagers a great deal of stress.

The stress teenagers feel can result in anger, nervousness, and an inability to concentrate. It can also lead to physical symptoms such as nausea and headaches. Ultimately, the stress can cause social withdraw and depression.


Preventing Teenage Depression

Thankfully, there are several steps a parent can take to prevent teenage depression from setting in on their child.

The first is to always utilize positive disciplinary techniques. Desirable behaviors should be reinforced through praise and recognition rather than utilizing punishment and shame techniques. Punishment and shaming only serves to leave the teenager feeling worthless and inadequate.

At the same time, parents must be careful not to overprotect or to overdirect their teenagers. Children and young adults need to make mistakes and learn from those mistakes.

Protecting your teen from experiencing mistakes, or continually telling your child what to do rather than letting him or her make independent decisions, will ultimately make them feel as if you have know faith in his or her ability to make decisions.

It is also important to never push your teen to participate in certain activities because you want him or her to reach your unachieved goals. Your child needs to find his or her own sense of identity and worth.

Sue Scheff - Defiant Teens

Parent's Universal Resource Experts has found that children that have ODD (Oppositional Defiance Disorder) are very confrontational and need to have life their own way. A child does not have to be diagnosed ODD to be defiant. It is a trait that some teens experience through their puberty years.

Defiant teens, disrespectful teens, angry teens and rebellious teens can affect the entire family.An effective way to work with defiant teens is through anger and stress management classes. If you have a local therapist*, ask them if they offer these classes. Most will have them along with support groups and other beneficial classes.

In today's teens we are seeing that defiant teens have taken it to a new level. Especially if your child is also ADD/ADHD, the ODD combination can literally pull a family apart.

You will find yourself wondering what you ever did to deserve the way your child is treating you. It is very sad, yet very real. Please know that many families are experiencing this feeling of destruction within their home. Many wonder "why" and unfortunately each child is different with a variety of issues they are dealing with. Once a child is placed into proper treatment, the healing process can begin.If you feel your teen is in need of further Boarding School, Military School or Program Options, please complete our Information Request Form.

Do you have a struggling teen? At risk teens? Defiant Teen? Teen Depression? Problem Teen? Difficult Teen? Teen Rage? Teen Anger? Teen Drug Use? Teen Gangs? Teen Runaways? Bipolar? ADD/ADHD? Disrespectful Teen? Out of Control Teen? Peer Pressure?

Find about more about Boarding Schools, Military Schools, Christian Boarding Schools, Residential Treatment Centers, and Therapeutic Boarding Schools.