Sunday, March 29, 2009

Sue Scheff: Teen Stress



School is winding down, finals are piling up - the stress of getting good grades as well as keeping your GPA up to be able to get into that college or university you dream to go to, can be stressful. Compound that with summer coming and if you are like many teens, looking for a summer job is in the plan but may be more difficult than last summer. The economy is hitting all levels of employment, and parents are not the only ones having stressful times.





Here is a great article I found on TeensHealth. Take the time to learn more about your teen and how stress can effect them.



What Is Stress?



Stress is a feeling that’s created when we react to particular events. It’s the body’s way of rising to a challenge and preparing to meet a tough situation with focus, strength, stamina, and heightened alertness.



The events that provoke stress are called stressors, and they cover a whole range of situations - everything from outright physical danger to making a class presentation or taking a semester’s worth of your toughest subject.



The human body responds to stressors by activating the nervous system and specific hormones. The hypothalamus signals the adrenal glands to produce more of the hormones adrenaline and cortisol and release them into the bloodstream. These hormones speed up heart rate, breathing rate, blood pressure, and metabolism. Blood vessels open wider to let more blood flow to large muscle groups, putting our muscles on alert. Pupils dilate to improve vision. The liver releases some of its stored glucose to increase the body’s energy. And sweat is produced to cool the body. All of these physical changes prepare a person to react quickly and effectively to handle the pressure of the moment.

Read more: http://kidshealth.org/teen/your_mind/emotions/stress.html#a_Good_Stress_and_Bad_Stress

Tuesday, March 10, 2009

Sue Scheff - Teenage Depression




“Just this gloom was like hanging over my head and I knew something wasn’t right but I wasn’t exactly sure what it was.”

– Amy, 16 years old

New research from Columbia University finds that nearly 50 percent of teens suffer from some form of depression, anxiety, or a number of other psychiatric disorders.

“A lot of people I know get depressed all the time about lots of stuff,” says 15-year-old Meagan.

“It’s like everything’s all on your shoulders and you have to take everything at once,” says Meredith, 14.

Sixteen-year-old Amy agrees, “Just this gloom was like hanging over my head and I knew something wasn’t right but I wasn’t exactly sure what it was.”

“My parents went through an awful divorce my ninth grade year and I was devastated, worse than my heart could ever imagine,” says 18-year-old Brittany, “and it hurts a lot, and I still hurt to this day and I’m a senior in H.S.”

The symptoms vary: some kids may be lethargic and withdrawn; others may show agitation and frustration, even aggression. Often, there is a drop in grades.

And sometimes these symptoms can cause parents to punish the child, instead of providing treatment.

“Rather than thinking of children’s misbehaviors as discipline problems or misbehaviors as deliberate,” says psychologist Sunaina Jain, Ph.D., “it’s important to see them as communications from the child.”

Experts say lots of kids experience depression or anxiety, often mild and temporary, but not always. And that’s why parents need to constantly check their child’s emotional pulse.

“You know it doesn’t take hours and hours. Even a few minutes of checking in with each other every day is a great way of saying you know I’m here, I’m interested in you,” says Jain.

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.


Possible Symptoms:

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 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 this behavior may not appear to be depression, in fact it may suggest that your teen 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 lack of interest 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
Columbia University
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

Wednesday, March 4, 2009

Sue Scheff: Teen Anxiety


The lesser known relative of depression, anxiety, afflicts people of all ages and can be especially detrimental for teenagers. It is completely normal and even common for individuals to experience anxiety, particularly during stressful periods, such as before a test or important date (think Prom). For many, this is beneficial, serving as motivation to study hard and perform well; however, for many, anxiety goes beyond standard high-stress periods. While occasional stress is nothing to worry about and can even be healthy, many people experience anxiety on an ongoing basis. People, especially teenagers, who suffer from anxiety disorders, find that their daily life can be interrupted by the intense, often long-lasting fear or worry.

Anxiety disorders are not fatal; however, they can severely interfere with an individual's ability to function normally on a daily basis. The intense feelings of fear and worry often lead to a lack of sleep as it makes it very difficult for people to fall asleep. Those with anxiety disorders also commonly suffer from physical manifestations of the anxiety. The anxiety can cause headaches, stomach aches, and even vomiting. In addition stress can cause individuals to lose their appetite or have trouble eating. One of the more difficult aspects for students to deal with is difficulty concentrating. When one is consumed with worry, his or her mind continuously considers the worrisome thoughts, making it considerably harder for teenagers to concentrate on school work and other mentally intensive tasks. These affects of anxiety can make it difficult for teenagers to simply get through the day, let alone enjoy life and relax.

While there seems to be no single cause of anxiety disorders, it is clear that they can run in a family. The fact that anxiety disorders can run in families indicates that there may be a genetic or hereditary connection. Because a family member may suffer from an anxiety disorder does not necessarily mean that you will. However, individuals who have family members with this disorder are far more likely to develop it.

Within the brain, neurotransmitters help to regulate mood, so an imbalance in the level of specific neurotransmitters can cause a change in mood. It is this imbalance in a neurotransmitter called serotonin that leads to anxiety. Interestingly, an imbalance of serotonin in the brain is directly related to depression. For this reason, SSRI medications, more commonly referred to as anti-depressants, are often used to help treat an anxiety disorder. Medication can provide significant relief for those suffering from anxiety disorders; however, it is often not the most efficient form of treatment.

In addition to medication, treatments for anxiety disorders include cognitive-behavioral therapy, other types of talk therapy, and relaxation and biofeedback to control muscle tension. Talk therapy can be the most effective treatment for teenagers, as they discuss their feelings and issues with a mental health professional. Many teens find it incredibly helpful to simply talk about the stress and anxiety that they feel. Additionally, in a specific kind of talk therapy called cognitive-behavioral therapy teens actively "unlearn" some of their fear. This treatment teaches individuals a new way to approach fear and anxiety and how to deal with the feelings that they experience.

Many people attempt to medicate themselves when they suffer from stress or anxiety. While individuals find different ways to deal with the intense worry that they may experience, self medication can be very detrimental to their body. It is not uncommon for people who suffer from anxiety disorders to turn to alcohol or drugs to relieve the anxiety. While this may provide a temporary fix for the afflicted, in the long run it is harmful. By relying on these methods, individuals do not learn how to deal with the anxiety naturally. Reliance on other substances can also lead to alcohol or drug abuse, which can be an especially significant problem if it is developed during the teen years.

Statistics on teen anxiety show that anxiety disorders are the most common form of mental disorders among adolescents:

8-10 percent of adolescents suffer from an anxiety disorder

Symptoms of an anxiety disorder include: anger, depression, fatigue, extreme mood swings, substance abuse, secretive behavior, changes in sleeping and eating habits, bad hygiene or meticulous attention to, compulsive or obsessive behavior

One in eight adult Americans suffer from an anxiety disorder totaling 19 million people
Research conducted by the National Institute of Mental Health has shown that anxiety disorders are the number one mental health problem among American women and are second only to alcohol and drug abuse among men

Anxiety disorders cost the U.S. $46.6 billion annually

Anxiety sufferers see an average of five doctors before being successfully diagnosed