Teens and Suicide

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The local headlines this past month included the tragic loss of a 10-year old boy to suicide. I’m certain that no parent or grandparent ever gets over this. One of the few details that was shared in the Courier Journal was that he was bullied. I want to address the issue of Bullying in a later blog because it affects lots of kids and teens and it’s a very complicated behavior.

Suicide is very rare with children. Not so with Teens.

Consider the current trends:

-In 2016 adolescents and young adults aged 15 to 24 had a suicide rate of 13.15.

-8.6% of youth in grades 9 through 12 reported that they made at least one suicide attempt in the past 12 months.

-Girls attempt suicide twice as often as boys.

-Approximately 1,500 teenagers will attempt suicide in the next 24 hours.

-15.8% of youths in grades 9 through 12 reported that they had seriously considered attempting suicide during the past 12 months.

Teenagers send signals that something is wrong. They tend to be in clusters. If we suspected a teen at risk for suicide because they were sleeping too much, then many teens would be at risk. We are looking for changes in the typical functioning of your teen. We are looking for changes in a cluster of behaviors. These signals indicate that your teen might be at risk.

What are some of the Danger Signs?

–Hopeless comments such as, “nothing really matters,” or “I just want to end it all.”

–Sleep problems including sleeping too much or too little, insomnia, waking up often while sleeping.

-Preoccupation with death such as a fascination with music, art work, or poetry that has morbid themes.

–School problems such as difficulty keeping grades up.

-Signs of depression such as feelings of worthlessness, social withdraw, loss of appetite, increased irritability,  and a “down” expression.

There are events that can increase the likelihood of suicide thoughts or events. These include:

Potential Triggering Life Events:

-The recent loss or threat of loss of a friend or family member through serious illness, death, separation, divorce or change in residence.

I cannot emphasize the importance of calling a counseling center if you are concerned about your son, daughter, grandson or granddaughter. There are things that you can do to help them through these very vulnerable years.

There is a wonderful app called, “A Friend Asks” that I high recommend. It was developed by The Jason foundation. JFI is a nationally recognized leader in youth suicide awareness and prevention. This app is for teens that are considering suicide and for their friends. It help teens help their friends that might be considering suicide. An excellent app.

Here are some numbers that might come in handy. Hopefully you’ll never need them, but please keep them just in case.

National Suicide Prevention Lifeline

1-800-273-8225

The American Foundation for Suicide Prevention

Afsp.org

The Suicide Prevention Resource Center

Sprc.org

If You have a Teenager You Better Know about Vaping

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Alarming Trends:

-Currently 1 in 4 Middle School and High School students have used a vape pen or e-cigarette, 1 in 6 over the past 30 days.

-There is evidence to suggest that e-cigarette use increases the risk of using combustible cigarettes.

-Nearly 6 in 10 cigarette users also us e-cigarettes. This is a two-way relationship.

-A recent study found that teens who use e-cigarettes are 4 times more likely to begin smoking tobacco cigarettes within 18 months when compared to teens that do not vape.

-E-Cigarettes are now the most commonly used tobacco product among teenagers.

What are Vape Pens or E-Cigarettes?

They are electronic nicotine delivery devices, plain and simple. They come in many flavors and are called by various names: e-cigs, vape pens, e-hookahs, vapes, and mods just to name a few. Make no mistake, if your teen is using a vape pen, it is delivering nicotine.

Why are E-Cigarettes so Popular with Teens?

Three reasons:

1. Curiosity.

2. Flavors. 8 of 10 teen users use flavored e-cigarettes. In a recent study, the primary reason that teens use is because “they come in flavors that I like.”

3. Teens believe that e-cigarettes are safer. 1 in 5 teens believe that e-cigarettes cause no harm.

Are E-Cigarettes Harmful to Teens?

Simply put, YES!

-Nicotine disrupts the development of brain circuits that control attention and learning.

-Nicotine use by teens can puts them at risk for mood disorders and permanently lowering their impulse control.

-The nicotine in e-cigarettes affects development of the brain’s reward system, making them more susceptible to addiction to other drugs.

-Although e-cigarettes are safer than combustible cigarettes, there are still many questions being asked about the health risks of e-cigarette aerosol. There is no question, however, that nicotine exposure poses a major health risk for teens.

What Can You Do?

First, do not be hoodwinked. If your teen is using e-cigarettes, they are using nicotine.

Second, treat them as combustible cigarettes and let them know that you know!

Third, prohibit the use of e-cigarettes by your teens. I understand that this is not going to be easy, but you have to start by setting limits. You can randomly use a urine test to hold them accountable.

Fourth, educate them about e-cigarettes.

Fifth, if you have tried everything, enroll them in our Stop Vaping-Education Group at True North Counseling. This group is called: Salvage and is somewhat of an acronym for Stop Vaping Group Education. Salvage means: to preserve something from potential loss or adverse circumstances. We want to preserve the health and welfare of your teens. Call 502-777-7525 for more information.

What’s Wrong with My Teenager?

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I’ve been listening to a series of lectures on Audible entitled, “Understanding the Mysteries of Human Behavior,” by Mark Leary, Ph.D. He’s a professor of Psychology and Neuroscience at Duke University. I’m going to be sharing several of his topics over the next few months. The one that caught my eye was, “Why Don’t Adolescents Behave like Adults?” Here are some of his thoughts:

First, there tends to be more family conflict when kids transition into adolescence.

The good news is that this conflict generally is short-lived (lasting the first couple of years of adolescence) and generally focused on minor issues such as their personal appearance, dating, family rules, and curfews. The reason for these conflicts seem to be rooted in the teen’s desire to establish their independence, which is a healthy and important part of their development.

Second, Teens tend to display more rapid and extreme mood swings when they enter into adolescence.

Certainly, hormones play a role in these emotional swings, but researchers are looking at the role that stress plays in mood instability. Leary points out that, “Adolescence involves major personal and social changes and transitions that would be stressful at any age, but for a young person without much life experience, these changes can be overwhelming.” Increased stress equals increased mood instability.

Third, teenagers tend to display an increase in risky behaviors which, as Leary points out, “have the potential to harm them or others.”

I see a lot of these teens, and here’s what’s happening in their brains. This increase in risky behavior is due to the interplay between two distinct networks in the brain. The first network is the socioemotional network. This network process rewards, especially social rewards. As a child enters adolescence, the reward center of the brain changes and teenagers begin to pay more attention to potentially rewarding experiences. The cognitive control network controls what is typically called executive functioning and involves functions such as planning and impulse control. Unfortunately, this network develops gradually throughout adolescence and matures by the mid-twenties. One system is telling the teen to speed up and the other is telling them to slow down. Unfortunately, the cognitive control network can be outmatched by the socioemotional network. It’s like putting a new driver behind the wheel of a race car.

So, to address the question, “What’s wrong with my teenager,” the answer is nothing.

Teens are becoming something. They are becoming adults and stretching the wings that one day they will be using independently. They are testing boundaries that one day will not be there and they are exploring and taking risks that one day will be wonderful growth experiences. But until they become adults, they need our guidance, support, teachable moments, patience, and they need a gradually increased amount of freedom to become the people that you have raised them to become.

I often hear extended family members counsel younger parents. The younger parents are overwhelmed and exhausted with the the task of raising children. Aunt Susan will respond with, “If you think it’s bad now, wait until they’re teenagers.” I couldn’t disagree more! Yes, it’s painful at times watching them transition into an adult, but it’s also one of the most reward times that you will have with them. Understanding what’s going on is the key to looking forward to it and even enjoying it!!!!

The Hurried Child –Are We Creating a Generation of Anxious Children?

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I first read David Elkind’s book, “The Hurried Child,” while in graduate school almost 25 years ago. It provided a course of treatment for me to use with families and their children. I encouraged families to relax and limit the stress that they imposed upon their kids. This stress usually took the form of over-involvement in extra-curricular activities and pressure to excel academically. Elkind asserted then and continues to in the 25th Anniversary edition of his book, that we are rushing our kids through childhood and contributing serious problems with anxiety and depression.

“The concept of childhood, so vital for a child’s healthy development,” he writes, “is threatened with extinction in the society we have created. Today’s child has become the unwilling, unintended victim of overwhelming stress –the stress borne of rapid, bewildering social change and constantly rising expectations.”

People need stress. It’s very important for our body to function and can help create creativity and motivation for being productive in society.

But chronic stress is very harmful and can lead to health issues such as, cardiovascular disease, obesity, and anxiety, just to name a few.

“For some children, Elkind summarizes, “chronic stress is translated into what Freud called “free-floating anxiety,” in the sense that it is not attached to a specific fear of apprehension.”

Childhood Anxiety is becoming an epidemic in our country.

I think Elkind is careful to spread the blame to several institutions for this rise in stress and anxiety with kids and not just parents. These include: the family system, schools, the media, and the internet. I recently reviewed the book, “IGen: Why Today’s Super-Connected Kids are growing up less Rebellious, More Tolerant, Less Happy, and Completely Unprepared for Adulthood,” by Jean Twenge, PH.D. “Whereas teens used to hear about social events through whispers,” she writes, “they can now see up-to-the-minutes pictures of exactly what they are missing.” Children and teens are being robbed of the peace and safety of living in the “here and now.”

I remember many things about my childhood: playing with my brother Tim, building forts, and watching Saturday cartoons. I grew up during the Vietnam war and remember seeing soldiers on the evening news. Also, the threat of nuclear holocaust was a constant fear in the 60’s. But we used most of our days living like kids: playing in the here and now.

Unbeknownst to us, we we’re practicing a form of Mindfulness! Playing in the here and now!

Mindfulness-Based Cognitive Behavior Therapy-For Children

At True North Counseling, we want to help children and teens cope with stress and anxiety. We want to help children and teens get better connected with themselves and with the “here and now.” We do this through Mindfulness-Based Cognitive Behavior Therapy-For Children (MBCBT-C). This is done in a group setting and uses evidence-based strategies to help them cope with stress. We utilize graduate-school students and provide this group treatment at no charge to the children and teens that we see for Individual and Family Therapy. If you would like to utilize this service, call 502-777-7525 to set up an assessment for your child or teen.

If you’re worried that you might be contributing to the increased stress and anxiety of your child, read Elkind’s book.  

 

Friday Waypoints- 12/14/18

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Sometimes you simply need a break. I rarely get sick. Hopefully, it’s because I eat well, exercise, love my family, friends and job, and because I take care of myself. But I was under the weather this past week and I decided to take a day off.

Meaningful Moments- Taking some time off

I really didn’t do a thing. I binge-watched a couple of movie trilogies. Grazed on food throughout the day. I laid around and did nothing.

I felt a little guilt because of my “purpose driven” way of thinking. It’s difficult to disconnect from that.

But I woke up feeling better physically and mentally.  I think that it helped me recover from whatever I had. This is the “body mind connection” that so many have written about. Your body and mind are so closely connected that they catch each other’s diseases. That is a lesson that I continue to learn and apply.

Movie I watched

I am a Veteran. I enjoy watching historical movies about war. I think it’s a “band of Brothers” kind of thing. A friend who enjoys classic movies came over for dinner and he suggested “The Paths of Glory,” starring Kirk Douglas. It was directed by Stanley Kubrick. It’s a movie made in 1957 about WWI.

What I didn’t know about this movie is that it was one of the first anti-war movies made. It was heart wrenching.

Take some time and buy or rent the movie. It won’t change your mind about the senseless nature of most wars, but it will humanize the losses that we experience as a nation and as a people during war.

Lessons from My Clients- Talking Helps

When teenagers and their families come to see me (and other therapists as well) they talk. And they get better. I see it all the time. Things get bottled up and sometimes a teen needs to talk. Talking to me helps and talking to each other helps too. Things can get a little heated during our sessions.

But when family members look at each other and talk and cry, it’s therapeutic.

A 10-year wonderful girl was able to tell her absent father how much he had hurt her by abandoning her. He wasn’t there, but she was able to say the things that she has wanted to say to him. “Daddy, you really hurt me, when you stopped seeing me for no reason.”

She had been blaming herself. We talked. I saw the burden that she was carrying get a little lighter.

Family Hiking Tips

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Why You Should Still Hike in the Fall & Winter

Don’t shy away from hiking with your family during the Fall and Winter months as the positives clearly outweigh the negatives:

  1. NO BUGS!
  2. NO SPIDER WEBS! Those of you that have hiked in the summer months, know the experience of having those yucky spider webs get all over your face…I hate them!!! I’m always glad to let the other hikers hit the trail first and get the spider webs all over their face…but when hiking in the winter, there are no spider webs.
  3. You don’t overheat. A cool morning or afternoon makes hiking in the Fall and Winter more pleasant.
  4. You can see more. The forests change when the leaves fall. I love the view from the ridges of the Jefferson Memorial Forest in the winter.

The Do’s & Don’ts for Family Hiking

Make initial hikes short.  

I recommend 2 miles or less and very little elevation change (see the recommended hike at the end).

Prepare a snack and hot drink.

You want the hike to be fun and rewarding for the kids (and yourself). These can be healthy snacks or not. Chalk it up as a picnic! Plan ahead and purchase a day pack and thermos.

Be positive throughout the hike.

This may be difficult because our children today are very stimulated by electronics. The forest CAN compete but you have to help them shift gears. They will come to love the forest, its sounds, colors, and smells. Help them notice the forest.

Don’t be afraid to be quiet and let the forest teach your children.

Dress Warm.

No one likes to be cold. Pick a sunny Saturday or Sunday with the temperature in the upper 40s or 50s. Any type of sport sneaker will work, and dress with layers so you can shed them if you get warm.

Try This Louisville Hiking Trail First!

The Horine Cemetery Trail, Jefferson Memorial Forest

This is a 2-mile out and back trail, meaning that it is 1 mile out and 1 mile back. There is almost no elevation change, which means a perfect trail for young children.

Directions to the Trailhead Parking lot:

-Take the Gene Snyder Freeway to the New Cut Exit

-Turn Left onto New Cut Road heading toward Fairdale

-Follow New Cut Road for approximately 1.2 miles

-Enter the Roundabout and take the first right onto Mitchell Hill Road

-Follow Mitchell Hill Road for approximately 1 mile

-Turn Left onto Holsclaw Hill Road

-Follow this road up the hill for approximately 1.5 miles

-At the top of the hill take a sharp Right into the Horine Reserve section of the Jefferson Forest

-Follow the road to the parking lot

-Exit your car and walk through the campground gate

-Walk the campground road for approximately .2 miles

You will see the Horine Cemetery sign on the left and a gate just before the porta potty.

This is a beautiful 2-mile hike!

When you get there, let the kids look around while you prepare the snacks and hot chocolate!!

Before going on the hike, you might do a Wikipedia search for the Horine Family and Cemetery. Share the Horine story!

Everything that you see around you once belonged to them.

And now it’s yours.

Friday Waypoints- 11/2/18

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Meaningful Moment- Switchbacks

I took three adolescent boys into the woods to train with backpacks this past weekend. It was therapeutic!!! We stopped on the trail in the Jefferson Memorial Forest and walked through a stream bed. We looked for geodes. It was three young teenagers in the woods, looking for geodes.

I saw the burdens that they were each carrying lifted from their shoulders during that hike. They each carried 20 pounds in their packs; training for the overnight trip in a few weeks.

Somehow the forest, a heavy pack, and camaraderie can take away some of the junk that you carry around each week. I really believe that!!!

Lessons from My Clients- I unplugged

Thank you A.H., a teenager that I’m working with. Really, ‘thank you’ to his mom. Part of our encounter this week included a discussion about electronics and his iPhone. He informed me that Sunday is “electronics free” day. I asked him what he thought about it and he said he loved it!

I have been feeling edgy over the past couple of weeks. It’s election time and there has been a lot of news coverage. I seem to be on my phone browsing during all of my free time (Twitter, Facebook, and other news apps).

I think that sometimes we need to unplug from it all! I deleted those apps from my phone for the month of November. I feel better already!!!!

Book I’m Reading

I’m reading “The Hurried Child,” by David Elkind this week. I read it 25 years ago and he has since updated it. It impacted my life when my sons were in elementary and middle school. “Children need time to grow,” Elkin writes, “to learn, and to develop. To treat them differently from adults is not to discriminate against them but rather to recognize their special estate.” Slow down. I’m writing a review soon.