Tag Archive for: millennials

vaping program

Introducing RAVE: Reduce Adolescent Vaping Education

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Raising Awareness Around Vaping

Vaping, or the act of inhaling a vaporized liquid from an electronic smoking device, is becoming an epidemic across the country. Teenagers are picking up BLU cigarettes, JUULs, and other vaping devices for a multitude of reasons and ending up addicted to nicotine. Whether teenagers are interested because they see their friends vaping, enjoy the flavors, or think it looks cool, it’s detrimental to their health and wellbeing.

There is a common misperception that vaping is safer than smoking because vaporizers do not contain the hundreds of chemicals found in the tobacco leaves and filters of cigarettes. However, research is showing that this is not the case. The vapor is infused with propylene glycol, flavoring chemicals, and nicotine. A person who vapes, just like a person who smokes cigarettes, becomes dependent on the nicotine within the product.

Some vaporizer liquids do not contain nicotine, but most do. In fact, JUUL is the most popular brand of e-cigarettes and 100% of their “pods” contain nicotine. While it is marketed as a smoking cessation device to help adults kick the smelly habit of smoking traditional cigarettes, the marketing is also targeting teenagers. Until they were reprimanded by the FDA, JUUL had a highly engaging presence on Instagram, a social media platform mainly used by teenagers. And still, to this day, the design and packaging of the JUUL is sleek, “sexy”, and appealing to easily influenced teens.

More worrisome than the design and accessibility of the JUUL, and other vapes, is the discreetness of them. Unlike traditional cigarettes that come in a large pack and carry a lasting odor with them after they’re smoked, vapes are discreet in size and omit no odor. This makes it much harder for parents, teachers, and other adults to recognize when their teenager is vaping.

The RAVE Program

According to research reported in the Wall Street Journal, vaping rates among teenagers jumped 75% in 2018. Alarmed by this increase, Mark Neese, principal therapist at True North Counseling in Louisville, KY, has decided to raise awareness around the dangers associated with this behavior by introducing a special program. RAVE: Reduce Adolescent Vaping Education, is a 4 to 6-week program that combines individual, group, and family therapy with education to ensure that parents are able to act as change agents in the lives of their teenagers. Teens enrolled in RAVE will attend 4 weekly group sessions that are facilitated by two certified clinicians. True North Counseling’s certified clinicians include one behavioral specialist and one social worker who will provide up-to-date information about the dangers of vaping and smoking. Each session will feature a strong Mindfulness component as well.

In addition to the four group sessions, a family session will kick off the program and three individual sessions are also included with the goal of enlisting a commitment from the teen to stop vaping. During this process, parents are given strategies for relapse prevention including the use of Nicotine Test Kits. Nicotine can stay in your system for up to three months depending on the frequency of use. When used randomly by parents and guardians, nicotine testing proves effective in deterring teenagers from continuing to vape. Nicotine Test Kits will be provided to the parents or guardians who participate in the RAVE program, so they can test their teenagers as frequently or infrequently as they’d like.

Tips for Parents & Guardians

If you are a parent, guardian, or adult concerned that a teenager you know may be vaping, the first thing to do is talk to them. Ask them if they feel they are dependent on the device or if they feel agitated when they are not doing it. Discuss the risks of vaping including what’s known and not known about the long-term effects. Make sure that they understand vaping is just as bad for them as cigarettes, but with different effects and different results.

If you’ve already talked to them and still suspect that they are vaping, let True North Counseling in Louisville, Kentucky help. With the new RAVE program available at True North Counseling, parents or guardians can work with their teenager and True North Counseling’s certified clinicians to help teens stop vaping. As a team, everyone will come up with a strategy to quit vaping, prevent relapse, and stay mindful of the dangers associated with vaping and the benefits, both short-term and long-term, of not vaping.

To learn more about the dangers of vaping, read our past blogs on teen vaping and vaping facts. True North Counseling’s first RAVE program begins on July 11, 2019. For program costs and enrollment those interested in learning more can contact Henry L. Buckwalter, CSW, an Associate Clinician at True North Counseling, by calling 502-777-7525 today. 

Friday Waypoints- 6/14/19

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What I’m Reading

“Changing Body Composition through Diet and Exercise” by Michael Ormsbee, Ph.D.

I’m actually listening to this book on Audible. I’m on the road a lot and I spend most of this time listening to books. Ormsbee writes, “Improving body composition by losing body fat and optimizing lean is not about vanity –it’s about health.”

This book is not about losing weight. It’s about decreasing the amount of body fat in your body and it’s about insuring that you do not lose muscle mass. I like this approach because I do not want to lose weight. My BMI puts me in the overweight category, but that’s because I work out and exercise regularly. I realized years ago that you begin losing muscle mass as you age and I have worked very hard to maintain and grow muscle. I “preach” to clients, “You need to work at becoming stronger as you age.” Maintaining your lean muscle mass is one way of do this. Ormsbee does a very good job explaining the basics of nutrition and puts the focus on the right things.

What Are You Listening To?

Apple Music is introducing me to new music and helping me stay in touch with my favorites. Just hit the “For You” tab on the app and you get the option of “New Music Mix,” “Favorites Mix,” and “Chill Mix.”

Don’t underestimate the power of music in your life. Recently, I’ve been utilizing the Mindfulness Meditation that encourages you to “Step in the Feeling.” This could include “stepping into the sadness.” Most of us DO NOT like listening to “sad” music, but there can be something therapeutic about purposely sitting during a mindfulness session and “stepping into sadness” while listening to sad music.

Of course, listening to “happy and upbeat” music is important too! I’m listening to some past favorites right now and this music is conjuring up many memories associated with that music. Let music by thy medicine.

Families Want to Get Along

One of the reasons I love what I do is the desire that most families have to get along. They want to end the conflict. They come to me hoping that I can help and many times I can.

Raising teenagers is not easy! Teenagers are under a lot of pressure! Neither Parents not teens want to fight and when I see them years later, they scratch their heads and wonder why there was so much conflict.

This week, I witnessed a wonderful family following the “therapeutic map” that I laid out before them. I saw them all working together. And they left with smiles on their face because they saw something work. It keeps my compass pointed toward “True North.”

Vaping FAQs

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The Next Scourge (a term I never use) of Our Country: Teen Vaping

Leave it to the Tobacco Industry to figure out a way to get more people addicted to nicotine at a time when smoking in this country has been in decline.

Here is their approach: 1) Target teenagers, 2) Make the product very cool (sexy), 3) Make it in as many flavors as possible, and 4) Put nicotine in the product.

The result: Teenagers are increasingly using vape pens (e-cigarettes) and becoming addicted to nicotine and putting themselves at risk of smoking combustible cigarettes.

In case you have no idea what I’m talking about, here are some FAQs (Courtesy of Smoke Free America) about vaping:

Vaping FAQs

What is vaping?

Vaping is the act of inhaling a vaporized liquid from an electronic device. The vapor commonly contains nicotine, flavoring and other additives. It also can contain THC, the chemical in marijuana that makes the user feel “high.”

What are the different vape products?

Popular terms for vaping devices include JUULs, e-cigarettes, e-cigs, smokeless cigarettes, vaporizers, vape, vape pens, vapor pens, mods, tanks, cigalikes, e-hookah and hookah pens. These vary widely in size, shape and design. Some look like computer flash drives or highlighters, while others are bulky and box-like.

What is in a vape juice or e-liquid?

Vape juice, e-liquid, JUULpods – these are all names for the liquid that is vaporized into an aerosol cloud. Vape juice most commonly contains three ingredients: propylene glycol and/or glycerin, chemicals for flavoring, and nicotine. 

The pods for JUULs, the brand name of the most popular vaping device among teens, contains nicotine 100 percent of the time. The amount of nicotine in one JUULpod has the same amount of nicotine in an entire pack of cigarettes. Some vape pods can also contain THC, the chemical in marijuana that makes the user feel “high.” Complicating the issue, vaping doesn’t give off the telltale smell of smoking marijuana or cigarettes.

Is vaping healthier than smoking cigarettes?

Though some may claim vaping is less dangerous than traditional cigarettes, that doesn’t mean that vaping is safe. In other words, “safer” doesn’t mean safe. Studies have shown that the aerosol vapor can contain dangerous toxins, including heavy metals and chemicals known to cause cancer and other diseases. 1

Most vape devices contain nicotine, which is highly addictive. Human brain development continues far longer than was previously realized (until age 25), and nicotine use during adolescence and young adulthood has been associated with lasting brain impairments, including effects on working memory and attention. 2

There are also no standard regulations for vape manufacturers. Even with more than 450 different types of vape products, there are no universal standards for product design, ingredients and safety features. 3

More troubling, some vape products are owned by big tobacco companies, which have a history of prioritizing sales over safety.4

Some teens say they just vape flavors, without nicotine or THC. Is that possible?

While some vapes do not contain nicotine or THC, most do. In fact, 100 percent of JUULs – teens’ top choice for vaping devices – contain nicotine. And each JUUL pod contains the same amount of nicotine as a whole pack of cigarettes. Plus, studies have shown that most vaping products labeled “nicotine free” actually contain nicotine.5 For teens who don’t want to become addicted to nicotine, the safest option is not to vape at all. 

Can teens under age 18 legally vape and buy these products?

Vape devices and paraphernalia cannot legally be sold to or used by anyone under the age of 18. 

How can I tell if or what kids are vaping?

That’s part of the problem – it can be very hard to tell if a teen is vaping. Not only do manufacturers make discreet devices that resemble flash drives, highlighters and more, but they also do not have the same strong odor that is often a giveaway for parents and teachers. Vaping is so discreet, in fact, that students have been known to vape during class.

 

Teenagers and Phones

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One of the most common problems we see in our practice is teenagers spending too much time on their phones. To me, this is a fairly complex problem with a simple solution. The only time your teen needs a phone is when they are not with you, in order to contact you and maintain safety. Past that point, having a phone is a privilege that you as the parent can bestow or withhold.

Before agreeing to give your child a phone, I recommend having a serious and frank discussion about expectations. Putting these expectations in writing is even better! Some things to consider before giving your child a phone:

  • Do they already “push limits”? If so, regulations that you put in place for the phone will probably not be followed.
  • Does your teen understand who the phone belongs to? As minors, they are not able to sign contracts. The phone (and the phone bill) belong to you, the parent. Your teen should never be under the illusion that the phone “belongs” to them.
  • Does your teen understand privacy? As it’s your phone, they have NO EXPECTATION of privacy. There should not be a password on the phone, nor should there be any unauthorized apps or messaging taking place. You have the ability (and responsibility) to monitor all activity taking place on your child’s phone.
  • Does your teen understand that nothing on the internet goes away? Your teen should assume that pictures, videos, and messages will be viewed by their friends, their enemies, their teachers, their future employers, their mom, and their grandparents. Before posting anything, they should assume that everything will be seen by the person whose judgement means the most in the world.

I understand that these expectations and conversations are difficult! But as the adult, you are legally responsible for anything that takes place on your devices. Our principle therapist Mark Neese often talks about the “parental trajectory,” meaning the path that a parent takes to meet their child’s needs from infancy, through childhood, in order to successfully launch them into adulthood and independence. What do you want your parental trajectory to look like?

The Illusion of Instagram

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Virginia Woolf wrote, “It is far harder to kill a phantom than a reality.” So it is with envy of what other people have—or, in the case of social media, what we perceive other people to have. What’s exhibited on Instagram does not always reflect real life, but it’s easy for us all, adults and teens included, to forget that fact.

Whether we realize it or not, we all curate our social media presentations more than the average art exhibition. We present a certain image to the world, whether that’s of “fun loving, free spirit” with festival pics, the “perfect mom” with beautiful family pictures and “candid” shots of kids doing adorable things, or the “happy couple” with hundreds of pictures of canoodling and gazing lovingly into each other’s eyes.

What’s not shown is all the work that goes in to making these lives: the hours spent at work to afford the concert tickets, the organization of family pictures and begging, pleading, and arguing with family members to get them in to the “perfect” outfits, or the work in therapy that it took to get to a place where the couple could comfortably reach out and connect with each other.

What’s also not shown is the illusion of it all. A good friend of mine from a while back had a beautiful Facebook page, filled with pictures of her family, trips she was taking with her husband, and joyful messages of hope and inspiration. Behind the scenes, however, it was a different story: Her marriage was falling apart, she was overwhelmed as a mother, she lost her job, and had returned to destructive habits she’d battled for years. Just because something looks good, doesn’t mean it’s worth envying.

So what do we do with this knowledge? As a social worker, I’m of two minds. One is that we all could be more honest about our struggles. Instead of pretending that everything is perfect when it’s not, connect with people (in real life!) who might be able to make a difference in improving things. The other is that we sometimes need to exercise the option of turning away from our devices to help us with our envy of what (we think) other people have.

Friday Waypoints- 3/29/19

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Spring!!!!

I was counting down the minutes. In my home I surround myself with pictures of trees, leaves, birds, and landscapes, but nothing brightens my spirits like the beginning of Spring. I felt better at 5:58 PM this past Wednesday. “Behold, my friends,” spoke Sitting Bull, “the Spring is come; the earth has gladly received the embraces of the Sun, and we shall soon see the results of their love.”

I think everyone experiences a little Seasonal Affective Disorder during the Winter months. To combat it, I get out and hike, walk and sit in the Sun. I stay busy with work and play. But still, I drag around in late February and early March.

I want to feel the heat of the Sun and take in its rays. We forget that we are solar-powered. Elon Musk has pointed out.

“What most people know but don’t realize they know is that the world is almost entirely solar-powered already. If the sun wasn’t there, we’d be a frozen ice ball at three degrees Kelvin, and the sun powers the entire system of precipitation. The whole ecosystem is solar-powered.”

Spend time this Spring getting energized by the Sun. We’ll get an extra minute or two each day to enjoy.

Moving and the Art of Throwing Things Away

I hate moving and I had to move this past week. I’m sure you hate moving too! But moving presents us with the opportunity to get rid of some of the things that we have collected over the years, things that we do not want or need.

When I move, I usually order a dumpster and I begin throwing things away. Don’t get me wrong, I never get rid of family photos or keepsakes, and I don’t throw away things that other people can use. I load up bags and give them to a charity organization. But somethings need to be thrown away.

Here is the principle that I use: If I haven’t seen it, used it, worn it, or thought about it for the past 5 years (you pick the time frame), I get rid of it.

I get rid of it and feel lighter. I feel better. That’s the Art of Throwing Things Away!

What I’m Reading

I’m reading a couple of books on adolescent sexuality. The first is “Puberty, Sexuality and the Self: Girls and Boys at Adolescence,” by Karin martin. Martin interviewed 55 teenagers to analyze the effects of puberty on sexuality for teens.

The Second book is “Sexuality in Adolescence: Current Trends,” by Susan Moore and Doreen Rosenthal. They look at the current trends and research affecting healthy maturation in teens.  I believe that it’s very important for Therapists and Counselors that work with teens to understand the cultural pressures that they face in their growth as humans and this includes human sexuality. Most of the teens that I see struggle with their sexuality. They need our help!

Friday Waypoints- 02-21-19

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Podcast I’m Listening to

I’ve been a big fan of Sam Harris because of the work he’s done on Mindfulness. He has an app called “Waking Up” and a Podcast entitled, “Making Sense.” This past week the podcast episode #147 was an interview with Stephen Fry. Fry is an English actor, comedian, writer and activist. If you’ve listened to the Harry Potter books, it’s his voice you will hear.

Harris and Fry spend much of this podcast talking about mindfulness and meditation. There are literally thousands of podcasts to listen to while you’re driving.  If you’re looking for a few to follow, consider these:

  • Optimal Health Daily
  • The Daily Meditation Podcast
  • Happiness Podcast
  • Meditate and Move
  • Optimal Living Daily
  • Stoic Meditations

Lessons from My Clients

Most of my practice has been with Teenagers and their families. What I have observed and seen with many of these teens is that life can be a struggle. In fact, it can overwhelm them. Many are experiencing anxiety and mild depression and they can’t seem to shake it. It’s partly due to social media and technology, but it’s mostly due to cultural influences. What I mean by that is the that teens are affected by the things we value and spend our time doing. Teenagers today are under a lot of stress. They struggle with finding meaning in life. Life is getting more and more complicated at home, at school, in the community, and with peers.

What I relearned this past week is that sometimes our teens simply need to talk to someone about their worries and fears. I saw the burden lifted as a wonderful young man simply talked and I listened.

I Lost a Good Friend This Past Week

There are few things that bring things into perspective like losing a lifelong friend. Life really is short. Without going into details, most of my adolescence was coupled with him. I admired him, I never felt judgment from him. We supported each other through our hardships, but these past few years he was in unbearable pain.

I am sad for many reasons. This is a great loss for many people. He was an intelligent man and for many years, was full of life. I will miss him.

And as we do with many of our losses, we live with them. I will live with this loss.  I will live. “Life is to be lived,” as the saying goes. And it is short and fragile. Remembering that, and remembering my dear friend’s life, will hopefully inspire me as it did when he was alive.

 

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.  

 

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.

Parenting a Teenager

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I interviewed Kim Francia, BCBA this past week. She is a Behavior Analyst on our staff. She has close to 10 years of experience working with families and behavior problems. And she is a parent of teenagers.

I asked her to share some strategies for parenting a teenager. We came up with these principles:

1. Make sure you’re in charge when they’re children! This means being consistent. ‘No’ means no. If you ask them to do something, they don’t get away with NOT doing it. This means rewarding good behaviors and punishing bad behaviors. Remember:

All children need to learn two things:

They don’t get what they want all the time.

They have to do some things that they don’t want to do.

2. Transition away from a punishment-based parenting style to a privileges-based parenting style. Think about what you wanted when you were a teenager. PRIVILEGES. You wanted a permit, you wanted to stay out later, to go to concerts and places by yourself, to choose your own friends, and the power to decide if you attended a family outing or not.

The one thing that I have learned, and Kim agreed, was that you cannot punish teenagers into growing up!

3. A Privileges-Base Strategy says, “If you want to be treated like a 16-year old (privileges) then you have to act like a 16-year old (mature behaviors). These might include:

Get yourself up every morning.

Passing all of your classes in school.

Taking care of your hygiene on a daily basis.

Managing your emotions.

Working.

And most important:

Being were you say you’re going to be!

4. This one’s simple: let the “School of hard Knocks” kick in! If they don’t want to work, get used to being poor. If they want a permit, the state has academic requirements.

5. Lastly, Kim and I both agree that you must preserve your relationship with your teen. Parenting a teen can take its toll on the relationship. If you remain upset with them for days on end, then rethink the strategy that your using. We’ve seen parent and teens that, simply put, cannot stand each other, never talk and can’t wait to live separately. It doesn’t have to be that way.

You absolutely need to keep taking!

6. Finally (again), before things get really bad, bring yourself and your teen in for some family therapy. True North Counseling specializes in working with teens and their parents. Honestly, it’s the most fun that I have; helping parents help their teens grow up!