Saturday, October 22, 2016

Why Teenagers Bully and Act Out

October is dedicated to preventing bullying and domestic violence. However, as a psychotherapist who treats teenagers these two issues are related to a number of other teen issues.  They are related to teenage suicide, cutting (self-mutilating), drug use and early sexual behavior. These are a few of the teenage issues that have a common cause that result in bullying or domestic violence in teenagers who are dating.

I have been working with teenagers for over 19 years. In those years I have seen many teenagers for many different reasons.  However, when the teenager tells me why they are doing what they are doing, I often hear very similar answers for a number of different issues. It sounds odd and surprising, but when you look at it from the teenager's point of view it makes sense.

What I have heard very often over the last 19 years is that the teenagers who are bullying, cutting, depressed, using drugs or having sex, do not feel loved by their families.  In fact, they feel no one cares about them and no one cares how they feel or what they do.  Therefore, they act out. They have decided negative attention is better than no attention.  So if they are bullying someone, coming home high, threatening suicide or having sex, they will get attention for their negative behavior.

Furthermore, teens are now forming friendships with other teens who bully, use drugs, are suicidal or sexually active.  This common bond makes them feel someone else understands and cares about them.  This is how gangs form and pressure members to do things they usually would not do.  The teenager feels they have a family and people who care about them.  They are so desperate for love that they will do anything to stay as a gang member.  They will do anything to avoid that lonely, empty feeling.

This really should not be surprising.  We have seen and heard about this is in the popular media for years.  The Disney movie, Frozen, mentions that people make poor choices and mistakes if they do not feel loved.  The movies, The Breakfast Club & Good Will Hunting, both demonstrate the point of teens acting out and doing anything for friends so they feel loved.  The play, West Side Story, is another good example.  Also in her last show Oprah said that one thing she had learned is that everyone wants to know, "am I important to you, do you hear me, do you see me?."  The teenagers that I have worked with all tell me the same thing.  Also it is amazing that when they test me enough and they see that I do care how they are willing to try to change.

The problem is that with society today everyone is concentrating on their own lives and they have little time to acknowledge the people around them. Parents are having to work two to three jobs to support their families.  Parents assume that their teenagers will see how hard they are working and know their parents are working that hard because they love them.  However, teenagers' brains are not fully developed yet so their reasoning skills are not like an adult's reasoning.  Teenagers need to hear, I love you, from their parents and need one on one time with their parents.

Parents cannot be the only people letting teenagers know that they are important.  We are asking too much of parents to be the only ones. Teachers need to show they care by staying after school to help teens who have questions or are confused or need to talk. We need to look at the movies, television and music that teenagers are listening to.  Also we need to look at society.  Society gives a message of looking at for number one. There are not a lot of role models encouraging teens to accept one another as they are and to support each other.  Just look at the election this year and how minorities and women were insulted.
What is the answer?  We need to change our priorities and tell our teenagers and children that we love them and care about them.  Schools need to bring in programs such as Challenge Day which teach teenagers to accept each other and care for each other.  We need to encourage our teenagers to follow the Harlem Globetrotter's program.  They refer to it as the ABC program. A is for being assertive, B is for being brave and C is for compassion.  In other words, when you see someone being a bully or harassing someone, speak up and say it is wrong, report it and show the victim some compassion.  If every time a teenager notices that someone in their class seems down and they ask the person if they are alright we can make a big change in these negative behaviors such as suicide, bullying and drug use.  Also if parents ask their teenager how they are doing without judgement or fear of punishment we could change a lot of these negative statistics.  Think about it, why would a teenager say yes I have been using drugs or cutting if they are afraid of getting into trouble?

Summing it up, if we are going to solve issues such as bullying, domestic violence, suicide and cutting to name a few, we need to all work together. We need to let people know that we care and show it.  We also need to be brave enough and assertive and speak up when we notice someone being bullied or report when we have noticed someone vandalizing someone's property.  We need to provide teenagers with positive role models and insist that our schools use programs such as Challenge Day and Alive & Free.  We all need to work together and speak up about things that are wrong if we want things to change.

Dr. Michael Rubino is a psychotherapist in private practice with over 19 years experience working with teenagers and children. He is considered an expert in the treatment of teens and children. For more information regarding his work or private practice visit his website www.rcs-ca.com or visit his Facebook page at www.facebook.com/drrubino3.

Monday, October 17, 2016

Issues related to bullying

Since October is dedicated to stop bullying, I thought this article would be appropriate. If we are going to stop this problem we need to understand the bully and the other children who are not being bullied must stand up to the bully.
We all have heard about kids being bullied at school and about the anti-bullying programs being developed to stop bullying. However, do we really know how severe the problem is? Research shows that 1 in 4 children are bullied at school. It also shows that children who are bullied are more likely to do poorly in school, are more likely to become depressed or suicidal, more likely to develop eating disorders and tend not to tell anyone (CDC). The statistics also indicate that children who are teased in school are more likely to develop emotional problems as an adult (CDC). One surprising statistic is that if another student intervenes while someone is being teased the bullying is likely to end by 51% (CDC).
While we know bullying effects the student being teased, there are interesting statistics about bullies. Students who bully are more likely to have emotional problems and school problems too (CDC). The research also shows that students who bully are also more likely to become depressed, suicidal or be involved with violent acts as an adult (CDC). As we can see the person being bullied and the person bullying are both at higher risk for significant problems as a child and as an adult. Therefore, it makes sense that we do stop bullying in childhood as soon as it starts.
One statistic I would like to go back to is 51% of bullying tends to stop if another student intervenes. However, this does not happen often. I hear many of the children I work with who are bullied tell me that no one ever helps them. They say that none of their friends or other students get involved. They tell me the other kids look the other way and ignore it. These children also tell me that they often receive little assistance from their teachers. They say that if they say something to the teacher often the teacher often ignores what the student reported or blames both students for the problem which provides no help.
This is what I hear from the children who decide to tell someone. Most children I work with decide not to tell anyone. They are afraid of people thinking they are weak, “a cry baby”, things getting worse and letting their parents down. They feel their parents will think they should know how to handle the situation and if they don’t they will disappoint their parents. This helps no one and it only helps to perpetuate stereotypes such as all boys and men need to be big and strong physically and fight to prove their manhood. This type of thinking hurts boys and it hurts girls too who have to grow up with boys who act on this stereotype. Often girls become the victims of the stereotype such as date rape.
There is another issue involved in the bullying situation. It is called the Bystander Effect. It was first widely described when we were focusing on “road rage,” where people felt the permission to be rude or felt no responsibility to get involved in a situation they witnessed. With “road rage,” since the person’s identity was protected by their car they felt safe swearing at people or running the person off the road. In the other situation, people felt like no one could positively identify them it was alright not to speak up when they witnessed someone hurting someone or committing a crime in public.
We have part of this happening in schools. Students feel that since no one else is saying anything it is okay for them not to say anything. After all no one else is getting in trouble for not saying anything so how could they get in trouble, therefore it’s better to say nothing.
The other factor fueling this lack of students speaking up against bullies is the “typical male stereotype.” According to this stereotype if you speak up and tell a teacher you are a “tattle tale” and you might get beat up. Another part of the stereotype is if you speak up then you just made yourself the same as the kid being teased so you will be teased. Students who are being teased are usually viewed as the “weird kid” and no one wants to be labeled the “weird kid” so most kids will say nothing about another student who is being teased.
Think back to when you were in school. There was that one kid who was labeled “weird” and teased, but did you say anything? Most likely not. You did not want to be associated with the “weird kid” and risk getting teased, getting beat up or losing friends. So instead of saying anything, you did what most other kids did, you said and did nothing. All this did was help keep the male stereotype alive and allowing bullying to continue.
Therefore, in my opinion if we want to eliminate bullying, we need to start working with are children. We need to teach boys and girls that this old “male stereotype” is wrong and to ignore it. We need to teach our children if you notice or are aware of someone doing something to hurt someone else or someone else’s property, they have an obligation to speak up and if you don’t you are as guilty as the person who did it. You need to explain that they are just as guilty because by not saying anything you are allowing the bullying to happen and continue. Some parents may say I am going to far, but if you are aware of a crime such as an assault and saying nothing, you can be charged as an a compliance. By not saying anything, you allowed a crime to occur and you can be punished. Therefore it’s good to teach our children this lesson early.
As I started this article out with various statistics about bullying, it is obvious bullying is very serious. It is something that we need to address and to address it and help everyone, we need to work together.
Dr. Michael Rubino specializes as a psychotherapist for children and teenagers with over 19 years experience. For more information about Dr. Michael Rubino’s work or his private practice visit his website at http://www.rcs-ca.com or on Twitter at @RubinoTherapy

Tuesday, October 11, 2016

Teenagers are Children in Adult Bodies

Parents there is something you can do that can make your life as a parent much easier. You can remember that your children are children not little adults.  Many parents expect their children and teenagers to be able to function as little adults. When they don't, parents often get mad and then we have an argument.

Remember when a baby is born their brain is still placid.  What this means is their brains are still developing. Just like the "soft spot" in a baby's skull.  When they are born all of the bones in a baby's skull have not grown together.  They are still developing.

This placidly is there usually until a child is around 18 years old.  If any of your children have had a head injury around age 9 or 12 and the physician tells you their body can compensate, this is what they are referring to.  Since their neurological system is not completely developed, if there is an injury, their neurological system can find away to bypass the injury.

This is a wonderful thing for children considering how often they are injured.  However, there is a cost to this developing neurological symptom.  Children's frontal and prefrontal cortex do not fully develop until the age of 18.

What does this mean to you as a parent?  It means that you cannot expect your child to reason as an adult would reason.  Children and teens typically have concrete reasoning skills until their brain is fully developed.  When the brain is fully developed then they have abstract reasoning and can think a head about consequences.  Until such time their ability to do so is limited. This makes teenagers more vulnerable to peer pressure or making impulsive decisions which can result in trouble for the teenagers that they never expected.

If parents will remember this fact and adjust to it, you can decrease your stress.  This is why I recommend contracts and agreements.  They reduce the need for a child or teen to have to do abstract thinking right on the spot.  When you make agreements and contracts with your teen you assist them with and model abstract reasoning.  You also increase the likelihood that they will make a good choice versus a poor choice.

Also if you remember the limitations your child is dealing with, if they make a mistake you can respond in a more appropriate manner. If you expect them to reason like an adult and they make a mistake, you are going to be more stern in your reaction.  If you remember that they cannot handle abstract reasoning yet, your response and consequence you set will be more appropriate.  Also your teen will learn more.

Remember, we are always telling kids you will have to wait until you are an adult.  Therefore, when they make a mistake even if they are 15, we need to remember they are not an adult yet and respond in that manner.

Dr. Michael Rubino specializes in treating children and teenagers.  He has over 19 years experience working with teens. For more information about Dr. Michael Rubino or his private practice visit his website at www.rcs-ca.com or Facebook page at www.facebook.com/drrubino3.

Thursday, October 6, 2016

Concussions Happen to Girls Too

School has started again and teenagers and high schools are back playing sports such as football, baseball, basketball etc.  There is a concern about players getting concussions with the recent research findings.  We have even seen professional athletes give up their careers after a concussion.  The long term effects of concussions can be quite serious.  Mohammed Ali is the best example of how multiple concussions can impact someone.

Typically, when we think about concussions we think about boys who play football.  However, this does not give an accurate picture of the issue of teenagers and concussions.  Girls are at risk too.  Girls can suffer concussions from gymnastics, cheerleading and other activities.  Even on the television show, Dancing with the Stars, we see how someone can get a concussion from dancing.  Basically, any activity where you can hit your head can result in a concussion.  Also research is showing it is not just boys who suffer concussions, girls do too.

The other facts that are coming out in the research is that a single concussion can have long term effects.  A concussion can cause severe headaches, difficult concentrating, memory problems and mood swings just to name a few symptoms.  These symptoms can last a month or several years. There is no way to determine how long these symptoms will persist.

I see this often in my office with teenagers I see for psychotherapy.  They are suffering from Post Concussion Syndrome.  This is very scary and frustrating for teenagers and their parents.  The teenager gets frustrated because they can do their homework like they could before the concussion and they don't know if these symptoms will last a month or forever.  This is a very scary situation to be in for anyone.  All I can do is help them manage their anxiety and learn how to adjust to the symptoms.  This helps slightly but it doesn't give the teen the result they really want.  They want the symptoms to disappear.

Another frustrating issue teenagers face due to the symptoms they have after a concussion is they may need to take a brake from school or they may need an Individualized Educational Plan (IEP) to help them cope with their symptoms.  For more information about IEPs visit www.lucascenter.org.

Since we are getting more and more information on concussions and head traumas, parents need to pay attention to news reports or search online for the most recent studies regarding concussions.  In the mean time, parents use your best judgement. Demand that your teenager's high school has all the latest equipment to protect your teenager from a head injury.  Also training how to protect their heads and avoid head injuries should be part of their practice whether they are playing football or cheerleading.  Finally, if your child hits there head, play it safe and have a physician evaluate them.  We are learning that there are minor symptoms that may indicate a concussion. A person does not always have to black out or be confused after hitting their head.  Yes these are symptoms, but there are many more that we are becoming aware of and physicians can look for.

I have included a link to a video where a cheerleader discusses her experience with concussions.  Please watch it because it demonstrates my points that girls suffer concussions too, Post Concussion Syndrome can last a long time and often symptoms are minor.  Also with Post  Concussion Syndrome many teenagers do benefit from therapy.  The Syndrome often creates depression and anxiety.  So overall, parents use your best judgement and if you are concerned have your child evaluated.  Here is the link to the video   http://linkis.com/abcnews.go.com/GMA/v/z4VRe.

Dr. Michael Rubino has over 19 years experience working with children and teenagers. He is considered an expert in the treatment of children and teens.  For more information regarding Dr. Rubino's work or private practice visit his website at www.rcs-ca.com or his Facebook page at www.facebook.com/drrubino3

Thursday, September 29, 2016

Will Divorce Hurt My Child?

Does Divorce Hurt Children for Life?

by Dr. Michael Rubino | Rubino Counseling Services | Pleasant Hill, CA 
Michael reassures parents that divorce won't scar their children for life. 
Parents often tell me their kids are "doing fine" with their divorce when the truth is, they aren't. The fact that the children have no say in what happens plus anxiety over custody issues takes its toll. Consequently, parents often tell me they've decided to wait for their children to graduate high school before they divorce. The belief is that divorce hurts children for life. In my overall experience, it's how parents act prior to or after the divorce that causes these issues. 
As a psychotherapist working with children whose parents are divorcing, the most common scenario is that children are put in the middle. The parents have made them feel that they must choose between Mom and Dad, a choice no child can make. This type of environment will have a negative effect on the child as they grow up and when they are adults. Children embroiled in the battles of divorce become fearful of relationships. The fear stems from the belief that they are doomed to become their parents, and that a healthy relationship is impossible. The child associates relationships with emotional pain. As a result, they may avoid all relationships or have brief superficial ones due to their fear of commitment. 
If a marriage or a relationship is irreparable and if the parents can decide to end the marriage in a healthy adult manner, there should be no long-term effects on the children. A healthy adult manner means being civil to one another, and not using the children as weapons. Your marital relationship with your spouse can end, but your co-parenting relationship requires continual development, nurturing and support forever.
Dr. Michael Rubino has over 18 years experience working with teenagers and high conflict divorces. For more information about Dr. Rubino's work or private practice, visit his websites www.rcs-ca.com and www.drmichaelrubino.com, or follow him on Twitter at Twitter.com/RubinoTherapy. 

Sunday, September 25, 2016

Making Decisions During A Divorce

MAKING  DECISIONS DURING A DIVORCE

BY DR. MICHAEL RUBINO


As a psychotherapist who specializes in treating children and teenagers, I have worked on many high conflict divorces.  I have been the therapist for the children, an Expert Witness regarding custody, worked as part of the mediation team and served as a 730 Court Appointed Expert regarding custody and visitation.  In the various roles I have had in high conflict divorce cases and also the average divorce cases, there is a common issue I have encountered.  The issue I have encounter is making decisions.  Many times I have seen divorce cases become vicious because one parent is reluctant about making a decision.  They feel they have made too many concessions already or they feel they will look weak.  So in other words the decision now becomes a matter of pride and not what is in everyone's best interest.

Divorces are very emotional and hurtful experiences for both partners.  They are also very hurtful and emotional experiences for the children.  The children feel like they are in the middle of a civil war and that they need to pick a side.  This is usually an impossible task for a child.  They have to decide who the love more, mom or dad, how does a child make this choice?  Parents often get so caught up in the fight that they do not see what they are doing to their children.  I have had children tell me they wish this whole divorce stuff would go away because they cannot stand it.  They cannot choose between their mother or father.  They are also afraid of what will happen if they make a choice or if they do not make a choice.  They feel they are in a no win situation.

I usually meet with the parents to tell them how their child is handling the divorce.  Very often the first half an hour to 45 minutes I hear from the parent how unfair this whole divorce has been and how much it has cost them and they are running out of money.  Mothers have their reasons about how unfair Courts and attorneys are to mothers and fathers also complain that the Court and attorneys are unfair to fathers.  They also talk about a particular decision that is being made at that point.  Such as what school the children will go to or how holidays will be divided.

Typically at this point both parents feel they have had to give in a lot and they are not going to give in anymore.  All this attitude does is create more attorney bills and put the children under a great deal of stress.  By this point in the divorce process many children are having difficulties with their school work, their parents and teenagers often have started to use alcohol or pot for a temporary escape from the stress.  Younger children usually start reporting stomach aches and headaches and often have started to wet their beds at night again.  These are all common reactions for younger children under stress.

When I do meet with the parents, I encourage them to take a step back and look at the entire situation.  What is the divorce costing them financially, emotionally?  Also what is the divorce costing their children emotionally in the short term and long term?  I ask them is the price worth the fight?  They are possibly doing damage to their relationship with their children and they are effecting how their children will view and think about relationships.  Also they are damaging their relationship with the other parent.  After the divorce is finalized, the other parent is not going to disappear.  They have children together.  Therefore, they are going to need to co-parent together.  With all the bad blood being created, it may make it very difficult to co-parent together so the arguing and attorney bills will continue. However, the most important point is the children will still be caught in the middle.  This will create emotional damage for the children.  They can understand the arguing during the divorce, but not after.  At that point, the children expect their parents to act like adults.

Trying to help the children, I encourage the parents to put their egos away and what ever one is telling them that they deserve.  I encourage the parents to use their emotions and imagine how their children are feeling and how their children will feel the longer that the fighting continues.  I recommend to parents that they need to put their children first and make the decision that is best for their children not their ego.  They may win this battle, but is it worth losing the war.  They lose the war by the emotional turmoil they are creating for their children.  We also know from research studies that putting children under this type of stress can have long lasting effects.

Therefore, I point out it is more important to do what is best for the children.  It might be hard right now, but in the long run their children will be happier and so will they.  Therefore, my recommendation when making decisions regarding child support, visitation or anything to do with the children is to put pride to the side and do what is in your children's best interest.  It is your responsibility as a parent.  Also remember you are ending your marriage, but you still need to co-parent with the person you are divorcing.  Again as a responsible parent, you need to make the decision that will allow you to co-parent.

One issue that I have not explicitly stated.  The approach I am discussing are for divorces where a spouse had an affair or is tired of being married etc.  I am not discussing a marriage where there was domestic violence, child abuse physically or emotionally or severe substance abuse by one parent.  If any of these issues exist then it is a different matter and requires a different approach.

Dr. Michael Rubino has worked with children, teenagers and divorce cases for over 19 years.  For more information regarding Dr. Rubino visit his website at www.rcs-ca.com or follow him on Twitter @RubinoTherapy.

Thursday, September 22, 2016

Understanding the Issue of Bullying

It is back to school time and many kids are really excited about their new teacher and being able to see and play with their friends on a daily basis.  However, some kids are not as excited and even worried about returning to school.  Many of these kids were bullied last year and they are afraid of being bullied again this year.

Often when a child is being bullied they do not say anything to their parents until the bullying is really bad. They are afraid, especially boys, that you will see them as weak.  They are also afraid that you will be disappointed in them for not defending themselves.  Parents you have not said anything or done anything to create this feeling in your child. It is how our society is today. Children, especially boys, receive messages from television, music, video games about being strong and defending yourself.  This is what the documentary "The Mask You Live In", is trying to address, but that is a different topic.

It is very important to take bullying very seriously these days.  It is no longer just one kid calling another kid names.  The bullying today occurs at school and may include threats of being killed and it goes beyond school.  Now bullies can continue their bullying via text messages, emails, Facebook, Twitter, Instagram and Snapchat.  So the bullying becomes non-stop.  It can really make someone feel worthless and that they be better off dead. We have an example of this from the 13 year old boy who recently committed suicide because he could not tolerate the bullying.  He is not the first child to commit suicide due to bullying.  Other kids are turning to drugs and alcohol and we are seeing a number of accidental overdosages resulting in death.  We assume they were accidents, they could be suicides staged to look like accidents.

Bullying is not just an elementary school issue. It occurs in High School and College too. Remember a few years back a college student committed suicide because his roommate secretly filmed him in his dorm room with another guy having sex. When the tape was posted, the boy was so ashamed because he had not made it publicly known that he was gay. He did not know what to do and ended up committing suicide.

As the rates for bullying, suicide and drug use increase with kids in middle school and now beginning in Elementary school, we must take this issue seriously.  I saw it has entered Elementary schools because the third leading cause of death for 10 year old children is suicide according to the CDC statistics.

What should a parent do?  One thing is parents should watch for the following warning signs that your child is a victim of a bully:

Avoiding activities they used to enjoy
Loss of friends or avoiding social situations
Problems sleeping
Complaining of stomachaches or headaches
Loss of appetite
Declining grades
Missing or damaged clothing or belongings
Self-destructive behaviors like running away from home

If you notice any of these or just have a sense something is wrong then talk to your child.  However, when you talk to your child reassure them they did nothing wrong, there is nothing wrong with them and you are not upset or disappointed with them.  Try to develop a game plan of how you are going to deal with it together and ask how you can be supportive.  Also ask your child to promise you if they feel really sad like they want to hurt themselves that they will talk to you before they do anything.  You may think this is ridiculous, but I use a no suicide contract with many children that I work with and they honor it.  The contract lets them you know that you care about them.

The other thing you can do as a parent is go to your child's school the first day of classes or a few days before and ask what is the school's policy on bullying.  You can also ask how the school watches for bullying, how is the policy enforced and what is being done to prevent bullying.  You may ask the school or volunteer to contact a group such as Challenge Day.  This is an international organization that addresses bullying and they are located in Concord.  I have seen their work and it is fantastic and kids love it.

Another thing you can do as a parent is start talking to your child about bullying before school starts.  This gives you a chance to let them know it's not their fault and to develop a plan of action if it does occur.  You should also discuss drugs and alcohol at the same time. I work with kids all day long and at times I am still shocked at how young kids are when they are starting to get involved with drugs and alcohol.

Keeping an open line of communication with your child is very important if you want them to come to you.  Research still indicates that children are more likely to turn to their friends when they have a problem.  This is good that they have this emotional support, but their friends don't have the answers or solutions that they need.  Remember it is best to speak to your child when you are in a calm environment and no one else, such as brothers or sisters, are around.  Also remember the word HALT.  It stands for:

Hungry
Angry
Lonely
Tired

If you sense your child is experiencing any of these feelings it is not a good time to talk.  When you talk with your child you want it to be productive and for your child to feel like they are not being judged.  Therefore, sometimes it is better to put off a conversation so you don't end up in an argument. This is more likely to close the line of communication with your child.

I have mentioned several times that being bullied is not their fault.  What I have seen from working with children who are bullies, abusive men and reviewing the research is that bullies really have very low self-esteem.  In fact many times they lack a sense of themselves.  The only way the feel important or alive is by putting someone else down.  They do this because they are afraid the other kids might be able to figure out how lousy they feel about themselves.  It is often said the best defense is a good offense.  By acting like the big guy on campus that other people will see them as the big guy and they are able to keep their secret.  Kids usually do this because it was done to them too.

Therefore, we need to remember the bully is usually a kid who has been abused too and is crying out for help.  If we are going to stop the problem of bullying we need programs to help the bullies too.  They are only repeating what they have been taught.

Dr. Michael Rubino specializes in working with children and teenagers. He has over 19 years experience working with children and teens especially those who are victims of trauma.  For more information about Dr. Rubino's work or private practice visit his website at www.rcs-ca.com or his Facebook page at Facebook.com/drrubino3.