Sue Scheff: Teen Help and ADHD

Source: ADDitude Magazine

How can parents best help their ADHD teens? Sometimes, stepping back to allow for some independence (and mistakes) is more important than enforcing discipline and structure on young adults with attention deficit.

I saw Donny for an ADHD evaluation shortly after his eleventh birthday. Like many parents, his mother, Christine, reacted to diagnosis of her adolescent son with mixed feelings: sadness that he was not perfect and that the attention deficit disorder (ADD ADHD) wouldn’t go away - and concern about the implications for Donny’s future.

She hoped that the treatment plan we devised - a combination of academic accommodations, therapy, and ADHD medication - would improve their day-to-day lives. Mostly, she was determined to do whatever was necessary to help her son.

Christine became the boy’s champion, protector, and advocate - getting him the ADHD teen help he needed.

She coordinated with Donny’s teachers, school counselors, soccer coaches, piano teachers, and the parents of his friends to make sure that they understood his needs and treated him fairly. She attended IEP meetings and helped shape his academic plan. Morning, homework, and bedtime routines were established to structure life at home.

The bottom line? Donny thrived.

Changes for the worse

I saw the family again almost four years later. Sad to say, their life had taken a turn for the worse. Donny was and ADHD teen experiencing many of the same problems he had in the past: He was angry and defiant at home; he procrastinated about homework and became disorganized in the classroom. Finally, Donny began to rebel against taking his medication and going for after-school academic support sessions.

The old disciplinary standbys of grounding Donny and taking away his privileges had little effect on his behavior. Christine expressed worry about his choice of friends, and urged him to find more responsible buddies. Donny withdrew from family life and spent more time in his room or with his friends.

Christine was the same motivated mother, but the parenting approach that had worked so well before was now exacerbating Donny’s behavior. What happened, she wondered? And where could she find ADHD teen help.

For one thing, Donny wasn’t the same youngster at 15 that he had been at 11. His perceptions, expectations, and needs had, in some cases, changed drastically. To hear Donny describe things, his caring and dedicated mother had somehow become a controlling, demanding parent. She nagged him constantly, about “everything.” Why couldn’t she get a life and get off his back?

Trying too hard

I told Christine that she was trying too hard. The take-charge, proactive parenting that used to work was now smothering Donny. He didn’t want to be taken care of; he wanted to be independent and mature. He was embarrassed when his mother checked with his teachers about his academic work. The routines set up at home now felt like a straitjacket to Donny.

He perceived many of the family rules as attempts to limit his freedom. He hated taking medication. Donny was sick and tired of his AD/HD! He wanted to be like other kids his age.

Christine began to realize how Donny had outgrown many of the old strategies to manage his AD/HD, and her attitude started to change. She had run interference for her son for three years, but now he resented the interventions. She felt frustrated and guilty over Donny’s struggles and concluded that she wasn’t doing enough to help him.

In a nutshell, Donny wanted to grow up, but his loving mother - of all people - was standing in his way. It frustrated both of them. Christine needed a plan to find the right balance in mothering her AD/HD son. Here is the 10-step plan I devised to help her:

1. MAINTAIN REALISTIC GOALS. AD/HD cannot be “cured” because there is nothing to cure; it’s not an illness or a disease. A realistic goal is to help your child manage it well by providing strategies and interventions helpful to that particular child. Even with ideal interventions in place (a great IEP, therapeutic and tutoring help, the right medication at the right dosage), most children will continue to struggle at times. Expecting too much from your child, or from yourself as a parent, isn’t fair to either of you.

Perspective: Everyone slips up occasionally - kids with AD/HD and those without it. Sometimes the school paper is put off until the night before it’s due, and sometimes the garbage doesn’t get taken out. Look at the implications of a given act. If there are none, ask yourself, “What am I getting so upset about?”

2. MINIMIZE THE GUILT AND FEAR.AD/HD is a biological condition that, in most cases, is genetically transmitted. It’s no one’s fault. Parents aren’t guilty of “giving” their child AD/HD any more than they are guilty of giving their child life. Feeling guilty or worrying excessively leads to trying to do too much. Take a breath, relax, and remind yourself that your child isn’t doomed to a life of failure.

Perspective: Recall the baby and giant steps your child has taken since the original diagnosis. Ask yourself honestly: Hasn’t your child made more progress than you thought he would after first being told he had AD/HD? Pat yourself and your child on the back for how far you’ve come and how far you will go.

Read entire article here: http://www.additudemag.com/adhd/article/720.html

Sue Scheff: Teen Intervention - Residential Treatment - Teen Help

Are a parent dealing with a defiant, belligerent at risk teenager and you are at your wit’s end - It may be time to think about intervention. It is out of love that we seek to give our teens a second opportunity in life. If it is obvious they are escalating in a downward path, as a parent, it is our responsibility to find help. Whether it is seeking local therapy or support groups, or taking the major step of residential boarding schools - be a proactive parent.

If you are debating residential therapy for your teen, learn more about this extremely daunting and confusing industry.

Yes, you need to get help - but educate yourself first.

Learn more about Wit’s End at http://www.witsendbook.com/ and author Sue Scheff at http://www.suescheff.com/ -the response has been overwhelming!

If you are struggling with your teen today - pick up Wit’s End and learn more!

For a quick read, check out http://www.aparentstruestory.com/ - the foundation of Wit’s End!

Sue Scheff: Prescription Drug Abuse on the Rise

Source: Connect with Kids


“I was a bum, I had slept outside, I mean all the stuff that you hear … and I always pictured a drug addict to be somebody that sleeps under a bridge … and it happened before I even knew it.”

– Andrew Theriot, 21 years old

Andrew Theriot first tried the prescription painkiller OxyContin when he was 17. Within a month, he turned into someone nobody liked. Andrew says, “My friends, nobody trusted me. My family pretty much told me to get out after a long period of time … I would steal things.”

Experts say OxyContin gives an instant feeling of euphoria. Sue Rusche, President of the anti-drug group National Families in Action, says, “I think we have to be honest about drugs. I think we have to tell kids that the reason people use drugs is that drugs make you feel great … at first. And you gotta have that ‘at first’ part.”

Next comes addiction. Andrew spent every minute looking for drugs. He says, “I would wake up every day and I would just be miserable. And the only thing I would look forward to that day would be getting high.”

Addiction brought misery, and so did withdrawal when Andrew was in rehab. He says, “You get sick, you get the cold sweats, throwing up, stomach problems, you can’t eat. I mean I was down to 125 pounds.”

Andrew is now in college. He’s been drug free for two years, and has some advice to parents. “I mean, don’t be enablers. Don’t bail them out of jail. Don’t pay their fines. Don’t give them money. You know, if they want money, get a job. Don’t be the cause of them killing themselves.”

Tips for Parents

OxyContin is a controlled-release pain reliever that can drive away pain for up to 12 hours when used properly. When used improperly, however, OxyContin is a highly addictive opioid closely related to morphine. As individuals abuse the drug, the effects lessen over time, leading to higher dosage use.

Consider the following:

The supply of OxyContin is soaring. Sales of OxyContin, first marketed in 1996, hit $1.2 billion in 2003.

The FDA reports that OxyContin may have played a role in 464 deaths across the country in 2000 to 2001.

In 2000, 43 percent of those who ended up in hospital emergency rooms from drug overdoses – nearly 500,000 people – were there because of misusing or abusing prescription drugs.

In seven cities in 2000 (Atlanta, Chicago, Los Angeles, Miami, New York, Seattle, and Washington, D.C.) 626 people died from overdose of painkillers and tranquilizers. By 2001, such deaths had increased in Miami and Chicago by 20 percent.

From 1998 to 2000, the number of people entering an emergency room because of misusing or abusing oxycodone (OxyContin) rose 108 percent. The rates are intensifying … from mid-2000 to mid-2001, oxycodone went up in emergency room visits 44 percent.

OxyContin is typically abused in one of three ways …

By removing the outer coating and chewing the tablet.

By dissolving the tablet in water and injecting the fluid intravenously.

By crushing the tablet and snorting the powder.

Because the U.S. Food and Drug Administration puts its seal of approval on prescription drugs, many teens mistakenly believe that using these drugs – even if they are not prescribed to them – is safe. However, this practice can, in fact, lead to addiction and severe side effects. How can you determine if your teen is abusing drugs? The American Academy of Child & Adolescent

Psychiatry suggests looking for the following warning signs and symptoms in your teen:

Physical: Fatigue, repeated health complaints, red and glazed eyes and a lasting cough

Emotional: Personality change, sudden mood changes, irritability, irresponsible behavior, low
self-esteem, poor judgment, depression and a general lack of interest

Familial: Starting arguments, breaking rules or withdrawing from the family

School-related: Decreased interest, negative attitude, drop in grades, many absences, truancy and discipline problems

Social: having new friends who are less interested in standard home and school activities, problems with the law, and changes to less conventional styles in dress and music

If you believe your teen has a problem with drug abuse, you can take several steps to get the help he or she needs. The American Academy of Family Physicians suggests contacting your health-care provider so that he or she can perform an adequate medical evaluation in order to match the right treatment or intervention program with your teen. You can also contact a support group in your community dedicated to helping families coping with addiction.

Substance abuse can be an overwhelming issue with which to deal, but it doesn’t have to be. The Partnership for a Drug-Free America offers the following strategies to put into practice so that your teen can reap the rewards of a healthy, drug-free life:

Be your teen’s greatest fan. Compliment him or her on all of his or her efforts, strength of character and individuality.

Encourage your teen to get involved in adult-supervised after-school activities. Ask him or her what types of activities he or she is interested in and contact the school principal or guidance counselor to find out what activities are available. Sometimes it takes a bit of experimenting to find out which activities your teen is best suited for, but it’s worth the effort – feeling competent makes children much less likely to use drugs.

Help your teen develop tools he can use to get out of drug-related situations. Let him or her know he or she can use you as an excuse: “My mom would kill me if I smoked marijuana!”
Get to know your teen’s friends and their parents. Set appointments for yourself to call them and check-in to make sure they share your views on alcohol, tobacco and other drugs. Steer your teen away from any friends who use drugs.

Call teens’ parents if their home is to be used for a party. Make sure that the party will be drug-free and supervised by adults.

Set curfews and enforce them. Let your teen know the consequences of breaking curfew.
Set a no-use rule for alcohol, tobacco and other drugs.

Sit down for dinner with your teen at least once a week. Use the time to talk – don’t eat in front of the television.

Get – and stay – involved in your teen’s life.

References
American Academy of Child & Adolescent Psychiatry
American Academy of Family Physicians
Partnership for a Drug-Free America
National Institute on Drug Abuse
U.S. Food & Drug Administration