Gershon Psychological Associates, LLC
400 Bald Hill Rd., Suite 530 Warwick, RI 02886
7 Austin Ave. Greenville, RI 02828
154 Waterman St. Providence, RI 02906
(401) 349-3131
(401) 921-5109 fax

Fall Newsletter 2009


in this issue
:: Follow us on twitter and subscribe to our blog
:: Parenting Your Teen with Less Stress
:: Two Articles about ADHD
:: How Divorce Impacts Families
Fall We hope you are enjoying your fall. While this can be a beautiful and exciting time of the year, it is not without its stressors as well. Children return to school, time changes, and pressures to finish projects by the end of the year can add unneeded stress to our lives. Some common issues we are running across on a regular basis are academic difficulties including school anxiety or failure. We are also seeing a lot more issues related to divorce and blended families.

We hope the information you find in this newsletter will make your life easier.
 
We are now on twitter and subscribe to our blog
Click the linkshttp://gershonpsych.wordpress.com/ below to follow our updates about the practice as well as other news and information about mental health.
http://twitter.com/gershonpsych
 
Parenting Your Teen with Less StressTeens texting












How to Maintain Communication

Even though teens need to separate from their parents during adolescence, they also need to know that the safety net of home and family is always there for them. If the lines of communication are shut down, they are not yet capable of surviving emotionally; they need support and input. Let's take a look at a few guidelines for keeping the lines of communication open between parents and teenagers.

1.  Pay attention to the small things along with the significant things. If you are generally a good listener, your teen will be more likely to talk to you.

2.  When your teen talks to you, pay attention. Don't be doing something else.

3.  If you can't pay attention right at the moment, explain why. Ask if you can talk about the issue later, at a specific time.

4.  Ask questions for clarification, but watch out for coming across as critical. If your teen sees your questions as disapproval, stop asking them.

5.  Expect your teen to change his mind frequently. Avoid commenting on the inconsistencies.

6.  Express interest and encouragement in your teen's activities.

7.  Accept your teen's opinions, even if you don't agree with them.

Preventing High-Risk Behavior

All parents fear their teens becoming involved in high-risk behaviors such as drinking, smoking, and sexual activity. There are some very specific things you can do to minimize your teen's need to act out. Here are some tips for preventing high-risk behavior:

1.  Be a part of your teen's life. If possible, be present when she is likely to be home.

2.  Encourage your teen to talk to you openly at any time.

3.  When your teen tells you things, watch your reaction. Avoid reactions that will cause him to think twice about being candid with you in the future.

4.  Be specific about what kind of behavior you expect and what is unacceptable.

5.  Keep harmful substances out of the house. This includes cigarettes, drugs, and alcohol. When teens have access to these items, they are more likely to use them.

6.Expect good things from your teen. Teens who know their parents expect the best have greater emotional well-being.

7.  Encourage your teen to become involved in school activities. Those who are involved at school engage in fewer high-risk behaviors.

Preventing Teen Substance Abuse

Now let's talk about some of the risks that teens face. First, let's look at drugs and alcohol. These are a few things you can do to help your teen stay away from drugs and alcohol.

1.      State your expectations clearly.

2.      Pay attention to where your teen is.

3.      When your teen leaves home, ask her to tell you where she is going. Ask for specifics.

4.      If your teen says he is going one place but actually goes somewhere else, consider restricting his freedom for awhile.

5.      Remember that your teen is innocent until proven guilty. Stay open to the possibility that there is a reasonable explanation for any story you might hear.

6.      Build relationships with other parents and agree on the rules. If none of the kids in the group have complete freedom, there will be less peer pressure and more safety.

 Teen Depression

 Teens are known for their mood swings. It is common for them to feel sad or gloomy. Many parents become concerned about a teen's moods. Depression is different from the blues because it lasts longer and is more intense. Clinical depression is an illness that can lead to very serious problems, with lifelong implications. Some of the warning signs that your teen may have something more serious than the blues are:

 

1.      She shows less interest in her appearance.

2.      She seems to feel hopeless.

3.      He seems to hate himself.

4.      He seems indifferent about most things.

5.      She seems numb.

6.      She lacks energy.

7.      He talks or thinks about death and dying.

8.      He changes his sleeping or eating habits.

9.      She loses interest in her friends or
hobbies.

10.  She stops caring about her pets or cherished possessions.

11.  He has a sudden change in his grades at school.

12.  He complains of extraordinary stress.

13.  She withdraws from people.


If you think your teen's mood may be depression, here are some things you can do about it:

1.      Talk to your teen about how he is feeling. Help him get it off his chest. Encourage him to think of solutions to what is bothering him.

2.      Encourage your teen to participate in some kind of physical activity.

3.      Check in with her more often than usual.

4.      If these steps don't help and the problem seems serious, call a school counselor, teacher, or doctor. Ask for a referral to a qualified, licensed professional who specializes in working with adolescents who have emotional problems.

Eating Disorders

Eating disorders affect more girls than boys during adolescence. They are emotional disorders that require the intervention of a health professional before they become life-threatening. If you think your teen suffers from either anorexia or bulimia, do not hesitate to seek the advice of your physician. Early treatment greatly enhances the chances of recovery.

These are the warning signs for anorexia:

1.         She has lost 25% of normal body weight without being on a diet.

2.         She has a distorted body image.

3.         She diets constantly even though she is thin.

4.         She fears gaining weight.

5.         Her menstrual periods have stopped (this is known as amenorrhea).

6.         She is preoccupied with food, calories, and eating.

7.         She exercises excessively.

8.         She binges and purges.

 

The warning signs for bulimia include the following:

 

1.      She eats uncontrollably (binges), often in secret.

2.      She purges by vomiting, abusing laxatives or diuretics, or vigorously exercising. She may also compensate for eating with strict dieting or fasting.

3.      She frequently visits the bathroom after eating a meal.

4.      She is preoccupied with her body weight.

5.      She experiences depression or mood swings.

6.      She has irregular periods.

7.      She has dental problems, swollen cheek glands, or is bloated.

 If you think your teen suffers from either anorexia or bulimia, do not hesitate to seek the advice of your physician. Early treatment greatly enhances the chances of recovery.


How to Build Your Teen's Self-Esteem

Having strong self-esteem is critical, especially during the teen years. This is true for the following reasons:

·  Self-esteem is a significant factor in how each of us manages our life.

·  How we feel about ourselves guides the choices we make, how we feel, how we respond to events, and just about everything else we do.

·  Strong self-esteem enables us to make constructive choices for ourselves and others.

·  When our self-esteem is weak, we tend to make choices based on what others think and want, rather than on what is really best for us.

You can help your teen build and maintain his or her self-esteem in the following ways:

1.      Listen to what your teen is saying to you, in words and actions.

2.      Ask your teen's opinion about things and accept it.

3.      Ask why he thinks the way he does.

4.      Remind yourself that your teen needs to differentiate herself from you. That is her job as an adolescent, and it is healthy. Allow her to do it.

5.      Let him know that you love him.

6.      Let her know that you will always be there for her.

7.      Give him permission to explore ideas.

8.      Don't be threatened when she expresses herself.

9.      Encourage him to express his feelings appropriately.

 

 
Two Articles about ADHD
from the website my02818.com

There were two recent article that we published on a local website about community issues. Click the links below to read the articles.

One entitled "Dispelling Myths about ADHD" can be found here. http://bit.ly/2B51y5

The other article is about ADHD and co-occurring conditions and can be found here. http://bit.ly/3XBrq8

 

How Divorce Impacts Families

Major Disruptions

The decision to divorce causes major changes in the lives of all family members. Some upheaval is inevitable. The main trouble areas are:

1.  Financial: Money becomes a huge problem for most people. The cost of a divorce is extremely high, and two households cost more than one.

2.  Career: Being less focused at work and spending time away from the job for divorce-related appointments takes its toll.

3.  Logistics: Running your home is more difficult because you no longer have a partner to help with daily chores.

4.  Emotional: Most people have periods of depression, sadness, anger, and fatigue.

Lots of Feelings

People who are experiencing the breakup of their marriage can expect to have a wide variety of feelings. Some call it "the crazy time" and there is even a book about divorce with this title. The following complaints are common:

·  Poor concentration

·  Nightmares

·  Sleep problems

·  Fatigue

·  Mood swings

·  Feeling tense

·  Nausea

·  Gaining/losing weight

·  Feeling nervous

·  Somatic complaints

Divorce profoundly affects children. In Surviving the Breakup, author Judith Wallerstein describes the experience of 60 divorcing families. She outlines the following key issues for children of divorcing families:

Fear: Divorce is frightening to children, and they often respond with feelings of anxiety. Children feel more vulnerable after a divorce because their world has become less reliable.

Fear of abandonment: One-third of the children in Wallerstein's study feared that their mother would abandon them.

Confusion: The children in divorcing families become confused about their relationships with their parents. They see their parents' relationship fall apart and sometimes conclude that their own relationship with one or both parents could dissolve, as well.

Sadness and yearning: More than half of the children in the Wallerstein study were openly tearful and sad in response to the losses they experienced. Two-thirds expressed yearning, for example: "We need a daddy. We don't have a daddy."

Worry: In Wallerstein's study, many children expressed concern about one or both of their parents' ability to cope with their lives. They wondered if their parents were emotionally stable and able to make it on their own.

Over half of the children expressed deep worries about their mothers. They witnessed their mothers' mood swings and emotional reactions to the events in the family. Some children worried about suicide and accidents.

Feeling rejected: Many children who experience a parent moving out of the home feel rejected by the parent. The parent is usually preoccupied with problems and pays less attention to the child than in the past. Many children take this personally and feel rejected and unlovable.

Loneliness: Since both parents are preoccupied with their problems during the divorce process, they are less able to fulfill their parenting roles with their children. The children may feel like their parents are slipping away from them. If the father has moved away and the mother has gone off to work, the children often feel profound loneliness.

Divided loyalties: The children may (accurately) perceive that the parents are in a battle with each other. The children feel pulled in both directions and may resolve the dilemma by siding with one parent against another.

Anger: Children in divorcing families experience more aggression and anger. It is often directed toward the parents, expressed in tantrums, irritability, resentment, and verbal attacks. Many children see the divorce as a selfish act and feel very resentful about the resulting destruction of their lives.

More than one-third of the children in Judith Wallerstein's study showed acute depressive symptoms such as sleeplessness, restlessness, difficulty in concentrating, deep sighing, feelings of emptiness, compulsive overeating, and various somatic complaints.

The symptoms that many children may have during the divorce process either moderate or disappear within 18 months after the breakup. Of the symptoms that remain, the most common are:

1.  Manipulative behavior was reported by about 20% of the teachers of the children in Wallerstein's study.

2.  Depression was diagnosed in 25% of the children and adolescents. The symptoms of depression in children include:

·  Low self-esteem

·  Inability to concentrate

·  Sadness

·  Mood swings

·  Irritability

·  Secretiveness

·  Isolation

·  Self-blame

·  Eating disorders

·  Behaving perfectly

·  Being accident-prone

·  Stealing

·  Skipping school

·  Underachieving at school

·  Sexual acting out

You should consider finding a therapist to work with if most of the time you feel:

·  Alone

·  Depressed

·  Numb

·  Exhausted

·  Isolated

·  Hopeless

·  Overwhelmed by your children

·  Overwhelmed by your feelings

·  You are sleeping too much or too little

·  Worried

·  Anxious

·  Afraid


 

Gershon Psychological Associates, LLC
400  Bald Hill Rd., Suite 530 Warwick, RI 02886
7 Austin Ave. Greenville, RI 02828
154 Waterman St. Providence, RI 02906
(401) 349-3131
(401) 921-5109 fax
www.gershonpsych.com
info@gershonpsych.com