Marijuana can cause psychosis. Image courtesy of Danilo Rizzuti / FreeDigitalPhotos.net
I have a brief update to give on the last blog, which talked about the website/app Hims. It was reported to me that a person doesn’t even see a doctor on that site and can get antidepressant medication. The update that was given this week is that there is a texting conversation with the doctor before the prescription is written. No at all ideal, but slightly better than just a self-survey.
I’ve learned something new in the past few months. It’s now come up twice. A friend of mine is a psychiatrist (for those who don’t know the distinction, a psychiatrist has attended medical school and has received extra training in mental disorders and medication) explained to me that many people suffering with Bipolar Disorder cannot tolerate marijuana AT ALL. He said it causes a higher incidence of paranoid psychosis for this group than for the general population. He told me to pass along to all of you that if you have Bipolar Disorder, you should NEVER use marijuana.
Let me give a short clarification on what Bipolar Disorder is. Many people have a misunderstanding because the term “bipolar” is used as slang for mood swings. Bipolar Disorder is a difficult mental illness for someone to live with. It causes times of mania or hypomania, which means periods of little to no needed sleep with some combination of euphoria, anger/agitation, impulsive decision-making, sexually irresponsible behavior, rapid speech and/or thoughts, and grandiose ideas. These periods are followed by a marked and profound period of depression. The depression is intense and miserable. One client described it to me as “mashed potatoes. It’s as though everything has the color of mashed potatoes and the flavor of mashed potatoes. The world is devoid of life.” The depression can last for years on and off without any interruping mania for some. The pattern and timing of depression and mania varies from person to person.
I’m sure you can understand that someone dealing with the unpredictability of Bipolar Disorder might be drawn to marijuana. However, it is understood to be something that will destabilize the Bipolar Disorder over time and can even add in psychosis. The bottom line: It’s not worth the risk. By the way, I’m not a fan of it for others either. I know that alienates some of you, but the long-term effects of cannabis just don’t justify the short-term pleasures.
I have heard more isolation stories from clients starting school last week than in all my previous years of practice (14). One teen told me how she plans to sit in the library for lunch. Another told me he is never invited to anything with his so-called “friends.” A third talked about how she feels like all the friend groups are already formed and she has no way to get into one. In every single case, their hearts are broken and they don’t know how to fix it. I feel their internal anguish as I listen to them give me the details about their worlds. They feel as though they are looking in on a world where everyone is smiling, but that they are stuck outside. They so desperately long for even just one person to show the interest, love, and compassion that they see other teens so effortlessly get.
What gives? Why are some outsiders despite every effort and others insiders even without trying?
1) Charisma: A few people have a lot of this character quality. Most have some. Then there are those who have almost none. You know the type: They just can’t seem to say the right thing at the right time. They make others feels awkward with their awkwardness. It is easy to pick up on the fact that they are not entirely comfortable with themselves.
2) Social Awareness: There are people who lack this very important character trait. They talk too loudly, they don’t know when to drop a discussion topic, they stand too close to people…they just cannot seem to read a room. Teenagers are very socially aware and they often reject the child who has not figured out social awareness.
3) Projected Confidence: Teenagers who walk with their heads up and scanning for eye contacts project more confidence. This is attractive to others. When eye contact is made, these confident teens will wave or smile. People reflexively smile and wave back, which makes everyone like each other more. Think about all that is missed for the teen who walks with eyes downcast.
4) Respect: Adolescents who know where they stand on an issue and are not swayed by the crowd’s opinion are more respected. Have other respect you translates into them being more inclusive.
5) Going Where You’re Wanted: This is the #1 most important thing teens do who fit in. They do not try to force themselves in where they are not obviously included. Teenagers who go with the other teens that already like them are happier. This is likely a life attitude of being content with what you have.
Here are some other thoughts on the struggle for an adolescent wanting to fit somewhere:
Depression can be devastating to those who suffer its insidious greed for life, engagement, and joy. Teens who are depressed feel lackluster about their world, their future, and themselves. Often slogging through each day without hope, depressed teens contemplate suicide as a means of relief from the relentless blandness of a life without color.
Watch this short video for three signs your teenager may be afflicted with depression:
Parents and teens, one of the best things you can do to alleviate depression, anxiety, and a struggle with identity and purpose is get a job. I know it adds stress in a certain way, but in my observations, teens who work have several things: 1. Increased confidence. 2. A better understanding of money. 3. Can talk to people with good eye contact. 4. Lower anxiety. 5. More friends. 6. A place where they belong outside school and home. 7. Discipline that isn’t coming from parents or teachers. 8. More realistic ambitions and goals. 9. A better sense of marketable skills when they choose a college major. 10. More purpose, which leads to lower anxiety and depression overall.
I know this isn’t a foolproof solution to every problem. However, it has made a huge positive difference in the lives of many of my clients. I think it’s worth a try.
Be thankful for your kids, they are a gift from God. Image courtesy of photostock / FreeDigitalPhotos.net
We have so much to be grateful for. It is incredible that we can live in a country with so much freedom. God truly blessed each and every one of us in ways we take for granted every single day. Even having clean water and enough to eat is not a given in many parts of the world.
The reason I remind you of this is because if you’re reading my blog it means you’re probably hurting. It means your teenager is behaving in some way that scares you. It means you’re feeling overwhelmed as a parent and you aren’t sure what to do to help your child. That is the most helpless feeling in the world.
It does us a lot of good to count our blessings. This is especially true when it comes to your teenager. I realize things are tough right now, but there are a lot of things going right too. It’s very easy to become very focused on resolving one problem. When you do this, you forget to see all the other things that aren’t problems.
I have a few clients in my therapy practice who struggle with body image. Their focus on their body image is so intense that it often dominates the teen’s whole life. It’s difficult for the parents of these teens because they worry about whether their child is eating enough, exercising too much, or just loathing their appearance. The parents of these children have found it helpful to refocus on what is going right with their kids. In some of the cases, these teens still maintain good grades and do not use any substances. They are still loving and engaged with the family. These parents try and keep perspective that there is a lot going well even though there is also a problem.
Life is like that, isn’t it? We see problems run parallel with blessings all the time. We shouldn’t ignore the problems, but we shouldn’t ignore the blessings either. In fact, if you think back over your whole life, I bet you can hardly identify a time when things were all good or all bad.
Raising kids is about maintaining the perspective that things could always be better and always be worse. Tell them constantly what you’re thankful for about them. Work with them on improving what they can do better, but don’t make that the only thing you talk about- that would come across as critical. You want them to know all the reasons you think they’re great too.
Helping teens grow and families improve connection,
Image courtesy of Stuart Miles at FreeDigitalPhotos.net
Teen depression can look a bit different from adult depression. In teenagers you might see more of a general irritability. Adults typically notice they feel depressed because their dominant mood is sad. Sometimes adolescent depression presents as sadness, but just as often it presents as consistent grouchy moods.
One thing I see in my therapy practice pretty regularly is parents struggling to believe their teenager is dealing with depression. This is because the teen has moments where they smile and laugh. They have times during the day when they come out of their depressed mood and engage with others around them. Parents tend to assume that teens are only unhappy at home, or at school. Teenagers with depression can be good at faking feeling okay. Even while they are laughing, there is a dark cloud somewhere in the background.
Other signs your teenager could be dealing with depression include a change in appetite, a change in sleep patterns, and a decrease in socializing. If you see your adolescent either stop eating or eat quite a lot and this is different from normal, it is possibly a sign of depression. It could also be a symptom of many other things though, so don’t assume they are depressed solely based on a change in eating habits. If your teenager is usually a good sleeper and now sleeps poorly or sleeps excessively, it is another possible symptom of depression (I know it sounds weird that it can be either interrupted sleep or excessive sleep since those are opposites, but people’s bodies react in different ways to depression). Finally, if your teenager is withdrawing to their room all the time and no longer has an interest in seeing friends, this is another sign of possible depression.
One sign you definitely cannot overlook is when your teenager is either cutting or expresses thoughts of suicide. These symptoms alone are often enough to diagnose depression. Please get them help immediately in these situations.
Many teens experience profound anxiety at the same time as depression. If your teenager is overwhelmed and cannot seem to get organized, this can be a sign of depression too. When a person experiences depression it is really challenging to plan and execute. What I mean by this is a person with depression might write down their homework assignments, but actually deciding which one to start first is so overwhelming that they just don’t start. Then they fall behind, and it becomes even more cumbersome.
Teen depression is more complicated than I can describe in one 450 word blog post. If you are concerned your teen is dealing with depression, please feel free to contact me. I will chat with you on the phone to try and help you decide whether an evaluation by a professional is warranted. As a parent it is always so hard to watch your kids struggle. If you’re worried about your child, my heart hurts with you.
Helping teens grow and families improve connection,
Hello, I’m Lauren! If you notice your teen struggling, you might be feeling helpless, hopeless, frustrated or concerned as a parent. Try to remember, there is hope. I want to help your adolescent feel better. My hope is for them to enjoy their life again. I want them to feel confident they can handle whatever situations arise.
