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Can Teens Be Alcoholics?

Can Teens Be Alcoholics?

Can teens be alcoholics? Yes. Picture is of a martini. Image courtesy of freedigitalphotos.net.

Teenage alcoholism does exist, and is a real problem.
Image courtesy of freedigitalphotos.net.

Teen Alcoholism

Can teens be alcoholics? Unfortunately, yes. Usually, when we think “alcoholic,” we really don’t picture teenagers.  We think they’re too young to have developed a dependency on alcohol.  We assume it’s not really that easy for them to get ahold of alcohol, so how could they have a need to drink on a daily basis?

Most of the time teenagers are not daily drinkers, if they drink at all.  If they do have alcohol with their friends, they’re occasional party-situation drinkers.  Still, if you ask your teenager, they can all name one or two other teenagers who has a reputation for “always” being drunk.

Can Teens Be Alcoholics? Teen Blackout Drinking

These are the teens I worry about as a therapist.  These are the teens who come back to school each Monday and tell everyone else about how they were “so f***ed up this weekend” that they can’t remember anything.  They don’t realize this is blackout drinking.  Blackout drinking has a very, very high correlation with future alcoholism.

These are the adolescents who don’t know how to stop.  Every single time they drink, the only thing that stops them is their body.  Oftentimes, they either start vomiting, or they pass out.  Otherwise they are continuing to take shots, sip a beer, or have a some sort of mixed drink. When we ask, “Can teens be alcoholics?” we can all think of someone we knew in high school who was like this. Did they become an alcoholic? The girl I’m thinking of did. Thankfully, she’s now thriving in recovery, but her 20s were tough.

The Adolescent Who Needs Alcohol to Socialize

The teenagers who often develop alcoholism are the ones who don’t know how to be at a social gathering without alcohol.  If they go bowling with friends, they bring something in a waterbottle.  Likewise, if they go to a school dance, they mix rum in their cokes at the restaurant before the dance (One of my best friends in high school did this. Sadly, he ended up with an addiction problem).  In addition, they also know where the after party will be held.  They are completely convinced they are just being social, but they are actually developing a frightening alcohol dependency.

Most people who becomes daily drinkers start with binge drinking weekends while they are teenagers.  Eventually, they binge drink every weekend.  Moreover, they look for a “kickback” or party during the week from time to time.  Before they realize it, they might steal just a few sips of mom and dad’s alcohol to relax at the end of a hard day.  Finally, they are drinking daily.

When Is It Teen Alcoholism?

Teenagers can be completely dependent on alcohol.  They can have physical withdrawals just like an adult can.  Also, they can be addicted enough to need a physical detox under the supervision of a medical doctor.  As with adults, teens can need rehab for alcoholism in some cases.

It’s really important to keep an eye on your teenager.  If you notice they want to party all the time and seem restless when there isn’t a party, it’s reasonable to worry a little bit.  If all the friends surrounding them use alcohol and have a cavalier attitude about it, it’s another reason to be concerned.  Despite how easy it is to look the other way and just assume teenagers party, you can’t afford to be naive.  Most teens that do party really only use alcohol once a month or so.  Even then, those that do rarely drink to the point where they are throwing up or passing out.  That tends to be reserved for the adolescents who are at high risk of addiction.

If this describes your child, I imagine you must feel very scared.  Chiefly, it seems like all your efforts to control their behavior are fruitless.  It is really overwhelming.  Oftentimes this is the point at which getting professional help for your teen (if they will cooperate) and for yourself (especially if your teenager doesn’t comply with treatment) can be really important. There is a National Help Line for addicts and families of addicts. Find out more at https://www.samhsa.gov/find-help/national-helpline.

So, can teens be alcoholics? Sadly, yes they can. If you are facing this with your child, my heart goes out to you. But also know, there is always hope.

Helping teens grow and families improve connection,

Click here for more information on teen anxiety therapy.

Lauren Goodman, MS, MFT

When Does Anxiety Warrant Therapy?

When Does Anxiety Warrant Therapy?

When anxiety warrants therapy. Girl holding head in her hands. Image courtesy of freedigitalphotos.net.
It can be hard for teens to deal with anxiety on their own.
Image courtesy of freedigitalphotos.net.

When to Seek Therapy for Anxiety

If your teen is overwhelmed and anxious, it’s hard to watch as a parent.  It makes you worry and feel concerned.  You might start to wonder if you should have them see a therapist.  It’s often hard for parents to know, “When does anxiety warrant therapy?”

Here’s some things to look out for that might help you know when it’s time to call a counselor:

1.  Your teenager says they are struggling to get rid of their anxiety.  

If they are anxious about a very specific, time-limited situation such as an exam, that’s one thing.  However, if your teenager is worried about something very long-term such as school in general, then they are struggling to control their anxiety.  In that case, calling a counselor is a great idea.

2.  Therapy might help if your teenager is having trouble sleeping because of stress.  

If your son or daughter tells you they can’t fall asleep, or can’t stay asleep because their mind won’t stop spinning, there are a couple things you can try with them.  Have them write down a list of worries, and a 1-sentence plan for each concern before bed.  Sometimes this helps people let things go enough to sleep.  They can also try prayer, meditation, or reading before bed.  All these things are distracting and calming.  If your teenager feels completely overwhelmed at night though, and can’t seem to figure out how to stop it, it’s probably time to call a counselor.

3.  Your teenager is having panic attacks anxiety therapy might be warranted.  

Panic attacks are caused by a completely overwhelming sense of anxiety that is so severe it manifests as physical symptoms.  The heart races, there can be tightness in the chest, a shortness of breath, sweating and hot flashes, and sometimes nausea and vomiting.  This almost always requires the assistance of a therapist.  Often panic disorder also requires the help of a psychiatrist (medication).

4.  Your teenager is extremely uncomfortable in social situations.

 Your teen analyzes everything they said to someone to make sure it didn’t come across as strange.  They feel really nervous around their peers.  They wish they had more friends, but can’t calm down enough to be themselves.  Their mind freezes and they almost can’t remember how to talk in front of other teenagers.  Social anxiety is upsetting and debilitating for a teenager.  It’s very important for their psychological development to get them help in this case.

5.  This one will seem obvious, but when your teen asks for help.  

A lot of parents don’t take their adolescents seriously when they ask for counseling.  They assume it’s just a phase, and maybe they want to try it because their friends do it too.  While that is sometimes true, most of the time teenagers ask for help when they feel desperate.  Perhaps your son or daughter has dealt with anxiety for awhile, and finally has the nerve to let you know.

Parenting is so hard sometimes.  We all wish it came with a clear-cut instruction manual.  I know I do! It can be difficult to know the answer to the question, “When does anxiety warrant therapy?”  Instead we’re left constantly shifting and adjusting to the different personalities our children have, and the changing phases they go through.  Parenting is more like a dance or an art than an exact science.  There’s no one size fits all answer to most parenting questions, and when to get your child therapy is one of those questions.  At the very least feel free to call and we can talk it over.  Asking is always free.

Helping teens grow and families improve connection,

Lauren Goodman, MS, MFT

Lower Homework Stress With Better Study Habits

Lower Homework Stress With Better Study Habits

Academics overwhelm every teenager at some point. Lower Homework Stress With Better Habits. Image is of a Chalkboard with "School" written on it. Image courtesy of luigi diamanti at FreeDigitalPhotos.net
Academics overwhelm every teenager at some point.
Image courtesy of luigi diamanti at FreeDigitalPhotos.net

Why Have Better Study Habits? To Lower Homework Stress!

Hi Teenagers, better study habits equals reduced homework stress! Who doesn’t want lower homework stress?

Are you completely burned out and sick of forever doing homework?  Does it seem like a never-ending pile of pointless worksheets, essays, math problems, projects and labs?  How I remember those days!  Sometimes I had so much homework that I spent an entire Sunday just trying to catch up.  On really, really bad days I remember staying up until I crashed, and then waking myself up at 3 or 4am to work on it again before going to school.  Yuck!

The good news is if you work hard now, it pays dividends later.  Once you finish school and have a job, you generally get to do your work at work.  Home is for just being home.  This isn’t always true as there are lots of jobs that require some extra stuff to be done at home, but for the most part you’re workday ends when you leave work.

However, being that you’re probably at least a few years of high school and several years of college away from no more homework, let’s talk about some things to do now to ease the burden.  This information was given to me by a friend who tutors AP Physics students, and teaches at the high school level.

4 Tips For Lowering School Stress

1. Take the appropriate classes:  

Challenge yourself and do your best.  However, you don’t have to take every possibly AP class that’s ever been offered. For some of you, this raises your stress to a level where you don’t perform. Some of these classes assign so much homework that you come to hate them. It is important to learn that sometimes lower homework stress can equal better quality work.

Besides, even if you’re trying to get into a top notch university, that doesn’t guarantee your future success.  What college you attend doesn’t actually mean very much a few years out of school.  As a result, don’t over-focus on this.  What is important is how well you do at whatever college you do attend.  You will need to get to know the professors, and collaborate with one or two of them on projects and studies.  This makes you a stand-out whether you attend community college or Harvard.  So, for now, take classes that get you where you want to go, but stop there.  Know your limits.  There is more to life than just academic success.

2. Work while your working:  

Part of the reason adults don’t have homework is because they work while they’re at work.  When you sit down to do homework, focus on getting your work done.  If you don’t allow your mind to wander, phone to distract you, or TV to entertain you, you really do get things done A LOT faster.  You can probably read a page out of your history book each minute or two if you are really reading it.  Also, you will absorb more of it so you won’t have to study as hard later.

3. Work smarter: 

So many students don’t know how to study efficiently.  It’s important to study what you don’t know, and just browse over what you do know.  Skim read when you can, and read in depth when you need to.

4.  Study regularly:  

Cramming doesn’t work.  It also inhibits your sleep.  You perform better if you’re well rested.

This resource from UNC is excellent for learning how to study effectively in college. Thankfully, you don’t have to wait! Many of these ideas and techniques can help you now!

From the perspective of a therapist, following my friend’s advice can really help you reduce your stress.  I want nothing more than for you to live a life you can enjoy, while still learning how to work hard.  I want to see you mature into an adult who can withstand some pressure, but doesn’t create extra pressure because of bad work habits.  School is an opportunity to learn how to work smart, and manage stress.

Helping teens grow and families improve connection,

Lauren Goodman, MS, MFT

Update on PTSD Treatment

Update on PTSD Treatment

Teen Boy With Head in Hands Because He Has PTSD.

Last month CE4Less.com was kind enough to offer a free class on treatment for PTSD in veterans in honor of Veteran’s Day. I learned so much from this class that I’ve changed my strategy in dealing with trauma in general. While we rarely work with veterans at Teen Therapy OC, it has been easy to apply the techniques to adolescent and young adult clients.

The class introduced Cognitive Processing Therapy. This is a prescripted, step by step process of working through trauma that has led to nightmares, flashbacks, intrusive thoughts, hypervigilence, fear, anxiety, insomnia, and/or the depression associated with PTSD. So far my clients with PTSD have responded positively to this protocol.

I think in the case of my clients who are in the middle of the CPT treatment, they feel better because CPT doesn’t require them to talk directly about the events that occurred. It instead allows the client to explore how the events are affecting them today. It lets them find out what internalized messages related to trust, relationships, self-governance, and boundaries have come out of the trauma. Many clients don’t realize they are living by a set of “rules” they created for themselves as a result of their trauma. These rules are almost always self-protective in a way that doesn’t adapt well to their current life.

Here’s an example modified to keep complete confidentiality for my clients: When Jane was 16 she got drunk at a high school party. She was not so drunk that she blacked out the experience. She remembers making out with a guy who nobody else seemed to really know at the party. He convinced her to go out to his car. When they were there, Jane was assaulted by this guy and it really scared her. She got home safely, but Jane didn’t tell anyone what happened. A few months later she began to have nightmares. She became jumpy when friends at school tried to hug her. She started to feel withdrawn, fearful, and powerless. She also felt paranoid each time she saw a black SUV drive by that it could be this guy in his car. Six months after the assault, Jane felt like she’d lost herself to a prison of anxiety, flashbacks, and a sense that the world could not be trusted.

Jane came to counseling and was diagnosed with PTSD. She was relieved to know there was an explanation, but she didn’t know what to do to get her life back. She didn’t feel ready to share details of the event because that felt too overwhelming. She was thankful she could start CPT without going into detail about her trauma. She was able to complete the first steps (impact statement and stuck points) and already see there was a light at the end of the tunnel.

In no way do I profess to be an expert at the administration of CPT just because I took one class. There are therapists with more training in this treatment protocol. I do have extensive experience with teenagers though, and some begin therapy to talk about what they think is bothering them only to discover their symptoms are in response to a trauma. I’m incredibly grateful to have this tool available to help. It seems to be working well. I’m also grateful to the Dept. of Veteran’s Affairs for making these tools free to clinicians so they can guide their clients through this process.

Helping teens grow and families improve connections,
Lauren Goodman, MS, MFT

5 Things That Raise Your Teen’s Anxiety

5 Things That Raise Your Teen’s Anxiety

Stress is tough on teens. Image courtesy of David Castillo Dominici / FreeDigitalPhotos.net

Stress is tough on teens.
Image courtesy of David Castillo Dominici / FreeDigitalPhotos.net

Teenagers these days are stressed out!  So are we all.  We’re short on sleep, overscheduled, and overstimulated.  Here are the top 5 stressors my teen clients talk about:

1. Looking good:  Teens don’t yet know what makes them unique and special.  They haven’t established a career or any specific knowledge that gives them an identity.  They’re receiving a general education in middle and high school, so there is very little that distinguishes them from their peers.  As a result, many teenagers spend an extraordinary about of emotional energy on wanting to be the best looking of their peer group.  Girls try to be thinner, and boys try to look stronger.  Pimples are akin to a nuclear crisis.  This is a regular source of stress for your teenager.

2. College:  There is an incredible amount of pressure on Orange County teenagers to achieve in high school so they can get into a great university.  The problem is, they really don’t have a concept of what makes a university great.  They tend to just assume schools with prestige and difficult admission requirements are what defines their entire adult future.  Please help your teenager avoid buying into this lie.  Different colleges excel at different things.  Your adolescent’s success in college has more to do with matching the right kind of school to their personality and values than anything else.  For example, I have one client who is achieving very high grades in high school, but his personality is such that he flourishes in an environment where he is one of the top students.  He would really struggle at a UCLA type school even though he could get in there.  He’s intentionally choosing a much smaller private school for this very reason.

3. Sports:  Playing sports is very good for teenagers.  It’s really beneficial for them to get exercise, be around friends, and learn discipline.  But, we have many teenagers who are forced to take sports a little too seriously.  They have multiple hours of practice per day, private coaches, weekends dominated by travel and tournaments, and constant pressure to play at a very elite level.  What is all this for?  These teens are training like professional athletes, often at great financial and emotional expense, just to make a college team?  It’s one thing if your teen is truly passionate about their sport, and you couldn’t keep them from practicing if you tried.  It’s completely another thing if you’re the one pushing and they only “like” the sport.  This kind of pressure ends up equating to stress.  In fact, many teenagers confide in me during a counseling session that they actually hate being an intense athlete.

4. Social media:  Without a doubt your teenager stresses about social media (if they use it).  Adolescents are truly bothered every time they logon to Instagram and see several of their friends in a photo without them.  They feel compelled to check their social media multiple times per day.  They are bolstered or discouraged by comments made on their posts.  They use social media as a means to compare themselves to others.

5. Homework:  This one won’t surprise you.  It likely caused you stress as a teenager too.  Teenagers are assigned a lot of homework.  It is stressful to be at school all day, and then have to come home and work on it for many more hours.  Now that adolescents feel they have to take harder and harder classes to stand out, their homework load has become extremely burdensome.

Stress in small doses actually motivates us.  It’s good to learn to manage stress.  When your teenager becomes overly stressed though, they can be irritable, frustrated and anxious.  Knowing some of the things that cause them anxiety can help you help them.  One of the big skills you have to teach your child before he/she flies the coop is how to keep life in balance.  Help your teenager know they simply cannot participate in, or be the best in everything.

Helping teens grow and families improve connection,

Lauren Goodman, MS, MFT