Sue Scheff: Following the Rules

By Lisa Medoff

Nina posted some questions about her 10-year-old daughter lying about eating and drinking in the bedroom and watching TV with the door closed. Nina wants to how she can tell if her daughter is deliberately lying or simply forgetful, as her daughter was a micro-preemie, and Nina is worried that her premature birth has affected her behavior and memory.

Nina is also wondering about the best way to encourage her daughter to tell the truth about her behavior. Her husband feels that their daughter plays both of her parents against each other, and he punishes her by saying that he is not going to take her anywhere for the summer; she won’t be allowed to go bike riding or have other interesting adventures. Nina wants to know if these are apt punishments for her daughter’s behavior.

Unfortunately for parents, there is no absolute, surefire way to determine if your child is deliberately lying or has simply forgotten the rules. Therefore, instead of spending your time trying to figure out if your daughter is lying, shift your focus to trying to help her remember the rules.

Tell your daughter, “I can see that it has been hard for you to remember our rules about not eating in the bedroom and watching TV with the door closed. Let’s see if we can figure out a way to help you remember.”

Try different ways to help her with her memory, such as having her write sticky notes with the rules and posting them near the TV, or making poster collages with pictures of food that is crossed out.

Any extra practice with memory tricks will be helpful for children who have experienced developmental difficulties.

Tell her that even though it may be hard for her to remember, she will still need to learn the consequences for breaking the rules.
Discuss what those consequences will be and follow through on them every time. She needs to see that the end result is the same, whether she lies or forgets, and you won’t have to waste time or energy trying to figure out if she is lying.

Be on the lookout for times when she does remember the rules. Give lots of positive attention, such as saying, “I noticed that you finished your snack in the kitchen before you went in to watch television. You must feel good about remembering to follow the rules. I’m really proud of you.”


Make a behavior chart to keep track of days where she was able to follow the rules.
Think of rewards that she can earn after a week or a month of good days.

In terms of the consequences, discipline works better if it is specific, immediate, is appropriate for the situation, and allows the child to make up for breaking the rules.
For example, a consequence of eating where she is not supposed to could be having to clean and vacuum the area.


Read entire article here: http://www.education.com/magazine/column/entry/Following_the_Rules/

Parents Universal Resource Experts, Sue Scheff: ADHD & Iron: Can Nutritional Supplements Improve Symptoms?

How to improve your child's ADHD symptoms by increasing the iron levels in his diet.

by Laura Stevens

You make adjustments to your child’s diet every time a new study touts the health benefits of this food or that nutrient. First, you included more protein with breakfast, then you introduced omega-3 fatty acids.

Now, just as you’re savoring your successes, the latest research suggests that low levels of iron can worsen attention deficit hyperactivity disorder (ADHD) symptoms in children with the condition.

You know how important iron is to the body, carrying oxygen to the muscles and organs. But it also plays an important role in the brain, affecting production of the key neurotransmitter, dopamine.

What does this mean to your child? Read on. We’ll help you figure out if he’s getting enough of this vital mineral.

Low Iron and ADHD

When you think of a child who is iron deficient, you envision one who is pale and tired — not a hyperactive child, bouncing off walls. Well, think again. A 2004 study, published in the Archives of Pediatrics and Adolescent Medicine, found that 84 percent of children with ADHD had significantly lower levels of iron, compared with 18 percent of kids without ADHD. The lower the levels of ferritin — a protein found inside cells that store iron — the more severe the symptoms.

A small study, published this year in Pediatric Neurology, showed that symptoms improved when iron-deficient children with ADHD took an iron supplement.

Low iron may also be a factor in Restless Legs Syndrome (RLS), a condition often found in ADHD children that causes an uncomfortable tingling or crawling feeling in the legs, affecting the ability to get to sleep. In 2003, the journal Sleep reported that giving iron supplements to children with both RLS and low iron stores improved symptoms.

If you suspect your child has low levels of iron, talk with your doctor about doing a ferritin test (see “Low-Iron Indicators,” left). Never give your child iron supplements without a blood test and your doctor’s approval. Too much iron can block the absorption of zinc, copper, and manganese. Keep iron supplements out of the reach of small children.

Read the entire article here: http://www.additudemag.com/adhd/article/3993.html

Sue Scheff: Teen Anger and Rage

“I don’t care what you say I am doing what I want to do! I hate you and you just don’t want me to have fun!” “All my friends are allowed to stay out late; you are mean and want to ruin my life!” “You have no idea how I feel and you are only making it worse!”

When a difficult teen is out of control, they only can hear themselves and what they want. It is usually their way or no way!

There are so many factors that can contribute to these feelings. The feelings are very real and should be addressed as soon as you see that your child is starting to run the household.

Teen Anger may lead to Teen Rage and Teen Violence which can soon destroy a family.

Again, local therapist* can help your family diagnosis what is causing the negative behavior patterns. Conduct Disorder is one of the many causes to harmful behavior. Many times you will find a need for a positive and safe program to help the teen realize where these hurtful outbursts are stemming from. Parents tell us constantly, they are looking for a "Boot Camp" to achieve their mission to make their child "pay" for the pain they are putting the family through. In some cases this can create a Violent Teen.


We feel that when you place a negative child into a negative atmosphere, most children only gain resentment and more anger. There are some cases that it has been effective; however we do not refer to any Boot Camps. We believe in a Positive Peer Culture for teen help to build your child back up from the helplessness they feel.

Visit www.helpyourteens.com and www.witsendbook.com

SOS: Stressed out Students Guide to Handling Peer Pressure

With a rise in recent years in the number of students seeking mental health services, an increase in cheating behavior in school, and constant concern from parents, teachers, and especially students about academic achievement, the time is now for a book series to address academic stress.

The SOS: Stressed Out Students books address a growing and often-overlooked crisis: adolescents struggle with stress, compromising their mental and physical health, personal values, and commitment to learning as they try to cope with growing pressure to achieve. In a survey released last year, 460 parents in California’s Santa Clara and San Mateo counties cited school-related stress among their top concerns for their children. Based upon real-life stories and tips from teachers, students and parents, each book in the SOS series addresses a topic of utmost concern to American teenagers.

Type the title in the Amazon Book Box on the side and learn more!

What Is ADHD? Diagnosis and Treatment Information

Source: ADDitude Magazine

An expert on ADHD and learning disabilities talks about the biology behind attention deficit disorder and why it’s sometimes so difficult to diagnose and treat ADHD symptoms in children.
by Larry Silver, M.D.

In my 40 years as a child and adolescent psychiatrist, I have treated thousands of youngsters. With some children, I am able to make a quick evaluation about attention deficit hyperactivity disorder (ADHD) and outline a course of treatment. With others — more often than I care to admit — I have to tell parents that it’s not clear what is wrong. It’s not that I lack the expertise or diagnostic skills. It’s just that psychiatry isn’t quite as far along as other medical specialties.

A pediatrician can do a throat culture and tell at once whether a child needs an antibiotic; appropriate treatment follows the diagnosis. In contrast, psychiatrists are often required to initiate a specific treatment and worry about clarifying the diagnosis later on. As I often tell parents, we must “put out the fire and blow the smoke away” before we can figure out what started the fire.

If a child is having problems in school, he may have attention deficit disorder (ADD ADHD), but it’s also possible that he has a learning disability. Or depression. Or anxiety. Sometimes what looks like ADHD is the result of family tensions.

If ADHD seems to be even a part of such a “mixed clinical picture,” I typically prescribe medication. If this solves the problem, terrific. But in many cases, another intervention is needed to address persistent academic, emotional, or family problems. Only weeks or months after treatment has been initiated will the full clinical picture become clear.

I understand parents’ concern about medicating their children. My clinical knowledge notwithstanding, I agonized over whether my granddaughter, who has ADHD, should be on meds. (Ultimately, we decided she should.) I have found, however, that parents often feel better about ADHD meds when they understand a bit about neurotransmitters, the remarkable compounds that govern brain function.

How neurotransmitters work
Before I tell you about these special brain chemicals, let me explain a bit about brain anatomy.

There are millions of cells, or neurons, densely packed into various regions of the brain. Each region is responsible for a particular function. Some regions interact with our outside world, interpreting vision, hearing, and other sensory inputs to help us figure out what to do and say. Other regions interact with our internal world — our body — in order to regulate the function of our organs.

For the various regions to do their jobs, they must be linked to one another with extensive “wiring.” Of course, there aren’t really wires in the brain. Rather, there are myriad “pathways,” or neural circuits, that carry information from one brain region to another.

Information is transmitted along these pathways via the action of neurotransmitters (scientists have identified 50 different ones, and there may be as many as 200). Each neuron produces tiny quantities of a specific neurotransmitter, which is released into the microscopic space that exists between neurons (called a synapse), stimulating the next cell in the pathway — and no others.

How does a specific neurotransmitter know precisely which neuron to attach to, when there are so many other neurons nearby? Each neurotransmitter has a unique molecular structure — a “key,” if you will — that is able to attach only to a neuron with the corresponding receptor site, or “lock.” When the key finds the neuron bearing the right lock, the neurotransmitter binds to and stimulates that neuron.

Read entire article here: http://www.additudemag.com/adhd/article/1572.html

Teen Drug and Alcohol Use by Sue Scheff

Why do they start? What Should I Look For?

A major factor in drug use is peer pressure. Even teens who think they're above the influence of peer pressure can often find it hard to refuse trying drugs when they believe their popularity is at stake. Teens may feel that taking drugs or alcohol to fit in is safer than becoming a perceived social exile, and may not realize that their friends will not abandon them simply for refusing a joint or bottle of beer. A popular adage that is thrown around regarding peer pressure says if your friends would abandon you for not accepting an illegal substance, they're not "real" friends- but try telling this to a teenager. A more effective method is to acknowledge the pressure to fit in and work with your teen to find solutions to these problems before they arise. Suggest that your teen offer to be the designated driver at parties, and work with them to develop a strategy for other situations.

Even agreeing to back your teen up on a carefully crafted story can help enforce your bond with them- giving them the okay to tell their friends to blame you or that you give them random drug tests will go a long way. Knowing they have your support in such a sensitive subject can alleviate many of their fears, and knowing they can trust you helps instill the idea they can come to you with other problems. This is also an excellent time to remind them to never allow friends to drive under the influence and to never get into a car with someone under the influence. Reassure your teenager that if they should give in to peer pressure and become intoxicated or high, or if they have no sober ride home though they are sober themselves that it is always okay to call you for a ride home. Some parents may want to consider getting teens a cell phone for emergency use, or giving them an emergency credit card for cab fare.

Depression is another major factor in drug use. For more in depth information on teenage depression, please visit Sue Scheff™'s Teen Depression Resource. Despite the fact that many substances actually make depression worse, teenagers may be lured in by the initial high, which in theory is only replenished by more drugs. Thus begins the vicious cycle that becomes nearly impossible to break without costly rehabilitation. If you notice your teen is acting differently, it may be time to have a talk with them to address these changes. Remember- do not accuse your teen or criticize them. Drug use is a serious cry for help, and making them feel ashamed or embarrassed can make the problem worse. Some common behavior changes you may notice if your teen is abusing drugs and alcohol are:

Violent outbursts, disrespectful behavior
Poor or dropping grades
Unexplained weight loss or gain
Skin abrasions, track marks
Missing curfew, running away, truancy
Bloodshot eyes, distinct "skunky" odor on clothing and skin
Missing jewelry money
New friends
Depression, apathy, withdrawal
Reckless behavior