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October 25, 2014 / 1 Heshvan, 5775
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More Common Teenage Issues


Schonbuch-Rabbi-Daniel

Attention Deficit Hyperactivity Disorder

Mark, sixteen years old, has trouble sitting still in class. His mind wanders; he’s anxious and is failing many of his subjects. Mark was never tested for Attention Deficit Hyperactivity Disorder; somehow he slipped through the cracks in the system and never received the help he needed years ago. Mark now faces difficulty finishing high school.

Studies have shown that teenagers with ADHD are at greater risk for school failure, other learning disabilities, and alcohol or other drug abuse. Mark may have more difficulty maintaining friendships and getting along with his family. He may also be more irritable and have a quick temper. Teenagers with ADHD are also at higher risk for developing depression because of the frustrations that come with this disorder.

It is important to note that about “20 to 40 percent of ADHD children may eventually develop conduct disorder (CD), a more serious pattern of antisocial behavior.”¹³ These children frequently lie or steal, fight with or bully others, and are at serious risk of getting into trouble at school or with the police. They violate the basic rights of other people, are aggressive toward people and/or animals, destroy property, break into people’s homes, commit thefts, carry or use weapons, or engage in vandalism.

Depression

Simon, age 15, has lost the zest for life he once enjoyed as a child. He is successful in school, but personally unhappy. He also suffers from feelings of sadness and despair and has withdrawn from spending time with friends and family. Simon is suffering from depression.

In 2000, the National Institute of Mental Health estimated that more teens suffer from depression than you might think. It is estimated that one in five children have some sort of mental, behavioral, or emotional problem, and that one in ten may have a serious emotional problem. Among adolescents, one in six may suffer from depression. Of all these children and teens struggling with emotional and behavioral problems, a mere 30% receive any sort of intervention or treatment. The other 70% simply struggle through the pain of mental illness or emotional turmoil, doing their best to make it to adulthood.

I have found that parents do not recognize the symptoms of depression in their adolescent children. Symptoms to look out for include:

Constant worry or prolonged irritability Lack of energy Trouble concentrating Wearing dark clothing Preoccupation with music that has nihilistic themes Chronic aches and pains

Eating Disorders

Rachel has a secret that she is desperate to keep. She’s fourteen years old, on the verge of entering high school and she is dying to be thin, literally. Recently she discovered that maintaining her pre-adolescent shape might just be possible. Laxative abuse, self-induced vomiting and excessive exercise may be able to keep her slim forever.

Rachel suffers from bulimia nervosa. She has a serious illness that can lead to malnutrition, electrolyte imbalances, heart attack, and seizures. Some studies indicate that 1 in 19 orthodox teens has an eating disorder and few receive the care needed to overcome this dangerous and growing phenomenon.

Eating disorders involve serious disturbances in eating behavior, such as extreme and unhealthy reduction of food intake or severe overeating, as well as feelings of distress or extreme concern about body shape or weight. Researchers are investigating how and why initially voluntary behaviors, such as eating smaller or larger amounts of food than usual, at some point move beyond control for some people and develop into an eating disorder. Eating disorders are not due to a failure of will or behavior; they are real, treatable medical illnesses in which certain maladaptive patterns of eating take on a life of their own. The main types of eating disorders are anorexia nervosa and bulimia nervosa. A third type, binge-eating disorder, has been suggested but has not yet been approved as a formal psychiatric diagnosis. Eating disorders frequently develop during adolescence or early adulthood, but some reports indicate their onset can occur during childhood or later in adulthood.

Hating School

Michael is fifteen years old and he’s already been in three different schools. Last week he was expelled from his yeshiva and is now hanging around at home with nothing to do.

Bearing the pain of the situation and realizing the implications for his future, Michael’s parents begin to ask themselves what went wrong. They vaguely remember his early childhood experiences at school. In third grade, he had a hard time with his rabbi. He recalls, “My rabbi was very mean to us. He used to yell at me when I didn’t even do anything. He also gave me ridiculous punishments, like writing thirty Mishnayos over and over again – just for coming late to davening!”

And then there were the problems in fourth grade and again in sixth grade with the rabbis who Michael’s parents thought would understand their son. But he wasn’t able to keep up in Talmud, and being frustrated, he just stopped trying. That’s when the behavior problems started. Michael started receiving more detentions and notes from the principal, and eventually he got kicked out of school for disrupting the class.

About the Author: Rabbi Daniel Schonbuch, MA, Marriage and Family Therapy, is an expert in marriage counseling, pre-marital education, and helping teens in crisis with offices in Flatbush, Cedarhurst, and Crown Heights. He is a certified PAIRS instructor, and trained as a Level 1, Emotionally Focused Therapist at the Ackerman Institute for the Family, and is a member of AASECT. He is the author of At Risk – Never Beyond Reach and First Aid For Jewish Marriages. To watch his free videos on marriage and parenting and for appointments visit: www.JewishMarriageSupport.com or call 646-428-4723


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More Articles from Rabbi Daniel Schonbuch
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Separation anxiety disorder is a condition in which a child becomes fearful and nervous when away from home or separated from a loved one – usually a parent or other caregiver – to whom the child is attached.

Schonbuch-Rabbi-Daniel

I try to focus on the parents in a way that is not often addressed. As soon as the child gets anxious, the parent gets anxious;

Most people are not aware that anxiety disorders are the most common mental illness in the United States, affecting 40 million adults age 18 and older (18% of U.S. population).

Parental conflict affects children in varying ways, depending on their age. For example, teenagers around the age of fifteen or sixteen are most likely to involve themselves in their parents’ battles. Younger children may keep their feelings hidden inside and may only show signs of depression in late childhood or early adolescence.

When parents come to talk to me about a troubled child or teenager, I often find it helpful to explore whether or not their marriage is causing their teenager to be at risk.

Active listening is only one part of the marriage equation; learning what to say and what not to say is the other half. And, it’s not just about expressing your feelings, but doing it in a way that avoids hurting the other person.

Control may be the most destructive force influencing a marriage. Let me illustrate this point with the following story. About two years ago a woman named Bracha, 47, came to speak to me about her husband’s controlling behavior. This is how she described her precarious situation:

Controlling behavior may be the number one reason that your marriage needs first aid.

If you are unfamiliar with the topic of control, it’s no surprise. Most people are unaware that control is a major issue for counselors, therapists and psychologists-at-large.

Printed from: http://www.jewishpress.com/sections/family/parenting-our-children/more-common-teenage-issues/2010/01/08/

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