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Childhood Behavioral Problems
Sexual Abuse of Children
Stress
Depression
Depression in Children
Teen Suicide
Drug Prevention


Nearly all children at some point disobey their parents, fight, skip school or take a candy bar from the grocery store. This is normal age-appropriate behavior. Excessive demonstration of these behaviors, however, is a serious concern.

Common signs of behavior problems include:
        excessive temper tantrums
        continual refusal to comply with school assignments
        excessive use of aggression resulting in the child’s failure to be accepted by friends
        inability to socialize effectively and be accepted into healthy peer relationships
   
        An out of control child has a disrupting effect on the entire family. Parents can become
        frustrated, angry and emotionally drained.  Behavior problems in children may also lead
        to severe social maladjustment in adolescence and adulthood. The three categories of
        behavioral problems are listed below.

       Control Problems: disobedience, high energy/activity, excessive crying,
        complacency, temper tantrums, enuresis (night-daytime wetting), encopresis (soiling).

      Aggressive Behavior: fighting, verbal attacks, threats, defiance, arguing,
        cruelty, destruction of property at home.

      Delinquent Behavior: truancy, stealing vandalism, sexual misconduct,
        drug/alcohol abuse, assault, running away.

        Parenting plays a major role in the social development of a child.  It’s important to
        schedule quality parenting time and guard against:
            family systems being compromised by our fast-paced society
            an increased tendency toward lack of family and community support.

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Sexual abuse of children by adults or by older children is a wide spread problem. Recent studies suggest that as many as 40 million people, about one in six Americans, may have been sexually victimized as children. Sexual abuse can happen to any child at any time, anywhere.
   
        The majority of abusers are men; but women may abuse children as well.
        Abusers come from all age groups, ethnic groups, and economic groups.
        The majority of all abuses are committed by someone the child knows and/or
                trusts — a family member, relative, babysitter or neighbor.
        Victims of sexual abuse could grow up to sexually abuse children themselves
        The abuser usually tries to control the victim by coercion, using power of authority,
                manipulation or bribing.
   
        Effects vary depending on the victim’s age, personality, and the type of incident.
        A single minor incident like exhibitionism, an obscene call, fondling, etc. may cause
            temporary emotional disturbances such as:
                    — embarrassment, fear, confusion
                    — guilt, anxiety, sense of rejection
                    — Distrust of adults, strangers
        More severe situations including incest and violent abuse may have long-lasting
            effects such as:
                    — behavioral problems including withdrawal, school problems, aggressive
                            behavior, running away, etc.
                    — psychological harm that can result in nightmares, extreme depression
                            or anxiety.
                    — physical harm including cuts and bruises, venereal disease and pregnancy.

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A couple share a ride on a roller coaster. For one person the ride is sheer delight. For the other, an experience that brings panic. These two people have had different emotional and behavioral responses...or have they? The biological response of both people has been almost identical.  Both of their hearts raced and their blood pressure soared. Hormones stimulated some organs and depressed others. Their breathing quickened and their muscles tensed. These are the Body’s basic biological reactions to stress. Predictably they are always the same, whatever the stress— good or bad, welcome or unwelcome.

Stress is any situation that places extreme biological or psychological demands on a person. While the biological response to stress is always the same, the psychological response may vary widely.

A divorce is stressful — but so is a marriage. Getting fired from a job is stressful — but so is getting a promotion. Stress belongs to Everyone: business people, teachers, mothers, children, laborers, writers and farmers. A keyed-up feeling is part of the unique tapestry of life.
   
        Some stress is necessary to well-being, and a lack thereof can be harmful.
        Stress may not be as much a factor in heart disease as many think.
        Stress definitely causes some serious ailments.
        Severe stress makes people accident prone.
        Contemporary metropolitan stress causes no more harm than old-fashioned
                country stress.
        Disastrous stress on a group often has beneficial after-effects.
   
        Most people concern themselves with the darker side of stress— distress. To be sure,
        negative stress can be seen in the housewife fighting shopping crowds, the university
        student confronting a difficult exam, the family facing a move to a distant community
        or the employee laid off by a work slowdown. These challenges are often complicated
        by biological changes that may so significantly alter body functioning as to lead to
        disease.

        Research in psychosomatic medicine has shown stress can contribute to headaches,
        ulcers, nervous system disorders, and problems with the circulatory system and
        reproductive organs.

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Question: What do the following people have in common?
        Abraham Lincoln, President                Franklin D. Roosevelt, President
        F. Scott Fitzgerald, Author                  Marilyn Monroe, Actress
        “Buzz” Aldrin, Astronaut                    Winston Churchill, Statesman
        Henry David Thoreau, Philosopher     Vincent van Gogh, Artist
        Ernest Hemingway, Author
Answer: Each struggled with depression — that gnawing feeling of being overwhelmed.

Surveys among general medical practices show physicians spend between 50% to 70% of their time dealing with psychiatric problems. This same research shows 90% of the psychiatric complaints are associated with depression.

Depression has been something of a mystery since it was first identified in the earliest writings of man. Since that time, researchers have markedly improved the identification and treatment of those who experience depression. New medications and the isolation of a previously unknown gene have spawned renewed hope for a cure to what has been dubbed “the common cold of mental health.” At the present time, however, depression continues to be the number one health problem in the world.

Everyone has the “blues” sometimes and may become saddened by a disappointment in love, some occupational set-back, feelings of guilt or financial worries. But when apathy, dissatisfaction and unhappiness persist, the help of a professional is essential.

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Billy, age 6, may look sad most of the time, may talk about feeling unloved and spend most of the time in solitary play. He may be afraid to go to school, may avoid trying new skills and respond with “I’m dumb,” or “I can’t.”

Susie, age 9, spends most of her time alone in her bedroom. She doesn’t appear to care about anything. She avoids her peers, is failing school, and has lost interest in personal grooming. She responds to parental concern with “I can’t do anything right — I should be dead.”

Mike, age 12, is careless, reckless and refuses to follow family rules. He ran away from home, punched a hole in the wall and is mean to his brother — threatening to kill him. He’s always with his friends, skips school and has begun experimenting with drugs or alcohol.

These children all have one thing in common — they are depressed. Depression is a state of despair, helplessness and hopelessness. Depression can be turned inwardly in the sense of guilt, rejection, self-hatred, avoidance and grief, or outward with anger, defiance and aggression.

Common signs of depression in children include:
        sadness
        friendlessness
        failure in school
        loss of interest in activities
        preoccupation with fantasy
        sudden emotional outbursts
        difficulty concentrating
        suicidal statement
        excessive blaming of others
        easily agitated
        overly accident prone
        sleeplessness

   
    Middle childhood, ages 6-12, is sometimes referred to as the stage of accomplishment.
    Children are developing skills, identifying a sense of self, learning to communicate
    and socialize with peers.  It is normal for children to push limits, challenge parental
    Authority, feel crushed with failure and struggle with peer acceptance. There is
    concern, however, when a child cannot communicate his/her feelings.

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Suicide is now the second leading cause of death among young people ages 15 to 24. Therefore, it is important to recognize those teens at risk, know the warning signs of suicide and know how to help a suicidal youth.

   
    There is no one reason why teenagers commit suicide, but most suicides and suicide
    attempts are reactions to intense feelings of loneliness, worthlessness, helplessness
    and depression. The hopelessness that often leads to suicide may result from a
    combination of factors:
            A recent suicide in the family or of a close friend
            Recent losses, major disappointments or humiliation
            Traumatic events: death of a loved one, or divorce or separation of parents
            Increased exposure to violence and death in the media
            Abuse of alcohol or drugs: Prescribed anti-depressants, illegal drugs or steroids
            Pressures to succeed: academically, socially or religiously
    Any of these events, or a combination of events, may trigger depression or loneliness,
    which in turn triggers suicidal thoughts and then attempts.

   
   
Although a single, highly traumatic event can trigger suicide, young people thinking
    about suicide almost always give signals, in advance, of what they are contemplating.
    These warning signs are a cry for help. The key to preventing suicide lies in that ability
    to recognize and respond to this cry.

    Suicide Threats: Some adolescents will make direct threats to commit suicide. Always
    take a suicide threat seriously and never dare the person to actually do it. Others will
    make less direct comments such as, “I might as well be dead,” or “My family would be
    better off if I were dead.”

    Sudden Changes in School Behavior: Be alert for signs such as abrupt changes in
    attendance, dwindling academic performance, failure to complete assignments, lack
    of interest and increased irritability.

    Sudden Changes in Personality, Attitude, or Appearance: Be aware of the shy
    teenager who suddenly becomes a thrill-seeker or an outgoing teen who suddenly
    becomes shy and withdrawn. Pay attention to adolescents who no longer care about
    what they look like or their cleanliness.

    Heavy Use of Alcohol or Drugs: Adolescents who use drugs or alcohol experience
    severe depression coming down from a “high” or out of a hangover.

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Any of the following reasons may contribute to kids turning to drugs:
        for fun
        because friends are
        to make it through the day
        unaware of effects
        a role model uses drugs
        to fit in
        for risks
        boredom
        curiosity
Knowledge of drugs and their effect is the best possible prevention.

Education of youth and parents is necessary to help counter the pressure
to use drugs. You can never have all the answers, but you should have enough
information to dispel the glamour of drugs. It is important to your children the
hazards of drug use. The following information is intended to aid you in talking
with your kids about drugs.

Most people try drugs or alcohol for the first time because someone they know does.
We call this “peer pressure” and it plays a big part in our children’s lives.


There are signs that indicate possible drug usage. Knowing these signs may help
you prevent further use. These signs include:
        change in moods, becoming irritable, secretive, and withdrawn
        less responsible, dishonest, late coming home
        change of friends and/or lifestyles
        defensive, difficult to communicate with
        loss of weight, unhealthy appearance, difficulty concentrating


Communication is one of the most effective tools you can use in helping your child
avoid drugs. Spending quality time talking with your child shows your child that he
or she means a great deal to you.

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