{"id":48,"date":"2014-09-13T21:43:29","date_gmt":"2014-09-14T01:43:29","guid":{"rendered":"https:\/\/cpeclinicblog.com\/?p=48"},"modified":"2014-09-14T17:04:12","modified_gmt":"2014-09-14T21:04:12","slug":"an-ounce-of-prevention-is-worth-a-successful-school-year","status":"publish","type":"post","link":"https:\/\/cpeclinicblog.com\/?p=48","title":{"rendered":"An Ounce of Prevention is Worth a Successful School Year"},"content":{"rendered":"<p><em>By Theresa Shank, Ph.D.<\/em><\/p>\n<p>The first day of the school year has come and gone. Back to school supply lists have all been checked off. Medical forms have been filled out and the sports physicals have been performed. Peer group parents have been consulted on the appropriateness of smart phones, tablets, and social media use. Within the next few weeks, parents will also be able meet their children\u2019s teachers at Back to School events. All in all, parents will have had the chance to connect with their children\u2019s medical and education experts, as well as other parents in the community, and measure their development, behavior, and general well-being. As an experienced child and adolescent psychologist, I think back-to-school is also an ideal time for parents to evaluate their children\u2019s mental health as they transition into the challenges and changes of a new school year.<\/p>\n<p>You\u2019ve heard the saying, \u201cAn ounce of prevention is worth a pound of cure.\u201d Fully 50% of all lifetime mental health disorders start by the age of 14. However, early signs of mental illness &#8211; anxiety, depression, mood disorders, learning disorders, attention deficit disorders, etc &#8211; are often missed, or are dismissed as passing phases in the child\u2019s or teen\u2019s development. The U.S. Surgeon General estimates that about 21% of children and teens in the United States have a diagnosable mental health disorder, but that 80% of them are not identified and do not receive help. Over time, untreated symptoms increase in scope and prevalence and often become entrenched in the individual\u2019s personality, making it much more difficult for the late teen or young adult to separate himself or herself from them, instead experiencing the symptoms as \u201cThis is just how I am,\u201d and, even worse, \u201cthere is nothing that can be done about my situation.\u201d<br \/>\nAs sobering as these facts can be, there is also a tremendous amount of hope. One of the best things you can do as a parent is to identify any mental health disorder early in your child\u2019s development. Treatment in early stages of disorders can often be easier, more successful, and less reliant on medication. Identifying and treating symptoms of anxiety, mood disorders, learning disorders, and attention deficit disorders when they first appear results in better treatment outcome, lower costs to families, and overall better quality of life for the child and family.<br \/>\nAs a mental health professional, I encourage you to think about how your child or teen is doing in the following areas:<\/p>\n<ul>\n<li><em>Mood<\/em> \u2013 watch for chronic low moods and negativity, periods of intense sadness lasting two or more weeks, rapid changes in mood, and\/or thoughts of suicide<\/li>\n<li><em>Fears and Anxieties<\/em> \u2013 watch for frequent concerns about school performance, excessive sensitivity to world events\/extreme weather, problems separating from parents, worries about being judged negatively by peers, social isolation, persistent unwillingness to try new activities, fears that are excessive (such as of germs, vomiting, or doing things incorrectly) or atypical fears such as a fear of becoming like someone else just by touching a person or breathing the air near him\/her, or being responsible for the safety and well-being of others.<\/li>\n<li><em>Friendships<\/em> \u2013 Watch for problems making or keeping friends, peer rejection, and difficulty reading social cues.<\/li>\n<li><em>Behavior<\/em> \u2013 watch for social withdrawal, aggression, anger outbursts, excessive clinginess, reluctance to touch objects, repeated hand washing\/use of hand sanitizer, checking, arranging, and body movements.<\/li>\n<li><em>Attention\/Concentration<\/em> \u2013 listen for complaints by the child that he\/she cannot pay attention in school, note teacher comments on report cards regarding a tendency to daydream, or to be off task, unable to complete work in a timely manner, or disruptive to peers.<\/li>\n<li><em>Activity level<\/em> \u2013 watch for underactivity, over activity, or extreme variability in activity level (i.e., problems getting out of bed alternating with difficulties sleeping and excessive talking).<\/li>\n<li><em>Weight<\/em> \u2013 watch for restricted or excessive eating and unexplained weight loss or weight gain<\/li>\n<li><em>Sleep<\/em> \u2013 watch for problems falling asleep or staying asleep during the night, a tendency to wake much earlier than usual, or difficulties sleeping alone.<\/li>\n<li><em>Frustration tolerance<\/em> \u2013 watch for a short-fuse that does not improve as the child gets older, or a decrease in frustration tolerance due to anxiety or mood problems<\/li>\n<li><em>School performance<\/em> \u2013 watch for drop in grades, problems adjusting to the new school year, missing or lost assignments, problems finishing tasks and tests within the time allotted, organizational and time-management difficulties, and problems learning how to read, write, or do math.<\/li>\n<li><em>Skin, Fingernails, and Hair<\/em> \u2013 watch for signs of hair pulling (may present as excessive \u201craking\u201d of hair), skin and nail picking.<\/li>\n<li><em>Non-suicidal self-harm<\/em> \u2013 watch for unexplained cuts or burn marks on the skin and\/or a tendency to wear inappropriately warm attire to hide the skin.<\/li>\n<li><em>Substance use<\/em> \u2013 watch for signs of use of marijuana, alcohol, or other substances<\/li>\n<li><em>Motor skills<\/em> \u2013 watch for difficulties with eye-hand and gross-motor coordination and handwriting,<\/li>\n<\/ul>\n<p><strong>What to do if you have concerns about your child or teen:<\/strong><br \/>\nMost commonly, the first step parents take in finding help for their children is to talk to their pediatrician. Mental health professional referrals can come from pediatricians, friends, neighbors, or school guidance counselors. Websites, such as PsychologyToday.com, OCFoundation.org, and ADAA.org, and state and national psychology associations such as MarylandPsychology.org and APA.org, include lists of therapists, the age of clients with whom they work, and their areas of specialization.<br \/>\nA good mental health professional can diagnose a potential problem with a thorough clinical evaluation that includes input from both the client and the parents. If treatment is suggested, it can range from cognitive behavior therapy, psycho-educational evaluations, additional consultation with the pediatrician or a child and adolescent psychiatrist regarding possible medication use, or referral to a different professional such as a speech and language pathologist or an occupational therapist.<br \/>\nHaving worked with children in private practice for almost 15 years now, I receive updates from the families of the children with whom I worked as they have progressed through elementary, middle school, and high school. These young people are successfully heading off to college after having learned the skills to perform better in school, having built a number of satisfying personal relationships, and having experience in the therapeutic skills that effectively manage residual symptoms of anxiety, attention problems, and depression.<br \/>\nIf you are a parent and your child is beginning to show signs of problems in any of the areas listed above, I strongly encourage you to have a consultation with a mental health professional trained in working with children. Highly skilled therapists can help children in a relatively few number of sessions and arm them with strategies not only to manage their current symptoms, but also to face any additional challenges they encounter along the way, with confidence and a concrete plan of action.<\/p>\n<p><em>Theresa P. Shank, Ph.D. lives with her family in Howard County. She practices in Howard County, Baltimore City, and Anne Arundel County. Her expertise is in treating anxiety disorders and attention deficit disorders in children, adolescents and adults. In addition to treating those conditions, she performs testing to evaluate learning disorders and other developmental disabilities to help. She can be reached via email at Dr.Shank@cpeclinic.com.<\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Theresa Shank, Ph.D. The first day of the school year has come and gone. Back to school supply lists have all been checked off. Medical forms have been filled out and the sports physicals have been performed. Peer group &hellip; <a href=\"https:\/\/cpeclinicblog.com\/?p=48\">Continued<\/a><\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[10],"tags":[11,13,12],"class_list":["post-48","post","type-post","status-publish","format-standard","hentry","category-mental-health-tips","tag-back-to-school","tag-cpe-clinic","tag-shank"],"jetpack_featured_media_url":"","_links":{"self":[{"href":"https:\/\/cpeclinicblog.com\/index.php?rest_route=\/wp\/v2\/posts\/48","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cpeclinicblog.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cpeclinicblog.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cpeclinicblog.com\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/cpeclinicblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=48"}],"version-history":[{"count":4,"href":"https:\/\/cpeclinicblog.com\/index.php?rest_route=\/wp\/v2\/posts\/48\/revisions"}],"predecessor-version":[{"id":58,"href":"https:\/\/cpeclinicblog.com\/index.php?rest_route=\/wp\/v2\/posts\/48\/revisions\/58"}],"wp:attachment":[{"href":"https:\/\/cpeclinicblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=48"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cpeclinicblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=48"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cpeclinicblog.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=48"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}