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I’m depressed, and my mother won’t take me seriously…help?

  • Posted on March 14, 2010 at 12:51 pm

I’ve been depresses since about a month or so before school started. I had all the symptoms – an empty mood, loss of interest, excessive crying, feelings of worthlessness or pessimism, decreased energy and fatigue, feeling ‘slowed down,’ difficulty concentrating and making decisions, and other physical pains (headaches, back pains, etc.)

It’s getting to a bad point – not suicidal, not that extreme – but the fact that I’m stuck in this…rut and I can’t get out makes me even MORE depressed ABOUT my depression.

My problem:

My mother takes nothing seriously. (This has contributed to my depression, might I add.) The last time I opened up to her was two years ago, about how I imagewas upset that she and I fought a lot and that never seemed to happen with her and my brother. She proceeded to yell at me, and tell me that "I’d be lucky if my brother talks to me after I leave for college." That was the only time in my life I’ve ever tried telling her how I felt, and she responded to it with unnecessary anger. One day, when I tried to mention in passing that I felt like I had barely any friends at my school, she called me, and I quote, a "dramatic bitch."

Don’t get me wrong. My mother is an amazing person, I love her and she loves me. But when it comes to serious conversation topics, she gets angry and confronts them with power struggles. She takes nothing I say seriously and assumes I am being dramatic because I’m a 16 year old therefore MUST be indescribably horomonal.

So. If I tried to sit her down one day and genuinely say, "Mom, I really do believe you don’t take some of the things I say seriously and I would like you to have more respect for my thoughts and opinions."

…she would probably laugh in my face and / or ground me.

And if I told her I was depressed, and wanted help, again, the same result. Or she’d accuse me of faking for attention. (God knows I need attention from my family, but there is no way in hell I’d fake a medical condition to receive it. I’m not a twisted person.)

image I also haven’t SEEMED depressed lately, to others at least. From an outsider’s point of view, my grades have not changed, my physical appearance has not changed, and nor has my general aura around people.

Which of course would all be points brought up by my mother in a debate over whether I’m "really" depressed or not.

I’m not asking for tips on how to deal with difficult people like my mother.

I’m asking how NOT to deal with her. I’ve considered guidance counselors at my school, but considering it is a catholic school and they have told previous students in my condition to pray, and see the light of God, I’m crossing that option off the list. I’d talk to a doctor in confidentiality, but sooner or later said doctor would deem this serious and make contact with my mother (considering I am, in fact, a minor), who would refuse me any sort of therapy or medication, again claiming I was attention starved.

I’d rather avoid asking about over the counter depression medications for fear of looking like a scam artist with an addiction to popping pills, but if push comes to shove…

(Again. That I would rather avoid…)

So.

There really is no specific question here…what I’m looking for is advice from anyone there who has (or hasn’t) been in situations like this. Who should I talk to – where should I turn? Are there any methods of therapy or medication (prescription or not.) that have worked for you in the past? I would prefer if nobody left advice about my mother, I have deemed her stubborn close-mindedness incurable, but feel free to leave any advice about her, if you wish.

Anything and everything you say will be taken into great value. I really really do want to hear from anyone out there. Thank you so much for putting up with my awful, horribly long ‘question’ of sorts.

<3
Oh, and I don’t believe stress is the base of my depression. This all started on a fun family vacation, and school has been relatively easy this year.

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Hello and Welcome!

  • Posted on January 1, 2010 at 4:01 pm

If your daughter is suffering from a drug addiction or alcoholism, there are drug addiction treatments that can help her NOW.

Please view our short but informative VIDEO  on how our exclusive Life Process Program is the most advanced addiction recovery program in the U.S.

Addiction is taking over your daughter’s life and her addiction is hurting her, you and the people closest to you her.  You can feel and see its power over her and you know it’s time to help her break this terrible grip that her addictions have over her, but you don’t know how.

image Most people will fail in traditional 12 step programs like A.A

If you are suffering from drug addiction or alcohol addiction you do not have a disease.  You have a problem and we can help.  There is no need to feel like everything is hopeless.

12 step programs will tell you that you are incurable, diseased for life; “once an alcoholic always an alcoholic or “once a drug addict always a drug addict”  This could not be further from the truth!  AA (just one example of traditional religious based 12 step program) thinks you should continue to go to meetings for the rest of your life because if you start to miss meetings or associate with anyone who drinks or if you even step foot in a bar you will most likely drink to excess again because you have no control over your own life. 

Harvard Medical school while doing one of famous in-depth case studies determined that “a supportive spouse was for more likely to help you break an addiction to drugs or alcohol and aid you in the recovery than any available 12 step program, yet A.A says the very opposite; they encourage you to leave your husband or wife and focus only on A.A.  I know what your thinking, that sounds crazy.  unfortunately many people are forced into AA and other 12 step programs by the court system, by child custody services, by schools, military, employers… even loved ones who are all trying to do the right thing but certainly are using the wrong tools.  What happens once they are faced with the insane 12 step “rules” and “requirements”?  Well, if they refuse to obey, they fail, if they question the ultimate authority of “the good big” or “the big book” or whatever “book” these 12 steppers are getting their commandments from, they will fail.  If they have been forced into this type of a program as an ultimatum to losing a job, getting a divorce, losing the children or losing their own freedom, then they have to play by these rules no matter how crazy they sound or face the dire consequences. 

“There is certainly a stigma attached to a person who “fails AA” when in reality it is AA who fails the person.” quote taken from HowdoiGetOffDrugs.com

The Harvard Medical School says that 80% of the people who successfully quit drinking, eighty percent of them- do it alone without the help of AA or other twelve step programs.  AA would have you believe you can never do it “on your own”.  Therefore, according to the statistics discovered and published by Harvard, you are more likely to cure yourself of your alcohol dependencies then to be cured of them by AA.  In fact I would like to bring it one step further and point out that since AA feels you will be an alcoholic forever, (remember once an alcoholic, always an alcoholic) they self admittedly have a 0% success rate.  If every cancer patient who visited Dr. Feelbetter’s Cancer Treatment Center continued to have cancer for the rest of their (probably short) lives, if none of them were ever given a clean bill of health, everyone would agree that Dr. Feelbetter had a 0 percent cancer cure rate.  This is the same example as that with AA who insists that you attend meetings and stay away from even social drinkers and never use anything with alcohol in it be it medicine or even mouthwash because you will “always be an addict.” 

12 step programs assert many damaging beliefs systems, here are two of the worst;

  1. Alcoholism and drug abuse are diseases, not states of mind.
  2. Alcoholism and drug abuse are incurable, you will always be an addict or alcoholic.

What a disservice to the individual who could have recovered had it not been for being force fed that insane belief system!

Even if 12 step programs were correct in assuming that abusing drugs or alcohol was a true disease, one hasd to understand that every disease exhibits some type of spontaneous remission rate. (spontaneous remission is recovery from a disease or condition without a known reason or cause for that recovery) Disease remission rates may be very low as in the case of brain cancer at 33.3% or it could be very high as in the case of H1N1 influenza with an 86% recovery rate but still, true diseases have remission rates that can be evaluated.  Not so for AA, apparently drinking too much or abusing drugs is not only incurable but is also devoid of remission.

AA claims to have an 80% to 90% success rate (of course that’s impossible since they believe everyone going to AA is and always will be an alcoholic).  Other agencies with a favorable nod towards 12 step programs put AA success rates at about 50%.  Most non partial evaluators and clinical studies put AA results far less, at about 3% to 5%.  If we look at Harvard’s study showing 80% of alcohol abusers will recover on their own, and even by AA’s claims of 90% recovery, once you factor in the spontaneous remissions that would have existed with or without AA, that still leaves them with only a 10% at best recovery rate using their own 90% statistics and if you use the 3% favorable statistics or even the 50% stats one has to realize that you have a better chance of recovering from your addictions without AA than with AA!

There is only one method of accurately computing the successful rate of treatment that any given medicine, advice or device boasts and that is to subtract the average rate of spontaneous remission from the apparent success rate.

Let me explain it through example; On the island of feelsick, everyone has a disease with a 25% mortality rate.  Dr. Feelbetter develops a drug that he administers to 100 of the Feelsick islanders.  Of the islanders who received this miracle cure, 75% of them did not die, Dr. Feelbetter is triumphant in his new medicine and proudly boasts the medicinal value of it.  Unfortunately Dr. Feelbetter belief in his pharmaceuticals wonder drug is flawed, his medicine did nothing to change the fact that 25% of the 100 islanders were going to die anyway.

In the above case against 12 step programs, I would venture to claim that more people’s lives are damaged by attending AA meetings than by avoiding them.

Anyone with even the slightest amount of commons sense would most certainly steer clear of a drug that made more people sick then the amount of people it cured.  So, why re so many people attending AA and other 12 step programs?  Simple, court ordered rehab, spouses demanding it, schools giving you the option of join the local chapter of AA or be thrown out, etc.  The first thing these unfortunates will learn when they first step foot in the door of these “treatment” centers is that they have an incurable disease, they will never be a normal human able to enjoy the things that other people take for granted.

There is hope.  There is help.  If you or a loved one has a drug or alcohol problem.  If you are addicted to drugs and you do not know where to turn, if you need to stop drinking but you do not know how, please watch this video and then call the number above the video.  You need a treatment plan that doesn’t force religious based, outdated, incorrect and very dangerous beliefs on.  You need confidentiality and you need sound advise.  You need help in understanding how YOU can take control of YOUR life now and forever.  Your drug or alcohol abuse is certainly not an incurable disease, it’s not a disease at all, it is just bad decisions that can be changed in a very short time.

image
Please, watch this short video and then give us a call.  It is time for you to start the next chapter of your life.
 

 

Whether you are reading this because you need drug rehab or alcohol addiction treatment or if it is for a loved one, my heart truly goes out to you and I wish you only the best.

 The views, comments and opinions expressed at, in or on www.HowdoigetmyDaughteroffDrugs.com are those of the individual authors or contributors or submitters do not necessarily reflect those of any of the agencies, websites, companies, groups or organizations listed, linked to, mentioned, sited or discussed within this website.

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Letter To the Dr. “Does my daughter have a drug problem”?

  • Posted on July 26, 2009 at 6:22 pm

Does my daughter have a drug problem?

image

Dear Sir:

To give you a little background of our family, I am not at liberty to tell you who I am or where I live [writer is in the federal witness protection program].

image Since we moved many years ago my daughter has felt deprived of many things that we had in life. We lived a very good life until a certain point. My daughter feels that she has lost everything in her life. Relatives, friends, and money. She thinks about what might have been had I not done what I did. She does believe what I did was very heroic, but feels she has paid much too big a price for it.

When she dropped out of college in March of this year, we made a deal that she would work for us and that she would come in every day from 9-5. There was not one day that she came in on time. Each and every day she had an excuse. She was sick. Her sinuses hurt, her nose was running. She had a stomach ache. I explained that she needed to change her habits so that she could ultimately get a job in the real world.

In any event we just found out this weekend that she has been taking cocaine. This may explain the problems she has been having with her nose. She said at some point she was addicted and that she stopped for a year and now is an occasional user. She stated she took it about 30 days ago. This threw us for a loop as we had no idea she was doing this.

I guess we should have had an idea as she has flunked out of college. We had a long conversation with her, a lot of crying and promises. My daughter is a very good actress and when she wants something she can be very convincing. She also has a great mind which she uses in writing. After she told us in writing her promises, when she broke one, she then wrote me an essay on "Any fool can make a rule" Henry David Thoreau. This is part of what she wrote us.

In general the basic purpose of rules or laws is very crucial to survival. I understand the importance of laws, and rules,…..according to Thoreau, I am acting like a fool, given that I made these reasonable and sensible rules for myself, yet I haven’t adhered to them completely.

We started to talk with her about her problems and she doesn’t think she has one. I explained to her that how could she on her own expect 100% success ration when the professionals only get 60-75%. Her answer was she stopped for one year on her own therefore it would be no problem. She insists she has no drug problem.

I could no longer try and reason with my daughter so we left her apartment. While in the car we spoke about drug testing every week which she suggested. I am going to take her up on this. She also had the nerve to ask me if she could still smoke marijuana. I do not know how to best handle the situation. I feel guilty for changing her life completely and know that she needs "tough love" as she says, but she will not let us do anything. I should say she is now overage and other than financial support from us, she is on her own.

Hero in distress


Dear Sir:

You are looking to ferret out deep secrets, while you are not dealing with the facts in front of you. Thus you conceivably could be too hard on your daughter (accusing her of a drug problem, which she says is in the past), and too easy on her (permitting her to screw up without any consequences).

imageYour daughter admits she has a problem – not keeping her word. She seems to accept responsibility for this, but says she does not have a drug problem. If you really drug test her, you can determine that she’s not taking cocaine, as she claims. But it is certainly plausible.

What you have permitted her to do is to fail at work and school, with no penalty. You could forge an agreement about her working for you – where violations are penalized. Or you could simply tell her to strike out on her own (she is an adult), and you will help her as much as you can so long as she keeps her end of the bargain (she keeps a job, or whatever).

Your communication with your daughter is directed towards externals and imponderables, and not towards the critical issues at hand. It is very possible that you are the one blinded by drugs.

Your situation seems to have affected you as much as her – she feels deprived; you feel guilty. But, for better or for worse, that is all over. Take your daughter at her word – that is, offer her work or support contingent on her performance, and steel yourself to cut her off if she does not come through. If this leads her to drug treatment, however, the same situation will prevail – whether she succeeds there will depend on her motivation and performance, not some inflated success rate trumpeted by the treatment center.

Stanton

 

 

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Why Adolescent Treatment is Different from Adult Treatment

  • Posted on July 2, 2009 at 11:44 pm

Why Adolescent Treatment is Different from Adult Treatment
by Thomas J. Crowley, M.D and Elizabeth Whitmore, Ph.D.

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Summary

  • The physical differences between adolescents and adults are one reason why adolescents need treatment tailored to their age group. Their physical attributes, including their brains, have not finished developing.
  • Teens need treatment programs that address their academic issues and make their families an integral part of the plan.
  • Most adolescents have entered drug or alcohol treatment involuntarily, and their counselors and doctors must take this into account when establishing a treatment plan.

Adolescent drug users differ from adults in many ways. Their drug and alcohol use often has different causes, and they have even more trouble seeing the consequences of their use for the future.

In treatment, adolescents must be approached differently from adults because of their unique developmental and psychiatric issues, differences in their values and belief systems, and environmental considerations (e.g., strong peer influences).

Adolescents generally have smaller body sizes, a lower tolerance for substances, and they do not have a fully-developed brain, putting them at greater risk for using drugs and at greater risk for physical and other consequences related to their use. The use of substances may also negatively effect their mental and emotional development because substance use interferes with how people learn to handle situations and experiences. Adolescents are also always part of a larger family unit, so family involvement plays a critical role in an adolescent’s treatment and recovery.

Finally, as compared to adults, very few adolescents attend treatment because they recognize they have a problem and are voluntarily seeking help. They are much more likely to be coerced by their parents, their schools and/or the court or social services system to enter treatment. While treatment does not need to be voluntary to be effective, special consideration needs to be given to these issues as part of the adolescent’s treatment. Although relatively few treatment programs are designed specifically for adolescents, these important differences demonstrate that adolescent treatment needs to be specifically tailored to the unique needs of adolescents and not just based on adult models of treatment.

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Ten Questions to Ask a Treatment Provider/Program:

1. What types of treatment do you have? Have their been any research studies of this type of treatment?

2. What evidence do you have that your program is effective?

3. How do you specifically address the needs of adolescents?

4. Can you assess and treat my child’s mental health problems at the same time as his/her substance problem?

5. How is the family involved in the treatment process?

6. How long will this treatment last?

7. What things do you do to help adolescents engage and stay in treatment?

8. Do you have aftercare or a continuing care program for when this treatment ends?

9. What happens if my child is not successful here? What other options do we have?

10. How much does this cost and how much will I have to pay? Are there any state, county, or grant funds to help pay for this treatment?

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Drug Pushers, are they in your home?

  • Posted on July 2, 2009 at 11:34 pm

by Robert F. Forman, Ph.D.

The Internet is a powerful resource for education, entertainment and business. Unfortunately, the Internet is also a haven for selling and buying all sorts of drugs without prescription. Websites offering to sell pain relievers, uppers, downers and steroids without a prescription can be readily found using search engines. imageStudies conducted at the University of Pennsylvania found that the Yahoo and Google search engines list websites that offer to sell highly addictive prescription drugs without prescription.

But buyer beware! These medications are illegal to possess without a valid prescription regardless of what the website might claim. Many “No Prescription Websites” mislead potential customers into thinking that they are legitimate by making false claims of legality. In fact, it is illegal to possess medications in the United States without a valid prescription.

Many no prescription websites ship counterfeit, expired or simply bad drugs from countries that provide little or no oversight or control. You don’t know what you are getting when you deal with an online pill mill. In some cases, the website will simply take your money and send nothing at all.

Of even greater concern are the websites that actually ship the drugs without prescription. Medications such as opioids (such as Vicodin, codeine or oxycodone), sedatives like Xanax and Valium, and stimulants (Ritalin, Adderall) are potentially addictive and can easily be misused with disastrous results. Just because a drug comes in the form of a pill doesn’t mean it is safe. There are more people abusing prescription drugs than heroin and cocaine combined.

Young people are particularly vulnerable to Internet-based drug dealing because they have grown up using the Internet and don’t realize its potential risks. Somehow, professionally created websites provide an illusion of safety and professionalism. However, just because a website has the image of a doctor on it does not mean a doctor has had anything to do with the drug sales. Sadly, there are several reports of young people who have died from drugs they bought over the Internet without prescription.

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image FIVE THINGS TO KNOW ABOUT GETTING DRUGS OVER THE INTERNET WITHOUT A PRESCRIPTION

  • 1. Look for unexpected credit card use.
  • If unexpected charges appear on your credit card, call your credit card company and find out what is happening. It is possible that your card is being used to buy drugs online without prescription.
  • 2. Know your child’s online friends.
  • Just as you should know the friends your child spends time with, pay attention to where they go online, too. Question your child if he or she is visiting online pharmacies or drug-promoting websites. If your child has already been treated for a substance use problem, the risk of relapsing and finding trouble on the Internet may be even greater.
  • 3. Look out for unexpected packages with unrecognized names.
  • If unexpected packages arrive at your home addressed to your child or a name that you do not recognize insist that your child open the package in your presence.
  • 4. Get computer help.
  • If you have reason to suspect that your child is using the computer to obtain drugs illegally, seek two kinds of professional help: a) an addictions specialist to address the substance use problem and b) someone to secure your computer so that you can ensure that it is used safely. In most communities there are computer service companies that can help you set up controls over your computer (often called filtering or blocking software, or software programs that monitor what websites are being visited).
  • 5. For medications prescribed by a doctor only, use online pharmacies with the Verified Internet Pharmacy Practice Site (VIPPS) certification.

This is a voluntary certification program initiated by the National Association of Boards of Pharmacy. Some online pharmacies will simply take your money and run, others sell counterfeit and expired drugs, while others deliver the actual drugs – illegally. Buying medications without a valid prescription is illegal and unsafe. Websites which have the VIPPS Seal subscribe to safe online pharmacy practices and operate legitimately.

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Inpatient or Outpatient? Find & Evaluate adolescent addiction Treatment

  • Posted on July 2, 2009 at 11:17 pm

by Michael Dennis, Ph.D.

Summary

  • In a given year, approximately one in 10 teens with a substance use disorder receives needed treatment.
  • Early intervention programs work to make treatment accessible to adolescents by being in or convenient to schools.
  • Residential treatment usually serves adolescents with health complications or high-risk recovery environments.
  • Look for program elements that address teens’ co-occurring mental health problems while treating the substance use disorder.
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Adolescence is the time when most people become addicted. Some 80-90% of the people with substance abuse or dependence disorders started using under the age of 18 (half under the age of 15) and end up using for several decades.

image While most of the adolescents who try using alcohol, marijuana or other drugs do not become addicted; one in four who start under the age of 15 end up developing abuse or dependence problems and do not stop until they have gone to treatment 3-4 times over several years. Substance abuse and dependence mean that use has led to subjectively unpleasant problems to the teens and/or their families (withdrawal, giving up other things they care about, getting into fights, not meeting their responsibilities).

Unfortunately, only one in 10 adolescents who’ve had a substance use disorder in the last year are receiving treatment. It is important to not give up hope, however, because most teens eventually quit and recover. Moreover, getting kids into treatment sooner, making sure they complete it and re-intervening as soon as possible after relapse significantly reduces how long it takes to get them to stable recovery. If treatment commences within the first decade of use this typically cuts in half the time it takes one to achieve recovery.

Early intervention or student assistance programs try to work with teens before they develop substance use disorders or in the first 1-2 years of use. By being in or convenient to schools, these programs make participation easier and less threatening for teens. Eighty percent of the programs offer outpatient or intensive outpatient treatment and may involve a combination of individual, family and group therapy. The programs may involve an hour of therapy weekly. Or they may be far more intensive, ranging up to 10 or more hours each week. Some extend the treatment of teens into their homes.

Residential treatment is typically reserved for teens who have intoxication, medical or psychiatric complications or have high-risk recovery environments such as those in which the teen is homeless or abused or in which family members or close peers are using drugs. Other candidates for residential treatment are those who have kept using in spite of outpatient treatment. Residency can last from a few days (for detox only) to 30-45 days and, for long-term treatment, up to a year. The latter are typically limited to kids who have not responded to shorter treatment, are involved in the juvenile justice system (and are likely to commit crimes if released) and/or who have very unstable home lives (such as multiple foster care placements).

Keeping adolescent addicts abstinent during the initial period of re-entry after residential treatment is probably the best single predictor of long-term recovery. There should be a continuing care outpatient program after residency, as relapse is particularly common in the first 90 days after discharge. Unfortunately only about 10% of adolescents coming out of residential treatment successfully start continuing care outpatient treatment, even when it is readily accessible. Research shows that involvement in adolescent-oriented self-help groups, substance-free structured activities and recovery- oriented schools or school programs also helps. In many communities only some of these levels of care may be available.

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The majority of adolescents with substance use disorders also have one or more co-occurring psychiatric problems such as depression, anxiety, traumatic memories, self-mutilation or suicidal thoughts; behavioral problems including inattention, hyperactivity and conduct disorder; crime or violence problems; and/or have multiple sexual partners or other HIV risks. Only a small percent have only one problem and over half have five or more. The more of problems an adolescent has the more likely they are to relapse. Addressing these other problems simultaneously is often a key part of successful treatment. Some of the key program features that help with co-occurring disorders include: standardized assessment for other problems, providing on-site services, case management to help teens and their families get access to services, having agreements or electronic record systems to help coordinate the various people working with the teen.

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FIVE QUESTIONS TO ASK ABOUT TREATMENT FOR TEENS

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FIVE THINGS TO REMEMBER ABOUT TREATMENT FOR TEENS

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A Therapeutic Approach to Teen Treatment

  • Posted on July 2, 2009 at 11:02 pm

A Therapeutic Approach to Teen Treatment
by Thomas J. Crowley, M.D. and Elizabeth Whitmore, Ph.D.

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Summary

  • Multi-Systemic Therapy, or MST, an intensive approach to treatment, shows high rates of success.
  • MST therapy teams have small caseloads and work closely with the whole family, contacting them almost daily.
  • Payment for MST frequently comes from social service or juvenile justice agencies or through public funding.

The Multisystemic Therapy Model for Outpatient Treatment

Multisystemic Therapy (MST) is widely considered one of the most effective forms of treatment for adolescent problem behaviors. This therapeutic approach uses an intensive, home-based model to reduce barriers that keep families from getting services. A practical and goal-oriented treatment, MST specifically targets the factors in each youth’s social group and environment that contribute to his or her antisocial and/or drug-using behavior. It tries to address many different parts of the adolescent’s life and relationships that may be related to their drug use and other problem behaviors. MST therapists:

  • have small caseloads of four to six families at a time
  • work as a team; are available 24 hours a day, 7 days a week
  • provide services at times convenient to the family
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The average treatment involves about 60 hours of contact during a 4-month period. A family with an MST therapist should expect that the therapist will:

  • help the parents improve their parenting skills by identifying and building on things the family already does well and helping them learn new ways to parent their adolescent.
  • help the family find people in their community who can be helpful to them (e.g., extended family, neighbors, friends, church members)
  • help the family figure out ways to address other problems in their lives (e.g., parental substance use, high stress, poor relationships between partners).
  • have almost daily contact with the family (several weekly therapy sessions and several phone contacts) travel to the family home or meet the family in the community so that therapy is convenient for the family.
  • be available (or have one of their therapy teammates available) by pager and/or cell phone 24 hours a day, 7 days a week so that the family and adolescent will have the opportunity to get advice from the therapist when situations arise
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The therapist will help the family figure out the things that need to change and make a plan for making changes, but the family will be expected to try to do assignments at home and make changes on a daily basis so that changes can happen as quickly as possible. Funding for MST frequently comes from social services agencies, juvenile justice agencies, Medicaid or mental health funds; there is not typically a cost to the family to participate.

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Frequent Urine Testing Helps Maintain Recovery

  • Posted on July 2, 2009 at 10:49 pm

Summary

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  • As many as half of teens with addiction will return to using alcohol or other drugs at some point during their recovery process.
  • People with addiction need to return to treatment immediately if they relapse.
  • Urine testing provides a useful way of detecting relapse so that a family can arrange for speedy resumption of treatment.

image For many reasons, people who are addicted frequently fail to tell the truth about their using habits, even when they are in a recovery effort. They may have never stopped using or they may have relapsed-as many as half of adolescents in treatment will return to using alcohol or other drugs. To provide an objective measure of treatment adherence, thereby not relying solely on the word of the teen, drug treatment programs and even the parents of teens, often conduct urine tests, or urinalysis, to determine if a teen is using and if so, how heavily.

“One of the things we try to encourage for continuing care, particularly in the first 90 days after treatment, is to keep up on the urine monitoring,” says Dr. Michael Dennis of the Chestnut Health Systems in Illinois, an expert in adolescent addiction. “Now as a parent, there are kits you can buy in the local pharmacy where you can do urine tests at home. They’re very simple.”

Dennis recommends that parents let their child know from the outset that they will be tested, and that if they test positive, they will return immediately to treatment.

“By doing those a couple of times a week, you will know the minute they relapse,” he says. “So that pressure, from knowing that they’re being monitored, and knowing what the consequences are, helps them not use.”

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Urinalysis has become both more sophisticated and easier to conduct in recent years. It has also become less expensive. Parents should realize, however, that kids can find information online about how to cheat on drug tests, or they may learn these tricks from other teens in their treatment program. Vigilance about the authenticity of urine tests is important; parents should speak with the treatment program’s staff about how to monitor urine tests.

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Drug Treatment for Adolescents

  • Posted on July 2, 2009 at 10:40 pm

by Mathea Falco, J.D.

Drug Treatment for Adolescents

Most American youth try drugs and alcohol when they are teenagers; some will develop serious substance use problems.

But treatment for teens is scarce and often hard to find: although more than one million teens need drug treatment, only one in ten actually receive help. Why is adolescent treatment so scarce? Lack of state and federal funding for treatment programs as well as shrinking insurance benefits for drug treatment are two major reasons. Without adequate insurance, many parents simply cannot afford to get the kind of help their children need.

image When parents realize their children have drug problems and must find treatment, they frequently do not know where to turn. The family is often in a crisis situation, when decisions must be made quickly. Yet very little information is available about what parents should look for in choosing a program. Most parents are concerned about cost: do their employee benefits cover drug treatment? If so, for how long? If their coverage is limited, will they be able to pay to get the best possible treatment for their teenager? What kind of treatment will work? Should their teen be sent away to a residential program or can he or she be treated in his or her own community while still living at home? How long will treatment take – a few weeks, months or even years? Parents face bewildering questions they don’t know how to answer, or even how to find answers. They may also feel frightened or ashamed that their teen has substance use problems. And they may also recognize that their own alcohol and drug use problems have contributed to the problems their child is experiencing.

In order to help parents and other concerned adults find help for their teens, Drug Strategies, a nonprofit research institute, developed Treating Teens: A Guide to Adolescent Drug Programs. This guide describes nine key elements that are important in successful teen drug treatment and provides reliable information on 144 adolescent drug programs. Treating Teens gives hotline telephone numbers to find treatment in each state; definitions of frequently used treatment terms, and 10 important questions parents should ask when selecting a program for their teen.

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FIVE QUESTIONS PARENTS SHOULD ASK A TREATMENT PROGRAM

1. Is your program specifically designed for teens? If so, how?

Most treatment programs are designed for adults, not teens. Even if programs say they treat teens, they may in fact just be including them in adult programs that have a few activities for younger people. Adolescents have unique challenges, such as relating to their families, dealing with peer groups, getting an education, finding a job. They also are different developmentally than adults. Effective adolescent programs should address not only drug use problems but also the many aspects of a teen’s life.

2. What questions do your staff members ask to determine the seriousness of the teen’s substance use problem and whether the teen will benefit from this particular program?

Good programs usually ask a brief set of initial questions to explore the severity of the youth’s drug use. How long has the teen been using? Is he or she addicted? What other kinds of problems does the teen have? Is he or she involved in delinquent behavior? Answers to these questions will help a program decide if they can provide the kind of help needed. Once the teen is admitted to the program, the teen’s problems will be examined in much greater depth. This kind of assessment should include a physical exam to determine if there are any medical conditions related to the substance use problem; a psychiatric exam to determine if there are mental health problems, such as depression, that must also be treated; a review of the teen’s educational progress, and a review of the teen’s relationships with his peers. Does he have friends? Are they involved in drugs? The program may also ask in-depth questions of the family about how well family members communicate, whether there are discipline problems, whether there is a history of substance use within the family. The program will develop as complete as possible a picture of the adolescent’s problems so that the counselors can design a treatment plan to address them successfully.

3. How does the program involve the family in the teen’s treatment?

Family involvement in the teen’s treatment is critically important. Regardless of how well or badly the teen and the family relate to each other, parents are the dominant reality in the lives of most teens. Parents are also the major source of financial support, including medical insurance, if any. Most teens live at home, and their recovery will depend on how supportive the home environment will be in helping them build new lives free of alcohol and drug use.
Recent studies of adolescents who stop using drugs report that parental involvement, new friends and motivation are keys to success. Programs should encourage parents (or other caregivers) to participate in counseling, group meetings, drug education and other activities offered by the program. Occasional telephone calls between the parents and the program counselors are not enough. Families should also be asked to examine their own alcohol and drug use and to get treatment themselves when necessary. Programs should teach the family how to be more effective parents, including how to discipline children reasonably. The more the family is involved in the treatment process, the more likely the teen will succeed in treatment.

4. How does the program provide continuing care after treatment is completed?

image The period after treatment is vitally important: most adolescents relapse in the first three months after treatment. However, continuing care services can greatly increase the likelihood of sustained recovery. Developing follow-up plans while the teen is still in treatment is important in providing a structure for the teen and his family, so that treatment gains continue. These plans may include relapse prevention training, referrals to community resources and periodic check-ups by the program with the adolescent and his family. Twelve-step meetings can also be helpful for some teens in recovery, although finding 12-step meetings specifically for teens can be difficult in some communities. Unfortunately, many programs do not provide continuing care, and parents must try to support the teen’s recovery as fully as possible. Parents can identify services within their community that will help the teen live without drugs, including well supervised recreational programs, counseling, and community service. Parents should stay in close touch with their children every step of the way. Parents who believe that their children can overcome their problems and be successful in school make a powerful difference even when faced with difficult circumstances. (In Treating Teens: A Guide to Adolescent Drug Treatment the help hotline numbers can provide referrals to resources in each state.)

5. What evidence do you have that your program is effective?

Very few programs have formal, scientific evaluations that measure their treatment success. However, even without such evaluations, other information can be helpful. For example, completing the entire course of treatment is closely related to success. Retention rate is an important indicator of whether a program is effective. How many teens drop out? How long do they stay in treatment? How many actually complete treatment? Other useful things to ask about are whether teens in the program show improvements in school performance (better attendance and grades) and family relationships (better communications, less aggressive behavior). How does the program monitor drug use among teens in treatment? Do they conduct drug tests? If so, how often do they test? What are the results? Good programs should have test results that show that teens in treatment are staying clean.

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5 VIDEOS of Drug Abuse photos, Before & After meth

  • Posted on July 2, 2009 at 10:22 pm

Call your kids into the room with you when you watch this.

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