IS YOUR KID AN ADDICT

Is Your Kid an Addict?
Addiction to drugs and booze are leading teenagers to the ER at a skyrocketing rate. How can you help them before they get there—and how much blame lies with the parents?

By Jennifer Matesa

08/15/12  SOURCE: THE FIX


I know a 23-year-old NYU graduate—I'll call her Sophia—who had an arrangement with her dad when she was in high school: he would buy her booze if she would buy him pot. Since many folks don’t think either pot or alcohol are “hard” drugs, some adults—including Sophia's dad—don’t have a problem with such boundary-crossing bartering. For my friend, however, it created a number of conflicts: for one thing, it meant Sophia was dealing in illegal drugs, and exposing herself to prosecution for felony crimes. For another, it meant she got a clear message from her father that teenage drinking isn’t harmful.

So began Sophia’s drinking career as a young teenager. In high school she drank hard and hung out with likeminded kids. Her grades dropped, and her parents switched her school and put her in therapy—perhaps her father couldn’t imagine what might be leading his daughter to “act out.”

In college she continued to drink, picked up weed, popped Xanax and got wasted regularly. Finally she realized that if she were going to have any chance at a normal life, she’d have to get sober. So she did, at age 21, in the Manhattan 12-step community. To this day, her dad doesn’t get how much weight his lax attitude about drugs and alcohol carried.

This scenario is more common than you might think. “Sometimes we’ll see a situation where one parent smokes pot,” says Nicole Kurash, LSW, director of inpatient adolescent programs at Gateway Rehabilitation in Pittsburgh. “It hasn’t been a problem—they can hold a job, they’re successful, so they don’t think their kid smoking pot is a problem either. A lot of times what we see is, ‘If I let my kid drink at the house, it’s OK. At least it’s in my home.’”


“The substance becomes a remedy for normal emotional struggles,” one expert says. “How do you ask a girl to to dance? Is anybody going to like me? I feel my body going in a thousand different directions—all these things are managed by the substance. What you’ve learned is, ‘I don’t have to feel that.’"

Sophia’s situation might sound beyond the ordinary—her dad buying her booze if she buys him pot. But it’s how ordinary it came to seem to Sophia that’s so significant an illustrator of the teenage epidemic of drinking. “I was like, ‘Who am I trying to hide this from if it’s my dad who’s buying it for me?’” Sophia recalls. “My therapist told me I was totally crying out for rules.”

The federal Centers for Disease Control and Prevention (CDC) classify underage drinking as a public health crisis. Alcohol is the most commonly abused drug among America’s youth, more than nicotine and illegal drugs, and people aged 12 to 20 drink 11% of all the booze consumed in the US. Most of this alcohol—more than 90%, in fact—is consumed in binges. In 2008, underage drinkers made 190,000 emergency department visits for alcohol-related reasons.

“We see kids coming in on alcohol and marijuana, and also prescription opioids—first it’s Percocets and Vicodins, then Oxys, then heroin,” says Patricia Schram, MD, an instructor in pediatrics at Harvard Medical School and faculty at the Children’s Hospital Boston Center for Adolescent Substance Abuse Research.

“People are dying from this,” says Kurash. “It’s not this horrible homeless person living under a bridge using IV heroin—that’s not the total reality of who loses their lives. It is also the wealthy suburban kids who are mixing their prescription drugs. It’s the beautiful 19-year-old girl who goes off to college to be a teacher and gets pressured into drinking too much and overdoses and dies.”

Gateway’s adolescent program serves kids between 13 and 21, and most of the kids they see come from “privileged suburban neighborhoods,” not the inner city, says Kurash. “They have access and money, and sometimes they’re held less accountable. We always have kids who use alcohol and marijuana, and we’re seeing plenty of kids who are using prescription pills—opiates and benzos like Ativan and Xanax.”

“I’m seeing kids who get addicted on their first time” trying prescription drugs like oxycodone, Schram says. “Their prefrontal lobes are not fully developed, they don’t have brakes on their impulses. That’s why they engage in high-risk behaviors—not only drugs, but other high-risk behaviors.”

What happens in the brains of kids at risk for alcoholism and addiction? “We see that even prior to use themselves, they have some abnormalities in the cognitive control circuitry in the brain,” says Bonnie J. Nagel, PhD, who runs the developmental brain imaging lab at Oregon Health Sciences University in Portland. Nagel’s five-year, $1.6 million ongoing study underwritten by the National Institute on Alcohol Abuse and Alcoholism is looking at the effects of substances on adolescent brains. She enrolls kids ages 12 to 15 before they’ve started to drink or use and follows them throughout time.

“We know that family history of alcoholism increases one’s likelihood of going on to develop alcoholism,” Nagel says, “but we don’t understand the neurobiology of that. When we bring in kids and throw them in the scanner and say they have a predisposition to alcoholism, we don’t know how much is genetic and how much is environment.” But her initial findings suggest, she says, that “there are abnormalities in the circuitry of the brain during decision-making that would suggest atypical kind of control.” Which means that when kids are placed in a heated situation, unlike adults—whose wiring has had a chance to develop by years of experience making good decisions—kids’ fragile circuitry might break down.



Most experts agree that genes don’t make a person an addict or alcoholic. Instead, as Canadian addictions expert Gabor Maté notes in his book about addiction, In the Realm of Hungry Ghosts, addiction is one result of “an infinitely complex and moment-by-moment interaction between genetic and environmental effects.” The way parents model—or don’t model—healthy ways of negotiating feelings has a profound influence on kids ability to deal with their own emotions.



“In addicts—and you see this in adolescents—there’s an inability to self-soothe or manage emotions,” says Michael Clemmens, PhD, a gestalt therapist and author specializing in addiction who lectures internationally and who for many years worked with teens with addiction. How do parents read the signs of addiction?—kids who are headed for trouble are quick to anger and show discomfort with feelings, Clemmens says.

“The substance becomes a remedy for normal emotional struggles,” he says. “How do you ask a girl to to dance? Is anybody going to like me? I feel my body going in a thousand different directions.—All these things are managed by the substance. Emotional, moral and cognitive development is slowed because you don’t get to move through those problems on your own. What you’ve learned is, ‘I don’t have to feel that.’"

The desire not to feel, not to face reality, comes out in kids’ behavior: their grades may drop; they may change friends; they may isolate themselves in their rooms; their tempers may snap for no reason; they may swipe cash or possessions. Worst of all, they may begin to be secretive or deceptive. “I can’t get the kid to engage in treatment if they see I’m pointing out they’re lying to me,” says Harvard’s Schram.

It’s important for parents to keep in touch with their kids’ social networks. “If your kid is hanging with other kids who are using,” says Gateway’s Kurash, “you can bet your kid is also using.”

As in my the case of my friend, the NYU grad, parents see the acting-out—the changes in friends, dropping grades, skipped classes, failure to communicate—and often miss the underlying addiction. So how should parents go about learning how to identify addiction in their kids, and how to talk to them about it?

Parents may be tempted to go through kids’ rooms and backpacks, but most experts agree that, without hard evidence, that’s likely to exacerbate the problem. “If you go in there without any evidence, it communicates mistrust big-time,” says Clemmens. “If there’s an incident, or a pattern of using, that’s one of the options. If it’s just because they’re an adolescent, it creates an atmosphere of mistrust.” If parents have evidence, he said, it’s a good idea to have a third party conduct the search so the parent can continue to be the good cop.

“Searching rooms, notebooks, journals—I come down kind of hard on parents who do that,” says Heidi Van Doeren, a Pittsburgh-based private-practice therapist who has worked with teens with addiction since 1994. When parents search their kids’ stuff, Van Doeren says, “they’re trying to manage their own anxiety—which is an impossible phenomenon—by controlling an external circumstance.

“Look,” she says, “we’re trying to raise confident individuals. So if you find drugs, what are you doing to do with it? If you read the journal, what do you do with that information? It’s not like that information leads to a more empowered stance. Do you really think it’s going to get the kid to stop smoking pot?”

Instead, parents should learn how to talk with kids about addiction and drug-use, and most of all learn how to demonstrate the behaviors they want kids to adopt. Instead of just talking a good talk, parents need to walk the walk.

“I believe you hook the kid—I believe you ask them, ‘What does this behavior cause for you? What is it in your life that you are interested in that this could jeopardize? Whether it’s getting into college, getting that girl, having your parents finally respect you—you inquire into what they’re most interested in.”

“I think the first thing to do is to ask them, ‘Where are you going? How are you doing?’ Keep communication open, and model talking about feelings,” says Clemmens. “And that’s tough with adolescents because they don’t want to talk about that shit with us.”

Clemmens noted that kids are often smarter and more perceptive than parents give them credit for. “If we talk about drug-use in condemning, prohibitionary ways, or in joking ways—those are things adolescents can pick up on,” he says. “Parents need to be communicating, ‘My concern is not about the drug, it’s about you. You have to be aware of the impact of these drugs on you.’”

Experts said parents need to be firm about setting limits on drinking early in kids’ lives. Kurash says Gateway emphasizes that parents are legally responsible for their kids’ decision to drink, and for any consequences. “Number one, it’s against the law,” she says. “Number two, a child can overdose from alcohol, especially young kids who don’t know their tolerance level, and then you have that on your hands.”

Clemmens grew up in rural eastern Pennsylvania, in Amish country, and went to Catholic men’s college where, he says, all the students and even the priests smoked pot. Clemmens himself began getting drunk at 14, then progressed to cannabis, meth and cocaine; he has been sober since 1975. He urges parents to set limits by helping their kids understand the physiological consequences of excess drinking in teen years: it disrupts brain development. “It’s different from having a glass of wine with dinner as an adult,” he says. “To get drunk behind the barn with a bunch of your friends as an adolescent—that’s just plain too early.”

Clemmens and others also agreed that it’s impossible to talk about preventing teen addiction without talking about the health of the entire family. The CDC’s long-running Adverse Childhood Experiencesstudy shows that risks of addiction and alcoholism increase with the number of traumas kids endure during childhood. These include physical, emotional and sexual abuse; physical and emotional neglect; living with substance abuser, a convicted offender, and/or a family member with mental illness; and seeing domestic violence.

“When you have family environments that do not teach affect regulation—learning how to soothe yourself—and you have the biochemistry that’s already a potential time-bomb, there’s the tendency to move in the direction of addiction,” Clemmens says.

In order for parents to teach kids how to regulate their feelings, the parents themselves may have to start with their own emotions. Van Doeren urges parents to confront their own feelings of insecurity and inability to control their kids. “I ask the parents, ‘So what’s it like for you that your 15-year-old son is moving away from you? What kind of support do you need from your system?’ I would encourage Al-Anon.

“I encourage parents to talk about their own experience with their kids: ‘I’m worried; I love you so much and maybe this worry is all mine, but I want to talk with you about this,’” she says. “If you can do this without unbridled emotional out-of-control-ness, which is never helpful—if you can keep from saying, ‘You need to quit the football team, you need to do this or that or the other thing’—then it can work out well.’”

Fix Contributor Jennifer Matesa also writes about addiction and recovery at her blog,guineveregetssober.com.

Cedars at Cobble Hill British Columbia

About
Cedars at Cobble Hill is a co-ed residential addiction treatment facility located on the west coast of British Columbia.Call 1-866-716-2006 - staff available 24/7.
Description
Cedars at Cobble Hill is a residential addiction treatment center on Vancouver Island offering the serenity, hope and healing you need to embark on your journey of recovery. Situated on over 65 acres of property with several kilometers of trails our facility takes advantage of the natural beauty of British Columbia's west coast. This environment provides patients with both privacy and a natural th
erapeutic setting.

Our Vancouver Island rehab primarily treats alcohol, drugs and eating disorders as well as gambling and other addictions. Our Physicians, certified in addiction medicine, work individually with patients to formulate achievable goals supported by their expertise. Cedars can also provide psychiatric diagnoses and work with co-occurring disorders. Medical detox support is available 24/7. Treatment plans are individualized to best fit the needs and goals of each patient.
Cedars has a talented and dynamic group of individuals consisting of some of the best professionals in the field of addiction. Our team of licensed counselors, addiction medicine physicians, nurses and support staff all play an equal part in supporting our clients and their recovery. The passion and dedication of our staff creates the best possible healing environment for our clients.

Cedars at Cobble Hill’s inpatient residential treatment is the best Vancouver Island has to offer. From our accommodation to our staff we offer the most accessible patient support. We look forward to being a part of your journey to recovery, and helping you create the foundation to living a sober and healthy life.

General Information"your full recovery is our sole purpose."





3741 Holland Ave.
Cobble Hill, British Columbia V0R 1L0


Phone (866) 716-2006
Email info@cedarscobblehill.com
Website http://www.cedarscobblehill.com

"Expanding Your Recovery Toolkit"

Dear editor,
The October session marks the one-year anniversary of the "Expanding Your Recovery Toolkit" workshop series.

FOR IMMEDIATE RELEASE
Free monthly workshop series for individuals and families with a current or past drug/alcohol addiction issue. Next session meets Tues., Oct. 16, 7 p.m. to 8:30 p.m. at The Council of Southeast Pennsylvania, Inc., 252 W. Swamp Rd., Unit 12, Doylestown, Pa. Topics include drug addiction from a parent’s perspective; honesty, openness and willingness in recovery; and a group discussion on relapse warning signs. Refreshments. To register, call 215-345-6644 or email JSchwartz@councilsepa.org.

CONTACT:

Jessica Schwartz, community development coordinator Cathie Cush

The Council of Southeast Pennsylvania, Inc. C2 Communications

215-345-6644, ext. 3122 215-579-2076

jschwartz@councilsepa.org CathieCush@comcast.net

Beverly J. Haberle, executive director

The Council of Southeast Pennsylvania, Inc.

215-345-6644

bhaberle@ councilsepa.org

CALENDAR LISTING:

“Expanding Your Recovery Toolkit” Workshop Oct. 16 in Doylestown

Meeting tocelebrate one-year anniversary of peer-led education and support program

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Description
Our Ranch Statements:
Ranch Statements

Mission Statement:


Ensuring the optimum potential for mental, physical and spiritual healing for our clients by bringing together the finest team of highly trained, intelligent and compassionate staff that delivers high impact evidence based and experiential holistic treatment programming and continuing care in an environment most conducive to our client’s immediate and future success. To be sought after as the centre of choice.

Top of the World Ranch Treatment Centre’s Vision Statement:

In congruence with our abundance of exemplary nature, to put into place the physical conditions which enhance and optimize our client’s experience and potential for mental, physical and spiritual growth and for thier healing from addictions and other mental health disorders.

Staff Statement:

We act as a compassionate synergistic team where trust and accountability reign and ego does not exist. We communicate to each other with forthright consideration and in the best interests of each other, our clients and this centre. We support each other with the knowledge that each one of us is an equally important part of our team and that within this synergy we will continue to elevate each other individually and within our organization with the understanding that continued growth is one of our guiding principals. To be sought after as the employer of choice.

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We are here to help to create the optimal conditions for healing to take place for our clients. We believe that the best way to achieve this is through our own actions, thoughts and words and that as a staff we must continually focus on our own mental, physical and spiritual health as we must have these in place in high degree to offer this to another.

We wish for our clients to understand that the universe has a plan for them to be happy, to be whole and to find purpose and meaning in their lives. That this plan will be an on going beautiful, yet challenging journey that has an immensely positive impact on their own lives and the lives of others and that the necessary first step on their journey is their own sobriety and holistic wellbeing.



Contact Info
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THANK YOU FROM HANSEN FOUNDATION

Heartfelt Thanks
to the Sponsors, Supporters & Volunteers
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September 25, 2012.

Our event was a HUGE success, and we couldn't have done it without you!

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Cianel Palmer . Hansen House Volunteers

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HALFWAY THERE FLORIDA

MissionTo provide any individual who wishes to escape from the torment of Addiction with an environment, an example and comprehensive resources and program components, through which to both attain and maintain a lifestyle of healthful and prolonged Recovery, and to design & implement this aspiration in a way that demonstrates outstanding rates of efficacy.
Description
Halfway There of South Florida has been providing a residential living environment highly-conducive to sustained recovery, for over a decade, now. Its high success rate is rooted in.


• A Strong Recovery Ethic
• A Family-Oriented Setting
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Addiction is a Multi-Faceted Condition which requires an equally Multi-Dimensional Treatment

1100 SW 4th ave
Delray Beach, Florida 33444
Always open

Phone (352) 339-5476
Email Carie@halfwaythereflorida.com
Website http://www.halfwaythereflorida.com