News Reel

Study: Rise in Marijuana Use During Pregnancy

cannabis-and-pregnancy-hero-3

A woman finding out she is pregnant is often a happy time, but can also bring a myriad of symptoms and side effects. Other mothers are always eager to share their tips and tricks to ease the discomforts that accompany this exciting time in life. The latest trend is using marijuana. A recent study, published in the JAMA journal and re-posted below, discusses the reasons for this and the drawbacks involved.

More pregnant women are turning to pot to ease such pregnancy symptoms as morning sickness and anxiety, according to a new study published in the journal JAMA.

For the seven-year study, nearly 300,000 California-based mothers-to-be, ages 12 and older, completed questionnaires about their marijuana use and took toxicology tests during their prenatal care visits.

The results: Marijuana use climbed from 4.2% to 7.1% from 2009 through 2016. And while marijuana use increased in every age group, the sharpest spike was among women younger than age 24.

Here’s a closer look at some of the findings:

  • In women younger than 18, pot use increased from 12.5 percent to almost 22 percent.
  • In women ages 18 to 24, marijuana use jumped from almost 10 percent to 19 percent.
  • In women ages 25 to 34, pot use rose from about 3 percent to about 5 percent.
  • In women older than 34, marijuana use increased from about 2 percent to about 3 percent.

Why More Pregnant Women Are Using Pot

Experts point to both legalization and increasing social acceptance as possible explanations.

“Think about marijuana use from their perspective, especially in Northern California,” Robyn Horsager-Boehrer, professor and chief of obstetrics and gynecology at the University of Texas Southwestern’s William P. Clements Jr. University Hospital, told CNN.com. 

California legalized medical marijuana use in 1996, and on January 1, 2018, legalized recreational marijuana. “So I think the idea that use is rising is just because of the greater legal exposure to marijuana that women have today versus 20 years ago,” Dr. Horsager-Boehrer continued.

Why Pot and Pregnancy Don’t Mix
Legal or not, using pot during pregnancy is risky business. Many of the chemicals in marijuana, like tetrahydrocannabinol (THC), could pass through a mother’s system to her baby. The American Congress of Obstetricians and Gynecologists recommends that “women who are pregnant or contemplating pregnancy should be encouraged to discontinue marijuana use” and “to discontinue use of marijuana for medicinal purposes in favor of an alternative therapy.”

Research on the effects of marijuana use on developing babies is still ongoing and many women who use marijuana may also smoke cigarettes, drink alcohol or use other street drugs.

According to March of Dimes, studies have linked the following health effects with marijuana use during pregnancy:

  • Premature birth, or birth before 37 weeks of pregnancy.
  • Low birth weight.
  • Anencephaly. This is a severe neural tube defect that causes missing major parts of the brain, skull and scalp. Babies with this condition do not survive long after birth.
  • Anemia, or lack of healthy red blood cells that carry oxygen to the baby’s body.
  • Problems with brain development.
  • Stillbirth, or when a baby dies in the womb after 20 weeks of pregnancy.

In addition, exposure to marijuana during pregnancy may cause problems for the baby after birth, including:

  • Withdrawal symptoms, like tremors (shakes) or long periods of crying.
  • Problems with sleeping.
  • Problems with behavior, memory, learning, problem solving, depression and paying attention.

Getting Help for Marijuana Abuse
If you use marijuana and are pregnant or considering pregnancy, we can work together to create a plan to help you live a happy and drug-free lifestyle. To learn more about our programs and services, call today: 305-595-7378.

If you have loved one who is struggling with their marijuana use call Tamara Ancona, MA, LPC at (678) 297-0708 for an evaluation, and to discuss the best treatment options available.

 

Are we Raising a Nation of Wimps? PART 2

The Eternal Umbilicus

It’s bad enough that today’s children are raised in a psychological hothouse where they are overmonitored and oversheltered. But that hothouse no longer has geographical or temporal boundaries. For that you can thank the cell phone. Even in college—or perhaps especially at college—students are typically in contact with their parents several times a day, reporting every flicker of experience. One long-distance call overheard on a recent cross-campus walk: “Hi, Mom. I just got an ice-cream cone; can you believe they put sprinkles on the bottom as well as on top?”

“Kids are constantly talking to parents,” laments Cornell student Kramer, which makes them perpetually homesick. Of course, they’re not telling the folks everything, notes Portmann. “They’re not calling their parents to say, ‘I really went wild last Friday at the frat house and now I might have chlamydia. Should I go to the student health center?'”

The perpetual access to parents infantilizes the young, keeping them in a permanent state of dependency. Whenever the slightest difficulty arises, “they’re constantly referring to their parents for guidance,” reports Kramer. They’re not learning how to manage for themselves.

Think of the cell phone as the eternal umbilicus. One of the ways we grow up is by internalizing an image of Mom and Dad and the values and advice they imparted over the early years. Then, whenever we find ourselves faced with uncertainty or difficulty, we call on that internalized image. We become, in a way, all the wise adults we’ve had the privilege to know. “But cell phones keep kids from figuring out what to do,” says Anderegg. “They’ve never internalized any images; all they’ve internalized is ‘call Mom or Dad.'”

Some psychologists think we have yet to recognize the full impact of the cell phone on child development, because its use is so new. Although there are far too many variables to establish clear causes and effects, Indiana’s Carducci believes that reliance on cell phones undermines the young by destroying the ability to plan ahead. “The first thing students do when they walk out the door of my classroom is flip open the cell phone. Ninety-five percent of the conversations go like this: ‘I just got out of class; I’ll see you in the library in five minutes.’ Absent the phone, you’d have to make arrangements ahead of time; you’d have to think ahead.”

Herein lies another possible pathway to depression. The ability to plan resides in the prefrontal cortex (PFC), the executive branch of the brain. The PFC is a critical part of the self-regulation system, and it’s deeply implicated in depression, a disorder increasingly seen as caused or maintained by unregulated thought patterns—lack of intellectual rigor, if you will. Cognitive therapy owes its very effectiveness to the systematic application of critical thinking to emotional reactions. Further, it’s in the setting of goals and progress in working toward them, however mundane they are, that positive feelings are generated. From such everyday activity, resistance to depression is born.

What’s more, cell phones—along with the instant availability of cash and almost any consumer good your heart desires—promote fragility by weakening self-regulation. “You get used to things happening right away,” says Carducci. You not only want the pizza now, you generalize that expectation to other domains, like friendship and intimate relationships. You become frustrated and impatient easily. You become unwilling to work out problems. And so relationships fail—perhaps the single most powerful experience leading to depression.

From Scrutiny to Anxiety… and Beyond

The 1990s witnessed a landmark reversal in the traditional patterns of psychopathology. While rates of depression rise with advancing age among people over 40, they’re now increasing fastest among children, striking more children at younger and younger ages.

In his now-famous studies of how children’s temperaments play out, Harvard psychologist Jerome Kagan has shown unequivocally that what creates anxious children is parents hovering and protecting them from stressful experiences. About 20 percent of babies are born with a high-strung temperament. They can be spotted even in the womb; they have fast heartbeats. Their nervous systems are innately programmed to be overexcitable in response to stimulation, constantly sending out false alarms about what is dangerous.

As infants and children this group experiences stress in situations most kids find unthreatening, and they may go through childhood and even adulthood fearful of unfamiliar people and events, withdrawn and shy. At school age they become cautious, quiet and introverted. Left to their own devices they grow up shrinking from social encounters. They lack confidence around others. They’re easily influenced by others. They are sitting ducks for bullies. And they are on the path to depression.

While their innate reactivity seems to destine all these children for later anxiety disorders, things didn’t turn out that way. Between a touchy temperament in infancy and persistence of anxiety stand two highly significant things: parents. Kagan found to his surprise that the development of anxiety was scarcely inevitable despite apparent genetic programming. At age 2, none of the overexcitable infants wound up fearful if their parents backed off from hovering and allowed the children to find some comfortable level of accommodation to the world on their own. Those parents who overprotected their children—directly observed by conducting interviews in the home—brought out the worst in them.

A small percentage of children seem almost invulnerable to anxiety from the start. But the overwhelming majority of kids are somewhere in between. For them, overparenting can program the nervous system to create lifelong vulnerability to anxiety and depression.

There is in these studies a lesson for all parents. Those who allow their kids to find a way to deal with life’s day-to-day stresses by themselves are helping them develop resilienceand coping strategies. “Children need to be gently encouraged to take risks and learn that nothing terrible happens,” says Michael Liebowitz, clinical professor of psychiatry at Columbia University and head of the Anxiety Disorders Clinic at New York State Psychiatric Institute. “They need gradual exposure to find that the world is not dangerous. Having overprotective parents is a risk factor for anxiety disorders because children do not have opportunities to master their innate shyness and become more comfortable in the world.” They never learn to dampen the pathways from perception to alarm reaction.

Hothouse parenting undermines children in other ways, too, says Anderegg. Being examined all the time makes children extremely self-conscious. As a result they get less communicative; scrutiny teaches them to bury their real feelings deeply. And most of all, self-consciousness removes the safety to be experimental and playful. “If every drawing is going to end up on your parents’ refrigerator, you’re not free to fool around, to goof up or make mistakes,” says Anderegg.

Parental hovering is why so many teenagers are so ironic, he notes. It’s a kind of detachment, “a way of hiding in plain sight. They just don’t want to be exposed to any more scrutiny.”

Parents are always so concerned about children having high self-esteem, he adds. “But when you cheat on their behalf to get them ahead of other children”—by pursuing accommodations and recommendations—you just completely corrode their sense of self. They feel ‘I couldn’t do this on my own.’ It robs them of their own sense of efficacy.” A child comes to think, “if I need every advantage I can get, then perhaps there is really something wrong with me.” A slam-dunk for depression.

Virginia’s Portmann feels the effects are even more pernicious; they weaken the whole fabric of society. He sees young people becoming weaker right before his eyes, more responsive to the herd, too eager to fit in—less assertive in the classroom, unwilling to disagree with their peers, afraid to question authority, more willing to conform to the expectations of those on the next rung of power above them.

Endless Adolescence

The end result of cheating childhood is to extend it forever. Despite all the parental pressure, and probably because of it, kids are pushing back—in their own way. They’re taking longer to grow up.

Adulthood no longer begins when adolescence ends, according to a recent report by University of Pennsylvania sociologist Frank F. Furstenberg and colleagues. There is, instead, a growing no-man’s-land of postadolescence from 20 to 30, which they dub “early adulthood.” Those in it look like adults but “haven’t become fully adult yet—traditionally defined as finishing school, landing a job with benefits, marrying and parenting—because they are not ready or perhaps not permitted to do so.”

Using the classic benchmarks of adulthood, 65 percent of males had reached adulthood by the age of 30 in 1960. By contrast, in 2000, only 31 percent had. Among women, 77 percent met the benchmarks of adulthood by age 30 in 1960. By 2000, the number had fallen to 46 percent.

Boom Boom Boomerang

Take away play from the front end of development and it finds a way onto the back end. A steady march of success through regimented childhood arranged and monitored by parents creates young adults who need time to explore themselves. “They often need a period in college or afterward to legitimately experiment—to be children,” says historian Stearns. “There’s decent historical evidence to suggest that societies that allow kids a few years of latitude and even moderate [rebellion] end up with healthier kids than societies that pretend such impulses don’t exist.”

Marriage is one benchmark of adulthood, but its antecedents extend well into childhood. “The precursor to marriage is dating, and the precursor to dating is playing,” says Carducci. The less time children spend in free play, the less socially competent they’ll be as adults. It’s in play that we learn give and take, the fundamental rhythm of all relationships. We learn how to read the feelings of others and how to negotiate conflicts. Taking the play out of childhood, he says, is bound to create a developmental lag, and he sees it clearly in the social patterns of today’s adolescents and young adults, who hang around in groups that are more typical of childhood. Not to be forgotten: The backdrop of continued high levels of divorce confuses kids already too fragile to take the huge risk of commitment.

Just Whose Shark Tank Is It Anyway?

The stressful world of cutthroat competition that parents see their kids facing may not even exist. Or it exists, but more in their mind than in reality—not quite a fiction, more like a distorting mirror. “Parents perceive the world as a terribly competitive place,” observes Anderegg. “And many of them project that onto their children when they’re the ones who live or work in a competitive environment. They then imagine that their children must be swimming in a big shark tank, too.”

“It’s hard to know what the world is going to look like 10 years from now,” says Elkind. “How best do you prepare kids for that? Parents think that earlier is better. That’s a natural intuition, but it happens to be wrong.”

What if parents have micromanaged their kids’ lives because they’ve hitched their measurement of success to a single event whose value to life and paycheck they have frantically overestimated? No one denies the Ivy League offers excellent learning experiences, but most educators know that some of the best programs exist at schools that don’t top the U.S. News and World Report list, and that with the right attitude—a willingness to be engaged by new ideas—it’s possible to get a meaningful education almost anywhere. Further, argues historian Stearns, there are ample openings for students at an array of colleges. “We have a competitive frenzy that frankly involves parents more than it involves kids themselves,” he observes, both as a father of eight and teacher of many. “Kids are more ambivalent about the college race than are parents.”

Yet the very process of application to select colleges undermines both the goal of education and the inherent strengths of young people. “It makes kids sneaky,” says Anderegg. Bending rules and calling in favors to give one’s kid a competitive edge is morally corrosive.

Like Stearns, he is alarmed that parents, pursuing disability diagnoses so that children can take untimed SATs, actually encourage kids to think of themselves as sickly and fragile. Colleges no longer know when SATs are untimed—but the kids know. “The kids know when you’re cheating on their behalf,” says Anderegg, “and it makes them feel terribly guilty. Sometimes they arrange to fail to right the scales. And when you cheat on their behalf, you completely undermine their sense of self-esteem. They feel they didn’t earn it on their own.”

In buying their children accommodations to assuage their own anxiety, parents are actually locking their kids into fragility. Says the suburban teacher: “Exams are a fact of life. They are anxiety-producing. The kids never learn how to cope with anxiety.”

Putting Worry in its Place

Children, however, are not the only ones who are harmed by hyperconcern. Vigilance is enormously taxing—and it’s taken all the fun out of parenting. “Parenting has in some measurable ways become less enjoyable than it used to be,” says Stearns. “I find parents less willing to indulge their children’s sense of time. So they either force-feed them or do things for them.”

Parents need to abandon the idea of perfection and give up some of the invasive control they’ve maintained over their children. The goal of parenting, Portmann reminds, is to raise an independent human being. Sooner or later, he says, most kids will be forced to confront their own mediocrity. Parents may find it easier to give up some control if they recognize they have exaggerated many of the dangers of childhood—although they have steadfastly ignored others, namely the removal of recess from schools and the ubiquity of video games that encourage aggression.

The childhood we’ve introduced to our children is very different from that in past eras, Epstein stresses. Children no longer work at young ages. They stay in school for longer periods of time and spend more time exclusively in the company of peers. Children are far less integrated into adult society than they used to be at every step of the way. We’ve introduced laws that give children many rights and protections—although we have allowed media and marketers to have free access.

In changing the nature of childhood, Stearns argues, we’ve introduced a tendency to assume that children can’t handle difficult situations. “Middle-class parents especially assume that if kids start getting into difficulty they need to rush in and do it for them, rather than let them flounder a bit and learn from it. I don’t mean we should abandon them,” he says, “but give them more credit for figuring things out.” And recognize that parents themselves have created many of the stresses and anxieties children are suffering from, without giving them tools to manage them.

While the adults are at it, they need to remember that one of the goals of higher education is to help young people develop the capacity to think for themselves.

Although we’re well on our way to making kids more fragile, no one thinks that kids and young adults are fundamentally more flawed than in previous generations. Maybe many will “recover” from diagnoses too liberally slapped on to them. In his own studies of 14 skills he has identified as essential for adulthood in American culture, from love to leadership, Epstein has found that “although teens don’t necessarily behave in a competent way, they have the potential to be every bit as competent and as incompetent as adults.”

Parental anxiety has its place. But the way things now stand, it’s not being applied wisely. We’re paying too much attention to too few kids—and in the end, the wrong kids. As with the girl whose parents bought her the Gestalt-defect diagnosis, resources are being expended for kids who don’t need them.

There are kids who are worth worrying about—kids in poverty, stresses Anderegg. “We focus so much on our own children,” says Elkind, “It’s time to begin caring about all children.”

If you have a child who is struggling with growing up call Tamara Ancona, MA, LPC at (678) 297-0708 for an evaluation, and to discuss the best treatment options available.

Are we Raising a Nation of Wimps? PART 1

Mom and Daugther

Recently, the Autism Journal tweeted this quote, “Don’t rescue your child from a challenge, teach them how to face it.” That is the ultimate goal of parenthood – teaching children to overcome obstacles and become adults themselves.

However, somewhere along the way parents convoluted that idea into believing that by taking away obstacles they were enabling their children to grow up pain-free. But the results of that theory are coming in all over the nation on high school and college campuses, and it’s not good. Instead of it turning children into capable adults, it’s made them fragile and unable to work through difficulties. In the article below, Psychology Today’s Editor, Hara Estroff Marano writes an interesting piece titled, “A Nation of Wimps” where she explores these ideas, and what it actually takes to raise kids ready to face adulthood.

A NATION OF WIMPS

Maybe it’s the cyclist in the park, trim under his sleek metallic blue helmet, cruising along the dirt path… at three miles an hour. On his tricycle.

Or perhaps it’s today’s playground, all-rubber-cushioned surface where kids used to skin their knees. And… wait a minute… those aren’t little kids playing. Their mommies—and especially their daddies—are in there with them, coplaying or play-by-play coaching. Few take it half-easy on the perimeter benches, as parents used to do, letting the kids figure things out for themselves.

Then there are the sanitizing gels, with which over a third of parents now send their kids to school, according to a recent survey. Presumably, parents now worry that school bathrooms are not good enough for their children.

Consider the teacher new to an upscale suburban town. Shuffling through the sheaf of reports certifying the educational “accommodations” he was required to make for many of his history students, he was struck by the exhaustive, well-written—and obviously costly—one on behalf of a girl who was already proving among the most competent of his ninth-graders. “She’s somewhat neurotic,” he confides, “but she is bright, organized and conscientious—the type who’d get to school to turn in a paper on time, even if she were dying of stomach flu.” He finally found the disability he was to make allowances for: difficulty with Gestalt thinking. The 13-year-old “couldn’t see the big picture.” That cleverly devised defect (what 13-year-old can construct the big picture?) would allow her to take all her tests untimed, especially the big one at the end of the rainbow, the college-worthy SAT.

Behold the wholly sanitized childhood, without skinned knees or the occasional C in history. “Kids need to feel badly sometimes,” says child psychologist David Elkind, professor at Tufts University. “We learn through experience and we learn through bad experiences. Through failure we learn how to cope.”

Messing up, however, even in the playground, is wildly out of style. Although error and experimentation are the true mothers of success, parents are taking pains to remove failure from the equation.

“Life is planned out for us,” says Elise Kramer, a Cornell University junior. “But we don’t know what to want.” As Elkind puts it, “Parents and schools are no longer geared toward child development, they’re geared to academic achievement.”

No one doubts that there are significant economic forces pushing parents to invest so heavily in their children’s outcome from an early age. But taking all the discomfort, disappointment and even the play out of development, especially while increasing pressure for success, turns out to be misguided by just about 180 degrees. With few challenges all their own, kids are unable to forge their creative adaptations to the normal vicissitudes of life. That not only makes them risk-averse, it makes them psychologically fragile, riddled with anxiety. In the process they’re robbed of identity, meaning and a sense of accomplishment, to say nothing of a shot at real happiness. Forget, too, about perseverance, not simply a moral virtue but a necessary life skill. These turn out to be the spreading psychic fault lines of 21st-century youth. Whether we want to or not, we’re on our way to creating a nation of wimps.

The Fragility Factor

College, it seems, is where the fragility factor is now making its greatest mark. It’s where intellectual and developmental tracks converge as the emotional training wheels come off. By all accounts, psychological distress is rampant on college campuses. It takes a variety of forms, including anxiety and depression—which are increasingly regarded as two faces of the same coin—binge drinking and substance abuse, self-mutilation and other forms of disconnection. The mental state of students is now so precarious for so many that, says Steven Hyman, provost of Harvard University and former director of the National Institute of Mental Health, “it is interfering with the core mission of the university.”

The severity of student mental health problems has been rising since 1988, according to an annual survey of counseling center directors. Through 1996, the most common problems raised by students were relationship issues. That is developmentally appropriate, reports Sherry Benton, assistant director of counseling at Kansas State University. But in 1996, anxiety overtook relationship concerns and has remained the major problem. The University of Michigan Depression Center, the nation’s first, estimates that 15 percent of college students nationwide are suffering from that disorder alone.

Relationship problems haven’t gone away; their nature has dramatically shifted and the severity escalated. Colleges report ever more cases of obsessive pursuit, otherwise known as stalking, leading to violence, even death. Anorexia or bulimia in florid or subclinical form now afflicts 40 percent of women at some time in their college career. Eleven weeks into a semester, reports psychologist Russ Federman, head of counseling at the University of Virginia, “all appointment slots are filled. But the students don’t stop coming.”

Drinking, too, has changed. Once a means of social lubrication, it has acquired a darker, more desperate nature. Campuses nationwide are reporting record increases in binge drinking over the past decade, with students often stuporous in class, if they get there at all. Psychologist Paul E. Joffe, chair of the suicide prevention team at the University of Illinois at Urbana-Champaign, contends that at bottom binge-drinking is a quest for authenticity and intensity of experience. It gives young people something all their own to talk about, and sharing stories about the path to passing out is a primary purpose. It’s an inverted world in which drinking to oblivion is the way to feel connected and alive.

“There is a ritual every university administrator has come to fear,” reports John Portmann, professor of religious studies at the University of Virginia. “Every fall, parents drop off their well-groomed freshmen and within two or three days many have consumed a dangerous amount of alcohol and placed themselves in harm’s way. These kids have been controlled for so long, they just go crazy.”

Heavy drinking has also become the quickest and easiest way to gain acceptance, says psychologist Bernardo J. Carducci, professor at Indiana University Southeast and founder of its Shyness Research Institute. “Much of collegiate social activity is centered on alcohol consumption because it’s an anxiety reducer and demands no social skills,” he says. “Plus it provides an instant identity; it lets people know that you are willing to belong.”

Welcome to the Hothouse

Talk to a college president or administrator and you’re almost certainly bound to hear tales of the parents who call at 2 a.m. to protest Branden’s C in economics because it’s going to damage his shot at grad school.

Shortly after psychologist Robert Epstein announced to his university students that he expected them to work hard and would hold them to high standards, he heard from a parent—on official judicial stationery—asking how he could dare mistreat the young. Epstein, former editor-in-chief of Psychology Today, eventually filed a complaint with the California commission on judicial misconduct, and the judge was censured for abusing his office—but not before he created havoc in the psychology department at the University of California, San Diego.

Enter: grade inflation. When he took over as president of Harvard in July 2001, Lawrence Summers publicly ridiculed the value of honors after discovering that 94 percent of the college’s seniors were graduating with them. Safer to lower the bar than raise the discomfort level. Grade inflation is the institutional response to parental anxiety about school demands on children, contends social historian Peter Stearns of George Mason University. As such, it is a pure index of emotional overinvestment in a child’s success. And it rests on a notion of juvenile frailty—the assumption that children are easily bruised and need explicit uplift,” Stearns argues in his book, Anxious Parenting: A History of Modern Childrearing in America.

Parental protectionism may reach its most comic excesses in college, but it doesn’t begin there. Primary schools and high schools are arguably just as guilty of grade inflation. But if you’re searching for someone to blame, consider Dr. Seuss. “Parents have told their kids from day one that there’s no end to what they are capable of doing,” says Virginia’s Portmann. “They read them the Dr. Seuss book Oh, the Places You’ll Go! and create bumper stickers telling the world their child is an honor student. American parents today expect their children to be perfect—the smartest, fastest, most charming people in the universe. And if they can’t get the children to prove it on their own, they’ll turn to doctors to make their kids into the people that parents want to believe their kids are.”

What they’re really doing, he stresses, is “showing kids how to work the system for their own benefit.”

And subjecting them to intense scrutiny. “I wish my parents had some hobby other than me,” one young patient told David Anderegg, a child psychologist in Lenox, Massachusetts, and professor of psychology at Bennington College. Anderegg finds that anxious parents are hyperattentive to their kids, reactive to every blip of their child’s day, eager to solve every problem for their child—and believe that’s good parenting. “If you have an infant and the baby has gas, burping the baby is being a good parent. But when you have a 10-year-old who has metaphoric gas, you don’t have to burp him. You have to let him sit with it, try to figure out what to do about it. He then learns to tolerate moderate amounts of difficulty, and it’s not the end of the world.”

Arrivederci, Playtime

In the hothouse that child raising has become, play is all but dead. Over 40,000 U.S. schools no longer have recess. And what play there is has been corrupted. The organized sports many kids participate in are managed by adults; difficulties that arise are not worked out by kids but adjudicated by adult referees.

“So many toys now are designed by and for adults,” says Tufts’ Elkind. When kids do engage in their own kind of play, parents become alarmed. Anderegg points to kids exercising time-honored curiosity by playing doctor. “It’s normal for children to have curiosity about other children’s genitals,” he says. “But when they do, most parents I know are totally freaked out. They wonder what’s wrong.”

Kids are having a hard time even playing neighborhood pick-up games because they’ve never done it, observes Barbara Carlson, president and cofounder of Putting Families First. “They’ve been told by their coaches where on the field to stand, told by their parents what color socks to wear, told by the referees who’s won and what’s fair. Kids are losing leadership skills.”

A lot has been written about the commercialization of children’s play, but not the side effects, says Elkind. “Children aren’t getting any benefits out of play as they once did.” From the beginning play helps children learn how to control themselves, how to interact with others. Contrary to the widely held belief that only intellectual activities build a sharp brain, it’s in play that cognitive agility really develops. Studies of children and adults around the world demonstrate that social engagement actually improves intellectual skills. It fosters decision-making, memory and thinking, speed of mental processing. This shouldn’t come as a surprise. After all, the human mind is believed to have evolved to deal with social problems.

The Eternal Umbilicus

It’s bad enough that today’s children are raised in a psychological hothouse where they are overmonitored and oversheltered. But that hothouse no longer has geographical or temporal boundaries. For that you can thank the cell phone. Even in college—or perhaps especially at college—students are typically in contact with their parents several times a day, reporting every flicker of experience. One long-distance call overheard on a recent cross-campus walk: “Hi, Mom. I just got an ice-cream cone; can you believe they put sprinkles on the bottom as well as on top?”

“Kids are constantly talking to parents,” laments Cornell student Kramer, which makes them perpetually homesick. Of course, they’re not telling the folks everything, notes Portmann. “They’re not calling their parents to say, ‘I really went wild last Friday at the frat house and now I might have chlamydia. Should I go to the student health center?'”

The perpetual access to parents infantilizes the young, keeping them in a permanent state of dependency. Whenever the slightest difficulty arises, “they’re constantly referring to their parents for guidance,” reports Kramer. They’re not learning how to manage for themselves.

Think of the cell phone as the eternal umbilicus. One of the ways we grow up is by internalizing an image of Mom and Dad and the values and advice they imparted over the early years. Then, whenever we find ourselves faced with uncertainty or difficulty, we call on that internalized image. We become, in a way, all the wise adults we’ve had the privilege to know. “But cell phones keep kids from figuring out what to do,” says Anderegg. “They’ve never internalized any images; all they’ve internalized is ‘call Mom or Dad.'”

Some psychologists think we have yet to recognize the full impact of the cell phone on child development, because its use is so new. Although there are far too many variables to establish clear causes and effects, Indiana’s Carducci believes that reliance on cell phones undermines the young by destroying the ability to plan ahead. “The first thing students do when they walk out the door of my classroom is flip open the cell phone. Ninety-five percent of the conversations go like this: ‘I just got out of class; I’ll see you in the library in five minutes.’ Absent the phone, you’d have to make arrangements ahead of time; you’d have to think ahead.”

Herein lies another possible pathway to depression. The ability to plan resides in the prefrontal cortex (PFC), the executive branch of the brain. The PFC is a critical part of the self-regulation system, and it’s deeply implicated in depression, a disorder increasingly seen as caused or maintained by unregulated thought patterns—lack of intellectual rigor, if you will. Cognitive therapy owes its very effectiveness to the systematic application of critical thinking to emotional reactions. Further, it’s in the setting of goals and progress in working toward them, however mundane they are, that positive feelings are generated. From such everyday activity, resistance to depression is born.

What’s more, cell phones—along with the instant availability of cash and almost any consumer good your heart desires—promote fragility by weakening self-regulation. “You get used to things happening right away,” says Carducci. You not only want the pizza now, you generalize that expectation to other domains, like friendship and intimate relationships. You become frustrated and impatient easily. You become unwilling to work out problems. And so relationships fail—perhaps the single most powerful experience leading to depression.

Read more about the solution to this national issue when we post Part 2 of “Are we Raising a Nation of Wimps?”

Non-Tech Gift Ideas for Teens & Young Adults

Gift boxes with bow on wooden background

 

With the holidays upon us it’s easy to fall back on the latest gadget to gift teens or young adults. And, while that isn’t necessarily a bad idea, we’d like to offer some suggestions for non-tech gifts to give. We also encourage you to challenge your kids’ tech-heavy wish list by asking them what non-electronic items they might want, or prompt siblings, grandparents, and other family members to purchase items that don’t involve a screen.

  1. Tickets – Does your daughter love musicals? Is your son’s favorite band playing in your area in the next few months? Tickets to go to an event make a great holiday gift, and create memories along the way. Even better – get tickets for the two of you (or your entire family!) to do something together.
  2. Memory book – While young children are known to love looking at pictures of themselves, older children actually do too! Think of all those posts they make on social media … and use it to your advantage. Make a printable memory book to capture the highlights of their year.
  3. Take a Trip – Whether you plan something large, like a family trip to the Bahamas, or something small scale like camping, a vacation together is a great way to make memories. You can make it extra fun by buying something to indicate where you’re going – like a new tent or sleeping bag, or snorkel gear. To make it extra fun you can add a scratch-off map to their gift pile so they can start to track all the cool places they’ve seen!
  4. Lessons – has your teen or young adult wanted to try something but you haven’t been willing to spring for the cost of the lessons? The holidays are a great time to give them 2-3 months worth of lessons to let them try something new – from horseback riding to guitar lessons – the world is theirs for the exploring!
  5. Accessories – Teens and young adults want to be unique. Have they had their eye on a certain pair of shoes? Maybe they like funky socks? A new make up kit? Or maybe they want a new accessory for their room – like a light box for messages or a framed picture of their favorite sports team’s stadium.

We hope that gift giving this holiday season makes meaningful memories with your family! If your teen or young adult child is having a hard time with the holiday season, call Tamara Ancona, MA, LPC at (678) 297-0708 for an evaluation, and to discuss the best treatment options available.

 

Managing Holiday Expectations

holiday-stress

The holidays are a wonderful time of year. However, they often come with high personal expectations of buying the perfect gifts, participating in holiday parties and seeing family members not frequently seen. The prospect of facing the holidays can be daunting for everyone – and even more so for people who struggle with depression, anxiety, substance abuse and other mental health concerns.

As the holiday season is upon us, it is important to remember that you might not always be able to control what happens during the holidays but you can control your reaction to the events by managing your holiday expectations. We’d like to share five ways to keep your holiday expectations in check, from a blog written by Lucida Treatment Center.

How to Keep Your Holiday Expectations in Check

1. Don’t buy into idealized holiday notions. That holiday special where everyone is enjoying a “Hallmark moment,” singing carols in the softly falling snow? That’s a TV show. The snow is made out of plastic, and if you’re comparing your holidays to scripted ones with professional actors being directed on Hollywood sound stages, you’re setting yourself up for inevitable disappointment.

“When people are bombarded with commercials, greeting cards, and movies showing perfect families and friendships, they may start to question the quality of their own relationships,” said Adam K. Anderson, PhD, an associate professor of psychology at the University of Toronto, in an interview with Shape magazine. “This can make people feel lonely and less fulfilled.”

Life isn’t perfect, and holidays are part of life. Embrace their imperfections.

2. Be OK with celebrating your own way, even if it’s unconventional. One Thanksgiving, about fifteen years ago, I found myself all alone — just my dog and me — with no dinner invitation. Rather than feeling sorry for myself and spending the day drinking while watching football, I decided to take my dog for a hike in the mountains instead. We had a great time, and on the way home I stopped at a truck stop and had a turkey platter at the counter while enjoying an interesting conversation with the waitress stuck working that day. I now look back fondly on that day as one of the best Thanksgivings of my life. But it never would’ve happened if I hadn’t adjusted my expectations of what a “real” Thanksgiving was supposed to be.

3. Make it acceptable to limit the number of engagements you attend. Count yourself lucky if you’re invited to a lot of holiday celebrations. But holiday get-togethers can be time consuming, stressful and even terrifying if you suffer from social anxiety disorder. Decide how many events you can reasonably make and tolerate, and stick to that number rather than spreading yourself too thin. Ask yourself this: If a holiday celebration or tradition is causing you more stress than joy, is it really worth attending or keeping?

4. Know that it’s possible to enjoy the holidays without alcohol or drugs. “Taking the edge off” with a few drinks during the holiday season can quickly get out of hand. If you’re in recovery, it can be incredibly tempting to use alcohol or drugs when everyone else around you is using, too. And if you suffer from anxiety or depression, it’s tempting to turn to alcohol or drugs to self-medicate during the holidays. But the holidays can be endured and even enjoyed while sober. Millions of people do it every year, so why can’t you be one of them.

5, Don’t expect family members to be different because it’s the holidays. One of the biggest stressors during the holidays is getting together with family and quickly realizing why it is that you only see them during the holidays. But you can only be you, so let go of any preconceived notions of how you’d like them to be. That judgmental relative across the table making disparaging remarks about your lifestyle won’t be around forever, so do your best to enjoy their company and pass them the potatoes with a smile.

We hope you have an enjoyable holiday season. If your teen or young adult child is having a particularly difficult time around the holidays, or you feel as though their mental health condition is worsening, call Tamara Ancona, MA, LPC at (678) 297-0708 for an evaluation, and to discuss the best treatment options available.