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Dr. Harold Koplewicz

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Speak Up for Kids Mental Health This Week

Posted: 05/04/2012 1:28 pm

This is it: National Children's Mental Health Awareness Week is this week (May 6-12), and we want to make as big a noise as we can, letting as many people as possible know that we think kids' mental health is as important as their physical health. I hope you'll join us in making our voices heard, to counter the misinformation and stigma that prevent so many kids from getting the help they need.

The message we want to send is that kids who are struggling should get help before their impulsivity becomes dangerous, before their anxiety becomes crippling, before their failure in school makes them decide they're "stupid," before their disruptive behavior gets them in serious trouble.

Childhood psychiatric disorders should be treated before they become adult disorders, which are much tougher to fight. And kids should get help before they miss out on the main task of childhood and adolescence -- learning -- because they're too anxious to try new things, too distracted to pay attention, too despondent to be engaged, too hyperactive to concentrate.

When I became a child and adolescent psychiatrist nearly 35 years ago, it was because I saw an opportunity to have a positive effect, to prevent struggling children from becoming very disabled adults. And our ability to alter the course of a life for the better has only improved since then, along with the tools we use to treat kids.

We've made enormous strides in understanding children, how they think and develop and how they're different from adults. We now have specialized, targeted behavioral therapies that really can transform young lives, as well as more effective medications.

But the public perception of child and adolescent mental illness hasn't changed along with the possibilities that have opened up to treat or even prevent it. That's why we started Speak Up for Kids. Because stigma and misinformation STILL stand in the way of kids getting treatment that could really change the course of their lives.

Where we have areas of progress -- like effective medications for ADHD -- there's a backlash, and lots of people blaming parents. It's become common to read that ADHD isn't real, that the symptoms are caused by poor parenting and that these same poor parents are using medication as a "quick fix" for their kids' bad behavior. If you had met as many of these parents as I have you would know that this is simply not true.

I'm sure there are cases of misdiagnosis, when the doctors doing the prescribing aren't well-enough informed about ADHD. But the kids who are not getting diagnosed and treated are a much bigger concern of mine.

Instead of people embracing the tremendous upside of early intervention -- the possibility of preventing a lifetime of dysfunction and suffering -- we hear that we should just let kids grow out of their problems. I am well aware of the charge that mental health professionals are pathologizing normal behavior, treating symptoms that all children exhibit -- distraction, hyperactivity, anxiety, impulsiveness, moodiness, disruptive behavior. But the children who need help are those who are way out of the normal range for these symptoms, and they are seriously impaired by them.

No one would tell the parents of a child with diabetes or leukemia that they shouldn't seek treatment, and no one should tell the parents of children with psychiatric or learning disorders that they're overreacting by getting help, whether it's medication or behavioral therapy or both.

Obviously, we need a national conversation about children's mental health, to force out into the open the parent-bashing and misinformation that is being promulgated. We need all our kids to have the opportunity to fulfill their potential, and to get there we need you to help spread the word about early and effective intervention.

This week people all over the country (and the world) will be speaking up for kids who are struggling and the parents who are trying to help them. They will be telling the world that childhood psychiatric disorders are real, common and treatable.

Go to childmind.org/speakup and add your voice to this important cause.

Harold S. Koplewicz, M.D., is a leading child and adolescent psychiatrist and the president of the Child Mind Institute. For more on important issues in children's mental health, go to childmind.org, which offers a wealth of information on childhood psychiatric and learning disorders.

 
 
 

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01:59 PM on 05/09/2012
I love this article! I agree there is a desperate need for more awareness around children and adolescent mental health. I became very depressed when I was about 11. By the time I was 13 I was completely suicidal and I asked my parents for help. They thought it was just my hormones. First we went to church, when that didn't work we went to the OBGYN to put me on birth control and regulate my hormones. Finally we went to the family doctor and I was put on antidepressants that didn't help. I finally saw a psychiatrist when I was 19. I'm 26 now and I can say that the mental health issues are not something I ever grew out of. I have the proper diagnosis now and I am involved in very intense treatment. I am finally starting to feel better because I am getting help.

If people, including professionals, were more aware of children's mental health issues maybe someone along the way would have been able to tell that I had severe mental health issues.
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lifehub
I don't answer (to) libs.
05:27 AM on 05/08/2012
There are plenty of resources for mentally ill kids, however, parents are often led to believe there aren't or are treated by therapists and psychiatrists who are incompetent. The group of kids that really need assistance are the homeless teens and children. In this desperately tanked economy, more and more kids are forced into the streets which often leads to illegal activities in order to survive. You wanna help someone---do something, anything, to help these kids.
03:04 AM on 05/08/2012
Our daughter suffered from Major Depressive Disorder. At 14, she attempted suicie admitting depressed since 10. At 21, an eating disorder had her contacting a treatment program. The interviewer recognizing serious depression, admitted her to the mental health facility. After evaluation by the Psychiatrist, her Dad and I was interviewed. He asked what family member committed suicide. Her Dad's grandmother had (no one she had counseled had ever asked).
Her main problems were Major Depressive Disorder, an anxiety disorder (inherited) and depression trying to cope. Hospitalized for 5 weeks, an outpaitient for 6 weeks at an Anxiety Disorder Clinic, she emerged better not cured. She changed psychologist who believed she was sexually molested or I was her problem (Her husband was a Psychiatrist yet never referred her for evaluation) A combination of meds and group and individual counseling she realized it was necessary to take her medicines like a Diabetic takes insulin for functioning socially, professionally and physically, mentally and emotionally. Intelligent and a good acress, from age 10 until 21, she struggled to survive so people would not think she was "crazy". All this began in 1976. There is a greater awareness of the problems of depression in childhood and problems that need intense treatment; medication, counseling or in/ out patient care. The dominant question then from parents was "How could I not know?" My question was, "How could she have gotten all the help she got for 7 years from professionals that did not know either."
01:27 AM on 05/08/2012
I think more attention needs to be paid to proper sleep for kids. There are major implications for behavior that are overlooked.
12:17 AM on 05/08/2012
I know a child with schizophrenia, age 10. Very difficult to find help at that kind of age, and he was acting out severely.

Today, with treatment, he graduated college and is working a professional job. If they had waited until he was an adult, he would still be in bad shape today.
09:05 PM on 05/07/2012
I believe medication is not right for everyone. It certainly was not my first choice for my son, however, it was the only thing I tried that made a significant difference. His ADHD was so severe that he could not process what was being said to him; it was as if he were deaf. When he was started on medication (shortly before he turned 3), it helped him enough to then use behavior management. I had a cat that ran out of the room every time my son walked in even though he had never hurt the cat. Within 30 minutes of taking his first dose of medication, the cat was sitting on his lap.

My son is now 24. He has several learning disabilities, however, he made it through high school. He got in trouble at school only one time and that was because he allowed his girlfriend to sit on his lap during a lunch break.

He started a job last week after being out of work for 2 years. Medication helps him stay focused, remember what he is supposed to do and takes away a lot of frustration and anger.

Like I said, I know medication is not for everyone, but it has been a blessing for my son to have a more normal life and stay out of trouble.
09:24 PM on 05/07/2012
I think it can be a tough call but you sound like a wonderful parent that made the right choice for your son.
I have a friend who had to make that choice as well.
I am glad your son is doing well.
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08:48 PM on 05/07/2012
Many years ago, a close friend had 2 young children and both had severe mental health problems. She tried for years to find help for her boys and was met with derision, accusations of poor parenting/abuse and indifference by the medical community. Both were eventually placed in institutions and she cried and cried. If these children could have received the proper diagnosis and treatment at a young age, perhaps, it would have been different. One is still institutionized and the other remains in a supervised adult home. And their Mother still cries.
09:26 PM on 05/07/2012
That is so sad. I feel for her.
I know how difficult this can be.
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06:56 AM on 05/08/2012
I hope my friend Pat sees your kind words. She needs the morale support! Thanks
05:48 PM on 05/05/2012
This blog post talks about how ADHD has many causes.

http://www.greatpotentialpress.com/giftedness-adhd-and-the-complexities-of-society-2
02:58 PM on 05/05/2012
This article was good, however I do wonder what treatment is being referred to
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Taterhead McGobstopper
Paddle faster, I hear banjos ...
01:20 PM on 05/05/2012
Actually, I haven't seen parent bashing. It's more like very well-deserved doctor bashing. It's the "doctors" who are causing much of the egregious harm to the brains and bodies of so many young children. And (as in this blog post) they never pass up an opportunity to shill for big pharma.

What do these drugs do to people? We don't know for sure. And ever hypothesis about how the brain works in depression and anxiety, etc, has been proven to be false. We do know these drugs decrease life span by 25 years.

Keep your kids away from people like this. Educate yourself. Read the excellent books by Robert Whitaker and Peter Breggin. It's a crime what is happening to be because of "psychiatry."
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hbrinn
11:21 PM on 05/07/2012
Could you point me toward some research that validate these claims?
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Taterhead McGobstopper
Paddle faster, I hear banjos ...
02:55 AM on 05/08/2012
Sure ... everyone has an opinion, but these seem to be pretty reliable sources.

Decreased life span ...

http://www.psychologytoday.com/blog/science-isnt-golden/201109/full-disclosure-needed-about-psychiatric-drugs-shorten-life
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Taterhead McGobstopper
Paddle faster, I hear banjos ...
02:56 AM on 05/08/2012
Drugged children ...

Watch this. It's chilling.

http://www.pbs.org/wgbh/pages/frontline/medicatedchild/
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hharrison22
07:16 PM on 05/04/2012
I just spend some time this week talking about dealing with depression in teenagers. I challenge the assumption that so many make that telling teenagers that their state is temporary will help them to feel better. I argue that this is not helpful and actually results in them feeling more alienated. Feel free to check it out here:

http://www.themommypsychologist.com/2012/05/03/how-do-you-help-a-depressed-teenager/