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National Mental Health Awareness Week

 

Mom, Am I Crazy?

by Lorette C. Luzajic

 

This is National Mental Health Awareness Week (May 3 to May 9, 2010). For 59 years, the Canadian Mental Health Association has been hosting awareness raising weeks within America’s National Mental Health Month of May.

 

Despite increasing societal acceptance and understanding of mental health issues in our communities, we have a long way to go. On the one hand, it seems every rambunctious child is labeled “ADHD” and slapped with profitable prescriptions. But on the other, it’s still taboo to address issues like childhood addiction, anorexia, or self-mutilation. Perhaps even more taboo is talking about our own mental health problems and how they affect our children. How often do adults with borderline personality disorder, for example, go for help so they can stop abusing their children?

 

It seems it’s okay to talk about mental illness as long it is next door and not in our own home. But this week is as good as any to get comfy learning about, talking about, and doing something about mental health concerns in our families and communities.

 

Families are often remiss to address the reality of mental health in children and teenagers because we may not want to believe there is “something wrong” with our child. We may fear dangerous medications or polarizing labels. But progress in the mental health field has come a long way, and there is no reason to deny the supports that exist for your child and family. If the problem is something like anorexia or suicidal depression, then there definitely is “something wrong” and the illness is often fatal. If your child exhibits harmless quirks and peculiarities, there’s no need to see him as “sick” but a support system can go a long way to helping him cope with or understand his differences.

 

What’s Wrong With Me?

 

It’s sometimes more difficult to pinpoint problematic signs with children and teenagers because many symptoms of mental health concerns are symptoms of adolescence itself! According to Children’s Mental Health Ontario, some of these signs include: poor grades, social avoidance, frequent outbursts, loss of appetite, rebelling, insomnia, worrying, mood swings, not caring about appearance/obsession with it, self-injury, drinking, loss of interest in favourite activities.

 

You can see how it may be to differentiate the usual torments of teenagers from sick ones. The CMHO advises parents to size up these kinds of symptoms with the following criteria: intensity, persistence over time, inappropriateness for the child’s age, and how much it interferes with his or her life.

 

For example, not all girls who go on a diet are a red flag. But if your eight year old girl refuses to eat for several months at a time, obviously something is wrong.

 

Children with the most severe mental illnesses will show some of the following signs: distorted thinking, excessive anxiety, odd body movements, abnormal mood swings, overly suspicious, and seeing or hearing things that others don’t.

 

At the end of these section blurbs, you’ll find a number of helpful resources on children’s mental health.

 

Some Mental Health Challenges for Families

 

Anxiety Disorders

 

Anxiety is the health complaint in America, affecting nearly everyone at some point. While mild anxiety is a normal emotion, there are manifestations of anxiety that interfere with normal life, or are severe enough to be debilitating, as seen in Post Traumatic Stress Disorder. According to Dr. William Goldman at keepkidshealthy.com,   “Anxiety is a subjective sense of worry, apprehension, fear and distress. Often it is normal to have these sensations on occasion, and so it is important to distinguish between normal levels of anxiety and unhealthy or pathologic levels of anxiety. The subjective experience of anxiety typically has two components: physical sensations (e.g., headache, nausea, sweating) and the emotions of nervousness and fear. Anxiety disorders, when severe, can affect a child's thinking, decision-making ability, perceptions of the environment, learning and concentration. It raises blood pressure and heart rate, and can cause a multitude of bodily complaints, such as nausea, vomiting, stomach pain, ulcers, diarrhea, tingling, weakness, and shortness of breath, among other things.”

 

Adolescent anxiety is a given; life is strange and kids are facing eventual autonomy. A supportive family life, bolstered by good nutrition, boundaries, and responsibilities will go a long way toward helping kids find their way. But there are social anxiety disorders stemming from a deep fear of people; there is anxiety resulting from medical illness such as hyperthyroidism, which “speeds” everything up: there is anxiety induced from actual speed, or other drugs, both licit and illicit; there is anxiety stemming from brain chemistry gone awry, when the noradrenergic and serotonergic neural systems function improperly; there is temporary anxiety, such as overwhelming grief and fear after the death of a loved one; etc. etc. etc.

 

Keep the lines of communication open and talk frequently with your children about their worries and fears. Some parental reassurance always goes a long way, and you’ll be able to stay tuned to anxiety that runs deeper. There are lots of therapies to help cope with anxiety, and only some of them are medication. Many anxieties respond well to meditation, routine, cognitive exercises, laughter, yoga, talking therapy, sports, and friendship.

 

Depression

 

According to the Canadian Mental Health Association, ten percent of children aged six to twelve suffer from depression! Nearly all teenagers undergo deep depression as well. It is normal to experience depression as a response to personal loss, confusion, disillusionment and disappointment, the inevitable loss of innocence that adolescence entails, stress, and pressures of various kinds. It’s vital to give kids space to feel sadness, while being right there to offer unconditional love and support, too.

 

Don’t ever belittle a child’s response. He hasn’t had a chance to “toughen up” or realize that there are genocides and wars that are far more devastating than his unrequited crush. But when should you worry?

 

As with most concerns, the severity of the symptom, the duration, and the number of converging symptoms determines whether or not you should worry. Don’t worry, for example, if your son cries at Grandma’s funeral. But if he still refuses to eat or see friends three months later, get help.

 

Look for these clues and cues: irritability, worthlessness, guilt, changes in appetite, loss of interest in activities, recurring thoughts of death, low self esteem, fatigue, sleep problems, change in school performance, concentration problems, outbursts, crying, substance abuse, and excessive fearfulness.

 

Many parents avoid getting help for childhood depression because of the stigma and dangers of medication. You can tell your health care professional your concerns- many depressions require only a listening ear, professional guidance and encouragement, support, or time to heal. You can try these methods before jumping into medication. Ask your doctor what he or she thinks is best.

 

Suicide

 

Almost all teenagers fantasize or talk about suicide at some point or another; mooning around to “wrist-slitting” music is a favourite pastime of teens as they come to terms with life and death. So how seriously should you take threats of suicide?

 

Pretty seriously. Suicide is the second highest cause of death for young people age 10-24.  It’s probably worth talking about suicide before the topic comes up, especially if your child seems prone to dark depressions. First Nations kids are at particular risk. Gay and lesbian teens are FOURTEEN times as likely to attempt suicide than straight kids. More than half of transgendered people attempt suicide. More than a quarter of gay kids are told to leave home, making LGBT children more likely to become homeless.

 

Kids are particularly vulnerable to impulsive suicide or suicide ideation during times of personal and family conflict, such as parental divorce, coping with death, romantic breakup, physical or sexual abuse, emotional neglect, exposure to domestic violence, alcoholism in home, and substance abuse.

 

It’s imperative that kids in these circumstances get help- most won’t go and get it, so help them do so. This might mean facing how some of your personal problems are impacting your children- getting help yourself sets a great example and shows how much you value your child.

 

While suicide is often impulsive, it is more often a process. Some signs that the suicidal process is underway include: withdrawal, loss of interest in favourite activities, difficulty concentrating, neglect of personal appearance, changes in personality, sadness and hopelessness, changes in eating patterns and sleep patterns, lethargy, and symptoms of clinical depression.

 

Bipolar Disorder

 

Is your child depressed one day, and happy the next? Is she goody two shoes and also flirtatious and coquettish at the same time? Does she have poor self esteem, but also have tremendous confidence?

 

These seeming contradictions are the hallmark of bipolar disorder.

 

Bipolar is a serious emotional disorder characterized by intense mood swings. Veering dangerously between elation and depression, this illness is formerly called manic depression. For some, the ups and downs are so intense that they manifest in suicide attempts on the one end of the pendulum, and psychotic breaks on the other.

 

If you or close friends or teachers have ever referred to your child or teen as  “troubled” or “emotionally unstable,” this is often the kind of impression a bipolar sufferer gives to the world. That’s a great cue to pick up a book or two on bipolar. Bipolar kids are often diagnosed with depression- depression may be more obvious. But that’s only half the puzzle. “Manic” is often missed because no one complains about it- these emotions feel fantastic. In fact, grandiosity, confidence, elation are all symptoms of mania. When someone spends half their life feeling worthless, empty and hopeless, they aren’t going to be aware of the danger in their “other side.” Mania often means impulsivity, recklessness, and risk taking behaviours. These may be of little concern to the person with bipolar, but the consequences can be devastating. Drug abuse and sexual acting out is common with bipolar disorder.

 

Bipolar people are often incredibly creative, and while it may be hard for them to lead a conventional life, they are often trailblazers in art, literature, and business. Manic qualities of supreme confidence, risk-taking, and creativity are extremely desirable in many fields. However, extreme episodes of mania are just as dangerous as suicidal depression. The invincibility a manic person feels is delusional, and the activities like sex and drugs that may feel great at the time feel dirty and guilty later when they have come down. Mania is, simply put, feeling very high. Depression is feeling very low.

 

Many bipolars are treated for depression long before they realize they are manic, too. And many resist treatment because they don’t want their highs taken away from them. Unfortunate side effects of stabilizing medication is a lessening of creativity: many medicated bipolars lament the lack of emotional intensity that was important in their art or poetry. But many feel that gaining control, focus, and keeping a grip are a fair trade off. Bipolar disorder really does require lifelong medicine to treat- it doesn’t go away, and it does get worse over time. And it may be fine for a teenager to miss work because he was out getting drunk; that will wear thin when he’s an unreliable adult, taking off from work to go drinking because he had an impulse; or makes inappropriate passes at coworkers. The instability means dire consequences- many bipolars have problems keeping jobs, even though they are often intelligent and personable. Their mood swings and inexplicable behaviour is difficult for family to cope with; many bipolars have a lifelong struggle with substance use and abuse. Worse, suicide is extremely common among bipolars- about 15 to 20 percent end their struggle at their own hand. Because mania is so empowering, it may give depressive impulse the confidence to carry through- a deadly combination.

 

Besides popping pills, helpful adjuncts to treatment include consistency- keeping a routine and schedule; relaxation like yoga; variety in life to avoid boredom; and talking therapy.

 

 

Eating Disorders

 

While all mental health issues are important, the seriousness of anorexia makes it merit a special mention. Eating disorders are horrifyingly common, and extremely sensitive issues that we can’t ignore. No teenager is going to say, “hey, Mom, I have an eating disorder.” The nature of the illness itself is secrecy and deception.

 

You may be surprised to learn that anorexia and bulimia are the deadliest mental disorders. More people die from this mental illness than any other, including bipolar disorder, whose skyrocketing suicide stats grimly attest to the fact that bipolar can be a fatal disease. About 20 percent of people with anorexia will die from it, and some stats suggest that 5 to 10% will die within five years. More than 90% develop eating disorders during adolescence.

 

Many families who have heard of eating disorders may not understand how severe and dangerous they are. They may not really know the harm of “worry a little about weight,” especially if their child is overweight and could stand to use a few pounds.

 

Anorexia and bulimia, however, are not healthy, positive lifestyle changes. They are intense obsessions. Symbolically, the idea of wasting away is often about not wanting to take up space in the world, wanting to disappear, wanting to be in control, wanting to punish oneself, wanting to purge oneself of poisonous emotions, or wanting to deny ones basic humanity by denying food- the stuff of life. Anorexia and bulimia are often but not always linked to sexual abuse, but anyone can develop them.

 

There is much controversy about realistic body images in fashion and celebrity iconography, and cultural obsession with thinness definitely plays a role in the disorder. However, it seems you can’t “catch” anorexia by looking at skinny role models unless it is already latent. There may be a biological component to the disease. It is very difficult to treat in mid to late stages, so it’s best to catch it early and get the help your child needs. Not only are the psychological components dangerous, but the consequence of starvation on health is the same as it is in developing nations- severe malnutrition is often deadly.

 

If you see some of the following signs in your child, you need to address the issue immediately and get help: weight loss, weighing several times a day, feeling fat even if thin, preoccupation or obsession with food- knowing fat grams, calories of every food, avoidance of social situations centred on food so no one can notice strange habits, lying about weight or food eaten, insisting he or she is not hungry, weird eating habits such as eating only one food at a time, counting bites, or unusual arrangements on plate, abusing diet pills and laxatives, health problems such as low blood pressure and menstrual irregularity, and excessive exercise. It’s worth observing whether your child is always “feeling nauseous” or disappearing after eating. She may be throwing up.

 

The proliferation of “pro-ana” web communities is a scary thing indeed. These sites are celebrations of “extreme anorexia” by young men and women who come together to trade tips, “thinspirations,” and suggestions for hiding habits from family and doctors. These sites attest to the obsessive quality of the disease. Don’t Google pro-ana unless you want to be severely disturbed- the pictures and stories are terrifying. However, if this issue is affecting your family, it may be important to know how serious the issue is.

 

Not in my Family! Psychopathy

 

One of the most devastating realities for a parent is when their precious bundle of joy turns out to be a psychopath. The topic of psychopathic children is so controversial and taboo that desperate parents have nowhere to turn for information or support. Many experts, along with popular opinion, believe that “evil” children are made, not born. Autism and schizophrenia were once blamed on bad mothering: we know beyond a shadow of a doubt that these are biological diseases, albeit ones with very emotional components.  There is also much debate over whether a child can be a psychopath, long considered a condition that develops over adulthood, a condition that can be stopped with generous helpings of love and tender care.

 

A psychopath is not synonymous with killing. A psychopath is, quite simply, a person “without a soul.” That is, if you define “soul” as “conscience.” A psychopath does not feel emotions the way most people do. Research is pouring in on the psychopathic brain- a profile of easy confidence, above average intelligence, inability to process empathic emotions, and brilliant mimicry abilities, which come in handy as the psychopath learns to mimic the emotions he is supposed to be having. A psychopath can’t process another’s pain or joy. Feelings are completely alien to him, and not because he “hasn’t learned to express them.” He doesn’t have them. His brain is not equipped with feeling centres, if you will. If he has any emotions, they are rage, hate and sexual desire, the most primitive ones. His brain is wired for impulse, stimulation, risk, and personal gratification.

 

No one wants to acknowledge the grim possibilities that their child may be (or grow up to be, under old theory) a psychopath. But this category has been included here, at the exclusion of dozens of mental health diagnostic categories, for one reason only: numbers. Anorexia is considered epidemic, for example, with stats hovering over 3%. But the picture emerging shows that about four people out of 100 are psychopaths. Expert Robert Hare places the stats around 1%- which is already one person per two or three classrooms. More and more experts are siding on the higher estimate. There is no cure, but behaviour modification programs are making successful strides in steering psychopaths away from crime.

 

  

Obsessive Compulsive Disorder

 

According to the Canadian Mental Health Association, “for people with obsessive-compulsive disorder, obsession creates a maze of persistent, unwanted thoughts. Those thoughts lead them to act out rituals (compulsions), sometimes for hours a day.”

 

Frequent, familiar symptoms are ones we’ve all seen in the movies, and ones we all have to varying levels: persistently checking if we’ve locked a door or turned off the oven; counting, arranging, or relentless washing. These rituals exist to relieve us of an anxiety- for example, a fear of germs or burglary. But for the OCD sufferer, the ritual only relieves the anxiety for a second, which is why they might wash their hands or check the lock a thousand times.

 

The CMHA explains, “OCD occurs when worries become obsessions, and the compulsive rituals so excessive, that they dominate a person's life. It is as if the brain is a scratched vinyl record, forever skipping at the same groove and repeating one fragment of song.”

 

As most disorders, OCD was once thought to be planted by bad mothering, creating such a debacle of insecurity through her glaring omissions or poor nurture. Now we know there is a neurological basis for the disorder. There is some connection to “pediatric autoimmune neuropsychiatric disorders associated with streptococcal infections,”- how’s that for a mouthful? Antibodies from strep affect the brain, resulting in tics, compulsive counting, fear someone will be harmed, excessive hand-washing, and more. (Harvard Mental Health Letter, Dec. 2004.) While these symptoms often disappear weeks or months after the infection is gone, they give an important clue into the biology of OCD. The disorder definitely runs in families, and brain imaging shows unusual activity in the basal ganglia region of the brain, the same region that is affected by the strep antibodies!

 

Mild cases of OCD are merely extensions of thought patterns we all have. It is prudent to worry. Obsessive worry, however, disrupts one’s life, to varying levels. Some sufferers of OCD simply triple check everything important, being extremely careful. Others spend hours a day on their rituals, or cannot function at all in ways considered “normal.”

 

There is no known cure thus far for OCD, but cognitive treatment, focusing on relearning behavioural patterns and dealing with stress are very helpful. For many, symptoms are entirely eradicated with medication. Many children who exhibit OCD tendencies completely grow out of the symptoms, since the brain, habits, behaviour, and hormones are constantly transforming and transitioning. A mortal fear of germs or unusual counting rituals to comfort can disappear completely overnight.

 

That said, it is vital that parents and other siblings realize that the behaviour is not something a child can just “get over” or snap out of by trying harder. He’ll need help and guidance and support to cope.

 

“Even young children often know that their obsessions are senseless, but they are helpless to stop themselves. Compulsive rituals can consume hours a day and interfere with household chores, schoolwork, and normal play. If children try to avoid the situations that provoke the behavior, their lives may become increasingly restricted. As a result, they may become demoralized, and their development may be interrupted,” the Harvard Mental Health Letter (Dec. 2004) reported. “It afflicts 2%–3% of Americans, and between one-third and one-half of them are under 15. The symptoms may appear as early as age three.”

 

Does your child have something to worry about? Look for these symptoms, but remember, if symptoms are mild and don’t increase, and they don’t interfere with a child’s growth or happiness, don’t freak out. Check in with your doctor, but if your child is not distressed, there is nothing wrong with having unusual routines. Do remember, however, that OCD usually begins to manifest in adolescence, and while your child may grow out of it, he may also grow into it.

 

Keep your eyes open for the following symptoms, and check in with your mental health care professional if your child exhibits any, especially if he exhibits several and they are severe: fear of contamination or germs; fear of harming self or others; intrusive sexual or violent thoughts; fear of losing needed items; obsession with order and symmetry; too much attention to rituals involving lucky things (or unlucky); excessive double checking of locks and switches, etc; constantly seeking assurance that loved ones are safe; counting, tapping, repetition; excessive washing and cleaning; accumulating too much useless junk.

 

 

Borderline Personality Disorder

 

When a family member has Borderline Personality Disorder, home life is absolute chaos. If that family member is a parent, it is highly likely he or she will deny the issue, and reject any responsibility for the abuse he or she perpetrates, claiming to be the victim instead. For this reason, it is extremely difficult to treat BPD- clients have to accept that there is a problem, and be willing to work on it. The effect on children of BPD parents is often grim- lifelong instability, mood or personality disorders of their own, poor coping mechanisms, and the aftermath of abuse such as low self esteem. The chaos of BPD makes it one of the most difficult mental illnesses to live with, and horrible patterns of abuse and interdependency wreck havoc on ordinary lives. If you or your partner are prone to “outbursts,” hysterical rages, extreme emotional instability, fear of abandonment, substance abuse or other reckless behaviour, and suicidal ideation, you may have BPD, and you may not know how deeply your behaviour can scar your spouse and children. It is one of the most difficult mental illnesses to live with, as sufferers generally refuse treatment, and medications are frequently ineffective, an enigma when they are so effective in other disorders like bipolar or anxiety.

 

If your child has BPD, it is likely that home life is a living hell for you. If your child’s behaviour is so unpredictable, raging one moment and in crisis the next; if he or she is explosive and volatile; if he or she exhibits emotional instability and terror of abandonment, he or she may have BPD.

 

Many professionals are reluctant to diagnose children or teens with BPD because their personality is not yet fixed. Yet this disorder is one that a victim often “grows out of”…if he or she does not commit suicide before that maturity has a chance.

 

A child having a temper tantrum is actually a great analogy for the borderline. Like a toddler, she is terrified of being left alone or abandoned; she wants her own way; she behaves with recklessness and a self-absorbed world view. Borderlines often function extremely well in everyday life- their illness is usually only visible to their closest family. They act out only on those they love most. Outsiders see them as charming, intelligent, and attractive, often thinking YOU have the problem for assuming they do. This is because borderlines are only threatened by and abuse people close to them, people they are terrified of losing.

 

But for those loved ones, living with a borderline is a nightmare. The borderline may even go so far as to make up sexual abuse stories and other victim mythologies, which has created hell for many families. This is because the BPD is like a frightened, manipulative child who can’t always distinguish between reality and a bad dream.

 

The difficulty in diagnosing BPD in adolescents is simply that many of the symptoms are symptoms of being a teenager! A 35 year old mother acting like a 12 year old is easier to spot than a 12 year old acting like a 12 year old. Consider the symptoms, and you’ll see how problematic diagnosis can be: unstable personal relationships that veer between ideation and devaluation- “you’re perfect, you’re my best friend/you’re a backstabber, I hate you”; impulsive behaviours; identity disturbance; chronic emptiness; intense relationships with many conflicts; fear of abandonment; hating loved ones; cutting and other forms of self-injury; threatening suicide or suicide attempts, especially to control the behaviour of family members, or express pain; mood swings; rage; substance abuse; dissociation- often “spaced out” or in a “trance.” Borderlines have no personal boundaries and don’t respect yours- they may snoop, listen in, act inappropriately sexual, leave the bathroom door open, and other bizarre behaviours. This is because they have no defined sense of self or perimeter. They feel as if they have no identity, so they adopt identities, like playing Hollywood roles.

 

Treatment is challenging, but the most successful to date has been in dialectic behaviour therapy, which teaches patients positive ways to deal with negative emotions. If a patient does not want help for borderline, she may be happy to be treated for “depression,” and that alleviate some pieces of the distressing puzzle.

 

It is imperative for family members to get support if their loved one won’t go for help. Dealing with the fallout from abuse, the constant chaos, means a poor prognosis for a bright future. If you believe your spouse has BPD, get the kids to a support group. If your child is deeply troubled and nothing will help, it is all you can do to help yourself. It can be challenging to live with a sick loved one, but families of borderlines can literally lose their minds. There are excellent books and seminars to help families cope with this terrifying disorder.

 

All kinds of mental health challenges like depression and schizophrenia mingle families and person with illness together; but it is NEVER recommended that family members and BPDs attend the same treatment, support group, or even online resources. BPDs who “read about themselves” become extremely distressed and experience betrayal; they often attribute the illness to you instead. It is very upsetting for them to read about themselves, resulting in histrionic outbursts or psychotic episodes. This makes it a very isolating disease for both the victim and the loved one. No one is sure where borderline comes from- it is often triggered by real or imaginary abandonment, and is centred around this theme. But many borderlines are raised in loving, even indulgent families, so this is not always the case.

 

 

Schizophrenia

 

Perhaps no mental illness is as stigmatized or as misunderstood as schizophrenia. Sadly, some circles still attribute schizophrenia to archaic ideas like demon possession or bad mothering. Delusions and hallucinations can be frightening to people with schizophrenia; but medication is not always an easy solution, because others find their illusions comforting. The average age of onset for men is around 25, and women, 30. Childhood onset under the age of ten is extremely rare. Thus, most of the 1% of our population with schizophrenia are adults. However, it’s prudent to be informed of the symptoms and signs as schizophrenia is possible in children and teens, and it is devastating. Today’s emphasis of study is on prevention, so learning about the disease is helpful to all families.

 

As with all mental disorders, symptoms overlap. “Lagging motor or speech skills,” for example, is one early indicator of schizophrenia, but can also indicate autism and a broad range of developmental problems- or it may simply be the child’s pace. However, when broad symptoms are grouped together, a clearer picture emerges. Watch for attention deficit, speech impediments, memory problems, difficulty reasoning, inappropriate, or flattened, expression of emotion, poor social skills, and depression. Any of these can indicate serious problems ranging from ADD to developmental disabilities. But the most telltale signs of schizophrenia are peculiar beliefs and delusions: for example, the idea that others can read his or her mind- or that she can read the minds of others; rambling, dissociated speech; strange speech patterns; paranoid ideas that others are out to get him (including classic paranoia like being followed, or being stalked by the FBI, cameras, etc.); deterioration of personal hygiene; suspicion and hostility; irrational statements, extreme religiousness; magical illusions (seeing God, evil spirits, angels, unicorns, aliens. etc.)

 

If your child shows interest in close personal relationships and friendships, even if he navigates them poorly or has fewer than other children, he or she is not likely schizophrenic.

 

While this disease is misunderstood, and its origins are not known, much of the fear around it comes from the idea that this diagnosis is the “real” crazy. Too much literature and TV gives the idea that schizophrenic people are violent criminals, or go nuts and kill people. Some do- it’s extremely rare. Crime or violence are far more common among people with ordinary psychosis, borderline personality disorder, and psychopathy.

 

 

Helpful Resources

 

Young Women’s Health

 

An extensive collection of “health information for teen girls around the world.” Made possible through the Children’s Hospital of Boston, this site covers a lot of ground on hundreds of topics. A very few include abnormal pap smear, abstinence, peanut allergies, braces, body piercing, abusive relationships, menstrual cramps, gluten-free diet, cholesterol, friendship, smoking, cyberbullying and more. Do your teen girl a favour and bookmark this for her. That way, she’ll have a place to go to learn about anything she’s too embarrassed to talk about right away.

 

www.youngwomenshealth.org

 

Attention Deficit Disorder

 

“CH.A.D.D. Canada is a charitable organization that aims to help support, educate, and ultimately better the lives of individuals with ADHD, and those who are for them.”

 

www.chaddcanada.org

 

ADD support groups across Canada

 

http://www.adders.org/canadamap.htm

 

Alberta Association of Sexual Assault and Abuse

http://www.aasac.ca/txt-fact-sexual-assault-abuse.htm

 

Pandora’s Project

 

an online support group for survivors of rape and sexual abuse

http://www.pandys.org/

 

National Eating Disorder Information Centre

 

An extremely helpful and informative site which does not leave out boys and men, who do suffer from eating disorders and abuse of testosterone or anabolic steroids in order to achieve physical perfection. Lots of stats, support, news, and ways to get involved.

 

http://www.nedic.ca/

416-340-4156

 

Canada Drug Rehab

 

This site lists rehab for drug addiction, but has a cross-country listing of treatment centres for eating disorders as well.

 

http://www.canadadrugrehab.ca/Eating-Disorder-Treatment.html

 

 

Parents for Children’s Mental Health

 

 

“PCMH is a voluntary group of parents dedicated to helping families and improving mental health services in Ontario. We are a non-profit, provincial, parent run organization that provides a voice for children and their families who face the challenges of mental health problems in Ontario. We work with the families, the general public, mental health professionals and agencies, and government to provide education, support and advocacy.”

 

www.pcmh.ca

 

Canadian Mental Health Association

 

General information on mental health, with helpful tips on handling and assessing kids’ misbehaving; self-esteem; support during family breakups, and helping kids face fear.

 

www.cmha.ca

 

Bipolar Disorder

 

Information from the National Institute of Mental Health

 

http://www.nimh.nih.gov/health/publications/bipolar-disorder-in-children-and-teens-easy-to-read/index.shtml

 

 

Child and Adolescent Bipolar Foundation

 

This foundation is American, so listings of helpful professional contacts will be moot for Canadian families, but there is a tremendous wealth of information and support useful to anyone.

 

www.bpkids.org

 

Psychopathy

 

Resources to support or educate families raising these unfortunate children are limited. If your child has exhibited unusual signs that other people’s pain doesn’t matter to him or her, consult a professional. In the meantime, there are a few sites, mostly about the phenomenon among adults.

 

News article: “Destined as a psychopath? Experts seek clues, and researchers hope to identify at-risk kids and modify antisocial behavior”

 

http://www.msnbc.msn.com/id/30267075/

 

 

The Childhood Psychopath: Bad Seed or Bad Parents? by Katherine Ramsland

 

This lengthy article is lengthy and very informative; however it is sensational and goes in for as many gory details as possible.

 

http://www.trutv.com/library/crime/criminal_mind/psychology/psychopath/1.html

 

The Mask of Sanity, by Hervey Cleckley

This book is out of print, however it is available free in pdf format online. Just Google it.

 

Kids Health

 

A giant portal of information on everything from STDs to self-injury by cutting. Covers expert advice, school and jobs, drugs, and all aspects relating to a teen’s health or mental health.

 

www.kidshealth.org

 

 

Obsessive Compulsive Disorder

 

http://kidshealth.org/kid/feeling/emotion/ocd.html

 

 

Schizophrenia

 

 

All about schizophrenia, with free courses, and family support.

 

www.schizophrenia.ca

 

Centre for Addiction and Mental Health

 

CAMH is a terrific resource with supportive programs for all mental illnesses. There are frequent family nights, information seminars, and various programs for everything from addiction to bipolar disorder. Many consider CAMH the first stop in caring for or educating on mental health in Canada.

 

www.camh.net

 

Mood Disorders Association of Ontario

 

Info resources and support circles for depression, bipolar disorder, and anxiety. Includes Family Phone Support Tuesdays, from noon to eight pm. Call 416-486-0411.

 

http://www.mooddisorders.on.ca/

 

Depression Canada

 

Information about depression.

 

http://www.depressioncanada.com/

 

Children’s Mental Health Ontario

 

http://www.kidsmentalhealth.ca/

 

In particular, this helpful page has quick access for parents to look up signs, symptoms, fact sheets for anxiety disorders, ADD, autism, eating disorders, mood disorders, depression, and more.

 

http://www.kidsmentalhealth.ca/parents/resources_parents.php#Signs%20of%20Mental%20Health%20Problems

 

Kid’s Help Phone

 

Kid’s Help Phone offers anonymous, confidential counseling 24 hours a day. Kids who don’t feel able or ready to talk can touch base online.

 

www.kidshelpphone.ca

1-800-668-6868

 

 

Parents and Friends of Lesbians and Gays

 

“Every day, PFLAG Canada volunteers are contacted by frightened adolescents and by angry, fearful or ashamed parents. PFLAG Canada supports, educates and provides resources to anyone with questions or concerns. 24 hours a day, 7 days a week.”

 

www.pflagcanada.ca

 

 

Borderline Personality Disorder

 

Randi Kreger is one of the foremost authorities writing about BPD. Her books help family members survive the trauma of loving a borderline. This online resource has extensive articles, as well as personal testimonies. Most importantly, it has several support centres to connect with others suffering a BPD family member or friend. These support circles can be all women, all men, children of borderlines, parents of borderlines, or just general. Invaluable.

 

http://www.bpdcentral.com

 

Borderline Personality Clinic at CAMH

 

http://www.camh.net/About_CAMH/Guide_to_CAMH/Addiction_Programs/Concurrent_Disorder_Service/BDP_clinic.html

 

 

This is a very sparse listing of the many online and clinical support for families learning about or dealing with mental health concerns. Your library can provide you with dozens of helpful books; your doctor can direct you to support; and Googling any concern will bring up a wealth of various ideas and resources. The most important thing you can do to help your kids’ mental health is remove the taboo and be willing to learn along with them about any concern the family has- whether it is your child’s disorder or yours.

 
     
HSFB
 
 
 

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