metro Too Much from page 8 the worst of everything:' she said. Kaplan uses CBT to help clients list their fears and worries, look at the beliefs behind them and come up with new statements that are more reality-based. "If a student is worried about getting a bad teacher, I might encourage her to say, 'I might have a bad teacher, but I'm a good student. I've had bad teachers before. If that happens, I can talk to the teacher, or I can talk to my mother or my sister ... ," said Kaplan. High school students preparing for college often fear being on their own for the first time. They feel pressure to make decisions they are not ready for. "I feel like I should have everything about my future all figured out, and I don't," said a high school senior who asked that his name not be used. Kaplan said she has seen an increase in the number of college students who have moved back home because they could not adjust to living on their own. "They're scared of the future and not mature enough, yet they feel they have to make these mature decisions at a young age," said Kaplan. "The [therapy] goal is to diminish worry and fear of the future." The situation is exacerbated by parents who are overly involved in children's lives, sometimes referred to as "helicopter par- ents." This fosters a prolonged childhood and sense of entitlement, said Kaplan. "Do you want to protect or do you want to prepare?" Kaplan asked. "Healthy risks are part of growing up. Parents who try to control and stifle undermine confidence." Another factor is that the pre-frontal cortex of the brain, which controls impul- sivity, organization and other executive functions, does not fully develop until the early- to mid-20s. This means that most teenagers, including college students, are not fully capable of organizing thoughts, setting priorities and analyzing long-term consequences. "Teens are impulsive; they're feeling overwhelmed," said Kaplan. "That's where parents come in; they need to coach and help them slow down, not by lecturing but by being respectful." She encourages parents to share their own stories so kids will understand the reasons behind the rules. Prescription Help? Medication is sometimes prescribed to alleviate stress and anxiety, depending on the severity or duration of the symp- toms, according to psychiatrist Dr. Randy Dean of Neurobehavioral Medicine in Bloomfield Hills. Dean recommends a variety of non- pharmacological treatment methods such as individual, group and family therapy, hypnotherapy and meditation techniques. While these modalities can be effective by themselves, some patients also require medication. "Often we start with the non-medica- tion treatments, and if they are not effec- tive enough, we might then add medica- tion to the treatment plan," said Dean, adding that each patient is carefully monitored for benefits and possible side effects resulting from medicine as well as other forms of therapy. Too Much Technology Another factor contributing to stress is the proliferation of technology and social media. Smart phones, computers, tablets and other mobile devices produce a nonstop barrage of information and communication. This can be overwhelm- ing and distracting for teens as well as grown-ups. "It's 24-7, they never get a break," said Graff, who advises parents of younger children to regulate screen time and moni- tor text messages and Facebook activity. She says "car time" is a great opportunity for parents to replace modern technology with old-fashioned conversation. "In the car, you have a captive audi- ence," she said. "Don't talk on your phone; use the time to interact with your kids." Kaplan said another source of stress is the isolation many teens feel within their own families. When family members are not busy with work and other activities outside the house, their at-home time is often spent in separate rooms, focusing on computers and other electronic devices instead of each other. "Family togetherness is lost; teens don't feel a sense of belonging," said Kaplan. School Pressure Race to Nowhere, a 2010 documen- tary film written by Maimone Attia and directed by Vicki Abeles and Jessica Congdon, depicts the negative effects of an education system that creates stress and student burnout with its emphasis on grades and relentless pressure to achieve. Tips For Parents Tips For Teens Make time to talk to your kids without distractions, and listen to what they have to say. • Avoid lecturing kids of any age; treat them with respect. • Seek help if you notice significant changes in your teen including appetite, sleep habits, social behavior or academic performance. cffi> If you sense something is not right, don't ignore the situa- tion. Go with your gut. Be a coach, not a micro-manager. When problems arise, offer suggestions, but allow teens to come up with their own solutions. (:)> Parenting is hard work. Take care of yourself by getting proper rest, exercising regularly, eating healthy foods and spending time doing things you enjoy. cg> Let your teen know you love him no matter what grades he gets or where he goes to college. cg> Realize your children's dreams and expectations may be different than yours. Pass on the benefits of your experience. Don't lecture about the evils of procrastination; instead, talk about how pro- crastinating affected you in the past and what you learned. cg> Avoid CATS (caffeine, alcohol, tobacco, sweeteners); these substances can increase stress and be detrimental to your health in other ways. If you can't abstain, use moderation. 10 September 20 • 2012 Establish a bedtime routine that includes calming activi- ties such as listening to relaxing music, drinking tea or warm milk, bathing or showering, or reading. c )> Turn off electronics and start getting ready for bed early enough to allow at least eight hours of sleep. Exercise regularly; doing something you enjoy such as sports or dancing makes it easier to stick to a routine. Eat a healthy diet, and allow enough time for breakfast before going to school. • Develop a kit of tools to help you unwind, such as yoga, meditation, deep-breathing, scented candles, music, walking or other kinds of exercise. Develop good study habits. Use a planner, either paper or electronic, to keep track of assignments, tests, extra-curricular activities and social engagements. 01 > Avoid procrastination. Break large projects or tasks down into manageable pieces to avoid becoming overwhelmed. If you feel like stress is a constant companion, ask for help. Talk to a parent or another trusted adult, such as a teacher, therapist, school counselor, relative or family friend. "I hear so much worrying about the grades, even from ninth-graders," said Rabbi Elliot Pachter, director of student ser- vices at Frankel Jewish Academy. "That con- cerns me. There is more focus on grades than on developing life skills , like good study habits, coping skills, organiza- Rabbi Elliot tion — life-sustaining Pachter things." Kaplan said she knows of parents who sued their local schools for inadequate preparation when their children were not admitted to U-M. "It's important that schools recognize there are many kinds of kids and fami- lies," said Graff. "There are all kinds of ways for kids to get where they need to go. For students whose families observe Shabbat, the pressure is even greater; the bulk of weekend homework must be completed on Sunday, leaving no time for family or get-togethers with friends. "We're living in a state of constant stress — there's always something wait- ing, always a test or homework or a proj- ect waiting," said a parent who asked that her name be withheld. "It affects the whole family. We can't go anywhere after school, and my daugh- ter never goes to bed before midnight. They're being robbed of their childhood. They have no time to have fun, to sit with their friends and just giggle. It's painful to watch." Naftaly Family Circle Conference Parents and professionals are invited to attend "Uncovering the Impact of Stress on Learning" at the Anita Naftaly Family Circle Conference from 12:30-4 p.m. Sunday, Oct. 21, at Congregation Shaarey Zedek in Southfield. The program features national speaker, author, clinical neuropsy- chologist and former special edu- cation teacher Jerome J. Schultz, Ph.D., who will discuss the relation- ship between stress and learning. To register or obtain more infor- mation, call Shoshana Baruch at (248) 205-2549 or visit www. jewishdetroit.org/familycircle . Advance registration fee, $20, walk- ins, $25. CE hours for social workers and certified counselors and Nirim "in-network" credit available. Nirim teachers must register online at www.jewishdetroit.org/nirim. k ,