Author: Yolanda Evans, MD, MPH

Having The Talk with Your Teen

birds and beesRecently a friend described how she’d had ‘the talk’ with her teen son. She felt it was time to sit down and talk specifically about relationships (including sex) because her son has a girlfriend and they spend a lot of time together. Our conversation about her experience was entertaining and enlightening. She described how it was awkward for her, but she knew she needed to get her concerns out in the open. She also recognized that ‘the talk’ is really just the start of an ongoing dialogue about relationships and intimacy. Here were some of our take away tips for parents of teens who may be reluctant to talk about sex, feelings, and romantic encounters. Read full post »

Mindfulness ideas for parents of teens

sleeping lady AKEvery day as parents we juggle multiple demands. Teens are learning the process of balancing responsibilities, nurturing relationships, and making time for self care. This is no easy feat! In the 21st century, we have smart phones and tablets, voicemail and email, social media sites and instant messaging. Our friends, colleagues and co-workers can contact us 24 hours a day, 7 days a week. We are all accustomed to both receiving and providing instant responses. I know that personally, if I receive a text from a friend, I feel obligated to respond as soon as possible! How do we balance the demands of day to day life with time for self care? This is the question that has prompted me to think about incorporating more ‘mindfulness’ into my life. Read full post »

Prevention of Substance use – a forum for parents to ask questions

Substance use among adolescents is not a new concern for parents, but with recreational marijuana use being legal for people ages 21 and older in Washington, the changes to laws around marijuana over the past few years have led many parents to ask questions about how to talk with their teens about substance use. Should I tell my teen I’ve used before? How do I keep my teen from abusing drugs? Is it ok for teens to use occasionally? Are drugs really all that harmful? If a drug is legal, does that mean it’s safe? My teen is using, when should I be worried? Read full post »

Transition to Adult Care Providers

leahparentWhen our kids are little, we take them to their well child exams in order to ensure they remain healthy. This preventive visit reassures us that they are growing well, meeting development milestones, and offers the opportunity to have our (and our child’s) questions about health answered. As kids enter the teen years, these visits occur less and less often. A friend recently asked my opinion as a pediatrician and adolescent specialist about when teens are too old to go see the pediatrician? This excellent question prompted me to post about the topic. Read full post »

Why are the hours from 3pm-6pm important

We’re all busy… we work, we parent, we try to have a bit of time for self-care. Teens are busy too! Most get up early, go to school, then come home, work on homework and get ready for bed just to start the day again. Over the past few months, I’ve heard multiple times about the importance of a few key hours in a teen’s day: the hours of 3pm-6pm. What is so different about this small part of the day? Read full post »

Preventing Teen Marijuana Abuse

MarijuanaEvery time I meet with a teen for the first time I ask a series of questions. Most are open ended inquiries about their hobbies, their friends and family, and what motivates them to do their best. I also ask a few screening questions to get a sense of whether or not they’re engaging in risky behaviors. A trend I’ve noticed over the past 5 years is that more and more teens are telling me they’ve tried marijuana.

A new documentary called “Marijuana Documentary – Northwest Trees” was created and produced by Ben Grayzel. It features one of our guest bloggers Dr. Leslie Walker and offers commentary from teens and young adults in the Pacific Northwest on marijuana. While I may not condone some of the behaviors featured, I definitely admire the candid responses. Teens talk about availability of marijuana, perceptions of peer use, and discuss whether or not they think it’s helpful or harmful. Read full post »

Should my teen get a job?

I was reminiscing about my first job recently. Though my parents had provided an allowance for completing certain chores, the first time I worked outside of the home and received pay from a non-relative was at the age of 12. Our neighbors had young children and needed a night out every once in awhile. As the responsible oldest sibling (out of 4) they felt safe enough to allow me to put their kids to bed and go dinner. My reward for playing with kids and putting them to bed was $10. I was then hooked on earning money! Read full post »

Teens and risk of DUI

A recent article in the Pediatrics, the journal of the American Academy of Pediatrics, was one of the first to look over time at teens’ risk of driving under the influence (DUI) or riding with a drinking driver (RWDD). Motor vehicle accidents are one of the top 3 leading cause of death for teens and young adults in the US. We have written about the dangers of driving while texting & driving while using drugs in the past.  At the same time, we’ve emphasized that parents are crucial in setting expectations, boundaries, and consequences for teen drug use. This article provides even stronger evidence for characteristics and perceptions that are risk factors for teen DUI. Read full post »

How do we teach compassion?

iStock_000014694151XSmallFor many of my friends and colleagues the holiday season from the months of November through January is their favorite time of year. We have family gatherings, time off of work to spend with our kids, great meals, and exchanging of gifts. However, I just drove into a parking lot of a large home improvement store and saw numerous people waiting for the opportunity to do work. Others who had holes in their jackets and looked like they hadn’t eaten in days, and some who simply held signs asking for any help a person could spare. Seeing all of these people was a blunt reminder that not everyone has all of their basic human needs met. I drive by this store routinely, but I’ve become desensitized to the people in the parking lot. It made me ask, “Where has my compassion gone?” Read full post »

Mental Health in Teens: What to expect at the Doctor’s Office

Mental health disorders afflict many teens (nearly 1 in 3 will have thoughts of sadness). In this post, guest Dr. Laura Richardson provides information on making the diagnosis of depression and what types of treatment your doctor may discuss.

How will my teen’s doctor diagnose depression?

The diagnosis of depression is usually based on the symptoms that your teen reports feeling such as depressed mood, loss of interest in doing things, low energy and difficulty concentrating. Some doctors make this diagnosis based on talking with your teen and you and some might use tools, like paper questionnaires, to help them make the diagnosis.

How common is depression in teens?

Depression is one of the most common health issues in teenagers. Estimates of how many teens have depression at any given time range from 5-8%. Over the course of adolescence (up to age 18), about one in five teens will experience an episode of major depression. Read full post »