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Updated May 10, 2000

Ask Dr. Bill
"Warning Signs"

Dear Readers,
Spring has sprung...the grass has riz... the classic time for parents of 11 and 12 year olds to keep a special watch on their kids's behavior, as this is the AVERAGE AGE that American youngsters start abusing tobacco, alcohol and other drugs. YOUR KID MAY VERY WELL BE ONE OF THEM. This is why I usually repeat this letter with my response at this time of year...the summer before they enter middle school:

 

Dear Dr. Bill,

My oldest son is thirteen years old. He used to be a happy, go-lucky kid who had a load of friends who used to come over to our house, five or six of them were regulars. Late last summer I realized that I wasn't seeing his old friends anymore...he said he was bored with them. He started hanging around downtown with a new bunch who he doesn't bring home so I can meet them. Now he often stays out past curfew and then lies to me about where he has been. During the last few months he started skipping classes and his grades have dropped He dresses like a slob. When I try to face up to him, he explodes. Maybe this is just adolescent behavior but the papers say that more kids are using drugs , I 'm afraid he might be one of them......

Worried

Dear Worried,

If you think there is a drug problem, you must rule it out. You have already picked up a few warning signs. Usually one or two signs can't be considered much evidence--unless, of course, (1) you find your son's drug stash or (2) you catch him or her in the act of using. Warning signs taken separately, may mean little, but added together they can amount to a lot. At the Van Ost Institute we have a saying that goes "If it looks like a duck, walks like a duck, and quacks like a duck, its probably a duck."

What you should look for is not a single sign but a cluster of them, not a single act but a developing pattern of behavior, not a single episode but a series of them. Your parental instinct, plus some of the following signs which we at the Institute have derived from clinical experience with drug-abusing kids may help you put two and two together and, perhaps, convince you of the need for immediate action.

1. A CHANGE IN FRIENDS. It's perfectly natural for youngsters to be defensive about their friends when parental criticism is voiced. Kids will respond in support of their new friends if its even suggested that they are using drugs.

Part of adolescence, as we know, is pulling away from the family to some degree, but if kids start using drugs, the pulling away becomes a vehicle to allow them to maintain their drug use. They create their own "family" of drug using friends, to the exclusion of others.

2. A CHANGE IN THE YOUNGSTER HIM/HERSELF. Has your son turned irritable, unpredictable, unloving, sullen, oversensitive, easily provoked, uncooperative, hostile, secretive, foul mouthed, or more than just a little moody? One thing all kids do, if they start using drugs, is distance themselves from their family. There is no such thing as a drug abusing kid who is also maintaining a close, loving caring relationship with the family.

3. A CHANGE IN THE WAY THE CHILD LOOKS AND FEELS. Has a relatively neat kid become sloppy most of the time? Has your son developed rock-star clothing styles that make him look as if he could be a druggie? Has he developed unusual sleeping and eating patterns? Has there been any weight loss or gain? Have you noticed any of the following: bloodshot eyes? sniffles? stuffy nose? frequent sore throats? acting depressed? paranoia? lingering colds and coughs? nervousness/tremors? memory lapses? bizarre behavior?

4. A CHANGE IN SCHOOL ATTITUDE. Has your son's school grades become erratic? Is he skipping classes? Has he lost interest in extracurricular activities as well as academics? Has he been disrespectful of his teachers?

5. MISSING MONEY OR PERSONAL BELONGINGS. Money spent on drugs dissipates within seconds. An adult cocaine habit can take megabucks to support but where do our kids get the bucks to spend on lesser glows? Could your son be living beyond the means you give him or he earns? Are you missing money? Appliances? Jewelry?

WORRIED, I have asked you to think of warning signs in the plural, but from the little you have already told me, I urge you to seek a diagnostic workup by a trained addiction professional immediately if not sooner. If there is no problem, fine..no harm has been done. But if there is, you may have rescued you son from falling victim to the hell of addiction. Call me if I can be of some help. Good luck!

 
Dr. Willian Van Ost, M.D., is a Co-founder of The Van Ost Institute for Family Living, a non-profit outpatient center for treatment of addictive illnesses. Located in Englewood, it offers continuing, free weekly educational lectures. (Call 201-569-6667, e-mail to vanost@msn.com or visit www.vanostinstitute.org). Dr. Bill welcomes questions about addiction and effects on the family. Address inquiries to him C/O The Suburbanite., 300 Knickerbocker Rd., Cresskill, NJ 07626
 


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Dr. William Van Ost, MD, F.A.A.P. is a Co-Founder of The Van Ost Institute for Family Living, a non-profit outpatient center for the treatment of addictive illnesses. The center, located in Englewood, NJ offers continuing, free weekly educational lectures.

Dr. Bill welcomes question from readers about addiction and the effects on the family.

Address inquiries:
Dr. Bill
Care of The Van Ost Institute
150 East Palisade Ave.
Englewood, NJ 07631-3010
Phone inquiries: (201) 569-6667
E-mail to: drbill@vanostinstitute.org

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