29
Jan 25

Living With an Irritable Teen

Parents-confront-teen.jpg“As parents, we sometimes feel like we need to be in steady communication with our children, but teens need privacy.”

Teen irritability is often nothing more than a cry for more privacy. Holding back on suggestions and questions will usually alleviate this rather typical teenage trait. Yes, you should be able to ask a simple question without getting your head bitten off, but it might be worthwhile to consider the importance of your questions and comments.

As parents, we sometimes feel like we need to be in steady communication with our children, but teens need privacy. I have been amazed at how much better things go with my teen when I just stay quiet. For example, it looks like rain as she’s heading out the door: will she melt if she doesn’t bring an umbrella? About that fifth slice of pizza she’s helping herself to: maybe next time I’ll buy a smaller pizza. And that boy she was talking to when I picked her up from her flute lesson: do I really need to know his name?

Give yourself a pat on the back every time you manage to keep quiet. Your reward will come when your teen becomes more relaxed around you and begins volunteering information on their own. If you have edited your conversation to the point where everything you say is meaningful and your teen still snaps at you, ask politely for a more respectful response. Your teen may be surprised at your reaction; it’s possible that they didn’t realize how they were coming across.

If your teen’s irritability seems unnatural or excessive, it is possible that they are under too much stress between school and activities. Have a frank talk and ask if they feel over-scheduled. If the irritability seems to come and go, interspersed with high periods, your teen may have a mood disorder or may be using drugs, with the irritability kicking in after the high recedes. Many boys experience depression as irritability or anger and display none of the more characteristic symptoms of the illness, such as low energy or sadness. If you suspect that any of these issues are occurring with your teen and he or she is not seeing a therapist or psychiatrist, contact your pediatrician for a referral.

Finally, it is possible that the irritability is caused from side effects of the medicine or from lack of sleep. Your teen may require extra rest for a while. Be sure that your teen is getting sufficient sleep by making sure that the computer is turned off and their cell phone is not in the room with them. Many parents have been astonished when they checked their telephone bill to see that their teens were texting half the night!


18
Jan 25

Your Teen’s Medicine Log

Medication log“In addition to providing an important history, the medicine log can also give you insight.”

If your teen takes medicine,I highly recommend keeping a medicine log. It’s easy to forget that a particular medicine was used for four or five days and produced an unbearable side effect. Why waste time on the wrong medicine down the road? The medicine log is like gold to the next psychiatrist who treats your child. Even if your teen’s current condition proves to be a blip, it could recur in ten or twenty years. You think you will always remember the names of the medicines used, but it’s so easy to forget.

Keeping track of medicines on the computer has the advantage that you can easily print it and bring a copy to a new psychiatrist or to the hospital if your child is being admitted. But anything is better than nothing, even if it consists of nothing more than a loose-leaf sheet of paper scribbled with dates, names of medicines, and reactions to them. I actually maintain two types of logs: one is written in paragraphs and includes events and details about my teen’s condition; the other is a simple list of the facts. I keep the first log for myself and the second to hand to the doctor or hospital. I also keep a file folder into which I stuff any pertinent papers such as blood work reports or hospital discharge directions. You will be amazed at how important a seemingly useless piece of paper will be in the future. Keep everything.

In addition to providing an important history, the medicine log can also give you insight. For example, you may notice that your teen is most likely to experience a side effect eight days into a new drug trial. Or you may see that most of your teen’s hospitalizations for depression occur in the spring.