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Averie Ruiz

Email: aruiz51@angelo.edu

Phone: 555-123-4567

Location: My office can be found within the administration offices at the front of Bedford Junior High

Office Hours: 7:45-8:15, 3:30-4:45, and other times available upon appointment

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These website will give you some insight and guidance on the importance of children's mental health and guidance on identifying factors.

Reference:
Centers for Disease Control and Prevention. (2022, April 19). What is children's mental health? Centers for Disease Control and Prevention. Retrieved July 22, 2022, from https://www.cdc.gov/childrensmentalhealth/basics.html

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Centers for Disease Control and Prevention

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Being mentally healthy during childhood means reaching developmental and emotional milestones and learning healthy social skills and how to cope when there are problems. Mentally healthy children have a positive quality of life and can function well at home, in school, and in their communities.

Mental disorders among children are described as serious changes in the way children typically learn, behave, or handle their emotions, which cause distress and problems getting through the day. Many children occasionally experience fears and worries or display disruptive behaviors. If symptoms are serious and persistent and interfere with school, home, or play activities, the child may be diagnosed with a mental disorder.

Mental health is not simply the absence of a mental disorder. Children who don't have a mental disorder might differ in how well they are doing, and children who have the same diagnosed mental disorder might differ in their strengths and weaknesses in how they are developing and coping, and in their quality of life. Mental health as a continuum and the identification of specific mental disorders are both ways to understand how well children are doing.

What are common childhood mental disorders?

Among the more common mental disorders that can be diagnosed in childhood are attention-deficit/hyperactivity disorder (ADHD), anxiety (fears or worries), and behavior disorders.

Learn more about childhood mental disorders, symptoms, and treatment.

Other childhood disorders and concerns that affect how children learn, behave, or handle their emotions can include learning and developmental disabilities, autism, and risk factors like substance use and self-harm.

Read more about related conditions.

What are the symptoms of childhood mental disorders?

Symptoms of mental disorders change over time as a child grows, and may include difficulties with how a child plays, learns, speaks, and acts, or how the child handles their emotions. Symptoms often start in early childhood, although some disorders may develop during the teenage years. The diagnosis is often made in the school years and sometimes earlier; however, some children with a mental disorder may not be recognized or diagnosed as having one.

Can childhood mental disorders be treated?

Childhood mental disorders can be treated and managed. There are many treatment options based on the best and most current medical evidence. Parents and doctors should work closely with everyone involved in the child's treatment-teachers, coaches, therapists, and other family members. Taking advantage of all the resources available will help parents, health professionals, and educators guide the child towards success. Early diagnosis and appropriate services for children and their families can make a difference in the lives of children with mental disorders.

Get help finding treatment

If you have concerns about a child, you can use these resources to help you find a healthcare provider familiar with treatment options.

Who is affected?

Childhood mental disorders affect many children and families. Boys and girls of all ages and ethnic/racial backgrounds and living in all regions of the United States experience mental disorders. Based on the National Research Council and Institute of Medicine report, which gathered findings from previous studies, it is estimated that in 2007, 13-20% of children living in the United States (up to 1 out of 5 children) experienced a mental disorder in a given year, costing individuals, families, and society an estimated $247 billion per year.

What is the impact of mental disorders in children?

Mental health is important to overall health. Mental disorders are chronic health conditions-conditions that last a long time and often don't go away completely-that can continue through the lifespan. Without early diagnosis and treatment, children with mental disorders can have problems at home, in school, and in forming friendships. Mental disorders can also interfere with a child's healthy development, causing problems that can continue into adulthood.

Public health includes mental health

Supporting children's mental health also includes making sure children meet developmental milestones, understanding what to do when there is a concern, supporting positive parenting strategies, and improving access to care.

CDC works with partner agencies to better understand mental health and mental disorders and the impact they have on children.
Read more about research on children's mental health.
What you can do

Parents: You know your child best. Talk to your child's healthcare professional if you have concerns about the way your child behaves at home, in school, or with friends.

Youth: It is just as important to take care of your mental health as it is to take care of your physical health. If you are angry, worried or sad, don't be afraid to talk about your feelings and reach out to a trusted friend or adult.

Healthcare professionals: Early diagnosis and appropriate treatment based on updated guidelines are very important. There are resources available to help diagnose and treat children's mental disorders.

Teachers/school administrators: Early identification is important so that children can get the help they need. Work with families and healthcare professionals if you have concerns about the mental health of a child in your school.

Resources

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Learn more about mental health, mental disorders, treatments, prevention, and public health research on children's mental health.

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Need an appointment? Login to your account, and fill out this form!

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Need an appointment? Login to your account, and fill out this form!

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Google Forms - create and analyze surveys, for free.

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The referral process for students includes a few steps that are listed in the School Counselor Referral Process Guide. These steps include:

1. A concern about the student arises. This can be addressed by the student, parent, or teacher.

2. The student is referred to the school counselor

3. The school counselor uses objective and subjective reasoning to determine which form of intervention is most beneficial for the student:

1. In-school intervention: student will meet with the school counselor

2. Referral to in-school resources: administration, school nurse, special services, school social worker, and others.

3. Referral to community resources: outside counseling services, division of children’s services, and services like homeless shelters or food pantries.

4. Interventions are utilized and student progress is observed.

5.  The school counselor remains in contact with the referred individual and observes the confidentiality guidelines of ASCA Ethical Standards and family privacy mandated in Family Education Rights and Privacy Act (FERPA).

School Counselor Referral Process Guide. (2015, May). School counselor referral process guide. Missouri Comprehensive School Counseling Program: Responsive Services. Retrieved July 6, 2022, from

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If necessary, out of school referral process

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If necessary, out of school referral process

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If it is in the best interest of the student to be referred to an outside resource, the process will proceed as follows according to the School Counselor Referral Process Guide.

1. Utilizing all in-school/district resources and monitoring student response before suggesting an outside resource to a parent or guardian.

2. Check school board policies and procedures and discuss any policies or procedures necessary with administration prior to making any referrals.

3.The counselor will review how to discuss the best referral options to the family/parents or guardians/student.

4. Upon reflection of the family’s cultural beliefs about counseling, the counselor will determine the family’s willingness or interest in receiving resources outside the school and district.

5. If the resource requires insurance coverage, the counselor will inform the family of options for coverage or financial assistance.

6. The counselor will provide three appropriate options from the list of outside resources without showing any bias or preference and encourage parents or guardians to do their own research and vetting process to determine which would be most beneficial for the student.

7. The counselor will walk the parent/family and student through the process to prepare them for what they can expect.

8. The counselor will clarify that no information regarding the student’s session will be released without written consent of the parent and student.

9.The counselor will follow up with the student/parent and document whether or not the student responded to the referral.

School Counselor Referral Process Guide. (2015, May). School counselor referral process guide. Missouri Comprehensive School Counseling Program: Responsive Services. Retrieved July 6, 2022, from

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Schizophrenia and other Psychosis Disorder

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Schizophrenia and other Psychosis Disorder

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This website provides a description of the range of Schizophrenia conditions, how common it is, and how to navigate it.

In addition, Substance Abuse and Mental Health Services Administration (SAMHSA) has a website that allows you to find treatment for mental services in your state. The website is linked below.

https://www.samhsa.gov/esmi-treatment-locator

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Schizophrenia can include a wide range of possible symptoms.

What are the five symptoms of schizophrenia?

Many people with schizophrenia can't recognize that they have symptoms of schizophrenia. But those around you might. These are the five main symptoms of schizophrenia

1. Delusions: These are false beliefs that you hold even when there's plenty of evidence that those beliefs are wrong. For example, you might think that someone is controlling what you think, say or do.

2. Hallucinations: You still think you can see, hear, smell, touch or taste things that don't exist, like hearing voices.

3. Disorganized or incoherent speaking: You may have trouble organizing your thoughts while speaking. This might look like trouble staying on topic, or your thoughts might be so jumbled that people can't understand you.

4. Disorganized or unusual movements: You might move differently than people around you expect. For example, you may turn around a lot for no clear reason, or you might not move much at all.

5. Negative symptoms: These refer to a reduction or loss of your ability to do things as expected. For example, you might stop making facial expressions, or speak with a flat, emotionless voice. Negative symptoms also include a lack of motivation, especially when you don't want to socialize or do things you ordinarily enjoy.

Because of these symptoms, you might:

Feel suspicious, paranoid or scared.

Not care about your hygiene and appearance.

Experience depression, anxiety and suicidal thoughts.

Use alcohol, nicotine, prescription medications or recreational drugs to try to ease your symptoms.

What causes schizophrenia?

There's no one single cause of schizophrenia. Experts suspect schizophrenia happens for different reasons. The three main reasons include:

Imbalances in chemical signals your brain uses for cell-to-cell communication.

Brain development problems before birth.

Loss of connections between different areas of your brain.

What are the risk factors of schizophrenia?

While there aren't any confirmed causes of schizophrenia, there are risk factors for developing the condition:

Environment: Many factors in the world around you can increase your risk of developing schizophrenia. Being born during the winter increases your risk slightly. Certain illnesses that affect your brain, including infections and autoimmune diseases (where your immune system attacks part of your body), can also increase your risk. Extreme stress for long periods can also play a role in developing it.

Development and birth circumstances: How you developed before you were born plays a role in schizophrenia. The risk of having schizophrenia goes up if your birthing parent had gestational diabetes, preeclampsia, malnutrition or a vitamin D deficiency while pregnant with you. The risk also increases if you were underweight at birth or if there were complications during your birth (like if you were born via an emergency cesarean section).

Recreational drug use: Schizophrenia is linked with the use of certain recreational drugs, especially in larger amounts and earlier in life. The connection between heavy marijuana (cannabis) use as a teenager is one of the best-studied of these links. But experts aren't sure if marijuana use is a direct cause of schizophrenia or if it's just a contributing factor.

Is schizophrenia genetic?
Experts haven't found one specific cause of schizophrenia, so they can't say for sure if genetics cause schizophrenia. But if you have a family history of schizophrenia - especially a parent or sibling with it - you have a much higher risk of developing this condition.

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Schizophrenia: What It Is, Causes, Symptoms & Treatment

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Schizophrenia is a condition and a spectrum of disorders involving a disconnection from reality. It's a severe condition, but it's often treatable, especially early.

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Schizophrenia Spectrum and Other Psychotic Disorders

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Schizophrenia Spectrum and Other Psychotic Disorders

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People with Schizophrenia may experience hearing voices or seeing hallucinations involving themselves. According to Burgin et. al. (2022), the spectrum of Schizophrenia addresses an umbrella of different psychotic disorders that are defined by continuous or episodic positive or negative symptoms and cognitive impairment.

According to the Cleveland Clinic (2022), some early symptoms of Schizophrenia can include:

"Changes in emotional state. People in this phase often are afraid, suspicious or feel paranoid.

Changes in how they relate to others. They also often stop socializing and stop talking to or spending time with friends and family.

Changes in behavior. They may struggle with thinking and focusing, aren’t motivated to study or work and their emotions are less visible."

References:
Adolescent Onset Schizophrenia: 1 in 100 Young People. King, W. (Director). (2008).[Video/DVD] Aquarius Health Care Media. https://video.alexanderstreet.com/watch/adolescent-onset-schizophrenia-1-in-100-young-people

Burgin, S., Reniers, R., & Humpston, C. (2022). Prevalence and assessment of self-disorders in the schizophrenia spectrum: a systematic review and meta-analysis. Scientific Reports, 12(1), 1–22. https://doi.org/10.1038/s41598-022-05232-9

Cleveland Clinic. (2022, April 11). Schizophrenia: What it is, causes, symptoms & treatment. Cleveland Clinic. Retrieved July 22, 2022, from https://my.clevelandclinic.org/health/diseases/4568-schizophrenia

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Obsessive-Compulsive Disorder (OCD) and Related Disorder

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Obsessive-Compulsive Disorder (OCD) and Related Disorder

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According to Child Mind Institute (2021), the most common actions of OCD in children are:

-Frequent requests to go to the bathroom: This may be an attempt for the student to wash their hands with they were around a student that sneezed or coughed. In addition, the child could be doing this to cleanse items or supplies.

-Constant reassurance-seeking: This could be through asking several of the same question to ensure they have done things correctly. This might look like a child checking things very repetitively.

-Getting stuck on tasks: A child with OCD may feel the need to complete something entirely prior to being able to move on. In school, this may look like a child being unable to move on to the next part of the lesson because they are stuck on a portion of the assignment.

-Retracing: A child may need to return to a room or classroom if they feel like they forget something or had a bad feeling upon exiting the room. This could look like the child going back through the door and saying something positive or exiting the room the "right way".

-Obsessive erasing: If a child is writing, you may see them erase a lot to make sure everything is perfect and looks right. If there is a word the child feels negatively about or that is associated with a fear, they child may need to erase it.

References:
Child Mind Institute. (2021, September 7). Teacher's guide to OCD. Retrieved July 22, 2022, from https://childmind.org/guide/teachers-guide-to-ocd-in-the-classroom/

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According to Wertlieb (2008), the behavioral approach called ritual prevention was shown to work well for patients with OCD. This practice was proven to be psychologically strenuous but with the greatest outcome of breaking the rituals. Restrictions would be placed that would prevent patients from doing these rituals, like turning off the water in a room to prevent obsessively washing hands, and the restriction would be gradually lifted, ultimately ending the rituals.

In addition Cognitive Behavioral Therapy (CBT) can also be utilized to end ritualistic behaviors. Some places that utilize CBT are as follows:

-Millenial Life Counseling
Address: 6750 Hillcrest Plaza Dr #224, Dallas, TX 75230

Phone: (214) 504-1512
Website: https://www.millenniallifecounseling.com/

-Peace Lane Therapy
Address: 8216 Irish Dr, Fort Worth, TX 76180

Phone: (817) 677-0726
Website: https://peacelanetherapy.com/

-Hope Renewed Counseling
Address: 7920 Glenview Dr, Richland Hills, TX 76180

Phone: (817) 618-3489

Website: https://peacelanetherapy.com/

Wertlieb, E. C. (2008). Obsessive Compulsive Disorder and the School Counselor. Journal of School Counseling, 6(28).

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Reference Guide for Bipolar and Depressive Disorders

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Reference Guide for Bipolar and Depressive Disorders

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Please use this as necessary. I compiled these resources and definitions to assist you in potential signs and symptoms.

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Resource Guide for Bipolar and Depressive Disorders (2).pdf

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Resources for Bipolar and Depressive Disorders

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Resources for Bipolar and Depressive Disorders

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Local Resources:

Compassion Counseling:

They offer in person and distanced counseling on adoption, anxiety, abuse, body image, depression, and many more.

Address: 2214 Michigan Ave, Arlington, TX 76013
Hours: M-F  8 AM-8PM, Sat. 10 AM-2 PM, Sun. Closed
Phone: (817) 723-1210
Website: https://compassioncounseling.us/

Meyer Counseling Center, LLC

They offer several types of counseling services including therapy for behavior issues, trauma, grief, depression, anxiety, attachment issues, and many other services.

Address: 8913 Mid Cities Blvd #200, North Richland Hills, TX 76182
Hours: M-F 10 AM-5 PM, Sat. 10 AM-3 PM, Sun. 12 PM-5 PM
Phone: (817) 554-1960
Website: https://meyercenter.net/

Nest Counseling, LLC.

Desiree Woodside utilizes Cognitive Behavioral Therapy, art, play therapy, and more strategies to serve a variety of clients from children to family therapy.
Email: dwoodsidelpc@nestcounseling.org
Hours: M-F 9 AM-9 PM
Phone: (817) 771-9016
Address: 1845 Precinct Line Road, Hurst, TX 76054
Website: https://www.nestcounseling.org/

Mesa Counseling

Steven Coxsey utilizes therapeutic approaches and positive psychology interventions to serve his clientele.

Address: 8621 Mid-Cities Blvd., Ste. 100 North Richland Hills, TX 76182

Phone: (817) 849-9898

Hours: available upon appointment

Website: https://mesacounseling.com/

Little Love Counseling

Little Love Counseling serves its clients through solution-based approaches in counseling and therapy.

Address: 1726 Chadwick Ct, Hurst, TX 76054

Hours: M-F 10 AM-8 PM
Phone: (817) 715-9152

Website: http://littlelovecounseling.com/

National Resource:

The American Counseling Association

The American Counseling Association has a knowledge center that provides mental health resources to clients and counselors alike. This website provides tabs for any category that is relevant to you or your student’s needs.

Website: https://www.counseling.org/knowledge-center/mental-health-resources/resources-for-counselors-and-clients

State Resource:

Texas Health and Human Services

Texas Health and Human Services website provides a specific page for Mental Health Counseling for Children. This page describes who is eligible for these services, who benefits from these services, and provides a phone number and website for services.

Website: https://www.hhs.texas.gov/services/mental-health-substance-use/childrens-mental-health/mental-health-counseling-services-children

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Treatment Options of ODD and related illnesses.

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Treatment Options of ODD and related illnesses.

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According to the Brown University Child & Adolescent Behavior Letter (2012), some options for treatment on a familial level include:
-Parent management trainings are options
-individual therapy to help practice and apply anger management
-family therapy to help enhance communication and understanding
-teaching and practicing problem-solving skills
-Social Skills training to increase social flexibility and social  improve social skills and patience with peers.

"Medication may be helpful in controlling some of
the more distressing symptoms of ODD as well as
the symptoms related to coexistent conditions such as
ADHD, anxiety and mood disorders." Brown University Child & Adolescent Behavior Letter 2012)

References:
Oppositional Defiant Disorder: A Guide for Parents. (2012). Brown University Child & Adolescent Behavior Letter, 28, 1–2.

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Symptoms of Oppositional Defiance Disorder (ODD) include:
• "Frequent temper tantrums
• Excessive arguing with adults
• Often questioning rules
• Active defiance and refusal to comply with adult
requests and rules
• Deliberate attempts to annoy or upset people
continued on back
• Blaming others for his or her mistakes or misbehavior
• Often being touchy or easily annoyed by others
• Frequent anger and resentment
• Mean and hateful talking when upset
• Spiteful attitude and revenge seeking" (Brown University Child & Adolescent Behavior Letter 2012)

References:
Oppositional Defiant Disorder: A Guide for Parents. (2012). Brown University Child & Adolescent Behavior Letter, 28, 1–2.

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Feeding and eating disorders include: Anorexia Nervosa, Bulimia Nervosa, Binge Eating Disorder and more.

Here is a presentation created to concisely inform on feeding and eating disorders. This guide addresses definitions, identifying factors, and resources to support someone living with one (or some) of these disorders.

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Resources for Feeding and Eating Disorders

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Resources for Feeding and Eating Disorders

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-This website provides treatment centers in Texas: https://www.eatingdisorderhope.com/treatment-centers/texas-tx

-Rare Bird Counseling:

Address: 8609 Mid Cities Blvd #100, North Richland Hills, TX 76182

Phone: (682) 243-1942

-Meyer Counseling Center, LLC:

Address: 8913 Mid Cities Blvd #200, North Richland Hills, TX 76182

Phone: (817) 554-1960

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This resource guide has a brief explanation of General Anxiety Disorder (GAD) and more in depth on disorders attached to anxiety. You can use this to view my role as a counselor and plans for intervention/what success will look like.

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Anxiety Disorder Education and Intervention.pdf

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Anxiety is a normal emotion for people to feel until it becomes intrusive and more persistent than normal. It can be diagnosed as a mental health issue when it prevents someone from living their life as they usually would.

According to Re:Mind via Webmd, some ways to navigate anxiety include:
-"Reaching out to support system (i.e. family/friends, counselors, psychiatrists, or support groups)
-Deep breathing
-Recounting your surroundings using five senses (grounding)
-Meditation
-Yoga
-Avoiding caffeinated beverages
-Healthy diet
-Journaling
-Creative arts
-Calming music"

re:Mind. (n.d.). What is anxiety. re:Mind Depression and Bipolar Support . Retrieved July 22, 2022, from https://www.remindsupport.org/what-is-anxiety/?gclid=Cj0KCQjwlemWBhDUARIsAFp1rLVlaczM5R1TYDotzUOmO170b65PHRPD1SdKEjC2ugxDUkizxQwxoWkaAlWKEALw_wcB

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Anxiety can be a normal part of life when faced with stressors such as changes in relationships, presenting in front of a crowd, or making decisions. When anxiety is persistent and interferes with daily functioning, it can be a symptom of a mental health diagnosis.

Some of the signs of anxiety include the following:

Restlessness

Difficulty concentrating

Muscle tension

Sleep difficulties

Sudden periods of intense fear

Pounding heart

Sweating

Trembling

Shortness of breath

Choking

Feeling of impending doom

Panic Attacks

( https://www.nimh.nih.gov)

How to Cope with Anxiety

There is no one right answer to eliminate anxiety. It is important to find healthy coping skills that will work for you. Consult with your primary care physician or psychiatrist when anxiety becomes persistent or unmanageable. Some coping skills to consider when struggling with anxiety include:

Reaching out to support system (i.e. family/friends, counselors, psychiatrists, or support groups)

Deep breathing

Recounting your surroundings using five senses (grounding)

Meditation

Yoga

Avoiding caffeinated beverages

Healthy diet

Journaling

Creative arts

Calming music

( http://www.webmd.com)

Anxiety is a common symptom of Depression and Bipolar Disorders. It is often discussed in our support groups. If you're interested in attending a support group to talk to other people with similar experiences, please

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What is Anxiety - Anxiety can be a normal part of life when faced with stressors such as changes in relationships, presenting in front of a crowd, or making decisions. When anxiety is persistent and interferes with daily functioning, it can be a symptom of a mental health diagnosis.