Very often depression can start because of a substance abuse issue and exacerbate the problem. Often though, Depression itself can spur the substance abuse.
Teen Treatment Center Blog
With teenagers viewing so much media it's important for parents to understand how media consumption can play a role in teen drug abuse.
The amount and quality of sleep that someone gets can impact their mental, emotional and physical health, according to studies.
Substance use is rarely a casual thing, especially for extremely addictive drugs like heroin, cocaine, or prescription opiates. Teens who use addictive substances regularly are at great risk for both psychological and physical addiction, creating a lasting habit that cannot be stopped without extreme effort and professional intervention.
Have you lost your patience with your teenage child and are considering doing a scared straight or bootcamp style program to fix teen substance abuse or behavioral issues?? Here are some things to consider before you take this drastic step.
School is an extremely important part of a child's development, no matter how much he or she may dislike the process. So if your teen has been expelled it's normal to be very concerned about their future.
How do you talk to your teen about drug use and abuse before they've experimented? Teen Treatment Center sets out some tips for approaching this.
If your child is demonstrating signs of drug use, like hanging out with a new friend group, a drop in grades, disinterest in former hobbies, and violations like breaking curfew, a home drug test can help you get to the bottom of this behavior.
How should you approach your teen about Drugs & Alcohol use? Talking to them can be difficult, here are some tips.
One of the best things a parent can do to prevent their teen from using substance abuse is to become educated about it. Teen Treatment center looks at 5 new statistics on substance abuse and gives the takeaway
Are you concerned about how much your teen is using their cellphone? Is it something you should be concerned about? The Teen Treatment Center explains things to look for in too much use.
Teens are finding other ways than alcohol to get high, Here are some things parents need to know to keep their teens safe.
Do you know what drug paraphernalia looks like and where to spot it? Teen Treatment Center offers some tips on what to look for and where.
What are the signs of opioid abuse that parents need to look out for? Teen Treatment Center looks into the difficulties of distinguishing 'teenage behavior' from signs of opioid abuse.
If your teen needs treatment, when should you seek help? Summer is the perfect time to get your teen into treatment that they need.
What are the warning signs, behavioral, emotional and physical,in your teenage that there may be an underlying drug problem? It can be difficult to tell what is normal teenage behavior and what is an indicator of something more serious.
Creative arts therapy combines traditional psychotherapy with the arts, such as music, painting, poetry, dancing, sculpture, writing and acting, to foster healing and mental well being through creative expression.
Knowing how to approach your teen about experimentation is difficult. Teen Treatment Center offers some tips and advice on how to handle this delicate situation.
There is a correlation between depression and drug abuse and, it is so common, it has its own term - dual diagnosis.
Your teen's sudden change in academic performance may be a sign of substance abuse but not all students who are abusing drugs suffer from academic fall-off.
Are we reaching a point where scientific testing can accurately predict a future of drug use? A New method may be the key to determining if a teenager is more or less likely to be involved in substance abuse.
Your teen's sudden change in academic performance may be a sign of substance abuse but not all students who are abusing drugs suffer from academic fall-off.
With so much going on in the teen mind, body and social circle, though, experimenting can quickly get out of hand or lead to unhealthy activity such as the illegal use of drugs or alcohol.
Historically, heroin has been most popular among serious drug users, but today, heroin is being used by teens and adults from all walks of life.
The Icelandic model of preventing teen drug abuse is succeeding in creating some of the lowest teen use worldwide, what can we learn?
If you suspect your child is involved in drugs, the time to act is now. Here’s what to do if you are concerned about drug abuse or addiction in your teenager.
You can’t watch every move of your teen – but you can talk to him about saying no to drugs.
While many parents are well educated about the risks of drug abuse and how to recognize the symptoms of teen drug or alcohol use, many adults don’t realize just how available these things are to high school students.
These are the top 5 drugs being used by teenagers and some insight into the ways teens are accessing, then becoming addicted to them.
It's difficult to know if your teenager is drinking with their friends but there are some things you should know about teenage drinking and binge drinking.
Do you suspect your teen may be abusing drugs? Teen Treatment Center offers some advice on how to approach this situation without pushing your teen away.
It's difficult to know when teenage behavior is just that, or if it is an indicator of something more serious. Learn some indicators of substance abuse or mental illness in this week's blog
Kratom and Salvia are two emerging new drugs available to teens. Teen Treatment Center explains what the drugs are and how teens are getting ahold of these dangerous substances.
The 2016 Monitoring the Future survey results are in and provide a comprehensive insight into current trends of teen drug use. Overall illicit drug use continues to decline, marijuana use mostly remains unchanged, but the disapproval of drug use decreases.
Lean, also known as “sizzurp” or “purple drank," was first popularized in the 1990s and early 2000s following sizzurp-themed songs by hip-hop artists like Three 6 Mafia and DJ Screw. In recent years, celebrities such as Lil Wayne and Justin Bieber have been associated with the drink and its use has once again become popular, especially among teenagers. With this growing popularity, it’s important to learn about lean and the threats it poses to those who use it.
"Since treatment, she has better control of her anger and impulsiveness. She has so far abstained from drug use, willingly submitted to urine tests, and seems to understand the reasons why she should stay drug free. She seems happy that we have been even more proactive in finding ways to support her efforts and is actively participating in making decisions about her aftercare." – L.D.
"After receiving treatment, my son is a different kid. He cares and loves himself. He wants to better himself. He talks more about his future and college. He is excited about life in general. When he has a bad day, he goes to a Narcotics Anonymous meeting. It makes him feel better. My son learned how to control his temper and use the exercises that were taught at Teen Treatment Center in his everyday life." –L.T.
"Of course there are still struggles, but since coming home, our daughter is working hard to stay on the right path. When she takes steps backwards, she doesn’t keep going backwards, and starts going forward again. She’s gone to group therapy on her own, goes to individual therapy, and plans to start going to church on Sundays. I feel like she has the tools now to make the right choices." –L.H.
Many parents know about the dangers of prescription drugs that teens can easily find in their or a friend’s medicine cabinets. However, prescription medications are not the only potentially dangerous drugs that teens can very easily acquire. Did you know that many teens use cough syrup and other over-the-counter (OTC) medications to get high? OTC medicine can be legally purchased at any nearby pharmacy or supermarket, and the abuse of these drugs is a growing issue among American teens.
"Since attending Teen Treatment Center, my son seems happier. He seems to accept himself for who he is. The fact that he was willing to transition into sober living and extend his treatment for another twelve weeks was a great sign. I feel our relationship has improved because he is more open and I am able to read him better." -G.M.
Adolescence is a pivotal stage in life, full of changes and new experiences. The lessons we learn during our teenage years often stick with us for our entire lives. Because young brains are usually able to absorb new information easily, adolescence is the time to learn basic life skills that will be necessary throughout adulthood.
As a parent of a child who has struggled with abusing drugs or alcohol, it’s extremely important to be aware of the warning signs of relapse. Knowing the signs will not only help you catch it early, but also to be proactive if it happens.
Sports are known to improve mood, concentration and self-esteem, and they can even reduce stress and depression. Recently, research has found yet another reason for teens to engage in athleticism: it was found that adolescents who regularly exercise or play sports are less likely to use heroin or non-medical prescription opioids than those who don’t.
For teens in recovery, the transition to college may seem daunting – after all, the typical “college experience” is perceived to involve binge drinking at parties or experimenting with “study drugs” (prescription stimulants that are incorrectly perceived to improve academic performance, such as Adderall and Ritalin). However, college is really about growing and making memories, and there are many options that help students have a sober, rewarding college experience.
"Since attending Teen Treatment Center, my son’s communication has really broadened. He lacks confidence with his academic work, but now, he is seeing that he is capable of doing well. His classes have been going really well and he was able to pass all of his courses." -A.B.
"If I were to sit down and talk to a parent, I realize it’s a case by case issue, but in our case, we didn’t want it to get to a point where our son was a lot further gone than he was. We didn’t want him to get so bad that he had to go through detox and whatnot. I would tell a parent that if you see any warning signs or behaviors, to get it early and don’t wait until your child becomes a full-blown addict. Don’t hesitate, don’t wait, get your child the help they need, and let them know you’re doing this out of love and for their safety." -E.F.
Over the past 50 years, family and child development experts have identified four different parenting styles. As parents, we don’t always fall strictly into one category, and we develop our own style as our children develop. The two most common styles are authoritarian and authoritative. I encourage you to take a look at the differences and outcomes between these two, and consider where you may need to add some flexibility to your parenting style.
"For a parent who is seeking treatment and looking at Teen Treatment Center, I would tell them to definitely do it. I feel this has worked for our daughter in every way possible. Of course, there’s always a chance of relapse, but it has given her such a strong foundation. She seems to be renewed." -L.S.
There are a variety of ways to seek help for a teen who is abusing alcohol or drugs, which can be extremely difficult for a parent to sort through. There are teen boot camps, military schools, therapeutic boarding schools, residential treatment programs, and the list goes on. So what is the difference and how do you decide what’s best for your teen?
We are thrilled to announce the newest member of the Teen Treatment Center family, Eddie, the Assistant Director of Pet Therapy! Although only a few months old, Eddie is thrilled to be part of the Teen Treatment Center team and looks forward to earning his certification in pet therapy around the time of his first birthday.
One of the most common reasons parents delay sending their teen to treatment is because their child is unwilling to attend. While this is an expected reaction from a teenager who is abusing drugs or alcohol, it should not stop parents from getting their son or daughter the help they desperately need.
While the abuse of many drugs has gone down among teenagers, the abuse of prescription stimulants continues to rise. According to the 2015 Monitoring the Future Survey, 7.7% of 12th graders reported non-medical use of amphetamines in the past year, with 7.5% reporting Adderall specifically. This makes “study drugs” the most commonly abused drugs (prescription or illicit) among high school seniors, after marijuana.
With increased awareness about how many teens are drinking alcohol, using drugs and struggling with a mental health condition, it can be scary and overwhelming trying to figure out how to protect your child. The good news is, if you are reading this, you’ve already taken the first step towards preventing your child from going down the wrong path.
In this video, Alyssa, who has been sober since 2011, discusses the stigma of addiction and how it affects those who are in need of professional help. Oftentimes, there is a lot of shame surrounding individuals who are abusing drugs and alcohol as well as their loved ones.
According to the National Council on Alcoholism and Drug Dependence, children who learn about the dangers of alcohol and drug use through conversations with their parents are 50% less likely to use these substances. As a parent, you really can make a difference.
April is Alcohol Awareness Month, sponsored by the National Council on Alcoholism and Drug Dependence. This year’s theme is, “Talk Early, Talk Often: Parents Can Make a Difference in Teen Alcohol Use.” There are a variety of ways that parents can impact the way kids not only view alcohol, but the way they will handle being faced with it in the future. Our Lead Family Therapist at Teen Treatment Center, Kari Bouldin, shared the following tips for parents.
Do you feel like you are trying to help, but everything appears to be getting worse? Have you been called an enabler, but don’t know what that means? When dealing with a loved one who is struggling with substance abuse, mental health or behavioral issues, it can be very easy to develop unhealthy coping mechanisms. It is natural to want to care for and protect your teenager when they are unable to do it themselves, but these actions can do more harm than good.
“How do you make sure my teen will be safe at your facility?” This is a common question parents ask during the admissions process at Teen Treatment Center. The safety of your teen is not only one of your main concerns, but one of ours as well.
One of the main reasons many families delay sending their teen to treatment is the location of the facility. Oftentimes, parents find that the treatment center that would work best for their child and family is not around the corner; it is a few hours or even a plane ride away. Although this can be scary for parents of a teen who is already struggling, there are more benefits than not when teens attend a treatment facility that isn’t local.
The foundation of all family bonding starts with effective communication. Your family may say, “We talk all of the time.” You may have plenty of opportunities to talk on car rides from school or in the living room watching TV, but when do you really dedicate all of your attention and energy to one another? To achieve this, it may take scheduling a time when there will not be any distractions or demands from your environment.
When Teen Treatment Center opened in February 2014, we had a vision of establishing a facility that would not only help teens recover, but one that would also restore their families. Since then, I have witnessed countless teens and their families fight to create a better future for themselves, and leave our facility with a renewed sense of hope and purpose. I am thrilled to be celebrating our two year anniversary at Teen Treatment Center along with the families and dedicated team members who have made these two years not only possible, but a success.
Is what my child is struggling with really that bad? This is a common question parents ask themselves and others when dealing with a troubled teen. It is no secret making the decision about whether or not to send your child to a treatment facility is extremely difficult. According to the 2013 National Survey on Drug use and Health, there were 1.3 million adolescents ages 12-17 who were in need of treatment for an illicit drug or alcohol use problem. Sadly, only 9 percent received the help they needed.
One of, if not the main topic discussed during family sessions in treatment is rebuilding trust. Parents struggle to understand how they could trust again considering the high risk, dangerous behaviors their teens engaged in prior to treatment. Teens worry they will never be trusted again.
Many parents want to know what the admission process will be like at our facility. At Teen Treatment Center, our goal is to make your family feel comfortable from the time you contact us, to the time you drop your child off in our care.
As we approach the New Year and our two year anniversary at Teen Treatment Center, we have a lot to reflect on and be grateful for. We opened our facility with a dream to not only restore hope in adolescents who were struggling, but to restore their families as well. I am immensely grateful to the dedicated, caring team at our facility who continues to make this dream a reality, and to the teens and their families who let us become a part of their lives.
In this open letter to parents, our Family Therapist shares why you should consider sending your teen to treatment during the holidays.
While teen substance abuse may seem like it’s declined, there are still disturbing trends in teen drug abuse to be aware of. Read this blog to find out more.
If your teen is struggling with self-harm, drug abuse and co-occurring disorders, we can help. Read about the signs and risk factors of teen self-harm.
If your teen daughter has substance abuse, mental health or behavioral problems, a teen rehab is the most effective treatment. Read more to find out why.
Did you know that one out of ten teens will have depression? Find out the most effective treatment for depression in teen girls in this latest blog.
As the Principal of Education, Alysha Bonheur coordinates the academic curriculum at Teen Treatment Center. Upon admission, Alysha greets each teen and conducts an academic assessment to measure their ability and where improvement may be needed.
Did you know childhood trauma can increase the chances of teens abusing drugs and alcohol well into adulthood? Find out how in this next blog.
Vape pens or e-cigarettes are supposed to be a safer alternative to smoking cigarettes; however, a disturbing trend is taking off. Instead of using vape pens to quell cigarette use, teens are now using them to abuse synthetic drugs.
National Suicide Prevention Week: 3 Facts about Teen Depression
Choosing a rehabilitation program for your teenager is never easy. From outpatient centers to residential treatment programs to boot camps, there are many options to pick from. With all of the possibilities, it is easy to become overwhelmed.
“My job is to alleviate your teen’s legal worries so they can focus on treatment... It’s like a weight being lifted off their shoulders.” - Cassandra Louis, Court Liaison, Teen Treatment Center
Xannies. Z bars. Tranks. Handlebars. Footballs. Xanbars. No matter what they’re called on the street, Xanax is a highly addictive prescription drug that when mixed with alcohol can be lethal for teens and adults.
Nearly one out of five high school students has taken prescription drugs without a doctor’s prescription, according to the 2014 Youth Risk Behavior Surveillance study. Too many teenagers today think that taking Vicodin, Ritalin or Xanax for nonmedical use is harmless. In reality, some prescription drugs have a high potential for abuse and teens can easily become hooked on them.
“You’re such a bright kid and you’re just throwing it all away by being so lazy.” Have you ever felt this way about a teen with attention deficit hyperactivity disorder (ADHD) and substance abuse issues? Did you know that there are many creative, high-achieving CEOs, sports players, and celebrities who have ADHD?
As a 21st century-parent, there is so much that you need to keep your eye out for: cyberbullying, sexting and a new generation of drugs. Now, there is a new drug on the streets, one that causes users to break into police departments, run down the road in their birthday suits and have violent outbursts. That drug is flakka, and it should be on your radar.
No one can deny that social media has changed the way that we communicate. Social media platforms like Facebook, Twitter and Instagram allow us to keep in touch with overseas relatives, share photos with old friends and follow our favorite celebrities. The instant ability to connect has drawn millions of people, including teenagers to social media.
Military camp. Community-based “diversion” program. Brat camp. Boot camp. Wilderness camp. Behavior modification program. You may have heard of some of these programs that help “troubled” teens, but do they work?
Out of Millennials, Generation Xers, and Baby Boomers, which age group is more likely to abuse painkillers? You may think that Baby Boomers are more likely to use prescription drugs due to medical problems and physical injuries; however, teens are more likely to abuse prescriptions drugs. In fact, children as young as 12 or 13 years old often start experimenting with prescription drugs.
Springtime is an exciting time for many high school seniors and their parents. Graduation is right around the corner, and many teenagers are anxiously making trips to the mailbox in hopes that their dream college has sent them an acceptance letter.
“It’s just a few sips. It’s not going to hurt anyone?” This may be a common perception among parents who ignore underage drinking or give alcohol to their children and their children’s friends. Other parents cannot even fathom giving alcohol to their kids and have stricter parenting guidelines.
In the 2012 Monitoring the Future study, about 45.3 percent of high school seniors reported having used marijuana once or more in their lifetime and about 23 percent used in the past month.
Not long ago, it was a common belief that teens could not get depressed. Teenagers that exhibited depression symptoms were often dismissed as simply having the “blues”. Although 11 percent of teens will have a depressive disorder before the age of 18, there is a lot that still needs to be learned about the subject.
N-bomb, Snake oil tea, Cloud 9, Gravel … have you heard of these drugs? If you haven’t, these “new” synthetic drugs are being created at faster rates than U.S. government agencies can keep up with, and this rapid production of new designer drugs is making it difficult to ban specific drugs.
Huffing. Sniffing. Bagging. No matter what term is used, inhalant abuse is a serious issue among teens. As a parent, you need to be aware of the warning signs and risks of inhalant abuse.
Many parents throughout the country lie awake at night wondering what to do about their children’s substance abuse problem or mental disorder. A million things run through their mind, “What is the best type of treatment for my child? Can they receive help without falling behind in school?”
Every day, in millions of living rooms across the country, parents are warning their kids about the dangers of binge drinking, prescription drug abuse and cigarettes. As a parent, you have probably warned your teen about these dangers too. However, like every generation before them, today’s teenagers are always looking to test their boundaries.
With millions of teenagers struggling with drug and alcohol abuse, mental illness and behavioral health disorders in the United States, the time to address these issues has never been more crucial. When these problems go unaddressed, not only do they affect teens but they affect the community as well: disruption in school performance, health issues, legal problems, and social issues within the family dynamic.
Less than a year ago, we developed the Teen Treatment Center from scratch. The amount of progress that the program has made is nothing short of amazing. One of the most important things I’ve learned in the past year is that we can truly restore the family unit. Consistently, I’ve heard from parents that they didn’t realize or know that help is available for their teens or themselves.
Oftentimes, due to limited life experiences, teens aren’t fully aware of the consequences of prescription drug abuse. If they are aware, then it’s common for teens to believe that they are immune. To make matters worse, prescription medications, such as hydrocodone and Ritalin, are easily accessed by teens, according to the Substance Abuse and Mental Health Services Administration (SAMHSA). Numerous adolescents also believe that anything prescribed by a doctor is safe.
An estimated 1.3 million U.S. children, ages three to 17, deal with the daily struggles of depression, according to the Centers for Disease Control and Prevention. Considering this number is so high, it may be shocking to find that 40 percent of them never receive the counseling or psychiatric treatment they need to heal.
Are you getting burned out by your teen’s rapid mood swings? Do you feel like you’re always walking on eggshells with your teen? You’re not alone, many parents with teens who are struggling with borderline personality disorder (BPD) feel this way.
Dual diagnosis, well, what is it exactly? Dual diagnosis, most commonly referred to as a co-occurring disorder, is when a person has a substance use disorder and a mental illness occurring at the same time. Some common co-occurring disorders among teens include:
For ages, music has been a source of inspiration, motivation and relaxation. As a licensed mental health counselor and a clinical director, I have seen how music therapy has transformed patients struggling with substance abuse or dual diagnosis. After witnessing how patients were more joyful, open and expressive after music therapy, I decided to integrate it into the treatment programs at Teen Treatment Center.
Is your teen more likely to have a substance abuse problem if they have ADHD? If you’re a parent with a teen who has ADHD, it’s an understandable concern. While many teens with attention deficit hyperactivity disorder don’t develop a substance abuse problem, there is a common link between the two.
The most frequently abused drug by teens in the United States is alcohol. When teens begin abusing alcohol, they don’t realize the damage they are causing. According to a report done by the Substance Abuse and Mental Health Administration (SAMHSA), more than 25% of teens, or nearly 7 million, drank alcohol in the past year. Whether your teen has started drinking or not, it’s important to know the facts about teen alcohol abuse.
Sending your teen to college after they’ve dealt with a substance abuse problem can be scary. With binge drinking and recreational drug use occurring frequently on college campuses, this is a rational fear for many parents. Many colleges and universities are aware of this ongoing problem and have begun adding resources to support students who wish to remain clean and sober. If you’re afraid to send your teen to a “party school,” these tips may help you find the right college for them.
Starting on August 13th, there will be a Family Support Group for Parents of Teens on the second Wednesday of each month. This group is for parents whose teen is currently struggling with substance abuse or has recently been through a treatment program. This support group will be guided by Kari Weeks, the family therapist at Teen Treatment Center, and will take place at Within: Books Boutique Cafe from 6-7pm.
If you’re a concerned parent or loved one, you may be wondering which teen rehab facility is best for your teen. However, there are several key concerns and factors to consider in order to choose the right facility.
In the past, boredom may have been one of the reasons you turned to drugs and alcohol. Yet, there’s no limit to the activities and events you can enjoy without addictive substances. If you experience things with an open mind and a broad imagination, you don’t need drugs or alcohol to have fun. This blog contains a list of six ways you can enjoy your life without addictive substances.
At the Teen Treatment Center, our entire staff is devoted to guiding the success of our patients and their families. Meeting the patients and families on day one and being part of their graduation during their last week of treatment is an amazing and emotional journey. These pioneers, along with our dedicated staff, have helped create an environment of laughter, safety, honesty and support.
Many teens experiment with drugs because of social pressures to fit in or to cope with stress from family issues or problems in school or at work. However, teens are often unaware of the side effects from drugs and are more susceptible to overdose.
At the Teen Treatment Center, we are dedicated to restoring the entire family to live happy, healthy lives. In order for treatment to be successful, it is crucial that families take part in the treatment process. In this video, our Family Therapist Kari Weeks discusses the change that happens within the patients and their families as hope begins to be restored.
One of the most rewarding aspects of my job is being able to witness the triumphs and breakthroughs our patients and their families have during treatment. With the care of the primary therapist, family therapist and all supporting staff, patients and their families are able to make incredible progress. By the end of the teen’s stay, parents are able to look forward to the return home of their child. At the Teen Treatment Center, our entire staff is dedicated to restoring the family system.
At the Teen Treatment Center, our staff is dedicated to providing teens and their families with the best possible care. In this video, our Clinical Director Angela Bustamante discusses her effort to create a program that is able to meet the individual needs of each patient and their family.
In each of our programs, our main priority is giving our patients the highest level of care. Over the years, our treatment programs will continue to evolve to accomplish this. However, one thing that will remain the same is our focus on individualized care. From talking with our patients, I quickly learned that each of them came to us with a different life story. It became apparent to me that in order to treat our patients to the best of our ability, we must base their treatment programs on their individual needs and goals.
When a teen is struggling with a mental health condition, behavioral disorder or substance abuse, family therapy is a critical part of their recovery. When a family member is suffering, it affects each person differently. Family therapy allows families and their teens to begin healing in a safe and caring environment.
While there are different extremes of substance use, the use of alcohol or drugs during teenage years is nothing to ignore. Occasional use during adolescent years can quickly turn into substance abuse or dependence. Sometimes, those who use drugs or alcohol may only do it once out of curiosity and experimentation. This use can result in no serious physical or emotional consequences, and it doesn’t occur again. However, teens who use drugs or alcohol are more likely to use them in the future, and this use can become detrimental.
During my years in the mental health and substance abuse treatment field, I have encountered thousands of individuals whose struggles began in their teenage years. Through recognizing a need for the proper care of adolescents, the Teen Treatment Center was created.
Teens are struggling with depression all over the country. According to the American Academy of Child and Adolescent Psychiatry, depression is an illness when feelings of depression persist and begin to interfere with the teen’s ability to function. Left untreated, depression can lead to serious risk factors such as substance abuse and even suicide. The following signs of depression in teens will help you to differentiate whether your teen is having normal mood swings or if they are suffering from depression.
It can be difficult to determine whether your teen is having normal mood swings or if they are suffering from a mental health or behavioral disorder. If your child is exhibiting persistent negative, defiant and hostile behaviors mainly towards adults and authority figures, they may have oppositional defiant disorder (ODD). This extreme behavior often disrupts normal daily activities at home, school and work.
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