Title: Kevin%20Leehey%20M.D.%20Child,%20Adolescent,%20and%20Adult%20Psychiatry%20Board%20Certified
1Kevin Leehey M.D.Child, Adolescent, and Adult
PsychiatryBoard Certified
2Salpointe Catholic High School Community of
Concern
- Welcome Teachers !
- Whats Brain Got To Do With It ?
- leeheymd.com
3Brain Development
- If a child is not played with, interacted with,
nurtured, exposed to stimuli, or is rarely
touched he/she will develop a 25 smaller brain. - Experiences shape and reshape the structure of
the brain.
4- By the time a child is 6, his or her brain is 90
to 95 of adult size. - Between age 6 and 12 neurons grow bushier by each
neuron adding dozens of connections based on what
is reinforced by learning and experience. This is
why such things as learning a second language,
riding a bike, swimming, learning to play a
piano, or to throw a ball are easier when young
and can last a lifetime.
5- Neuron connections peak at 11 in girls and 12 to
13 in boys. - Unused connections are further pruned out in the
teen years at the same time the white matter
protective coating around neurons called Myelin
Sheath cells increase. - The brain is becoming more efficient but also
losing its raw potential for learning and ability
to recover from trauma, drugs, alcohol, or
injury.
6- Synapses that are used often are kept and
reinforced. - Those that are not used are lost.
- How you spend your time and the experiences you
have or dont have are critical.
7- Although hormones do play an important role
and do affect the brain, the main explanation for
the natural lability and moodiness of our teen
years is brain development, or as some would say,
the lack of brain development.
8- The part of the brain that makes teens
responsible is still under construction. - Brain development proceeds from back to front
and bottom to top. - The Frontal Lobe, which controls impulses,
motivation, and judgement is the last to develop. - Teens inconsistent Melatonin production
contributes to irregular sleep patterns.
9Teens do best with 8 to 10 hours sleep, few get
it and phase shift. REM occurs about every 90
minutes. REMs get longer and deep sleep shorter
overnight. REM key for neurotransmitters and
memory. Naps lack REM.
10Dyslexia
- Dys abnormal
- Lexia reading
11The left side of the brain is shown.
Source Shaywitz Overcoming Dyslexia
12Brain Systems for Reading
Source Shaywitz Overcoming Dyslexia
13A Neural Signature for DyslexiaUnderactivation
of Neural Systems in the Back of the Brain
Source Shaywitz Overcoming Dyslexia
14Dyslexia
- Phonological disorder
- 1 learning disorder 1 impact
- Oh yeah, a word about ADHD
- Evolution
- What you do over and over becomes hardwired
15PiagetStages of Cognitive Development
- Sensory - motor
- Pre-operational
- Concrete Operations
- Formal (abstract) Operations
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17The teen brain is more vulnerable to the
stimulating, damaging, and addicting effects of
nicotine, alcohol, and other drugs.
- One in three teens who start smoking as a teen
will die of a tobacco related disease. - 90 of adult smokers began as teens.
- Almost 45 of kids who start drinking alcohol by
13 will become alcoholic, while only 10 of those
who wait till 21 will. - Substance use in youth thus becomes hard wired in
as a tendency for life. This is in addition to
any genetic predisposition.
18- Healthy Subject watching video of using
- Substance abuser in remission watching video of
using
19Bad things can happen to Good kids
- Typically people dont say, I think Ill get a
DUI and ruin lots of lives today. - No one says or thinks, Gee, today Im gonna
drink, smoke, or use a drug so I can become an
addict.
20- Twenty-five is the best estimate for when the
brain is reasonably fully mature.
21Causes of death ages 15-24
22Causes of death ages 15-24
- Accidents -primarily motor vehicle, many are
substance impaired. - Suicide
- Homicide
- These 3 account for 75 of all deaths in our
kids. Suicide and homicide are mostly by guns and
many are substance impaired.
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25Drugs now kill more people than cars do in 16
states.
- Safer cars more opiates abuse
- Drug related death rate doubled in 10 years.
- 8 states 2005 12 in 05 16 in 06 ? 09
- Cocaine, vicodin, oxycontin, oxycodone,
hydrocodone, etc, methadone, heroin - MA, NH, RI, CT, NY, NJ, MD, PA, OH, MI, IL, CO,
NV,OR, UT, WA
26Actual Causes of Preventable Deaths
27Opiates 1 New Use
28Opiates and more
- Vicodin, percodan, percocette, etc
- Oxycontin lt 1/ mg
- HEROIN - smoked, foil, 40/gram, IV
- Triple Cs, DXM, Robitussin,
dextromethorphan - Salvia, Head some Smoke shops fake urine,
etc - ADHD medicine abuse, stimulants
- Meth, Crystal, methamphetamine
- Soma, muscle relaxers
- Ecstasy, club drugs, hallucinogens, PCP
- Hookah, Shisha
- energy drinks
29Drug Use in Past Month, Ages 12 to 17
Teens continue 4-year drop in use Marijuana was
the substance of choice (6.7), followed by
nonmedical use of prescription drugs (3.3),
inhalants (1.3), hallucinogens (0.7) and
cocaine (0.4).
30Drug use in past month, ages 50 to 54
Older adults still using Drug use among adults
ages 50 to 54 rose 76 from 2002 to 2006. Rather
than indicating new users, the increase likely
reflects holdover from drug use established in
the 1970s.
31- Tobacco kills by far more than all drugs and
alcohol together. - Youth drink to get drunk - binge on as much as
possible as fast as possible. - 60 HS seniors have had intercourse.
- 50 HS seniors drink regularly.
- 25 HS seniors smoke cigarettes.
- 20 HS seniors use other drugs
- 50 teens will try other drugs by end of HS
32Tips for Parents
- Dont leave town and leave your teen home alone.
- Cell phones make flash parties possible.
- Dont trust sleepovers and campouts.
- Call other parents.
- If youre the host check whats up.
- Have your teen wake you up when they come home.
- Seat belts, air bags, slower speeds, less
passengers, home before midnight, and safer cars
save lives. - If you want your kids to sleep have them turn in
the phone, game player, and computer an hour
before bedtime.
33More Tips for Parents
- Teens main source for alcohol and prescription
medicines to abuse is your home and their
friends homes. - If you want your kids to come out of their rooms
keep the electronics out. - Internet and gaming are best monitored out of
their bedrooms. - 2 of us over age 40 smoke marijuana daily.
- Teens know homes where parents allow or give
alcohol, weed, other drugs, or sex to your
kids. - Say No, Dont try to be the Cool parents, and
dont try to be your kids Best Friends ! - Read the C of C booklet - its very useful !
34Thank you and good luck
- Kevin Leehey M.D.
- leeheymd.com
- 296-4280