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From Discovery Mood and Anxiety Program

Seasonal teen 
depression during the summer may seem like an oxymoron, after all, isn’t seasonal depression more common during the winter and shouldn’t teenagers be happy they are officially out of school for the summer? Teens with depression face a real challenge during summer, especially when their school environment is positive or neutral. Seasonal depression, although more common in the winter, also occurs in the summer and many experts believe this is related to changes in schedule and the sleep-wake cycles with the longer days and shorter night and maybe even hot, humid temperatures.

Specific symptoms of summer depression often include loss of appetite, trouble sleeping, weight loss and anxiety.

Teens with depression require structure and schedules to keep their minds and their bodies focused and occupied. During the summer all of the structure and scheduling goes out the window, leaving most teenagers with too much free time which allows their minds to wander. Summer also comes with isolation. School provides teenagers with opportunities to remain connected with others and build relationships and friendships. These relationships help combat depression. Many times teens with depression have a desire to isolate because it feels safer and easier. The problem with this approach is that it makes the situation worse- spending too much time alone may lead someone with depression to focus on his or her perceived defects.

Isolation is common during the summer, which can potentially lead to increased suicidal thoughts and unhealthy behaviors. Other factors that contribute to seasonal teen depression include the following:

  • Lack of daily physical activity

  • Lack of academic challenges

  • Lack of stimulation

  • Too much free time

Tips for living with seasonal teen depression in the summer

  • Enroll your teenager is summer school so he/she can stay motivated, stay focused and have a schedule

  • Enroll your teenager is some sort of outdoor camp as spending time outdoors has been known to improve mood

  • Encourage your teenager to become involved in a summer volunteer program whether it is volunteering at an animal shelter, a library or helping pick up trash; volunteering is a way to stay on schedule, socialize and have a purpose for something greater.

  • Encourage your teenager to get involved in the community whether it is a church, a local theatre group, a sport or some sort of community hobby as this combats loneliness, which helps with depression.

  • Encourage your teenager to land a summer job. A part-time job can encourage your teenager to learn how to manage money, stay focused, stick to a schedule, develop a work ethic and meet new friends.

  • Stay in therapy and continue with any medications to prevent any lapses in the mood.

  • Spend quality time with your teenager by taking vacations, maximizing your days off and enjoying the summer together. Positive time spent with role models can help with mood and anxiety and build up self-esteem.

  • Keep your teen on the same sleep and wake cycle as you do during the school year as disrupting a sleep cycle can worsen depression.

By Johnson County Pediatrics
July 03, 2019
Category: Child Health
Tags: Child Care   Physical Exam  

Once your child is born it’s amazing just how quickly they grow and develop. It seems like you blink and suddenly they are talking and walking. During these important milestones it’s also important to have a pediatrician that you turn to regularly to make sure that these developmental milestones are being met and that your child is healthy. After all, if there are any problems you want to find out as soon as possible when early medical interventions can make all the difference.

From the moment your child is born until 2 years old, your pediatrician will most likely want to see them every six months for wellness check ups. After your child turns 2 years old you should still bring them in once a year for a routine physical exam and preventive care. Along with checking your child’s vital signs and monitoring their height and weight your pediatrician will also check hearing, eyesight, respiration, cardiac activity and reflexes.

A physical exam will check all systems of your child’s body to make sure that everything is functioning properly. If your child’s doctor does detect a problem it can be treated immediately. Along with a physical exam your child will also undergo any additional screenings and vaccinations that are necessary for maintaining optimal health.

Furthermore, your pediatrician can also recommend workout routines and appropriate physical activity for your child based on their current health and lifestyle, as well as recommendations on diet, sleeping habits and even their emotional and behavioral health. Even if a pediatrician won’t be able to fully treat all conditions they can still refer your child to a specialist who will be able to handle a specific health problem or injury.

Once a child is old enough to go to school it’s also important that parents schedule their child’s sports physical so that they can participate in physical activity and school sports. An annual sports physical can detect past injuries and other problems that could affect your child’s ability to participate in certain activities.

These physical exams are often mandatory before a child can play school sports; however, even if it isn’t mandatory you should still bring your child in once a year for a comprehensive sports physical to make sure that they are healthy enough for certain physical activity.

Make sure your child is seeing their pediatrician regularly for care, not just when they are sick but also to ward away infections and other health problems. Schedule your child’s next physical exam today.

By Nicole Hughes


We were never supposed to leave our beach vacation early to plan a funeral for our 3-year-old son. And, yet, within the course of one week, we had driven to the beach, returned without him, and held his funeral.

Do you know that drowning is the leading cause of death in children ages 1-4 and the second leading cause in ages 1-14? Do you know that 69% of children who drown are not expected to be swimming, yet they are found in water? Do you know that a child can drown in less than one minute?

Unfortunately, I know these facts all too well. On June 10, 2018, my three year old son, Levi, drowned while on vacation in Fort Morgan, AL.

There is a misconception that drowning only happens when you are swimming. But, drowning also happens when you are 200 feet away from a pool, upstairs, eating Cheetos, wearing your neon yellow crab-hunting shirt, when you leave your mom’s side, even though you are usually Velcro-ed to her. Drowning isn’t splashing and yelling. It is silent, and it takes SECONDS.

I have always taken water safety seriously. In each of the pictures I have of my son’s final day, he is wearing a life jacket. Flying a kite with his dad? Life jacket. Eating M&M’s in a beach chair? Life jacket.

How could I have known that every parent’s worst nightmare would be my reality? It happened so quickly. I don’t know how Levi got away from us as we were cleaning up from dinner, or what lured him to go outside alone. I was the one who found him, face down, in the deep end.

Just moments before this horrific discovery, I split a brownie with him. I still had the other half of the brownie in my mouth when I jumped into the pool to grab my son. Mere moments, seconds.

We had six physicians on our trip, including my own husband. If Levi could have been saved by desperation, skill, and love, he would still be here. Yet, how did I not fully realize just how quickly a child can drown? They initiated CPR immediately, even intubated him before the ambulance arrived. But Levi could not be saved, even with this immediate response.

In the days after we lost Levi, when we were forced to stumble forward without our baby boy, I started researching. I am (was?) on my third journey of parenting a child in the 1-4 age group. Why did I not know that drowning is the leading cause of death? Of course, I knew drowning was a potential danger. We utilized life jackets, swim lessons, supervision while swimming.  But why did I not know about the dangers of drowning during NON-SWIMMING times? How did I not know it took less than one minute?

Why is my mom-brain filled with internal debates about screen time, organic fruit, and sunscreen free of oxybenzone? I still cut my 9-year-old’s grapes. I buy DHA milk. I worry that the hours of YouTube my kids watch will prevent them from being functioning adults one day. These are the topics that are pushed in my direction, the worries that I have grasped onto as I navigate parenting. Well, the unfortunate irony here is that I had taken the iPhone away from my son not too long before he slipped away from us. I sure wish I had cared a little less about screen time that night.

The more I researched, the angrier I became. Oh, and I had to search. Why are discussions about drowning almost an afterthought? Background noise? This is a LEADING cause of death, and it is 100% PREVENTABLE.  Yes, there are news stories, but we have become numb to these “don’t forget to watch your kids while swimming” factual articles that are regurgitated each year and the faded “no lifeguard on duty” signs stuck on a wall by a pool.

The harsh reality is that Levi’s death rests on me. These are the hardest words I will ever have to admit, but the truth is that I failed my son, failed to keep him safe. Yes, this accident happened in moments. But, the fact that I have to live with for the rest of my life is that losing Levi was preventable. I am not trying to push blame off of my shoulders. But, I sure wish I had known these statistics before June 10.

For the last month, I have fueled my grief and anger into action. Based on the research on drowning, I have created a non-profit called Levi’s Legacy. My mission is to eradicate drowning completely. You can read more about my mission (and about designated supervision) at www.levislegacy.com.

So, here I am, a grieving mother facing a future I would never have imagined. Lying in bed and sobbing will not bring him back (oh, but if it would). I don’t want this role of water-safety advocate. I want 30 seconds back on June 10. But I am determined to share these facts I so desperately wish I had known. Levi’s message has already spread, but now, it’s time to take the next step, and it is a big one.

American Academy of Pediatrics, I am asking for your help. We need you. I say this as someone who is married to a physician and who respects my own pediatrician very much. But, thousands of people have reached out to me over the last month sharing the same comment each time: “I had no idea. Why didn’t I know any of this about drowning?”

I am well aware how much a pediatrician has to cover during a well-child visit: build a relationship, answer questions, prepare for milestones, look into the ears of a squirming child. Pediatricians have thousands of topics they must be knowledgeable of and share with parents. Therefore, American Academy of Pediatrics, you play a major role in setting priorities and equipping your pediatricians with the resources they need in order to inform parents and help eliminate this preventable tragedy. Parents of young children, especially in the age range of 1-4, should be given a handout that clearly explains the statistics on drowning. On the questionnaire, when I fill out it if my child can hold a crayon, hop on one foot, or sleep through the night, there needs to be a section on water safety.  American Academy of Pediatrics, you have the platform and power to reach millions. Please, please join this cause. 

The AAP has a website for parents (http://www.healthychildren.org/); on July 11, 2018, in the middle of summer, do you know how many times “drowning” was displayed on the homepage? Zero. When I searched “drowning,” I found a list of 17 total items, with articles from 2017 and 2014 being at the top. These articles include information that is so dull that nobody will read it (assuming anyone searches).  They include information on how to tell if your child is drowning, such as: “eyes closed / not using legs/ appearing to be climbing an invisible ladder.” Not only is this a waste of words (is a parent seriously going to go through this mental checklist before saving a child?), but it just reinforces to people the incorrect assumption that drowning means splashing and yelling.

A 3-year-old can drown in less than one minute: silently and without a struggle. The articles also fail to mention how often (the majority of times) drowning happens when not swimming. I am like any other mom: winging it, doing my best, and depending on parenting guidance from pediatricians and parenting articles. How else am I supposed to know what I am doing? Drowning needs to be addressed with as much concern as newborns sleeping on their backs to sleep, vaccinations, and car seat safety. Drowning is just as deadly and just as preventable. Drowning is a leading cause of death in children, and it needs to be treated as such. Can we please start talking about it?

I want to make it clear that hundreds of pediatricians and other medical professionals have reached out to me about Levi’s story. I am encouraged, humbled, and touched by how many of these influential people are already advocating for water safety and want to continue to be part of this solution. Thank you. I hope to get the same response from the American Academy of Pediatrics.

I used to be the parent who would read a story like this one and immediately start scanning, looking for a loophole, desperate for the detail that would exempt me from this particular nightmare ever being mine. But, it turns out, tragedy does not play fair. My son is gone. And, yet, we are choosing to live a purposeful life in the midst of this ultimate despair.

We have two daughters, Levi’s older sisters, whom he adored, and we cannot let them lose us, too. This pain is unimaginable, but every second is a CHOICE.  I am choosing to breathe, choosing to advocate. The pain and darkness threaten to suffocate. But when I choose to turn on the light, I see goodness. People are hearing Levi’s message, questioning why they didn’t know the truth about drowning, taking action.

We have a chance to change the future, to save sons and daughters, grandchildren, nieces and nephews. Trust me, I never imagined myself in the role of water-safety advocate until I was thrust into it by my grief. Drowning is a leading cause of death and is 100% preventable. We can do better. We can fix this for our children.


June 18, 2019
Category: Safety
Tags: Hot weather   children  


By thepediablog.com

For more information on children and heat also check here: healthychildren.org

Picture this scenario: It’s a hot, sunny summer day. You are taking a nice, relaxing stroll outside with your baby in a stroller. The sun feels hot on your skin so you correctly deduce  (she doesn’t yet speak, so she can’t tell you) that your infant is feeling the heat as well. You decide to cover the stroller with a blanket to produce instant shade (which will also protect her from the Sun’s harmful ultraviolet rays) but in the process, says Wendy Wisner, create a new and dangerous problem:

You see, by placing a blanket – even a light one, like a muslin cloth – over the stroller, you are actually locking heat in, rather than keeping it out. And it turns out that the temperature that the inside of your baby’s stroller could rise to is potentially very dangerous – even deadly.

Infants and young children are more vulnerable to the effects of heat than older kids and adults. Their immature body systems don’t regulate their internal temperature particularly well and they may not be able to communicate how they are feeling. As a result, infants and young children are more susceptible to heat-related illnesses such as dehydration, heat exhaustion, and heat stroke. Since infants haven’t yet developed the ability to sweat and effectively regulate their body temperature, parents need to be on the lookout for subtler signs like excess sleepiness, malaise, irritability, and excessive thirst. Looking pale while feeling hot, rapid breathing, vomiting, and not producing urine for several hours are very concerning signs suggesting excessive exposure to heat.

There are a number of precautions parents can take on those hot summer days to protect the stroller’s precious cargo:

— Use a different sun shield: Instead of a blanket, use a large canopy or mesh sun shield designed for strollers. This will produce shade while ensuring adequate airflow.

— Dress lightly: One layer of loose-fitting, light-colored, and lightweight clothing should do.

— Stay hydrated: Infants should feed from the breast or bottle more frequently; toddlers should be offered water frequently. On hot days, don’t wait for children to ask for something to drink.

— Avoid peak heat hours: The hottest daylight hours in temperate climates are typically between 11 a.m. and 5 p.m. Stay in the shade during those hours and try to avoid being outdoors altogether on especially hot days or during heat waves. Instead, find a cool space indoors and camp out there.

— Check on your baby often: Make sure they are being adequately shaded, kept cool, and acting happy in their stroller.

Car seat carriers also present similar heat risks as strollers, so be sure that remains a cool spot on a hot day.

The American Academy of Pediatrics has more tips to protect children from extreme heat here.


By Johnson County Pediatrics
June 04, 2019
Category: Safety
Tags: Sports Injuries  

Your child's sports injury can be treated just as your injury was. Or, can it? Your pediatrician knows that a child's body is still developing, responding differently to acute and overuse injuries from organized sports, gym class, and more. As such, he or she can help your child avoid injury and in the event of sprain, strain, laceration, dislocation, or head injury, will help your youngster recover and stay healthy.

Kids sports injuries

They're very common, says the American Orthopaedic Society for Sports Medicine. Annually, 3.5 million American children under the age of 14 suffer significant sports injuries. Some injuries are related to poor conditioning. Others occur because of inadequate instruction or proper protective gear such as padding, eye wear, sneakers, dance shoes, skates, and cleats.

In addition, diligent supervision on the part of parents, coaches, teachers, and other well-informed adults is critical to safe play. Well-maintained game fields and indoor surfaces avoid foot, ankle, and knee injuries.

Finally, KidsHealth reports that Pre-participation Physicals review medical histories and spot possible weaknesses in children's physiology and anatomy. Most school and organized sports teams require these check-ups either with the school physician or the family pediatrician before the sports season commences.

Treating sports injuries

The Centers for Disease Control (CDC) states that proper assessment and prompt treatment of kids' sports injuries prevent long-term problems, including pain and proper growth of areas of the body such as the long bones. Traditionally, coaches and parents have used the RICE protocol to stabilize and injury, relieve pain, and begin the healing process. It still works exceptionally well. RICE stands for:

  • Rest
  • Ice to the affected area
  • Compression with an elastic bandage
  • Elevation of the affected limb/injured area above heart level

Then, your pediatrician and other health care providers can devise a specific treatment plan to include physical therapy, strengthening exercises, over the counter analgesics, braces, and casts as needed. As a parent, you know your child well. So be sure to fully participate in your youngster's care plan.

Be safe, be well

Each child responds differently to athletic training depending on his or her gender, size, age, physical conditioning, underlying health issue,s and natural ability. You and your pediatrician can partner together in encouraging a safe sports season for your child. That's a win-win situation.

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