Tuesday, April 17, 2012
New Post Series- " FoodieYouth"
Call it dollar store cheap. And plenty available.
So lets GO!!!
Chocolate Hummus
Ingredients
1 can chickpeas, drained
1/2 cup sugar
2 tbsp cocoa
2 tbsp vanilla
1 tbsp water
I know, I know, not really cheap. You can find all the ingredients at a local super market or small retail store ( think Family Dollar stores). If you have ever had Hummus, you know how awesome it is. Another Variation involves just using cinnamon powder ( 1/2 teaspoon) and afew tablespoons of milk. No hunting down bakers chocolate or vanilla extract. You can mash the chickpeas in a bowl with a fork or potato mashers. Still the same creamy consistency.
Use your judgment and enjoy!
Eat Well Folks,
Meranda F
Monday, June 27, 2011
Inaugural post for "Healthy Agian" Series
Stress- such as what happens when you lose a job, drop out of college or BOTH- can have a toll on your waist line. I have managed to gain another person with my eating over the years!
Well, no more.
I decided to start up an exercise program and a series of posts about it.
No one wants to admit they have a weight problem. But, with graduation and the hunt for stable employment, I gotta lose it. I will need EVERY ounce of confidence that comes from at least FITTING into my old interview suits. I'm too broke to buy new ones!
When I was in High School, the competition from good looking, academically accomplished, well rounded class mates was enough to have me wondering "why not me"? In about two years I made dean's list and I lost 50 lbs. Then I got accepted into my dream college. Life was SWEET!!
About to leave with a Bachelor's Degree, I've started a weight loss program and am putting together a list of places I would be willing to work. The next year is going to see ALOT of work and patience I don't have..I'm back to lifting weights, and the concept of "Muscle Memory" is doing its stuff!
What about you, how has health impacted your life? What are you doing to battle the bulge?
Thanks for being patient,
Meranda
Thursday, May 19, 2011
It's more than a job....on being a professional
A post by UCLA associate professor Philip E. Agre on how to be a professional. I was drawn to this after thinking about careers I might pursue after getting my bachelors degree. He was into " the 'net" before it became "the internet". There are other things to look at too (scroll half way down).
How to Be a Leader in Your Field: A Guide for Students in Professional Schools
Here is a wonderful e-book by Dr. Dario Toncich.
"Studying and Learning in the Australian University System"
You can read his bio Here .
I highly recommend chapter 11 on professional life, come to think of it, chapter 8 is golden for those of us who found college NOT to be what we wished. Seems college is more or less the same no matter were you go.
My Part Time Obsession:
Daria Episodes on MTV
College Bored
Daria - I should explain this. Social Satire, series ended some time in the early 2000's. So maybe you don't remember it. Watch Anyway. It was ahead of its time and STILL relevant today. You will like it, covers all the fantasies we had before we realized what college was!
Feels...Lalalalala,
Meranda F
Tuesday, May 10, 2011
When an accent is a disease.....
Visit msnbc.com for breaking news, world news, and news about the economy
and....
Am I the only one who notices, an accent happens to be a disease? A disease from some far away land. What the heck, I can bet it ain't a disease where the people sound this way.
Remember, your accent is a form of brain damage.
BRAIN DAMAGED,
Meranda F
Wednesday, April 13, 2011
Quarter Life Crisis- Letting Go of Childhood
"what do I really need to live"?
Case in point:
This is the first time I have ever lived without a washing machine. Afew days ago, I had to wash shirts, underwear and socks by hand or go to school another day feeling "ikky" and risk offending my classmates.
My mind raced to this right here
I thought about the books I read on living "off the grid". But more than anything, I realized I COULD live on my own if I REALLY wanted to. Here I am, existing with 1/6the stuff I used to have ( and it wasn't alot either). I'm doing okay. I am more angry over having little control of my life than what my life has become. BUT I'M DOING OKAY! I have no washing machine, little privacy, little space but I AM DOING OKAY! I feel, if I had to do it on my own, I could. NOW I KNOW. If I needed to live in a room with afew suitcases of things and some amenities, I COULD DO IT AND BE OKAY!!!
Have you made the leap from mooching off parents to paying your own bills? If so, how did you do it?
Fun Stuff:
Head on over to Quarter LIFE Crisis,let the kids over there know how you're doing.
QLC
Friday, February 11, 2011
Coming to Terms With Adulthood....
I got a quote from a book:
"My mother often explained to me that the skill set for childhood is not anything like the skill set for adulthood. She told me that i just didn't have the traits that would make me excel at being a kid, especially in social life, but that I did have a lot of traits that would be great in an adult.She pointed out that many of the kids who were popular and seemed to have it all were going to undermine their hopes for adulthood by the end of high school ( or college at the latest) with binge drinking, experimenting with drugs, maltreating their bodies to achieve fashionable thinness, causing themselves permanent physical damage in pursuits of sports glory and so forth. Many others would simply find that all the skills they had so carefully honed throughout high school simply didn't work in adult life. She told me that when those people were sitting around at age forty, drinking and remembering those few years of perfection, I would have a life.
(pg 139 )
Can you identify yourself in this quote? I was the kid who worked hard only to find my skills in High school meant NOTHING in adulthood ( or college for that matter). Its probably the worst way to self destruct. Can you imagine, It feels like saying I failed because I did TOO well in high school.
Ugh,
Meranda F.
Work Cited:
Grandin, Temple Dr., and Sean Barron. The Unwritten Rules of Social Relationship: Decoding Social Mysteries Through the Unique Perspectives of Autism. 1st. Arlington: Future Horizons, Inc, 2005. 139. Print.
Wednesday, January 26, 2011
What I wish I had been Told
Here is some advice.......
Major Themes:
1. Realize that , while grades are important, you want to look for internships the way you looked for scholarships in High School.
2. See college as pre-professional training, a means to an end.
while you can have fun, you are suppose to be preparing yourself to enter the work force . Keep that in mind all four years and it will be easier to motivate yourself for 8am classes.
3. Start working on your interview and people skills. Think about how the activities you partake in college will affect your Resume.
4. TO be honest, alot of college classes are fluff ( esp. gen-ed requirements). Focus on skills learned in those classes that will help in a job ( English 101/editing skills, Calculus 1/ mental-arithmetic, General Biology/knowledge of how systems work, etc). I would politely ask professors what parts of a class would excite employers if students could do them very well. Then go practice! Practice the parts of your class you found personally interesting too!
5. College is perhaps the last time people are totally willing to give you what you want just because you asked nicely.
Since I was determined to become fluent in Spanish by graduation, I just asked the Spanish teachers to help me during their office hours. Free of Charge! And they admired my determination.
6. Don't leave your old High School teachers/ community behind!!
They have ALOT of information to help you even in college, so stay in polite contact with them and ask what THEY WOULD HAVE DONE IN SCHOOL. When it comes time for recommendations, you will have wonderful sources outside of college professors. People who can say they have known you for YEARS and think you are a thoughtful and talented person. If you do not understand civics, get a book or talk to someone. This is not about being political, but understanding the forces that shape your area.
Minor Themes:
The lower your GPA is from a 3.0, the more time you must spend working on soft skills, getting work experience and networking.
Master as many skills as you can! Editing Papers, Computer programming in a language, Public Speaking practice, photography, playing piano. Heck , even how to drive the buses on campus ( if your school has its own transit system)! These can make great part time jobs.
Learn about personal finance, plan for an independent life ( whether or not you want to live alone). Understand the more $$ spent for schooling, the more you will pay off later and the less flexibility you will have. Micro-business anyone.....
Many use the computer but have no idea how it works. For shame! Understand computer programming logic.I have heard of children learning computer programming as early as 10 in schools around the world. For that matter,
Perhaps the best way you can keep up with globalization and stay competitive is to know others around the world are expected to learn in school. Especially in Grade schools and innovative programs. The 8-10 year old will shortly be 18-20, entering their pre-professional years and later competing for jobs with VERY current knowledge. You don't have to invent the wheel like these kids do, just add to your knowledge bank.
Talk to professors who like to tell stories and give advice! This is why I love adjuncts. Many of them hold down jobs in the real world and will tell you like it is.
Keep copies of your old recommendations, essays to admissions committees, flyers for special events you went to, scholarships, etc. Update your resume consistently. Basically, keep a file.
LASTLY
Buy a good camera and take pictures! College doesn't last and you will want to cherish those memories long after its over. =D You can even take pictures of the events you do on campus and post them to face book.
It's been awhile lovers,
Meranda Fuentes
Monday, January 24, 2011
2 million minutes, and the education of the future...
They don't mean you anymore.
Since my days as a kid, I am glad no one wrangles over teaching me, or the money it costs to teach me, or whats wrong with me. The Great Recession has reeked havoc on US schools today, and we are scrambling to make things right.
From The BBC:
China's economic might leaves mark on American psyche
Which gets me thinking, how often do YOU keep up with educational attainment in other countries? Or for other children? These kids will reach their pre-professional years ( college) in the next 5-10 years. After that, they will be off to compete on the job market with their newer skills. How do we keep up?
By watching them!
I have been fascinated with education quality for years now. Think about it, We don't need to be in school all day to learn what they learn. We just need to update our skills.
For Instance, Computer Programming!
The US Military is now seeking recruits with "computer literacy"
Why Johnny Can't Program: A New Medium Requires A New Literacy
Mind you, not experts to do complicated work. Just BASIC computer literacy. There are strong argument on that post against learning programming, because many jobs in the USA are being off shored to Asia. STILL- Much of this is as basic as reading writing and arithmetic.
Now I have to learn "computer"!? What happened to Spanish and French? Can anyone recommend a book!?
Sigh,
Meranda Fallen.
Wednesday, December 22, 2010
Have A Vision for Yourself!
Saturday, November 27, 2010
Creating the Life I want...Providing for it.
But things get so much better when I focus. I read a wonderful post on
Quarter Life Crisis from another young person in my boat. Then I'm not so mad, sad, angry,depressed anymore. I feel more hopeful.
Life is NOT so bad,
Meranda F
Monday, October 25, 2010
Feeling MIGHTY embarrassed
my teacher told me today he doesn't add students to his facebook account.
Why did I even bring it up!!!
arggghhhh..........
Embarrassed,
Meranda Fallen.
Saturday, October 23, 2010
Volunteering Semi -Disaster
I got around to volunteering! Showing some spirit, doing the community justice....building my sparse resume....
I remember the constant pressure to volunteer when I was in secondary school. Unable to find real opportunities, I ended up convincing the secretary at my local library to let me stock books and have that count as volunteer work. I was desperate for it to be over, even asking her when I was done for the day after 15 minutes! I will never forget her response
" You know, Meranda, when you get to the real world you cant keep asking when you can leave". I was so amused!
Flash forward many years,
I get an email that WoofU branch campus is holding a health fair, and that volunteers are very welcome. I say "hooray, an opportunity". I agree to give up all my free period hours for the day, I had images in my head of directing students and being the smiling face that makes ppl feel welcome, know where they are and that everything is gonna be fun fun fun!
I expected some of the fun fun fun for myself too, don't ya know.
First things first, whenever you volunteer, make ideally sure you know what you are doing. Make sure you know where it is and that you show up early. Make sure you know what to wear. Big mistakes I made.
Figuring this would be a teen/undergrad conference ( and not a "trying to push products in the name of health") I showed up in dark jeans, black sneakers, and a bright blue shirt. Bad Idea, when I walked up and told them I was a volunteer, I got this strange look of horror. Then I was direct to this lady who was suppose to "help me find a badge". It took her about a half hour to do so. Then her latchkey boy decides to recruit me for water and drink dispersion ( going around the tables and asking if anyone wanted water or fruit punch). Next, I get a handful of flyer's and am told to hand them out in the student cafe. Far away from the event in the next building.
I have never felt so happy to be in class taking notes in a long while! After class I decided against going back . Not even a free lunch was enough to encourage me. I felt like an unwanted problem the entire day! I felt messy. I felt ashamed of myself, knowing darn well if I was paid they could fire me for being a "no- show" to the second part of the event. What would a professional do!? Not quit. I felt SOOOOO alone.
Looking back, this is what I could have done better:
1. Understood the ins and outs of the event. Leave nothing to imagination. I was surprised by how upscale it was. All I saw were companies trying to sell there pseudo health crap (Reiki massage anyone)? And overpriced "health food".
2. Asked ahead of time exactly what "Directing ppl" meant. I assumed I would be sitting behind a desk or greeting. They had me handing out water and flyer's.
3. Asked what the dress code was ( that question was in the back of my mind, but I figure causal since they never said anything different). This , I believe, was the major reason ppl seemed so uncomfortable with me there. I was VERY under dressed.
4. Perhaps I should have called ahead of time too. I never actually met the person who was recruiting me.
I hope the next time is better,
Meranda Fallen
Tuesday, October 19, 2010
Liberal Artsy Anyone
I am considering a health science ( pharmacy) after business.
I used to be an anthropology major
Later switched to speech pathologist.
I once considered Engineering.
Wonder if I would have been happier with a Liberal Art/ math (or Science) double major.
There were so many different paths I could have taken. If I could do it over again, I think I would have stayed with my Anthropology major but added a mathematical/statistics major as well. Then continued my education to the graduate level. This is what I tell anyone who wants to major in a liberal art. Pair it with something and plan on graduate school. Get ALOT of experience early. Know what you want and always keep your ears on the ground.
For some reason, a four year degree is a small stepping stone. Most majors do not lead directly to jobs. Competition is fierce. Its not just getting good grades and being a good citizen. If you are not among the best students in your department, It can be argued you are worse off for staying in college. Not that college is a bad decision, but the rewards may not pan out the way you expected.
If I had better guidance earlier on, maybe I would have graduated on time. Maybe I would be employed. Perhaps I could look back and smile when I think about college. Maybe I would have the life I imagined I would have. Maybe I would have long awaited independence. Perhaps I would feel a level of personal success at a young age. I'm tired of being a student. I want to eat , drink, fuck , laugh, dance and be with old friends. Is that TOO much to ask?
Speech pathology would have been a great field If If knew what I was getting myself into.
I decided against it because I am not competitive enough to get into graduate school ( necessary for the license needed to work). Anthropology would require a PH.D to pursue. Statistics would require about two years of foundation math classes. Pharmacy is the same thing, about two years of foundation science classes for a vague chance at going to pharmacy school. I am rethinking statistics.
The reality is that I may be in school alot longer in order to study something I enjoy. My goals are to find an affordable way to do that. I resent it, I am mad, but I am also okay with it IF I can be alittle more independent as well. I am trying to find ways to build on my skills ( start where you are strong) instead of starting over. So my advisor recommends accounting or finance. I question both....wish I had someone to explain my options to me.
But who knows,
Meranda Fallen
Are you better off Now, after all that college?
As a Drop out turned full-time student, this is what I wake up to . I still have an opportunity to change the course of things, perhaps move out by the time I graduate from school, but I am in shock at how I ended up here after three years of college already.
Many students who have already graduated feel this pain everyday. Some graduates have been asking what to do now if they didn't have internships, a 3.5 GPA and great recommendations from professors . They are at home, sitting.
Some Teens I know are getting ready for college. I want to take them aside so badly and say "Don't end up like me. I know everyone tells you how good I am like they know me, but I FUCKED UP". I want to have long conversations on the phone about school and life and lay into them that indecision is more risky the older you get. College is only four years, if you do it right you may not have to go back to school if you don't want to. Plan for life AFTER college and you can have all the fun you want later. Plus, money. Make good use of whatever major you choose, but choose wisely. It is hard to rebound. Be ultra competitive academically and get in touch with the leadership of your school. Work with those who will help you. Chose tenured professors over adjuncts to build recommendations and resumes.
But I cant. I'm still embarrassed about sitting at home, plus going to college a year after I was suppose to graduate. Maybe that's you too? Have you thought about or do you know someone who is NOT living life after college? What did you do, or what are you doing now? What advice would you give to teens?
What to do , what to do?
Meranda Fallen
Friday, October 8, 2010
Self Loathing Life of Fresh Air
Usually, I spend afew days in self loathing when I have to deal with the reality of being back home. I need afew days to unwind, and then I make sense of where I am. I am back to life BEFORE college, when there were limits to where I could be, who I could hang with and what I could experience. I left college with better thinking skills to apply to this boring old world I thougth I would never see again after I finished school. I spend more time thinking about where my life should head. Nothing happens without deliberate thought and action.
I feel good when the doubt goes away. When I feel less alone. It puts me less in the spot light. I am adjusting to different expectations.
I do not blog about my political affiliations, opinions , bias or much personal info because my goal is to have this blog be a resource to anyone who needs it. LIKE any normal person, I have issues, You got issues.....we got issues ( what song is that lyric from again!?).
Do I feel special because I am a college drop out who is STILL trying to get a bachelors degree? Who is so ambitious as to start planning for professional school even before proving to many doubting advisers that "yes, I can pass classes with at least a B + average". I haven't even shared with my new adviser that I want to be a pharmacy major ( or enter science). She is still scared I will fail out again. Darn.....
I wish I could fault them. I wish I could just say...they are biased. But I have a negative history. Ppl have many reasons to doubt me, and I am very responsible for making my life harder than I want it to be. Through pure naivety. I cant wait until this time next year when I have afew semesters of good performance under my belt.
Enough Guilt trip, I am here to write so you know I am not away , I think about you all the time, and I have plenty of stories to share once I am done with school and can edit/post them. I am seriously considering renaming my blog, since I realized many ppl have the same title but cover totally different topics than I do. This is a blog reaching out to college drop outs. I need some idea's!!! We are special. We need a special blog name that gets to the point.
I am not dead...yet,
Meranda Fallen.
Saturday, September 18, 2010
I can't be mad forever......
You never know how good you have it, how temporary it all is, until it is gone.
The wide open green spaces, beautiful architecture ( even for older crappy buildings), snow covered roads in the winter, and my days walking around campus as an undergrad.
Where I went back to on my weekends home from WoffU, was the other side of the tracks.
I remember the igloo afew freshmen built on the first snow day, my high school friend turned college roommate and the aroma of her cooking. I remember dorm food and learning the ins and outs of special menu day ( get their early, know what you want or you don't get ANY). Nights spent at the gym until 1am. Library until 2am. Sleep overs at other dorms once we found friends. Learning to open up to strange people, making a difference.
Finally feeling comfortable enough to walk through buildings on my way to class. Going to my first dance, my first party....damn. If I keep going on I'm gonna forget the utter hell I went through with incompetent advisers, uncaring TA's & professors, plus the constant stench of failure I carried around. I gained 60 lbs in college, and years later I still have about 30 lbs to go. I destroyed relationships with people I long to speak with now. I dropped out once, and on my semester back was told if I had just said something ( like I didn't call this person 5 times) I would have gotten another semester to prove myself, because my GPA was a 1.98 then.
I went through hell over a 1.98 GPA. I lost a job promotion to be shift supervisor, an opportunity to be a PAID student leader and a major dent in my transcript over a 1.98 . On my first semester back, I was so resentful I could not concentrate. About a year after that , I dropped out AGAIN. Why did I continue to pay money to attend a school that made it clear they didn't care about me.
Why do I STILL do that now?
I'm not one to get into the cult of college, but I will say this,
Cherish those years.
I know my blog can get quite melancholy, I am a struggling student after all. I am mad about how my life has turned out and how long it will take me to rectify my situation. I am mad that afew simple and stupid mistakes cost me years of hard work. I am mad that I didn't do the least of what was expected of me. I am mad that all the money has run out, and now I am scrambling to pay for school. I wonder if I would have enjoyed graduating on time AND being unemployment better that being a college drop out.
I am mad when I remember THIS and realize I am MUCH better than that, but where am I?
I am here, hoping I can see into the future, and that my mistakes will make me a better person. Some peoples lot in life will just be finding joy in pain.
I only want happy times for you all,
M.Fallen
Friday, September 17, 2010
Friends Go AWAY
Well, I never watched them "grow up", I merely peered into a portion of their lives available on Facebook.
Talking with Laurita, an acquaintance who still keeps up with me, I realized you are lucky if you take from college just one good friend. Everyone else goes their separate ways. I asked her, how do we manage the changes in our relationships as we get older? Her advice was make time to see each other at least a few times a year, and play phone tag. What a good idea! I am already getting back to a few of my friends to plan a meet up on thanksgiving break, losing a few pounds and hopefully finding a job so the cost of seeing people I miss so much is defrayed and we can hang out.
How do you keep up with your loves?
Regards,
Meranda Fallen
Supreme Court Justice Sonia Sotomayor talks life and the law
I don't know how to embed the video for this, but here it the link.
I enjoy what she has to say about school and maybe you will too.
I encourage you to do the best in all you can!
Wednesday, September 15, 2010
When College is the Fucking Worst Experince You have EVER had in your life
'When College Is Not the Best Time'
We've all heard the clichéd description of college as "the best years of your life." For those of us whose undergraduate years are a distant memory, the idea may seem ludicrous -- or, at least, too demoralizing to entertain -- but there's no denying that college students tend to enjoy an unusually high ratio of freedom to responsibility, and that many high schoolers come to anticipate a positively Elysian experience.
For some students, then, the reality of college comes as a rude shock, and one with which they're totally unprepared to cope. From psychiatric issues (which have become more common -- or at least more commonly identified -- among college students in recent years) to academic overload to plain old homesickness, many college students find themselves facing stress or unhappiness they didn't expect, from sources that may be totally new -- and they may not realize just how normal that is.
At least, that's the view taken by David Leibow, assistant clinical professor of psychiatry in Columbia University's College of Physicians and Surgeons and assistant attending psychiatrist at New York-Presbyterian Hospital and New York State Psychiatric Institute. Leibow's new book, What to Do When College Is Not the Best Time of Your Life (Columbia University Press), addresses some of the problems that students are most likely to face, and offers frank advice on how to handle them; the book also includes a final chapter intended for the parents of struggling students
Inside Higher Ed interviewed Leibow via e-mail to get his thoughts on the issues students are most likely to face, why they arise, and what can be done about them.
Q: What inspired you to write a book on this topic?
A: The inspiration for What to Do When College is Not the Best Time of Your Life began with a phone call from a distraught mother requesting an urgent appointment for her son, a college junior, who was coming home for the Thanksgiving vacation. "I've never seen him this way," she told me. "He's so depressed he's not sure if he can carry on."
I had received many phone calls like this one from distraught mothers over the years. And they all had two things in common: (1) their child was floundering in college to the point of despair; (2) the parents had no clue.
These were capable, motivated students, and loving, appropriately involved parents. So why were these kids floundering and why were they keeping their parents in the dark?
The answer, I realized, was shame. They were ashamed because they believed — wrongly — that they were the only one of their peers having problems. And they were ashamed because they believed — again wrongly — that as proto-adults they ought to be able to handle these problems on their own. Because of their shame, they didn't inform their parents that they were having problems, or ask for help from anyone at school. They buried their heads in the sand and hoped for the best until their problems became seemingly insurmountable.
I wrote my book for college students and their parents as an antidote to this shame. I wanted to reassure them that problems in college (as in the rest of life) are normal, to give them some insights and practical suggestions to deal with these problems, and to provide guidance on when to seek professional help.
Q: What are some of the primary reasons why college might not be the best time of a student's life?
A: There are many reasons that college is a disappointment: homesickness, relationship disappointments, financial worries, losses or conflicts at home, medical illnesses and the whole panoply of psychiatric disorders that arise when people are in their twenties — anxiety, depression, insomnia, body-image problems, etc.
But the biggest problem — both as cause and consequence of unhappiness in college — is academic floundering.
When asked by the 2009 American College Health Association-National College Health Assessment whether any experience in the past year had been traumatic or very difficult to handle, 44.2 percent of the students named academics. That number is 10 percent higher than any other stressor, including problems with finances or intimate relationships.
College students want to succeed. They want to fulfill their own ambitions and make their parents proud. If their grades are low, and especially if they're forced to delay graduation or drop out, they feel demoralized and ashamed. Plans for further education are scrapped; career aspirations are abandoned; life trajectories are thrown off-course. If they were meeting their own expectations academically and had a few friends, most college students would be happy. And they'd be in a better position to deal with the other challenges that inevitably come along.
Q: The book focuses on fairly major issues of mental and emotional well-being, along with academic problems. Of course, there are other reasons why a student might not be happy in college; how did you decide which topics to include?
A: I chose problems that were specific to college or, if not specific, were at least very common in college. So, for example, I spent considerable time on academic problems and insomnia but very little on schizophrenia or transgender issues. I avoided covering in detail topics that change rapidly and can be looked up easily online or in sources specifically devoted to those topics. For that reason, I discussed in depth the pros and cons of taking medication but didn't go much into the pros and cons of which medication to take.
I focused on clinical subjects, like laziness, friendship, romantic relationships, depression and body-image problems, where I have expertise and perhaps some fresh insights. And I eschewed subjects, such as the organization of student health services or the importance of remedial courses, in which I have no particular expertise, or where the issues are sociological or political rather than clinical. I discussed race but only as it pertains to identity formation and friendship not as it pertains to education policy. I discussed the cultural tyranny that equates thinness and beauty but offered no cultural remedies, except to reassure young women that they're not alone in feeling oppressed by it. I talked about the types and uses of therapy but also when therapy might be unnecessary or even harmful. I told parents how they can help their struggling students but not how to raise their children.
In short, I tried to focus on topics that I know well and on which I have something fresh to offer. And I tried to approach each topic from a sound, mainstream clinical perspective rather than from a polemical or encyclopedic one.
Q: The book details treatment options for various psychological problems commonly faced by college students, such as depression, anxiety, and insomnia; you even describe various medications for these disorders, and their individual advantages and drawbacks. Do you worry about college students being diagnosed or medicated too much?
A: The answer is yes — and no.
Let me start with the no. The truth is that most young people put on antidepressants and other common medications for depression, panic disorder, etc. get substantial benefit. College students are under tremendous time constraints. They can't wait months to feel better and most (certainly not all) medications have tolerable side effects and work quickly.
The decision to start a student on Lexapro (the most commonly prescribed medication), for example, is based on the presence of a set of persistent and debilitating symptoms — hopelessness, fatigue, impaired cognition, sleep and appetite disturbance, etc. — not on whether the depression was triggered by some traumatic event. This agnosticism about the relevance of ostensible causes is rightly disturbing to critics of medication who view as normal depression that arises in the context of, say, academic failure or parental divorce. Unfortunately for this viewpoint, the best scientific evidence supports the use of antidepressants in major depression even when there is a precipitating event.
Of course, the precipitating event needs to be addressed psychotherapeutically. But therapy and medication are not mutually exclusive. And needless to say, not all psychiatric or psychological problems need medication. Many respond to psychotherapy alone. (I go into the indications for therapy in detail in my book.)
It does concern me, however, when students are rebuked or mocked for "resorting" to medication to deal with psychiatric problems, especially when their suffering has consequences for their academic performance, self-confidence and future livelihoods. The treatment of serious psychiatric conditions is no place for puritanical nostrums about the ennobling or educational effects of misery.
But, to return to your question: yes, I do have concerns about the over-diagnosis and over-medication of college students.
My concerns are threefold:
(1) Many (not most, but many) clinical syndromes of college students are developmental. Though painful, and though sometimes resembling real psychiatric diagnoses like depression, they are the natural consequence of leaving childhood and beginning the transition to adulthood. They do not rise to the level of psychiatric disorder. They're self-limiting and crucial for psychological maturation.
The problem is that deciding whether a problem is a true psychiatric disorder or "merely" a developmental challenge requires considerable clinical sophistication. The consequences of making the wrong call are considerable on both sides. That's why students should find a skilled clinician to help them sort it out.
(2) Some psychiatric medications have troublesome side effects that produce their own set of problems. And sometimes those side-effect problems are as big as the problem they were prescribed to treat. Weight gain and loss of libido come to mind. So again it takes considerable clinical sophistication to weigh the pros and cons of medication, especially in marginal cases, and to help the student make an informed decision.
(3) Medication is a signifier of psychiatric illness. To the extent that students are using illness consciously or unconsciously as an excuse to avoid taking responsibility for their actions or doing their schoolwork, psychiatric medication may delay the moment when they confront their academic or other difficulties.
The worst outcome of the inappropriate use of psychiatric medication would be that the student comes to see herself as an invalid and uses medication and all it symbolizes as a crutch.
Let me conclude by saying that these three caveats about using medication should be addressed in a respectful, informed dialogue between the student and a qualified psychiatrist. Most students and therapists will choose the correct treatment when given all the relevant facts and options.
Q: You write that psychiatrists and other therapists may make "the honest mistake of mislabeling work avoidance as psychological illness." Is this a common error? And how does one distinguish between the two?
A: This question returns us to the issue of shame.
As I've said, most students want to do well in college. But college students are no more exempt from procrastination, distractibility, perfectionism, grandiosity, wishful thinking, avoidance and just plain laziness than the rest of us. Before it becomes stimulating and rewarding, academic work is lonely, daunting, tedious, time-consuming, laborious, frustrating and unpleasant. In short academic work is work. Small wonder then that some students might try to avoid it. In high school they may be able to get away with not working. In college — not so much.
When they start to flounder, some college students will deal with their shame by using depression or ADD or substance abuse as an excuse. The vast majority of students with these ailments get better with treatment or accommodations. Only a few appropriately treated students don't get better. And some of those may be using their illness as a pretext for avoiding work or as a way to deal with their shame.
The fact that a few students use their illnesses as an excuse is not meant to give license to college professors to crack down on every kid who asks for an extension because they're being treated for depression. It's meant as a warning to students and therapists to face up to the possibility of malingering. Otherwise the student is in danger of believing his own rationalizations and becoming a chronic invalid.Q: "In my experience," you write, "most depressed college students who are doing poorly in school are depressed because they're doing poorly, not the other way around." How did you arrive at that conclusion? Is your stance an unusual one?
A: Most — but not all — of the cases of depression that I see in college students, especially in students who avoided work in high school and have no family history of depression, are the consequence not the cause of poor academic performance.
This was not what I had expected. Based on my experience with adults, I had expected the depression to be the cause not the consequence of the poor work performance.
Since my observation is anecdotal, it might not reflect the wider consensus. And certainly the depressions of college students have to be taken seriously regardless of whether they're primary or secondary. But based on experience with many students over thirty years, it makes sense to me that they would be the exceptions to the rule that depression precedes poor performance. The adjustment young people have to make in order to cope with college-level work is greater than any other transition they've hitherto had to make. Couple that with a history of poor work habits, high personal and parental expectations, withdrawal of the structure of high school, and a unique post-adolescent propensity for shame, and it becomes obvious why college students get depressed when they flounder academically — and why they might want to use "depression" as an excuse for why they're failing.
The young man I referred to above, whose mother phoned me just before Thanksgiving, was just such a case. He wanted to propose that his depression had caused his poor performance. But his history revealed only sporadic academic effort in elementary and high school and considerable time playing video games and procrastinating in college. Nevertheless, because of his shame, it took several months of psychotherapy before he could admit that he needed the "depression" as a sop to his conscience, and as an explanation to his parents and teachers, for why he wasn't performing.
It's worth noting that a psychotherapy that didn't deal with this so-to-speak malingering, would not have worked any better that medication to cure this depressive symptoms. Until he was able to face up to his shame about not doing his schoolwork — and begin to develop the discipline and structure he needed to succeed—he would not have been able to relinquish the excuse of depression. When he did do those things, the depression disappeared of its own accord.
This is a tricky, high-stakes clinical call. It's probably easier and less risky to go with the flow and treat the depression as an autonomous problem. The upside of doing so is that you won't under-treat any cases of major depression. The downside of treating the depression as cause rather than consequence of academic floundering is that the student might not push himself to buckle down, and perhaps never complete college.
Q: Should colleges be doing more to identify and assist unhappy or struggling students? What changes would you like to see?
A: The answer is a definite yes. I wrote a blog article in Psychology Today detailing why I think colleges should provide training on how to study at the college level. I won't repeat my whole argument here. But suffice it to say that if academic floundering is the biggest cause of college unhappiness (which it is) and if training on how to study would increase the likelihood that students would study (which it would), it's regrettable that universities don't provide this instruction.
In the meantime, there is nothing to stop professors from providing lecture notes before class and discussing how they and other specialists study and produce work in their particular disciplines. It would improve their own popularity and the success of their students if professors reached out to students who were skipping classes or failing to hand in assignments. There's also no reason that instructors can't give reading and other assignments that are meaningful and require a reasonable time to complete—and that they give quick and helpful feedback on those assignments.
Many college students have told me that their motivation and enthusiasm mirrors that of their professor. Professors who are unprepared, unenthusiastic, slow to return assignments, unduly harsh or unduly lax bring out the worst in their students. Professors who are prepared, enthusiastic, responsive and fair bring out the best.
http://www.insidehighered.com/news/2010/09/15/leibow
Friday, September 10, 2010
When the Past Comes to Haunt Me
I have not seen Gwendoline since I was in middle school.
Said she came by to pick up something....the school lost a laptop and now wants to offer her identity protection at no cost for two years.
We chatted, detailing things like college drop outs, unwanted pregnancies, and missed opportunities.
I smiled, and thought, could I open up to her about my blog?
Her story is even more realistic than mine. Transferred to over three different schools in two states. More than 30K in student debt. Should have graduated a year ago. Had a baby. Only now getting her life back together.
She asked me about Shauna, an old nemesis from Middle school. I told her Shauna was in Med School at Woof University Research Hospital, perhaps on a scholarship or two. Still fat as ever, a little taller though.
Gwendoline told me about Veronica, a girl who seemed to quietly despise me, now an RN working at a local hospital. Flaunting new found wealth in volunteering to help a poorer family member pay for a wedding. She graduated from Woof University about a year ago.
I saw the hurt in Gwendoline's eyes. All I could do is encourage her, and give vague details about my own reasons for still being a student at Woof University. I'm a two time drop out, went to the same middle school as Shauna and Veronica,but could not handle being on my own.
I don't know what happened. We were all smart, talented and resourceful ppl. We all had nearly the same backgrounds, schools even. We all went our separate ways, some landing on our heads.
One thing is for sure, the successful ones had there @#$% together from the get-go. Now that Gwendoline and I have finally found our purpose, though worn out and teary eyed, we are on our way to better things.
Hopefully.....