Patricia Salber MD, MBA is a physician executive and serial entrepreneur. Her company, The Doctor Weighs In, is a multimedia company with the mission of helping healthcare innovators tell their stories to the world. She uses video, radio, social media, and her very popular blog, The Doctor Weighs In, to reach a global audience of hundreds of thousands of people with her stories.

In the past, Dr. Salber has worked in almost every aspect of healthcare starting as a double-boarded Emergency Physician at Kaiser Permanente, years as a Physician Executive for Kaiser's corporate headquarters, and various leadership roles with employers, such as GM, and health plans, such as Blue Shield of California.

She serves as an advisor to a number of early stage companies and not-for-profit organizations.  She was the founder and served as President of Physicians for a Violence-free Society for more than a decade. Her book, The Physicians Guide to Intimate Partner Violence and Abuse was the first book for physicians on the topic.

She has published widely in both peer-reviewed journals, trade press, and popular press. She has appeared on CNN, NewsMax, Huffington Post, and Fox Business News and participated in numerous radio shows as an expert healthcare commentator. She has a regular health policy podcast sponsored by the American Journal of Managed Care as well as The Doctor Weighs In Podcast on the Blog Talk Radio Platform.  She is a co-author together with Richard Krohn and David Metcalf of her latest book, Connected Health: Improving Care, Safety, and Efficiency with Wearables and IOT Solution.

For fun, she likes to hike and travel the world with her family. Her most recent trip was to the Peruvian Amazon to birdwatch and swim with pink dolphins.

Tags: dopamine | testosterone | estrogen | kids health

Chemical Reasons for Teen Angst

By Wednesday, 14 February 2018 04:30 PM Current | Bio | Archive

Nationally recognized child and adolescent psychiatrist Jess P. Shatkin, M.D., MPH, writes that “Mother Nature has purposely put our brains out of balance between around 12 and 26-years-of-age.”  If you spend any time around teens, that statement probably rings true.

Shatkin explains that brain and hormonal changes that take place during that transformational phase of life play an important role in driving behavior.

The levels of dopamine, a neurochemical that helps people experience pleasure, are very high during adolescence, and the emotional brain (or limbic system) has greater influence over decision-making.

In addition, sex hormones (testosterone in boys and estrogen in girls) are causing all sorts of bodily changes that teens have to deal with, including hair in new places, larger breasts, periods, sexual arousal, and growth spurts.

Oxytocin, the “love hormone” helps teens feel bonded to others, and  may lead to angst when they feel they are not accepted by their peer group.

Research has shown that the brain’s social attachment system is connected with the brain’s pain system, so when teens feel left out of social events such as parties or social media tagging, they may feel real pain.

Shatkin notes, “Hurt is so real that Tylenol relieves the emotional distress that kids feel in these situations.”

He goes on to say that “this [all] makes sense from an evolutionary perspective because life is a team sport, and once you’re sexually mature, nature demands that you find a mate and procreate to sustain yourself and your species.”

The problem is that sometimes in an effort to stand out and impress their peers, teens may take undo risks.

For parents, the challenge is balancing your strong desire to keep your child safe while still allowing him or her to try things out during this critical developmental phase.

Shatkin advises,“As they age into adolescence, it’s essential that we help our children establish self-efficacy and the ability to manage and regulate their behavior and emotions, which means continuing to monitor while at the same time shepherding them to self-discovery by giving them some room to explore.”

This is sound advice from an expert on adolescent behavior who is also the father of teenagers himself.

If you would like to learn more, here is a link to Dr. Shatkin’s story on The Doctor Weighs In.

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As they age into adolescence, it’s essential that we help our children establish self-efficacy and the ability to manage and regulate their behavior and emotions.
dopamine, testosterone, estrogen, kids health
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2018-30-14
Wednesday, 14 February 2018 04:30 PM
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