Children
What is a Psychiatric Nurse Practitioner and How Can They Help?
A Psychiatric Nurse Practitioner (PMHNP) is a highly trained healthcare professional specializing in mental health care for individuals across the lifespan. With advanced nursing degrees and board certification in psychiatry, PMHNPs bridge the gap between therapeutic counseling and medical management.
For adults and children, PMHNPs provide a range of services, including:
- Comprehensive Mental Health Assessments: Evaluating emotional, behavioral, and cognitive concerns to establish a clear understanding of symptoms.
- Diagnosis and Treatment: PMHNPs diagnose conditions such as ADHD, anxiety, depression, and mood disorders, tailoring treatment plans to individual needs.
- Medication Management: Prescribing and monitoring psychiatric medications when needed, ensuring their safe and effective use.
- Therapeutic Interventions: Offering supportive counseling, psychoeducation, and strategies to enhance coping skills.
- Collaboration with Other Providers: Coordinating care with primary care physicians, therapists, and schools to provide holistic support.
PMHNPs play a critical role in reducing the stigma of mental health care by offering compassionate, evidence-based services in accessible settings. They are uniquely positioned to support individuals and families in achieving emotional wellness and resilience.
At Crossroads Family Counseling Center, we are excited to announce the addition of our very own Psychiatric Nurse Practitioner, who is currently accepting new clients. For more information, please contact our intake department at 703-380-9045 or info@crossroadsfamilycc.com.
For more information about Psychiatric Nurse Practitioners, visit the American Association of Nurse Practitioners (AANP).
Sarah McCarthy, MSN, FNP-BC, PMHNP-BC, is a Family Medicine and Psychiatric Mental Health Nurse Practitioner. Sarah earned a bachelor’s degree in Psychology at Smith College, then a Masters in Nursing from Johns Hopkins University, followed by advanced practice studies in Family Medicine at Simmons College. She completed her Psychiatric Mental Health Nurse Practitioner certification at George Washington University.
How To Deal With Bullying – For Kids and Parents
Bullying is repeated, unwanted, and aggressive behavior involving a real or perceived power imbalance among school-aged youth. According to a recent survey from StopBullying.gov, about one out of five children will be a target of bullying. Schools across the country address bullying early in the school year to foster safe, inclusive, and welcoming environments.
In Virginia, many schools focus on the “3 R’s” during Bullying Prevention Month: Recognize, Report, and Refuse. Unlike general conflicts, bullying is both repeated and one-sided, with the targeted person not having done anything to provoke it. Reporting bullying differs from tattling, because it is about keeping someone safe, not about getting someone in trouble. Bystanders are also encouraged to advocate for their peers, reinforcing the idea that, “No one has to do everything, but everyone has to do something.”
Bullying takes many forms, including physical, emotional, social, and cyberbullying. Social bullying can involve spreading rumors or excluding someone. Cyberbullying often extends beyond school hours, making it harder to escape. Parents are encouraged to discuss online interactions with their children and monitor digital communication closely. If left unchecked, bullying can leave long-lasting social and emotional wounds.
Research shows that youth who are bullied are more likely to experience low self-esteem, anxiety, and depression, and some may even engage in self-harm or suicidal ideation. Meanwhile, children who bully others often struggle with emotional regulation and interpersonal relationships. Research also suggests not labeling children as “bullies” or “victims,” because it makes the problem seem permanent. By describing behavior, and not people, change seems more possible.
Signs of bullying to look out for include:
- unexplainable injuries
- lost clothing or belongings
- frequent headaches or stomach aches
- change in mood, or a sudden avoidance of school and social situations
If you suspect your child is being bullied, or bullying others, try talking with them about it. You don’t need to be a detective or a counselor to know that something is off with your child. Share with them what you are noticing. Statements that start with “I wonder” or “I’ve noticed that…” are a way of gaining information without questioning. Children are likely to shut down if they feel like they are being interrogated. Avoid asking ‘why’ questions if possible.
Create open dialogue in your home by holding regular family meetings and remaining honest, compassionate, and nonjudgmental. You may find dinner as a good time to connect. Understandably, you will be upset if you learn your child is involved in bullying. However, before jumping into problem solving, wait until you are calm yourself. The best solutions come up when we are calm, and you also want to model for your child that you can handle it. If you are overly upset and dysregulated, they may be less likely to share with you in the future as a way of protecting you.
When you and your child are both in a good place, mentally and physically, generate a list of possible solutions. Ask them who their trusted adults are at school. If they do not have one, talk about people they would like to know better. Reach out to the school to talk with their counselor, teacher, and administrator about what you have learned. Help your child identify their supportive bystanders and practice assertive communication. Most importantly, believe in your child and let them know you believe in them. No one deserves to be bullied and no one deserves to go through it alone.
For more information on anti-bullying, visit Pacer.org or Stopbullying.gov.
Great books to consider reading with your child include:
One by Kathryn Otoshi – PreK – 1
The Invisible Boy by Trudy Ludwig – grades 2 & 3
The Day You Begin by Jacqueline Woodson – grades 4 & 5
Kids Books on Kindness & Anti-Bullying
If your child is experiencing bullying and needs more support or as a parent if you need guidance on how to help your child, reach out to contact Crossroads Family Counseling Center to talk to one of our therapists. We take a stand against bullying and can help you navigate this difficult time. We can support your child in building their self-esteem, their communication and advocacy skills. Call 703-380-9045 or info@crossroadsfamilycc.com.
Elizabeth Uffelman, LPC a Licensed Professional Counselor. Elizabeth completed her Masters in Counselor Education at the University of Virginia in 2016. She is a former School Counselor. Her passion for helping children reach their fullest potential drives her in supporting children getting the mental health support they need.
Sarah McCarthy, PMHNP-BC, FNP-BC
How to Foster Artistic Expression in Children
By Anya Willis, from FitKids
Every March, the American Art Therapy Association celebrates Creative Arts Therapy week to help spread information on what Art Therapy is and how it can be extremely beneficial to clients.
What is Art Therapy? Art therapy is “a mental health profession that enriches the lives of individuals, families, and communities through active art-making, creative process, applied psychological theory, and human experience within a psychotherapeutic relationship” (ArtTherapy.org). When words fail, art is a great way for clients to express their challenges, frustrations, or questions that they may bring to therapy.
Children often struggle to express their thoughts, feelings, and questions due to age and frontal lobe development. Art is one way for children to express themselves creatively and process their feelings and thoughts. While finding an art therapist or therapist that uses art therapy in their work is helpful, parents are able to foster creative expression at home.
Art offers a unique and invaluable platform for your child to express themselves creatively. This guide, courtesy of Crossroads Family Counseling Center, aims to assist you in nurturing your child’s artistic talents.
You’ll find methods to help your child explore and develop their artistic expression. The focus is on adapting to their unique way of experiencing and creating art. Your involvement is key to unlocking their creative potential and fostering their artistic growth.
Art as a Therapeutic Avenue
Art acts as a potent therapeutic tool, catering to your child’s varied learning styles and abilities. It provides a unique form of expression, surpassing traditional communication barriers. This allows your child to express their feelings and thoughts in a way that deeply resonates with them.
Art’s flexibility meets your child’s unique needs and preferences, whether it’s painting, sculpture, or digital mediums. Art creates a comforting and understanding space for your child’s self-expression. Such an environment supports your child’s emotional and creative development.
Promoting Unstructured Artistic Exploration
Engaging your child in open-ended art activities can be incredibly beneficial. These activities, devoid of strict guidelines, encourage the exploration of various materials, textures, and forms.
Such an approach not only aids in developing fine motor skills but also provides a nonverbal medium for emotional expression. The freedom inherent in these activities promotes a sense of accomplishment and self-expression, which is crucial for emotional and artistic development in all children.
Providing Individualized Artistic Support
Fostering your child’s artistic abilities hinges on your ability to provide a supportive, non-judgmental environment. By tailoring activities to suit their unique strengths and interests, you play a crucial role in making them feel valued and understood. This kind of personalized approach significantly boosts their self-confidence.
Encourage your child to explore their creative potential. In doing so, ensure they are free from the fear of judgment or failure. Such encouragement allows your child to express themselves and develop their artistic skills freely.
Exploring Diverse Artistic Opportunities
Encouraging your child to explore various artistic outlets is essential in finding the medium that best suits their interests and abilities. From art therapy sessions that offer emotional catharsis to adaptive music classes that engage their auditory senses, the spectrum of artistic opportunities is vast.
Sensory-friendly theater performances, tactile art projects, and dance workshops are also excellent options. These activities foster artistic expression and provide opportunities for social interaction and personal growth.
Digital Preservation of Artistic Works
In today’s digital age, consider the practical and sentimental value of converting your child’s artwork into digital formats like PDFs. When looking for a PDF file converter, prioritize one that can maintain the vibrancy and integrity of the original artwork.
Using a drag-and-drop PDF converter ensures the safekeeping of these creations and offers ease of sharing and viewing. It allows you to celebrate your child’s artistic development effortlessly and create a lasting record of their creative journey.
The Bottom Line
Artistic expression is crucial for your child’s development and emotional expression. Adopting these strategies allows you to cultivate an environment where your child’s creativity flourishes. This journey in the arts goes beyond mere art creation; it’s about your child finding their unique voice and perspective.
They will discover a path to self-expression and personal growth through art. As they explore and create, they will develop a deeper understanding of themselves and the world around them. Your support in this journey is key to unlocking their full creative potential.
Enhance your family’s well-being with Crossroads Family Counseling Center. Experience professional therapy tailored to children, adolescents, adults, and families in northern Virginia.
Ellie Zadeh, MS, Resident in Counseling
Courtney Barber, M.Ed, Resident in Counseling
The Power of Self-Care: Transforming Your Family’s Well-Being
By Anya Willis, from FitKids
In today’s fast-paced world, family self-care has become essential for maintaining a healthy and harmonious life. This article explores eight key strategies to help families invest in their overall well-being. From exercise routines to creating a peaceful home environment, we’ll delve into practical ways to nurture both individual and collective self-care.
Establish an Exercise Routine
Regular exercise is crucial for physical and mental health. As a family, set aside time for workouts or outdoor activities like hiking or biking. Not only does this promote fitness, but it also strengthens family bonds through shared experiences. Encourage each member to choose an activity they enjoy, fostering a love for fitness. Regular physical activity can prevent chronic diseases, boost mental health, and enhance the overall quality of life for all family members.
Declutter Regularly
Creating a peaceful and healthy home environment starts with decluttering. Organize your children’s playroom by investing in storage containers and shelving. Involve your kids in the process, turning decluttering into a fun game. Estimate how quickly you can organize, making it a playful challenge. A clutter-free home reduces stress and promotes a sense of calm, contributing significantly to the family’s overall well-being.
Practice Mindfulness and Meditation
Mindfulness and meditation are powerful tools for reducing stress and improving mental well-being. Introduce your family to these practices, starting with simple techniques like deep breathing or guided meditation. Allocate a few minutes daily for these exercises, creating a routine that nurtures mental health. Such practices help in developing emotional resilience, enhancing focus, and fostering a sense of peace within the family unit.
Limit Screen Time
Excessive screen time can disrupt sleep patterns and reduce family interaction. Establish boundaries on the use of digital devices, creating device-free hours for family bonding. Engage in activities like sharing meals or playing board games during these hours. This approach not only improves sleep but also strengthens familial ties by encouraging direct communication and shared experiences.
Ensure Adequate Sleep
Adequate sleep is a cornerstone of health and mood. Develop a consistent bedtime routine for both children and adults. This routine should include winding down activities and a set bedtime to ensure everyone gets enough rest. A well-rested family is more energetic, happier, and able to face daily challenges with resilience.
Plan Regular Family Outings
Regular family outings provide a necessary break from routine and a chance for quality bonding. Plan diverse activities like picnics, museum visits, or weekend getaways. These experiences not only offer relaxation but also create cherished memories. Such outings enhance family connections, providing opportunities for open conversations and shared joy.
Create a Peaceful Home Environment
A peaceful home is vital for family well-being. Promote open communication and handle conflicts with calmness and empathy. Strive to create a positive atmosphere where each family member feels valued and heard. A nurturing home environment is the foundation of a strong, supportive family unit, crucial for overall well-being.
Investing in family self-care is a collective effort that reaps numerous benefits. By following these eight key strategies, you can create a healthier, happier, and more balanced family life. Prioritizing self-care within your family not only enhances individual well-being but also strengthens the bonds that hold your family together.
Enhance your family’s well-being with Crossroads Family Counseling Center. Experience professional therapy tailored to children, adolescents, adults, and families in northern Virginia.
Empowering Kids for a Lifetime of Healthy Living: A Parent’s Guide
By Anya Willis, from FitKids
Hey there, busy parents! Our world is speeding up, and our kiddos are feeling it. It’s crucial that we give them the roadmap for a life of wellness—both body and mind. You’ve probably read a gazillion articles on this topic, but stick around; this blog post from Crossroads Family Counseling Center will dive into some real, actionable steps that you can take today. Let’s be the mentors they need.
Teach Them to Manage Stress
Remember that time you almost broke down because you had three deadlines and only two hours? Now, translate that to your kid’s universe. They deal with stress too—homework, friendships, you name it. Arm them with stress-busting tools like deep breathing and mindfulness. Oh, and don’t just tell them, show them! Make it a family affair and breathe together.
Let Kids Pursue Their Dreams
Your personal journey is inspiring and serves as living proof that it’s never too late to chase your dreams. It’s important to also take a look at the aspirations of those around you, using your own experience as a launching pad to encourage them. Cheer them on as they explore their interests, whatever that may be.
Get Involved in Nature
Remember building sandcastles and chasing fireflies? Well, our kids deserve to create their own “remember when” moments. Push those electronic gadgets aside for a bit and head for the outdoors. Whether it’s hiking, biking, or just a simple game of catch, nature heals and energizes like nothing else.
Get Them Excited About Healthy Foods
When my kids were little, they thought broccoli was tiny trees. Funny, right? But it got them to eat it! Educate your children on the importance of eating their “tiny trees” and other balanced foods. Let them put on the chef’s hat occasionally and cook a meal. It’s amazing how much they’ll eat when they’ve made it themselves!
Take Daily Walks Together
You know what’s surprisingly therapeutic? A good ol’ family walk. Make it a daily ritual. If your neighborhood isn’t designed for walking, maybe it’s time to scout out some nearby trails or parks. Or hey, consider the ultimate life change—a relocation to a more pedestrian-friendly area, one that’s been given a high neighborhood score for walkability. You won’t regret it.
Prioritize Quality Sleep
Can you function on three hours of sleep? Neither can they. Create a bedtime routine that they’ll actually want to follow. Read a book, share stories, or listen to calming music. A good night’s sleep sets the stage for a day of achievements.
Address Dangers of Drugs and Alcohol
Yeah, it’s an awkward conversation, but an essential one. Open the dialogue about drugs and alcohol. Keep it real and age-appropriate. Listen more than you talk. Make it a safe space for them to ask questions and express concerns.
Promote Regular Physical Activity
This doesn’t mean you have to enroll them in every sport known to mankind. Maybe they love dancing or just riding their bikes around the neighborhood. The key is to make physical activity fun. On weekends, join them. Not only will this promote a healthy lifestyle, but it’ll also give you some quality family time.
We all want to launch our kids into a life of health and happiness. As parents, we’re the pilots on this journey. By integrating these strategies into daily life, we can steer them towards a future of physical and emotional well-being. It’s our greatest privilege and responsibility. So, buckle up and enjoy this ride together.
Anxiety at the Start of the School Year
With the start of the new school year, parents may notice challenging behaviors in their children, such as:
- Trouble sleeping
- Complaining about stomach aches or other physical problems
- Avoiding certain situations
- Being clingy around parents or caregivers
- Trouble concentrating in class or being very fidgety
- Tantrums
- Being very self-conscious
According to the Child Mind Institute, these are symptoms often associated with anxiety. Childhood anxiety disorders are very common. Before COVID-19, the prevalence of anxiety in children was 11.6 %. After the pandemic, the rates went up to 19%, see reference here.
When returning to school, many children worry about getting along with a new teacher or need help making new friends.
Here are five things parents can do to help their children cope better with school-related anxiety.
- First, it is helpful to strengthen the child’s attachment or bond between the parents and children. Establish regular time for play with each child, even if it is only 10 minutes a day or every couple of days. It doesn’t have to be complicated or involved. Make it easy. Pull out a balloon and lob it back and forth. Sit and read a book together. Give each other a back rub or a foot rub. Play a card or board game like Connect 4, which doesn’t take long. You don’t have to break out Monopoly! Ensure your child knows you are there to hear their thoughts/concerns and feelings. Share with them how you found ways to cope as a child while going through a tough time. Kids love it when you share about yourself!
- Second, help your kids try calming methods, such as deep breathing, listening to calming music, singing, drinking water, splashing water on their faces, stretching, jumping jacks, coloring, etc. Different kids prefer different methods of calming down. Find one they prefer. Practice them together.
- Third, if they are nervous about making friends, let their teacher know and see if he/she can facilitate some connections with peers. When parents get involved with the school, they get to know other families, which creates more opportunities to facilitate friendships. Suggest a get-together after school with a classmate. Plan a structured activity for the get-together, like making cookies, to make it easier for shy kids who struggle with what to say. It is easier to talk about the task, saying things like, “We need to add vanilla next.”
- Fourth, recess and lunch can be stressful for socially anxious kids since it is less structured. Teach your kids some games to play at recess. Ask the teacher if they are allowed to bring a deck of UNO cards or teach them how to play games like Red Light Green Light. See the video for how to play, click here.
- Fifth, help kids practice social conversations when you have dinner together. You can role-play how to talk to peers. Have them practice asking kids relevant questions, like ‘What kinds of games do you like to play?’ or ‘What is your favorite dessert?’ You can even practice telling each other simple jokes, like “knock, knock jokes,” that they can share with peers.
In addition, remind your kids of successes they have had in the past, such as learning how to tie their shoelaces, balance on a scooter or a bike, swim, or do a forward roll or a cartwheel. Remind them that they can learn new things like they did in the past. Experiencing success helps kids build confidence, which is an antidote to anxiety.
There are many proven ways to overcome anxiety. If your child is getting overwhelmed and you need more support, feel free to contact one of our Crossroads counselors.
Elizabeth Uffelman, LPC
Angela Benitez, M.A., Resident in Counseling
A Guide to Staying Organized on a Busy Parent’s Budget
Written by Anya Willis, from FitKids.info
As parents in our fast-paced, ever-demanding world, we often feel overwhelmed by the tremendous amount of tasks and responsibilities that we shoulder day in and day out. Finding efficient ways to stay organized is more critical than ever to ensure a happy and balanced family life. Let’s dive into some valuable advice on cost-efficient ways to organize your daily lives, presented below by Crossroads Family Counseling Center.
Create a Daily To-Do List
Creating daily checklists might seem like adding yet another task to your busy routine, but it can actually help you visualize what needs to be done and prioritize your responsibilities. You can use a physical planner, dry-erase board, or free apps. With a clear list at hand, you’ll be less likely to forget tasks and can keep track of your progress to stay motivated.
Adopt Time Management Techniques
You don’t need to be a productivity guru to master practical time management strategies that will help you save time and stay organized. Start by allocating blocks of time for specific activities, such as meal planning or tackling laundry. Set a timer to stay on track and avoid distractions. Before you know it, you’ll be amazed by how much you can accomplish within these manageable timeframes.
Combine Your Errands
While it’s tempting to tackle errands whenever they come to mind, it’s more time and cost-efficient to batch similar tasks together. For example, schedule all of your grocery shopping or appointments in one day, so you’re not constantly running around town. Organize your shopping list by store sections or categories to save time (and your sanity) and cut down on unnecessary trips.
Create a Cleaning Schedule
Instead of spending your weekends deep cleaning your entire home, try dividing cleaning tasks throughout the week with a simple cleaning routine. Assign specific areas or tasks per day, like Mondays for bathrooms and Tuesdays for dusting. This way, you can maintain a clean home without feeling overwhelmed. Plus, involving the entire family can create a sense of responsibility and teamwork.
Plan Your Meals
Meal planning may seem daunting, especially if you’re on a budget, but investing a couple of hours each week to plan your family’s meals can save significant time and money. Plan simple and nutritive meals, then create a shopping list based on your plan to minimize impulse purchases. You may also want to consider prepping meals on weekends or whenever you have spare time to save you ample hours during the busy weekdays.
Use Online PDF Tools for File Management
Busy parents no longer have to worry about searching through stacks of paper for documents as they can quickly and easily digitize them with a scanner or their smartphone camera. With free PDF tools, organizing, editing, annotating, and sharing documents is even faster with a free PDF compressor. This way you can archive your files digitally and have access to them anytime from anywhere.
Staying organized as a busy parent is essential to leading a balanced, stress-free life. By implementing these cost-efficient tips, from daily checklists and time management strategies to cleaning routines and file digitization, you’ll be well on your way to staying organized in no time. Remember that organization is a habit that takes time to cultivate, so give yourself some grace and stay persistent. As you streamline your daily routine, you will find yourself more energized, empowered, and able to enjoy quality time with your family.
7 ADHD-Friendly Organizational Tips for Children
Written by Rachel Perez on behalf of HomeAdvisor
If your child has attention deficit hyperactivity disorder (ADHD), they likely struggle with tasks requiring organization, planning, time management, and focus. Homework assignments are forgotten, misplaced, or abandoned halfway through. Rooms get messy and stay that way. Teachers report that your child doesn’t pay attention or follow directions in class. Sound familiar?
While you may wish for a magic wand to sweep everything into place, there are ADHD-friendly tips and tools that can make a big difference. Based on a HomeAdvisor blog on organization hacks for people with ADHD, we’ve collected seven organizational tips that can help children succeed at home and at school. Although these suggestions are tailor-made for kids with hyperactivity disorders, they may just help the rest of your family get organized too!
1. Start Small
Whether you’re tackling school work, laundry, or even getting ready in the morning, it’s important to start small. Children with ADHD can get frustrated and distracted quickly, so try to keep tasks manageable and realistic. By achieving small goals, your child may get a sense of accomplishment that can boost motivation and keep them going.
Even when you feel overwhelmed, focus on one project at a time when possible: single-tasking works better than trying to do everything at once.
2. Reduce Clutter and Distractions
While many kids struggle to keep their rooms tidy, those with ADHD often need more help than most. You may find the rewards worth the extra effort, however, as reducing clutter helps minimize distractions, reduce anxiety, and make other tasks easier (like getting homework done on time). Although you may be tempted to do the tasks yourself, there is real value in helping children learn to manage themselves.
To prevent overload, remember to break the task up into realistic chunks. Instead of a deep cleaning when things get really messy, set aside 5 or 10 minutes before dinner every day (for example) to have your child tidy up their room. Then, every few months, help them go through their belongings and donate whatever they don’t use. When you do more intensive housework with them, divide it into smaller sections still, such as only sorting one bin or organizing one shelf at a time.
3. Give Everything a Home (Preferably Within Sight)
In addition to disorganization, kids with ADHD often struggle with forgetfulness. When their belongings are always located in the same spot, they don’t need to rely on memory to find them. When the spot is highly visible, it’s even easier. If your son can never find his shoes when it’s time to leave the house, consider an open shoe cubby by the front door. If your daughter loves toys, but can never find the one she wants, try storing them in clear tubs in her closet. You can even try labeling shelves with the names of what belongs there or color-coding bins by contents (blue for toys, red for sports gear, etc.).
Besides reducing clutter, giving every item a home can help children define organization and, eventually, help them achieve it. Organization means that writing utensils are in the pencil case (not on the floor), and trash is in the trash cans (not in the backpack). When your child is ready, you can take this up a notch, such as having them put undone homework on one side of a folder and completed homework on the other side.
4. Have Different Spaces for Different Activities
Just like each belonging has a space, each activity can too. If you have space in your home, designate different rooms (or sections of each room) for different activities. A quiet room (preferably without a TV) creates an inviting place for reading and studying. Noisy or active games can happen in the basement or playroom. If your child enjoys a hobby that makes a mess or requires specific materials, they should practice that hobby in its designated space—and only there.
You can apply the same logical organizing principles to your child’s bedroom. Divide the room into sections that correspond to different activities: studying, playing, dressing, and sleeping (for example). Under this system, you should not find socks on their desk, or homework under their bed. Of course, this is easier said than done. Still, having clearly defined sections of a room at least gives you a foundation for organization. It also follows the other suggestions in this list: giving everything a home, reducing clutter, and breaking projects into smaller parts.
5. Make Use of a Calendar or Planner
Thanks to smartphones, white boards, and old-fashioned paper calendars, we have a variety of planning devices at our fingertips. You may have to experiment a bit, but use whichever one works best for your child. They might find it easiest to locate a wall calendar in a central spot in your home, or they may enjoy keeping track of assignments on their computer and receiving electronic reminders.
Once you decide on a planner, use it to keep track of sports practices, upcoming tests, project due dates, or whatever your child needs to stay on top of in their life. Remember to break bigger items into smaller sub-tasks here too. Programming in studying time or due dates for specific project elements will prove more useful than simply inputting the final deadlines.
6. Experiment With Chore Charts
Like a calendar or to-do list, chore charts serve as a visible reminder of what your child needs to do. A dry-erase board makes an ideal format since you can change tasks over time, use different colors for different people, and then cross or check off chores when finished. While most people don’t enjoy chores, this kind of easy-to-read format can make things less overwhelming and provide a sense of accomplishment as tasks get done.
To avoid singling out your child with ADHD, engage the whole family in this process. Each person can take care of one room each week, do one chore per day, and/or take on several tasks on the weekend chore list. When delegating chores to a child with ADHD, help keep frustration at bay by assigning tasks they are currently able to do, rather than what you wish they could accomplish.
7. Don’t Forget to Give Breaks and Rewards!
All humans need breaks from—and rewards for—hard work. Because children with ADHD tend to get distracted and frustrated quickly, however, they may need them more often. Schedule 30 minutes of video game or trampoline time to decompress between school and homework. If you’re time-blocking, set a timer for 5 minutes of free time after each 15 minutes of work. Of course, you will likely need to enforce the times and help kids refocus, but know that breaks are an integral part of the process.
Finally, stress rewards. ADHD can impede executive functioning, making potential long-term rewards (like good grades) less important than short-term rewards (like going outside). So, create a system that helps your child experience success quickly. Your child can earn rewards (praise, points, time for a favorite activity) by engaging in productive behaviors, following the plan, and accomplishing small tasks.
Stay Positive and Supportive
No one likes to be nagged or criticized, but discouragement and frustration can be a real motivation-killer for kids with ADHD. Therefore, do your best to stay positive and to praise the efforts as well as the results.
If you need a little extra help setting your home up for success, then consider contacting HomeAdvisor. Our professionals can design and organize ADHD-friendly spaces, or simply provide cleaning and decluttering services to help you get your home on the right track.
Your Brain on Play Therapy: What Is Play Therapy and How Does it Work?
Play therapy reaches kids in a developmentally appropriate way, giving them the chance to communicate in their natural language of play. While adults can access their fully developed brains to verbalize problems, stressors, and strengths, children are still growing and do not have the same capacity to speak about their hardest moments. As Play Therapist Paris Goodyear-Brown explains in one of her TEDx talks, the brain has three main regions that play different parts. The bottom region (the lower brain) is responsible for basic rhythms and energy levels (heartbeat, balance, breathing, sleeping); it asks the question, “am I safe?” The middle region is responsible for memory making and emotional processing; it asks, “am I loved?” The front-most part of our brains, right by our foreheads, cares about judgment, decision-making, and analytical thinking; it asks, “what have I learned?” (Goodyear-Brown, 2018; Van der Kolk, 2014) This part of our brain does not actually finish developing until our 20s! Children are operating more often in the lower and middle regions of their brains, and the more stressed a person is, the more they function within those first two parts. Think about the last time you were stressed—maybe someone cut you off in traffic or said something hurtful to you—were you able to immediately analyze that moment? Probably not. It may have taken time for you to be able to feel safe enough to do that, to take in the experience and understand what happened.
Is Play Therapy Effective and worth the time and effort?
The research says: yes! Four separate meta-analyses showed that play therapy for children had moderately large to large effect sizes (Golding, 2016). The research demonstrates that play therapy is as effective as most forms of psychotherapy for adults, with the advantage that it is developmentally appropriate for children. It is also helpful to understand how play therapy transforms into visible changes. When a play therapist welcomes a child into the therapy room, the play therapist offers a safe and non-judgmental space through something called unconditional positive regard. Through use of toys as words, the child builds a world that the play therapist is trained to witness, narrate, and break down. Within play therapy sessions, a child may move between what looks like more emotionally charged play and less emotionally charged play. Depending on what your child needs to work on, this process may look different and moving between types of play will be
important as your child works on their specific goals in play therapy. The play therapist joins with caregivers, translating what is happening symbolically into a treatment plan that the caregivers, child, and play therapist can work on together. Through play-based activities in the play therapy room and at home, the play therapist facilitates the child’s growth process and empowers the child’s healing.
References:
M Golding, J. (2016). Evidence-based child and adolescent psychotherapy: It’s not what you think: Evidence-based psychotherapy. Journal of Paediatrics and Child Health, 52(10), 919–922. https://doi.org/10.1111/jpc.13272
Van der Kolk. (2014). The Body Keeps the Score. Penguin Books, New York: NY
Goodyear-Brown, Paris. (2018). https://www.youtube.com/watch?v=SbeS5iezIDA
Sensory Processing Disorder: What is it and how can I support?
Sensory Processing Disorder (SPD) affects how an individual’s brain processes incoming stimuli from our different senses. SPD can affect all five out senses (i.e., taste, smell, hearing, sight, and touch) or just one (Staff & Rice, 2020). Individuals with SPD may overreact to a sensory experience in a way that is jarring for those around them (i.e., a tantrum, screaming, or hitting). In some cases under react to a sensory experience causing them to want to experience it more (i.e., hit something harder, swing higher, etc.; Staff & Rice, 2020). Most frequently SPD is noticed in children as early as toddler years as they begin to explore different sensations around them. Children will begin demonstrating hypersensitivity or hyposensitivity to senses making it difficult for them to remain regulated in many situations (Child Mind Institute, 2021).
How do I know if my child may have SPD? SPD can be difficult to decipher as several developmental disorders also have sensory sensitivity components. For example, often SPD related symptoms are noticed in children who have Autism or ADHD. Because of its high rates of comorbidity with ADHD and Autism many people have a hard time deciphering if it is a completely separate disorder (Staff & Rice, 2020).
According to Child Mind Institute (2021) SPD symptoms can include, but are not limited to:
- Being startled by touch
- Struggling with bodily awareness
- Be unaware of how much pressure they are applying to an object (i.e. break a crayon when coloring)
- Refusal around wearing clothes that may feel itchy or uncomfortable
- Inability to sit still and/or always fidgeting
- Enjoying intense pressure like a bear hug
- Not understanding personal space even when developmentally appropriate to do so
- High pain tolerance
Each of these symptoms are ones that can be experienced by a child without SPD. As some symptoms make sense due to other disorders. However, if a child is struggling with sensory experiences there are a few things that can be done by caregivers to support their children. Caregivers can begin to take note of the triggers and/or preferences of the child and tailor things to fit their needs. This may look like buying noise canceling headphones for plane rides or giving big hugs when the child feels dysregulated. Essentially parents want to help manage the sensory input so that it can be navigated by the child. Further, Occupational Therapy (OT) is a great resource to help manage sensory related disorders. OT’s are specifically trained in working with children with sensory related difficulties so that they are able to control and manage their responses to outside stimuli. Overall if your child is struggling with sensory related sensitivities, it may be helpful to look into Occupational Therapy as a way to support both your child and your family.
References:
Sensory processing FAQ. Child Mind Institute. (2021, August 8). Retrieved December 5, 2022, from https://childmind.org/article/sensory-processing-faq/
Staff, F. E., & Rice, A. (2020, August 31). Sensory processing disorder (SPD). familydoctor.org. Retrieved December 5, 2022, from https://familydoctor.org/condition/sensory-processing-disorder-spd/#:~:text=Sensory%20processing%20disorder%20(SPD)%20is,that%20other%20people%20are%20not
Ethan Kaste, M.S., Resident in Counseling
How To Help Children Who Are Being Bullied
In light of October being Bullying prevention month, it is important to open the conversation around bullying. Bullying affects roughly 20% of children between the ages of 12-18 (National Center for Education Statistics, 2019). Further, over 150,000 children a year miss school due to their bullying experiences (Assistant Secretary for Public Affairs; ASPA 2021). Therefore, it is important to talk with our children about bullying to help being awareness and hopefully mitigate its effects.
Bullying comes in all forms. Children may experience cyberbullying, verbal and physical harassment, and passive aggression. Bullying does not just happen in schools, but can happen anywhere, such as: at after school activities, sports games/practices, and friends’ houses. However, regardless of how the bullying is experienced, the effects it can have on a child can feel severe. When a child is experiencing bullying we may notice a change in their day to day attitude and demeanor, a reluctance to attend events or school functions, increased emotional outbursts, or potentially self-harm.
If you begin to notice signs of bullying or hear reports of bullying, here are three easy steps to help start the conversation:
1. Acknowledge your child’s emotions. This may seem easy, but when the school year is busy it can often feel like we are on autopilot trying to get through the day and we miss moments for connection. So taking a moment to slow down and notice how your child is feeling. Ex: You seem like you are feeling sad today.
2. Offer your support. Beyond just acknowledging the emotion, let your child know that you are there for them. Maybe they want a hug, to talk, or to do an activity with you. Letting them know you’re there has the potential to help them feel less alone as well as lets them know you see them. Ex. You seem like you are feeling sad today, would you like to talk about it?
3. Show them you are there. Sometimes children do not want to talk about it or they do not know what type of support they want and need. So showing them you care by offering an activity to do together, writing them a note for school, or setting up a time to talk together are a few ways to help show them that you are there if they need it. Sometimes it is as simple as letting them know you love them and are always there. Ex. I am here for you if you ever want to talk
These three steps can not only help to open the conversation around bullying but also around other experiences your child may having during their school day. As the school year ramps up and schedules become more hectic, remember to take time to connect with your family! Together, we can build strong, resilient children and families!
References
Assistant Secretary for Public Affairs (ASPA). (2021, September 9). Facts about bullying.
StopBullying.gov. Retrieved September 22, 2022, from https://www.stopbullying.gov/resources/facts
National Center for Education Statistics. "Bullying: Fast Facts.” Accessed Aug. 21, 2019. https://nces.ed.gov/fastfacts/display.asp?id=719
Amanda Harrington, PhD, LPC
Supporting Anxiety in Children as They Return to School
When August rolls around, it is time, to get ready for the return to school. Here are a few suggestions to make the transition smoother.
Over the summer, take your child to their school playground to explore. When they come to school in the fall, they will associate the space with fun memories. “Remember that cool slide on the playground?”
Teachers need to become acquainted with many students, all at once. Email your child’s teacher a brief description of your son or daughter, in a kind of 2 minute elevator speech. Share what your child enjoys, like, “Dillon has read every Harry Potter book”, or “Jenny loves arts and crafts”. Include their strengths and challenges, like “Ashley is very kind, but shy and needs encouragement to join in socially.” Include the types of supports that help your child learn best, such as “Alex is a visual learner and having a printed schedule and written directions is helpful.” This will give the teacher insights about your child’s needs and will make it easier for them to know how to best approach your child. Teachers really appreciate it when parents take time to do this.
Review the state of your kids’ backpacks and lunchboxes to see if they need to be replaced. If they do, give kids the chance to choose one they like, which will give them something to look forward to enjoying at school.
Reestablish routines. Start having your child get their clothes ready the night before to make mornings easier. Several days ahead, get them back into the routine of going to bed earlier, so they can adjust gradually. Make a checklist of things that have to be done in the morning, and post it in a helpful place to keep everyone on track.
As soon as you find out who will be in your child’s class, plan some play dates with them. It is always easier to walk in to a new class with a familiar face.
If your child struggles with anxiety about the return to school, share with them that the first couple days are challenging for everyone, but over time, it will get easier and easier. Remind them of the things that are familiar, like the school building, the playground, the kids that they know, and the routine.
It might be helpful to know that physiologically, there is no difference in our bodies when we experience anxiety and when we experience excitement. You can reframe what they’re feeling as excitement. To help children focus on positive things, ask them to think of themselves as detectives looking for clues for the best things about the new school year.
A great picture book to read with children over the summer is “First Day Jitters” by Julie Danneberg. It reveals that not just kids have worries about the first day of school. It is really humorous and has a surprise ending.
For more support if your child is experiencing anxiety, depression or other challenges, please feel free to contact Crossroads Family Counseling Center to talk to one of our therapists.
About the Author: Judy Bender has over 20 years of experience as a Licensed Clinical Social Worker in Virginia. She has worked with children and adolescents in a variety of settings, including Johns Hopkins University Hospital’s Child Psychiatry Outpatient Clinics and other group practice settings.
Connect and Redirect: How to Co-Regulate Your Child
Has anyone ever wished that parenting could have a detailed manual, a bit like the old Encyclopedias that our parents or grandparents had? Go to Chapter 3, Section 3.2 for a detailed guide on how to calm down a child who tantrums before bedtime! That would make life so much easier – a pinch of this and a dash of that and voila your child is calm and happy and ready to have you tuck them in bed. Communication with our children, whether verbal or non-verbal, can be a slippery slope especially if we have children who are neuro-diverse, highly sensitive, have a learning disability, or don’t seem to listen regardless of the situation.
In Chapter 1 of The Whole Brain-Child Workbook by Dr. Daniel Siegel and Tina Payne Bryson, these authors state that almost all parents have two goals: 1) To survive the challenging experiences with their children, and 2) To help their children thrive and to give them experiences that they will integrate into their growth and development. In the competitive Western culture that we live in, oftentimes these experiences are interpreted as sports classes, music classes, additional academic coaching or tutoring and such. While there is much value in these additional services for those who have the financial flexibility to provide them, what gets lost in translation is our intimate and direct relationship with our children and how deeply children crave time and togetherness with their parents or caregivers.
The meaningful times that parents and children share together will lay the foundation for what Jean Piaget referred to as Object Permanence in his seminal theory of cognitive development. Object permanence describes a child’s ability to know that objects continue to exist even though they can no longer be seen or heard. It’s like our inner compass. The “object” that is internalized is usually the parent/caregiver and how they interacted and communicated with us and how we felt about that interaction and communication. It lays the foundation for the child’s ability to self-regulate.
So, what do we do when our child seems to not be able to self-regulate and calm himself/herself down not just at younger ages but as they grow and mature?
As parents and caregivers it is then incumbent upon us to become their co-regulators. What does that mean? It means to be aware of how our child’s behavior is affecting us and how we are responding to it. Does our own anxiety shoot up? Do we resort to yelling? Do we just tune out? Do we get into setting consequences and punishment right away as a way to deter behavior? If you have answered yes to any or all of the above then you are not alone – that is what we do when we are trying to survive the moment.
There is a powerful alternative, however. To use Dr. Siegel’s words “instead of command and demand, try connect and re-direct”. When we connect (getting down to their level if they are younger, having gentle eye contact, holding their hand or inviting them to sit down with us and touching them) we are acting as co-regulators. Once a loving connection has been established, it is essential to validate and reflect what the child is feeling (You are mad that you have to stop playing and come to the dinner table). Then you re-direct (it’s a special time to have dinner together. How about after dinner, you get — minutes of playtime and then we get ready for bed?). This may appear deceivingly simple but it is a powerful approach. Of course, sometimes despite our best attempts we may not be able to act as co-regulators; that is understandable and you should not blame yourself. Keep trying. Just remember that you don’t have to be the perfect parent, just a “good enough” parent.
References:
- Siegel, Daniel J. M.D., Bryson, Tina Payne Ph.D. (2015). The Whole Brain Child Workbook: Practical Exercises, Worksheets, and Activities to Nurture Developing Minds. Pesi Publishing & Media
- Piaget, Jean (1977). Gruber, Howard E.; Vonèche, J. Jacques. (eds.). The essential Piaget. London: Routledge and K. Paul. ISBN 978-0710087782. OCLC 3813049
- Winnicott, Donald (1953). “Good Enough Mother”
About the Author: Kathy Precht, LCSW has over 20 years of experience working with children and adolescents ages 4-17 years old in different roles that she has held over the years in agencies and school settings. She has experience working with clients from diverse cultural and socioeconomic backgrounds and brings a culturally sensitive and inclusive lens to her therapy practice. Kathy is also trained in play therapy and working towards her Registered Play Therapy certification.
4 Red Flags in Your Child’s Play
Let me start this post with some questions for you: When your child displays a behavior that is worrisome, what do you do? When your child’s teacher or school tells you she’s worried about your child’s academic perfomance, what do you do? If a parent shares with you a concern about your child’s emotional state, what do you do?
If you’ve answered any of these questions with “seek help”, then chances are you are on the lookout for behavioral + emotional red flags in your child. Did you know these red flags can also be found in your child’s play?
The way to identify these is to pay attention, be present, listen and observe to the quality and content of your child’s play. These red flags might be tell you it’s time to seek help, preferably with a play therapist (read here to know more about play therapy), and to help your child tackle whatever anxietyor emotional discomfort they might be experiencing. Here is a list of the most frequent red flags children might display:
Aggressive play
Before we discuss aggressive play it’s important to differentiate three different ideas: aggressive themes, aggresive play and rough play. Aggressive themes refer to the content of the playing narrative: what type of stories is your child playing out? What type of dialogue are they including in their play? If there is conflict or strong negative emotions associated with this, it’s possible that your child is displaying an aggressive theme. Is this something you should worry you? Not necessarily – remember that play is your child’s language, and if they are displaying these emotions in their fantasy, that just means they won’t need to act them out in real life. However, if this becomes a consistent trend and extends to their way of relating to people, observe it closely.
Aggressive play refers to the way your child interacts with the toys, materials, and other people involved in their play. Is your child throwing toys to other people? Picking fights with whoever plays with them? Insulting or throwing out mean comments? If you’ve answered yes to any of these questions, then your child might display an aggressive play. Which shouldn’t be confused with natural“rough and tumble play”, which is a normal part of a healthy childhood development.
Inconclusive and/or persistently doomed endings in play
This refers to the content, narrative and storytelling of the playing scenario. Most children’s stories have an ending. Some times they don’t necessarily make sense to adults, but they provide a closure and ending for the child. When the playing narrative is inconclusive or your child displays a consistently doomed ending, however, it may be given us a sign of a complex emotional state in the child.
If we use the premise that through play children are able to manifest their inner lives, then we can comprehend why an inconclusive finale or a doomed ending might be worrisome. It might let us know that the child doesn’t know which resources to use for problem solving or is having a negative outlook on life – or alerting us about an inner conflict we would be unaware of otherwise. If you will interact and ask your child about this, make sure to keep the conversation about “the game”. For instance, rather than saying “why are your games so sad” it’s better to ask “I wonder what happens in these worlds where everyone is so sad most of the time”.
Strict or constrictive play
What’s the difference between bending a ruler and bending a straw? Which one will break faster? The ruler is doomed to fail this test of flexibility because that’s precisely what it lacks. The same happens with human beings: the stiffer or less flexible we are, the more anxious our inner lives. And in children, this sometimes can be displayed in their play.
Whenever you feel your child’s “fantasy worlds” or playing narratives are becoming too constrictive, this might alert you about a possible inner rigidity. These are the type of children who struggle with low frustration tolerance or adapting to new situations, which can become a difficulty in their lives.
Fantasy-aversive play
Does your child’s games and narrative seem too real? Do they have difficulties surrendering to the fantasy? Do they have trouble letting go their imagination? If the answer to any of these questions is ‘yes’, then your child might be having some difficulty immersing into fantasy.
Fantasy is important in play because it helps children rehearse and play out scenarios from their real lives, even though they are disguised as magical worlds. In a psychological sense, these fantasy worlds help children feel less anxious about working through their inner struggles, which may include anything from sibling rivalry or a difficult parent situation. When a child loses their ability to fantasize, they begin to lose their hope that there is a resolution to their angst. And, consequently, a lack of hope might bring out a longlist of psychological disturbances.
Paying attention to your child’s play is not only engaging and nurturing to your parent-child bond, but it can be incredibly enlightening and a great tool towards mental health prevention. The key is to not question, not impose your ideas of what their play should be about or what it should include. Just listen and observe.
Written by:Mariana Plata is a licensed psychologist from Panama with a Master’s degree in Child and Adolescent Clinical Psychology in California. She is also a play therapist in training from the Association for Play Therapy (APT), mental health writer and public speaker.
Parental Affection Supports Childhood Happiness
As we enter this month of roses and heart shaped chocolates, consider what you do to show your children affection?
Researchers at Duke Medical School found that the release of oxytocin was most likely the reason for increased childhood happiness and reduced anxiety/stress. The study followed 500 people from birth to their 30s and found that the people that received the most affection and attention throughout their childhood reported as less anxious and stressed than others. In addition, these same people were found less likely to have psychosomatic symptoms, distressing social interactions, and were less hostile. The theory behind oxytocin is based on its other known nick names such as the “cuddle hormone’ or “bonding hormone.” It is released during pregnancy, breastfeeding, and other moments of closeness when a child feels loved and a sense of connection. It adds to the perception of trust and support. This bond is what causes the chemical to be released in the brain, therefore increasing a child’s capacity to have more positive emotions.
So how can you foster your child’s happiness?
- Make hugging a part of your daily routine
As seen in the Trolls movie, the trolls wore watches with alarm clocks set for every hour to remind them it was hug time. Choose a time of day that you can remember to do this, like before school, at dinner, or at bedtime. If it takes having an alarm like the trolls did so be it!
- Be playful
Let your inner child come out to play at least once a day. Even its only for 10 minutes or one round of a game. Let your child lead and choose the toy/game. The type of games will change with age. They say actions speak louder than words so what a better way to compliment your words of affection and touch than by engaging in play! - Special code
Create a special code word between you and your child that equates to “I love you.” You can get creative with your child in choosing a secret saying or hand movement without getting too gushy in front of other people…aka not getting embarrassed in front of their friends. This will come in handy as they get older! - Respect a child’s uniqueness
If there are multiple children in the home, refrain from comparing one child to another. Honor the fact that each child is different and most likely cannot parented in the exact same way. This will promote true validation for the child and your ability to love them for who they are.
Have a heart felt and affection month from Crossroads Family Counseling Center, LLC.
Written by: Jackie Fonseca, MSW, LCSW and has qualified as a registered play therapist. She is also licensed in MD and DC. Jackie, a bi-lingual therapist speaking English and Spanish has experience in providing direct mental health therapy in school based settings. She specializes in working with school aged children and their families. Her treatment approaches include child centered play therapy, sandplay therapy, theraplay, trauma focused cognitive behavioral therapy, sensory integration and somatic regulation.
Is your child refusing to go to School?
Did you know that school refusal in children is usually about anxiety?
Children of all ages, genders, ethnicities and races can develop school refusal behavior. The most common age of onset is 10-13 years old, but children of all ages can struggle with anxiety surrounding attending school.
One in four children may occasionally refuse to attend school. Such behavior can become a more long term concern if left untreated. Many children with school refusal have a history of separation anxiety, generalized anxiety, social anxiety or depression. Some children have a history of being bullied in school or have a fear of throwing up in school. Undiagnosed learning disabilities or reading disorders may also play a role in the development of school refusal.
Children with school refusal sometimes complain of stomachaches, headaches and or feeling hot or dizzy when it is time to go to school. After these symptoms have been investigated by a doctor and no medical cause can be found, children are then diagnosed with somatic complaints due to anxiety and said to be suffering from physical manifestations of their worries.
Anxiety becomes worse with avoidance. Therefore, the more a child misses school, avoids school or is asked to be picked up early from school, the worse their anxiety becomes over time. It is important to work with your child’s school and or therapeutic treatment providers to develop a plan to help your child attend school. It is also important to have loving yet firm boundaries with your child in terms of developing expectations for attending school.
Cognitive behavioral techniques (CBT) are frequently used in both individual and group treatment modalities to help children work to develop coping skills and talk back to their worries. Parents should also be involved in treatment to help children utilize their coping skills at home and school and to provide limits and boundaries regarding attending school. Collaboration with your child’s school is also important.
It is important to remember that most children who exhibit school refusal have average to above average intelligence and through early intervention therapy and school support, can develop healthy coping skills to better manage their anxiety.
If your child is struggling with going to school we can help We will work with you, your school and child to help them learn coping skills and feel comfortable to go back to school.
Written by: Megan Kipp, LCSW
Megan Kipp is a Licensed Clinical Social Worker who holds both a VA and DC (LCSW) license. She has experience working in multiple treatment settings including outpatient and home based therapy providing services to children, adolescents, and their families. She believes strongly in working collaboratively with schools and other treatment providers in order to provide a wrap around approach to services. Additionally, she has significant experience conducting individual and group therapy utilizing different treatment modalities including CBT, strength based/solutions focused, expressive therapy, positive psychology, psychodynamic, play therapy and mindfulness.
7 Facts You Need to Know about ADHD
Many parents wonder or worry if their child has ADHD or a teacher may have concerns about it.
1) ADHD is Real.
Nearly every mainstream medical, psychological, and educational organization in the United States long ago concluded that Attention-Deficit/Hyperactivity Disorder (ADHD) is a real, brain-based medical disorder. Tese organizations also concluded that children and adults with ADHD benefit from appropriate treatment.
2) ADHD is a Common, Non-Discriminatory Disorder.
ADHD is a non-discriminatory disorder affecting people of every age, gender, IQ, religious and socio-economic background. In 2011, the Centers for Disease Control and Prevention reported that the percentage of children in the United States who have ever been diagnosed with ADHD is now 9.5%.8 Boys are diagnosed two to three times as often as girls. Among adults, the Harvard/NIMH National Comorbidity Survey Replication found 4.4% percent of adults, ages 18-44 in the United States, experience symptoms and some disability.9 ADHD, AD/HD, and ADD all refer to the same disorder. The only difference is that some people have hyperactivity and some people don’t.
3) Diagnosing ADHD is a complex process.
In order for a diagnosis of ADHD to be considered, the person must exhibit a large number of symptoms, demonstrate significant problems with daily life in several major life areas (work, school, or friends), and have had the symptoms for a minimum of six months.
To complicate the diagnostic process, many of the symptoms look like extreme forms of normal behavior. Additionally, a number of other conditions resemble ADHD. Therefore, other possible causes of the symptoms must be taken into consideration before reaching a diagnosis of ADHD.
What makes ADHD different from other conditions is that the symptoms are excessive, pervasive, and persistent. That is, behaviors are more extreme, show up in multiple settings, and continue showing up throughout life.
No single test will confirm that a person has ADHD. Instead, diagnosticians rely on a variety of tools, the most important of which is information about the person and his or her behavior and environment.
4) Other Mental Health Conditions Frequently Co-Occur with ADHD.
- Up to 30% of children and 25-40% of adults with ADHD have a co-existing anxiety disorder.
- Experts claim that up to 70% of those with ADHD will be treated for depression at some point in their lives.
- Sleep disorders affect people with ADHD two to three times as often as those without it. A
5) ADHD is Not Benign.
Particularly when the ADHD is undiagnosed and untreated, it contributes to:
• Problems succeeding in school and successfully graduating.
• Problems at work, lost productivity, and reduced earning power.
• Problems with relationships.
• More driving citations and accidents.
• Problems with overeating and obesity.
• Problems with the law.
According to Dr. Joseph Biederman, professor of psychiatry at Harvard Medical School, ADHD may be one of the costliest medical conditions in the United States: “Evaluating, diagnosing and treating this condition may not only improve the quality of life, but may save billions of dollars every year.”
6) ADHD is Nobody’s FAULT.
ADHD is NOT caused by moral failure, poor parenting, family problems, poor teachers or schools, too much TV, food allergies, or excess sugar. Instead, research shows that ADHD is both highly genetic (with the majority of ADHD cases having a genetic component), and a brain-based disorder (with the symptoms of ADHD linked to many specific brain areas).
The factors that appear to increase a child’s likelihood of having the disorder include gender, family history, prenatal risks, environmental toxins, and physical differences in the brain.
7) ADHD Treatment is Multi-Faceted.
Currently, available treatments focus on reducing the symptoms of ADHD and improving functioning. Treatments include medication, various types of psychotherapy, behavioral interventions, education or training, and educational support. Usually a person with ADHD receives a combination of treatments.
Written by: ADHDAwarenessMonth.org
If your child is struggling with ADHD we can help. We can help your child learn techniques to manage their behaviors and emotions while helping you as parents how to help your child.
Please contact us at info@crossraodsfamilycc.com.
Strengthening Your Child’s Emotional Intelligence
As fall approaches and the school year is in full swing, it’s easy for parents be hyper-focused on the academic achievement of their children – but what about fostering their child’s emotional intelligence and self-regulation?
What even is emotional intelligence? Emotional intelligence is defined as the ability to recognize and then manage your emotions, and can also extend to others’ emotions. Most believe that there are three key skills of emotional intelligence – they are the following:
Emotional awareness – simply put, this is the ability to recognize our emotions as well as other’s emotions
Harnessing and applying emotions – the ability to take our emotions and use them constructively (e.g. problem solving or accomplishing a task)
Regulation of your emotions as well as others – the ability to manage our own emotions as well as help to manage others’ (e.g. cheering someone up)
Awareness is always that first step in fostering emotional intelligence because we have to understand and then accept our emotions before we can start to control them. Emotions are important motivators for all of us! Thus, the ability to control our emotions can help us in a number of ways. For instance, sadness can remind us to slow down and be more reflective. Regulating our emotions goes hand-in-hand with self-control, and self-control is a great predictor of achievement in children.
Emotion regulation is something most parents don’t even realize they need to consciously foster in their children. So fear not, you are not alone! Here are some easy steps that you can take to help nurture your child’s emotional intelligence:
1.Recognize your child’s viewpoint and be empathetic (even if you feel your child is being unreasonable). Empathizing with your child doesn’t mean you agree with their feelings or behavior but it shows that you understand their point of view. Simply having someone acknowledge our thoughts and feelings can be extremely validating.
2. Allow your child to express their emotions – including those messy ones! – and accept those emotions. Parents often don’t realize that when they criticize their child’s emotions (e.g. anger), they aren’t teaching their child to stop having those feelings but, instead, are teaching them to repress those feelings. One way you can accept your child’s emotions is by listening to him/her tell you how he/she feels.
3. Be an emotionally regulated model for your child. The best way to teach emotional intelligence is to demonstrate it. Don’t be afraid to tell your children how you feel and show them how you manage your emotions. This can be through your own coping skills (e.g. splashing water on your face or taking a deep breath)
Written by: Paige Frasso is an intern at Crossroads Family Counseling Center and also provides therapeutic services at Virginia Tech’s Center for Family Services located in Falls Church, VA. She is currently working on completing her Masters in Marriage and Family Therapy at Virginia Tech.
Sources:
https://www.psychologytoday.com/basics/emotional-intelligence
http://www.ahaparenting.com/parenting-tools/emotional-intelligence/steps-to-encourage
Healthy Self Esteem in your Child
With August in full swing, the summer is coming to an end – meaning back to school is just around the corner! While you may be ready and eager for your children and teens to go back, it’s important to remember that back to school season is always a big transition for them. The new school year often brings feelings of both excitability and anxiety. We typically think about starting school for the first time or transitioning to a new school to be the biggest adjustment, but simply moving up a grade can also provide anxiety-inducing challenges like the increasing academic demands, getting to know a new teacher, and shifting in friend groups.
How can you help make the transition from summer to school easy and successful for your child? While there are a number of ways, fostering a healthy self-esteem in your child will be the most lasting. Helping your child develop self-esteem will play an important role in their happiness and success in school and in life beyond. A child with a healthy self-esteem is more likely to act independently, take on new tasks and challenges, accept personal responsibility, handle both positive and negative emotions, and be proud of their achievements.
You are the best person to foster self-esteem in your child and it’s not as hard as it sounds!
Here are some suggestions:
Words of encouragement: Children are not mind-readers – they can’t tell when you are feeling good about them so remember to express positive feelings to them! Children do remember these positive statements and will often repeat these statements to themselves. So be generous with your praise. Tell your child that you appreciate their kindness or ability to withstand challenges.
Promote positive self-talk: When we engage in negative self-talk, we are more likely to feel anxious or depressed. Thus, it is important to promote positive self-talk as much as possible. You can do this by being a model to your child and verbalizing your own positive self-talk in front of them.
Reassurance: Create an environment where your child feels comfortable coming to you to express their worries and talk through their challenges. Be an empathic ear validating their fears and concerns and also make sure to reframe their worries and concerns as new, positive opportunities with enthusiasm. If your child ever feels uncertain, reassure him or her that she will be there for emotionally and any other way they might need. Make sure your child feels that coming home and to you is a comfort.
Decision-making: Help your children become more aware of their ability to make decisions. Create a discussion around your child’s decision; with your help, have him or her clarify the problem that requires decision-making by asking questions about how he or she understands and feels about the problem as well as what needs to be changed. Brainstorm the solutions (and the consequences of each solution) with your child and help him or her see that there is usually more than one solution to a problem. After your child has made a decision, come back together at a later time and talk about the results of his or her decision-making.
Written by: Paige Frasso is an intern at Crossroads Family Counseling Center and also provides therapeutic services at Virginia Tech’s Center for Family Services located in Falls Church, VA. She is currently working on completing her Masters in Marriage and Family Therapy at Virginia Tech.
Sources:
- https://childdevelopmentinfo.com/child-psychology/self-esteem/?utm_source=Subscribers&utm_campaign=232d31e46e-CDI_Newsletter_July_26th_2017&utm_medium=email&utm_term=0_4b8909d9c1-232d31e46e-103844181&goal=0_4b8909d9c1-232d31e46e-103844181&mc_cid=232d31e46e&mc_eid=8f8d190bdd#.WXtwydPys6g
- http://www.ahaparenting.com/Ages-stages/school-age/Preparing-kids-child-New-School-Year
- http://www.huffingtonpost.com/sherrie-campbell-phd/send-your-kids-back-to-school-with-confidence_b_5646529.html
How to Handle Bedtime Battles
We all know how sleep can greatly impact how we feel, but what do we do when our children continue to find ways to avoid going to bed? The National Institute of Health (2012) explains that sleep deprivation in children may cause them to have trouble getting along with peers, mood swings, irritability, difficulties paying attention, decreased grades, and increased stress. Some of the reasons children may avoid going to bed can be a fear of the dark or nightmares, being overly stimulated right before bed, concerns about the next day, or separation anxiety from their caretaker. So what are some ways that we can increase our chances of getting children to bed at a decent time with less of a battle?
- Bedtime Routine: This should be consistent, even on the weekends and summer breaks. A good practice is to begin this an hour or two before an established bedtime to start winding down. Decide on the order of how things will go and be consistent with this each night.
- Give Warnings: Another way to help stick to the routine with less protest is by giving warnings. This may be a verbal warning or consider using a timer for things.
- Be Firm: Children that avoid the bed have become masterminds at diversions and coming up with excuses that keep them awake. Be firm, and consist by calmly guiding them back to bed.
- Check ins and How to Handle the Nighttime Wanderer: This is for children who have a hard time separating from their parents at night and call out your name to have you join them. Make an agreement that you will do a check in in 5-10 minutes or they get “3 call backs.”
- Reward Systems: Set up a reward system if your child is having a hard time staying in their bed, such as sticker charts and marble jars. Let them work up to earning different rewards that are motivating to them.
- Avoid: Electronics before bed, sugary foods, caffeine, or over stimulating activities such as more strenuous exercise.
Difficulties going to sleep tend to be a common issue among children, however, establishing good sleep habits at a young age will help to continue this trend in later years. Carolyn Webster-Stratton, Ph.D. states that 30-40% of children have trouble going to sleep and will engage in behaviors that postpone bedtime. Remember to be consistent, use a routine, and start winding down 1-2 hours before bed. This will not only help the child’s mental health, but also allow for parents to be more rested and mentally healthy as well.
References:
National Institute of Health, (2012), Explore Sleep Depravation and Sleep Deficiency. Retrieved from https://www.nhlbi.nih.gov/health/health-topics/topics/sdd#
Webster-Stratton, C. (2005). The Incredible Years: A Trouble Shooting Guild for Parents of Children Aged 2-8 Years. Seattle, WA: Incredible Years.
Written by: Michelle Walker is a Licensed Clinical Social Worker (LCSW) in the Commonwealth of VA. She has expertise in working with early childhood, school-aged children, and their families. She focuses on building a trusting relationship with the child and family through a warm and empathetic approach. Michelle believes in the power of play when working with children, as this is their natural language.
Teaching Your Child About Giving
During the holiday season, we put our dollar bills in the Salvation Army’s red kettle as we go into the grocery store or give a one-time check to one of the many organizations whose appeals stuff our mailboxes. Giving these gifts around the holidays are wonderful expressions of caring. But what about the rest of the year? If our children see us do this once a year, what message does that convey to them?
There are so many ways to teach your children to make giving to others an all-year practice.
Here are just a few opportunities to engage in with your child that can teach them about the gift of giving.
1. Help your neighbors out. You and your child can bring their garbage cans in or take their newspaper to their doorstep in the morning. If you have elderly neighbors, bring them a meal or a pot of soup. These little things go a long way in teaching your child about giving back to and caring for your community.
2. Volunteer with your child. You and your child can make giving real by volunteering at a local organization. Here are just a few that are in need of help now and all year round:
In Fairfax County, 89,000 people, including 38,000 children struggle with hunger, especially on the weekends when they don’t have access to free breakfast and lunch at school. Once a month in Herndon, you and your child can help by volunteering at the Weekend Food for Kids program that provides nutritious food for kids over the weekend. For more information, click here.
FACETS is a program that helps homeless families in Fairfax County find homes. If you would like to get involved in their holiday gift drive now or activities at other times of the year, click here.
3. You and your child can pick out a favorite local, national, or international charity and sign up for monthly giving. Have fun exploring websites and making a list of the charities that interest you most and let your child decide which one to give to. Make a ritual of sitting down with your child to write your check once a month and to discuss how important it is to share what you have with others. Heifer International and UNICEF are two such organizations.
Note: Crossroads Family Counseling Center has volunteered to collect gifts for Our Neighbor’s Child (another place for you and your child to volunteer!). ONC provides gifts to 2,000 children of low-income families in western Fairfax County. If you would like to join us, please feel free to take one of the ornaments from our giving tree in the waiting room. You can also contact Martha FitzSimon with any questions, martha@crossroadsfamilycc.com and 703-850-6649.
Positive Praise and Encouragement of Children
Providing praise and encouragement is one of the most important everyday interactions parents can have with their children to improve behavior. As simple as this may seem, sometimes it is easier to focus on the negative and the behavior we dislike. But research shows that the behavior we pay more attention to will be the behavior that is likely to be repeated. A simple smile, encouraging phrase, or hug goes a long way in decreasing negative behaviors and improving a child’s emotional wellbeing and self-esteem. According to Carolyn Webster-Stratton, founder of the Incredible Years Series for parents, teachers, and children*, praise and encouragement can give children the motivation they need to complete difficult tasks, develop a positive self-image, and guide children through the many small steps it takes to master new skills.
Three effective praise and encouragement how-to’s
1. Use labeled praise: Being specific in your praise is important for children to understand what behavior you like. For example: if a child is playing and sharing nicely with a peer but we simply say “good job,” it may not be understood what the “good job” was for. Instead, try “good job sharing with your friend” or “I like how nicely you are sitting and playing with your friend.”
Other examples of labeled praise:
• I like how you put your shoes by the front door.
• You are such a big girl for getting into bed right away.
• What a nice job of getting dressed for school.
• Wow, you are picking up all your toys like you were asked.
• You are so proud of how you built that tower all by yourself.
2. Deliver praise with excitement: Coupling our words with our expressions is important. The majority of our communication is through nonverbal behavior, so say your praise with excitement and a smile. This is especially important for children who may be inattentive. Praise provided in a low, monotone voice may not be heard or understood as easily as praise with excitement.
3. Be timely and consistent: Praising behavior immediately is crucial. This is particularly true for younger children in order to ensure the positive reinforcing behavior is there. If a child begins picking up his toys, rather than waiting until it is complete, praise immediately while the behavior is still happening. This gives more motivation and clear expectations of what you like and want. It is also important to be consistent, e.g., praise the behavior every time it happens. You can begin to praise less often once the desired behavior is more frequent.
*Michelle Walker and Martha FitzSimon will be leading a pre-school group based on the Incredible Years Series at Crossroads Family Counseling Center. For more information, please contact Michelle directly at 703-341-7839, michelle@crossroadsfamilycc.com.
Separation Anxiety and the First Days of Kindergarten
Going to school for the first time can be overwhelming for both the parent and the kindergartener. A parent’s worried expression and a child melting down and clinging to her parent at the classroom door are nearly inevitable scenes at schools around the country. It’s called separation anxiety and it’s quite a natural and normal feeling for both parent and child.
There are ways that you can prepare yourself and you child so that this life transition becomes a positive experience, whether there are meltdowns or not.
First, check in with yourself and how you are feeling about this separation. Are you feeling anxious? Just as it is normal for your child to be feeling anxiety about this transition, it is also normal for you. Your feelings as well as your child’s feelings are important and, when feelings arise, it is beneficial to tune into them. Take a few minutes to breathe into them calmly. What you are doing is giving your emotions the attention they deserve, rather than keeping them bottled up inside. You will likely find that just stopping to pay attention to your feelings and breathing are all you may need to do to feel calmer and more in tune.
One reason it is so important to pay attention to how you are feeling is because children have a radar. You may say one thing, but if your heart or facial expression say the opposite, on some level that will register with them. If you are calm, confident, and optimistic about how you will handle the separation, not only do you transmit that to your child but you are also letting your child know that you have faith in her abilities. You are also modeling how to deal positively with changes.
Parents are a child’s world and, at this age, they really do listen to what you say and do. So talk with your child about how much your child is going to do and learn in kindergarten. Convey a positive and warm attitude toward the school and teachers. And, most importantly, just as you check in with your own feelings, listen and watch for your child’s feelings and how they express them in words, behavior, art and play. If you see anxious feelings about kindergarten coming up, talk with your child about them and listen to them in return.
We all feel less anxious when we know what to expect. Here are a few practical tips to help prepare for kindergarten that will ease separation anxiety:
- Visit the school and your child’s classroom before school begins and, if possible, meet with your child’s teacher and the staff. Play on the school playground. Walk around the school, pointing out interesting things and encourage your child do the same.
- Play separation games such as hide-and-seek. When your find your child, give her a warm hug and let her know that you would look forever to find her and that you are so happy to see her.
- Read books with your child about separation. This list includes some wonderful ones.
- Make sure your child has plenty of sleep each night. School-age children require 10-11 hours of sleep per night. Poor sleep can lead to mood swings, behavior problems, and even learning difficulties.
- You and your child can lay out their clothes the night before each school day. Have other items, such as shoes, jackets, and lunch boxes in their place where they are always found the next day.
- In their lunch box, place a family photo or something to remind them of the connection to the family.
Remember that separation anxiety is a normal feeling. It shows that there is a strong bond between you and your child. Acknowledging the feelings and preparing for the first days of kindergarten will help you and your child experience this new stage in both your lives.
Written by Martha FitzSimon an intern at Crossroads Family Counseling Center. She is in her final year of George Mason University’s master of social work with a concentration in clinical practice.Early in her career, she worked with adolescents with hearing impairments, vision impairments, and both hearing and vision impairments. She also has experience working with families struggling with grief and loss issues. Martha has a BA in English and an MA in journalism from the University of Texas at Austin. She also holds a certificate in photography from the International Center of Photography.
Fun Ways To Spend Time With Your Child When Waiting…
There are few more boring (and often uncomfortable) places to be than a waiting room. The boredom of waiting to be called, and the social discomfort at sharing our conversations with others in close proximity seems to infect us all. In most cases the best we can offer is to either look at our phone while the kids remain bored and restless, or give our kids the phone so they can be entertained. It has been well-documented that technology has decreased human interactions. Our incessant need to constantly check our phones for messages, emails, and texts, combined with social media posting has caused a significant decrease in the quantity and quality of our interpersonal communications. As a result it becomes too easy to just pick up our phones and check for messages.
In the days before smartphones and tablets parents would be forced to bring coloring books, play ‘eye-spy’ etc. to keep children occupied and entertained. But beyond the scope of entertainment and killing time, turning to electronic devices to keep ourselves or our kids entertained can be a missed opportunity to connect with our loved ones through activities and games.
Children from the ages of 8-18 spend an average of seven-and-a-half hours each day interacting with an electronic devices – not including the hour-and-a-half children at these ages text or the time they spend talking on the phone (Kaiser Family Foundation, 2010). A recent study by Bernier et al., (2016) found that a variety of parent interactions with their children can enhance normative brain developments, especially in younger children. Parental interactions help children develop a sense of self (Tronick & Beeghly, 2011), and model various emotional expressions as well as emotional regulation skills (e.g. self-calming and self-control skills NCPFCE (2013).
Activities
Families can engage in everyday learning activities – even with very young children – and help them to develop lifelong motivation, persistence, and a love of learning (Dunst, Bruder, Trivette & Hamby, 2006). In addition, parents can promote successful life transitions and persistence by engaging children in activities such as reading together and sharing exciting conversations about educational topics (McWayne, Fantuzzo, Cohen, & Sekino, 2004). The key point here is reading TOGETHER and making the conversations interactive and relevant versus just giving the child a book to look at/read. Here is a sample of activities that children and parents can engage in:
- Drawing/Coloring/Games – keep a DVD case with paper and crayons inside for drawing, or, alternately, carry a mini black/white board for tic-tac-toe etc.
- Funny Faces – find faces in the room, even if they’re not ‘real’ faces
- Eye-Spy – adjust for age: “I spy with my little eye, something beginning with (letter) (color) (object)
- ‘Roll The Dice’ – carry a small dice and see who can roll the highest number (tip: place it in a small food bag so it doesn’t roll away)
- Read books together
- Styling – style dolls hair together
- Thumb-battles
- ‘I went to the shop and I bought…’(one item, then two, then three…)
- Cards – play card games together such as ‘SNAP’
- Etch–a-Sketch – make pictures together
- And most important….SNACKS!
Some items to have in the car and take into an appointment:
- Small cars (like matchbox cars)
- A small bag, box or large pencil case to keep things in
- Mini balls
- Calculator
- Pipe cleaners
- Playing cards
- Small toys
- Small doll/animal figurines
- Colouring pad & pencils
- Magnadoodle
- Etch-a-sketch
- Books
- Paddle pop sticks
- Clip Board box with pencils & paper
(Modified from www.beafunmum.com)
These activities will provide the child with a positive experience of the appointments’ waiting room and increase their overall experience, thus reducing anxiety of the next time they have to make a visit. In addition, reducing boredom often equates to maintaining good behavior. Children often become restless and disruptive when they are bored and these activities can reduce these incidences. However, these visits require some forward thinking/planning. Arriving at the office waiting room and realizing you have no ideas or tools to entertain the child can leave you and the child with nothing to do – and resorting to the smartphone/tablet solution. Familiarize yourself with the various games, both with and without props that you may take with you.
Parent-Child Relations
The quality time that parents commit to spending with their children has a tremendously positive effect on their relationship. It is widely documented that parents who spend time teaching and nurturing their children strengthen the attachment relationship. Science suggests that attachment with the parent/caregiver at a young age can pave the way for how the child handles interpersonal relations on all levels as they mature, including into adult life. As the child interacts with the parent through play they develop a connection. It is important to note that the ‘performance’ of the child, i.e. whether they are reading, writing or drawing well in the activity, is less important than the attention the parent gives the child in being present with them and not distracted. In addition, it should be noted that these interactions are always a healthy part of the child’s day and parents should try to incorporate this type of time/interaction with the child into every day, and not just while waiting for an appointment. With the busy lifestyles many of us lead this can be extremely challenging. But even 5-10 minutes a day can have a positive impact and strengthen the parent-child bonds.
Dave Edwards is the clinical intern at Crossroads Family Counseling Center in Fairfax, VA. He is a student in the M.A. in Clinical Mental Health Counseling program at Marymount University in Arlington, VA. He will be a full-time therapist at Crossroads from May 2016. He is also a full-time professional soccer coach and has been working with youth for 27 years.
Nurturing the Parent/Child Relationship
The relationships we enjoy with our children can often be more precious and gratifying than anything in life. But being a parent does not come with a handbook and it can be extremely hard work. However, if we put in the time it can be very rewarding and can set children up with a great example of how to handle their future relationships.
Strategies for Success in the Parent-Child Relationship:
Communication – As we have heard for many years communication is key in all relationships, but it is especially important with children. Taking the time to speak with your child about how they are feeling, if they need anything from you, house rules/boundaries and appropriate speech and behavior will pay dividends in your relationship in the long-term. As the saying goes, ‘relationships are like bank-accounts – we make deposits (positive actions/interactions) or withdrawals (negative actions/interactions)’. It is also important to have these conversations when both you and the child are in a calm and non-confrontational mindset. The only real lessons we can give children when they are highly emotional is how to model calm, appropriate behavior.
Spend time with them – Research shows very clearly that children whose parents spend time with them and who take an active role in their lives do much better academically, socially, and behaviorally and have less emotional issues. Parents who are involved in their children’s lives – sports/after-school clubs, PTO involvement etc. – and especially involved academically (monitoring/helping with homework, attending parent-teacher conferences etc.) demonstrate to their children that they care and that their child’s welfare is important to them. These things go a long way towards strengthening the deposits in the emotional bank account.
Discipline – All parents are guilty of getting caught up in the moment with the child and raising their voice or taking action where the punishment does not fit the crime. Daily life stress can often cause us to overreact and we cannot introduce/enforce boundaries in the heat of a meltdown if we are equally as emotional, or competing with the child for the loudest voice, last-word etc. Helping the child understand your expectations and following through in a calm manner with appropriate language, tone and volume help them understand that you are there to help them when they lose control of their emotions and strengthens your relationship through trust. Opinions vary on time-outs for children but for the most part, most of us are using them in some way or another. Following a time-out (1 min per year of age of the child is appropriate), the parent should ask the child if they understand why they were placed in time-out, explain why what they did is wrong, ask for an apology, and then tell the child that they love them and give them a hug. If the chosen discipline is to remove a toy or electronic device the same protocol should be followed – explain what happened and work through resolution.
Be Human! – One of the most underused and undervalued tools parents can use is allowing themselves to be human, and in particular, apologizing. When the child hears you apologize and sees you model appropriate deescalating behavior they recognize that you too have emotions that may get the better of you. Saying something like “I’m sorry for raising my voice honey, mommy asked you three times to stop so you had to go to time-out, but I should not have allowed myself to get upset,” models appropriate behavior. This is the same if a husband or wife demonstrates inappropriate behavior to their spouse (e.g. yelling, slamming doors etc.) – apologize to your spouse in front of the child(ren) and allow them to experience how owning our words and actions and an apology should look and sound. But also, in the bigger picture, we can model to the child that we all make mistakes, but we can be forgiven and many things can be fixed by means of an apology.
Give up the fantasy of ‘The Perfect Parent’ – it doesn’t exist!! We all have this idea that we should parent in an impeccable way with the patience of an angel, and then beat ourselves up emotionally when we don’t match up to that. Stress, lifestyle, and unresolved personal issues of our own will often play into how we handle our emotions and interact with our children. You are going to make mistakes so cut yourself a break here and there!
Dave Edwards is a clinical intern at Crossroads Family Counseling Center in Fairfax, VA. He is a student obtaining his M.A. in Clinical Mental Health Counseling program at Marymount University in Arlington, VA. He is also a full-time professional soccer coach and has been working with youth for 27 years.
Parents Can Learn To Prevent Anxiety In Their Children
This is a follow up story regarding our blog in September, 2015.
By Lynne Shallcross
Letting children try something that provokes anxiety can help them learn coping skills, researchers say.
Children of anxious parents are more at risk of developing an anxiety disorder. But there’s welcome news for those anxious parents: that trajectory toward anxiety isn’t set in stone.
Therapy and a change in parenting styles might be able to prevent kids from developing anxiety disorders, according to research published in The American Journal of Psychiatry Friday.
The researchers, led by psychiatry professor Golda Ginsburg, a professor of psychiatry at UConn Health in Farmington, Conn., looked at 136 families. Each family had at least one parent who had been diagnosed with an anxiety disorder and at least one child in the 6-to-13 age range who had not yet been diagnosed with an anxiety disorder.
Roughly half the families received eight weekly sessions of family therapy, while the other half received only a 30-page handout describing anxiety disorders, without specific strategies for reducing anxiety.
After one year, only 5 percent of children from the families who received the family-based therapy had been diagnosed with an anxiety disorder. Among families who received just the handout, that number jumped to 31 percent.
“The basic question was, because we know that anxiety runs in families, could we prevent children from developing an anxiety disorder whose parents had the illness?” says Ginsburg, who conducted the study with colleagues from Johns Hopkins University. The answer was yes, at least over a year.
The researchers will now continue to study these same families, thanks to funding from the National Institute of Mental Health. They will look at whether the children of the families who received the therapeutic intervention go on to develop an anxiety disorder later on in adolescence or early adulthood.
The message from the study’s findings so far, Ginsburg says, is that the focus needs to shift from reaction to prevention. “In the medical system there are other prevention models, like dental care, where we go every six months for a cleaning. I think adopting that kind of model — a mental health checkup, a prevention model for folks who are at risk — is I think where we need to go next.”
All humans feel anxiety. It’s normal, and in many cases, it’s a good thing — it makes us run when we see that bear coming toward us or study for that tough exam that’s coming up tomorrow.
But in people with an anxiety disorder, that dose of healthy anxiety goes awry. People might feel levels of anxiety that are out of proportion to the situation or feel anxiety in a situation where there is simply no threat. Ginsburg likens it to an “alarm clock going off at the wrong time.”
In children, excessive anxiety can come in a variety of ways. Some might struggle with separation anxiety, where they’re afraid to go anywhere without their parents.
Others might struggle with social anxiety, afraid of anything from raising their hand in class to eating in front of others in the school cafeteria. Still others struggle with overwhelming worry. They might think, “If I fail this test, I’ll fail this grade, fail out of high school, never go to college, never get a job and become homeless.”
Whatever the form that the anxiety takes, it’s a combination of overestimating the risk of danger — whether that danger is in the form of embarrassment, a dog or a test — and underestimating one’s ability to cope, says Lynne Siqueland, a clinical psychologist who specializes in treating anxiety disorders in children and adolescents and was not involved in the study.
There is no single cause for anxiety disorders, Ginsburg says. They’re the product of an interaction of genetic and environmental factors. But the disorders do run in families, she says, and there are certain parenting behaviors that can promote anxiety — like modeling anxiety in front of your kids. Modeling might be direct, like jumping up on the kitchen table when you see a mouse, or indirect, like overcautioning your kids to be careful when there’s no danger.
Ginsburg has recruited participants for many clinical trials; she says it was easiest to recruit families for this one. “The parents who suffered with anxiety themselves had it since they were children, and they did not want their children to suffer in the same way that they did.”
The first two therapy sessions were with the parents alone, where they discussed the impact of the parents’ anxiety disorder on the family and how often they do things that could inadvertently raise levels of anxiety in their children.
In the remaining six sessions with the entire family, the therapist worked with the family on how each person could recognize anxiety and use coping strategies to deal with it.
One key strategy is helping parents understand that kids have to face their fears, Ginsburg says. Sometimes parents help their children avoid anxiety-provoking situations because they’re worried it’s too much for the child, “when in fact they need to help them face their fears in order to reduce their anxiety,” she says.
Siqueland, who provides workshops for parents on how to help their kids cope with anxiety, agrees. Armed with the right information, Siqueland says, parents can help their children prevent anxiety or coach their kids through it when it happens. If your child is scared to walk into that first soccer practice alone because he doesn’t know anyone, don’t throw the car in reverse and speed back home, she says. Sit calmly with him as he musters the courage to walk in.
The biggest message Siqueland tries to impart to parents she works with is not to try to prevent anxiety, but instead promote their child’s competence in handling it. If your child doesn’t like to go play at friends’ houses, they need to go play at more friends’ houses, she says.
“That is kind of an ‘aha’ moment in the parent workshops,” Siqueland says, “that kids who worry about these things need more practice, not less.”
Another message Siqueland gives parents: Anxiety is very treatable. “Kids are not doomed to distress.”
Sports – a path to wellness for children and adolescents
It has been widely recognized that extra-curricular activities can provide stability for adolescents and children and can reduce incidences of mental health issues such as substance abuse, delinquency, and depression (Lee, 2015). Participation in a sport or activity can provide young people with a sense of identity, a valuable social circle of positive peer role models, and a schedule/structure that further keeps them on the right track. Sports in general can provide children with a variety of life-skills such as sharing, teamwork, and communication skills and as the athlete matures into adolescence, these skills are further developed. In addition, other skill sets such as leadership, discipline, and conflict resolution may be developed, as well as developing nurturing benefits such as increased self-esteem, the ability to work independently or as a team member, and the ability to balance a healthy school-sport-social life schedule. It is imperative that the athlete is in a healthy environment where he or she is guided by positive role models in the form of coaches, teachers, mentors etc., but if she is in this type of environment the psychological and social benefits will be many. Sedentary lifestyles in children and adults can lead to anxiety and depressive disorders and, as mentioned in a previous CFCC blog (September 7, 2015), 5-10% of children suffer with an anxiety disorder. If these are not prevented or are left untreated, they can cause severe disruption to the individual later in adolescence, and into adulthood.
Physical Activity vs Competitive Sports
Not every child will be at a competitive level of sports participation – nor would they all want to be. However, the benefits for less competitive athletes – and even those undertaking physical activity for fun/recreational use – remain plentiful. In addition to the aforementioned benefits, children who are already suffering from anxiety and depressive disorders are also likely to see positive health changes from participation in general physical activity, even without the competitive element of sports. These positive benefits may include feelings of improved mood, enjoyment and achievement, and reduced symptoms (Carter, 2015).
Aside from the social and career benefits, sports/physical activity participation to date has been found to help in the prevention, and treatment, of many mental and physical issues including:
- Improved sleep
- Better endurance
- Stress relief
- Improvement in mood
- Increased energy and stamina
- Reduced tiredness that can increase mental alertness
- Weight reduction
- Reduced cholesterol and improved cardiovascular fitness
National Institutes of Health
In addition, in children, exercise has been found to aid in the treatment of Attention Deficit Disorder (ADD) and Attention Deficit Hyperactivity Disorder (ADHD), and emotional regulation issues such as anger. Further to this, childhood obesity has become a major talking point in recent years, with empirical evidence highlighting what has become an epidemic, and pediatric (and adult) diabetic diagnoses continue to rise. In addition, other health problems such as early onset of heart disease are now being linked to sedentary children.
But what if the child is non-athletic in nature and has no interest in sports or exercise? Caregivers and adults in the lives of these children should be aware of the various health benefits of exercise and assist the child in finding a way to remain healthy through exercise and other means for recreation. But ALL of these children can benefit from extra-curricular activities that provide them with a plethora of developmental skills that will stay with them for life. Schools, churches, housing associations, and community youth groups all offer various non-sporting activities that children can get involved with. As an added benefit over time, this strengthens their portfolio/resume for when the time comes to apply to college.
Dave Edwards is the clinical intern at Crossroads Family Counseling Center,LLC in Fairfax, VA. He is a student in the M.A. in Clinical Mental Health Counseling program at Marymount University in Arlington, VA. He is also a full-time professional soccer coach and has been working with youth for 27 years.
Is Your Child’s Anxiety Normal?
It’s September and school is starting or has already started from many children around the Commonwealth of VA.
This time of year creates a lot of mixed emotions. Many children are excited to go back to school, happy to see friends and proud to move up to the next level in school. For some children however, they may have feelings of sadness that the summer is over, they may be nervous about what their teacher will be like, scared that they won’t know anyone in their class or anxious about starting school in general.
Likewise, many parents are excited for their children, nervous, scared, worried, sad and happy that their children are returning to school.
All of these feelings are normal. However, this time of year brings a lot of anxiety for children. Anxiety in children often looks different in a child then it does for an adult. Children don’t always know they are experiencing anxiety. Anxiety can often come out in their behavior or as a physical symptom. Around 5-10% of children struggle with an anxiety disorder. The onset of clinical anxiety is typically around six years old, usually at the same time children start school full-time; symptoms can escalate around age 10.
These symptoms include: (from Anxiety.org)
• Agitation
• Restlessness
• Inattention, poor focus
• Somatic symptoms like headaches or stomachaches
• Avoidance
• Tantrums
• Crying
• Refusing to go to school
• Meltdowns before school about clothing, hair, shoes, socks
• Meltdowns after school about homework
• Difficulties with transitions within school, and between school and an activity/sport
• Difficulty settling down for bed
• Having high expectations for school work, homework and sports performance.
Essentially, anxiety in children tends to manifest as negative behaviors that you may have glimpsed briefly in the past, but that are becoming consistent and intense.
There are many different types of anxiety:
Generalized Anxiety Disorder
If your child has generalized anxiety disorder, or GAD, he or she will worry excessively about a variety of things such as grades, family issues, relationships with peers, and performance in sports.
Children with GAD tend to be very hard on themselves and strive for perfection. They may also seek constant approval or reassurance from others. Generalized anxiety disorder (or GAD) affects about three to five percent of youth and often occurs with one or more of the other types of anxiety
Separation Anxiety Disorder
Separation anxiety disorder is common between 18 months and 3 years old.
If your child is slightly older and unable to leave you or another family member, or takes longer to calm down after you leave than other children, then the problem could be separation anxiety disorder, which affects 4 percent of children. This disorder is most common in kids ages seven to nine.
When separation anxiety disorder occurs, a child experiences excessive anxiety away from home or when separated from parents or caregivers. Extreme homesickness and feelings of misery at not being with loved ones are common.
Other symptoms include refusing to go to school, camp, or a sleepover, and demanding that someone stay with them at bedtime. Children with separation anxiety commonly worry about bad things happening to their parents or caregivers or may have a vague sense of something terrible occurring while they are apart.
Social Anxiety Disorder
Social anxiety disorder, or social phobia, is characterized by an intense fear of social and performance situations and activities such as being called on in class or starting a conversation with a peer.
This can significantly impair your child’s school performance and attendance, as well as his or her ability to socialize with peers and develop and maintain relationships.
Selective Mutism
Children who refuse to speak in situations where talking is expected or necessary, to the extent that their refusal interferes with school and making friends, may suffer from selective mutism.
Children suffering from selective mutism may stand motionless and expressionless, turn their heads, chew or twirl hair, avoid eye contact, or withdraw into a corner to avoid talking.
These children can be very talkative and display normal behaviors at home or in another place where they feel comfortable. Parents are sometimes surprised to learn from a teacher that their child refuses to speak at school.
The average age of diagnosis is between 4 and 8 years old, or around the time a child enters school.
Specific Phobias
A specific phobia is the intense, irrational fear of a specific object, such as a dog, or a situation, such as flying. Common childhood phobias include animals, storms, heights, water, blood, the dark, and medical procedures.
Children will avoid situations or things that they fear, or endure them with anxious feelings, which can manifest as crying, tantrums, clinging, avoidance, headaches, and stomachaches. Unlike adults, they do not usually recognize that their fear is irrational.
Obsessive-Compulsive Disorder (OCD)
OCD is characterized by unwanted and intrusive thoughts (obsessions) and feeling compelled to repeatedly perform rituals and routines (compulsions) to try and ease anxiety.
Most children with OCD are diagnosed around age 10, although the disorder can strike children as young as two or three. Boys are more likely to develop OCD before puberty, while girls tend to develop it during adolescence.
You can get more information at http://www.adaa.org/living-with-anxiety/children/childhood-anxiety-disorders
According to the Association for anxiety and depression, if an anxiety disorder is causing your child to struggle at school academically or socially, the first step is to talk to the teacher, principal, or counselor about your concerns. The key to helping a child thrive is early intervention. After an anxiety disorder diagnosis, Art therapy and play therapy can be helpful as well as cognitive behavior therapy (or CBT).
For more information or to have your child evaluated you can contact Crossroads Family Counseling Center, LLC.
Written by: Sheri Mitschelen, LCSW, RPT/S Owner and Director of Crossroads Family Counseling Center, LLC a Licensed Clinical Social Worker (LCSW) in the State of Virginia and a Registered Play Therapy-Supervisor (RPT-S). She has over 25 years of experience working with children, adolescents and families and has helped many children and families manage their anxiety successfully.
Preparing For Back-to-School!
It’s that time of year again when parents and kids begin preparing for a new school year. This can be a time of excitement, as well as, a time of potential challenge and stress. There may be feelings of sadness as summer time comes to an end; excitement to go back to see friends; and for some there may be feelings of nervousness. It is normal for kids to feel a little nervous or scared on the first day of school because of all the new things they may encounter (new teachers, new friends and maybe even a new school). This is especially true for children who are preparing to start kindergarten.
The ideas presented are geared towards younger children starting school; however, many of these strategies can be applied to any age child returning to school.
Preparing for school:
• Involve your child in preparing for school. For example, let your child help with shopping for school clothes, school supplies, and book bag and lunch box. If your child is starting school for the first time, make sure he/she can manage the lunchbox and school bag.
• Begin establishing a bedtime and morning routine a couple of weeks before school begins. Developing a consistent morning and evening routine and even a good bye routine at school drop off time can help lower your child’s anxiety. Consistency helps provide safety and security for children.
• Most importantly, make sure your child gets plenty of sleep. It is helpful to establish a sleep routine before the first week of school to help with this transition. Also keep in mind children between the ages of 5 and 12 need 10-11 hours of sleep each night.
• Let your child know what his schedule will be like. Tell him what time school begins and ends each day.
• Ask your child about her feelings — both the excitement and the concerns — about starting school. Help normalize fears by letting your child know that all kids are nervous about the first day of school.
• Visit the school with your child to see his new classroom and meet his new teacher before school officially starts.
• Try to have your child meet a classmate before the first day of school so she will already have a friend when school starts.
• For kids starting kindergarten it is also important that they know how to dress themselves and use the bathroom on their own. Using the bathroom at school can often be a source of anxiety especially for younger kids.
• If possible, plan to take your child to school on the first day. Make sure your child knows how they are getting home after school (bus rider or car pick up). Make sure you are always on time, a few minutes can seem like a long time to a young child.
• Leaving a note in your child’s lunchbox can be a nice reminder that you are thinking about him while he’s at school.
Sources: American Academy of Pediatrics; Caring for Your School-Age Child: Ages 5-12, by Edward L. Schor (Bantam, 1999)
During the first few weeks of school, your child may need extra support while he/she settles into this new routine. There are also simple things you can do to help these first few weeks go more smoothly for your child:
• Try not to schedule too many after school activities as they may be tired at the end of the day. It is important to make sure they have time to rest and for free play.
• Have a healthy snack ready when they get home as they are often “starving” after school. Also try giving them an early dinner as they may be too tired to eat later.
• Try to make after-school time a bit special, with a snack and time for the two of you to talk about their day. Your child may want to share every little detail about his/her day, or clam up completely. Either way, be patient and respect your child’s response to this new experience.
• Try inviting a school friend over to play which can help to strengthen the link between home and school.
• Reading a bedtime story is also a nice way to end the day. Plus it counts towards their daily reading time for school.
During this time, it’s important to not expect too much too soon. If your child is happy and seems to be enjoying school, that’s a real achievement. The rest will come later. If your child doesn’t seem to be adjusting well, or reports teasing or bullying speak to the teacher right away to try to resolve the issue. It is important to reassure your child that you are there to help resolve any problems that may arise.
For some children attending school can be a more difficult transition. Warning signs that you child may be struggling with school anxiety are:
• being tearful
• not wanting to go to school
• having tummy aches or headaches.
Ways to help your child through these feelings are:
• encouraging them to talk about their feelings and fears
• emphasize the positive aspects of going to school; being with friends learning new things, and playing at recess
• letting them know that you are confident in their abilities
• asking what they think would help them
It will also be important to contact your child’s teacher and the school’s guidance counselor to discuss your concerns and develop a support plan to help your child be successful at school.
At Crossroads Family Counseling Center we are also here to help you and your child during this time. We specialize in helping children, teens, adults, and families work through the challenges they face to find the best solutions. We have expertise in play and expressive therapies, family therapy, cognitive behavioral therapy and other traditional approaches.
Written by: Denise Booth who is a Virginia Licensed Clinical Social Worker (LCSW) with over 10 years experience working with children and families. She specializes in providing therapy to children and adolescents dealing with trauma and PTSD, behavioral issues at home and school, as well as anxiety, depression, self-esteem and substance abuse. In her work with parents, she strives to enhance parent-child relationships and strengthen parenting skills.
What is Sensory Processing Disorder?
Have you often wondered why your child complains about the tags or seems of clothing? Or, why he or she might have difficulty with bright lights or loud noises? Have you ever noticed that your child often bumps into things, or gets scrapes and bruises after frequent falls? Or, does it seem like your child does not know his or her own strength when touching, hugging, or playing? Do you find yourself struggling when preparing meals because your child is a picky eater and refuses to eat certain types of food that the rest of your family enjoys?
If you answered “yes” to any, or all, of these questions, your child might be experiencing challenges with Sensory Processing or Sensory Integration. Sensory Processing is one’s ability to handle the information that enters through the five senses—sound, touch, taste, sight, and smell. Proprioception (sense of body awareness) and vestibular sense (sense of movement, balance, and coordination) are two additional senses that also assist with sensory processing.
When children experience too much, or too little, stimulation through their senses, they can feel uncomfortable, anxious, and /or irritable. They may perform behaviors that seem socially awkward or inappropriate. When a child’s sense of taste or smell is challenged, he or she may find it difficult to tolerate certain textures, tastes, temperatures, or smells of foods. Even though you know that your child is bright and wants to make and keep friends, he or she may have difficulty focusing, feeling confident, and performing successfully in school and socializing with peers.
When children are prone to having frequent sensory experiences that bring negative, or even traumatic, consequences, they can experience varying degrees of anxiety, or even flashbacks, and they often find ways to avoid the potential of negative sensory experiences in an effort to cope. However, when overly stressed and overwhelmed with negative stimuli in their environment, or when under-stimulated, they may respond in ways that seem oppositional, impulsive, manipulative, and/or hostile, leading the adults in their lives to feel puzzled, concerned, and/or frustrated. While some children diagnosed with autism, ADHD, or OCD can have sensory challenges, there are some children who have no diagnoses and have sensory challenges.
Symptoms
According to the Child Mind Institute (www.childmind.org), there are two types of sensory processing challenges—under-sensitivity and over-sensitivity—although one child can experience both kinds.
When children are hypersensitive, they are over-sensitive, and they often display extreme behaviors when feeling overwhelmed in response to sensory stimulation.
For example, they may:
• Scream, yell, and/or cry when they have difficulty tolerating bright lights and/or loud noises, like ambulance sirens or popping balloons;
• Refuse to wear certain types of clothing because they feel scratchy or irritating, or shoes because they feel “too tight;”
• Be distracted or irritated by background noises that others do not seem to hear;
• Be fearful of unexpected touch, and avoid hugs and cuddling, even with familiar adults;
• Be overly fearful of swings and playground equipment;
• Have frequent difficulty understanding where their body is in relation to other objects or people, causing them to bump into things and appear clumsy; and,
• Have trouble sensing the amount of force they are applying, like when they unintentionally rip the paper when erasing, tap someone too hard, or slam down objects.
When children are hyposensitive, they are under-sensitive, and they often go to extreme lengths to seek out more sensory stimulation. They may:
• Have a constant need to touch people or textures, even when it’s not socially acceptable;
• Have difficulty understanding personal space, even when kids the same age are old enough to understand it;
• Have an extremely high tolerance for pain;
• Have difficulty understanding their own strength;
• Be very fidgety and unable to sit still;
• Crave jumping, bumping, and crashing activities;
• Enjoy deep pressure like tight bear hugs;
• Crave fast, spinning, and/or intense movement; and,
• Love being tossed in the air and jumping on furniture and trampolines.
How Can Your Child Get Help
Occupational therapists (or OTs) are the specialists who work with children who have sensory processing challenges. Using Sensory Integration Therapy (SIT), occupational therapists work closely and carefully with children to help them manage and integrate environmental stimuli. In rooms that often contain colorful balls and other playful materials that are very inviting to children, occupational therapists facilitate safe and appropriate opportunities for physical movements, like spinning, crashing and jumping, so that children can experience an optimal level of arousal and regulation. Occupational therapists can also provide strategies for children, their parents, and their teachers to use at home, school, and playtime, so that children can experience greater moments of success socially and academically. Often, occupational therapists will work with children within their natural environments, like homes or schools, and they will collaborate and coordinate services with other important professionals in children’s lives, like physicians, mental health therapists, teachers, and speech therapists.
According to The American Occupational Therapy Association, Inc. (AOTA), benefits of occupational therapy can include improved sensory processing, motor, cognitive, communication, and play skills. The earlier children receive Sensory Integration Therapy, the faster they can be on their way to experiencing greater self-confidence, and less discomfort, anxiety, and irritability in their daily lives. Parents can feel more joy, as they watch their children being more cooperative, experiencing greater success, thriving, and having more fun!
For more information, you can go to the following websites:
The American Occupational Therapy Association, Inc. (AOTA)
www.aota.org
Child Mind Institute
www.childmind.org
Also see:
The Out-of-Sync Child: Recognizing and Coping with Sensory Processing Disorder by Carol Stock Kranowitz, M.A.
Written by:
Sharon Lucas, LCSW, MSEd, is a Virginia Licensed Clinical Social Worker, who has been providing psychotherapy services for children, adolescents and families for over 15 years. She has worked extensively with children and adolescents who have had challenges related to adjustment, anxiety, depression, behavior and anger management, ADHD, sensory integration, learning disabilities, developmental delays, chronic illness, attachment disorder, parental separation and divorce, grief and loss and trauma. Sharon specializes in adoption and attachment-related issues.
How to help children manage their BIG emotions
Has your child ever had a melt down over something that appeared insignificant? Or they have a low frustration tolerance and get out of control easily? Emotional regulation refers to a person’s ability to understand and accept his or her emotional experience, to engage in healthy strategies to manage uncomfortable emotions when necessary. Some kids find it easy to manage their emotions while others have significant trouble handling their feelings.
Self regulation and emotional regulation matures just like other developmental processes. Children as they get older learn to think before they act.
Children who are able to regulate their emotions pay more attention, work harder, and achieve more in school. They are better able to resolve conflicts with their peers and show lower levels of physiological stress. They are also better behaved — and more caring towards others. (These conclusions are based, especially, on research by John Gottman and his colleagues on the benefits of parental “emotion coaching.”)
For kids who have trouble regulating their emotions they have a harder time with their peers, have emotional outbursts, have trouble following directions in school and a lower self esteem.
How can you teach children to regulate their emotions?
1. Regulate Your Own Emotions.
Children won’t always do what you say, but they will always, eventually, do what you do. Kids learn emotional regulation from us. When we stay calm, it teaches our child that there’s no emergency, even if they feels like there is at the moment. Our calmness is what teaches little ones how to soothe themselves.
2. Provide as much stability and consistency as possible.
Clear household rules, and predictable routines help children to know what to expect so they feel calmer and more secure. Help children structure their day by providing a calendar. Children can stay more emotionally regulated when they know what to expect.
3. Respond to the needs and feelings behind problem behavior
“Troublesome” behavior signals overwhelming feelings or unmet needs. If you don’t address the feelings and needs, they’ll just burst out later, causing other problem behavior. Identify the feeling you see your child struggling with. Such as, “You’re really frustrated right now!”
4. Talk about your own feelings
Role modeling how you feel will teach your child about feelings and that it’s okay to have many different feelings. Children are less likely to resort to acting out behaviorally if they have the tool of words to express how they feel. You can also point out how others are feeling on TV or in the grocery store so children can see that feeling can be expressed in different ways. Children are less likely to resort to acting out behaviorally if they have the tool of words to express how they feel.
5. Teach problem Solving skills
Identify typical situations which result in emotional explosions and plan ahead how you and your child may handle the situation. For example, when going to an Amusement park if your child may not be tall enough to ride on certain rides-Look on the website of the park together before going and discuss what rides your child can go on. Planning ahead once again creates structure and safety so your child is less likely to have an emotional meltdown.
If your child continues to struggle with managing their feeling and you as a parent don’t know how to help them- contact us! We can help you and your child learn tools to create an environment in your home that is more regulated and easier to manage.
Written by: Sheri Mitschelen, LCSW, RPT/S Owner and Director of Crossroads Family Counseling Center, LLC and Family and Play Institute of Virginia. She is a Licensed Clinical Social Worker (LCSW) in the State of Virginia and a Registered Play Therapy-Supervisor (RPT-S). She has 25 years of experience working with children, adolescents and families.
Feeding the Picky Eater
Many parents worry about their children’s nutrition. Are they eating enough vegetables? Are they getting the recommended amount of protein, dairy, and vitamins? Should I be preparing dairy free meals? Gluten free meals? If you are the parent of a picky eater, your anxiety around their nutrition can become all consuming and mealtime can become a dreaded time of the day. Consider some of the following strategies to help decrease mealtime frustrations for both you and your child.
1. Don’t engage in a power struggle!
Forcing a child to “clean their plate” only increases frustration and can escalate an already stressful situation. You want your child to be in tune to his/her own hunger cues. Offer smaller portions and allow a child to ask for seconds if desired.
2. Offer choices
Create a colorful plate with a few different vegetable choices. Offering raw vegetables with a dip is another option that might keep your child more interested. Be patient as your child explores what he/she likes or dislikes. It may be helpful to offer new foods as a side next to a favorite food.
3. Limit drinking between meals to water
You want your child to be hungry for mealtime. Milk and juice between meals provides liquid calories and decreases their appetite.
4. Have a consistent meal schedule
Structure is helpful for children. Try to have meals at the same time every day for consistency and expectations. Minimize distractions so that television and electronics are not accessible during mealtime.
5. Make mealtime fun!
Cut food into fun shapes! Talk about the food colors and smells! Engage in fun, light conversation while eating.
6. Don’t bribe.
Parents often get in the habit of bribing with dessert. The child then expects desserts after every meal when it really should only be a special treat. Try replacing sweets with a natural sugar, like fruit or yogurt. Limiting “junk food” in the home altogether also helps. If they don’t have access to chips or cookies in the pantry, those options are not available when they are hungry.
7. Keep offering
Be patient. Children’s tastes change over time and you should continue to offer previously rejected foods.
8. Don’t offer different meals
Picky eating is reinforced when you offer to make separate meals for the child. The same foods should be offered to the entire family.
9. Get kids involved
Have your child help with grocery shopping. Give them tasks, for example: “Can you find me the greenest broccoli? Which oranges smell the sweetest?”
10. Set a good example
As with any type of behavior or habit, your child will often want to model you. Be mindful of your eating habits and how they are perceived by your child.
If your child’s eating habits continue to be a concern, reach out to your pediatrician. Crossroads is always an available resource as well!
Wishing you happy eating!!!!
Written by Darah Curran,LCSW who is a Licensed Clinical Social Worker in the State of Virginia with 15 years experience working with children, adolescents and families.Darah has provided support for pediatric and adult individuals and families in outpatient and inpatient medical settings. Her areas of focus include adjustment and behavioral issues, social skills development, chronic illness, grief and trauma work.
Helping Your Child Develop Friendships
Friendships provide children with more than just fun playmates or people to hang out with. Through interacting with friends, children learn important social skills – how to communicate, cooperate, solve problems, and make decisions. Research shows that children with healthy friendships have a greater sense of well-being, better self-esteem, and fewer social problems later in life. Children’s school performance is also impacted by friendships. When children have friends at school, they tend to have better attitudes about school and learning.
Friendships also provide opportunities for children to learn conflict resolution skills. Conflict is a normal process that all children will experience from time to time. The dilemma for many parents, however, is how to respond when this happens. As parents, it is painful to watch your children suffer hurt, rejection, and isolation when they fight with their friends. It is likely to spark the desire to want to fix the problem for him, however, this is not what your child needs. Your child needs your love and encouragement and also your guidance in figuring out how he wants to solve the problem. With your support, your child can learn invaluable skills and develop confidence in his own abilities.
Below are some general guidelines to help you provide your child support and encouragement and also show him a way to solve problems.
Listen to your child. Listen to your child in a kind caring way. As you listen to your child, avoid giving advice or criticism. Even resist the urge to talk about similar experiences of your own. Talking about your own experience could seem to your child that you are not listening to what they are saying about their experience.
Help your child identify the problem. Your child may be able to express what the problem is at the beginning of the conversation or they may have to talk awhile to get to it.
Help your child brainstorm solutions. Avoid telling your child what to do. Instead, ask them, “What could you do in this situation?” If they say, “I don’t know,” invite them to brainstorm with you, to think up any possible solutions. Write down all suggestions without evaluating them.
Help your child choose a solution. After your child has suggested several solutions, discuss the pros and cons of each one.
Most of the time, helping your child think through what they wants to do about a problem is the best help you can give them. For example, if you know your child wants to resolve an argument with their best friend, you can help arrange a time for them together in a low-stress environment, such as a park. You can provide the opportunity for your child to work out a problem with their friend without getting too involved or trying to solve the problem for them.
While every child faces social problems at some time, it is important to distinguish between normal friendship disagreements and more serious problems such as bullying or not having any friends at all. If this happens you may want to talk to your child’s teacher, a school counselor, or a family counselor for additional help.
At Crossroads Family Counseling Center we offer groups for boys and girls focusing on building social skills and improving friendships.
Website for kids about developing and maintaining friendships
Written by: Denise Booth who is a Virginia Licensed Clinical Social Worker (LCSW) with over 10 years experience working with children and families. She specializes in providing therapy to adolescents dealing with behavioral issues at home and school, as well as anxiety, depression, self-esteem, substance abuse trauma and PTSD,. In her work with parents, she strives to enhance parent-child relationships and strengthen parenting skills to cope with adolescents..
Why Teens Need Sleep
As school is getting ready to start in Fairfax County, Virginia how many Adolescents will be getting enough sleep this school year?
Research shows that on average that adolescents require 9.25 hours of sleep a night for good physical and mental health. However, with teens needing to be at their bus stop anywhere from 6:10am-6: 45am in Fairfax County for school start times starting around 7:20am it’s impossible for them to get 9 hours of sleep a night unless they go to bed at 9:00pm. How may adolescents do you know that go to bed at 9:00pm?
The American Academy of Pediatrics cites statistics from a National Sleep Foundation poll showing that as many as 59% of 6th- through 8th-graders and 87% of high school students in the United States get less than the recommended amount of sleep on school nights and that the average amount of school-night sleep obtained by high school seniors is fewer than 7 hours.
Adolescents have different sleep patterns and needs than adults or younger children. Hormonal influences of puberty shift the adolescents’ biological clocks. Judith Owens, MD, FAAP, director of sleep medicine at the Children’s National Health System and lead author of the policy statement, which was published in the September issue of Pediatrics states,“There are changes in circadian rhythms that occur in conjunction with puberty that simply make it very difficult for adolescents to go to sleep before 11 at night.” Changes in adolescence cause delays in the timing of nocturnal melatonin secretion, thereby slowing a youth’s ‘sleep drive,’ in which the pressure to fall asleep is more gradual, she added. Research has detailed the potential fallout when school schedules are not adjusted to correspond with the biological changes.
Various studies have shown that for adolescents, even a 30-minute earlier school start time is associated with shorter sleep duration, increased sleepiness, and problems with concentration, behavior, and absenteeism compared with later start times.
WHY IS IT IMPORTANT FOR ADOLESCENTS TO GET AN ADEQUATE AMOUNT OF SLEEP?
Inadequate sleep has been linked to many physical, mental and social problems:
• Impairment of the immune system and susceptibility to illness
• Depression, anxiety and irritability
• Impaired metabolism, diabetes being overweight and obesity
• Acne
• Alcohol and caffeine abuse
• Hyperactivity
• Poor judgment, rebelliousness, risky behavior, lack of control, trouble with relationships
• Lower academic performance
• Decreased athletic performance and injury
• Car crashes due to drowsy driving
As we know teenagers are growing by leaps and bounds physically, socially and emotionally. Often they are moody, have mood swings,behavior issues and it’s hard to know as a parent what is normal and what is a problem. Many children and adolescents suffer with depression that goes undetected during their adolescence. “Depression is not only a symptom of sleep deprivation but can also be a cause.” Scientists refer to this as a “bidirectional” relationship (Dobson & Dozois, Risk Factors in Depression (Academic Press 2008) p. 109), or “bidirectional causal pathway.”They often suffer from sleep problems such as insomnia or hypersomnia (excessive sleepiness) or both. A 2005 study found that people with insomnia had greater depression and anxiety levels than people not having insomnia and were 9.82 and 17.35 times as likely to have clinically significant depression and anxiety, respectively.
WHY IS A LATER SCHOOL START TIME IMPORTANT?
• The University of Minnesota’s Center for Applied Research and Educational Improvement (CAREI) has followed the changes made in the Minneapolis public schools. Among the benefits the CAREI study found
• One hour more sleep per school night on average
• Significantly increased attendance rates in all grades
• Increased continuous enrollment
• Decreased tardiness
• Improved behavior
• Lower rates of depression
• More student alertness, by teacher report
• Less sleepiness during school, by student report
• Fewer trips to school counselors and nurses
• Teens easier to live with, by parent report
There is also evidence that later start times can reduce the number of teen car accidents. Fayette County, Ky., found that after changing its start time to an hour later crashes among 16-to-18-year-old drivers decreased in the county, while they increased throughout the rest of the state.
Recently, the American Academy of Pediatrics (AAP) has issued a policy statement on school start times, urging middle schools and high schools to begin classes no earlier than 8:30 am, in order to address an epidemic of sleep insufficiency among adolescents and teens.
SLEEP in Fairfax has stated that research shows that later start times correspond with teen sleep needs and improve health, quality of life, and school performance. Isn’t this what every parent wants for their child?
Parents concerned about the health and educational impact of too-early high school start times have been working for change for ten years. SLEEP was started in January 2004 by Sandy Evans and Phyllis Payne. Momentum is building for a change, but they need your continuing support to finally accomplish the goal of so many parents, educators and health professionals!
For more information go to www.sleepinfairfax.org to learn more on how you can support Fairfax County Schools in voting for changes in the SLEEP schedule.
Written by: Sheri Mitschelen, LCSW, RPT/S Owner and Director of Crossroads Family Counseling Center, LLC and Family and Play Institute of Virginia. She is a Licensed Clinical Social Worker (LCSW) in the State of Virginia and a Registered Play Therapy-Supervisor (RPT-S). She has 25 years of experience working with children, adolescents and families. She also has a Ninth grader that gets up at 5:40am every morning to catch a 6:13am bus in Fairfax County.
Helping Grow your Child’s Imagination
“Imagination is more important than knowledge” – Albert Einstein
Even the great thinker, Albert Einstein recognized the importance of imagination. The ability to dream and be curious about our world are especially important to the children in our lives. A strong imagination allows children to be more creative, to develop problem-solving skills and to view the world in new and different ways.
Below are five activities that will help to grow your child’s imagination.
The good news is that you probably already have everything you need:
1. Play Dress-Up
Encourage your child to try on a new persona by playing dress up. While full costumes and make-up are great, just a few accessories like a tiara, hat, or magic wand can help them transform. For the most fun, dress up along with them; be the Robin to their Batman or the Anna to their Elsa from Frozen.
2. Nurture your little artist:
Set up an artists’ corner where your child can drawn, paint and whenever they want. Stock it with crayons, pencils, markers, brushes, paints and glitter and of course a big roll of paper. Put a big sheet of newspaper or an old shower curtain on the floor so your little Picasso can create without worrying about the mess. Encourage them to draw or paint the people that they love, the places they’ve seen or anything else that may interest them.
3. Limit screen time:
In order for a child’s imagination to grow, it is important to reduce the amount of time they in front of the TV or with electronic toys. Instead of watching television or playing with electronic and computer games, opt for toys/games that require your child to think for themselves. This kind of low stimulation play helps kids build up their “imagination muscle”.
4. Keep toys around that create lend themselves to imaginative play:
These are great because they can become anything your child desires. In addition to helping with fine motor skills such as stacking, blocks also lay the foundation for math, science, and spatial skills.Instruments Being able to create a new sound will delight any child and will encourage them to explore which objects make different sounds. Your child will love trying out a drum, a xylophone, bells, and maracas.
Modeling clay – Whether it is play-dough or something more professional, children love the tactile nature of this medium and will enjoy creating and re-creating with clay. You can help them explore further by finding find different objects to make impressions into the clay.
Empty boxes and containers – We’ve all had the experience of buying a child a toy and finding them playing with the box it came in instead. Why? Because a box can be anything; a fort in the woods or a palace in a magical land.
A magnifying glass – This is a great way to explore texture in their world. For younger children, they may require extra supervision or you may want to try a plastic magnifying glass instead.
Plastic cups, bottles and funnels for the bath – Use different sizes so that when your child pours water from one cup to another, she learns the concept of more and less. As the weather gets warmer, setting up a water tray outside is a fun way to stay cool.
5. Get outside:
There is no better source for imagination than mother nature. It is full of wonder and beauty all around. You don’t have to go far to find inspiration. A walk in the park to look at different trees, laying on the grass and looking up a different shapes in the clouds are all ways of engaging with nature.
Written by: Cecilia Racine, LCSW, a Licensed Clinical Social Worker (LCSW) in the State of Virginia with 17 years experience working with children, adolescents, adults and families. Cecilia’s areas of focus include: attachment, adoption, grief and loss, anxiety, domestic violence and trauma work. She is trained in solution-focused therapy, CBT and EMDR and is fluent in Spanish.
Supporting Children Through A Divorce
Ten of thousands of children are faced with the challenges of a parental divorce each year.This can lead to a significant emotional burden for the child as he or she struggles with feelings of hurt, guilt, confusion, and uncertainty about the future. It is most important for parents to create a nurturing and supportive environment which fosters open communication about feelings.This allows children to become armed with the skills necessary to cope with this stressful situation, but also creates a strong foundation to better deal with future stressors as well!
Key Factors to aid in children’s healing after a divorce:
Open Communication
Communicate information in an age appropriate way and encourage children to express their emotional reaction. Reading books or watching a cartoon that involves the topic of divorce may “normalize” the child’s feelings and help to create a more open dialogue.The child needs to feel accepted, safe, and free from blame. If you are finding that your child is reluctant to share feelings with parents, find a support group, arrange play dates with other children in a similar situation, or engage a counselor.
Confine negativity:
Children need to be protected from parental conflict, or discussions regarding finances, visitation, and blame.
Minimize disruptions:
Try to maintain as similar a daily routine as possible. Children need consistency and structure as this helps to decrease anxiety about the future. If there is to be a significant change in routine, be open about expectations. It is also important for parents to be as flexible as possible when children voice their needs.
Maintain Authority:
Previously established household rules and expectations for children’s behavior should not change amidst the grief over the divorce. Parents can comfort children through their sadness and anger, but should emphasize appropriate ways to express these feelings rather than permitting negative expression. Additionally, parents should grieve their own reaction to the loss as privately as possible. Children need to be children and not carry the burden of their parents’ emotional reaction.
Books for children about divorce:
Dinosaurs Divorce (A Book for Changing Families) by Marc Brown
I Don’t Want to Talk About It by Jeanie Franz Ransom
Two Homes by Claire Masurel
Please know if you feel like your child/children could benefit from additional support, the staff at Crossroads Family Counseling are here for you!
Wishing you all a Happy Spring!!!
Written by Darah Curran,LCSW who is a Licensed Clinical Social Worker in the State of Virginia with 15 years experience working with children, adolescents and families.Darah has provided support for pediatric and adult individuals and families in outpatient and inpatient medical settings. Her areas of focus include adjustment and behavioral issues, social skills development, chronic illness, grief and trauma work. Darah believes in the strength of the family and encourages each member’s involvement in making positive change for the child or family system
Teaching Gratitude to Children
With Thanksgiving approaching this month it’s a time to spend with family and think about the things we are thankful and grateful for. A 2012 study published in the industry journal Personality and Individual Differences found a sense of gratitude is an essential ingredient in a happy life, but it does not come naturally to children.and that gratitude was one of the biggest predictors of life satisfaction, no matter what demographic.
Five ways you can work to instill Gratitude in your children:
1. MODEL IT YOURSELF–Make sure to share the things you are grateful for in your every day conversation. Saying to your child, “”I’m so thankful to have your help”, “ I’m thankful for the beautiful trees.” Children model their parents in every way, so make sure you use “please” and “thank you” when you talk to them. (“Thanks for that hug — it made me feel great!”) Insist on their using the words, too. After all, “good manners and gratitude overlap,” says New York City etiquette consultant Melissa Leonard.
2. INTRODUCE GRATITUDE AS A GAME– Christopher Smith recommends focusing on small things by playing a game where each person shares something that they are grateful for. You can play this game while in the car by naming things that you see; you can play this game sitting in a waiting room by naming things that start with different letters of the alphabet. By making it a game, you are allowing your children to learn about all the things they can be grateful for while not making it too serious.
3. WRITE GRATITUDE LETTERS–This is a version of the thank you note. You can leave notes for your children saying the things you are grateful for about them. You can also teach your kids to think about writing a letter to somebody like a teacher or a family member who has done something for them. This teaches them that it is not just about when somebody gives you something material but when somebody really does something for you. Help your child write the letter – you can dictate for them if they’re younger. Or write or type on a card, Dear:_________ I’m thankful for____________ and their name. It does not need to be a long letter. People appreciate just being acknowledged and the thought.
A leading researcher in this field, Dr. Martin E. P. Seligman, a psychologist at the University of Pennsylvania, tested the impact of various positive psychology interventions on 411 people, each compared with a control assignment of writing about early memories. When their week’s assignment was to write and personally deliver a letter of gratitude to someone who had never been properly thanked for his or her kindness, participants immediately exhibited a huge increase in happiness scores. This impact was greater than that from any other intervention, with benefits lasting for a month
4. ENCOURAGE GENEROSITY-Generosity is the desire to give what you have to others. You can do this by donating food or used clothing and toys to a local food bank or Homeless Shelter. You can also encourage your child to share their toy or a piece of food with a friend or sibling
A book that discusses generous behavior is:The Bernstein Bears and the Joy of Giving
5. VOLUNTEER- Volunteering with children is a great way to teach them to give back to others. An additional benefit of volunteering with your child is the bonding that occurs. If you child is interested in a subject it may be possible to use that subject as a springboard into volunteering: Children who construct a lot of forts or buildings with blocks may enjoy helping out a construction organization such as Habitat for Humanity; and children who love animals my enjoy helping animal organizations such as the Humane Society. If you can’t commit to doing something outside the house as a family, figure out some way your child can actively participate in helping someone else. Even if it’s as simple as making cookies for a sick neighbor. For more information go to http://www.compassionatekids.com/volunteering.shtml.
A fun Fall family activity that can teach gratitude is cutting out colorful leaves and having your children write on the leaf what they are grateful for.
Enjoy this season of change and the beauty of the colorful leaves while remembering to practice gratitude.
At Crossroads Family Counseling Center we are thankful for our co-workers and grateful for the opportunity to work with the children and families that we serve. Happy Thanksgiving!
Written by: Sheri Mitschelen, LCSW, RPT/S, Owner and Director of Crossroads Family Counseling Center, LLC a Licensed Clinical Social Worker (LCSW) in the State of Virginia and a Registered Play Therapy-Supervisor (RPT-S).
Back to School Strategies
As summer winds down, another school year is right around the corner. Switching from laid back summertime fun to a more structured day, rules, and homework can be a big adjustment for children and parents. It is normal for your child to feel a wide range of emotions during this time. There may be feelings of sadness as summer time comes to an end; excitement to go back to see friends; and for some there may be feelings of nervousness. It is normal for kids to feel a little nervous or scared on the first day of school because of all the new things they may encounter (new teachers, new friends and maybe even a new school).
Fortunately there are things you can do to help ease your child (and family) back into the transition of school.
1. Provide a consistent routine. Developing a consistent morning and evening routine and even a good bye routine at school drop off time can help lower your child’s anxiety. Consistency helps provide safety and security for children.
2. Keep lines of communication open. Talk with your child about their concerns with school and even role play how to handle these situations.
3. Most importantly, make sure to get plenty of sleep. It is helpful to establish a sleep routine before the first week of school to help with this transition. Also keep in mind children between the ages of 5 and 12 need 10-11 hours of sleep each night.
4. Pack your backpack the night before and leave it by the front door to help ensure that things run more smoothly the next morning.
5. Eat a healthy breakfast every morning before school.
For children who may experience more anxiety during this time there are additional suggestions parents can take to help:
1. Let your child know you care- you can send personal notes in the lunch box or backpac
2. Do not overreact. The first few days may be difficult, especially for younger children, try not to overreact. During drop-off time, do not linger. Reassure them that you love them, you believe in their ability to be successful, and will see them after school.
3. Reinforce your child’s ability to cope. Give your child a few simple strategies to help him/her manage a difficult situation.
4. Most importantly maintain a positive attitude towards school. Children are sensitive to their parent’s energy and will mirror how they feel.
If your child continues to experience severe anxiety with going to school you might want to seek professional help. At Crossroads Family Counseling Center, LLC we are experienced Child and Family Therapists specializing in
childhood anxiety. Contact us at crossroadsfcc@gmail.com or 703-380-9045.
Written by: Denise Booth who is a Virginia Licensed Clinical Social Worker (LCSW) with over 10 years experience working with children and families. She specializes in providing therapy to children and adolescents dealing with trauma and PTSD, behavioral issues at home and school, as well as anxiety, depression, self-esteem and substance abuse. In her work with parents, she strives to enhance parent-child relationships and strengthen parenting skills.
Strategies for Sibling Fighting
Wouldn’t it be nice if you’re children loved being together during the summer? If they enjoyed playing together, the same activities and watching the same TV show etc…? Unfortunately, this isn’t always the case. If your children are having a difficult time getting along and it’s driving you crazy here are some tips on how to help your children get along.
The Child Development Institute has several suggestions for Simple Parenting Techniques That Work:
1. When the rivalry progresses to excessive physical or verbal violence OR when the number incidents of rivalry seem excessive, take action. (Action does speak louder than words). Talk with your children about what is going on. Provide suggestions on how they can handle the situation when it occurs such as:
- Ignoring the teasing.
- Simply agreeing (in a kidding way) that whatever the teaser is saying is true.
- Telling the teaser that enough is enough.
- When these measures aren’t working ask the person in charge (parent, baby sitter) for help.
2. When the above does not work, introduce a family plan to help with the situation that provides negative and positive consequences for all concerned such as:
- When there is any fighting or shouting, all involved will have a consequence such as a time out or writing sentences (“I will play nicely with my brother).
- However, when we can go the whole day or afternoon or evening (whatever makes sense for your situation), then everyone will earn a privilege such as (1) you can have a snack, (2) I will read you a story, (3) we will all play a game together, (4) I will play outside with you (catch, etc) or (5) you can stay up later. (Note that several of these provide parental attention for appropriate behavior).
3. Develop a system for evenly distributing coveted privileges. In other words, a system for taking turns for such things as:
- Who gets to ride “shot gun” in the car. (It’s amazing how many teenagers and young adult siblings still make this an important issue).
- Who gets to push the button in the elevator;
- Who gets to chose where to go to eat lunch or dinner,
- Who gets to chose the television show,
- Who does the dishes or takes out the trash (rotate on a weekly or monthly basis)
One of the simplest things you can do is create a competition between your children. Whoever has the most random acts of kindness for their siblings for the week wins a reward. It has to be something the parent sees or is aware of. You keep track of the random acts and tally them up at the end of the week. The child that has the most points earns a reward. It’s nice if it’s a reward that everyone in the family can benefit from. For example: the winner gets to pick what is for dinner that night, where to go out to eat, they get to pick a family outing or game. Positive Family fun time also promotes positive sibling interactions.
Look on Pinterest for some cool activities that siblings can do together this summer. http://pinterest.com/savingcase/sibling-activities/
For more information on parenting strategies go to: http://childdevelopmentinfo.com/ages-stages/school-age-children-development-parenting-tips/sibling_rivalry/
Written by: Sheri Mitschelen, LCSW, RPT/S, Owner and Director of Crossroads Family Counseling Center, LLC a Licensed Clinical Social Worker (LCSW) in the State of Virginia and a Registered Play Therapy-Supervisor (RPT-S).
Get to know Your Child’s Brain
Getting to know more about the human brain can strengthen your parenting skills, especially when it comes to tantrums, fears, and coping with scary experiences. “The Whole-Brain Child,” by Daniel J. Siegel, M.D. and Tina Payne Bryson, PhD, is an excellent, readable book that provides tools and understanding about what’s going on in your child’s brain when they get “out of control,” and how you can use this understanding to soothe and get through to them quickly.
The brain develops throughout childhood and consists of different parts with highly specialized functions. For example, the “downstairs brain” (brain stem and limbic system), as authors Siegel and Bryson describe it, is responsible for involuntary survival functions, like breathing and the “fight or flight” reaction to danger. It’s also home to the emotions we feel when threatened: anger and fear. This part of the brain is well-developed from birth.
In contrast, the “upstairs brain” (cerebral cortex), home of sophisticated functions like self-control, empathy, decision-making, and morality, is not fully developed until early adulthood! Toddlers, therefore, simply do not have the brain capacity to be upstanding citizens all the time.
Siegel and Bryson assert that brain integration (coordination and communication across different regions of the brain) leads to mental well-being in children and adults. As parents, we can help our children thrive by fostering brain integration. For example, here is a look at how brain science can help us understand tantrums and how to handle them.
TAMING A TANTRUM
Pre-schoolers are infamous for their tantrums. Individual temperament varies, but most parents know what it’s like to be with a toddler, who is red in the face, flailing about, and screaming about something they really want (more cake, a longer playdate, another child’s trike) but just can’t have. If you have ever tried to appeal to a raging toddler with reason and logic, you know… it just doesn’t work! Brain science tells us why.
Tantrums are a form of fight or flight response driven by the lower brain emotions of anger and/or fear. Once a toddler’s “downstairs brain” is simmering in stress hormones, they can’t access their upper brain to gain self-control. So, next time you are exasperated with a raging toddler. Remember, they are not being manipulative. They are literally stuck in the dungeon of their downstairs brain. Punitive statements, like“No more play dates for you,” will only send them deeper into the dungeon.
To connect with your tantruming toddler, start by soothing their “downstairs brain.” Reflect their feelings: “That makes you really mad!” Comforting them with, perhaps, a hug or a glass of milk and a reminder, “I love you even when you are mad at me.” Once the stress hormones have subsided and they calm down, you can engage with their “upstairs brain,” particularly with children ages 4 and up. “Why do you think you got so mad?
By soothing first, and discussing later, you are engaging with both the “downstairs” and the “upstairs” brain. Once you start asking them to use their upper brain to think about this lower brain “Would it help you to have more warning time before the end of your next play date?” you are helping them to integrate their brain. They may then be able to cope with the next frustration better.
RECOGNIZING HOW MUCH YOU ARE DOING ALREADY
Siegel and Bryson’s book is filled with simple parenting strategies based on brain research. In reading it, you may find that you are already implementing some of them. One of the exciting things about the latest brain research is that it explains and validates our natural parenting instincts, as well as the parenting tools laid out in other popular parenting books, such as “The Happiest Toddler on the Block” by Harvey Karp, M.D.
Written by Laelia Gilborn, M.S.W.,M.P.H., Ms. Gilborn holds two Masters Degrees in both Social Work and Public Health. She has additional training in child-centered play therapy and other therapeutic approaches to working with children. She has a special interest and experience with supporting families who are coping with health-related challenges and grief and loss issues.
Test Taking Strategies to Manage Stress and Anxiety
This time of year often brings excitement to children as the weather gets warmer and they begin to look forward to summer break and family vacations. For many children; however, this can also be a time of stress and anxiety. As the school year winds down students are preparing to take Standard of Learning (SOL) tests and/or taking final exams. This can sometimes evoke feelings of stress, anxiety, and worry in students. While some nervousness can be helpful for motivation, large amounts of nervousness, stress, and anxiety can interfere or even impair a student’s ability to think clearly, plan, and perform well on tests.
The list below provides a few warning signs that your child maybe suffering from test taking anxiety.
Signs that a child is worried, stressed, or overly anxious about test taking:
- Puts self down or calls self “stupid”
- Has an upset stomach or tension headache before a test
- Doesn’t want to go to school, especially on test day
Strategies to help prepare for test day:
- Be prepared- It is important to study some each night so that you are not cramming the night before the big test. The night before the test, organize the materials you will need for the next day to prevent stress the next morning.
- Get a good night’s sleep the night before the test.
- Choose a comfortable location for taking the test- A seat with good lighting and minimal distractions
- Strive for a relaxed state of concentration- Avoid speaking with any fellow students who have not prepared, who express negativity, who will distract your preparation.
- Eat a nutritious breakfast- Don’t go to the exam with an empty stomach. Fresh fruits and vegetables are often recommended to reduce stress. Avoid caffeine which is known to increase anxiety.
- Take a small snack, or some other nourishment- This can help to take student’s mind off of his/her anxiety during the test.
- Manage your time during the test– If you don’t know an answer, come back to it.
- Avoid the feeling, “I’m stuck!”- Those tricky problems can knock you off balance. Don’t get worried or frustrated. Reread the question to make sure you understand it, and then try to solve it the best way you know how. If you’re still stuck, circle it and move on. You can come back to it later. What if you have no idea about the answer? Review your options and make the best guess you can, but only if you don’t lose points for wrong answers.
- Have a positive attitude- Having a positive attitude can go a long way towards success and help manage text anxiety.
Even when children and teens follow all the steps above, they can still experience increased anxiety during the test. Studies have shown that students that practice relaxation techniques can achieve higher test scores. Relaxation techniques such as, deep breathing, visualizing, and positive statements are easy to implement. Listed below are just a few examples of techniques that you can teach your child to implement during the test to help lower anxiety levels.
Relaxation Techniques:
- Close your eyes and breathe deeply, all the way to your abdomen, so it rises and falls.
- Focus on your breathing. Exhale slowly, and as you exhale, let go of negative thoughts and tension.
- Imagine yourself taking a test. See yourself in the classroom sitting calmly, breathing, and thinking positive thoughts. Feel more calm and confident with each breath you exhale.
- See yourself reading the questions and answering them one at a time, slowly and carefully. You are in control; you have prepared and have all the knowledge you need to pass the test.
- Notice how regular your breathing is and how calm and confident you are. Continue to breathe slowly and deeply for another 5 breaths, and open your eyes feeling relaxed and alert.
Not only can these strategies and techniques help your child on test day but they can also provide a framework for your child to draw upon throughout his/her school career.
Denise Booth is a Virginia Licensed Clinical Social Worker (LCSW) with over 10 years experience working with children and families. She specializes in providing therapy to adolescents dealing with trauma and PTSD, behavioral issues at home and school, as well as anxiety, depression, self-esteem and substance abuse. In her work with parents, she strives to enhance parent-child relationships and strengthen parenting skills.