Parenting Through Proms

High school proms can represent, especially if your child is a senior, a right of passage. There is so much about this that can be joyful. But, there can be risks and challenges as well. So, this entry is designed to help you with the latter. I have three sections: (1) questions that I’d collaboratively answer with your teen until you are satisfied, (2) a list of issues that I would try to avoid controlling, barring unusual circumstances and (3) (hopefully humorous) responses to situations in which your teen tries to indict you for acting like a responsible parent.

Questions to resolve to your satisfaction

What sober and responsible person is driving?

Has the school established effective monitoring procedures? (This is more of a question for the relevant school administrator and needn’t directly involve your teen.)

What are the costs and who is paying for what? (A related issue, for some families, might be how a teen would be allowed to earn the money to cover the costs.)

Where is the after party and what responsible adult will be monitoring? (Keep in mind that monitoring can involve being in the same room, or next door, or in the parking lot. The goal is for the monitor to do no more than to ensure safety, sobriety and celibacy.)

Things to avoid trying to control

Yes, it’s good to be informed, but I would avoid trying to control what follows.

Who the date is. Of course you need to ensure that your teen is safe, sober and celibate for the night. Once those bases are covered, it’s a good idea for you to let your teen figure affairs of the heart out for himself or herself. It’s good to be a sounding board, if invited, but to keep negative opinions about a prospective date to oneself. This is good practice for when you’re an in-law, at least if you wish to be an effective in-law.

What the style of the outfit is, short of it looking like she could serve in a lineup of prostitutes. (Male analogies are less likely, but the same thing would apply if its relevant for your son.) Dads, when it comes to your daughter, it’s often best to let her mother (or some other responsible woman) handle this and to only make positive comments.

Who is attending the after party.

Other circumstances regarding the after party once you’ve secured the conditions described above.

Retorts to common prosecutorial invectives:

Obviously, these are not serious responses. But they are designed to make your teen exit your eye-line when howling at the moon.

Teen invective: “No body else I know has to have such stupid rules!”           Parental response: “But none of the other parents are as big of a control freak as me.”

Teen invective: “I’ll be going to college in a few months. You won’t be able to control things like this then!”                                                                         Parental response: (with a big smile) “Really?! I’ll be able to let someone else do it? What will that person be charging me?

Teen invective: “The other kids think you’re embarrassing.”                          Parental response: “That’s not because of my prom rules. That’s because they see me shopping at Victoria’s Secret so much.”

Teen invective: “I’ll just sneak out at the prom and you won’t know what I do.”            Parental response: “The school chaperone (know his or her name) has promised me that if s/he doesn’t see you for any given half hour s/he will text me about that. I will then text this baby picture of you (have visual ready) to your friend’s cell phones and upload it to your Facebook page with the caption “(your child’s name), cutest baby ever born in (name your city)! Love Mommy/Daddy”

Teen invective: Grandma (your mother) told me she didn’t have these kinds of rules for you!                                                                                                                Parental response: Grandma is getting senile.

Teen invective: You NEVER had these rules for (fill in name of older sib). Or, “You’ll NEVER make (name of younger sib) go through this!”                       Parental response: You know I love him/her more.

On a serious note, the wheel turns too fast sometimes. As your “baby” goes through this rite of passage, I hope you can enjoy it fully and take pictures/videos galore. It can be truly wonderful and bittersweet.

Six Tips for Parenting an Anxious Child

anxious childExtant research indicates that kids are sometimes born with a temperament that predisposes them to develop an anxiety disorder. This temperament, called “behavioral inhibition,” can be identified in toddlers. Such toddlers tend to have nervous responses to novelty or unexpected changes; they also tend to be more clingy and nervous than their peers when faced with separation from a primary caregiver. What follows are six tips for helping an anxious child.

1. Avoid avoidance. This is one of the most important guidelines. This means not avoiding those developmentally appropriate situations that make your child feel nervous. When our kids hurt we parents hurt worse. So, it’s a natural reaction to just let our child avoid any developmentally appropriate situations that make her feel nervous (e.g., being left with a babysitter, getting on a school bus, joining a rec soccer team). Avoiding such situations tends to promote them becoming even more threatening over time. Moreover, this sort of a coping strategy tends to spread: your child may end up wanting to use it for more and more situations. Barring other complicating factors (e.g., the presence of Post Traumatic Stress Disorder), avoiding avoidance usually comes with initial distress but eventual calm and mastery. (“Eventual” often ends up being just a few minutes.)

2. Promote your child’s comfort as you avoid avoidance. This can be coaching soccerdone in any number of ways. One of my favorites is to gradually expose your child to aspects of the feared situation in doses before the due date. For example, you might play soccer with him on the field where the first practice will be held or arrange for her to sit on the empty school bus before the first day of school. You would usually stay within these situations until your child seems calm, using some of the other tips in this article. This can also be done in smaller chunks prior to the due date.

3. Teach belly breathing and pasta muscles. Have your child pretend that his lungs are in his lower belly, instead of his chest cavity, while breathing deeply but comfortably, both in and out. Relatedly, ask your child to make her muscles as soft as a piece of cooked pasta. Click here for a free 15-minute audio training module I created that can promote this sort of muscle memory. These behaviors short-circuit the fight-flight response, which is the brain system that has become activated whenever someone feels anxious. (When in the anxious situation your child should not tense his muscles, as is done in the training module.)

tape over mouth4. Avoid reassurances, especially those that are excessive. Few things will trigger your child’s anxiety more quickly than your reassurance that a safe situation is safe, especially those reassurances that are issued with emotion or conviction. I tell the parents in my practice, “imagine I told you not to worry about the ceiling over us collapsing on top of our heads. You’d probably instantly start wondering what sort of a dangerous situation you might be in.” Kids often hear many parental reassurances as, “time to start freaking out!” Moreover, when you are separating from your kid (e.g., leaving the practice, leaving the school), leave as quickly as you can. Your presence, and especially if you are issuing reassurances, will often tend to promote the very anxiety you’re trying to mitigate.

5. Get control over your own anxiety if that’s a problem. This temperamental vulnerability, by definition, usually runs in families. If anxiety is interfering with the quality of your life, you would do your kid an awesome solid by seeking out cognitive behavioral therapy for yourself.

6. Get help if these efforts don’t work. Anxiety disorders in anyone, including kids, is usually very treatable and in a short period of time. The aforementioned cognitive-behavioral therapy can be delivered to kids and teens and has a ton of research supporting its efficacy. For a referral, click here.

 

 

 

Avoiding Corporal Punishment

frustrated girlLast week I reviewed research that indicated that corporal punishment is ill advised. This week I’d like to review some ways to avoid it.

Creating distance

There are two kinds of distance that could be created in situations where you might want to give your kid a crack. First, you might consider removing your child from the situation that is causing him or her to behave disruptively (e.g., a toy store, a conflict with a sibling). Creating this space can promote your child calming down so that you become less tempted to hit him or her. Second, if you feel like you’re loosing control, and might manifest undisciplined discipline, see if it’s possible to create some distance between yourself and your kid. Perhaps another adult can take over or you could move to the next room or a few feet away. When you have this distance try belly breathing, relaxing your muscles and clearing your mind (e.g., focus your attention on a narrow stimulus such as your breath).

Use Time Out

Time out is usually preferable to hitting. Time out is punitive, creates a place for your kid to calm down and it isn’t affiliated with the same negative side effects as hitting. Time out is best done in an uncomfortable chair like a dining room chair. Your child should sit in this chair for a minimum sentence of one minute for each year s/he has lived outside of the fretful studentwomb; it should be away from anything s/he can kick or grab, be within your eye line and away from any entertainment. You would keep cycling through periods of minimum sentences until your child is sitting quietly and either agrees to comply with your directive and/or expresses remorse for offenses committed. (There are other details pertaining to time out that can come up. For a fuller review of these issues please see this blog post and Chapter Five of my parenting book.)

Preventative Measures

There are many ways you can reduce the odds that you’ll have to deal with disruptive behavior in your child. I will review three of my favorites here:

1. Spend one hour a week each week doing special time. Readers of this blog know that this is my favorite preventative strategy for a host of issues that come up in child rearing. For a free download on how to do special time click here; click here for a resource for doing special time with teens.

2. Ensure that your child has weekly opportunities to manifest his or her strengths. When a kid doesn’t feel like s/he is doing well s/he is more likely to act out. Click here for a blog entry that elaborates on this theme.

positivity negative sign3. Set up a reward program to change any patterned negative behavior that you’d like to change in your child. That is, instead of using “this bad thing will happen to you when you do that bad thing” make it “this good thing will happen when you do this good thing.” A kid might earn her TV time by cleaning up her toys or he might earn access to his cell phone by completing his homework. Try to flip the negative behavior into it’s positive inverse, and then set up a reward for it. Please note that a reward can be a pleasure that your child is currently getting access to for free. Set these up in advance, make both the expectation and the reward specific and remain an empathic bystander as your child makes choices (e.g., I know how much you enjoy TV so I hope you’ll give yourself that gift by cleaning up your toys) instead of a hawkish warden (DO YOUR HOMEWORK!). Of course, I appreciate that there are times when we all need to insist that something gets done, and now.

In closing let me be Dr. obvious and note that a brief blog entry can’t address all of the questions that are probably percolating through your mind right now. (For example, shouldn’t kids learn to internalize their rewards? How long should I keep a reward program in place? Should I set up a reward program for his or her sibling also? What can I do to get my ex on the same page?) But, hopefully you can find answers to many of your questions by either continuing to search on this blog site or by reading the aforementioned parenting book. And, remember, problem solving- erasing mazeyou probably have a very good child psychologist not far from you whose available to help; for a referral click here. Good luck my fellow parent-lunatic!

 

New Research on Corporal Punishment

crying toddlerA large study on corporal punishment, that was published nine months ago, just crossed my desk. I thought I’d let readers of this blog know about it. There are twenty authors listed on this paper, the lead one of whom is Dr. Jennifer E. Lansford from Duke University. The entire paper can be found here.

The study investigated 1,196 children, and their mothers, from nine countries, across three points in time spanning three years (sorry dads, they didn’t look at fathers). The researchers were interested in considering how varying degrees of maternal warmth and corporal punishment might affect symptoms of anxiety and aggression in kids. Here are some key points from their review of the existing scientific literature:

• A large study in 24 developing countries found that 29% of parents believe that corporal punishment is necessary in order to parent well.

• “…77% of American men and 65% of American women” agreed with a statement that sometimes kids need “a good hard spanking.”

• In 1989 the United Nation’s Convention on the Rights of the Child determined that corporal punishment is “a human rights violation.”

• The only good outcome consistently found for corporal punishment is immediate compliance with parental commands. “All other negative outcomes during childhood and adulthood (low child moral internalization, child aggression, child delinquent and antisocial behavior, adult aggression and adult criminal and antisocial behavior)…(are) associated with corporal punishment.”

• The negative effects of corporal punishment seem to be smaller in countries physical abusewhere the authority of parents is stressed and corporal punishment is more common.

These are some key quotes regarding what they found in their study:

• “Consistent with much previous research on the negative effects of corporal punishment on children…out first hypothesis that corporal punishment would predict more subsequent child adjustment problems was generally supported…even after taking into account prior child adjustment.”

• “Our hypothesis that maternal warmth would predict a decrease in child anxiety and aggression over time was also generally supported…”

• The overall pattern was that children’s anxiety decreased over time most rapidly for children whose mothers were high in warmth and low in corporal punishment…”

• “Children whose mothers were high in both warmth and corporal punishment had increasing rather than decreasing anxiety over time.”

I would suggest two take home messages:

1. Avoid corstop2poral punishment as there are too many negative side effects associated with it. Moreover, there are many more effective strategies available that do not have such negative side effects. (e.g., see Chapter Five of my parenting book or search this blog site).

2. Trying to be warm as a way of mitigating the effects of consistent corporal punishment can actually have the effect of increasing a child’s anxiety; this most likely happens because achild is confused over and stressed by the mixed messages.

In next week’s blog entry I’ll review some immediate things a parent can do when tempted to give a kid a smack.

Teaching Electronic Etiquette to Kids and Teens

baby at computerOur kids’ use of technology is evolving at a dizzying pace. We all feel varying degrees of uncertainty about what it all means and how to effectively manage it. In this blog post I will list 10 teaching points to share with your kids and teens regarding texting and internet communications.

I’d like to share two important caveats before I get to the teaching points. First, we all do well to begin such conversations with our kid or teen by first asking for his or her perspective, providing empathy and agreement when that’s appropriate. Moreover, we also do well to use question and discussion methods before going into lecture mode. Second, the suggestions below are founded on the assumption that your monitoring protocol for your kid’s or teen’s use of technology is age-appropriate and on board; you can find monitoring guidelines throughout this blog site and my parenting book. Those caveats aside, here are the 10 suggestions:

1. Don’t post or type anything you wouldn’t want read on the school intercom. (This can be a tough sell for a kid who believes that a given friend is 100% trustworthy and will remain so forever.) This guideline goes double for posting on social networking sites. It can be especially useful to point out to teens that social networking posts are OFTEN perused by college admissions personnel, prospective coaches and prospective employers. Providing examples of people laptop big brotherbeing burned can help.

2. Try to avoid texting or posting when angry or hurt. We all experience transient brain dysfunction when feeling painful emotions (you probably won’t have to go too far back in time to provide examples of your own lapses). It’s best to introduce a pause when possible.

3. Avoid hiding behind anonymity to trash another person, no matter how much it may be deserved. You merely need to visit the comments section of online newspaper articles to find examples of this to illustrate to your progeny. Even young kids can often appreciate how this comes across.

4. Avoid responding in kind to insults or other kinds of hurtful communications. You can ask your kid things like: “what are some good ways to put out a fire?” “What are some ways to make a fire grow?” You can also ask your child or teen imagines how others might view such responses.

upset at laptop5. Teach your kids that certain kinds of communications are best done orally and/or in person. You’ve probably noticed that many kids eschew phone calls and prefer to text just about all communications with their peers. You can stress that your kid maintains more control over oral communications than written ones. Again, examples of people being burned can help make this point.

6. Teach your kids that sensitive communications can be easily misunderstood when written. Kids may not be aware of all the additional information that is shared through oral or in-person communications.

7. Be extremely cautious about sharing or posting pictures of others without first getting their permission. What one person thinks of as an innocent picture can be mortifying to another. This would also be a place to review the problems, legal and otherwise, with sexting and/or sharing nude pictures.

8. Try to avoid writing things about others that you wouldn’t want them to read. Again, examples of this going bad for a person can help.

9. Avoid observing or fueling other people’s social networking train wrecks. cyberbullying2There is something about the presence of an audience that fuels such unfortunate exchanges.

10. Encourage your child or teen to let you know if s/he experiences electronic bullying or becomes aware of another kid experiencing it. Victims of these behaviors can sometimes spiral downwards in tragic ways. If your kid(s) take you up on this, get some expert consultation regarding how to proceed (e.g., a good child psychologist). For a referral click here.

Good luck, my fellow parent!

Mindfulness Techniques for Kids and Teens

dad and daughter in a high mountainThere is a growing body of evidence that mindfulness–which is tuning into the moment in a non-judgmental way–is associated with an array of positive wellness outcomes. In this blog entry I will review some specific mindfulness strategies for we parents to use with our kids and teens.

The older your youth is the easier this will be to teach and the more time you will be able to spend doing the techniques. It also helps if you are engaged in your own mindfulness practice. The length of time invested in each of the following strategies can be adjusted based on factors such as those.

To teach the concept of mindfulness you might try to start with a stimulus that is interesting to your child: a flower, a captured insect, a colorful dress, a colorful rock, and so forth. Make sure everyone’s technology is off (not on silent or vibrate, but off). Ask your child to take two to five minutes with you and study the details of the thing, making sure to not judge and only to observe. As you’re doing this, suggest that you both pretend that your lungs are in your belly, instead of your chest, and breathe more deeply (but comfortably), both in and out. Suggest that if other thoughts come to mind, that your child just bring them back to the object without judging the fact that s/he was distracted for a moment (you can model this by recounting your own distractions later). Afterwards ask your child how this affected him or her, listening for evidence of feeling more calm or peaceful. You might also have your child or teen give a calmness rating, from 1-100, comparing how s/he felt before and after.burnout:balance sign

Here are some other examples of mindfulness techniques:

During agitating waits. When in a long retail line, a traffic jam or other time-slowing and bothersome situations, encourage your child to study the details of something around you: the sweater of the person in line in front of you, the cracks in the side of the road. “Study” doesn’t mean glance and move on. It means keep a focus on that area and notice a level of detail that most would normally not attend to. When finished, be sure to ask what this did for the agitation and the sense of time (usually reduces agitation and speeds up time).

During eating. In our run-and-gun culture we can get into the habit of devouring instead of savoring. Mindful eating, which has been associated with enhanced pleasure and reduced calorie intake, involves engages all of the senses in eating. This would include chewing slowly and savoring the details of each mouthful in a way that typically wouldn’t be noticed.

Tmom and daughter shadowo reduce self-criticism. Ask your child or teen to try balancing an egg for two minutes. When doing so s/he should pay attention to the details of the egg and the surface as well as not judge his or her performance; the latter is especially important in this exercise.

As a hobby. Photography is an example of a hobby that is mindfulness friendly. You can ask your child to join you in taking a few pictures of things that people might not normally notice. Agree to non-judgmentally study the thing for some moments before you take a picture of it.

As a way of joining with nature. Take a hike in nature, agreeing to stop a predesignated number of times to study a particular object.

To learn about each other. You can take turns studying the details of each others face, being careful to remain neutral in any commentary. (When it’s all over you can be positively judgmental if you’d like.)

The final two are examples of more advanced techniques:

To observe negative feelings. There is something about non-judgmentally naming and noticing negative emotion that promotes dealing effectively with them. In our culture we sometimes have a low threshold for experiencing the inevitable valleys of our lives and can rush in with self-medications of a wide array. If you practice a spirituality, you teach your child to turn over named negative feelings to his or her Higher Power. Teaching our kids to be mindful about painful feelings can be difficult to do (including for us as we are challenged God in all thingsto suppress our urge to immediately jump in with strategies and reassurances) but offers an invaluable life lesson.

To observe urges. You can ask your child to sit up straight in a dining room chair and not respond to, but non-judgmentally notice, any urges (e.g., to slouch down, shift weight, cross legs) for a few minutes. A similar exercise would be to put your child’s phone face down and to note urges to respond to its beck-and-call. Afterwards, you can debrief about the role of urges and that we have more power to create distance and control over them than we might sometimes imagine.

While I’ve given some sample exercises, just about any activity can be done more mindfully: listening to music, commuting to school, showing, brushing teeth, and so forth. Like any wellness habit, it becomes easier to do the more it is practiced.

Four Stress Management Strategies off the Beaten Path

grpx_1889In last week’s blog entry I reviewed highlights from the recently released Stress in America Survey, a national evaluation of American stress conducted annually by the American Psychological Association. In this week’s entry I will review four of my favorite, perhaps less broadly known, stress management strategies.

I suppose just about everyone reading this blog knows that the tripod of effective stress management is healthy sleep, regular physical activity and a balanced diet. I suppose just about everyone also knows that certain techniques commonly used to manage stress are ultimately ineffective or even toxic (e.g., smoking, drinking alcohol). So, I won’t make those points here. What I would like to focus on are four strategies that might not be as well promulgated but which nonetheless have an impressive empirical track record supporting their usage.

#1. Be in the moment. So often our thoughts are in places other than the moment before us; or we might be partially in the moment and partially somewhere else. The science behind “mindfulness” indicates that methods for tuning into the moment facilitate peace and effective stress management. There are so many ways to do this: meditating, studying the details of the environment in which we find ourselves, mindful photography, mindful eating and so forth. This can be done in a few moments (e.g., see www.donothingfor2minutes.com) or can be a sustained practice (e.g., see The Power of Now).

#2. Practice gratitude. I’m not suggesting that someone try to be gratefulholding a heart for things that are not true, but merely to tune into those things that promote grateful feelings and thoughts. Our minds can be like hyperactive squirrels as they ping pong from one stressful thought to another. A gratitude practice can be a way of inserting true and uplifting thoughts, which then help to manage stress. Like mindfulness strategies, gratitude can be practiced in snatches of time (e.g., reflecting on things one is grateful for while showering) or be more elaborate (e.g., writing a gratitude letter). Enter the term “gratitude” in the search bar above for some additional ideas.

#3. Perform acts of kindness. The phenomenon of the “helpers high” has been scientifically established to be true. Sometimes stress causes us to shrink inwards, making the notion of being kind to others seem impractical. However, being intentionally kind can lift one’s mood and promote a sense of meaning. I don’t know that this next statement has been empirically investigated, so take it with a grain of salt. But my experience is that when kindness is done for the purpose of creating a helper’s high it may offer a more limited benefit. It’s almost like one must surrender all expectation of a return on the investment in order to experience such a return. This also can be done simply and quickly or in a more sustained and elaborate fashion. Just enter the term “kindness” in the search bar above for some ideas.

spiritual man, african-american#4. Practice the Serenity Prayer. (Google the prayer if you’re not familiar with it.) One can be an atheist and still receive the psychological benefit of practicing this construct. Many types of personal, family and institutional illnesses flow from trying to control important things that can’t be controlled. This is part of the reason why 12-step recovery programs routinely use this prayer. The power of this prayer warrants all of us posting it where we can be reminded of it regularly. By the way, releasing control doesn’t mean becoming cold or indifferent to pain or unfortunate events. It just means that I don’t make myself sick trying to control that which is outside my control. Click here for an entry I wrote on using this prayer in parenting.

 

 

New Research on Stress in America

on edgeThe American Psychological Association (APA) just published the 2014 edition of its annual Stress in America survey (click here for the complete report). APA has been conducting this national survey since 2007. Here are some key findings from this year’s edition:

• Just about 3 out of 4 Americans worry about money at least some of the time.

• Just about one out of four adults report that they worry about money to the extreme, with that same approximate number reporting that they worry about finances on a daily basis.

• Many Americans report significant side effects from not having enough money. For instance, about one third indicate that money limitations interfere with living a healthy lifestyle; moreover, 12% report that such limitations caused them from seeking out needed healthcare.

• In 20work-life balance207 household income did not appear to differentiate the stress that people reported. However, this year those living in households making less than 50K reported substantively higher levels of stress. These individuals also report higher levels of not being able to live a healthy lifestyle (i.e., 45%).

• A little over three out of four parents report higher levels of money-based stress; parents also report higher levels of not feeling financially secure. (In my practice I hear a lot about concerns regarding saving enough for college.) Parents also reported higher levels of not doing enough to manage their stress as well as engaging in more unhealthy stress management behaviors (e.g., drinking alcohol).

• Interestingly, many adults report that discussing money-based stress in their family is taboo (18%) or makes them feel uncomfortable (36%).

• Women report higher levels financial-based than men (e.g., 30% of women report worrying about money all or most of the time compared to 21% of men). Women also reported more negative consequences from stress than did men (e.g., a greater sense of loneliness or isolation).

Here are some other key findings from the survey:

old woman upset• Those who report having emotional support report lower levels of stress and better outcomes than those who do not. Moreover, the sense of not having emotional support is higher among those who make less money (27% compared to 17% in higher income households). One out of four parents report feeling this vulnerability as well.

• The degree of emotional support also seems to be affiliated with how sad folks feel and with the perception that their stress has increased over the past year.

• Almost half of Americans report that they are not doing enough to manage their stress (i.e., 42%).

• After financial concerns, the stresses most bothering Americans are work (60%), the economy (49%), family responsibilities (47%) and health concerns (46%).

anxious black man• The top consequences respondents indicated experiencing from stress are feeling irritable or angry (37%), feeling anxious or nervous (35%), having lower motivation (34%), feeling tired (32%), and feeling overwhelmed and/or depressed (both at 32%). Moreover, 41% of those who are married or living with a partner reported that they lost patience or yelled at their partner in the past month secondary to stress.

I bet those of you reading this blog can relate to these findings. Please tune into next week’s blog entry when I’ll describe some of the most time-efficient and effective ways of managing stress.

New Research: Treatments for Teen Suicidal Thinking and Self-Harm Work!

depressed headphones onMeta-analytic studies are called “studies of studies.” They entail grouping together findings from numerous studies on the same topic in order to reach more substantive and sweeping conclusions.

In the February, 2015 edition of the Journal of the American Academy of Child and Adolescent Psychiatry, a meta-analysis is published regarding psychosocial treatments for teenagers struggling with self-harm (e.g., self-mutilation) and suicidal ideation. The authors of this research are Drs. Dennis Ougrin, Troy Tranah, Paul Moran and Joan Rosenbaum Asarnow.

This is an important piece of research as, and quoting the authors, suicide “…is the second or third leading cause of death in adolescents in the West…” For example, the authors’ review indicates that the annual suicide rate among teens is 7.8%. Moreover, and regarding self-harm “…a systematic review of 128 studies reported a pooled lifetime prevalence of 13.2%…”

In considering the extant research the authors retrieved 389 articles. upsetTheir most important conclusions are based on 17 random control treatment trials on 2,176 youth. Their bottom line regarding how teens responded post treatment: “The proportion of the adolescents who self-harmed over the follow-up period was lower in the intervention groups (28%) than in controls (33%).” The treatments “…with largest effect sizes are dialectical behavior therapy (DBT), cognitive-behavioral therapy (CBT), and mentalization-based therapy (MBT).”

I have described CBT in other posts on this blog (e.g., click here) and in Chapter 10 of my parenting book. As I reviewed in more depth elsewhere, CBT involves teaching a collection of cognitive and behavioral skills for managing mood, anxiety and stress based symptoms. It is a time-limited and structured treatment approach.

Quoting from the New York University Langone Medical Center: “DBT strategically blends the change techniques from traditional cognitive behavioral therapy with acceptance-based strategies from Zen mindfulness practice.” Mindfulness strategies essentially involve garnering feelings of peacefulness and contentment by tuning into the details of the moment.

sad boyQuoting from PsychCentral.com “Mentalization based therapy (MBT) is a specific type of psychodynamically-oriented psychotherapy…Its focus is helping people to differentiate and separate out their own thoughts and feelings from those around them… In …MBT, the concept of mentalization is emphasized, reinforced and practiced within a safe and supportive psychotherapy setting. Because the approach is psychodynamic, therapy tends to be less directive than cognitive-behavioral approaches.”

As I’ve reviewed elsewhere on this blog (e.g., click here) and in my parenting book, most teens who could benefit from mental health services don’t receive it, including kids who self-mutilate or struggle with suicidal thinking. This new research confirms and elaborates on an established finding in the scientific literature: mental health treatments for teens work!

If you even suspect that your teen is struggling with these issues, please consider taking the (sometimes lifesaving) step of seeking out a mental health evaluation. For a referral, click here. For other content pertaining to suicide, just enter that word in the search bar above.

Making the Most Out of Snow Days

girl, little, outsideUnanticipated days off from school can present some significant challenges for we parents. This entry is meant to provide you with 12 ideas on making the most out of them, each of which is probably better for your kid(s) than vedging in front of the TV or Xbox all day.

• Use the problem solving method to develop plans for the summer. Ask you kid(s) to generate at least 10 ideas for summer activities or plans without evaluating them. After the ideas are generated, ask them to rate each of them from one to ten, with ten being the best idea (ideas can have the same rating). Then, if they are old enough, ask them to start researching things like dates and costs.

• Make a snow person family on the property where you live.

• Use the snow from shoveling driveways or walkways to build snow forts and have snowball battles. (You may have to make rules about the weight of snowballs. I wonder if Bill Belichick or Tom Brady might have some advice to offer ;-) ) You might also augment these battles with water guns!

• Try geocaching. This activity involves using a handheld GPS to find hidden treasures. Just Google the term to learn about this universe around you. Alternatively, you could set up your own treasure hunt inside and outside your home.

Baby pictured by artistic mom• Have your kids produce their own movie. Write a plot (or improv it), have costumes, make up, direction, filming, and so forth.

• Have your own cupcake wars. Invite a neighbor in to judge. Get a trophy for the winner.

• Have a photo contest regarding the outdoor winter wonderland. Find someone to judge the pictures, making sure to keep undisclosed who authored which pictures. Arrange for a nice prize (e.g., I love winning back rubs).

• Create some crafts using family photos; most of us have a ton of these on our phones. Again, many ideas are available online.

diverse happy parents• Do makeovers on each other, incorporating makeup, hair and clothes. (When my girls were younger they loved applying makeup to me.)

• Have a tournament with any games you might have that involve physical activity (e.g., ping pong, Wii games).

• Perform science experiments. Here’s a site with some good ideas.

• Play winter wiffle ball (use socks and a broom stick if you don’t have a wiffle ball and bat). You can play with as few as two, but you could probably easily find other kids to play with a little effort. (IMHO, baseball is God’s sport. Who says it has to be warm out to have a ton of fun with it!)

I bet you’ll find that you can make some pretty special memories doing these activities, so be sure to take some pictures and videos as you go!

 

 

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