Is being spiritual healthy?

girl smelling a flowerIn last week blog’s entry I reviewed a recent study suggesting that religiosity and altruistic behavior are negatively associated in children. In that study, the findings were weak and there were important questions left unaddressed. In this week’s blog entry I would like to quote from two comprehensive reviews of the literature regarding associations with spirituality and religiosity that have appeared in two flagship journals: The American Psychologist and Pediatrics.

The review article in The American Psychologist, by researchers Peter Hill and Kenneth Pargament, can be found here. These are some key quotes:

“…religion and spirituality have been surprisingly robust variables in predicting health-related outcomes.” These include “…heart disease, cholesterol, hypertension, cancer, (and) mortality…”

“…even simplistic religion and spirituality measures…are glorioussignificant predictors of health outcome variables.”

Citing a meta-analytic review (i.e., a study of studies) of nearly 126,000 participants: “…people who scored higher on measures of religious involvement…had 29% higher odds of survival…than people lower in religious involvement.”

“…people who report a closer connection to God experience…less depression and higher self-esteem…less loneliness…greater relational maturity…and greater psychosocial competence…better self-rated health…and better psychological adjustment among people facing a variety of major life stressors, including transplant surgery…medical illness…and natural disasters…”

The review in Pediatrics by researchers Linda L. Barnes, Gregory A. Plotnikoff, Kenneth Fox, and Sara Pendleton can be found here. Here are some key quotes from that article:

diverse happy woman on floor2Regarding youth: “A number of studies suggest that spiritual/religious beliefs and practices may contribute to decreased stress and increased sense of well-being, decreased depressive symptoms, decreased substance abuse…improved recovery from myocardial infarction and enhanced immune system functioning.”

“Instances in which spirituality and coping may intersect for children include nighttime fear, psychiatric problems, suffering, hospitalization, disability, cancer and terminal illness.”

“Spirituality and religious involvement can also help children withstand the emotional assaults of sexual abuse, racism, cultural destruction, and the trauma generated by refugee experience and life in the disenfranchised urban neighborhoods.”

“Low religiosity also tends to be related to higher rates of smoking, drinking, drug use, and adolescent pregnancy.”

Other correlates or religiosity cited in the latter study included baby in shades, good for dev jeopardyless male aggressive sexual behavior, lower delinquency, higher life satisfaction, lower suicidality & increased academic & social competence.

Keep in mind that a correlation tells one nothing about cause and effect (e.g., click here for a demonstration of that truth). However, when study after study, across decades, finds similar positive associations, we can start drawing conclusions. What causes the positive associations is an open discussion (e.g, see Chapter Four of my parenting book), but we are on firm ground to assert that scientific findings indicate that engagement with a spirituality promotes resilience across the lifespan.




Religiousness and Altruism in Kids

microphoneLast week media outlets around the country reported on a study out of the University of Chicago on the relationship between religiosity and altruism in kids. The study can be found here. These are some of the headlines from last week: “Nonreligious children are more generous.” “Religion doesn’t make kids more generous or altruistic, study finds.” “Religion Makes Children More Selfish, Say Scientists.” How this research was portrayed constitutes a case example of what can go wrong when social science research is presented to the public.

The participants of this study were “…1,170 children aged between 5 and 12 years in six countries (Canada, China, Jordan, Turkey, USA, and South Africa).” The key determiner of altruism was how many stickers kids were willing to share with peers. Kids in the non-religious group were willing to share, on average, 4.1 stickers (out of 10) while kids in the Christian group were willing to share 3.3 stickers and kids in the Muslim group were willing to share 3.2 stickers. The researchers also determined that the correlation between the kids’ religiousity and altruism was -.173 (negative correlations mean that when one variable goes up, the other one goes down).

question mark over brainTo better understand the confusion in the reporting I need to explain the term “statistically significant.” Research is always done with samples that hopefully represent the population under study. So, let’s say I’m a researcher that believes that 10 year old boys who eat apples for a year will end up taller than 10 year old boys who eat onions for a year. I then put together a sample of 800 10 year-old boys, half of whom eat the apples and half of whom eat the onions for one year. A test for statistical significance tells me, at the end of my study, whether my sample of 10 year-old boys represents all ten year old boys (the population). Lets say at the end of the year my test of statistical significance says that my results are statistically significant. All that means is that my sample likely represents the entire population (the standard cutoff is 95% likely or higher). However, statistical significance tells me nothing about the meaningfulness of the difference. So, lets say in my study the boys who ate the apples were .84 inches taller than the boys who ate the onions. I can tell the media that there is a significant difference between my two groups, and that would be true. But the media, and the public equate “significant difference” with “meaningful difference” and that would be troubling, especially to onion farmers.

An example of a statistic that speaks to meaning is effect size; .20 is a small effect size, .50 is a moderate effect size and .80 is a large effect size. Moreover, to consider the meaningfulness of correlations, .10 is considered small, .30 moderate and .50 is large.

So, let’s return to the study in question. The effect size on the main analysis (which they didn’t report but which I calculated) is .348, closer to the small category than the moderate category (e.g., there was a .8 sticker difference between the non-religious kids and the Christian kids). Moreover, the negative correlation of -.173 correlation is small.

But, we need to return to my apple-onion study to consider another methodological issue. Researchers commonly collect data on other related variables that might moderate the results. Do the apples and onion diets have differing effects on boys who start out shorter than boys who start out taller? Do boys who are obese have a different outcome than those who are not? Are the results different for boys who exercise than those who don’t? Including measures like these helps researchers to further interpret the meaning and relevance of the results. In well-constructed studies such analyses are common.

In the study in question there were numerous potential moderators that were not investigated. These included the presence of mental health problems among the kids, the level of intelligence of the kids, and the number of siblings in each participant’s household, psychology disciplineto name a few. Moreover, a key potential moderator variable, socio-economic status, was assessed merely by determining the mother’s level of education. So, even though the results are statistically significant, the effect sizes are small and there are many unanswered questions regarding potential moderators of the findings.

Is this study interesting? Yes. Does it make a useful contribution to the literature? Yes. Does it suggest that parents should alter their religious practices based on its findings? Absolutely not. Moreover, there is a great deal of scientific evidence indicating that numerous physical and psychological advantages are associated with religiosity in children. In next week’s blog I will review some of that science.

Value of an Allowance

money held by handMany parents wonder about the value of giving their kid(s) an allowance. I’m in favor of allowances for these reasons:


…can be tied to weekly chores or homework performance, incentivizing otherwise resistant kids.

…cut down on the revolving (and seemingly near constant) requests for spending money. For elective purchases, kids can now learn to budget their own resources.

…open the door to teaching about money management. For instance, a percentage might be put aside for college, teens might open up a checking account and so forth.

…get kids thinking about the importance of giving to charity.

…sometimes actually lead kids to ask for other opportunities to earn money around the home.

Parents often ask me how much they should allow their child to earn. There isn’t really a guideline that I can say is more or less psychologically indicated. It really comes down to your standard of living and the values you wish to promote. That said, you could think of $1 per year your child has lived outside of the womb as a rough starting point; you can adjust up or down from there based on your standard of living and values.

Let me offer two caveats:

First, it’s important to not make a kid spend his or her allowance on necessities such as clothes and food. Providing necessities is our job. Of course, if your budget parameters call for your child to bag her lunch, but she prefers to purchase it at school with her allowance, that’s fine. Or, you have it in mind to purchase a durable sneaker but your kid wants the designer brand, that’s fine also.

Second, it’s important to not try to over control how your child spends his or her allowance. If the proposed expenditure isn’t inappropriate for him or her (e.g., a 10 year old wanmentorts to purchase a mature rated video game), or immediately harmful (e.g., yes, too much ice cream is harmful in the long run but a dosing of it isn’t immediately harmful once allergies are ruled out) it’s important to let your kid make his or her own decision, even if it drives you crazy. It’s hard to learn how to manage money, and how to make decisions, if mom or dad are always calling the shots.







What To Do About a Bad Report Card

writing fatigueHaving your kid come home with a poor report card can be challenging and upsetting. For responding to this I’d like to offer two perspectives and six steps.

Perspecitive #1: Though we all do it from time-to-time, freaking out is rarely helpful. This response is certainly understandable, especially if you believe your kid has dropped the ball. But, it rarely helps and often hurts both your relationship with your kid and the underlying problem (e.g., a kid hating school).

Perspective #2: The underlying issues are usually fixable, it just take properly understanding what has happened. Staying problem and solution focused can be very helpful. The following six steps are meant to help you in this regard. (These steps are not meant to be a sequential list.)

Step #1: Schedule a face-to-face meeting with the teacher or teachers. At this meeting discuss, at minimum, your kid’s strengths, what the teacher(s) believe has caused the poor report card, and a plan of remediation. Please read my blog entry “Eleven Important Tips When You Meet with a Teacher” to make the most out of this meeting.

Step #2: Figure out what constitutes success for your kid. We parents do well to focus on effort more than outcomes. Is your kid bringing it and getting Bs? If yes, that may be okay. Is your kid barely trying and earning As and Bs? If yes, that may not be okay.

Step #3: Determine what role homework plays in your kid’s grades. Is there too stressed student with booksmuch of it? Is your kid trying hard enough? Is your kid lying to you about what homework is assigned? Aspects of your assessment of the homework situation can be useful to share in the teacher meeting. Please read my blog entry “Seven Tips for Coping with Homework Hell” to get the most out of this step.

Step #4: Determine if extracurricular activities, sleep schedules or your kid’s social life are interfering with academic performance. If yes, the problem(s) may be easy to tweak if you’ve caught it/them early enough. (Searching with the word “sleep” above will list multiple entries regarding sleep.)

Step #5: Consider improving the quality of the relationship between you and your kid. If you are surprised by a poor report card, that may suggest that there is too much distance between the two of you. Spending one hour a week doing “special time” with your kid can be a fix (see Chapter One in my parenting book or articles on this blog site for more information on how to implement special time).

Step #6: Ask yourself whether a glitch in your kid’s mental health could be playing a role. If your kid seems depressed, angry, worried, stress out, hung over, or some other negative adjective, seriously consider having a good child or adolescent psychologist do an evaluation to get to the bottom of things. (See my article titled “What Does a Good Mental Health Evaluation Look Like?” to get the most out of this step. You may also find value in reading  character with key in head“Affording Mental Health Care” or Chapter 10 of my parenting book.) Part of this work-up may include an evaluation to rule out a learning disability.

Good luck and, on behalf of your future kid, thank you for your work on this!



Helping Your Kid Get a Good Night’s Sleep

It’s back-to-school and many parents are working on sleep with their kids. In previous entries I reviewed evidence that most teens do not get sufficient sleep, shared authoritative guidelines for how much sleep kids should get and summarized the most common ways kids suffer when they do not get enough sleep. Here I offer guidelines for how you can promote a good night’s sleep in your kid.

• Try to encourage a consistent bedtime ritual that starts about an hour prior to the time you’d like your  to fall asleep. In this hour try to avoid activities that promote an active or a fretful mind. For younger children reading them a book as they lay in bed can be effective. A shower or bath in this hour can also be relaxing.

• Baring unusual circumstances, consider not allowing your kid to keep a cell phone in her bedroom.

•Try to avoid allowing your kid to watch TV as he falls asleep. However, if you do, make sure it is not on for long and that it is turned off shortly after he falls asleep.

• If your kid is waking up soar or stiff or if her mattress is showing signs of wear or tear, consider replacing it.

• If your kid reports being too cold or too hot when trying to fall sleep, adjust accordingly.

• Try to avoid laying with your child until she falls asleep. If her anxiety level seems to mandate such, see a qualified mental health professional for help.

• Dim night lights are fine to use if such makes your child more comfortable.

• Of course, try to ensure that your child’s environment is quiet. If you live in a busy area and outside noise is interfering, consider purchasing a noise cancelling machine.

• If your kid consistently fights you in getting to bed on time, consider making her earn access to a desired activity or object the next day by getting into bed on time (e.g., cell phone access the next day is earned by having gotten into bed on time with the lights out).  This is not punishment. (“I’m taking your cell phone away because you did not get to bed on time.”) This is reward. (“You earn your cell phone each day by having gotten to bed on time the night before.”) So, your kid either earns or doesn’t earn the desired activity or access while you remain an empathic bystander.

• If your kid reports that he cannot fall asleep because his mind is too busy, try one or more of the following strategies:

  1. At a soft volume, play an audio recording of a story with which your child is familiar. Try to avoid plots that are action packed.  Also, make sure to turn it off shortly after your kid falls asleep.
  2. Encourage your kid to imagine that it is the next day and he is in a boring class. In the class he is extremely tired, but he MUST stay awake. Encourage your kid to imagine what each of her senses experience as he does this mental exercise.
  3. Encourage your kid to imagine a repetitive pleasurable activity (e.g., fishing, cheerleading, pitching a ball game, dancing, etc.). Again, encourage her to engage all of her senses when imagining this activity.
  4. Play sounds from nature (e.g., the beach, a rainforest, etc.) or other soothing music (e.g., insomnia tracks available on iTunes). If your child has a device like an iPod, he may enjoy using one of the compatible pillows that are available.
  5. Some people report that the aroma of lavender can have a sedating effect. So, consider this as well.

Insomnia is like a fever as it is a symptom that has many possible causes (e.g., sleep apnea, mood disorders, anxiety disorders, etc.). If your child suffers from persistent insomnia consult with your child’s pediatrician regarding possible medical causes. If medical interventions do not resolve the problem, are contraindicated or will take a while to implement, consider seeking out the services of a qualified mental health professional.

Developing Gratitude in Kids

happy jumping black boy, white backgroundHelping kids to develop gratitude has multiple benefits. It weakens self-entitlement because kids need to recognize that they have been gifted with something instead of feeling inherently entitled to it. Gratitude also promotes adaptive thinking, joy and a sense of meaning. This entry focuses on a few strategies for promoting gratitude in kids.

A good way to start is to do gratitude letters across the entire family. For that methodology, see this blog entry. Being on either end of a gratitude letter is usually a very enriching experience.

Families can also develop gratitude rituals. Before eating a shared meal, whether it’s all of the family or just part of the family, each person might mention 1-3 things that she is grateful for that day. These might be small things (e.g., the sounds of birds chirping in the morning) or big things (e.g., being on the honor roll). Moreover, if your family shares a spiritual practice of praying, prayers of thanksgiving can be offered each night for specific developments during the day.

There are also things kids can be trained to do on their own. For example, counting three blessings in the show can be a mood lifting habit, as can doing so right before bed. Some kids also find value in making a gratitude list once a week for things that happened that week. The research suggests that such practices promote positive feelings and attitudes. As is said: that which you pays attention to expands.

There are two traps to avoid. First, directing a kid towards gratitude usually teen laying down and looking aheadwouldn’t be a good way to respond to that kid’s legitimate pain and suffering. Trying to direct a kid towards gratitude, when he is legitimately hurting, can make it harder for him to learn to cope adaptively with such experiences. Second, it’s important to try to be specific with expressions of parental gratitude and to not offer vague praise (e.g., a parent saying to a child: “I’m grateful that you’re so smart” is not nearly as helpful as “I’m grateful that you aced a difficult English exam today”).

Tolstoy said it well, “Happy families are all alike. Every unhappy family is unhappy in it’s own way.” I think it’s fair to say that happy families, and individuals for that matter, regularly engage proportionate and specific gratitude.


“I’m stupid!” “I’m a loser!” Responding to a Kid’s Negative Thinking (Thought Testing)

“I’m stupid!” “No one likes mcharacter sitting on book overwhelmede!” “I suck at sports!” “I have no friends!” Most parents have heard lamentations like these. Our typical response is to reassure our kid and offer contradicting evidence. However, there are many occasions when that approach seems to escalate the problem. This is because if a kid is being influenced by a depressed or anxious mood, such reassurances are heard by her as “knock it off. You don’t have any reason to feel this way.” Our kid’s response is then to insist, often with more distress and an offering of data, that the negative thought is true. The technique of thought testing can be helpful in these instances.

Step #1: Get to the core thought. Our thoughts are like onions; core thoughts are the deepest layer of the onion. Sometimes our kid offers a core thought right at the start, like the ones I listed above. If so, we can skip this step. Otherwise, a kid can seem disproportionately upset about an activating event, like not getting invited to a party or making a mistake during a game. You can start by asking, “what does it mean that Monica didn’t invite you to the party?” A kid might say, “she doesn’t like me.” You can then respond with, “okay, let’s say that’s true. What would it mean about you that Monica doesn’t like you?” A kid might then say, “I have no friends.” Core thoughts are usually expressed in a few words and represent black-and-white and negative conclusions about oneself, others or the world at large. Write down the core thought at the top of a piece of paper, then draw a vertical line in the middle of the page underneath the core thought. On the left side write “facts supporting.” On the left write “facts contradicting.”

theory into practice signStep #2: Collect supporting facts. This is the step that opens up a new universe for your relationship with your kid. You say, “okay, what are the facts that support this thought? By facts, I mean things that a police officer would write down, or things that could be used in a court of law.” (You might have to do different kinds of teaching regarding what a fact is depending upon your kid’s age and intelligence.) If your kid suggests some facts in support of the thought, write it down as a valid point. The kid might say, “I didn’t get invited to Monica’s party.” You might say, “you’re right. That is a fact that suggests you have no friends so we’ll write it down on the left side. What’s next?” So, instead of arguing against the core thought, you’re asking for the data that supports it. This is what’s new. Usually a kid will have 2-4 facts, and rarely more. Just be sure you write down only facts, not what you kid imagines, guesses or implies.

Step #3: Collect contradicting facts. When your kid says she has no more supporting facts, ask if there are facts that contradict or disagree with the core thought. Usually, these start cascading from your kid (as long as you’ve done the first two steps that is). Feel free to add here-and-there but let most of the facts come from your kid. You write each one down on the right side. As you write, don’t let your kid see what you’re writing yet. It’s okay not to exhaust this side. You can stop once you have much more data on the right side.

Step #4: Give the list to your kid and ask, “Okay, you’re judge and jury. Is the thought true or false?” Your kid will usually express relief that the thought is not true. (In my parenting book I review an augmenting strategy for when a kid wants to assert that a given fact on the left side carries more weight than the facts on the right side.)

cute girl sitting white backgroundStep #5: Decide what you want to do next. Maybe you want to do “problem solving” regarding the activating event (search for that term on this blog site). Or, maybe your kid decides just to distract herself whenever she has this thought going forward, as it isn’t true.

I have two caveats. First, if the thought proves true, use it as an opportunity to do problem solving. Second, if thought testing doesn’t work for you, and your kid has a pattern of being distressed by negative thoughts, seek out a referral for a good child mental health professional. You can get a referral by clicking here.

Eight Tips for Transitioning Back to School

Well it’s that time of the parenting year when many of us start overseeing the transition back to school. Whether this is a purely joyful time for you or a time of ambivalence, here are eight tips to help.

Tip #1: Start transitioning your child’s sleep routine to approximate the school day. Many kids develop a vampire sleep schedule during the summer, especially teenagers. Getting your kid onto a sleep schedule that will approximate the school year, a week or two in advance, will ease everyone’s transition. (For guidelines on how much sleep your child needs, click here.)

Tip #2: Set as a goal an hour a day of sweating and breathing hard for your progeny. It can be less stressful to begin this widely recommended behavior now than once the craziness of the school year kicks in. (Hint: it’s a lot easier to establish routine physical activity if it’s fun and part of scheduled and structure commitments.)

Tip #3: I bet you see this next one coming: establish a balanced diet to give your child a wonderful gift. It is very easy to get free online help. (As a child psychologist, I wonder how many mental health problems in youth would go away if all kids got enough sleep, got a reasonable amount of physical activity and ate a balanced diet.)

Tip #4: Plan a fun activity for the family a week or two into the school year. This gives everyone something to look forward to, which can ease the transition back to school.

Tip #5: If your child has a history of struggles with his or her academics, establish a minimum amount of time to be spent on homework each school night. An evidence-based guideline is 10 minutes per grade (e.g., a 5th grader would spend 50 minutes). (If the amount of time your child needs to spend on homework each night far exceeds this 10-minute guideline, I would initiate a discussion with the teacher(s) or a good child psychologist regarding what might be going on.)

Tip #6: Discuss with your child the amount of extracurricular activities that you find to be adaptive. Having no extracurricular involvements can hamper opportunities for advancing important developmental outcomes. However, too much extracurricular activity can compromise academics or wellness. As is the case across parenting, the middle ground is usually in order.

Tip #7: Avoid stressing your finances needlessly with back-to-school expenses. There can be a conscious or unconscious pressure to doll our kids up with expensive new clothes and bountiful office supplies when such isn’t needed. If you have the money and inclination, go for it. But, I would try to avoid creating burdens on myself that will later tax my ability to parent with intention.

Tip #8: Don’t beat yourself up for unrealized summer dreams. In the spring many of we parents imagine spending the summer frolicking through fields of meaning and joy with our children. Of course, this never happens with the same breath and depth as we imagined in the spring (i.e., another version of the Clark Griswold syndrome). Try instead to give yourself credit for your efforts and what went well.

Good luck my parent colleague!

When Teens Lie

african woman's half faceLying is can be a symptom of a psychological disorder such as Conduct Disorder or Oppositional Defiant Disorder. However, lying can also occur secondary to typical developmental pressures that teens face. This entry is designed to address the latter scenario.

Teens can lie for many different reasons: to avoid consequences, to be spared parent admonishments, to get out of responsibilities and so forth. However, a top reason teens lie is because they imagine that the truth will get them nowhere with their parents. It is as if a teen is an attorney who, believing that the judge always decides against him, stops making truthful petitions to the court. This may or may not be a fair assessment. But, if a teen thinks that her parents will always decide against her if she lobbies truthfully, it is more likely that she will lie. There are at least six things we as parents can do to incentivize truth telling:

#1. Ask yourself if the thing your teen wants to do stands to be physically harmful, psychologically harmful or unduly taxing of your resources. If the answer to all three is “no,” maybe it’s okay to let your teen do that thing, even if it drives you crazy.

#2. Be open to your teen having good arguments that change your mind. Often our teens have information or perspectives that we hadn’t considered. If we allow ourselves to objectively consider this information, and change our minds when that’s indicated, we increase the odds that our teens will be truthful with us.

caution, teen ahead#3. Consider using the problems solving methodology. Click here or see Chapter Six of my parenting book for a more detailed description.

#4. Spend one hour a week doing special time with your teen. Readers of this blog will recognize this theme. For an instruction on how to do special time see this link or Chapter One of my parenting book.

#5. Allow your teen three chances to change your mind after you say “no” to something he wants to do. It might go like this: 1. your teen makes his initial request; 2. you respond, offering a reason if it’s a “no;” 3. your teen makes a counterargument; 4. you listen and respond; 4. if it’s still a “no” your teen makes a second counterargument; 5. you listen and respond; 5. if it’s still a “no” your teen makes a third and final counterargument; 6. you listen and respond; if it’s a “no” discussion would normally be over at this point. Also, keep in mind that being open to being persuaded by good arguments (not pushed over, but persuaded) is important.

#6. Bounce your thinking off of wise and experienced parents who are objhip teens:college studentsective and are as likely to agree as to disagree with you. This can help you to get a better sense for what you want to do .

Good luck!

Summer: Great Time to Have Your Kid/Teen Get a Mental Health Evaluation

black kid skateboardFor many kids and teens (and by association, parents) the summer represents a reprieve. Of course, there is no school. But, other responsibilities usually lessen as well. For this reason, stress can lighten by a large margin; symptoms that your child may have demonstrated during the school year can either evaporate or lessen to manageable levels. This can cause just about any parent-lunatic to convince himself/herself that all is well now.

Yes, kids can grow out of symptoms with time and maturity. However, unless there has been some dramatic and substantive change (e.g., peace was rendered in a significant relationship that had been troubled, treatment caused a significant breakthrough), it is unlikely that your child or teen has grow out of a problem, or problems, in the matter of a few weeks. It is more likely that the abatement of school-year based stress has caused the problem(s) to go underground and that such are likely to return, in a stronger and more entrenched variation, in the fall. (In my clinical experience this often happens by the first report card and nearly always by the holidays.)

This makes the summer a great time to get an evaluation, and for at least four reasons:

  1. Being under less stress will make it easier for a child psychologist to two boys thumbs upaccess the reasonable side of your child or teen.
  2. If your child or teen demonstrates problems at both school and home, the summer affords the opportunity to focus on home-based challenges exclusively. This portends to leave everyone feeling stronger and better equipped to deal with school-based issues in the fall.
  3. If your child suffers from mood disturbance or anxiety symptoms, it can be much easier to assess and treat such in the summer. Actually, the same thing goes for most kinds of problems (e.g., difficulties with attention, disordered eating).
  4. With the decreased stress, it may be easier for everyone to better appreciate and discuss your child or teen’s strengths.

glasses and bookThe only typical downside to a summer evaluation is that it can be more challenging to get teachers to complete behavior rating scales. However, my experience is that most teachers are generous with their time as long as you approach them in a respectful manner. Here’s a sample ask: “Dear Mr./Ms. X, I’ve arranged for Dr. Y to evaluate Aiden so that I may better understand his opportunities for growth. Dr. Y. has indicated that your opinion is very important in helping him to do a good job. I appreciate that you are off in the summer, so if you don’t have the time to fill these forms out, no worries. But, if you can fill them out I would be most grateful!”

I hope you will consider an evaluation if your child or teen has been demonstrating problems either now or during the last school year. Doing so will leave your child or teen less likely to number among the majority of those youth who need mental health care but do not get it. (For a referral click here.)



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