Tag Archive for: behavior therapy

What’s Wrong with My Teenager?

I’ve been listening to a series of lectures on Audible entitled, “Understanding the Mysteries of Human Behavior,” by Mark Leary, Ph.D. He’s a professor of Psychology and Neuroscience at Duke University. I’m going to be sharing several of his topics over the next few months. The one that caught my eye was, “Why Don’t Adolescents Behave like Adults?” Here are some of his thoughts:

First, there tends to be more family conflict when kids transition into adolescence.

The good news is that this conflict generally is short-lived (lasting the first couple of years of adolescence) and generally focused on minor issues such as their personal appearance, dating, family rules, and curfews. The reason for these conflicts seem to be rooted in the teen’s desire to establish their independence, which is a healthy and important part of their development.

Second, Teens tend to display more rapid and extreme mood swings when they enter into adolescence.

Certainly, hormones play a role in these emotional swings, but researchers are looking at the role that stress plays in mood instability. Leary points out that, “Adolescence involves major personal and social changes and transitions that would be stressful at any age, but for a young person without much life experience, these changes can be overwhelming.” Increased stress equals increased mood instability.

Third, teenagers tend to display an increase in risky behaviors which, as Leary points out, “have the potential to harm them or others.”

I see a lot of these teens, and here’s what’s happening in their brains. This increase in risky behavior is due to the interplay between two distinct networks in the brain. The first network is the socioemotional network. This network process rewards, especially social rewards. As a child enters adolescence, the reward center of the brain changes and teenagers begin to pay more attention to potentially rewarding experiences. The cognitive control network controls what is typically called executive functioning and involves functions such as planning and impulse control. Unfortunately, this network develops gradually throughout adolescence and matures by the mid-twenties. One system is telling the teen to speed up and the other is telling them to slow down. Unfortunately, the cognitive control network can be outmatched by the socioemotional network. It’s like putting a new driver behind the wheel of a race car.

So, to address the question, “What’s wrong with my teenager,” the answer is nothing.

Teens are becoming something. They are becoming adults and stretching the wings that one day they will be using independently. They are testing boundaries that one day will not be there and they are exploring and taking risks that one day will be wonderful growth experiences. But until they become adults, they need our guidance, support, teachable moments, patience, and they need a gradually increased amount of freedom to become the people that you have raised them to become.

I often hear extended family members counsel younger parents. The younger parents are overwhelmed and exhausted with the the task of raising children. Aunt Susan will respond with, “If you think it’s bad now, wait until they’re teenagers.” I couldn’t disagree more! Yes, it’s painful at times watching them transition into an adult, but it’s also one of the most reward times that you will have with them. Understanding what’s going on is the key to looking forward to it and even enjoying it!!!!

Friday Waypoints- 1/11/19

Job Satisfaction

Every now and then something happens that makes you question yourself and what you’re doing. This week I had a brief encounter with a young man that is struggling with life. He’s living with his mother, unemployed, and bearing a mental health burden that no one deserves. My heart goes out to him and his mother. Unfortunately, he is unable to handle the gentle pressure that therapy sometimes places on you and our session ended prematurely due to his very agitated response. And unfortunately for me, his response triggered memories of similar incidents over the past 25 years. That’s the nature of the work we do. Sometimes people come to us and change us. I shared this incident with a colleague and she shared a similar incident that almost caused her to quit being a therapist. She was assaulted by a client during a session. We are people. We love helping people.

So, what do we do? We see the next client, weather the negative reviews on google, share our burdens with family and friends, get out and hike. We listen to the latest Bon Iver album. At times, we see a therapist. And we stoke the flames that that burn deeply within us, that brought us to the very first therapy session, that for some of us was 25 years ago.

I love what I do. Later in the week, I sat across from Harper, a 14-year old that needs my help. She was abandoned by her father and struggling to make sense of it and of life. She’s growing and it warms my heart. Like I said, sometimes people come to us and change us.

Stoic Quote

A friend gave me “The Daily Stoic,” by Ryan Holiday. The quote for this past Wednesday was from Epictetus: “Some things are in our control, while others are not. We control our opinion, choice, desire, aversion, and in a word, everything of our own doing. We don’t control our body, property, reputation, position, and in a word, everything not of our own doing.” Those of you that know me, know that I live my life based, in part, by slogans. It helps me stay focused on the important stuff. One slogan that relates to this quote from Epictetus is “Adjust to the things that won’t adjust to you.” This slogan reminds me that there are things that are not going to change no matter how much effort I apply to them. In a way, that’s why I love the Jefferson Forest, and the Red River Gorge, and the Grand Canyon, and all the other places that I explore. They are not going to adjust to me no matter what I do. We need immutable things in our lives. And we need to adjust to them. That includes places AND people.

Student Intern

Our new Student Intern started this past week. Her name is Sharonda Tunstull. She is a graduate student at Campbellsville University, working on her Master’s in Social Work. We are so fortunate to have her with our agency. She is going to be developing an Adolescent Group and seeing individuals and families for therapy. She is also going to co-lead a group for individuals with development and intellectual disabilities called, “Positive Relationships.” Welcome aboard, Sharonda!!!!

Circadian Dis-Rhythms (Or, Why Can’t I Sleep?)

I started having problems with sleep a few years ago. Before that, I slept like a baby. I’ve learned a few things about sleep recently and I want to them share with you. I’ve learned about the importance of good sleep. And I’ve learned about sleep hygiene.

Routinely sleeping less than six or seven hours demolishes your immune system,” writes Matthew Walker PhD. “It more than doubles your risk of cancer. Insufficient sleep is a key lifestyle factor determining whether or not you will develop Alzheimer’s disease.” He goes on to write that, “Inadequate sleep disrupts blood sugar levels so profoundly that it would be classified as pre-diabetic.” It increases the likelihood of your coronary arteries becoming blocked and brittle.

I’ve learned that sleep, or lack of sleep, affects our memory, our ability to learn, and our ability to make logical decisions.

I’ve learned that insufficient sleep can increase aggression, bullying, and behavior problems with children.

I’ve learned as Joseph Cossman wrote: “The best bridge between despair and hope is a good night’s sleep.”

So, here are some Sleep Hacks

Tips I’ve learn for getting a good night’s sleep:

  1. Stick to a schedule. Go to bed and wake up at the same time.
  2. Exercise is great but try to exercise no later than 2-3 hours before bedtime.
  3. Avoid caffeine 8 hours prior to bedtime.
  4. Avoid alcoholic drinks before bed.
  5. Avoid large meals and beverages late at night.
  6. If possible, avoid medicines that delay or disrupt sleep.
  7. Don’t take naps after 3 pm.
  8. Relax before bed.
  9. Take a hot bath or shower before bed.
  10. Dark bedroom. Cool Bedroom. Gadget-free bedroom.
  11. Have the right sunlight exposure. Get outside at least 30 minutes a day of direct sunlight.
  12. Don’t lie in bed awake. If you haven’t fallen asleep in 20 minutes, get up and do something relaxing.

I am sleeping better now. I’ve started practicing good sleep hygiene. I’ve started taking Melatonin (recommended by most sleep researchers). I have more to learn about good sleep, and I’ll share more information as I get it. Sweet dreams.

The Hurried Child –Are We Creating a Generation of Anxious Children?

I first read David Elkind’s book, “The Hurried Child,” while in graduate school almost 25 years ago. It provided a course of treatment for me to use with families and their children. I encouraged families to relax and limit the stress that they imposed upon their kids. This stress usually took the form of over-involvement in extra-curricular activities and pressure to excel academically. Elkind asserted then and continues to in the 25th Anniversary edition of his book, that we are rushing our kids through childhood and contributing serious problems with anxiety and depression.

“The concept of childhood, so vital for a child’s healthy development,” he writes, “is threatened with extinction in the society we have created. Today’s child has become the unwilling, unintended victim of overwhelming stress –the stress borne of rapid, bewildering social change and constantly rising expectations.”

People need stress. It’s very important for our body to function and can help create creativity and motivation for being productive in society.

But chronic stress is very harmful and can lead to health issues such as, cardiovascular disease, obesity, and anxiety, just to name a few.

“For some children, Elkind summarizes, “chronic stress is translated into what Freud called “free-floating anxiety,” in the sense that it is not attached to a specific fear of apprehension.”

Childhood Anxiety is becoming an epidemic in our country.

I think Elkind is careful to spread the blame to several institutions for this rise in stress and anxiety with kids and not just parents. These include: the family system, schools, the media, and the internet. I recently reviewed the book, “IGen: Why Today’s Super-Connected Kids are growing up less Rebellious, More Tolerant, Less Happy, and Completely Unprepared for Adulthood,” by Jean Twenge, PH.D. “Whereas teens used to hear about social events through whispers,” she writes, “they can now see up-to-the-minutes pictures of exactly what they are missing.” Children and teens are being robbed of the peace and safety of living in the “here and now.”

I remember many things about my childhood: playing with my brother Tim, building forts, and watching Saturday cartoons. I grew up during the Vietnam war and remember seeing soldiers on the evening news. Also, the threat of nuclear holocaust was a constant fear in the 60’s. But we used most of our days living like kids: playing in the here and now.

Unbeknownst to us, we we’re practicing a form of Mindfulness! Playing in the here and now!

Mindfulness-Based Cognitive Behavior Therapy-For Children

At True North Counseling, we want to help children and teens cope with stress and anxiety. We want to help children and teens get better connected with themselves and with the “here and now.” We do this through Mindfulness-Based Cognitive Behavior Therapy-For Children (MBCBT-C). This is done in a group setting and uses evidence-based strategies to help them cope with stress. We utilize graduate-school students and provide this group treatment at no charge to the children and teens that we see for Individual and Family Therapy. If you would like to utilize this service, call 502-777-7525 to set up an assessment for your child or teen.

If you’re worried that you might be contributing to the increased stress and anxiety of your child, read Elkind’s book.  

 

Friday Waypoints- 12/14/18

Sometimes you simply need a break. I rarely get sick. Hopefully, it’s because I eat well, exercise, love my family, friends and job, and because I take care of myself. But I was under the weather this past week and I decided to take a day off.

Meaningful Moments- Taking some time off

I really didn’t do a thing. I binge-watched a couple of movie trilogies. Grazed on food throughout the day. I laid around and did nothing.

I felt a little guilt because of my “purpose driven” way of thinking. It’s difficult to disconnect from that.

But I woke up feeling better physically and mentally.  I think that it helped me recover from whatever I had. This is the “body mind connection” that so many have written about. Your body and mind are so closely connected that they catch each other’s diseases. That is a lesson that I continue to learn and apply.

Movie I watched

I am a Veteran. I enjoy watching historical movies about war. I think it’s a “band of Brothers” kind of thing. A friend who enjoys classic movies came over for dinner and he suggested “The Paths of Glory,” starring Kirk Douglas. It was directed by Stanley Kubrick. It’s a movie made in 1957 about WWI.

What I didn’t know about this movie is that it was one of the first anti-war movies made. It was heart wrenching.

Take some time and buy or rent the movie. It won’t change your mind about the senseless nature of most wars, but it will humanize the losses that we experience as a nation and as a people during war.

Lessons from My Clients- Talking Helps

When teenagers and their families come to see me (and other therapists as well) they talk. And they get better. I see it all the time. Things get bottled up and sometimes a teen needs to talk. Talking to me helps and talking to each other helps too. Things can get a little heated during our sessions.

But when family members look at each other and talk and cry, it’s therapeutic.

A 10-year wonderful girl was able to tell her absent father how much he had hurt her by abandoning her. He wasn’t there, but she was able to say the things that she has wanted to say to him. “Daddy, you really hurt me, when you stopped seeing me for no reason.”

She had been blaming herself. We talked. I saw the burden that she was carrying get a little lighter.

Friday Waypoints – 12/07/18

Books I’m Reading:

I had a “down day” this week due to an Upper Respiratory something-or-other and I found myself at home reading books about Sleep. It all started because I did not get a good night’s sleep due to the medication that I was taking to help me with the coughing.

As I’ve gotten older, a good night’s sleep has been at a premium. And what I discovered in my reading this week is, the older you get the more problems you have with sleeping, and if you have problems with sleeping, you’re going to have problems with your health and mental health. Here are the books that I’m reading:

“Why We Sleep: Unlocking the Power of Sleep and Dreams,” by Matthew Walker, PhD

“Sleep Smarter: 21 Essential Strategies to Sleep Your Way to A Better Body, Better Health, and Bigger Success,” by Shawn Stevenson.

The first book is more clinical, but very helpful in understanding why we have problems sleeping. The second book is very practical and is full of ideas to practice better “Sleep Hygiene.”

 

Quote I’m Pondering:

“We have to spend a moment distinguishing between what is ours to take charge of and what is not. Then, simply, we only bother about the part that is. Magically, the overall results will then tend to improve.” Derren Brown from his book, “Happy: What More or Less Everything is Fine”

 

Meaningful Moment:

It is so much fun seeing families and their teenagers get better! “We’ve have a very good week.” Those are wonderful words for a Family Therapist to hear. I heard some version of that several times this week and it gives me hope. Some do not, and I also had my share of hearing guardians and parents voice their frustration and despair. So I rejoice with families that are able at this time to grow closer together, and I work harder to help those that are not.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

True North Counseling Park Blog

Friday Waypoints – 10/19/18

What I’ve been Watching on TV-

I spent the week re-watching: Ken Burns: The National Parks: America’s Best Idea. This is such an inspiring documentary. It’s inspiring, not because of the beautiful scenery, but because of the brave and visionary people that made this park system possible.

There is an overlook at the Grand Canyon called Mather Point. It memorializes the first Director of the National Park Service, Stephen Mather. After his death in 1929, a bronze plaque was erected in every National Park that reads:

He laid the foundation of the National Park Service, defining and establishing the policies under which its areas shall be developed and conserved unimpaired for future generations. There will never come an end to the good that he has done.”

Lessons from My Clients-

I work with several kiddos that are being raised by their grandparents. These caregivers are in the trenches working with damaged children and it takes its toll on them. I think what they need from me, from us, it to be encouraged and told that they are making a difference. Sometimes a few words of encouragement are more effective than all the interventions that we can provide. This is a lesson I hope to apply in weeks and years to come.

Books I’m Reading-

“When We Go Camping” by Margriet Ruurs, Illustrated by Andrew Kiss

“Grand Canyon” by Jason Chin

I’m reading these excellent children’s books so that I can recommend to you some ways to spend time reading books to help introduce your children to the forest and to the most amazing place in this country, the Canyon. The first is for younger children and the second is for older.

Ruurs closes her book with a campfire invitation:

“It’s campfire time. When stars wink from up high and

Sparks fly into the night sky, orange flames dance away the darkness.

We snuggle closer and tell wonderful, scary tales.”