Tag Archive for: child therapy

My Child has ADHD, What Can I Do?

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I began my practice twenty-three years ago working with children with ADHD. I saw kids, usually boys, that were having difficulty with peers, school and their parents. They had difficulty following rules. They had difficulty with getting organized. They had difficulty sustaining their attention. And they were becoming depressed.

It is not unusual for kids with ADHD to also have anxiety and depression. It makes sense. They get a lot of negative attention and it affects their self-esteem and mood. Imagine being the child in school that is constantly getting redirected and spotlighted by the teacher. I’m not blaming the teacher, but kids with ADHD need a lot of the teacher’s time and energy. I can understand it if these kiddos interpret this as, “There’s something wrong with me.” These kids need our help.

My early research and reading took me to the author, Russell Barkley. He is still the Father or Parent of modern research on ADHD. However, I recently read, “Scattered but Smart (SBS),” by Dawson and Guare and I’m glad to say that this book is an excellent addition to the understanding and treatment of ADHD. This book attributes much of ADHD to deficits in Executive Skills. These skills include the ability to initiate and sustain a task, as well as planning and organizing.

SBS doesn’t stop with helping us understand the underlying causes of ADHD, but provides some very detailed plans for improving the deficient skills.

Deficient skills include:

-Getting Ready in the Morning

-Bedroom Cleaning

-Putting Belongings Away

-Organizing Notebooks/Homework

-Learning to Control a Temper

-Learning to Solve Problems

There are lots of resources in this book and I highly recommend it! There are assessment tools that you can use to determine which areas your child needs improvement.

Regardless of whether you get the kindle or hard copy versions, the authors have provided links to download several useful tools.

I also recommend bringing your child to True North at 502-777-7525 and let us coach you in the process of supporting your child with this potentially debilitating disorder.

What’s Wrong with My Teenager?

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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- 1/18/19

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Family Connections

Sometimes you have to stop the work you’re doing, put down the book you’re reading, turn off the TV and connect with your family. I’m leaving for a visit with my two granddaughters tomorrow. They live out of state and I make it a point to visit with them 4 or 5 times a year. Grandpa brings them things. So, this week I went to the Carmichael’s Children’s Book store on Bardstown Road in the Highlands for some “Grandpa-what-did-you-bring-us?” presents. If you haven’t been there, I encourage you to visit.

I also collected some geodes from the Kentucky landscape to crack open with my little Sweeties. I can’t wait to watch them as they discover what’s in them.

And for my oldest granddaughter, I’m taking her a copy of Peterson’s Field Guide to Western Birds and I’m giving her an old pair of my binoculars, and then I’m taking her birding. This is how I connect with them. Later this summer, we’re going on Sophie’s “maiden” backpacking trip in the Colorado Rockies. I can’t wait! This week they were in my thoughts and deeds.

What am I Reading

I’m slowly digesting a recent study by the American Psychological Association entitled, “APA Guidelines for the Psychological Practice with Men and Boys.” My practice is primarily with adolescent boys and most of them are struggling. “Throughout their lifespan, males experience many developmental changes and challenges pertaining to intimacy, sex and emotions, beginning with the universal task of forming intimate attachment with others.” The problem, as the study continues, is that “some boys are socialized from an early age to avoid intimacy and deep connections with others.” I think that our job as parents and clinicians is to help boys and men make connections with peers and adults. I’ll share more in weeks to come.

What I’m Eating

I’m always looking for a healthy snack or for something to throw into my daypack when I’m doing my Saturday hikes into the Jefferson Forest. I picked up some LIVfit Superfood Blend and on the back was a recipe for Superfood Power Up Bars. They are relatively simple to make and full of good stuff. I’ve included the directions and the nutritional facts for the LIVfit Superfood. I’m going to say that the taste is easily a 9 out of 10, and maybe higher. I used raw honey instead of agave. Give them a try.

   

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

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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?

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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

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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.

True North Counseling Park Blog

Friday Waypoints – 10/19/18

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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.”