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A Message to our Families

Originally posted by our friends at https://gozen.com/coronavirus-anxiety/

My kids are home from school... until further notice. In some way, we're all feeling the impact of the coronavirus. For many, this activates anxiety about the uncertain future: How long will schools be closed? How will I work? How long will this all last? Will someone I love get sick? Yesterday, I woke up and decided to ask for some guidance for all of us. I reached out to some friends in the psychological community and was able to record three content-packed interviews. If you or your kids are feeling anxious about what's going on in the world right now, please find our latest blog with interviews from Dr. Laura Markham, Dr. Shefali Tsabary, and Natasha Daniels. These experts provide amazing advice on navigating through this experience with strength and self-compassion. I'd love to hear what questions you need answered or support you're looking for around all these life changes. Please feel free to drop a comment under the expert videos and let me know. I'm working hard to create resources for us to get through this challenging time. Sincerely,
Renee Jain, MAPP
Chief Storyteller at GoZen!

Autism Spectrum Disorder (ASD) Parenting

When my son was diagnosed with ADHD, I thought, as a psychologist, I was prepared for the continuing challenges of parenting. But I was wrong. All my knowledge went out the window as I attempted to plead, cajole, beg, bribe, yell my way through parenting my son.  Those early childhood years of his life were increasingly tough. There were many moments I wished that there could have been a support group, a therapist, someone, who knew what I was going through. So that all of these increasingly difficult behaviors weren’t on mine and my husband’s shoulders alone. We were very lucky. We had friends and family, and a WONDERFUL therapist who helped us through it all. And even with all the support, we felt isolated from our parent-peers.  There are many parents out there who don’t have the support base we had. And it’s not just parents of children with ADHD that experience this burn out. One population of parents in particular has an exceptionally high rate of anxiety and depression. Parents and primary caregivers of children with Autism Spectrum Disorder (ASD) have significantly high rates of depression and anxiety (50% and 40% respectively).  Despite this, very few seek treatment for themselves. We know that if treatment is received, we can decrease these rates of anxiety and depression, thereby increasing satisfaction and effective parenting techniques, and decreasing alienation and loneliness. A recent study by Lushin and O’Brien (2016) has found that using the Early Intervention Program to provide treatment to parents, either in a home-based or clinic-based setting (where their child receives services) helps reduce the symptoms and severity of the depression and anxiety related to parenting s child with ASD. Receiving treatment for their depression and anxiety helps them parent effectively, which in turn helps their children. The Early Intervention Program seems like a perfect vehicle to provide these services. And we know that the early the effective services are provided to the child (and that includes appropriate parenting), the better the child is in the long term. And the better we all are. Lushin, V., & O’Brien, K.H. (2016) Parental Mental Health: Addressing the unmet needs of caregivers for children with autism spectrum disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 55, 1013-1015. http://dx.doi.org/10.1016/j.jaac.2016.09.507

Social Anxiety in Young Children

Sometimes, walking into kindergarten can be super scary; new children, new teacher, no mommy. It may take a few days or weeks for some children to warm up and be comfortable. Those who don’t warm up, who continue to cry and have difficulty adjusting to novel social situations may be suffering from Social Anxiety. Social Anxiety doesn’t end in kindergarten, but may continue throughout a person’s lifespan. In young children, parents and caregivers are more likely to schedule social interactions, which help young children become less socially anxious. A recent study by Hoff et al (2015) found that older children who suffered from social anxiety had greater difficulty in social, academic, and overall functioning as they aged, even when home and family problems decreased. Interestingly, these social and academic problems were greater among children who suffered from social anxiety than those who suffered from other types of anxiety. It’s possible that socially anxious adolescents are more able to avoid social situations, whereas younger children’s social calendar is controlled by their parents. Whatever the cause, early intervention for social anxiety might prevent socially anxious younger children from becoming socially anxious adolescents and adults. Hoff, A.L., Kendall, P.C., Langley, A., Ginsburg, G., Keeton, C., Compton, S., … Piacentini, J. (2015) Developmental differences in functioning in youth with social phobia. Journal of Clinical Child and Adolescent Psychology. http://dx.doi.org/10.1080/15374416.2015.1079779

Chocolate Chips

I just finished a bag of chocolate chips. To be fair, I had been slowly working through the bag for six months. But this morning, I finished the whole bag. By 9:30 in the morning. Getting all four kids off to school by myself wasn’t as difficult, or fraught with stress, as it could have been. But it’s wearing. And I know I’m not the only one. I’m not writing this to give myself, or you, a pep talk; I’m not looking for pity either. Just to say, sometimes, you have those days. Sometimes, my children are wonderful. They can be kind, and warm, and loving. They can be compassionate and conscientious. But most of the time, they aren’t. They yell at each other; they yell at their parents. They try to reinvent the wheel when it comes to homework and projects (“I don’t need to study”, or, “I kinda know it, it’ll be fine”). They don’t do their chores. Their rooms are a mess. And we, as parents, try to compensate. We say “It’s not a big deal, I can empty this dishwasher.” Or, “It was his first failure/suspension/whatever,” or, “Give him another chance.” Sometimes we just do it ourselves because it’s easier. And that’s exhausting. Raising children is mentally exhausting. Letting our kids make their own mistakes and missteps, while providing love and supervision is hard. Letting them know when they can try on their own (i.e. studying), and when the rules need to be obeyed (i.e. sitting down to a meal with the entire family), is tough. But there is a light at the end of the tunnel. Even the most oppositional child learns, eventually, what the family considers truly important. And the lessons they learn through their own trial and error make a greater impact than any amount of yelling or bribery we can offer. And so, go enjoy that occasional bag of chocolate chips. You earned it.

My top 3 resources if you have kids with ADD/ADHD

Having kids is tough. Having a child with ADHD can be especially challenging, but it doesn’t need to be. As parents we need to remember that we are not alone. There are lots of resources in our own communities to help us. We teach our kids that there’s nothing wrong with asking for help when you need it; well it’s time to take our own advice and take advantage of the resources available. 1. Find a local mental health professional. Preferably someone who works with kids if you can find it, but if not, that ok too. Keep in mind; if you are ok, your kids are ok. They look to you to gauge their moods; to see if a situation is worthy of stress. Speaking to a professional and learning how to cope with your stress shows your kids how to handle their stress. If that person happens to specialize in working with children who have ADHD, that’s even better. 2. Community Centers can be a family friendly resource. Parenting groups, swim classes, babysitting, Mommy/Daddy and me programs etc. These classes are often available at a community center or place of worship within the community. There are therapists or counselors available in these centers who can help you and your child unwind and have a good time together. You’ll meet parents who are going through the same thing you are, who understand who your child is and where you are coming from. Chances are, the two of you are like-minded, because you are both there! It’s nice to enter a room and know that you are not alone. 3. Find a Park or an outdoor space and go. Running around and playing are wonderful places for you and your child to meet other people. Not to mention the exercise will help your child eat, sleep, and socialize better. Most of the parks are free of charge or a nominal fee, so you don’t have to worry about spending tons of money. Parks are places of beauty and nature that allow you and your child to literally run around and practice all the skills you work on at home and in therapy, so go out and enjoy! Different communities may have more specific resources. Utilize them and remember that you are not alone.

How You Can Have a Holly, Jolly, Holiday At Home

Welcome to the Holidays! A time of joy! A time of songs, twinkling lights and presents! However, for kids with ADHD, it’s also a time of stress, fights, and chaos. For parents and caregivers of kids with ADHD, here’s some great news…it doesn’t have to be that way. Here are some ideas to help make this holiday season calm and full of joy. Kids (and adults) with ADHD function best with structure. During school, or work, there is a schedule to follow, and they can lean on that to help support them. During the holiday season, that structure isn’t there. And oftentimes, they feel that their support is gone too. So, it’s our job to help create a structure for them. That might mean having a schedule set up every day, and sharing that with them the night before. It doesn’t mean you need every minute planned out, but you can’t be spontaneous and fly by the seat of your pants either. Don’t plan a day of running around. Many people can’t go from the mall to the park, to the restaurant, to the grocery store, to the playground and then to a friend’s house. They would need down time and so would your child with ADHD. So, limit what you plan to do throughout the day. Don’t overload the schedule, and you won’t overload your child. Give them something to do. If they are given a responsibility, oftentimes, they will live up to it. They get the opportunity to “own” it, and feel like they’re an important part of it. This goes a long way to help their self-esteem. So, take the time to give them a job, and don’t forget to give them credit and praise for a task well done. Even if they need a little bit of help to get through it. Lastly, remain calm. Take some time for yourself during the day. If it means 10 minutes of meditating, or taking a moment to savor a cup of coffee or eggnog (alcohol free, or course) in the morning, that’s going to help set the stage for the whole day, and possibly the entire holiday season. You are important! If you don’t take care of yourself, no one else will. Also, when you take care of yourself, you are also showing your family how important it is to take care of THEMSELVES. For your children with and without ADHD, that’s an invaluable life lesson for them to learn. It’s a true gift from you to them. Happy Holidays!!!

Top 5 tips to establish structure in your home if you have kids with ADD/ADHD

Living with someone who has ADHD can be rewarding and challenging all at once. They can be active and full of energy, and infuse the home with intensity and activity. Taking that energy and turning it into something productive, or maybe just toning down the intensity, are the keys to achieving success in this particular area of your life. Here are some tips to help you and your family create a warm, loving, structured home environment: 1. Stay calm. If I could put that in capital letters while shouting it from the rooftops I would. But really, that the number one most important thing you need to remember when working with high intensity/high energy people. The calmer you are, the calmer they will be. When, not if, you feel yourself sliding into the not-so-calm zone, give yourself a break. Remove yourself from the room if you must. Take a few deep breaths. Count backwards from 100 by 7’s. Whatever it takes. If you can do all of this in front of your child, even better, but if not, no worries. Having someone show them how to calm down will ultimately help them later in life. 2. Be consistent. When you say 30 minutes, don’t fall for the “5 minutes more, PLEEEEEEAAAASSSSE!” They need to know that you say what you mean (and you are willing to back it up), but also that there are boundaries. These aren’t kids for whom you can let the rules slide. Not yet, anyway. They need to know that the rules are the rules and there isn’t much wiggle room, no matter how hard they plead, cry, or throw things. If you get overwhelmed, see Tip 1. 3. Be concrete. When you ask for your kids to do something, make the request short and succinct. It needs to be something they understand and can do. Be clear with them; tell them to, “Pick up that toy,” instead of saying, “clean up the room.” The more concrete you are, the easier it will be for them to understand your instructions and follow them. 4. Make sure you can back up what you say. This goes along with Tip 3. When you say, “eat your dinner”, how are you going to enforce that? Are you willing to send them to bed hungry if they refuse to eat supper? You need to ask yourself, are you willing to stick to you guns, especially if it helps your child in the long run? Back up what you say but don’t engage in the battle. Ultimately, your child will learn more by being hungry a few times than by you forcing them to eat. And you’ll be much calmer too. (See Tip 1) 5. Remember to smile. Even in the most structured environment, if you look and sound like a drill sergeant, that’s what your child will remember. So smile. Remember, this too shall pass. Try to enjoy the small moments, because in the end, that’s what it’s all about.
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