How to Spot Anxiety and Depression in Your Child

How can you determine if your child is experiencing depression or anxiety? To begin with, you as parents have the most intimate knowledge of your child; so to define “normal behavior” according to some external “objective“ standard is not only foolish but does not tell you about your own child. The hallmark of any emotional or psychological issues in children is a significant, long term change in your child’s behavior, which cannot be assigned to any particular recent event. These changes might involve a change in appetite, sleep patterns, social behavior, and school work or attendance. One might also notice onset of risky behaviors or a lack of interest in the world around him/her.

In those occasions that are clearly visible but also clearly anticipated, such as the loss of a family member or pet, unusual behavior can be expected but for what length of time? This is indeed the major question and sometimes can only be answered by comparing similar situations in the past that affected your child. My own feeling is that any such radical behavior might in fact last up to one month or so but really should be expected to diminish after that time.

While some of the observable differences might include lack of interest in things ordinarily enjoyed by your child, sudden intense interest in repetitive movements or “hobbies” or change in temperament may also act as an alert signal.

Your first line of defense should always begin with a visit to your family doctor or Pediatrician who might also have important knowledge about your child. A total evaluation should be performed to be sure that the changes you see in your child are not caused by physical events. If your Pediatrician also agrees that this is unusual behavior, or if you feel that even though he/she had a normal medical evaluation, he/she is still showing you signs of emotional distress, your next step might very well be finding a pediatric psychologist or psychiatrist for further evaluation. You might in fact have difficulty locating a pediatric mental health care provider because there is a nationwide shortage of such people.

If you are not having any luck finding such a person I would suggest you get in touch with your closest children’s hospital and inquire. Remember you are your child’s best historian, ombudsman and support- don’t sell yourself short.

Sync with Your Spouse on Discipline Style

Is your wife a strict disciplinarian, while you prefer to let things slide? Is your husband a yeller, while you are an “inside voice” kind of mom? When you have different parenting styles, it can often feel like you’re at odds with your spouse. Here are strategies from Harvey Karp, M.D., author of The Happiest Toddler on the Block (Bantam), for navigating this common parenting conundrum.

Don’t sweep your differences under the rug. To raise happy, well-behaved children, it’s crucial to try to find common ground. Otherwise, kids get mixed messages and quickly learn which parent will let them get away with more. Once a month, hold a “parents only” meeting to discuss your discipline differences. This is your chance to be honest about your concerns. “Write down two or three things each,” says Dr. Karp. “You and he get a turn without interruption. The only ground rule is you both have to listen with respect and speak with respect.” Your goal isn’t to sway each other, but to ultimately come up with some rules that you both feel comfortable enforcing.

Don’t disagree in front of your kids. “Kids look at us as a loving and safe force in their lives,” Dr. Karp says. “Seeing parents arguing, especially about them, shakes them to their foundation.” Kids might get angry or frightened and feel like they’re the “cause” of the parents’ problems – which lowers their confidence and self-esteem. So if you object to the way your spouse is handling a situation resist the urge to say anything until you are alone.

Find creative ways to compromise. Let’s say it drives you crazy that your husband yells at your child when she exhibits normal toddler behavior, like sticking her hand in the cat’s food bowl or pulling away from you while walking on the sidewalk. It drives your husband nuts that you’re lax about situations that could put your child at risk for physical harm. Try to decide together that it’s OK for him to raise his voice when Katie’s darting toward traffic or engaging in other dangerous behavior, but for mild, age-appropriate infractions, he needs to try distraction before yelling or scolding.

Keep family members out of it. “Don’t bring up each other’s family,” says Dr. Karp. For instance, avoid making remarks like, “Of course you yell and scream; you’re just like your father.” Besides being disrespectful, this behavior forces your partner into a defensive mode, making it harder to move forward and find the best solution.

Embrace a little bit of difference. “It’s crazy to expect all the adults in a child’s world to react in exactly the same way,” says Dr. Karp. In fact, by maintaining a dash of your individuality – even when it comes to discipline – “you’re teaching your child emotional intelligence. They learn what they can expect from one adult versus another. And that’s a good thing.”

Do You Praise Your Kid Too Much?? There’s a Better Way…

All parents want their kids to feel like they can take on the world. So you may naturally gush over her every scribble, tied shoelace and successful trip to the potty. But is that the best strategy to build competence today and success in the future?

“Confidence is not something you can bestow like a gift,” says Vickie Holland, a parenting coach in Santa Monica, Calif., and the author of the forthcoming book Parenting That Works. “You have to give kids a roadmap for finding confidence from within. It’s the difference between giving someone a fish and teaching them to fish: They need the tools to succeed, without your help.”

Here’s Holland’s advice for providing your child with opportunities every day to say, “I’m strong! I can do this!”

• Put him to work. Give age-appropriate jobs to your child, such as watering plants, feeding the fish, pairing his socks or making his bed. Completing a task provides a sense of accomplishment and fosters pride in his abilities.
• Let her solve her own problems. Resist the urge to rescue! Giving her a chance to troubleshoot the spilled box of blocks or the cup she can’t reach empowers her to think for herself, learn new skills and tackle new challenges with confidence.
• Give him choices. Crayons or chalk? Cereal or muffin? The opportunity to make simple everyday decisions gives him a sense of control over his life and instills the belief that his opinions are valued.
• Cultivate his inner approval system. A big “Wow!” from you can turn a simple watercolor into a masterpiece, but it also pins his self-worth on your reaction. Instead, help him find approval from within by asking what he likes about his creation. When you do give feedback, be specific (e.g., “I like how you made the sun’s rays come up from behind the mountains”).
• Emphasize effort over talents. Whether she aces a task or comes up short, praise her effort over natural talent or smarts, because effort is something she can control. When you praise her efforts, it reinforces the idea that her actions make a difference.
• Take her seriously. Spend time with your kid on her terms — playing with LEGOs on the floor or trying on silly hats — and truly hear and consider her ideas (no matter how zany). Giving her your time and attention validates her sense of self. It sends the message, “You’re important.”

Praise may provide a temporary boost in confidence, but allowing your child to develop skills on his own helps him to believe in his capabilities. And that’s a gift that lasts a lifetime.

Helping Kids Cool Hot Tempers

“I tried to stay calm, but it was too late!”

“I wish I could tell when I’m about to explode.”

“Don’t keep telling me I’m going to lose all my friends because of my temper. I can’t help it.”

Your child may be more excitable or passionate by nature, but some times this emotional temperament can get out of control.

Though you can’t change your kid’s basic personality, you can teach him some strategies and skills to help him get along and handle intense feelings. And there are important reasons to do so.

Let’s face it, hot tempers can cause serious damage in health, relationships, school and life, as well as ruin your kid’s reputation. Unless kids learn ways to recognize their own unique danger signs to control their anger, problems are inevitable. After all, hot-tempered kids are no fun to be around.

New studies show that hot tempered kids are also more likely to be bullied or be a bully.

All the reasons to work on this issue problem A.S.A.P. Here are some ways.

Part 1: “Parent Plan” to Help Kids Tune Into Body Alarms

Explain Body Temper Alarms

Go over the way you use your child act when she’s starting to get mad. “You always make that little hissing noise and grind your teeth. Sometimes you stamp your feet. Those are your danger signs that big trouble might be on the way.”

HINT: Each child (as well as you) has their own physiological signs. Those signs materialize whenever we’re under stress and have a fight or flight response. The trick is to help your child identify her unique signs before she loses her temper.

Don’t expect instant recognition: it may take a week or two before she can identify her signs.

Dig Deeper

Talk to your child about what’s causing her temper to flare so quickly.

“You don’t seem like the same kid lately. Anything you want to talk about?”

“You seem so tense and quick-tempered with your friends. What’s going on?”

“I know the move was really tough. Do you think that’s at the bottom of your bad temper lately?”

Point Out Negative Effects

Take time to discuss the negative effects of inappropriate anger displays. Here is a sample dialogue, but personalize it to fit your child and the anger issues:

“Anger can really hurt you. You could lose a friend, get a bad reputation, lose a job, get suspended from school, get hurt. If you don’t control your temper you could be headed for danger and lose your friends.”

Pinpoint the specific negative effects your child’s outbursts have. Doing so often helps the child gain that inner strength to want to change.

Brainstorm Temper Triggers

Help your child recognize the things that bug him the most so he can handle the situation better when he’s with his friends.

“I noticed that whenever George starts exaggerating you hit the roof.”

“What is about the way Lori criticizes your hair I can see your blood pressure rising.”

Help your kid identify that certain look, unfairness, not sharing, interrupting, telling secrets behind your back, put-downs and other things that make his blood boil so he can avoid setting off his temper.

Part 2: “Kid Plan” to Learn Temper Alarms

It may be a great revelation when you tell your child that her body actually sends out warning signs when a hot-temper attack is approaching. Tell her how it happens to you:

“My face gets flushed. My hearts starts beating faster. It’s harder for me to breath. My voice gets louder and I can’t think straight. Body temper alarms like these happen to everyone when they get angry and begin to lose their temper. But good news! You can stop yourself before the volcano erupts.”

Then teach your child these important steps. The best way to teach any new skill is to SHOW the skill, not TELL. So be the model! Repetition, repetition, repetition is how kids acquire the skill so they can use it on their own.

Step 1. Hear the bells going off. LISTEN

Whenever things are getting rough, pay very close attention to changes in your body. Everyone is different but usually alarms go off in your body that warn you that if you’re starting to lose control. So be on the alert for any familiar body signs that you might be losing your temper.

Step 2. Hit the snooze control. STOP

Even a few seconds pause are enough to stop your temper from exploding or keep you from doing something you may regret later on.

Find what works for you. Some kids pull a big stop sign in front of their eyes or yell, “Stop” inside their heads. It will help you put the brakes on your temper.

Some kids say to themselves: “Chill out.” Or “I can keep my cool.”

Step 3. Turn down the volume. BREATHE

Once you’ve told yourself to keep under control you have to take a slow deep breath. You can slow down your heart rate and get yourself back in control by taking slow, deep breaths.

Step 4. Get back into tune. SEPARATE

Back off from whatever is about to blow up in your face. You could count to 10 (or to 100); hum a few bars of the Star Spangled Banner, think of a pepperoni pizza or gaze up in the sky or whatever it takes to regain your sense of calm.

Word to parents: Do not expect overnight success! Teaching a child to calm a hot temper and learn to identify his unique body temper alarms will take 3 Cs: Consistency, Commitment and Calmness. Aim for gradual diminishment of the temper. If temper outbursts continue or escalate despite your efforts, then it’s time to seek professional help. Meanwhile, don’t forget to use those four steps yourself:

1. Listen
2. Stop
3. Breathe
4. Separate

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Across the nation, student mental health is plummeting, major depression rates among teens and young adults are rising faster than among the overall population, and younger children are being impacted. As a teacher, educational consultant, and parent for 40 years, Dr. Michele Borba has never been more worried than she is about this current generation of kids. In THRIVERS, Dr. Borba explains why the old markers of accomplishment (grades, test scores) are no longer reliable predictors of success in the 21st century – and offers 7 teachable traits that will safeguard our kids for the future. She offers practical, actionable ways to develop these Character Strengths (confidence, empathy, self-control, integrity, curiosity, perseverance, and optimism) in children from preschool through high school, showing how to teach kids how to cope today so they can thrive tomorrow. THRIVERS is now available at amazon.com.

How Dads Keep Kids Healthy

It’s no surprise that positive parenting affects a child’s health and happiness. Countless studies have shown powerful benefits of dad’s participation in children’s development: Kids of highly involved fathers score better on cognitive tests at 6 months of age, are better problem-solvers as toddlers and have higher IQs by age 3. In school, they get more A’s and perform better on standardized tests. There’s an emotional benefit too: These children report feeling less anxious and depressed, and they’re more social and empathetic.

But did you know that kids with involved dads are physically healthier too?

Studies have shown that kids who live with active, involved fathers are:

• Less likely to suffer a physical accident
• Six times less likely to visit the emergency room
• Up to two times less likely to suffer from asthma
• More likely to be active — and four times less likely to be obese by the age of 18 — than kids with inactive, obese dads
• And there are benefits for dad too: Fathers who engage with their kids are more likely to feel more satisfied and empathetic with others, as well as less stressed.

Young kids require lots of attention and love, especially when they’re sick. So every day, both mom and dad should make 10 minutes of one-on-one time with their kids a priority. Here are a few smart ways dads can get involved in kids’ lives:

Be the chauffeur. There’s no easier time for undivided catch-up time with your kids than when you’re driving home from school or swim practice. It can become important bonding time during which kids open up about what’s going on in their lives. Just make sure to ban cell phones to create an opportunity for meaningful conversation.

Get your hands dirty. Do a little yard work together! Your kids will love mucking around in the mud, and you’ll get a helping hand digging up the flowerbeds, raking leaves or scavenging sticks for the fireplace.

Build something. Whether it’s a living room fort or a kitchen science experiment, start a project together. While having fun, you’ll also create precious memories together: According to Harvard University, the more senses you use, the more involved your brain will be in making a memory (which means your kids are likely to remember the experience).

Experiment in the kitchen. You don’t have to be a master chef to cook with your kids. For your next weekend brunch or dinner, mix up boxed pancake batter with blueberries, or concoct an everything-but-the-kitchen-sink sandwich together. (Making a mess is the fun part, anyway!)

Read to them. Reading is essential to your child’s mental development: As early as the 1960s, studies showed that kids with fathers who regularly read to them were more likely to score better in many important cognitive skill categories — especially vocab — than children whose fathers did not. So start at an early age, and do it often.

Tell stories together. Boost your kid’s creative juices by telling a story and letting your kid fill in the parts. Play off of each other and, above all, have fun! Research shows that when toddlers chat with their dads, they tend to be more inquisitive and even use a larger vocabulary than when they’re talking with moms.

Make a coloring book. If your kid’s stuck in bed or if it’s a dreary day, make it a bit brighter by sketching the outline of a person or place and asking your kids to fill in the details. If you have a younger kid, draw a full image and give her the crayons to fill your mutual masterpiece.

Share your passion. Whether it’s walking your kid through a golf swing or simply explaining why the sky is blue, make sure to discuss the things you love with your kids. They might occasionally roll their eyes (“Dad’s at it again!”), but they won’t forget those impromptu lessons.

Hug them. Kids need physical attention — and not just from mom. Snuggle, show affection, love them — especially when your little one is stuck sick in bed (and all her friends are outside playing).

Moms, encourage dads to get involved. Studies show that when moms are supportive of their spouse’s parenting, men are more likely to be involved and feel more responsible for their kids’ well-being. Plus, there’s nothing better than sitting back and watching your family grow closer together. So keep a camera and a box of Puffs tissues at hand and prepare for moving experiences.

Parenting: An Imperfect Role Model

As a mother, I used to think I had to set the perfect example, especially since I have two daughters. I had to work hard. I had to eat the healthiest foods. I had to dress well. I always had to arrive on time. I had to be nice. I could never tell a lie. I had to donate money to anyone who ever asked. And I could never mutter a bad word, even during life’s most frustrating moments.

Striving for perfection, however, was exhausting. It was also impossible to achieve. Take the time my daughter Annie and I got rear ended by a reckless driver last year on our way home from a piano lesson. A few choice words slipped out of my mouth that day. Annie quickly learned that her mom was hardly “perfect” and never would be.

And that, I decided, is okay.

Even the most perfect among us are hardly perfect. We get angry. We get grumpy. We snap. We judge. Simply put, we don’t always do what’s considered the right thing. Most of the time, however, we’re just decent people, trying to do the best we can. I call it being human.

Letting my daughters see my imperfections gives them — and me — room to breathe and allows them be the imperfect people they are. It frees them up to relax a little when they mess up. It also teaches them to forgive others when they are imperfect and to move on with the bigger picture in mind.

Does that mean there are things I’ve done that I don’t regret? Absolutely not. Does it mean I think it’s okay to be rude, inconsiderate and crass? Not at all. What it does mean is that I don’t pressure myself to always do the right thing, even when I know my kids are watching me.

Freeing myself from the strict standards of perfectionism allows me to relax and teaches my kids the best lesson of all: no one is perfect.

And that’s perfectly fine by me.

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