Anxiety In Teens

Anxiety In Teens

Why Anxiety Might Increase During Adolescence, and What Parents Can Do

   

 

Read More

Bench Notice

A great article that really covers all the bases when dealing with teen anxiety. One piece I would like to add though. Anxiety is uncomfortable and at times can be mystery to many young people. All they know is that they have a knot in the middle of their stomach during certain situations. This can lend itself to the possibility of self medicating with opioids or other illegal drugs. Keep your antennas up for any behavior that could indicate substance abuse or addiction. These would include, behaviors such as irresponsibility, crankiness, disrespect, lying, moodiness, stealing, and a change in friendships or a disinterest in activities that were in the past something that was enjoyable for them; to name a few.  My recommendation: Pay Attention! Don’t fall into the trap of denial. 

The Apathetic Student

In dealing with the apathetic student it is important to know if the behavior is a learned behavior or a clinical problem. A problem that may require the assistance of a mental health professional. In doing so teachers can then work with social workers and psychologists to establish a plan. Once this plan is developed it will help this student overcome the apathy, and possible depression that is interfering with his/her academic potential. Too often the child can be labeled as lazy or even non-compliant when in reality there is far more going on within the child’s thoughts.

Motivating Disaffected And Hard To Handle Students

Parent Education and Coaching

Parent Education and Coaching

Parent Education and Coaching is designed to educate parents in order to help them manage their child’s behaviors in the home that are impacting the family dynamic. This disruption can lead to school related behaviors that require the child to be disciplined in school causing greater stress, lack of patience, frustration, and at times can result in the parenting disciplining the child in anger.

The goal is to provide the skills and strategies to the parent to help deal with their child and his/her behavior as part of an educational process and then provide coaching along the way to help the parent build confidence in the discipline process and their parenting skills.

This is not therapy, it is education provided by a trained teacher, administrator, college instructor and who is a parent himself. Any recommendations made are done so with the best interest of the child and parent in mind and are designed to provide permanent help not temporary relief. Change is a step of faith and the process is not an overnight one but one that helps restore order and points both the child and parent in the direction of lifelong success and a stronger parent child relationship.

Some Behaviors That Are Addressed

  • Disrespect
  • Irresponsibility
  • Non-Compliance
  • Bullying
  • Victimization as a Result of Bullying
  • Lack of Motivation
  • Anger Issues
  • Disaffected Behavior

This program is designed to educate parents and works exclusively with the parent. If the child is experiencing clinical issues such as depression, anxiety, or appears to be affected by events within the family a trained therapist should be used to address these issues. We will work with the therapist upon the parent’s request.

What is Provided

(6) Six face to face meetings per year with the parent’s and their child

(4) Four webinars per month addressing some of the behaviors listed above or specific behaviors as explained by the parent. These webinars will be one hour in length.

(4) Four emails per month initiated by the parent that provide specific behaviors that require specific answers regarding their child as geographically possible.

(2) Two scheduled telephone conversation per month of 30 minutes or less that address a specific problem that is occurring.

Cost

The cost for the services listed above is $300 dollars per month payable via paypal. Payments would be due on the first of every month.

Any additions to the above services would result in an hourly fee of $50 dollars per hour or any part thereof.

Initial Consultation is Free

 James H Burns MA, DHL

For more information call: 732.773.9855 or,

Email: jameshburns55@gmail.com

 

 

 

 

 

Why Our Kids Are Out of Control

Whiny, arrogant, rude, violent. America’s children are showing their bad side. Child psychologist Jacob Azerrad, Ph.D., and Paul Chance, Ph.D., show us what we can do to save our children.

Michael is out of control. He has several temper tantrums a day, throws food during meals, deliberately breaks toys and household items, hits and bites his younger brother and sister and refuses to comply with reasonable requests. Asked to put away his toys or go to bed, the 5-year-old replies, “No. And you can’t make me.” He is, in truth, a very unpleasant child. He is also very unhappy: No one can behave as he does and feel good about himself or be pleased with life.

We seem to be in the midst of an epidemic of Michaels. I have been a child psychologist for 35 years, and each year I see parents dealing with more and more severe problems. Their children are not just ill-mannered; they are whiny, selfish, arrogant, rude, defiant and violent. Most of them are also miserable, as are their parents.

Such disgraceful behavior in young children predicts serious problems later in life. As adolescents they are more likely to drop out of school, use drugs, engage in delinquency and be clinically depressed. And when I read newspaper articles about road rage, commuter rage and office rage it seems to me that many out-of-control children are growing up to be out-of-control adults.

Why are there so many out-of-control children today? Many explanations have been proposed: high-sugar diets, environmental toxins, allergies, television, psychiatric disorders. In considering these theories, it is useful to note that the rise in outrageous child behavior is largely an American phenomenon. Psychologist Tiffany Field, Ph.D., of the University of Miami School of Medicine, found that in France, for example, 3-year-olds behave admirably in restaurants. They sit quietly and talk and eat their meals like “little adults.” They do not argue or throw food or refuse to eat as many American children do.

In a separate study, Field noted another major difference in the behavior of French and American preschoolers: On playgrounds, French youngsters were aggressive toward their playmates only 1 percent of the time; American preschoolers, by contrast, were aggressive 29 percent of the time. It is probably not a coincidence that France has the lowest murder rate in the industrialized world, and the United States has the highest.

Can such dramatic differences in behavior between advanced, industrialized nations be accounted for by differences in diet, toxins, allergies, television or psychiatric disorders? It seems extremely unlikely, and I have found no scientific evidence to support these theories. I suggest that the fundamental reason behind so many more American children running amok is child-rearing practices.

Let me explain: Studies have consistently shown that the problem behavior of children is typically the result of misplaced adult attention. In a study done many years ago, psychologist Betty Hart, Ph.D., and her colleagues at the University of Washington, studied the effects of attention on Bill, a 4-year-old “crybaby” enrolled in a morning preschool. Each morning Bill had between five and 10 crying spells: He cried when he fell, bumped his head or if another child took away a toy. Each time Bill cried a teacher went to him to offer comfort. Hart and her colleagues reasoned that this adult attention, though intended to reassure and comfort Bill, might actually be the reason for all his crying.

To test their hypothesis, the researchers asked the teachers to try a new strategy. Now when Bill cried, the teachers glanced at him to be sure he was not injured but did not go to him, speak to him or look at him. If he happened to cry when a teacher was nearby, she turned her back or walked away. Teachers paid special attention to Bill only when he suffered a mishap without crying. If he fell, for example, and went about his business without a whimper, a teacher would go to him and compliment him on his grown-up behavior. The result of this new approach: In five days the frequency of Bill’s crying spells fell from an average of about seven per morning to almost zero.

To be certain that Bill’s change in behavior was because of the new strategy, Hart and colleagues asked the teachers to once again pay attention to Bill when he cried. Bill returned to crying several times a day. When the teachers again ignored the crying and attended to Bill only when he acted maturely, the crying spells dropped sharply. Hart and her coworkers repeated this experiment with another “crybaby,” Alan, and got nearly identical results.

Similarly, researchers have shown that the disruptive behavior of school children is often a result of adult attention. In studies of elementary school classrooms, for example, researchers found some students repeatedly left their seats without good reason. Typically the teacher interrupted the lesson to reprimand them. But these efforts often increased the frequency of wandering. When the teacher ignored children who wandered and paid attention to those who worked hard, the frequency of the problem behavior usually fell sharply. It may seem odd that reprimands, threats and criticism can actually reward bad behavior, but such is the tremendous power of adult attention. When children can get attention by behaving well, they do.

Unfortunately, many adults are far more likely to attend to annoying behavior than they are to desirable behavior. Glenn Latham, Ed.D., a family and educational consultant, has found that adults typically ignore 90 percent or more of the good things children do. Instead, they pay attention to children when they behave badly.

I believe that Americans attend more to bad behavior than to good behavior because they have come under the spell of self-described child-rearing authorities. These kiddie gurus–who include pediatrician Benjamin Spock, M.D., child psychiatrists T. Barry Brazelton, M.D., and Stanley Turecki, M.D., and child psychologist Ross W. Greene, Ph.D., among others–repeatedly urge parents to give special attention to children when they behave badly. Consider the following example.

In Dr. Spock’s Baby and Child Care (Pocket Books, 1998), a book that has sold 40 million copies, Dr. Spock recommends this approach in dealing with aggressive behavior:

“If your child is hurting another or looks as if he were planning murder, pull him away in a matter-of-fact manner and get him interested in something else.”

Given what research shows about the effects of adult attention, getting a child “interested in something else” whenever he is aggressive is a sure formula for producing a highly aggressive child.

If a child gets angry and throws or smashes things, Dr. Brazelton suggests the following:

“Sit down with her in your lap until she’s available to you. Then, discuss why you think she needed to do it, why she can’t do it and how badly you know she feels for this kind of destructive, out-of-control behavior.”

If your child has a particularly intense tantrum, Dr. Turecki gives this advice:

“With these tantrums you should be physically present with your child, with your arms around him if he’ll permit it or just be there with him as a comforting physical presence in the room. Be calm and say reassuring things: ‘I know you’re upset, but it will be okay.'”

If the child has a tantrum that is not so intense, Turecki recommends being “menacing and firm.” In other words, having a mild tantrum doesn’t pay off, but having a severe tantrum does. I can scarcely imagine a more effective way of teaching a child to have severe tantrums.

Many of the most popular child-rearing books are full of such nonsense. They repeatedly urge parents to hold, soothe, comfort and talk to a child who bites, hits, screams, throws or breaks things, ignores or refuses parental requests or otherwise behaves in obnoxious, infantile ways. Common sense and a truckload of research argue solidly against this practice. Yet these experts seem to be unaware of the well-established fact that children do what gets noticed, that adult attention usually makes behavior more likely to occur, not less.

Nevertheless, thousands of parents follow the bad advice of these and like-minded child-rearing gurus every day. And the more faithfully they follow the advice, the worse their children become. Some of these parents eventually find their way to my office, desperate for help. I advise them to redirect their attention from infantile behavior to grown-up behavior. They are often amazed by the change in their children.

Take Dennis, for example. Ten-year-old Dennis was a “born liar,” according to his mother, who added, “he wouldn’t tell the truth if his life depended on it.” Dennis had several siblings, but he was the only chronic liar. Why Dennis? With several children in the family, there was a good deal of competition for adult attention. Dennis wanted more than his share, and he got it by lying: His mother spent a lot of time with him trying to separate fact from fiction and trying to understand why he lied. Mom didn’t realize it, but all this attention just encouraged dishonesty.

The solution was to give Dennis attention when it was clear he was telling the truth and to ignore him when he might be lying. When Mom knew that Dennis had given her the right amount of change after a purchase, or when a discrete call to his teacher proved that he really had been kept after school, he got time with Mom and approval for telling the truth. Instead of “tell a lie, get attention,” the rule became, “tell the truth, get attention.” When the rule changed, so did Dennis.

Five-year-old Debbie offered a different sort of challenge, but the solution was essentially the same. She woke up every night screaming because of nightmares about “the big germ” and “the terrible lion.” Every night her parents rushed to her side to comfort her and assure her there were no big germs or terrible lions in the house. During the day, Debbie talked about her nightmares with anyone who would listen. Her mother encouraged this behavior because she thought it would be therapeutic for Debbie to get her fears “out in the open.” In fact, all this attention to her fears made them worse, not better. From Debbie’s standpoint, the lesson was: “If Mom and Dad are so interested in what I say about the big germ and the terrible lion, these monsters must really exist.”

The solution to Debbie’s problem was to pay less attention to talk about nightmares and more attention to grown-up behavior. When Mom and Dad started saying things like, “I appreciated it when you helped me set the table today” and “I heard you taking the phone message from Mrs. Smith. You were very grown up,” they provided Debbie with better ways of getting attention than screaming in the night and complaining about monsters.

Even Michael, the screaming, out-of-control boy who made life miserable for himself and everyone near him, soon became a happy, self-disciplined child. He was more challenging than most children, but once again the most important step to turning him around was giving him the attention he wanted when he gave his parents the behavior they wanted.

It sounds easier than it is. Parents who have fallen into the habit of offering attention for disagreeable behavior often have a hard time shifting their focus to agreeable behavior. Over the years I have devised a simple procedure to help parents do this. I call it the Nurture Response:

  1. Be on the alert for behavior that indicates growing maturity: Taking disappointment calmly, performing spontaneous acts of kindness and demonstrating an interest in learning. When you see this kind of grown-up behavior, make a mental note of it. Perhaps Margaret, who usually responds to disappointments with a tantrum, is unperturbed when told her favorite breakfast cereal is unavailable. Maybe Sam, who is typically selfish with his belongings, shares his toys with the neighbor’s child.
  2. Some time later (anywhere from five minutes to five hours after the event), remind the child of the behavior you observed. You might say, “Do you remember when Harry’s bike fell over and he couldn’t straighten it because it was too heavy for him? You went over and helped him. Do you remember doing that?”
  3. When you’re sure the child remembers the event in question, praise her for it. You might say, “It was very good of you to help Harry with his bike. I’m proud of you.” Often the highest praise you can offer children is to tell them they acted like an adult. You might say, “I know you were disappointed that you couldn’t go to the mall, but you were very grown up about it. I was impressed.”

Don’t mix the praise with criticism. Don’t say, for example, “I was proud of the way you helped Harry; you’re usually so mean to him,” or even, “I’m glad you were finally nice to Harry.”

  1. Immediately after praising the child, spend some time with him in an activity he enjoys. Do this in a spontaneous way, without suggesting that it is payment for the grown-up behavior. You might play a favorite game, go for a walk, or read a story. Remember that nothing is more important to a child than the undivided attention of a parent, so give the child your full attention for these few minutes.

The nurture response is not a panacea, of course. Some dangerous or extremely annoying forms of behavior, such as knocking other children down or having screaming tantrums, may require additional measures, including punishment (see “Time Out the Right Way,” page 46). But it is amazing how much can be accomplished by simply ignoring the behavior you don’t want and noticing the behavior you do want.

For decades many child-rearing icons have urged parents to pay special attention to troublesome behavior, to offer sympathy, understanding and reassurance when children behave in outrageous ways. This view so pervades our society that scarcely anyone questions it. Both common sense and scientific evidence tell us, however, that this approach is bound to backfire, and it does.

Parents should think of themselves as gardeners. A good gardener encourages desirable plants and discourages undesirable ones. In the same way, a good parent encourages desirable acts and discourages undesirable ones.

Do you want your children to be well-behaved and happy? Then ignore experts who tell you to shower attention on children when they are badly behaved and miserable. Remember that gardeners must nurture the flowers, not the weeds.

TIME OUT THE RIGHT WAY

Most of the annoying things children do can be dealt with very effectively by ignoring them and attending to children when they behave more maturely. However, when the behavior is particularly immature or poses a risk of injury to the child or others, it may be necessary to turn to punishment. In these instances, Time Out usually does the trick.

Time Out is probably the most widely researched technique for dealing with unwanted behavior in young children. Unfortunately, it is often used incorrectly. It is therefore worth noting that Time Out means removing the child from all rewarding activities for a short period. The common practice of sending a child to his room, where he can play computer games, watch TV or talk with friends on the telephone, is not Time Out, nor is sitting on the couch with the child and discussing the merits of his behavior. Time Out means exposing the child to a very boring, unrewarding environment. For the sake of illustration, let’s assume that your child has bitten someone. Here is a simple, highly effective way of discouraging this behavior:

  1. Say to her: “We do not bite.” Say nothing more than this–give no further description of the behavior, no explanation of what you are doing. Say nothing except, “We do not bite.”
  2. Take her by the hand and seat her in a small chair facing a blank wall. Stand close enough so that if she attempts to leave the chair you can immediately return her to it.
  3. Keep her in the chair for three minutes. (Do not tell her how long she will be in the chair. Say nothing.) If she screams, kicks the wall, asks questions or says she has to go to the bathroom, ignore her. It is absolutely essential that you say nothing.
  4. At the end of the three minutes, keep her in the chair until she has been quiet and well-behaved for five more seconds. When she does so, tell her she has been good and may now leave the chair. Never let her leave until she has been well-behaved for at least a few seconds.
  5. Following Time Out, say nothing about it. Do not discuss the punished behavior or the fairness of the punishment. Say nothing except, “We do not bite.”

Once the child realizes that you mean business, that she cannot manipulate you into providing attention for bad behavior, Time Out will proceed more smoothly and quickly and there will be far fewer times when you need to use it.

 

Helping Kids Manage Stress

Stress and kids

Only adults are under stress right? Well not really. Stress is relative to situations and age. Worrying about paying your bills at the age of forty is probably the equivalent of worrying about having your lunch money stolen at the age of ten. So kids do worry, suffer from anxiety and feel the discomfort of stressful situations as much as an adult. A parent or a teacher may not take the child’s stress as seriously because they have their own stress and the kids stress just seems to be hard to understand. They may communicate their worry to us and it may get blown off with words like “don’t worry about it, or when I was your age, or you don’t know how good you have it.”

Mom and Dad Can’t Do It

Adults don’t manage stress well in our society; and there is a lot to be stressful about: the economy, unemployment, relationships, and their own upbringing; which has everyone dragging the baggage of their own imprint from childhood into adulthood. That youth conflict that they had at the age of ten is now an adult conflict and they are still searching for answers to some of life’s most basic problems and that includes how to handle stress.

Evolution

From an evolutionary standpoint the brain stem or the reptilian brain developed first, that’s where the heart rate, respiration and adrenalin flow comes from. Something the caveman needed as he battled and hunted animals for food or ran away from when he was at a disadvantage and felt like he was going to lose the battle. That type of stress was necessary for survival and one minute or two of this type of stress helped keep this guy healthy and fed. But what happens when a brain is placed under stress for years, like thirteen; the amount of time that a kid spends in school. Stress hormones end up swamping our bodies for days, weeks, months. Research shows that cortisol, specifically, chews up the brain if it loiters there long-term. When lab rats in Israel, Germany, USA, China, and Italy were given daily injections of rat cortisol for several weeks, it killed brain cells in their hippo-campus region, leaving them depressed, anxious, fearful, immature, needy, and unable to learn new behaviors.

None of this is good for the adult brain, but children’s fast-developing brains with dendrites numbering in the millions are especially vulnerable to the ravages of cortisol. Study after study has found that children who are exposed to extremely stressful situations — via violence in the home or corporal punishment — have significantly lower IQ’s than children not exposed to such traumas.

Different Reasons For Stress

In a modern society we don’t battle saber tooth tigers, our stress come from slow drivers, our kids, our boss, and at times our spouse, and other things that frankly we have very little control over. We worry, fret, get uneasy when we have to have a confrontation and we assume too many responsibilities that we were never intended to have. For sure at times we put ourselves in bad situation because of poor choices and the lack of self control by over eating, drinking, spending, and by going crazy when the toothpaste tube doesn’t have a cap on it. Unwittingly we put our minds and bodies under constant stress and we operate in a state of constant survival. The primary function of the brain is survival of its owner and all that stress puts us in survival mode daily with those stress hormones eroding our brains. We will either run or fight but in reality as a society we don’t handle stress very well. It makes us sick, obese, it could result in the onset of high blood pressure, heart problems and type 2 diabetes. We meditate, exercise, practice yoga, seek therapy, and when all else fails we begin to believe in God again and pray.

Our Kids Need The Help

A bleak picture you say. Well yes it is, but things will get bleaker if we don’t help our kids manage stress and develop the resiliency to cope with the trials of life. There are more young people today who are anxious, depressed, and who fear age appropriate responsibilities then in past generations. Responsibilities that are just basic to a household like taking out the garbage or to school like completing a homework assignment. This fear of responsibility has resulted in higher levels of anxious and depressed adolescents than ever before. In America today, high school and college students are five to eight times as likely to suffer from depressive symptoms as were teenagers 50 or 60 years ago, according to Psychology Today.

Responsibilities Produce Pressure

When kids are not held accountable for their responsibilities and are let off the hook they begin to view their responsibilities as nothing more than pressure from adults. They are completely aware of what they need to do but lack the motivation and the desire to complete tasks or follow through on requests from anyone. This awareness with age activates that fight or flight mechanism that we mentioned earlier and kids will either start arguments when they are confronted by an adult with a request (like completing a homework assignment, or taking out the garbage) or run for the hills and disappear when there is work to be done. This now young adult feels the stress and may become anxious or depressed. They can get labeled as lazy, disaffected, unmotivated, and careless. They may seek to ease the stress through the use of a substance such as alcohol or a prescription medication that is gotten either legally or illegally and may begin to think hypochondriacally. (Believing that they may become or are seriously ill)

Responsible Behavior Can Reduce Stress

Do we need to help kids manage stress in a more effective manner or do we need to help kids take their responsibilities more seriously? Irresponsible behavior leads to stress. What is done in moderation as a child gets done in excess as an adult and adults currently are not managing stress very well. The model that the kids are getting is one that stress gets handled by drinking, eating, spending, or medicating. Mom and Dad may just be producing children that manage stress far less effectively than they did and they weren’t very successful.

So let’s teach our kids to manage stress more effectively right? Wrong. Let’s teach our kids to be more responsible adults and instead of running or fighting help them learn to see responsibility as an opportunity rather than pressure.

Looking For The Plan? Jim Burns’ New Book ” Helping Kids Manage Stress” will be out in the spring of 2016. You can pre-order in the comments section.