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Hilber Psychological Services

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Posts tagged children
Parental Therapy for Children who have Anxiety

In the article, “New Childhood Anxiety Treatment Focuses on the Parents,” author Matt Kristoffersen discusses how Supportive Parenting for Anxious Childhood Emotions (SPACE) is an alternative to behavioral therapy used to treat childhood anxiety. He acknowledges that it all starts with the parents and how they perceive their child’s anxiety in the given situation.

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Stated by the National Institute of Mental Health, “nearly one in three American children will experience at least some kind of anxiety disorder before reaching adulthood.” Although drugs and therapy techniques have shown to be proven successful in the past years, a recent study published in the Journal of the American Academy of Child & Adolescent Psychiatry, promulgates a new technique developed for the parents.

A team of Yale researchers randomly selected 124 children with anxiety and assigned them to a therapy-based group or a parent-only group for 12 weeks. In these meetings they were divided into two groups, one in cognitive behavioral therapy and one in SPACE therapy. They learned how to control their symptoms and confront their fears through therapeutic exposure. The researchers observed that children in the first group never spoke to a therapist about their specific anxiety during the trial. The researchers suggested that parents should support their child in a sense of letting them figure out how to cope with anxiety on their own, by using the SPACE treatment, rather than continuing to oblige to their child’s behavior. For example, “if a child gets anxious when there are guests in the house, parents may stop inviting people over. However, according to the study, children can grow accustomed to these accommodations over time, which can lead to greater difficulty with anxiety later in life.” In this case, parents should take a step back and “replace accommodation with words of support and with expressions of confidence in their children’s abilities to deal with anxiety on their own.”

In the first study administered in 2013, author Lebowitz prompted parents to follow a script of ways to be supportive and reassuring in order to reduce accommodations for their child with anxiety:

We understand it makes you feel really anxious or afraid,” the script said. “We want you to know that this is perfectly natural and everyone feels afraid some of the time. But we also want you to know that it is our job as your parents to help you get better at things that are hard for you, and we have decided to do exactly that. We are going to be working on this for a while and we know it will probably take time, but we love you too much not to help you when you need help.”

Through SPACE therapy, parents were able to form a much closer relationship with their children than those of the children in the cognitive therapy-based group and help them work on their anxiety problem. Because of this study, “SPACE will provide an alternative for children with anxiety who may not respond well to traditional therapy or who refuse to participate.”

For more information on therapy for anxiety with the parents or the children, or any other therapy, please contact us at Hilber Psychological Services.

-Written by Lily Schmitt and Tanya L. Hilber, PsyD

Reference

Kristoffersen, Matt.New Childhood Anxiety Treatment Focuses on the Parents.” Yale News. Scitech. Web. 26 March 2019. https://yaledailynews.com/blog/2019/03/26/new-childhood-anxiety-treatment-focuses-on-the-parents/?fbclid=IwAR1_yDjSIF9njsJ6ATplIrWwivPIqbj-OgqtehNYIxvfE85vrVkfTFoOj7k

Help your Child become Resilient

In the article “Resilient Kids Come From Parents Who Do These 8 Things,” Lizzy Francis recognizes what it takes for children to learn how to be resilient when their parents do the following eight things.

When your child gets frustrated, whether it’s because he or she can’t put together LEGO pieces or does not yet understand a math problem, this is the time to teach your child how to bounce back from being discouraged and how to overcome their struggles. If taught properly, children will understand how to overcome their struggles and how to better handle their stress. When resilience is learned from a young age through numerous lessons, children will be able to manage their stressors better as adults.

According to Amy Morin, LCSW, a psychotherapist and the author of “13 Things Mentally Strong Parents Don’t Do”, she explains in detail of eight common ways parents can raise their children to become resilient.

1. Let Your Child Struggle

As a parent, it is your job to provide a guide for your child to navigate through life. However, this guide will only get them so far in life. It is up to them to take the skills and knowledge that you have taught them into their own hands to practice and be okay with making mistakes along the way. Francis notes that the parents who teach their child that hard work is important and that it may also be difficult to practice are those who raised a well-adjusted child. If they are more well adjusted then they will understand how to cope with stress and persevere through their struggles.

2. Let Your Child Experience Rejection

It is essential for your child to understand the word “no” and what it entails. No matter how much your child may want something or need someone to rely on, it is your job to stick to your word and not give in. Francis insinuates that failure can be one of the greatest life lessons that a child can understand.

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3. Don’t condone a Fixed Mentality

It is important for you, as a parent, to not give in to your child’s helplessness. For example, if your child gets a bad grade on a test it is not the teachers fault for not explaining the material well enough, but your child’s responsibility to ask for help if they don’t understand. As much as you would like to take your child’s side, it is important to teach your child that things don’t always work out the way they think they will: that life isn’t fair. This idea will spur their sense of responsibility in order to not be in this situation again. No matter how easy it may be to advocate for your child, it is important to encourage the idea that life isn’t fair and that they are able to advocate for themselves. Don’t condone to letting your child put the blame on someone else.

4. Do More Than Tell Them to ‘Buck Up’ When Struggles Occur

Instead of putting the emotional strain on your child by telling them to just “deal with it,” validate their emotions first and then give them advice on how to get through their struggles. Tell them that you understand where they are coming from to empathize and validate the feelings. If they open up about their feelings to you now, then later in life they will have the confidence to communicate how they feel because they were validated when they were younger.

5. Help your Kids Learn How to Label Their Feelings and Emotions

Help your child feel comfortable expressing their feelings out loud. If they acknowledge their emotions out loud, then they are less likely to act upon them or “show” their feelings. For example, if your child says “I’m mad,” they are less likely to scream at you because words are more powerful communication.

6. Give Your Kids The Tools to Self Soothe

Although coloring books, play-doh, and lotions that smell good may calm some children down, they do not act as stress relievers for everyone. As long as you provide your child with an outlet, such as a sport, active task, or a musical instrument, your child will receive the skills it takes to calm themselves down. Then remind your child that these are helpful when they want to feel better. Not only will they learn how to take responsibility for their feelings, but how to cope with them in the future.

7. Admit Your Mistakes. And Then They Fix Them

Utilize your own mistakes to teach your child how to respond to failures. This will show that even parents make mistakes and that not everyone is perfect. Kids tend to forget this idea and put so much pressure to be as perfect as their parents. But in fact, even the most well-rounded parents tend to mess up sometimes. The important thing to note is that one should own up to their mistakes in front of their child so that they see that you are acknowledging the mistake and then going to fix it.

8. Always Connect Your Kid’s Self Worth to Their Level of Effort

When there is a common outcome that students strive to succeed, some may cheat their way up to the top in order to get that A. The idea is to teach your child that through hard work, practice, and honesty, they will get to the top instead of faking it until they make it. Morin states that “the kid who grows up knowing that it’s all about their effort, rather than their outcome, is going to be more resilient when they fail or when they get rejected.” These children who will grow up to be resilient are not the ones who received the stereotypical feedback of doing a good job because they are a girl or a boy but because they had an awesome support system cheering them on to go the extra length.

Whether your child is a boy or a girl, it is not only what you say to them (for a girl: good job because you studied hard & for a boy: good job because you are smart) it is also how you communicate your feelings in a certain tone and at the right time.

For more information on how to help your children increase their resilience or how to put these above steps into action, please contact us. For more information on therapy, visit FAQ at Hilber Psychological Services.

-Written by Lily Schmitt and Tanya L. Hilber, PsyD

References

Francis, Lizzy. “Resilient Kids Come From Parents Who Do These 8 Things.” Love and Money. Fatherly. Web. 26 Nov. 2018. https://www.fatherly.com/love-money/build-resilient-kids-prepared-for-life/
Morin, A. (2017). 13 Things Mentally Strong Parents Don't Do: Raising Self-Assured Children and Training Their Brains for a Life of Happiness, Meaning, and Success. New York, NY: William Morrow, an imprint of HarperCollins.

5 Proven Benefits of Play

Summer has come to an end and children are back in school. Back to school means waking up early, attending school, working on homework, doing extracurricular activities, and then off to bed early. This routine is beneficial for a growing child, but who is setting aside time for play? With all of these important obligations, are children getting the time they need to let loose and play? “5 Proven Benefits of Play,” written by Anya Kamenetz, reminds parents, teachers, and pediatricians of the importance of play and how it can help the development of children.  

1.     Play is essential for healthy brain development.

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Just as adults use puzzles and crosswords to exercise our brains, children can use play to help develop their brains. Brain-derived neurotrophic factors, or BDNF, allows the brain to grow and develop healthy connections. Studies have proven that play, such as roughhousing and tussling around, can change the expression of genes to increase the production of BDNF. 30 minutes a day of this kind of play can encourage proper development of the brain.

2.     Play reduces obesity and associated diseases.

Just as adults go to the gym to stay in shape, children need to exercise and play in order to stay in shape. A child who plays a lot at a young age, the more likely they are to be active and healthy adults. At least one hour of play outdoors has proven signification improvement in body mass index. A study showed that “children who actively play outside are 42 percent less likely to be overweight.”

3.     Play helps children manage stress and even recover from trauma.

Most adults are aware of the term “self-care”. Practicing self-care is a way to increase your health and well-being. Similarly, a study showed that children who play regularly, one-on-one with a teacher, taking their own lead, improves behavior and reduces cortisol, a stress hormone. The connection built between the child and teacher is known as “banking time,” the building of a warm, relationship.

4.     Play helps families bond.

Just as “banking time” builds relationships with teachers, it also builds relationships with families. “Hirsh-Pasek points out ‘the conversation with kids that come out in play are brain-builders.’” Playing allows children to regulate their emotions by “getting on the same page” as others they are playing with. This connection can help children in their future when they are faced with difficult situations.

5.     Play contributes to academic skills.

When children play using their imagination, they are developing their language development, general knowledge, and intrinsic motivation. This development leads to improved test scores. By connecting objects, words, and feelings, children are building STEM learning skills, which will benefit their education.  

Life can be busy and overwhelming at times. This blog is a reminder to let your child play. Not only does it release energy so bed time is easier, but it has many proven benefits for your child ranging from brain development, social skills, and academic improvement.

If you have questions about children development please contact us. For more information on therapy, visit FAQ at Hilber Psychological Services. 

~Written by Allison Parker and Tanya L. Hilber, PsyD

Reference: Kamenetz, Anya. “5 Proven Benefits Of Play.” NPR, NPR, 31 Aug. 2018, www.npr.org/sections/ed/2018/08/31/642567651/5-proven-benefits-of-play.

Rude vs Mean vs Bullying Behaviors
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Singe Whitson, a child and adolescent therapist, spoke about the importance of identifying rude and mean behavior compared to bullying behaviors. It can be easy to categorize bad behavior as bullying, but it is important to not overgeneralize this term. Although a therapist never wants to minimize a client's situation, we all must learn the difference between these terms in order to not simplify the term "bullying". In reality, bullying is a very serious issue.

Whitson defines rude as, “inadvertently saying or doing something that hurts someone else". These may be seen as social errors such as, burping in someone's face, cutting in line, or kicking a ball at someone. The problem with this is that rude situations are often spontaneous. A child does not mean to burp in someone's face, but without meaning to do so, they are hurting someone else. 

Being mean involves “purposefully saying or doing something to hurt someone once (or maybe twice).” Whitson explains,  “mean behavior very much aims to hurt or depreciate someone….Very often, mean behavior in kids is motivated by angry feelings and/or the misguided goal of propping themselves up in comparison to the person they are putting down.” Although both mean and rude behavior needs to be corrected, it is important to understand how they are different from bullying. 

Bullying is “intentionally aggressive behavior, repeated over time, that involves an imbalance of power….Kids who bully say or do something intentionally hurtful to others and they keep doing it, with no sense of regret or remorse -- even when targets of bullying show or express their hurt or tell the aggressors to stop.” There are many different forms of bullying including, physical, verbal, relational, and cyberbullying. The reason bullying is worse than mean or rude behavior is because of the repeated actions that leave the person being bullied feeling helpless. 

Although bullying has become a topic of greater interest, it can never be talked about enough. Bullying has many long lasting effects on children and adolescents. It is important for parents to be aware of the signs that your child is bullying someone, or being bullied. Preventing bullying will make a difference. 

 Contact us for more information on individuals who are suffering from bullying, people who may have lasting effects such as anxiety or depression, or for help with children who are struggling.

~Written by Allison Parker and Tanya L. Hilber, PsyD

Reference: “A Mighty Girl.” Www.amightygirl.com, 16 Apr. 2018, www.amightygirl.com/?https=true.