Have you heard of DMDD, or disruptive mood dysregulation disorder in children? Unless you work in the mental health field, are a pediatrician, or a parent of a child who struggles with DMDD, it’s quite possible that you haven’t heard of this relatively new diagnosis.
Imagine that you’re at work. Your boss asks you to do something extra, and he wants it to be ready by the end of the day. You mean to take care of it right away, but things start coming up throughout the course of the day and you forget. As soon as you get ready to go home, your boss comes to you and asks for the finished piece of work. Oh no, you completely forgot! You try explaining to your boss that things came up, things that couldn’t be helped.
He interrupts you. In a loud, angry voice he shouts, “I’m not interested in your excuses! What I’m interested in is you getting it done! What am I paying you for?!” As you open your moth, he says, “Save it,” and walks off to the elevator.
You finish gathering your things and leave the office. On the way home you meet a friend. You’re so upset that you find yourself telling her about what just happened.
Your friend tries to “help” you in eight different ways. And as this example from “How to Talk So Kids Will Listen & Listen So Kids Will Talk” by Adele Faber and Elaine Mazlish asks, as you read each response, tune in to your immediate “gut” reaction:
“There’s no reason to be so upset. It’s foolish to feel that way. You’re probably just tired and blowing this whole thing out of proportion. Surely it’s not as bad as you make it out to be. Come on, smile…”
“Look, life is like that. Things don’t always turn out the way we want. You have to learn to take it in stride. In this world, nothing is perfect.”
“You know what I think you should do? Tomorrow morning go straight to your boss’s office and say, ‘Look, I was wrong.’ Then sit down and finish your work, and don’t get trapped by those little things that come up. And if you’re smart and you want to keep that job of yours, you better make sure nothing like that ever happens again.”
“What exactly did you have to do that could have possibly caused you to forget a special request from your boss? Didn’t you realize he’d be angry if you didn’t do it? Has this ever happened before? Why didn’t you follow him when he got mad and left so you could explain again?”
“I can understand your boss’s reaction. He’s probably under a lot of pressure. You’re lucky he doesn’t lose his temper more often.”
“Oh, you poor thing. That is terrible! I feel so awful for you, I could cry.”
“Has it ever occurred to you that the real reason you’re so upset by this is because your employer represents a father figure in your life? As a child you probably worried about not pleasing your father, and when your boss scolded you it brought back your early fears of rejection. Would you say that’s true?”
“Boy, that sounds like a rough experience. To be yelled at like that in front of those other people, especially after having been under so much pressure, must have been pretty hard to take!”
Okay, so what do you think? What was your “gut” reaction after reading each of the different types of responses your friend gave you? Did you leave your friend feeling better or worse? Heard or unheard? Like your friend had your back or not so much?
Maybe you’re thinking Adele Faber and Elaine Mazlish were being a little extreme. But were they? Though the situation might be different, I can recall so many times when I’ve responded to my own kids in each and every one of these ways!
Fortunately, one of these responses is more helpful than the others. Whether you’re listening to your child tell you about how awful it felt to have to go in from recess today or how terrible it felt when their science teacher unwittingly singled them out when they called upon them in class or even just listening to a friend talk about their rough day at work, using an empathic response will always prove most helpful.
An empathic response demonstrates that you’re really trying to tune into the feelings of the other person. Kids (and adults) can usually help themselves if they have a listening ear and an empathic response. Kids don’t always need advice or pity, and they’re probably not going to be ready for you to defend the person that hurt their feelings when they first come to you after something as such has happened. And denying their feelings is going to affect them for the worse, whether it be in the short-term or long-term (or both).
Unfortunately, the language of empathy doesn’t come so naturally to us. Most of us grew up having our feelings denied, often unintentionally by well meaning people. As “How to Talk So Kids Will Listen & Listen So Kids Will Talk” delves into, to learn a new language of acceptance, we have to learn and practice its methods. It might not sound natural to you when you first start trying to use an empathic response, but keep with it… It’s well worth it.
More important than any words we do use is our attitude when we respond. “If our attitude is not one of compassion, then whatever we say will be experienced by the child as phony or manipulative. It’s when our words are infused with our real feelings of empathy that they speak directly to a child’s heart.”
Stay tuned in, I’ll be giving you some helpful tips on communicating with your children in future posts. And if you’re interested in learning more yourself, I highly recommend the book “How to Talk So Kids Will Listen & Listen So Kids Will Talk” by Adele Faber and Elaine Mazlish. You can find a link here.
While checking out Facebook one day, I found a great video by Kristina Kuzmic in which she suggested an awesome activity to do with your kids. The video showed her and one of her children spending some good quality time together driving around town (which in itself is a good way to connect with your kid) and finding different ways they could do random acts of kindness together.
If you don’t know who Kristina Kuzmic is, I strongly recommend checking her out! Kristina is energetic and she’s really funny while she offers her perspective on issues of parenting and life in general. She does “mom-centric” videos about raising children and juggling all of life’s challenges. She really is great! And the video I watched about how she spends some good one-on-one time with her kids (individually) especially inspired me!
We all hope to instill kindness in our children. And we all know the benefits of spending good quality one-on-one time with our kids. Kristina’s idea offers both! After watching her video, I knew I had to give it a try with my own children. I have two kids – both boys – who are always vying for mom’s attention. Spending one-on-one time with each child can be challenging. Either we don’t have the opportunity or we aren’t quite sure what to do together – at least this is a roadblock I’ve found in raising only boys.
Okay, enough introduction. Let’s get to the acts of kindness ideas, right?! The following ideas are all free or pretty affordable, hence why you can do most of these acts this week if you want to – there’s no prerequisite of having a lot of money.
My challenge for you is to pick a time this week that you can spend some one-on-one time with your own child, then together choose at least three random acts of kindness to do during your special time. Brownie Points: Do something like this once or twice a month if you’re able! Hope you have fun!
I have worked with a lot of kids and teens with ADHD (Attention-Deficit/Hyperactivity Disorder) who have a really hard time in school. Whether they have combination type (difficulty focusing/paying attention and hyperactivity/fidgeting) or inattentive type ADHD, I learned quickly that just reading over a list of study skills for these kids to try was hardly effective. Teaching study skills, especially to kids with ADHD, requires more than providing them with a list and reading over it with them, then hoping for the best. You have to get creative, and you have to make learning more interactive.
I came up with this activity for that very reason. When I would teach study skills to a teen sitting in my office who was struggling in school, I could literally see the boredom in their faces and the lack of focus in their eyes. I would lose them within mere minutes. It was hardly effective. Just as teachers often have to make learning more interactive for all their students, I had to come up with a way to make learning study skills interactive for kids who were already struggling with their schoolwork due to ADHD symptoms.
GOAL: Help students learn helpful study skill tips and choose which strategies would work best for them.
“PLAYERS”: Student + a counselor, teacher, or parent
AGES: Middle school through college aged students
ACTIVITY: You can actually divide this activity into three separate activities. This is what I frequently do, as let’s face it, giving anyone a whole bunch of any material to learn at once isn’t always effective. Click on the links for the printable pdf forms of the packets and cards.
Materials – Activity #1:
Materials – Activity #2:
Materials – Activity #3:
Materials – All Activities:
Before the activity, laminate (optional) and cut one copy of the Study Skill Cards for that particular activity. Cut apart each section/block on the Categories sheet; glue each block onto separate envelopes. Each block should be designated its own separate envelope:
Both student and counselor (or teacher or parent) each get a packet for the particular activity you’ll be doing. Each person also receives an uncut copy of the Study Skill Cards page. Each player needs two highlighters of different colors. The laminated, cut study skill cards can be placed between the student and counselor.
The student draws a card form the pile in between them. They then read the study tip. The counselor can also choose to take turns drawing cards from the pile if she wants, but it’s important to keep the student as focused an involved as possible. Don’t “just read” to them.
Next to the study skill tip is a number in parentheses. This number corresponds to the number matching on the packet for the particular topic. For some cards, a more thorough explanation may be found in the packet whereas the card generally holds only a brief description of the strategy.
The student, upon reading the card, determines which envelope they want to place the card in. For example, they might place the “Copy the notes. (4)” card in the “I’m interested in trying this” envelope. The student and counselor then, using a designated color highlighter for this category, highlights the study skill tip on their Study Skills Card page so that they both can remember that the tip is something the student may be interested in trying. If the student chooses to place a card in the “I’ll commit to trying it this week” envelope, the student and counselor would use the other colored highlighter to mark those tips on their individual Study Skill Cards pages.
Encourage the student to commit to trying 1-3 skills in the upcoming week, particularly if they don’t already have very effective study habits. Take note that some strategies are better tried separately and not together with another skill tip (for example, “start with the hardest” and “start with the easiest” are probably best not tried during the same week).
After all (or a majority) of the cards are drawn and designated to their appropriate category, spend the remainder of the time discussing the week’s commitments and forming short-term goals. The student then can take their cards sheet and packet with them to help remind them of the skills and their commitment(s).
For the skills highlighted and designated into the category of “I’m interested in trying this,” keep the Study Skill Cards sheet handy for that student and refer back to it as necessary in the future.
The individually cut skill cards and envelopes can be saved to use with other students.
To all the students out there, happy studying!
Losing a parent or caregiver is difficult for any child, whether the loss is through death, separation, or removal from their home. Working with these children, they are often found to be struggling with grief and adjustment issues that might show up as a significant change in mood or acting out behaviors. Working with children who have been temporarily separated or sometimes permanently removed from their home can sometimes prove particularly difficult when trying to find creative ways to help them work their way through the loss of their parent or caregiver who has been a significant part of their lives for some time, often since birth.
Losing someone is never easy. While I certainly am not wanting to downplay the loss any child feels when a parent or caregiver dies, children who are separated from their homes, whether temporarily or permanently, face a unique challenge in itself. The child knows their parent didn’t die, so why can’t they still be with them? In cases where there has been neglect or abuse, a child may especially have difficulty understanding an array of confusing feelings… “I love my mom, but I didn’t like how she hurt me. But I feel guilty for not being with her but it’s kind of nice that I don’t have to worry so much or be so scared.”
In some cases, children aren’t even particularly sure why they’ve been separated from their parents or caregivers at all. They may not be given much information or they may not even realize that their parent’s neglect or other inappropriate behavior was ever wrong in the first place. From these kids’ perspectives, they have a really hard time understanding why or even how their lives seemed to suddenly be turned upside down. And sometimes, depending on the age of the child, it isn’t appropriate to offer a lot of details; regardless, it still doesn’t make up for the intense hurt and pain they feel from being separated from the only home they ever knew.
Child-centered play therapy, I’ve found, is especially helpful for these children when they are particularly young, but I’ve found that a more directive approach is often needed for middle and older elementary children and pre-teens. Seeking out ideas for techniques to work with these children has continued to result in dead ends. With the exception of a few specific techniques out there on the internet and in books for children who have lost their parent or caregiver not by death but by separation, therapists frequently need to adapt general grief activities for these vulnerable children. While this is certainly not a major problem, I began creating some of my own games, art, and other play activities myself.
To create your own game, simply click below and print the Separation & Loss question strips. After you print the questions, I recommend laminating the page for durability. Then simply cut out your questions, and glue each individual question onto a Jenga block. The blocks that are left over can be used as “free pass” blocks, blocks that allow the player a turn without answering a question or they can be rapport (relationship) building blocks.
I find “free pass” blocks to be helpful over utilizing each and every block for a question, as it seems to make kids more comfortable and feel less overwhelmed. Rapport, or relationship, building blocks are ones in which you can use questions such as those found below, to lighten the mood and discuss something a little more fun and less heavy. The topic of losing or being separated from someone you love can be pretty sensitive, let’s cut the child a break! I personally use some of the rapport (relationship) building questions AND a few “free pass” blocks.”
In regards to the rapport building questions I have included in this post, you obviously wouldn’t use all of the strips for this particular game or you wouldn’t have many blocks left for the separation and loss questions. You can pick and choose which of both sets of questions you would like to use. Or you might also decide to glue two questions onto each Jenga block, with one side having a separation and loss question and the other side including a rapport building question. This is what I choose to do. This way, if a child does feel particularly uncomfortable about answering a separation and loss question, there’s a “back up” question they can choose to answer instead.
In my last post, I gave you 55 Art Journal Prompts for Teens, a collection of some of my favorite prompts to use with my clients, as well as for myself. Art journaling can be incredibly therapeutic, and you don’t have to be Picasso to do it. Everyone has some creativity living inside them!
For this post I want to give you some silly art journal prompts, which I also make sure to give to my clients in addition to the more serious ones. It’s important to have fun. It’s important to allow yourself to be silly sometimes. Not everything in therapy (or outside of therapy) has to necessarily have some deep meaning attached to it except for the mere fact that it’s just something fun to do. Seriously, this is an important part of taking care of you. Everyone should make time for play (and I’m not just talking about kids and teenagers right now)!
So here are some of my favorite silly art journal prompts – be sure to definitely give some of these a try!
In counseling children and teenagers, I must tell you that I’ve seen some incredible talent. Some kids are talented musically, some are talented in sports, some are great writers, others are great artists, and some can tell you every country’s capital as though it were as easy as making a peanut butter and jelly sandwich. In every kid I’ve ever worked with, I’ve found an amazing amount of creativity flourishing inside them.
Everyone is creative in their own way. Don’t believe me? Those kids who can rattle off facts like it’s nothing to them? They had to use some creativity in order to be able to memorize and remember those facts, such as using mnemonics or using music. You have to be creative in different ways if you play a sport, remembering all the moves and such.
I hear a lot of kids (and adults, especially) tell me that they’re not creative. They think that because someone told them back in second grade that their drawing wasn’t “good enough” that they themselves are not “good enough.” I say those people that told you that don’t know what creativity is. Everyone is creative!
There’s something cool about using art in therapy. Please note that while I know some various art therapy techniques, I am not a fully trained or certified art therapist. I do, however, use quite a bit of creative expressive techniques in my work as a therapist. One technique I use to help show people that they are creative and that creative expression is remarkably healing is assigning them to journal. Whether it’s through writing, music, art, or any other creative expressive technique, we can find healing in our lives.
Let me say that you don’t have to be an “artist” to do an art journal. There is no “wrong” way to do art; there is no “bad artist.” Art is an outlet for the thoughts from your soul to your hands and onto paper. For art journaling, you can draw, you can color, you can paint, you can collage… the possibilities are endless. I’ve included in this post some of my favorite art journaling prompts that I use especially with teens (and even adults!). Please note that just because the prompt might say “draw,” doesn’t mean you have to draw. If you’d rather collage or do some other form of creative expression (like knitting or writing or sculpting, etc.), you can still use these prompts! Don’t overthink them. Just let yourself be in the moment and do it. Draw in the dark if you think you’re “not a good artist!” Just let yourself be. Just try it.
There you go. Have fun!
Children with anxiety sometimes have a hard time opening up about what they’re worried or anxious about. Enter the worry worms. Worry worms are simply construction (or cardstock) paper worms that look like… well, little worms. I use them in play therapy, but you can easily make your own worms at home and play the worry worm game.
Worry worms are pretty easy to make. Simply draw or trace a worm onto brown construction paper (or cardstock paper works well too). Make several worms, and cut each of them out. Wa-la! Worry worms! I laminate my worms, simply because this allows me to keep them durable for multiple children to play with.
Next I hide these little guys (the worms) around the room for the child to find. For each worry worm the child finds, they are asked to tell one worried thought they have or have had.
It looks like a game of hide-and-seek to them, but let me tell you what really happens when you play the worry worm game:
Here are 78 of my favorite behavior rewards I’ve used with young children I work with, as well as with my own children. And the best part is that they are all low-cost or free!
Dinner time conversations can be hard, especially when you have a child who doesn’t like to talk much when you ask things like, “How was school?” or “What did you do at school today?” This would be my child. The one who would rather eat brussel sprouts than to answer questions about his day at school. Now that my own child has been in school for several years, I’ve learned the trick to getting him to talk more about his day is to initiate a conversation about something else first – something they really don’t mind talking about. Even though my child doesn’t necessarily come right out and talk about his day after I do talk about something else, it does seem to increase the likelihood that at some point that day, I get some information about how his school day was.
Here are 39 of my favorite questions to ask my own children. Hope they help initiate more conversation in your home too!