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I woke up last night in the middle of a panic attack. It’s not the first time, either. Heart pounding, sweating, mind racing. I have two son who are competitive gymnasts.  We travel all over for meets. Both go to the same gym but compete at different levels. My younger son enjoys the comradery, but he’d much rather sing, ride his bike around the neighborhood, and hang out with his friends. For some kids, being part of a team is about learning to lose gracefully and putting effort and pride into everything they do. And that’s such an important lesson. My older son, however, lives and breathes gymnastics. This is what he wants to do. He has big dreams and plans, and works hours a day on achieving his goals. I’ve read a lot of blogs. They all say, “You are doing a good thing; you’re teaching them about perseverance and how to lose gracefully”. Occasionally, people will recognize the time, money, and energy parents put into their children’s sports. Sometimes this is to fulfill the parents’ desires for greatness through their kids. Sometimes it’s the athletes drive and motivation. My sons call me a “gymnastics mom”. They make fun of me when I remind them to point their toes or get out of their heads and into the back tuck.  Which brings me back to my panic attack.  Am I pushing too hard? Am I giving him my all so they can give theirs? Should I leave it alone? Most of all, am I the cause of their stress or lack of effort? How do I stop getting tense in the middle of the night, meet, or practice? As anyone who’s ever experienced a panic attack knows, they aren’t so easy to stop. And one leads into another into the next. In the moment it’s hard to remember to breath, unclench your jaw, or count backwards from 10,000. Sometimes a podcast helps as a distraction; meditation to remind me to get into my breath and get out of my thoughts.  It’s hardest to remember not to try too hard. Just to let it go. And that’s the best thing I can for my kids: to learn to chill, take it as it comes, accept what is and trust in myself as a parent, as a chauffeur, as a psychologist, and as a back-seat coach and cheering squad. It’s hard not to take their scores and effort, or lack thereof, personally; to equate my blood, sweat, and tears with how they perform, or don’t. And I guess that the point. My sons’ gymnastics (or any other) experiences aren’t in my control. The decisions I make for them, and the emotions and drive I try to instill are done in good faith, with love and knowledge. And that’s where it must end: faith in myself and faith in my kids. I can only do so much. And I have to be ok with that, and let the rest be.

Gratitude is a hot buzz word right now. Everywhere you go, you hear about being “in the moment” and being thankful for what you have. If you Google 'Gratitude', a million different definitions come up. I like the one from Psychology Today, which states  “Gratitude is an emotion expressing appreciation for what one has—as opposed to, for example, a consumer-driven emphasis on what one wants.” People who express gratitude, meaningfully and often, tend to experience more positive emotions, sleep better, are kinder, and have stronger immune systems. Gratitude does not just have to be shown after a big event, like a bar mitzvah or a promotion; it works best when integrated into our daily lives. Being thankful for every day, little things, helps us realized how blessed we are. When forming a habit, we’re told to practice at the same time every day, over a significant period of time. When we think about practicing gratitude, we are taught to notice new little things. If you say “I am thankful for my spouse and children”  all the time, you lose interest in gratitude. It just becomes a meaningless platitude. But if everyday we are able to find even one new things to be thankful for, we begin to look at our world differently. Studies have shown there are many different, healthy, and effective ways of displaying gratitude: you can write in a journal. Logging your thoughts for yourself helps keep you on track and reminds you of all the many things around you you are thankful for. You can also write a letter to those who have helped shape you into you. Letting people know how much they mean to you, what effect they have had on you, is immeasurable. You feel good saying something, and knowing that you are making someone happy. The other person is touched and honored, knowing that their comments, or actions, have made a difference, even to one person. Giving is another way to practice gratitude. Winston Churchill once said “We make a living by what we get. We make a life by what we give.” When we give money, even a small amount, to someone else, we feel more pleasure than if we were to spend that amount on ourselves. When we donate, Oxytocin, the “feel good” hormone, is released in our brains, which helps to lower our stress and increases our sense of connection to others. This oxytocin boost will cause people to give more generously and feel a greater sense of empathy towards others. This in turns causes people to want to pay it forward, to keep the loop going. A recent survey noted that people who donated to charity in the past month reported a greater sense of satisfaction. In fact, across 136 countries, donating to a charity that you believe in and are thankful for had a similar impact on happiness levels as doubling your household income. A little Thank You goes a long way. Not just for you, but for all those you meet.

It seems that we can’t escape the news, no matter where we hide. Our social media pages, televisions, and conversations are peppered with messages of intolerance, and hate. Pictures flash through our screens of people screaming, swatsikas and flags proudly displayed, torches and angry faces. As adults we have difficulty processing these strong emotions; how to we help our children understand this world? It’s important, if we are asked, to be honest and open. We share information only to the extent that the child understands: Who are these people? Americans who are unhappy. Where is this occurring? Today, Virginia. What is happening? People are angry and upset about their vision of the country. Am I safe? Yes. What can I do? Love others. Know that what makes this country great is that we can have differing viewpoints, and in this country we don’t get in trouble for respectfully and calmly stating them. Violence is never ok. Inciting fear and bullying is never acceptable. But listening is. Loving others is. Knowing that talking with people is good, especially those who don’t agree with you. Really listening, and trying to understand other people leads to acceptance and tolerance. It’s important that we give our children and ourselves a sense of peace and stability; that we assure them that the helpers are still there: their parents, teachers, doctors, and those who help keep our communities safe. For ourselves, we should remember that strong emotions are best countered with a calm demeanor and tone. Listening with an open mind and heart, not to answer, but to understand, is key. That’s how we bridge divides; that’s how we change our world. We show our children that we don’t stand up to bullies with more pitchforks and torches, but with love and a willingness to hear. And when all else fails, we understand that what makes this country great is our freedoms: of speech, of thought, of peaceful assembly. And in the end, none of us HAVE to listen. We can leave: shut off our televisions, put down our phones, not engage in social media or disturbing dialogue.  Knowing how to turn the negativity off, how to find the helpers and self soothe, allows our children and ourselves to heal. Listening and loving helps our community, and our country, grow.

Remembering back to one hot spring day years ago, as siblings often do, my first and third son were just at each other; screaming, yelling, possibly trying to pull the other one’s hair out. And I had had enough. The lawn was a mess. It was a beautiful day. I screamed for everyone to go outside and start pulling up every weed that I could see. And three hours later, we had a beautiful lawn and garden. More importantly, my son’s behavior was impeccable for days. He was polite. He sat when appropriate. He was kind. He got along better with everyone. This lasted for about three days. Then everything went back to normal. Sigh. What is it about sweaty and sustained activities that changes these children? There is a plethora of scholarly articles that talk about how various parts of the brain are “rewired” temporarily through exercise. There are probably even more anecdotal stories you will hear about how this person’s life changed when they began to, say, play soccer. While there’s a lot of neurochemistry involved, here’s a simple analogy to understand how learning works with kids, especially those who have ADHD. Imagine you ride a bicycle through dry dirt which is hard and packed solid.  Regardless of how often you ride the same path, you probably won’t make a significant dent.  Now, try riding the same path after it has rained. The ground is wet and muddy. The more you ride in that same path, the deeper the trench you make with your tires. Even when it dries, that trench will still be there for a bit.  After a while, sure, it dries out and you have to start again. But riding over that same area, again and again, over years, creates a deep groove in the ground, and that’s the path your bicycle will naturally want to follow. This is how children learn. And the more they exercise, the more they are able to pick up on appropriate social cues and provide appropriate responses.  By being rewarded, even by the simple fact of feeling good because they aren’t being yelled at, the more likely they are to do that behavior again. These kids need a little more help to understand how they should behave. Exercise helps them read the social cues being thrown out all around them. The more they exercise, the more they are able to read the social cues. The more they practice that behavior, the more reinforced that behavior is. In the long run, children who regularly exercise will not only develop a love for it, but will have the tools to help them relieve and cope with stress.  Ultimately, it is a wonderful way to help them learn how to be able to learn.

As parents, we want the best for our children. We want the best education, the best toys, the best friends etc. However, what happens when we can’t give them that, when we can’t dictate their friendships or even help our kids to keep their friendships healthy and thriving? It’s the hardest thing to watch your child try and fail, or not try at all. Yet, there are things you can do and ways to help your child succeed in their friendships. I hope my top three tips prove useful to you and your child. 1. Check your ego at the proverbial door. It’s not about you. Sometimes we want our children to like whom we like, or be friends with the type of kids we weren’t able to build friendships with when we were younger. This isn’t about that, after all, they have their own needs and wants. Our job is to steer them into making healthy decisions. They don’t need to gravitate to the richest or the most popular kids, and that’s hard for some parents to understand. True, healthy, thriving friendships should always be the goal that every parent seeks for their child. Sometimes our children choose to engage in friendships that we think are not the best options for them. Step back, encourage and support them; let them know that you’re there. The friendship may continue for a long time or it may abruptly fail. It will be difficult to see your child hurt but this real life experience helps them learn best. As long as they are safe, let them engage in that opportunity to gain experience and learn more about healthy friendships with the group they have chosen to be with. 2. Find their group where they are at. If your child gets along better with younger children, so be it. The friendship skills are similar. Getting them comfortable in their own skin, with their own developmental peers, is more important. Remember, it’s best for your child to have one or two good friends than to continually try to break into many other unhealthy friendship groups. 3. Find their passion. This is often harder, because it may change monthly, or daily. So don’t go spending tons of money on hockey equipment at first, try to rent or find some used. Expose your kids to many different types of activities and know that something will stick. It may not happen today, it may not happen in a year and that’s ok. The more exposure to various activities, the better rounded your child will become. The wonderful added bonus in this approach is that it gives your child even more exposure to different peer groups and a greater chance for them to find their niche. Remember, above all, a calm, loving and supportive parent is most important. Everything else will come in time.

Today is Mental Health Blog Day and I remember when my son was first officially diagnosed with ADHD, he was about 6 years old. Kindergarten. Hmm…. How to explain to him, “Yeah! You were diagnosed with a neurological disorder that makes you move, and fidget, and call out, and have some social issues with your peers!” No matter how smart he was, that wouldn’t go over well. So I started thinking; in life, everyone has something. Some people are good at sports, but not a reading. Some people have difficulty letting go of their blankie. Sometimes, people’s strengths and weaknesses don’t have a name: they are just a group of behaviors, while sometimes if we’re lucky, those groups of behaviors have a label. That’s good; in many cases that means that there are many other people who also have those behaviors and we may know how to help. Many times, when we give something a label or a name, it means that it’s real. It validates the experience. So that’s what I did for my son. What’s good about this approach is that it normalizes the experience for kids. It also gives parents much needed perspective. ADHD isn’t a bad thing. It’s just a thing…and everyone has to deal with something. Feel free to read more of my blog posts here: Long Island Child Psych Blog. Remember, don’t be ashamed of your story; it will inspire others. It’s time to think outside of the stigma. Today is the day: #mhblogday

In our minds, summer is usually the time to break loose. Our kids get excited about having no more rules, no more books, riding around the neighborhood with their friends. However, let’s take the time to imagine if summer wasn’t that carefree. Our kids know the rules in school, they know where to sit, who to talk to and how to play. Yet, in the summer those rules don’t apply. It’s as though they are thrust into a world they aren’t yet ready for. They have a bundle of energy, they want to play but they don’t know how. For a child encountering these feelings, summer can be really stressful for them. Enter summer camp! It provides a structured environment that is wholly centered on fun. Like school, it clearly defines how to have fun, when to have fun and with whom. The right camp provides a structured, active environment that can help your child blossom and learn to have fun with their friends, whether they have ADHD or not. Now that we’ve established camp can be a lifesaver for you and your child, here are some tips on choosing the right summer camp for your little one(s). 1. Ask. The most important thing you can do is, ask your child. They go to school and try to listen/follow the rules all year long. This is the time to listen and find out what activities they enjoy? Do they want to meet new people or go to camp with familiar faces? If they are involved in the process of choosing a camp, they are more likely to enjoy their summer. Ask their teachers and school staff as well. They know your child and have a different opinion on how they interact with others at school. Remember to keep this information in mind when you are choosing a summer program. 2. Staff. There are a few important things you want to look for in a camp. The smaller the camper the counselor ratio, the more supervision there will be. Imagine everyone is off playing basketball and your child doesn’t want to. A small camper to counselor ratio will allow someone to take a walk with your child, cool them off, and maybe even tutor them on the game while sitting on the sidelines. This approach is wonderful because it doesn’t stress out the rest of the group or embarrass your child. This experience really happened with my son and it was the best solution possible!
You also want to know the age of the counselors and their training. You might choose to pay more for a camp where every counselor is a teacher, as opposed to a teenager but you know they have more patience and training to work with your particular child. You also want to know how many nurses are on staff. This is important if your child is going to be receiving medication. It’s reassuring to know that someone is on staff that can either administer the medicine or keep a trained eye on your child to make sure no adverse reactions occur in the hot sun while they are running around. 3. Activities. In this day and age, many kids want to spend the summer glued to an electronic device. Don’t let them. The more physical activities they are involved in, the better and happier they will be. This is true of all children, but especially those with ADHD. There’s something to be said about being outside, running around in the fresh air. There are tons of studies that say that one of the most effective treatments for ADHD. Outdoor exercise is highly beneficial, so look for a camp that provides outside activities, shade and access to water and hydration. On the flip side, you want to know that if it rains the fun doesn’t stop. A good camp will have an organized rainy day plan. 4. Types of Camp. There are camps that specialize in working with children who have been diagnosed with ADHD, learning disabilities, or Tourette’s Syndrome etc. These may be a great option for you. However, don’t rule out the local programs either. They may be just what your child needs. Remember, each camp is different, and each child is different. It may take some investigating, but there is a program out there to help your child have the best summer of their lives.

There are so many things we want to pass along to our kids: love of music, love of sports, good work ethics, beautiful curls or blue eyes. Sometimes, our genetics adds little “bonuses” with our gifts, like ADHD. Or Celiac. Or any number of other genetic blips. It’s hard to parent a child in general, but adding the guilt on top of that makes it even more gut wrenching. I remember feeling terribly guilty that my son had ADHD. It’s because my husband has difficulty starting a project without being asked many times. It’s because I was bouncy and combative as a child. Maybe if we didn’t have so many kids. Maybe if we didn’t send him to school so early, or to camp. Maybe if I didn’t work. If I did ‘x’ differently, maybe then he’d be able to listen, and sit, and keep his hands to himself. I’m here to tell you that almost everyone feels some level of guilt. It’s normal to second guess yourself and your choices. But don’t let that overwhelm you or your ability to parent. It’s not anyone’s “fault”. It is what it is. It’s also important to know if you are consumed with guilt, or any sort of overwhelming emotion for that matter, you can’t parent effectively. Let’s play devils advocate. Let’s imagine, for example, that it is totally your fault. As in, you hand-picked these genetics to give to your child. You can get upset that you shouldn’t have done that and that you made a mistake. You want to wish it away but you can’t. Your child has green eyes and that’s it. However, if your child has diabetes or autism, your job changes; it gets more interesting.
How do you teach your children not to rail against their nature, but to embrace their strengths, their idiosyncrasies? It’s a tough job but you start with the fact that everyone has something that they come up against in life. It’s not that they have this, but how they handle it that makes them the person that they are. Who they are isn’t bad; each little negative has a flip side, a positive. Our job as parents is to find the positive and help them shine, even if our children can’t figure out how to do it for themselves yet. Feeling guilty comes with being a parent. You don’t want to hurt or disappoint your child, but no, they can’t have the $300 toy car. They will cry about it and you might feel bad. What makes you a good parent is the ability to know what is within your control, and what isn’t. The genes that are passed along to your child are not within your control, but how you love and live with your child is. That is what makes all the difference.

When my son was first officially diagnosed with ADHD, he was about 6 years old. Kindergarten. Hmm…. How to explain to him, “Yeah! You were diagnosed with a neurological disorder that makes you move, and fidget, and call out, and have some social issues with your peers!” No matter how smart he was, that wouldn’t go over well. So I started thinking; in life, everyone has something. Some people are good at sports, but not a reading. Some people have difficulty letting go of their blankie. Sometimes, people’s strengths and weaknesses don’t have a name: they are just a group of behaviors, while sometimes if we’re lucky, those groups of behaviors have a label. That’s good; in many cases that means that there are many other people who also have those behaviors and we may know how to help. Many times, when we give something a label or a name, it means that it’s real. It validates the experience. So that’s what I did for my son. In a rare quiet moment I sat with him and spoke about my strengths and weaknesses. I told him how hard it was for me to do math, which is super easy for him. I spoke about how sometimes when I was younger, it was really hard for me to say “I’m sorry”. I spoke about how reading was easy for me. We talked about what a strength was and what a weakness was. I asked him what he thought his strengths and weaknesses were. In typical, insightful 6-year-old fashion, he shared that he loved reading, but had a hard time raising his hand. Perfect segue into ADHD. Everyone has strengths and weaknesses, I told him and having these makes him who he is as a person. Our combination of strengths and weaknesses is absolutely normal. Sometimes, if we’re lucky, our pattern of strengths and weaknesses has a name. Fortunately, his does. It’s Attention Deficit Hyperactivity Disorder. That means, it’s hard for him to stop and think before he acts; sometimes his emotions are in control, and sometimes he just has to move. It’s not a bad thing. It’s just a thing, and that’s ok. Remember that everyone has something. What’s good about this approach is that it normalizes the experience for kids. It also gives parents much needed perspective. ADHD isn’t a bad thing. Everyone has something.

I love being a mom. I love that my five-year-old daughter says “Good morning Sunshine!” when I wake her up (even after she’s called me from the other room yelling, “WAKE ME UP, MOMMY!!!!”) I love that my almost 9 year old wants to share with me all the gruesome ways people have died while wearing Disney costumes (don’t believe everything you see on the internet, kid). I love how my 11-year-old son asks me how to make shakes in the morning, and to find out whether the ‘Farm to Table Restaurant’ is available for a special lunch, just for the two of us. I love my 12-year-old son as well. It’s just harder to remember that when he’s yelling at me to shut up and saying how untrustworthy I am, when he’s chosen to sneak on the computer to play games at some ridiculous hour in the morning. As I am so gently reminded by my husband, sometimes, I need to take my own advice. So here it is for my benefit and yours: some tips on living with an Oppositional (Pre) Teenager. 1. You love them. Sometimes it’s hard to remember this was the tiny infant you held until they fell asleep. Or played with on the swings for hours. But it’s the same kid. They are just buried in there under a tremendous amount of hormones. We need to remember that these kids are sometimes even harder to parent than typical teenagers because of their O.D.D. Remember, after the storm come the calm. Hang in there; it’s going to get better. 2. Tell them. When confronted, these kids will count the numerous ways they have been wronged, persecuted, maligned etc. Ignore it. Calmly tell them what they did wrong and walk away. Sometimes, it feels like they don’t hear you, but they are soaking in everything you say and do to incorporate into their adult repertoire. By telling them what they did wrong, in a calm manner, you are showing them that you are in control. Don’t take anything they say while they are in the midst of a “fit” seriously. They will say anything, and I do mean anything, to get your goat. Don’t respond. Stick to the topic at hand. Be short and sweet; then walk away. 3. Don’t fight, discuss sparingly. Even though they fight us every step of the way, we need to remember that these kids need boundaries. When we engage in fighting with them, those boundaries get loosened, and they get scared. Think of it this way: I’m going fight with you to push back against those boundaries (that’s what O.D.D. kids do), but if you fight back with me, those boundaries that I’m testing aren’t as secure as I need them to be, and now I’m lost. If you need to discuss something, or you think it’s a topic worth exploring, wait until both of you are calm and have a back and forth conversation. Always remain calmly in charge, and when you feel yourself getting tense, gracefully excuse yourself and walk away. 4. Let it go. I can hear Disney playing in the background…. But seriously, some things aren’t worth fighting over. Listening to a 12 year old interrupting, while a five year old sings “we don’t interrupt”, and an 11 year old continually trying to speak over him, and a 9 year old egging everyone on, trust me, I was tempted to walk in there and start yelling in order to gain control of the situation. You know what though, in two minutes, it all calmed down, and I didn’t have do a thing. It wasn’t worth me getting involved; they needed to figure this out on their own. My take away from this is, my 12 year old needs to learn from life, not from mom consistently stepping in and telling him what to do. 5. In Vivo learning. That’s fancy talk for learning from experience. Sometimes we want to tell our kids what to do, we want to reintroduce the rules AGAIN for the millionth time. Don’t. It’s more effective coming from someone who’s not you. You don’t want to sound like the teacher from Peanuts “wah wah wah”. Our kids learn so much quicker from real life experience. We can tell them if they play basketball in the rain, they are going to get sick, be cold, fall and get hurt. However, if we let them just do it, and they come in cold and wet and battling a sniffle, or if they fall and hurt their hand, they will think twice about playing in the next rainstorm. Kids learn so much more effectively from personal experience. Just as with neurotypical teens, it’s time to let our older kids experience things on their own. That’s not to say let them engage in unsafe behaviors or let them put themselves in dangerous situations. We still need to parent, but pick your battles and allow let them learn some important life lessons. 6. Take care of yourself. This is so important. I know I’ve mentioned this in other posts, but it’s so important to remember that if you are happy, you are more likely to be calm. The calmer you are, the less they will fight. (Not that they won’t fight, it’ll just be less intense and not last as long.) They will also feel safer when you are calmer, and you’ll be happier and able to deal with these adverse situations much better. Good luck. I promise you, it’s going to get better.