Learning to Practice Acceptance Amongst Significant Change

By: Laura Miller, LMSW

In a recent blog, mindfulness, a practice of purposefully bringing your attention to the present moment and being aware of thoughts, emotions and physical sensations without judgment was discussed. This practice can be used toreduce stress and improve mood. Mindfulness benefits may be especially important throughout the holiday season, as the advertised most “wonderful time of the year,” can also be incredibly stressful. This year has likely included even more stressors than past years and perhaps significant unwelcomed change due to the ongoing coronavirus pandemic. Many holiday traditions might look entirely different this year; perhaps you’re gathering in much smaller groups, celebrating alone or unable to travel. With so much change, this holiday season might require a larger skill set, including both mindfulness and ways to tolerate and accept the unwanted change that has occurred.

At times, change can be exciting, for example, when one chooses to move to a new city or start a new job, however when change comes unexpectedly or without any desire, (i.e. losing a job or being unable to travel for the holidays due to COVID-19 restrictions) change can be painful. Depending on the circumstances, your reaction to change may vary from excitement to sadness. Yet in all cases, your attitude toward the change affects your experience of it. The good news? You can improve how to cope with change by recognizing (or being mindful!) of your reaction as the change occurs.

In most cases, reacting to change with “willfulness” can often make the situation worse. Willfulness is ignoring reality; or rejecting the unwanted change or other painful event that has occurred. For example, you may find yourself saying, “Why me!? This isn’t fair! I’m not going to deal with this! It shouldn’t be this way!”. While this attitude is understandable (of course it makes sense to not want to tolerate and cope with a painful situation), rejecting what is happening in the moment often makes the situation worse. Rejection of pain keeps someone stuck in bitterness, anger, unhappiness and

other painful emotions. So much so, that Marsha Linehan, Ph.D., the treatment developer of Dialectical Behavior Therapy, writes that “pain plus nonacceptance equals suffering”. Linehan coined the term, “radical acceptance”, meaning that one must accept rather than fight painful situations with mind, heart, and body and accept something “all the way” in order to cope. (Clickhere to watch Marsha Linehan further discuss acceptance.) Yet, acceptance of a painful situation is often not a desirable option either... keep reading to better understand how and why acceptance might help!

Why Bother Accepting Unwanted Change or Painful Situations?

  1. Rejecting or denying reality doesn’t actually change reality. Although avoiding a painful situation or denying what is happening might make you feel better in the moment, it doesn’t actually change what is happening. Resistance and or the willpower to ignore pain won’t actually help change the painful situation.
  2. Changing reality requires first accepting reality. Fighting reality often interferes with one’s ability to be able to see the painful situation clearly. For example, if one refuses to accept that COVID-19 may interfere with their holiday traditions and that they will need to take safety precautions over the holidays, one might not properly prepare or take the necessary precautions, potentially resulting in even more difficult to manage and painful situations. Accepting the facts of a situation can be helpful for future coping and problem solving.
  3. Acceptance May Lead to Sadness (at first) but deep calmness and freedom follows. Coming to terms with the reality of the situation can result in sadness, it’s hard to acknowledge painful events as true. Allow disappointment and/or sadness to arise and be kind to yourself by using self soothe skills. Although incredibly difficult, once one accepts what’s happening and stops fighting reality, the amount of effort and mental energy that was going into fighting the situation no longer has to work so hard. At times, no longer fighting the situation can result in a calmness. Ultimately, accepting what is happening and living in reality offers a sense of freedom where you don’t have to feel controlled by willful thoughts like “why me?” and “this isn’t fair!”.
  4. Acceptance decreases psychological suffering. Acceptance has been found to havesignificant psychological benefits and as Marsha Linehan, PhD indicates “reduce suffering.” Accepting experiences as they occur has been linked to improved psychological well-being, life satisfaction and decreased depressive and anxiety symptoms.

Even with the understanding that acceptance has benefits, it is still incredibly difficult. Remember, that acceptance is not the same as approval nor is it minimizing the emotional difficulty that may be associated with the painful event. Furthermore, accepting reality is not giving up nor giving in, in fact, it’s quite the opposite; it’s accepting what is happening so that you can then choose how you want to cope rather than resigning to the pain of the unwanted situation.

How to Accept Unwanted Change:

  1. Observe willfulness. Notice when you are having difficulty accepting change and painful situations and describe what you are having difficulty accepting without judgment. At times, it can be easy to fight reality without even realizing that you are doing it. Acknowledging that you are not accepting, is the first step to later acceptance.
  2. Remind yourself that you can’t fight reality and consider what you need to accept. Remind yourself that fighting what’s happening in reality doesn’t change reality and begin to consider what it is that you are actually having difficulty accepting.
  3. Practice Accepting. Practice letting go of the tension in your body (check out these relaxation techniques) so that you become more open to acceptance. By relaxing your body, you can also relax your mind and become more open to acceptance. Begin to think about what you are accepting and imagine yourself accepting the situation entirely. Practice saying out loud “yes, I can handle this!”.

You can also check out this step by step guide to radical acceptance .

Similar to mindfulness, acceptance is also an ongoing practice. At times, acceptance can last a moment or two, and then willfulness can pop back up (i.e. Ugh, but do I really have to cope with this?!”). Continue to observe when you’re willful, and be willing to “turn the mind” to acceptance and make an inner commitment to continue to accept reality as it is. You may find yourself turning the mind over and over again back to acceptance, and this is okay. Acceptance is a difficult process, yet it comes with high reward when suffering can be reduced.

Remember, be kind to yourself this holiday season. You are not alone in facing these unprecedented challenges. Make an effort to spend extra time taking care of yourself and don’t hesitate to ask for support when you need it.

From all of us at Behavioral Psych Studio, Happy Holidays!

Understanding Anxiety

By: Laura Miller, LMSW

There’s no question that 2020 has been a year of significant and unrelenting challenges. Across the globe, individuals have been tasked with managing financial crises, flexibly adapting to virtual learning and or employment, monitoring and coping with on-going health risks and tragically, over 280,000 families are grieving the loss of loved one due to COVID-19. In addition to these challenges, one of the most difficult things of 2020, has been the invisible yet fiercely felt unprecedented levels of uncertainty that we are confronted with daily. Humans find comfort in routine, yet 2020 has been a year of ongoing disruption. For many, this may have contributed to a significant decline in overall well-being and mental health. More than one in three adults in the U.S. have reported symptoms of anxiety during the pandemic which is more than triple the number of adults that reported symptoms prior to the pandemic’s start. Continue reading to better understand anxiety as well as learn ways to cope.

What is Anxiety?

Anxiety is the body’s natural response to stress. It is a feeling of fear or apprehension about what’s to come or at times, preoccupation and worry about something that has already occurred. Although anxiety can be uncomfortable, anxiety is actually a very normal and helpful emotion. Anxiety helps individuals respond to real danger (i.e. prompts you to move quickly out of the way of a speeding car) as well as prompts individuals to perform at their best (i.e. motivates you to prepare for a test/job presentation).

What Happens?

When anxiety is experienced, the body’s “fight-flight-freeze” response is triggered, which helps the body prepare to defend itself. This is a very helpful response when someone is in danger; for example, when a bear is coming at you while hiking in the woods! In this dangerous moment, anxiety will help you “fight” (i.e. yell and wave your arms to appear big and scary to the bear), flee (i.e. sprint away from the bear to safety) or freeze (stay quiet and still until the bear passes).

anxiety cycleHowever,“fight-flight-freeze” can also be triggered in non-threatening moments. Emotions are blind to what is actually happening, resulting in this response being triggered when something feels dangerous but really isn’t, such as beginning your first day of work or school entirely remotely or thinking about when you will be able to gather with a large group of friends. Although these moments are certainly challenging, they are not dangerous per-se. Yet, the feeling of danger can be so strong that you may snap at people (fight), have a hard time thinking clearly (freeze) or become overwhelmed enough that you entirely avoid your work or school responsibilities (flight). Anxiety becomes a problem when our “fight-flight-freeze” response continues to react when there is no danger present. It’s similar to having an overly sensitive smoke alarm system in your body; you certainly want to make sure it’s functioning properly for when there is danger present, but don’t want it alerting you to false alarms.

How to Cope:

Differentiate between “real” and “false” alarms. Check the facts of the situation, is there real danger present? Is there a threat to your life or health or a threat to someone that you care about? If not, begin to wonder if this may be a “false alarm.” Try describing the facts of the situation that you can observe through your five senses and challenge any judgments that might come up. Ask yourself, “Am I assuming a threat to come true?”. If so, label the threat, and assess the probability of your assumption coming true. Try to think of as many other possible outcomes as you can. You can even imagine yourself coping well with “worst case scneario” too!

Get to Know Your Anxiety. Learning the warning signs of anxiety can help you become less afraid of it when it occurs. (Oftentimes we experience anxiety, about our anxiety!) Get to know your anxiety by noticing what happens when you're anxious. You can ask yourself; “What happens when I’m anxious?” or “Where do I feel anxiety in my body?”. Many people experience physical sensations such as an increased heart beat, sweating, stomach upset, feeling dizzy or numbness. Also be on the lookout for anxious thoughts. Are you only thinking about worst case scenarios and “what ifs”? Label these thoughts as “anxiety mind” and indicators of a “false alarm.” Then, try to replace your anxious thoughts with positive coping statements like; “this may be hard and I can ask for help if I need it.”

Don’t Avoid Situations That Make You Anxious (Yes, really!!). It’s entirely natural to want to avoid the situations that make you anxious. However, if you continue to avoid situations that are non-threatening, you and your brain will never get the opportunity to learn that 1) your feared worst case scenario might not have actually come true and 2) you might actually have been able to cope even if your feared outcome did occur! Avoidance actually contributes to anxiety increasing creating a vicious cycle. In order to break the cycle, practice “opposite action” and approach the situations that make you anxious!

Practice Relaxation Techniques.

understanding anxietyAs discussed, anxiety can prompt physical sensations and physiological arousal that is uncomfortable. In order to combat these changes, practice relaxation techniques. Check out this list of relaxation techniques to try when anxious. Additionally, develop a kit of items that you can use to self-soothe when anxious; perhaps a good smelling candle or favorite blanket to cuddle with!

 Most importantly, let go of any judgment that you have or yourself for being anxious. This has been an extremely challenging year and it makes perfect sense to be on high alert. Make a conscious effort to schedule time to engage in pleasant activities and take care of yourself. And of course, don’t hesitate to ask for help when you need it.

A Mindful Holiday Season

By: Laura Miller, LMSW

With the start of the holiday season among us, you may be experiencing an increased sense of excitement and energy. However, you may also be feeling the pressure to make it “the most wonderful time of the year” and have a growing to-do list of holiday preparations while still managing the unique stressors of the coronavirus pandemic. With so much to accomplish, it makes sense to be pulled to tackle all of it at once. For example, completing a work report while searching for the best holiday recipes or folding the laundry while watching the news and planning your gift giving.

However, while multitasking may feel helpful, you may ultimately find that you’re losing connection with what is actually happening in the present moment; missing out on how you’re feeling or what you’re actually doing. Furthermore, with so much focus on the upcoming holidays, we become so future-focused, that we sometimes miss out on the small yet enjoyable things that are occurring in the present moment. This disconnect from the present moment can leave someone feeling even more stressed and may contribute to a worsening mood. Keep reading to learn more about mindfulness, a way to stay connected to the present moment and manage stress this holiday season.

What is Mindfulness?

mindfulness  Mindfulness has emerged as a new buzz word; the answer to all things stressful. However, beyond the buzz...what actually is it? Mindfulness is the practice of purposefully focusing your attention on the present moment, being aware of thoughts, emotions and physical sensations without judgment and without trying to change them. Click here, to listen to Jon-Kabat Zinn, a prolific mindfulness writer and treatment developer of Mindfulness-Based Stress Reduction, elaborate on his definition of mindfulness. You may also enjoy watching this animated clip on mindfulness.

A key component of mindfulness is acknowledging that it is a practice. One does not achieve mindfulness, yet practices it! It’s entirely natural and normal for your mind to wander off to different topics. Mindfulness is the act of noticing when the mind has wandered off to thoughts of the past or future and bringing it back to whatever is going on in the current moment. As you think about mindfulness this holiday season, recognize that bringing your mind back to the present moment is like building a muscle and that practicing mindfulness over time will help to grow that muscle.

Why Practice Mindfulness?

Research has demonstrated that practicing mindfulness is associated with several improvements. For example, practicing mindfulness has been shown to have a positive impact on overall well-being, mental health, relationship satisfaction,ability to sustain attention, job burnout and creativity. Furthermore, mindfulness has been shown to have physical health benefits such as improving cardiovascular health and immune response as well as decreasing cognitive decline, chronic pain, cell aging and other physical ailments exacerbated by stress such as eczema, asthma and psoriasis.

mindfulnessMindfulness can also help individuals make decisions. For example, think about what happens when you respond to a text that makes you angry immediately versus what happens if you wait a little while. Oftentimes, the non-mindful response (having no awareness of anger) has unwanted consequences. Mindfulness can also increase your compassion for yourself and others. Remember, mindfulness is the practice of noticing what is happening in the present moment without judgment. Let go of those judgments toward yourself this holiday season. For example, change, “I’m so slow I’ll never finish everything I need to go done!” to “I’m doing the best I can in this given moment.” Mindfulness is all about being kind to your mind. In addition, the holidays often bring a layer of expectation; “We should be spending “x” time with family” or “we should be so happy this time of year.” Remember that these “should” statements are also judgments about how you think the present moment “should” be happening. Use mindfulness to bring awareness to your judgments and then let those go to…as if they’re items flowing down a conveyer belt.

How Can I Practice Mindfulness?

1. Observe what is going on inside your body and mind

Find a quiet place and get into a comfortable seated position with your feet flat against the floor. Allow your eyes to close or take a soft gaze down to the floor. Listen to the sound of your breath and notice how your body feels; noticing how your inhale fills your nose and how the exhale of air feels leaving your lips. Acknowledge the thoughts that come into your mind and then watch them go as if they are clouds in the sky. Then, refocus your attention back to your breath.

2. Observe and describe using all five senses.

Notice and describe five things that you can see, four things that you can hear, three things that you can touch, two things you can smell, and one thing you can taste. As you describe, make an effort to be nonjudgmental and only describe the things that you can observe.

 

3. Participate in one activity

mindfulnessPick one activity and then fully throw yourself into that one task. Really allow yourself to get involved in the moment, letting go of any thoughts or self-consciousness. Have a dance party, go for a run, sing in the shower- whatever it is, just throw yourself in and allow yourself to do one thing wholly!

 

While exciting, the holidays can also be very stress inducing. Practicing mindfulness will help to slow your mind and body down as you navigate the hustle and bustle of the holiday season. Additionally, you may want to check out a past blog post for more ways to cope ahead of a potentially stressful holiday season. Wishing you all a healthy and mindful holiday season!

A Parent's Guide to Social Media Consumption

By: Laura Miller, LMSW

In a recent blog, we discussed the effects of media overconsumption, sharing that overconsumption can lead to both increased stress and sadness. Equally important, are research findings that a majority of adolescents receive their news from social media outlets, rather than traditional news sources. Teens’ news consumption habits may be an indicator of time spent on social media by this age group. According to the non-profit group, Common Sense Media’s report, teenagers spend nine hours a day engaging with digital technology, and “tweens” ages eight to twelve spend approximately six hours per day. Furthermore, reports also indicate that roughly half of teenagers ages thirteen to seventeen are worried that they spend too much time on their phones. Given the increasing worry among teens, it makes sense that parents too, are anxious about the effects of screen time on their children. Keep reading for more information on what we know about the effects of screen time and for tips on how to best support your child.

Understand the Effects of Screen Time

Parent's Guide to Social Media Consumption  While social media is an excellent way to connect with peers, share creatively about interests, and find entertainment, there has been increased evidence to suggest that these positive effects come with a significant cost. Social media can be highly distracting for teens, disrupt their sleep patterns, limit their ability to communicate in-person, expose them to rumor spreading and bullying, while at the same time encourageunrealistic views of other people’s lives. Teenagers also recognize the negative effects of social media use, reporting in a Royal Society for Public Health survey that Snapchat, Facebook, Twitter and Instagram all led to increased feelings of depression, anxiety, poor body image and loneliness.

Build a Healthy Social Media Routine & Commit to Following it Too

Cell phone use is deeply embedded in teenage routines; 72% of teens report that they often check for notifications as soon as they wake up, while 40% indicate feeling anxious if they do not have their cell phone constantly with them. This continuous flow of social media is dangerous for teens as it often leads to social comparison, with teens feeling anxious or depressed about what they are not doing or things they don’t have. When kids are constantly monitoring others, both in person and digitally, it’s exhausting. People of all ages need time alone to regroup and replenish, and when you don’t have that due to constant social media use it can leave you feeling emotionally depleted. Encourage your child to delay checking their phone in the morning and ask that they leave their phone in an agreed upon “charging station” rather than taking it to bed with them. Not only is removing screen time prior to going to bed important for sleep hygiene, but it will also provide your child the much-needed break from consumption.

Parent's Guide to Social Media ConsumptionFurthermore, make a commitment to follow the same screen time rules that you set up for your child. It’s important that your child see you without a phone in your hand and learns that separation from screens is entirely tolerable. Try out establishing technology free zones and times. For example, no phones at the dinner table or no phones in the car on the way to school. The time spent at dinner or school drop off provide great opportunities to bond with your child and removing phones from these times will make it so you can truly give your child your undivided attention; ultimately improving your relationship and leading to your child feeling more secure.

Monitor (and trust!) Your Child’s Consumption

If your child is on social media you can ask to follow them so that you can monitor their page. Make sure that you are up front with your child that you are following them, and try to stay in the background (don’t comment or “like” their posts unless they want you to!). If you see anything concerning, make sure to address the issue face to face, rather than on their social media page. You want to have an eye on what your child is consuming, however you also want your child to know that you trust them.

Encourage Your Child to Engage in Social Activity in Person

Parent's Guide to Social Media ConsumptionWhile social media offers plenty of opportunity for communication and connection, it’s important that teens engage in activities that allow for in-person interaction. Dr. Catherine Steiner-Adair, clinical psychologist and author of The Big Disconnect, highlights that children who grow up in the digital age of social media miss out on learning and continuing to practice social skills. Communication over texting and social media entirely removes non-verbal cues that are important for children to understand. Encourage your child to get involved in extracurriculars or pick up the phone to call a loved one. It’s important for kids to practice real time communication that isn’t delayed by one party having to open an app. Furthermore, getting your child off their phone and into activities that they’re interested in will spark even more interests and allow them to gain confidence. When kids learn to feel proud of themselves for what they’re doing- rather than what they look like in a post- they’re happier and better prepared for continued success in real life moments.

Teenagers and tweens are in a rapid period of brain development, and it’s important for them to understand the effects of social media and then consume media responsibly. Talk to your child about your concerns and create an open dialogue so that your child knows that they can come talk to you for help as well. You might also want to check out Common Sense Media’s list of frequently asked questions, which include up to date ways to navigate the ever-changing media landscape.

Media Consumption: Staying Informed While Staying Healthy

By: Laura Miller, LMSW

Feeling a little news obsessed lately? Between the upcoming election and COVID-19 pandemic it would only make sense if you’re experiencing a magnetic draw to refresh the news and gather information. In fact, a recent analysis shows that since the beginning of the coronavirus pandemic, media consumption has more than doubled nationwide. This increase in media consumption may be explained by the phenomenon that when uncertainty is high, the brain works overload to scour for information to help us feel more in control. Both the upcoming election and coronavirus pandemic carry an unprecedented level of uncertainty and while refreshing news outlets may provide some short-time relief, these behaviors ultimately have the opposite effect. Keep reading to better understand the nuances of media overconsumption as well as its effects, and for ways to stay informed on current events, while protecting your own well-being.

Media ConsumptionIn today’s world, information spreads both continuously and instantaneously. A majority of people carry new outlets right in their pockets; smartphones that feed real-time information. Forbes magazine compared trying to stay informed on current events to “trying to quench your thirst by taking a quick sip from a fire hose. One minute you’ve logged into LinkedIn, and the next you’re deciphering a COVID-19 bar chart on the New York Times website.” The sheer volume and readily-accessible amount of media is overwhelming and can lead to an unproductive information search.

 

You might have heard of Netflix's recent documentary, The Social Dilemma, which

highlights the various ways in which both social media and news sources have manipulated human psychology to rewire the human brain to continue to refresh news platforms. Essentially, the documentary discusses that features like timelines, notifications, likes and photo tags are all created to keep consumers coming back for more. With platforms built for overconsumption and readily available access, it’s all the more important to build a skillset to manage media consumption.

Too much news has been found to have negative effects on our well-being and furthermore, news about potentially emotionally distressing content - such as the coronavirus pandemic and an election- have even more of a negative impact. One study found that watching just 14-minutes of negatively-valanced news material, increased consumer anxiety and sad mood, and also resulted in consumers having an increased tendency to catastrophize personal worries. Even prior to the coronavirus pandemic, a 2019 survey by the American Psychological association found that more than half of Americans wanted to stay informed but that doing so caused an increase in stress.

Media ConsumptionWhile it’s important to stay informed, it’s equally important to take steps to ensure that your own well-being remains intact. The way that we absorb information has changed, and we must also develop new skills to manage the continuous flow of readily available information.

Control What You Consume

The first step begins with taking back control of your consumption. You need to determine what information is actually helpful versus what is unhelpful and can lead to more anxiety. You might ask yourself, “How is this news source serving me? Have I used any of the news this source delivered to me to better my life in the past week? Is this news I’m getting written in a way to create controversy and outrage? Are they repeating the same point over and over again?” In short, if the media is not serving you positively, you may want to think about eliminating this news source. Seek out non-sensationalized news that objectively offers helpful information. You want to stick to trusted sources such as the World Health Organization and the Center for Disease Control and Prevention. Additionally, make an effort to seek out positive news stories. There is plenty of good news out there that doesn’t get the same media attention that negative stories do. Check out sources such as Positive News, Good News Network, or The Optimist Daily for an increased dose of positivity.

Control When You Consume

In addition to being selective about what you consume, you want to also be conscientious of when you’re consuming. Turning on the news and checking social media first thing in the morning while you’re still in bed can set you up for then having a more stressful day. Allow yourself time to wake up and do something that is productive and satisfying to you, prior to engaging in media consumption. Ideally, you may also want to consider setting up a dedicated time for consumption- no more than an hour, and then put your phone in “do not disturb” mode during your peak productivity hours. This way, you can eliminate the continuous flow of information while you need to be focused on other tasks. If you don’t think setting up a dedicated time to consume media is realistic for your routine, try to engage in media consumption sparingly; you may choose to use it as a reward for yourself, after you’ve done something productive. Also consider closing tabs of news or social media sites while working or completing school work. Not only is having them open distracting, but the continuous information flow is also harmful. Additionally, be aware of how late you consume news. You want ample time to process it during the day, and don’t want to be taking stressful news stories and related worry thoughts to bed with you.

Control How You Consume

Scrolling multiple websites and reading the same news stories over and over again is overwhelming. Consider subscribing to a digital news aggregator website, newsletter or app. This way you can get a quick-run down and stay informed, yet not spend too much time reading the same stories. Check out Google News for a quick selection of top headlines. Ultimately, you want something that will be able to provide the facts, without being overstimulating. You might also try asking your home smart-speaker system (Amazon-Alexa or Google Home) to tell you the news of the day. This way, you’ll hear a quick briefing that is detached and get a “robotic-run-down” of the major stories without being exposed as much to the potentially over sensationalized and emotionally charged material.

Of course, in addition to staying informed, do things outside news consumption! Connect with people that you love, take walks, exercise, listen to music... make sure to engage in pleasant and soothing events! When the media becomes too loud, you want to have a space to go that is quiet and pleasant. Media consumption is a major component of our day to day lives and we must adapt and learn new skills to adjust. Stay tuned for future articles on how to best manage social media usage and tips for parents to support their children’s social media and media consumption!

Understanding School Refusal & How To Best Support Your Child

By: Laura Miller, LMSW

As the leaves begin to turn, it’s undeniable that colder weather is upon us. However, it may be harder to believe that your child is already well into their first couple of months of school. The beginning of the school year is a difficult and stressful time for students and their families, and with so much additional stress this school year, your child’s transition back to school may not have been as smooth as past years. In fact, school refusal occurs in five percent of school children, peaking at ages five to seven years old, and then again at eleven and fourteen years old. The term “school refusal” refers to an individual’s difficulty to attend school often due to emotional distress. Keep reading to better understand school refusal and ways to support your child.

School Refusal Symptoms

Understanding School Refusal & How To Best Support Your ChildMost often, school refusal is associated with anxiety symptoms such as fears related to separation from parents, tests, peers, teachers, or difficulty with transition itself. Many children will express a desire to go to school, however when the time comes for drop off or to get on the school bus, they may become frozen and refuse to attend school. Many children also experience somatic symptoms such as headaches, abdominal pain, shakiness, dizziness, or nausea. These symptoms may be present in the morning as the child gets ready to attend school, and then later disappear if the child stays home.

Identify the Anxiety

It is critical to remember that at the root of your child’s refusal, there is likely anxiety. Talk to your child in a calm and neutral way to better understand what may be getting in the way of attending school. You might begin the conversation by offering the hypothesis that your child may be anxious- (after all, it would make sense to avoid a situation that causes them stress!) You can then discuss with your child different situations that may be contributing to your child’s anxiety. Encourage your child to talk about their feelings, but try to avoid asking leading questions such as, “Are you anxious about not doing well in Math?” Leading questions can feed children’s anxiety, so stick to open-ended questions when possible; “How are you feeling about Math?”.

Validate the Anxiety and It’s Resulting Challenges

There are many situations that may be increasing your child’s anxiety and result in your child’s desire to avoid school. Not only does having a better understanding of your child’s anxiety help to later inform a treatment program, but it also gives the opportunity to validate your child’s anxiety and how difficult it is to tolerate their distress in school. It’s important to distinguish that validation doesn’t always mean agreement. You don’t want to belittle your child’s fears, but you don’t want to amplify them either. Simply listen, be empathetic, and help your child understand what they are anxious about. You want to send the message that you understand that your child is scared and that you here to support them.

Build Support in School

Typically, school refusal is a gradual process, usually beginning with vague complaints related to school and a reluctance to attend, and then later progressing into total refusal. This gradual progression of symptoms, heightens the need for parents to be critically aware of their child’s feelings toward school so support can be provided as needed to reduce the likelihood of total refusal. After discussing your child’s fears, collaborate with your child’s school to develop assistance and support for your child. You may need to develop an action plan in which a school employee accompanies your child into the classroom, or you may choose to discuss accommodations such as your child being able to take a break from class if he or she feels panic. Discuss the determined action plan with your child so they know what to expect and understand that there is support in school.

Discuss With Your Child Why Avoidance Doesn’t Work

understanding school refusalValidate for your child how challenging facing their fears are, however emphasize that avoidance of school is not a viable long-term solution, and that both you and school employees are here to support them as they tolerate their distress. You can’t promise to your child that their fears are entirely unrealistic, that there is no possible way that they might not do as well as they had hoped on a school assignment. However, you can express your confidence that your child is going to be okay regardless of the outcome, and that they will be able to manage the distress and face their fears.

...And What They Can Do Instead

You and your child can also discuss ways to tolerate and more effectively cope with their anxiety, rather than avoid it. The goal here isn’t to eliminate your child’s anxiety entirely (i.e. allowing them to stay home from school), but rather to help your child manage their anxiety in school. In fact, allowing your child to stay home from school will actually reinforce your child’s anxiety. Let your child know that you understand the hard work that it takes to tolerate the anxiety, and then focus on strategies your child can use to remain calm; taking deep breaths, imagining themselves in a calming place, or using positive self-talk such as, “I can do this, and I can ask for help if I need it.”

This is a unique and stressful school year, and in some cases, your child’s school refusal may look like refusing to turn on the computer to attend school. Distance learning because of the coronavirus pandemic has been stressful for many kids, and if you’re seeing school refusal this year, you are certainly not alone. Many kids are having trouble focusing, which might contribute to school refusal. Refusing to do their work, may be your child’s way of communicating that this new style of learning is difficult for them. Discuss with your child how they’re feeling about remote learning, and encourage them that although both new and difficult, you and their teachers are here to help. You may also want to check out these tips for keeping your child engaged in at home-learning.

Further, help your child handle their own anxiety by also letting them see how you cope with anxiety yourself. Model for your child that you too can identify things that you are anxious about, manage it without avoidance, and then feel really good about getting through it! Additionally, you can also model for your child asking for help; don’t hesitate to ask for more support from your child’s school or from other mental health professionals as needed.

An Open Letter to Parents Navigating the College Application Process

By: Laura Miller, LMSW

Congratulations! You’ve supported your child throughout years of educational and developmental milestones and you have now made it to the pinnacle moment of their educational journey, the college application process. Take a moment to reflect on this; the years of involvement in classroom activities, school plays, sporting events... you have been there through it all!

As you celebrate this achievement, also acknowledge how difficult it is to believe that your child is headed off to college. (Where did the time go!?) Furthermore, it is equally if not more challenging to determine exactly how to continue to support your child while working to promote their own independence. You may be feeling the temptation to remain as equally involved as when you first enrolled your child in Pre-K and this is normal, you are in the special group of people who know your child best! However, allowing your student to conduct the college application process independently will help prepare them to be independent when they do attend college. Knowing when to help, how to help and refraining from crossing the line into too much help is key.

navigating college application processSo, how do you help? Perhaps your child has been avoiding conversations related to college or is procrastinating working on their college admissions essay...you may be thinking; “Don’t they want to go to college?” or “Why don’t they just do it?? This is important!!” It makes sense to want to jump on these avoidance behaviors, and become your child’s Motivator-In-Chief, however, your child is actually right on cue. This is a huge task to begin and in most cases, this is likely the biggest and most stressful decision that your child has ever had to complete, and it makes sense for them to be feeling anxious about the unknown future. Oftentimes, when someone feels anxious they will avoid a situation, and you can validate this for your teen. Remember that their avoidance makes sense right now, and that becoming overbearing and controlling by demanding a completion of an essay by the end of the night will likely worsen their avoidance. Instead, have a candid conversation with your teen that you understand how stressful this is and that you empathize with what they’re feeling.

At the same time, complete avoidance of the college application process will be detrimental to your child’s success. Set up a weekly check in time to discuss your child’s progress, rather than asking frequent questions daily. This way, you will still be able to check in on your child’s progress, while encouraging their independence throughout the week. Remember, that there is a longer-term goal at play; teach your child how to manage big tasks, rather than being overbearing and adding more stress. During these meetings, encourage open and honest communication, and listen to your child’s desires about the type of school that they would like to attend. Your guidance toward appropriate decisions is needed, however be careful not to impose your own beliefs about the type of school that you think your child “should” attend. Remember, this is your child’s application process, not yours.

After you and your child have determined when to have your check-ins, you now need to determine the appropriate amount of help to offer. You may choose to help maintain schedules regarding application deadlines, work on financial arrangements that will

support the college education and help your child arrange campus visits. Continue to offer your child unconditional guidance, love and support, however, allow your child to remain in control and take the lead. The temptation to get involved may at times be so powerful that you may want to write their college essay for them. Remember, proofreading and grammar checking is okay, but colleges want to hear your child’s unique student perspective, not yours.

navigating college application processThis is a stressful time for both you and your child, work to keep your own stress at bay so that you can support your child. (This may mean making a concerted effort to engage in your own self-care!) Do not lose sight of the fact that your child is going to college, not you, and that too much help or pressure from you will undermine your child’s ability to become an independent young adult. Provide continuous support while allowing your child to lead the way. All the while don’t forget to celebrate the wonderful accomplishments your child has already achieved!

How to Support Your Student's Return to School During COVID-19 (& Take Care of Yourself, Too!)

By: Laura Miller, LMSW

Even in the absence of a global pandemic, the start of a new school year creates a long “to-do” list for parents; purchase new school supplies, meet teachers, pack school lunches...the list goes on! This year, as parents’ to-do lists expand to include navigating the complexities of the COVID-19 pandemic, the transition back to school has become daunting. Furthermore, children are faced with significant challenges as they too, navigate the unknowns of the pandemic and adjust to socially distant, and in some cases, completely remote learning. According to the Centers for Disease Control and Prevention (CDC), about 7% of children have been diagnosed with an anxiety disorder, however current circumstances may prompt children to be more anxious than usual and parents must be prepared to best support their child’s changing needs. Keep reading for tips on how to support your child’s return to school, while prioritizing their (and your own!) physical and mental health.

Address Your Child’s Anxiety Head On

Start addressing your child’s anxiety by being mindful of signs and symptoms and create an open dialogue to identify any worries that they may be experiencing. You can then provide fact-based information to address their concerns. For example, you might ask, “How are you feeling about returning to school?” And then calmly say, “I can see that you are worried about getting sick while you’re at school. Let’s talk about how we can wear a mask, wash our hands, and practice social distancing to stay safe!” You can also check out the CDC’s checklist for more back to school planning.

After helping your child recognize their worries, reassure them that both you and their teachers are there to help. Encourage your child to talk about their feelings and discuss coping strategies to use when anxious. For example, you may suggest taking deep breaths, imagining themselves in a calming place, or using positive self-talk such as, “I can do this, and I can ask for help if I need it.” You might also alleviate some of your child’s anxiety by prepping them for the changes that they may experience this school year. For example, you can discuss differences such as desks spread out, designated ways to walk in the hallways, wearing a mask and washing hands often.

Create a Family Routine

In a previous blog, we discussed the benefits of routine for kids, yet after months of remote learning and summer break, returning to a school routine may prove challenging. Put together a schedule to designate times for meals, exercise, learning activities and free time. Furthermore, give your child choices within each category to promote their own independence. It’s especially important for children engaging in remote learning to have a separate space for the “school day” and to schedule breaks, so that your child is able to get a snack/stretch and stay motivated throughout their learning day. Children often have trouble with sleeping during a stressful period and will also benefit from a normal nighttime routine. Check out the American Academy of Pediatrics’ tips on creating a sleep schedule.

Encourage Positive Behavior

In some cases, children who experience anxiety are also more likely to engage in disruptive behaviors or become oppositional. Children may not always know how to communicate their stress and can act out instead. Use your attention as a powerful tool; pay attention and reinforce positive behaviors with labeled praise; “Great job picking up after yourself, thank you!”and discourage other unwanted behaviors by ignoring them. Furthermore, use rewards and privileges to reinforce positive behaviors; you can make a sticker chart for behaviors such as completing homework and getting along with siblings and even create a system to redeem stickers for other privileges.

Model Taking Care of Yourself

Student's Return to School During COVID-19It makes sense for parents to also feel overwhelmed and stressed, many are being tasked with completing their full-time jobs virtually, while also engaging in child-care; an incredible amount of responsibility. You can support your child’s mental health by modeling how you are taking care of you! Taking care of yourself physically will boost your mood and better prepare you for stressful moments. Keep reading here for more tips on how to remain in control.

All families are faced with new and difficult challenges this year, don’t hesitate to reach out for support when you need it. Take time to be truly present with your child and engage in fun activities together to help build a supportive and safe environment this year. Furthermore, don’t hesitate to reach out to your child’s teacher to ask questions, and gather more information about your child’s functioning in school; teachers are allies and are there to help! Lastly, remember that by getting through these challenges now, you’re helping your child build lifelong coping skills!

Staying in Control When the World is Out of Control: How to Manage Returning to School During COVID

By Laura Miller, LMSW

The transition from warm and relaxing summer months into cool September mornings and structured school days is always a difficult change. So much so, that many students experience anxiety as they return to campus for another school year. In fact, nearly 30% of both adolescents and young adults experience anxiety. This school year’s start prompts another set of unique challenges; managing the unknowns of the continued COVID-19 global pandemic and its consequences on school; remote learning, a hybrid of in-person and virtual classes and the ongoing thought; “When will this end!?” Feeling anxious? Keep reading for tips on how to manage your stress!

Acknowledge Your Stress (and Especially Why it Makes Sense!)

It’s natural to want to avoid situations that make you anxious. Perhaps you’ve thought about sleeping in and skipping that calculus class that seems particularly difficult, or you still have yet to review (and purchase!) your course load’s required textbooks. However, this can actually contribute to a vicious cycle that keeps your anxiety around longer. Instead, acknowledge and validate why you're feeling stressed and then later return to the task. For example, you might say, “Of course this is difficult for me, I haven’t ever had to take an online class before, and this is something new to get used to. It’s okay to be feeling nervous right now.” Then, follow your validation with a “coping statement”; “I’m going to try my best and I’ll ask for help when I need it!” Remember that you’ve never been in a global pandemic AND had to go to school- this is hard, and it’s perfectly okay to feel stressed.

Build a Supportive Network

manage returning to school during covidThe COVID-19 pandemic has limited the amount of people we can physically be around, however building and maintaining positive and supportive relationships is still critically important for our mental health. Make a concerted effort to connect with other students in your classes and around campus. This may look different from past years, however there are creative ways to “hang out” with friends; check out https://www.netflixparty.com/! Create virtual study groups and email professors to attend virtual “office hours” when needed. The library may not be packed with students this semester’s finals week, but it’s still possible to find ways to ask for support. Additionally, talk to your loved ones about how you’re feeling, it’s likely that you’re not the only one feeling extra stressed this semester.

Take Back Control, Make a Routine….And Be Flexible If It Needs to Change

COVID-19 has brought continuous change, which can certainly contribute to a feeling of total lack of control. While the world keeps changing, it’s helpful to gain back some sense of normalcy by controlling what you can control. You can start taking back control of the school year by establishing a regular schedule and then sticking to your new routine. Are all of your classes online? Do they not begin until the late afternoon? Get up in the morning just like you would for an early morning class, get dressed, make or purchase a nutritious breakfast, and then start off the day by getting some exercise too. Then, create a separate and private space for you to get your work done. Dorm rooms especially are filled with distraction (Hi, friends!), so make sure to find a space where you will really be able to focus on your professor’s lecture. It’s helpful to still be in a “normal” school frame of mind, and recreate a space as if you were in class. Creating this daily schedule will foster some predictability for yourself and therefore reduce stress and help alleviate some the anxiety related to the unknowns of what your day may be like. While sticking to this routine will be helpful, also be open minded and flexible about any necessary scheduling changes as they arise.

Make a Pledge to Use Self Care

manage returning to school during covidAs your school assignments pick up, make sure you don’t stop participating in other

pleasant and self-care daily activities that you enjoy! Self-care has been found critical to student success, and engaging in different pleasant activities (and taking a break from school!) will keep you centered and balanced in the midst of so much change. Make an effort to take breaks in between classes and go get a snack or stretch, before returning to your work. Furthermore, get enough sleep to feel rested, exercise, eat nutritious foods, and overall take care of your physical health-- this in turn will boost your mood!

 

Be Mindful of Your Stress

As the school year ramps up, continue to evaluate your stress level. Be mindful of how you’re feeling and try not to put too much on your plate or pressure on yourself. Communicate with others about your feelings and make sure to ask for help when you need it. Work on developing a growth mindset- there might be a few bumps this school year and that’s okay, you will learn to handle these challenges! Be nonjudgmental toward yourself and take time to enjoy a few rewards as you accomplish your goals!

Stay tuned for our next article highlighting how parents can adapt and help support their children’s transition back to school during the pandemic!

BPS for BLM: Exploring Our Own Racial Biases

**This post is part of our series, Behavioral Psych Studio for Black Lives Matter (BPS for BLM), which aims to amplify Black voices on topics related to mental health and wellbeing. All links below will take you to Black-created content.**

By Brooke Schwartz, LMSW 

Not knowing where to start your antiracist journey — or where to go next — may lead you to feel stuck. If you find yourself in this position, look no further than Leesa Renee Hall’s expressive writing prompts. An anti-bias facilitator and expressive writing coach, Hall suggests spending 30 minutes responding to one of the questions she poses such as, “How did your parents or caregivers talk about skin colour? How did their beliefs and views shape you?” 

The goal of this exercise? To help the writer “uncover blocks [they] may have in hearing another person’s pain” so that they can “hear without getting dismissive or defensive.” Try it out, and stay tuned for more posts in this series! 

BPS for BLM: Exploring Our Own Racial Biases

Disclaimer

This site is for information only. It is not therapy. This blog is only for informational and educational purposes and should not be considered therapy or any form of treatment. We are not able to respond to specific questions or comments about personal situations, appropriate diagnosis or treatment, or otherwise, provide any clinical opinions. If you think you need immediate assistance, call your local emergency number.

 

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