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Showing posts with label wrong. Show all posts
Showing posts with label wrong. Show all posts

Tuesday, December 18, 2012

Freaked Out Part I: Understanding Kids with Anxiety

For many children, riding the school bus, taking a test, or even going to school can trigger some anxiety. Social activities, such as birthday parties, sleepovers, dances and dating, can also make kids feel anxious. Personally, I think severe anxiety is one of the worst feelings in the world.
It can be disabling. Kids have described it to me as feeling like there’s a brick in their stomach, as if they’ve done something wrong or something bad is going to happen. Many adolescents describe it as feeling like something is eating at them and they can’t stop it and it scares them, or like they're waiting for the other shoe to drop.
As a cautionary note, it needs to be stated that when dealing with severe anxiety, be sure to have your pediatrician rule out any medical issues that may cause anxiety to make sure it's not a problem with physical origins.
That being said, anxiety is the emotion we experience in a wide variety of ways when we’re uncertain about what’s happening, or we feel like we can’t control the events that are about to happen. Fortunately, most adults learn to manage this anxiety in a way that allows them to function effectively and live successfully in society.
Anxiety is really the 21st Century word for fear, although people don’t always associate it that way. Survival is probably our strongest primary instinct. And our instincts produce energy in the form of feelings. One way to understand the feeling of anxiety is to think of survival as a “fight or flight” mechanism.
Survival is the engine, anxiety is the gas—it gives you the energy to actually do the fighting or running. For people who have problems managing anxiety, it feels like their bodies are revving up, but there’s nowhere to go.
That’s why they talk about feeling nervous, jumpy, uptight, or out of control. The problem is, most kids don’t know how to process their anxiety, so it goes unchecked. And many times, it ends up feeding on itself and building.
How Anxiety Shows up in Your Child’s Behavior
You can often see from children’s behavior the level of anxiety they’re experiencing and how effectively they’re dealing with it. Younger kids will basically say, “I don’t want to,” or “I don’t like that,” or, “No!” Sometimes, they’ll identify a source from their dreams, nightmares, fantasy life or cartoons. Picture the infamous “boogeyman.”
Sometimes they’ll name something such as school, the bus, a person, or a room in the house, without being able to identify why. (It must be noted here that parents have to be very cautious when children show anxiety about a person, place or thing, and can’t verbalize why. Experience shows us that kids become very anxious, but emotionally shut down when confronted with the thought of being with an abusive person or going to a place where they’ve been physically or sexually abused.)
With many children who experience anxiety, you’ll also see a marked difficulty in their ability to sit still and pay attention. You might also see withdrawal: your child may become isolated as they see the world as an increasingly threatening place. Be alert to the fact that when you ask them what’s wrong, the reason they might give you will not always be the source of their anxiety.
This is because they don’t know how to define or express it, and they haven’t developed the internal problem-solving skills to deal with it yet. Most kids don’t know how to say, “I’m really afraid and I don’t know why.” In fact, when kids and adults experience anxiety, they often don’t know what’s causing it and will find some person, place or thing to blame it upon.
I want you to understand, when I use the word “anxiety” here, I’m talking about problematic anxiety. So while anxiety has a whole spectrum of ways that it’s expressed, how do we know when it’s harmful or disabling? Make no bones about it: it’s harmful when it triggers inappropriate behaviors, or when your child becomes too anxious or afraid to attempt (or complete) an age-appropriate task, or participate in age-appropriate activities.
So if your child is refusing to go to school, unwilling to take tests or do normal childhood activities, you need to rethink how you’re both dealing with the problem.
Here’s How to Understand Anxiety
Here’s a way of understanding how feelings of anxiety affect people differently and what range of behaviors you might see.
Let’s say there are four adults standing in a long supermarket line. All of them are behind schedule and are feeling anxious, which is leading to impatience and frustration. But they deal with it in very different ways. The first says to herself, “It looks like I can’t help being late. There’s nothing I can do about it. I guess I’ll just have to explain it when I get to the doctor’s office. They’ll understand.”
The next person decides, “I better get back to work, I can shop later. It’s not worth being late.” The third person might turn to someone and say, “Is today a holiday? It seems awfully crowded.” But the fourth person shouts out, “What’s going on here? Move it along! I’m late for a doctor’s appointment. I can’t stand here all day!”
As you can see, all of these people are afraid of being late to something that’s important to them, but they manage their anxiety in very different ways, and their actions appear to have very different outcomes. One person leaves, one person decides it’s OK to be late, one person processes the situation with the man standing next to her, and the last person starts shouting and blaming others, which is the least effective way of dealing with the problem.
It’s important to note that they probably all wound up being late, but three of them dealt with this situation in a way that didn’t trigger severe agitation or lead to inappropriate behavior.
Our goal for children is for them to learn the skills to manage their anxiety in a way that is effective. We measure effectiveness here by how much they let the anxiety disturb them and how much it affects their functioning.
Three Kids, Three Reactions to Anxiety
Now, let’s look at three kids who have to ride the bus to school. All have anxiety about riding the bus for different reasons.
Zachary, the first child in our scenario, resists getting out of bed and getting dressed. If you could listen in on his thoughts, you’d hear him saying, “I don’t want to get up. I don't want to go to school today. I don’t want to ride the school bus. Will doesn’t like me. He teased me yesterday and my friends all laughed at me. They don’t like me anymore.”
When his parents come to wake him, the look on Zach’s face and tone of his voice communicate that there’s something wrong. But when they ask him what’s bothering him, he’s only able to say, “I don’t want to go to school!”
When his parents say, “But Zach, you’ve been doing so well. Yesterday you were saying how much you liked your teachers and friends. What’s wrong today?”
And he responds, "Can you drive me to school? If you drive me to school, I’ll be OK. I don’t like the school bus anymore.” At this point, he’s is probably saying to himself, “I can’t ride the school bus. Will is there. I don’t like the bus. I don’t like school.”
He’s making the problem more severe by projecting how bad the situation will be before he even gets there. And he’s trying to solve the problem by controlling his environment externally—by getting his parents to behave differently. On some days, one of his parents may be able to drive Zach to school, and so he might proceed to get dressed, and he experiences that ride as the solution to his problem, although it's only temporary and he hasn't developed any skills to deal with the real problem.
The second child, Olivia, has the same thought, but her mother says angrily, “No, you have to ride the bus. Your dad and I both need to get to work, so we can’t take you to school today. I’m going to stand right here while you get dressed because I can’t be late for work.” What ensues is a passive power struggle in which Olivia is doing things slowly while her parents are becoming increasingly annoyed and frustrated.
All the while, the child may be saying things to herself like, “They don’t care about me. I can’t ride the school bus. Why don’t they just take me to school?” When the parent finally gets her into the kitchen for breakfast, she may refuse to eat or only want very sugary things, unconsciously sensing the sugar may give her more energy to deal with her feelings and the situation.
She might be thinking, "If I’m slow enough, I won’t have to ride the bus because it won’t wait for me," but she may not be conscious of that plan. To her, it just feels like the most natural thing to do is slow down, because she doesn’t want to go to school. In a sense, she’s digging her heels in.
When the school bus arrives, she goes to her room to get her sweater, but she doesn’t come out. Her parents yell, “Come on Olivia, the school bus is waiting.” The bus honks, and her dad goes out and holds up his hand, and then goes to look for Olivia. Her parents find her in her room lying on her bed.
Imagine now that she’s saying things to herself like, “I can’t ride that school bus. They don’t understand. I’m not going today. They can’t make me.” Eventually the bus leaves. Her parents are frustrated and angry with Olivia and embarrassed by her behavior.
They yell at her for behaving so poorly and punish her with no TV for a week. Her dad grudgingly takes her to school in the car, lecturing her all the way, while Olivia gives him the silent treatment. Inside, at this point she might be saying something to herself like, “I don’t care what they think. I didn’t have to ride the school bus, and I’m glad.”
In these two cases, neither child had the skills to identify the source of their anxiety and process the problem in a way that let them deal with their fear of riding the bus effectively. One avoided the problem by manipulating his parents into taking him, while the other one shut down and hid from the problem by not meeting her responsibility of getting on the bus, thereby invoking her parents’ anger, and getting a pretty severe consequence.
In either case, the source of the fear is the same: They’re not going to be safe sitting in the back with Will. This fear is both real and valid, but in both cases, the kids managed their anxiety in a way that didn’t help them solve the actual problem. And that problem is that they have to ride the school bus to school and find a way to keep themselves safe from the bully.
For many kids with anxiety issues, it’s passive resistance, not aggressive resistance. You’ll see them refuse to get dressed in the morning. Or the bus comes and they won’t get on. Believe me, it will manifest itself in a million different ways.
Now imagine a third child named Will. He has the same problem with anxiety and he says to himself, “Kids don’t like me. They think I’m fat and ugly. They don’t want to be my friend. I don’t want to ride the bus with them. They call me names and tease me.” Will fights with his parents and he pulls the covers over his head and refuses to get out of bed.
His parents, who have dealt with his high level of resistance in the morning for years, have learned that when they bribe him, he’ll respond. So his mother winds up saying, “I’ll give you those Pop Tarts you wanted, but you have to be in the kitchen by 7 a.m.” Even then it’s a challenge to get Will up. His siblings have learned to stay away from him.
Finally, he eats the Pop Tarts and goes back to his room. His parents are really stressed out by his behavior now because it’s starting to affect their jobs. Their employers have made comments about them being late, so now they’re taking turns with Will and saying they’ll giving him an extra snack of cookies just to get him on the bus.
So Will finally gets on the bus and sits in the same back seat as usual. Although he’s also overwhelmed by anxiety, he deals with it by picking on the other kids. Will’s strategy is to get the other kids before they get him. He calls them names and says, “You’re fat, you’re stupid.” He kicks kids under the seat and pokes them.
When they complain to the bus driver, Will’s response is “I was only playing, can’t you take a joke?” The bus driver has to intervene and say, “Calm down, Will.” Will has given the driver some lip and back talk. It’s not at crisis level yet, but the driver is wondering what he’ll do if Will hits someone or breaks the rule and gets out of his seat and comes toward the front of the bus.
Will’s method is yet another way of dealing with anxiety. He becomes the bully. He hides his fear by attacking others, and strikes out at other people to hide that fear. His reaction is part of the fight or flight mechanism we discussed earlier.
The first two kids are using flight, by avoiding the source of their anxiety. This boy, Will, is using fight as his strategy. He tried flight, by attempting to stay in bed, but once he couldn’t resort to flight anymore, he started to fight. In the end the old saying seems to be true: Bullies, after all, are really just afraid.
In all of these cases, the parents were left to wonder why their children were upset, anxious or afraid.

Sunday, December 9, 2012

Will I Be Good Enough For Santa?

Last year around this time I was having a discussion about the holidays with two brilliant five-year-olds. They both had the family tradition of making that wish list for Santa. One of them was exuberant about her desires and generously shared her thoughts.  But when I inquired about the wishes of the second child, she burst into tears. My heart stopped. What was wrong? The little one explained, “ My parents said that if I was not good every day that Santa will bring me nothing but coal. I can’t be good all the time so I won’t get any presents.”  She was devastated. I immediately thought about how difficult it would be for a five year old to be perfect for the months leading up to the holidays. How could she not have one whiny, moody, stressed or tired day? I wondered if her parents proved perfection while preparing for the holidays.
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  When children still believe in Santa Claus, they also believe everything their parents tell them. Is this kind of perfection pressure healthy for little ones to carry? For the child mentioned above, she had curbed herself from wish lists, turned off television ads where toys were displayed and emotionally shut down because she knew she was unable to be perfect. On Christmas morning, however, when toys, games and other gifts were scattered throughout the house, she was in shock muttering the words, “ I must have been good, I must have been good.”  It was hard for her to enjoy her abundance because she was still quite confused. This story touched my heart and has lessons for children and adults alike.

Do you like the Christmas song titled: Santa Claus Is Coming To Town? I usually enjoyed singing it or hearing it until I experienced the above story. Listen to the words: “You better watch out, you better not cry, better not pout, I’m telling you why…He’s making a list, checking it twice, gonna find out who’s naughty and nice…He sees you when you’re sleeping, he knows when you’re awake, he knows if you’ve been good or bad…so be good for goodness sake.” Imagine this message as an eerie one that causes angst for children at a time when they should be taught about love, giving, and family connection.

When raised in a narcissistic family, there is a strong message that you are valued for what you do rather than for who you are. This causes long-term devastating effects because children are not taught to focus on building a solid sense of self. Children in these families spend their childhood energy twirling to get parental love and approval, doing for and taking care of their parents. As discussed in prior posts, the hierarchy in these families is skewed. In a healthy family it is the parental role to take care of the children not vice versa.

Using the words good and bad to describe children is dangerous. The labels tend to permeate the whole being. Rather, parents determine specific behaviors they would like attended to, but not call the whole child bad. The labels of good and bad can stay forever.  Adult children of narcissistic parents internalize the message, “I’m not good enough. ”Now, we’re encouraging “not good enough for Santa?”

I also think about how we strive for this perfection ourselves during the holidays. We seem to easily raise the bar on our expectations of idealized scenes of perfect gatherings, beautifully prepared food, just the right gifts, lovely decorated houses and of course super model weight loss that should happen before next week. If we are not currently Wonder Woman or Superman, we must morph quickly.

For adults these kinds of expectations can cause unnecessary stress, depression and anxiety. Then we also start labeling ourselves as good or bad and self-esteem can be knocked down with each thing we can’t perfect. Do we really want to create all this for our kids and ourselves? What could be a greater gift to us all than to practice compassion and love without this pressure to be perfect.

My Santa doesn’t bring coal or watch children with an evil eye expecting not one pout or cry. Does yours? I envision Santa flying overhead modeling love, the spirit of giving, and showing empathy towards those things he sees that need improvement. Remember Santa even stopped bullying when Rudolph was having problems with his peers. He didn’t tell Rudolph to get over it already and pretend that all is well. He didn’t say, “ You better not cry, you better not pout.” He didn’t demand perfection.    He said instead, “ You can guide my sleigh tonight, red nose and all!” Ahhh!

Let’s drop the naughty or nice gig and lighten up. Kids can’t pull it off and neither can we. What do you want to see different this season in your family? I’m looking for more general acceptance of others and self, dropping unrealistic expectations, and maybe seeing more Mommies kissing Santa Clauses. When the kids cry and pout or we get stressed and irritable, how about more hugs too? The gift of giving everyone a break tops my list this year.