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Is My Child Depressed? What You Should Know About Childhood Depression

What the Numbers Show

Research has shown that children, even babies, have experienced depression. In the United States alone, research studies suggest that up to one percent of babies, four percent of preschool-aged children, five percent of school-aged children, and eleven percent of adolescents meet the diagnostic criteria for Major Depressive Disorder. Blog-Childhood Depression-Main-Landscape-01

It is important to understand the risk factors and symptoms of childhood depression to help your child receive the necessary therapeutic interventions. Suicide is the second leading cause of death for children, adolescents, and young adults aged 10 through 24 (http://jasonfoundation.com/prp/facts/youth-suicide-statistics/). Suicide is significantly linked to depression, so early detection and diagnosis is critical and sometimes even life-saving.

Symptoms of Childhood Depression

Just like adults, children are capable of changes in mood, expressing negative thoughts, but are more likely to show depressive symptoms in behavioral ways. For example, a child experiencing depression may complain of fatigue, stomach aches, headaches, or experience irritability, changes in appetite, and changes in sleep patterns. These physical symptoms, often known as somatic symptoms, are expressed physical aches and pains that are real experiences for your child, although they have no known medical causes. These somatic complaints are often common in children who experience depression. It is important to rule out physical illness or other medical problems with your pediatrician if your child is experiencing these symptoms.

What Parents Can Do to Help

Parents are a child’s greatest advocate and support, so it is important to know what to do to help your child if you suspect that he or she is struggling with depressive symptoms.

  • Talk about depression with your child. Support and encouragement through open communication help your child feel comfortable to express his or her feelings. This lets your child know that he or she is not alone, is loved, and understood.
  • Talk with your child’s pediatrician. Mental health is just as important as your child’s physical health. If you notice your child is experiencing symptoms of childhood depression, call your pediatrician to alert him or her of your child’s emotional concerns. Your pediatrician may recommend a diagnostic screening or refer to an outpatient licensed therapist.
  • Don’t ignore it! Depression is a serious mental illness that cannot be brushed aside or ignored. Ignoring your child’s emotional concerns will not help your child obtain the treatment that he or she needs to overcome depression.

Treatments Offered

Depression is a treatable illness with success rates of up to 80% for children and adolescents who receive therapeutic intervention. The other 20% may respond well to medicinal interventions along with traditional therapy (https://blogs.scientificamerican.com/mind-guest-blog/what-adults-need-to-know-about-pediatric-depression/). Recommended treatments include play therapy, family therapy, and individual talk therapy, including cognitive behavioral therapy (CBT) that helps children re-frame their negative thinking patterns to help them change their self-perception and consequently, improve their mood. Cognitive behavioral therapy is goal-oriented, problem-solving focused, and is one of the most commonly used interventions to treat depression.

Medicinal options are another commonly used treatment for children who experience depression, with the goal of reducing depressive symptoms. The majority of children who take antidepressant medications will be able to stop their medication with support from their pediatrician or psychiatrist when their symptoms improve. It is important to note that the use of antidepressant medication for children and adolescents may carry a higher risk for suicidal thoughts for this population. It is imperative to receive ongoing medication monitoring to assess risk of side effects and other interactions.

I Think My Child is Depressed. What Should I Do?

If you suspect that your child may be experiencing depression, it is recommended that you contact your pediatrician. Share your concerns and plan for a medical evaluation to begin the diagnostic process. If medical testing shows no other reason for the fatigue, stomach aches, headaches, sleep, appetite changes, or sadness that often come with depression, a licensed mental health professional will evaluate further to determine the most appropriate treatment plan.

NSPT offers services in Bucktown, Evanston, Deerfield, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Mequon! If you have any questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140!

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A Counselor’s Take on 13 Reasons Why

If you have a preteen or teen child, you probably have heard of the hugely popular Netflix show 13 Reasons Why. The show, based on a best-selling novel, centers around Hannah, a teenage girl who dies by suicide and leaves behind tapes to the people she feels pushed her towards ending her life. This popular and controversial show has brought in discussions about mental health, bullying, sexual assault, substance use and suicide. As a counselor, I agree that raising awareness on these topics is crucial and necessary, especially considering the frightening increasing rates of these issues. However, I am concerned about the potential impact that this show might have on young teens. Blog-13 reasons why-Main-Landscape-01

Teenagers are very vulnerable to graphic content. The show can be hard to watch, and some scenes can be potentially very triggering. Many teens are binge-watching the show, which increases concern about the possible emotional distress that can be caused by doing so. I do not recommend that anyone struggling with suicidal thoughts watches the show as it might develop potential ideas or even romanticize the idea of suicide. The problem with the ultimate fantasy is that the character does not get to change her life with suicide nor does she get to find out what happens next. Suicide is final.

13 Reasons Why also misses the mark in its failure to address mental illness or depression ( the most common risk factor in completed suicides). Depression can look differently in teens than adults.

Some risk factors include:

  • Significant sense of sadness
  • Significant irritability
  • Isolation
  • Negative comments about life
  • Loss of interest in sports, hobbies, etc.

My recommendation is that if your child wants to watch the show, you watch with them.

Although it might be hard or uncomfortable, it might bring an opportunity to discuss important topics such as:

  • Talk to your children about bullying and what it might look like. Bullying can be physical or verbal abuse, excluding others, or using the internet/social media to attack and humiliate the victim. Teach your child to not be a bystander or support bullying.
  • Talk to your child about resilience and options on how to reach out for support if they are being bullied. If children develop resilience and strong self -advocacy, it can help them further develop their self- esteem and instill courage.
  • Talk to your child about symptoms of depression. 1 in 5 teens experience depression and suicide is the third leading cause of death among 15-24-year-olds according to the CDC. Discussing the issue of suicide does not plant the idea. It creates the opportunity to offer help. Have a conversation with your child about trusted adults in their life that they can reach out to if they need help.
  • Listen to your child’s comments without judgment. Do not minimize or trivialize what you see. If it appears insignificant to you as an adult, remember that this is a daily reality that teens are faced with each day. Allow your child to discuss any issues without judgment or punishment.

In addition, the Jed Foundation has released a great list of additional talking points. You can check those out here: https://www.jedfoundation.org/13-reasons-why-talking-points/

We need to use shows like 13 Reasons Why as a reminder. A reminder to be emotionally present and let children know that they are loved and supported. Children need you to be their secure base, to support their exploration, help them, enjoy with them and watch over them. Make sure to create a space for listening that is nonjudgmental and supportive.

If you need to talk, or if you or someone you know is experiencing suicidal thoughts, call the Suicide Prevention Hotline 1800-273-8255 or 1800-SUICIDE (784-2433).

NSPT offers services in Bucktown, Evanston, Deerfield, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Mequon! If you have any questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140!

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Separation Anxiety and School

It’s normal for children to sometimes feel worried or upset when separating from their main attachment figures. Although it can be difficult for parents and the child, it’s a normal stage of blog-separation-anxiety-main-landscapedevelopment.

Kids will often cry, whine, refuse to part or be overly clingy when it’s time to separate. Usually, these behaviors decrease with age, but sometimes, some kid’s reactions are extreme, and they interfere with their functioning in different areas of their lives. These kids may be suffering from Separation Anxiety Disorder. Kids who suffer from Separation Anxiety Disorder have a persistent fear of possible harm occurring to close attachment figures or excessive fear that they will leave and not return.

Some common behaviors related to separation anxiety include:

  • School refusal
  • Frequent somatic complaints (headaches, stomach aches, nausea)
  • Recurrent nightmares
  • Crying or having temper tantrums
  • Avoiding going to new places
  • Refusal to be alone

A common place where these behaviors occur is at school. For some kids, they might refuse to go to school, or they might have a hard time when being dropped off. No matter what type of anxiety the child is dealing with, it’s important to educate and teach your child about anxiety.

If your child is having anxiety about separating from you, here are some recommendations to consider:

  • Do not allow your child to stay home from school. This only worsens the symptoms over time and doesn’t allow them the opportunity to face their fear.
  • Do not ignore or deny the child’s worries. Teach your child about anxiety and its impacts.
  • Keep calm during separations. If your child sees you staying calm and cool, they are more likely to do so as well. When it’s time to say goodbye, make sure not to sneak out. This will only make the child more afraid.
  • Once your child makes it to school, identify a safe place for them if they are having a hard time. You can work with teachers or school counselors in identifying what would be appropriate.
  • Allow your child to pack a comfort item from school (favorite blanket or animal or a picture) that they can use when they feel homesick.
  • Create a goodbye ritual- maybe a special handshake or goodbye which can help the child feel more secure during the transition.
  • Praise your child’s efforts. Reward brave behaviors, however small they are!

NSPT offers services in Bucktown, Evanston, Deerfield, Lincolnwood, Glenview, Lake Bluff, and Des Plaines! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Managing Anxiety in the Classroom

Anxiety is one of the most common mental health issues in our country, affecting millions of adults and children alike. Children with anxiety at school may be experiencing it for several different blog-anxiety-in-school-main-landscapereasons. A few common reasons children may be anxious at school revolve around separation from parents or caregivers, social anxiety or test anxiety. Sometimes, it’s hard to pinpoint exactly what the cause is, which is okay too. The important thing is that the symptoms are managed appropriately. Since kids spend the majority of their day in a classroom, it is paramount that teachers and other staff are trained to recognize, support and advocate for anxious students.

Identifying anxiety early on is a very important step as it can help mitigate larger problems later on in adolescence and adulthood.

Let’s start by discussing some common signs and symptoms that we may see in an anxious child. These include, but are not limited to:

  • Refusal or reluctance to attend school
  • Difficulty concentrating
  • Negative self-statements
  • Perfectionist tendencies
  • Withdrawing from other children
  • Lack of participation
  • Tearfulness
  • Excessive worrying
  • Frequent trips to the nurse
  • A decline in academic performance

Over the years, our education system has made tremendous progress in identifying and helping children struggling with anxiety. One of the most common are accommodations under a 504 Plan. An example of an accommodation used in a 504 Plan would be adjusting the child’s seating arrangement (often referred to as “preferential seating”). An anxious child may feel more comfortable sitting closer to the teacher, or further away from a highly-energetic or rambunctious child. Another accommodation is extra time on tests (often referred to as “time and a half”), since test-taking can be a common trigger for anxiety. If you feel a 504 Plan might be helpful and appropriate for your child, it would be a good idea to plan a parent-teacher conference to discuss your options.

Close communication and collaboration between teachers and parents is a great way to ensure that your child is getting his or her needs met in the classroom. Sometimes, anxious kids just need a little extra encouragement and reassurance. Positive reinforcement is an excellent tool used for pointing out a child’s successes and efforts, and rewarding them for it. Many schools have a social worker or counselor on staff as well. Social workers and counselors are specifically trained to help children struggling with anxiety and other social-emotional issues. One-on one or small group sessions can be extremely beneficial in helping manage anxiety at school. Incorporating social work minutes into your child’s schedule is a great way to provide your child with extra support during the day.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Improving Your Child’s Social-Emotional Growth Through Board Games

In the fast-paced, high tech world of childhood, girls and boys are much more likely to reach for the iPad and Xbox than a set of dice. Although, technology can provide immense growth in your blog-social-emotional-main-landscapechild’s life, it can also delay important social-emotional learning that the old-fashioned board game has to offer.

Below are some important reasons to bring back the board game to work on social-emotional growth:

Practice Social Skills

Board games are a fantastic outlet to practice turn-taking, rule following and positive sportsmanship. Depending on your child’s age, choose an appropriate game to begin the process of reading the rules, modeling the steps of a turn, and providing examples of positive praise and compliments. Commend your child as they begin to integrate this set of skills into their regular play!

Enhance Flexible Thinking

Board games also allow for children to work on improving their frustration tolerance. Many parents can often relate to observing their children shutting down, becoming angry, or walking away from the game after a missed turn, wrong move, or misunderstanding. Flexible thinking skills to practice include compromising, negotiating, and problem-solving. Taking a break and calm breathing can also be helpful strategies. Practicing how to handle frustration in the context of a board game will help children to better handle frustration in other areas of their lives.

Helpful Tips

  • Incorporate your child’s favorite stuffed animal or Lego character as an additional player in the board game when other family members are unavailable.
  • Cooperative games are a helpful way to practice teamwork and can prevent competition from getting in the way of practicing rule-following and turn-taking skills.
  • Involve your child in picking out the board game in order to increase their interest in this new activity.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Helping A Child Cope Who Has A Parent in the Military

When a family is coping with a caretaker’s absence, it can be challenging and emotional, especially when it is due to deployment and military service.  The emotions, concerns, and needs of each family are unique but here is some information on what to expect from children when one of their caretakers are away on deployment, and some information on how to answer difficult questions children may have.blog-military-main-landscape

Here are some helpful hints about what to tell your children regarding their caretaker’s deployment:

  • Emphasis that the child is not at fault in any way for the parent leaving.
  • Let the child know where the parent will be. This can help reduce some anxiety about their absence.  You can show them where it is on a map, learn about the country where they are (language, customs, etc.).   In addition,  it can be helpful to talk about the parent’s schedule when they are gone and what they will be doing when they are there.  Remember to keep that information age appropriate.
  • TALK about it! Encourage your child to talk about their feelings regarding the deployment and acknowledge that it’s okay to feel that away. A child has a right to be sad or angry about the recent change.  Also, talk about the parent who is gone.  It is important to talk about the parent to help keep their presence at home and to help the adjustment when the parent returns.
  • Limit the outside information (news, papers, movies, and internet) that the child can access about war or military action. Make sure the information they do get is accurate and age appropriate.

Each child and family is different and their reactions can have a wide range of feelings and behaviors, but here is a few common reactions children may experience when coping with a parent on deployment.

0-2 years old: One of the biggest changes for this age group will be when the caretaker returns from deployment.  It is important to allow the child to warm up to the caretaker and understand that they need to get know the parent again.

3-5 years old:  At this age, children have difficulty understanding why the caretaker had to leave.  They also may be scared that the at-home parent may leave as well.  Being consistent in their schedule prior to deployment can help them feel calm and secure.   Adjusting to life after deployment can be difficult for this age group as well.  They may feel angry at the parent for leaving.

6-12 years old:  Be on the lookout for increased aggression or behavioral issues at home or school, or physical symptoms like stomachaches or headaches.  Children who are older may want to help out more around the house and take on that parent role.  Although there are still some concerns with adjustment after deployment, children in this age group are usually excited and proud of the returning caretaker.

13-17 years old:  Teens express emotions and feelings in a wide variety of ways and that is even truer of teens coping with a parent being deployed.  Teens may want to help out more, or act indifferent to the change.  It is important to look out for behavioral or mood changes.

The most important aspect of everything discussed in this blog is COMMUNICATION.  Allow your children to discuss their feelings and let them know it is okay for them to feel the way they do.

References:

http://militarykidsconnect.dcoe.mil/parents/coping/behaviors

http://www.military.com/spouse/military-deployment/dealing-with-deployment/help-child-cope-with-parents-deployment.html

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Executive Functioning and Self-Regulation Skills for My Child

Children aren’t born with executive functioning or self-regulation skills, rather their brain has the capacity to develop them. As a result, these skills that support a child’s capacity to learn, grow and develop can be inhibited by a number of factors including stress, environment, relationships, or delays. They can blossom and develop more fully with support from adults and the environment around them. Some children require more focused support to better develop executive functioning and self-regulation skills. Support can be through Early Education Opportunities and/or more formal intervention and support like Occupational Therapy, Behavior Therapy or Mental Health Services. blog-executive-functioning-main-landscape

How to Identify on Track Development for Executive Functioning and Self-Regulation Skills

Positive Engagement in School

  • Your child has a positive experience at school, cooperates with expectations and meets expectations most days.
  • Your child completes their work in a timely manner and typically understands the material.
  • Your child’s school work is typically organized and can be located easily.
  • For younger children, they attend school most days without difficulty. They can share what happens at school each day and can tolerate when things change.

Pro-social Skills

  • Your child can get along with others, can initiate interaction and negotiate play appropriately.
  • Your child typically understands and follows routine expectations and rules.
  • Your child typically responds to redirection without difficulty.
  • Your child can communicate his needs, wants, or wishes appropriately and effectively.
  • Your child can take responsibility for their actions and can understand the consequences.
  • For younger children, they engage in turn-taking, sharing, and show emerging empathy for others if they get hurt or sick.

Healthy and Safe Choices

  • Your child makes safe choices when interacting with others across settings (home, school, and in the community).
  • Your child can recognize and understand the importance of rules and safety.
  • Your child can make healthy choices for themselves (balanced eating, exercising or participating in activities that make them feel good).
  • Your child can access and utilize help when needed.
  • For younger children, they can talk about the rules at home and school. They can cooperate with important routines like sleeping, eating and toileting.

Communication and Coping Skills

  • Your child can express their needs, wants, and feelings verbally and effectively.
  • Your child can typically communicate or express their frustration or anger in a safe, appropriate manner.
  • Your child can accept support or help from others.
  • Your child can advocate for themselves appropriately.
  • For younger children they can ask for help, ask for their needs with words or gestures, and can calm down with adult support.

How to Promote Executive Functioning and Self-Regulation skills

  • Provide a visual guide for routine and rules at home.
  • Make expectations clear and concise; talk about what happened if expectations are not being met.
  • Provide 1 or 2 step directions when giving instructions.
  • Spend time together for multi-step activities like art, a puzzle or baking activity; talk about the steps needed.
  • Encourage and praise hard work and persistence especially when trying something new or challenging.
  • Use first/then statements i.e. First we put the toys away, then we can have snack.”
  • Take time for calm and quiet activities together i.e. reading, taking a walk and coloring.
  • Model how to calm down or take deep breaths when upset.
  • Model healthy living and safe choices.
  • Develop Family Rituals that provide time to reflect and share about thoughts, feelings, and experiences (i.e. Highs and lows from the day over dinner, 3 best parts of the day on the drive home, marking off days on a calendar to look forward to a family outing).
  • Talk and share about feelings. Be willing to share your own.

Resources:

http://developingchild.harvard.edu/science/key-concepts/executive-function/ 

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Teaching Children Mindfulness

By now, there’s a good chance that you have heard of mindfulness. It seems to be everywhere these days, but what exactly is it? Mindfulness is a meditation practice that begins with paying blog-mindfulness-main-landscapeattention to breathing to focus on the here and now. It means being aware of your present moment (thoughts, feelings, and physical sensations) without judgments and without trying to change it.

Why Teach Mindfulness?

In today’s world with TV, video games, computers and busy schedules it can be hard to focus on the here and now, however, the benefits of being able to be mindful are vast. Recent scientific research has shown the positive effects it can have on positive well- being and mental health. It has been shown to improve attention, reduce stress, and increase the ability to regulate emotions and feel compassion and empathy.

3 Benefits of Being Mindful for Children:

  1. Being mindful can give you more choices and more control over behaviors. Being fully aware is important if a child is overly emotional or impulsive. It allows them the opportunity to slow down and catch themselves before they do something they might regret later.
  2. Being mindful can increase compassion and empathy for oneself and others. When kids learn to be aware while being nonjudgmental, they can turn the criticisms into observable facts.
  3. Being mindful can help with focus and make kids more productive. When kids stay focused, they can stay engaged better in activities and school work.

How to Teach Mindfulness at Home:

An excellent way to teach mindfulness at home is to model and participate in mindfulness as a parent. Setting routines to take a few moments, close your eyes, notice your breath, thoughts, emotions, physical sensations without judgment can make a great impact on the whole family. Parents can encourage their kids to take a few moments during homework time, stressful times or just any transition time to practice being mindful. Being mindful can be fun too!

Try the following exercises with your child:

  1. The seeing game can be asking your child to take a minute to notice things around the room they haven’t noticed before. Did they notice anything new or different?
  2. Going on a nature walk can be turned into a mindfulness exercise encouraging your child to use their five senses (sight, sound, smell, taste and touch) to be mindful of the world around them.
  3. The “tense and relax” exercise; in this exercise kids tense different muscles in their bodies for a few seconds and then release. This is a great way for kids to relax and be present.
  4. Breathing friends- Use a stuffed animal to help your child practice mindful breathing. Teach your child to take deep breaths and notice how their body feels as their chest and belly goes up and down. Then have the child teach the deep breathing to the stuffed animal to empower them.

References:

http://www.ncbi.nlm.nih.gov/pubmed/18365029

http://www.ncbi.nlm.nih.gov/pubmed/17940025

Rathus, J. H., & Miller, A. L. (n.d.). DBT skills manual for adolescents.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Creative Conversation Starters: Get Your Child to Talk to You

Having regular conversations with your child can be beneficial in many ways. You get to learn more about each other and further develop your relationship with them. Additionally, you can helblog-conversation-starters-main-landscapep
their confidence, self-esteem and their social skills.

I understand it can be difficult to find time between your busy schedule and their busy schedules, so we have to get creative! Some ideas of times you can maximize to get conversations with your child can be during a car ride to and from their activities, in a waiting room, during dinner and before bedtime as a part of their routine!

Get the Conversation Going

When I say conversation, it doesn’t have to be dry. Get creative with topics that may be fun or interesting to your child!

Here are some ideas to use as conversation starters:

  • Check in with your child daily. Ask about their day, what was something interesting that happened to them, what did they like about their day or what is something that could have been better.
  • Play 20 questions by thinking of an object, animal or person and have the child ask 20 questions to find the answers by only asking yes or no questions. Take turns!
  • Telling a story! If you or your child can’t think of one, you can go in a circle and say a word each to tell a silly story.
  • Take turns telling jokes.
  • Play would you rather with your kid. Ask age appropriate questions like would you rather not be able to go outside all day or not be able to go inside all day? Would you rather have a pool filled with chocolate chip cookies or Oreo cookies?
  • You can have a jar of questions at the dining room table. Place previously written questions in a jar and take turns going around the table answering them. The questions can be general like what is your favorite food, sport, vacation, music or movie? You can purchase one already made.
    • You can also incorporate specific questions if you are wanting to work on a particular area such as self-esteem. Then you can add questions such as: what do you like best about how you look? What do your friends say they like about you? What do you do that gives you confidence?
  • Play games that allow for open conversation. There are many out there including Chat Pack, Scruples, or Thumball are a few favorite.

Remember

Remember the point is to get the conversation going and have fun with your child! This helps further develop your relationship with them, because you are creating opportunities for them to share, problem solve and to know they can discuss anything with you. You are modeling appropriate behaviors, social skills and self-esteem. Who better to teach them this than you! Remember to really listen and respond in cool/calm way, there is no judging their response if they are being silly or answering sincerely. If you want to mold their response because you feel they could have done better you can ask: “What is another way you can answer that?” or “How would that feel if that was you?”

Resources:

http://idealistmom.com/raise-kind-kids/

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee! If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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Kindergarten Firsts: Fire Drills, Lock Down Drills and Tornado Drills

It’s that time of year: backpacks are filled with new crayons and pencils, new shoes and outfits have been selected and are ready to go. Along with back to school clothes and medical check-ups, Blog-Kindergarten-Firsts-Main-Landscapethere is another important detail to remember to address with your kindergartner, talking about fire drills, lock-down drills, and tornado drills.

For some children, the idea of fire trucks arriving at school is thrilling and having a break from their classroom to walk outside is a welcomed break. For other children, particularly children with sensitivity to loud noises or changes in routine, fire drills, lock-downs and tornado drills can trigger uncomfortable feelings and even panic. Unfortunately, safety drills are a part of life, but the good news is, there are steps you can take to help your child be prepared for them.

The first step in preparing your child for safety drills is to have a conversation, or several conversations, about them. Approach your child at a time of day when he/she is calm and broach the topic. You can introduce the topic by talking about how excited you are for your child to begin school, reminding him/her of the fun of meeting his/her teacher and seeing his classroom. Next, talk about a variety of things he/she will learn about, like animals, letters and numbers. Then, mention that you want to tell him/her about something that teachers and students learn about and practice so that they are prepared in all situations. Explain that drills are routines that teach them steps to do to keep them safe in case of a fire at school or an unsafe person, or unsafe weather.

You will want to keep the language you use very simple and non-threatening. Emphasize that schools are very safe places and that these routines are practiced because “practice makes perfect;” and that practicing the drills will help them remember the instructions that will keep them safe and keep them calm. If your child has sensitivity to loud noises or changes in routine, you will want to alert your child’s teacher before school begins.

Finally, remember to use calm and reassuring words as you discuss the drills, reinforcing the idea that teachers and staff are trained and that schools are strong and sturdy. If you feel your child may need additional support or reassurance, notify your school principal and your child’s teacher. Remember that North Shore Pediatric Therapy’s services provide counseling and can address persistent worries or other concerns.

NSPT offers services in Bucktown, Evanston, Highland Park, Lincolnwood, Glenview, Lake Bluff, Des Plaines, Hinsdale and Milwaukee. If you have questions or concerns about your child, we would love to help! Give us a call at (877) 486-4140 and speak to one of our Family Child Advocates!

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