Category Archives: Mental Health

Helping Children Cope in a Stressful World

Guest post by Jane B. Streit, Ph.D.

Few children make it through the early years without experiencing a potentially traumatic event. Big things like abuse and the loss of a loved one are horrible things for anyone to live through, but even “smaller” events like taunting from classmates or a Florida hurricane can have lasting effects.

Children are born with varying degrees of resilience.  Research has shown, that even among families, how individual siblings recover from stressful events can be very different. We have also learned that both children and adults can develop resilience by:

  • Maintaining physical health,
  • Engaging in activities that they enjoy and feel competent doing, and
  • Through physical or mental activities that lower stress levels.

Resilient or not, support  from trusted and caring adults is critical to helping children through tough times. Adults who demonstrate and reinforce healthy coping behaviors are great role models. It is important to remember that while children listen to our words, they are also very sensitive to our behavior.

Just as with adults, what works for one child may not work for another.  In addition, don’t hesitate to seek professional help if children are showing signs that they are overwhelmed, and that they are not eating, sleeping or functioning well after an event is long over.

The American Academy of Pediatrics just released a new Trauma Guide that may help parents address their child’s mental health needs. You can also access this map to find a local children’s mental health professional in your area.  We’ve also posted many children’s mental health activities on our Pinterest account – check them out for activity ideas to do with your kids!

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Loving a Child Through the Challenges of Life

Reprinted with permission from Rachel Macy Stafford, also known as Hands Free Mama

*Name has been changed

hands free mamaI was two years shy of becoming a mother when I learned my greatest lesson about parenting. This information was not gleaned from a New York Times bestseller, a renowned pediatrician, or an experienced parent. It came from a 10-year-old boy born to a drug-addicted mother, with an Individualized Education Plan thicker than an encyclopedia—a boy with permanent scars along the side of his left arm from a beating with an extension cord when he was three.

Kyle* taught me the one and only thing I really needed to know about loving a child through the challenges of life.

This is my story …

It had been a difficult move. I left my family and friends and the beloved mid-western state where I’d lived most of my life. My new home was thousands of miles away from anything I knew. It was hot—all the time. There were no seasons and teaching jobs were hard to come by. Having seven years experience as a behavior specialist, I was up for a challenge. I would accept any job if it meant I could do what I was born to do—teach.

I accepted a teaching position in a classroom for children with an array of educational diagnoses. They were students with severe learning and behavioral difficulties who’d been shuffled from school to school. So far, no program in the district was able to meet their challenging needs.

The first few months of school were difficult. It was not unusual for me to cry as I made my 45-minute commute to the inner city.  It required a deep breath to even open the classroom door, but I came back every day praying this would be the day—a breakthrough to one broken soul.

On this particular morning, I was excited. The other lead teacher and I had spent weeks teaching the children appropriate behavior for public outings. We would be going putt-putting and out to lunch. Miraculously, most of the children in class earned this privilege—only a few had not. Alternative arrangements were made for those students while we took the field trip.

We had an extensive plan in place to make the departure as smooth as possible. But due to the explosive behavior of many of the students, even the best laid plans could quickly turn sour.

Kyle was one of the students who had not earned the field trip, and he was determined to make that disappointment be known.

In the corridor between classrooms, he began screaming, cursing, spitting, and swinging at anything within striking distance. Once his outburst subsided, he did what he’d done at all his other schools, at home, even once at a juvenile detention center when he was angry—he ran.

The crowd of onlookers that congregated during the spectacle watched in disbelief as Kyle ran straight into the heavy morning traffic in front of the school.

I heard someone shout, “Call the police.”

Based on the information in Kyle’s file, I knew the officers would locate him and place him on a 5150 hold for a psychiatric evaluation.

But I could not just stand there. So I ran after him.

Kyle was at least a foot taller than me. And he was fast. His older brothers were track stars at the nearby high school. But I had worn running shoes for the field trip, and I could run long distances without tiring. I would at least be able to keep in him my sight and know he was alive.

With the agility of a professional athlete, Kyle dodged the moving vehicles in his path. After several blocks of running directly into on-coming traffic, he slowed his pace. Although it was still morning, the tropical sun was bearing down on the black tarmac baking anyone crazy enough to be running full speed on it.

Kyle took a sharp left and began walking through a dilapidated strip mall. Standing next to a trash compactor, he bent over with his hands on his knees. He was heaving to catch his breath. That is when he saw me. I must have looked ridiculous—the front of my lightweight blouse soaked with sweat, my once-styled hair now plastered to the side of my beet-red face.  He stood up abruptly like a frightened animal that thought it was alone suddenly discovering he’d been spotted.

But it was not a look of fear.

I saw his body relax. He did not attempt to run again. Kyle stood and watched me approach. My exhaustion caused me to slow to a walk.

Kyle remained still.

I had no idea what I was going to say or what I was going to do, but I kept walking closer.

We locked eyes, and I willed every ounce of compassion and understanding in my heart toward his own.

He opened his mouth to speak when a police car pulled up, abruptly filling the space between Kyle and me. The principal of the school and an officer got out. They spoke calmly to Kyle who went willingly into the back of the vehicle. I did not come close enough to hear their words, but I didn’t take my eyes off Kyle’s face. His eyes never left mine … even as they drove away.

It was days before Kyle would be allowed to return to school. I shared my disappointment regarding the turn of events with Kyle’s speech therapist who was familiar with Kyle’s past history and family situation.

She placed her hand on my shoulder and said, “No one ever ran after him before, Rachel. No one. They just let him go.”

But I couldn’t help but feel that I had failed him … that I should have done more or said more … that I should have fixed the situation, or better yet, prevented the situation.

Kyle eventually came back to school. I quickly noticed that when he had a choice of which teacher to work with or which teacher to accompany him to special classes, he chose me. As weeks passed, he was glued to my side, complying with instructions, attempting to do his work, and once in awhile even smiling. For a child with severe attachment issues, it was quite amazing that he was developing a bond with me.

One day on the way to art class, Kyle unexpectedly grasped my hand. It was unusual for a boy his age and size to hold his teacher’s hand, but I knew I must act like it was the most normal thing in the world.

And then he leaned in and quietly said something I will never forget.

“I love you, Miss Stafford,” he whispered. And then, “I never told anyone that before.”

Part of me wanted to ask, “Why me?”

But instead I simply relished the moment—an unimaginable breakthrough from the child whose file bore the words: “Unable to express love or maintain a loving relationship with another human being.”

Besides, I knew the turning point. Things changed the day he ran, and I ran after him—even though I didn’t have the right words … even though I wasn’t able to save him from the mess he was in.

It was the day I didn’t throw my hands up in the air deciding he was too fast … a waste of time and effort …  a lost cause.

It was the day my mere presence was enough to make a profound difference.

Ten years have passed since I’ve seen Kyle. I no longer live in the same state that I did back then. But I often think of him. When I am out running … when I am to the point where my legs are tired and aching … I think of him.

And I think of him when those really hard parenting dilemmas come my way—problems derived from inside and outside of the home—issues that make me want to beat my head against the wall or lower it in despair. I think of Kyle in those moments when I don’t know what to do or what to say when I look into my children’s troubled eyes.

That is when I see Kyle’s face and remember I don’t always have to have the answer. Because sometimes there is no clear-cut answer.

And I remember I don’t always have to “fix” their troubled hearts. Because there will be times when I can’t.

I think of Kyle and remember the power of presence. Because it’s possible to say, “I won’t let you go through this alone,” without muttering a single word.

Thank you, Kyle, for revealing the key to loving a child through the challenges of life.

Sometimes our mere presence is enough.

Sometimes it is exactly what is needed to change a dismal situation into one of hope.

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The Sound of Her Breath

Guest post by a mother who’s daughter is suicidal. 

shutterstock_128576690_smallWhen she was a baby I would sneak in her room to listen to her breath. Although I tried not to obsessively worry about SIDS, I took comfort in the sound of her breath. Sixteen years later I am once again sneaking in her room, listening to her breathing and thanking God that she is still with us. The difference is that an hour later I will return, listen again and thank God again and I will repeat this throughout the night.

It sounds obsessive but we are struggling. Our daughter is suicidal. Even writing those words seems unreal. This cannot be happening. Not to us. Not her.

But it is real. Last year one of the most popular girls in her class committed suicide. She took her life in the room she shared with her younger sister who found her only minutes too late. When this happened we asked the inevitable, “How did her parents not know?”

Now we understand. They did know. They knew she was struggling. They knew she was in pain. And they had gotten her help. For a few years they shuttled her back and forth to inpatient treatment, day hospital care, therapists and psychiatrists. At each sign of trouble they were on top of it and still she died. Still, they lost their little girl.

Her story is not the only story like this. Hers is not even the only story in our community. Just last month there was another suicide in our own neighborhood, three months before that there was another one just down the road. I know we are not alone in our struggle but it doesn’t matter.

Being in this position, watching our child suffer is impossibly hard. We are doing everything we can to help. People keep telling us that. It is their way of comforting us, but what do I hear?

I hear, “If she does kill herself you need to remember, you have done everything you could.”

I hear that it is hopeless. I hear that I am powerless. And I sink. Isn’t that a horrible thing? I sink. Just when my daughter needs my strength and support I am finding myself falling into my own abyss. I am lost and I don’t know how to pull myself out. I want to help her and I can’t.

Since she was a baby I have been there for her. For every boo-boo, cold, fever and heartbreak I have comforted her. But right now I am not a comfort. Right now, nothing I do is helping and I find myself wondering how much of what I say and do is hurting.

I have no answers. So right now, tonight, the best I can do is sneak in her room. Stand beside her bed and listen to her breath. The best I can do is to be thankful that she is still with us.

If your child (or you, or a family member or friend) is experiencing suicidal thoughts, contact the National Suicide Prevention Lifeline for help. Their phone number is 1-800-273-TALK (8255). They will connect you to help 24 hours a day, 7 days a week.

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How to talk to kids about tragedies

Children can start showing signs of trauma right away or months after a disastrous event. Just hearing about an event on the news or seeing a reaction from parents is enough to have an effect on kids.

Jennifer Evans, a licensed mental health counselor and traumatologist at DCF who specializes in compassion fatigue, offers some ways you can be available for your child during this time:

Be Clear: Talking about tragedy, injury and death can be very difficult for anyone. Being clear and only answering what the child is asking will help them to understand without getting into too much graphic detail. Try using dialogue like, “When people die, their bodies stop working.”

Be Available: Let your kids ask the questions. Start by asking them, “What do you think happened?” Allow them to guide the conversation where they need to go to help them cope.

Stay Calm: Children learn emotional reactions and coping through adults. The way adults react to events is often the way the child perceives and reacts to the event. It is okay to cry and show concern and emotion, and then to show appropriate ways to cope and heal. Try using dialogue like, “It is okay to feel confused and hurt. Sometimes people cry to show how sad they are. This allows their body to feel better.”

Normalize Their Feelings: When a tragedy happens it can be confusing and often kids are uncertain of the emotions they are feeling. Use this opportunity to discuss emotions and the way kids are feeling and explain how you can cope. Try using dialogue like, “Often people feel sad when something like this happens. It is hard to understand why someone would do something like this.”

Understand How Children Cope: You may see your child try to act out the traumatic event through their dolls or other toys. This can be scary for a parent to see, but kids will often replay the event as a way to cope. You can use this opportunity to discuss their play and their memory of the event. This is a great time to clarify and normalize their reaction again. Try doing an activity to help provide closure for your child.

Notice Changes in Behavior: Often the effect of trauma on your body does not happen until weeks after the event. This is a normal process of coping. If your child’s behavior dramatically changes for an extended amount of time, consult a professional. Common symptoms of trauma include sleeplessness, over/under eating, extended sadness for no immediate explanation, extended traumatic play, lack of focus/concentration, and nightmares.

We are all keeping the victims in our thoughts and prayers. The national Substance Abuse and Mental Health Services Administration provides more information about coping strategies and how children and adults are affected by and react to tragedy. We encourage you to visit www.samhsa.gov/trauma for resources about how to help your friends and family during this time.

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Holiday Stresses May Come in Cute Dresses

Guest post by Bob Carton, licensed mental health counselor at the Employee Assistance Program at Tallahassee Memorial Hospital.

The holidays can be a stressful time. The simple act of finding the right dress for a gathering may become an ordeal for someone. Wearing the same new dress as your supervisor can be funny on a sitcom; however, it can be painful in real life – especially if a subordinate looks better than her boss in the dress.

Holidays by design are meant to be days when we break with routine custom and adopt a festive sensibility. We break diets, socialization patterns, spending practices and normal drinking customs. A holiday is a mini vacation from normal life. During such predictable breaks in our routines, one may find that we can easily lose constraint and wander too far from our normal disciplines. This may lead to loss of control and unwanted consequences, and these penalties may be costly to both our physical and mental wellbeing.

Think back on a festive feast at grandma’s house in days gone by. Plates filled with mounds of potatoes swimming in gravy, piles of turkey and ham, homemade breads and biscuits slathered in butter, with special dressings, festive veggies adorned with special sauces and garnishes, bright orange mounds of yams browned with marshmallow and pecan glazes. Who could pass up an extra helping of Aunt Millie’s magnificent pecan pie?  Huge amounts of energy are required to convert all that masticated mass into absorbed nutrients. (Now you know why you snoozed through the winning interception and touchdown while watching your favorite team during the holiday game.)

Your stomach muscle walls churn violently on one side of your stomach; clumps of food are thrown violently against the far wall, falling into a bubbling vat of acids and enzymes. All these solids on the move urge continued commands to drink fluids – how we respond to that thirst may help or hurt the process. Provided you didn’t eat so much that the remaining stomach contents take a reverse trip, the next leg of the journey will take you to the little room down the hall.

The meal described above may seem an exaggeration for some, while many will identify with the description for at least one holiday meal. The same way a tendency toward excess may push us toward overdoing the other holiday rituals we engage in; whether it is over consumption of alcohol, spending beyond safe limits, worrying about pleasing in-laws and friends who may have seemed impossible to satisfy. The stressors will compound and may build and couple themselves to memories of past holiday regrets. These excesses can take the joy out of any holiday season if we allow them to.

The remedy is planning: thinking how much money, time, energy, calories and socializing one can afford and still manage to retain a semblance of the meaning the holiday was intended to convey.

Put mental limits on all consumption and do your best to stay within your mental budgets. Retain a sense of joy and when the joy begins to fade, back off. Know there are people we can never please; let the Grinches go. There is no law saying you can’t start your own tradition more in keeping with your values, holding on to those features of holiday life that are meaningful to you and your family. Laugh, sing, breathe and don’t spend, eat or drink too much and this may be your best holiday yet.

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