Archive for March, 2011

A Prayer a Day Keeps Anger Away…?

Tuesday, March 29th, 2011

Written by Dr. Carosso
I was perusing a recent Personality and Social Psychology Bulletin and came across a research article that caught my attention. I think it will catch your attention too.

The research:
In the article, researchers found that when people were provoked by somebody, they were less angry and much quicker to calm when they spent a few minutes praying to God, compared to those who used other coping methods (thinking about a person or other distraction methods).

Not even close
In comparing the results for the two groups (praying vs non-praying), it wasn’t even close. Those who briefly prayed were much calmer and felt better about the situation than those who did not. Similar outcomes were seen in four separate trials and, in every instance, the results were significant when compared to those who did not pray. It didn’t matter if the person rated themselves as devout or not; they calmed quicker just the same. Most identified themselves as Christian, but not all.

Not too surprising

I imagine God isn’t too surprised by these results; He’s been telling us for quite some time to pray when we’re troubled or distressed (James 5:13). We shouldn’t be surprised either.  However, it’s always nice when the “scientific” supports the spiritual.  However, one of the researchers explained the outcome in a manner discounting the spiritual; but we know better;)  

Practice makes perfect
Many of you have particular prayer-times for your kids (before bedtime, before sending your kids off to school, saying Grace before dinner…), which I trust you’ve found to be meaningful and helpful. How about also incorporating prayer into your daily arsenal to combat arguments and conflict?   You may want to practice with your child to use prayer to calm, feel more in control, and tap-into a source of comfort and guidance.

Pray for your “enemies”?
The research was also compelling in that the prayer was directed toward helping another person. It’s especially useful to teach our kids (and remind ourselves) to move away from self-absorbed anger and focus on helping those in need, including the person doing the provoking. Okay, I know, kids may not be too enthusiastic about that last part, but it’ll grow on them.

The Enhancer
Of course, a brief prayer doesn’t replace conflict-resolution, it enhances it. It’s easier for your child, after a prayer and feeling a bit calmer, to talk about a peer bothering him at school and figure out a game-plan.   

Give it a go
Try it and let me know how it works for you and your kids. I’ve done this with my kids and have seen, first hand, how this can be helpful.

That reminds me
By the way, this article reminded me of a post I wrote last year. I reprinted it below (Spirituality: Father knows Best).  Feel free to check it out; I hope you find it worthwhile.

Spirituality: Father Knows Best
Written by Dr. John Carosso

Wouldn’t it be nice to be omniscient, omnipresent, and omnipotent, especially when it comes to caring for your kids? Well, you’ll never be any of those things, but you can introduce your child to someone who is. Imagine how comforting and reassuring for your child to know, during times of good and bad, that he or she is being watched-over, protected, helped, comforted, and that he is part of a larger, heavenly clan of his Father, brothers, and sisters. I have seen time and time again: children with a spiritual sense tend to have a stronger conscience, are easier to comfort, and have a better understanding and sense of purpose and meaning in their life. Parent can pull from the Bible to teach and help their child to understand about morality, compassion, love, the destructiveness of sin, and how stay on the ‘straight and narrow’. I can say, first-hand, that having a personal relationship with my Heavenly Father is rewarding beyond words, and I relish sharing Him with my kids and watching them grow in their spiritual relationship. I strongly suggest that you take advantage of developing, within your child (and why not within yourself too?) a strong spiritual life, based in a loving relationship with God. Otherwise, you lose access to an invaluable anchor and rudder that can be the utmost guiding force for good and joy. God bless. Feel free to comment and forward to a friend.

Underage Drinking at Home – Where are the Parents?

Tuesday, March 22nd, 2011
Written by: Dr. Robert A. Lowenstein MD
One of the things that really bothered me when my son was a high school teenager involved his receiving a party invitation to a schoolmate’s home, which announced that alcohol would be served to the teens by the parents who planned on being home.
Having seen more than my share of teenage drug abuse in my practice, with great dismay, I called the parent responsible, only to be told that they thought it would better for them to supervise the underage drinking, as it was going to occur anyway. I failed to see the logic in this then, as I do now.
Recent information published by the Substance Abuse and Mental Health Services Administration indicates that over one half of teenagers who drank alcohol over the past month actually got the alcohol at home, and about 16 % were actually served the alcohol by a parent. This as the rates of teenage addiction continues to rise.
My view is that parents and caregivers need to prevent this dangerous behavior, rather than condone or support it.  If all parents refuse to allow their children to attend these underage events, or report these parents, maybe this parental misbehavior will end.
What do you think?

Five Ways to Jump-Start Classroom Achievement

Tuesday, March 15th, 2011

Written by Dr. Carosso

Okay, here it goes; whether your child is a typical kiddo or struggles with attention, learning, social, or developmental issues, these strategies will help any child perform at his or her best. These strategies are well-founded in research and over 20 years experience in clinical and educational practice.  

Let’s get to it:

Billboard your child’s strengths
Go overboard to inform teachers, and remind them regularly, of your child’s strengths. Send notes and emails, write in a daily log, leave phone messages, yell if from the roof-top, send smoke signals, and do whatever else it takes to establish and maintain the teacher’s positive impression of your child.  Over 10 years of research is abundantly clear that teacher’s preconceived notions about a student, whether good or bad, even if untrue, tend to come to pass. For example, students who are described as smarter (even if they’re not) subsequently score higher on tests; students who are described as social and cooperative (even if they’re not) later do better socially, and on and on it goes…  I’m not suggesting that you mislead, but simply ‘talk-up’ your child’s strengths:)

Power-sitting
Make sure your child is seated in the ‘Attention Zone’ of the classroom (i.e. the triangle-shaped area with the base of the triangle being the front row of the class). Students seated in this triangle area receive more eye contact, oversight, monitoring, and attention than anywhere else in the classroom. These students subsequently tend to score higher, and feel more supported.

The classroom stepping-machine
Look for teachers who wear running shoes (or buy the teacher running shoes). There is an inverse correlation between the number of steps a teacher takes throughout a classroom and the subsequent behavior problems in the class. The more steps, the less behavior problems (and more academic success!). Kids do better when an adult frequently passes by.  

The break that keeps on giving
Okay, we know that kiddos need breaks throughout the day, but these breaks need to involve movement; at least a brisk walk if not vigorous running for at least five minutes; and be offered two or three times per day (sometimes more; e.g. for kids who have ADHD). Thereafter, students are more attentive, cooperative, and interested in learning. Moreover, walking in a green-space area has shown to be far superior than a gray-space for subsequent attention to task and achievement.

Fill-er-up
Kids want attention. Okay, I know, that’s no revelation.  However, what isn’t so well known are these two points, 1.) kids want their ‘attention-tank’ to be full, but they are not particular with what, or how, it gets full. Students will seek attention negatively if teachers don’t give it positively. So, for every negative redirection, there needs to be at least 10 praises (“catch them being good…”). This way, your child can focus on learning, not getting attention, and feel confident in doing so.  2.) Research shows that kids do better if praised about their hard work, rather than their intelligence. The former can be improved, the latter ends-up being an expectation that increases pressure and stress, and has actually been shown to cause grades to drop.

Your child will be happier, more successful, and confident when these strategies are used (maybe they can be used at home too:)    Each needs to be tailored to your child, but you get the idea. You only have so much control over what the teacher will do in the classroom, but now you know what needs to be done. Stay tuned; I’ll provide some more tips in weeks to come. In the meantime, feel free ask questions, comment, and forward this to a friend (or maybe to a certain teacher…). God bless. 

 

 

Children’s Sleep Problems – A Family Nightmare

Friday, March 11th, 2011
Written by Dr. Robert A. Lowenstein MD
Children who have difficulty in going to bed or staying asleep cause major problems for many families. A child’s inability to sleep causes them to suffer with daytime sleepiness, irritability, and poor school performance, and also causes parents to endure days of tiredness, irritability, and lack of concentration.

In most cases, emotional stress connected to issues or changes in a child’s life is the culprit. Learning challenges at school or problems in peer relationships, anxiety, fears, and separation problems at home, as well as too much noise and excitement before bed time needs to be addressed.

We often first advise parents to change their child’s night time routine by turning off the TV or computer in their room, helping the child to maintain a consistent and quiet routine after dinner, with time allowed for them to settle in, and insisting on their sleeping in their own room. Breaking old habits is very difficult for children and requires patience and stick-to-it ness.

If this does not help, over-the counter (OTC) preparations like Valerian root, St. John’s wort, and Humulus lupulus (hops) have been proven to be of some value. Melatonin to correct circadian rhythm (day-night cycle) disturbances is often helpful. While OTC preparations are generally free of side effects, they are not entirely free of safety concerns, and need to be closely monitored by a medical professional. It is very important for parents to tell their child’s psychiatrist or pediatrician of their use as they may interfere with other medical treatments or be in themselves a cause of some harm.

Medications such as Rozerem (or ramelteon, a melatonin enhancer), Catapres (or clonidine used to treat ADHD), various antidepressants, as well as antihistamines, are prescribed because of their sedating properties.

It is very important to know that medications are not meant to be used indefinitely, and drug-free periods are recommended.

Autism: What about that “spectrum” thing?

Tuesday, March 8th, 2011

Written by Dr. Carosso
In the autism community, parents must sift through a host of confusing, murky, and contradictory words, terms,  and concepts. It’s no wonder there is frustration and misunderstanding.  Hopefully this post will help to clear the waters a bit.

In a prior posting (autism: facts and fallacies), I discussed that “autism” is not a diagnosis, but simply a term that represents the ‘autism spectrum’. However, that begs the question; what is the autism spectrum?

Okay, I suppose we’re all aware that the ‘spectrum’ reflects that any child with autism may ‘look’ quite different from another. One child may be nonverbal, while another may be fully conversational but with some social quirks.  However, how does that relate to the actual diagnosis any given child on the “spectrum” might get from a doctor?

Okay, here goes an explanation, for better or worse:)

The three most commonly used diagnoses for a child on the autism spectrum are:

Autistic Disorder………….Pervasive Developmental Disorder NOS………….Asperger’s Disorder
More Severe                                                                                                            Less Severe

I know it’s not perfect, and many of you will see shortcomings (as do I), but I find it helpful to view these three diagnoses as reflective of the “spectrum” we hear so much about.

At the far end of the spectrum is ‘Autistic Disorder’, which is how we tend to perceive classic ‘autism’ such as what was seen in the movie “Rain Man.”  These kids tend to have more significant social and language difficulties.

At the other end of the spectrum is ‘Asperger’s Disorder; kids who are conversational but have social problems and tend to obsess on things.

For those kiddos who do not meet the diagnostic criteria of those two extremes, we have the diagnosis of ‘Pervasive Developmental Disorder Not Otherwise Specified’, or PDDNOS, or simply PDD. These kids show signs of ‘autism’ but have strengths and differences that exclude an ‘Autistic Disorder’ or ‘Aspergers’ diagnosis.  For example, they may be quite social and talkative, but don’t always “know what to do” in social situations. These children may also speak mostly in short phrases, which precludes an Asperger’s diagnosis.

Clearly, PDD is the fastest growing diagnosis on the spectrum, likely for a bunch of reasons including we (professionals) are more aware of the condition than 10 years ago, and that the rates seem to be genuinely increasing for reasons we’re still exploring, e.g. vaccinations, genetics, toxins…

Understanding the ‘spectrum’ helps in many ways including appreciating the extent to which your child will improve and recover. For example, it’s not entirely uncommon for children at the upper PDD range, or upper Asperger’s range, to demonstrate wonderful progress and, down the line, recover and no longer need services.  In fact, I’ve seen two discharges from services in just the past month, which further reminds us of the potential for very positive outcomes:)

However, even kids who are diagnosed with Autistic Disorder can, and do, show lots of progress but it’s more likely they will have some ongoing deficits.

Well, hope that helped in understanding the ’spectrum’.  I know there are still lots of questions, so feel free to comment and I’ll follow-up. If you found this helpful, please forward to a friend. Thanks.

Treating ADHD Without Stimulants

Saturday, March 5th, 2011

Written by Dr. Robert Lowenstein MD

I often get questions by parents who prefer not to have their children prescribed a stimulant medication for ADHD. They ask whether there are alternatives to help reduce their child’s symptoms of inattention, over activity, impulsiveness, lack of focus, and irritability.

The gold standard for the treatment of ADHD symptoms has been a combination of stimulant medication and behavioral treatment, that have been proven to be the most effective by many research studies over the past 70 years. However, the answer is that there are complementary and alternative biomedical (CAM) treatments for ADHD,  which might be helpful. The scientific evidence for their effectiveness varies, and none should be tried without close collaboration with a physician or child psychiatrist to both confirm that a child truly has ADHD and to closely monitor their use for safety.

The alternatives that might be worth a try, despite lack of scientific study, include use of (1) Essential fatty acid supplementation (EPA, DHA, and GLA) or Omega-3 fatty acids, which can have other health benefits for the heart and brain. (2) RDI/RDA multivitamin supplementation could also be useful for children with appetite loss caused by use of a stimulant medication or children who are picky eaters; (3) Mineral supplementation (iron, zinc, magnesium) after their deficiency is proven;  and (4) Food Elimination diets (sugars, and dyes especially) which have had some reported value.  Other alternative treatments which might be of some benefit include (5) DMAE for milder forms of ADHD; (6) Carnitine, for inattention, and (7) Micronutrient supplementation to lower moodiness, and disruptiveness in children with ADHD.

All of these may in themselves have unwanted side effects. So, whatever is tried, close supervision by a child psychiatrist or pediatrician is required.

I welcome your feed back and personal experience with any of these.