Here we are six months into the shelter-in-place due to the COVID-19 pandemic.  Here are some fun and stimulating ways to get those mental gears moving during the Fall of 2020.
















​1.  Study a new language
Now is an excellent time to focus your attention on learning a new language.  With today's technology, learning a new language is easier than ever!  There are several free apps, like Duolingo and Babbel,  that help you to learn a new language.  All you need to do is select the app, download it, select the language you are most interested in learning, and dedicate some time each day to learning it. 

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2.  Start a new workout routine
Believe it or not, a great daily workout can help stimulate the mind.  Not only will you keep your brain active, but you will keep your body healthy and moving while sheltering at home.  Yoga, sprints, learning new dance moves, walking, biking, kayaking, tennis are all great options.  Make it fun!  
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3.  Make some tea or hot chocolate
and work on a puzzle
Whether you prefer a rousing game of Sudoku or you are a master chess player, playing games helps to keep your mind stimulated and active.  Doing different puzzles will encourage you to use your brain in new ways.  

4.  Get outside
As we all know, fresh air and communing in nature is healthy for our minds, bodies, and souls.  Go for a nature walk and photograph interesting plants, explore a new nearby trail, do some gardening, or plant some new flowers or vegetables.

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5.  Give yourself permission to relax
While this may not seem like a way to stimulate your mind, rest is essential to mental stimulation and creativity.  Take a soothing bath, an afternoon nap, meditate for 10-15 minutes, or listen to relaxing acoustic music and find your mind and body rejuvenated.

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Here are some articles to empower parents who are raising children with autism.

1. Expert Ways to Help Tame Tantrums and Manage Meltdowns
2. How Nutrition Impacts Children With Autism
3. 8 solutions for a picky eater with autism and sensory food aversions
4. 15 Activities, Teaching Strategies, and Resources for Teaching Children with Autism
5. 13 Tips On How To Bathe A Child With Autism Easily
6. How to Help Your Child with Autism Cope During and After a Move
7. Sensory-Friendly Home Modifications for Autism and Sensory Processing Disorder
8. How to Make Exercise More Fun for Children with Autism​

Sleep is crucial for memory consolidation, mood regulation, and general well-being.  In children, sleep is key for developing healthy cognitive, behavioral  and physical functioning.

But up to 30% of children ages two to five and 15% of school-aged children have trouble falling asleep or sleeping through the night (National Sleep Foundation, 2004). And fewer than 33% of teenagers are getting enough sleep (CDC, 2018).  

The ideal amount of sleep for healthy functioning differs from one person to the next.  But research shows that maintaining a regular sleep-wake schedule is a part of good sleep hygiene, regardless of age.  Everything from light exposure to mealtimes can influence circadian rhythms and the release of hormones such as melatonin, and ultimately affect sleep.

Insufficient sleep can severely impair a child's functioning causing daytime fatigue, poor health and weaker immune function.  Sleep-deprived children can suffer from emotional disturbances and emotional regulation problems.  When kids are tired, you tend to see more irritability, grouchiness, and emotional highs and lows.  When teenagers get insufficient sleep, it can be tied to depressive symptoms, irritability, and even suicidal thoughts and actions.

Sleep Interventions
Insomnia is the most common problem pediatric sleep psychologists treat, but its presentation differs dramatically across age groups.  

Infants and Toddlers
For infants and toddlers up to age 3, insomnia usually occurs because children learn to rely on a particular stimuli (such as a parent rocking them to sleep) to fall asleep and then cannot sleep on their own, a problem known as "sleep-onset association."

Psychologists consider a sleep-onset association "positive" if it does not require a parent to be present, such as a pacifier or white noise machine.  On the other hand, a "negative" sleep-onset association, while not necessarily harmful, involves parent-child interaction, including feeding, rocking, or pushing the child in a stroller.  

The first line of defense for insomnia is to establish consistent schedules and routines.  Children should have consistent and appropriate bedtimes and wake times, a regular bedtime routine, and a comfortable sleep environment.  

Bedtime Resistance 

When children transition from a crib to a bed, behavioral insomnia can start to manifest as bedtime resistance.  The child may refuse to get into bed, leave the bed frequently, or throw tantrums.  Alternatively, the child may want to sleep and try to do so but cannot easily settle his or her mind and body.

A simple and effective intervention is for families to create a healthy bedtime routine of 3 to 5 quiet activities that take a total of 20 to 45 minutes.  The routine should start at the same time each night and should flow in one direction.  For example, from the kitchen to the bathroom to the bedroom and the activities should occur in the same order each night.  

Another approach is to use the "bedtime pass program," which reduces curtain calls.  A child receives 1 to 3 laminated passes permitting them to get out of bed for pre-approved activities such as a hug from a parent or a drink of water.  When the passes are gone, the child is no longer permitted to leave the bedroom.  The child is rewarded in the morning for any unused passes.  

Children respond very well to concrete limits  and the passes can help reduce anxiety at bedtime if they know they won't get in trouble for getting up. It is also helpful for parents to know when to put their foot down.

Teens and Sleep

The most common sleep problems for teenagers are delayed sleep-wake phase disorders and insomnia.  Adolescents with a delayed circadian rhythm can sleep well on a delayed schedule, from 2 a.m. to 11 a.m., but they struggle to sleep on a more traditional schedule that allows them to wake up early enough to attend school.  

Sleep psychologists typically use an approach called phase advance therapy to treat delayed sleep-wake phase disorder.  Cognitive-behavioral therapies for insomina (CBTI) can also help teens and older children who have trouble settling their minds and bodies to fall asleep. 

Being stuck inside can make you feel bored, frustrated, and completely exhausted, which might seem contradictory if you feel you haven't done anything aside from watching Netflix and make sourdough bread.  The constraints of the pandemic can make us feel sapped and drained.  Many people are wondering what they can do to maintain or increase their energy levels, while protecting themselves and their families from contracting the virus.

The changes in our routines, our mood, multiple Zoom meetings, and being bombarded with as much news as we allow ourselves to read or listen to are all adversely affecting everyone's sleep and energy.

When you feel more stressed as most of us feel during the pandemic, you are prone to also feel more exhausted.  The body responds to stress by staying in the fight-or-flight mode, which produces more cortisol and makes you sleep more lightly.  Additionally, when under stress, we often crave denser food such as mashed potatoes or juicy hamburgers.  But all of that comfort food, also interferes with your ability to get quality sleep and therefore makes you more tired.

And when you do manage to get some quality sleep, it might be laden with nightmares during the pandemic.  The Lyon Neuroscience Research Center found a 15% increase in negative dreams like nightmares.  For people not on the front lines of healthcare and emergency response, fears of the novel coronavirus are projected into fears and threats of spiders, zombies, bugs, and shadowy figures.

The best way to increase your energy is to exercise.  Regular exercise boots your energy and improves your immune system.  There are a wide number of fitness workouts that are available online during the shelter-in-place.  In the Bay Area, we are allowed to go for a socially distant walk or run as long as you maintain at least 6-feet of social distance.  So, lace up your sneakers and go for a brisk walk for 30 minutes to get your blood flowing, reduce your stress, clear your mind, and increase your energy.  Other ideas to get your heart pumping while indoors include jumping rope, your favorite warrior yoga pose, a dance party with your children, or master the latest TikTok dances to your favorite music.  Don't forget to strength train indoors as well.  Try using household objects as weights such as the detergent bottle, milk jugs, packages of sugar or rice.  Keep the weight balanced on both sides of the body.  

Regular exercise can tire you out and make your sleep deeper and more restful, which will improve your energy over time.

During the COVID-19 pandemic, here are 55 fun and useful skills to teach your children and teenagers while we continue to shelter in place.  

Stay safe and healthy!

1. Write a letter
2.  Care for a pet
3.  Make a phone call
4.  Leave a voicemail
5.  Take a phone message
6.  Sew a button
7.  Select a thoughtful gift
8.  Admit a mistake with grace
9.  Converse with an elder
10.  Set the table
11.  Clear the table
12.  Load and unload the dishwasher
13.  Give someone the benefit of the doubt
14.  Iron a shirt
15.  Introduce themselves
16.  Hammer a nail
17.  Have good table manners
18.  Change a light bulb
19.  Make scrambled eggs
20.  Balance a checkbook
21.  Do the laundry
22.  Fix something
23.  Garden
24.  Open, close and lock windows and doors 
25.  Weigh the pros and cons
26.  Dust
27.  Use a fire extinguisher
28.  Make a healthy salad
29.  Write a thank you note
30.  Make a smoothie
31.  Clean the refrigerator
32.  Vacuum
33.  Hang a picture
34. Clean the bathroom, including the toilet and tub.
35.  Budget their money
36.  Save money
37.  Notice the needs of others
38.  Read a recipe
39.  Play with a baby
40.  Genuinely apologize
41.  Plan a healthy meal
42.  Wash dishes
43.  Clean the kitchen
44.  Refill a stapler
45.  Write a check
46.  Put air in a flat bike or car tire
47.  Change a flat tire
48.  Pump gas
49.  Read a map
50.  Find a book at the library
51.  Check tire pressure
52.  Seek help from an experienced person
53.  Ask questions to get to know someone better
54.  Wait and save for something
55.  Fold the laundry

​As more testing is finally being done and we learn more and more about the spread of the coronavirus (COVID-19), it's becoming clearer that the situation we are all in will last for, at least, the next few months.  
 
​To help your child through the next few months, here are some tips:

First, spend time together as a family.  Bake a cake, have a dance party, do a puzzle together, go for a walk in your neighborhood while maintaining social distance of 6 feet, read a book together, watch a movie as a family, wash the car together, make up stories, laugh, play, and enjoy each other's company.

Second, allow and encourage feelings to be expressed.  It's important to help children express their feelings and make sure you listen and help them expand on what they are sharing. It's also important for children to hear parents express their feelings in a manner that they can process.

Third, reassurance is key. Once we've listened to a child, and tried to fully hear them out, then we should reassure them.  Reassuring someone without listening to them first is not as effective.

Fourth, encourage your child to help others. When children are able to help others, it makes them feel more in control of the world around them. They are no longer helpless, but instead, they're giving help to others. This helps children develop confidence, and it makes them feel proactive in the best of times and in the most difficult situations. 

Happy 2020!  It's a brand new year.  And like most people, you might have made or are going to make some new year's resolutions for 2020.  Perhaps you want to learn how to meditate, erase your debt, eat more fruits and vegetables, go on long hikes, or be mindful when talking to your spouse and children.  

We start the new year and each day with the hope of attaining these goals.  But we are often really afraid to try because we have tried so many times before and don't want to be disappointed.  Recent research suggests that 88% of people fail to stick to their resolutions to change and improve their lives.

We often fail to change our habits because our brain craves consistency and routine and tries so hard to resist change.  It can be very discouraging to try to do things differently, only to find ourselves falling back into old maladaptive patterns.

Most people believe that if we are hard on ourselves, we will be motivated to change.  But the contrary is actually true.  Showing self-compassion, being warm and supportive towards ourselves and actively soothing ourselves, helps more when we fall short of our intentions and goals.  Self-compassion leads to less anxiety, less depression, and greater peace of mind.  Most importantly, it makes us feel more motivated to make the improvements we want to make.

Here are three steps to achieve your resolutions.

1. Forgive yourself

The first step to making lasting change is to forgive yourself for having failed in the past. It’s okay; it’s normal, even. You did the best you could with the skills you had. Take a deep breath and soothe yourself like you might soothe or talk to a good friend.   Use kind, reassuring words to ease yourself out of a stress response. Remind yourself that few people are successful the first time they try to change their routines. Explain to yourself that feeling bad about your behavior will not increase your future success.

2. Aim for an inherently rewarding target

The second step is to set the right resolution, whether that’s a big audacious goal, a new habit you’d like to get into, or a bad habit you’d like to break.

To begin, you might want to:

• Lose weight
• Get in shape or establish an exercise habit
• Spend more time with your friends

It’s important to figure out WHY you want to do this thing that you haven’t been doing so far. You might have a whole laundry list of reasons for wanting to do what you want to do, and that’s great. But right now, I want you to think of the single most compelling way that you’ll benefit from achieving your goal.

Chances are, you’ve come up with a super logical reason for, say, losing weight or exercising, like that it will lower your blood pressure.

Here’s the thing: Even though we all like to think of ourselves as rational people, logic doesn’t motivate us nearly as much as our emotions do. Why? Because we approach what feels good and avoid what feels bad.

This means that we tend to stick with behavior changes for longer when we aim for something that feels good. Doing something because we feel like we should do it doesn’t feel good. It feels like we’re being forced. It’s stressful, and stress makes us seek comfort, often in the very form of behavior that we are trying to avoid.

So, ask yourself in your heart of hearts, how do you really want to feel? Identify a WHY for your resolution that will motivate you over the long haul.

Maybe you want to lose weight, for example, and so you plan to cut baked goods out of your diet, which happen to be your favorite foods. How will that make you feel?

At first, you might feel great, because you’ve just made a healthy decision for yourself. But if you don’t cheat on your diet, you’ll likely soon feel deprived. And if you do begin to cheat on your diet, you’ll probably feel anxious and guilty. Both of these feeling states are not motivating and uncomfortable, which will make it easy for you to give up on your diet.

But maybe the reason that you want to lose weight is so that you feel healthy and strong. Feeling stronger and healthier are very motivating feeling states, which will make it much easier for you to keep your new habit.

With this in mind, rethink your goal or resolution: Restate it for yourself in terms of how you want to feel.  For example:

• “I forbid myself to eat baked goods” could become → “I want to feel healthy and strong.”
• “I have to get more sleep” could become → “I want to feel well-rested and energetic.”
• “I should spend more time with friends” could become → “I want to feel loving and connected.”

3. Refine your resolution

​What actions and behaviors have led you to feel what you want to feel in the past?

Maybe you tend to feel well-rested and energetic when you go to bed before 10 p.m. Perhaps you tend to feel healthy and strong when you go for a hike. Maybe you feel loving and connected when you spend one-on-one time with your sister.

The important thing here is that it is something that you already have experience with; we human beings tend to be truly terrible at predicting how something will make us feel. But we do well to use our own experience to predict how we’ll feel in the future.

Here’s an example of how we frequently go wrong: Say we'd like to feel stronger this upcoming year. This calls for a get-in-shape habit. So, what would be a good way to get in shape? We could train for a marathon! Fun! Ambitious! But before we start researching destination marathons (because why not make it a vacation, too?), we'd do well to stop and ask: How do we feel when we are training for a long run? 

On the other hand, I can think of two activities that DO make me feel stronger:

• Taking long hikes
• High-intensity exercise classes where I sweat a lot

Your “why” for your goal needs to be a rewarding feeling that you experience when you are doing your resolution or, at the very least, immediately after you do it. A daily hike must genuinely make you feel energized, for example, if that is the feeling you are after. 

From here, refine your resolution one more time. Make sure that your resolution reflects a really specific behavior, so that you know if you are succeeding or not. For example, resolve to take three hikes per week after work on Tuesdays, Thursdays, and Saturdays instead of resolving to “go for more hikes.”

Finally, do a little reality check. Setting unrealistic resolutions is a sure path to failure. If it’s just not realistic for you to, say, leave work an hour early on Tuesdays and Thursdays so that you can do your hike, please don’t make that your resolution.

If you are now aiming for a target that is specific, realistic, and inherently rewarding (because you know it is going to make you feel good), you are all set to accomplish those 2020 resolutions!