Miranda J. Gabriel, Psy.D. Licensed Clinical Psychologist PSY 19388
​510-459-1302
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5 Ideas to Foster A Deep Connection with Your Kids

4/8/2022

 
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There’s only so many hours in the day to juggle work, friendships, fitness, in-laws, self-care and of course, your kids. We know exactly what it’s like to rush home frazzled after a long day. But making quality time for your kids can be the best investment you’ll ever make – in their happiness, and yours.

Being "in the moment" with your kids and creating positive, nurturing spaces for them to express themselves, laugh, grow, learn and explore will not only strengthen your bond, but build their confidence, sense of self, emotional intelligence, and understanding of the world around them.

Here are some meaningful and mindful ways to connect with your little ones this weekend.

1. Create Special Rituals

Family rituals are special things you do regularly with your loved ones. They help kids feel that the world is a safe and predictable place and gives them something to look forward to. It might be something super simple like an ice-cream after school, or "Netflix Friday movie night". The key is making it enjoyable. Make popcorn for your movie night, add snuggly cushions, dim the lights (a la at-home cinema experience) and pick a flick that’s entertaining for you both. Think action, laughter, deeper storylines and inspiring themes that prompt discussion afterwards.

2. Allow them to talk

It's easy to get caught up in the belief that we know better.  But it’s worth remembering that it’s okay not to have all the answers, particularly for some of the tougher questions. Instead, let your kids speak. When they ask if "it’s important to be beautiful", you can turn it back on them: What do they think is beautiful? You’ll encourage your child to think about the deeper issues in life, while side-swerving answering a question that---let’s be real---none of us have the answer for.   
Listen with empathy, your full attention, and while resisting the urge to interrupt.


3. Encourage them to design their day

Give your kids the reins by letting them design a day out with you. What does it look like when they’re in the driver’s seat? They might suggest hitting the zoo to discover deadly native reptiles have a picnic at the park, or go for a bike ride.

This "choose your own adventure" approach will empower your child with the ability to make decisions, think independently and build confidence. It's also a sneak peek into what they deem fun (as opposed to our preconceived ideas), so make sure "go with the flow" and relinquish some control (within reason, of course!).


4. Play with them

We’ve all been there – hit the park and had the phone glued to our ear for the entire time, feigning interest in sandcastles and slides. But playtime is actually a vital part of childhood, and while it might be easier to watch from afar, there are strong benefits to getting involved and playing with your child.

Parent-child play can help the development of skills including creativity, memory, motor skills, cognitive flexibility, regulation of emotions, and leadership skills. It's also a lot of fun, for everyone involved! If playgrounds aren’t your thing, use your imagination (or let your child design the play). How about pillow fights, building a fort, playing hide and seek, painting, cooking, building blocks, performing a show (you know you want to bust out your microphone and sing Adele), or let them design their own game.

5. Show affection

A parent’s love goes a long way. How you interact affectionately with your child can do wonders for their well-being and health both in the moment, and for years to come.

Kids crave daily attention and affection and showing them love with appropriate physical touch and affirmative words will allow them to feel safe, cared for and important. In turn, this goes on to greatly affect their happiness, self-acceptance and social relationships.
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This could be cuddles every day, kisses when dropping them off at school, making rituals such as tickling their back at bedtime, and reminding them that they are loved by you and their entire family.

Autism Blog Roll

8/17/2020

 
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​

Time to Get Some ZZZ's

7/10/2020

 
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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.


How Much Should A Child Sleep?

Sleep needs differ from one child to the next.  Here are some guidelines on the number of hours per day for sleep based on age.


Birth to 1 year:   12-16 hours
Ages 1 to 2:   11-14 hours
Ages 3 to 5:   10-13 hours
Ages 6 to 12:   9-12 hours
Adolescents:   8-10 hours
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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. 

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COVID-19: Encouraging Children During This Pandemic

4/3/2020

 
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​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. 

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Children’s Social and Emotional Development Starts with Co-Regulation

2/10/2020

 
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Dr. Gerard Costa, a DIRFloortime Expert, recently discussed the role of co-regulation in the development of self-regulation.  The article can be found on the National Institute for Children's Health Quality.

At the end of the article, he presents a very simple framework for thinking about how families can help engage in co-regulating experiences with their children.  It is worth a read.  Here is an excerpt:

Costa developed an acronym called A.G.I.L.E. that provides guidance on what constitutes a co-regulating response when the child is distressed. The guidance can help pediatric health professionals advise parents on what to keep in mind as they engage in co-regulating responses.

The AGILE Approach to Co-regulating Responses advises parents to pay close attention to their:
  • A - Affect: how your tone and expressions convey your emotions. In times of stress, is your affect loving, supportive, and soothing?
  • G - Gesture: Facial expressions, hand gestures, body moment, posturing and pacing all reflect your emotions and are felt by a child during your interactions.
  • I - Intonation: Modulating the tone of your voice helps conveys affect and social/emotional meaning. This is “felt” and “understood” long before words. And even after language develops, affect, gestures and intonation convey the genuine meaning of the interpersonal exchange. This communication is stronger than words.
  • L - Latency (Wait): Wait and give the child time to take in your gestures and intonations. Co-regulation requires patience.
  • E - Engagement: Before you continue, be sure you have engaged the child. Your baby’s facial expressions, sounds and body language will tell you if they are engaged.

Talking to Kids About Sex

11/4/2019

 
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First love is an unparalleled phenomenon. Nothing can match it in terms of excitement, energy, and positive feelings. Romantic relationships expand adolescents’ social lives as they now spend more time with their boyfriend’s or girlfriends’s social group as well as their own.  They gain an intimate best friend, which needs their increasing friendship and intimacy demands. Teenagers now have someone they are open with and who is reciprocally open with them. They are deeply concerned with one another‘s well-being, which simultaneously feels good and somewhat cracks through their necessarily egocentric world. Trust and compassion are built up through their relationship.

As a parent, you hope that your child feels cared for, listened to, and respected as they navigate their romantic and sexual experiences.  It can be very difficult for parents to talk with their teenagers about this new uncharted territory.  In an ideal world, the road to sex is paved with lots of information and conversation about its mechanical and emotional aspects. Parents play important roles in many of the conversations. If you are too shy or embarrassed to talk about it yourself, you still need to make sure these conversations are taking place.

With this in mind, here are two podcasts that might help to open up the dialogue and increase your comfort level.

Mindshift: The Puberty Lady

Mindshift: Questions Boys Ask About Puberty

The most important thing is to start having these conversations with your children and to keep the dialogue open.
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How To Raise A Child Who Cares

7/2/2019

 
Ever worry that your kid is a jerk? Or wish they’d send a thank-you note without your forcing them to do it? This article is an easy read and helps parents and educators to think about how to develop and encourage empathy in young children.  

How to Raise A Child Who Cares
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Easing Your Child's Transition to Middle School

4/2/2019

 
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Planning and conversation will ease your tween's anxiety about meeting the new, complex demands of middle school.
Ah, middle school. Though your child may barely be entering puberty and may still be a pre-teen, the transition to middle school is a big step on the road to maturity. A big, scary step. Regardless of what specific grade marks the beginning of junior high or middle school in your community, your child will be both excited and afraid. Researchers have found that students anticipating the move to middle school worry about three aspects of the change: logistical, social, and academic. Your child with learning or attention difficulties shares the same worries as their peers, and may be afraid the change will be even harder for them.

While you won’t be able to calm your child’s fears completely, with some advance planning and open discussions you can substantially ease their mind. The first step is understanding what may worry your child.

Logistical Concerns

When researchers asked kids what aspect of moving to middle school most concerned them, the top answers related to how things at the new school worked (Akos, 2002). How would they find the right classroom? What happened if they were tardy? Where was the cafeteria? What about the bathrooms?

Middle school is a much more complex environment than grade school. The campus is larger, there are more students, and instead of one teacher and one classroom, your child will have a separate instructor and classroom, for each subject or block of subjects (e.g., language arts/social studies or math/science). It’s no wonder kids worry about finding their way in this new world.

For your student with learning or attention problems, understanding the rules and procedures of the new school may be even more important. The challenge of navigating multiple transitions between classes and organizing books and materials for every subject may be all she can handle in the first few weeks.

Here are some strategies for helping your child make a smoother transition to middle school:

  • Explore the school’s website with your child. Search for announcements, schedules, and events.
  • Accompany your child on campus tours and orientations offered to parents and incoming students. The better you understand the school layout and rules, the more you can help your child.
  • Get a map of the campus and take your child to explore. Pick a time after school in the spring or in the days just before school starts in the fall. Be sure to check in with the school office to get an okay for your explorations.
  • Include a couple of your child’s friends on campus treks. They can boost each other’s memory about where things are when school starts.
  • Take advantage of summer programs — academic or recreational — offered at the new school for incoming students. Your child will get the feel for the campus in a much more relaxed atmosphere.
  • If you can, get a copy of your child’s class schedule and mark the location of their locker and each classroom and bathroom on the school map. Tape both of these inside their binder and locker.  If your child has trouble reading maps, walk the route between classes with them — more than once, if necessary — and note landmarks that your child can use to navigate.
  • Find out the length of the passing period between classes. Time it out for your child. Demonstrate how far they can walk in that amount of time.
  • Get a copy of the student handbook. Review rules and requirements — especially the school’s code of conduct, which describes consequences for violations of the most important rules. Ask the school staff questions about anything that is unclear.
  • Buy your child a lock for her locker several weeks before school starts to give them plenty of time to practice opening and closing it. (Note: Consider whether a combination or keyed lock is best for your child.)  In some schools, this will not be feasible as the lockers come with built-in locks.  Your child might feel anxious dealing with a lock, especially a combination lock, for the first time.
  • Make sure your child has an easy-to-read wristwatch so they can quickly see if they need to hurry to be on time to class. 

Social Fears

Another area of worry for students moving to middle school is the social scene. Will I see anyone I know? Will it be hard to make friends? Will I have to eat lunch alone? Are the older kids bullies?
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Your child is moving from the top of the elementary school heap to the bottom rung of the middle school social ladder.  They may have heard that the older students tease or bully the younger ones. They know for sure that they and their best friends are unlikely to be in every single class together, and, even worse, there may be classes where they don’t know anyone at all on the first day. And if your child with learning or attention problems struggles to make friends anyway, then this all adds up to a potential social nightmare.

Remember that, in addition to changing schools, your child is entering adolescence, a stage when kids start to rely much more on peers and pull away from parents. This is a time when being part of a group is very important and being perceived as different can be devastating. It’s not surprising that finding friends in the new school is a top priority.

The good news is that the more varied social environment also offers many opportunities to meet people. Being in multiple classes each day means your student is surrounded by more potential friends. The better news is that, once students are settled into middle school, they report that friendships and the social scene are among the best things about school (Akos, 2002: Forgan, 2000).

Some things that you can do to ease the social transition:
  • Encourage your child to join sports teams, clubs, or other extracurricular activities.
  • Ease any loneliness in the early weeks of school by helping your child arrange weekend social activities with neighborhood, church, or grade school friends.
  • Encourage your child to join group conversations. Discuss how to join in without interrupting, to add something relevant to conversation in progress, etc.
  • Talk about traits that make a good friend (such as being a good listener).
  • Talk about social skills. Discuss how words and actions can affect other people.
  • Practice skills needed for difficult social situations.
  • Remind your child to make eye contact when speaking or listening.

Academic Concerns

Though most students worry more about the logistical and social aspects of middle school before they get there, once settled in, academic concerns rise to the surface. Will the classes be too difficult? Will there be too much homework? Are the teachers hard graders?

It’s quite typical for students’ academic performance to drop upon entering middle school. Along with everything else that’s going on – roller coaster emotions, physical changes, and social upheaval – your child is also coping with harder classes, more homework, and a whole new set of academic expectations. Middle school teachers don’t form the close bonds with students that your child enjoyed in grade school. There is less small group and personalized instruction. Teachers expect students to take charge of assignments and projects with less day-to-day guidance.

For a student with learning or attention difficulties, these changes can come as quite a shock. Teachers may vary in their willingness to understand and accommodate your child’s learning needs. Organization and time management demands rise to a new level. Though it can seem overwhelming, keep reminding your child that they can manage these changes successfully, though it will take time and practice.

Some tips to help ease their academic concerns:
  • If your child has an Individualized Education Program (IEP), meet with the middle school IEP team no later than the spring before your child enters the new school. Discuss the qualities of the “ideal” teacher for your child to help ensure the best placements.
  • Meet with teachers early in the school year. Give them a profile of your child’s strengths and weaknesses.
  • Encourage teachers to continue using strategies that have worked for your child in the past, such as writing homework assignments on the board, or assigning your child a “homework buddy” they can contact if they forget what assignments they have. If the school has a homework hotline, make sure your child knows how to use it.
  • Help your child with time management skills. Work together on a schedule for study time, break time, chores, etc.
  • Work out an organizational system with your child. Acknowledge and make allowances for their worry and anxiety; at first, they may need to carry everything for all classes all the time in order to feel prepared.
  • Avoid overreacting to grades. Making sure your child gets a handle on how to meet the demands of the new school is the critical factor in the early weeks.
  • Stay connected to your child’s school work. Try to teach your student to work more independently while supporting them enough to give and boost their confidence.
  • Go to back-to-school night, open houses, parent-teacher conferences and other events where you can connect with your child’s teachers.
  • Help your child be their own advocate. Encourage them to discuss problems and solutions with teachers on their own, but be ready to step in and help as needed.

The best way to help your child through this transition is to keep a positive attitude about middle school. You may remember how clueless, awkward, and self-conscious you felt at that age. Empathize with your child and normalize their experience. Reassure them that they will become more comfortable and confident with time. Remind your child that the school and the teachers want them to be successful and that they have what it takes to make it all work.

Most students make the adjustment to the routines and demands of middle school within a couple months. If your child is still struggling as fall gives way to winter, then a meeting with their counselor may be in order. Together, you, your student and the counselor can pinpoint specific trouble spots and brainstorm ways to get things on track.

Try to give your tween plenty of information about how things will work in middle school, but be careful not to overload them. Be proactive in sharing information with them while also encouraging them to ask questions.  The more they know up front, the more comfortable they will be on the first day, and beyond.

References
  • Akos, Patrick. “Student perceptions of the transition from elementary to middle school.” Professional School Counseling, June 2002; 5(5):339-45
  • Forgan, James W. “Adolescents with and without LD make the transition to middle school.” Journal of Learning Disabilities 2000; 33(1):33-43

Supporting Siblings in Special Needs Families: Blog Roll

3/4/2019

 
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When one child in a family has difficulties that consume a lot of the family's attention, restrict family activities, or generate great concern, other children in the family may not get the attention that they deserve.  Siblings in families with special needs may feel a myriad of emotions such as sadness, disappointment, anger, or stress. Some siblings take care of themselves so that they are less of a burden to their family.

Here are some articles on ways to help support a sibling in a special needs family.  

1.  5 Ways to Support Siblings in Special Needs Families

2.  12 Ways to Support Siblings of Children with Disabilities

3.  10 Great Books if You Have Sibling with Special Needs

4. Supporting the Siblings of Special Needs Kids


Tips to Avoid Helicopter Parenting

1/8/2019

 
We have all see and heard of the helicopter parent.  The parent who hovers and makes most all decisions for their child.  This article sheds light on why helicopter parenting is detrimental to your child and what you can actually do to foster independence and responsibility.
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    Miranda J. Gabriel, Psy.D.

    A licensed clinical psychologist providing psychotherapy to children, teens, and adults in the San Francisco Bay Area.


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