Wednesday, July 16, 2014

Anxious Parents Can Learn How To Reduce Anxiety In Their Kids

Noah Cummings, 13, starts the morning with his mom, Heather Cummings, at home in Epsom, N.H. Ellen Webber for NPR
Children are increasingly anxious, stressed out and overly worried. Part of that has to do with increased pressures to excel in school, sports and extracurricular activities. But part of it has a lot to do with parents.

Like other mental and physical health problems, anxiety can be inherited. And some children are more vulnerable because of the way their anxious parents "parent."

Children whose parents struggle with anxiety are 2- to 7-times more likely to develop an anxiety disorder themselves, according to Golda Ginsburg, a psychologist at the Johns Hopkins University School of Medicine who studies childhood anxiety.


That's partly a result of how parents view the world. If they see it as a scary place, their children often do as well. Parents are a child's role model for many behaviors, including anxiety, says Ginsburg. "So if a parent is showing anxiety, jumping up on a table when they see a mouse versus reacting calmly, we know children are more likely to develop fears similar to what their parents are showing."

Take the example of Heather Cummings and her son Noah. It was difficult for Noah to go to elementary school. He was constantly worried that he would get sick and throw up, particularly at school.

Noah and friend Chandler Bean, 14, left, gear up for school.
Noah and friend Chandler Bean, 14, left, gear up for school.
It turns out that Heather suffered similar worries when she was a child. "In science I'd read about a condition and think I had it, cancer or diabetes, for example," she says. "If I bumped my head I'd think I'd get a concussion. If I got hit in the temple I'd watch the clock because I thought I was going to die."

Anxiety is a normal human emotion in the face of challenges, such as taking a test or performing in public. But in more severe forms it can be debilitating. Anxiety that interferes with normal life activities like school, work or social relationships can be an indication of a severe anxiety disorder.

Noah's parents had to learn to let him deal with his worries on his own.
Noah's parents had to learn to let him deal with his worries on his own.
When Noah was a toddler, if he disappeared behind a tree Heather worried that he had been kidnapped. "I was panic-stricken." As Noah got older Heather's anxiety shifted, and she worried more about his anxiety. Both Heather and her husband, Dave, who live in Epsom, N.H., found themselves constantly reassuring Noah that he was fine, that he wouldn't throw up and that everything would be OK.

They got the school to agree to allow Noah to call home when he got worried. He did, five or six times a day. Dave even once spent an entire day in the classroom. He says, "I just went there to be sitting in the classroom with him; my entire focus was on Noah, on how he was doing. I'd give him a reassuring smile, rub his back, anything in my power to reassure him that things are going to be OK."

But all this reassurance and effort turned out to be exhausting for everyone.
By the time Noah was 11, the family was so overwhelmed that they knew they had to do something. They had heard an expert in anxiety speak at a parent meeting and they decided to go see her. By the time they arrived at the office of psychotherapist Lynn Lyons in nearby Concord, Noah's anxiety was severe, Lyons says.

Chandler and Noah shoot hoops. Noah recently went on a school trip to Washington, D.C., without worrying or needing to call back home.
Chandler and Noah shoot hoops. Noah recently went on a school trip to Washington, D.C., without worrying or needing to call back home.
The first step for Noah was to help him understand how anxiety made his stomach ache. Lyons often draws cartoons to show children how their bodies react to anxiety, with an increase in stress hormones accompanied by a racing heart, faster breathing, tense muscles and a churning stomach. Noah got the message.

The biggest surprise, though, was for Heather and Dave. Lyons told them that all their efforts to help Noah avoid his anxiety were actually fueling it.

"The way you learn how to manage life is by making mistakes or by stepping into things that feel uncertain, uncomfortable, or overwhelming and then proving to yourself through experience that you can manage it," Lyons says. The Cummingses were inadvertently suggesting to Noah that he couldn't handle it.

Noah had to learn how to face his fears, and his parents had to help him. This meant no more reassurance. It wasn't easy, but both Heather and Dave were committed to change. So was Noah.

Lyons used a technique called cognitive behavioral therapy that helps people learn how to change negative thoughts about specific experiences. This therapy has been shown effective in treating anxiety disorders, but can be useful as well for anyone dealing with stressful life situations.

Noah had to limit phoning or texting home from school to twice a week, then once a week, then every other week and so on, until he stopped altogether.

As for throwing up in school, Noah had to accept that he might. "So rather than avoiding it, he had to start saying, 'Hey, if I get sick, I get sick. I won't like it, but I'll survive,' " Lyons says.

When Lyons told Noah to think about the worst that could happen, he realized that going to the nurse's office and being sent home just wasn't all that bad. He never did throw up in school. And today, two years after therapy started, he no longer worries about it.

His parents now know what to say when he does get worried. That includes labeling the worry as worry, and asking, "What's the worst that could happen?"
In short, the therapy worked, for parents and child.

About a month ago Noah, now 13, went on a five-day school trip to Washington, D.C.

"As it got closer and closer, I got more and more excited rather than worried," Noah says. "When I got onto the bus to go I was not worried at all! I didn't have one worry about going on the trip."


And rather than being inundated with calls or texts, Noah's parents didn't hear a thing. "On this trip we would have liked a couple more calls," Dave Cummings says. "It's ironic that he didn't call at all; it's the greatest victory possible."

Lyons says it really doesn't matter what's provoking a child's anxiety — it could be school, or getting up at bat, performing in a play or singing a song in public. The key, she says, is helping children expect it and have a plan on how to deal with it. Then they can move on, stronger and more capable of coping with life's uncertainties. (Lyons recently co-authored a book entitled Anxious Kids Anxious Parents: 7 Ways to Stop the Worry Cycle and Raise Courageous & Independent Children.)


Cognitive behavioral therapy may also help prevent anxiety from developing in the first place, Ginsburg says. She has studied vulnerable children who had at least one anxious parent. In her study, half of the children ages 7 to 12 and their parents received cognitive behavioral therapy. Half did not.

It turned out that one-third of those who did not receive therapy developed an anxiety disorder within a year. None of those who received therapy developed anxiety.
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Autism and Bullying in the United States

Autism and Bullying in the United States

130-1113tm-vector2-1017Editor’s Note: One of the mini themes in this month’s ASDigest is the subject of bullying. Here is an article from that edition.

Bullying has always been an issue in American schools, but for students on the autism spectrum, it is especially problematic. Multiple studies consistently show that students with autism are more likely to be victims of bullying than their neurotypical peers. A 2012 study published in Archives of Pediatrics and Adolescent Medicine reported that 46.3% of young people with autism were victims of bullying. These findings were based on interviews with over 900 parents of children with ASDs, along with feedback from students’ teachers and principals.

Another study done by the Interactive Autism Network (IAN) at the Kennedy Kreiger Institute raised that number to 63%. The 2012 study surveyed 1, 167 families of children with autism. This survey also found that 12% of the 695 unaffected siblings of children with autism were also victims of bullying, showing that the students with autism were more than three times as likely to be victims of bullying than their typically-developing peers.

Anyone who is familiar with autism is certainly aware of the unique characteristics of the condition, which can leave individuals vulnerable to bullies and manipulators. Difficulties with communication and understanding social nuances contribute to the problem, especially during the middle school years, when the social rules become less clear-cut. The unspoken guidelines that define the social pecking-order can be difficult for neurotypical children to navigate, and for those on the autism spectrum, it can seem impossible.

The IAN report found that bullying behaviors peaked between fifth and eighth grade, and were most intense during fifth and eighth grade, which tend to be the years prior to a transition to middle or high school. The survey also showed that student attending regular public schools were more likely to be bullied(43%) than those attending private (28%) or special-education (30%) schools.

Both studies also found that students with autism were also at risk for turning into bullies themselves. According to the Archives of Pediatrics and Adolescent Medicine report, 14.8% of students with ASDs engaged in bullying behaviors towards others, while 8.9% reported being both victims and perpetrators simultaneously. The IAN report found that 20% of respondents had children who had engaged in bullying behaviors towards other students.

The IAN report found that bullying perpetrated by students on the spectrum was not motivated by the same factors that fueled typical bullying behaviors, which are generally intended to maintain or increase social status within the peer group. Bullying behaviors from students with autism were more often attributed to a lack of social understanding, or a misperception of another’s intentions or motives.

These statistics are surely upsetting, and for parents struggling to help their children with autism, they can seem insurmountable. The good news is that schools are more aware of the problem, and are making efforts to curb bullying all-around. There are also resources available to parents to help their children navigate the social world of school, and to deal with bullying when it becomes an issue.

Autism Speaks has partnered with the National Center for Learning Disabilities, the PACER Center, and Ability Path to create and anti-bullying kit to help parents help their children. For more information, visit their website at http://specialneeds.thebullyproject.com/splash?splash=1.
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Wednesday, June 25, 2014

Bullying: What are the Differences between Boys and Girls?

For over 50 years, researchers have been studying how boys and girls interact. Not surprisingly, they have found some differences. For the most part, boys and girls are more similar than they are different. A lot of girls enjoy playing computer games, and a lot of boys enjoy more friendship-centered activities. Researchers have found, however, that as a general group, boys spend more time with boys in physical activities such as sports and games; whereas girls tend to spend more of their time socializing with other girls in more friendship-based activities (for example, talking with other girls) (1, 2, 3). So it is not surprising that boys and girls tend to bully and be bullied differently. One of the most consistent research findings is that boys are more likely to both bully and be bullied than are girls (3, 4, 5, 6, 7, 8, 9). Also, boys and girls experience different types of bullying behaviors.

Bullying is defined as a form of aggression that is repetitively exerted against an individual who feels unable to defend him/herself (10). This aggression may occur directly against someone in a physical (for example, slapping, pushing) or verbal (for example, swearing, name calling) manner. Bullying can also be indirect whereby the targeted person experiences the aggression through others (for example, gossiped about, excluded from a social activity).

How are Girls Involved in Bullying?

Through Peer Group

Girls tend to bully other girls indirectly through the peer group. Rather than bully a targeted child directly, girls more often share with other girls (and boys) hurtful information about the targeted child (4). For example, a girl may tell a group of girls an embarrassing story about another girl. They may create mean names, gossip, and come up with ways of letting the girl know that she is rejected from the peer group (for example, saying mean things about her on social networking sites such as Facebook or MySpace, using her email address to send harassing messages to everyone on her email list, texting her a death threat). These are called “relational” bullying because they attack relationships and friendships.

Sexual

Another example of bullying experienced more often by girls than boys is sexual (for example, touched in private body parts or received sexual messages) (4, 11). Sexual types of bullying may occur at school, in the general community, and on-line. In recent Canadian and U.S. surveys, a significant number of girls report receiving unwanted sexual messages. Fewer boys reported being targeted in this way. This form of bullying combined with messages about rejection from friendships can be devastating to a girl’s sense of enthusiasm for school and learning, self-esteem, and hopes for the future. These forms of bullying can be particularly time-consuming and difficult to resolve given that they involve many people over a period of time and are most often done covertly. It may even involve adults who react aggressively in defence of their children. In addition, parents and school authorities do not always detect gossiping or other covert bullying behaviors because they are generally hidden from adults (12, 13). Thus, they may not be disciplined and “caught”, which may increase the severity and duration of these behaviours. It may even occur among “friends”, making it seem that it’s just typical peer conflict. However, when one girl feels powerless in how she is being treated, then bullying is occurring, and adults need to intervene.
Our evidence-based programs dramatically improve the culture of your school.802-362-5448 -- Info@StandUpToBullying.net
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802-362-5448

 
Shipping and handling is included on all orders.
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Providing dynamic and practical anti-bullying workshops to students, staff and parents, Mike Dreiblatt teaches realistic bullying prevention strategies and best practices that can be used immediately to STOP bullying.
Bullying Prevention PSAs!!!
802-362-5448 -- 136 Clover Lane Manchester Center Vermont 05255