Here's a blog special for Father's Day in the Ames Patch:-) http://bit.ly/LpMqkP
Tips From CIPS aims to share information about numerous mental health topics to the general public. CIPS is a group mental health practice located in Ames and West Des Moines, Iowa serving children, teens, adults, older adults, couples and families across Central Iowa.
Sunday, June 17, 2012
Wednesday, June 13, 2012
Friday, March 2, 2012
Ideas to help our Children Identify their Feelings
Learning How to Identify and Communicate Feelings
1. Help your child learn how to put feelings into words. There are many “feelings posters” on the market that put feeling words to various faces. However, often children benefit from practicing feelings faces and the words that go with them with their parents through games and activities or through picking out feelings from magazine pictures and making their own “feelings poster”.
2. Model appropriate expression of feelings for your child. Pay special attention to times when you are experiencing a feeling of some kind (i.e., happy, joyous, sad, depressed, anxious, scared, angry, frustrated, irritated, embarrassed, etc.) and then use that experience as a “teaching moment” for your child. Express your feeling out loud so that your child can see how you look and hear the name for the feeling. Try using “I-feel” statements for your child at these times. For example, if you are happy about something then you might point this out to your child by saying, “I feel happy because you followed my direction so quickly”. Another example might be saying, “I feel frustrated because dinner is taking longer to fix than I thought it would”.
3. Coach your child in identifying and expressing their feelings. When you see your child experiencing a positive or negative emotion you might ask them, “What are you feeling right now?” or “How are you feeling about that?” or you might be more directive if needed and help them to label their feelings by saying something like, “You look frustrated right now. Is that what you are feeling?”.
4. Encourage your child to keep a feelings journal/record each day. Your child might write out the top 3 positive and negative things that happened that day and the feelings they had about them or they might draw pictures of something they felt happy, sad, or angry about that day.
5. Discuss feelings and their events as a family each day. Find a time of the day when family members are together and have each family member talk about the high point of their day and the low point of their day along with the feelings that they experienced during the event. Times that might work well for this are dinnertime, bedtime, or driving in the car from school.
Some Games & Activities to Teach and Learn about Feelings
Try to behave as though you and your child are “happy” or “sad” or “angry” or “scared” or “ashamed”, etc. while you and your child play a game, make dinner, do the laundry. It allows modeling of feelings and practicing feelings in a fun way, makes it clear that feelings are a normal part of life, and teaches that we can control our feelings. For example, have the child stomp around the room as if they were mad. Then have them act out other feelings.
Feelings Charades
Using only facial expressions and body language, take turns showing and then guessing what feelings you and your child are expressing.
Feelings CollageProvide the child with magazines with people and children in them. Have the child cut out the pictures and glue them to a piece of paper. Have the child tell you how each person feels. You and your child can then also label each picture with a variety of feelings words and make their own feelings poster.
Feelings Art
Ask the child to create a sculpture with clay, paper, cups, cardboard, paint, etc. that shows "angry" "happy", “scared”, "sad" or some other emotion.
Feelings Faces
Provide the child with a variety of precut facial features from magazines. Have the child glue the features on paper plates to create a face.
Feelings Match
Create a feelings memory game with index cards and stickers.
Feelings Song: If You're Happy and You Know it
If You're Happy and You Know it, Clap your Hands
If You're Happy and You Know it, Clap your Hands
If You're Happy and You Know it, then your face will surely show it
If You're Happy and You Know it, Clap your Hands
If You're Happy and You Know it, Clap your Hands
If You're Happy and You Know it, Clap your Hands
If You're Happy and You Know it, then your face will surely show it
If You're Happy and You Know it, Clap your Hands
Variations:
Angry: Stomp your Feet
Sad: say boo hoo
Tired: go to sleep
Angry: Stomp your Feet
Sad: say boo hoo
Tired: go to sleep
Drawing Feelings Faces
Have the child draw happy, sad, angry, scared faces or any other feeling face.
Have the child draw happy, sad, angry, scared faces or any other feeling face.
Feelings Vocabulary List:
Aggressive
Angry
Anxious
Arrogant
Ashamed
Bored
Cautious
Confident
Confused
Curious
Disappointed
Disgusted
Elated
Embarrassed
Enraged
Envious
Frustrated
Guilty
Happy
Hurt
Jealous
Joyful
Lonely
Miserable
Nervous
Optimistic
Sad
Satisfied
Scared
Shocked
Stubborn
Surprised
Suspicious
Terrified
Worried
Family Communication
Communication between parents and their children is often one of the most difficult, yet necessary skills for families to master. So many times we each have our own histories with communication and assumptions about communication (e.g., Children should just do what their told, I'm the parent, My parents never needed to explain their reasoning to me, etc.) that tend to get in the way of effectively talking with our children and, more importantly, creating an environment where our kids and teens feel comfortable talking with us. The following ideas may help to jumpstart effective communication for you and your children. Also see the article by Bridget Bencke, published on our blog last year for more ideas about effective communication.
How do You and Your Child Communicate? |
Good communication skills are critical between you and your child. It is important that all family members speak to each other with kindness, love, and respect. It is especially difficult to maintain calm and respectful communication with your child when they are losing their temper and talking to you in a rude way. When our children are rude, many parents tend to think, “How dare they talk to me that way. They have no right to talk to me like that. I would have never talked to my parents that way.” That may be true. However, it is at these times, especially, that we need to model polite, respectful, but assertive communication to our children. This can also keep disagreements from turning to big arguments where nothing gets solved. The chart below shows communication behaviors that either foster positive communication (DO behavior) or arguments and withdrawal (DON’T DO behaviors). How would you rate yourself? What might you work on? |
I’m Good at This | DO | DON'T DO | I Need to Work on This |
True/False | Let your child finish talking | Interrupt | True/False |
True/False | Keep your statements brief | Nag and lecture | True/False |
True/False | Talk in a calm voice | Talk sarcastically and mockingly | True/False |
True/False | Make sure you have eye contact with your child | Talk without good eye contact | True/False |
True/False | Sit in a relaxed position | Fidget, move around | True/False |
True/False | Combine visual (notes) and auditory means of talking | Over-talking about tasks or directions | True/False |
True/False | Take your child’s feelings seriously | Discount feelings | True/False |
True/False | Stay focused on one issue at a time | Change the topic | True/False |
True/False | Give 1 direction at a time | Give a series of directions | True/False |
True/False | Give directions as a statement | Give directions as a question | True/False |
True/False | Speak to your child with a respectful voice | Call names or mock or yell | True/False |
True/False | Stay calm even when angry or scared | Threaten | True/False |
True/False | Share feelings about positive actions and negative actions of your child | Primarily share feelings about negative behavior | True/False |
Parent/Child Letter
This is an exercise in honest communication between a parent and their teenage child(ren). The parent writes this letter to their teenager and the teen writes a letter to their parent.
Write a letter (in letter format) to your child/parent that includes information from the following 9 statement stems. Please write this independently, do not show it to your teenager/parent, and bring it back to our next therapy appointment.
1. What I like about you is …
2. The thing that you do that I don’t like is …
3. What I want from you …
4. What I need from you …
5. What I don’t want from you …
6. What I don’t want but I am willing to accept because it’s you …
7. What I am not willing to accept from you under any circumstances
8. What I want for the future of our relationship (My plan for what I want to happen) …
9. What I am willing to do to make this plan (#8) come true …
* Developed by Donald Kaesser, Ph.D. for use with couples. Adapted for use with parents and their teenage children.
Steps for Effective Anger Control
Try out the following set of steps for controlling anger. I find that making this sort of plan works best if each person in the family uses it and makes their own plan for anger control. That way, each family member can help the others in controlling anger in healthy ways.
1. Learning to recognize anger signs – Help your child learn to recognize these in themselves (i.e., tingling, thumping heart, warm face, voice tone, sweating, rapid breathing).
2. If your child (or you) feel EVEN 1 of these anger signs then GET OUT OF SITUATION (Calm down space). DO NOT try to talk or problem-solve until calm.
3. Learn and use relaxation skills – Teach your child to calm themselves in some way when they notice even one of the above signs
• Use assertive communication
• Use the DECIDE steps
Steps for Effective Anger Control
1. Learning to recognize anger signs – Help your child learn to recognize these in themselves (i.e., tingling, thumping heart, warm face, voice tone, sweating, rapid breathing).
•Does voice get loud or soft?
•Does body go fast or slow?
•Does body get stiff like a dry noodle?
•Do you breathe faster or slower?
•Do you feel hot or cold anywhere?
•Do your hands get dry or sweaty?
•Do your thoughts go fast or slow?
2. If your child (or you) feel EVEN 1 of these anger signs then GET OUT OF SITUATION (Calm down space). DO NOT try to talk or problem-solve until calm.
3. Learn and use relaxation skills – Teach your child to calm themselves in some way when they notice even one of the above signs
• Take a walk
• Listen to music
• Count to 25
• Splash cold water on face
• Take a shower
• Exercise
• Draw a picture
• Scribble in different colors
• Use deep breathing methods
· Use cool-down statements (e.g., I have the skills to calm myself down, etc.)
4. When calm then talk about whatever issue needs to be dealt with. Resolve the angry situation:
• Use assertive communication
• Use the DECIDE steps
Self-Talk for Teens
The following form can often be helpful in teaching your teen how to notice their negative self-talk and begin to change it to a more healthy set of messages that they can give to themselves.
Changing Unhelpful Thoughts |
Problem Situation | Upsetting Self-Talk | Questions to Ask Myself about My Thoughts |
In this column, write in the situation that is upsetting you. | In this column, write in the thoughts that are causing upset feelings. | 1. What is unhelpful about this thought? 2. How does this unhelpful thought make me feel? 3. Is it a good idea to keep thinking this thought? 4. What could I think that would be more realistic? |
I’m receiving poor grades in school. | I give up. It’s no use trying at school anymore. | |
I didn't get invited to go to the movies with some of my friends. | My friends don’t like me. They’re stupid. | |
There's a big math test tomorrow and I don't understand the work. | I can’t do anything right. I’m a failure. | |
My brother got a raise in his allowance and I didn't. | My parents aren’t fair. My brother always gets more than me. | |
Jack bumped into me and knocked my books out of my hand. | Jack did that on purpose. He wants me to look stupid. | |
I performed poorly in my basketball game. | I have to do perfectly in order for others to like me or respect me. | |
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Thursday, March 1, 2012
Problem Solving Methods for Kids and Families
The following ideas are some of my favorite Problem Solving Models that I have used with many families and schools over the years
Decision-Making Tree
Plan 1: Use my self-calming methods when strong feelings come up
If: I use my self-calming methods
Then: I will be able to calm down and feel better
If: I am able to calm down and feel better
Then: I will be able to think more clearly
If: I can think more clearly
Then: I will make a better decision and won’t get into trouble
Plan 2: Don’t use my self-calming methods when strong feelings come up
If: I don’t use my self-calming methods
Then: I will feel more and more upset
If: I feel more and more upset
Then: I will say or do something that hurts me or someone else in some way
If : I hurt me or someone else in some way
Then: I will get into trouble or lose a friend, etc.
DECIDE Family-Problem Solving Method
D......................... Describe the problem
E…..................... Express feelings
C.................... Come up with
I..................... Ideas
D......................... Do the solution
E......................... Evaluate your choice and redo if needed
Here's One that works better for Younger Children
Problem-Solving Sheet for Younger Children (up to approx. age 10)
WHEN did the problem occur?
□ morning □ afternoon □ evening
WHERE were you?
□ my classroom □ lunchroom □ playground
□ another classroom □ bathroom □ halls
□ art room □ office □ my home
□ music room □ gym □ daycare
□ in my neighborhood □ other ____________________________
WHAT happened?
□ Somebody teased me
□ Somebody started fighting with me
□ Somebody told me to do something
□ Somebody did something I didn’t like
□ Somebody touched me somewhere I didn’t like
□ Somebody took something of mine
□ I didn’t show respect to somebody
□ I something wrong
What?______________________
□ I didn’t follow somebody’s directions
□ I had a problem with my schoolwork
□ I was mad about something
What?______________________
WHO was the other person(s)?
□ Another student
□ A teacher
□ A member of my family
□ The bus driver
□ One of my friends
□ Someone in my neighborhood
□ Other ___________________
How angry were you?
□ burning □ really angry □ sort of mad □ mad but ok □ not mad
What did you do?
□ Hit back
□ Ran away
□ Yelled
□ Cried
□ Broke something
□ Threw something
□ Had a tantrum
□ Tore up my paper
□ Argued with someone
□ Walked away calmly
□ Kept on task
□ Talked it out
□ Ignored it
□ Controlled my temper
□ Listened to music
□ Took a time out
□ Took deep breaths
□ Played a game
□ Told a friend
□ Told a teacher
□ Told my parent
□ Told a neighbor
□ Told the bus driver
□ Told another adult
□ Other ____________
How would you say you HANDLED YOURSELF?
1 2 3 4 5
Poorly not so well okay good great
List 3 BETTER WAYS to handle the problem:
1.
2.
3.
What is your PLAN for the next time?
What is your PLAN for the next time?
Relaxation Ideas for Children
Deep Breathing Methods
· Breathe slowly and deeply in through nose and out through mouth
· Count exhales backwards from 10 or 20 or 40
· Blow up a balloon (breathe in through nose and out through mouth)
· Have a contest with parent (tape a strip of paper to bridge of glasses and see who can keep it out the longest with a slow deep exhale)
Progressive Muscle Relaxation
· Learn to tense and relax multiple muscle groups in succession (do not hold tension longer than 3 seconds before relaxing)
o Hands (clench fists)
o Arms (press arms into arms of your chair)
o Face (scrunch up eyes and make a big smile)
o Neck (push head back against back of chair)
o Chest/Abdomen (take deep breath and hold it, push air out while holding breath)
o Legs/feet (point toes back towards self and dig heels into ground)
Do other relaxing activities
· Listen to music
· Read a favorite book
· Color a picture
· Draw a picture
· Journal
· Scribble with crayons
· Take a warm bath
· Exercise
· Take a walk
· Meditate
· Fill out a thought log (if learning cognitive therapy from a therapist)
· Use grounding techniques (focus attention on objects around you, describe an object around you in great detail)
Monday, January 2, 2012
Managing the Stress In Your Life
In the last post, we discussed what stress is and what causes it. In this issue, you will learn how to manage the stress in your life and protect yourself against it.
Learn to Have Healthy Relationships
This subject could fill an entire book. In the limited space of this blog post, let’s look at the key components of this stress-reducing strategy.
1. Identify the sources of stress in your relationships. Write about them in a journal. Make a list of people who cause you stress and explore what the issues are.
2. Resolve the underlying issues. For each of the situations identified in step 1, assess what needs to happen to resolve it. Make a list and design a plan to improve the situation.
3. Learn skills to improve relationships. Relationship skills are learned. We are not born knowing how to get along well with others, and most of us learned only limited skills from our parents. Identify the skills you need to develop, and make a plan for yourself. You can learn these skills by reading books, taking classes, or working with a therapist.
4. Avoid toxic people and situations. Some people have a toxic effect on you. If you can, limit the amount of time you spend with them. Look for opportunities to decline their invitations. When these people are family members, remind yourself that you don’t have to feel guilty about avoiding anyone who makes you feel bad about yourself. In work situations, look for ways to rearrange your schedule or your workspace to avoid interacting with such people.
5. Seek out positive people and situations. This step is the reverse of the previous step. Look for opportunities to spend more time with people and in situations that make you feel good. Think about people who make you feel good about yourself and look for ways to increase time with them.
6. Watch what you eat. Some substances amplify the stress response. These include:
• Caffeine stimulates the release of stress hormones. This increases heart rate, blood pressure, and oxygen to the heart. Ongoing exposure to caffeine can harm the tissue of the heart.
• Refined sugar and processed flour are depleted of needed vitamins. In times of stress, certain vitamins help the body maintain the nervous and endocrine systems.
• Too much salt can lead to excessive fluid retention. This can lead to nervous tension and higher blood pressure. Stress often adds to the problem by causing increased blood pressure.
• Smoking not only causes disease and shortens life, it leads to increased heart rate, blood pressure, and respiration.
• Alcohol robs the body of nutrition that it might otherwise use for cell growth and repair. It also harms the liver and adds empty calories to the body.
During times of high stress, eat more complex carbohydrates (fruits, vegetables, whole breads, cereals, and beans).
7. Get moving. The human body was designed to be physically active. However, in most jobs today, people are sitting down most of the time. They hardly move at all except when it is time for coffee break or lunch. When faced with stressors, we respond with our minds, not our bodies. It is no wonder that many of us have a difficult time responding to stressful events.
Exercise is one of the simplest and most effective ways to respond to stress. Activity provides a natural release for the body during its fight-or-flight state of arousal. After exercising, the body returns to its normal state of equilibrium, and one feels relaxed and refreshed.
8. Look for ways to let go of tension and anxiety. Meditation and progressive relaxation are two valuable ways to regenerate and refresh yourself. You can purchase meditation and relaxation audiotapes or record your own. This is especially important because your health and long life depend on minimizing stress and achieving a sense of balance and well-being.
Suggested Reading
Jeff Davidson, The Complete Idiot’s Guide to Managing Stress. New York, NY:Alpha Books, 1997.
J. Barton Cunningham, The Stress Management Sourcebook. Los Angeles, CA: Lowell House, 1997.
Lori Leyden-Rubinstein, The Stress Management Handbook: Strategies for Health and Inner Peace. New Caanan, CT: 1998
Peter G. Hanson, Stress For Success. New York, NY:Doubleday, 1989.
Peter G. Hanson, The Joy of Stress. Kansas City, MO:Andrews &McMeel, 1985.
______________________________________________________________________
Warren Phillips, Ph.D. is a Licensed Psychologist and is the Owner and CEO of Central Iowa Psychological Services (a group practice located in Ames and West Des Moines, Iowa). Dr. Phillips also teaches as a Senior Lecturer in the Psychology Department at Iowa State University and conducts workshops for parents and professionals on a variety of topics all over Iowa. Call us at 515-222-1999 begin_of_the_skype_highlighting 515-222-1999 end_of_the_skype_highlighting or email at whp@iowacounseling.com if you have any questions or would like to schedule an appointment or discuss a possible speaking engagement with Dr. Phillips.
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