The Kids that Don't Quite Fit

Today’s topic has been on my mind for a little while. For some young people the world feels inherently unfair. Often these are the kids who are wired a little differently than their peers because they’ve been through trauma or because they fit under the term neurodivergent* due to a diagnosis of Autism Spectrum Disorder (ASD), Attention Deficit Hyperactivity Disorder (ADHD), Learning Disorder (LD), Obsessive Compulsive Disorder (OCD), or any other diagnosis that impacts how their brain functions. I like this term neurodivergent because it automatically assumes that the majority of the population is neurotypical instead of “normal.” The words normal and typical are nuanced in their differences. Typical refers to what is more common. Normal can describe that too, but there is also a feeling of judgment associated with this word. Neurodivergent brains are less common, but they are no less valuable. They simply work a little differently. 

Of course we’re all different. Among neurotypical brains there is still a lot of variability in terms of intelligence, communication skills, executive functioning, working memory, and mental manipulation of concepts. There’s also the variability that comes from different life experiences, upbringings, and even birth order. The term neurotypical doesn’t imply that the majority of people think the same. Instead it applies more to thinking about how our society is set up because neurotypical brains are who the systems within society are serving. The biggest system to impact children is the education system. This system has been created with the lofty goal of giving all of our children a foundation of literacy and knowledge as well as helping to develop their brains. For the majority of kids, it does exactly that. Then there are the kids who are wired just a little differently, and they often struggle within this and other systems. In school, they may not be able to focus well on subjects that they find boring, listening to lectures, or even following the teacher’s directions. They may struggle with socialization (and there will be other kids who see this and press these students’ buttons just to watch them blow up). They may struggle with emotional regulation and misinterpret seemingly mild situations as attacks. In turn, they may react quickly and severely before they have a chance to think. They may feel unsafe and spend a good portion of their school day in survival mode, not taking in what their teachers have to offer. As teens, they may ultimately feel beaten down and a lot of self-shame for never being able to get things just right. 

School personnel have a unique opportunity to influence all children, not just the ones that fit the mold and go with the flow. Especially when it comes to neurodivergent kids, it is important to look** beyond the behavior. A great (now retired) teacher that I used to work with was fond of saying, “All behavior is communication.” When school staff understand this, they can avoid taking behavior personal and see that kids frequently use angry outbursts as a way of expressing pain, frustration, and fear. The Child Mind Institute recommends the following** as a way of helping ALL students: Visual supports/directions, starting the day with mindful moments, relaxation areas and safe people for when kids are overwhelmed, frequent breaks, preferential seating, and sensory aids. Schools can also help these kids get organized and assist them in learning to socialize with their peers. Nonetheless, I think the biggest thing that school staff can do is remember that their entire school is probably set up in a way that is most helpful in ensuring the success of neurotypical kids. This probably isn’t done with bad intentions, but often it’s the kids who require the least support that actually end up feeling the most supported.

Adults should also be mindful that no one really wants to be seen as the “bad kid.” I’ve known a lot of kids with a lot of pain who are absolutely unwilling to let anyone else hurt them. A good way of ensuring this is to seem unapproachable so that people keep their distance. This strategy originates in survival. What they don’t realize is that healing happens through connections. When kids that struggle but find success later in life, they usually look back and share that there was at least one person who made a difference in their lives through caring and connection. 

Parents* must learn to come to terms with having a neurodivergent child. Saying this is one thing, but letting go of expectations of how parenting was “supposed to be” and accepting their child for who he or she actually is makes a difference. Our children pick up on many things, and unfortunately, they tend to be very good at blaming and shaming themselves for problems within the family. In extreme cases, they can view themselves as a disappointment or unloved. There is a nice little essay*** called “Welcome to Holland,” which helps parents think about the life with children they’ve planned but receiving a life that is a different. This story asks people to imagine that they’ve been planning a trip to Italy, but the plan lands in Holland. The point of the story is that if we focus on not being where we thought we were going to be, we may have no choice but to feel disappointed. If, instead, we embrace our new destination we can find plenty of joy. 

The kids that don’t quite fit tend to already know that they don’t fit. This can feel lonely, frustrating, and depressing. These kids need to know from the adults in their lives that they are unique, valuable, and loved. Some people will have a hard time doing this, so I want to urge you, if this blog made you think of a child in your life, wrap that child up in love. 

*https://www.verywellmind.com/what-to-know-about-raising-neurodivergent-kids-5666990 

**https://childmind.org/article/how-schools-can-support-neurodiverse-students/ 

***https://www.dsasc.ca/uploads/8/5/3/9/8539131/welcome_to_holland.pdf

Addicted to video games

Let me start off by saying I’m not a video game hater, even though I’ll probably sound like it by the end of this blog. Talking about my old NES and Super Nintendo games will only make me sound old, but I will admit to having a ton of fun battling my college roommates in Super Smash Bros on the N64 on a near-daily basis. Video games are fun. This is undeniable. If they weren’t, it wouldn’t be such a rich industry. Gaming can also provide* socialization and a sense of community for some people. The world is considerably different than it’s ever been, and internet gaming allows for a different way of connecting as well as staying in touch. However, gaming can also be addictive. At this point, the game designers have had tons of research showing them exactly how to make games that people don’t want to stop playing. 

Before we assume that every adolescent is addicted to gaming, it should be said that those who have a serious addiction are in the minority*** of people who play video games. Research is mixed** due to disagreement about qualifications for addiction, but those affected by gaming addiction are anywhere between 1%-10% of the population. Signs of addiction include**: 

  • Grades or work performance suffering due to the amount of time spent gaming.

  • Anxiety, irritability or other withdrawal symptoms when games aren’t accessible.

  • Needing to spend more time to get the same positive effects from gaming.

  • Dropping previously enjoyed activities and/or socialization in order to play games.

  • An inability to moderate the amount of time spent gaming or unsuccessful attempts to quit.

  • Lying to loved ones about the amount of time spent gaming.

  • A decline in personal hygiene due to time spent gaming.

  • Using games as a way of escape or avoidance of stress or conflict.

  • Using games as a way of coping with negative moods. 

Health effects* from too much gaming can include “gamer’s thumb” or “tennis elbow” which are both forms of tendonitis or inflammation of tendons near the joints. There are higher rates of obesity for teen gamers due to a lack of physical activity combined with a higher rate of food intake (sensations of fullness are disrupted during gaming and the desire to eat increases regardless of whether someone is actually hungry). Other symptoms include vision problems, eye strain, headaches, poor concentration, depression, anxiety, sleep deprivation, and an increased likelihood of seizures. 

Those at highest risk** for becoming addicted to gaming include those with higher rates of impulsivity or anxiety, as well as those with lower rates of self control. People with ADHD*** become addicted to gaming at higher rates than those without this diagnosis. 

Not everyone who drinks, even to excess, is an alcoholic. Likewise, not everyone who spends a significant amount of time gaming has a video game addiction. It isn’t necessary to have all of the warning signs listed previously in order to have an addiction, but likewise, having 1 or 2 of these warning signs isn’t necessarily indicative of a major problem. Ultimately, like most areas of mental health issues, it comes down to the extent to which the problem interferes with one’s daily life. Moderation* seems to be key, and this is where parents can help their teens who do not yet have a fully developed prefrontal cortex (the decision-making and planning region of the brain). Helping kids by taking away their ability to spend hours upon hours playing video games (as well as watching videos or scrolling through social media) can allow the opportunity to have more well-rounded experiences. Video games are a perfectly acceptable supplement to someone’s life. However, I’ve never seen a healthy situation in which video games are at the forefront of someone’s life. 

If you or someone you care about is dealing with addictive behaviors surrounding video games, there is research*** to show the effectiveness of some therapy approaches like Cognitive Behavioral Therapy (CBT) or Acceptance and Commitment Therapy (ACT). Support groups for gaming addiction exist, and there are some studies looking at the effects of low doses of medications like Naltrexone which block dopamine receptors. Speak to your doctor and mental health professional if you need help. 

*https://www.health.harvard.edu/blog/the-health-effects-of-too-much-gaming-2020122221645 

**https://my.clevelandclinic.org/health/diseases/23124-video-game-addiction 

***https://www.additudemag.com/video-game-addiction-signs-causes-treatment/