Accidentally enabling childhood anxiety--part I

Today I wanted to start sharing some information from another great book that I read called, Breaking Free of Child Anxiety and OCD, by Dr. Eli Lebowitz, and you should assume that any good information or tips that you read here comes directly from the book. Like most of the blogs where I share information from a book, this is divided up into two parts. It is an excellent book with straightforward language and not a lot of mental health jargon. In other words, it was written for parents, not just mental health nerds like myself. A central concept of this book is that an attempt to escape anxiety actually reinforces and creates more anxiety. This is an idea that many people struggle with. Many parents of anxious kids try to help alleviate their child’s anxiety by putting accommodations into place, but often this looks like helping their child avoid things or situations that will bring up feelings of anxiety. Unfortunately, these accommodations can serve to reinforce the anxiety that a child is experiencing.

As we look at the recommendations of this book, please keep in mind that there is not a single one of us who are perfect parents. You may find that you are doing something different than this book recommends, but you won’t be the only one. In fact, most parents of anxious kids put these same types of accommodations in place. Your child isn’t anxious because of you, and blame won’t help you or your child. The book does focus, however, on what parents can adjust or change. The reason isn’t because parents are the problem, it’s actually just because we can only really control ourselves and our choices. By putting these suggestions into place we can give anxious kids the real support that they actually need. 

Anxiety shows up as a variety of body sensations, feelings, thoughts, and behaviors. It can be about separation from a caregiver, social situations, general anxiety, phobias, panic, OCD, food intake, or possible illnesses. Therapy and medicines are often very helpful in treating anxiety, and oftentimes professional help is necessary. Many times, parents may feel as though their child’s anxiety is taking over the family, and this might be an indication that you’ve been trying to make accommodations to ease their anxiety, but nothing is actually getting any better. The urge to make things better for our kids is a natural one. Of course we want to protect them, one of the main jobs of parenting is protecting them from danger; however, anxiety isn’t actually dangerous or life-threatening. Unfortunately, when we attempt to protect our child from dealing with anxiety, we inadvertently send the message that these normal feelings are too much for them to deal with, and they need to be protected from the feelings. 

A few of the common ways that parents might accommodate their child’s anxiety: 

  • Speaking for them in a restaurant or in public.

  • Sleeping next to them until the child falls asleep or allowing the child to sleep in the parents’ bed.

  • Constantly being available to reassure the child throughout the day via phone or text. 

  • Assisting in checking and rechecking homework or safety, 

  • Avoiding going out so that the child doesn’t feel afraid without the parent.

  • Avoiding certain driving routes, the news, or things the child might see and then become anxious. 

  • Allowing the child to miss school. 

Common ways of responding to anxiety in children are protecting or demanding. Let’s talk about protecting first. There are times where kids will feel appropriately anxious and need our help, like if they have a big test coming up and ask for our help in studying. However, many of the fears that highly anxious kids have are misplaced. Their interpretation of the severity of a potential negative outcome is often highly exaggerated. The possibility of being a little embarrassed might look to them like extreme humiliation that will follow them throughout their lives. If we try to protect them from a misplaced fear, we are telling them, “Yes, this is just as bad as you think it is, and I must protect you,” or “You can’t handle this on your own.” Think about what we really want to communicate to our kids when they are feeling anxious. We want them to understand that even though something seems really difficult or scary, they are strong enough to handle these feelings. 

Demanding is another common parental response. Demanding often looks like the parent telling the kid not to feel anxious. What is the problem with this? The kid can’t be expected to feel something different than they feel. It also keeps them from feeling heard. It doesn’t matter if a child’s anxiety makes sense or if you think they should have the fears that they have. The reality is that they are anxious. Demanding that they stop being anxious will not stop them from feeling the anxiety; it will just cause them to feel shame. Statements like, “See, I can do this” or “All the other kids are fine right now while you are acting like this” will only serve to make the child feel worse about themself. 

By now, some of you may have spotted some common parenting traps that you can relate to in regard to how you respond to your child’s anxiety. Again, there’s no need to feel bad for anything or beat yourself up. Many people do this, or else, Dr. Lebowitz’s book wouldn’t be necessary. As parents, we do the best we can, we keep learning, and we keep trying. Come back next week for the next part of the book.

Being Patient with Children

Sometimes I write these blogs because of an interesting book or article that I’ve read, something I saw on the news, or because of conversations I’ve recently had. Sometimes I get ideas based on something I’ve noticed myself struggling with. In writing about having patience with our children, my motivation is based on my own lack of patience. I think we all have periods of time where we aren’t our best for those we love. We can be madly in love with someone, and sometimes we’ll realize that we’ve been taking them for granted. Our kids can fill us with love and happiness, and yet, sometimes we just want them to be quiet and stop doing things that annoy us. This is all natural and normal. Let’s look together and find out what to do about it, though. 

An excellent article on Psych Central* points out the importance of developing our patience because kids learn to manage their emotions by watching their parents. When we react negatively, we are inadvertently teaching them to do the same. Knowing this is one thing, but doing something about it takes some work. Dr. Mini Tandon, in a video** posted on St. Louis Children’s Hospital’s website encourages identifying the context. She suggests writing down when you notice yourself getting frustrated with your child, asking yourself what you’re doing and what the child is doing. Adjustments in your behavior coupled with adjusting your child’s activity might be able to make a difference. 

Figuring out your triggers* is another good place to start. Maybe it is when the family is running late, or the kids are whining and arguing. By identifying the triggers, you can start to think of solutions that will prevent them, like setting out clothes the night before to prevent running late, distracting them with an activity when they whine, or telling them you won’t continue a conversation with them if they speak disrespectfully. Likewise, you can start to make a plan for when you know that you will feel impatient. Maybe that means taking a walk, stepping out of the room for a minute, or taking a deep breath before responding. 

Refusal or oppositional behavior can be a big trigger for many parents, making us feel like we need to assert dominance or gain control of a situation. Sometimes, however, it is helpful to make ourselves curious about the reasons for their refusal. In fact, they might be showing us that they need support. One of the best special education teachers I’ve ever known was fond of saying that all behavior is communication. If we look for opportunities to provide* support, we may find that there is another reason for the behavior. We can still insist that rules be followed, but we can also show that we understand and validate their wants and their feelings. 

Practicing yoga and mindfulness can be excellent tools for self regulation. In fact, it may be helpful for the parents (whether they’re struggling with patience or not) and the kids to practice this together. Mindfulness teaches us to be present and be more in touch with what is going on in our bodies. Yoga is a great calming exercise that incorporates mindfulness practice into the strength-building and stretching practice. Neither practice is new, but new research shows the numerous health and mental health benefits of both. 

Dr. Tandon** also stressed the importance of self care in her video. I have a recent blog about this very topic, so I’m not going to go into detail about self care, but I will say that a common reason that people don’t take the time to care for themselves is the idea that it is somehow selfish. Dr. Tandon argues against this by saying that both you and your children deserve for you to be well taken-care-of. When you are taking care of your own needs, you are better able to help your children take care of their needs. She also points out the need for us to take care of our own basic needs, like sleep. If we can’t regulate ourselves, we can’t help regulate our kids. 

Developing patience is hard. It requires ongoing intentional effort. It isn’t bad to acknowledge that you won’t always be perfect at it. When we do lose our patience, it is important to go back and repair damage by apologizing and making the relationship whole again. By doing the work listed above, though, you can build a stronger relationship with your children, and you can teach them how to develop their own patience by the example you set. 

*https://psychcentral.com/blog/tips-for-being-more-patient-with-your-kids 

**https://www.stlouischildrens.org/health-resources/pulse/how-develop-patience-your-kids