Parenting Transgender Children

There is a family here in Colorado who has been making headlines recently because of their transgender child.  I’m not going to get into the specifics of the story (you can read more about it here) but will focus on some of the great discussion and information that has been going on surrounding the story.

Most of us don’t have a lot of experience with transgender children, either as parents, professionals, teachers or friends.  This lack of experience can make an already tricky situation even more difficult simply because of our lack of exposure.  In reaction to the above-mentioned story in Colorado, my colleague Dr. Sarah Burgamy, was asked to speak about transgender children on a local TV program.  She did an awesome job answering some basic questions on parenting children who might be – or definitely are – transgender.

A couple of her points that stuck out most to me:

How do you know if your child is transgender, or just “going through a phase?”  Many kids go through phases of exploring interests or looks more typically thought of as belonging to the opposite sex.  For example, a boy enjoying dressing up in skirts, or a little girl enjoying trains.  Dr. Burgamy explained that transgender children’s behaviors and attitudes are “insistent, persistent and consistent” over time.

How should a parent respond to their transgender child?  Parenting is a tough job any time, but can be especially challenging when our children don’t fall inside the “norm,” have unique needs or interests, or are simply different from their peers.  Dr. Burgamy offered some excellent guidelines for parents with transgender children (or any children for that matter):

  •  Minimize distress
  • Increase happiness
  • Do what you can to allow them to have happy childhoods

Check out her full interview here:

 

Dr. Burgamy also provided some resources for families and friends of transgender youth:

The Transgender Child:  A Handbook for Families and Professionals – by, Stephanie Brill & Rachel Pepper
Gender Born, Gender Made:  Raising Healthy Gender Non-Conforming Children by Diane Ehrensaft, Ph.D.

Trans Youth Family Allies – TYFA

TransACTIVE – based in Portland, OR but has some good national/international resources.

 

Postpartum Anxiety – More Common Than We Thought

Have you seen this: A new study in the Journal of Reproductive Medicine found that postpartum anxiety and symptoms of obsessive-compulsive disorder are more common than once thought.  The researchers found 11% of new moms have OCD symptoms (including fear of germs, preoccupation with the safety of the baby, etc) after childbirth.  They found half of the new moms will get better by six months, and there is an additional 5.4% that will develop new onset symptoms at 6 months.DSC02075

A different study, this one in the American Journal of Pediatrics, found postpartum anxiety to be more common than postpartum depression, at least through the first 6 weeks after the baby is born.  The researchers found that 17% of the moms in the study experienced anxiety after giving birth.

The health care folks – together with the media – have done a super job educating the public about the warning signs and risks of postpartum depression in the last decade.  Brooke Shields and other celebrities have shared their struggles with postpartum depression, and have helped millions of women understand that the condition is common and quite treatable.

But in my experience, not all women who struggle after childbirth struggle with symptoms of depression – but symptoms of anxiety.  Extreme fear for the safety of the baby, inability to stop worrying about the baby’s well-being (even to the point of not being able to sleep), fear of germs or illness in the baby or other family members – these, and other symptoms of anxiety – can impede a new moms ability to care for herself, the baby, and/or other children.

A psychologically healthy mom’s ability to worry is endless.  A mom who struggles with postpartum anxiety can be debilitated.  And a mom crippled with anxiety and worry can struggle to meet her new baby’s needs.

Luckily, there are many places to turn for support and treatment.  Ob/Gyn’s and pediatricians are great professionals to turn to for medication management and community resources.  Psychologists can provide individual and family therapy to new moms.  Online support groups like Postpartum Support International can also offer resources and guidance.  For more information about the signs and symptoms of postpartum depression – including how to get help – check out the American Psychological Association.

 

 

 

Party with Produce for Kids

I am so lucky to be involved with Produce for Kids – a wonderful organization that promotes healthy eating for kids and families. If you haven’t seen their site, check it out! There are lots of easy, healthy recipes and other information that is super useful for busy families.

This month they will be holding a Twitter Party on March 14th.  The party will be hosted by blogger, mom and registered dietician Estela Schnelle – author of The Weekly Bite and fellow Parents on Produce Board Member.  The party is sponsored by Earthbound Farm.  Check it out!

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Helping Kids with ADHD…Without Giving Them Meds

This article was recently released by the American Psychological Association.  Reading it brought a smile to my face and relief to my brain.  Finally, a well-written, well-researched, easily-readable article about non-pharmacological treatments for ADHD.Screen shot 2013-02-26 at 8.56.56 AM

Don’t get me wrong,  I am not against psychiatric medication – in fact I often work collaboratively with psychiatrists, and understand and appreciate what they bring to mental health treatment.  However, my area of expertise is behavior change and family dynamics.  This article does a fantastic job outlining how those things can be used to help kids (and families!) struggling with attention issues and ADHD.

Here are a few highlights from the article:

  • Programs and education for parents and teachers can be highly effective in helping kids maintain better attention
  • Physical activity, including therapeutic recreation could be a treatment of choice for ADHD
  • Extra sleep can be helpful – in our fast-paced world it can be easy to overlook that some kids who exhibit hyperactivity may in fact be over-tired

If you or someone you know is affected by ADHD, hyperactivity, or trouble maintaining attention you might want to take a look at APA’s article.  ADHD is a complicated condition and there are surely no easy answers when it comes to treatment.  But addressing the basics (sleep, exercise, home environment) is a good place to start.

Book Review: Far From the Tree

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I think there might be something “funny” in the pages of Far From the Tree by Andrew Solomon, because I couldn’t every time I tried to stop reading it, I kept getting pulled back in.  Let me explain…

I first learned of Mr. Solomon’s book while listening to an interview on NPR.  He explained that he had spent several years interviewing families about their children who had a fallen “far from the tree,” meaning they were very different from their parents.  This may have been because of a mental illness (schizophrenia), a physical disability (deafness), or the circumstances surrounding their conception (in rape).  I thought the topic sounded interesting as I frequently work with parents whose children are markedly different.  “Hmmm,” I thought, “I’m sure I can learn a thing or two.” Boy, was that an understatement.

Fast forward a few weeks, and the book arrives for my review, and it is ONE THOUSAND PAGES!  So, even though I make a point to read all my reviews cover to cover, I thought Far From the Tree would be the exception. I thought I’d read the introductory chapter, a few in the middle (the chapters are organized by topic; for example one chapter is on prodigies, another on transgender), and call it good.  It didn’t work out that way. Every time I tried to put the book down, it called to me from my night stand.  Wouldn’t you know, I read the whole thing. No, not read, devoured.  Because here’s the thing: this book is fantastic.

Not only is Far From the Tree superbly written – it was literally a thrill to read the finely crafted words – but the content was outstanding as well.  Mr. Solomon challenges us to think differently about how we love, but also (and in my opinion, even more importantly) how we define and understand disability.  What makes someone normal or abnormal, and who gets to decide these criteria? Psychologists? Law makers? Physicians? Pop culture and media?  These are important conversations, especially as we as an American culture are trying to expand our view of what is acceptable and/or normal, while (hopefully) simultaneously extending legal, healthcare, and other benefits to people who used to be considered well outside of the norm.

Many of the chapters were gut-wrenching, but even through teary-eyes I couldn’t stop reading.  Mr. Solomon’s many interviewees were so candid and thoughtful in the way they described their families and children.  Mr. Solomon obviously went to great lengths to create strong relationships with these families and individuals; he is a gifted man.

I heartily recommend this book.  Pick through it chapter by chapter, or read it in bits and pieces over time.  The messages, the struggles, and the questions posed are important for all of us to consider – whether our children have fallen far from us or not.

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Check out this review on Mr. Solomon's site!

Check out this review on Mr. Solomon’s site!

Bullies In The Lunchroom? Helping Your Kids Stand Up For Their Tuna

Teasing can happen anywhere.  And so can it’s meaner, more serious cousin bullying.  As most any kid can tell you, the lunch hour can be a stressful one.  Who to sit with? Buy lunch or bring lunch? How to deal with the mean lunch lady? How to cope when making friends and conversation don’t come easily? What to do when weight and food are struggles? Leave campus or eat in the cafeteria? Ugh. The dilemmas are endless.  Unfortunately so are the possibilities for conflict.

I wrote the following article over at Produce for Kids about how to help your kids when they are being bullied about what is in their lunchbox.  Seem far-fetched and like it never happens? Ask the kids in your life, and I bet they will tell you otherwise.

Dealing with Lunchroom Bullies: Produce for Kids

Dealing with Lunchroom Bullies: Produce for Kids

5 Questions with Dr. David Palmiter

A couple of months ago I posted a review of Dr. David Palmiter‘s book, Working Parents Thriving Families.  It’s a great book, and I’m thrilled to have Dr. Palmiter here today to answer a couple of questions! Welcome, Dr. Palmiter!

Dr. S: In your book, Working Parent Thriving Families, you talk quite a bit about your own family. What did your wife and kids think about that? Did they give you any advice when you were writing the book?
Dr. P: I think the only concern they had was whether I’d say something completely idiotic, which they seem to believe is a vulnerability of mine! Seriously, they were okay with what I wrote.Screen shot 2013-01-07 at 2.32.42 PM

Dr. S: Your book includes 10 steps to a happier, healthier family.  If you had to pick THE MOST IMPORTANT one, what would it be?
Dr. P: Chapter One: Special Time. I say this because it is the intervention that most promotes a sense of worthiness in a kid and a sense closeness between a parent and a child; in my travels it is the latter which is especially important to we parent-lunatics.
Dr. S: Are there any steps or strategies you wished you had included but didn’t?
Dr. P: I would probably have said more about bullying, diversity training/dialogue and violence prevention; I seem to be dealing with these issues more and more in my professional life and in what I see in our culture at large.
Dr. S: What are you working on these days? Any new books in the works?
Dr. P: I’m working on a book proposal for teaching graduate students how to do cognitive-behavioral therapy. The working title is “OMG, What Do I Do If My Client                            : A Practical How-To Guide for Doing Cognitive Behavioral Therapy with Children and Adolescents.”
Dr. S: One of the things I often write about is stress management.  We all know yoga and meditation are great, but I am more interested in unique, creative ways for managing worry.  What do you do to manage the stress in your life?
Dr. P: Scream at TV broadcasts of the Washington Redskins and Baltimore Orioles (the coaches can perhaps hear one, and benefit from one’s counsel, if one is loud enough ;-), play low stakes poker with my boys, use humor whenever and wherever possible and practice magic tricks to show my students and child clients; at the end of the day I’m a huge exhibitionist, so I’m learning to just go with that. lol

Thanks for taking time to answer my questions, Dr. Palmiter! Check out his book here.

Stay tuned for upcoming book reviews! I’ve got a huge stack just waiting to be read, written, and posted! In the meantime, if you have suggestions for me to read and review, please send ideas along!

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What Makes Your Family Unique?

As we launch into the new year, many of us are taking stock of who we are, who we want to be, and what we want out of 2013.  In addition to looking at

I would love to see this family's list about what makes them unique! Photo via ABC News Blogs

I would love to see this family’s list about what makes them unique! Photo via ABC News Blogs

ourselves as individuals, why not take a look at our families too?  No matter the make up or size of your family, it can be useful to define who you are and what makes you unique.

I recently sat down with my family to answer the following question:

What does it mean to be a Smith?

Of course I had some of my own ideas, but what was really fun was hearing what the other members of my family had to say.  One of my favorite answers? Being a Smith means having fun together.

So what makes your family, your family?  Not all families are the same.  What are the priorities in your household?  Some ideas might include:

  • Being respectful of others
  • Playing games together
  • Treating others with fairness
  • Taking care of the environment
  • Laughing everyday
  • Keeping a clean, organized home
  • Being thankful for each other and what you have
  • Participating in religious activities together
  • Exercising and being mindful of health
  • Taking part in new adventures
  • Watching movies
  • Learning about different people and places
  • Reading together
  • Trying out new foods and cooking together
  • Telling jokes and stories to each other
  • Traveling together
  • Serving others in the community

Try spending some time coming up with a list of 5-10 qualities that make up your family.  Post the list where everyone can see them, and work the list into your life.  Being clear about who you are can help with making decisions and defining priorities (including how to spend time, money, and energy).

Happy New Year!

Elf on the Shelf: Cool or Creepy?

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Am I the last mother on Earth not to adopt Elf on the Shelf as a holiday season behavioral management tool?  I think I may be.

I don’t actually own an Elf on the Shelf, so I am no expert, but the whole idea seems a little bit creepy to me.  A doll that watches your every move, reports everything back to Santa, and can’t be touched by humans?  Am I missing something?

From my super-scientific Facebook research I notice that many of my friends and colleagues use EOTS to help their kids stay in line during holiday season.  And it looks like parents also have fun finding a place for him to move each night after the kids are in bed.  Here are some thoughts:

The psychologist (and Scrooge) in me says: This is not a good thing.  Not only is the idea of a little elf running around the house, and then flying up to the North Pole and back scary for kids (and adults, eek!), but lying to our kids and coercing them into good behavior with the threat of being exposed to Santa? – this can’t be a psychologically healthy parenting tool!  And don’t even get me started on Santa himself: what are we telling our kids anyway? Stay away from strangers all year, except this large guy whose face is obscured by all manner of facial hair.  And kids, don’t just talk to him, sit on his lap and whisper in his ear about all the material things you want but probably can’t afford and certainly don’t need. Blech.

The parent in me says: This sounds like a lot of work.  So on top of everything else this month I have to remember to move this little guy around…or else?  After asking my kids their thoughts, #1 says she thought it would be creepy, too.  She even wondered aloud how scary it would be to have something roaming around in the house while we were all asleep.  Child #2 says we NNEEEEEEDD an Elf on the Shelf because everyone else has one, and she would probably have perfect behavior if we had one too.  Doubtful.  Child #3 had no comment.

So, EOTS-practicing parents, what are your thoughts?  What am I missing?  Help me understand why this little guy has become a December staple!  Better yet, send me your best EOTS pictures and I will post them here.

UPDATE:

PICTURES OF ELF ON THE SHELF IN ACTION! THANKS FOR SENDING THESE, DR. STEPHANIE READERS! 

Please send pictures to stephanie@drstephaniesmith.com or post on my Facebook wall

Elf at play

Elf at play

Injured Elf

Injured Elf

Healed Elf

Healed Elf

 

 

Helping Your Kids (And Yourself) in the Midst of a Tragedy

When will the madness end? That’s a question so many of us are asking ourselves today.  It is so hard to know how to cope with senseless violence of any kind, but especially when it involves so many kids in a place where they are supposed to feel safe.

As we struggle to cope with the tragedy in Connecticut today, I offer a couple of tips for families:

Talk about it.  Many of us find it useful to process and talk about tragedies – especially when they are as confusing and senseless as the one today.  This goes for grown-ups and kids alike.  Allow yourself and your family members (even the little ones) time to express feelings, fears, and worries over today’s events.  Talk about what you and your family do to keep each other safe, and take a moment to cherish each other – out loud.

Turn it off.  Just as it’s crucial to express our thoughts, it is just as important to put an end to the conversation at an appropriate point.  This can mean turning off news coverage, taking a break from Facebook, and providing our children (and ourselves) with other, safer things to do (watch a holiday movie, make cookies, play Wii, etc).  The details of the shooting in CT will be in the news for days and weeks to come.  You will not be missing anything by turning off the news reports, and in fact you will be doing a lot to maintain your mental health.

Need more ideas and resources about how to manage stress in the aftermath of a tragedy?

Helping Your Children Manage Distress in the Aftermath of a Shooting (APA)

SAMHSA’s Disaster Distress Helpline: 800-985-5990

Managing Distress in the Aftermath of a Shooting (APA)

Tips for Talking with Kids and Youth After a Disaster or Traumatic Event (SAMHSA): A Guide for Parents, Caregivers, and Teachers