“C”ommunicating with Our Teenagers

We cannot NOT communicate. – Ray Birdwhistell 

Everything we do communicates something. It has been estimated that between 67-94% of our communication is nonverbal. What is non-verbal communication, you ask? It is everything except the words. It could be a grunt, a smile, a sigh, our smell, our jewelry, our clothes, whistling, the way we comb our hair, tattoos, the way we cook our food, piercings or the lack thereof, our posture, the nuances and history of a relationship, a stare at our son, a gaze at a pretty girl, the way we walk, our mode of transportation, hand gestures, or making googly eyes and funny sounds at a baby. We may say something, but our true intentions frequently will leak through our nonverbal behavior.  

The tone, the attitude behind the words when you ask your son to do something, communicates a whole lot more than the words that you verbally say. It is the attitude that he will respond to, not merely the words. Everything communicates. That is why the “C” in the title of this article is so large. Everything communicates something. We cannot NOT communicate. 

Even a dead person communicates. They communicate deadness.  

It is what is not being said that we pay attention to; this is why sarcasm is so dangerous. With sarcasm, there is a contradiction between the verbal and the nonverbal. Sarcasm is typically cutting. In fact, the word means, “to tear flesh.” For children, sarcasm can be very confusing.  

If you were to attend a communication seminar on learning “Effective Communication Skills,” you might come away with skills such as: having good eye contact, sitting on the edge of your chair, nodding and other non-verbal behavior to indicate you are listening. You might also learn about the importance of reflective listening. All these skills are important, however, do you suppose it would be possible to perform all these behaviors and not really listen in a caring way? And, if a person didn’t really care, do you think other people will be able to tell?  

Of course they can. 

“There is something deeper than behavior that others can sense – something that, when wrong, undercuts the effectiveness of even the most outwardly ‘correct’ behavior.” i  This thing that is deeper than behavior is something philosophers have been talking about for centuries. Carl Rogers called it “Way of Being.”ii  

Martin Buber explains that there are two fundamental ways of being, two ways of seeing another person. The first way is as a ”Thou,” a person with hopes and dreams and struggles similar to your own.  The other way of seeing a person is as an “It.” This is where one objectifies a person. “If I see them at all, I see them as less than I am – less relevant, less important, and less real.”iii This is then also about you and your perspective. There is always a good chance that a person does not see things the way they really are; that person may be missing something. We must be willing to honestly look at ourselves and see what part of the problem is our own. “Might I be provoking the other person without even knowing it?” 

When we talk to our teenagers, we sometimes ask them questions.  We must understand that they do not merely answer our questions; they are answering a relationship. Our conversations don’t happen in a vacuum. They happen in the context of a historical relationship.  They are answering a person, and with that person, comes an accumulation and history of their interactions. They answer according to the quality of their recent and remote relationship. 

For example, you might ask your daughter, “Would you take the dog for a walk?” She could respond in a variety of ways. She could ignore you. She could say, “of course.” She could tell you to eat rocks, or yell out while leaving, “maybe later.” On the other hand, if your daughter’s best friend (having a different relationship) said, “Let’s take the dog for a walk?” Your daughter may happily agree to take the dog for a walk. The relationship determines the interaction. 

In his book ”7 Habits of Highly Effective People,”iv Stephen Covey speaks of an emotional bank account we each have with our children. We must have enough positive interactions, thus building the relationship in our “emotional bank account,” before we can safely make a withdrawal (correction/discipline) without damaging the relationship. After all, we do not want to bankrupt the relationship.  When the emotional bank account is healthy, your child can take correction, knowing that it is coming from a place of love. 

The quality of the relationship determines our ability to be effective parents  

and our teenager’s willingness to allow us to influence them. 

 The moment a parent has a nasty verbal exchange with their teenager is not the time to try to immediately solve the problem. There are too many hot emotions for anyone to think clearly. If the relationship is generally good, waiting for a few hours, or perhaps a day to address the problem is wise. Time allows the parents and teenager space to see the situation clearly without the corrupting influence of these distorted and self-justifying thoughts and emotions.  

If the relationship has been rocky, time is needed for the relationship to heal. Part of healing process is deliberately working on developing trust again; another topic for another day. 

Originally published on http://utvalleywellness.com/

 

 

LOVELOUD 2018, A Reflection

It’s surprising the things you learn by meeting and talking with new people. They may share your particular values, have similar passions – or they may be completely different. On July 28th, my wife, Lauren, and I were given the opportunity to attend the 2018 LOVELOUD Festival at the Rice-Eccles Stadium in Salt Lake City, Utah. The mission of this festival was to “ignite the vital conversation about what it means to unconditionally love, understand, accept and support our LGBTQ+ friends and family.” 

Now, I’m a country boy, who grew up on a small farm in the heartland of middle Tennessee. I wasn’t raised in a community that would easily embrace that mission statement. If someone would have told me that I would have been attending the LOVELOUD Festival 13 years ago, I would have scoffed and dismissed them; but a lot has changed since 2005. 

Traveling beyond my community and culture, meeting and talking with new people around the globe, and seeing how different individuals and various cultures live their lives opened my mind and heart to understanding and accepting that so many people live very differently from me. LOVELOUD was another step in my own journey to understanding more about the various individuals who share this world with me. 

We arrived at Rice-Eccles Stadium fairly early on Saturday and received our press passes for the event. After which, we found our way to the press room and met our first new friend, Adam Dupuis, the Managing Editor for Instinct magazine. We talked with Adam throughout the day, and he was so sincerely kind and friendly, checking on and asking how my wife, who’s 21 weeks pregnant, was feeling and if she was doing alright. At one point, when the attendees were asked to tell the person next to them that they cared for them, Adam leaned over and said how he genuinely cared for my wife and me. It was something wonderful and caused me to really consider, “could a person I just met really care about me?” 

During the press conference, we heard from a number of event leaders and organizers, including Imagine Dragons’ lead singer, Dan Reynolds. While listening to the passionate comments and answers from the panelists, I was struck by their non-polarizing approach while discussing the subjects of the event. They all agreed that the event was one of love, and that it was not about singling out opposing views and anyone with opposing views, but was about engaging in meaningful dialogue about suicide prevention, our youth, and the LGBTQ+ community. 

I also had the pleasure of meeting Jeffrey Marsh and Blair Imani. Both of these people live different lifestyles, and are quite different from me in many ways, and I’m grateful to have had the opportunity to engage and speak with both of them. Blair had a wonderful conversation with Lauren and I on the varying perspectives of individuals around the world regarding hardship and struggles, and how by being considerate of those perspectives, we can improve how we interact and engage with others. She was well-spoken and wonderfully polite. Jeffrey was absolutely the most pleasant person I think I’ve ever met. So much kindness, gentleness, and optimism embodied by a single person was astonishing. 

This entire event was laced with celebrities, music, and festivities; but the core of this festival was the message and the passion in which it was delivered. LOVELOUD established a mission to ignite the conversation, and I truly believe that they succeeded in increasing the dialogue and bringing more people into that conversation. Regardless of our backgrounds, cultures, or lifestyles, we are all people, and as long as we breathe, we have an opportunity to meet and talk with new people, learn more about the communities and cultures of others, and build a better understanding of those around us. 

 And, it really is surprising what you will learn when you take that step. 

Originally published on http://utvalleywellness.com/

 

 

Medication Management and Mental Health

In my career in healthcare, I have seen far too many patients who have been prescribed medication and continue to take that medication faithfully; Yet after a time, they are not really sure why they are taking that specific medication or if it is even helping with the diagnosed issue.  

 What is missing for these patients? Medication management 

Medication management is the process of following up with the healthcare provider on a regular basis to assess the effectiveness of the prescribed medication therapy, discuss any side effects that may go along with the medication, and make adjustments in order to achieve proper dosing. In some cases, the follow-up may be to change the prescribed medication therapy, if it is not providing the desired outcomes. Medication management should be an ongoing process. It should include open dialogue between the patient and provider about the effects of the medication combined with any other therapies or treatments that may be in place. This is to ensure useful data is being collected, so decisions can be made based on the whole picture; not just the medication piece. 

When it comes to psychiatric and mental health services, the importance of quality medication management cannot be overemphasized. Not all people who seek psychiatric help will require medication. In some cases, amino acid therapy may be appropriate or continued therapy and counseling with regular psychiatric follow-up is warranted. If medication is prescribed, the patient should plan to see the psychiatric provider within 2 weeks (in most cases) for the first medication management visit.  Continued follow-up visits should be scheduled monthly, or as needed depending on the individual case. 

During these visits, the patient should plan on communicating openly with the psychiatric provider about their use of the medication, any side effects that they may be noticing, and any changes they are feeling in relation to their mental health diagnosis. At times, genetic testing can be used to pinpoint what medications are more likely to work for each individual patient. This testing can be used not only for patients who are just beginning psychiatric treatment but also for patients who have been prescribed medication therapies that aren’t working. The patient should also plan to consult with the psychiatric provider before taking any other medications. They should inform the provider of other mental health therapies being used or medical complications that may arise during treatment. The patient should expect the provider to ask questions that will direct and lead the conversation, so time is well spent and modifications can be made with confidence. 

Ultimately, the key to effective psychiatric medication management is open and continual communication between the patient and provider. At the Center for Couples and Families, our psychiatric providers strive to provide thorough psychiatric assessment, follow-up, and medication management. 

Originally published on http://utvalleywellness.com/

 

Love Loud

When I was in high school, my best friend was gay, and I never knew. When he came out to me years later, I asked him why hadn’t he told me back then, and he answered, “You remember what it was like, right?” Yeah, I remembered. It was the 90’s and it was Utah County. Fear and misunderstanding were the norm, and for many LGBTQ+ youth, day-to-day life could be a terrifying experience. I’d like to think that there have been positive changes since then, but sadly, Utah’s youth suicide rate isn’t one of them.  

Instead of falling, it is climbing steadily, and has been each year, nearly four times faster than the national average. LGBTQ+ youth in unaccepting homes and communities are 8 times more likely to commit suicide and 3 times more likely to engage in risky drug use.  

 But Dan Reynolds, the lead singer of Imagine Dragons, and the LoveLoud Foundation are trying to change that. Last year, Dan started the LoveLoud festival to increase suicide awareness for Utah’s LGBTQ+ youth. We recently sat down to talk with Dan and Tegan Quin from the band Tegan and Sara—artists who are trying to make a meaningful impact in the lives of our youth here in Utah.  

UVHW: What inspired you to start this journey, and LoveLoud, on behalf of the LGBTQ+ community? 

 Dan Reynolds: I watched how difficult it was for friends of mine to feel safe in that space. And then I went on (an LDS) mission, and became good friends with Tyler Glenn of Neon Trees. I watched him go through his process of being Mormon and gay and coming out and how difficult that was for him to feel at odds with God. Then I married a woman who is a badass activist who helped me to find my own inner truth and speak it. It’s been a lot of different things and a lot of different people who have inspired me throughout the years as well as people like Tegan who have been doing things in this realm for a long time. I’m just trying to do my little part with the platform that I’ve been given.  

UVHW: Your film Believer aired on HBO in June. What would you want the Utah Valley audience to know about your film and how to embrace the message that you’re sharing? 

Dan Reynolds:  That it’s a safe film to watch with their children. It’s motivating, it’s emotional, it’s powerful and I truly believe it will create real change in the communities that need it most. We tried really hard to create a documentary that was honest and to convey what’s happening on ground zero with our LGBTQ+ youth within homes of faith. The question is, what can we do to change the statistics, the environment and to create a safe one for LGBTQ+ youth, and that’s what this documentary is looking to do. I hope that everyone would give it a chance to sit down and watch it and see how their heart and mind feels. 

UVHW: How can we create greater safety for our LGBTQ+ youth and as well as adults; what can we do as a community? Tegan, do you want to answer that? 

Tegan Quin: It’s so profoundly moving to watch the documentary and that’s why Sara and I and our foundation got involved with it. We want to bring the community together, not to talk about how we don’t agree, but instead to create an amazing space to come together—to have the LGBTQ+ community speaking their truth, but also have Mormons in the community who want to learn and want to be better allies or want to understand what’s going on. The community is the space to do that, and to use music to bring people together. That’s a really wonderful way to start the conversation. As queer artists, our number one job is to bring people together to a space that feels inclusive and feels warm, and I think that music is really wonderful—a great equalizer. It transcends all of our differences and brings us all together. Encouraging people to watch the documentary or come to LoveLoud is a great way to start that conversation. 

UVHW: I brought my kids to LoveLoud last year, and that really opened up the door to talk about what they heard, and what they saw, and how they felt about it. It was such a cool experience, and was such a great success. What are your hopes for year two of LoveLoud? 

Dan Reynolds:  For me, it’s that dialogue that takes place beforehand and after the concert at home, at the dinner table, at school or at church. I think that change really comes about on people’s own timelines and nobody ever changes in a deep way on matters that are this ingrained in some people’s hearts, by just having someone talk at them. I think the change comes about with time, with patience and with open dialogue and thoughtfulness. What’s the most important thing is the child sitting down with mom and dad and saying, “Hey, this is what I felt at LoveLoud. What’d you guys think?” And then the parents expressing their thoughts and then the child their thoughts and then going to school and talking to their friends about it. And that to me is how you de-stigmatize an issue and that’s how you create a safe place for LGBTQ+ youth where this isn’t even a conversation that needs to be had anymore. But hopefully there’ll be a day where LoveLoud isn’t necessary any longer. Maybe it will just take on a different life of just being a celebration of love. 

Tegan Quin: I think there’s so much negativity in the media and there’s just a lot going on in the world. It can be extremely overwhelming, and maybe a young person is experiencing anxiety or depression. Another wonderful positive about LoveLoud and the documentary is that it’s celebration, it’s positivity–it’s starting the conversation and it’s exploring a different side of the conversation. Just this morning, I was speaking to a grade four teacher who told me that they had taken their students to an event where there had been positive LGBTQ+ representation there and they had been talking about pronouns and a kid who had been really depressed and who had expressed thoughts of suicide at 10 years old, which is just devastating to hear, had come back after the field trip and said, “I now know more about myself.” This kid had been feeling like maybe he was LGBTQ+. And sometimes it’s just giving LGBTQ+ kids something to look forward to, something positive to get them through these things. You know, that’s why I think LoveLoud is important. It’s positive and we need that right now in the community. 

UVHW: Yes, we do. What are your plans or thoughts about doing LoveLoud on a national level?  

 Dan Reynolds:  My focus is really on Utah, because that’s got one of the highest suicide rates in the nation. When someone has a LoveLoud necklace on or a t-shirt, then our LGBTQ+ youth can go up to that person, and find a safe zone there. But I would like it to be an organization that represents safety to all LGBTQ+ youth, not just in the nation, but around the world, and I think it starts here. We hope to continue to do as much as we possibly can to create a real impact. 

Sources:  

https://loveloudfest.com 

https://www.sltrib.com/news/health/2017/11/30/utahs-youth-suicide-rates-growing-at-alarming-pace-new-federal-report-says/ 

 

Originally published on Utah Valley Health and Wellness Magazine 

 

Hidden Signs of Depression by Alberto Souza, MSN, APRN, FNP-C

Studies show about 1 out of every 6 adults will have depression at some time in their life. This means that you probably know someone who is depressed or may become depressed at some point. We often think of a depressed person as someone who is sad or melancholy. However, there are other signs of depression that can be a little more difficult to detect.

 

Trouble Sleeping

If you notice a change in a loved one’s sleeping habits pay close attention as this could be a sign of depression. Oftentimes depression leads to trouble sleeping and lack of sleep can also lead to depression.

Quick to Anger
When a person is depressed even everyday challenges can seem more difficult or even impossible to manage which often leads to increased anger and irritability. This can be especially true for adolescents and children.


Losing Interest
When someone is suffering from depression you may notice a lack of interest in past times he or she typically enjoys. “People suffering from clinical depression lose interest in favorite hobbies, friends, work — even food. It’s as if the brain’s pleasure circuits shut down or short out.”


Appetite Changes
Gary Kennedy, MD, director of geriatric psychiatry at Montefiore Medical Center in Bronx, New York cautions that a loss of appetite can be a sign of depression or even a sign of relapse back into depression. Dr. Kennedy also points out that others have trouble with overeating when they are depressed.


Low Self-Esteem

Depression often leaves people feeling down about themselves. Depression can lead to feelings of self-doubt and a negative attitude.

 

What to do
If you suspect you or someone you love may be suffering from depression talk about it, encourage him or her to get professional help and once he or she does be supportive. Remember that at times symptoms of depression need to be treated just like any other medical condition.

Sources

Healthtalk.org

helpguide.org

Psychology Today

About the Author:  Alberto has worked in healthcare for over 10 years. He began as a CNA and then worked as a registered nurse until completing his Master’s Degree in Nursing.  Alberto has been been working as a Nurse Practitioner since April of 2013.  In addition to his work as a Nurse Practitioner, he also teaches online classes for the Dixie State University Nursing Program.  He is currently working at the St. George Center For Couples & Families.

Simple Ways to Improve Mood by Alberto Souza, MSN, APRN, FNP-C

We all have those days when it feels like we woke up on the wrong side of the bed. For whatever reason we are just in a bad mood. Often times these bad mood feelings are associated with difficult or stressful events in our lives such as trouble at work, financial problems or disappointment. Sometimes these bad mood feelings last for only a few hours, but sometimes they might linger for days at a time. There are many simple strategies to improve one’s mood in spite of what it is that might be bringing us down.

Be With People

Often times when we are feeling low just being with a trusted friend or family member and talking about our feelings can make all the difference. Having a sympathetic listener or someone that can get us laughing or looking at the bright side of things can make all the difference. We shouldn’t be embarrassed to talk about our mood or admit that we need help. In fact, many times isolating ourselves can be one of the biggest culprits in a lingering bad mood.

Get Out

Whether its a brisk walk through the neighborhood or a trip to the grocery store, getting out of the house can do wonders for improving our mood. Sometimes we just need a little sunshine or to breathe in some fresh air. The sights and sounds of everyday life can get our mind off of things and be a beautiful distraction.

Enjoy Yourself

When a bad mood strikes we might find ourselves not even wanting to do the things we normally enjoy, but doing them anyways can take our minds off of negative thoughts and often times will help us feel better overall. Think of simple pleasures like reading, exercising, cooking or baking, shopping or just watching a funny movie or show.

Talk to a Professional

Feeling sad or moody are normal human emotions that we all experience from time to time.  Depression is different from these emotions primarily because depression is a pervasive feeling of sadness that impacts our entire life and doesn’t just go away even when things in our lives are good. We should not hesitate to reach out to a professional to help us understand our feelings and deal with them appropriately.

Source: Psychology Today

About the Author:  Alberto has worked in healthcare for over 10 years. He began as a CNA and then worked as a registered nurse until completing his Master’s Degree in Nursing.  Alberto has been been working as a Nurse Practitioner since April of 2013.  In addition to his work as a Nurse Practitioner, he also teaches online classes for the Dixie State University Nursing Program.  He is currently working at the St. George Center For Couples & Families.

Coming Out – Part 2 Parental Self-Care

When he told me he only had crushes on boys and thats why he never dated, I started crying. 

My son told me not to tell his father that he really feels like a girl. Did I let him play with girls too much? 

I asked my daughter why her best friend identifies as lesbian, and she told me she thinks she may be one too. Im sure she is not. 

When teens come out, the world shifts. Some parents respond with denial, wanting to diminish the news. Others feel anger and want to find out who is responsible. Some parents feel sadness, anticipating a loss of shared values, a loss of future. Denial, anger and sadness are all important aspects of grief processing, and for many parents, responding to a child’s coming out is a grief experience. 

Most children talk with their parents only after years of trying to figure out what is really happening inside, and when they finally tell parents, those years are condensed into a moment that – to a parent – may feel like a dropped bomb. 

After listening to hundreds of stories of parents responding to their children’s expressions of attraction and identity, I’ve seen how important it is for parents to take care of their own emotional health afterward.*  

Here are some valuable principles to keep in mind: 

  1. Take a break to figure yourself out. Denial, anger, and grief are expected. However, if your child feels overwhelmed by your denial, anger, and grief, then healthy connecting may be more difficult. Many children “take on” their parents’ reactions and become more isolated. You may want to find another place and time to express and explore your genuine reactions. One mother told her child she loved him and needed some time to figure out her own feelings, and then she spent the afternoon at her sister’s home. Another father immediately called a counselor, reassuring his son that the counseling was intended to help the father provide healthy support for his son.  
  2. Remind yourself, “This is not a crisis.” One mother described feeling completely numb. Because Christmas was only a few days away, she felt both the pressure of the family’s expectation and the heaviness of the news. She found that repeating aloud the words, “This is not a crisis” reminded her that their family would still survive despite the new information.
  3. It’s normal to feel more upset, even though your child may seem happier. While children often feel relief after sharing feelings with parents, your feelings may begin to resemble a roller-coaster. It may seem unfair that your child has just given you the burden to carry. Breathe through these feelings and recognize that this is normal.  
  4. Find safe people to share what you are feeling. Your child may insist that you tell no one. And although it’s important to honor your child’s sense of privacy, it’s OK to let your child know that you need to talk with someone. Perhaps you and your child can agree on a trusted family member, friend, or counselor. 
  5. Limit your contact with others who are uninformed. Sometimes well-meaning friends and family have advice that is not helpful, or that undermines your confidence in yourself and your child. It’s OK to limit your contact with these people for a period of time. Plan what you will say. “We are working hard to support each other right now and I need to focus on that,” may be helpful to repeat.
  6. And finally, when you ask “Why me?” try switching to the question, “Why not me?” and see what strengths you find in yourself. Chances are you are being called to a deeper way of loving your child and yourself. 

SIDEBAR MATERIAL — Find a Parent Support Group in Utah County 

Find a parent support group. Meeting with other parents in similar situations has been a positive emotional turning point for many. Here are a few in Utah Valley: 

  1. PFLAG (Parents and Friends of Lesbians and Gays) meets weekly at St. Mary’s Episcopal Church in downtown Provo (provopflag@gmail.com) 
  2. Encircle Parents’ Meeting (Third Sunday of each month at Encircle in Provo) https://encircletogether.org/supportgroups 
  3. Northstar Parents’ Meeting (Quarterly meeting at a parent’s home in Lehi) 

https://www.lds.org/blog/navigating-family-differences-with-love-and-trust?lang=eng  

 Next time:  Coming Out Part 3 – What do we do now? 

 

Coming Out – Part 1 When your teen opens up

“I wish I could take it back and do it over!” parents say about the moment their teens told them they were gay, lesbian, transgender, or that the teens were worried about their sexual orientation, attractions, or gender identity. “Nothing prepared me for this!” they say. Other parents remember, “My first thought was that what I was hearing was somehow my fault, that I’d been a bad parent, and I just fell apart.” Even parents who managed to say to their teen, “I still love you, it doesn’t change anything,” still sometimes have regrets and wish they could press the re-start button.

As a therapist who has listened to hundreds of family “coming out” stories, I’ve noticed that what happens during these conversations has a strong impact on feelings within the family. This first interaction between parent and teen (and each conversation that follows) either creates stronger bonds or difficult memories that parents and teens have to work through later.

What most parents want is to keep a strong relationship with their teen, to remain a positive influence for good mental, physical and spiritual health. Yet, sometimes, conversations with teens create distance rather than connection.

Why should I think about this?

Chances are you will have a teen in your family, your extended family, your neighborhood, or church community who will eventually come out to you. How you respond to this teen may make the difference in his or her decision to live a healthy life, or even to keep on living. Research suggests that teens who identify as LGBTQ (lesbian, gay, bisexual, transgender or queer/questioning) feel the greatest positive or negative effects from their family’s reaction to them. Negative reactions from family are associated with teens’ increased risk for depression, alcohol use, substance abuse, and other dangerous behaviors including suicide attempts. Your preparing now for a possible family member’s coming out may be one of the most powerful chances you have to be a positive influence in a young person’s life.

What can I say?

Some parents feel authentic simply saying, “Oh, OK, tell me more about it when you feel like it,” and moving on. If you’re reading this, chances are that’s not you. A young person’s coming out may make you feel as if the axis of the world has shifted and you are supposed to set it right somehow. One of the least helpful ways to respond is to assume that the teen has made a choice that rejects your values.

Most teens share their feelings about attractions and identity only after they have wrestled alone with issues for weeks, months, and often years. Most are keenly afraid that their parents will feel that family values have been rejected. Even if you are the wisest person you know, it is unlikely that you will know more about the challenges of what they have been experiencing than they do. It is also unlikely that you will learn what they are experiencing without a lot of listening. The most helpful thing a parent can do may be to set the stage for future conversations.

The statements below encourage further sharing without assuming the teen wants to reject family values. These statements also make it more likely a parent will learn more about what a teen is experiencing:

I’m so glad you’re sharing this with me.

Thank you for telling me this. I’ve been wondering how I could help you.

What you are telling me is important. Most important, however, is that I love you, and this doesn’t change my love for you.

I hope you will keep talking to me about this.

This changes things for me too, and it will give me a lot to think about, but it doesn’t change how I feel about you. I still love and cherish you. We’ll work through this together.

This is hard for me, but I’m willing to do hard things as your parent. I want to be here for you to help you.

 

Next time:  Coming Out Part 2 – What now? Parent self-Care.

By Lisa Tensmeyer Hansen, MS, LMFT

A Healthy Dose of Back-to-School Anxiety by Brent Black, LMFTA, MS

?????????????????What is a Healthy Dose of Back-to-School Anxiety?  As a family therapist, I often meet with parents who want to know if their child has anxiety and my quick response is “I hope so!” Today the mere mention of the word anxiety tends to induce stomach knots, racing hearts, and cold sweats. However, a proper dosage of anxiety is a key component for healthy and successful children. On the other hand, excessive anxiety and the absence of anxiety are debilitating. Since the launching of school can also launch levels of anxiety for many students, here are a few points for parents to consider as they look forward to a successful year.

MP900405644Too Much?
The better question about anxiety is “does my child have excessive anxiety?” All healthy individuals experience at least some anxiety, but excessive levels of anxiety can lead to harmful behaviors. In order to diagnose an individual with Generalized Anxiety Disorder they must meet certain criteria which include excessive anxiety or worry more days than not for at least 6 months, difficulty controlling the worry, restlessness, fatigue, difficulty concentrating, irritability, or muscle tension. These symptoms cause significant distress or impairment in social, educational or other significant areas of functioning. So, a helpful question in determining excessive anxiety is — “has my child been significantly impaired for an extended amount of time in important areas of their life because of the anxiety that they feel?”

The beginning of the school year is a fitting time for parents to consider the possibility that their actions might be creating additional anxiety. One parental trend that often leads children to experience greater anxiety is an excessive family emphasis on achievement. Children who feel like they have to achieve in order to win the approval and respect of their parents are often filled with anxiety. Their motivation for achieving becomes less about personal growth and more about fear of letting parents down.

Kids on School BusNot Enough?
The opposite of anxiety is apathy or carelessness. Children who are apathetic give off a vibe of indifference, laziness, boredom, and unconcern. Faces are unflinching and tones are flat. The default response for many questions is simply “I don’t know.” There is not an official term of diagnosis to describe these characters but they are easily identifiable.

One parental trend that could lead a child toward apathy is a parent who is inconsistent, indifferent, and un-opinionated about their child’s success. I see exceptions to this trend, but I am often unsurprised by a child’s apathy after meeting both parents and understanding that a child is simply following the example of at least one of the parents. In these cases the apple really doesn’t fall that far from the tree.

Achieving the Right Amount of Anxiety
???????????????????????A great question from parents is ‘how do I help my children have the proper amount of anxiety?’ One of the best ways of helping kids reduce to a healthy level of anxiety is by maintaining high expectations while also assuring children both verbally and non-verbally that parental love is not dependent on child outcomes. In other words, parents need to convey that regardless of achievement level their children will always be genuinely loved.
One of the main ways that parents can increase the anxiety level of their apathetic children is to get actively involved. Parents who sincerely check-in and follow-up with their children are likely to see the kind of anxiety that will help motivate their children to succeed.

Although anxiety is often viewed in a negative light, a healthy dosage of anxiety helps children to be successful. Of concern are children who are experiencing excessive anxiety or no anxiety at all. Great parents are those who feel appropriate anxiety about helping their children to be balanced in their anxiety.

brentAbout the Author: Brent is an Associate Marriage and Family Therapist. During his Master’s Degree at Brigham Young University he worked at Wasatch Mental Health where he gained experience in working with families who have children that struggled with depression, anxiety, autism, trauma, or addictions. Learn more about Brent at st.georgefamilies.com.

Gratitude: More Powerful than Stress by Dr. Lee Johnson

balanceMany of us are overly stressed. We strive to balance our demands at home, work, and other community obligations. With these competing demands it is easy to understand why people don’t want to add anything else to our busy life. However, there is one emotion that has the power to put stress in its place—gratitude.
Stress is a chronic problem and wastes our energy and can actually have a negative impact on our health and our personal relationships (Childre & Martin, 1999). Researchers have discovered that our heart is much more than a pump. Our heart is part of our nervous system and even has it own brain. Additionally, researchers originally thought that our brain controlled our heart but we now know that our heart can influence and even override signals from our brain while regulating our body (Childre & Martin, 1999). In sending signals to our brain and to aid in body regulation our heart produces neurotransmitters and hormones. One of these is hormones is atrial natriuretic factor (ATF) or the “balance hormone”. This hormone regulates many of our bodily functions, blood pressure, and electrolyte balance (Childre & Martin, 1999). Gratitude is one of the keys to having our systems balanced to facilitate being calm and relaxed.
debtGetting away from some of the negative thoughts and feelings in our head such as frustration, anger and stress and focusing on our hearts with positive feelings of affection, appreciation, love, compassion and gratitude keep or heartbeat consistent and coherent and allow us to perform at our best (Childre & Martin, 1999). When I am overly stressed or negative, I have found that gratitude or appreciation is one of the easier positive emotions on which to focus to reduce the stress. An example from my life will illustrate how this works.
Lone Tree in SnowOne night it snowed a lot. I was scheduled to go for an 8 mile run the next morning. I grew up with cold winters and spent many childhood winters playing in the snow and as a teenager many weekends skiing. However, since moving to the south I have come to appreciate the warm winter weather and the luxury of year around training outside. I looked out the window and the negativity started; I hate being cold, I don’t need this workout, I can’t run that far, etc. With encouragement from my wife I got dressed and headed out. I discovered early on that I was correct—it was cold outside and I hated it, my legs felt like cement and I had strong doubts about completing the workout, and I thought I should just stop and go home. As I rounded a corner the wind started to blow snow from the trees into the sunlight. It was absolutely beautiful. My focus shifted from negativity and doubt to appreciation for the scenery, my ability to run, and being grateful to be outside. My ability to perform dramatically improved. My legs lightened up, I did not notice the cold and had a great run. What made the difference? I shifted to positive emotions (different from just positive thoughts) and the subsequent physiological heartbeat changes that accompany those feelings. I have used this moment as a guide and I have had similar experiences when work, family, or other obligations have stressed me.

 

So what is the key to applying this information to reducing stress? Shift your focus to the positive emotion of appreciation or gratitude. It may be helpful to focus on the scenery, the enjoyment you get out of your family, or think of someone you love and appreciate. This is more involved than making a list of things you are grateful for, it is focusing on theses things until you feel the appreciation or gratitude. It is important to practice these skills at various times during the day. Build them into your day and make them a part of your routine. While these skills take practice the return on the little investment of time will be worth the rewards.

Reference: Childre, D. & Martin, H. (1999). The heartmath solution. San Francisco: Harper.

 

 

LeeAbout the Author: Dr. Lee Johnson is a faculty member in the Marriage and Family Therapy Program at Brigham Young University. He is a licensed Marriage and Family Therapist, AAMFT approved supervisor, and a USAT Certified Triathlon Coach.