Peninsula Pediatrics

Category: Mental Health

Mental Health and Emotional Development in Children and Teens

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Depression and anxiety have been on the rise in children and teens. Kids are facing all types of stressors that are impacting their mental health. Social media, upsetting news, peer pressures, academic pressures, and social exclusion are some of the things that can exacerbate mental health challenges. Fortunately, however, parents and families can provide their children with mental health and emotional development tools to build resilience and learn healthy ways to cope and thrive in tough situations. Below are 4 building blocks to support your family’s mental health. 

Supportive and Stable Relationships at Home  

Every child benefits from strong, stable, and healthy relationships at home. It’s important that kids feel secure and connected with a caring adult and that their home environment is a safe space for them. One way to help children experience stability and connection is to create structured routines. This can include establishing regular mealtimes for eating together, setting specific times for kids to work on their homework, involving children in regular chores to instill a sense of responsibility and belonging, and creating a bedtime ritual. Structured routines can help kids feel more in control of their lives, reduce stress through predictability, and ensure that they’re maintaining their physical health by eating and sleeping well. It’s also beneficial to carve out time for kids to play, relax, or engage in fun activities that give them joy. We recommend dedicating some time to family activities like game nights. 

Another tip to keep in mind is to use positive discipline strategies to teach kids how to manage their behavior. Set limits and consequences for harmful behaviors, and make sure to model the behavior you expect of your kids. Additionally, you’ll want to recognize positive behaviors to encourage your kids to continue them. 

Creating Space for Open Communication

When kids feel anxious or depressed, having a space to express their thoughts and feelings to a trusted adult can make a huge difference. To encourage open dialogue, practice active listening, and foster a supportive, non-judgmental environment so that your child feels comfortable sharing what’s on their mind or what they’re dealing with. It’s helpful to ask open-ended questions instead of yes-or-no ones to better understand your child’s struggles.

Teaching Kids How to Understand and Manage Emotions

Learning how to understand and manage emotions can prevent children from feeling overwhelmed, and you can help your child with the process. Start by acknowledging, naming, and validating their emotion without excusing inappropriate behavior. For example, if your child is lashing out at home, you can say something like, “I see that you’re feeling angry right now. I understand that you’re frustrated, and that’s ok, even though your behavior is not.” From there, you can share healthier ways for them to cope and techniques for calming down, such as deep breaths, muscle relaxation, and visualization, i.e., imagining they’re relaxing on a beach.  

Helping Kids Connect with Peers and Their Community 

Having a strong support system, including trusted friends, and being involved in a community is valuable to a child’s mental health and emotional development. Kids will feel connected to others and that they have a purpose. Starting at a young age, schedule playdates for your toddler so that they can start learning how to form friendships. For older kids, encourage them to invite their friends over or schedule times to meet up with them. Volunteering and participating in extracurricular activities like sports or school clubs help children develop empathy and respect for others. It also improves their self-esteem and confidence and can prevent suicidal thoughts. 

Although more kids today are experiencing mental health issues, these emotional development building blocks can help children overcome their challenges and develop resilience. In some cases, however, children may need additional support. If your child is struggling with depression or anxiety, call our office to speak with our pediatrician.

Anxiety in Children and Teens

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Do you notice your child worrying a lot or struggling with a phobia? An anxiety disorder is a common mental health condition affecting many children and adolescents. While it’s normal for kids to feel anxious from time to time, such as before a test or a presentation in class, an anxiety disorder is when the fear is constant and intense to the point that it interferes with daily life. In recent years, anxiety has increased among children and teens. Pressures from school and peers, social media, and negative news in the media can contribute to anxiety in kids. Understanding the signs and addressing the disorder early can help your child get the support they need. 

Signs of Anxiety in Kids 

Common symptoms of anxiety include recurring fears, irritability, avoiding certain activities or situations such as school or social interactions, a drop in school grades and academic performance, trouble sleeping and concentrating, headaches, stomachaches, or substance use. Kids may shake or sweat often, feel their heart racing, or struggle with sitting still. If you notice these signs, it’s important to talk to your child right away. Start by discussing the potential triggers for their anxiety to get to the source. You can then help them manage their fears by using methods such as deep breathing, meditation, muscle relaxation, or positive self-talk.

Below is information on the different types of anxiety disorders that can affect children and teens. 

Generalized Anxiety Disorder: 

Generalized anxiety disorder involves excessive worry about everyday things, like school, events in the news, or family issues. Kids with generalized anxiety disorder may constantly seek reassurance or may struggle to relax. They may feel that their worries are difficult to control and that they disrupt their day-to-day functioning. 

 

Social Anxiety Disorder:

Social anxiety disorder occurs when kids are excessively afraid of being judged, embarrassed, or rejected in social situations. As a result, they might avoid social situations such as parties or school events. They might also be afraid to speak up in class or participate in extracurricular activities. Social anxiety disorder can make it difficult for kids to make friends or connect with their peers.

 

Separation Anxiety Disorder:

Separation anxiety disorder causes kids to have an intense fear of being separated from their parents or caregivers. Children may refuse to go to school, sleep alone, or attend playdates out of fear that something bad will happen when they’re away from their family. While separation anxiety disorder is more common in younger children, it can also occur in older kids.

 

Phobias:

Phobias occur when kids have an irrational fear of a specific object, situation, or activity, like the dark, dogs, needles, thunderstorms, clowns, or heights. Phobias can cause kids to panic when faced with their fears and lead to avoidance behaviors. 

 

Panic Disorder:

Panic disorder causes kids to have panic attacks when triggered by their anxiety or phobia. Children may feel short of breath, dizzy, or lightheaded. They may also hyperventilate and suffer from heart palpitations. 

 

Treating Anxiety in Kids

Anxiety disorders are diagnosed by a mental health specialist or a pediatrician during well-check visits. The diagnosis is done through a comprehensive evaluation where children and families are asked questions about mood, thoughts, behaviors, and activities. The most effective and common type of treatment for anxiety is cognitive behavioral therapy (CBT), which can help kids understand where their anxious thoughts come from and learn coping strategies for managing those thoughts. Through CBT, kids can learn to manage their fears through gradual exposure in a safe environment. In some cases, however, children may need medication in addition to therapy. 

 

While your child is being treated for anxiety, it’s important to take care of the other aspects of their health, such as diet, exercise, and sleep. Although these are not substitutes for therapy and medication, they can aid in the process and support your child’s mental health. 

 

If you have any questions or concerns about your child’s anxiety, call our office. Our pediatrician is here to support your family.



How to Address Bullying

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Bullying is a serious issue that affects children and adolescents every year. As parents, it’s important to be aware of the signs, know how to effectively address and prevent it, and help your child thrive emotionally and socially. The first thing to understand is what bullying is and what it’s not. Bullying happens when there’s an imbalance of power between the bully and the one being targeted. The bully will use harmful words or actions and dominating behaviors that can make their victim feel intimidated and unsafe. It is not the same as harmless teasing between friends or an argument between kids. Some children are more likely to become targets of bullying, such as those who are shy, perceived to be weaker or smaller, have disabilities or special health care needs, or have a marginalized identity including their racial and ethnic background or being part of the LGBTQ+ community. 

If left unaddressed, bullying can take a toll on a child’s health, development, self-esteem, academic performance, and school attendance. If you notice signs that your child is troubled, such as problems with sleeping, loss of appetite, sudden change in their school grades, skipping school, or feelings of depression and anxiety, talk to your child to see what the root of the issues are. If you suspect that your child is being bullied, ask them questions to better understand the situation. Once you learn more, you can help make your child feel safer. 

Encourage your child to not give in to their bully’s demands or give the bully a reaction. Bullies try to scare others and when they get that reaction, it can encourage them to continue. Advise your child to ignore the bully and let an adult know about the issue as soon as possible so that they can intervene appropriately. If the bully keeps harassing your child even after they ignore them, suggest to them to stand up to the bully by firmly telling them to stop the behavior or they will report them. When the bullying behavior is extreme or becomes worse, intervention from teachers, the school principal, or the bully’s parents, should be sought. Alert all parties so that they’re aware of the situation and can take the necessary actions, as well as keep a close eye on the problem. 

In many cases, bullying doesn’t take place in-person at school but online instead. This is known as cyberbullying, which has increased in recent decades from social media and smartphones. It usually involves harmful messages such as texts or comments on social media, sharing embarrassing or altered pictures of the victim, making up and spreading rumors and false stories, etc. Cyberbullying can be more difficult to deal with as the bully can easily be anonymous. If your child is affected by cyberbullying, document all behaviors, messages, and harmful images and report them so that they’re taken down as soon as possible and the user gets banned or removed from the platform where the cyberbullying is taking place. Tell your child to block the bully online and from their phone so that they do not continue receiving the messages.

Lastly, it is always helpful to teach your children how to build healthy relationships so that if bullying does occur, they have a support system that they can rely on. The more isolated a child is, the easier it is for a bully to target them. By developing strong friendships, your child will have people who can stand up for them and help them get through tough situations. Our pediatricians can also help. If you have concerns about bullying and your child’s mental health, please contact our office.