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Negotiating With Children

Negotiating With Children

Multiple choice. What would you do with each scenario? Each option has longer term consequences beyond the immediate response to the challenge. Sometimes, that’s the decision: immediate relief versus lasting lesson.

Scenario #1

The challenge: It’s time to leave for school and your daughter refuses to wear the shoes you’ve selected.

Your options:

  1. Hold firm and brace yourself for a fight.
  2. Give in. Don’t sweat the small stuff.
  3. Threaten some delayed consequence if she doesn’t comply and hope she gives in.

Scenario #2

The challenge: The dinner you prepared (healthy) is met with protests from the kids. They are demanding an alternative (less healthy) or else refusing to eat.

Your options:

  1. Scramble to put a frozen pizza in the oven.
  2. Craft a lecture about the vicissitudes of healthy eating.
  3. Let them go hungry.

Scenario #3

The challenge: Your son times his tantrum with the arrival of your house guests. He insists on going to a friend’s house, which you’ve already nixed.

Your options:

  1. Let him go and save face with your guests.
  2. Hold the line and endure the embarrassment of your guests judging you as a bad parent.
  3. Provide an alternative version of entertainment that is better than hanging with friends.

Millennial parents have different priorities than their Boomer parents taught. Often, that’s the vibe of generational transitions – improve upon the experience of your family-of-origin. Of all the species on the planet, human lifespans have evolved to enable grandparent insight while the little ones are still little. Yet, the advice and guidance of the elders is not always relevant or welcomed.

What’s your scenario? How would your parents have handled it? Why would you manage it differently? Down the road, how would you imagine your kids will handle it when it’s your grandkids acting up?

Everything cycles.

About the Author

Steve Ritter, LCSW is the Founder and Executive Director of Elmhurst Counseling. He has served as a teacher, author, consultant, human resources director, health care administrator, and licensed clinical social worker since 1977. A fellow of the American College of Healthcare Executives, Steve has provided coaching, therapy and team development services to thriving schools, businesses and organizations.

The Case for Co-treatment

The Case for Co-treatment

At Elmhurst Counseling, we often receive referrals that are best served by combining the expertise of multiple therapists. The most common examples are Occupational Therapy and Speech Pathology. OT and social work are similarly intuitive. The credentials and expertise of these specialists blend naturally on behalf of the child. Let’s consider these two examples.

Many kids fall short of school district thresholds for speech & language and/or occupational therapy services. Yet each of these children displays concerning symptoms, whether that be difficulties with motor planning or self-regulation. What is a parent to do?

You can wait for the kiddo to ‘grow out’ of their symptoms, assuming the lag is within the developmental norm. Or you can engage your own resource network proactively with the understanding that early detection pays dividends.

It is probably no surprise that both speech and motor delays are partnered with most kids. The same goes for sensory processing and social pragmatics. An hour with either the Speech Pathologist or the Occupational Therapist addresses many of the same developmental challenges. When you put them together in the same room with a child, magic happens.

The same magic occurs when you add a Social Worker to the mix. It is the rare ‘OT’ or ‘SLP’ client who doesn’t have a strong social-emotional component to their clinical picture. The ability to address the childhood traumas and family dynamics that impact normal development is, in essence, prevention. Speech/language, social work, and occupational therapy interventions thus all become strengthened in a multidisciplinary approach.

The cost/benefit analysis is clear. Collaborative interventions in co-treatment models have measurable clinical efficacy. It’s just hard to find a practice that offers hybrid services. Most often, parents need to act as project managers and patchwork professionals together on their own. If you can find a clinician that partners in an interdisciplinary practice, sign your kid up!

About the Author

Steve Ritter, LCSW is the Founder and Executive Director of Elmhurst Counseling. He has served as a teacher, author, consultant, human resources director, health care administrator, and licensed clinical social worker since 1977. A fellow of the American College of Healthcare Executives, Steve has provided coaching, therapy and team development services to thriving schools, businesses and organizations.

Who Owns the Feeling?

Who Owns the Feeling?

Emotions are contagious. Any of us are capable of shifting the mood of a room by bringing our vibe into the space. We’ve all been altered emotionally by the power of someone else’s mood. Whether excitement, anger, sadness, or fear – one of the ways we manage feelings is to share them. When the other person experiences your emotion, you feel understood.

There are a few psychological defense mechanisms that explain this – projection, identification, and projective identification, to name a few. They are designed to selfishly bring relief to negative emotions and to generously share the wealth of positive feelings. Examples abound.

One guy cuts off another guy on the highway and, before you know it, guy #2 is tailgating guy #1 with elevated blood pressure. Guy #1 gave guy #2 the gift of his aggressiveness.  

A teenage girl arrives at the raucous sleepover party in a glum, tearful state. The girlfriends crowd around her and her emotional weight becomes the theme of the night.

A parent screams at their kid for something minor because the adult endured a stressful day in the workplace. The kid takes responsibility for the parent’s outburst and wonders what they could have done or not done to make the parent less upset.

The high school senior learns of the acceptance to her college-of-choice, and the whole family whoops it up in celebration of her accomplishment.

In clinical circles, we call this ‘parallel process.’ The contagion becomes a window to the world of another person. If you assess what you are feeling in a particular interaction, it is extremely likely that your dance partner feels the same way and shared it with you. This becomes a valuable tool for parents. Consider the chart below as a roadmap for how to manage your child’s emotional reaction:

When the                               

child is:                       I Feel…                         Intervention

angry                           frustrated                    de-escalation

scared                         worried                       reassurance

tired                            depleted                      resources                   

overwhelmed              stressed                       structure

hopeless                      ineffective                    encouragement

withdrawn                   sad                              contact

Of course, this works with two adults in the same way. In the heat of the emotion, step back and get perspective. Become a diagnostician of the macro-level interaction from that wider lens, and then step back into the fray with precisely the most helpful reaction. The emotion you are feeling might not be your own.

About the Author

Steve Ritter, LCSW is the Founder and Executive Director of Elmhurst Counseling. He has served as a teacher, author, consultant, human resources director, health care administrator, and licensed clinical social worker since 1977. A fellow of the American College of Healthcare Executives, Steve has provided coaching, therapy and team development services to thriving schools, businesses and organizations.

Let Your Children Be the Bosses of You

Let Your Children Be the Bosses of You

We’re still in the time of year when many of us (in spite of ourselves) feel the temptation to make resolutions. If you’re like me, you’ve been pondering ways to become a better all-around person. In my case: more patient, attentive, and affectionate.

But I always grapple with the question of whether to broadcast my goals to anyone else. What if I fail? Better to keep my resolve quiet. On the other hand, if I tell someone I’ll probably feel obligated to try harder.

It might be better to go public, after all.

Common wisdom tells us that once you make your goals known, you’ll become more motivated to accomplish them. Aside from a couple of exceptions (including a 2009 study that found students acted less on their goals once they were shared because announcement gave them a false sense of completion), social scientists agree that external accountability helps.

And here’s something you may not know: it’s been proven that sharing your goal with a person whose opinion you value gives you a huge boost. Not only are you giving bigger life to your resolve, but you’re also now receiving implicit support and approval from someone who really matters to you. It’s almost like you’re doing it for them – like following through with your resolve is a gift.

So if your goals include being a better parent, like mine, I propose going straight to the source – your kids. Who better to share the gift of your resolve?

Let them know what you’re hoping to change, and why. Invite them into your heart and soul. They’ll feel the love conveyed in the message and probably be more than willing to hop on board to support you. You can be sure they’ll hold you accountable!

Little successes will become self-reinforcing – and you will have already taken the first step in your goal to become a better parent by simply telling your kids how much they matter to you.

About the Author

Kerry Galarza, MS OTR/L is the Clinical Director and a pediatric occupational therapist at Elmhurst Counseling. She provides specialized assessment and intervention with children of all ages and their families. Kerry engages clients with naturally occurring, meaningful home-based methods to empower autonomy and maximize functioning.

Thanksgiving Retrospect

Thanksgiving Retrospect

This year’s iteration of the holiday season is in the books. Thanksgiving is many people’s favorite holiday of the season. It’s about the pause to experience gratitude. Appreciation generates kindness. Kindness literally boosts our immune systems in real-time. If you hosted, most guests left your home with lengthened lifespans because of the love that was shared for a few hours.

Let’s review the highlights.

  • The food was wonderful. Everyone arrived with the dish they always bring, and this year’s batch was delicious.
  • The dinner table conversation managed to stop short of offensive and gave plenty of fodder for the ride home.
  • Gratitude was felt and expressed. Despite the hangover of ‘Blackout Wednesday’ and the commercialism of ‘Black Friday,’ everyone managed to appreciate the purpose of the holiday.
  • Christmas lights were lit up slightly earlier than the prior year despite the increase in head shakes, eye rolls, and deep sighs.

November seems to come faster each year. We get a surprise dip into freezing temps by Halloween and barely get the lawn mower put away and the snowblower gassed up by the time the trees turn dormant. When we slow down and widen the lens, we experience the wellness impact of giving thanks every day.

Both giving and receiving gratitude improve wellness. While unlikely to last much past the holidays, imagine delivering love in every exchange. Consider the way the day unfolds as a direct consequence of that moment. The giver empowers the receiver to give to a new receiver. The new receiver passes it on. And on, and on, and on.

 

About the Author

Steve Ritter, LCSW is the Founder and Executive Director of Elmhurst Counseling. He has served as a teacher, author, consultant, human resources director, health care administrator, and licensed clinical social worker since 1977. A fellow of the American College of Healthcare Executives, Steve has provided coaching, therapy and team development services to thriving schools, businesses and organizations.

Double Vision

Double Vision

Among adults, the challenge of seeing a different point of view is an intellectual maneuver. If you lived in their circumstances, you would probably feel the same way. As parents, however, understanding your kid’s world requires a shift to a developmental lens that most of us find difficult.

The problem is that shifting developmental perspective triggers history. All at once, the clear picture becomes blurry. Simply, our kids’ stage of development stirs up issues from our own childhood struggles. Naturally, we apply our personal memories to our reactions.

Double vision requires the impossible task of letting go of your own perspective while placing yourself behind the eyes of another person simultaneously. That means you must be sufficiently comfortable and clear with your own life to be open to another view. Easier said than done – especially if your history includes unresolved stuff.

Literally everyone has unresolved stuff. Some people work on it and others unconsciously allow it to steer their narratives with messages that have long been obsolete. Take, for example, the memory of a parent being conditionally available. Whatever the parent’s reason may have been for being preoccupied, the child is extremely likely to grow up wondering whether they are worthy of love.

It’s nearly impossible to see a parent as flawed or broken from a young child’s angle. Instead, the child will see themself as the cause of the problem, even when there is zero evidence to support that conclusion. Kids don’t know any better. Growing up will inform different realities but, by then, the self-image die has been cast. Your parenting approach will inherit this context.

Be careful. Your child’s world view is blind to your history. Your interpretation of their struggle most likely has nothing to do with their context. Clean the slate. Do your best to imagine what the world must look like through their eyes, and stay  as free of bias as possible.

As caregivers, our goal is to help our kiddos feel understood. That doesn’t happen by thinking that we know how they feel or have been through what they’re going through. We don’t and we haven’t. Understanding comes from listening without judgement.

The greatest gift we can give our children is the deliberate effort not to pass our unresolved issues onto them. Think about whatever percentage of your own worries stem from historical extended family struggle. Then let the buck stop with you.  

About the Author

Steve Ritter, LCSW is the Founder and Executive Director of Elmhurst Counseling. He has served as a teacher, author, consultant, human resources director, health care administrator, and licensed clinical social worker since 1977. A fellow of the American College of Healthcare Executives, Steve has provided coaching, therapy and team development services to thriving schools, businesses and organizations.