Category Archives: Marriage & Family

I could tell you, but you’re not going to like it: Anxious Youth

As you know, this column isn’t intended as psychotherapy or professional advice. It’s information and entertainment, and, I hope, the spark for some conversation with someone who can help with a problem. The problem here is anxiety in all its forms.

According to the Anxiety and Depression Association of America, about 31.9% of youth have some sort of anxiety disorder.  This would include diagnoses such as generalized anxiety, separation anxiety, panic disorder, and trauma disorders. It’s hard to believe this is accurate; if it is, then as a culture, things have gone horribly wrong. 

We know a lot about what works, and what doesn’t work for anxiety.  Isolation, the vortex of doom the internet can be, the misguided or malevolent support of random strangers online, endless social networking, and a sedentary, sleep-starved, junk-fed existence don’t work.  Overscheduling doesn’t work. Avoidance doesn’t work. Irresponsibility doesn’t work. So do the opposite.

Get off the devices except for schoolwork.

Get enough sleep. Go to bed at a set time, get up at a set time. Every day, even weekends.

Cut down on activities.

Read real books. Learn about other people’s interior lives via good fiction (that’s a primary reason that we read classic literature in school; to understand more about how other people think, feel, and respond to life’s events). Then talk about them. That means parents should read them, too.

Get physical activity.  A healthy young person needs at least two hours of activity a day, and ought to be standing, moving around, and active a big chunk of the rest of the time.  

Learn useful skills.  For example, everything it will take to manage one’s own money, car and home.

Socialize in person, often while doing something purposeful (whether that’s a sport, volunteering, or other activity).

Spend a lot of time in nature. If it can’t happen just about every day, plan a four- or five-hour chunk on the weekend.

Have chores and responsibilities for young people.  No, “school is not their job” and therefore nothing else is to be done around the house. How are they going to learn necessary life skills? Plus, who wants a spouse or roommate who thinks going to work covers them for any contribution to home and family life?

Learn mindfulness meditation skills, to slow down the stress response and “step back” from anxiety-provoking thoughts. This facilitates the cognitive restructuring of cognitive-behavioral therapy, in which new ways of thinking and behaving are identified and rehearsed.

…and try cognitive behavioral therapy (CBT), preferably with at least one parent learning, too, to be coach and to help the parent. Anxious parents tend to teach their children fear-fueled ways of thinking and behaving, and anxious parents are apt to facilitate avoidance.  Avoidance is like jet fuel for anxiety. Find a licensed mental health professional who will work with you as a family to teach the skills. Keep in mind that CBT will work much better if the other parts of life are in healthy, working order – proper sleep, nutrition, exercise, etc.

To expand on an earlier point: parents, often your anxiety feeds your child’s anxiety. If you are behaving as if the world is a terrible, dangerous place, do not be surprised if your child responds the same way.  Making changes together to have a healthier, less anxious lifestyle will help the whole family.

(Un)Social Drinking

4th in a series: I could tell you but you’re not going to like it: Social Drinking often isn’t.

Yet again, I am stepping into the fray to offer the kind of information that can be helpful but feel quite unwelcome. In this case, it’s the raw fact that, for many people, Social Drinking…isn’t.

Social drinking is one of the terms for the use of alcoholic beverages in disciplined moderation, with others: the glass of wine at dinner, the single drink at happy hour.  It means the person is not an alcoholic, and everything’s under control…but as the term is used, perhaps not.  The American Psychiatric Association has established a low bar to meet the criteria for mild Alcohol Use Disorder: these are two of the many criteria, and perhaps these two will resonate with some social drinkers:

“Alcohol is often taken in larger amounts or over a longer period than was intended” and

“Continued alcohol use despite persistent or recurrent social or interpersonal problems caused by or exacerbated by the effects of alcohol.”

In other words, if someone often drinks three glasses of wine when they meant to have just one, or plans to have “a drink” with a friend that turns into a three-hour hangout with multiple drinks, that is a marker of a potential problem. If someone uses alcohol, and then becomes argumentative with friends and/or family, or zones out in front of the television and, yet again, neglects chores or short-changes the dog’s evening walk, the so-called social drinking isn’t just social drinking. Stir in failing to get up on time for work due to a hangover, or having the alcohol cause headaches, belly aches, acid reflux or blood sugar issues, and there is a storm coming.

So, perhaps, unless your physician advises otherwise, you might do a bit of an experiment if you are a social drinker. The experiment is, no alcohol for a month; six weeks would be better. Fighting a habit takes time. Then see what happens.  If you discuss alcohol with your physician, please be honest: the health professionals’ unofficial guideline when people tell us about alcohol use is, double it, or perhaps even triple what the person tells you.

Evening alcohol use disrupts sleep; people may fall asleep more quickly but will often have sleep problems a few hours into the night.  Alcohol impacts the brain in a host of ways: it impairs balance and spatial judgment, slows physical reaction time, weakens impulse control, and interferes with cognitive functioning. It also interacts dangerously with a host of common medications, including but not limited to medications for pain, anxiety, depression, OCD, ADHD, allergies, and more; if you are on any medications, over the counter or prescription, check with your pharmacist about using alcohol with these medications.  Mixing alcohol and medication can be deadly. Perhaps during your alcohol-free weeks, you will find yourself more motivated to get up and get that morning walk or workout in; perhaps you will have fewer unproductive arguments with the people you love. At that point, it may seem that social drinking may not be social, after all.

I could tell you #3: Screening the Screens

#3 in a series: I can tell you, but you’re not going to like it.

Once again, I’m the fun-killer, offering information for your recreational purposes that you might not like hearing.

Thus far, I’ve discussed getting more sleep and more physical activity as ways to help children who seem restless, unhappy, unable to focus (except for electronics, usually).  If you have been experimenting with those changes – perhaps for your children, perhaps for yourself – and a few weeks have gone by, I suspect you have noticed a few changes.

You may be sleeping better and waking up more rested and alert. You may be naturally less reliant on caffeine and high-sugar foods to wake up or to get through your day.  If you were tracking it, you might also notice that you are spending less recreational time with electronics. If you were managing these changes for a child, you experienced some degree of pushback, possibly to the level of an addict being denied their drug of choice, because the brain becomes addicted to the rewards of social media, video games, etc., and it will take time to replace that addiction with healthy patterns.  If you were able to persist, within a few weeks you probably noticed positive changes in mood and behavior.

Some studies have supported the approach of adding positive changes before taking things away. For example, if a person needs to quit smoking, eat healthier and exercise, success is most likely to accrue if exercise is added first. This becomes an additional reward and incentive, and can help buffer the withdrawal from nicotine as well as withdrawal from addictive, highly processed foods. In that spirit, it seems it could be easier to have begun helping a child heal from the cultural damages that contribute to anxiety, depression, attentional problems, etc. by adding positive things (sleep, exercise and play) before directly taking away negative things (specifically, the largely unsupervised world of the online universe).

If your child has any unsupervised screen time, it is almost guaranteed they are seeing things you do not know they are seeing or want them to see. End of story. You think you have adequate controls, and firewalls; and somewhere far away, people with far more expertise in technology than most of us are busily creating pathways to circumvent parental controls.

As I have shared in other columns, one of my little escapes in a long work day may be a two to four-minute clip off the internet of some old movie: a dance scene from Mary Poppins, a short scene from Much Ado About Nothing, a few moments of Branagh’s Henry V, the latter not cheery but stunningly well done and quite grounding, as examples. These are my typical fare: dancing penguins, singing suffragettes and Shakespeare, but sometimes up will come next some horrible thing – R-rated, violent, hideous – so terrible that even shutting it down immediately is too much exposure.  From this I hypothesize that if you think your kiddo is happily watching perfectly clean children’s videos and do not supervise, you don’t know. You do not know whether some horror or corruption that was carefully created and marked with the right key words to intrude on that corner of the market is slipping into the stream.

Under the best of circumstances, if it were an hour or two of tap-dancing penguins, it is on too much time to surrender to passive entertainment without being selective. Most people will not just absent-mindedly pick up any book and read it for a couple of hours and then look up, surprised and resentful, when interrupted for food or water or homework. The internet, however, is something else: the endless parade of “talking” kittens, so-called “influencers” and worse contrive to steal time every day from many people. It’s not all bad, of course; I listen to educational lectures when I’m on the stationary bicycle six days a week. I’ve encouraged people to watch “The Chosen.” I’m in favor of well-researched educational programming. I’ve done car repairs under the tutelage of a mechanic on Youtube and am still stumbling through beginner Spanish with the internet, too.

If you are unconvinced about the use of the internet, watch the documentary, “The Social Dilemma.”

Cutting back on tech time is hard. You’re probably not, initially, going to like it, and odds are your child will fight you – hard.  We’re talking about your child’s well-being: their physical health, mental health, intellectual development and social skills. It’s worth the trouble. Try adding the deliberate reduction of entertainment with electronics to the improved sleep and physical activity habits.  Then see what happens.

My child is “hyperactive” Part 2: Move it!

Post 2 in a series: I COULD TELL YOU, BUT YOU AREN’T GOING TO LIKE IT © 2023

Once again, for purely entertainment purposes, I foray into the world of possible changes to be made to your, and perhaps your child’s, routine to maximize well-being. Be sure to consult a health professional before undertaking new activities.

My child is hyperactive, part 2:  Move it!

I am using “hyperactive” in quotation marks because, over the past 25+ years, many parents have offered this as their diagnosis of their children. When asked to describe the behaviors, they talk about poor attention, disorganization, disobedience, moodiness, lost homework and missing sports equipment, etc. It is this type of description, not the medical diagnosis per se, that I address here.

Human beings are designed to move: to walk, bend, stretch, jump, hop, climb, and more. We are able to throw things, build things, swim, dance, and then, when weary, sit and rest.  Follow a healthy preschooler around for a few hours and you’ll get the idea:  explore, play hard, stop when you’re ready to rest. Modern life seems to have it backwards:  most people’s lives involve a preponderance of sitting and far too little standing and moving. This is unhealthy for most people (of course, some people have serious health limitations) and even worse for healthy children. To expect children to sit still for many hours is a recipe for attention and behavior issues as well as developmental challenges.

My paperwork for new clients includes questions on sleep, exercise, and basic health, because these habits help shape mental health, too. These also can highlight if mental health care needs to be coordinated with their physician due to physical conditions that can impact mental health.  Obviously, we function best when our habits encourage physical and mental well-being.

In my last post, I challenged parents to take a hard look at their family’s sleep habits and work towards healthy changes. Perhaps by now you and your child have been experimenting with getting adequate sleep.  A second step towards a healthier, happier child with better focus, memory and mood is physical activity.  The American Heart Association recommends at least one hour per day of moderate to vigrous physical activity for children and teens. That means running, jumping, playing games, riding a bicycle, dancing, etc. It doesn’t mean a two-hour practice in which they spend 30 minutes on the field and 90 on the bench, waiting their turn.  Ideally, it includes plenty of free interactive play with other children and some with parents. It is this play, which requires physical activity and complex social skills, that enhances brain development the best and prepares children for the increasingly complex world of the workplace.  It includes the kind of rough-and-tumble play children traditionally have had primarily with fathers, in which the father would model how to pause and calm down before things get out of hand. Rough and tumble play without limits becomes “The Lord of the Flies” and grotesque gang violence. Life without play leads to passivity, poor social skills, poor physical health and higher risk for anxiety, depression, insomnia, and loneliness.

If your family pediatrician has cleared your child for physical activity, it is imperative to get moving. Your next task will be to find ways for your child or children to have more unstructured play time with children, and more outdoor activities with you, too. That will seem inconvenient, especially if you have your children overscheduled and accustomed to being moved from place to place and activity to activity, their entire lives carefully curated to keep them under the direct management of adults.

Go to the park and get on the swings, use the jungle gym, the climbing wall, the workout stands around the periphery. You might have to participate at first, just to show them how it’s done.  Take nature walks. Put the phones away; have yours along to take pictures of interesting animals and plants to look up together later, after you’re home.

Like the change to the sleep routine, expect push-back. Be consistent and see what happens. I suspect that, once your child is on a normal sleep schedule for a few weeks, and has adequate active play, you will see some interesting changes in behavior.   As a side benefit, screen time naturally is reduced:  children who are active outdoors and getting enough sleep have less time to be drugged by their screens.

Have fun playing!

My child is hyperactive, Part 1.:  You are getting sleepy…

POST # 1 In Series

A few months ago, I gave a talk for a women’s faith group on the importance of Sabbath time, and half-jokingly remarked that perhaps my next book would be entitled, “I could tell you, but you’re not going to like it.”  On reflection, maybe that’s not such a bad theme and I herein copyright that title.  So, here begins a series of indeterminate length addressing a variety of topics involving mental health, family life, relationships, and personal development that will include, at least for some people, something useful that may not sound very pleasant, or even seem not worth the effort. This being only for entertainment and not professional advice, that’s certainly fine; and given that reading this is free, it may even be worth the price of admission.  

Many parents believe that their child is afflicted with Hyperactivity/Attention Deficit Disorder (ADHD). This is a mental disorder, its parameters laid out by the American Psychiatric Association, and is most often diagnosed by a list of behavior patterns, all of which drive adults absolutely batty. In the next couple of blog posts, I’ll be laying out some specific steps with which you can experiment, as a parent, to see if these free, simple changes bring about positive changes in your child’s attention, focus, mood and general demeanor. The good news: these will help any child thrive.

If your child is exhibiting symptoms of ADHD, then your first stop should be your pediatrician’s office to rule out health reasons, such as blood sugar issues, lead poisoning, and anemia, that can cause behavior problems and poor focus.

Assuming your child is healthy, and the following meets your pediatrician’s approval, the critical first step for you and your child will be to address the almost certain sleep deprivation that pervades the household.  Start with some math: determine what time you and your child have to leave to begin the school and work day, and deduct 1 to 1.5 hours from that time.  That is the desired wake-up time for your child. Your wake-up time should be at least 30 minutes prior, so you can have some quiet as you ease into your day for prayer, meditation, or a cup of coffee, perhaps with your spouse.  If your child is in elementary school, wind back 9 to 10 hours from their targeted wake-up time. That is their time to be in bed. If you have a child who fights bedtime and sleep, I’d try 10 hours and let them read or journal – no electronics – quietly in their room and not be concerned about when they turn off the lights. They will learn, by being cranky and too tired in the morning, what happens when they stay up too late.  Your bedtime should be about 1 to 1.5 hours after theirs, giving you some time for conversation, reading, and perhaps a few quiet chores.  No screen time or fighting; either of these will impel your child to stay awake to either not miss the fun of screen time or to interfere with fighting.

Your child needs that time in the morning to get right out of bed, attend to grooming and dressing; they must make up the bed and stash pajamas, eat breakfast, clear the dishes, and perhaps do one simple chore:  fresh water for the pets, wiping the table, etc.  They should begin their day without rushing. No screens before school! This will leave time for play that helps meet the minimum 2 hours of active play children need for healthy brain development. If you’re lucky enough to have a fenced-in back yard, they can romp outdoors, toss a ball, jump rope, etc. until about 10 minutes before it’s time to leave for school. If you live in a condo or apartment, then you’ll have to be more creative: explore dancing, games such as desktop corn hole (yes, it exists; I have one for family sessions at the office. It cost $5.00), tai chi, yoga, or other activities that can be adapted for children and are safe indoors.

You will get plenty of push-back. No doubt you are arguing as you read this, generating reasons this can’t work for you. They have activities that run too late; they’re used to watching screens while eating, etc. You don’t want to give up your screen time, either.

A comment on that: four hours of recreational screen time per day comes to more than 2 weeks’ worth of 8-hour work days each month.  Surely you have things you’d rather do with a free 2 work weeks each month than see what someone you went to high school with had for dinner or read the tenth rehash of the day of a news story?

This challenge is like a marathon: it’s simple, not easy.  It will be hard.

Optimally, try these changes for a month before you give up. Do not vary your weekend rise/bed times by more than one hour.  After a month, assess if the change has been helpful for you or your child.

Using the Right Tool for the Job

When painting, the particular tools have to suit the purpose at hand.  Pastels, my favorite medium, range from hard to very soft. The degree of hardness impacts the way they make marks and interact with the painting surface. Thus, they are used in ways appropriate to the task at hand. Softly blended colors – the distant trees, faintly blued by atmospheric effect – call out for soft pastels. The graceful lines of bare branches glimpsed through foliage are served better by a harder pastel.  Use the wrong tool for the job and it is an exercise in frustration.

Just so, the various ways in which we communicate with one another have their preferred and best-suited purposes. I write letters in long hand to some family and friends; email has its role. The humble text message is an absolute delight in its place.  Its place is best described as the brief sharing of simple data:

Writing out Christmas cards, can’t find Uncle Lew’s new address

123 Orchard Street, Apt. A, S______, STATE, ZIP.

Thanks.

Or,

At the rest stop at US 19 and I-10, should be there in about 3 hours.

Great! See you then!

Or, perhaps, sharing a quick photo: a hummingbird, frozen in flight; a child in her sports uniform, a lovely sunset.

Text messages, on the other hand, are wretchedly inadequate for important conversations and emotional expressions beyond, “Love you! Have a good day!” sort of messages. They are inadequate for many reasons.

For one, they are brief.  Unless you have the ability to reduce complex ideas to simple, yet not simplistic, expression with the elegance of C.S. Lewis, the affective concision of Yeats and the incisive observational skills of Shakespeare, give up the notion of effectively resolving complex interpersonal issues via text.  We are, none of us, up to the task.

Worse, when we misstep, believing ourselves to be abundantly clear, we cannot see, or hear, the nuances of small muscle movements, pupil changes, swallowing, breathing, voice tone and volume, that alert us to make corrective efforts. Instead, our misstep is enshrined in visible form, to be reviewed and the misunderstanding (or all-too-clear awfulness) revisited and engraved into the heart and mind of the recipient, as well as anyone with whom they share it in an attempt to justify themselves in their rage and hurt.

You might say, well, the same can be said for email (right) and for the older, handwritten letter. For the latter, until fairly recently, writing was laborious: a pen to be perpetually sharpened and wiped; liquid ink to let dry. Even now, the arm and hand movements of script engage more of the brain, slow the process, and thus allow time to reflect before dashing off a reactive and possibly toxic response.

Many clients have explored in session the dilemma of family members demanding a text message interaction to address – now! – some emotionally rich and complex issue.  I urge them, and everyone, to resist giving in to the juvenile and narcissistic insistence that something of apparent critical import be reduced to text messages.  It is quite common for people to demand immediate exchange via text, repeatedly insisting you explain yourself (or whatever it is they require). If it cannot be face to face, at least do so via voice when both people are rested, sober and have time. Audible clues of tone, volume, steadiness and rhythm can help you assess how the conversation is going. If you are dealing with a reasonable person, refuse to have serious dialogue via text. If you are dealing with someone who is unpredictably volatile, irrational, or substance-using, potentially violent, seek appropriate safety and guidance.

So, what to do? There are multiple right answers here, of course; feel free to enter into a text message discussion of why you dislike your sibling’s fiancé, or don’t want your in-laws at the birthday party, or are upset about your child’s fifth undergraduate major in three years. I’d recommend against it. I offer, as a starter set, a few options to firmly, and lovingly, employ as you refuse to play the “text message” game.

“I love you too much to have a conversation about something clearly this important to you by text. Let’s figure a time when we can both be well-rested and ready to talk.”

“This sounds like a topic best discussed face to face. When would be a good time for you?”

“I’m glad you let me know this is something we need to address. When can we discuss?”

The possibility exists that you are dealing with someone, including someone you love, who is emotionally immature. Perhaps they demand, imagining they need, immediate gratification in terms of “resolution”. By resolution, they may mean getting you to agree they are right or bullying you into capitulating in some other way. At worst, they may be willing to cancel you if you stumble through an awkward and unexpected conversation. If you love someone this immature, whether friend or partner or family member, it is a sad state of affairs.  Still, giving in and trying to have emotionally complex conversations by text message (or email) will ineluctably lead to misunderstandings that can be read and reinforced in perpetuity. Just refuse.

Because, of course, you love them too much to reduce their concerns to a mere text message.

Take a Break: A Shabbat Habit

I was asked to give a talk to a women’s faith group about finding peace in this busy, stressful world. The direction I chose was to invite each person to consider how they keep Sabbath. Beyond attending worship, Sabbath includes truly connecting with God, with family and friends, with creation, and a deliberate disconnection from the usual routine of life. Perhaps you don’t practice a religion and feel that some sort of mandatory day of sitting around doing nothing sounds boring and stupid.  “Sitting around doing nothing” is a corruption of what the day of rest was meant to be; think of it as a day to step away from your usual routine and focus on what is most important. If you’re having trouble figuring out what that might be, think about the people you’ve known who were dying, or what you focused on most when you lost someone you love.  The great existential crises of life tend to make some things stunningly clear.

There are entire books written about the importance of Sabbath time, of that weekly stepping back from rushing, overstimulation and noisiness.  This short column is just a little memo, to me as much as to anyone who might happen to read it and could use the reminder.

So why should anyone consistently and deliberately take a break from the routine? Here are a handful of the many reasons.

It gives you time to recuperate from overdoing. My car’s tachometer goes much higher than the engine is meant to run to function well.  It’s the same for us. We are not meant to run at “100%” 24/7.  Taking a step back from overdoing gives your body a chance to begin to recuperate from an overstressed state. A lot of people like to think they do their best work under pressure, but at a certain point, the nervous and endocrine systems will conspire to have you functioning in a way that reduces your access to your logical, analytic brain.  You probably won’t notice it’s happening, but other people will.

It gives you time to begin to take a different perspective.  Much of modern life is designed to keep us distracted and in an artificial sense of urgency.  This interferes with reflection, the deeper thinking about what is going on, where our actions are taking us, and what does and does not really matter. Put another way, it can help you figure out what is important, versus what feels urgent but is not as important.

It gives you time to focus on relationships. Whether it’s online contact with family far away, time for a walk with your loved one, a meal with family or friends, or a ruthless, hours-long game of Monopoly, a Sabbath mindset puts aside clocks and schedules and savors the time with the people we love.

It provides time for play, rest, and creative pursuits. These are all important. They are not accessories, nor does their value derive from their contributions to work performance the rest of the week.  They are part of being human and have inherent value without having to be subordinate to our work roles.

…and I, definitely, and you too, perhaps, are far nicer to be around when there’s been enough rest, fresh air, laughter, and time with people who love us.  Sabbath time helps make us whole.

That wholeness is part of holiness.  People who are too rushed and focused on work, on the “next thing,” on the next ping of an electronic device, are not able to tune into other people, to themselves, or to God.  Doing what people most associate with Sabbath – going to worship services – loses something if I show up with a rushed, preoccupied, “Yeah, okay, but what’s next?” mindset.  We need a break, a prolonged pause that lets what is important float to the surface of our attention.

If you think this sounds crazy…try it anyway.  Try to take one day a week and carve it out as a day set apart. Spend time with the people you love.  Read a book; take a nap, play games or work on a puzzle. Savor the music you’ve diligently collected. Make art. Write a poem. Go for a nature walk. Cook and enjoy a meal together.  Put your devices away except for purposeful connection with people not physically present.  Then try it the next week. Try it for four or five weeks, and see what you find.

Shalom. Peace.

Prodigal and in your face

The holy days of fall and winter have begun, with Rosh Hashanah and Yom Kippur behind us and Thanksgiving, Hannukah, Advent and the Christmas holidays closing in fast. The stores overflow with all things green, red and peppermint. This means that one of the dreaded markers of the season is also upon us. You might be thinking about the price of turkeys, or heating bills, or navigating the dynamics of family and politics, but I am thinking in particular of the seasonal outbreak of atheism and related forms of cynicism among adolescents and young adults. Except for the power to disrupt other people’s good times, I’m not sure why so many families experience the angry outburst, arrogant smirks or sullen refusal to participate in the traditional prayers and rituals of life just when it is most likely to hurt.  Other than the week of Passover and Easter, there is no time more likely to cause suffering, than the fall and winter holidays: the season seems to be a favorite target for unleashing pent-up bitterness over having been raised in a tradition of faith and culture.

So, if this has happened to your family, you’re not alone.  Over a quarter-century in the mental health field, I have had to see many families distressed at the verbal attacks, the rebellion, and the apparent determination to be hurtful. Fighting with the young person about it is, of course, useless.  Trying to listen calmly, refusing to participate in conversations that are disrespectful, and suggesting the conversation continue later (and then following up to be sure “later” can happen) are potentially helpful.  Give yourself time to calm down, seek guidance from other people, consider the direction being taken.  If the young person has decided that belief in God is a superstition, something incompatible with science, perhaps they are willing to explore this, including the substantial number of scientists who are convinced that there is a God. Perhaps they are willing to learn about intelligent design from non-biased sources.   When the attitude is not mere cynicism but actual anger, it is very painful. Sometimes the rage is about the perceived lack of choice, the complaint is that they didn’t want to participate in the faith from childhood and that the introduction into the faith, whether bris or baptism, was abusive and unfair.

A rabbi whom I consulted echoed the mental health professional’s perspective: look at what else is going on, what other issues are at hand.  Someone who has found clarity (as they see it) should be more peaceful, not angry. An adolescent or young adult who has decided that religion is just superstition might be annoyed at being expected to participate, but will not be enraged. Anger is the sign that the presenting assertion is merely the top layer. What else is going on? Why the sudden rage?  Is someone smart enough – smarter than Fr. Georges le Maitre, the Jesuit priest and physicist who developed the theory now called the “big bang theory,” apparently, by their own reckoning – simultaneously naïve enough to believe something just because some people who sound convincing said so on some internet platform? What other indoctrination have they absorbed with unquestioning readiness?

Of course, you won’t have this conversation at Thanksgiving, right after the young person drops the bomb of their atheism, or rejection of religion, or rage at you about their Baptism, Bar or Bat Mitzvah, or Confirmation. That’s the time to somehow find the patience to be, or pretend to be, calm, politely curious and willing to discuss this later.  The conversation may happen over weeks, months, or years; it may involve some third party – a religious advisor, a therapist, a wise friend who has been on the same road.

It won’t be a fun conversation, and we can’t control the outcome. By being calm, listening carefully, asking sincere questions and verifying that you understand, you leave the door open for further dialogue as well as for the possibility of a change of heart.

Changes of heart are hard to admit, and even more so in the world of social media.  If a young person adopts a position, there will be a host of online encouragers.  If the young person reports pushback from adults, there will be more voices, criticizing the adults, urging cutting off the relationship, etc.  But, if the young person announces a change of heart, some of these voices of encouragement can become accusing, vindictive, cruel. Backing out of a decision can always be hard; imagine telling your parents you’ve decided to drop out of med school to be a professional surfer.  Consider the people who go through with weddings because they don’t want to disappoint people. Even smart, competent adults foolishly move forward into situations they know are wrong because they don’t want the transient embarrassment and miserable, but also transient, short-term effects. How much harder it is for young people who haven’t finished developing a mature brain.

This means our first job, as adults, is to listen with compassion and find a way to keep the door of communication open.  This way, when the young person is ready to reconsider, or be less vitriolic, or simply have a real dialogue, it will not require they have the desperation of the Prodigal Son to take the first steps. Whenever the child takes those first steps towards dialogue and reconciliation, remember the father in the parable, who ran to meet the returning child.

If this were my kid…

Advice-giving:  some therapists claim it should never be done; therapists-in-training are eager to leap in with advice before they know enough about a situation to offer it.  The stance on advice-giving has its roots in various philosophical approaches to therapy.

For those of a more psychoanalytic bent, it is the role of the therapist to push for deeper self-exploration and understanding, with that “a-ha!” process leading to more responsible, better-informed decision making.  Insight leading to action is a vital part of maturation; the alternative is an adulthood of adolescent reactivity and self-absorption.

Psychoanalytic insight may not do a frustrated parent any good at the moment they are figuring out how to handle the upside-bowl of cranberry sauce on the floor. Again.

In solution-focused brief therapy, the emphasis is on searching for times when a problem is absent or much reduced and breaking down the details of those situations, especially in regard to clients’ behaviors. This process empowers the client to realize that s/he is already equipped to deal with much of the situation(s) at hand and develop plans to do more of what already works.

This is a very helpful process, but sometimes people want a little more guidance.

Psychoeducation – teaching, basically – is different than telling a client specifically what to do. It provides information, refers to scientific data, often linking particular actions to help with problems.  Education is part of holistic counseling approaches to many concerns, including depression, anxiety, eating disorders, and problematic insomnia.

All of which brings us back to the question of advice.  I am not a new therapist, and people are not coming to see a therapist with 25+ years’ experience and some white hair so I can look vaguely concerned and steeple my fingers and murmur, “Hmmm, how do you feel about that?” when they express anger and shame over their inability to get a five year old to comply with bath and bed routines.

So, I am, at least for the moment, breaking the invisible fourth wall – the wall first broken in literature by Charlotte Bronte in the final chapter of Jane Eyre – and say, straight out, “If this were my kid…

“I would take away all electronics for at least six weeks.  Maybe longer.  Not even any television/movies unless a responsible adult is with them.”

Yes, they are going to be bored. They will be angry. If they have been playing video games, they may become aggressive and destructive – be prepared for this.  If they have been using pornography, it could be even worse. Fists and feet have gone through drywall over losing access to video games and phones.  If your child becomes hostile and aggressive (not just normally angry), it is evidence you are doing this late in a problematic process.  What are they going to do?  Play other games. Make art. Play the instrument that is gathering dust. Exercise. Do chores.  Read.  Libraries offer books, puzzles and games to borrow: no cost, little effort.  Try a family book club to introduce them to a broader range of reading.  Help them learn how to have a conversation in full sentences, complete with eye contact. The possibilities are boundless.

If they need a device for school, it can be carefully monitored and programs to limit access (such as Covenant Eyes) are available to try to control what is going on. 

“I would have them do chores.  No, ‘school is their job’ is not a good idea.  Do you want to be married to someone who goes to work, comes home, and expects to be waited on, because they did their job?”

By 13, an average, healthy child should be competent at all the basic skills of housekeeping. That means, able to clean any room without having to call in HazMat; sorting, washing, appropriately drying (read the tags), folding and putting away laundry (I give everyone a pass on fitted sheets, and yes, that reflects on my clumsiness); plan, execute, cheerfully serve and thoroughly clean up simple and nutritious meals; do most of the tasks of pet care; be able to handle trash, recycling and compost duties.  Would you want to be roommates or married to someone who can’t do these things as a young adult?  Your future daughter- or son-in-law will appreciate it.

“I would have them get an hour or two more of sleep, every night.”

According to the CDC, children age 6 to 12 need 9 to 12 hours of sleep per night. Teens need 8 to 10.  Odds are, your child is not getting enough sleep and you are already saying this is ridiculous and impossible; how are you supposed to do this?

Insufficient sleep has an almost immediate detrimental effect on brain structures and functions critical for focus, memory and mood:  factors that teachers and parents spend a lot of time complaining are deficient in children.  You know what you’re like when you don’t get enough sleep; foggy-brained, irritable and looking around for caffeine and sugar.  Your children are like that, too, except you are probably keeping the little ones away from triple-shot lattes.  If your teen has to be up for school by 6 AM, then they have to be in their room without electronics sometime between 8 and 10 pm.  The math is easy; accepting that something has to give is the hard part.  Make it an experiment to accompany the electronics question and see what child you meet after a few weeks.

“I would have them learn to use a planner.”

Unlike the early years of school, and even a lot of secondary classes, real life – adult life – requires strategic planning.  By middle school, students should be learning how to break down tasks into manageable, realistic chunks and follow those plans, adjusting as necessary.  That means writing down “Social studies test tomorrow” Thursday night is not good enough.  It means figuring out how much review needs to be done each night of the week to be adequately prepared, and adding that to Monday through Wednesday’s plans.  Even outside of school, the skill of planning is useful.

For example, many people get into power struggles/arguments/endless debates over dinner. The frequency with which this particular power struggle erupts in therapy would astound non-therapists.  I do not understand the surprise that dinner must be had.  Name a date in the future – any date – and if I am not deceased, unconscious or doing colonoscopy prep, I will expect to eat.  The need for a meal at night will never catch me by surprise.  Yet this recurring surprise is apparently part of the annoying texture of life for many families. Model the benefits of planning.  Get the week’s meals worked out, and streamline evenings.  There is an immediate benefit: instead of arguing about “what to do” and wasting two hours around it, have a quick, planned meal and then have time to do something fun, like watch a parent-approved movie together, fold that pesky laundry, and push around more pieces on the 2000-piece puzzle of a Tiffany window that seemed like such a great idea at the time.

I’d make some good memories, I’d say, if this were my kid.

An Echoing Silence

Does anyone ever admit that they are not exactly the best communicator around? Maybe even that they are crummy conversationalists, incorrigibly competitive, and a bossy know-it-all, too?  Probably not.

Wouldn’t that be nice to hear sometimes?  Someone freely admitting the “communication problems” are at least a little bit on their side?

Maybe you think there are communication problems – the person in question (spouse, friend, child, parent) “never talks with me.”  It may be on their side, certainly – most problems have multiple factors, and communication is no exception. However, you only have control over you – not them.  So, if the communication problem falls into the “we never talk anymore” column, perhaps the following might offer perspectives.  If it’s possible it might be you…

Are you the Conversation Hijacker?  Does every topic offer you a possibility to wrestle control of the conversation, taking over, changing direction and refusing to yield to the other people in the conversation?  They bring up the local baseball team and you take “sports” and launch into a detailed analysis of an entirely different game, the season ahead, and every stupid mistake the nearest team made when adding new players.

Perhaps you are the Professor. You don’t discuss, you lecture: expanding on your opinion, the evidence as you see it, and what’s wrong with other people’s positions, beliefs, or behaviors.  Expertise is wonderful; battering people with it is not nice.

Related to this, perhaps you become the Guidance Counselor or Coach: giving unsolicited advice, suggestions, and explanations of the person’s “problem” and the solution as you see it.  You don’t stop to be sure you have enough information to even begin to formulate advice; in your unconscious arrogance, you assume you have perfect-fit prêt-a-porté advice for every occasion.

Or, perhaps you are the Competitor.  They have a headache? You’ve had a migraine for days.  Their beloved pet died? You have three sad stories to top their heartache.  They have a muscle ache, but YOU need physical therapy.

Do you just launch into a monologue, barely taking a breath and not allowing the usual give-and-take of conversation?

Sometimes, the echoing silence on the other end of the couch is really on that end – your wife is lost in thought, your husband is anxious, your parent is depressed, or your teenager is preoccupied with stressors.  Perhaps there is some unresolved hurt between you. Perhaps, though, the person you love has fallen silent because they cannot trust you to stay in the conversation with them; they expect you to take over.