Occupational Therapy Archives - Life Skills 4 Kids https://www.lifeskills4kids.com.au/category/occupational-therapy/ Thu, 02 Feb 2023 13:30:01 +0000 en-US hourly 1 https://wordpress.org/?v=6.7.1 https://www.lifeskills4kids.com.au/wp-content/uploads/2021/10/cropped-LS4K-512-X-512-1-32x32.png Occupational Therapy Archives - Life Skills 4 Kids https://www.lifeskills4kids.com.au/category/occupational-therapy/ 32 32 Hidden Anxiety: 7 Ways it looks like Something Else https://www.lifeskills4kids.com.au/hidden-anxiety/ Thu, 13 Jan 2022 03:28:33 +0000 https://www.lifeskills4kids.com.au/?p=27530 The post Hidden Anxiety: 7 Ways it looks like Something Else appeared first on Life Skills 4 Kids.

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Hidden anxiety among children is surprisingly high, undoubtedly because it often masquerades as something else. And without understanding what they’re dealing with, the adults in a child’s life are often not equipped to handle it in the best way for the child.

Anxiety arises when the amygdala, a small organ in the centre of the brain, sends out signals chemical signals intended to give a person extra speed or strength in times of danger. It puts the whole body on high alert as it goes into “flight, fight, or freeze” mode whenever it perceives a threat.

But anxiety doesn’t often wave a banner and announce its presence, especially in children. And unless a parent or carer knows what to look for, what is essentially a cry for help may go unrecognised.

So, what does hidden anxiety look like? (It’s important to remember that each child is different and anxiety patterns are not uniform).

Explosive outbursts

These occur seemingly out of the blue and are even more surprising because they usually happen to a normally calm child. Renowned social scientist Brene Brown terms it ‘chandeliering’ because the person explodes so profoundly that they go through the chandelier!

Explosive outbursts or flying off the handle occurs when a child has been pushing down their feelings of anxiety over time until one day, it all comes rushing out. It might be triggered by something seemingly insignificant, but the underlying cause is suppressed anxiety that suddenly has to escape.

Anger & defiance

Anger and defiance are close relatives of the explosive outburst. Anger is also caused by the amygdala releasing chemicals intended to help us survive a threatening experience. Anger is a misplaced attempt to protect ourselves from harm.

Anger can take various forms, from sulky or sullen teen behaviour to tantrums, but its primary purpose is to protect us from danger.

Defiance is related to anger, but its purpose has a subtle difference. When anxiety is making a child feel helpless or out of control, sometimes they will try to gain some control in another area. Therefore, when a child is feeling anxious about having to go to school and feels helpless to control the situation, they might try to gain control in another area. This shows up as defiance about something unrelated, such as not wanting to wear certain clothes or refusing to have their hair done.

Sleeping difficulties

Anxiety and poor sleep create a cycle that’s hard to break. Anxious thoughts keep kids awake, while sleep deprivation can increase anxiety. Kids can stay awake worrying about oversleeping or being tired at school, which further contributes to the cycle.

Poor focus

Sometimes children become so lost in their worrying thoughts that they don’t pay adequate attention to the world around them. Sometimes adults speak and the child doesn’t appear to hear, but it doesn’t mean they are deliberately ignoring a parent or teacher. However, if the adult doesn’t

recognise the real cause of the child’s inattention, they may respond inappropriately or misinterpret the child’s actions.

Negative thoughts

Kids with anxiety tend to experience more negative thoughts than positive ones. It’s easier to go with negative thoughts and attitudes, and it can appear that the child is battling the blues all the time.

As adults, we can recognize this as anxiety, and help kids develop the skills to pinpoint negative self-talk and turn it around to be positive. This is a learned skill, and many kids will not pick up this skill without help.

Avoidance tactics

Most of us know what it feels like to want to avoid a task or situation because we simply don’t want to do it or participate, but for kids with anxiety, avoidance can become a major issue. Avoidance tactics can include taking action to avoid a task or situation, or not doing what they need to.

This often creates a cycle as the child spends time and energy avoiding the task or situation, only to still have to face it, which creates more anxiety, especially if they are now behind on a job, chore, or homework.

Overthinking

Overthinking and overplanning are close relations of defiance, as both have a need for control at their core.

But instead of trying to gain some control over a situation through defiance, an overthinking child will try to plan for every possible eventuality. This can sound like endless questions about what will happen, who might be there, and when a parent is going to pick them up.

Trying to prepare for every possibility is the child’s way of trying to take control over a situation when in reality, there is very little they can do to control it.

Recognise the problem, meet the need

By recognising anxiety as the hidden cause of the behaviour, parents, carers and teachers can take action to help a child deal with anxiety. The unwanted behaviour is just a symptom of a deeper problem.

Teaching Kids to Manage Anxiety

Kids today are growing up in a fast-paced world where information and opportunity overload can be overwhelming.

Based on many years of clinical experience as an Occupational Therapist, Deb Hopper has been using her Just Right Kids® Model to teach children to communicate and manage their stress and anxiety by:

  • Identifying their “body speed”,
  • Understanding their stress triggers, and
  • Implementing simple strategies to reduce anxiety and stress.

“This is quite simply the best, most comprehensive and practical bookI have ever read to help teach children – and many grownups – how to manage anxiety. It is written in an easy to read way with lots of fabulous graphics. This brilliant book needs to be in every home, every school and every library.” — Parenting author and educator Maggie Dent

Explore

  • How the body reacts to anxiety and impacts on our ability to think and get an action plan together
  • How to teach your children to identify when their body and mind is anxious, and how to tell you
  • Sensory overload and how this can push children into being anxious
  • Strategies to reduce screen time that you can start today (because this will help reduce anxiety in your house and make life more peaceful

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Technology Anxiety: Helping Kids Cope with the Transition to the Classroom https://www.lifeskills4kids.com.au/technology-anxiety-helping-kids-cope-with-the-transition-to-the-classroom/ Wed, 24 Nov 2021 23:15:26 +0000 https://www.lifeskills4kids.com.au/?p=26923 The post Technology Anxiety: Helping Kids Cope with the Transition to the Classroom appeared first on Life Skills 4 Kids.

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Technology anxiety is real amongst children and young people who face returning to the classroom after time spent in home learning during the lockdowns.

During this time, most children have been learning online or through an increased amount of screen time rather than face-to-face. For children with anxiety or worries about the problems in the world, this has often been less stressful than engaging in activities in the real world.

But what about when they return to face-to-face learning? And what is technology anxiety, anyway?

Fear of being separated from technology

Technology anxiety or digital anxiety can occur in a couple of different ways. It can be caused by separation from a digital device, or it can be caused by fear of technology.

In kids with technology anxiety, it occurs when they are separated from a favourite device.

Just as a stuffed toy or blanket might provide a sense of comfort and security for young children, digital devices can help an older child or young person feel secure.

But at what cost?

The negative effects of technology on mental health

According to the International Journal of Mental Health and Addiction, attachment to technology can lead to low levels of self-motivation, emotional intelligence, and empathy among young people. It is also a factor in ADHD, depression, and the inability to form stable friendships.

Mental health concerns in the digital age have only increased during a pandemic when children are spending far more time in front of screens than they have in the past, and hospitals in Canada have reported a 100% increase in mental health admissions for young people as a direct result of the pandemic.

Signs of technology addiction

Technology anxiety is often related to technology addiction and parents and carers can often spot the signs when they know what to look for:

· A lack of interest in other activities, even things the child used to enjoy in the past

· A single-minded focus that claims all of their attention when they are using their devices

· Tantrums, aggression, meltdowns or bad behaviour when unable to access their devices

· Constant discussion of screen time and things they have seen or done online

· Withdrawal symptoms including distress or anxiety that are relieved once they can again access their devices

Screen time and anxiety: Returning to the classroom may be a trigger

As lockdowns in some parts of the world begin to lift, children are facing anxiety over returning to the classroom and leaving behind the perceived safety of home and favourite devices.

So what can parents do to help their kids manage their technology-related anxiety during these transition times?

How to help reduce anxiety and screen time?

It’s important to note that changes you make need to be gradual rather than all at once. Gradual changes will help kids to adjust over time rather than sudden changes which may increase anxiety. Check out these tips for managing anxiety and reducing screen time.

1. Set boundaries

If you haven’t put boundaries in place, it’s a good time to set some. They could include daily screen time limits or no-go zones (such as the bedroom or bathroom) with digital devices.

2. Create a list of priorities

Make a hierarchy of priorities when it comes to screen time. These are things that must be done before screen time happens, such as chores or music practice.

3. Segment screen time into priorities

Set a limit on individual screen time in favour of communal screen time where other members of the family are interacting. Communal screen time takes priority over individual screen time.

4. Adjust the content rather than restricting usage

Rather than placing strict time limits on screen use, you can allow educational content to take priority over games or entertainment.

5. Replace screen time with together time

Children and even teens crave connection and togetherness, even if they won’t admit it. Find some fun things to do with your kids. Get outdoors and plant a garden together. Go for a walk or a swim or a visit to a park. Volunteer at a charity or get involved in a sport you’ve always wanted to try.

Kids will remember the meaningful things you did together, not the hours they spent on their screens, so don’t be afraid to persist if they grumble at first. Whatever you do, stick at it until it becomes a regular part of your routine and in time, kids won’t even notice that it has taken the place of time they used to spend on their devices.

6. Be ready to listen & quick to offer encouragement

Kids will often use screen time as an escape from the real world and also as a way to validate their self-worth. Games with awards and trophies are popular, as are endless selfies and “likes” on social channels. The reward centre of the brain is gratified by these things, but when they don’t work out, it can be devastating.

A listening ear and encouragement from someone in the real world are so important for grounding and validation. Be ready to listen without judgment and quick to offer encouragement and praise for jobs well done.

7. Model good habits yourself

Kids see what we do and follow our example. If you want your kids to spend time getting outside or getting fit, lead the way. If you want to spend more time interacting as a family at dinner time, turn off the TV or put your phone aside and ask everyone else to do the same. They are small things, but by showing a good example, you can help your kids to see the beneficial alternatives to screen time.

Small changes make a big difference for kids with technology anxiety

It’s the small things that make the biggest difference. By making small changes over time, you’ll help your kids to become less dependent on technology and more resilient in a world that demands we pay a lot of attention to technology.

Schools are going in and out of closure for deep cleaning like a yo-yo on red cordial at a kids birthday party. Kids in the city AND NOW our rural areas are facing the anxiety of COVID being in their suburbs and country towns. I’ve been supporting my local OT clients throughout the long lockdowns, but short ones I believe are even harder.
Transition to school, snap closures announced in the evening for the next day, and announcements for reopening at 9pm (yep, our house last night).
Let’s get our kids through the next few weeks til school holidays as calmly as possible. (and it’s a live guide, so if you have any suggestions, please let me know).

The post Technology Anxiety: Helping Kids Cope with the Transition to the Classroom appeared first on Life Skills 4 Kids.

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School Closures: What to do when your school locks down https://www.lifeskills4kids.com.au/school-closures-what-to-do-when-your-school-locks-down/ Wed, 17 Nov 2021 10:30:03 +0000 https://www.lifeskills4kids.com.au/?p=26808 The post School Closures: What to do when your school locks down appeared first on Life Skills 4 Kids.

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School closures have been frustrating and tedious for parents during the Covid lockdowns. They can happen with very little warning, creating family chaos, problems with work and other normal life activities, and causing anxiety for kids who don’t know what to expect.

The dreaded announcement … What should you do?

No one wants to hear that their child’s school has been closed because of positive Covid cases, and any parent who’s heard the dreaded announcement will be familiar with the sinking feeling that accompanies it.

First of all … breathe! You can get through this.

The other important thing to remember is that while Covid is serious for older people, children usually fare better if they do catch it and might only have mild symptoms and recover quickly. Just think of the best outcome, take a deep breath, and turn your attention to what you can do to get through this.

Be a sleuth

OK, sometimes it feels as if you need a degree in sleuthing to get to the bottom of government rules for school closures and other lockdowns! They can be confusing and change from one day to the next.

Read through the following checklist of questions you need to find answers for.

· What are the rules for isolation?

· Do I need to isolate along with my child?

· Does the whole family need to stay at home?

· Can my partner still go to work?

· Do I need to cancel or rearrange my work?

· Do I need to contact others we have been with to let them know?

Decide how to tell your child

Lots of kids suffer from anxiety with sudden changes of plan, so if this happens to your child, you’re not alone!

The best approach is to remain calm and be aware of your own anxiety levels. Take some time out to centre yourself if you need to. Then talk to your child about how plans change sometimes and this week will be a little different to usual.

Use a visual weekly planner

If your child is young, you can use a visual weekly planner to explain that there’s been a change of plan. Explain that school will be from home for at least one day, maybe more, and create a new plan for the week.

In your visual planner, you can paste pictures of what’s going to happen on each day of the week. If you don’t know yet, that’s OK. We have a strategy for that (see below). For older children, you might prefer to write in your planner instead of using pictures.

So, for example, if your isolation period begins on a Monday, get your child to choose a picture of a home to put in the planner. Now when anxiety strikes, your child can look at the planner and know that Monday will be spent at home.

For the next day, place a picture of a question mark on the planner with blu-tack. This means that you don’t know yet whether school is on. If you still don’t have information for the following day, move the question mark to the next day. This will help your child to understand that you are waiting for the information that will tell you whether school is back on.

Once you have a return date for school, place a picture of a school (or your child’s school) in the appropriate square.

This is a great strategy for anxious kids who can look at the planner to remind themselves about what is happening next.

Plan to succeed at home

Home isolation can be very trying with everyone falling over each other or experiencing negative feelings about being cooped up in the house.

But it doesn’t have to become a disaster, especially for a child experiencing anxiety.

One of the best ways to help your child feel secure is to create a plan for each day. Predictability and structure help children feel safe when the world around them is full of uncertainty.

So you can use the same strategies above for a daily planner. For younger children, use a visual daily planner that you can stick pictures in. With older children, you might prefer to write in the daily activities.

Your new home routine doesn’t have to be complex, and you need to allow some flexibility or it will become too difficult to stick with. But you should include the “milestones” or big events of the day such as bedtime, waking up, meal times, or the start and finish of school. You choose what’s important in your family.

You can do your plan for the entire day, or you can divide it up into morning and afternoon – whatever works best.

Beware of too much screen time

Don’t worry, we’ve all done it! Screen time is a handy babysitter when you’re trying to work at home or even when you just want some peace.

But in the longer term, too much is harmful to kids’ wellbeing. It can make bedtimes more difficult and increase social anxiety, among other things.

So the best thing is to aim for a balanced routine that includes exercise, time outdoors if possible, and time spent doing interactive activities with other members of the family.

You can do this!

You’ve got this! As some of you who have already been through it know, this too shall pass. Nothing lasts forever, and it’s just a matter of doing the best you can until schools reopen and you can resume your normal life again.

You’re doing an amazing job of holding it together under difficult circumstances, so give yourself a pat on the back, take a deep breath, and make sure you’re caring for yourself, too. You’ve got this!

Schools are going in and out of closure for deep cleaning like a yo-yo on red cordial at a kids birthday party. Kids in the city AND NOW our rural areas are facing the anxiety of COVID being in their suburbs and country towns. I’ve been supporting my local OT clients throughout the long lockdowns, but short ones I believe are even harder.
Transition to school, snap closures announced in the evening for the next day, and announcements for reopening at 9pm (yep, our house last night).
Let’s get our kids through the next few weeks til school holidays as calmly as possible. (and it’s a live guide, so if you have any suggestions, please let me know).

The post School Closures: What to do when your school locks down appeared first on Life Skills 4 Kids.

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Growing A Sustainable Therapy Business: First Impressions Count https://www.lifeskills4kids.com.au/sustainable-therapy-business/ https://www.lifeskills4kids.com.au/sustainable-therapy-business/#comments Wed, 27 Oct 2021 09:30:02 +0000 https://www.lifeskills4kids.com.au/?p=25731 The post Growing A Sustainable Therapy Business: First Impressions Count appeared first on Life Skills 4 Kids.

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Growing a sustainable therapy business is a dream for some who would prefer going solo rather than work in a public health setting or a large team. But it can be a daunting thought to set out alone and be the only person responsible for the success or failure of your business.

Getting your entire business lined up perfectly is beyond the scope of this blog post, but one of the many important things to consider is how your clients will feel and respond to your approach to their treatment. While you can’t do anything if they don’t find you a good fit personally, you can create a welcoming environment for a good first impression. Check out the tips below for ways you can help them have a positive experience in their interactions with you.

1. Word of mouth matters

With the growth in review sites and social media, any business is exposed to public opinion whether they like it or not. This can be an excellent way of gaining new clients if your current ones are happy and recommend your business to others.

It has become essential for businesses to have some kind of social media presence as a way of interacting with potential or current clients. Engaging with people on social media is often the first step in gaining their trust or becoming their go-to source of information.

You don’t need to manage your social media yourself as this is time-consuming. Fortunately, you can outsource this task and save time while still maintaining an active social media presence.

2. Create a welcoming environment

First impressions really do count and when a client enters your premises for the first time, they will respond to the environment. Most therapy businesses have a reception or waiting area, and while clients are using it, they need to feel comfortable. Check:

  • That the lighting is not harsh or distracting. Replace fluorescent globes with some other type (especially important if you are dealing with clients who might suffer from sensory issues or have autism)
  • The seating – are the seats comfortable? Are they arranged in a way that offers privacy if others are in the waiting room?
  • The flooring – is the flooring quiet? Is it pleasant to walk on? Noisy flooring can make clients with sensory issues uncomfortable.
  • Is the waiting area space appealing in other ways? Is it visually calming and relaxing? Does it have windows that allow in outside light? Are you able to regulate the temperature to keep it comfortable?

3. Make client relationships a priority

It’s a cliché that the customer comes first, but it’s also true. This means that each person who works in your practice (even if it’s only you) needs to make your interactions with your clients a pleasant experience.

Most of the time, this only takes old-fashioned courtesy and customer service to ensure that your clients have a positive experience. There’s nothing like a happy customer for spreading the good news about how you’ve helped them, and it also goes a long way to creating loyal clients who return.

4. Buy the right equipment

A well-equipped therapy business is appealing to clients. Some will even choose businesses that offer certain types of equipment.

That said, you will still be constrained by financial necessity and storage space, so choosing the equipment that will offer the best value is a must. It might be nice to have all the latest gadgets, but it’s crucial to keep a level head and only choose what will best fit your clients’ needs, your budget, and your storage capacity.

5. Model what works

Take a look at other successful therapy practices and see if you can incorporate some of the same principles into your own business.

Many business owners are happy to give advice, and if you find someone who will, take advantage of their knowledge. Ask what works for them and what doesn’t. If you can, observe the layout and surroundings of their business and see if there are any elements you can make work for your own business. Do your best to model success.

Enjoy the freedom of having your own business!

Growing a sustainable therapy business takes hard work and discipline, but it can also offer the freedom and flexibility to manage your time and your life yourself. If you’d like to learn more about setting up your own business or making your current practice more sustainable, check out my THERAPY BUSINESS BOOTCAMP.

For more updates, follow us on our social media channels. We are on FacebookTwitterLinkedin, and Instagram!

Do you feel pressured and overwhelmed even though you’re working evenings and weekends? Are you struggling to manage your business and finances?

This 8-week online course is suitable for paediatric occupational therapists, music therapists, speech therapists, physiotherapists as well as counselors.

The 8-week Therapy Business Bootcamp is an online course teaching you practical strategies to develop a successful therapy business and take back control of your life!

business bootcamp

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School Anxiety: Ease the Transition to School After Home Learning (With Tips) https://www.lifeskills4kids.com.au/school-anxiety-ease-the-transition-to-school-after-home-learning-with-tips-2/ https://www.lifeskills4kids.com.au/school-anxiety-ease-the-transition-to-school-after-home-learning-with-tips-2/#respond Tue, 19 Oct 2021 02:53:27 +0000 https://www.lifeskills4kids.com.au/?p=25528 The post School Anxiety: Ease the Transition to School After Home Learning (With Tips) appeared first on Life Skills 4 Kids.

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School anxiety after home learning is to be expected. For many students, it has been a long time since they were last in a classroom, and with the uncertainty of lockdowns and the world in general, many children and young people have anxiety about returning to the classroom.

This can be especially worrying for children whose siblings may be starting on a different date as schools stagger the return to school.

So, what does school anxiety look like, and how can you help your child to manage it?

Sometimes labelled as school refusal

Children who cannot face school because of their anxiety issues are sometimes labelled as school refusers, which is not helpful and doesn’t address the root cause of the problem. Authorities may also place pressure on parents to force kids to attend school, which adds to their stress and anxiety.

But blame and an authoritarian approach are not the best solutions to this problem. We’ll get to that. Let’s just take a moment to consider what school anxiety looks like.

  • Internalising, becoming withdrawn
  • Distress over normal events or morning chores
  • Meltdowns
  • Easily distracted, can’t focus
  • Tearfulness
  • Freezing at the door
  • Quiet
  • Mystery aches and pains
  • Holding it together at school but negative behaviour at home
  • Disruptive or destructive behaviour in the classroom
  • Hiding
  • Refusal to attend school no matter what

In the case of a student whose siblings are starting on a different date after a long period of home learning, school anxiety can be even worse, especially if they usually go to school together or see each other throughout the day. The student at school may feel more alone or vulnerable than usual, while the one still at home may have a lot of worries and fears for the sibling at school and for their own return to school on their allocated date.

So, how can parents ease the transition to school when students may be starting at different times?

Tips to help kids manage school anxiety when start dates are different

When one child is resuming face-to-face learning and others are still at home, it can be daunting and create anxiety. Try these tips to help with school anxiety and their worries around different starting dates.

Visual reminders of starting dates

Many families find it helpful to keep a calendar of the start dates for school or other important dates. You can have a calendar for the whole family to use and a separate one for each child. When your child starts to feel anxious about what’s going to happen, you can remind them to look at the calendar. Teach them to do this as a way of managing their anxiety.

Timetables

Another handy tool for anxious children left at home is knowing the timetable of a sibling who has returned to school. When they start to get anxious or worried about the sibling, you can show them the timetable and talk about what their sibling might be doing at that moment.

Focus on the known

Children often focus on the fear that the unknown brings. Will things still be the same at school? Will the classroom look the same? Will they still have the same desk and chair?

Rather than worrying about the unknown, help your child to focus on the things they do know. Look at the calendar with the start date on it and talk about returning to school on that date. Talk about the teacher if you’re sure it will be the same person. Help your child to remember the school routine, such as class time and playtime. Remind them that lots of the things that were familiar at school will be the same.

Look for the positives

Rather than getting caught in a cycle of worry and fear, look for the positives in returning to school. There is always something positive in any situation, and many things to be thankful for when you look for them.

Encourage your child to think of the things that are good about school. Will they be seeing a special friend again? Do they enjoy playing at recess? Is there a subject they like, such as art or music?

Help your child focus on the good things about school and enjoy the benefits of positive feelings instead of stress and worry.

Provide noise alleviation

Sometimes excessive noise causes school anxiety, especially for children with autism or sensory processing disorder.

If noise is the reason a child is anxious, you can send them to school with ear protection to minimise the noise. It’s best to discuss this with the teachers first so they can help your child manage while you’re not there.

Make home a calming experience

When a child comes home after a long day of school experiences, it’s essential to help them relax. Spend some time out in nature together. Take the dog for a walk or do some gardening. Go for a bike ride or a swim to get their muscles moving. Play with a pet, or listen to calming music together.

Creating calming experiences will look different for each family, but it’s important to have something in place so that your child can relax after school.

Set clear expectations of school boundaries and routines

Talk about school expectations before classes resume. Remind your child of the school routine and discuss school boundaries, if appropriate. Each school will have different rules, for example, no throwing sand at other children in the sandpit. No hitting, no swearing, or whatever other rules apply.

A reminder of the rules can be helpful because sometimes children break the rules without thinking. They then fear getting into trouble, so setting clear expectations around rules and behaviour can help alleviate anxiety.

Play games for distraction

Sometimes distractions are just what you need to prevent anxiety-induced meltdowns or tearfulness. Play an “I Spy” game on the way to school, or pick out favourite local landmarks. Try an imagination game about who might live in an unusual house, or think of something quirky such as what the animals in the zoo might say when they see all the people. Use your imagination and have some fun.

Get moving

Movement is so important for mood and wellbeing, and doing it with your child can make you both feel good. Set aside a regular time to get moving. You could put on a dance DVD and do all the moves together, go for a walk outside in the fresh air, play at the park, or ride your bikes.

Provide a safe place for your child to unload their worries and fears

One of the most important things you can do it provide a safe space where your child can unload their worries and fears without judgment, criciticism, or blame. Encourage your child to talk about their day and the things that went well and the things that didn’t. Talk about how they might be able to do things differently next time (it helps to build resilience), and think of ways to solve problems they might be facing.

School anxiety doesn’t have to control your life

School anxiety might be crippling, but it doesn’t have to control your life or your child’s. Try some of the strategies above, be understanding and encouraging, and help your child to thrive in spite of the challenges.

For more updates, follow us on our social media channels. We are on FacebookTwitterLinkedin, and Instagram!

 

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How to Spot Trichotillomania in the Classroom https://www.lifeskills4kids.com.au/spot-trichotillomania-in-the-classroom/ Tue, 26 Mar 2019 05:17:12 +0000 https://www.lifeskills4kids.com.au/?p=20277 Trichotillomania has always been a secretive thing, leading health professionals to believe for many years that it was extremely rare. But in recent years, researchers have discovered that it’s actually a common problem that affects up to 2% of the population(1). Children and young people are no exception; trichotillomania commonly begins between the ages of […]

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Trichotillomania has always been a secretive thing, leading health professionals to believe for many years that it was extremely rare. But in recent years, researchers have discovered that it’s actually a common problem that affects up to 2% of the population(1). Children and young people are no exception; trichotillomania commonly begins between the ages of 10 and 13, although very young children may also be affected. This means that educators and other professionals are likely to come across a child or young person with trichotillomania in the classroom at some point and knowing what to look for is an advantage for intervention purposes.

What is Trichotillomania?

Trichotillomania is the specific habit of hair-pulling, while dermatillomania is the closely related habit of skin picking. Together, these habits cause significant distress or disruption in the lives of the children and young people that suffer from them. The signs and symptoms of trichotillomania include:

  • An irresistible urge or compulsion to pull out hair
  • Pulling hair from the scalp, eyebrows or eyelashes, but other body areas may also be a choice
  • Sometimes favouring a particular site for the activity, leading to bald patches
  • Feeling a sense of tension that is relieved by the pulling activity
  • Being unable to stop hair-pulling
  • Engaging in rituals around the hair-pulling activity
  • Having a preference for a certain type of hair to pull or a certain method of pulling
  • Playing with the hair after it has been pulled
  • Eating, biting or chewing the hair that has been pulled (this can have serious medical consequences)
  • A sense of pleasure or relief after the hair has been pulled
  • Social isolation or distress caused by the habit of hair-pulling

Trichotillomania is Not Anxiety

In order to get the right treatment in place, it’s important to note that TTM is not caused by anxiety, although anxiety can be a trigger. It often occurs in company with other conditions such as OCD, depression, substance abuse and other anxiety-related disorders. However, while anxiety is driven by fear and stress, TTM is regarded by researchers and other professionals as a body-focused repetitive behaviour that requires a different treatment approach. They believe that the causes are a complex mix of neuroanatomy, genetics, hormones, psychology (emotional regulation) and environment.

Spotting Trichotillomania in the Classroom

Trichotillomania in the classroom is not necessarily easy to identify due to the secretive nature of the habit. Due to the social stigma associated with hair-pulling, many sufferers carry out their activities in private. But teachers and professionals who are observant may recognise some of the following signs:

  • Frequent, unconscious attention to the hair or skin – playing with it, stroking it, pulling at it or twisting it
  • Bald or thin patches of hair
  • Trying to hide the damage by using head coverings or staying away from others
  • Wearing hair in a certain style to hide the damage
  • Social isolation or unwillingness to interact with others
  • Fidgeting or restlessness in conjunction with obsessive attention to hair or skin
  • Signs of depression or anxiety that occur alongside hair-pulling

Treatment for Trichotillomania

The most successful treatments for TTM involve cognitive behavioural therapies that take a multifaceted approach. One of these, the comprehensive behavioural model, helps patients to identify triggers in five different areas: sensory, affective, motor, cognitive and place. Once triggers are identified, the therapist and the patient work together to tailor strategies to deal with the triggers. Self-monitoring is an important  part of any treatment plan but it may not work for every patient.

Classroom Strategies for Teachers and Educators

If you have a child or young person with diagnosed trichotillomania in the classroom or you believe a student might have the condition, it’s important to take action. This might include working with parents and other professionals on a treatment plan or monitoring a student’s behaviour. You can also try these strategies to help students manage trichotillomania in the classroom:

  • Give fidgety students something to do with their hands such as squeezing a ball. Fidgeting and restlessness often precede hair-pulling episodes
  • Distract students with a task or activity when you notice behaviours associated with hair-pulling
  • Keep anxiety triggers to a low level by having visual reminders of routines and activities so that students know what’s coming next
  • Encourage students to adopt healthy sleep habits and to exercise regularly to help manage anxiety and improve mental health
  • Work with parents to integrate strategies between home and school
  • Help students create a to-do list when they are feeling overwhelmed and at risk of an episode of hair-pulling. This can help some students to feel more in control and can ease their tension levels

Taking it Further

Therapy is usually required before children or young people can overcome trichotillomania. If you would like to know more about this condition or how to access intervention services, feel free to contact us. We would love to hear from you!
References:
(1) https://www.npr.org/sections/health-shots/2018/03/17/588954152/for-compulsive-hair-pullers-and-skin-pickers-there-is-need-for-more-help
https://www.bfrb.org/storage/documents/ComB_Article.pdf
https://www.summitmedicalgroup.com/library/pediatric_health/bha_trichotillomania/

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The Regulation Rocket https://www.lifeskills4kids.com.au/the-regulation-rocket/ Thu, 24 May 2018 01:24:17 +0000 https://www.lifeskills4kids.com.au/?p=19153 The post The Regulation Rocket appeared first on Life Skills 4 Kids.

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[embedyt] https://www.youtube.com/watch?v=Pr1aHtyfwSM[/embedyt]
By Simone Ryan – Occupational Therapist – talking about regulation.
One of the most common requests I’ve had when working with families and educators of children (with or without a disability or delay) is for assistance with a child’s self regulation. When we think of how important social emotional development is to school success, initiating and maintaining friendships, and a child’s home life, it’s not a surprise that this is a priority for many families and educators.
‘Self regulation’ is commonly defined as a person’s ability to maintain a state of alertness and arousal appropriate for a given situation. This may look like being able to sit and listen to a teacher read a story, engage in physical games with peers such as chasey, or going to sleep within a reasonable timeframe. When I looked across the vast amount of research and publications regarding the development of self regulation, it was clear there are many factors involved. I decided to create a visual and write a series of posts to help parents, families, caregivers, teachers or people working with children to:

  • Understand how regulation develops or changes in response to the environment (including the presence and quality of social and caregiver supports)
  • Learn the goal of self regulation is to engage in occupations, whether they be wanted, needed or expected.
  • Discover that regulation needs (personal factors) differ depending on occupational requirements

So what influences our self regulation?
I say “our” because I find it helpful to think of your own self regulation when trying to understand the various factors that may be impacting on a child’s regulation development. If we can understand what factors influence our own ability to self regulate, or contribute to those moments where we as adults find it difficult to remain at optimal alertness and arousal, then we can better understand those we are striving to support. When reading about the different factors listed, think about how each of these impact on your self regulation. Do they help you self regulate? Or do they hinder? Do you have to actively manage factors or have you learnt how to manage your self regulation without much thought?
Self regulation is a skill we learn and develop over the course of our lifetime, and is taught through our interactions with others, namely our caregivers. This is called ‘co-regulation’: the support we get from another person, when they alter their responses in accordance to our behaviour. Coregulation is the most important environmental factor impacting on self regulation development. It is part of the social environment, which also includes extended social supports, socioeconomic status and social role expectations. Other environmental factors include the physical (built or natural) and cultural environment of an individual.
Looking at The Regulation Rocket, environment is the land that the Rocket is built on. If it is crumbly and infertile, the Rocket will struggle to be well built or to ever take off. Even if a well built Rocket is placed in an environment that does not support it, it will cause damage, limiting the ability to reach occupations.
The planets in The Regulation Rocket visual symbolise the different ‘reasons’ we engage in occupations (or activities of daily life). These include what a person wants, needs or is expected to do (WFOT, 2012). Occupational therapists break occupations down into three main categories: self-care (the things you need to do to look after yourself such as eat, clean and dress yourself, go to the toilet etc), productivity (activities in the house or community such as working, going to school, housework, caring roles etc) and leisure (the things you want to do such as play, recreational activities, hobbies etc).
While the visual displays just 3 planets, we can imagine there are endless planets, each representing a specific occupation. Which planets are “reachable” depends on the structure of an individual’s Rocket. Sometimes, we may need to alter the environment to allow a person to have the Rocket they need to reach a particular planet. This may mean changing social supports given to address specific personal factors, or altering the physical environment to support rather than damage a particular Rocket piece. Other times, we may help an individual reach a planet that is different to the one original aimed for yet still meets the purpose of travel. Some examples:

  • Verbalising how you are feeling for a child who is still developing their emotional understanding, so they don’t have to rely solely on interpreting non verbal cues.
  • Reducing auditory input for an individual who feels overwhelmed in noisy environments
  • Simplifying an obstacle course for a child who is still learning how to motor plan.

Self regulation development is also influenced by a variety of personal factors. As I mentioned before, these personal factors (or pieces of the Rocket) are both supported or impacted by an individual’s environment. The types of occupations to be successfully engaged in will depend on these factors:

A person’s self regulation is fluid. It will change depending on the environment and occupation being engaged in, as well as the influence of the personal factors at any point in time. Each of these factors can be specifically supported in order for an individual to develop self regulation skills and engage in meaningful occupations.
Thanks Simone for sharing your blog with us! Simone’s web-based planet is www.rocketot.com.
For more information, check out these blogs by Deb Hopper –

ALEX LEARNS FLIPBOOK

Alex loves school. He enjoys all the activities he does during the term such as swimming and soccer. He also loves holidays and all the fun things he gets to do while he’s not at school. The problem is, Alex doesn’t like changes. His tummy gets all tight and he gets a worry cloud that comes over his brain and makes it feel foggy. When the school term ends and holidays begin or when school is about to start again, Alex feels really worried and anxious.

When you purchase the Alex Learns that Changes are OK (Flipbook), you will receive a digital flipbook that gradually changes from one page to the next while listening to high-quality audio narration as if someone is flipping and reading the book for you!

alex learns that changes are ok

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Improving Fine Motor Skills https://www.lifeskills4kids.com.au/fine-motor-skills-children/ Mon, 13 Mar 2017 00:30:34 +0000 https://www.lifeskills4kids.com.au/?p=16461 The post Improving Fine Motor Skills appeared first on Life Skills 4 Kids.

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Improving Fine Motor Skills

Written by Deb Hopper

Published in

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Great Health Guide articles available in Audio:

CLICK HERE FOR THE AUDIO VERSION:

Sometimes it’s the little things in life that make the biggest difference and sometimes the little things in life can be the most difficult. Many children struggle with fine motor skills, or the ability to use their fingers to get the little things done. This might include doing up buttons, zips, doing up shoe laces, playing with favourite construction toys such as Lego, holding cutlery, or helping to pour themselves a drink for example.
There are three main reasons why children might find these day to day things difficult to do. These are hand and body strength, dexterity and finger co-ordination and the ability to plan what they need to do. Practicing these skills at home can be easy, fun and low cost to do. If your child continues to struggle, please contact your occupational therapist, preschool or school teacher for some more ideas.
Here are 5 top tips for making the little movements easier.
1.Sometimes a child finds it hard to control fine finger movements needed in things such as drawing or Lego because they don’t have a stable body base.
We need to have strong core postural muscles and good control of big arm movements, before we can do small movement tasks such as drawing. Body strengthening activities such as swimming, trampolining, or lying on a skate board and pushing themselves around helps children to create a strong postural core, arms and legs, to act as a solid base for finger based co-ordination tasks.
2. Sometimes children also need to strengthen their hands and arm muscles so they have the strength to open milk containers, lunch boxes or the toothpaste.
Just like adults go to the gym to strengthen our big muscles, children can also strengthen their hand muscles. For younger children, pull out the playdoh and roll snakes, pinch patterns and make snails. For older kids, they need extra resistance so try plasticine or a soft to medium strength theraputty, for hand strengthening. Or, think outside the box and get them to ‘paint the fence’. This activity is cheap and the large arm movements needed will help strengthen their arms. For strengthening little fingers, buy a cheap water sprayer and give them the job of watering the pot plants. It’s a great strengthening activity and will help you too!
3. If your child is struggling with a daily task, such as tying his or her shoelaces, help to give them the feeling of success.
Backward chaining is a great way to build confidence in fine motor skills. This means that you complete most of the task and then they do the last part. You say, ‘Well done!’ and build up their self-esteem. The next time, you do one less step and coach them in what to do, to complete the last two steps, giving praise at the end. Continue until they can do the whole task.
4. Play the ‘tell you what to do game’. This game is great for kids who struggle with planning or motor planning.
Start with bigger movements while they learn the rules of the game, for example, jumping. Get them to tell you what
their body is going to do when they do the activity, e.g. ‘jump’. For example, for jumping you need to bend your knees, put your bottom backwards, push up, jump and land. Once they get used to ‘telling’ you how to do bigger
tasks, get them to tell you how they do things with their fingers. For example, ask them to tell you how they will pick up their glass of milk at breakfast time. This could be ‘reach out, open my hand, pick up cup, move towards
my mouth, take a drink, put it back on table’. Connecting thoughts of planning words into action can help create links in the brain to make fine motor tasks easier.
5. You don’t need to buy lots of fancy toys with bells and whistles to improve motor skills. The best way to learn is to use and practise with containers, jars, lunch boxes, opening cereal boxes or helping to pack the dishwasher. If you child is finding a particular task difficult, say ‘Stop, think, breathe, what is your plan?’ Once we can stop and get a plan together, it can help to overcome feelings and responses of frustration, makes learning the task easier and creates best feedback pathways to the brain for the next level of learning.
So next time your child is struggling with something fiddly, ‘Stop, think, breathe, ask what their plan is’. Think about what fun and low cost games you can do with them, or set up for them, to make it easier next time.

Are you looking for a way to help children reduce meltdowns?

Focus better in school?

Better understand their feelings, emotions and self-regulation?

If you are searching for the answer to these questions, you have found them in this book!

This book explains how the Just Right Kids Technique can help you to teach your child to understand, recognise and learn to control their emotions and behaviour.

Designed to fit into busy schedules, the concepts in the technique are easy to understand and the strategies can be implemented straight away. Through this fun, play-based approach to learning children will gain valuable life skills that will help them to feel ‘just right’ more of the time.

    alex learns that changes are ok

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    5 Tips for Reducing Anxiety this Christmas https://www.lifeskills4kids.com.au/5-top-tips-for-reducing-anxiety-this-christmas/ Wed, 14 Dec 2016 18:20:55 +0000 https://www.lifeskills4kids.com.au/?p=15732 The post 5 Tips for Reducing Anxiety this Christmas appeared first on Life Skills 4 Kids.

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    Well, it’s the holiday season and Christmas is around the corner. Lights, music, yummy food and family all around. It can’t get better than that, can it?  But do you fear your kids won’t feel the same? Many children are anxious about the holiday season.
    You might see them complaining of nausea, stomach problems, fatigue or pain. They might be having melt downs, crying for reasons you are not aware of, isolating themselves from everything that is happening around them, over eating, and the list goes on.
    These may be signs of worry or anxiety for your child. You may be wondering why they are so out of sorts when everything is supposed to be fun and happy. They might also seem anxious, scared and overwhelmed or depressed. Did you do anything wrong or is it just that time of the year?
    Well don’t blame yourself, it’s just that time of the year when things are out of the ordinary. Let’s find out why the situation is so, and what we can do to make our kids: Just Right (and less anxious) for the holiday season.

    Why do some kids get overwhelmed and anxious at Christmas?

    Some of the general qualities of alerting stimuli are unexpectedness, novelty, irregularity, intensity, complexity, incongruity, negative association and fast paced movement or sound. The holiday season is exciting for us because of all these characters of it. But when the alerting nature gets too much for kids, they are overwhelmed and some shut down their systems to cope. The routines which the kids are used to, become irregular and incongruent. They are often encountered with novel situations of visiting family, with long drives during travel. The decorative lights, the gifts wrapped in bright coloured papers, concerts and parties are intense and fast paced. Earlier experiences of these situations reminds them of this complexity and eventually leads them to form negative associations.
    A sensory overload to all the sensory systems such as visual, auditory, tactile, gustatory/ olfactory, proprioceptive and vestibular system occurs.
    The arrow points to the black (meltdown, tantrum, black crash zone) or the red zone (fast, busy, angry or frustrated) in our Just Right Kids Model.

    Click HERE for more info on Deb Hopper’s Just Right Kids Self Regulation Diagram. 
    We have to turn the arrow to the green (the Just Right Zone), where kids are calm, settled and feeling happy.
    How do we do that amidst the craziness of holidays and visitors?

    Our Top 5 Strategies For Reducing Anxiety This Christmas:

    1. Build a holiday routine. It sounds difficult but try building one with what you can expect.
    2. Visual routines work best. Create a calendar and write or draw pictures so your child knows what’s coming up. This often reduces anxiety.
    3. Social stories can help the children see through a difficult situation and help them identify and be aware of the strategies they can use. Social stories also help children to plan ahead and be ready.
    4. Break down complex tasks to smaller steps. If you need to put up the Christmas tree, it’s a complex task for the kids. So break down the entire task into teeny weeney steps. Ask them to go through it one at a time. Now it’s not so overwhelming is it?
    5. Strategies Jar – Calming strategies such as deep pressure, slow rhythmic movements, chewy necklaces etc., – goes into the jar which the children pick up when they need it.

    Now that wasn’t too bad, was it?
    It’s as easy as putting together a simple plan to survive this Christmas!
    Merry Christmas and Happy Holidays.

     

    Help your child with anxiety with practical tools for success and becoming more independent in what they need to do by reducing and managing their anxiety.

    Occupational Therapist Deb Hopper gives practical strategies you can implement immediately at home and school in this webinar training series for parents.

    The Toolbox includes the following recorded workshops:

    1. Supporting children to communicate how they are feeling when they are anxious.
    2. Helping your child with learning anxiety.
    3. Helping your child decrease anxiety caused by sensory processing issues.
    4. How to help your child manage their social anxiety.

    Reminders of any live sessions will be emailed to you prior to the events along with information on how to access the recordings and bonus resources.

    If you cannot make the live session/s, you will be emailed a video recording of the session/s that you can access any time.

    The Parent Toolbox for Anxious Kids also includes bonus resources and downloadables referenced in the workshop recordings.

      alex learns that changes are ok

      The post 5 Tips for Reducing Anxiety this Christmas appeared first on Life Skills 4 Kids.

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      Transition from School to Holidays https://www.lifeskills4kids.com.au/transition-school-holidays/ Fri, 11 Nov 2016 13:03:41 +0000 http://www.lifeskills4kids.com.au/?p=15520 Transition from School to Holidays – Written by Deb Hopper Published in  Great Health Guide articles available in Audio: CLICK HERE FOR THE AUDIO VERSION The end of the school year brings much excitement for children and families. The anticipation of Christmas, holidays, going away and seeing family and friends can be very exciting. As well […]

      The post Transition from School to Holidays appeared first on Life Skills 4 Kids.

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      Transition from School to Holidays

      Written by Deb Hopper

      Published in logoGHG

      Great Health Guide articles available in Audio:

      CLICK HERE FOR THE AUDIO VERSION

      The end of the school year brings much excitement for children and families. The anticipation of Christmas, holidays, going away and seeing family and friends can be very exciting. As well as looking forwards to the holidays, there are many celebration events at school including school plays, school
      concerts, end of term movies and excursions as rewards for children.
      Even though this can be exciting, it can be very unsettling for many children. Home and school routines are often disrupted as children go to concert or school play practices or away from the school for excursions. At home and on weekends there are the end of year Christmas parties for sporting or church groups, Nippers BBQs or street Christmas parties. Again, these are all fun, but it pulls children out of routine which can be unsettling. In addition, the social and sensory demands of these social events can be extremely challenging to children.
      Five Top Tips for helping support children and making them feel safe in the transitions between school and the summer holidays.
      1. Create a calendar for before and during the holidays. Kids love to see things visually and by helping them create a calendar of what’s coming up, they see more concretely what plans are for them and the family and this makes them feel more settled.
      You can find some great downloadable resources here which will help get you started. On our free downloadable, you can see that the weeks are colour coded. You can edit and change to suit your family. The pink weeks are for the 2 weeks prior to holidays. The white weeks are school holidays and the yellow weeks are the first two weeks back at school.  Use clip art or pictures (especially for younger children), or just write the main activities for each day or after school. e.g. add in play dates, holiday care days, nights away etc. We have some examples at the above link.
      2. When going to an event tell your child in advance (or show them on your calendar as above) and tell them as much as you know about the event. How many people will be there? Who will be there that you know? Will they know any of the children or adults? If there aren’t many children there, what activities will your child be able to do? Should
      you plan to take a small pack of Lego, colouring in or their favourite small toy?
      3. If your child gets easily overwhelmed and finds it difficult to cope in busy and loud situations (as parties or BBQ’s can be) talk to them about how they will be able to tell you if they aren’t coping well or if they need some ‘away’ time. This could be a code word (e.g. code yellow or code red), or a hand signal. Encourage them to come and let you know somehow if they need help or need to leave the event.
      4. When you arrive at an event, chat to the host and ask if there’s a quiet area that your child can go and ‘hang out’ if they need some retreat space. This could be a quiet area of a lounge room, outside away from others or a spare bedroom. Ask your host if it’s OK for your child to have some quiet time away by themselves.
      5. Increase the amount of active outside play. Just as adults benefit from movement and exercise to help de-stress and reduce anxiety, so do children. Make plans for extra trips to the park, walk around the block after dinner or have a picnic and kick a ball around.
      Make sure you add these things to their calendar so they know they are coming up!
      As adults we can make children feel more in control during times of transitions. Don’t forget to check out the free downloads to help your child settle back into school.
      Reducing Meltdowns and Improving Concentration
      The Just Right Kids Technique by: Deb Hopper
      Deb Hopper is an Amazon #1 Best Seller author. She is a practicing Occupational Therapist at Life Skills 4 Kids on the NSW Mid North Coast, Australia, she understands the day to day struggles that children, parents and teachers face and can be reached on her website.

      NEW DIGITAL PLATFORM – You can now access the Great Health Guide through ISSUU – CLICK HERE TO ACCESS


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