Wednesday, 18 November 2009
Parenting skills
Sunday, 3 May 2009
Sleepy, Dopey and Grumpy, (sleep disorders in puberty and adolescence).
The child's sleep needs do not differ dramatically, this should still be 9-9.5 hours, but many children at this stage only have 7-7.25 hours of sleep. This results in a considerable sleep deficit. Adolescents are recognised as having a decreased daytime awareness and some studies suggest that many teens function for a good part of the day in a "twilight zone". This is not dissimilar from an individual with Narcolepsy.
External factors which impact on this sleep include;-
- Early school start time
- Homework
- After school jobs
- Extracurricular activities
High achievers and children with chronic medical issues or psychiatric problems such as depression, are at particularly high risk of developing sleep disorders. It is suggested that the prevalence of sleep disorders in this group may be as high as 20%. Chronic sleep deficit in this age group leads to significant negative neurobehavioural consequenses such as;-
- Negative impact on mood
- Vigilance
- Motivation
- Reaction time
- Memory
- Attention
It is very important that at this critical time children maintain good sleep hyigene and regular sleep wake times which will strengthen the circadian rhythm.
Tuesday, 28 April 2009
Tantrums
Part of a parents responsibility is to teach the child to manage frustration and express anger in appropriate ways.
Tantrums may include ;-
- Crying (without being hurt)
- Screaming and yelling
- Stamping feet
- Breath holding
- Rolling arround on the floor
- Vomiting (usually only in severe tantrums)
These tantrums occur when children are angry or frustrated. They may be the result of being told No! Things may not be going as the child expects, the task they have been asked to do may be too difficult, they may lack the vocabulary to express how they are feeling, they may be overtired or there may be absolutely no obvious reason.
Every child is different. Some are quiet and easy going and seldom have tantrums. Others have quick tempers and tantrums are frequent. Children quickly learn that a tantrum may bring them the outcome they want and learn to escalate their behaviour until they acheive their goals. Managing these events so that they are not escalated and become less frequent is a challenge for many parents. How best to react to a child who is "bringing the house down" and get it right so that there is no reward for this behaviour is an important question.
The key steps to managing this behaviour are ;-
- Plan ahead to prevent the tantrums
- Give your child praise and attention when they are behaving well.
- If a tantrum occurs use planned ignoring (for younger toddlers.)
- For older children, tell them what to do and use "time out" if the tantrum continues.
- Praise your child as soon as they are quiet or behaving well.
- Return your child to an activity once the tantrum has resolved and praise them for good behaviour.
To help prevent tantrums it is necessary to have a few realistic rules. Decide if your child's requests are reasonable before you say "yes" or "no" and having made your decision stick to it. Keep your child busy with activities especially in situations where they may easily become bored and disruptive. Throughout the day let your child know what you are doing and what is going to happen so that they know what to expect. Watch your child and praise them for behaving well.