Spirituality and mental health, some research

Spirituality and mental health, some research
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Scientists worldwide have been studying the effect of religion and spirituality on mental health and addiction recovery in children, teens, and adults.  Below are research findings that show religion and spirituality improve adult and adolescent mental health, including recovery from mental crises and substance abuse, when the spiritual approach carries messages of love, kindness, tolerance, and moral responsibility.  But when religion had a punitive or unforgiving message to those with mental or substance abuse disorders, the results were disheartening: a worsening of psychotic symptoms; inability to sustain recovery from substance abuse; and physical abuse.

If you look at the dates of some of these studies, you’ll see that researchers have been measuring of the value of spirituality for mental health and addiction for ~30 years, and results have consistently shown positive benefits which are statistically significant.  It’s hard core research–dense reading–so key findings and conclusions are in red in case you don’t want to scan through lengthy writing and jargon.

Enjoy,  Margaret

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God Imagery and Treatment Outcomes Examined
Currier JM, Foster JD, Abernathy AD, et al. God imagery and affective outcomes in a spiritually integrative inpatient program. [Published online ahead of print May 5, 2017]. Psychiatry Res. doi:10.1016/j.psychres.2017.05.003.

Patients’ ability to derive comfort from their religious faith and/or spirituality emerged as a salient mediating pathway between their God imagery at the start of treatment and positive affect at discharge, a recent study found. Drawing on a combination of qualitative and quantitative information with a religiously heterogeneous sample of 241 adults who completed a spiritually-integrative inpatient program over a 2-year period, researchers tested direct and indirect associations between imagery of how God views oneself, religious comforts and strains, and affective outcomes.

FINDINGS

When accounting for patients’ demographic and religious backgrounds, structural equation modeling results revealed:
(1) overall effects for God imagery at pre-treatment on post-treatment levels of both positive and negative affect;
(2) religious comforts and strains fully mediated these links.

Secondary analyses also revealed that patients generally experienced reductions in negative emotion in God imagery over the course of their admissions.

“[Spirituality] enables neurotic conflicts typical for adolescence to be more easily overcome.”

The influence of religious moral beliefs on adolescents’ mental stability.
Pajević I, Hasanović M, Delić A., : Psychiatry Danub. 2007 Sep;19(3):173-83

University Clinical Centre Tuzla, Trnovac b.b, 75 000 Tuzla, Bosnia & Herzegovina. zikjri@bih.net.ba.
This study included 240 mentally and physically healthy male and female adolescents attending a high school, who were divided into groups equalized by gender (male and female), age (younger 15, older 18 years); school achievement (very good, average student); behaviour (excellent, average); family structure (complete family with satisfactory family relations), and level of exposure to psycho-social stress (they were not exposed to specific traumatizing events).  Subjects were assessed with regard to the level of belief in some basic ethical principles that arise from religious moral values.

CONCLUSIONS: A higher index of religious moral beliefs in adolescents enables better control of impulses, providing better mental health stability.  It enables neurotic conflicts typical for adolescence to be more easily overcome.  It also causes healthier reactions to external stimuli.  A higher index of religious moral beliefs of young people provides a healthier and more efficient mechanism of anger control and aggression control.  It enables transformation of that psychical energy into neutral energy which supports the growth and development of personality, which is expressed through socially acceptable behaviour.  In this way, it helps growth, development and socialization of the personality, leading to the improvement in mental health.

Religion, Stress, and Mental Health in Adolescence: Findings from Add Health

Nooney, J. G. 2008-10-23 from http://www.allacademic.com/meta/p106431_index.html

 A growing body of multidisciplinary research documents the associations between religious involvement and mental health outcomes, yet the causal mechanisms linking them are not well understood.  Ellison and his colleagues (2001) tested the life stress paradigm linking religious involvement to adult well-being and distress.  This study looked at adolescents, a particularly understudied group in religious research.  Analysis of data from the National Longitudinal Study of Adolescent Health (Add Health) reveals that religious effects on adolescent mental health are complex.  While religious involvement did not appear to prevent the occurrence of stressors or buffer their impact, some support was found for the hypothesis that religion facilitates coping by enhancing social and psychological resources.

 

Study Links Religion and Mental Health

David H. Rosmarin and Kenneth Pargament, Bowling Green State University, Ohio

(IsraelNN.com) 2008

A series of research studies – known as the JPSYCH program – reveals that traditional religious beliefs and practices are protective against anxiety and depression among Jews.  The research indicates that frequency of prayer, synagogue attendance, and religious study, and positive beliefs about the Divine are associated with markedly decreased levels of anxiety and with higher levels of happiness.  “In this day and age, there is a lot to worry about,” Rosmarin notes, “and the practice of religion may help people to maintain equanimity and perspective.”

 

The Once-Forgotten Factor in Psychiatry: Research Findings on Religious Commitment and Mental Health (excerpt)

David B. Larson, M.D., M.S.P.H., Susan S. Larson, M.A.T., and Harold G. Koenig, M.D., M.H.Sc.

Psychiatric Times.  Vol. 17 No. 10, October 1, 2000

 

“The data from many of the studies conducted to date are both sufficiently robust and tantalizing to warrant continued and expanded clinical investigations.”

 

Treatment of Drug Abuse

  • The lack of religious/spiritual commitment stands out as a risk factor for drug abuse, according to past reviews of published studies.  Benson (1992) reviewed nearly 40 studies documenting that people with stronger religious commitment are less likely to become involved in substance abuse.
  • Gorsuch and Butler (1976) found that lack of religious commitment was a predictor of drug abuse.  The researchers wrote:  “Whenever religion is used in analysis, it predicts those who have not used an illicit drug regardless of whether the religious variable is defined in terms of membership, active participation, religious upbringing or the meaningfulness of religion as viewed by the person himself.”
  • Lorch and Hughes (1985), as cited by the National Institute for Healthcare Research (1999), surveyed almost 14,000 youths and found that the analysis of six measures of religious commitment and eight measures of substance abuse revealed religious commitment was linked with less drug abuse.  The measure of “importance of religion” was the best predictor in indicating lack of substance abuse.  The authors stated, “This implies that the controls operating here are deeply internalized values and norms rather than fear or peer pressure.”
  • Developing and drawing upon spiritual resources can also make a difference in improving drug treatment.  For instance, 45% of participants in a religious treatment program for opium addiction were still drug-free one year later, compared to only 5% of participants in a nonreligious public health service hospital treatment program-a nine-fold difference(Desmond and Maddux, 1981).
  • Confirming other studies showing reduced depression and substance abuse, a study of 1,900 female twins found significantly lower rates of major depression, smoking and alcohol abuse among those who were more religious (Kendler et al., 1997).  Since these twins had similar genetic makeup, the potential effects of nurture versus nature stood out more clearly.

“lack of religious commitment was a predictor of drug abuse”

Treatment of Alcohol Abuse

  • Religious/spiritual commitment predicts fewer problems with alcohol (Hardesty and Kirby, 1995).  People lacking a strong religious commitment are more at risk to abuse alcohol (Gartner et al., 1991).  Religious involvement tends to be low among people diagnosed for substance abuse treatment (Brizer, 1993).
  • A study of the religious lives of alcoholics found that 89% of alcoholics had lost interest in religion during their teen-age years, whereas 48% among the community control group had increased interest in religion, and 32% had remained unchanged (Larson and Wilson, 1980).
  • A relationship between religious or spiritual commitment and the non-use or moderate use of alcohol has been documented.  Amoateng and Bahr (1986) reported that, whether or not a religious tradition specifically proscribes alcohol use,those who are active in a religious group consumed substantially less alcohol than those who are not active.
  • Religion or spirituality is also often a strong force in recovery.  Alcoholics Anonymous (AA) invokes a Higher Power to help alcoholics recover from addiction.  Those who participate in AA are more likely to remain abstinent after inpatient or outpatient treatment(Montgomery et al., 1995).

“…adolescents [who were] frequent church-goers with high spiritual support had the lowest scores on the Beck Depression Inventory.”

Suicide Prevention – Surging suicide rates plague the United States, especially among adolescents.  One in seven deaths among those 15 to 19 years of age results from suicide.

  • One study of 525 adolescents found that religious commitment significantly reduced risk of suicide(Stein et al., 1992).
  • A study of adolescents found that frequent church-goers with high spiritual support had the lowest scores on the Beck Depression Inventory(Wright et al., 1993).  High school students of either gender who attended church infrequently and had low spiritual support had the highest rates of depression, often at clinically significant levels.
  • How significantly might religious commitment prevent suicide?  One early large-scale study found that people who did not attend church were four times more likely to kill themselves than were frequent church-goers (Comstock and Partridge, 1972).  Stack (1983) found rates of church attendance predicted suicide rates more effectively than any other evaluated factor, including unemployment.  He proposed several ways in which religion might help prevent suicide, including enhancing self-esteem through a belief that one is loved by God and improving moral accountability, which reduces the appeal of potentially self-destructive behavior.
  • Many psychiatric inpatients indicate that spiritual/religious beliefs and practices help them to cope. Lindgren and Coursey (1995) reported 83% of psychiatric patients felt that spiritual belief had a positive impact on their illness through the comfort it provided and the feelings of being cared for and not being alone it engendered.

Potential Harmful Effects – Psychiatry still needs more research and clearer hypotheses in differentiating between the supportive use of religion/spirituality in finding hope, meaning, and a sense of being valued and loved versus harmful beliefs that may manipulate or condemn.”

 

Read my article “Faith can help, & harm, a family’s mental health,” for potential harmful effects on families. –Margaret

  • Alcoholics often report negative experiences with religion and hold concepts of God that are punitive, rather than loving and forgiving(Gorsuch, 1993).
  • Bowman (1989).  In assessing multiple personality disorder, children in rigid religious families, whose harsh parenting practices border on abuse, harbor negative images of God.  Josephson (1993),Individual psychopathology is linked with families whose enmeshment, rigidity and emotional harshness were supported by enlisting spiritual precepts.
  • Sheehan and Kroll (1990).  Of 52 seriously mentally ill hospitalized patients diagnosed with major depression, schizophrenia, manic episode, personality disorder and anxiety disorder, almost one-fourth of them believed their sinful thoughts or acts may have contributed to the development of their illness.  Without the psychiatrist inquiring about potential religious concerns, these beliefs would remain unaddressed, potentially hindering treatment until discovered and resolved.  Collaboration with hospital chaplains or clergy may help in some of these instances of spiritual problems or distress.

Conclusion

Religious/spiritual commitment may enhance recovery from depression, serious mental or physical illness, and substance abuse; help curtail suicide; and reduce health risks.  More longitudinal research with better multidimensional measures will help further clarify the roles of these factors and whether they are beneficial or harmful.

–Margaret

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How to work with police once you’ve called 911.

How to work with police once you’ve called 911.
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Q: When is it time to call 911?  I’ve been told many times that I should call the police or mental health hotline when there’s a crisis, but how do I know when it’s a real crisis?


A:  If your child is doing something dangerous to him or herself, or others (including a pet), or property, and if you can’t manage it or stop it, call for help.  “Dangerous” means threatening, harmful, or abusive.  Emergency 911 dispatchers, police, and mental health crisis workers all encourage anyone to call, anytime.  You will not bother them.  I once visited a 911 facility and got a chance to ask to speak with the staff and this was their message.  They described the many ways they can respond when a child or teen “blows out,” runs, or becomes suicidal.


Once you call the police:

Advice from the Federation of Families for Children’s Mental Health (www.ffcmh.org).

  

1.   Remain as calm as you possibly can.

 

2.   Provide only facts as quickly and clearly as possible.

EXAMPLE:  I am calling from [address].  My 13 year old son is threatening to cut his sister.  He has [diagnosis] and may be off his medication and under the influence of alcohol.  There are 4 of us in the house: my mother, my son and daughter, and myself.

 

3.   Identify weapons in the vicinity or in your child’s possession and alert the dispatcher

 

4.   Be specific about what type of police assistance you are asking for.

EXAMPLE:  We want to protect ourselves and get my son to the emergency room for a psychiatric evaluation, but cannot do that by ourselves.  Please send help.

 

5.   Answer any questions the dispatcher asks.  Do not take offense when you are asked to repeat information.  This is done to double-check details and better assist you.

 

6.   Offer information to the dispatcher about how an officer can help your child calm down.

 

7.   Tell the dispatcher any addition information you can about what might cause you child’s behavior to become more dangerous—suggest actions the officer should avoid.

EXAMPLE:  Please don’t tell him to stand still.  He cannot hold his body still until he calms.  If you can get him to walk with you, he can listen and respond better.  He is terrified of being handcuffed.  Please tell him what he needs to do to avoid being handcuffed.

 

REMEMBER:  Your primary role in this situation is to be a good communicator.  Your ability to remain calm and provide factual details is critical the outcome of this situation.” 

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What is your local police force like?  Call the non-emergency line and check, ask questions about how police typically respond to situations where a child or teenager is diagnosed with a mental disorder and out of control.

 

In many parents’ experiences, including mine, the police were very helpful.  Others have had poor experiences.  Some said their child calmed down and appeared normal once the police arrived, and they felt the police assumed they were exaggerating.  Some said the police only aggravated the crisis, and in a very few cases, the encounter lead to tragedy.

In 2007, I attended the national conference of the Federation of Families in Washington DC, and learned from the President of the National Association of Chiefs of Police, Ronald C. Ruecker, that the NACP has made a commitment to promote police training in crisis response to children with mental disorders, including information about the disorders and their manifestations.

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When is it OK to search a teen’s room?

When is it OK to search a teen’s room?
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ASK A QUESTION ANYTIMEmargaret@raisingtroubledkids.com

 

This is a paraphrase of a question that was posed a few years ago in a support group I facilitated.  It’s a question I had to face more than once.  Now that years have gone by, I still believe this is a good approach, but I’m aware some parents disagree.

 

Q: My son is always in his room and gets extremely upset if I go in there.  He says he has a right to privacy.  But I suspect something bad is going on, and want to search his room when he’s not there.  Yet it bothers me that I’d be violating his trust.  Is it OK to search his room?

 

A:  I advocate searching a troubled child’s room or reading “private” information like email if there is any concern whatsoever that something potentially dangerous is being hidden from a parent.  Since he gets very upset, he may not want you to find something because he knows you’ll disapprove.  Practically speaking, is there a way you can search his room or read email without him (or anyone else) ever finding out?  If he finds out you’ve searched his room, yes, you will lose his trust, and he may go to greater lengths to keep secrets.  But as the responsible adult in the household, you must think not only about your son, yourself, and your family, but about others who may be at risk if your son has dangerous plans.  The need for safety overrides.

 

If you find nothing unusual or dangerous on a search, you’ve at least satisfied your rightful need to know.  Then the issue becomes his need for privacy and his fear of losing it, which must be addressed since he’s clearly upset about it.  Don’t tell, at least not until enough time has passed that your communications with your son are strong and he has begun to reckon with his mental health.

 

If you find something dangerous, act on it immediately and do not defend your decision or try to talk him into taking responsibility for his actions.  A troubled teen can’t or won’t.  He will either be remorseful and embarrassed, or enraged and threatening.  Regardless, you must take dangerous materials or actions very seriously because someone’s life could be at stake, literally.  Since it’s clear that trust is important to you (as it should be), expect that it may be very long time before your son trusts you.  But also remember that, under these serious circumstances, his trust of you is less important than your trust of him.

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My son has the problem, yet the therapist focuses on me, huh?

My son has the problem, yet the therapist focuses on me, huh?
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Question:   My son’s therapist keeps telling me what to do, or that I’m not doing the right things at home.  But my son is the one with the problem, why all this focus on me?

 

 

Answer:   You are working hard to manage a difficult situation, and you clearly care about your son because you are bringing him to therapy, but your own stress and exhaustion may cause you to aggravate his behavior even though you don’t intend to.  My guess is that the therapist is trying to tell you how to change your parenting or communication style so that your son’s stress is reduced.  This can be a hard message to take when you know you’re doing everything you can, plus you can’t be sure your son is honest in session.

 

The problem I’ve seen with therapists is that they often don’t know how to talk to parents about parenting issues without sounding like they are making presumptions and blaming the parent for the child’s problems.  A good therapist or doctor will show compassion for a stressed parent, and listen to their side of the story.  Then take the time to explain exactly what the parent might do differently, and why.

 

Try giving this therapist a chance first, and ask him or her if you can meet without your son present, and request that they fully explain the reasoning behind their advice.  Let them know that this has been hard for you and you’ve felt blamed, and that you need their support.  Then listen carefully.  If you’re still not convinced of their point, ask them for the title of a book that you can read in privacy and decide for yourself if it applies to you.  Another way to check is to find a parents’ group if one is available, and hear how other parents deal with a challenging child.  If none of your efforts clarify things for you, and if you feel that you can’t work with this therapist, you might consider finding someone who has a better approach to your situation.

 

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Is your child’s therapist listening to you?

Is your child’s therapist listening to you?
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 True story:

After a lengthy 2-hour session and a series of questions asked of both mother and teenaged son, the psychiatrist wrote:  “the mother is over exaggerating her son’s behavior.  He can’t possibly have all the symptoms she describes.”  Later, the mother said, “I was completely ignored; this doctor affirmed [my son’s] disrespect for me, in front of me, and [my son] got the idea I was full of it and didn’t need to take his meds.”  She felt her authority had been undermined, and that she lost an opportunity to get treatment for her son sooner.  He was eventually diagnosed with schizophrenia, and hospitalized several times.

 

What makes this situation tragic, to me, is that early medication, prior to the first psychotic break, prevents the loss of gray matter that occurs in schizophrenia.  This doctor’s unprofessional and judgmental behavior hurt the recovery prospects for this family.  And sadly, this kind of dismissal of parents is common.  I’ve heard many complain that doctors, therapists, or teachers don’t listen to them, or that they subtly or overtly blame parents for their child’s problems.  Researchers found this to be widely true.  In an article titled “Uncharted Waters – The Experience of Parents of Young People with Mental Health Problems,” the author writes:

 

“Parents’ distress is exacerbated by their need for expertise, but from those who don’t take their concerns seriously.”

Harden, J, 2005. Qualitative Health Research, 15(2), 207-223.

 

I always appeared to be overly upset and stressed whenever I brought my child to see her psychiatrist because, leading up to any appointment, were a series of challenges and acts of resistance that were stressful and frustrating.  It appeared to the psychiatrist, time and time again, that I was the problem… just like she suspected.  All I could do was sit in the waiting room while my daughter was in session, and imagine she was saying terrible things about me.  All I could do was wonder if the psychiatrist could see through it all and know that I, the mom, was doing everything possible to help my daughter, that I was a good parent. Could the doctor see this and give me some hope?

 

Don’t accept being treated this way.

 

Insist that the whole family get time with the therapist, without the troubled child or teen, to check-in and see how everyone is doing.  Make the appointment and tell the therapist why.  Your family needs to say things they wouldn’t ordinarily say when the child is around.  They need to open up secrets and let out difficult feelings without the fear of setting off an explosion later.  The therapist should be astute enough to get the full story, and use this as an opportunity to help the family work through challenges in ways that support everyone’s well being.

 

Insist on being told what to expect.  Another common experience is that parents are not told what to expect from treatment or why.  You need to know everything they know, even if the professionals are still unclear about a diagnosis or treatment approach.  Your child may have many physiological or psychological tests, expensive medications, or visits to many different kinds of ‘ologists’, and you may still not be clear on where the inquiry is going, why, and what the doctors or therapists are looking for.

 

Insist that they consider your daily experiences.  Since a therapist observes your child only during an appointment, they aren’t fully aware of the types of situations that aggravate your child’s behavior.  You are the expert on your child and their behavior patterns; you are the expert on what drives them, and on what drives them crazy.  You know that, behind-the-scenes, much of what your child does is easily missed by a psychologist, psychiatrist, or therapist.  An experienced professional will listen to you and ask more questions.  You should expect them to seek clarity on your child instead of assuming they already know everything about them and your family.

 

Team up.  It takes both you and the professional working together to comprehend your child’ nature and arrive at a working diagnosis and treatment that works.  Develop a partnership and a shared vision with the therapist so you can, together, do what’s best for your child.  And don’t forget, since you have all the responsibilities, your needs must always be considered in spite of what a therapist thinks is best.  If your family is not included, then it’s not the best.

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What to do when you’re blamed for your child’s behavior

What to do when you’re blamed for your child’s behavior
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Our sick kids deserve compassion too

Our sick kids deserve compassion too

I have yet to meet one family with a troubled child that has not felt blamed or judged by close people in their lives:  best friends, family members, a religious community, co-workers, even medical and mental health providers.  Nothing could be more wrong or more hurtful to the family’s well being.  Blame adds emotional burdens on top of what they already face, and can undermine an already shaky hope and faith. 

 

Parents like us are aware that many people are not comfortable around a child with bizarre or extreme behaviors, like our child.  We understand this.  After all, who else knows more about the stress they create?  But it is unacceptable to be blamed or judged by others on our parenting, our character, our child, and/or presumed to be abusing our child.  This is simply not true for the overwhelming majority of families with troubled children.

 

These are some things that have helped caregivers cope with, and overcome, the debilitating effect of judgment and blame.

 

First, resist defending yourself; it will only attract more unwanted attention and disagreement.  You don’t have the time or emotional energy to teach someone who resists and challenges everything you say with countless questions and misinformation.  Avoid people like this (even friends and family!).

 

Second, actively seek out supportive people who take the time to listen, just listen.  You need as large as possible a network of compassionate people around you.  Stop and think about this, you have many around you already.  They may be waiting in the wings, at a polite distance so as not to interfere or add to your stress.  If you think you can trust someone, ask them to be your friend.  You will be surprised at how many people are out there who have a loved one with a mental or emotional disorder, and how many are willing to help because they completely understand what you’re going through.

 

Third, politely and assertively say thanks but no thanks.  If judgmental people ask why you haven’t contacted them or returned calls, tell the truth, also without blame or judgment.  “Our situation is not good, but we are getting the best professional help, and we have been pulling back to take care of ourselves.  Thanks for showing interest, and thanks for your understanding and for giving us space.”  No apologies.

 

There is a curious phenomenon where craziness seems to attract “crazy” people.  You must block them from your life.  They might be obsessed with a religious, medical, or philosophical belief and want to make your child’s life their cause.  If this happens to you, don’t hesitate to end contact with anyone that wants to entangle themselves in your lives without your permission.  You are never responsible for meeting another’s needs or fitting their beliefs!

 

I once had a co-worker who had strong feelings about “natural” health care, who offered a steady stream of articles and comments about what could help my child.  I had to firmly insist that if she could find one piece of research proving that her preferred treatments helped even one person with schizophrenia, then I would listen.  This ended the unsolicited advice. 

 

Fourth, be prepared to grieve lost connections.

 

A single mother with a 16-year-old daughter sought help in a support group:  “Can someone help me?  I need someone to call my sister or mother and tell them that I and [my daughter] are not criminals or sickos.  They’ve stopped calling, they refuse to have us over or visit for Thanksgiving and Christmas, and I just want someone else to tell them that she’s fine now because she’s taking meds, and that her behavior is not her fault or my fault.”

 

Let go of those who blame, and move forward with your priorities.  Very often, they eventually turn around and make an effort to understand.  Many really do change and apologize for their insensitivity. I’ve experienced this and observed this, but it is not your job to make this happen.

 

Your criteria for friendship will change.  You will find out who your real friends are, and they may not be family members or current friends.  Real friends let you talk about feelings without judgment or advice, they are always around to listen, they help out with little things:  go out for coffee; call to check in on you; or watch your other kids in a crisis.  They may be people you never felt close to before but who have reached out to you with compassion.  Accept their help.  Don’t be too private or too proud to accept the offer of support.  Someday, after you have turned your family’s life around, find another family who needs your support.  Make a promise to help others in need, and to give back to the universe.

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You CAN get your power back and reduce your child’s backlash.

You CAN get your power back and reduce your child’s backlash.
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If you have lost control of your child or your household (like the rest of us!), you know how hard it is to get it back.  Each time you try to enforce a rule, it’s ignored or your child creates such a backlash that it feels pointless.  Who wants to invite more stress in their lives?  Who wouldn’t give up and just learn to get by and muddle through?

 

But you CAN face that backlash AND get your power back.  This seems counterintuitive, but the more your child fights back, the more you recover your authority, and the more you will be able to bring order in the home.  BRING IT ON.  Fighting back against new rules and boundaries is a normal psychological response that is called an “extinction burst.”  We all do this.  It has been measured through behavioral observations of people of all ages and has nothing to do with troubled behavior.  The term “extinction burst” is even used by dog trainers to describe a phase of training!

 

Psychological studies show that this negative and extreme response, or the extinction burst, peaks at the first few attempts to enforce a rule or set a boundary.  Then it falls off quickly.  If you can stick it out emotionally, you will see the backlash extremes decrease over time, and the episodes become fewer and farther between.  Little by little, simple rules will be followed, or they’ll be followed most of the time (you will always be tested).  But by this point, enforcement becomes easier.

 

For explosive and aggressive children, it can be scary or dangerous to be a on the receiving end because you know about the potential for violence and harm.  If you can plan for this ahead of time and recruit loyal help for the inevitable emergencies, and if you can stick it out emotionally, you will see the backlash extremes decrease over time, and the episodes become fewer and farther between.  It works, but one must be like a rock and have that support.

 

Run a tight ship at home, but only have a few hard-and-fast rules, maybe 2 or 3, as this is easier to enforce.  Pick the rules carefully because they need to make sense and feel fair to everyone, and they need to be about safety and family unity, examples:  we will eat every dinner together as a family; curfew is 8 pm; if there is any outburst, the person must stay in their room for one hour…  Rules should be few, fair, and strictly enforced.  The first two make the last one easier.

 

You may be surprised how relieved everyone will be after living through chaos for so long!  When I put on my armor and set about getting my power back, it was exhausting and stressful.  But I got more respect the more I was in control.  Consistent order brings a sense of security and safety, but use common sense and be flexible, set aside some rules temporarily if your child is in crisis or the family is too stressed at the moment.  Be very strict on only a few critical things, for example:  have zero tolerance for violence against others (and pets).

You are the king or queen of your home, it is not a democracy.  Make reasonable fair rules, enforce the rules with an iron hand at first, and then relax bit by bit, and live in a peaceable kingdom.

ALWAYS protect with respect and love
ALWAYS protect with respect and love

 

 

 

 

 

 

 

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When parents disagree on discipline

When parents disagree on discipline
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Your primary relationship comes first

Stress can affect the most solid relationships. Families like yours, with a troubled child, have a higher divorce rate than the general population, 50% higher. Coping with your child will bring out any and all relationship issues that may have been manageable under normal circumstances. If your relationship is falling apart, and it was mostly healthy before this period of stress, then it must be a priority over the child for now. Get counseling, if not together than singly. Or ask for help from supportive friends–prayers, cheerleading, or the opportunity to vent. Partners must stand by each other and present a solid front as the family leaders. This is just as important for your child as it is for you. Let this draw you closer together rather than pull you apart.

Stand strong, shoulder-to-shoulder

When you disagree, together make a list of the things you agree on and worry about the disagreements later. This list should include:

  • Focus on your respective strong points.  Each make a list strengths of the other.
  • Never argue in front of the children (or, make a rule for how and where to argue).  This creates many problems that worsen your child’s behavior.  Stress is obvious.  But what about kids who manipulate their parents to get their way with something?  What about those that thrive on chaos?
  • An agreed-upon role for each parent, which is something that they’re good at.  When one parent is competent at handling a specific challenge, the other steps back, and vice versa.
  • Take turns managing the household for a period while the other takes a break.
  • Set aside personal feelings temporarily to co-manage one specific little problem at a time, a problem you both agree on.

Have each other’s back

A true story with names changed: Susan and her daughter Pam were constantly fighting over who hurt who the most by what each said. Jason, the husband and father, was frustrated by these conflicts, but avoided interfering because he knew he’d upset both his wife and daughter. Yet Jason was always able to calm Pam down quickly because their relationship was different. One day, Jason took his wife aside and asked that they try something. He suggested that Susan step back from certain daily interactions with Pam, those which always ended in fights, and let him do the communicating. Susan did not like the idea that Pam had “won” by getting all of her dad’s attention, nor did she like the implication she couldn’t handle their daughter! But Jason came up with idea that if he saw Susan and Pam slipping into a fight, he would use a code phrase, like “Hey dear, can you help me find the _____?”, and Susan would catch herself, save face by stepping out to look for the ____, and let Dad take over. This worked wonders rather quickly. Nothing was ever discussed openly, but after a few weeks, both mother and daughter started to catch themselves starting a fight, and one or both would find some reason to step away from the situation.

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Help your child or teen ‘recover’ from a disorder or addiction

Help your child or teen ‘recover’ from a disorder or addiction
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What recovery looks like – A person with a mental or emotional disorder who is in “recovery” lives a normal life and aren’t affected by their disorder.  They look and act normal.  At the least, they have stable relationships, a steady job, a place to live, a regular diet, cleanliness, and regular mental health check-ins.  Recovery is maintained when the person pays attention to themselves to notice if the symptoms are starting, and then takes action to stop the symptoms.

Recovery is like the alcoholic who stops drinking–they still have an addiction, but they stop using.

What your child will need to sustain recovery as an adult:

INSIGHT  +  STABILITY  +  RESILIENCE

INSIGHT– self awareness

Insight allows a child to recognize they have a problem, and choose to act to avoid the problem.  If insight is not possible, they need a toolbox of options that help them to respond appropriately, instead of reacting to chaotic messages in their brain. Knowing and admitting they have a problem, or knowing techniques for avoiding problems, are very powerful skills they need as adults.

STABILITY – fewer falls or softer falls

Your child is like a boat that’s easier to tip over than most other boats; any little wave will capsize them, and everyday life is full of waves, big and small.  Your job is to notice when the troubled child is starting to capsize and show them how to right the boat, or if that doesn’t work, how to use the lifesaver.  Eventually, your child will learn how to sense when trouble is coming on, avoid the thing that causes problems, and ask others for help.  Sense it.  Avoid it.  Ask for Help.

RESILIENCE – bounce back when they fall

Troubled children have a much harder time bouncing back from problems.  They have extreme responses to simple disappointments like breaking a toy, or poor grades, or something as serious as the parents’ divorce.  Some even fall apart in joyous times because the emotional energy is too much!  You must be acutely aware of this–they will not get back on track by themselves.  Don’t worry that helping them will spoil them or “enable” them.  Eventually they will learn from you how you do it.

“…We are all born with an innate capacity for resilience, by which we are able to develop social competence, problem-solving skills, a critical consciousness, autonomy, and a sense of purpose.”

“Several research studies followed individuals over the course of a lifespan and consistently documented that between half and two-thirds of children growing up in families with mentally ill, alcoholic, abusive, or criminally involved parents, or in poverty-stricken or war-torn communities, do overcome the odds and turn a life trajectory of risk into one that manifests “resilience,” the term used to describe a set of qualities that foster a process of successful adaptation and transformation despite risk and adversity…”   http://www.athealth.com

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Filed under bipolar disorder, borderline personality disorder, depression, mental illness, parenting, schizoaffective disorder, schizophrenia, teenagers, teens

Your troubled child’s “recovery”–how you help them achieve it

Your troubled child’s “recovery”–how you help them achieve it
Please rate this post

What recovery looks like – A person with a mental or emotional disorder who is in “recovery” can look and act like anyone else.  At the least, they have stable relationships, a steady job, a place to live, a regular diet, cleanliness, and regular mental health check-ins.  Recovery is maintained when the person pays attention to themselves to notice if the symptoms are starting, and then takes action to stop the symptoms.

What your child will need to sustain recovery as an adult:

INSIGHT  +  STABILITY  +  RESILIENCE

INSIGHT– self awareness

Insight allows a child to recognize they have a problem, and choose to act to avoid the problem.  If insight is not possible, they need a toolbox of options that help them to respond appropriately, instead of reacting to chaotic messages in their brain. Knowing and admitting they have a problem, or knowing techniques for avoiding problems, are very powerful skills they need as adults.

STABILITY – fewer falls or softer falls

Your child is like a boat that’s easier to tip over than most other boats; any little wave will capsize them, and everyday life is full of waves, big and small.  Your job is to notice when the troubled child is starting to capsize and show them how to right the boat, or if that doesn’t work, how to use the lifesaver.  Eventually, your child will learn how to sense when trouble is coming on, avoid the thing that causes problems, and ask others for help.  Sense it.  Avoid it.  Ask for Help.

RESILIENCE – bounce back when they fall

Troubled children have a much harder time bouncing back from problems.  They have extreme responses to simple disappointments like breaking a toy, or poor grades, or something as serious as the parents’ divorce.  Some even fall apart in joyous times because the emotional energy is too much!  You must be acutely aware of this–they will not get back on track by themselves.  Don’t worry that helping them will spoil them or “enable” them.  Eventually they will learn from you how you do it.

“…We are all born with an innate capacity for resilience, by which we are able to develop social competence, problem-solving skills, a critical consciousness, autonomy, and a sense of purpose.”

     “Several research studies followed individuals over the course of a lifespan and consistently documented that between half and two-thirds of children growing up in families with mentally ill, alcoholic, abusive, or criminally involved parents, or in poverty-stricken or war-torn communities, do overcome the odds and turn a life trajectory of risk into one that manifests “resilience,” the term used to describe a set of qualities that foster a process of successful adaptation and transformation despite risk and adversity…”   http://www.athealth.com

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Filed under bipolar disorder, borderline personality disorder, mental illness, parenting, psychiatry, schizoaffective disorder, schizophrenia