News, Parenting & Families, Anxiety Depression & More Dr. Sharon Saline's Team News, Parenting & Families, Anxiety Depression & More Dr. Sharon Saline's Team

ADDitude Mag: 5 Ways to Reframe Anxiety for Your Worried Teen

Anxiety in teens is common — and stressful. With ADHD, the adolescent years are ripe for outsize worry and fear of the unknown, especially in the midst of a pandemic. By acknowledging your teen’s feelings and changing their relationship to anxiety, you can help them take steps to independently manage anxiety in healthy ways. Click logo below to read more.

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22 News Mass Appeal: Four ways to show love to our children and teens

It’s almost Valentine’s day, so we spend a lot of time talking about romantic love. But, right now we’re not talking about wine, chocolate, and flowers. We’re talking about the love we have for our children. Sure, we say we love them all the time, but are they truly hearing it? Clinical Psychologist Dr. Sharon Saline joins us with four easy ways to help our children and teens feel loved and understood. Click logo below to read more.

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ADHD and Defiance during COVID: What can you do instead of yelling?

A young child angrily yelling with his fists up and letters coming out of his mouth showing ADHD and defiance There are so many facets to kids with ADHD. Yes, they are creative, passionate, energetic and smart. Yes, they can also be distractible, impulsive, intense and strong-willed. And yes, COVID is making things that were previously challenging harder in many ways and also adding new hurdles. Because of this new stress, your child or teen might be more angry or pushing back at you more often. These situations, impacted by ADHD and defiance, deteriorate quickly. With all of the frustration, disappointment and isolation children and teens are feeling these days, it’s even harder to self-regulate. Your child may fly off the handle, disrespect you verbally or refuse to listen to what you have to say. What are your options in these volatile times, other than yelling, taking things away or banishing them from your sight? How can you maintain stability in your parent-child relationship and in your home?

Kids don't like emotional explosions, either.

Nobody really likes meltdowns, explosions and arguments, regardless how defensive or nonchalant your child or teen may seem. Kids with ADHD have toldMother at the table helping her son with ADHD do homework while speaking into a microphone too close to him as he backs away. me repeatedly that they feel bad about themselves after these outbursts and many parents also regret what they’ve said or done. But, in moments of high emotion, people naturally stop listening and quickly move into fight-flight-or-freeze mode. In this state, whether or not your struggle with ADHD and defiance, you’re not listening. Instead, you’re reacting, and rationality has flown out of the window.

Expect challenges with ADHD and defiant behavior so you're prepared to manage them.

Instead of being surprised every time there’s defiance, explosive anger or disrespectful behavior, it’s more useful to expect that these will occur and rely on a strategy for when they do. It’s the resistance and the combativeness that wears families down.

Implement PAUSE to better manage ADHD and defiance at home.

PAUSE: Plan to Accept Understand Set Limits and Encourage

My PAUSE program lays the foundation for making different choices and fostering stability at home. Here’s how it works:

 A chalkboard illustration of a hand pressing the word PAUSE that's drawn as a button.

PLAN:

You’ve got to focus on making a plan to cope with the pattern of anger for yourself and your child rather than deal with its changing content. Otherwise, you’ll be playing Whack A Mole nonstop.A notebook on a table next to coffee with the blank outline for a plan on it

In a quiet moment, make a list of what you can easily do to stay grounded. If you are feeling dysregulated, you won’t be able to respond effectively and help your youngster calm down.

Whether it’s going to the bathroom to collect yourself for a few minutes, getting a glass of water or opening a window, break up the action in a non-threatening way. This re-centering needs to be your first, reflexive step to slow down the fast-paced action.

Once you’ve clarified this for yourself, sit with your child and ask them what helps them regroup. Then, ask them how much time they need for this. Write down their options, and post the list in their room or in the kitchen.

ACCEPT:

Stop trying to convince your child or teen of anything. Rather, accept where you both are in a given moment. Remember, they stopped listening the moment that they became activated. What they want is to be seen and heard by you.

Acknowledge what they are saying with reflective listening. “I heard you say this, is that right?” When they feel that you are paying attention, instead of correcting them for cursing at you or justifying why you called the school about their F in English, they will start to settle. It may be tense and uncomfortable, but you can do this. You’ve probably handled a lot of other unpleasant situations impacted by ADHD and defiance before. 

UNDERSTAND:

An adolescent with ADHD holds her hands to her temples as she looks at the camera, annoyed as her mother holds their hands out in question in the background.

As tough as it can be, empathy is what’s called for when kids, especially those with ADHD, are distressed. Their feelings have overwhelmed their thinking brains. In addition, their weaker executive functioning skills simply cannot manage their heightened emotions. They are acting out because they lack the resources to do anything different in those moments. Neurodivergent kids need caring adults to dig deep and find some compassion rather than exploding about how they should get their act together.

When a child is resistant, oppositional or intransigent, many parents feel desperate to regain authority and establish stability by taking things away from their kids. While punishments may offer short-term relief, they don’t bring long-term success. Avoid saying things like, “I’m taking away your phone for 3 days. You can’t talk to me that way.” Turn it around and say, “You have not earned the privilege of using your phone with that language. When you can go for 3 days without cursing, you’ll get it back. That’s the agreement we have.” Relying on appropriate incentives is what shifts negativity to cooperation.

SET LIMITS:

Our goal is teaching kids with ADHD the executive functioning skills they need for self-regulation, socializing and productivity. It’s a natural part of living to become angry, to want to get your own way and to avoid disappointment. But it’s not okay to be aggressive about these. What we want is our kids to be motivated to make other choices.

Punishment doesn’t teach any lasting skills and rules with fear. Logical consequences, on the other hand, allow you to set limits and use meaningful incentives as motivators. Place “have-to’s” before “want-to’s.” The trick is staying steady in the face of your child or teen’s displeasure and following through. Limits are meaningless if they are not consistently followed. In a family meeting or a quiet moment, make collaborative agreements about actions and words that are unwelcome.

ENCOURAGE:

Father having a supportive conversation his teenage son with ADHD on a bench at a park

Once the storm has passed, focus on the present moment. What needs to happen NOW to move beyond its wreckage? You may want to address your underlying concerns and let them know how they have messed up. But will this serve them to learn the skills they need and strengthen your relationship? This is not a time to teach any lessons. The situation is still too raw for your child or teen, and such a conversation may trigger the outburst all over again.

They need encouragement rather than blame at this moment. Talk about the next move to get on with things. Then, later that day or some time tomorrow, casually wonder about the take-aways from what happened. Was there anything each of you regret? How would you like to deal with that type of behavior in the future? This opens conversation, explores options and fosters collaborative engagement. 

Managing ADHD and defiance will take time and patience.

Be patient with yourself and your family as you transition to this model. Everybody has a shorter fuse right now, so it may take longer to get this going. That’s okay. It’s one step at a time!

 


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22 News Mass Appeal: 4 Essential Coping Tools for Winter COVID Blues

It’s January. It’s Cold and grey with snow coming this week and spring is at least two months away. We’ve all got the winter blues and this year, if you add on the element of COVID, the blues just seem much worse. So, what do we do to beat it? Clinical Psychologist, Dr. Sharon Saline, is here with her advice. Click the logo below to read more.

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Beyond ADHD Pandemic Burnout: How to help your family regroup and find strength

Mother parenting kids with ADHD experiencing pandemic burnout and resilience fatigue looking distressed as they 5 kids play behind herIf you are tired of hearing about how you and your family need to bounce back again as 2021 (and 2022) perpetuates the same problems as 2020, you are not alone. One mother of a fifteen year-old boy with ADHD and dyslexia who hates virtual school and is barely passing his courses told me she is “sick and tired of hearing about resilience. I’m drained and he’s depressed. That’s our reality.” She’s experiencing pandemic burnout and is flooded with resilience fatigue: exhaustion from facing daily challenges with resourcefulness and strength that’s just not there. Sound familiar?

The myth about resilience

A light at the end of a tunnel that a railroad track goes through Resilience is the ability to rebound from difficulties. There’s a myth that resilience is about your character. It actually has as much, if not more, to do with your socioeconomic status, religious and ethnic background. Numerous obstacles such as financial stress, unemployment, bigotry and systemic racism demand resources beyond ‘resilience.’ Similarly, children and adults living with ADHD, persistent mental health issues or physical or learning disabilities struggle daily with challenges that demand effective coping strategies. When we offer platitudes about “digging deep” and “finding your resilience,” we may inadvertently dismiss the validity of these struggles.

Resilience fatigue: the pandemic burnout is real

Resilience fatigue comes from being depleted mentally, physically and emotionally. It is REAL and particularly now. You, your neurodiverse kids, your extended family and our global community have been stressed and stretched by the pandemic beyond our capacities for months. COVID restrictions, indoor living and social isolation have worn us all down. It’s hard to envision bouncing back to something that we can’t see. Where is the light at the end of this tunnel anyway?  For kids with ADHD who live with NOW/NOT NOW brains, seeing the future and focusing on what’s coming next is already tough. If the NOW is unpleasant (whether that’s another day of virtual school, reading Hamlet or cleaning the cat’s litter box), it doesn’t matter how great whatever is happening later may be. There’s just not enough dopamine in their brains to sustain interest and action to get through the unbearable present. Instructing them to buckle up and ride this pandemic out for a distant tomorrow seems really impossible when they're wiped out. A person pouring coffee onto the table, missing the cup, with her head down on the kitchen table. As parents, your tank is likely on ‘empty’ too. Sadly, it seems like many parents I talk to feel ashamed of their depletion. You go on social media and see how other mothers or fathers manage to be productive, create and maintain activities for their kids, stay fit and prepare gorgeous meals. But, you can’t compare your insides to other people’s outsides. Whatever people are posting is what they want you to believe. Underneath their smiles lie similar struggles to your own.

How to cope with resilience fatigue and pandemic burnout

The antidote to resilience fatigue is compassion--for yourself and for your kids. When people feel resilience fatigue, they’re not only exhausted but they are judging themselves for what they aren’t doing. This is especially true for neurodivergent kids with ADHD, LD or ASD who find virtual school difficult and aren’t doing well. Their current challenges reinforce whatever negative self-talk they already engage in. So, we’ve got to pivot to paying more attention to what is going well enough, adjusting expectations to meet the reality of pandemic life and reducing negative expectations for failure. Follow these steps to regroup and rekindle the spark of strength that you all possess:

1. Start with acknowledging how you feel:

family of three sitting on the couch using sign language to communicate. Stop judging yourself and your kids for being the way you are. Resist comparisons with other families and students. When you accept how you and your kids are actually doing--the good, the bad and the ugly, you move from the draining, self-defeating statements of ‘I should’ and live with the soothing balm of refueling statements of ‘I can.’ Coping with resilience fatigue starts with acceptance. Ask your son or daughter with ADHD what is one ‘should’ they tell themselves? How can you work together to transform this statement into a ‘can’?

2. Change ideas about personal failure:

Resilience fatigue in the midst of this pandemic has very little to individual limitations and everything to do with how the government and health care system let us down. This burnout is a natural process related to the grief, hopelessness and helplessness we all have felt at some time during this past traumatic year. Cut yourself some slack and revamp your expectations for your neurodiverse kids and your family. At your weekly family meeting or during dinner, ask everyone to share one hope for themselves in the coming week. Explore what type of support they may need to bring it to fruition. Then, next week, check in about this and identify another hope. By talking about hopes instead of expectations, there’s a greater chance of a small success. Hope can shift pessimism to positivity.

3. Focus on contentment, not happiness:

Father playfully singing with the remote with his preteen who is playing air guitar on the pillow. Where happiness is fleeting, contentment reflects ongoing satisfaction. We can’t snap our fingers and erase the COVID world, but we can create a few rituals that make us smile. Have breakfast for dinner once a week. Make popcorn and have a mandatory family movie night. Visit a local place you’ve never been or one that you really love. Host a short zoom dance party in your living room and let each family member pick a song. Ask your friends for ideas of things they’ve been doing to break up the monotony.

4. Go backwards to go forwards:

Look back as a family on what has helped you thus far get through the pandemic. Help your kids be as specific as possible. They may need some nudging as recalling positive stuff is tough for many folks, particularly those with ADHD. Write down each idea on a large piece of paper and put it in the kitchen or tv room for everyone to see. When you examine what tools fostered previous resilience, you’ll see the drops of water needed to refill your dry well right in front of you. Pick one to practice for a week, otherwise it might overwhelm you and be self-defeating.  One of my favorite mentors says: “When you get to the end of your rope, make a knot and hold on.” Holding on, resting there, resetting and regrouping will help your family cope with resilience fatigue. These practices will help rebuild your collective and personal strengths, too. Mother playing with her teens with ADHD out in nature on a swing to relieve stress from pandemic burnout


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ADDitude: “Q: How Can I Teach Empathy to My 15-Year-Old?”

The teen years see remarkable (and sometimes jarring) development in the prefrontal cortex, the area of the brain responsible for emotions — regulating your own and tuning into the emotions of others. Here, learn how to help your adolescent better “read” and understand how other people are feeling. Click logo below to read more.

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Teens and Young Adults in the Pandemic

Teens in the pandemic looking depressed out a rainy window

What are some of the adjustments that teens and young adults are making in the pandemic?

Teens and young adults are making many, many adjustments recently. Not only are they unable to see their friends and connect in familiar surrounding, but they are also facing the uncertainty of what comes next. If they are still enrolled in college or high school - virtually, in-person or in a hybrid version - they are leaving behind the familiar structure of home, school and community. Yearning for adulthood, while longed for, can be overwhelming. Those with ADHD are more than likely struggling in social distancing. College is not a college experience. The activities, in person classrooms, clubs, teams, fraternities, etc are gone. The same applies to high school students too. Pods need to be formed, and strictly adhered to versus bumping into friends at the cafeteria. It’s a huge shift in many areas simultaneously.

How can parents and loved ones can help ease the burden?

A parent sitting in front of their teen and holding their hand

It’s important that parents and loved ones acknowledge the enormity of this transition and don’t compare their own experiences with those of their children. Things have changed a lot and many young adults struggle under the burden of huge financial debt, social isolation, a high cost of living or the disappointment of living at home, and a tight job market. Staying compassionate, offering to assist them and collaborate on tasks and being available to talk through emotions related to this change is most helpful. Don’t solve issues. Instead, offer your suggestions and avoid getting hurt if they aren’t taken. Young adults often like to figure things out for themselves, which means trial-and-error learning. Sometimes the best support you can give is managing your own frustrations, sharing your feelings without blame or guilt and validating their successes. 

Tips for helping young adults and teens adapt a healthy routine in the pandemic

Young adult teen stressing out on the couch with her head down and holding her hand to her head Having a daily routine offers structure and freedom. It’s critical to set aside a specific period of time for attending classes, school work and applying to jobs each day so these activity has boundaries. These daily activities can become tedious and deflating, particularly in a pandemic. They can spread into all aspects of your life as the list of things you should be doing keeps growing. Eventually, avoidance accompanies discouragement and overwhelm. Talk with your son or daughter about marking off a few hours each day (preferably in the morning to get it over with) for necessary activities. This will assist them in feeling accomplished each day. It will also help them feel competent because they’ve done something in a time frame that they laid out. Then, they can do whatever they want. Help young adults limit screen time. In doing so, advocate for doing other things that interest them and make them feel good. Exercise, time with friends, shopping and cooking--these are all activities that contribute to healthy living. Teach them how to shop, balance their bank account, make a budget and understand their health/car insurances. These skills are not necessarily second-nature, and it’s very common to need extra support in learning them. Keep an eye on your child. If you notice changes, don't hesitate to reach out to a mental health professional. Even very "strong" people are struggling in this pandemic.


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22 News Mass Appeal: Talking to children and teens appropriately about what’s seen in the news

First it was the pandemic, now political unrest. With all of these unsettling events, how do we talk to our kids about what’s going on when we’re upset or unsure ourselves? Dr. Sharon Saline joins us for the discussion. Click logo below to read more.

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How to Transform Anxiety in Kids with ADHD to Excitement

Teen kid with ADHD having anxiety and looking nervous in front of a bright purple backgroundDo you ever notice how your heart races in similar ways when you’re anxious and when you’re excited? The energy courses through your body and brain, and you feel a type of exhilaration. Of course, it’s more negative for anxiety and more positive for excitement. In both cases, however, our adrenaline is activated because anxiety and excitement really are like two sides of the same coin. Managing both types of these intense, overwhelming reactions is especially taxing for kids with ADHD due to their challenges with impulse control and emotional regulation. How can you help transform anxiety in kids with ADHD into eager anticipation?

The human brain is wired for negative expectancy.

Negative expectancy has helped us survive for centuries, whether it’s avoiding tigers in the jungle or mastering the art of riding a bicycle. We make mistakes or encounter challenges and learn to adapt, accommodate and overcome. This ability to persist and bounce back is the antidote to anxiety and the foundation of excitement. Anxiety weakens confidence and courage by feeding doubt. Kids don’t believe that things will work out. Based on previous struggles, they expect the worst.

Excitement reflects optimism--hope that something good is going to happen.

Kids are excited for things they look forward to, believe they will enjoy or think they can accomplish. Nervousness can be a precursor to excitement: once a child or teen has learned the skill associated with a new task or situation, they shift from insecurity to anticipation.

With a history of impulsive or distracted behaviors, school difficulties and social challenges, many of your sons and daughters are afraid to hold a positive outlook when faced with something unexpected or different. They’re insecure that they possess the coping skills to successfully meet the novel demands they encounter. They need you to remind them of previous situations when they took a chance, stuck with something hard and succeeded. Working memory challenges for the ADHD brain make this recall particularly difficult in the face of strong negative emotions. 

While many fears justify anxiety in kids with ADHD, others may not.

Sometimes it’s a simple act of changing the language that we use to describe our experiences that encourages an alternative perspective. This may sound trite, but our narratives really frame our actions and outlooks. We want to help kids with ADHD shift away from anxiety that globalizes fear and uncertainty. Instead, we want to move them towards a framework of improving inadequate skills. This fosters a growth mindset and helps them pivot towards excitement.

Help kids with ADHD identify feelings of anxiety

What would it be like to assist your child in noticing the energy they are feeling when they feel nervous or worried? Observe what you see happening with neutral statements like “I see that your voice is getting louder and your face is flushed. Tell me about your concerns.” In addition, ask them about the flip side of the anxiety: “What would it be like if you were excited instead of afraid? What is something you could do differently or what other options can we discuss that might make this situation turn out better than expected?” Every small win, every small shift to a positive perception, is a success.

As we embrace 2021, following a year of many challenges and much anxiety, I encourage you to commit your family to take a small step towards a new perspective. When someone expresses worry about something where a pivot is possible, investigate the energy, name it and see what happens. Standing at this crossroads, travel down the path of excitement for an alternative.

Happy kids with ADHD showing an exciting, accomplished gesture with her arms


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Psychology Today: ADHD and Focus: How to improve flow and attention in a distracted 2021 COVID world

Even though it's 2021, not much seems that different than a week ago. The COVID-19 pandemic continues to change all of our lives in ways we could never have imagined a year ago. For older teens and young adults, the markers of how you’ve defined yourself--school, music, sports, friends, parties, work have shifted dramatically in 2020. In fact, it’s probably difficult to imagine how and when these beloved parts of your lives will actually return. It’s been disorienting, disappointing and isolating to say the least. Many young people with ADHD have been struggling to make it through, avoid depression and get basic stuff done. Amidst increased anxiety and constant access to technology, it’s harder than ever to find focus and stay attentive. If you feel more distracted than ever, you are certainly not alone. Click the logo below to read more.

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Smith College Studies in Social Work: Thriving in the New Normal

Thriving in the New Normal: How COVID-19 has Affected Alternative Learners and Their Families and Implementing Effective, Creative Therapeutic Interventions

This article has been accepted for publication in Smith College Studies in Social Work, Volume 91, 2021 - Issue 1, published by Taylor & Francis. Click the image below to read the article.

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ADHD in the New Year: Grow Something Good

Person celebrating a structure saying 2021 on top of a mountain cliff and pushing away the 0 from 2020Let’s face it, New Year’s resolutions rarely work. We all set well-intentioned goals about what we can do differently that rarely come to fruition. This year, I’d like to encourage you and your family to try something different. Instead of choosing something that isn’t going well, what would happen if you nurture one thing that makes you happy, that you are already making progress on? My guess is that you and your child or teen with ADHD would feel more competent and confident.  Kids with ADHD have really struggled this year. As alternative learners who generally do better when school is in person, they’ve had to make tough adjustments to accommodate online learning during the pandemic. They’ve lost valuable daily social contact that brings them joy, helps with self-esteem and offers cues for how to behave in classes. There’s been so much disappointment across the board. For many children and teens with ADHD who already experience more negative self-talk than Neurotypical peers, pandemic challenges have intensified patterns of self-criticism. Working with them to alter these patterns by focusing on Celebration (the 5th of my 5C’s) is the best New Year’s resolution you can make.  How can you shift from things that aren’t going well, from anger about the pandemic and social isolation to something brighter? By paying attention to and acknowledging the small successes of every day. I’m not talking about being a pollyanna: I’m talking about the act of acknowledging big and small positive stuff throughout each day of the week. This means validating efforts as well as successes in ways that encourage your son or daughter to see the progress they are making, to notice what’s working and to continue with desired actions. When you nourish the seed of an attitude or behavior that is already starting to bud, you are building on success. Given all of the inherent difficulties of 2020, when you shift to enhancing what is beginning to take root, you’re helping your family to move forward positively. Of course, you have to manage inappropriate behaviors, foul language and non-cooperation. That’s a key part of parenting. I’m inviting you to balance what’s difficult with increased attention and feedback about what is actually going well--enough. Kids with ADHD already struggle with feeling like they are not enough or different in a “bad” way. They really need your support to develop the parts of themselves that are appropriate, helpful and positive.   Instead of making New Year’s resolutions about a host of ongoing problems that just generate shame and failure, let’s cultivate the plants that are already in the garden right now. Your kids with ADHD have already adapted to the best of their abilities given their personal resources to online learning, socially distant friendships and extended time at home. For now, let’s honor those successes before moving onto what needs improvement. There will be plenty of time for that soon enough. Fertilize, water and nurture desired behaviors as much or more than giving corrective statements.

Grow Something Good in the New Year:

1. Reflect:

Take a few moments and think about what ways your child has matured in 2020 and how your parenting has shifted. What are they able to manage more effectively and independently than they could a year ago? What are you doing differently? Write these down. Then, set aside a time (perhaps during your weekly family meeting) to ask your child or teen to consider their own growth. Repeat what you hear them say and then write these down too. 

2. Investigate:

Adolescent girl sitting on the couch as she talks to her mother who is asking her questions about the new year Ask your child which of these skills or actions they feel particularly proud of and want to see continue. Is there anything you can do to support them in their efforts to keep this good stuff going? Are there any tweaks to family agreements that would be useful? Brainstorm any new interventions and pick ONE step to move forward. 

3. Notice:

Use encouraging statements that reflect your observations about how they are doing. “I notice X. That’s good progress.” OR “I see that you are trying this. That’s cool.” OR “It looks like you’ve done a great job. Bravo! Here’s a high five!” Remember, getting through every day can be an achievement and let’s honor that fortitude. Family of three holding their hands in heart shapes as they have a zoom meeting with their family for new years

           Best wishes for a happy and healthy new year!


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22 News Mass Appeal: Finding peace during the stressful holiday season

It’s so easy to get caught up in the rush and stress of the holiday season. But, we’re going to take a few minutes now to refocus and turn our attention to the simple pleasures this time of year.

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"Family Matters" Mask Radio Show with Dr. Sharon Saline

Dr. Sharon Saline on the "Family Matters" Mask Radio Show: [audio mp3="https://drsharonsaline.com/wp-content/uploads/2020/12/Family-Matters-12-17-20-Salin-1.mp3"][/audio] Click the image below to visit the Mask Radio Show "Family Matters" website.

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ADHD and 2020: How to Pivot to Positivity as an Uncertain Year Ends

A person holding a mask worn during the pandemic that says Goodbye 2020 on itWhat a year this has been! 2020 has redefined what it means to bounce back. Just when you think you’ve set up a routine that works and life seems to be chugging along, something comes and upsets the whole apple cart again. Pivoting to these new challenges, everybody has repeatedly been forced to regroup, think quickly and adapt.  Bouncing back has been the theme of 2020. I’m so impressed by the creativity, fortitude and persistence I’ve seen in parents, kids and young adults throughout this year. Necessity is truly the mother of invention, isn’t it? I’ve seen children have driveway playdates with a chalk line separating them for safety: teens sit six feet apart on the trunk of their cars to see their buddies in person; college students throw a virtual dance party to connect with their community. Kids have made their own popcorn and watched a movie with their cousins on Zoom while parents have arranged “Mocktini’s” with beloved extended family members and friends. Somehow people managed to host virtual or distanced birthday parties and holiday gatherings that had meaning and fun. As parents, you have risen to the enormous challenges of this pandemic. You’ve created effective routines to manage remote learning, homework and chores, often in combination with your own work, and tweaked them as needed. You’ve fought so that the educational needs of your Neurodiverse sons and daughters are met in this new academic environment. You arranged music lessons, safe participation in sports and socially distant playdates. You’ve lost your tempers, wished you had some time to yourself and did the right thing for your kids despite the personal cost. You grieved the loss of loved ones and nursed the sick back to health. You rose to meet this awful pandemic and showed up even when you felt sapped of strength. I have been moved over and over again by how you, your children and teens keep bouncing back. You inspire me. While it’s not easy, you’ve all adapted to the many tough challenges that 2020 put in your path. Bravo. Take a minute and let this sink in. You and your family made it this far. This is what resilience is all about.  According to the Merriam Webster Dictionary (https://bit.ly/2JaDaq9), resilience comes from the Latin root of salire, a verb meaning "to leap." Everybody has taken leaps this year--sometimes landing on your feet and sometimes falling. But, somehow, we stand up. We pivot, we change direction and move forward.  During this holiday season, I hope that you and your family acknowledge all of the strides you have made by creating a Wall of Wonder. Get some Post-It’s, open some space on a wall and encourage people to write down (or draw) and post any of the following:

  • Something they are grateful for
  • One thing that went well
  • A memory of a fun experience (maybe an outing to the beach, the time you made pizza from scratch or riding bicycles in the park)
  • Something they are proud of themselves for
  • One thing they appreciate about someone else

On New Year’s Eve, gather as a family in front of the Wall of Wonder and look at what 2020, with all of its frustrations, sadness and obstacles, was also made of. Seeing these positive aspects of the year will help all of us make a bridge towards a better 2021. Happy holidays!


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ADHD, News, Parenting & Families Dr. Sharon Saline's Team ADHD, News, Parenting & Families Dr. Sharon Saline's Team

HealthCentral: Let’s Talk About ADHD Treatment

Getting treatment for ADHD requires using several strategies while working closely with healthcare providers, therapists, teachers, and family members. It also means adopting approaches such as school interventions, behavioral therapy, psychotherapy, coaching, and possibly medication. Perhaps most importantly, you’ll need to swap any notion of “cure” for the reality of ongoing management. Now for the encouraging news: With persistence, you’ll hit on the solution that works for you or your kiddo. The best place to start your journey? Right here. Click logo below to read more.

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ADHD, Blog, Parenting & Families, Anxiety Depression & More Dr. Sharon Saline's Team ADHD, Blog, Parenting & Families, Anxiety Depression & More Dr. Sharon Saline's Team

5 Parent Self-Care Ideas: Parenting ADHD in a Pandemic

Mother looking overwhelmed as she holds her hand on her head looking at a computer with a mask on next to her child who is doing remote work during the pandemicParent self-care is essential during these times in a pandemic. Parenting an ADHD child or teen can add even more complexity to this difficult time. Children and teens with ADHD have symptoms that make remote learning more difficult due to executive function challenges, and they need more support with this new system. Factoring in self-care to an already full life of work, family and now teaching can be complicated. In fact, it’s usually the first thing to go out the window when people are stressed. But it should be one of the last. You have to take care of yourself so you can take care of others.

As you are told to put the oxygen masks on you before your child in order to be a support, the same principle applies here. Exercise, nutrition and emotional support are key elements to helping you run this long, arduous race.

5 Parent Self-Care Ideas during a Pandemic:

1. Get some physical exercise:

Not only will your body and your brain benefit enormously from the endorphins that exercise produces but you will also feel less resentful because you’ve done something good for yourself in the midst of all of the stress in your list. Make a parent self-care list of two types of activities you could actually do: one for home activities and one for safe outside activities. For the first list, include taking the stairs or seated/wall yoga poses to do when you need a break. For the second list, identify times and activities of exercise that you ENJOY and want to do. Decide how often you can do something and put it on your calendar with a reminder alarm. The goal is to use your body to help you let go of stress, not to get into the best shape of your life.

2. Eat well:

Shopping during COVID has become a little more complicated. The good food in your home get eaten first, and what's left may not be what you desire. You need fuel for this marathon, so make a list of healthy snacks that can stay fresh longer to purchase the next time you go to the grocery store. 

A young girl child with ADHD with a mask on and pigtail braids walking and holding her fathers hand who is practicing parent self-care by going out in town3. Shop local:

Consider ordering take out from your community restaurant to bring in a healthy meal. Get your hair done and get a message if you are comfortable with the proximity. Even a box of tasty chocolates can brighten a day. Shopping local is a fun activity for family and parent self-care, but it also provides you with opportunities to support your local small businesses that are likely struggling during the pandemic. In addition, you're fostering connection with your community as a whole.

4. Practice meditation:

Take some each evening before bed or each morning as you awaken to be with yourself. Guided meditations on Apps such as Headspace, Mindful or Insight Timer can be a great way to start or end your day (or both) with a sense of personal calm, insight and hope.

5. Parent self-care includes connection & support:

Consider getting professional help or joining a support group if you need it to get through this horrible time. Stay connected to others but have some ‘me’ time, too. The Pandemic is a great way to tune into your own needs and discover what you can do for yourself to keep moving forward. Self-care is not selfish. It is a requirement for a happy soul and family.


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22 News Mass Appeal: Improve your health by giving

Being a volunteer, making charitable donations, or even something as simple as holding the door for someone has positive health benefits. So, why not improve your well being by giving to others. Clinical Psychologist, Dr. Sharon Saline explains how the act of selflessness can have a positive effect on your health. Click logo below to read more.

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ADHD, Blog, Parenting & Families, Anxiety Depression & More Dr. Sharon Saline's Team ADHD, Blog, Parenting & Families, Anxiety Depression & More Dr. Sharon Saline's Team

ADHD and Motivation: How stress reduces productivity and what you can do about it

Young girl with ADHD and motivation issues playing with a pencil on her face instead of doing homework at the kitchen table with her parents watching in the backgroundIn October, the American Psychological Association released the results of its latest Stress in America survey. The report concluded that stress about COVID-19, the economy, racism and politics are threatening the mental health of our country, especially young people. In fact, the survey found that Generation Z students ages 13-17(81%) reported a negative impact on their lives from pandemic-related school changes and 51% said that planning for their future felt impossible. If we add to these results the daily stress that neurodivergent students with ADHD already face with remote/hybrid learning, it’s easy to understand why they are overwhelmed, discouraged and fed up. How can we help manage ADHD and motivation in these unprecedented times?

Challenges with ADHD and motivation for kids and teens

Boy outside on his phone listening to headphones struggling with ADHD and motivation

Kids and teens with ADHD have trouble regulating their attention. When they are stressed, it’s even harder to concentrate. Flooded by emotions that they can’t process or break down, their brains resort to fight, flight or freeze mode. Distractibility increases and cooperation goes down while procrastination rules the day.

You’ll see more angry outbursts from your child or teen, bouts of irrational anxiety and flashes of hopelessness and helplessness. As a parent, it’s tough to know what to do that’s helpful in these moments. Threats and punishment may get the job done temporarily, but they fail in the long run. They simply don’t teach the lasting skills about motivation that your student really needs. What can you do instead?

Nothing positive can occur when kids are in the middle of a stress reaction. Yes, they need to start their math worksheet, study for the science test or write that history paper. But, in those moments, no clear thinking occurs. Slow things down and do something different. STOP the action.

What’s most important is that your son or daughter feels listened to and cared for. Feeling heard reduces their stress reaction and the isolation that they feel. Once they are calmer, then you can brainstorm how to approach the task at hand. This is how we motivate kids when they are stuck. We honor their struggle and gently shift their direction.

Reduce stress and help kids with ADHD with motivation by using the 3 R’s: reflect, reassess and recalculate.

1. Reflection:

Listen to what your son or daughter is showing you with their behavior and their words. Rather than interpreting or solving problems, just reflect back what you hear and ask if there’s anything more they want to say. Empathize with their struggle. Believe me, they would rather not procrastinate. Many kids who struggle with ADHD and motivation tell me that they hate this cycle and feel defeated but don’t know how to break out of it.

Mother consoling her daughter who is upset

2. Reassess:

Talk through what’s going on and what realistic options look like. Anxiety and depression related to stress distort our thinking and exaggerate negativity. Concentrate on what is really happening here? The calmer you can be, the easier it will be for your child or teen to collect themselves. There are three types of procrastination:

          • Perfectionism (“If I can’t get do it just right, why bother?”)
          • Avoidance (“I hate doing this, it seems like I’ll never finish so I’m not going to try.”)
          • Productive (“I’ll do other stuff that needs to get done but not the main thing because it seems overwhelming or impossible.”)

Which one is your child engaging in and why?

3. Recalculate:

Father sitting on the floor supporting his daughter with ADHD sitting and crying on the bed

Like your GPS, your student needs to pivot and go another way. How can you assist them in breaking down the task into smaller, more manageable parts? The key to getting started when you have ADHD and motivation challenges is feeling like you can do something and there is an end in sight. What is the bare minimum that your child or teen can do right now? Perhaps you need to reset the threshold today, email the teacher and strategize new options tomorrow. 

Use meaningful incentives to teach your son or daughter that effort leads to satisfying accomplishment. Incentives change the conversation from “I can’t” to “Let’s try a small step and earn a desired reward.” This extrinsic motivator helps kids get going until the intrinsic motivation system kicks in--by the late teens or early twenties in neurotypical kids with, as much as a three year delay in young people with ADHD. 

Over time, your child will learn to put the have-to’s in front of the want-to’s but this lesson takes patience, practice, scaffolding and collaboration. Work together to determine incentives and then stick with whatever you agreed to. When you are faced with that inevitable pushback from your son or daughter, remember that kids freak out when they feel overwhelmed because they lack appropriate coping skills to deal with challenges they are facing. Take a deep breath and meet them where they are, offering love and support for the scary place they are in.

Child with ADHD with headphones on engaged in online learning at home.

Source: Stress in America 2020 survey signals a growing national mental health crisis. (n.d.). Retrieved December 08, 2020, from https://www.apa.org/news/press/releases/2020/10/stress-mental-health-crisis.


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Blog, Parenting & Families, Anxiety Depression & More Dr. Sharon Saline's Team Blog, Parenting & Families, Anxiety Depression & More Dr. Sharon Saline's Team

Holidays and Family Estrangement

Lonely looking senior looking out the window at the treesFamily estrangement refers to the loss of a former relationship between parents and children, siblings or other extended family members. Holidays are times when this estrangement can lead to anxiousness, PTS and other conditions. Estrangement reflects physical or emotional distancing and minimal contact or communication for an extended period. It can result from many things: physical, sexual, verbal, child or elder abuse, neglect, divorce, trauma, money, inheritances, substance abuse or something else. When people are estranged from their parents, their feelings may often be complicated. There may be a mix of relief, grief, sadness or anger. Often they see the decision to cut ties with that family member as a life-saving measure.

Estrangement: An example

One young man I’ve worked with was sexually abused for 5 years as a Adolescent girl standing and looking bored with her face resting on her handchild by his older, schizophrenic brother after his father died. When he finally told someone at his school, the Department of Social Services intervened.  He was moved to his aunt’s house where he lived until graduation. Since he has no contact with that brother who currently lives with their mother, he also has no communication with her. This is a choice he made for his own mental health. He believes his mother chose his brother’s well-being over his own.  In order to move on with his life and cultivate healthier relationships, he needed to sever their communication. He still deals with his traumatic past when memories arise periodically, but he’s been able to find a loving partner and create his own family.

How to manage the holidays with estranged family members

If you decide to see estranged family members over the holidays, it’s critical to establish clear, firm boundaries about your contact. Consider emailing in advance. Let et them know what you don’t want to discuss and what you do. Often these visits can be very triggering and activate old wounds.

If you feel afraid that the contact will not be safe for you, it’s okay not to push yourself.

Ask yourself these questions if you choose to interact:

      • A mother and daughter sitting and looking distraughtHow long can I actually spend with this person before I start to feel overwhelmed or uncomfortable?
      • What is my safety plan for when I am triggered?
      • Who is my ally in this situation? What is my plan for checking in with them throughout the gathering?
      • How can I appropriately leave when I need to and where will I go?
      • Who will help me process this experience when it’s over just in case I need that?

Whether you choose to connect with an estranged family member or not, check in with yourself. This has been a hard year, make sure you aren't putting more on your shoulders than you can handle this year.


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Source: Span, P. (2020, September 10). The causes of estrangement, and how families heal. The New York Times. Retrieved December 20, 2021, from https://www.nytimes.com/2020/09/10/well/family/family-estrangement.html
 

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