Food Allergies and Anxiety

Food Allergies and Anxiety

By Patience Domowski, LCSW

Food-Allergies.jpg

 

More and more children seem to be developing food allergies these days. Kids with severe reactions often are very anxious about their allergies because they don’t want the consequences of a reaction (such as trouble breathing), and can be worried that other people won’t be understanding of their allergy. For example a child who had to be hospitalized for going into anaphylactic shock from peanut butter on someone’s fingers at a birthday party  is naturally going to be little more wary and even nervous to attend another birthday party. They don’t want to end up in the hospital again! Or another child who tells their friend’s mom they can’t have seafood and the mom serves shrimp for dinner anyway might be concerned that people don’t understand them or care. Sometimes kids even get teased about their allergies or told they aren’t real. This is very upsetting for the allergic child and can make them quite frightened as some kids’ allergic reactions are life -threatening.

 

Ways to help your food-allergic child feel less anxious:

-Teach them nice ways to explain to others about their allergies, maybe even give them little business cards with information on it to pass out to friends and friend’s parents so they understand a little better.

-Teach them how to check food labels so they can be confident what they eat won’t make them react, and ask grown-ups present to help them double-check as well

-Remind them that just because they had an allergic reaction in a certain situation before (like at a party, or school), doesn't mean it will happen again- child and family will be more careful next time

-Remind them of the protocol of what to do if they think they are having an allergic reaction and who to ask for help, carry epi-pen if needed or other medications

-Teach some coping strategies for anxiety such as deep breathing, thinking happy/calm thoughts, and making a plan to handle problems that arise

-Joining a food allergy support group can be helpful for parents and children

-If they continue to show excessive anxiety, have them see a child behavioral therapist

 

Ways to help others understand your child’s allergies:

-Provide some basic education, nicely, to other parents, friends, teachers, etc on how the food allergy affects your child and what they need to avoid and how (can they just not ingest a food, or not even be near it?)

-Remind friend’s parents before a playdate or party and also pack safe foods for your child so the other parent doesn't have to worry about what to feed your child at their house

-Even if your child has a 504 for allergies at school, inform any new teachers or lunch aides about the allergies, and ask teachers to tell other parents coming into the classroom with food for parties about the concerns. Suggest other options that won’t affect your child like toys, stickers, or other foods that are safe and yummy to bring in to the class, or say you will provide all treats for your child at these events.

-If your child is being teased or bullied about allergies, provide some education to the other person about the seriousness of the reaction and why its not cool to be mean about it. Report the bullying incidents to the authorities such as school staff or adults in charge at the event.

-Tell teachers and other adults involved with your child some ways you are working on teaching coping strategies to your child to handle their anxieties like ‘remind them to take deep breaths’ or ‘please tell my child I packed his lunch so he doesn't need to worry’, etc.

-Give everyone written and verbal information on how to handle allergic reactions, symptoms and how to dispense medication in case something does happen. For example while the school nurse is trained to use an epi-pen, the chaperone on a field trip might not be trained, so they would need that information in advance

Other tips:

Connect with other parents dealing with same situation for more ideas and supports. Make sure your child is getting support as well if they are emotionally affected by their allergies.

Making Friends at a New School

Making Friends at a New School

By Patience Domowski, LCSW

making-friends-in-the-lunchroom-001.jpg

 

Starting at a new school can be so hard for kids! Whether it’s the start of a normal school transition like Kindergarten, or beginning of middle or high school, or starting in the middle somewhere because you moved to a new district, it’s really difficult. It’s normal to be nervous and not happy about it.

You’re the ‘new kid’ like it or not, and everyone already has friends and a group, so you automatically feel left out. While some kids can be welcoming and friendly it can still be difficult or take a while to find your niche. Here are some helpful tips:

  • Be friendly, even if you’re naturally shy, and introduce yourself to people. Smile and look happy, even if you don’t really feel that way. People are automatically attracted to happy and friendly looking people.

  • Try to sit with others and interact with them. Acknowledge you are new and ask for insight and help (even if you don’t really need it). You can start with ‘Hey, I’m new here, can you tell me about this teacher?’, or ‘What do you think of the cafeteria food here?’, or ‘How do I find the library?’. Often people appreciate being asked for help and will engage with you.

  • Ask for someone to show you around the school. The principal may have already set this up. Maybe the person who shows you around may become a friend, if not they can at least introduce you to other people. If they don’t automatically do so you can ask them to introduce you.

  • Join any clubs, activities, programs, sports you may be interested in. If you aren’t sure what you’d like to participate in, try a few out and see what you like. Finding others with similar interests is a great way to make new friends.

  • If you find someone you think would make a great friend try inviting them to come see your new house, or hang out sometime. If they say they are busy ask when is a good time. If they keep putting you off, move on to someone else.

  • If you make one friend, try to meet their already existing friends and connect with them too.

  • If your parents allow have a party at your house and invite everyone. Whomever comes, try to talk to them and secure future plans.

  • In some elementary schools there is a ‘buddy bench’ to sit on at recess if you need a friend. If you sit there other kids will come around and ask you to play.

  • If the school is really cliquey recognize it’s not your fault, and keep trying. Remember it can take a while sometimes, but you’ll get there.

  • Be okay with just one or two friends. Your friend group will slowly grow if you want it to, but it doesn't have to be the same amount as at your previous school.

  • If it’s not going well, ask the teacher or school counselor for help.

---

Helpful Book for Elementary and Middle school age children for making and keeping friends:

Lily Makes Friends, by Patience Domowski. Available on Amazon.

Helpful tips for anxiety when starting at a new school.

Shy/Anxious, and Sensory-Avoidant Children and Overwhelming Social Scenarios

Shy/Anxious/ Sensory kids getting overwhelmed in social settings

By Patience Domowski, LCSW

If you have a shy kid or a kid with sensory issues that is easily overwhelmed in large group settings it can be rough to attend a birthday party, or even a crowded grocery store. You probably find yourselves avoiding large concerts or parades and cringing when taking your child to church or other types of social events. Anxious kids struggle in large social settings and may shut down and refuse to speak, may cry, or even have a full meltdown. Sensory kids may also have a meltdown or tantrum behaviors due to the overdose of noise and light and people. Avoiding these situations may seem best but not always. If the child never learns to cope they will always struggle and it’s not always possible or even prudent to always stay away from large social gatherings. Here are some strategies to try to help your child manage these overwhelming situations.

Some simple strategies to try:

  • If the child is sensitive to sound let them wear headphones, if light- sunglasses. They might look a little different but they will be at least able to attend, and over time they will often adapt and be able to take those things off. Just like when you enter a room that is too cold or hot, often your body will adapt after a few minutes.

  • Practice going into loud and crowded areas for very short time, slowly increasing to help desensitize your child to the sensory stimulation. For example go to the grocery store for a few minutes and buy one thing, or go to church and sit in the back and go to the foyer when its too much, go to parties for just 15 minutes perhaps to start. When your child is doing well, then increase the time. (This may take several attempts and last a few weeks or months).

  • Rehearse ahead of time. Do some role-playing with your child ahead of time such as pretending to be a new person you might meet and have your child practice what they will say if the other person says hello for example or asks them questions. You can switch it up and parent pretends to be the kid and the child gets to be the new person you are meeting.

  • Prep the child for the event in advance (if possible) such as talking through who they will see, what will happen, what is expected etc. If possible look online to see what the place looks like so the child can see it so it doesn't feel so new and scary. If its a birthday party at someone’s house maybe try to do a playdate in advance so the child is comfortable with the home and the child and family before the party (if possible).

  • Try to have your child identify in advance what is bothering him or her and see if you can help them work through it. For example if they are scared no one will play with them at a party, give them some suggestions on how to engage with other children. If they are worried that it will be too loud, suggest they bring headphones, and if they can’t handle it they can take a break outside perhaps. Try to help the child problem-solve the situation themselves, if they are old enough and willing, as they are more likely to use their own suggestions. If they need help, parents can give some suggestions too.

  • If the anxiety is pretty severe and seems unresolvable, seek out help from your child’s pediatrician, school guidance counselor, or a child behavioral therapist. If the issue is more sensory related (sensitive to stimulation like sounds, light, etc) seek out help from an Occupational Therapist (OT) or your child’s special education teacher (they have one).

 

Books flyer

Feelings by Age

Feelings by Age

What your child should be able to understand and express, by age

By Patience Domowski, LCSW

 

Age 0-1: Baby can express sadness by crying, anger by screaming, and happiness by smiling and laughing. Some babies can express surprise too with a facial expression, often following by happy smile or crying depending on how they feel about the surprise. Babies usually respond to their parents and other caregivers emotions and reactions such as being more fussy if they sense mom is upset, or laughing when big sister makes a funny face at them. [Known emotions: Happy, Sad, Angry, sometimes Surprise]

Age 2-4: These little ones are just learning how to talk to express their feelings. Parents can teach them to name their feelings such as saying “I’m Happy!” or “I’m Mad!” when they are acting like they feel that way with their behaviors or facial expressions. Often these kids have very strong opinions and feelings and may show big emotions like anger and disappointment in the form of tantrums and meltdowns and excitement or anger in screaming. Parents can try to have their child say how they feel. Parents can also model this by naming their own feelings so the child learns which emotion goes with which term. For example “Daddy is sad right now because you aren’t listening and putting on your shoes.” “Mommy is so happy to see you after a long day at preschool!”

Some strategies for calming child is to teach them to take deep breaths, give themselves a hug or ask for a hug, and taking a break (such as child going to a private area to calm down, or parents and older siblings leaving them alone in one area until they are calm). Teaching these skills when the child is not upset is helpful so they are ready to use the skill when needed. Parents can also model these strategies themselves by doing and naming them. For example “Mommy is angry right now because you made a big mess when I asked you not to. I’m going to take a break and calm down. I’ll be right back.” or “Daddy is really disappointed you didn't make a good choice and hit your brother. I’m going to take a deep breath.”

Also if the child resists using a strategy to calm down, parents can offer an incentive such as use of a toy or a treat for calming quickly. Often it’s best to ignore screaming and tantrum behaviors until the child calms (if they are too upset to reason with) and then praise them when they are calm and divert to something else. At the preschool age some children are more verbal and understanding than others so it will vary based on your child’s language ability to be able to talk out the feelings and handle them appropriately. [Known emotions: Happy, Sad, Anger, Surprise, Excited, Love, Scared, sometimes Disappointed, Frustrated]

Age 5-7: These early school agers should know the names of most common emotions by now and be able to do some calming strategies. Parents should continue to encourage them to name their feelings and model handling their feelings too. These children may also be recognizing how their actions affect others’ feelings too. Some kids are very sensitive to recognizing others feelings while others are more oblivious. Helping them be aware of how their behaviors and feelings impact others is important. For example if they are mad and hit their sister, it can make their sister feel sad. Or if they are jealous and take their friends toy, the friend may be angry. Expanding their understanding of emotions can grow beyond the basic feelings to more specifics like Happy vs Proud specifically, or Angry broken down into disappointment, frustration, or fear. There are many games and flashcards/posters to use to teach the various emotions. Having children learn what each feeling is called, what it looks like on someone’s face and body, as well as what can cause that feeling is really important for them to grow in emotional intelligence. [Known feelings: Happy, Sad, Scared, Mad, Nervous, Surprised, Excited, Proud, Loved, Disappointed, Frustrated. Maybe: Jealous, Anxious]

Ages 8-10: These kids should be pretty familiar with most emotions. They may continue to express their feelings in acting out ways, but should know some strategies for coping and calming down. If they still struggle they may need to see a specialist to help. They should be more aware of other people’s feelings and be able to offer comfort to others if needed. They should be able to name an experience that would cause a feeling. For example “If my brother messes up my lego creation, I would be mad” or “If my friend got a new toy and I didn't, I would be jealous”. [Known feelings: Happy, Sad, Mad, Scared, Surprised, Anxious, Excited, Proud, Disappointed, Frustrated, Jealous, Loved, Uneasy, Annoyed, Nervous]

Ages 11-13: Preteens are hitting that hormonal puberty stage where their feelings may be all over the place. They may be getting upset and angry for no clear reason and acting out more than usual. Helping them realize its their hormones that are out of whack, not that the world is against them may be helpful in helping them calm their reactions. They may need more space and understanding as they navigate this difficult time. Parents should be understanding but also not allow them to be disrespectful either. Often preteens need time and space to calm down and think through their feelings and when they are in a better mood often talking about it can help. [Known emotions: at this age they should know most if not all the emotions, but may struggle to differentiate specific breakdowns of feelings such as anxious versus scared].

Ages 14-18: Teens should be able to name and know all the emotions and may admit to struggling with certain ones specifically- like anxiety or anger. They should know some coping strategies to calm down and be able to manage their extreme feelings. If they are extremely up and down with mood it can be a sign of a problem and they may need expert help (ask your doctor or therapist). While it’s normal to feel all the emotions at some point the teen should likely not be all over the place severely such as excitement to furious in a few minutes, for example. As they mature they should be better handling their emotions and learning how to regulate their responses. [Known emotions: All of them. They may have slang terms for some feelings].

Overall it's important to teach children of any age the names of feelings as well as how to recognize them (by facial expression and body language) in themselves and in others. It’s also important for children to learn what causes what feelings. After they learn those basic skills then they can learn calming and coping strategies to feel better such as taking a deep breath when angry or anxious (it tells your brain and body to relax), taking a break (such as walk away, go to room to calm down ,etc). After the child is calm then they can work on a strategy to solve the problem! Even positive emotions like excitement can cause problem behaviors if the child gets too silly, or screams, gets super energetic, etc and may need to calm down. Learning when and where to act appropriately is helpful too. Such as its okay to be silly when playing, or loud when outside, but not during library time at school, for example. There are many books, games, flashcards, posters, etc available for teaching these skills. Look online for ideas. Also realize that if your child has any developmental delays or autism than often these skills will be very delayed and may not come naturally- they may have to be specifically and deliberately taught. For example most children can recognize when their parents are angry, or their friend is upset, but a child with a delay or autism may be completely clueless.

If your child is struggling beyond reasonable expectation seek out help from their pediatrician, school guidance counselor, or a child behavioral therapist.

Some online printable resources: 
Free Download of Various Feelings Activities

More Fun Feelings Crafts and Activities

These are for learning ESL but can be used by native English speakers too!

There are plenty more! Just do a search on Google or Pinterest for free printable emotions activities. 

I have some books on these topics as well. "Violet" discusses Anxiety, "Brianna" discusses Depression (deep long lasting sadness), "Julian" learns about Anger, and "Lily" learns about making friends/social skills (which is related to recognizing others' feelings). They are all for sale on Amazon

No Social Media? What to do when you feel left out.

No Social Media? When you Feel Left Out

By, Patience Domowski, LCSW

SocialMediaMarketing.jpg

 

When all your friends are talking about ‘Insta’ and Tweeting and ‘Snapping’ and you’re not… you’re likely feeling left out. So what do you do if all your friends are on Social Media and you’re not?

Maybe you’re not on social media because you’re parents won’t let you, you’ve lost the privilege because you got in trouble for making a poor choice online, or you’re just too young but your older siblings and friends are on there (legal age is 13+). Maybe you just don’t really want to get sucked into Instagram or your parents won’t let you have a smartphone, or they let you do some social media but not others.

Regardless of why you can’t be on it, what do you do about it?

1)Realize it's okay to not be doing something just because ‘everyone else’ is. It’s certainly hard, and you may feel left out, but realize there’s a reason you aren’t on it, and it’s okay.

2) Find other ways to connect with your friends- texting, talking in person, emails, etc

3)Remember not everything on social media is real. For example often people only present their ‘best selves’ and will only show pictures of them looking their best, or pictures that look like they’re having fun, when that might not be the reality of their life.

4)Try to cultivate other aspects of your social life that is offline such as joining clubs, activities, gatherings, and other events. Try to take up hobbies and find other interests. Kids are often happier interacting in person and having hobbies and interests than just perusing their friend’s profiles online.

Being on social media can cause some depression too. Seeing all the ‘perfect’ lives of your friends, realizing you’re not invited to parties that everyone else enjoyed, or even being a target of cyber bullying, can all cause feelings of sadness and loneliness. Remember that it's not about how many online friends or followers you have, or how many ‘likes’ on your photos you get, but it's about the real-life connections and friendships you make that will last and be more meaningful and real for you now and in the future.

Its okay to remind your friends ‘Hey, I'm not on facebook, so if you throw a birthday party, make sure to personally invite me!’ If you feel like you’re not being invited or included in activities, maybe set up an event or party yourself. Invite everyone with text or email, or be super old school and send print invitations in the mail. Then the people who come are people you can be friends with. You can still take pictures and enjoy the event, even if its not online.

As you get older your parents may allow you a presence online, or as you learn to make more mature decisions they may loosen the rules. Or even not, when you’re an adult you can decide these things for yourself. But make sure you’re not getting sucked into doing anything just because ‘everyone else is doing it’ and that you’re still grounded in ‘Real Life’ friendships and social connections, not just online ones.

 

Bullying, or not?

bullying

Bullying is a hot term these days with "Zero Tolerance" school policies, etc. However sometimes kids get confused if someone is just 'being mean' or really 'bullying' them. Also some kids tattle on anything mean that is done, and other kids are afraid its not worth telling on even when they are being really bullied. So to figure out if your child is being bullied or not have them answer these questions on the Bullying Vs Meanness worksheet. Also if they are having difficulty figuring out when to tell or tattle see that decision worksheet and blog post on that topic.