Category Archives: Behavior

Tips for Managing Screen Time

Maybe I am harping on this a little too much. But I do not think so. I believe that screens are detrimental to the healthy development of human brains. It seems that the American Academy of Pediatrics agress with me. But too my surprise, it seems that a lot of parents agree too. In a recent article in the NY Times, Bruce Feiler surveyed parents about what they do about their kids screen time. He found that the majority of parents have rules governing their kids screens. Here sre some of the things he learned in his survey of parents and some of my suggestions added in.

 

  1. Parents need to be examples and put their phones down. More and more we are all becoming addicted to our screens.
  2. Delay getting a first phone until kids really need it. You may need your child to get a phone by the time they are in middle school for communication needs. But it does not have to be a smart phone. It can be a dumb phone to call and text only.
  3. When your child gets a phone or tablet, set up strict rules for them. No internet during the school week, and only 1 hour a day of screen time! Set up a contract and monitor use from the start. Yes, you will be a mean parent but you will be in the majority with other parents.
  4. Homework needs to be safeguarded. Yes, more homework is online. But other communication and apps need to be limited to decrease distraction. Have kids do homework in common areas. Check in on them. Your presence turns off cheating on rules. And no social media during homework time.
  5. No phone use 1 hour before bedtime. Screen use has been shown to hinder normal sleep patterns. Also communication through texting interrupts sleep. Check phones into a common charge area at night so phones are charged for daytime when you need to communicate.
  6. Make rules for teens that they must answer your calls or texts within three tries. The excuse about not having reception is no excuse. You need to be able to reach them.
  7. Meal times should be screen free times. Eat together and talk.
  8. Limit social media accounts. Younger kids do not need facebook, snapchat and other accounts. Each account drains time from your child. Use a common ipad for their accounts so you can monitor what is going on.
  9. Punish kids with device removal. Check in regularly. Adjust house rules as you need to. Read some random texts. Read them aloud to embarass them. These are ways to have some control of what they do in this open arena we call the internet.
  10. Family time is very important. Interaction is the only antidote to screen time. Have game nights. Cook together.  Get outdoors together. Have parent-child date nights. Any fun you can have without the screens is good fun and interactive fun.
  11. Don’t give up the fight. Screens are a privilege for kids to have not a right for them to have. You have control and pay for the screens. Turn off your router if you must.         Good luck!

Food Rules

Every family should have some rules around food and eating. From the time I was trained as a pediatrician until today, I have been taught that food should not be a battleground. As parents, we think we need to get kids to eat. But we DO NOT. They will eat what they need to grow on from the balance of food we present. Here are some rules every house should apply.

Do not pressure kids to eat.

Do not worry about how much your child eats at any age!

Make them eat from your choices , not theirs.

Their choice should be to eat or not eat.

Do not play around to “get them to eat”.

Do not pay attention to their behavior around food.

These rules should make your house more peaceful around meals and dinnertime. To learn more join our discussion of these rules on Thursday October 30th at 11:30 at our parent coffee. Good luck.

Dr. Orr

Why Yelling Doesn’t Work

I use to be a yeller. Yes, even pediatricians yell at their kids. But I have reformed and yell much less now  then in the beginning of my parenting career. Over time, I  saw what my yelling really was doing. It created fear. It  intimidated my children, even my kids who were not the  target of my yelling. It created tension between me and my  wife and my kids. I always felt bad after yelling. And,  most important, it didn’t work to convince my kids to my  point of view. In fact, it often backfired and made my  children back into the trenches of verbal warfare and work  hard to hold their positions. As I contemplated the issue  of yelling in context of my overall parenting philosophy, I  realized that there were good reasons why yelling wasn’t  working.

In my philosophy of parenting, children often behave  in ways that work toward two goals – getting attention from  their parents and controlling their parent’s response.  These two factors become more of a motivation for children  in moments of conflict with parents. Children know we have  more power in decision making especially regarding  purchases, transportation and finances. But that doesn’t  mean they cannot exert some power by controlling our  response by pushing us in arguments to the point of  yelling. How powerful is it for children to “push our  buttons” enough to see a parent have a temper tantrum? And  since they are the focus of the attention (even though it  is negative attention) they are receiving a second victory  especially over their siblings who are not the focus of  attention. So, when I was in a yelling fit with my child,  I was actually falling into a subtle trap set for me by my  child and feeding some subconscious need. So I needed to  change my tactics.

I set goals for myself to see how many days, weeks and  months I can go without yelling. It takes a lot of  practice. It is natural for our kids to want to argue with  us. And they do not want to end an argument. As a result,  if we become committed to the ending of arguments, then we  may avoid getting to the point of yelling. We can end  arguments sooner if we stick with our initial answer and  refuse to engage any further in discussion no matter what  else is said!!

The other time parents yell is when children won’t do  things we ask them to do. The same motivational factors  for children to push us to yelling exist in this situation.

So it is possible to create a life free of yelling.  You may come up with your own tricks. But now that you  know that yelling doesn’t work, you may want to try  something new. Hopefully, my tips will motivate you to try  a new approach before you let your kids see more of your  temper tantrums.

Why Ask Why?

Why do you always have temper fits when you don’t get your way? Why do you whine to me after school? Why do you  always complain about dinners? Why do you always fight with  your sister? Why do all parents ask these questions?

These questions are an expression of frustration by  parents over behavior exhibited by our children. We as  parents all fall into the trap of asking these questions  whether they serve a purpose or not. Do these questions  ever get answered? No they do not. These questions can be  demeaning and labeling for children. That is how children  feel when they hear these questions. They are labeled as a  fighter, whiner, or complainer. Just in the asking of  these questions the child is criticized and treated as one  who is acting as a child should not act. Perhaps they  should not act that way but changing that behavior takes  time. When parents accept their children’s behavior as  natural, and accept their behavior as action that all  children try with their parents, then parents can forget  the “why” questions and move towards more appropriate  responses to the behavior. The “why” questions only expose  a parent who is not accepting their children acting as all  our children act.

How can we better deal with frustrating moments with  our children? How can we reach a place where we can be  more accepting of how our children act towards us?

First we need to be accepting of the fact that in our  role as parent we will face children acting in childish  ways. All parents face similar behaviors. All children  try the same behaviors on for size. As a parent we will  encounter whining, complaining, tantrums, accidents and  other childish acts that we cannot control. Many parents  spend valuable time asking “why do I have to face this  behavior in my child?” Why waste time asking “why”? If  we can function at a higher level by accepting our kids as  kids, their developmental level and their childish acts  then we are ready to respond better. Yes, all parents must  accept that their children will act in very embarrassing  and childish ways.

Don’t take me wrong. Acceptance of your child’s  behavior does not mean giving in to every whim. Part of  acceptance is educating yourself about your role and how  you can better respond to your kids. Acceptance gives you  a place from which you can act without fighting the reality  of your situation. Acceptance gets you over the why  questions and moves you towards “how do I respond”  questions. This is where you have control. This is where  you can decide how to act, ignore, or give fair consequence  to your children’s behaviors. Acceptance gets you over the  anger brought on with “why” questions and lets you treat  your children with greater kindness. You no longer act in  condemning ways but with a more fair response to your  child’s manner.

Why questions make a child question themselves. Your  acceptance of them gives them more leeway to accept  themselves. Children that grow up with less questioning  and less condemnation grow up liking themselves and turn  into confident people. It is purely for that reason that  acceptance of your children’s behaviors is important to you  in your life as a parent and to your children in their life  as a child. After acceptance, remember that it is your  responses to your child’s behavior that can make the  behavior better. From a place of acceptance a parent is in  a more peaceful position to choose a response that teaches  their child how they should or should not behave.

What Our Reactions Teach Our Children

You are spending a beautiful day at a park with your kids. While fixing a zipper on your older child’s jacket,  your toddler falls on a walkway. Apparently unhurt by the  fall, you see your two year old on the ground peering  around for you. Another mother helps him to his feet and  he smiles up at the friendly woman. Then he catches your  eye and bursts into tears as if hurt. Is he hurt? Has he  learned to cry with falls? Is he expressing emotion to  test your reaction?

This is a small example of how our reactions can teach  our children behaviors. Parenting is an interactive  process. Both parent and child may develop behaviors in  response to the others reaction. When a child first falls,  we may react with worry and concern about injury. We may  run to the child’s aid most often to discover minor  scrapes. Nonetheless the child cries – perhaps not with  injury but responding to our reaction of fear for injury.  Thus a pattern of behavior for both parent and child begins  mostly due to our reaction.

This is not about falls. Certainly some falls can be  hurtful and need sympathy but a grand majority are not.  The point is that children can subconsciously manipulate  our behavior patterns just as we can subconsciously  manipulate their behavior patterns. This can happen in  many areas. Food battles often occur as children wait for  their choice of food to arrive while watching a parent  worry over their refusal to eat. Bed times can be delayed  as children use fears to make us come for multiple curtain  calls. Sometimes kids know how to put on a face or an  emotion that pulls on our heartstrings and gets them the  reaction they want from us. Some kids learn to get  attention from parents by behaving badly. They establish a  pattern early and learn to get parent’s reactions to bad  behavior.

So what are parent’s to do? How do we measure our  reactions? How do we analyze what we are doing that is  resulting in behavior patterns we don’t like in our kids  and in ourselves? These questions are what make parenting  one of the most introspective experiences in our lifetimes.

Think for a moment about some areas of parenting where  you react strongly. Ask yourself a few questions. Do you  have some unrealistic fears that make you react to your  children? Are you afraid they will starve? Do you worry  about them getting hurt? Do you think our kids can’t  manage without you? What is so important in situations  that make you react strongly? What assumptions are you  making? Do these assumptions make sense? Or are they  false assumptions drawn from your history or heritage?

Do you take everything your child does as a reflection  of you as a parent? Do you respond to your children in an  effort to control them? What children do is a reflection  of them not you. And as much as you try to control them  they will have to assume control of themselves for  themselves.

Answer these questions for yourself. Recognize why  you have strong reactions to some of your children’s  behaviors. If we can understand our reactions and where  they come from, we can start to temper our emotions in  different situations. You will see your children  responding less in behavior and tempering themselves as a  result. As we control ourselves, many times our kids will  become better in behavior. It seems so basic but is very  difficult to see and understand when you are in the midst  of battles. It just seems to happen that the more self  aware parents are, the more self aware their children will  become.

What Is Praise, Anyway?

In our country we have developed a culture where rewards come too easily. I have seen children’s sport  leagues where everyone gets a trophy. I have heard of  birthday parties where siblings got “birthday” presents so  their feelings weren’t hurt even though it wasn’t their  birthday! So how can children get real praise and  recognition for their true skills in this culture of  ubiquitous rewards? If rewards come so easily, how can  children get a true sense of themselves and what they are  good at? We live in the “age of don’t disappoint”. As a  result we are raising children of excess. Whether they  earn it or not they receive it. Whether it is their turn  for recognition or not they get it. So in this world of  ubiquitous reward and recognition, what is true praise?  When is it deserved? What should we be trying to achieve  for our children with praise, recognition and rewards? In  other words, what is praise anyway?

Praise is something said to another in recognition for  a true skill, or achievement that comes from that  individual’s ability. It is important for children to hear  praise because it supports them in building an identity  around their true skills. When praise works well in young  childhood we see the development of confident individuals  who have a good sense of their skills. They feel good  about themselves and know what parts of their inner being  they should value. So how can parents work towards giving  their children truly deserved praise?

Parents need to be keen observers of their children.  All children are different and have different skills. It  is important for parents to have openness towards their  children to hear and see their individual skills. It is  amazing what kids show us when they know there is an open  acceptance of their ability.

Open observation needs to be combined with acute  perception of what they really enjoy doing. We tend to  pigeon hole boys (and now girls) into certain sports and  girls into cheering or dance. But, especially in younger  years we need to look for what brings a flicker to their  eyes or a joy to their hearts. Young kids need to be  exposed to different areas that include singing, music,  dance and arts. It is sad but true that school programs  won’t be enough to bring out these interests in children.

We need to recognize our children’s accomplishments –  even relatively small ones. Showing courage and overcoming  a fear, showing poise, or even controlling negative  reactions all need acknowledgement from parents.

We must allow for periods of disappointment. We  shouldn’t falsely bolster a talent or interest where there  isn’t any. This can set up a harmful dynamic where  children keep participating in an activity just to please  the parent. If a child has the drive for that area of  interest, they will naturally overcome disappointment. In  either case, children need to sort out their feelings over  effort, interest, achievement and failure.

Once we see their true interest, we need to help  provide opportunities to foster that interest. We can’t  necessarily assume that opportunities to use their skills  will present themselves. Some skills will be developed in  school and play. Others need to have specific activities  in order to develop their talent. Lessons, teams and even  hobbies serve the purpose of skill development outside of  school.

Through all of this, children need praise for both  general achievements and specific skills. Getting off to  school on time, helping around the house or even taking  care of a pet needs praise. Everyone is capable of these.  But acknowledgement of your child’s contribution is  important. Specific praise is needed in areas of  particular skill. “Boy you are great at building with  legos” or “You are great at organizing things with your  friends.” These kind of comments let children know that  you are noticing them for their skills and for who they are.

Parents need to think positive. We tend to emphasize  the negative and correct our kids too often. Kids need  praise from us. It is important to their growth in  character. With a little effort we can learn to be keen  observers and give our kids genuine praise. With that our  kids may still live in a world of excess but at least they  will learn what is of value to them as individuals.

What Is a “Time-Out” Anyway

You’re in a supermarket and your kids get into  trouble. You warn them, “If you don’t stop you’re going  to get a “time-out” when we get home.” They don’t get  better so when you get home you enforce a “time-out”. You  direct them to respective chairs where they sit. They  say they are hungry. You tell them, “You’ll have to wait  until “time-out” is over.” You ask them what they want  for lunch. After you finish making their lunch you say  their “time-out” is over and they may come to eat. Was the  “time-out” effective? Did they learn anything? Did they  feel anything? What is a “time-out” and how do you give  one to your child?

A “time-out” is a period of isolation you purposely  give to your child where they do not get any attention from  you and they don’t control you. It doesn’t matter where  they are, or whether they have a “time-out” place. The  action is louder then words. The key points are personal  isolation and lack of control. Nobody is willing to  continue behavior that yields isolation and control of  nothing.

Let’s think about this a moment. What should a child  get for a positive behavior? If a child helps at the store  or cleans their room he or she receives praise and a  positive response from their parent. They receive  attention and control their parent’s response for that  moment. So what should children receive for a negative  behavior? Certainly not the same attention from the parent  and controlling their parent’s response! We should  consistently give negative behaviors a rapid response but  that response should involve little attention and a  controlled reaction from you. This is the reason “time-outs” are introduced as a tool for parents.

So when your child misbehaves, give them a quick  correction. Then isolate them with coldness. Don’t  respond to them at all. If you can’t ignore them where  they are (if they are screaming, crying or tantruming) then  put them someplace else or go somewhere else where you can  ignore them. During this entire time stay firm but in  control. Don’t let them control your response. You  control it. Through being isolated while you are in  control your children get just punishment for negative  behavior. Over time they will have no motivation for  continuing that behavior.

In the scenario I started with, the parent warned  about a “time-out” while in the store. But negative  behaviors need more immediate consequences. Then when  arriving at home, the “time-out” was really a peaceful  interactive time together while waiting for lunch. When  being punished kids need quick, stern correction followed  by a feeling of isolation from their parent while the  parent stays in control. A “time-out” is then properly  done. A “time-out” is not a thing to be warned about and  given to a child later. It is an action done rapidly  without warning after negative behaviors. As parents we  have a right to respond to behaviors that we do not want to  see. If ”time-outs” are done right, kids learn over time  that positive behaviors get a better response and naturally  gravitate towards them.

What Is A Good Playdate?

Ah, remember those days when we, as kids, ran out and played in the neighborhood with other kids. I remember  running inside to tell my mother I was hungry so I could  gobble down a sandwich just to get back outside for our  game. Dirty sneakers, muddy pants, smudged faces, and  sweaty heads were the norm after school and on weekends.  Bats, balls, gloves, ice skates and sleds are in every  picture from my childhood. Play was arranged by stepping  out the front door. Arranging a playdate? My mother rarely  had to face this parenting challenge. Today, parents need  to decide about playdates regularly.

I recognize that some neighborhoods may still have the  community environment that allows spontaneous play, but  most families today face the problem of separation between  friends which then require parents to arrange playdates.  What is a good playdate? How can we arrange a playdate so  that we are comfortable about safety, diet, and  constructive play?

Playdates are very important for children. From the  time children are three years old and recognize that there  are people their age on this planet, they want to interact  with playmates. Children develop their brain power through  interaction with people. So playdates are a necessity in  this increasingly isolating society of ours. A good  playdate is one where children play actively with each  other sometimes causing conflict and solving it together.  Battles over legos, homemade forts, or who plays what role  leads to problem solving skills, compromise, creativity,  and use of the imagination. We know that creativity is all  but erased in computer games. Imagination is stifled by TV  and movies. Kids can get enough of those without wasting  time with a friend with screens in front of them.

Good playdates take more than the type of play.  Supervision is necessary even for the closest of friends.  Someone needs to be there to be sure conflicts don’t get  out of hand or to help support the friends’ activities. An  adult can also be sure that kids don’t snack  inappropriately between play. Good snacks are increasingly  important and can be easily accepted when provided with a  little creativity.

Obviously, good playdates take some work. Parents  need to talk to one another – not just about scheduling the  playdate. Good playdates really depend on communication  between parents. Meet the parents of playmates. Stop in  at drop-off and observe a little of the play environment.  Parents need to make sure the other parents know your  expectations. Be explicit about your expectations over TV  and computer time. Ask about outdoor time during playdates  if the weather permits. If you are the host parent, be  available for some supervision. Be true to the other parent  and enforce agreed upon rules for the playdate. Many  parents want to hear that parents have the similar opinions  about play. It is wonderful to find good playmates and  families that carry out similar values in playdates. This  is important even as your children enter middle and high  school.

If a playdate doesn’t work out to your liking take  control of the playdate. You can require that your child  and that friend play together at your house. If you don’t  approve of play between your child and their friend, veto  the playdates or minimize their time together. You do not  have to debate your decisions with your child. You have a  right to agree or disagree with playdates!

A discussion of playdates cannot ignore the ever growing sleepover nightmare. More and more I am hearing  about sleepovers that include very late nights, children  awake later than parents, unsupervised TV and internet use,  and the post-sleepover “hangover” where parents deal with  over tired children on a day reserved for homework or  family time. It is amazing that parents are pushed to give  into these sleepovers without restriction. Parents have a  right to put restrictions on sleepovers – especially in  later years. Even teens can have a lights out time. Time  restrictions on computer and internet use are important.  There are good reasons to limit their use after certain  hours.

If sleepovers and their aftermath get out of hand  (moodiness, decrease in school work) a parent needs to  say ‘no’ to them. Your child will not suffer because  “everyone else is going to be there”. Your child can be  picked up at 11 and sleep at home. They won’t miss much  and they’ll sleep better.

Parents need to be aware of what happens in playdates  and sleepovers and exert some influence over them. Bad  playdates and sleepovers are not helpful to your child or  to your family’s functions. Keeping your child’s  interactions with friends as healthy as possible is a  worthwhile concern for all parents. Parents need to feel  empowered to exert their influence even into teen years.  Your child will be better off for it.

Toilet Training Made Easy

At times I feel like I can hear all the phrases used in different households by different people. I can hear mothers saying “Do you need to use the potty now? Do you  want to try?” When changing diapers at the changing table children hear, “When are you  going to use the potty? Mommy doesn’t want to change these diapers forever, you  know?” Another phrase that echoes around is, “Oh won’t it be great when you are using  the potty?” Grandparents get into the fray with the admonishing phrase, “You don’t have  her out of diapers yet? I had all of you out of diapers before you were walking.” Oh  friends and neighbors aren’t innocent. “You should put her in pull-ups” or “Just buy  him Sponge Bob underpants” or “Put him on the toilet every hour”, or “Have you tried M  & M’s as a reward?” It is as if it takes a village to toilet train a child!!!

Yet it is wonderful when a child is finally toilet trained. It marks an end to a  stage. Parents deal with less mess. No more buying diapers. And the most appreciated  factor is that the never ending unsolicited suggestions from relatives and strangers will  stop. Getting there will be great. But getting your child “toilet trained” requires little  “training” from you.

The amazing thing about this process is that most children train themselves when  they are ready. After all, they do have ultimate control over this issue, don’t they? They  decide. They have control. The biggest battle of “toilet training” is fighting all the  pressure to “train your child”.

Think of it from the child’s point of view. When all the young child is hearing is  “potty, potty, potty….,” they recognize only that a fuss is being made over them. When a  fuss is made over them for doing nothing, there is no motivation for a child to change  from doing nothing. They are smart enough to realize that if they change and go in the  potty, then they risk all the fuss about them over the potty will end. From the child’s  point of view isn’t it better to continue having people make a fuss over you for not going  in the toilet?

There is an easier way to toilet train. First, despite what you are told, most  children do not go on the toilet before two and a half at the early end. Most children  toilet train themselves at three years old. By the time your child enters that age, he has  probably seen people go to the bathroom and perhaps has tried copying the action  himself. But as your child approaches three, it is time to stop talking and reminding  about the toilet. You should pay no attention to toilet issues. It should appear to them  that it doesn’t matter to you where he goes to the bathroom. In fact, it shouldn’t matter to  you since they have control of this issue, right? Make diaper changes boring – even  emotionally cold. Don’t let diaper changes lead to play, reading, or other fun. Make it  all business. Make sure grandparents and others don’t pester your child about the toilet either. Tell them he will train when he is ready. Your child may try to go to the  bathroom in other places like a corner of a room. A quick correction and coldness will  suffice for any “accident”. Don’t over-react to it. Only respond with praise to your  child’s toileting actions to valid attempts at the toilet. This way the only attention your  child is getting over this issue is with positive attempts at the toilet. Eventually he or she  will move towards this positive experience. Be patient. After all your child will not go  to college in diapers.

The Overly Negative Parent

Stop it! Why are you always fidgeting? Don’t climb on that! Can’t you be still for a moment? Leave your nose  alone! Can’t you occupy yourself for a minute? Must you  look into everything? Don’t you know that’s not safe? Sit  here! Keep your hands to yourself!

We all have used these phrases at one time or another.

It’s easy to fall into negative parenting patterns.  The fact is that children don’t mind negative parenting in  the short run. Sometimes they are thriving in the  attention they get from you even if it is in correcting  their behavior. Many times children enjoy controlling you  and “pushing your buttons”. However, in the long run  negative patterns of interaction have detrimental effects  on children’s egos. They start to embody the thought that  they are a “bad” child that always needs correction.  Meanwhile parents often sense the negativity in the  relations with their children and don’t like it.  Intellectually we know it isn’t good for our children.  Most parents plan on giving their children the best. So it  is usually upsetting for us to fall into negativity in  parenting. There is great value in being able to recognize  when you or your spouse are in one of these patterns.  Recognition is the first step in changing this pattern.

Once you recognize a negative mode of parenting there  are steps you can take to get out of it. Start by turning  off the word faucet. Ignore your child instead of  constantly correcting them. If you need to correct them,  use action instead of words. A touch on the shoulder or  turning them to the right direction often works better than  words. Take moments to compliment your child. Thank them  for following your correction or instruction. Praise and  compliments can help turn the tide on negativism. Employ  praise daily. Look up short phrases and words that kids  like to hear like “wow”, “way to go”, “I like it when you…”

Try to understand your child’s developmental level.  Many kids need to explore, jump and run. Give them a space  and time to play with their developing skills. Stop asking  silly questions like “Why do you have to…?” or “Can’t you  just be still for a moment?” Children are made to move and  be curious. It is up to parents to be creative to let them  use their curiosity and energy.

Don’t get frustrated with your child’s need for  constant vigilance. For certain ages, keeping one eye on  your child is a requirement in parenting. Parents must  accept this role. It takes a long time for children to  become self sufficient and trustworthy.

Children want to call attention to themselves and to  push our buttons. These desires often pull us into a  negative swirl. We can get out of these by taking  appropriate steps. Through these steps we can help our  kids feel positive about themselves and we can feel  positive about our relationships with our children.