Elizabeth is a single mom by choice. She had yearned for a child for a very long time and had to go through many procedures to have Mireille (5), the HSCs featured in the introduction to this chapter. Elizabeth had spent a lot of time fantasizing about the close bond they would have—being on their own, together—and how happy she would make her child. But now Elizabeth finds herself totally exhausted. She feels suffocated by Mireille whose needs seem to be endless. “If I try to gather a moment of space to regulate myself, which sometimes I need to do to avoid becoming punitive or yelling, it intensifies her distress. She will follow me and come into my physical space. I can feel how desperate she is for my comfort, which I’m absolutely willing to give her, just once I’ve calmed myself down.” Mireille also ruminates. When Elizabeth says they can’t go to the playground because it’s raining, Mireille will whine and mope, talk incessantly about how much she’s missing the swings…for hours. She will get a tiny scratch and nurse and complain about it for the entire day.

Mireille protests every limit Elizabeth tries to set, such as no screens during mealtimes and not snacking all day. Elizabeth finds herself often caving on these limits even though she knows this isn’t good for Mireille. They’re late to school every day which is becoming a problem. The teacher reports that Mireille is calmer and more engaged when she arrives on time. Joining the class late is dysregulating. She’s out-of-sorts on those days.

Mireille’s meltdowns are so epic that Elizabeth worries she’s too fragile to tolerate not getting what she wants. She’s afraid that Mireille’s anger in these moments will taint the strong, connected relationship she’s trying to build with Mireille—her number one priority. Further, Elizabeth can’t tolerate seeing Mireille in distress as she (mistakenly) equates it with being unhappy. She focuses all her energy on rescuing Mireille from any discomfort. She hopes that constantly filling Mireille’s cup will make her feel safe, secure and loved, and make her a happy and content child.

By the time Elizabeth comes to see me, she’s beginning to see that this approach isn’t making Mireille more content. In fact, she’s becoming more demanding and the stress in their relationship is growing—the exact opposite of the connection she’s trying to forge with Mireille. That’s how she knew it was time to seek help. Through our work, Elizabeth gained the following insights:

• Mireille is actually a very competent child who is quite resilient. At school and with other adults, she is able to manage disappointment and frustration and regulate her big emotions.

• This demand for constant connection may be what Mireille wants, but this kind of unhealthy attachment is not what she needs. ⁠It’s also not healthy for Elizabeth to feel suffocated by Mireille—to have no personal space, to feel like Mireille is trying to control her, and that she’s feeling AT Elizabeth. This is not enabling her to be the mom she wants to be for Mireille.

• Mireille may want to be in charge, but that’s also something that’s not good for her or what she needs. This dynamic has resulted in unhealthy outcomes for Mireille, like getting to school late, too much screen time and too many sweets. She and Mireille are also locked in protracted power struggles which is causing Elizabeth great despair and worry.

• The lack of limits is what is causing so much stress in the family and is the biggest obstacle to solidifying the close, trusting relationship Elizabeth so badly wants with Mireille.

With this change in mindset, Elizabeth makes the following changes:

In a recent consult, the parents of a seven-year-old, who by nature is a very big reactor, shared that after a lot of hard work on managing their own emotions and being less reactive to him when he is having a difficult moment, he is now much better able to soothe himself. He will even voluntarily go into his room to take a break. They asked if it is okay to let him do this. They have heard so much about the importance of tuning into and acknowledging children's feelings. They worry that he won’t know that they are there for him—that they care about his emotions—and wonder if they should follow him and get him to talk.

Here is a child who has learned an amazing skill—to regulate himself in such a healthy and positive way. He is clearly letting his parents know that this is what he needs. There will be opportunities to talk about feelings, and to show that they see and feel him. But pursuing him in this moment would likely be experienced as intrusive, not respecting his boundaries. 

Yes, I am a mental health professional who has dedicated over three decades to supporting children's social and emotional well-being. And yes, I believe that tuning in to and validating feelings is critically important for children's mental health and for healthy parent-child relationships. But what I see happening now is that parents have been led to believe (largely via popular Instagram accounts) that leaning deep into feelings is ALWAYS what kids need; that not doing so sends the message that you don’t care about your child’s feelings and are abandoning them in their moment of distress. This notion has had a very detrimental effect on many of the families I work with. Rather than following their children’s lead (true loving and "gentle" parenting), they are being intrusive and often inadvertently escalating their children’s dysregulation, not supporting their emotional regulation.  

In practice, what kids need when it comes to exploring emotions is highly dependent on context and timing. It is not helpful when:

Every week I receive video and audio recordings from parents of challenging moments with their children that they want help understanding and effectively addressing. They almost always involve power struggles—the most pervasive problem for which parents seek my help.

In a recent recording, a seven-year-old, whom we'll call Ryder, was arguing with his dad, Arthur, at bedtime about why he couldn't go downstairs and do art instead of having book time:

Dad: "There is no going downstairs when it's bedtime."

Ryder: "That's stupid. All you want me to do is read and read and read and read because you think it's educational. Well art is educational too. Haven't you ever heard of art class?"

Dad: "It is bedtime, which is reading time."

Ryder: "That doesn't make any sense! You never let me do anything I want to do. This is the worst day ever!"

Dad: "That is not true, Ryder. You get to do so many things you want to do..." as Arthur proceeds to remind Ryder of many recent examples.

Arthur's repeated efforts to explain (defend) himself—to convince Ryder to see that his accusations are unfounded, and that the limit is fair, is just fodder for Ryder to keep upping the ante. His retorts get more fierce and increasingly irrational: "You care more about Lilah (his younger sister) than me! She gets to do art whenever she wants!" "You are so mean to me. I don't even think you love me!" 

This goes on for over 20 minutes, with Arthur playing defense, countering every accusation and negotiation point. He is completely worn down and ends up letting Ryder do art in his room for an extra 30 minutes before lights-out.

I share this encounter because it reflects the stories I hear from families on a daily basis. A four-year-old launches into a long explanation of why she needs more time to make food for her stuffed animals, right when it's time to go to school. Her mom says she can have five more minutes. But when the timer goes off, her daughter comes up with another task she needs to do, the struggle continues. They are ultimately late for school and separate with everyone exasperated.

A five-year-old draws her parents into a 10-minute discussion about why she should be able to watch another episode of her show, talking circles around them until their heads are about to explode. 

As we analyze these interactions, it becomes evident that the foundational problem is that their kids have found a LOOPHOLE: the absence of a clear limit that creates a void—an opening and opportunity—for kids to try to thwart their parents from setting the limits they don't like. Once the child effectively engages their parents in a debate or negotiation, the child sees that there is a chance that they can get their parents to cave in on or amend the limit to their liking. The longer the child can keep their parents engaged in these debates/battles (and parents will stay a long time, hoping that if they can just get their child to agree to respect the limit, they can head off the dreaded tantrum), the more revved up and irrational their children tend to get. It is utterly exhausting for everyone involved.

“Demand avoidance”—a knee-jerk, defiant reaction to any direction to cooperate with a task or to make a transition— is a phenomenon that I see frequently in my work with families of highly sensitive children(HSC)/big reactors.

This pattern of behavior has been officially termed "Pathological Demand Avoidance" (PDA), but many experts, myself included, prefer "Pervasive Demand Avoidance." 

The first and most important thing to know about PDA is that it is a reaction that is based in the nervous system and is not purposeful "opposition" or "defiance."  The nervous system interprets the demand as a threat to the child's autonomy and triggers a stress response that prepares the body to fight or flee.

While PDA is associated with ASD (Autism Spectrum Disorder), I work with hundreds families each year and see many kids who are not on the Autism spectrum but are prone to demand avoidance. Most of these children are HSCs who often feel overwhelmed on the inside because of how deeply they process their experiences in the world. To cope—to make life more manageable—they seek to control as much as they can on the outside. This frequently translates into refusal to follow a direction, given the fact that directions are designed to control a child's behavior—to get them to do something you want them to do. These kids are totally clued into this and resisting the demand is a way to feel in control. 

So what's a parent to do when many of these tasks HAVE TO BE DONE to keep their children healthy and safe, and to run an effective household, especially a busy one with multiple kids? Teeth need to be brushed; kids need to be at school, doctor appointments, and activities on time; baths/showers have to be taken; kids need to stay safely in their rooms at night to get the sleep they need (if you are choosing to have your children sleep independently.)