Lerner Child Development Blog
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Separation Anxiety: The Surprising Strategy That Relieves Stress
The cases I choose to share in my blog are often those that reveal how conventional or popular parenting advice doesn’t work or even backfires for some kids, especially those that are highly sensitive, “big reactors.”
So many families who seek my consultation are frustrated and in despair when the strategies and approaches that profess to be the loving (“gentle”) and effective way to respond to a child in difficult moments don’t work for their child and family.
Today’s case addresses what to do when a child is experiencing significant separation anxiety.
Lyndsey and Mark sought my consultation because they are concerned about the intense anxiety their daughter, Sasha (5), is experiencing when separated from them.
Lyndsey explained:
“Sasha (5) is a wonderful, bright, curious, deeply emotional and empathetic child with very big feelings and reactions since birth. Over the years, she’s learned to express and handle them pretty well. But, when she has a big fear/worry/concern/sadness, she gets really stuck in that feeling and has a hard time paying attention to anything else.
Her dad, Mark, and I divorced when Sasha was two-and-a-half. Our separation was amicable. We get along well and coparent collaboratively. Even so, Sasha has struggled with deep feelings of sadness about missing us when she can’t be with us. It’s most intense at school.
Sasha generally enjoys school—learning and playing—and when we pick her up at the end of the day, she almost always says it was great. But every morning and evening she ruminates on how much she’s going to miss us when she’s back at school. She talks almost constantly about how sad she is when she’s at school and not with us. It has taken over; it feels like all our time is spent discussing her sadness and brainstorming ways to reduce it, leaving little space for connecting joyfully.
Sasha has been in therapy since she was four. We have done everything her therapist has suggested, which is all in sync with our parenting approach. We ask about, listen to and empathize with her feelings. We help her think of strategies to try when she is missing us and sad at school (play with friends, hug a teacher, etc.) We share our own feelings of missing her and how we think about her and feel connected with her throughout the day. We have given her trinkets from our workplaces that she can have with her at school. While she seems responsive to these strategies and eager to have these discussions, none of it has reduced her looping and preoccupation. Her distress is still really, really big and very consuming for her. We don’t see any significant change.”
Audio and video Lyndsey and Mark shared of conversations with Sasha reveal that they are calm, open listeners, ask lots of questions and show great interest in Sasha’s feelings. They spend a lot of time brainstorming strategies for what would make her feel better when they are separated. In some of these discussions, Sasha is very responsive and engaged in problem-solving. Other times she is fussy and irritable, refuting and rejecting all suggestions and strategies.
Of note is that in the recordings, a specific conflict for Sasha is revealed: When Lyndsey and Mark share that they also miss her when they are separated from her—intending to show love and empathy—it makes Sasha concerned that they are suffering too. She is worried about them missing her. But when they tell her that it’s okay, she doesn’t have to be worried about them—they are strong—she responds: “If you’re not worried when you’re not with me, it means you don’t love me.” It seems that she has confused love with worry—that if you’re not feeling sad or worried when separated from someone, it means you don’t love them.
The Insights
It’s to be expected that a child will experience deep sadness and confusion about a parental separation. They need validation of and compassion for their feelings, and lots of opportunities to work through these emotions and to make sense of their experiences.
They also need security, stability and predictability—to know what to expect day-to-day: where they will be, who will be caring for them, etc.
And they need parents who communicate mutual respect and (ideally) warmth, who don’t “triangulate” the child—put them in the middle of a loyalty conflict. They don’t pit the child against the other, fight over the child or bad mouth each other (especially in front of them).
This is exactly how Lyndsey and Mark have handled the divorce, with incredible sensitivity and respect for each other and for Sasha.
What might help Sasha work through the separation anxiety?
After processing Lyndsey’s and Mark’s report and reviewing the audio/video, my strong sense is that, as counterintuitive as it might seem, it’s too much.
What seems loving and sensitive and “right” in theory—processing her feelings for long periods and brainstorming solutions—is actually not what Sasha needs or what will help her work through the separation anxiety. It’s intensifying her rumination—the “looping”—repetitively thinking about the same distressing thoughts without moving toward resolution. It’s keeping her stuck in the feelings in a way that isn’t healthy.
When I share this insight with Lyndsey and Mark, it resonates. Knowing Sasha as they do, they can see that the incessant discussion about her missing them is only exacerbating her distress, not alleviating it. They know that the goal is to help Sasha develop an internalized sense of security—that even though mom and dad live separately, she is close and connected to them, that they are still there for her even when they’re physically apart. Living in this constant state of stress is not healthy.
Join LCD to read about my guidance and strategies that worked…
Understanding and Supporting Highly Sensitive Children (HSC)
Our five-year-old, Gabriel, is a very bright, funny, charming little guy. But he still has a lot of tantrums, which we thought would be over by this age. He reacts very poorly to consequences. He will get very threatening and aggressive physically and verbally: slamming doors, hitting, and lashing out verbally. We are constantly negotiating with limit setting. When we hold to the limit, he will escalate and sometimes will have very intense tantrums that can last over 30 minutes. When he is happy, he is the most delightful child. But the second something doesn’t happen exactly how or when he wants it, he is explosive. We are totally exhausted.
Gabriel is also very sensitive and self-conscious. He is easily offended. He doesn’t like people focusing attention on him or looking at him. Every single performance he has participated in he turns his back away from the audience. He is also a perfectionist and will be very self-critical when he doesn’t do things perfectly.
Gabriel feels rejected easily. For example, the other day I was giving his little sister a piggyback ride down the stairs in the morning. He went under his covers and started screaming all sorts of inflammatory and threatening things. When I try to talk to him about these incidents, he covers his ears. If we try to ignore his inappropriate language, he will just escalate. He eventually calms down and feels badly about his behavior. When we process it once the explosion is over, he will say things like “I push people away, like Elsa (of Frozen).” Or, “My brain is so out of control…I don’t know why I stay so mad.”
Most parents who seek my services have a Gabriel (to varying degrees) in their family. Whether the motivation to make that first call to me is for a challenge with tantrums, aggressive behavior, power struggles, sleep, or potty training, the common denominator is that their child is highly sensitive (HS) by nature, also known as temperament.
Temperament is a child’s way of approaching the world—the “why” that explains the meaning of his behavior. Temperament is something we are all born with, not something children choose or that parents create. It influences the way we process our experiences in the world. It is why some children jump right into new situations and others are anxious and need time to warm up to the unfamiliar. It is why some children go-with-the-flow and weather life’s ups and downs with ease and others have big reactions to seemingly minor events. It is also why siblings can be so different. They share DNA and grow up in the same family, but their reactions to the very same experiences—a move, a loss, their parents’ approach to discipline—may be vastly different based on their temperament.
The reason HS children tend to experience more challenges is because they are wired to register their feelings and experiences in the world more deeply than other children. Parents often describe their HS children as being either ecstatic or enraged—with no middle register. They are sometimes referred to as “orchids”[1] because they are affected by and reactive to even minor changes in their environment. They are more vulnerable than the kids we call “dandelions” who go with the flow and thrive even in challenging circumstances (and make their parents looks so good!)
Positive Parenting Mindshift: Your Child is Strategic, Not Manipulative
This blog is part of a series based on my 2021 book, Why Is My Child In Charge? Through stories of my work with families, I show how making critical mindshifts empowers parents to solve their most vexing childrearing challenges, including: tantrums, aggressive behavior, sleep, mealtime battles, and potty learning. Most importantly, it shows you how to get back in the driver's seat--where you belong and where your child needs you to be.
When my child tries to get her way, she is being manipulative.
Luca and Scott walk into my office and announce that they have a master manipulator living in their home. They explain that they had established what they wanted to be a hard and fast rule that there would be no screen time for their daughter, Sophie (4), in the mornings before school.
But Sophie refuses to get dressed unless they let her watch an episode of Peppa Pig while she puts her clothes on. Every morning it’s the same scenario: Luca and Scott ask Sophie to get dressed. She demands Peppa. They remind her there is no TV in the morning. They tell her they will come back in five minutes and expect her to be dressed. When they return, Sophie is just messing around in her room and announces: “I need Peppa!” They get annoyed and start raising their voices, telling her they are going to be late and that she needs to cooperate!
After a prolonged power struggle, it always concludes the same way: the clock is ticking, so to get everyone to their destination on time, Luca and Scott give in and turn on the show. They are angry at Sophie for putting them in this position and “extorting” them. They wonder how they have gotten to a point where a four-year-old can wield so much power and control the family in this way.
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Three-year-old Joseph is pushing the limits around bedtime, demanding an increasing number of books and songs and then calling out with a litany of problems he needs fixed, such as his blankets being messed up or the animals on his shelf not being positioned the way he wants them to be. Joseph's parents are getting increasingly annoyed with Joseph and are feeling manipulated. He is calling all the shots and they are angry at him for making them feel out of control. They don’t know how to turn it around.
Making the Mindshift
Positive Parenting Mindshift: Your Child Isn't Misbehaving on Purpose
This blog is the second in a series based on my 2021 book Why is My Child in Charge? A Roadmap to End Power Struggles, Increase Cooperation, and Find More Joy in Parenting Your Young Children.
Through stories of my work with families, I show how making critical mindshifts—seeing children’s behaviors through a new lens —empowers parents to solve their most vexing childrearing challenges, including: tantrums, aggressive behavior, sleep, mealtime battles, and potty learning. Most importantly, it shows you how to get back in the driver's seat--where you belong and where your child needs you to be.
This installment focuses on the mindset that… My child is misbehaving on purpose. He should be able to accept limits and exhibit greater self-control.
Kishan takes his three-year-old daughter, Seema, to the pool several times a week in the summer. Even though Kishan gives Seema a five-minute warning before it’s time to get out of the pool, when time is up, Seema says she hasn’t had enough swimming and needs five more minutes. When Kishan says no, she calls him mean and starts to pout. In a desperate attempt to stave off a tantrum, Kishan relents and gives Seema the extra time, but that changes exactly nothing. Seema still refuses to get out. Kishan tries bribery and threats—she’ll get a treat if she gets out, or she’ll lose a book at bedtime if she doesn’t get out. Nothing works. Eventually, Kishan has to drag Seema out, which is mortifying for him and, he imagines, pretty embarrassing for Seema, too. Kishan starts to dread going to the pool with her and finds every excuse not to go. They spend more time at home doing indoor things. He knows it would be better for his daughter to be outside, using her muscles, learning to swim and making new friends. He feels frustrated and sad for both of them.
If this scenario sounds familiar, you are not alone. Interactions like this play out every day in families with young children: child doesn’t follow a direction, parent tries a range of strategies to get the child to cooperate, child still doesn’t comply, parent loses it and gets punitive, child melts down, parent either feels bad and caves or angrily punishes child with no positive resolution.
Highly Sensitive Children: Is there a sensory piece of the puzzle?
I always thought Samantha was just more ‘intense’ than other children. Her reactions to nearly everything were incredibly strong. She threw massive tantrums at least multiple times a day over things such as having to sit in her car seat or accidentally getting water in her eyes during bath time. People would tell me tantrums were “normal,” but I felt it wasn’t normal to be having such intense tantrums so many times each day. She was incredibly impulsive. She also seemed to both seek physical input (for example, by climbing on others) while also protesting intensely any physical touch that she didn’t like (for example, an adult restraining her from an unsafe situation). She would melt down if someone else did something she wanted to do like flush the toilet, push a button, or turn on the faucet to wash hands, and she often didn’t “recover” for several minutes, even an hour at times. She also had a hard time listening to and following directions, so things like getting her dressed were often very difficult. I felt completely overwhelmed and lost.
I have found in my work that children who are highly sensitive from an emotional standpoint are also likely to be more sensitive to sensory input—to some degree. They experience sights, sounds, tastes, smells and/or textures more intensely. They may become afraid of public bathrooms because the flusher is too jarring and loud. They may reject foods that have strong tastes and smells. They may find bright lights uncomfortable.
Sore Losers: How to help them cope with competition
Leo is the worst sore loser. We can't play any family games because he goes nuts if he doesn't win. Even though he's great at soccer and makes a lot of goals, the second someone blocks one of his attempts to get the ball into the net he starts screaming that it's unfair and storms off the field. It's embarrassing and I worry about how other kids see him and if they are going to want to stop playing with him.
Being a perfectionist and having a very low tolerance for losing go hand-in-hand and makes competitive activities especially stressful for kids who struggle with these issues. To cope and protect themselves from the discomfort and shame that gets triggered when they lose, highly sensitive (HS) kids try to manipulate the game to win (aka "cheat") or they get angry and quit. In a time long ago, before COVID, I was playing Connect Four with five-year-old Lucy on a home visit. She made the first move. When it was my turn, I dropped my piece into the slot next to hers—the obvious move. Lucy immediately got revved up and explained, “No, Ms. Claire, I tell you where you can put your pieces.”
What you can do:
How to Build resilience in Children who have a low Tolerance for Frustration
Lucas (4) just got a new scooter which he has wanted for a very long time. He hops on it, but as soon as he has trouble balancing, he tosses it to the ground. He pronounces that he hates scooters, that he really never wanted one, and runs inside.
Highly sensitive (HS) children tend to experience more distress and give up more easily when they confront a challenging task or can’t master a new skill right away. The root cause, once again, is the vulnerability and loss of control that gets triggered very quickly in these kids. HS children need more support to build resilience—to see that they can muscle through challenges.
What you can do:
How to Support Children Who Struggle with Self-Consciousness and Feel More Easily Slighted
Talia (4) hates when we talk about her, even if we are praising her, like telling her what a good job she has done or describing one of her accomplishments to grandpa.
Highly sensitive (HS) children are more keenly focused on how other’s see them. Like Gabriel, whom you met in a previous blog on HS kids, who refused to participate in any class performances; and, Jonah, who didn’t want the kids or teacher in the swim class to look at him. They get very uncomfortable when any attention is called to them, even when parents or other adults are saying complimentary things. It feels overwhelming to be under any kind of scrutiny.
What you can do:
Slow-to-Warm-Up Kids: How to Support Children Who are Cautious About New People and Experiences
Stephanie takes her five-year-old, Jonah, to swim class for the first time. He refuses to get off of her lap and go into the water. The teacher and the other kids are very encouraging, trying to get Jonah to join them. The more they try to woo him, the more uncomfortable Jonah becomes. He starts curling up into a ball and uses baby talk. When he gets home, his grandmother asks him about the class. He doesn’t respond and runs into his room. Stephanie has a strong sense that Jonah is feeling very ashamed about the whole experience. Her heart breaks for him.
Children who are more fearful and cautious by nature are often highly sensitive (HS). When they enter a new situation—be it a classroom, a birthday party, or swim class—their wheels are turning. They wonder: What is this place? What will happen here? Who are these people? What can I expect from them? Will they like me? Will I be safe? Will I be good at whatever is expected of me here? This deep thinking and constant analysis of their environment makes HS children extremely bright and insightful. But it can also be overwhelming and make them more prone to anxiety. To cope, they fiercely cling to their comfort zone, which means they often resist anything new. They tend to have a harder time separating from their parents. It takes them longer to adapt when they start childcare or preschool. They refuse to go to soccer or swimming, even when they love these activities.
What you can do:
Highly Sensitive Children: How to help them manage their big emotions
Natalia reminds her daughter, Olivia (4), that her dad, Luis, is leaving in a few days to go away for the weekend. Olivia starts physically pushing her mom as she blurts out, “Don’t say that mommy!” She then turns to her dad and shouts at him: “Go away right now! It’s time for you to leave this house!”
Olivia's reaction is confounding to Natalia and Luis. Why would she be telling Luis to leave--early no less--when she is so distressed at the thought of being separated from him? Wouldn’t Olivia want to keep dad close? While seemingly irrational, looking at it from Olivia’s perspective, her rejection of Luis is a way to gain control of a situation that she has no control over. The old, “I’ll reject him before he rejects me” defense mechanism at work. Olivia is not being mean or hurtful on purpose. She is trying to cope with a stressful situation in the only way she knows how.
Olivia’s reaction upon Luis’ return from his trips away from home is also confusing when taken at face value: Olivia ghosts him. She is cold and refuses to engage with him for a full day or two. This, again, is a common reaction in highly sensitive (HS) children. It takes a lot of psychic energy to adapt to a separation from a loved one. When mom or dad returns, the child needs time to let that person back in and feel safe to reconnect.
What you can do:
It's Time to Stop Choosing Your Battles: No need to be at war with your child
The mom of a feisty four-year-old was recently on a Facebook group for parents of “spirited” children to seek guidance on setting limits. The overwhelming response she received was to “choose your battles.” Of course, this concept is not new to me, but for some reason on this occasion it gave me pause. It struck me as so unfortunate to frame the problem of how to deal with the sometimes incessant and often irrational toddler demands and defiance in this combative way.
The concept of “choosing battles” puts parents in a defensive mindset—that you are in for a fight. This results in approaching these moments when your kids are doing exactly what their DNA dictate they do—advocate for something they want or refuse to cooperate with a limit—with your haunches up. This parental state of mind only leads to exactly what you are trying to avoid: a power struggle.
Further, “choosing battles” implies that you are opting to give in to your toddler’s demands or defiance because it’s one too many battles for your or your child to handle. In practice, what this means is that you are setting up a dynamic in which your child learns that if she pushes hard enough, she will eventually wear you down and get her way. This handy strategy is proven effective and is thus relied on for future use, which only increases power struggles. It also leaves most parents feeling angry and resentful toward their children for pushing them to the limit and forcing them to cave when they really don’t want to.
Low Frustration Tolerance: What to do When Your Child Gives Up Easily
Three-year-old Marcus is trying to find where the pieces fit in a challenging puzzle. Four-year-old Ruby is working on how to keep her block tower from falling down. Omar and Zoey are looking for what they can use as superhero capes when Omar’s mom won’t let them use her scarves. These are all examples of kids hard at work solving problems.
This ability—to face a challenge and come up with effective solutions—is the key to developing resilience and is one of the most important skills for success in school, in relationships, and in navigating life. It is also an important component of building strong “executive functioning”, which is a child’s ability to manage his emotions and control his impulses so he can focus and maintain attention on the task at hand, draw on knowledge gained from past experiences, and to think creatively—to fix mistakes and try another strategy when the one he is using is not working.
You see this in real life when a child faces an obstacle, like not being able to fit the square block in the round space on the shape-sorter. Despite his frustration, he does not give up and toss the block across the room. Instead, he is able to stay calm enough to keep focusing on the task. He has done shape-sorters before and knows that he has to keep trying different spaces until he finds the correct one. Through this process of trial-and-error he successfully finds the right space for all the shapes. Solving the problem results in a powerful sense of mastery.
Here’s how you can support your child’s ability to become a master problem-solver:
Regression: Why children take steps backwards in their development and what you can do
Madison used to be a great sleeper. Over the past few weeks, as the coronavirus lockdown has persisted, bedtime has deteriorated. It started with Madison insisting that I stay with her until she falls asleep. Now she insists on sleeping in our bed all night. –Father of a four-year-old
Jackson had been fully potty trained and was a “big boy” in so many ways. Since his little brother was born, he has started to have a lot of accidents. He is demanding a bottle and wants to be carried 24/7. This is driving us crazy. We don’t need two babies in this household! —Mom of a three-year-old
Kids regressing—moving backwards in their development—is a common phenomenon. It is usually in reaction to a stressor: a move, a new baby in the family, a change in schools or caregivers, or…a global pandemic, to name a few. Any change or disruption in children’s daily routines is stressful.
When we, children and adults alike, experience shifts in our worlds (especially when they are unexpected or seismic, like COVID), our psychic energy gets diverted from higher level brain functions to just trying to cope day to day. (Few people I know would say they are at the top of their game right now. Just like many of us are having a harder time managing everyday tasks and challenges, so are our kids.) This can result in more challenging behaviors and regression to less mature levels of functioning. When a child’s system is stressed, she may get frustrated more easily, become more clingy, have more potty accidents, experience sleep disruption, or, have a change in her eating patterns. Keep in mind that highly sensitive (HS) children are more prone to regression as they are more vulnerable and reactive to changes in their world.
That’s not to say that all stress is harmful to kids. For example, starting preschool is a major shift. Most children go through a period of discomfort as they learn to adapt to this new experience—managing the separation from parents/caregivers, figuring out the rules of the classroom and how to get along with peers. This is positive stress because it leads to growth and the development of new skills. But during this adaptation process, some regression is to be expected. In the preschools where I consult, there are always some children who in the first month of school won’t eat snack or use the toilet, and may not do a lot of talking or interacting with their peers or teachers. Once they adapt, they feel comfortable and their stress is reduced, they have access to all of their skills—their full range of functioning—and thrive.
Also keep in mind that highly sensitive (HS) children are more prone to regression as they are more vulnerable and reactive to changes in their world.
RESPONDING TO REGRESSION: WHAT NOT TO DO
Why Can't You All Just Get Along?
“Haha—you lost!”
“Stop singing that stupid song. You’re hurting my ears!”
“YOU CANNOT PLAY THIS GAME. YOU DO NOT KNOW HOW TO PLAY!”
The sibling relationship is about as complex as it gets. Talk about the confluence of emotions that run the gamut from the extremes of love and hate. The natural conflict that arises as siblings navigate their relationship ranks as one of the most vexing challenges for parents, often sending them into reactive-mode which tends to exacerbate, not eliminate, sibling squabbles.
Since every family dynamic is different, there is no prescriptive approach to effectively addressing sibling rivalry. Instead, I offer some key guiding principles to help you avoid common pitfalls, as well as some actionable strategies for responding supportively and effectively when your kids are causing chaos, that you can tailor to your unique situation.
GUIDING PRINCIPLES
How to Support Kids Spiraling Out of Control
Janelle starts reading a bedtime book to her three-year-old, Sam. One page in, he starts screaming that she isn’t reading the book the right way and insists that daddy (Brent) take over. This flip-flopping goes on for several more rounds until both Janelle and Brent are at their wits end and Sam wears himself out sobbing and falls asleep.
Lucy (4) asks for toast for breakfast. Bernard, one of her dads, presents it to her; but, uh-oh, he has cut it on the diagonal when she wanted it halved down the middle! Lucy insists that he must make a new piece of toast. Bernard sighs heavily—they’ve been around this block before—and looks at his husband, Josh, with that “what to do?” hunch of the shoulders. They know Lucy is having a hard time these days with all the changes in her world. So, they decide they will ease her stress by meeting her demand. Josh pops another piece of bread into the toaster. When he hands it to her, Lucy announces that what she really wants is a scrambled egg. Josh gets visibly annoyed with Lucy—telling her to make up her mind. She starts to pout and tells Josh to stop yelling at her. Josh feels bad for losing it with her and proceeds to whip up an egg. Spoiler alert: Lucy proclaims that the egg is too yellow, and the crazy-making cycle continues.
When children feel out of control on the inside, they act out of control on the outside, which results in situations like those described above. And, those “orchids”—the kids who are more sensitive and reactive by nature—are even more likely to struggle during this time of major change.
How do you respond to children who are spiraling out of control and getting themselves into complete tizzies, driving themselves, and everyone around them, mad?
How to Balance the Need for Routines with Helping Kids Be Flexible
What happens when you have done such a good job establishing routines and making sure your child knows what to expect that they fall apart when there is a break in the plan? Or when something unexpected happens? Read on. . .
Happy Children Aren’t Always Happy: Eight Pivotal Parenting Pitfalls and How to Prevent Them
The obstacle to parents being the loving limit setters their children need (but don’t want) them to be is often the false notion that happy children are always happy; that it is your job to keep your child happy. In fact, it is working through the frustration and disappointment of not always getting what they want when they want it that builds resilience and makes children happy. This blog addresses how to do just that.
Just Say "NO!" to Threats
“If you don’t stay in your room and get to sleep, I am going to put a gate up!”
“If you don't put all these toys away, I am throwing them in the trash."
Most parents have resorted to threats like these in a desperate attempt to get their kids to cooperate. But this tactic often backfires because children pick up on the negativity and react to it. It sends the message to your child that you are already anticipating that she isn’t going to comply and that you are in for a fight. This puts kids in oppositional, power-struggle mode, especially children who are more defiant by nature. Negativity and threats tend to amplify their resistance and they just dig in their heels more firmly. (Not to mention that most of the time parents have no intention of following through on the threat and the child knows it.)