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:

Gabriel (6) and I were working on writing letters together. When he couldn’t  make his “O” look exactly like mine, he had a total meltdown. The more I tried to tell him what a good job he was doing, the more agitated he became.

When Serena (5) messes something up, her reaction is very disproportionate and she is incredibly hard on herself - saying she will never draw again, tearing up the paper, crying, hitting herself on the head, throwing herself on the floor. We try to model losing/not being perfect and taking it in stride - we emphasize that, but it doesn't seem to help.

Highly sensitive (HS) children have a tendency to be perfectionists. When they can’t do something exactly as their brain is telling them it should be, they experience it as a loss of control which is very uncomfortable and hard to tolerate. Hence, the meltdowns. This can be very frustrating for parents who see the irrationality in their children’s thinking but find that using logic to help them be more self-accepting backfires.

What you can do:

This article is part of a series on understanding and supporting highly sensitive children. You can check out other installments in this series, here.

Flexibility is one of the most important assets for functioning well in this world. It is an essential ingredient for adapting to the countless events in life that we can’t predict or control. It also helps us work effectively in groups and develop healthy relationships because it enables us to take into consideration the perspectives and needs of others.

It’s important to keep in mind that learning to be flexible is harder for some children than others, largely due to their temperament. Go-with-the-flow kids, those "dandelions"* who are more adaptable by nature, are naturally more flexible. "Orchids"*--who are wired to be more sensitive—tend to be more inflexible. They often have intense responses to seemingly minor stressors, as illustrated by these typical examples: 

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:

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:

A spate of parents have recently sought my help for how to deal with their kids who wake up super cranky, both in the mornings and after naps. The minute mom or dad enters their child’s room, she is shouting at them to go away. Then, as soon as they leave, she is screaming for them to come back. This cycle can continue for half an hour. The more they try to coax or cajole their child into a better mood, the more irritable she becomes. Once parents have forced their cranky child out of bed, the morning is fraught with incessant whining and turns into a cascade of breakdowns about seemingly minor issues.

While this is the last thing you need when you are trying to get a positive start to your day, it’s important to keep in mind that your child is not making mornings miserable on purpose. Some children (and adults) have a harder time making what are called “state changes”: going from awake to asleep and asleep to awake. Their bodies are more reactive. These physiological transitions are uncomfortable for them. It takes them more time to settle their bodies to sleep and feel clear-headed and calm upon awakening.

Here are some strategies families have found useful for helping their children adjust to the new day in a loving way:

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

• 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?

“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 5-10 times per 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 and constantly reached out to touch interesting things she saw, regardless of the appropriateness (such as clothing on someone’s body) or the danger (such as a burning candle). She also seemed to both seek physical input (for example, by climbing on others) while also protesting intensely to 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.”

— Samantha's mom

About 10 years ago, I was feeling increasingly frustrated with the limited progress many children I was working with—such as two-year-old, Samantha—were making using the typical tools of my trade. Trained as a clinical social worker, my focus was on helping parents understand their children’s emotions and providing them with strategies to help their children learn to manage their feelings so they could behave in constructive, “pro-social” ways. No matter how tuned in, loving, and empathetic parents were, and how clearly and consistently they were setting limits and boundaries, their children continued to struggle with typical challenging behaviors such as: biting/hitting/kicking, defiance, extreme fearfulness/anxiety, impulsivity, or an overall lack of self-regulation.   

Around this time, a friend was telling me about problems she was having with her then 3-year-old, “Ruben”. He was very impulsive, aggressive, defiant, and wasn’t tuning in to others—all behaviors very typical of the kids I was having the hardest time helping.  She told me that after trying many different failed behavioral interventions, they were referred to an occupational therapist (OT) who identified underlying sensory processing challenges that were at the root of many of the problematic behaviors Ruben was exhibiting. Further, she explained how the therapy Ruben was doing with the OT was yielding very positive results for the first time. I am embarrassed to admit that at that time I was mostly ignorant about OT for kids. I thought of it as an intervention for adults with carpal tunnel syndrome or who had been injured on the job. What could the “occupation” of a child possibly be? So, I asked my friend for permission to observe a few sessions of her son’s OT.  

That experience proved to be a watershed moment: I saw first-hand how many challenging behaviors children exhibit are rooted in problems in their sensory processing systems and that this was a critical piece of the puzzle that I was missing as I tried to make sense of the meaning of children’s behaviors. For example, some of Ruben’s challenges were the result of a low threshold for tactile input. When people got too close to him, he pushed them away—by biting, hitting, kicking—to protect himself. Through targeted activities, the OT incrementally exposed Ruben to tactile experiences to help his system better detect, regulate, and interpret these sensations and respond to them more appropriately. In effect, OTs help children do their most important “jobs”, which include the ability to: manage their bodies and feelings, learn, play, get along with others, and work well in groups—pretty much everything that enables children to function effectively in the world!

My 3 1/2 -year-old has started to get up in the middle of the night after saying he had a bad dream. He comes into our room and wants to sleep with us.  We’ve been able to get him back into his bed, but he won’t let us leave until he falls back to sleep. Some nights that can take over an hour, and he often gets up multiple times in a night. No one is getting enough sleep and we are all very cranky. We want to be sensitive to his fears but at the same time help everyone get more sleep.

This is a very common phenomenon starting at around 3 years, as this is the age at which children’s imaginations really start to take off. At the same time, they don’t have a very firm grasp on the difference between fantasy and reality. This translates into the development of fears: the monster from the book may appear in their bedroom; the snake in the TV show about animals might climb through their window. Naturally, these fears are more likely to emerge at night when the lights are off and children are alone. Understandably, most parents feel it would be harmful to leave a child when she is frightened.

But this is one of those parenting moments when what is best for the child is not necessarily consistent with our impulses; when the most effective strategy, in this case, for helping a child learn to cope with her fears, is counter-intuitive. We think that staying with children until they fall back to sleep is the best and most loving thing to do. But in fact, allowing a child to sleep in your bed or staying with her until she falls back to sleep after having a bad dream, inadvertently confirms your child’s belief that there is really something to be afraid of and that she is only okay if you are with her; that she is not safe on her own. 

The only way children (or any of us) get over their fears is by living through them and experiencing that the fears are unfounded. For example, when a child finally goes down the big slide he was terrified of and sees that he survived; or, when a child makes it through and thrives by the end of the first week of preschool after screaming for dear life not to be left in this strange, scary place.  At nighttime the same rules apply: your child needs to experience that the fears in his head are not real and that he is okay on his own. He doesn’t need you to be with him to be safe. We don’t want to set kids up to think that they can’t handle these feelings and that they can only cope if you are with them, which will not always be the case. We want to empower them with the tools and confidence to master these fears. This is very important to keep in mind, because if you think that you are hurting your child by not physically being with him as he works through his fears, it will be very difficult to follow through with any plan that entails setting some limits and boundaries around sleep. Note that research shows that allowing children to learn to sleep on their own is growth-promoting (“positive stress”) and not harmful. (Here is a good piece on myths/facts about sleep training.)

The other factor to keep in mind is that young children are very clever. They quickly put two and two together: saying they had a bad dream results in a lot of attention in the middle of night and often lands them a spot in their parents’ bed. This can take on a life of its own and lead to major sleep deprivation for parent and child which has its own set of negative consequences.

The following strategies can be helpful in making a plan for how to deal with middle-of-the-night wakings: 

Claire Lerner, LCSW

Sabrina, 3, throws a knock-down-drag-out tantrum when told her iPad time is over. She was in the middle of her game and insists she get to finish it. Her mom, Marcella, agrees to let her have 5 more minutes—to keep Sabrina happy and desperate to avoid a tantrum. But when time is up—again—Sabrina demands: “One more minute, just one more minute!” Marcella gives in a few more times until she cracks, shouting: “It’s never enough for you! If you don’t give me that iPad right now you won’t have it again for a month!” (A limit which Marcella admits she would never implement.)

Every week I am in the homes of families with young children who are struggling with these kinds of dilemmas: the 2-year-old who won’t go to sleep until she has been read an ever-increasing number of books so that bedtime is now 2 hours long; or the 3-year-old “fascist dictator” who is holding the family captive with his endless demands for control—over EVERYTHING. These parents are exhausted, frustrated, angry and resentful; they are also sad and feel like failures, because by the end of the day they feel like all they have done is yelled and dealt with ugly power struggles, leaving little room for love or joy.

As I watch these scenarios unfold, it becomes clear that one major root of the problem is that parents are doing anything possible to avoid the tantrum and keep their children happy. The problem?  This approach just leads to more tantrums, and to missed opportunities to help children learn to adapt to life’s limits—to cope with the inevitable frustrations and disappointments we all confront as we make our way through this world. That’s why limits are loving, and why avoiding them is not.

The following are some key principles that many families I work with find helpful for establishing clear and appropriate limits while remaining loving and present.

Claire Lerner, LCSW-C

It is my privilege to work every day with the most loving, sensitive parents of young children who are struggling mightily with how to understand and respond most effectively to their children's challenging behaviors. Their stories are sometimes hilarious, like the feisty 3-year-old who, when told by her dad that the reason she couldn’t have the candy at the grocery store was because he didn't have enough money, responded that in that case he should just put back the eggs. But many are heartbreaking, like the myriad of parents who despair that the two precious waking hours they have with their child each night are spent in power struggles and negotiations: lots of aggravation and little joy.

While the path to solving the range of challenges parents face is different for each family, I have found that there are a number of pivotal parenting pitfalls that cause a lot of frustration and stress—for parents and kids. When we uncover them, it results in that “aha” moment for parents that leads to important insights and the ability to make the positive changes they are seeking.  Often, it’s a matter of re-framing the issue—seeing a behavior in a developmental context and through the eyes of their child—that helps parents tune in to the meaning of the behavior which enables them to move from anger and frustration to empathy.  

These insights guide me, too, as I continue to work towards being the best parent I can be to my children, now in their mid-20’s.  Truth be told, rarely a day goes by that I don’t feel the sting of regret at how much less anxious and reactive I might have been when my kids were growing up, how much calmer and less stressed I would have been, and how much more pleasure I would have experienced, had I been mindful of and practiced these principles myself. I wish I had understood that happy children aren't always happy; that while learning to deal with life’s frustrations and disappointments involves children feeling uncomfortable and unhappy at times, muscling through these challenges is what builds resilience and strong coping skills. So when parents ask me if it’s too late for their child—fearing they’ve already “ruined” him (even at the ripe age of 3)—I can tell them the good news: it’s never too late. 

Pitfalls to Positive Parenting

Claire Lerner LCSW

It wasn’t that long ago that the conventional wisdom was that babies were pretty much blobs who didn’t think or feel much before they could speak in words around age 2. The idea that a 6-month-old could feel fear or anger, no less sadness and grief, was preposterous. But thanks to an explosion in research on infancy in the last 30 years, we now know that babies and toddlers are deeply feeling beings. Starting in the earliest months of life, well before they can use words to express themselves, babies have the capacity to experience peaks of joy, excitement, and elation. They also feel fear, grief, sadness, hopelessness, and anger—emotions that many adults understandably still find it hard to believe, or accept, that very young children can experience. Research has also shown that children’s ability to effectively manage their full range of emotions, also known as self-regulation—is one of the most important factors for success in school, work, and relationships into the long-term.

So a critical first step in helping your child learn to cope with her feelings is not to fear the feelings, but embrace them—all of them. Feelings aren’t right or wrong, they just are. Sadness and joy, anger and love, can co-exist and are all part of the collection of emotions children experience. When you help your child understand her feelings, she is better equipped to manage them effectively.

One major obstacle in doing this that I see quite often in my work with parents is that they are operating under the false assumption that having a happy child means he needs to be happy all the time (something I still have to keep reminding myself despite the fact that my children are in their 20s!) Muscling through difficult experiences, mastering struggles, coping with sadness and grief, builds strength and resilience, and is ultimately what brings children a sense of contentedness and well-being.

What can parents do?