Meltdowns, Tantrums & Freakouts have functions... send a - - PDF document

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Doug Schmidt, Ph.D., C. Psych. Clinical and School Psychologist October 19, 2019 1 Meltdowns, Tantrums & Freakouts have functions... send a message about distress, signal losing internal, emotional control and external control of


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Doug Schmidt, Ph.D., C. Psych. Clinical and School Psychologist October 19, 2019

Meltdowns, Tantrums & Freakouts have functions...

send a message about distress, signal losing internal, emotional control and external control of a situation, show an attempt to get control relieve tension, and signal a need for connection and support which can be difficult to access

Ingredients of a Meltdown

a child’s temperament/personality major or daily stressors triggers in the moment (expectations,

frustrations, or transitions),

emotional distress, and how adults and others respond

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Temperament

  • basis of personality
  • studied for decades
  • apparent in early childhood

Temperament

emotional sensitivity sensory sensitivities frustration tolerance soothability

Temperament

persistence activity level extroversion/introversion regularity of daily rhythms

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Temperament

Online questionnaire for identifying temperament: The Preventive Ounce https://www.preventiveoz.org/

Validate Temperament

You’re a kid who… That’s how you are and that’s fine. I love the way you are. You’re like uncle/aunt/cousin/etc.… Sometimes things are frustrating

because…

Stress

change life circumstances/events school peers siblings wanting more closeness with caregivers Acknowledge these stressors……!!!!!!

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Attachment versus separation

Children are facing much more

separation from parents than ever before.

Long days in daycare and full day

kindergarten can be challenging for kids.

Parental separation and family

changes.

Attachment versus separation

Extracurricular activities are

increasing.

Children and teens are becoming

peer oriented.

Technology use is increasing. Moving, not being close to extended

family more frequent.

Separation is Stressful: Make Reconnecting Easy

 Talk about how separation is hard.  Bridge separations by talking about the next time you’ll be together.  When you reconnect, express happiness about seeing each other and a desire to do something fun.  Don’t focus on your agenda or always ask, “how was your day at school?” You will get the answer, “fine,” or, “I don’t know.”

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Reduce Stress

Provide more rest & sleep. Provide more time to play. Children need lots of relaxed time

with parents and caregivers.

Play rejuvenates kids

imaginative play (dress up, puppets, figures) creative arts play sensory play connected, interactive play exercise and sports kids vary in the kinds of play they like some kids thrive on competitive sports, some do not screen games are one form of play

Reduce Stress

Talk in a relaxed way about stress Don’t ask too much. “You’ve had a hard day/week.” “Let’s do something fun.” Kids usually spill the details later.

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Talk about Distress

Sadness/Disappointment: “you feel like

crying”

Fears/Anxieties: “you feel like running

away”

Shame/Embarrassment: “you don’t feel

good about yourself and just want to hide”

Frustration/Anger: “you just want to

scream and yell or do something physical”

Anxiety

Help with transitions eg. good-bye rituals and bedtime routines. Don’t view kids as emotionally fragile and frail, unable to tolerate emotions. Don’t shy away from talking about painful or difficult feelings. Talk about fear and motivation to overcome fears (to instill courage) Remind them they don’t need to be perfect Develop rituals to connect & check in.

Talk about Distress

Amp up stress to let it out. Be alongside kids, help them get

upset with you in a safe way.

This will reduce meltdowns where

there’s buildup and losing control.

Important to be comfortable with

distress.

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Talk about Feelings

Often we help children avoid feelings. Try to make them go away. “You’ll be fine. You’re okay. Don’t worry.” We don’t want our kids to be weak or vulnerable. But if they are not vulnerable with us, their hearts will harden to us and to everyone else.

Amp up Feelings when appropriate

that really hurts that hurt your feelings that’s so painful that’s so hard

Amp up Feelings when appropriate

Stay with distress because then

soothing can have more impact.

Reduces feelings of isolation. I’ve heard parents call this:

‘sharing the pain’ and ‘flushing out painful feelings’.

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Times of connecting/ separating are important

First thing in the morning Saying goodbye before school Reuniting at the end of the day Preparing for bed and goodnight

Times of connecting/ separating are important

These times can be flashpoints for

anxiety, irritability, or sadness.

Make these transitions easier. Be attuned to these points. Provide connection. Provide support and validation.

Meltdown Triggers

being asked to do something they

don’t want to do,

being asked to stop doing

something they want to do,

leaving the house/bedtime, and separation/disappointment

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‘Collect before you Direct’

  • A concept from Vancouver

psychologist Dr. Gordon Neufeld.

  • Don’t just yell from the kitchen,

“we’re leaving/eating in 5 minutes!”

  • Spend a few minutes with your child
  • r teen.

‘Collect before you Direct’

  • Show interest and validate their interest

in what they’re doing.

  • Validate their frustration of having to

stop and do something else.

  • “I know you don’t want to stop doing
  • that. We’ll be back later and can do this

again.”

  • Share: eye contact, a smile, and a nod

How to make Meltdowns worse (for many children)

Add more alarm:

threats of punishment loud voice, warnings, threats separation (time outs just don’t

work for many children)

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How to make Meltdowns worse (for many children)

Comment on how upset you are.

This can causes anxiety, shame,

and anger.

Often kids can only focus on their

  • wn feelings.

What to say instead:

This is a tough moment. You have a lot of frustration. I know you’re angry. It’s okay to be

angry.

I’m still you’re mom/dad. We’re still

  • kay.

Let’s take a break. This will pass.

Meltdowns involve Mixed Feelings

Scared: out of control, afraid of

hurting others and damaging relationships, afraid of punishment

Powerful: in control Sad and lonely Ashamed if hurting others Angry 28 29 30

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Meltdowns involve Mixed Feelings

  • Insight about mixed feelings signal

the development of maturity (and prefrontal cortex development).

  • Mixed feelings = being aware of

contrasting or conflicting desires.

Kids having tantrums can feel all mixed up:

  • Eg. I have hugs for my sibling and

hits for my sibling. (a concept from Gordon Neufeld).

  • Being able to see both sides (of
  • ne’s own feelings, as well as the

feelings of others) indicates the development of restraint and self- regulation.

How do you help with Mixed Feelings?

Start with copious amounts of

emotional validation.

Be 100% on the side of the child. When they’re ready, help them see

their own blend of feelings and feelings of others.

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How do you help with Mixed Feelings?

When they’re ready, Present facts. Guide behaviour, or give advice or reminders

  • f rules.

Go all Sydney Sunshine (“It’s going to be all right.”/”You’re okay.”) Many parents start here and are confused that their children can’t tolerate frustration or distress.

Discipline

For many children, discipline is likely to be ineffective if it involves:

Alarm (raised voices, threats, yelling,

warnings)

Separation (time outs, shaming

separations from other people)

Consequences (taking away

privileges)

Why is this?

  • For sensitive, reactive, and

immature children these strategies increase frustration.

  • For many children who are

already frustrated, this just make it more likely that they will continue to engage in problem behaviours.

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Discipline strategies:

  • Don’t talk too much about behaviour in

the incident.

  • Talk more while preparing and

debriefing problem incidents.

  • Stay calm and neutral.
  • Engage the child’s attachment instincts.

Discipline strategies:

  • Remind the child of your relationship

and role.

  • Use verbal and nonverbal

communication including eye contact, tone of voice, physical proximity, share a smile, share a nod.

Additional discipline strategies:

Safeguard a child’s desire to be good for you. Expect but don’t demand good things. Preserve the child’s dignity. Know the limits of yourself and the situation. Bridge what is dividing you and the child (eg. “let’s talk in a few minutes”).

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NeufeldInstitute.org

  • Online Courses
  • Gordon Neufeld:
  • YouTube videos
  • TVO videos
  • Teach Ontario: What Makes a

Bully

http://macnamara.ca/ kids-best-bet-blog/ 2016 book and website

  • f Deborah

MacNamara. Based on principles of Gordon Neufeld.

2011 book with principles

  • f Dialectical Behaviour

Therapy. Published by New Harbinger Press. 40 41 42

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55 Eglinton Avenue East Suite #305 Toronto, ON M4P 1G8 Phone: (416)482-5558 Fax: (416) 482 8999 43