Helping Your Child Cope with Conflict

Help Children Act Calm

  • Let them know that it takes more courage to walk away from a fight than to stay and fight.
  • Teach them that fights don’t solve problems—they make new ones.
  • Remind them that when they get mad but don’t fight, they have really won.

Sometimes, getting along with other kids is hard. Some kids:

  • Get into fights when they are angry.
  • Get teased a lot.
  • Encourage others to fight.

This can make your child feel bad or get in trouble. Teach your child how to deal with anger and stay out of trouble.

Everyone Gets Mad

Anger doesn’t usually last a long time, but it is a very strong feeling when it happens. Children get mad when:

  • Their feelings are hurt or they can’t do what they want.
  • Others don’t understand them or lie about them.
  • They feel left out or others don’t act the way they want.

When children are mad, their bodies react:

  • Their hearts beat faster and their faces feel hot and sweaty.
  • It might be hard to breathe and they can’t think clearly.
  • They have a lot of energy and want action.

When children are angry, it is:

  • Good to put their feelings into words.
  • Not good to hit someone, break things, or say things that hurt.

Teach Your Child to ACT CALM

When children get mad, they can ACT:

Acknowledge – Acknowledge angry  feelings.Notice changes in their bodies.

Calm down – Breathe deeply, count t o 10, or walk away.Punch a pillow, run, or play music.

Think and talk – Think about the problem and ways to fix it. If someone doesn’t know what children are trying to say or do, they need to explain themselves.Talk with someone about being mad and ways to fix  the problem without fighting. If there is nobody to talk to right away, stop and think, “This is why I’m mad and what I need to do is …”

If someone tries to start a fight, your child can be the one to stay CALM:

Calm down – Keep a safe distance from the other person. Take slow, deep breaths. Stay alert and stand tall.

Avoid – Avoid name-calling or returning insults. It only makes things worse. Avoid other kids who may want to fight. Try to talk in private with the kid who wants to fight.

Listen – Calmly listen to what the other kid says. Ask, “What does this person really want?”

Move on – Find ways to solve the problem without fighting. Use humor. “I wouldn’t want you to catch my cold.”Give a reason.  “We’ll both get thrown off the team if we fight.” Walk away. If nothing else works, it’s best to walk away.

Children do what they see others do. You are your child’s most important role model.

If your child is still having trouble getting along with other kids, talk with your pediatrician.


Source: Connected Kids: Safe, Strong, Secure (Copyright © 2006 American Academy of Pediatrics) The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.


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Permission to Unplug: The Health Benefits of Yoga for Kids

​​​Yoga offers a release from today’s fast-paced and tech-heavy world. It only demands that your child “unplug” and leave his or her phone (and shoes) behind—focusing solely on the action of connecting breath and movement. Yoga can help kids learn to live in the moment, focus on the task at hand, and handle problems peacefully. The more often your child practices yoga, the greater the benefits.

Yoga: More Than Exercise, More Than Sport

While any sport played well activates the mind in addition to the body, the practice of yoga is meant to bring the two together. Yoga is much more profound than merely the yoga postures we are familiar with from classes, videos, or movies. It involves a combination of certain postures (asanas), regulated breathing techniques (pranayamas), hand poses (mudras), and meditation (dhyanas).

Each particular body posture has been cultivated and fine-tuned over thousands of years to bring about specific effects in the mind and body. Whether a pose is done standing, sitting, or lying down, each one can challenge various muscle groups. At the same time, a child becomes more aware of his or her body and how it functions. Some yoga poses are harder than others, and even flexible kids in good shape should start slowly.

Many student-athletes practice yoga as a way to cross-train and prevent overuse injuries. Runners strengthen and stretch the hips, legs, and Achilles tendons. Baseball players strengthen the arms and upper body muscles. Gymnasts increase flexibility, balance, and concentration.

Health Benefits of Yoga

Children and teens are an ideal population to benefit from the therapeutic and health benefits of yoga.

The American Academy of Pediatrics (AAP) recommends yoga as a safe and potentially effective therapy for children coping with emotional, mental, physical, and behavioral health conditions.

Children with special needs, for example, often have tension and rigid muscle tone—yoga can help with this. Stretching the body can relieve tension and holding yoga poses increases strength when practiced regularly. Yoga also has many bending and stretching poses that can help move and stimulate the digestive system and relieve constipation. Additional physical benefits from yoga include:

  • Regulated blood sugar and insulin levels
  • Regulated hormone levels
  • Decreased abdominal pain in children with irritable bowel syndrome (IBS)
  • Improved balance​

A study in The American Journal of Occupational Therapy found that daily yoga helps children with autism spectrum disorder (ASD) remain calm and lowered their levels of aggression, social withdrawal, and anxiety. Further, a study in the Journal of Developmental and Behavioral Pediatrics found that yoga during PE classes reduced teen mood problems and anxiety and also led to higher test scores. In numerous other studies, yoga has repeatedly been shown to improve:

  • Self-confidence
  • Mood
  • Stress reduction
  • Anxiety
  • Concentration
  • Hyperactivity
  • Classroom behaviors
  • Emotional balance

Parents: Calm Breathing Can Be Contagious!

It’s good for parents to put down their phones, too! Tantrums, sleepless nights, and morning rushing, for example, test our limits. In times like these, it can be very effective to take a few deep breaths instead of losing control of your own temper.

Basic yoga breathing and a simple pose or two can be important tools for managing a range of stresses and pain as well as everyday challenges. Lead by example. Get your child involved in yoga—or better yet—try a class yourself! Namaste.


Source: Section on Integrative Medicine (Copyright © 2016 American Academy of Pediatrics). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.


May is Mental Health Month

When you or someone you love is dealing with a mental health concern, sometimes it’s a lot to handle. It’s important to remember that mental health is essential to everyone’s overall health and well-being, and mental illnesses are common and treatable.

So much of what we do physically impacts us mentally. That is why this year’s theme for May is Mental Health Month – Fitness #4Mind4Body – is a call to pay attention to both your physical health and your mental health, which can help achieve overall wellness and set you on a path to recovery.

May is Mental Health Month was started 69 years ago by Mental Health America to raise awareness about mental health conditions and the importance of good mental health for everyone. Last year, Mental Health Month materials were seen and used by over 230 million people, with more than 10,000 entities

This May is Mental Health Month the focus is on how a healthy lifestyle may help prevent the onset or worsening of mental health conditions, as well as heart disease, diabetes, obesity and other chronic health problems. It can also help people recover from these conditions. Eating healthy foods, managing stress, exercising, and getting enough sleep can go a long way in making you both physically and mentally healthy.

It is important to really look at your overall health, both physically and mentally, to achieve wellness. Getting the appropriate amount of exercise, eating healthy foods that can impact your gut health, getting enough sleep and reducing stress – it’s all about finding the right balance to benefit both the mind
and body.

Learn from these factsheets:

Diet and Nutrition (PDF)
Exercise (PDF)
Gut Brain Connection (PDF)
Sleep (PDF)
Stress (PDF)

For more information on May is Mental Health Month, visit Mental Health America’s website at http://www.mentalhealthamerica.net/may.

It’s Not Too Early to Book Those Physicals!

physicals2014

It’s never too early to start thinking about vaccines and physicals for the new school year, or for summer camp!

Please remember to call and book your appointments early to get the most convenient time for your busy schedules. Also please remember, our staff makes it a priority to complete your requests for forms as quickly as possible. We do advise all of our patients that we request a minimum of 3-7 business days to complete those forms.

If your child is planning on playing any summer/fall sports, attending any camps, and for those who are entering college, please plan accordingly so that we can get your form completed and returned to you before your deadlines.

In the event, that we are asked to expedite a form (i.e. 24-hour turn around), please be aware that there will be a $10 fee charged. Please help us to provide you with the best service possible by getting your forms to us in a timely manner.

Call us now! 203 239-4627

A “Perfect” Parent

Is there such a thing as a “perfect” parent?

Many people believe in the myth of the perfect parents – the ideal mother and father who raise happy, well-adjusted problem-free children. In truth, there is no such person as a perfect parent – or a perfect child.

Problem behavior is common among school-age children and takes up a significant portion of a parent’s time. At any one time, on average, school-age children have about five or six traits or behaviors that their parents find difficult. These might include not complying with simple requests, avoiding chores, spending too much time watching TV or playing videos, engaging in sibling rivalry or having difficulty completing homework. Other common problems for parents are dealing with a temperamentally difficult child, or coping with a child who either wants too much independence or hasn’t achieved enough autonomy. Parents also sometimes encounter the dilemma of a child who prefers friends or activities not approved of by his mother or father.

Mistakes are OK

As a parent, you need to recognize that it is normal to feel worried, confused, angry, guilty, overwhelmed and inadequate because of your child’s behavior. That is part of being a parent. It is futile and self-defeating to try to be perfect or to raise perfect children.

Think back to how you behaved, or misbehaved, as a child, about how your parents dealt with your behavior, and how you felt about their disciplinary techniques. They were not perfect, but neither was anyone else. Do not try to overcompensate for their shortcomings by trying to be perfect yourself, and by getting caught up in statements like “I’m not going to make the same mistakes my parents made.”

All parents and all children make mistakes in their attempts to communicate and deal with one another and in trying to solve problems. Parents need to trust themselves and their instincts. Mothers and fathers tend to have good intuition and knowledge of their own children. They often know more than they think they do, and they should not be afraid of making mistakes. Children are resilient and forgiving and usually learn and grow through their mistakes. Parents tend to be just as resilient and forgiving.

Flexible Parenting

However, parents who “live for their children” are putting themselves in a very vulnerable position, setting themselves up for possible disappointment, frustration and resentment. They are also being unfair to their family. Parents should not expect to receive all their personal fulfillment from their children or from the parenting role. Parents need other activities to fulfill their self-images, and other sources of love and nurturing. They need time to be adults and time for themselves – and a break from children and parenting responsibilities.

As a parent, you need to develop your own philosophy – one with which you feel comfortable – within a flexible and adaptable framework. Take into account your own expectations, parenting style, and temperament, and how they fit with each of your children and your spouse, and their own unique preferences and temperaments. Your approach and philosophy will vary from youngster to youngster, mainly because of their own particular attributes.

Along the way, remember that professional help is available if problems ever become too intense, exceed your own coping capabilities, or cause secondary difficulties such as a decline in school performance, increased family stress or serious emotional problems.

You should take comfort in the fact that in the vast majority of cases, children do turn out well. But along the way, keep your sense of humor, trust your instincts and seek help and advice early rather than late. While parenting is a great challenge, it can also be one of the most rewarding and enjoyable experiences of your life.

Points To Keep In Mind

  • Even among children of the same age, there is a range of what is normal in the way they develop socially, emotionally, intellectually and physically.
  • A child’s maturity level may be different for the various qualities he is developing, including social skills, athletic abilities and learning capabilities. He might be strong in math but weak in writing (or vice versa), or good at basketball but not at golf.
  • The variations described above may be permanent, forming a child’s own unique profile; or they could be evolving and thus be subject to change.
  • The way a child develops can influence his behavior, and vice versa.
  • The particular parenting style of a mother and father, as well as the child’s environment, will affect the youngster’s behavior and development.

Source: Caring for Your School-Age Child: Ages 5 to 12 (Copyright © 2004 American Academy of Pediatrics). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.


Your Medical Home

Did you know that Pediatrics Plus is your medical home?

What Is a Medical Home?
A medical home is a medical office where a team of healthcare professionals work together to provide care for their patients. The staff at Pediatrics Plus* is a Medical Home Team, and consists of Pediatricians, Nurse Practitioners, Nurses, Medical Assistants, a Care Coordinator, a Lactation Consultant, an Asthma Educator, Receptionists and a Practice Administrator.

At Pediatrics Plus*, we are interested in the “whole” child—your child’s physical, emotional, behavioral and educational well-being. We will partner with you to ensure your child reaches his or her full potential.

When joining our home, you are encouraged to select a Pediatrician or Nurse Practitioner to be your primary care provider. That individual will work with you and the rest of the team to ensure that your health care needs are met. You are encouraged to call the office with any questions regarding the health or well-being of your child. Receptionists can schedule appointments, and will preferentially schedule you with your primary care provider. Nurses will be the first to answer any questions, and will consult your primary provider if they are uncertain how to help you.

When you visit our office for an appointment, the receptionist will check you in, request updated address, phone and insurance information, and take any forms from you that you need completed. A medical assistant or nurse with take your height, weight, and vital signs, and ask you questions about your medications, allergies and visits to other health care providers. Your primary care clinician will then meet with you to listen to your concerns, take an interim history, examine your child, and develop a care plan with you to address any issues. The nursing team will administer any necessary immunizations or treatments.

Prior to your scheduled visit, the care team will have met to review your chart and anticipate what your needs might be. Following your visit, the care coordinator will arrange for any referrals that need to be made, and follow through to make sure that we receive information back about the referral.

How will I contact my Medical Home Team?

  • You can contact Pediatrics Plus* directly to schedule an appointment or to discuss your healthcare needs by calling 203-239-4627 Monday through Saturday, from 8:30 AM to 8 PM.
  • Outside of normal office hours, for urgent matters, you can call 203-239-4627 and an on-call clinician will call you back promptly. When you call, you can indicate if you need a return call within the hour, or within 5 minutes.
  • For extreme emergencies, please call 911, and then call us.
  • It is important for you (or a designated family member) to let the Medical Home Team know if you are seen by another clinician outside this office. This will allow us to update your medical record and continue to coordinate your healthcare needs.
  • You can pick up a copy of our Medical Home Brochure at the front desk of the office.
  • As your clinician about educational resources and how you can help with your child’s care plan

 

 

National Autism Awareness Month

How is Autism Diagnosed?
It would be so much easier if autism spectrum disorer (ASD) could be diagnosed with a blood test or an x-ray, but it’s not that simple. Diagnosis is ultimately made based on your description of your child’s development, plus careful observations of certain behaviors by autism experts, medical tests, and your child’s history.

Parent and Pediatrician Partnership
Early diagnosis requires a partnership between parents and pediatricians. Within this partnership you, as the parent, should feel comfortable bringing up any concerns you have about your child’s behavior or development—the way she plays, learns, speaks, and acts. Likewise, your child’s pediatrician’s role in the partnership is to listen and act on your concerns.

During your child’s visits, the pediatrician may ask specific questions or complete a questionnaire about your child’s development. Pediatricians take these steps because they understand the value of early diagnosis and intervention and know where to refer you if concerns are identified. The importance of this partnership cannot be stressed enough.

ASD Screening for All Children
If your child does have autism, an early diagnosis is better because then your child can start receiving the help he or she needs. This is why the American Academy of Pediatrics (AAP) recommends that all children be screening for ASD at their 18- and 24-month well-child checkups. Talk with your doctor if you feel your child needs to be screened (regardless of their age) and share your concerns — you know your child the best!

Remember…tt can be difficult to learn that your child has a lifelong developmental disability. Naturally, you as a parent, other caregivers, and extended family need to grieve about this. You will undoubtedly worry about what the future holds. Keep in mind during these difficult times that most children with ASD will make significant progress in overall function. Some children with ASD can do exceptionally well and may even remain in a regular education classroom. Many will have meaningful relationships with family and peers and achieve a good level of independence as adults.

It is important to remember that while a diagnosis of autism may change what you thought your parenting experience would be, we now know that children with ASD can achieve so much more in life as long as they are given appropriate support and opportunities. See Words of Support for Parents of a Child with Autism.
Additional Information


Source: Adapted from Autism Spectrum Disorders: What Every Parent Needs to Know (Copyright © American Academy of Pediatrics 2012). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.


Healthy Eating at Home Matters!

Agricultural background; a pile of beautiful oranges

Eat Fruits and Vegetables at Every Meal
Fruits and vegetables add important vitamins and fiber to your diet. At every meal, include some kind of fresh, frozen, or canned fruits and vegetables. Just be sure to watch out for those with fatty sauces or added sugar. Aim for at least 5 fruits and veggies a day. Just remember to avoid small, hard foods on which your child can choke, and cut any firm, round food (e.g., raw carrots or grapes) into long, thin slices.

Ideas for adding fruits and veggies to your meals:

  • Add fruits and veggies to foods your child already likes: put blueberries in pancakes, chopped fruit on cereal, or small pieces of broccoli in macaroni and cheese.
  • Make it fun: try cutting up food into fun shapes or making faces out of fruits and vegetables.
  • Prepare and pack fruits and veggies as snacks for afterschool, after sports practice, and other times.

Give Kids a Say in What They Eat and Get Them Excited About Healthy Food
Help your kids make the right food choices from an early age. You can do this by giving them two healthy choices to choose from, like an apple and an orange. It’s a great way for your kids to get excited about eating healthy foods. Let them decide what and how much to eat.

Ideas to help children get excited about food:

  • Let them help you with small, kid safe jobs in the kitchen such as mixing ingredients and setting the table.
  • Allow them to smell, touch, taste, and play with food.

Eat Breakfast Every Day
Eating breakfast helps your child start his day in a healthy way. Incorporate fruit and whole grains whenever possible. Children and adults who eat breakfast daily are less likely to be overweight.

Eat Together As a Family
Try to set aside your meals as family time, and eat together as often as possible. Even babies can join family meal time. By age 9 months, they are able to eat on the same schedule with you. Create family meal times when they are little and keep this tradition as they grow.


Source: http://www.healthychildren.org. The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.


Are Your Kids Hungry or Just Bored?

​Children (as well as adults) often use food for reasons other than to satisfy hunger. Children often eat in response to their emotions and feelings. If your child seems hungry all the time, use the following tips to get a better idea of what is really going on.

What Triggers Hunger?
If your child is eating 3 well-balanced meals and 1 snack a day but still claims to be hungry, there may be other reasons beyond hunger that make him or her want to eat.

What You Can Do
Ask yourself: Does your child sometimes reach for food when experiencing any of the following?

  • Boredom
  • Depression
  • Stress
  • Frustration
  • Insecurity
  • Loneliness
  • Fatigue
  • Resentment
  • Anger
  • Happiness

Does your child eat at times other than regular mealtimes and snacks? Is your child munching at every opportunity?

Do you reward your child with food (does an A on a test sometimes lead to a trip to the ice cream shop)? This can inadvertently contribute to your child’s obesity.

When your child is doing things right, do you tell him or her? Words of approval can boost a child’s self-esteem. They can also help keep a child motivated to continue making the right decisions for health and weight.

How are you speaking to your child? Is it mostly negative? Is it often critical? It’s hard for anyone, including children, to make changes in that kind of environment.

Healthy Alternatives
If you suspect your child is eating out of boredom, you may need to steer him or her toward other activities as a distraction.

What You Can Do

  • Make sure your child is eating 3 well-balanced meals and 1 snack a day. This will prevent feelings of hunger between meals.
  • Help your child choose other things to do instead of eating, such as:, Walking the dog, Running through the sprinklers, Playing a game of badminton, Kicking a soccer ball, Painting a picture, Going in-line skating, Dancing, Planting a flower in the garden, Flying a kite, Joining you for a walk through the mall (without stopping at the ice cream shop)
  • Offer healthy snacks such as raw vegetables, fruit, light microwave popcorn, vegetable soup, sugar-free gelatin, and fruit snacks. Snacks such as chips and candy bars have empty calories that will not make your child feel full.
  • You pick the snack. When children are allowed to pick their own snacks, they often make unhealthy choices. Talk to your child about why healthy snacks are important. Come up with a list of snacks that you can both agree on and have them on hand.

Remember…your own relationship with food and weight, dating back to your childhood, can influence the way you parent your own child. One of your biggest challenges is to determine whether your child is eating for the right reasons.

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Source: Pediatric Obesity: Prevention, Intervention, and Treatment Strategies for Primary Care (Copyright © 2014 American Academy of Pediatrics). The information contained on this Web site should not be used as a substitute for the medical care and advice of your pediatrician. There may be variations in treatment that your pediatrician may recommend based on individual facts and circumstances.

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