All Posts in Category: Child Anxiety

What is Self Harm?

Self harm or self-injury is the intentional wounding of one’s own body. Most commonly, a person who self harms will cut themselves with a sharp object.

Self harm can also include:

  • burning or branding (using cigarettes, lit matches or lighters, or other hot objects)
  • severely scratching
  • hair pulling (trichotillomania)
  • biting themselves
  • excessively picking at their skin (dermatillomania) or wounds
  • punching or hitting themselves
  • head banging
  • carving words or patterns into their skin
  • excessive skin-piercing or tattooing, which may also be indicators of self harm

Generally, a person who self-harms does so in private. They often follow a ritual. For example, they may use a favorite object to cut themselves or play certain music while they self injure.

Any area of the body may be targeted, however the arms, legs, or front of the torso are the most commonly selected. These areas are easy to reach and easy to cover up so the person can hide their wounds away from judgmental eyes.

In addition, self harming can also include actions that don’t seem so obvious. Behaviors like binge drinking or excessive substance abuse, having unsafe sex, or driving recklessly can be signs of self harm.

Self Harm Causes

There isn’t a simple answer for what causes people to self-injure. Although this extreme behavior may seem like a suicide attempt on the surface, it’s really an unhealthy coping mechanism.

People cut or hurt themselves to release intolerable mental distress or to distract themselves from painful emotions. Often, the self-mutilator may have difficulty expressing or understanding their emotions. People who self harm report feelings of loneliness or isolation, worthlessness and rejection, self-hatred, guilt, and anger.

When they attack themselves, they are looking for:

  • a sense of control over their feelings, their body, or their lives
  • a physical diversion from emotional pain or emotional “numbness”
  • relief from anxiety and distress
  • punishment of supposed faults

People who self harm often describe an intense yearning to injure themselves. Completing the act of mutilation and feeling the resulting pain releases their distress and anxiety. This is only temporary, however, until their guilt, shame, and emotional pain triggers them to injure themselves again.

Who is At Risk for Self Injury?

Self harm occurs in all walks of life. It is not restricted to a certain age group, nor to a particular race, educational, or socioeconomic background.

It does occur more often in:

  • people with a background of childhood trauma, such as verbal, physical, or sexual abuse
  • those without a strong social support network or, conversely, in those who have friends who self harm
  • those who have difficulty expressing their emotions
  • people who also have eating disorders, post traumatic stress disorder (PTSD), obsessive compulsive disorder (OCD), borderline personality disorder, or those who engage in substance abuse

Although anyone may self harm, the behavior happens most frequently in teens and young adults. Females tend to engage in cutting and other forms of self-mutilation at an earlier age than males, but adolescent boys have the highest incidence of non-suicidal self injury.

Self-Harming Symptoms

Physical signs of self harm may include:

  • unexplained scars, often on wrists, arms, chest, or thighs
  • fresh bruises, scratches or cuts
  • covering up arms or legs with long pants or long-sleeved shirts, even in very hot weather
  • telling others they are clumsy and have frequent “accidents” as a way to explain their injuries
  • keeping sharp objects (knives, razors, needles) either on their person or nearby
  • blood stains on tissues, towels, or bed sheets

Emotional signs of self harm may include:

  • isolation and withdrawal
  • making statements of feeling hopeless, worthless, or helpless
  • impulsivity
  • emotional unpredictability
  • problems with personal relationships

Help for Self Harm

The first step in getting help for self harm is to tell someone that you are injuring yourself. Make sure the person is someone you trust, like a parent, your significant other, or a close friend. If you feel uncomfortable telling someone close to you, seek out a teacher, counselor, religious or spiritual advisor, or a mental health professional.

 Professional treatment for self injury depends on your specific case and whether or not there are any related mental health concerns. For example, if you are self harming but also have depression, the underlying mood disorder will need to be addressed as well.

Most commonly, self harm is treated with a psychotherapy modality, such as:

  • Cognitive behavioral therapy (CBT), which helps you identify negative beliefs and inaccurate thoughts, so you can challenge them and learn to react more positively.
  • Psychodynamic psychotherapy, which helps identify the issues that trigger your self-harming impulses. This therapy will help you develop skills to better manage stress and regulate your emotions.
  • Dialectical behavior therapy (DBT), which helps you learn better ways to tolerate distress. You’ll learn coping skills so you can control your urges to self harm.
  • Mindfulness-based therapies, which can help you develop skills to effectively cope with the myriad of issues that cause distress on a regular basis.

Treatment for self injury may include group therapy or family therapy in addition to individual therapy.

 Self care for self-harming includes:

  • Asking for help from someone whom you can call immediately if you feel the need to self injure.
  • Following your treatment plan by keeping your therapy appointments.
  • Taking any prescribed medicines as directed, for underlying mental health conditions.
  • Identifying the feelings or situations that trigger your need to self harm. When you feel an urge, document what happened before it started. What were you doing? Who was with you? What was said? How did you feel? After a while, you’ll see a pattern, which will help you avoid the trigger. This also allows you to make a plan for ways to soothe or distract yourself when it comes up.
  • Being kind to yourself – eat healthy foods, learn relaxation techniques, and become more physically active.
  • Avoiding websites that idealize self harm.

 If your loved one self-injures:

  • Offer support and don’t criticize or judge. Yelling and arguments may increase the risk that they will self harm.
  • Praise their efforts as they work toward healthier emotional expression.
  • Learn more about self-injuring so you can understand the behavior and be compassionate towards your loved one.
  • Know the plan that the person and their therapist made for preventing relapse, then help them follow these coping strategies if they encounter a trigger.
  • Find support for yourself by joining a local or online support group for those affected by self-injuring behaviors.
  • Let the person know they’re not alone and that you care.

Need More Information?

Are you engaging in self harm or is your loved one self injuring? Don’t wait to seek help – speak to one of our caring, compassionate mental health professionals today. Contact the Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida for more information or call us at 561-496-1094.

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Rapid Onset Gender Dysphoria: Does it Exist?

workshop on resiliency and overcoming traumaThe American Psychiatric Association (APA) defines a person as having gender dysphoria when they feel strongly that they don’t identify with the biological gender they were born with, when it causes them distress, and when they have felt this way for at least six months. Although children as young as age four may express gender nonconformity, often a person isn’t aware of their gender dysphoria until they reach puberty and recognize they are not comfortable with the new changes going on in their bodies. Because this realization may take their families by surprise, some researchers have been recently exploring a new subset of gender dysphoria called Rapid Onset Gender Dysphoria (ROGD). On the surface, ROGD seems to occur very suddenly and without the child having expressed any prior distress with their physical gender.

What is Rapid Onset Gender Dysphoria?

The term “Rapid Onset Gender Dysphoria” has only sprung up within the past decade or so. ROGD has not been established as a distinct syndrome and this type of dysphoria has only been casually – but not scientifically – observed.

In ROGD, an adolescent or young adult who has seemingly always identified as their physical (birth) gender abruptly starts to identify as another gender. It is important to note that the child would not have met the APA’s criteria for gender dysphoria prior to this, nor would they have shown any discomfort with their birth gender. Moreover, often multiple friends within the child’s same peer group simultaneously begin to identify with another gender and become gender dysphoric around the same time.

Why is ROGD Controversial?

A Brown University researcher recently published a study designed to empirically describe teens and young adults who did not have symptoms of gender dysphoria during childhood but who were observed by their parents to rapidly develop gender dysphoria symptoms over days, weeks or months during or after puberty.” The study author, Lisa Littman, is an assistant professor of the practice of behavioral and social sciences at Brown’s School of Public Health.

For the study, Littman surveyed more than 250 parents who had reported their children developing gender dysphoria within a very short time period. Of these parents, about 45 percent noticed that their child had increased their social media use before announcing their dysphoria. They also told Littman that the child had one or more friends who had become transgender-identified around the same time as their child.

These findings led to Littman’s hypothesis that gender dysphoria could be spread, at least partially, by social contagion. She proposed that a child’s peers, coupled with information obtained from social media, could cause the child to embrace certain beliefs, such as the idea that feeling uneasy with the gender you were born with meant you were gender dysphoric. Because many gender nonconforming teens also push for medical transition to the gender with which they identify, Littman went further and suggested that medical transition could be a harmful coping tool in much the same way that alcohol or substance abuse are negative coping mechanisms.

Her hypotheses set off a firestorm. Transgender advocates aggressively condemned Littman’s study saying, in part, that it was methodologically flawed because Littman only interviewed parents and did not get input from the transgender-identifying children. They also called the study “antitransgender” and a denial of transgender affirmation while citing the fact that a person who is questioning their gender would naturally read up on the subject and communicate with supportive friends who had similar thoughts and feelings. Advocates also pointed out that a true gender dysphoria diagnosis requires evaluation by specialists, but the Rapid Onset Gender Dysphoria study only required the parent’s perspective.

As a result of the criticism, Brown University withdrew their press release about the study. They also released a statement explaining their decision to conduct a post-publication re-review of Littman’s Rapid Onset Gender Dysphoria study. They worried that the study “could be used to discredit efforts to support transgender youth and invalidate the perspectives of members of the transgender community.”

Gender Dysphoria Treatment

We know that gender dysphoria exists, but clearly more research is needed in order to settle the question of whether Rapid Onset Gender Dysphoria is real.

For those with gender dysphoria, early diagnosis, gender-affirming approaches by parents and family, as well as individual and family counseling can help the transgender person and their loved ones deal with the emotional challenges of gender transition.

Often, transgender people take some type of action to outwardly embrace the person they feel they are. They may change their name to one more aligned with the gender they express or may dress as that gender. Other options may include taking puberty blockers, hormones to develop the physical traits of the gender they identify with, or completing sex-reassignment surgery.

We know that people with gender dysphoria have higher rates of mental health conditions like depersonalization disorder, anxiety, depression and mood disorders, and suffer from an increased rate of substance abuse. They also have higher suicide rates, therefore it is important for them to seek mental health treatment. The objective of this treatment is not to change the person’s feelings about their gender, rather it is to give them a way to deal with the emotional issues that come with their gender dysphoria.

Get Answers about Gender Dysphoria and Rapid Onset Gender Dysphoria

If you or a loved one are distressed, anxious, or depressed about your gender identity or worried about ROGD, we can help. Contact the Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida for more information or call us today at 561-496-1094.

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How Stress Affects Child Development

free anxiety workshop on childhood anxietyStress surrounds us on a daily basis. From traffic delays to work projects, worries about finances or health, and news reports of world events, the demands of our everyday lives produce both positive and negative stress. Stressors (which are the things that cause your stress) can be physical, emotional, theoretical, or environmental. Even positive events like weddings and job promotions cause stress.

Whether negative or positive, one thing is certain – stress raises the body’s anxiety levels. When we’re under stress, the “fight or flight” response kicks in, raising blood pressure and heart rate, and sometimes causing you to lose sleep or feel like you can’t breathe. While this response usually subsides after the stressor is removed, a prolonged or permanent stress response can develop in someone who is under constant stress. It’s called toxic stress, and children can be affected by it just the same as adults.

What are the Effects of Stress on Kids?

The incidence of obesity, diabetes and heart problems, cancer and other diseases goes up when a child lives with toxic stress. Additionally, their chances of depression, substance abuse and dependence, smoking, teen pregnancy and/or sexually transmitted disease, suicide and domestic violence greatly increase. So does their tendency to be more violent or to become a victim of violence.

Studies done by the Centers for Disease Control and Prevention (CDC) have shown that when a child is subjected to frequent or continual stress from thing like neglect, abuse, dysfunctional families or domestic abuse, and they lack adequate support from adults, their brain architecture is actually altered and their organ systems become weakened. As a result, these kids risk lifelong health and social problems.

Of the 17,000 people who took part in the CDC study, two thirds had an Adverse Childhood Experiences (ACE) score of 1 or higher. 87% of those people had more than one ACE. By measuring and scoring ten types of trauma ranging from childhood sexual abuse to neglect or bullying and even divorce, researchers were able to assess the chronic disease risk for the study’s mostly white, middle class participants. Their results show that the problem of toxic stress isn’t limited to children who face poverty or to those who come from certain ethnic groups – children from all walks of life can have high ACE scores.

If you are interested in finding out your ACE score and what it might mean for you, go here.

Signs of stress

Children who are exposed to toxic stress exhibit:

  • Poorly developed executive functioning skills
  • Lack of self-regulation and self-reflection
  • Reduced impulse control
  • Maladaptive coping skills
  • Poor stress management

Research on children who face continued toxic stress shows they have:

  • More trouble learning in school
  • More difficulty trusting adults and forming healthy relationships and an increased chance of divorce as an adult
  • Higher incidence of unhealthy behaviors such as substance abuse, sexual experimentation and unsafe sexual practices, engaging in high-risk sports, smoking and alcohol abuse
  • Higher incidence of depressive disorder, post-traumatic stress disorders (PTSD), behavioral disorders, and even psychosis
  • Poor health outcomes such as obesity, heart disease, diabetes, cancer, and a higher suicide risk

Help for Toxic Stress

Awareness is key to preventing and reducing toxic stress in kids. Now that we know about the effects of ACEs, many states have conducted their own research. Some cities have set up task forces and others are working with schools, pediatricians, daycare centers and the justice system to set up screening programs that can turn lives around.

Protecting children from toxic stress involves a multi-faceted approach that targets both the caretaker and the child in order to strengthen family stability. Treatment includes intervention and implementation of methods that decrease stressors and strengthen the individual’s response to stress.

As more programs are enacted, researchers are finding that children benefit even when the solutions are solely focused on their caregiver and not on the child. This is likely because the caregiver’s altered interaction with the child makes the child feel safer. Parenting classes, family-based programs, access to social resources for parents, telephone support and peer support are beneficial, as are cognitive behavioral therapy and relaxation methods like yoga and mindfulness. Additionally, community-based programs like Head Start have been shown to be effective.

Do you have Questions?

For more information about toxic stress and its effects on child development, talk to the mental health professionals at The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida. Contact us or call us today at 561-496-1094.

 

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7 Tips for Dealing with the Trauma of School Violence

The nation has been horrified to hear about another mass shooting this week. For many in South Florida, however, the trauma surrounding school violence has hit particularly hard because it happened right in our own backyard. Many people likely know someone or know of a family with a child who attends the Marjory Stoneman Douglas High School in Parkland, FL. Because of this, you might find it challenging to deal with your feelings about the event.

Keep in mind that it is normal to experience strong emotions, such as anger, fear, sadness, grief, and shock – even if you don’t know someone who is personally connected to the shooting. You might also have trouble sleeping or concentrating and you may even feel numb when discussing the incident with others. All of these reactions are typical responses of trauma psychology.

Tips for Overcoming Trauma after School Violence

It will take a while to move past this heartbreaking tragedy, but we have some tips for managing your emotions during this horrific time. Following these guidelines can help you build resilience – the inner strength that you can draw on when you’re exposed to trauma or adversity.

  • Don’t suppress your feelings. Everyone processes a stressful situation in different ways. Give yourself time to mourn the tragedy and remember that working through grief takes a long time. Don’t try to rush it. If you have a more intense reaction than you feel you should, talk to others or to a mental health professional.
  • Take care of yourself. It’s harder to work through strong emotions when you are tired or not eating well. Try to eat a balanced diet and get plenty of rest. Set aside some time during the day to get some physical exercise, which has been proven to reduce stress. Also, try to avoid using alcohol or drugs to deal with your reactions – studies show they intensify negative emotions and can suppress your feelings, making it tougher for you to deal with your emotional pain.
  • Turn off the news coverage of the event. Overexposing yourself to the anxiety and raw emotions of this community violence by watching endless replays on the news or by reading numerous reports on the internet can increase your stress. In particular, images of the school violence can trigger new anxiety or prolong episodes of distress about the event. Try to focus on something positive to help raise your optimism, which will, in turn, help you feel more encouraged.
  • Maintain a routine. Patterns can provide a sense of comfort and security when your world has upended.
  • Talk about it with others. By doing so, you give yourself permission to mourn. Additionally, sharing your shock and distress makes you feel more supported, less alone, and less overwhelmed.
  • Help others. Being of service to someone distracts you from your own problems, plus it boosts serotonin levels, which will help you feel more positive.
  • If you and your family or friends have been directly impacted by this mass shooting, you will experience some form of grief. You may experience survivor’s guilt because you have lived and your loved one did not. You may feel alone and want to avoid others. Grief is unpredictable – it can seem to lessen, then reappear when you least expect it. Milestones, such as birthday or holidays, will often trigger a fresh round of mourning. Understand that this is part of grief and grieving is a long process.

If you find you can’t move past this school violence or another traumatic event that has happened in your life, it may be beneficial to seek out a support group or turn to a qualified, licensed mental health professional in order to move forward. It is especially important to do so if you are unable to carry out the daily tasks of living, such as sleeping, eating, and other functions.

Our Trauma Professionals Can Help

The Center for Anxiety and Mood Disorder’s Trauma Center has specially trained clinicians on staff to help those who are grieving or who have gone through traumatic situations. For more information, contact us or call us today at 561-496-1094.

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Meet Dr. Andrew Rosen

Our very own Dr. Rosen was recently interviewed by VoyageMIA! See the full interview here.

Dr. Rosen, let’s start with your story. We’d love to hear how you got started and how the journey has been so far.

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How A Psychological Assessment Can Benefit Your Child

Children's Center Now OpenChildren are referred for a psychological assessment for many reasons. They may have attention or behavior problems at home or in school, be subjected to bullying, be depressed or anxious, or have a learning disorder. Often when kids are struggling in school or seem to be behind their peers developmentally, a counselor or teacher will suggest the child undergo a psychological assessment.

The findings from this type of evaluation will let us know where the child excels and which areas he or she might need to address (for example: an undiagnosed learning disability).  Dr. Ryan Seidman, the Clinical Director at our Children’s Center notes that, “Having your child evaluated can promote improvement in academic and emotional functioning.”

Who Performs a Psychological Assessment?

Psychological assessments are done by highly trained child psychologists who are specialists in their fields. These mental health professionals evaluate the child’s strengths and weaknesses, then work with parents and teachers to come up with an approach that will help the child progress.

How is a Child Psychology Test Done?

These assessments aren’t like “actual” tests can be and they aren’t something the child can study for. In fact, it is best if the child is relaxed during the evaluation, so the assessment isn’t a “pass or fail” test.

During a psychological assessment, the psychologist will:

  • Talk with the child (and later with their parents) to learn more about their behaviors and emotional skills. They will also look at the child’s neurological functioning in areas such as spatial processing. In some cases, they may also talk to the child’s teachers or others who know the child well.
  • Observe the child during the evaluation. Depending on the reason for the assessment, the child psychologist may also visit the child at home or at school to further gauge their interactions with others.
  • Have the child complete a standardized test. These tests have been taken by many different people and will allow the psychologist to compare your child’s results with those of others in order to evaluate a range of abilities. The psychologists want to know how the child functions in areas such as movement (dexterity) or behavior and in subjects like reading, writing and math.
  • May review school records, medical records, or test interview or the child’s parents or teachers in order to learn more about the child.

Psychological testing isn’t a quick assessment. The evaluation will likely takes several hours to complete and often involves more than one session to be certain the psychologist has all the details about a child. By putting this information together, the child psychologist comes to an understanding of where a child needs assistance and can develop strategies to help them reach their full potential.

The Results of a Psychological Assessment

When the testing is complete, the child psychologist will go over the results with the child’s parents. Keep in mind that the outcomes do not reveal everything about a child’s potential, abilities or skills. Rather, the evaluation is used as a way to learn about their “present functioning level” emotionally, in their school and home environments, how they learn, and their strengths and weaknesses.

The child psychologist will discuss areas in which the child does well and offer suggestions to help them improve in areas that need to be addressed. If the child is diagnosed with a learning disability, or a behavioral or emotional issue, recommendations will be made for ways to help the child manage that specific concern or problem.

By evaluating and understanding where the child has issues, child psychologists can provide positive coping strategies, reduce the child’s stress and enrich their competence and well being.

Learn More about Children’s Psychological Assessment

For more information about how our child psychologists can help your child with a psychological assessment, contact The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida or call us today at 561-496-1094.

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Help your Child Defend against School Bullying

October is National Bullying Prevention month. Organizations and schools use this month to raise awareness of school bullying, while working to prevent its impact on children.

School bullying is defined as the use of power to control another person. Bullying always intends to harm the targeted child – usually psychologically, but sometimes physically, as well. Additionally, bullying is carried out by the same person or the same group of people who repeatedly go after the same child. A child who is being bullied might be either unable to fight back against attacks or might have a hard time defending themselves.

The kids most at risk of being bullied are those who:

  • Are less popular than others
  • Have few friends
  • Are depressed or anxious
  • Have low self-esteem

Bullies typically:

  • Like to dominate others
  • Have social power
  • Are aggressive and often act impulsively
  • Are concerned about their popularity
  • Often also have issues with low self-esteem
  • Are easily pressured by their peers

About 1 in 4 children report having been verbally or socially bullied at school and most bullying happens in middle school, although it can occur at any grade level.

Types of Bullying

While bullying can be verbal (teasing, name-calling, threatening someone) or physical (for example: hitting, fighting, or forcing a person to do something they don’t want to do), today’s children also face social bullying:

  • Cyber bullying – Kids practically live on social media, but this has created an environment in which the bully can be anonymous. Since they don’t have to face their target or witness the effects of their bullying, they have little empathy for the pain they cause. Texting and social media allows the bully free reign to post embarrassing pictures, make rude comments, or post humiliating videos almost instantly and without recourse.
  • Slut shaming – censuring a female’s character in sexual terms in order to embarrass, humiliate, or intimidate her for actions that are a normal part of female sexuality. For example: a male teen may be praised for his sexual experimentation, however a girl may be bullied and called a slut. This scenario has been explored in Netflix’s 13 Reasons Why show (you can read our Children’s Center article about it here ). In the show, the girl who is slut-shamed ends up committing suicide.
  • Social Alienation – In social bullying, the idea is to damage someone’s reputation, get them excluded from social activities, and to get others to avoid them. This can often be accomplished by cyber bullying.

What are the Effects of School Bullying?

The symptoms of school bullying can be both physical and emotional. Your child may experience:

  • School refusal
  • Headaches, stomachaches or other aches or pains throughout their body
  • Weight loss
  • Nightmares and/or sleeplessness

A child who is bullied may avoid situations and interactions with others that could actually be positive for them. The effects of school bullying can create depression and anxiety disorders in the child who is being attacked. Often this depression and anxiety will stay with the youth and follow them into adulthood. In fact, someone who was bullied in school is more likely to be the target of workplace harassment as an adult.

Fight Back against Bullying

In all cases of school bullying, it’s important to seek help and report the incident as soon as possible. Ignoring the issue often makes it worse because the bully begins to think it is okay to continue hurting others. Additionally, the targeted child sometimes begins to believe what is being said about them.

StopBullying.gov offers the following suggestions to help stop school bullying. They say:

  • Look at the kid bullying you and tell him or her to stop in a calm, clear voice. You can also try to laugh it off. This works best if joking is easy for you. It could catch the kid bullying you off guard.
  • If speaking up seems too hard or not safe, walk away and stay away. Don’t fight back. Find an adult to stop the bullying on the spot.

StopBullying.gov also lists things your child can do to stay safe in the future:

  • Talk to an adult you trust. Don’t keep your feelings inside. Telling someone can help you feel less alone. They can help you make a plan to stop the bullying.
  • Stay away from places where bullying happens.
  • Stay near adults and other kids. Most bullying happens when adults aren’t around.
  • Stand up for others When you see bullying, there are safe things you can do to make it stop.
  • Talk to a parent, teacher, or another adult you trust. Adults need to know when bad things happen so they can help.
  • Be kind to the kid being bullied. Show them that you care by trying to include them. Sit with them at lunch or on the bus, talk to them at school, or invite them to do something. Just hanging out with them will help them know they aren’t alone.

Additionally, child psychologists, such as the professionals here at The Anxiety Center, can work with your child to develop coping techniques that will teach them how to react in particular situations. Child psychologists can also help bullying victims rebuild their self-esteem and confidence so that future harassment can be avoided.

We Can Help

For more information about how we can help your child learn to defend against school bullying, contact the Center for Treatment of Anxiety and Mood Disorders in Delray Beach, or call us today at 561-496-1094.

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Adelphi University’s Psychology Program Ranked #4 Worldwide

The Center for Treatment has team members from some of the top universities in not only the country, but the world! Dr. Andrew Rosen’s alma matter, Adelphi Universtiy’s Gordon F. Derner Institute of Advanced Psychological Studies Studies has been ranked fourth worldwide among psychology and psychoanalysis schools by the Center for World University Rankings (CWUR). Adelphi was ranked #4 worldwide with only the Columbia University, New York University and Harvard University departments of psychology ranking higher on the list. More than 26,000 degree-granting institutions were included in the annual ranking.

Find out more about Adelphi Universities achievement here.

Let Us Help

If you are looking for psychological or psychiatric treatment, The Center for Treatment has a highly skilled staff that is ready to help. For more information, contact us or call us today at 561-496-1094.

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Maternity Leave – Going Back to Work after Baby

One of the hardest things for a new mother on maternity leave to do is go back to work after it ends. You carried your bundle of joy for nine months and have had time off from your job to bond with your child. After taking care of their every need, it can be difficult to turn them over to strangers at a day care center and be separated from your son or daughter for an eight-hour period or longer. And, even if you know the babysitter – maybe it’s your mother-in-law, a friend, or a trusted neighbor – new parents will still go through an adjustment period when maternity leave ends and mom return to their job.

The end of maternity leave means new routines and more work to do. Now you not only have to get yourself up and out to work, you need to get another person ready to go as well. There are clothes and toys, diapers, and possibly special foods or medicines to prepare and pack for the work day. The household chores still need to be done, not to mention tasks like grocery shopping, laundry, or trips to the pediatrician. Deciding which parent will take care of which tasks after the end of maternity leave can be a job all by itself.

Additionally, some new mothers go through postpartum depression. Returning to work can add to their symptoms of crying, mood swings, loss of appetite, the inability to bond with their baby, and the guilt that accompanies this type of depression. If your postpartum depression symptoms don’t lessen after two weeks or if they are getting worse, be sure to call your doctor. Postpartum depression can be successfully treated with psychotherapy, medications, or a combination of the two.

Working Moms – Easing Back into your Job After Maternity Leave

Some working moms experience feelings of guilt for leaving their child with someone else or feel inadequate for not being a “superwoman” capable of handling the stresses of a new baby, new routines, and a new “normal.”

For all the books you can find about expecting a baby or the period immediately following birth, there are few resources that address the emotions and anxiety that going back to work after maternity leave can bring up for a new parent. This period has been called the “fifth trimester,” a term trademarked by Lauren Smith Brody, a former Glamour magazine executive editor. She struggled with returning to work and ultimately wrote a book to help new parents manage their expectations. She describes the shift from maternity leave to working mom as “a monumental transition.”

One of the best ways to help ease this maternity leave transition is to set things in place before the baby comes.

  • Research and arrange for childcare. If you have a babysitter instead of a daycare center, also set up a back-up plan in case the babysitter is ever sick.
  • Establish and practice your morning routine a couple of times, at least a week or two before going back to work. Actually wake up at the time you’ll need to get up for work, then eat, dress, and get your baby ready to go. Build in some “glitch time” for occasions like when the baby spits up just as you’re ready to leave or for the day you can’t find your keys.
  • If you plan to breastfeed, talk to your boss to arrange a schedule and set aside a private area for pumping.
  • Decide on temporary compromises you can make when going back to work after baby. Maybe you can go to sleep earlier, eat prepared meals once or twice a week instead of cooking, or let that load of laundry go until the weekend when you’re more rested.
  • Ask for help. Working moms are essentially doing two jobs: their actual employment job and the work of being a mother. It is not a sign of weakness to ask your spouse, family, or friends for help while you go through this transition.
  • Be kind to yourself. Get in some exercise time to reduce stress (even a little goes a long way), get plenty of rest, and try to spend 15-30 minutes every couple of days just doing something for yourself.
  • Avoid venting at work about the stress you may be feeling at home. That way, your boss doesn’t get the idea that you can’t handle the pressure and start worrying that you’ll quit.

It can be challenging to be a new mother going back to work after baby. One of the things working moms must do is find the balance that allows them to hold a job and maintain their pre-baby life, while also preserving their sanity.

If you are finding this more difficult to do than you thought, remember that the transition after maternity leave takes time. Give yourself an adjustment period. After this interval passes, if you still can’t handle it, it might be time to try working with your boss to discuss other options (example: working from home a couple of days per week) that can allow you to have a realistic balance.

Let Us Help

If you have concerns about maternity leave and going back to work after baby or if you are suffering from the symptoms of postpartum depression, the therapists at The Center for Treatment of Anxiety and Mood Disorders in Delray Beach, Florida are there to help. For more information, contact us or call us today at 561-496-1094.

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Is There a Connection Between Vaccines and Autism?

Is there a link between vaccines and autism? This question has been at the center of an ongoing debate ever since the Centers for Disease Control (CDC) began reporting that autism was on the rise in the United States and around the world.

Currently, about 1 child out of every 68 will be diagnosed with Autism Spectrum Disorder (ASD), which is classified as a developmental disability. Whenever there is an increase in a disorder or disability, people start looking for reasons for the change. Since ASD can be seen in a child as young as the age of two, research has focused on the factors early in life that might contribute to an autism diagnosis. From birth, children receive many immunizations, so fears have been raised of a possible connection between these vaccines and autism.

In particular, there have been concerns about the measles, mumps, and rubella (MMR) vaccine and thimerosal, a mercury-based preservative that had been used in MMR and other inoculations. Since 2003, nine studies have been conducted into the relationship between thimerosal and ASD, however the Institute of Medicine has determined there is no link between the vaccine and the development of autism.

In reaction to concerns about whether thimerosal in vaccines and autism were related, the preservative was either removed from vaccines or reduced to negligible amounts between 1999 and 2001. Today, this preservative has been limited to use only in multi-dose vials found in some flu vaccines. If you are still worried, however, you can request your child receive a thimerosal-free vaccine.

Additionally, a 2013 study by the CDC determined there is no link between vaccines and autism. It looked at the number of antigens (they help the body’s immune system fight disease) and found no difference between children with ASD and children without the disorder.

What Causes Autism?

The CDC is currently conducting research to find out if autism has an environmental, biological, or genetic cause. There are many categories of disability along the autism spectrum and, at this time, specialists haven’t found any one specific reason for the development of the disorder.

We do know, however, that there are factors which can indicate a higher chance that a child will develop autism. These components are:

  • Children with autistic siblings are more likely to develop the disability.
  • Children born to older parents are more likely to be at risk.
  • It is thought that the critical developmental time for ASD is in utero, or in the period during or immediately after birth.
  • The prescription medicines valproic acid and thalidomide have been linked to a higher ASD risk in the infant, when these medications were taken during the pregnancy.
  • ASD occurs more often in people who have certain chromosomal or genetic conditions (for example: Fragile X Syndrome).

What are the Early Signs of Autism?

Although autism can affect either gender, the disorder occurs about 4.5 times more often in males than in females. It is found in every socioeconomic, racial, and cultural background, although it is more prevalent in white children than in African-American or Hispanic children.

People with ASD may have problems communicating or interacting with others, or may have difficulty focusing or learning. Additionally, early signs of Autism Spectrum Disorder may include:

  • Lack of interest in objects or in relating to people
  • Avoiding eye contact
  • Preferring to spend time by themselves
  • Becoming upset if routines change
  • Unusual reactions to stimuli, such as smells, tastes, textures, or sounds
  • Repeating words or phrases or repeating actions over and over

Diagnosis, Evaluation, and ASD Treatment

Although there is no cure for ASD, early intercession can reduce the severity of a child’s developmental delays and can teach them important skills. The earlier a child is diagnosed and begins treatment, the better their chances of reaching their full potential. ASD treatment and early intervention can begin as soon as 3 months of age.

If you are concerned about your child and the way they interact with you or others, the way they speak or act, or the way they learn, the first step is to call your child’s pediatrician and discuss your worries. Your child’s doctor can help answer your questions and, if alarmed, should refer you to specialists for further evaluation. Psychologists, psychiatrists, developmental pediatricians, and/or pediatric neurologists are specially trained to assess and diagnose Autism Spectrum Disorder.

Additionally, if you need a free assessment, you can contact your state’s early intervention programs. To find out more about your particular state’s Child Find evaluation, visit the Early Childhood Technical Assistance Center.

Our Children’s Center Can Help

If you have questions about the early signs of autism, treatment and intervention, or have other autism-related concerns, the professionals at our child-focused department, The Children’s Center, can help. For more information, contact the Children’s Center for Psychiatry Psychology and Related Services in Delray Beach, Florida or call us today at (561) 223-6568.

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