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How to Talk to Children about COVID-19

Children are often more perceptive than most adults may give them credit for; they may be wondering why their mom and/or dad are home more, why they aren’t in school or why their routine has changed, or why they can’t go see their friends or even leave the house. It’s essential to tackle these questions head-on and in a manner that satisfies their curiosity and helps to put their mind at ease. 

Self-Reflect

Talking to your children may require that you self-reflect about your concerns and feelings. Be aware that you also may be projecting your insecurities or anxieties on to your children and recognize that you may also need additional support or guidance during this time. Also, make sure that you do your research first so that you can adequately answer any questions that may come up. 

Listen and Teach

Ask your child what they already know or have heard about the virus. Be sure to dispel any myths and elaborate on critical pieces of information like the importance of handwashing. It’s also important to talk to your children in a manner that is appropriate for their age/ level of development. Also, try putting things in terms that they can relate to or understand. It’s important to teach but not to overwhelm. 

Validate Their Feelings

Your child may be confused, scared, or anxious about the changes they are experiencing. It’s important not to dismiss their feelings and to reassure them during this time that what they are feeling is very reasonable. Don’t overcommit or overpromise on things that you may not have control over to solely help them feel better – it’s important to be reassuring but also realistic. 

Create a New Routine, and then keep it Consistent 

Children thrive on stability and knowing what to expect. Help give them that consistency by developing a new routine for them. For example, create a daily schedule that outlines their activities for the day. Setting up a plan in case things suddenly change or take longer than expected can also help provide them with further assurance moving forward. Have your child get involved in the planning process so they can feel empowered and confident moving forward. 

Many people are feeling stress and anxiety during this uncertain time, and children are no exception. The mental health experts at CFIR can help you navigate how to have these meaningful discussions with your children. Clinicians at CFIR are offering secure video and teletherapy sessions during this time to ensure continuity of care. Please reach out if you would like to have a safe, confidential session from the comfort of your own home.

Dr. Brianna Jaris, C.Psych. is a clinical psychologist at CFIR. She has extensive experience in psychological assessment and diagnosis and the treatment of a wide range of psychological issues, including trauma, depression, anxiety. She is currently the head of CFIR’s Trauma and PTSD service. 

How to Keep the Happy in the Holidays While Co-Parenting

by: Laura Moore, B.Sc. (Honours)

The media markets the holiday season as a “picture perfect” time to connect with your family; these unrealistic expectations are especially challenging while trying to co-parent. Letting go of “perfect” and working together with your previous partner during one of the most stressful times of the year may feel nearly impossible. Remembering every co-parenting situation can look different, the following tips can make it possible to keep the ‘happy’ in the holidays while co-parenting.

Plan Ahead But Be Flexible 

Create a holiday plan at least a month or more in advance of the holidays. This plan may be derived from your parenting plan or your separation agreement. While making this plan keep in mind the extended family and still encourage these connections on both sides. Although planning ahead is of the utmost importance, remaining flexible over the holidays will reduce upset for yourself, your previous partner, and your children. Believe it or not, the holiday schedule may be much more important to you than to your children.

It Starts with You

This holiday season (when you know you are going to be alone), make plans to see loved ones. Also, seek the help you need from a therapist to work through some of the grief and loss you may be experiencing during the holidays. In this process, you will begin to let go of expectations and find moments of happiness as you embrace new traditions. Allow space for you and your children to be upset and move away from the expectations surrounding the holiday season. By creating a safe, calm, and positive space for yourself, the effects will trickle down to your children as they often rely on you to help regulate their emotions and see the whole picture. Continue to collectively focus on what you do have together and not what you don’t have.

Less is More 

It’s not the presents that make the holidays so special; instead, it’s the presence of the ones we love. It is essential to communicate with the other parent about items that are off-limits for holidays and what is on your children’s gift list this year. Do not try and outdo one another; this will put a lot of pressure on you and make gift shopping and planning activities quite stressful. Try not to overcompensate with excessive activities and planning, and try to spread out the holidays. Most importantly, enjoy some of the simple pleasures of the holiday season. Doing so will allow you not to lose sight of what is most important!

Communication 

Communication should be purposeful and child-focused. When you show empathy and care to your previous partner, it allows your children to see you still have a relationship with the other parent in a positive way. Schedule a phone call to talk about the upcoming holidays. If communication is difficult for you and your previous partner, possibly invest in a gift for one another this holiday and use a communication app, either 2houses or Our Family Wizard. Most importantly, do not use your children as a way to communicate messages back and forth between you two.

Connection

Although you may experience feeling you are alone, your previous partner is probably struggling just as much as you are. Have your children buy a present and make a card for the other parent. Letting your children love and communicate with the other parent will not affect your child’s love for you. As much as splitting the holiday season is new for you, it is also a new concept for your children. Encourage your children to consistently communicate with the other parent via phone, video call, and text. Create a shared album and add pictures to it each day. Also, your children will enjoy any chance where previous traditions can still be shared with both parents.

You cannot go wrong if you put your children first and let them be your guiding light as you navigate the holiday season while co-parenting. The “good enough” holiday season will happen when we let go of our expectations and enjoy what we have created for ourselves at this moment. Remind your children that no matter who they spend their holidays with, the holidays can create a magical feeling that will be in the memories for years to come!

Laura Moore, B.Sc. (Honours) is a therapist at the Centre For Interpersonal Relationships (CFIR) in Toronto. She is completing her Masters degree in Clinical Psychology at the Adler Graduate Professional School in Toronto. Laura works with adults and couples in therapy, to support them to overcome challenges related to depression, stress, grief and loss, trauma, and relationship conflicts. Her current research focuses on cultivating spousal attunement following traumatic experiences.

Navigating the Teenage Years

We were all teenagers once, yet sometimes trying to understand what’s on your teen’s mind is harder than advanced high school calculus. What can make matters worse is when, in your parental quest to figure out your teen’s thoughts, feelings and motivations, both you and your child end up having a conflict and/or experiencing feelings of confusion, frustration, and at times, ultimate helplessness.

While teenagers sometimes aren’t as vocal and open with their parents, a crucial step in a parent confronting a teenager’s psychological challenges is helping them identify the source and then exploring options to address it.

“My teen is withdrawing from the family.”  

“You’re not the boss of me.” Or “You just don’t get it!” How many times did you say this to your parents as a teen? How many times have you been on the receiving end of those words? One of the most widespread challenges of adolescence is the parent-teen relationship. Parents often grapple with a balance between providing support while allowing teens to make their own decisions and life choices. Here are some things you can do:

  • Accept: Your teenager is exploring an unfamiliar life stage – – one in which friends and classmates are considered the most influential. You can continue to play a very prominent role in their lives often by merely letting them know that they can reach out to you when they need to. 
  • Avoid why questions: Checking-in with your child is essential. But try to avoid “WHY” questions. What you believe to be a simple question of curiosity might be interpreted by your teen as the ‘Third Degree’ leaving both of you equally frustrated. Instead of saying, “Why on earth did you do that?” maybe try rephrasing the question as “What did you hope would happen?” 
  • Plan activities: Shared interests (or maybe not…) Venturing into your teen’s world to learn about a new videogame might be an opportunity for him or her to teach YOU something new. Or maybe you can offer to teach your teen a new skill. Whether it’s teaching your teen a new recipe or how to change a tire – that might be another way to connect – – but remember: DON’T FORCE IT!   
  • Share your own experience:  Often times, teens appreciate hearing about their parents’ own teenage experiences. Feel comfortable sharing your own adolescent experiences and give your teen the opportunity to ask you questions. Most importantly, try to make connections between your skills and your teen’s current ones. 
  • Monitor screen time: Like it or not, screens – – whether they are smartphones, tablets, portable games, video game consoles, computers, and TVs – – have become an integral part of teenagers’ daily lives. If you’re hoping it’s a stage, I have news for you – – this is unlikely to change soon. As such, setting limits on screen time use for the entire family (e.g., dinner time, movie nights) will encourage face-to-face communication among family members, without teens feeling singled-out.

“My teen experienced a traumatic event. How do I offer support?” 

Talking about a traumatic event, at any age, can be overwhelming. Teenagers might not know who they should talk to, how to talk to someone, how much is appropriate to share, or where to start. Some teens might feel more comfortable talking to a friend, a sibling, or a mental health professional. Meeting your teen at a level where he or she feels comfortable is KEY! If your teen has reached out to you for support, it’s important to consider the following:

  • Try to stay calm/composed: Although you, as a parent, are also experiencing heightened levels of emotions, it’s vital for you to remain calm for your teen when talking about his or her traumatic experience so you can foster feelings of safety and security. 
  • Avoid judgment: Traumatic experiences often lead to feelings of self-blame and guilt. It’s crucial to listen openly and empathically, and, most importantly, convey the message that this was NOT the teen’s fault. 
  • Show openness to questions: Allow your teen to ask questions and try your best to answer these questions openly and honestly. 
  • Know your limits: if your teen is having difficulty talking about the experience with you, don’t take it personally. It’s not uncommon for a teenager to “not want to share” with a parent (at least initially). What’s most important is that your teen receives appropriate support. Consider reaching out to a mental health professional for guidance. 

“My teen can’t seem to meet school deadlines or focus in class.” 

High school has never been easy. At some point or another, many teens experience difficulty in school – whether it’s their ability to focus in a particular class, study for an exam, or find the motivation to do homework. For some teens, these daily difficulties pose challenges to their overall learning experience and impact their overall functioning.  As teenagers advance in school, academic demands increase, and challenges sometimes become more apparent. As a result, it is essential to understand when these challenges might be a sign of a learning disorder or Attention Deficit Hyperactivity Disorder (or more commonly referred to as ADHD):

  • Has your teen experienced changes in attitude toward school/school attendance? For example, a teenager who previously enjoyed school now demonstrates resistance or a negative attitude toward school. 
  • Has your teen expressed emotional concerns like feeling anxious or overwhelmed about completing school work or writing exams? 
  • Has your teen complained about difficulty keeping up with school work/devoting an excessive amount of time to homework compared to other classmates? 
  • Has the school expressed concern regarding challenges (e.g., applying skills and knowledge, impulsive and disruptive behaviours, difficulty with focus) that are interfering with your teen’s ability to reach his/her academic potential?
  • Is your teen experiencing consistent difficulty with planning and organization, remembering details, and time-management? 

If you answered “YES” to any one of those questions, a psychoeducational assessment might provide a clear understanding of your teenager’s cognitive and academic strengths and challenges. In addition, an assessment might also inform you and your teen of appropriate accommodations that can be made at both the secondary and post-secondary level to ensure that your teen performs at an academic level reflective of his or her abilities.

The Challenges of Parenting

by: Dr. Lila Z. Hakim, C.Psych.

Parents often feel challenged by the shifting parenting strategies required to respond to their children’s changing developmental capacities and needs. When child-caregiver interactions meet children’s developmental needs, positive mental health outcomes are more likely in the short-term and down the road. 

Developmentally Sensitive Parenting: Child-caregiver interactions are essential to a child’s development. These interactions have a long-lasting impact on our children’s self-development, the quality of relationships with others, and their overall psychological well-being. Parenting requires sensitivity to a child’s emerging developmental needs. 

Sometimes parents are unable to respond to developmental milestones, which then affects the child’s self-development. When parenting is out of sync with these critical developmental milestones, it can be disruptive to healthy development and potentially compromise the security of the parent-child bond and the mental well-being of the child. In these circumstances, children and adolescents may begin to experience psychological symptoms and distress. Psychologists at CFIR can help you to parent in a manner that is sensitive to these developmental milestones. We help you develop strategies to respond to your children’s changing capacities and needs.

Parenting through Separation & Divorce: Parenting a child in the context of separation and divorce can be challenging. Learning how to talk to your children about separation and divorce in a developmentally-appropriate way is vital to support children to deal with this challenging life transition. Often emotional distance, anger, and hurt in the primary couple relationship will have tainted home life for an extended period before separation or divorce. Loss and grief experienced by the family breakdown and the eventual termination of the parent’s relationship have a reverberating effect on children. Learning how to deal with children during the separation and divorce process effectively supports parents and their children to ensure healthier psychological outcomes. Psychologists at CFIR can help you to address parenting issues in the context of separation and divorce, including navigating through emotionally challenging conversations associated with the various transitions involved in separation and divorce (i.e., leaving the family home, child access, co-parenting).

Co-parenting: In the aftermath of divorce, parents are often challenged to create a new parenting relationship, especially when children are young. Although the couple relationship did not work, parenting continues to be a shared responsibility. Developing an effective co-parenting strategy minimizes the impact of separation and divorce on children. Often this requires divorced parents to establish a collaborative plan of care, even though their relationship is ending. Our clinicians can help you to resolve your co-parenting conflicts and produce a satisfying co-parenting relationship in the aftermath of separation and divorce.

Step-parenting: Bringing a step-parent into a child’s world can be challenging. Often parents are unsure of how to integrate the step-parent into the child’s world. The role of the step-parent requires clarification in a manner in which the child’s relationship with both of their parents is not harmed in any way. Step-parents have a role to play in their stepchildren’s lives, but the process of integration is crucial to how this relationship will evolve. Psychologists and clinicians at CFIR are skilled in supporting you to develop a healthy blended family environment.

Read more about our Child, Adolescent & Family Psychology Service.

Helping You with Prenatal Care

by: Dr. Lila Z. Hakim, C.Psych.

Maintaining physical and emotional well-being during pregnancy and while preparing for birth is important. Numerous medical tests, nutritional issues, home preparations for the newborn, and other life adjustments are required. Couple partners can sometimes become anxious about managing these changes, overwhelmed by the adjustments required, and struggle to work effectively as a team to manage medical, nutritional, and lifestyle alterations associated with pregnancy. There is a multitude of tasks to attend to in preparation for birth and a newborn. For some individuals and couples, this transition can be a significant source of distress.

If pregnancy complications occur, partners can experience intense negative emotions and anxiety. Some partners have difficulties supporting each other as they try to make sense of the available medical information, and strain in the relationship may emerge at this time.

Psychologists and clinicians at CFIR are well-educated about the medical, nutritional, and lifestyle alterations that are typically faced during pregnancy. We support self and partner care throughout pregnancy and work to create a solid relationship between partners during this period.

Read more about our Fertility Counselling Treatment Service.

Helping You To Cope With Postpartum Depression

by: Dr. Lila Z. Hakim, C. Psych.

Upon birth, many couples will require some time to get used to their new home circumstances. Learning how to create and adapt to sleep and feeding schedules that suit the reality of the couple can be challenging. Numerous issues related to sleep and feeding emerge that can create distress, particularly in the context of a lack of sleep and the novelty of figuring out and managing the newborn’s needs. The relationship will transition during this period to adjust to these new circumstances. 

For some women, this period becomes complicated by depression caused by numerous physical and psychological factors, including a growing sense of isolation, emotional residues of birthing problems, sleep difficulties, and a change in sense of self and identity. Feelings of depression during this period may also be accompanied by self-criticalness and identity challenges that can then increasingly spiral into hopelessness and despair. Partners may also struggle and find themselves slipping into states of anxiety and depression. They may experience similar challenges during this transition period. 

Psychologists and clinicians at CFIR are able to diagnose and guide the treatment of postpartum depression. We provide support individuals and couples to adjust to their initial challenges upon return to home with their newborn. We help individuals and couples establish solid networks of physical and emotional care and support to ensure that isolation is reduced. We support new parents by providing them with resources to connect to the outside community. We also provide specific psychological treatment for postpartum depression, involving both individual and couple sessions to support women to emerge from the cascading negative emotions and biological turmoil that may occur during this period.

Read more about our Fertility Counselling Treatment Service.