Is your teen irritable, difficult to communicate with or breaking all the rules? Are they struggling with brushing their teeth and keeping good hygiene? Or is your teen making poor life choice and  hanging with the wrong crowd?

If your teen is angry about their life or is hurt easily, they may need some additional supports from a teen therapist. Teens develop anxiety and depression from a host of issue: life transitions like divorce or a move, bullying, peer anxiety and body image concerns to name a few. The transition in the teenage years from being a child to becoming an adult comes with it’s own unique set of stressors. For an adolescent losing a friend, ending a relationship or struggling academically can be a big loss for them. Working with a therapist can help your teen learn to overcome these obstacles, find their inner strengths and move towards more productive choices and outcomes. 

Why does a teenager need therapy?

At Long Island EMDR our therapists help teens with self-harm behaviors, suicidal thinking, teen drinking, and low self-esteem. Working with a teen therapist can help your teen to develop: a strong moral compass, self-esteem, and healthy coping skills to manage life’s challenges. 

What happens when teens do not have a healthy outlet to work through their feelings, needs and emotions?

Adolescents have trouble making decisions and often struggle with impulsivity and peer pressure. This can lead to self-harming behavior, poor self-image, drinking, drug use, eating difficulties, poor school performance, defiance and oppositional behavior, as well as other acting out behaviors. Teens usually turn to their peers for advise in absence of a trusted adult relationship. Which as we know, teens advising other teens on major life choices- may not be the best situation for you or your child. 

What can a therapist say or do that I cannot?

As parents, we always want to be our teens go-to person. The person they come to when they need help, support or comfort. Many teens however, feel uncomfortable talking with their parents about what is bothering them. Whether it be the are afraid of getting in trouble or do not want to cause their parents any more stress- teens often just don’t go to parents if they are having a hard time. A therapist is a safe-place where they can share their concerns and experiences. If you think about it, there was probably a great deal you kept from your parents and tried to handle on your own when you were teen. Being a teenager can feel overwhelming, frustrating, and scary. Having their own “person” to confide in can provide that safe place to explore their feelings, needs, difficulties and find healthy ways of coping and moving forward in life. It can also be the start to fostering that relationship with you again. By incorporating family therapy, we break down some of the barriers that keep your child from coming to you and teach them that they can speak with you when they are having difficulties. Counseling can help teenagers to build positive self-talk and learn to love themselves. Lastly, learning positive coping skills boosts self-confidence and promotes a healthy release of anger.

How does counseling with a teen therapist work? 

For the first session, parents and guardians will come in for the initial intake. After that, teenagers receive individual counseling to foster independence and leadership. Often, we start rapport building the first few sessions so your teen feels comfortable opening up to their therapist. We encourage family sessions when family conflict is impacting the teen or family dynamic and will prepare your teen to discuss, calmly and effectively their concerns and difficulties so that you may be a part of the solution. We also teach teens a range of skills depending on their concerns and difficulties including: self-regulation techniques, anger management skills, cognitive behavioral therapy techniques, relaxation techniques, non-violent communication skills and conflict resolution skills. Essentially, each session can be a positive experience of building self-acceptance and self-care skills.At Long Island EMDR we help teens to form their identifies and help them express themselves in a healthy and positive manner. 

If your teen needs help with working through anxiety, depression, ADHD, self-esteem, or oppositional behaviors contact us today to speak with a teen therapist.

Have you heard the phrase “helicopter parent?” It describes a mother or father that ‘hovers’ around their child 24/7, overseeing every aspect of the child’s life to keep safe from every potential danger, pitfall and mishap. In theory this sounds great right? “If I am there to guide and direct every step I know my child will be okay.” However, this style of parenting is rarely realistic, or productive, as we cannot monitor their every move and in reality: life happens.

Adversity is a part of life. Those children who engage with adversity in their formative years learn how to handle it well and develop the ability to come up with strategies and solutions to overcome challenges. These are the kids that grow up to be resilient, getting right back up when life knocks them down a few pegs.

Here are some ways parents can raise resilient children:

Plant the Right Mindset

How your child sees the world, and their own potential in it, directly informs how they make decisions. Teach them a positive and empowering mindset from the beginning- a “growth mindset”. Teach them that mistakes and failures are opportunities to learn what does and does not work. Validate that losing a game, or doing poorly on a test really stinks and help them focus on steps they can take to improve. Above all your kids should know that it’s not about win or lose- what really matters is the commitment and effort they put into reaching their goal.

Allow Them to Come Up With Solutions on Their Own

A child will never be able to develop their own coping strategies if someone is there every second making sure they never become hurt or disappointed. If your child is coming to you for help ask probing questions to get them thinking about how they can fix the problem. For example, “is there another way you both can play with that toy?” Communicating your belief in your children’s ability to solve their own problems with help to increase their self-esteem and belief in their own abilities. 

Let Them Take Some Risks

All parents want to keep their kids safe, but there comes a point when you’ve got to let go a bit and let them learn HOW to be safe on their own. For instance, one day your child will need to get their driver’s license. You can help that older child be a safe driver by allowing their younger self to ride their bicycle around the neighborhood. This will teach them to pay attention, look both ways, etc.

Teach Them the Right Skills

Teach your child how to navigate anxiety-producing or uneasy situations. Rather than focusing on the problematic areas of those experiences, focus on how to ensure safety or cope with them.  I work with lots of anxious kids, who have anxious parents. What I find is often the children are reacting to their parents anxieties. For example, a child who is concerned about bullying had a parent who was combing their hair and picking out their clothes in 8thgrade- because the parent was worried if the child did these tasks alone they would be bullied. This child then felt very insecure about their ability to make their own choices, keep themselves safe and how their peers perceived them. A better approach for that parent would be to teach them how to do their hair independently, encourage the child to be confident in whatever they choose to wear, praise the child on their best traits (humor, intelligence, kindness) and to discuss with their child how to handle a bully- if and when- a situation occurs.

Ensure Healthy Attachment

Children with secure attachment to their primary caregivers feel a sense of support and resilience. When a child is securely attached to their parents this serves a few functions: shapes mindset about the world and those in it (.e. the world is safe; I am loved), ensures they feel comfortable venturing on their own but equally as comfortable seeking support when needed, and these children also have greater ability to be open and honest with others about their feelings and needs. 

Seek Support When Needed

Resiliency isn’t something we are born with. It is a skill that must be instilled and molded over time. Planting these seeds now will allow for a child raised to face adversity, solve-problems, and do so with confidence and grace. Parenting is a challenge and it certainly does not come with a manual. If you need support in your parenting journey, give my office a call today and let’s schedule a time to talk.

Person reflecting on his life in nature.  PTSD treatment near Oakdale, NY.

Have you ever wondered how childhood trauma impacts adolescents or adults? Do you find yourself asking yourself how much your childhood has a impact on your relationships today? Childhood experiences, both positive and negative, have major impact on our emotional development and how we continue to interact in the relationships around us. 

Childhood is where our attachment styles are developed and our parents are our primary attachment figures. The way they respond to us in childhood shapes our worldview, or perception of the world, and how we expect others to respond, relate and interact with us. This is the foundation of whether or not a child will feel the world is safe and whether or not those around them will accept them.

Erikson called this our view of “trust or mistrust”. Is it a safe place to venture out and take emotional risks? Are all people generally good or are they out to hurt us and therefore untrustworthy? Can we trust others to support us in times of emotional need or crisis or do I need to rely on myself?

Complex trauma refers to the prolonged exposure to a stressful event, or repeated traumatic events layered on top of another. This would include children, who have grown up in physically, sexually, and/or emotionally absent or abusive households, as well as children who grew up in unsafe communities, an incarnated parent or a parent with mental health or substance use concerns.

How Childhood Trauma Continues to Effect us into Adulthood

Sad little boy. Anxiety treatment in Holtville, NY.

Without the safety net of a secure attachment relationship, children experiencing childhood trauma grow up to become adults who struggle with poor self-esteem and difficulty with emotional regulation. They continue the unhealthy relationship patterns of their childhood with partners, friends and family members. These adults also have an increased risk of developing depression and anxiety. 

The following are the four basic attachment styles. Please keep in mind that these descriptions are very general; not everyone will have all these characteristics. Attachment styles are relatively fluid and can be ever-changing depending on your partner’s own attachment style and the adaptations you make as you grow and learn.

Secure Attachment in Adults

These individuals usually grew up in a supportive environment where parents consistently responded to their needs. Securely attached individuals feel comfortable in their own skin, easily share feelings with partners and friends and seek out social support. These individuals have a generally positive outlook on life and seek physical and/or emotional intimacy with minimal fear of being rejected or overwhelmed.

Securely attached individuals, much like their parents were to them, are generally consistent and reliable in their behaviors toward their partner. They also tend to include their partner in decisions that could affect their relationship or life goals. 

Dismissive-Avoidant Attachment in Adults

Children develop this attachment style when their primary caregivers are not emotionally responsive or are rejecting of their needs.

Children learn to pull away emotionally and be overly self-reliant, as means to avoid feelings of rejection. As adults, they become uncomfortable with emotional openness and downplay the importance of relationships.

These adults tend to place a high priority on their own independence from others and tend to be extremely self-reliant. They develop techniques to reduce feelings of being overwhelmed and defend themselves from perceived threats to their “independence.”

These techniques include, shutting down, sending mixed messages, and avoiding. These coping techniques end up becoming detrimental to their adult relationships.

Fearful-Avoidant Attachment in Adults

Children who have developed this style of attachment may have been exposed to prolonged abuse and/or neglect. Their primary caregivers are a source of hurt, rather than fulfilling their vital role of providing support and comfort. 

Man sitting on a city street with his head down. Therapy for Anxiety attacks in East Hampton, NY.

These children grow up to become adults who depend on others but avoid intimacy in their relationships due to fear of rejection. As adults they have lower self-esteem and high anxiety in relationships. 

As adults they see the value in having close relationships but due to the abuse they received have a difficult time trusting others. Due to this distrust, they avoid being emotionally vulnerable with others and have difficulty clearly expressing their wants and needs, as they fear it will lead to more hurt and rejection.

Anxious-Preoccupied Attachment in Adults:

Children with anxious-preoccupied attachment had caregivers who did not consistently meet their needs, as in their responses to the child were not consistent or predictable. Their parents were nurturing, caring and attentive at times but this was alternated with cold, rejecting or emotionally detached behaviors. 

This alternation between love and rejection makes it difficult for a child to know what to expect from day to day. These children then grow up to be adults who require a lot of connection, closeness and attention within their relationships, sometimes to the point of being “clingy.”

Individuals who have this attachment style may need more validation and approval from loved ones than the other attachment styles.

Neurobiology of Attachment and Childhood Trauma

As products of our own environments, adults will often find themselves repeating the same behaviors witnessed and experienced in childhood. This is because the neural pathways developed from childhood traumatic experiences shape keep us stuck in these unhealthy patterns and ways of relating.

To say all of this is not meant to place blame on caregivers for the types of relationships formed in your adult life. However, increasing awareness of your own attachment style can help you take those first steps towards recognizing patterns and improving your relationships as an adult. With newfound awareness you can move to form securely attached relationships with your partner and with your own children. 

Processing those difficult childhood memories of abuse and neglect can help you to make new neural connections with more adaptive experiences in your life and thus alter that inner-voice that keeps your stuck in poor patterns of behavior. 

Where to go From Here?

At Long Island EMDR, we understand how complex childhood trauma affects you as an adult, which is why we specialize in EMDR and trauma-focused therapies. We are here to help guide and support you through your journey of processing past hurts and forming healthier connections.

Keep Shining,

Jamie Vollmoeller, LCSW 

Being a mom is hard, being a mom who strives to meet your child’s every need is taxing but well worth the effort. How do we balance meeting our children’s needs and taking care of ourselves? Being a good mom doesn’t mean neglecting yourself for the sake of your baby. What your child needs most is a happy mama who is able to be their calm and support. Self-care is really important for both you and your little one. What self-care looks like and what that means for each person is different. At Long Island EMDR we provide Postpartum Therapy for moms experiencing postpartum depression and/or anxiety. Here is a list of suggestions of what you can do for self-care so afterwards, you are more ready and able to meet the needs of your little one.

  1. Support.

Support is number one because it makes taking a needed break possible. Utilizing grandparents, your partner, other family members or close friends is important.  If you have supports around you, ask for help. I know we want to do it all but sometimes even someone coming by for you to cook without the baby on you or take a shower alone will help you to feel relaxed. I struggled the first few months with leaving my son for any stretch of time but if you are comfortable, a walk outside in the park or dinner out with your partner is a good way to relax and center yourself. As I said earlier just having someone come over so you can enjoy little things like cooking, showering, or reading alone may be the bit of relaxation you need.

Understandably, this is not always possible if you have a limited support network. The phrase “it takes a village” really is true so it is important that you work on building your supports.  Finding like-minded parents that you feel comfortable leaving your child/children with can be a great source of relief.

No matter whom you leave your child with make sure they know how you want your child taken care of when you’re away. Tell them your preferences for medications. Teach them your child’s hunger cues and ways you soothe your child when he/she becomes upset. Always leave an emergency contact list.

  1. Exercise.

If possible go to the gym when your spouse is still home (before work or after). If you’re like me and that’s not possible, join a gym where you can bring your baby. I go to Fit4mom, which has the added benefit of also being a second support network of like-minded moms (at least in my location).

  1. Take a relaxing bath.

If you can’t get anyone to supervise your little ones, bring them in with you. My child loves baths. So its usually relaxation time for us both.

  1. Read.

I really love reading and always feel accomplished after I finish a good book.

  1. Take a walk!

If it’s nice out put on that baby carrier and take your baby with you. Just being outdoors is relaxing. Michael and I go on walks often. He likes to look at nature and usually is lulled to sleep while we walk. Fresh air and a change of scenery can be nice, especially in the early months where you may feel like your stuck in the house.

  1. Meditate.

Whether you have 5 minutes or an hour, meditation is a great way to relax and center yourself. I love the app Insight Timer they have all sorts of meditations and they vary in time commitments.  I also love the “sleep” feature so you can drift off to sleep and the app turns off when the meditation is finished.

  1. Color.

Seriously. I know it sounds childish to some but there are an array of adult coloring books that really are quite relaxing to do.

  1. Gratitude Journal.

Did you know studies actually show you can train your brain to be more positive by writing down 3 positive things a day? The list should be specific, not “my husband, my child, work”, but more like ” my child is healthy”, “I’m able to breastfeed”, ” my husband is supporting me in returning (or not returning) to work”. Postpartum therapy can assist you in identifying what is going right if you are feeling so anxious or hopeless you cannot think of a single thing to be grateful for.

  1. Call a friend.

If you can’t get out and you have no one able to come to you, a phone call can be a lifeline. Call someone who is supportive and willing to listen. Catching up with a friend or relative can really brighten your day.

  1. Listen to music.

Even if it’s music on while you have a spare minute to vacuum the floor. Crank up some old jams and dance around yourself. I love to sing, my dancing skills are not so great (but I will still dance like a fool), and I find singing really helps to release anxiety.

Take care of yourself. On an airplane they always tell you to put your mask on first. You need to be calm and happy to help your child be calm and happy. You’re also modeling good coping strategies for your child. They learn more from what you do, then what you say.

If you need some more help with navigating postpartum symptoms and want to begin postpartum therapy, please reach out to our office.

Sending love and light,

Jamie Vollmoeller, LCSW

Returning to school may be challenging for parents and children alike. The pandemic is still not over and many children, teens and parents have concerns about staying safe once school starts. Moreover, we are not sure what to expect as far as new rules in the school and changes to their normal school routines.   Though we cannot predict what will happen, it will be helpful to keep your child’s a home routine as normal as possible. Children may find it difficult to adjust back to their school routines after such a long break – parents may too. Here are some helpful tips to address their concerns and any possible behavioral issues:  

1. Be calm and comforting while communicating with your child.

It’s important to monitor your tone and facial expression. More than anything your child will be able to tell how your feel about these changes from these cues. If you seem worried it will only serve to heighten their anxiety. Make sure your facial expression and body positioning is relaxed; get down on your child’s level and offer comforting words.

2. Listen and Validate Feelings.

This change is going to cause a range of emotions for kids some may be excited, happy, sad, scared, angry, worried or frustrated. Whatever the emotion, let your child now you understand where they are coming from. Take into account what they may be feeling and try to see the situation from their point of view. “ I understand you are frustrated you cannot sit next to your friends at lunch that is hard and I know you have been excited to go back to school so you can spend more time with them.”   “I know understand you are worried about seeing your friends again when you have not seen them in so long. I know the first day will be hard but you are such a (funny/sweet/caring) boy/girl and I know you will reconnect with them again. Everyone has been away from their friends for a while and is probably feeling just like you.”

3. Set Limits and Boundaries.

Help your child to see the bigger picture and help them to find solutions to their concerns. Let them know that it’s okay to have big feelings but some behaviors are just not acceptable. Be sure to remain, calm, clear and assertive in limit setting.   “I know it is difficult to wake up so early again when you are so used to sleeping in late. We have to go back to school though. What can we do to make your morning routine easier for you?”   “I know you are used to staying on Xbox late but we have to get back into school routine. The Xbox needs to go off by 8 o ‘clock.”   “I see that you are upset but it is not okay to hit/bite/yell”  

What to Look Out For:

Covid-19 was a big adjustment for our kids and going back to school will be another big adjustment. Some children have a harder time expressing or stating their feelings and may display some of the following behaviors:     All of the above are normal reactions to stress. If your child is experiencing these symptoms it may be helpful to contact your school social worker, guidance counselor or find a local therapist to help them learn to cope with their stessors.   To get an idea of what changes may take place to your child’s school routine please check out CDC guidelines at the following link: https://www.cdc.gov/coronavirus/2019-ncov/community/schools-childcare/schools.html With all the changes resulting form Covid-19, and continued uncertainty in the US, both parents and children are experiencing a variety of emotions. It is important to provide a space for your child to explore and discuss how they are feeling. By doing so, we can help them find solutions to problems they are anticipating and help them regulate their emotions.  

Listen for and acknowledge how your child is feeling.

By listening and looking for cues from our kids in what they are experiencing it gives us a starting point to say “hey are you frustrated/sad/worried/annoyed that school is starting up again?” Acceptance and a non-judgmental attitude will go a long way in getting your kid to not only share how they are feeling but to continue to open up about their concerns as time goes on. Monitor your body-language, tone of voice and facial expressions to ensure you are coming across as accepting, caring and non-judgmental. More important then what we say is how we say it. Kids pick up on those non-verbal cues, just like we do.  

Validate and normalize their perspective and experience.

Put yourself in their shoes and empathize with what they are going through. For example: “ I understand you are scared to see your friends again, I was nervous when I had to go back to work too.” “You feel worried about returning to school. It has been a lot of changes this month and you do not know what to expect.” “I can see you are super excited to go back to school and see all your friends!” “It’s hard adjusting to early wake-up times again, I hate mornings too. What are some things you are looking forward to in school that you missed?”  

Be curious about what this experience means to them.

If you are not sure how your child is feeling or what they may be thinking some curious questions may help you to gauge where they are at. Examples include: “How are you feeling about going to back school?” “I wonder if you may be feeling nervous about going back to school?” “What are you looking forward to most about going back to school?” “Are you concerned about changes to your school routine?  

Be encouraging and foster hope.

If your child is experiencing not-so-pleasant emotions try to help them problem solve, plan or find the silver lining. “I know you may be worried about taking the bus again, maybe we can see if you can sit with (the neighbor, your sibling, etc)” “I know this transition is really tough but it should be nice to see your friends again/get back into the classroom”  

Check-in after the school day is over.

This transition may be difficult for kids that were not expecting it to be difficult. Those that went in excited may feel disheartened by restrictions, those who were anxious may be more anxious because everyone was wearing masks.  Check in with your child to see what they are experiencing.  Examples include: “How was your day today?” “What was it like seeing friends again?” “What did you learn today?” “What did you like about today?” “Is anything worrying you?”

Seek additional support if needed. 

As always, if you need more support contact your school social worker, guidance counselor or contact a local therapist. How to quell your child’s anxiety when we are still unsure when schools are opening?   With Covid-19 still very much a part of our daily lives and no real direction as to when things will go back to “normal” it can be challenging to ease your child’s anxiety about when school will start again. As a general rule these two things will help you- help them manage their anxiety and expectations.  
  1. Listen and Validate Feelings. I know this was discussed in a previous blog post (link post here) but it cannot be stressed enough. Whatever your child is feeling is totally valid. It’s scary to not know when things will open up again and life will go back to normal. Online learning has been challenging for many kids and it may very well continue to be challenging. Validating how they are feeling will go a long way in easing their anxiety even if you do not have any definite answers for them.
  2. ROUTINE! I cannot stress enough the importance of maintaining some kind of routine with kids during this crisis. Every day they should still wake up by a set time, eat: breakfast lunch dinner around the same time, do school work for a set period of time and schedule in some fun breaks. Breaks are important. In school kids have lunch, recess, music, art and gym class. It’s incorporated into their routine for a reason- kids need a mental break. Schedule set blocks of time for work and set blocks for break time- still structured and ideally not playing video games (as it’s often a struggle to get them to reengage after). Youtube and Pinterest have great ideas for craft projects for younger kids and art ideas for teens. I am a big fan of the “how to paint x” videos and origami instructional videos. Outside time to run and play is also a needed and welcomed activity especially for our kids who struggle with ADHD. Even a music break where you have a family dance party can help get some of their frustrated energy out. Heck you can even have them help make lunch or a fun snack (like ants on a log) for the kids who love to cook and bake. Creative outlets are so important for our youth.
  Sample Routine:   8am- wake up 8:30- eat breakfast 9-11- school work 11-12- creative break 12- lunch time 12:30-2:30- school work   If your child struggles with certain subjects- it may be good to pair an “easy” subject and a “hard” subject in each school block. This way if Sammy struggles with Math and Science we are not expecting her to do what’s most challenging for 2 hours straight.   If you as a parent do not have the luxury of getting to work form home during this crisis and feel like it is unrealistic to expect your childcare to get the bulk of this schoolwork done- I feel you! Create a schedule for when you get home. Have your child do easier work with their daytime caregiver and whatever may require a little more assistance from mom or dad they can do with you once you get home. It may be nice to do a rewarding activity once their done as a kind of “carrot” for them to get their work completed. Weather that be bedtime stories together, a movie, playing catch outside or earning a sticker on a chart to work towards a bigger thing (a toy they want a date night with mom or dad) for those parents who cannot feasibly accommodate an added activity each night.   As always, if you are having significant difficulties getting your child to complete work or feel that this is becoming a constant battle- seek additional help. A therapist, your school social worker or guidance counselor will be able to help you figure out what is not working and identify solutions to make your day with your child go a bit more smoothly. All these changes are really tough for us as adults to deal with- and it is just as hard for our kids. A little extra support may be all they need to get back on the right track.
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