Category: Children

Unlock your child’s true potential with expert guidance on navigating ADHD in children. Discover effective strategies for helping your child thrive.

ADHD IN CHILDREN: 10 TIPS FOR REACHING THEIR FULL POTENTIAL

Raising kids and teens can be quite an adventure, filled with ups, downs, and everything in between. But when your child has Attention Deficit Hyperactivity Disorder (ADHD), the journey can come with unique challenges. That’s why I created this guide for parents on navigating ADHD in children and helping them reach their full potential.

ADHD is more than just a phase or a temporary difficulty—it’s a condition that affects millions of children and teens worldwide. But by providing the right tools, strategies, and support, you can make a tremendous difference in your child’s development and help them thrive.

What Is Attention Deficit Hyperactivity Disorder (ADHD)?

Attention Deficit Hyperactivity Disorder (sometimes called attention-deficit disorder or ADHD) is a neurodevelopmental disorder characterized by difficulty with inattention, hyperactivity, and/or impulsive behaviour. It’s estimated that 5-9% of children and 3-5% of adults have ADHD. One of the primary difficulties associated with ADHD is cognitive functioning, which affects a person’s thinking and reasoning.

The cognitive difficulties associated with ADHD can be divided into two main areas: executive functioning and attention/working memory.

Executive functioning

Executive functioning involves the ability to plan and organize, set goals, and regulate emotions. People with ADHD often have difficulty in these areas, making it hard for them to manage their daily activities and get tasks completed.

Attention and working memory

Attention and working memory (the ability to hold information in your mind for a brief period) are also affected in those with ADHD. This can lead to symptoms like:

• being easily distracted
• difficulty following directives
• trouble completing tasks

Other cognitive issues associated with attention deficit hyperactivity disorder in children 

Other cognitive issues that those with ADHD may experience include difficulty recognizing patterns, problem-solving, and understanding abstract concepts. These difficulties can make it difficult for those with ADHD to do well in school and maintain social relationships.

ADHD Symptoms In Children

Signs of inattention:

• Does not follow rules or instructions
• Loses materials/belongings
• Difficulty starting and completing tasks
• Avoid tasks that require sustained effort
• Gets easily distracted by self or others
• Appears to have trouble with memory (forgetful)
• Seems not to listen when spoken to
• Makes careless mistakes

Talk to your child’s teacher if you notice six or more of these common symptoms. If they have detected them, too, it is recommended to get your child assessed for ADHD. Remember that some children with ADHD, particularly girls, present without impulsive symptoms or hyperactivity.

Signs & Symptoms Of Hyperactivity In Children

Signs of hyperactivity are more noticeable than signs of inattention. Teachers and school counselors are the ones who typically see it firsthand due to the demands of classroom environments. However, kids vary in their level of activity and level of maturity.

• Very active, high energy, ‘driven by a motor’
• Interrupting others, having trouble with social skills, and talking too much
• Can’t wait in line or their turn when playing
• Prone to being clumsy and having accidents
• Squirm, fidget, pace
• Difficulty staying silent or calm
• Wanders and gets up constantly

When assessing hyperactivity, I always urge parents and teachers to determine if the activity/impulsivity is indeed above and beyond what a typical child would display at that age.

If you and your child’s teacher notice these signs, it is recommended to get your child assessed for ADHD.

10 Tips For Parents Managing Attention Deficit Hyperactivity Disorder In Children

As a parent, controlling essential environmental factors at home is key. If you can help your children with ADHD live a healthy lifestyle under your roof, then you can set them up to become happy, functioning adults later in life. 

Establish a strong home routine. 

Consistency is key for children with ADHD. Create a structured daily routine with set times for waking up, meals, homework, chores, and bedtime. Having a predictable schedule can provide a sense of stability and help children stay focused.

Create an organized environment. 

Reduce distractions by organizing the child’s living space. Use storage bins, labels, and color-coding systems to keep things tidy and easily accessible. Minimize clutter and create a designated study area with minimal distractions.

Break tasks into smaller steps. 

Large tasks can be overwhelming for children with ADHD. Break them down into smaller, more manageable steps. Provide clear instructions and use visual aids or checklists to help them stay on track.

Use visual reminders. 

Visual cues can be helpful for children with ADHD to remember tasks and responsibilities. Utilize visual schedules, calendars, or timers to help them stay organized and manage time effectively.

Provide frequent breaks. 

Children with ADHD often have difficulty sustaining focus and sit still for extended periods. Allow them to take short breaks during tasks or homework sessions. Encourage physical activity during these breaks to help release excess energy.

Encourage regular exercise. 

Physical activity has been shown to benefit individuals with ADHD. Encourage your child to exercise regularly or participate in sports, dancing, or martial arts, as it can help reduce hyperactivity and improve focus.

Implement behaviour management techniques. 

Positive reinforcement and reward systems can be effective in shaping desired behaviours. Offer praise, encouragement, and rewards for completing tasks, following instructions, or exhibiting self-control.

Limit screen time. 

Although television and video games do not cause ADHD, excessive screen time can take away from other important activities. It is important to establish reasonable limits on screen time and encourage other activities, such as reading, outdoor play, or hobbies that promote engagement and focus.

Foster open communication. 

Maintain open lines of communication with your child. Listen to their concerns, frustrations, and triumphs. Work together to problem-solve and find strategies that work best for them.

Seek professional support. 

Consider involving professionals, such as therapists, psychologists, or support groups, who specialize in working with children with ADHD. They can provide guidance, coping strategies, and additional resources to support your child’s development. 

What About Medication For ADHD?

Research suggests that a combination of psychotherapy and medication is the best approach to ADHD. It appears that starting psychotherapy first can be most beneficial.

ADHD is a neurodevelopmental disorder that, by definition, presents with cognitive and behavioral symptoms from early childhood. Although symptoms often decrease in severity in adulthood, they tend to remain throughout life.

Nevertheless, with proper diagnosis, treatment, and support, children (and eventually adults) with ADHD can learn to recognize their strengths and gain self-understanding to help them lead productive and meaningful lives.

Can Cognitive Behavioral Therapy Help With ADHD?

Cognitive-behavioral therapy (CBT), a form of psychotherapy that focuses on how thoughts and beliefs influence behaviour, can help children and adolescents with ADHD. The goal of CBT and behavioral treatments may include strategies to organize their materials, plan their work, and set reminders. Setting up the home environment to support children and teens with ADHD also helps with behavioral interventions.

Parents of children with attention deficit hyperactivity disorder are usually recommended to develop and maintain consistent routines at home. They are also encouraged to model explicit organizational skills and strategies, such as a family planner or calendar.

Can ADHD Cause Emotional Issues?

ADHD can also cause a range of emotional issues, such as difficulty controlling anger and frustration, anxiety disorders, conduct disorders, and low mood. Therefore, it is important for individuals with ADHD to be aware of their emotional responses and to develop strategies to manage them.

Therapy is recommended for children with ADHD who suffer from emotional and mood disorders. During therapy, the psychotherapist or psychologist works with the patient to identify and challenge negative or automatic thoughts that may be contributing to their symptoms.

Through this process, the therapist helps the patient learn to reframe their thoughts in a more positive and helpful manner, identify triggers for their symptoms, as well as techniques for managing their emotions. Self-regulation skills can include deep breathing, mindfulness, physical activity, pleasurable activities, or sensory activities.

Risks Associated With Untreated ADHD In Children 

Allowing children with ADHD to go untreated can have several potential risks and negative consequences. 

Academic difficulties

ADHD can significantly impact a child’s academic performance. Inattention, impulsivity, and difficulties with organization can make it challenging for them to concentrate, complete assignments, and follow instructions in the classroom. Eventually, symptoms can lead to falling behind in school, lower grades, and decreased academic achievement.

Social and relationship challenges

Children with untreated ADHD may struggle with social interactions and forming positive peer relationships. Their impulsive behaviours, difficulty with turn-taking, and inattentiveness can lead to misunderstandings, conflicts, and social isolation. Unfortunately, these struggles can negatively affect their self-esteem and overall social development.

Emotional and mental health issues

ADHD is sometimes accompanied by emotional and mental health challenges. Children with untreated ADHD may experience increased frustration, anger, and irritability due to their difficulties with impulse control and managing emotions. They may also be at higher risk for developing anxiety, depression, and low self-esteem.

Risk-taking behaviour

Sometimes, children and teens with untreated ADHD can engage in impulsive and risky behaviours. Children with ADHD may engage in dangerous activities without considering the consequences, leading to accidents or injuries. Teens in particular may also be more prone to experimenting with substances, as impulsivity and thrill-seeking behaviours increase the likelihood of engaging in risky behaviours.

Long-term impact

If left untreated for too long, childhood ADHD can have long-term effects throughout life. The difficulties experienced in childhood can persist into adolescence and adulthood, impacting academic and career success, relationships, and overall quality of life. Untreated ADHD may also increase the risk of developing comorbid mental health conditions, such as anxiety disorders or substance use disorders.

Get Help: Neuropsychology Intervention

Are you ready to take the next step in supporting your child with ADHD? Dr. Leon is an experienced pediatric neuropsychologist. Explore our online neuropsychological intervention services today and discover the transformative impact they can have on your child’s life.

Read These Next

• More on parenting children with ADHD: Parenting a Child With ADHD (for Parents)
• More on academic achievement and ADHD: ADHD – How To Help Teens Who Aren’t Living Up To Their Potential 
• Some excellent Q&As by the American Psychiatric Association: Attention-Deficit/Hyperactivity Disorder (ADHD)

Frequently Asked Questions 

I have ADHD. Will my child have ADHD? 

ADHD is highly hereditary (meaning it often occurs in families). Parents with ADHD are 40% more lilely to have a child of ADHD.

Can ADHD symptoms change as a child grows older? 

ADHD symptoms can evolve as a child matures. While hyperactivity may decrease with age, inattention and impulsivity can persist into adolescence and adulthood. Be sure to monitor and adapt strategies at home to address changing needs.

Are there any specific parenting techniques or strategies that can help children with ADHD? 

Several parenting techniques can benefit children with ADHD. These include establishing clear rules and expectations, using positive reinforcement, providing structure and routine, breaking tasks into manageable steps, and promoting open communication. Consider exploring parent consultation services to learn more. 

How can I effectively communicate with my child’s teachers about their ADHD and support their educational needs? 

Share information about your child’s ADHD diagnosis, discuss their strengths and challenges, and collaborate on strategies to support their learning in the classroom. Regular check-ins, progress updates, and an individualized education plan (IEP) can facilitate effective communication and support.

Are there any dietary or lifestyle changes that can help ADHD management in children? 

While no specific diet has been proven to cure ADHD, some evidence suggests that a balanced diet rich in omega 3s, fruits, vegetables, whole grains, and lean proteins is best for brain health. Additionally, regular exercise, adequate sleep, and low-stress can contribute to overall well-being and can minimize the impact of ADHD symptoms. Consulting with a healthcare professional or a registered dietitian can provide personalized guidance.

In Summary

You can support ADHD kids by establishing clear routines and structures to help them stay organized and focused, breaking tasks into manageable steps with regular breaks to avoid overwhelm. Utilizing positive reinforcement and praising their efforts to boost confidence and motivation, while also employing strategies like visual aids, timers, and frequent check-ins to help them stay on track and manage their time effectively is also crucial. Finally, encourage their interests and strengths, fostering a supportive environment that celebrates their accomplishments and provides outlets for their creativity and energy.

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8 WAYS TO PROMOTE GOOD SLEEP HYGIENE FOR KIDS

We all know how crucial a good night’s sleep is for children’s growth and well-being. In this blog post, we’ll explore practical strategies to establish a solid sleep routine and create a sleep-friendly environment for your little ones. 

Here’s what parents need to know about promoting positive sleep hygiene for kids. (Bonus: these tips work well for grown-ups, too!) 

What Is Sleep Hygiene? 

Sleep hygiene refers to a set of healthy sleeping habits that enables children and adolescents to fall asleep more quickly and can enhance sleep duration and quality. Without good sleep hygiene, children can experience sleep issues, including difficulty falling asleep, frequent night wakings, and waking up too early.

What Are The Side Effects Of Poor Sleep Hygiene In Children? 

If your child suffers from sleepless nights, you may have noticed some less than ideal side-effects. Research shows that not getting enough sleep can cause:

• Daytime sleepiness
• Behavioral issues (irritability, mood swings, temper tantrums)
• Reduced cognitive functioning (memory, attention, problem-solving)
• Physical health problems (weakened immune function, obesity)
• Emotional disturbances (anxiety, mood disturbances, symptoms of depression)
• Impaired growth and development
• Increased risk of accidents
• Difficulty concentrating and learning
• Academic performance decline
• Higher susceptibility to illnesses and infections
• Impaired decision-making abilities

8 Ways To Establish Good Sleep Hygiene In Children

Consistency and routine are key in establishing sleep hygiene. Here are recommendations to help your child get better sleep:

1. Maintain a consistent bedtime. 

Maintaining a consistent bedtime is a key factor in promoting healthy sleep habits for children. Our bodies have a natural internal clock, known as the circadian rhythm, which regulates our sleep-wake cycle. 

When we establish a regular bedtime routine and stick to it, we help synchronize this internal clock, making it easier for our kids to fall asleep and wake up at the desired times.

To optimize the effectiveness of a consistent bedtime, aim for a window of around 30 minutes. 

2. Get plenty of exercise during the day. 

Between computers, television, and cell phones, many kids and teens don’t get sufficient regular physical activity. 

Make sure your child is physically active (getting out of breath) at least 15 minutes per day. 

Stuck inside because of the weather? Make an effort to turn off the TV and cellphones and get moving. Race inside the halls of your home, practice cartwheels and handstands, go walk in a mall, anything to get your kids moving. 

3. Spend time outside. 

Incorporating outdoor time into your child’s daily routine can have a positive impact on their sleep hygiene. Aim for at least 30 minutes of outdoor playtime each day, preferably during daylight hours. 

Whether it’s a walk in the park, playing in the backyard, or participating in outdoor sports or activities, encourage your child to spend time outside and soak up the natural light.

Even on cloudy or snowy days, sunlight still filters through the clouds and provides beneficial rays. When we spend time outdoors, our eyes receive natural light, which stimulates the production of serotonin, a neurotransmitter that promotes wakefulness and positive mood. 

This exposure to sunlight during the day helps reinforce our natural circadian rhythm, making it easier for our bodies to distinguish between day and night.

4. Bedtime should be boring! 

Creating a relaxing bedtime routine is crucial in preparing your child’s body and mind for sleep. The concept of “bedtime should be boring” emphasizes the need to avoid stimulating or exciting activities close to bedtime, as they can interfere with the natural transition to sleep.

Consider incorporating the following into your child’s bedtime routine: 

• Soft, relaxing music
• Reading age-appropriate books 
• Relaxing sensory activities, such as puzzles, drawing, coloring, or engaging with sensory toys like stress balls or squishy toys 

5. Never underestimate the sleeping environment. 

Creating a dark and soothing sleep environment is crucial for promoting quality sleep in children. Removing sources of light, such as electronics and alarm clocks, and investing in blackout curtains can help create a conducive atmosphere. 

While a dim night light may provide comfort, minimizing exposure to electronic devices and incorporating calming elements like white noise machines or fans can enhance the sleep environment. 

Prioritizing a dark and peaceful setting helps signal to the child’s body that it’s time for rest, improving their sleep quality.

6. Night wakings. 

If your child/teen is unable to fall asleep at bedtime or during the night for more than 45 minutes, encourage them to get up, stretch or do something boring until you feel sufficiently sleepy. No electronics! Lights should remain dimmed.

It is recommended that night lights be 2000 kelvins or less (i.e., the light should be of red-yellow hue, warmth is measured in kelvins) and 50 lumens or lower (lumens is a measurement of how much light the bulb gives off).

7. Relaxation techniques. 

Learn and practice together relaxing strategies to help reduce tension before sleep, such as meditation, mindfulness exercises, and progressive muscle relaxation. My favorite is the happy place visualization technique.

8. Address mental health issues. 

Anxiety and depression are known to interfere with sleep, make sure these are being addressed in child psychotherapy or adolescent psychotherapy.

Things To Avoid For Healthy Sleep Hygiene 

1. Caffeine in the afternoon or later. Be aware that caffeine is present in coffee and tea but also in sodas and chocolate (and most Starbucks drinks!)
2. Sending your child to bed with a full stomach or full bladder. Digestion and having to use the washroom can disrupt your child’s sleep. Late night snacking might be a cue that the body is tired rather than hungry.
3. High intensity exercise or hot baths right before bed. Research shows that the body temperature must be cool to feel comfortable falling asleep. However, light exercise and a warm shower or bath right before bedtime can help some individuals relax. Experiment with what works best for your child.
4. Electronics at least 30 minutes before bed. This includes the computer, tablet, phone, and TV. If listening to music, make sure not to look at the screen. 
5. Checking the time, as this may create more anxiety. Make sure your child or teen’s alarm clock face is turned away so that they’re not constantly checking the time. 
6. Sleep trackers should be used with caution. For some teens, it can create more anxiety knowing they didn’t spend sufficient time in deep sleep. Focusing on ”feeling refreshed” might be a better metric.

If Ongoing Sleep Issues Persist

Of note, if your child continues to have difficulty with sleep despite implementing the above suggestions, you should talk to your family doctor to rule-out medical issues, such as obstructive sleep apnea. Your family doctor can also recommend supplements to help with sleep (like melatonin or magnesium) if needed.

Parent Consultations For Bedtime Solution: Parent Consultations

If you’re struggling with specific sleep issues or need personalized guidance in forming effective bedtime routines for your child, Dr. Leon can help. Each session includes expert advice and tailored strategies to address your child’s unique needs. 

Prioritize your child’s sleep health and schedule a parent consultation today to unlock the secrets to better bedtime routines and improved sleep for the whole family. 

Read These Next

• More excellent tips for developing strong sleep hygiene: 20 Sleep Hygiene Tips and Worksheets for Kids & Teenagers
• Some expert strategies for problem solving: Sleep Strategies for Children

Frequently Asked Questions

How much sleep do children need at different ages? 

The recommended sleep durations vary by age. On average, preschoolers (3-5 years) need 10-13 hours, school-age children (6-12 years) require 9-12 hours, and teenagers (13-18 years) should aim for 8-10 hours of sleep per night.

Are there any specific bedtime routines that can help promote better sleep? 

Yes, establishing a consistent bedtime routine can be highly beneficial. A bedtime routine might include activities like a warm bath, reading a book, listening to calming music, or engaging in relaxation exercises. The key is to choose activities that promote relaxation and signal to the child that it’s time to wind down and prepare for sleep.

How can I create a sleep-friendly environment in my child’s bedroom? 

To create a sleep-friendly environment, ensure the bedroom is dark, quiet, and at a comfortable temperature. Remove or minimize sources of light, use blackout curtains or blinds, and consider using white noise machines to block out disruptive sounds. Keep the bedroom free from electronics and ensure a comfortable mattress and bedding.

What strategies can I use to address bedtime resistance and ensure my child falls asleep easily?

To address bedtime resistance, establish a consistent sleep schedule, set clear expectations and boundaries, and gradually adjust the routine if needed. Create a calming bedtime routine, provide comfort and reassurance, and limit stimulating activities close to bedtime. If the resistance persists, consult with a pediatrician or sleep specialist for further guidance and support.

In Summary

You can promote good sleep hygiene for kids by establishing a consistent bedtime routine that includes calming activities like reading or gentle music, helping signal their bodies it’s time to wind down. Create a sleep-conducive environment by keeping their bedroom dark, cool, and comfortable, limiting screen time before bed, and ensuring they get enough physical activity during the day to support restful sleep. Encourage regular sleep schedules, aiming for age-appropriate amounts of sleep each night to promote better overall health, mood, and cognitive function.

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Learn to boost your child’s social and emotional development through reading. Equip your child with essential skills for a brighter future. 

HOW TO TEACH SOCIAL-EMOTIONAL LEARNING THROUGH READING

You might initially think reading books is good for language development—and you’d be right! Reading books can help a child learn vocabulary they don’t frequently encounter, and it can help them learn syntax and grammar. 

But reading books with your children means so much more than that. 

It’s also important to promote positive behaviours and cognitive and social development—especially when incorporating Social Emotional Learning (SEL) principles into reading activities. 

In this article, I’ll explore how parents can teach social-emotional skills through reading and how you, as a parent, can help support language, cognitive, social, and emotional intelligence using books as early as infancy.

Benefits Of Teaching Social-Emotional Learning Through Reading 

The body of research supporting social-emotional learning continues to grow. Combining the power of storytelling with social-emotional skills concepts helps parents:

• Foster positive relationships and social behaviours.
• Teach children about how others handle situations.
• Boost peer relationship skills.
• Expose children to various emotions.
• Teach social norms.

Children 0 to 18 Months Old

Picture books are a great way to introduce babies and toddlers to the world. Start by using picture books to point at objects and name them. You can also point out colors and shapes. Eventually, you can move on to pointing out actions (e.g., the boy is running/eating/ crying). 

At this age, your child may be unable to sit through a whole story (that’s okay). So each time you pick up a book, focus on a different aspect of the story. Repetition is good, so a few books are sufficient. 

When reading whole stories, choose books that are short and rhyme. Rhyming is very important for early language development.

Children 18 Months To 3 Years Old

As your child’s language, cognitive, and motor skills develop, start asking your child to point to objects on the page (e.g., Where is the duck? Show me the duck!). 

Start with obvious elements of the book and work towards elements that might be less noticeable or harder to find. This will teach your child to scan a page for information. 

Also, point out how that same thing might look different on another page because it’s drawn from a different angle (e.g., here is the girl eating, here is the same girl taking a bath).

Children 3 To 6 Years Old

When your child starts speaking in sentences, ask them questions about the story before turning to the next page (e.g., what happens next?). 

You will notice that even with books you may have read together many times, they might not have yet been able to retain the storyline or understand action-reaction. 

Then you can start asking questions that work on perspective taking: how is the boy feeling (point to sad face), why does the boy look sad?

Children In Elementary School

At first, shared reading (where the child reads one page, and the parent reads the other page) can help a new reader to continue enjoying books. Pre-reading activities can also support reading comprehension. 

Reviewing pictures and subheadings along with new vocabulary and concepts before beginning to read can help your child link new information with material that was learned previously. 

Asking questions about the material is also important; factual questions and questions requiring your child to make inferences and predictions are best.

Children In High School

At this point, shared reading is no longer an option, but you can continue supporting reading by having books available in the home. Books are expensive, and not everyone has the space to store large quantities of books. 

I suggest leveraging your public library as a resource. Every few weeks, visit your library and encourage your teen to pick a book. 

Maybe your teen prefers comic books, and those are fine too. The joy of reading is something built over time.

Don’t Forget Parent Modeling!

If you switch on the TV (or get on your phone) as soon as supper is done and don’t turn it off until you go to bed, it’s hard to expect your child not to do the same. 

Model for your child by picking up a book in the evening and reading a few pages. 

Reading before sleep can help you feel sleepy and reduces the negative effects of blue light emitted from electronic devices, which can harm your sleep cycle. If reading regularly is new for you, start small (5 mins) and work your way up.

Get Help: Parent Consultation Services

Whether you require assistance selecting appropriate books, implementing effective strategies, or assessing your child’s progress, Dr. Leon’s parent consultation services can provide valuable insights and resources to enhance your SEL journey. 

With a post-session summary of recommendations and access to additional resources, you’ll have the support you need to navigate the complexities of teaching SEL through reading. 

For further reading: 

• For more on teaching social-emotional learning through books – Reading Supports Social Emotional Learning
• A more detailed overview of the benefits of teaching social-emotional learning through reading – The Benefits of Reading to Your Children: Social-Emotional Development

Frequently Asked Questions 

Why is social-emotional learning important for children’s development?

Social-emotional learning is crucial for children’s development as it helps them acquire and apply essential skills like self-awareness, empathy, communication, and emotional regulation. These skills contribute to their overall well-being, academic success, and positive relationships with others.

How can reading books help teach social-emotional skills?

Reading books is an effective way to teach social-emotional skills because stories provide a platform for children to explore different emotions, perspectives, and social situations. Through reading, children can empathize with characters and learn valuable lessons about empathy, resilience, and problem-solving.

What are some recommended books that promote social-emotional learning?

There are numerous books that promote social-emotional learning. Some popular examples include:

•  “The Invisible Boy” by Trudy Ludwig, which focuses on kindness and inclusion
•  “The Feelings Book” by Todd Parr, which helps children identify and express their emotions
• “The Recess Queen” by Alexis O’Neill, which tackles issues of respect and cooperation

In Summary

Teaching social-emotional learning (SEL) through reading involves selecting books that feature diverse characters and themes, enabling children to empathize and understand various emotions, perspectives, and experiences. Engage children in discussions about the characters’ feelings and behaviors, connecting these insights to their own emotions and social interactions, fostering empathy and self-awareness. Use stories as a platform to explore SEL competencies like self-regulation, relationship skills, and responsible decision-making, encouraging reflection and guiding children in applying these lessons to their own lives.

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A parent’s guide to cultivating empathy in children by nurturing compassionate connections—here’s what you should know about developing empathy in children. 

5 SIMPLE STEPS FOR PROMOTING EMPATHY IN CHILDREN

You’re here because you find yourself grappling with a question like this:

“My child does not seem to understand when they hurt others’ feelings. How can I help them develop their capacity for empathy?”

It’s not uncommon for children to struggle with empathy at certain stages of development. Your proactive approach to addressing this issue is commendable, so you’re on the right track just by reading this article. Empathy is a complex ability that develops over time, and I’m here to provide you with guidance and practical strategies to support your child’s journey toward empathy.

Here’s what parents need to know about developing empathy in children.

What Is Empathy, And Why Does It Matter?

Empathy is the ability to understand and share the feelings of others. It holds immense significance in fostering happiness, meaningful social relationships, and social skills. Parents play a key role by recognizing its value and actively nurturing empathy and empathic responses. 

When Should Children Exhibit Empathy?

There is no specific age at which a child should have empathy (as I’m sure you already know, even adults can struggle with empathy!) Like most skills and abilities, advanced levels of empathy develop throughout childhood and teenage years. In fact, empathic responses are intricately linked to a child’s emotional and cognitive development.

Children will eventually develop what’s called theory of mind—a crucial cognitive milestone and building block in the development of empathy. Theory of mind refers to the ability to understand and attribute mental states, such as beliefs, desires, intentions, and emotions, to oneself and others. It involves recognizing that individuals have their own thoughts and perspectives which may differ from one’s own.

Children develop theory of mind gradually over the course of their early childhood years. Different children may develop theory of mind at different rates, and individual differences can occur.

Factors such as cultural influences, language development, and social experiences can also impact the progression of theory of mind. With that in mind, here are some general milestones most parents can expect to see as their children develop theory of mind and gain empathy.

Stage 1: Infancy (0-12 months)

During this stage, infants start developing awareness of their own mental states and begin to differentiate between self and others. They may display basic forms of empathy, such as imitating facial expressions.

Stage 2: Toddlerhood (1-3 years)

Children then begin to recognize that others have different perspectives and knowledge. They may engage in “joint attention” by following someone’s gaze or pointing to share an object of interest. They also start using basic mental state language, like saying “I know” or “I don’t know.”

Stage 3: Preschool Age (3-5 years)

Children become more skilled at understanding others’ thoughts and feelings. They can engage in pretend play, taking on different roles and understanding that characters in stories have different perspectives. They also develop a basic understanding of false beliefs, recognizing that someone can have an incorrect belief about a situation.

Stage 4: School Age (5-7 years)

At this stage, children’s theory of mind continues to develop further. They become more adept at understanding and predicting others’ behaviors based on their mental states. They understand that people can have hidden thoughts, make inferences about others’ feelings, and become more skilled in perspective-taking.

How Can I Develop My Child’s Cognitive Empathy?

Throughout childhood, two crucial building blocks for empathy are emotional awareness and perspective-taking.

Emotional awareness

Emotional awareness refers to the ability to correctly identify one’s own and others’ emotions. Moreover, emotional awareness is crucial for emotional regulation. You can promote emotional awareness in children (and in yourself!) by frequently using more varied emotion words.

Parents tend to use the same three emotion words when speaking with children: happy, sad, and angry. Try to expand your child’s vocabulary as a role model by using more specific words to describe positive and negative emotions, like:

• Excited
• Delighted
• Surprised
• Disappointed (one of my favorites)
• Defeated
• Frustrated
• Impatient
• Bored
• Lonely

You can use these words to describe your child’s emotions, your own, and the emotions of peers and characters in books and movies.

Although there are many helpful and educational materials dedicated to this subject, nothing can replace parent modeling (teaching by doing).

Perspective-Taking

Perspective-taking refers to the ability to put oneself in somebody else’s shoes and see the situation from their standpoint.

You can promote perspective-taking in your child in several ways.

1- Considering Feelings 

Ask open-ended questions that invite your child to speculate about what others might be feeling or thinking based on language and body language. Encourage them to seek confirmation by engaging in dialogue or actively listening to other’s perspectives.

2- Gift Giving

Children can also learn perspective-taking (and empathy) through gift-giving. Whether for birthdays or the holidays, encourage your child to participate in choosing, buying, preparing, or wrapping gifts for someone else.

Encourage them to think about what another person would like to receive based on their interests/preferences. Discuss with your child how they think someone might feel when they receive a gift they want versus one they did not want.

3- Volunteering

Volunteering can also teach kids about empathy and compassion, as it can help build tolerance (through exposure to diverse individuals) and a greater sense of being connected to one’s community.

Recognizing When to Seek Help: Child Psychotherapy Services

As a parent, you play a vital role in supporting your child’s growth, including how they develop empathy. If you find yourself in need of additional guidance or specialized support, I encourage you to reach out for a consultation with Dr. Leon.

Dr. Leon can help provide the necessary tools and strategies to nurture your child’s social-emotional well-being and ensure they thrive in their relationships and interactions with others. If your child struggles with negative feelings, aggressive behavior, or empathy skills, then Dr. Leon can help. 

Take the first step and schedule a consultation today to give your child the best opportunity for a bright and empathetic future.

Read These Next

• More on developing empathy in children: How Children Develop Empathy | Psychology Today
• If you run into problems along the way: Empathy in Children: Common Issues and What to Do – Cadey

Frequently Asked Questions

What age is appropriate to start teaching empathy to children? 

Empathy development begins in infancy, but it is an ongoing process that continues through childhood and adolescence. While there is no specific age to start teaching empathy, parents can begin introducing age-appropriate concepts and activities as early as toddlerhood. Simple gestures like labeling emotions and encouraging sharing can lay the groundwork for empathy at a young age.

What are some common challenges parents may encounter while trying to develop empathy in their children?

Some common challenges parents may face when fostering empathy in children include resistance or lack of interest and navigating conflicts with peers. 

To overcome these challenges, parents can:

• Provide consistent guidance and reinforcement
• Create a safe and empathetic environment at home
• Encourage open communication
• Offer alternative perspectives to broaden their child’s understanding

In summary

You can promote empathy in your children by modeling empathetic behavior, demonstrating kindness and understanding in your interactions. You should encourage perspective-taking and teach children to recognize emotions in others by discussing feelings and perspectives in different situations, fostering understanding and compassion. Finally, engaging in activities that promote empathy, such as volunteering, reading books with diverse characters and themes, and encouraging open discussions about emotions and different points of view is also important.

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Learn what concussions are, how they affect children, steps for prevention, and tips for supporting recovery.

CHILDHOOD CONCUSSIONS 101: THE ULTIMATE PARENT’S GUIDE

As parents, we know that children and teens are naturally curious and full of energy, which can sometimes lead to accidents. Whether it’s during contact sports and collision sports activities, playground adventures, biking, or even everyday mishaps, head injuries such as concussions can occur.

In this guide, I’ll walk you through the fundamental aspects of childhood concussions, from understanding what they are and how they occur to recognizing the signs and symptoms. I’ll also provide expert advice on prevention strategies to lower the risk of concussion and share valuable insights into the recovery process. 

What Is A Concussion?

A concussion is a mild brain injury that occurs when the brain experiences a sudden jolt, blow, or impact. It typically results from a direct hit to the head, face, neck, or body that causes the brain to move rapidly within the skull. Think of the brain as a squishy fish in a very small round tank (skull) who is being shaken.

Indirect forces, such as whiplash-like movements or violent shaking of the head, can also cause concussions.

During a concussion, the impact disrupts the brain’s normal functioning, leading to various symptoms and temporary changes in brain function.

What Are Some Common Child And Teen Concussion Symptoms?

Doctors and healthcare providers can diagnose concussions based on the signs of concussion your child exhibits. Signs and symptoms of concussion might include:

• Fatigue
• Sensitivity to light and noise
• Inattention & delayed reaction time
• Difficulty with problem-solving
• Memory and learning challenges
• Dizziness & blurry vision
• Headache
• Vomiting
• Getting frustrated or upset very quickly

All children should be monitored after a concussion, but most concussions do not require emergency treatment unless symptoms increase in severity (e.g., seizure, slurring of words) over the first few hours, in which case a trip to the hospital is necessary as it may indicate a more severe brain injury. 

Medical imaging techniques, including X-rays, CT scans, or MRI scans, may be necessary to diagnose injuries that go beyond a concussion.

How Long Do Symptoms Of A Concussion In Children Last?

Concussion symptoms typically last from a few days to a few months, and interestingly, the severity of the hit does not always correlate with the intensity or duration of symptoms.

Even seemingly minor head impacts, like a fall during a leisurely walk, can lead to a concussion. At the same time, more significant incidents, such as car accidents, may result in a milder injury. 

Unfortunately, the factors that predict the severity and duration of symptoms are still not well understood.

So it’s essential to note that despite a child appearing and feeling back to normal, they may still experience subtle cognitive inefficiencies, indicating that the recovery process can still be ongoing.

How To Protect Your Child Against Concussions

Prevention is always better than cure. To minimize the risk of concussions in children, it’s crucial to take proactive measures and create a safe environment for their activities.

Here are some practical steps you can take.

Helmets: A Must-Have Gear

Always ensure your child wears a helmet when engaging in activities such as biking, skiing, roller skating, or any other activities faster than running speed. A proper helmet (right size and tighly tied) provide vital protection for the head and can significantly reduce the risk of concussions.

Buckle Up for Safety

Whether traveling in a car or participating in sports that involve vehicles, ensure your child always wears a seatbelt. Adjust the seatbelt according to their height to provide optimal protection and minimize the likelihood of head injuries in case of an accident. Always make sure that car seats are for the appropriate height and weight of the child.

Choosing Safer Activities

While adventure is essential for children’s growth, it’s advisable to steer them away from sports or activities with a high risk of concussions. Encourage them to engage in safer alternatives that still promote physical fitness and fun.

Supporting Recovery From Concussions In Children and Teens

My child has had a concussion. Now what? 

First, know that even the most cautious parents sometimes experience events out of their control that lead to a child’s concussion.

The good news is that most children will recover from their concussions without lasting effects. If your child has experienced a concussion, there are several steps you can take to aid their recovery and promote brain healing.

Reducing Sources of Stress

Concussions can diminish a child’s ability to cope with daily stress and impact their mental health. Identifying and reducing stressors in their environment can create a calmer and more supportive atmosphere for their recovery.

Addressing Mental Health

Concussion symptoms, such as irritability and difficulties with problem-solving, can make children more susceptible to mental health challenges. Promptly addressing any emerging mental health difficulties and seeking professional help when needed is crucial in ensuring their well-being.

Nurturing Positive Social Relationships

Encourage your child to engage in positive social interactions. Building and maintaining healthy relationships with family and friends can provide emotional support and aid in their recovery journey.

Prioritizing Sleep Hygiene

Adequate rest is essential for the healing process. Promote good sleep hygiene by establishing a consistent sleep routine and creating a comfortable sleep environment for your child.

Emphasizing a Balanced Diet

Proper nutrition plays a vital role in recovery. Ensure your child consumes a balanced diet rich in nutrients that support brain health, such as fruits, vegetables, whole grains, and lean proteins.

Regular Exercise

Engaging in regular exercise can contribute to overall well-being and aid in the recovery process. Encourage your child to participate in age-appropriate physical activities, as recommended by their healthcare provider.

Avoiding Alcohol, Smoking, and Drugs

If you have a teen at home who has suffered from a concussion, then it’s more important than ever to enforce a strict no alcohol and drugs policy. Alcohol, tobacco, and drug use can have detrimental effects on the healing process. It’s crucial to create a substance-free environment for your child during their recovery from a concussion. Also be mindful of second-hand smoke.

Mental Health, Stress, And Concussions

Concussions can reduce your child’s ability to deal with daily stress and affect their mental health. Concussion symptoms such as irritability and trouble with problem-solving can make your child more vulnerable to stress.

Although the exact link is still poorly understood, children who have had concussions are also more likely to experience suicidal ideation.

Therefore, reducing stressors and focusing on pacing can be beneficial. Pacing refers to becoming attuned to cognitive (mental) fatigue and ensuring that the child is never overexerting themselves (which can result in meltdowns or panic-like symptoms) but rather working at a steady and somewhat slower pace with plenty of breaks and rest.

The Dangers of Second Impact Syndrome

If your child has had a concussion, then you should also know about the lasting effects of brain injuries, including Second Impact Syndrome. There are several potential risks associated with sustaining a second concussion within a two-year period of time after the initial concussion.

Such occurrences can lead to more severe symptoms and long-lasting effects. In extremely rare circumstances, a second concussion can cause the brain to lose its ability to regulate pressure which then triggers the brain to swell and get crushed against the skull resulting in death or severe impairment.

This alarming condition, known as “second impact syndrome,” underscores the significance of safeguarding your child’s brain health, especially after a concussion.

Ensure A Smooth & Complete Concussion Recovery: Neuropsychology Intervention

If you find yourself in need of professional support and intervention for your child’s neuropsychology needs following a concussion, we encourage you to book an appointment. Dr. Leon’s expertise and specialized care can make a positive difference in your child’s recovery journey.

Take the next step towards ensuring the best possible outcomes for your child, and explore our neuropsychology intervention services today. Your child’s future health and well-being are worth it!

Read These Next

If you’re looking to delve deeper into the topic of concussions in children, consider exploring the following resources.

• CDC recommendations on aiding children in recovery from a concussion: Recovery from Concussion | HEADS UP | CDC Injury Center
• More recommendations with a particular focus on symptoms: How Can I Help My Child Recover After a Concussion?
• Interesting study on the effects of concussions: Long-term outcome after traumatic brain injury – PMC (nih.gov)

Frequently Asked Questions 

What are the potential long-term effects of childhood concussions? 

While most children recover fully from concussions, there can be potential for short- to moderate-term effects, such as difficulties with attention, memory, learning, and emotional regulation. Long-term effects can happen in those with a history of prior concussions. Be sure to manage concussions properly and follow the recommended recovery process to minimize the risk of long-term effects.

How long does it typically take for a child to recover from a concussion? 

The recovery time for concussions varies for each child and depends on factors such as the severity of the injury and individual differences. Most children recover within a few weeks to a few months. However, some cases may take longer. The recovery process should be gradual, with appropriate rest and monitored progression.

Are there any specific activities or sports that pose a higher risk of concussions for children? 

Certain activities and sports carry a higher risk of concussions for children, such as contact sports like football, hockey, and soccer. Activities involving high-speed or impact, such as biking, skateboarding, and horseback riding, also pose risks. You cannot prevent all concussions, but ensure proper safety measures, such as using protective gear like helmets. Return-to-play guidelines should also be followed to minimize the risk of a repeat concussion.

In Summary

Parents should closely monitor their child following a concussion, seeking immediate medical attention if any severe symptoms like loss of consciousness, seizures, or worsening headaches occur. After receiving medical clearance, it’s important to allow the child to rest both physically and cognitively, gradually reintroducing activities as symptoms improve and following the healthcare provider’s guidelines for returning to school and sports to prevent re-injury. It is also important that parents offer emotional support, patience, and understanding during the recovery process, ensuring the child feels supported while allowing ample time for full recuperation before resuming regular activities.

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