Goal setting

Goal Setting

By Patience Domowski

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If you don’t know what you’re aiming for, how will you know if you hit it? I remember my dad saying this to a class he was teaching on how to teach. He was discussed making lesson plans for a classroom. I think this also applies to life goals. How will we know if we’ve achieved something or gotten where we want to go, if we don’t make a plan or know what we want?

Often in my work with children and young adults who are unmotivated to do their homework, school assignments, prepare for the future, get a job, etc I help them identify goals and things they want in their future. By just focusing on the things that bother them about their current situation in life, it will further depress them and make them continue to not make progress. However if you focus on something you really want that may be in the near or distant future, you will be more motivated to take the steps to get there.

If you, or your child, or anyone you know, is feeling stuck and not doing the things they know they need to do, try these strategies for making goals and accomplishing them. After they make a goal worksheet and plan, connect their future goals to things they need to do now in order to motivate them. If someone wants a certain career, they need to start with trying hard in school as a child. If someone wants to buy something that costs alot of money, they need to start finding ways to make more money now- job, or selling items, cutting costs, etc. There is always something to start with now, even if the overall goal is a long time off.

Steps to achieving goals:

1) Identify a Goal! 

a) It can be a big or long term goal like ‘Own my own company’, or something smaller like ‘Pass Math class this quarter’.

b) It should be a goal that is something you really want- not just what you parents want or you think you should want. You won’t achieve a goal you don’t care about. You might not be super passionate about it at first, or feel the goal is too far in the future to care enough about, but trying to identify anything to start with will help you get more motivated to try in the little things now that will get you closer to your goal.

c) The goal should be concrete. Abstract goals like ‘Be famous’ or ‘Be successful’ are okay to start with but then you need to add concrete plans underneath that with more specifics such as if the goal is ‘Be a famous singer’ then add a more specific statement so you know you have achieved this goal such as  ‘Have my song played on the radio’.

d)The goal should be achievable. While you might not know now if you can pass Algebra, or become a football player, try to think realistically if this is possible. Do you want be a doctor but failed every biology class and can’t stand the sight of blood? That might be not a legitimate goal. Or saying you want to be a professional sports player but your coach doesn't think you’re really quite at that level of talent. So try to think of something more likely or even something similar like ‘Work in the Sports industry’, or ‘Have a career helping people’.

e) Write it down. (Or draw it, cut out pictures and make a vision board, other creative options).

2) Write an approximate date to achieve the goal.

a) You may not know when this will happen, but set an approximate time frame to accomplish the goal, such as ‘End of the school year’, ‘in Five years’, ‘after I graduate college’.  Giving a time frame will help you stick to the goal better than a ‘sometime in the far away future’ that may feel too abstract to even start working on yet.

b) If you aren’t sure about what date to place, can ask someone else for ideas of when they think you might achieve the goal.

3) Identify the steps to achieve your overall goal.

a) Write the steps down in an order of what needs to happen first, second, third, or just things that have to happen to get to the goal, if order doesn't matter. (To start, just jot down all your ideas and then go back and put them into a more sensible order.)

b) Steps should be specific, if possible. Example: ‘Do my homework’ to get to goal of passing this school year, or ‘pick three colleges/jobs to apply to’ if you are working towards planning a future college/career plans. Be as specific as possible, but can use more general ideas if needed. For example “Get into college” is general, but naming a specific college is better, but if you don’t know which college yet, general is fine. “Get a job”, is general, but more specific would be to name some job options you want to explore like ‘Get a job in an office setting’ or ‘Apply to plumbing jobs’.

c) If you don’t know what steps you need to get to your goal ask for help. Look online, ask your parents/teachers/friends, seek consulting from an expert if needed. (see step 4 below).

d) The in-between steps are the most important ways to make it to the overall goal. Make as many steps as needed. Sometimes there are only 1-3 steps to a goal, and may just take a few days or weeks, sometimes there may be 20 steps and may take years, but try to identify as many as you can think of, leave some space in case you need to add more in later.

e) To motivate yourself for a far off goal try to apply things in your current life to how it can help in the future. For example, if the overall goal is ‘Be my own boss at a company’, but you’re still in elementary/middle school then beginning steps may be ‘Study hard and get good grades in school’, and ‘Learn leadership skills and take leadership roles in clubs/activities’ now, or ‘Ask entrepreneurs I know about their experiences’, ‘Keep my things organized’, ‘Do volunteer work’, and other things that may relate.

f) Write target dates/approximate time frames next to each step, if applicable. The target date can be a time frame like ‘Next week’ or ‘Senior Year’, it doesn't have to be an exact day. Examples: ‘Ask my teacher about___on ___(Monday/date)’, or ‘Take the SAT’ by ___(December of Junior year)’.  Some steps may be ongoing, so write ‘daily’ or ‘as needed’, or when another step is completed, as your “date” like ‘Read my motivation posters Daily’, ‘Ask parents for help As Needed’, or ‘Shop for a car, once I have x amount saved’.

4) Identify people who can help you if needed.

a) Parents/Family, Friends, Teachers, counselors, networking people, consultants, etc. - write down specifically who, not just ‘teachers’ in general, if you can.

b) Write down who can help with which step, or who can help overall.

c) If you don’t know who can help, list anyone who has been helpful in the past that you can rely on,also  ask on social media for your contacts to suggest people such as ‘Hey friends I need someone who can give me advice on buying a car’, or ‘does anyone know who I can ask for help with getting a job?’

d) List their contact info, if needed, on your goal worksheet

5) Write down some positive motivational words, phrases, thoughts, etc that will help you get towards your goal.

a) If you’re artsy, draw some pictures, or put some stickers on your worksheet.

b) Make a poster or something motivating to hang on your wall in your room. Teens looking forward to college may want to hang a poster/banner of their future college logo on their bedroom wall. Adults who want to achieve a professional career position may post a picture or words that remind them of this goal on a bulletin board/vision board, or a photo that reminds them of what motivates them, such as a family member, or friend,

 

After you’ve written your goal plan, get started with Step 1 on your list towards your goal! Remember if you get stuck and are not sure what to do next- ask for help. Others can give you lots of advice. If you struggle with getting motivated even to start, ask someone you know will help you to encourage you and help you along so that you can get started. Remember you will NEVER reach your goal if you don’t make a plan and then start to follow your plan. Goals don’t just ‘happen’, you have to make them happen!

Goal Worksheet - Free Download to use. 

Positive Self Talk

Positive Self-Talk

By Patience Domowski, LCSW

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Did you know that talking positively to yourself can change how you feel and behave? It’s amazing how much our minds and thoughts can affect our feelings and behaviors. This is the basis theory for Cognitive Behavioral Therapy, known commonly as ‘CBT’. CBT teaches that changing your thoughts (often through a strategy or coping skill called ‘Self Talk’) changes your feelings, which then changes your behavior.

For example: You see someone you know at the store or a restaurant and they don’t talk to you at all. If you think “That girl didn't talk to me because she doesn't like me”, you might feel sad, annoyed, jealous, etc. Your behavior may be to snub her, not talk to her, or be rude. However if you change your thoughts to “That girl didn't talk to me today; maybe she’s having a rough day, or she didn't see me. Or she was busy/some other reason,” then your feelings change to more neutral/content feeling, not caring about it, or even feeling bad for the girl. Then maybe your behavior might be to go talk to her yourself or just let it go. The situation didn't change- the girl still didn't talk to you, however by changing thoughts from negative (‘she doesn't like me’) to positive (‘maybe she is having a bad day or didn't see me’, or some reason not related to feeling badly about me) then your feelings become more positive and your behavior improves as well.

‘Positive self-talk’ is also used to help you feel better about yourself when you have negative thoughts about yourself. So if your thoughts are ‘I’m a terrible person’, ‘No one likes me’, ‘I’m so stupid’, which makes you feel sad, disappointed, like a failure and leads to behaviors of withdrawal, avoidance, etc you can work on changing those thoughts to ‘Well, I did the best I could’, ‘Not everyone likes me, but my friends do’, ‘I’m still learning and everyone makes mistakes’, then your feelings become more positive such as feeling hopeful, happier, etc and your behavior likely would be to try harder, not continue to think harshly on yourself, maybe be more active or social.

Just going into a situation thinking positively about the possible outcomes will help you notice more positive aspects of situations and likely you will have a better experience than going in with a negative viewpoint. For example maybe you’re dreading a family party because you don’t know a lot of extended relatives that are attending, or there are often family arguments. You head into the party dreading these awkward moments that may arise. Instead you can change the thought to ‘I’m going to enjoy myself, regardless of others’, and instead maybe focus on the food, plan to talk to the one or two people you like/get along with, or anything else that may not be too bad about the event. Then after the party you may realize that it wasn’t so bad because you were focused on the good parts, and even if you didn't know some people, or someone started a fight, at least you were focused on the people you did know, and you stayed out of the drama.

Although thoughts won’t affect what happens- you can’t magically think away something bad happening, but if you focus on the positives/good things, you will feel better than if you are focusing on or looking for the bad things.

The situation may remain the same, but the outlook is different. For example let’s say you and your friend have a day off school or work due to the weather. One person is happy because they don’t have to go to school/work, and can hang out at home doing something they’d rather do for fun. The other person is upset because they either don’t get paid for not working, or they have to make up a school day later, and they are thinking they will be bored while home and really wanted to see their friends that day. The situation is still the same- school/work is closed due to weather, however the positive person will enjoy their day, despite the consequences of lost wages or having to make up the day later, while the negative person will be miserable thinking of what they would’ve rather had happen that day.

Common positive self-talk phrases include self-esteem affirmations such as ‘I’m a good person’, ‘Others like me’, ‘I am smart’, ‘I am loveable’, as well as motivating statements such as:  ‘I can do it’, ‘I can think positively about this’, ‘It will get better’, ‘I just have to try’, etc.

If positive statements do not automatically come to your mind spend a few minutes trying to think of something positive about a situation or thought that you have, and if you get stuck, think what would you tell your friend if they were struggling with the same thought. It might be hard to think positively for yourself, but it may be easier to think of something helpful to tell a friend. If you are still stuck, ask a friend or family member for some help coming up with some positive thoughts and phrases. Write them down so you don’t forget them. If you usually think negatively, it will be very hard to remember the positives, and even harder to believe them! So have them written down so you can go to them and use them when needed.

As you work on thinking more positively, just like physical exercise, it will become easier over time. At first it will be super hard, but then your brain will help you think of them faster. The more you try it the easier it eventually becomes. The more you focus on the positives, the better you will feel. So when you catch yourself thinking negatively about something, try to change that thought right away or focus on another positive aspect of the situation, in order to think and behave better.

People with anxiety and depression mostly need to work on postive self-talk, but all of us have times of feeling down or negative and can use this coping strategy so start stretching the positive 'muscles' of your brain now so you can be ready for when you are having a negative day. 

An old quote from Henry Ford (inventor of the Ford automobile) says “If you think you can, or you think you can’t: you’re right!”

positive thinking

Bullying- Signs of bullying and tips on how to help the victim and the bully

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Bullying

By Patience Domowski, LCSW

Bullying is such as big issue. It can cause anxiety, depression, eating disorders, even suicide. We’ve heard of school shootings as a result of bullying. Kids who are being bullied shouldn’t be told not to worry about it, or it’s just normal, because it's really affecting them in a negative way. Kids who are bullies shouldn't just be ignored, or just told to stop and not actually be disciplined for it. Most often bullying occurs at school, however it can occur in the neighborhood, in the community, on the playground, at summer camp, anywhere. Adults can even be bullied in the workplace. Sadly, sometimes children are even bullied by adults like parents and teachers.

 

Signs your child is being bullied:

-They suddenly don’t want to go to school

-They act anxious around other children or want to avoid the bus or school

-They regress in any way like reduced speech, potty accidents, less social, avoiding others

-They start acting angry for no apparent reason

-They talk about kids being ‘mean’, or call a sibling or someone else something you haven’t heard them say before (may have learned it from others)

-Being afraid or not wanting to go to certain places like camp, sports, etc (where the bullying may have occurred)

 

If your child is being bullied:

-Ask them if they are being bullied, and describe what bullying means (not just someone being mean occasionally, but constant put-down negative words, or physical aggression)

-Let them know it’s not their fault

-Tell them you will help them figure it out/make things better

-Try to build their self-esteem with some positive encouragement and affirmation

-Encourage child to tell the bully to please stop, say ‘that’s not nice’ or ‘I don't like that’.

-Suggest the child try to befriend the bully- sometimes bully children are just poor at knowing how to make friends and just want attention. If your child is nice to them sometimes the behavior will change.

-Otherwise suggest the child avoid the bully as much as possible, ask to not sit near them in class.

-Encourage the child to report the incident to the teacher or school counselor, if at school. (Some schools have a ‘Bully Box’ where you can put notes about incidents in them for the counselor to review).

-If child is too afraid to talk to school staff themselves, ask if they want mom/dad to step in and contact them. If the child says no- assess if the incidents seem severe enough the parents should step in regardless. Try to find out why the child doesn't want to tell on the bully- of they are worried the bullying will get worse or kids will tease them for being a ‘snitch’. If the parents tell, however, usually other students wouldn’t know.

-If the teacher or counselor fails to respond or doesn't do anything, follow up and go up to higher admin if the bullying is continuing and child is very affected. Recommend counselor talk to the bully child and the victim separately to work on the issue. Sometimes principals have to be involved. In some severe cases children need to change classes or schools.

-If incident is happening in the neighborhood or community- try to avoid the bully child if possible, parents can try to talk to the bully’s parents, if they are amenable to that. If severe- contact the police (such as physical assault for example).

-If child is very affected- severe anxiety, depression, suicidal statements, etc- have them talk to a crisis counselor or therapist as soon as possible.

 

If your child is the bully:

-Talk to them about how it makes the other person feel, and how they would feel it if was happening to them

-If they can articulate it try to have them say why they are doing this (to join in with others, because they think it's cool, they don't like a certain type of people, etc)

-Teach understanding and respect. Even if they dont like someone it doesn't mean they have to be mean about it.

-Provide discipline and consequences for bully behavior

-Work with the school counselor on addressing the issue, if it’s happening at school

-Encourage your child to make friends with others, especially if they are different to help them to be more inclusive

-Make sure as a parent you are modeling good behavior and not making comments about others that are rude or disrespectful that your child might pick up on. Again- even if you don't like a certain person or type of person it doesn't mean you have to be mean! Best to just do nothing if you can’t accept them.

-Have your child talk to a therapist if they continue to struggle. There could be more issues going on with them and they are taking it out on others.

To help your child decide if they are being bullied or not use this worksheet.

To help your child decide when to 'tell' on someone or not, use this decision worksheet.

 

No Social Media? What to do when you feel left out.

No Social Media? When you Feel Left Out

By, Patience Domowski, LCSW

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When all your friends are talking about ‘Insta’ and Tweeting and ‘Snapping’ and you’re not… you’re likely feeling left out. So what do you do if all your friends are on Social Media and you’re not?

Maybe you’re not on social media because you’re parents won’t let you, you’ve lost the privilege because you got in trouble for making a poor choice online, or you’re just too young but your older siblings and friends are on there (legal age is 13+). Maybe you just don’t really want to get sucked into Instagram or your parents won’t let you have a smartphone, or they let you do some social media but not others.

Regardless of why you can’t be on it, what do you do about it?

1)Realize it's okay to not be doing something just because ‘everyone else’ is. It’s certainly hard, and you may feel left out, but realize there’s a reason you aren’t on it, and it’s okay.

2) Find other ways to connect with your friends- texting, talking in person, emails, etc

3)Remember not everything on social media is real. For example often people only present their ‘best selves’ and will only show pictures of them looking their best, or pictures that look like they’re having fun, when that might not be the reality of their life.

4)Try to cultivate other aspects of your social life that is offline such as joining clubs, activities, gatherings, and other events. Try to take up hobbies and find other interests. Kids are often happier interacting in person and having hobbies and interests than just perusing their friend’s profiles online.

Being on social media can cause some depression too. Seeing all the ‘perfect’ lives of your friends, realizing you’re not invited to parties that everyone else enjoyed, or even being a target of cyber bullying, can all cause feelings of sadness and loneliness. Remember that it's not about how many online friends or followers you have, or how many ‘likes’ on your photos you get, but it's about the real-life connections and friendships you make that will last and be more meaningful and real for you now and in the future.

Its okay to remind your friends ‘Hey, I'm not on facebook, so if you throw a birthday party, make sure to personally invite me!’ If you feel like you’re not being invited or included in activities, maybe set up an event or party yourself. Invite everyone with text or email, or be super old school and send print invitations in the mail. Then the people who come are people you can be friends with. You can still take pictures and enjoy the event, even if its not online.

As you get older your parents may allow you a presence online, or as you learn to make more mature decisions they may loosen the rules. Or even not, when you’re an adult you can decide these things for yourself. But make sure you’re not getting sucked into doing anything just because ‘everyone else is doing it’ and that you’re still grounded in ‘Real Life’ friendships and social connections, not just online ones.

 

Cold Weather Brings More than Winter Woes, by guest writer Caleb Anderson

Cold Weather Brings More Than Winter Woes - by Caleb Anderson - http://recoveryhope.org/

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It’s not uncommon to get a little down in the dumps when winter weather arrives. Most of us get over it pretty quickly and actually start to look forward to crisp temperatures, hot cocoa and snow days. But for the millions of Americans who suffer with Seasonal Affective Disorder (SAD), cold weather means crippling depression that doesn’t go away until spring.

If you or someone you love shows signs of depression that occur only in the winter months, SAD may be the culprit. Here are a few tips on how to manage seasonal sadness:

 

  • Go outside. One of the most effective ways to put SAD on hiatus is to simply go outside when the sun is shining. The Mayo Clinic lists reduced exposure to sunlight as a potential trigger for SAD and reports that more nighttime hours can disrupt your circadian rhythm and reduce your body’s level of serotonin.

 

  • Look to the light. If getting outside is not an option, there are ways to see the light from behind closed shutters. Your doctor may recommend a light therapy box. These are available without a prescription. However, these bright light therapy devices, which range in price from $25 to several hundred dollars, are not regulated by the FDA and may increase your risk for overexposure to UV rays.

 

  • Talk about it. Similar to traditional depression, those who suffer with Seasonal Affective Disorder may benefit from speaking with a cognitive behavioral therapist. Therapy, when used alongside other treatment methods, may reduce your risk of experiencing a recurrent bout of SAD in subsequent years.

 

  • Get creative. Using art to get in touch with your feelings may help you overcome depression, seasonal or otherwise. The American Art Therapy Association was founded in 1969 and advocates the use of artistic endeavors to help patients come to term with everything from posttraumatic stress disorder to OCD. Even if you cannot afford this integrated therapy, the simple act of drawing, painting, writing or playing music may help you relax long enough to see the world outside of your depression.

 

  • Take your vitamins. Vitamin D deficiency has been linked to Seasonal Affective Disorder, along with cancer, asthma and numerous other health conditions. Consider investing in a high-quality vitamin D supplement, which may reduce or alleviate some symptoms of SAD.

 

  • Stay in motion. Taking care of your physical health does more than just make your body strong. Exercise triggers chemicals in your brain that can help counter depression. When you stay in motion, your body feels better. This can make it easier for you to cope with stress and other issues that can exacerbate negative feelings.

  • Do something you love. Perhaps the most important thing you can do while fighting depression is to simply do something you enjoy. Give yourself a quick mental health boost by participating in activities that make you happy. This could be reading, which can give you a timeout in the midst of a hectic day; taking a walk in the park, which will help you clear your mind; or volunteering, which will help you put your life into perspective. Behavioral Wellness & Recovery also suggest spending time with animals and considering a service dog to help you cope with anxiety.

Even though SAD is a temporary, it can have long-lasting effects on your self-esteem as well as your relationships. It’s a debilitating mental health condition that you must actively work to overcome, and you can overcome it. So get outside, enjoy the light and make your physical and mental health a priority today and every day. Soon, the sun will return, and you will feel better and be better prepared for next year’s winter woes.

Gift Ideas for Mental Health

10 Holiday Gift Ideas for Merrier Mental Health

by Jennifer Scott, Spiritfinder

If you have a friend or loved one who needs a little extra mental health boost this holiday season, we have the perfect gift ideas for you. Whether they live with depression, anxiety, bipolar disorder, or just the regular holiday blues, we’ve carefully selected a list of gifts that won’t just be something new to wear, a household appliance or tool, but a gift that can truly change their life.

 

Here are our top 10 picks for gifts that make for merrier mental health.

●        Shiatsu Pillow Massager with Heat for Back, Neck, Shoulders Muscle tension is an ugly side effect of many anxiety disorders, and can lead to agonizing muscle pains in the neck and shoulder area. This powerful deep-kneading massager works to relax tight muscles similar to a visit to a local masseur. Programmed with a 20-minute auto shut-off, this heated massager costs $39.95, and is designed to fit perfectly behind the neck or in other body contours of the lower back, calf and thigh areas.

●        A Massage Gift Certificate Who doesn’t like a trip to the masseur for a luxurious hour of pampering? A new study shows that beyond the pleasure, massage actually helps to treat anxiety and other mental health disorders like depression by reducing cortisol levels, which decreases anxiety symptoms.

●        Relaxation CD In just about any store that sells CDs, you can pick up a relaxation playlist. These CDs can be used in the car during rush hour or at home before bedtime to lower the heart rate and reduce stress.

●        Online Guitar Lessons According to Neuropsychologist Daniel Levitin, PhD, there’s “strong evidence” that music can affect our heart rate and our mood, and even improve our immune systems. The gift of music provides a healthy outlet and the opportunity for positive changes for your special someone. Online guitar lessons provide a more cost-effective way to take private lessons, and you get to do it from the comfort of your own home for around $20/month.

●        13 Things Mentally Strong People Don't Do: Take Back Your Power, Embrace Change, Face Your Fears, and Train Your Brain for Happiness and Success Psychotherapist Amy Morin shares her poignant story of becoming a widow at age 26, and how she developed the mental strength to move on. Through “powerful lessons,” Morin encourages readers to overcome life’s challenges by developing healthy habits, exercise and hard work.

●        BioSense Pillow from Brookstone Some mental health disorders, like anxiety and depression, can be caused by sleep deprivation, so a good night’s sleep is important. The BioSense Pillow uses memory foam that helps relieve pressure, and includes three natural ingredients to help soothe and neutralize odors: green tea, seed oil, and charcoal.

●        Soundspa Machines These sound-making devices, often kept bedside, provide a variety of natural sounds, such as rain, thunder, ocean, babbling brook and white noise, to soothe.

●        Heartmath Biofeedback Devices Biofeedback is a mind-body technique that works to help patients influence their autonomic nervous systems. More than 11,000 Heartmath users reported the following mental health benefits: a 50% drop in fatigue, a 46% drop in anxiety, a 60% drop in depression, a 24% improvement in ability to focus, and a 30% improvement in sleep. Heartmath comes in three models, ranging from $129 for the iPad and iPhone app to $299 for a computer-based, multi-user system.

●        Yoga DVD Yoga has many mental health benefits, but most notably, it changes your body’s nervous system from a fight-or-flight anxiety response to a rest-and-digest calm response. Yoga’s deep breathing, combined with its stretching movements, takes your body into a more relaxed state. Yoga DVDs cost around $15.

●        Weighted Blanket These provide comfort and security for people with PTSD, depression, anxiety and related disorders.

A gift that benefits one’s mental health can have a lasting impact. So as you prepare to share the holiday with your loved ones, show them how much you support their mental health condition with a gift that improves their quality of life. Share it with the gift of your time, and it will be extra special.

 

Depression in Young Children

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Depression in Children
by, Patience Domowski, LCSW

            Depression is often characterized by symptoms such as severe chronic sadness; frequent crying, difficulty or resistance in doing regular activities like going to school or work, not interested or motivated to interact with others like hanging out with friends or going to social events. Sometimes there are also suicidal thoughts or actions as well. However in young children the symptoms for depression can look a bit different. Often parents are looking for the symptoms listed above in their child to identify them as “depressed” and are surprised or confused when their young child is identified with depression or a mood disorder when they really don’t seem sad.

            Children with depression may have the above listed symptoms, however oftentimes children present with symptoms of anger or rage outbursts, often very cranky or irritable, easily frustrated or upset, and overreaction or extreme aggression outbursts (often over small problems). Aggression can be physical- like hitting, kicking, throwing objects, or verbal- screaming, saying mean things.

            Sometimes depression comes from a specific event such as someone dying, parents divorce, being bullied at school, or a traumatic event. Other times it comes from “nowhere”- it could be genetic, or just something is off in the person’s brain chemicals. Often depression and mood issues are genetic and run in families. Sometimes symptoms only occur in one setting- such as just at home, or only at school. Sometimes they are worse or more prevalent in one place than another (more at mom’s house than dad’s house, for example in divorced families).

            It’s helpful to be aware of what depression can look like in young children because it differs from the typical symptoms we think of that are more easily seen in adults and teens. By being more aware we can help get children and families help sooner. If you see these symptoms or have concerns about a child, please have them see their pediatrician, school psychologist, or a behavioral therapist/mental health clinician. The clinician or doctor can help figure out what the problem is and how to fix it so the child is feeling better and behaving better at home and school.

There are a few different diagnoses that may be considered. Here are some general ideas of what each disorder means. They must be diagnosed by a licensed therapist or doctor however. This is not an exhaustive list or inclusive of all the symptoms, but just a very brief overview/explanation.

Depressive disorder – depression symptoms, as listed above
Mood disorder - mood issues, doesn’t fit exact definition of another disorder
Disruptive Mood Dysregulation Disorder (DMDD)- depression symptoms such as frequent irritability with oppositional defiant disorder (ODD) symptoms
Childhood emotional disorder- other emotional issues related to children
Adjustment disorder with depression- patient is adjusting to a trauma or life event that is causing the depression symptoms

            Prognosis is usually pretty good for young children who are identified and treated early. Some children will just “grow out” of their symptoms, while other children may need treatment. Sometimes the symptoms occur at different times and go away and then return in a different form. Children with depression/mood disorder don’t necessarily have a diagnosis for a lifetime. Children often may only have depression symptoms for a short period of time, or they may occur cyclically, while some may suffer for a longer period of time, even into adulthood. Usually with treatment children can learn to manage or overcome their symptoms. Parents can also learn how to better support and help their children going through this as well.

            Treatment for children usually involves first identifying the need such as noticing the symptoms, and reaching out to a child specialist to help. Getting your child diagnosed may also be the first step. Pediatricians, psychiatrists, school psychologists, mental health therapists and clinicians can diagnose, treat, or refer to someone who can help. Sometimes there is just an initial discussion with a therapist or doctor about the symptoms and other times there is a more formal assessment (including observations, testing, etc) for diagnosis. Treatment can include cognitive behavioral therapy with a child behavioral therapist, social worker, school counselor, or psychologist. A psychiatrist or pediatrician may recommend medication to help improve mood, which affects behavior. Sometimes if there are behaviors at school that are causing a problem there may be a need for a formal school evaluation and services provided via a 504 or IEP plan. Often a mix of treatment modalities such as medication, therapy, and school supports are the most effective.

Other helpful articles:

http://www.webmd.com/depression/guide/depression-children
http://kidshealth.org/en/parents/understanding-depression.html
http://www.nytimes.com/2010/08/29/magazine/29preschool-t.html
http://www.wingofmadness.com/depression-in-children/
https://www.healthychildren.org/English/health-issues/conditions/emotional-problems/Pages/Childhood-Depression-What-Parents-Can-Do-To-Help.aspx
http://www.medicinenet.com/depression_in_children/article.htm

 https://www.jenreviews.com/mental-health-diagnosis/

 

Depression Coping strategies

sad angry boy

Note: Depression in children often looks different than depression in teens and adults. Instead of constant sadness, unable to function, crying, and suicidal thoughts, a child may be angry often, easily upset, grumpy/irritable most of the time, doesn't find things fun, complains often, and sometimes aggressive behaviors as well. For a diagnosis please see your child's pediatrician, or a licensed therapist. 

Some suggestions for depression:

·         Try to do something fun every day even if you don’t feel like it!

·         Incorporate exercise into your routine

·         Go to bed and get up on a regular schedule and try to eat balanced meals

·         Look for evidence that your negative thoughts are true. [For example if your thoughts are “I'm unlovable” then change that thought to “Is it true no one loves me? Oh wait, my mom does” so then you realize your thought isn’t true.]

 

Goal Worksheet

Goal Worksheet- this is helpful for teens/adults who need to focus on accomplishing goals, especially those with depression

goal

Goal Worksheet~ by Patience Domowski, LCSW

 

GOAL 1: ________________________________________________________

Why this is important to me:

 

Approximate time I should meet this goal:__________________________________

·         Step 1/ (What can I do now to work on this?) [Include sub-steps if needed]

 

 

·         Step 2

 

 

·         Step 3

 

 

·         Step 4

 

What might keep me from reaching my goal?

 

What can I do to handle those things that keep me from my goal?

 

What can I say to remind myself to keep working towards my goal?