“I Don’t Like that Gift”

“I Don’t Like that Gift”

At this time of year most people are worried about finishing Christmas shopping before Christmas and making sure they get gifts for everyone they need to. This year due to the Coronavirus, the Holidays continue to be different including shopping for gifts and also families having money to afford food and rent in addition to Holiday gifts.

Furthermore, as I stated above, many people are out of work, they also are worried about having enough money for the Holidays. Besides buying gifts, people still need to pay the rent and buy food for the family. Therefore, some people will need to cut back on how much they spend on gifts and some people may not be able to afford to give gifts at all this year.

A common situation many parents worry about during the Holidays is what to do when your child receives a gift they don’t like or want. They are worried about their child saying something in front of their grandparents or their great aunt that they don’t like the gift and tossing it to the side. The parents feel embarrassed and are concerned that their child hurt their grandparents or great aunt’s feelings especially since many people are having difficulties affording gifts. This definitely applies to grandparents who are living on limited incomes.

All of these worries regarding gifts can ruin Christmas for people. We should be more concerned about the spirit of the Holidays. The Holidays are about spending time with the people who are important to us not gifts. Granted due to the Coronavirus, we may have to do this by Zoom instead of in person, but it’s acknowledging those people in our lives that are important to us which is the most important part of the Holidays.

If you child says something inappropriate about a gift, remember you cannot control what children will say all the time. Also the adults should understand that children do not think the same way as adults and will try not to take it personally.

All you can do is talk to you children about what to do if they receive a gift they don’t like so they will not hurt someone’s feelings. Additionally, you hope that Great Aunt Sally is mature enough to understand how children act. However, once again the focus should be on celebrating life and love not gifts.

As a helpful resource and gift I have included a link to a guide to your questions about giving & receiving Christmas gifts & how to handle gift situations http://www.designsponge.com/20… via designsponge

Dr Michael Rubino is a psychotherapist who has over 24 years experience working with children and adolescents. In addition to working with trauma victims and first responders. For more information about his work and

Thank You Notes Teach Teenagers about Gratitude

Thank You Notes Teach Teenagers about Gratitude

Teenagers like receiving gifts and they like when people are nice to them and help them. While teenagers enjoy receiving gifts and having people be kind to them, they do not always know how to say thank you. Many adults, such as grandparents are use to thank you notes. However, due to the computer teenagers, in fact many adults too, do not know how to or when to write a thank you note.

Many parents try to get their teenagers to write thank you notes, but as I stated most teenagers do not know how to write thank you notes because they are use to texting everyone. This can be frustrating because many grandparents, great aunts and uncles are family friends expect thank you notes. They expect thank you notes because often grandparents and other family members live on the other side of the country. Therefore, thank you notes let the person sending the gift that the teen received the gift and if they liked or not.

Since teenagers are use to texting so parents try to teach their teenagers how to write thank you notes and other notes appropriately. Again since many of us are use to texting, many of us may not be sure how to write thank you notes appropriately either.

Given the fact that we rely on texting a great deal, I did some research into writing thank you notes. Hallmark has some very straight forward guidelines about how to write thank you notes. I have included the guidelines below so parents can refer to them and help their teenagers write thank you notes for Holiday gifts they receive during the Holiday Season. Here are Hallmark’s guidelines regarding writing thank you notes:

1. Use an appropriate greeting: Dear Aunt Sally … Dear Nana and Grampy …

2. Express your thanks: Thank you for the … I loved the … I so appreciated the way you remembered my …

3. Add detail: I plan to use the money to help pay for my trip to California next month … Here’s a picture of me wearing the sweater I bought with the money you gave me …

4. Mention the gift-giver: I look forward to seeing you at Thanksgiving … I can’t wait to celebrate my graduation with you …

5. Say thank you again: Again, thanks so much for the …

Thank you notes may seem old fashioned to some people, but many still think they are appropriate. When you think about it, thank you notes are a good way to help teach teenagers how to express appreciation and gratitude to people who have been kind and caring to them. We tend to focus on receiving in our culture, but it’s very important to be able to express gratitude too. Especially in our world today. We are divided and a lot of people are being hurt due to their religion, ethnicity and sexuality. Expressing gratitude for people and what they do for us is away to try to overcome these divisions and try to work together for the common good.

Therefore, you may think thank you notes are old fashioned, but gratitude is not. Educating your teenagers about saying thank you to people and writing thank you notes is a big step towards teaching teenagers about gratitude and why it’s important for each of us to be grateful for what we have and that it’s important to be grateful to the people who help us have the things we have and be able to live our lives with advantages that many people do not have in their lives.

Dr. Michael Rubino is a psychotherapist with over 24 years experience treating children, teenagers and trauma victims including first responders. For more information about his work visit his website www.RubinoCounseling.com or his Facebook page www.Facebook.com/drrubino3 or on his podcasts on Spotify or Apple.

Ways to Have A Happy Holiday Season with Your Family

Ways to Have A Happy Holiday Season with Your Family

Halloween signals the beginning of the Holiday season. Many people will be worrying about how they will survive the Holidays with certain relatives and since prices have increased this year many people are worrying about how they will be able to afford the Holiday Season. Additionally, there is the Coronavirus pandemic. Many people have been vaccinated, but others for some reason have decided not to get vaccinated. Therefore, some families are faced with decisions about do they celebrate with relatives who have not been vaccinated. This can be very difficult and a very stressful situation. In addition, the Holidays can be stressful because they may bring up family issues that have not been resolved yet or you have some family members trying so hard to make the day prefect that it becomes a stressful day not a happy one. Also parents are concerned how their children will act around the entire family?

Thanksgiving is next and then there is Christmas and Chanukah depending on your family’s tradition. Since Thanksgiving is next, you can evaluate how Thanksgiving went for everyone and decide if you want to make changes for the remaining holidays.

After you have assessed how you would like Thanksgiving and the Holidays to go, the next step is to sit down with your children and ask for their opinions. Also ask about what their expectations are for the Holidays . It is especially important to discuss this point with teenagers because they have been isolated from friends due to the pandemic. Are they expecting to spend Christmas Eve and Day with the family or are they expecting to spend time with friends and girlfriends or boyfriends. It is important to settle this issue before the Holidays. By discussing expectations and trying to accommodate everyone’s wishes, you can avoid arguments. However, many times you cannot accommodate everyone’s wishes and as the parents you may need to make the judgement call. If this occurs explain to your teenager you know they may be mad, but you hope they can understand and you would appreciate their cooperation. May be you make arrangements for them to spend time with their friends the day before or after certain Holidays.

The next discussion is gifts. Explain to your children the point of the Holidays is to appreciate and to be grateful for the people in your life and what you do have in your life. Therefore, if your grandparents give you something you do not like, be grateful that they thought about you and say thank you. Try not to make faces or act disappointed and hurt your grandparents feelings. Again remind them the Holidays are a time to be grateful for what you have in your life.

Reminding your children about being grateful leads us into the next tip for decreasing Holiday Stress. Lori Lite who writes about stress uses the acronym G-R-A-T-E-F-U-L as her Holiday stress guide. It helps her and others get through the day in a peaceful manner. Each letter reminds you of something to do or a way to view the day so you do not get upset.

So here is how to use Gratitude as your Holiday Stress Reliever.

G- Gratitude is the opposite of stress. It is difficult to feel stressed out when we are feeling gratitude.

R- Relax your expectations and let the day unfold. You might be surprised by the outcome.

A- Acceptance is the opposite of judgment. If we accept our family member for who they are and what they are capable of we can relax and enjoy ourselves.

T- Teens can be a part of the Holidays. Ask them what they would like to contribute to the evening or day. Let them what they feel they can contribute.

E- Empower children and let them help with age appropriate assignments. Putting the nuts out or making the centerpiece. Let them do it their way…not your way.

F– Focus on family for this day. Put all work and worries on the shelf

U– Unplug the electronics for dinner so that everyone can be fully present.

L- Love is often overlooked when we are busy. Be present with love… Speak with love… Show your love and gratitude for your family during this Holiday time.

This might seem very simple and obvious, but at times the best solutions are rather simple. Also you may want to practice using this in your daily life. It may seem simple, but it may be harder to do than you think because you are accustomed to doing things and viewing life in a certain way. This idea may challenge you to reassess how you approach life in general.

Many of us are not use to looking at our lives in terms of what we have to be grateful for. Also many of us have a hard time relaxing and not worrying about work or other things we need to do. I have found that just being in the moment is difficult for most people. Most of us believe we always have to be doing something. This creates stress and disappointment. Finally, since we feel we must always be doing something, disconnecting from cellphones and other electronics can be very difficult for the children and for adults too. However, think about it? How can you have fun and enjoy the day with your family, if your mind is not fully present? You can’t. Furthermore, this can create tension for others because they feel ignored and for you because you feel they don’t respect how important what you are doing at the moment is to you. As a result, you have stress which can turn into an argument and everyone is upset. A day of happiness becomes a day of anger and disappointment.

If you notice you are getting angry or your teenager is getting angry use the acronym HALT:

H – hunger, do not try to discuss a difficult situation if you or your teen are hungry.

A – anger, if it is obvious someone is angry give them time to calm down before discussing an issue. Pushing a discussion when someone is angry will only result in making a bad situation worse.

Lonely – lonely, if someone is feeling down or alone again pushing them to talk can make it worse. Let them know when they are ready you are there to listen.

Tired – tired, trying to have a conversation with a tired teenager can turn into an argument fast. Wait until they are ready to talk. There is no need to make a bad situation worse.

Therefore, in order to avoid the possibility of an unpleasant Holiday for everyone try to

use the words GRATEFUL and HALT as guidelines for the day. What do you have to lose?

Dr. Michael Rubino specializes in working with children, teenagers and their families. He has over 24 years experience. For more information about his work or private practice visit his website at www.RubinoCounseling.com or visit his Facebook page at www.facebook.com/drrubino3 or his podcast on Spotify or Apple.

Autism and The Holidays

Autism and The Holidays

Typically during the Holidays many people expect it to be a great family time and a great deal of fun for the kids. However, this year the Holidays are going to be significantly different due to the Coronavirus. In addition to the Coronavirus, the Holidays can be a very difficult time for a child who has Autism or is on the Autistic spectrum or have other types of Cognitive Disabilities. The noise and having a lot of people being around can be upsetting to them. However, due to the Coronavirus most families will not be having big gatherings, but they still will be having smaller gatherings. Also many children on the spectrum are use to a certain daily routine. The festivities of the Holidays can disrupt their routine and upset them. Additionally, changes that need to be made due to the Coronavirus can upset children and teenagers on the Spectrum.

The Holidays, as I said above, are supposed to be a happy time. Therefore, when parents, who have a child on the autistic spectrum, see their child getting upset or agitated, it is difficult for them. Additionally, many parents who have children on the spectrum worry about how other people will react or judge their child.

All of this worry for the parents and change for the kids can make the Holidays a stressful time for autistic children. Also as I stated above, we will have significant changes to our Holidays in terms of how many people will be there and having to change some long standing Holiday traditions, such as Midnight Mass. While researching this issue, I did read a very good article by Lori Lite which has good ideas for parents to use during the Holidays. These ideas can help make the Holidays a happy time for your child and for your family. I would suggest trying these ideas and not worrying how other people may or may not judge your child. Being Autistic is nothing to be ashamed about. I treat many autistic children and they are usually very caring, smart children. We need to change our views regarding autism. It is a medical condition like diabetes or being blind. We make accommodations for children with these issues so we can make accommodations for a child with Autism. Therefore, try some of these ideas to help you and your child enjoy the Holidays.

Get Ready: Social stories, books, and movies can be a big help in preparing your child emotionally for holidays. Comfortable clothing and small dose exposures to holiday sounds can help physically. Think ahead with an eye for anxiety causing issues. If wrapping paper too loud? Use easy open bags or just decorate with a bow. Are the electronic bears with bells at Grandma’s house going to cause sensory overload? Ask her to unplug them before you get there. Let friends and family know about triggers ahead of time. If your child doesn’t like to be hugged suggest a handshake or just a wave. Your friends, family, and special needs children will be glad you did.

Prepare Your Children For Gatherings: Eliminate unnecessary anxiety associated with getting together with family members you rarely see by looking through photos of relatives prior to your event. Play memory games matching names to faces. This will help your children feel more comfortable with people they may not have seen in a while. Aunt Mary won’t seem quite so scary when she bends down to greet your child.

Use Relaxation Techniques: Incorporate deep breathing or other coping strategies into your day. Let your children see you use techniques when you are feeling stressed. Encourage them to use relaxation techniques on a daily basis. Breathing, visualizing, and positive thinking are powerful tools.

Incorporate Positive Statements Into Your Dinner: This is empowering and reflective. Each person at the table can state an attribute of their own that they are thankful for. For example, “I am thankful that I am creative.” Feeling stressed? Try, “I am thankful that I am calm.” Your special needs child can prepare ahead with a drawing or sign language if they want to participate without speaking.

Don’t Rush: It’s simple; none of us are very good at rushing in a relaxed way. The two just do not go together. It is impossible for children or teens to rush without getting angry. Make sure you leave enough time to enjoy the journey and avoid meltdowns. Children with special needs should be given notice of transitions.

Write Things Down: Getting the constant chatter and lists out of your head decreases stress and anxiety. Kids love making lists. Give them a clipboard or dry erase board. Help your child make a list of what they want to do for the holiday. It might be helping decorate or what to pack for self-care relaxation bag. This will help you relax and help your children feel involved. Encourage them to add happy words like laugh or draw a smile face on their list.

Schedule Downtime: Don’t overbook your children. It’s important to use holiday time for relaxation. Try staying in pajamas till noon. Pop your favorite popcorn and watch a movie when you wake up. You’ll be surprised how an hour or two of relaxation can rejuvenate your children’s bodies, minds, and spirits.

Shopping: Avoid taking your children shopping on the busiest shopping days of the year. The chaos, noise of large crowds, and long lines will definitely add stress to your life. If your child is absolutely known to meltdown during shopping you can select a few gifts and bring them home. Set up a shopping experience in your home for your child. The whole family can participate. Have a checkout counter and a gift-wrapping table.

Be Flexible: Relax your expectations and definitions of what a fun experience is for your children. Most of us do not need the full blown exhausting experience of holidays to reflect that we had a good time. A few positive minutes is worth a lifetime of memories!

Let The Children Participate: Let your children do one thing for the holiday that makes them feel proud. Kids can collect acorns or place a few jingle bells into a bowl for a beautiful stress free centerpiece.  Children can fold the napkins or put the forks out. Let them draw a special picture to place on your guest’s chair. Be prepared to accept their participation as perfect and wonderful. Restrain for correcting or straightening out the napkins and enjoy the holidays with your special needs child!

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. Many of these children and teens are on the Autistic Spectrum. For more information regarding Dr. Rubino’s work or private practice visit his website www.RubinoCounseling.com or Facebook www.Facebook.com/drrubino3 or or his podcasts on Spotify or Apple.

What to do When Children don’t like A Holiday Gift

What to do When Children don’t like A Holiday Gift

At this time of year most people are worried about finishing Christmas shopping before Christmas and making sure they get gifts for everyone they need to. This year due to the Coronavirus, the Holidays are going to be different including shopping for gifts.

Furthermore, especially this year since many people are out of work, they also are worried about having enough money for the Holidays. Besides buying gifts, people still need to pay the rent and buy food for the family. Therefore, some people will need to cut back on how much they spend on gifts and some people may not be able to afford to give gifts at all this year.

A common situation many parents worry about during the Holidays is what to do when your child receives a gift they don’t like or want. They are worried about their child saying something in front of their grandparents or their great aunt that they don’t like the gift and tossing it to the side. The parents feel embarrassed and are concerned that their child hurt their grandparents or great aunt’s feelings.

All of these worries regarding gifts can ruin Christmas for people. We should be more concerned about the spirit of the Holidays. The Holidays are about spending time with the people who are important to us not gifts. Granted due to the Coronavirus, we may have to do this by Zoom this year instead of in person, but it’s acknowledging those people in our lives that are important to us which is most important.

If you child says something inappropriate about a gift, remember you cannot control what children will say all the time. Also the adults should understand that children do not think the same way as adults and will try not to take it personally.

All you can do is talk to you children about what to do if they receive a gift they don’t like so they will not hurt someone’s feelings. Additionally, you hope that Great Aunt Sally is mature enough to understand how children act. However, once again the focus should be on celebrating life and love not gifts.

As a helpful resource and gift I have included a link to a guide to your questions about giving & receiving Christmas gifts & how to handle gift situations http://www.designsponge.com/20… via designsponge

Dr Michael Rubino is a psychotherapist who has over 20 years experience working with children and adolescents. For more information about his work and services offered at his private practice visit his websites at www.rcs-ca.com or www.RubinoCounseling.com or his Facebook page at www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple.

Issues with Cellphones as Gifts for Teenagers and Children

Issues with Cellphones as Gifts for Teenagers and Children

It is the Holiday Season and many middle school students will be asking for their first Smartphone and many high school students will be asking for the newest smartphones available such as the IPhone 12. In today’s society many people including teenagers view cell phones as a necessity of life. I have seen teenagers argue with their parents how they could not function at school or in life without their cellphones. In fact, some teenagers become physically violent, if you take their phone. Most teenagers also say they need Smatphones, a regular cellphone will not work. However, cellphones are a privilege not a necessity. We need to remember that fact. Yes for some parents it is a tool they use to keep in contact with their child and for their child to use if they feel they are in danger. However a regular cellphone will do this it doesn’t have to be an IPhone 12. However, since we are dealing with what I call the IPhone generation, most teenagers will not be satisfied and will feel cheated unless they have the latest version of the Smartphone on the market.

During the Holidays many elementary, middle school and high school students will be asking to upgrade their phones too. As I stated above, they feel they need the latest version otherwise they cannot function successfully in their lives. Therefore, many children will be asking for the IPhone 12 for example. Most children and teenagers who are asking for these expensive phones usually never consider the price. They believe they are entitled to have the latest cellphone.

Many people have forgotten that cellphones are privileges not necessities especially for teens and children in fifth grade or in Middle School. They have grown up with everyone having a cellphone so they don’t see it as a privilege. This is a common argument I encounter between children and parents. Also it is common between for children and teenagers to use guilt with their parents in order to get what they want. They tell their parents if they cared, they would buy them the smartphone they need and want. Remember being a parent is not a popularity contest. Also how much you spend on gifts or giving your child or teenager has no correlation with your love for your children or teenagers. As a parent you need to do what you feel is best for your child.

Parents if you stop and think about it, why does an 11 year old child need an IPhone12? They do not need to track mileage or expense accounts nor do they need to remember their own doctor appointments. There is really no reason they need a Smartphone. Also if you do get them one, they do not need it with them all the time. It is important to set limits where and when they use their phones. Why do they need their cellphone when they go to bed? Most teens who take their cellphones to bed will typically spend hours texting friends or watching YouTube. When morning comes, they are too tired to get up because they were awake until 3am playing with their phone.

Smartphones are an area where technology has moved faster than our ethics. If you think about it, IPhones and Smartphones were not around in the year 2000. Now everyone including a majority of children in fifth grade and teens have an IPhone or Smartphone. In my opinion an adolescent does not need a cellphone until they enter Middle School and at that point all they need is a basic cellphone. They need a basic phone so they can check-in with you if their plans change or if they feel they are in need of help.

As I stated above, there is no reason that a teenager really needs a Smartphone. They are not taking care of a family nor are they running a business. Therefore, a basic cellphone should be adequate for what they need it for. I understand that given the way our society has changed some parents may find that it is helpful to their family if a child in middle school has a cellphone. This is a decision that every parent needs to make based on their family’s situation.

The parent needs to make this decision, not let the child guilt them into buying them a cell phone. If you are divorced and have children, this may be extremely difficult, but the decision about if your child gets a cellphone or not, should be a joint decision by both parents and a decision you both agree on. One parent should not buy a cellphone without consulting the other parent and they should not use it as a weapon in the divorce.

If you decide that your middle school child is mature enough for a cellphone, you should discuss the rules and guidelines about using the phone prior to getting a phone. Some things to discuss are who they give their cell number to, not texting during class and not taking it into the bedroom at night so they can text most of the night. As I stated, many kids will text with their friends until 2 or 3 am and then be too tired for school the next day.

Also there should be a discussion about sharing photos. You never know what someone will do with a photo if they get mad with you. Also there needs to be a discussion about the law. It is not uncommon for teens to send their boyfriend/girlfriend nude photos of themselves. What they don’t understand is they are under the age of 18 years old. Therefore, if they have a nude picture of their 15 year old girlfriend, they can be charged with possession of child pornography. Many may say this won’t happen to me, but I have had a number of teens in psychotherapy because they were charged with having child pornography. Also you need to remember, once those pictures are out on the internet, they are out there forever. There also needs to be a discussion about on-line perpetrators too. There are many pedophiles on line trying to lure unsuspecting teens into their plans. Your children need to understand this is a real risk and what to watch for.

Finally, it should be made clear that the phone does not belong to the child — the phone belongs to you the parent. Yes you are giving them the phone to use, but it still belongs to you. If you ask for it back, then the child hands it over no questions asked. Also if you feel they are using their phone in an inappropriate manner, all you need to do is call your cellphone carrier and request that their phone line be suspended. It cost you nothing and it is an easy way to control the phone. When you feel that your child has earned the right to have the cellphone back all you do is call your carrier to reinstate that phone line.

It is very important that you and your teen have an agreement about conditions regarding their cellphone use. All of these conditions and agreements should be written down in an agreement that you sign and the child signs. You each get a copy of the agreement and one copy is posted on the refrigerator. If there are any disputes about a rule, you simply go back to the agreement and you follow what is written. A written agreement is very important because I have seen parents have conversations, make agreements and then 6 months later there is a disagreement and everyone’s memory is slightly different so you have a big fight.

Also given how many adults have gotten into trouble with their Smartphones, if you are going to allow your child to use any kind of cellphone you must discuss the pros and cons so the child or teen understands the responsibility they are assuming, if you allow them to use a smartphone.

Below I have included a sample contract that you can use with your child and modify as you need:

Cellphone Contract

I, child’s name, will not bring my cellphone to the family dinner table.

I will not go over our plan’s monthly minutes or text message limits. If I do, I understand that I may be responsible for paying any additional charges or that I may lose my cellphone privileges.

I understand that I am responsible for knowing where my phone is, and for keeping it in good condition.

I understand that my cellphone may be taken away if I talk back to my parents, I fail to do my chores, or I fail to keep my grades up.

I will obey rules of etiquette regarding cellphones in public places. I will make sure my phone is turned off when I am in church, in restaurants, or quiet settings.

I will obey any rules my school has regarding cellphones, such as turning them off during class, or keeping them on vibrate while riding the school bus.

I promise I will alert my parents when I receive suspicious or alarming phone calls or text messages from people I don’t know. I will also alert my parents if I am being harassed by someone via my cellphone.

I will not use my cellphone to bully another person.

I will send no more than _____ texts per day I understand that having a cellphone can be helpful in a emergency, but I know that I must still practice good judgment and make good choices that will keep me out of trouble or out of danger.

I will not send embarrassing photos of my family or friends to others. In addition, I will not use my phone’s camera to take embarrassing photos of others. I understand that having a cell phone is a privilege, and that if I fail to adhere to this contract, my cell phone privilege may be revoked.

Parent Responsibilities I understand that I will make myself available to answer any questions my tween might have about owning a cellphone and using it responsibly.

I will support my child when he or she alerts me to an alarming message or text message that he or she has received. I will alert my child if our cellphone plan changes and impacts the plan’s minutes.

I will give my child _______ warning(s) before I take his or her cellphone away

Signed ______________________________ (Tween) Signed ______________________________ (Parents). Date ______________________________

Dr. Michael Rubino is a psychotherapist who has been working with middle school and high school students for over 20 years. He is considered an expert in this field. Dr. Rubino is one of the founding members of the National Alive & Free Program, a program designed to work with teens. For more information about Dr. Michael Rubino’s work and private practice visit his website at www.rcs-ca.com or www.rubinocounseling.com or his Facebook page www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple.

Helping Children Cope with Coronavirus Stress

Helping Children Cope with Coronavirus Stress

Since the beginning of the pandemic children have experienced an increase in depression and anxiety. It’s understandable because they have been isolated from friends and family. In addition no one can tell them what to expect and many have lost family members to COVID.

Furthermore, just as somethings were opening up and returning somewhat to normal, we have another significant increase in the number of COVID cases. As a result, many things have to be closed down again, there are definite rules regarding wearing masks and they may not be able to see their families for Thanksgiving. Again we are not able to give children any definite answers regarding when life will return to something normal.

As a result, many parents have asked me how to determine if their child is coping with anxiety and what to do if they are coping with anxiety. I can understand why parents are concerned especially because many children tend to try to hide their anxiety because they don’t want to worry their parents.

Therefore, the APA (American Psychological Association) developed guidelines that parents can use to determine if their child is dealing with anxiety and what to do if they are dealing with anxiety. You can also use the guidelines for depression too. I have provided an outline to the APA guidelines below:

The American Psychological Association (APA) offers the following tips to recognize if children may be experiencing stress or anxiety:

• Withdrawal from things the child usually enjoys

• Trouble falling or staying asleep

• Unexpected abdominal pain or headaches

• Extreme mood swings

• Development of a nervous habit, such as nail-biting

Parents can actively help kids and adolescents manage stress by:

Being available

• Start the conversation to let kids know you care about what’s happening in their lives.

• Notice times when kids are most likely to talk – for example, in the car or before bed.

Listening actively

• Stop what you’re doing and listen carefully when a child begins to open up about their feelings or thoughts.

• Let kids complete their point before you respond.

• Listen to their point of view even if it’s difficult to hear.

Responding thoughtfully

• Resist arguing about who is right. Instead say “I know you disagree with me, but this is what I think.”

• Express your opinion without minimizing theirs – acknowledge that it’s healthy to disagree sometimes.

• Focus on kids’ feelings rather than your own during conversation.

• Soften strong reactions, as kids will tune you out if you appear angry, defensive or judgmental.

• Word swap.

o   Say ‘and’ instead of ‘but’

o   Say ‘could’ instead of ‘should’

o   Say ‘aren’t going to’ instead of ‘can’t’

o   Say ‘sometimes’ instead of ‘never’ or ‘always’

Consider

• Model the behavior you want children to follow in how they manage anger, solve problems and work through difficult feelings. Kids learn by watching their parents.

• Don’t feel you have to step in each time kids make what you may consider a bad decision, unless the consequences may be dangerous. Kids learn from making their own choices.

• Pay attention to how children play, the words they use or the activities they engage in. Young children may express their feelings of stress during play time when they feel free to be themselves.

• It is important to explain difficult topics in sentences and even individual words kids will understand. For little kids it might mean saying simple things like, “We love you and we are here to keep you safe.” For adolescents, it’s important to be honest and up front about difficult topics and then give them a little space to process the information and ask questions when they’re ready.

Call your child’s or adolescent’s health care provider or a psychotherapist who specializes in treating children and teenagers, if stress begins to interfere with his or her daily activities for several days in a row.

You can find additional helpful information about kids and stress by visiting the Centers for Disease Control and Prevention’s Helping Children Cope webpage at https://www.cdc.gov/coronavirus/2019-ncov/daily-life-coping/for-parents.html.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers. For more information about Dr. Rubino’s work visit his website at www.RubinoCounseling.com or his Facebook page at www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple or on Audible.

Some Kids Only Want Food for the Holidays

Some Kids Only Want Food for the Holidays

The Holiday Season is here, however, this year it will be very different due to the Coronavirus. We have 225,000 people who have passed away from the virus so far. So we have numerous people who are grieving for spouses, grandparents, siblings, parents and friends. Furthermore, many parents are unemployed. Millions of families cannot afford to pay the rent or buy food. Food Banks are reporting a significant increase in the number of people seeking food. Parents are getting in line at 5 am when the Food Bank opens at 9am. There are doing this because they are desperate for food so they can feed their children.

A teacher asked her first grade class to write letters for Christmas. She asked each student to write one thing they want and something they need. One of the children wrote this heartbreaking letter asking for food and shoes. However, she was not the only one. Many children were asking for food, clothes and a place to live.

This video details the need that many families are facing and how many children are focusing on food and clothes for survival not toys. https://youtu.be/j_05ZuhqCZM

This video is the tip of the iceberg. Currently in the United States one out of five children are going to bed without food and are homeless (CDC). This is the United States, how are we allowing this to occur? While families are having to beg for food and a place to live, President Trump is focusing on lies about how he did not lose the election and playing golf instead of discussing World leaders how we can cope with the Coronavirus. He is the President and the welfare of these families should be his first priority not playing golf.

Many people assume that hunger is not a problem in the United States. However the current statistics of one in five children living below the poverty level and not having enough to eat and many living on the streets tells us that we have a severe problem in the United States. It’s not because they have drug addicted parents either. Many of their parents work 2 or 3 jobs, if they can find a job. As a result of the pandemic, we have unemployment rates that are similar to the Great Depression. We have been aware of this fact before the elections, but the President has refused to act.

I do see children in this situation for psychotherapy. These children are often depressed and see no hope for the future. They feel that they will be homeless for their entire life. In therapy I am trying to help them to not give up. The suicide rate has increased due to the Coronavirus pandemic and if a child sees no hope for their future they do think about suicide. I am able to provide these children psychotherapy because I see them pro bono.

The other sad fact is that the United States government continues not to act. Additionally, the few programs that are helping these families will expire the day after Christmas. Many of these programs are their only source of food. The children are the future of our country. Why would the United States, considered the richest country in the world, cut programs that will increase the number of children living in poverty? Should a child in the United States, need to be asking Santa Claus for food and a blanket? Should the Country’s focus be taking care of President Trump’s ego or children who have no food or a place to live? Where are our priorities?

Dr. Michael Rubino has 20 years experience as a psychotherapist working with children and teenagers. For more information about his work with children visit his website at www.RubinoCounseling.com or his Facebook page at www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple or Audible.

Remember to Tell Your Teenager “I love You” this Holiday Season

Remember to Tell Your Teenager “I love You” this Holiday Season

This year has taught us many lessons. It has taught us that people we love may die unexpectedly and without us having a chance to say goodbye. We have had over 225,000 moms, fathers, sons, daughters, spouses, grandparents and friends die from the Coronavirus this year (CDC). The public health experts are estimating this number may significantly increase before the end of the year. Most of these people died without family present and without their family having a chance to say goodbye.

This is not where it ends. Every year 5,000 teenagers are killed in motor vehicle accidents and 400,000 are injured (CDC statistics). These injures may range from cuts and bruises to someone being paralyzed. Also this year there has been a significant increase in the number of teenagers dying due to suicide (the second leading cause of death) and accidental drug overdoses. Again many of these teens died without being able to say goodbye to their families and their families never had a chance to say goodbye.

The Holiday Season is here and one of the main points of the Holidays is family. It is a time to express to each other how much that we love and care about each other. However, as this year has taught us, we don’t always get the chance to really express how much we care because we are caught up in our everyday lives. As a psychotherapist who specializes in treating teenagers, I have seen this happen to parents and teenagers. I have seen unexpected deaths and the grieving person very upset because they never had a chance to say how much they loved the person.

A mother experienced this fact when her son committed suicide. Suicide is the second leading cause of death for teenagers. After that she wrote the following poem to her son. She also encouraged all parents of teenagers to remember to say “I love you,” to your teenager. You may not get another chance. Given the fact that we are dealing with a deadly virus which is out of control and many teenagers have car accidents during this time of year, I thought it was appropriate to run her poem.

I Love You

How could you?

They asked you,

How could you?

But you could not answer

As you were not here.

Why would you?

They asked you,

Why would you?

But their questions fell onto

The world’s deafest ears.

I loved you!

They told you,

I loved you.

But they told you too late,

Through their tears.

I’ll miss you,

They told you,

I’ll miss you.

And in death now

They hold you more dear.

The point is don’t take the risk. Since you never know what may happen and many teens feel that their parents don’t care, take the opportunity while you have it to express your feelings. Don’t spend the rest of your life regretting I never told him I loved him or wondering if that would have made the difference.

Dr. Rubino is a psychotherapist is Pleasant Hill who specializes in treating children and teenagers. He has over 20 years of working with teens. To find out more about his work or to contact him visit his website at www.RubinoCounseling.com or his Facebook page at www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple or Audible.

Loneliness is A Major Problem During COVID Holidays not Suicide

Loneliness is A Major Problem During COVID Holidays not Suicide

The Holiday Season is just around the corner. This year the Holidays are different due to the Coronavirus pandemic. Many people assume the Holidays and depression go together. In addition to assuming the Holidays and depression go together, people assume that suicide rates increase during this time of year. Well according to the statistics from the CDC, suicide rates actually drop during the Holiday Season. The study by the CDC is not sure why they drop but they do. May be they drop because during this time of year we pay more attention to depression and suicide. There are a number of ads and social media posts where people can call if they feel suicidal.

What the CDC did find is that loneliness increases during this time of year. During the Holidays there are songs and plenty of television shows regarding getting together with family and friends. Usually many people are taking have about all the Holiday parties that they have to go to. However, this Holiday Season people will be talking about the parties that are not occurring due to the pandemic. Some people will still have parties but overall this year the Holidays will be different.

If you are a military family, a loved one may be stationed overseas and won’t be home for the Holidays. Also during the year, especially this year, some close friends or loved ones may have died and you are grieving their death. There have been over 225,000 deaths due to the Coronavirus this year. Therefore, there will be around one million people grieving this year. It is during this time when most people are talking about family and friends that you remember the people you have lost over the year. The first Holiday Season without a close loved one or friend can be very difficult. You may not feeling like celebrating or you may have to change Holiday traditions which can make some one feel sad and lonely. However, it may be necessary so you can tolerate the Holidays. The point is with over a million people grieving this year, the Holidays will be very difficult for many people and will be very different for our society.

Another common difficulty during this time of year is money. Many people feel like they need to spend a great deal of money to show love. However, since many people have lost their jobs due to the pandemic and the White House is not helping the country, many people don’t have enough money for rent or food. Why do we need to spend money to show that we care? What if you write a letter to someone telling them how important they are to you and how much you appreciate them. Isn’t that the real purpose of the Holiday Season? Isn’t this the time of year we take to tell people in our lives how much we appreciate them. Also it’s an opportunity to tell people we tend to ignore, people sleeping on the street or who are dealing with mental illness that they are important too? Everyone is important and should be included. Also instead of spending a lot of money, you can donate your time so someone who is struggling financially or emotionally has an easier time. You may want to consider helping others all year long and not just during the Holidays.

As a psychotherapist, I have seen that people dealing with mental illness feel lonely and out of place during this time of year. They don’t often feel the joy of the season. Sometimes they struggle just to make it through the day. Also mental illness is something we don’t discuss as a society. We tend to act like it doesn’t exist so we ignore the issue. Also since it is an uncomfortable issue for many people the feelings of shame and embarrassment become associated with mental illness. This makes it less likely for people dealing with it or families who have a family member dealing with it to talk about it or seek help. This can make people feel lonely and isolated especially during this time of year.

We seldom acknowledge the daily struggle that people and families dealing with mental illness go through on a daily basis. It is important to acknowledge that mental illness is not a weakness it is a medical condition. There is no reason to look down on someone with mental illness. We offer encouragement and support to people with cancer, why can’t we do the same for people with mental illness? Also the pandemic has increased the number of people dealing with anxiety and depression significantly. Therefore, we may want to reconsider how we view mental health and the help we offer to people who have mental health issues.

I have included a link to a video where a teenager discusses dealing with depression https://youtu.be/dAzqGcOLXBs. Listen to what he has to say and answer the question, does he deserve to be looked down upon because he is depressed?

Also remember the Holidays can be a lonely time for people. So if you see someone who looks like they are having a hard time or know someone who is struggling during this season, try to help. Do something kind for them. Another thing to remember, being kind to people should be a year round activity for all of us. We should not just be kind during the Holidays. If we try to be kind all year, we may be able to decrease how many people feel lonely and depressed. Also if we are kind and offering support year round may be we can eliminate the negative stereotype associated with mental health.

Dr. Michael Rubino specializes in treating depression and suicide especially depressed and suicidal children and teenagers. He has over 20 years experience treating children and teenagers who are suicidal. For more information about Dr. Rubino visit his websites at www.RubinoCounseling.com, www.rcs-ca.com or his Facebook page www.Facebook.com/drrubino3 or his podcasts on Spotify or Apple or Audible.