Being Quarantined with Your Children

Being Quarantined with Your Children

The coronavirus has taken a turn no one expected. Before we were thinking about precautions we should take and now the entire San Francisco Bay Area is under quarantine for at least 3 weeks. This means 3 weeks of no school and 3 weeks of the kids at home. Many parents are starting to panic. They may not be able to go to work, but many people are being asked to work from home. So how do you work from home and cope with kids who are going to be very bored? In some ways it sounds like a horror movie, but it’s not. This is our reality.

The first thing to do is not to panic. If you panic it’s going to make it harder to make rational choices to get through the quarantine. Also if you panic you children will feel anxious and insecure and will be more likely to act out. It’s important to remember that you are all in this together and you will need to get through this together.

The first thing to do is to sit down with your children and discuss the situation. Reassure your children you are taking all necessary precautions to keep them safe and that children tend not to catch this virus. Explain that the doctors have decided to have this quarantine as away to get control of the virus so that more people do not get sick. It is important to explain this calmly so your children will remain calm. They will be watching you as a way to gauge the situation. If you are panicked and anxious, they are more likely to be anxious. If you are calm, they are more likely to be calm and not over react.

The next thing I recommend is a family meeting to discuss the new house rules during the quarantine. Explain it will be important to keep a schedule because the quarantine will end and they will be returning to school. Also some schools may have sent homework home or they may be having classes online. Therefore, they need time to do their homework. However, point out that you can use some of the time to have fun. You can have a family game night, a family movie night and other things that you may decide to do. Try not to have the news on a lot because most news stations are running stories about the virus 24/7 and this can provoke anxiety for children and adults.

As for IPads, texting and time online, this would be a good time to renegotiate your standard rules. Typically an hour a day is what is recommended. However, given the fact children and teenagers will not be able to see friends at school or go out with friends on the weekends, allowing more screen time would be appropriate. This can also help them cope with the quarantine by being able to maintain contact with friends. However, it is a good idea to checkin with your children about what their friends are saying about the virus. This way you can correct misinformation that your children may be hearing from their friends. Remind them their friends do not have all the answers and if they have questions or concerns regarding the virus to ask you.

As for a schedule, set a time for everyone to wake up, get dressed and have breakfast. It doesn’t need to be at 7 am, but I would suggest no later than 9am. After breakfast have everyone do something related to school. If the school has assigned work or having work online this would be a prefect time to do their assigned work. If their is no assigned work have them read a book or use their IPad or laptop to long on to a site that has school work. There are many sites devoted to learning. Your school website may have some posted or local news station such ABC7 are posting the sites on their websites.

After a couple hours of work take a break for lunch. After lunch, if the weather permits have your children spend some time in the backyard getting some fresh air and playing a game for exercise. After they have spent some time outside have them return to their school work. Around 3pm let them stop their school work and use their electronics to play and keep in touch with their friends.

When it’s getting to be dinner time have the entire family participate in preparing dinner and have dinner together as a family. Take the time to catch up with your children and teenagers about what is going on in their lives. Also take this time to decide on an after dinner activity such as a game, a movie or if there is a certain television show everyone likes to watch. Again this can be good family bonding time and can help you when the quarantine ends. If your teenagers find out spending time and talking to their parents is not torture, they are more likely to continue talking with you after the quarantine.

Again, since the quarantine is not forever and children and teenagers will be returning to school after the quarantine, set a bedtime for children and teenagers. It should be age appropriate, but make it slightly later than when school is in session. This will help your children are teenagers not resist the quarantine so much if they are getting some benefits from it. They may be small benefits but any will help. Also I would suggest allowing an hour after family game time for teenagers to be able to text friends and wrap up their day.

The quarantine is going to be stressful on everyone but if you remember you are in it together as a family, it can help you with the stressful times. In addition to settling a schedule, if you have neighbors who are elderly or family friends who are elderly, volunteer to help them with shopping or just stop by to check on them and see if they need anything. By helping others it helps you not to feel so sorry for yourself and to appreciate what you do have in your life.

The choice is yours, you can look at the quarantine as a disaster and feel like you are being tortured for the next three weeks or you can look at it as an opportunity to strengthen your relationship with your children and teenagers. By trying to strengthen your relationship with your children and teenagers during the quarantine, when the quarantine ends you may have a better relationship with your children and teenagers. You may find out that strengthening your relationship with your family was worth all the difficulties created by the quarantine.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating teenagers and children. For more information about Dr. Rubino’s work or private practice visit his website http://www.RubinoCounseling.com or his facebook.com http://www.Facebook.com/drrubino3

Boys Have Eating Disorders Too

Boys Have Eating Disorders Too

This week is National Eating Disorder week. Here are important facts about eating disorders everyone needs to know. Eating disorders and body image issues are a major problems for teenagers. Despite what most people may think, these issues impact girls and boys. Most people assume eating disorders only impact girls, but they impact boys too. Boys worry about their abdominal muscles having the “six pack” look and how strong they are compared to other boys. Also for some sports such as wrestling they must make a certain weight to compete. Therefore, they worry about their weight. So eating disorders impact boys too.

Looking at the prevalence of eating disorders in teens can be very difficult. Some break the statistics down to diagnoses such as anorexia. While some focus on under eating, teenagers who over eat can also have an eating disorder. Another classification is unhealthy eating that many teens engage in. Some may skip meals or some may consume to many calories to make weight for their sport and then go days without eating. Therefore, eating disorders can take many shapes and forms. Overall, it is estimated that eating disorders impact 5% of female teenagers and 1% of male teens (NIMH). However, the number for males is considered to be under reported. This assumption exists due to the belief many have that eating disorders only impacts girls. Therefore, there is an assumption that the 1% for boys is an underestimate due to under reporting. Working with adolescents I am sure the 1% is incorrect. I hear many teenage boys complain about their bodies or needing to make weight for their sport. I also hear things they do such as only drinking water a week before a weigh in or loading up on protein drinking before working out. What they report may not fit the picture of anorexia we have, but it definitely is not healthy and is involved with body image. This is a major factor in all eating disorders whether it be anorexia or over eating.

One reason I’m addressing this subject is as I stated above most people assume that eating disorders do not impact boys. Eating disorders impact boys and teens from every economic level, ethnicity and religion. They are an equal opportunity disorder. Another reason I’m addressing this issue is suicide is the number one mental health issue killing teenagers in our country. Eating disorders are the second leading mental health issue killing teenagers. It is estimated that every 62 minutes someone dies from an eating disorders (NIMH). The death may occur after someone has received treatment and is considered in recovery. Eating disorders take such a toll on teenage bodies they may die even though they are considered to be recovered. The singer Karen Carpenter is a prime example. She struggled with an eating disorder for years and struggled with treatment too. However, she finally reached a point where she was considered recovered from her eating disorder and started to resume her life. Unfortunately, she died suddenly one day from a heart attack. The toll the eating disorder put on her body weakened her heart severely. So severely that it caused her to have a heart attack even though she was in recovery.

This is a very sad story and fact. We can avoid these issues by early diagnosis and treatment. We also must realize that eating disorders impact boys too. If we do not we are not addressing the entire problem. We need to address how our society look at men’s bodies and women’s bodies and the expectations we place on both genders. No one can live up to the female and male stereotypes we have created. In order to change these stereotypes we need to start with teenagers and provide them with enough self-esteem to reject the stereotypes.

As I stated early treatment is necessary. To have early treatment we must have early diagnosis. I have included a link to a video by Dr. Pooky Knightsmith which discusses the ten common warning signs of an eating disorder in teens and children, please watch this video https://youtu.be/nKwbE8mP_PA.

If your teen or child displays any of these warning or signs or if you feel your teen maybe struggling with an eating issue, make an appointment with an adolescent psychotherapist who specializes in adolescents and eating disorders. Do not feel ashamed or embarrassed. A mental health issue is no different than a physical health issue. We only believe their is a difference due to the stigma we have created. However, keeping this stigma is endangering the lives of many teens so help your teen and ignore the stigma. Help them deal with their health issue.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating teenagers and children. He also treats teens including boys with eating disorders. For my information about his work and private practice visit his website www.RubinoCounseling.com or his Facebook page www.facebook.com/drrubino3.

Super Bowl Sunday and Domestic Violence

Super Bowl Sunday and Domestic Violence

The teams have won their positions in the Super Bowl and in next week the Super Bowl will be played in Miami, Florida. Many people look forward to Super Bowl parties and having a fun weekend. In some ways, the Super Bowl has almost become a holiday for some people. However, it is not a fun weekend for everyone. For many it is a weekend of terror.

Because people tend to drink more alcohol at the parties or just at their homes watching the game, this can raise tension between people. The result can be violence. In fact some statistics rate Super Bowl Sunday as the day of the year that the most domestic violence occurs. It is serious enough that the NFL has started running PSAs regarding domestic violence.

To get a better idea click this link http://jezebel.com/the-super-b… and read the statistics and watch the PSA.

The other issue is that children are exposed to the domestic violence which occurs on Super Bowl Sunday and the rest of the year. This can have a serious impact on children. They can grow up thinking it is acceptable to hit their partner or to be verbally abusive to their partner. They may also grow up thinking that if they are hit by a boyfriend or girlfriend that they deserve it. So they do not end the relationship or seek help because they believe the deserve to be abused.

Domestic Violence is a very complex problem that can go back many generations. It is also one of the reasons for bullying that we see at schools. Children are acting out what they see and hear at home. Therefore, domestic violence effects the entire family. It effects adults and children in very dramatic ways.

As I stated above, children who witnessed domestic violence are impacted by it too. Domestic violence occurs with teenagers too and is just as serious. Click this link and learn the shocking facts https://youtu.be/cSJmTrxO16M.

I encourage you to learn more about this issue and to talk to your teenagers about it. No one has a right to hit them or to verbally tear them apart. If they feel they are in an abusive relationship, there is help. If your teenager or anyone feels like they are involved in an abusive hotline call the National Domestic Abuse Hotline at 1-800-799-7233.

As for Super Bowl weekend, remember it is just a game and a chance to have a good time. Help yourself and your friends and watch how much alcohol people are consuming. If you think someone has had too much to drink tell them in a caring manner. Try to agree before the game that there will be no fighting and it is a day for everyone to have fun no matter who wins. Also serve plenty of food. Just a few things you can do to decrease the odds of a fight occurring.

Dr. Michael Rubino specializes in treating children and adolescents and he is certified in the assessment and treatment of Domestic Violence. For more information about his work or private practice visit his website at http://www.rubinocounseling.com or follow him on Twitter @Rubinotherapy or visit his Facebook page at http://www.Facebook.com/drrubino3.

Dealing with the Holidays when you have Mental Health Issues

Dealing with the Holidays when you have Mental Health Issues

For many people the Holidays can be a stressful time. For some people there is the stress of not having enough money. For others, they lost a loved one this year and this is the first Holiday without their loved one. For others, there are family issues that make this a difficult time of the year. Finally, for people with mental health issues, the Holidays can be a very difficult time.

For people with mental health issues the Holidays can be difficult for many reasons. They may be dealing with family issues, financial issues or not feeling happy. Not feeling happy can be difficult because everyone is supposed to be happy during the Holidays. At least this is what we are told by society. Also some people with mental health issues may find the Holidays difficult because their condition is not stabilized yet or the Holidays can be a trigger for their mental health issues. I see this with the patients I work with who are Bipolar or patients who are dealing with eating disorders. Just to name a couple of mental health issues that are triggered by the Holidays.

People who are suffering with mental health issues that are triggered by the Holidays need support and understanding. You cannot just tell them to pull it together or to take a pill. It is not that easy for them. If it was, they would automatically take those steps on their own to solve the situation.

There are some things that people with mental health issues can do that may help them. Dr. Pooky Knightsman, who deals with her own mental health issues, describes some of these options in her video. I have included a link to it so you can watch it. If you have a loved one who has mental health issues, please watch this video and may be you and suggest some of these ideas to your loved one. If they work that would be fantastic for the person coping with mental health issues. If they do not work, please understand the person is not having issues on purpose. If you love them you need to be patient and understanding and help them through this difficult time. Here is the link to Dr. Knightsman YouTube video https://youtu.be/ch5JLIYyPtU.

Dr. Michael Rubino is a psychotherapist with 20 years experience treating children and teenagers many of them are Bipolar. For more information regarding Dr. Rubino’s work or his private practice visit his website http://www.RubinoCounseling.com.

How Many Children Need to Die?

How Many Children Need to Die?

I initially wrote part of this article in August 2019, and October, 2019, but unfortunately it needs to be updated again. We have many children who are suffering with severe anxiety and refusing to go to school. They are terrified of going to school. Why would a child be terrified of going to school? Because of all the mass shootings in the United States and our government has failed to pass any sane gun laws protecting children. As of July 31, 2019, there were 248 mass shootings, 246 people killed and 979 injured. Given the number of shootings this year, it averages out to a mass shooting every 1.2. days. These statistics were valid as of July 31st. Since then there were three more shootings in California, Texas and Ohio. Therefore, there have been 250 mass shootings as of August. Yesterday, there was another shooting at a school in Santa Clarita, California. Another two students were killed.

The statistics from the Gun Violence Archive reported above are no longer accurate. As of November 15, 2019, which was the 319th day of the year there have been 336 mass shootings. Currently the official statistics for 2019 are there have been 1347 killed this year in mass shooting and 1,684 people injured. However, we still need the statistics from the recent shooting in order to know how many people have been killed or injured. These statistics don’t account for how many families have been changed forever and how many first responders are dealing with trauma reactions. It is a tragedy these statistics are no longer fact and in order to be accurate they will increase. Each increase indicates another person who died or was injured and another family devastated. When will we take action?

Initially after the recent shootings, the President said we would definitely be taking action and there would be universal background checks. He then made a public statement from the Oval Office that there would be no universal background checks. The President stated the background checks we currently have are enough to keep us safe. He also publicly stated that the people who helped him win the election would not be happy with universal background checks. He had been speaking to the chairman of the NRA that day. Therefore it appears, the money the NRA donates to his campaign is more important than the children of the United States.

Another sad fact about yesterday is that earlier this year the House of Representatives passed several sane gun laws. For months Mitch McConnell, the leader of the Senate, has held these bills on his desk just letting them sit so the Senate could not vote on them. Children and teenagers are being killed daily and a possible solution is sitting on Senator McConnell’s desk and he refuses to allow the Senate to debate and vote. His excuse is he is waiting for permission from President Trump.

The President initially said he would support sane gun laws and now he is trying to say it is simply a mental health issue. By doing so he doesn’t help the issue and he reinforces the negative stigma about mental health in our country. When he refers to a mental health issue, he calls the people “sick” and states they need to be locked up. The research clears shows that people with mental health issues pose a danger to themselves by cutting or committing suicide. The research clearly shows that people with mental health issues are rarely dangerous to society. The Director of the American Psychiatric Association issued a statement stating the same information.

Mental health is not an issue with mass shootings, hate is the issue. In fact the FBI was able to arrest three men planing mass shootings. One of the men arrested issued a statement that he was planing the shooting because he hated anyone who was not white. He was also at the Charlottesville protest and stated to a reported he believed in only a nation for white people and was advocating killing anyone who was Jewish. This man is not being labeled as mental ill. He is being charged with charges related to a Hate crime. Again in order to be charged with a Hate crime you must be attacking someone because you hate them due to their ethnicity, religion, sexual orientation etc. The Klu Klux Klan has held rallies and have been accused of killing people for years, but no one in the group is labeled mentally ill. The KKK is labeled as a hate group.

So when I have children coming into my office saying they are afraid of being killed at school and the mass shooter drills scare them, what do I say to them? How can I say we are doing everything we can to protect them, when our government is not doing anything. How can I say don’t worry when every day there is a mass shooting and more students are killed at a school?Children also hear things and they will know that I am lying. Most would have heard about the most recent school shooting and some may have heard that the President refused universal background checks. For therapy to work, the children need to trust me. If I lie, they will not trust me. Again, with the statistics I cited for this year alone, how can I tell a child there is nothing to worry about.

The other issue is how do parents get children and teenagers to come to a psychotherapist’s office. The President has been on national television stating all mass shooting is due to mental illness. He refers to the people as “sick puppies” and that they need to be “locked up in asylums.” Teenagers and children will be worried that their parents are taking them to my office to be locked up. Many teenagers need psychotherapy for mental health issues such as depression. According to the CDC, one out of five children need psychotherapy. Anxiety disorders and depression have increased significantly. Cutting is an epidemic in teenagers and children. I have children as young as 10 who self- mutilate. Also suicide was the third leading cause of death for kids 10 to 18 years old. In the last few months, the CDC changed suicide from the third leading cause of death to the second leading cause of death. There are many children who need psychotherapy, but will be afraid of being locked up and will fight their parents about going to therapy.

Also what about the people who experienced a mass shooting, their family and friends and the first responders, their lives have been changed for ever. They are going to need years of psychotherapy to cope with their PTSD. However, besides be labeled as a victim, they are not going to want to be looked at as a “sick puppy” because they need therapy. This is what they will think and feel because of how the President and Senate have responded to mass shootings. We already have survivors of mass shootings and family members committing suicide because they cannot stand the pain. We have seen the same thing from veterans committing suicide because they did not have access or were embarrassed to seek psychotherapy. When will we learn? When will we stop demonizing mental health?

Since it appears the President will not act, we need to learn from the high school students from the Parkland, Florida shooting and take action ourselves. Remember by acting you may be saving the life of your child or a loved one. Call the Senators for your state and demand sane gun laws and if they are too afraid of the NRA, you will vote against them in the next election. Next, contact Mitch McConnell and demand that he bring the sane gun laws to the Senate floor for a vote. If he received numerous phone calls demanding action or people with be supporting who ever runs against him, he will bring the bills to a vote. He only cares about keeping his senate seat. If he cared about the families devastated by these shootings, he would have been there trying to help instead of staying on vacation. His contact information is below:

Senator Mitch McConnell : U.S. Senate, 317 Russell Senate Office Building, Washington, DC 205100001

ph: (202) 224-2541

fax: (202) 224-2499

Some people will say I have no right to be writing this article. However, I see and hear the kids crying daily because they are afraid of being killed or their parents being killed. I also am trained in Critical Indent Debriefing and trauma therapy. I am tired of hearing how the first responders lives are being changed and the night terrors they experience. I am not afraid of the NRA. We have a huge problem with hate and race in our Nation that must be addressed. Also we also do not have adequate mental health services in our Nation. This is why the suicide rate went from the 3rd leading cause of death to the second leading cause of death for kids. Mental health issues is not causing the mass shootings! If it was we would have had the problem in the 1970s and 1980s, but we didn’t.

Dr. Michael Rubino is a psychotherapist with over twenty years experience treating children and teenagers. He is also trained to treat victims of trauma and to do Critical Incident Debriefing. For more information regarding Dr. Rubino visit his website http://www.RubinoCounseling.com or Facebook page http://www.Facebook.com/drrubino3

We are Accepting Mass Shooting as Normal Daily Events

We are Accepting Mass Shooting as Normal Daily Events

many children who are suffering with severe anxiety and refusing to go to school. They are terrified of going to school. Why would a child be terrified of going to school? Because of all the mass shootings in the United States and our government has failed to pass any sane gun laws protecting children. As of July 31, 2019, there had been 248 mass shootings, 246 people killed and 979 injured. Given the number of shootings this year, it averages out to a mass shooting every 1.2. days. These statistics were valid as of July 31st. Since then there were three more shootings in California, Texas and Ohio. Therefore, there have been 250 mass shootings this year (it’s only August) and we are still waiting on the total number of people who have been killed or injured.

The statistics from the Gun Violence Archive reported above are no longer accurate. As of September 24, 2019, there have been 334 mass shootings, 1347 killed this year in mass shooting and 1,684 people injured. The really sad fact is these statistic are no longer valid. Yesterday there was a mass shooting in Long Beach. People were at a Halloween party and someone started shooting at them and killing people. The statistics on this incident have not been released yet. The really sad thing is this barely mad the news. Most people have not heard about the shooting and the was very little news coverage about the event. Why? Because these shooting are becoming normal to us. No one is shocked to hear about another shooting, they have learned to expect it. The GVA has reported that 2019 will be the year with the most mass shooting events, deaths and injuries based on the statistics to date. What are we doing to change the problem? It is getting worse not better and the President and Congress take no action.

Initially after the recent shootings, the President said we would definitely be taking action and there would be universal background checks. He then made a public statement from the Oval Office that there would be no universal background checks. The President stated the background checks we currently have are enough to keep us safe. He also publicly stated that the people who helped him win the election would not be happy with universal background checks. He had been speaking to the chairman of the NRA that day. Therefore it appears, the money the NRA donates to his campaign is more important than the children of the United States.

The President has tried to say it is simply a mental health issue. By doing so he doesn’t help the issue and he reinforces the negative stigma about mental health in our country. When he refers to a mental health issue, he calls the people “sick” and states they need to be locked up. The research clears shows that people with mental health issues pose a danger to themselves by cutting or committing suicide. The research clearly shows that people with mental health issues are rarely dangerous to society. The Director of the American Psychiatric Association issued a statement stating the same information.

Mental health is not an issue with mass shootings, hate is the issue. In fact the FBI was able to arrest three men planing mass shootings. One of the men arrested issued a statement that he was planing the shooting because he hated anyone who was not white. He was also at the Charlottesville protest and stated to a reported he believed in only a nation for white people and was advocating killing anyone who was Jewish. This man is not being labeled as mental ill. He is being charged with charges related to a Hate crime. Again in order to be charged with a Hate crime you must be attacking someone because you hate them due to their ethnicity, religion, sexual orientation etc. The Klu Klux Klan has held rallies and have been accused of killing people for years, but no one in the group is labeled mentally ill. The KKK is labeled as a hate group.

So when I have children coming into my office saying they are afraid of being killed and the mass shooter drills scare them, what do I say to them? How can I say we are doing everything we can to protect them, when our government is not doing anything. Children hear things and they will know that I am lying. Most would have heard some where that the President refused universal background checks. For therapy to work, the children need to trust me. If I lie, they will not trust me. Also with the statistics I cited for this year alone, how can I tell a child there is nothing to worry about.

The other issue is how do parents get children and teenagers to come to a psychotherapist’s office. The President has been on national television stating all mass shooting is due to mental illness. He refers to the people as “sick puppies” and that they need to be “locked up in asylums.” Teenagers and children will be worried that their parents are taking them to my office to be locked up. Many teenagers need psychotherapy for mental health issues such as depression. According to the CDC, one out of five children need psychotherapy. Anxiety disorders and depression have increased significantly. Cutting is an epidemic in teenagers and children. I have children as young as 10 who self- mutilate. Also suicide was the third leading cause of death for kids 10 to 18 years old. In the last few months, the CDC changed suicide from the third leading cause of death to the second leading cause of death. There are many children who need psychotherapy, but will be afraid of being locked up and will fight their parents about going to therapy.

Also what about the people who experienced a mass shooting, their family and friends and the first responders, their lives have been changed for ever. They are going to need years of psychotherapy to cope with their PTSD. However, besides be labeled as a victim, they are not going to want to be looked at as a “sick puppy” because they need therapy. This is what they will think and feel because of how the President and Senate have responded to mass shootings. We already have survivors of mass shootings and family members committing suicide because they cannot stand the pain. We have seen the same thing from veterans committing suicide because they did not have access or were embarrassed to seek psychotherapy. When will we learn? When will we stop demonizing mental health?

Since it appears the President will not act, we need to learn from the high school students from the Parkland, Florida shooting and take action ourselves. Remember by acting you may be saving the life of your child or a loved one. Call the Senators for your state and demand sane gun laws and if they are too afraid of the NRA, you will vote against them in the next election. Next, contact Mitch McConnell and demand that he bring the sane gun laws to the Senate floor for a vote. If he received numerous phone calls demanding action or people with be supporting who ever runs against him, he will bring the bills to a vote. He only cares about keeping his senate seat. If he cared about the families devastated by these shootings, he would have been there trying to help instead of staying on vacation. His contact information is below:

Senator Mitch McConnell : U.S. Senate, 317 Russell Senate Office Building, Washington, DC 205100001

ph: (202) 224-2541

fax: (202) 224-2499

Some people will say I have no right to be writing this article. However, I see and hear the kids crying daily because they are afraid of being killed or their parents being killed. I also am trained in Critical Indent Debriefing and trauma therapy. I am tired of hearing how the first

Coping with Grief during the Holidays

Coping with Grief during the Holidays

The Holidays are typically a happy time for many people. However, for others it can be a very difficult time. If you lost someone close during the year, the first Holiday season can be very difficult. Also maybe the death occurred last year, you can still be grieving the loss of your loved one. Our society doesn’t really talk about grief. In our society grief is a topic we avoid. We all know it exists but we try our best to ignore it. This makes it very difficult for people who are grieving. Since we do not openly discuss it, people are.not sure what is appropriate in terms of expressing grief or how to respond to someone grieving especially during the Holidays.

A major part of the grieving process is learning how to continue your life without your loved one. This can be a difficult process especially depending on how the death occurred and if you had a chance to say good bye. Regardless of if it was sudden or expected there is a grieving process people undergo. There are stage theories about grief, but I encourage people not to worry about those theories, grief is an individual process and you need to allow yourself to experience it the way you need to. In other words, there is no right or wrong way to grieve.

In terms of the feeling of grief, the best way I have heard it explained is think about it as an ocean wave. You never know when the wave will come in or when it will go out so you just have to experience as it happens. However, you know the wave will eventually go out so you do your best to deal with it until it goes back out. However, it’s important to remember it will be back again until you are finished grieving.

During the Holidays you need to take care of yourself and ask others to understand that you are grieving and ask for their support. Maybe you cannot do what you have always done during the Holidays. Maybe this year you need to do something totally different such as go on a trip. Maybe you need to allow yourself some quiet time so you can remember your loved one in the way which feels appropriate to you. The important thing is to do what you feel is appropriate for you. There is no right or wrong way to express grief at anytime especially during the Holiday Season.

It is a good idea to try to develop a general idea for how you plan to cope with the Holidays. However, it’s also important to remember that you need to be flexible. You may have a plan for the Holidays which sounds like it will help you cope with your grief during the Holidays. However, at the last minute you discover it won’t work and you need to change it. If that is the situation, then change your plans at the last minute. You need to do what you need to in order to cope with your grief during the Holidays.

When developing a plan include the immediate family because everyone is grieving and you can support each other. In other words, it is a good idea to try to openly discuss with the family how you each feel you can cope with your grief and the Holidays. If there are children involved, pay close attention to the children. They may have difficulty expressing their thoughts and feelings and may be very confused.

Also remember there is no timeline on grief. So it may take you a year to process your grief, while it may take someone else two or three years. The main point is do not impose a time frame on yourself or anyone else. If you notice grief is paralyzing you or a family member, you may want to suggest therapy so they can get the additional support they need. Again grief is a very individual process so some people may need psychotherapy and others may not.

The main point is to remember this Holiday will be very different and not to put a lot of expectations on yourself. Do what you can and if you cannot do something do not force yourself. Do not be embarrassed to ask others for emotional support or to cry. Cry as much as you need to. The bottom line is this Holiday is going to be different and you may not be happy and filled with joy. If that is the case, you are not doing anything wrong. You are simply experiencing your grief and it is important to allow yourself to grieve.

On last point, some people find volunteering at a homeless shelter or food bank to be helpful. Helping others and helping others to live without having to struggle can help with some of the helplessness you may be experiencing. Again, do what you and your family need to in order to make it through the Holiday. Do not worry how others may possibly be judging if they are judging you. They are not dealing with the grief, you and your family are dealing with the grief.

I have also included a link to a website that provides additional information about grieving during the Holidays. Having a list to refer back to can be helpful. Please take care of yourself and family during this emotional time. Coping with grief and loss during the holidays – https://go.shr.lc/2AoQ1yR via @Shareaholic.

Dr. Michael Rubino is a psychotherapist with over 20 years experience treating children and teenagers and working with people who are grieving. For more information about his work or private practice visit his website http://www.RubinoCounseling.com or his Facebook page http://www.Facebook.com/drrubino3.