A Denver Urban Spectrum column

This content is available in print and on-line at Denver Urban Spectrum as a monthly column.
Showing posts with label stress. Show all posts
Showing posts with label stress. Show all posts

Tuesday, June 3, 2014

Good Grief for Kids



“My son was 6 years old when my father unexpectedly passed. Popo was the only man in his life at the time. The day my baby boy was born, Popo was there to thump his forehead as if it were a melon while saying something to the effect of “oh, we’ve got a smart one here.” Popo packed my little one around everywhere he went showing him the ways of the world, talking to him and using his wisdom to teach him the secrets of growing up and becoming a man. Blinded by my loss, I never thought about how my son was dealing. To my surprise I learned my son was grieving several months after the funeral, when I received a phone call from his 1st grade teacher. My son had written a short story about losing his Popo. There was so much detail in his story and the picture he drew, that it was like reliving the loss all over. The teacher was just as surprised and had his story published. I never realized or imagined how much grief he was dealing.”

The term “Good Grief” is an idiom for the keen mental suffering or distress over affliction or loss. Dealing with loss is a challenge for an adult, but what is it for our children? We often think that our young ones are too far removed from the reality of death and incarceration to feel grief and loss the way that we do.  The truth is that they know and experience more than we realize.
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If you have experienced a recent family loss, there are certain responses you can expect, and there are positive ways to respond and support your child. We all experience differing amounts of fear, and sadness, and anger, and guilt, in waves.  Children are no different.  Even the youngest child will experience these feelings while they are grieving.  But they may not be able to understand, clearly express, or even identify these feelings that drive their actions.Empathy is a skill that children learn. To empathize with someone begins with understanding what he is feeling or what you would feel like if you were in the situation. It is not until age 4 that a child begins to associate their own emotions with the feelings of others and age 8 that a child can grapple more complex moral decisions.

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Children fear what will happen to them, or to others they love.  They are sad for their own loss, and are often not able to empathize with your loss. They may be angry at the person who has left, or at those they believe are responsible.  They may be angry at surviving family members, or even with themselves for something they believe caused the loss.  Children are capable of carrying tremendous feelings of guilt and will believe themselves responsible for causing illness, death or loss, but they don’t understand these feelings and just act out on them.

Our communities are full of random loss - accidental death, prolonged illness, suicide, drug overdose, violence, incarceration, terrorism, deployment to a war zone, and even divorce or separation - can produce a grief response in children, and it is up to the adults to provide the safe, nurturing support our children need to navigate these experiences.
What can adults do?

  • Listen.  Let children talk about their grief experiences. Everyone grieves differently, let your child share their grief and feel heard.
  • Understand that there is no set time-frame for grief.  It is not a single event, but a process that will take time.
  • Avoid lies and half-truths.  Children are perceptive, and are more likely to feel that the loss is their fault if they pick up that you aren’t telling them the whole story.
  • Be patient and understand that it is very complicated to process grief at any age.
  • Take care of your own needs as well.  Your grief needs to be expressed and addressed so that you can provide support to a grieving child.

Every individual is different, but there are some general ways that children understand and cope with loss at different stages of development.
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0 - 3 Infants and Toddlers - in these early years, babies will know that adults are sad, but they have no real understanding of death. They are likely to experience trust issues if their needs are not met while a family grieves. Take care to nurture and attend to infants and toddlers so that they feel safe even through your own loss.Some reactions to a change in the immediate care of an infant or toddler that indicate grief include; crying, searching as if for a lost object, changes in sleep or eating habits, regression in toilet learning.Teach empathy. The best training for empathy begins in infancy. Infants and toddlers learn the most by how their parents treat them when they are frightened, upset or cranky.

Things you can do to help;
  • physical cuddling and comfort
  • maintain routines
  • meet immediate needs
  • be patient and gentle

3 - 5  Preschoolers tend not to see death as a permanent thing.  Because they have a kind of magical thinking, they tend to see death as a separation and possibly as reversible or temporary. They are likely to believe that certain actions can cause death, and others can undo it.  They may experience the grief of others as frightening, and may feel helpless or guilty for not fixing it.

Some responses will include; tantrums, fighting, regression to bedwetting or thumbsucking, becoming clingy, fear of separation, talking as if the loved one is still around, fear of things they associate with the loss. Talk with your child through their emotions and feelings even if they’re 3-year olds and may be too young to comprehend what you are saying.
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Things to do to help;
  • provide safe ways to express feelings (art, story telling)
  • physical contact
  • be patient with regression
  • give clear, simple, truthful answers
  • maintain structure and routines
  • include child in family rituals and mourning
  • listen and comfort
  • allow child to cry
  • encourage child to play and have fun

5 - 9  Elementary aged children can understand the finality of death.  They tend to see violence and death as things that happen to others, and not something that can happen to themselves.  They are very concrete in their thinking and will describe loss in very physical terms. They are also likely to believe in their own power and feel great guilt about having caused the loss by some thought or action.  

Some likely reactions may be: self-blame, irritability, mood swings, anger, denial, withdrawal, trouble concentrating in school, general fear for the safety of loved ones.

Things that will help;
  • provide safe ways to express feelings (music, journaling, dance, art)
  • physical contact
  • be patient with regression
  • be truthful about your own feelings
  • allow time for questions
  • give clear, honest answers
  • schedule time to be together
  • work with schools for supports
  • encourage friendships with others who have experienced loss
  • allow child to choose how to be involved with family rituals and mourning.

9 - 12  Middle school aged children are able to understand the physical realities of death - that the body is no longer functioning and can not be returned to daily life.  They are better able to empathize with others’ loss and to want to help.  They know that death will come to everyone, even themselves, and they are more likely to hide their grief for the sake of moving on.

Some of the responses likely from children in this developmental group include; decline in academic performance, repressing emotions, resentment and blame, withdrawal, isolation, crying, sleep problems, anxiety.

Things that may help;
  • expect and accept mood changes
  • find peer support groups
  • provide time to talk and console one another
  • accept comforting
  • talk honestly and openly and ask for the same
  • model how you cope with your loss
  • provide safe outlets - sports, art, journaling, etc
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12 - 16 Tweens and adolescents are able to comprehend a loss in a more adult manner, however their reactions are more likely to be related to their stage of development.  At this age the steps toward becoming independent are the driving force in their lives, being aware that imagined futures are now altered is likely to cause anger, resentment, and frustration that the teen may deem inappropriate to express with others who are experiencing their own loss.  

Some reactions may include exaggerated; turning to friends for consolation, seeking escapes in substance or self-harm, suicidal thoughts or actions, appetite changes, numbness, physical complaints, risk-taking or thrill-seeking, rebellion, guilt, anxiety, apathy, withdrawal, declining school performance.

Things to try;
  • model appropriate coping with profound feelings
  • talk honestly & invite conversation
  • provide access to adult mentors/counselors
  • provide access to peer support groups
  • monitor risky behaviors & discuss connections to grief
  • encourage and model outlets for grief - writing, drawing etc.
  • expect and accept mood swings and hidden feelings

It can be challenging to try and help a young child while we are grieving ourselves.  When we are coping with your own feelings of loss, it may be helpful to get outside support for your youngest family members. Look for local support groups to help you both!

Saturday, November 30, 2013

Part 3 of 3 on Childhood Stress: How do I reduce unhealthy stress in my child's life

Before we begin to look at how we can reduce unhealthy stress we need to remind ourselves that some stress is normal and considered healthy.

Children are expected to encounter the daily challenges that life brings; meeting new people, being afraid of the dark, peer pressure etc. It’s through these experiences of simple stress that children discover their identity, learn to problem solve and learn self-regulation (the ability to manage oneself).

The pressure of stress on the body increases the heart rate, causes a person to breathe more rapidly and tenses the muscles. Having multiple stressors in our life elevates our stress level and negatively impacts the body. Our bodies can only re-establish balance when we have relief from stress. Be aware of the kinds and amounts of stress you are under, and the stress you can help alleviate for your child.

Knowing the damage caused by stress (see Part 1 of 3) and some strategies for building resilience in our children (see Part 2 of 3) we want to know what we can do to reduce stress in our children’s lives to begin with...




0 – 3 year olds
Babies feel stress just like we do – except that they are building an understanding of the world and learning how to be safe.  Because a baby is learning to build trust and to believe that the world is a safe and predictable place, the less stress we can subject them to, the better.

Avoiding stress means comforting baby when she cries, and responding to his needs as quickly and calmly as we can.

Did you know that you can’t spoil an infant?  Babies are simply learning about the world when they are tiny.  If we leave them to “cry it out” we just teach them that they have no way to control their circumstances!  If we pick up that crying baby, they will learn to trust that they can make things happen and that they can influence their tiny world.

Think about it – If we want our children to grow up to be strong and empowered individuals who don’t feel that they are victims and who know they can make a difference for themselves – why not start the minute that baby comes into the world? 

Eventually, children need to learn to meet their own needs, and not rely on the adults around them to come running – but does it make sense to think that a baby can manage this when it has no way to get around or do anything more than cry without help? 

Establishing a routine for feedings, naps, and play time can also reduce stress for a baby.  As they come to expect regular schedules, they will feel less stressed by feeling hungry or tired, and will learn that their needs will be met.

To reduce stress, build safety nets for your child
  1. Comfort your infant till they are able to get what they need for themselves. 
  2. Create routines and predictable schedules, and stick to them.
  3. Develop trust by letting your child know there is someone they can rely on


3 – 5 year olds
Although preschool aged children are often referred to as “little adults” they lack many capabilities of a fully developed adult brain. Their brains are still developing without an ability to act independently, manage feelings, or share how they feel. As a result toddlers under stress may build feelings of sadness or anger inside; which may cause them to regress to infant behaviors, become angry or aggressive, withdraw, bite, or act overly sensitive.

The good news is you don’t have to be a doctor or licensed therapist to help children relieve unhealthy stress in their life. The key to reducing unhealthy stress in a toddler’s life begins with Building Safety Nets, Providing Social Support, Teaching Coping Strategies, Positive Thinking, and Stress Prevention. Research indicates children living in supportive environments that learn to develop a range of coping skills become more resilient, with a greater ability to bounce back from a crisis.

Providing Social Support - simple things such as having a parent who listens, friends to talk to, affectionate hugs, people to lean on are all ways children feel support.  
* Notice, acknowledge, and praise children

Teach Coping Strategies - the ability to find hope begins with the ability to think through solutions, anticipate stress and find ways to avoid stress.
Positive Thinking - its important to show a child how to cope in a healthy way by keeping calm, controlling anger, and modeling how using these coping strategies help you find solutions.
* Self-Talk       
* Use art for expressing feelings, use stories or books that children can identify their feelings with
* Talk about stressful events that happen

Stress Prevention - foresee stressful situations and AVOID IT!
* Identify causes of stress and plan ways to avoid it or how to deal with it
* Teach relaxation techniques and provide a quiet space
* Teach conflict-resolution strategies
* Build a child’s self-esteem and encourage them to be proud of themselves
* Help your child find a special interest


School age children:
Children continue to need predictability throughout their school years.  Let’s face it, even as adults we rely on schedules and routines to get us through the stressful times.  Our kids thrive when they can anticipate what is coming next.

Not that surprise is bad, or the unexpected isn’t welcome (a snow day can be the greatest gift in a school year!) But being able to return to schedule and know what to expect allows the novelty of new learning to be a welcome thing to the developing brain.

Helping children to develop schedules and routines doesn’t mean that we should over schedule them.  Unstructured free time builds creativity and social experience that we simply can’t provide in any other way.  Time to become “bored” and have to entertain yourself may be the best way to develop imagination.  However, those times can be predictable too!

1.     Have a firm bed time and a routine to help your child wind down from the day and get ready to sleep.  For some children having a checklist for bedtime can be very comforting.  Make leaving school work, clothes and etc. ready for the next day a part of the routine.
2.     Do the same for morning and getting ready for school. Weekends and holidays can be a break from this routine, but after 2 or 3 days having no predictable schedule can become stressful.  Have your child continue to practice weekday routines even over breaks from school – what a great opportunity to fill a day with new adventures and to continue learning without having to be in a classroom!
3.     Schedule regular time for homework and be available to support your child in completing it. There are times when students need to go off and finish homework on their own, but there are times when having you at their side is important for reducing stress too!
4.     Leave time in your child’s day for entertaining themselves, and for experiencing the kinds of stress that help to build character!


Thursday, May 30, 2013


Childhood stress - Part 1 of 3 - What is Childhood Stress and why does it matter?


The reality is that this world does not always provide an opportunity to move from an unhealthy environment. Numerous adults report how their experiences with childhood trauma, poverty, and stress affected their outcomes.  Some people are highly impacted by unhealthy environments and others attest they turned out “just fine”.  

So why is it, that some will succeed, while others develop social and behavioral problems? Researchers attribute having certain human qualities and psychological traits as the answer.
If we teach our child to develop these specific qualities and traits, the child’s chances for success increase.  The development of these specific qualities and psychological traits are valuable for life in general.  If we think of teaching our children as changing the future, we want to make sure that we are giving them tools for success at the very beginning.




Proverbs 22:6 (KJV) “Train up a child the way he should go; and when he is old he will not depart from it.” This familiar passage, spiritual in nature, speaks volumes to the duties caregivers have in raising children.


If we ‘train up’ a child that child can be resilient and bounce back, and succeed in any environment.  Even difficult “traumatic” experiences, such as poverty or chronic stress can be overcome if we build up the ability to be resilient.




Trauma, Poverty, & Chronic Stress in Children:
Childhood trauma has severe impacts on children.  Being exposed to violence, abuse, serious accident of loss of a loved one, or any other stressors can be traumatic for a child.  Children show the effects from the stress of living with stress and struggle in their behaviors, in the way they interact with others, and in their ability to cope with change.  This impacts a child’s ability to learn and succeed in school and in life.


Some symptoms that your child is being affected by stress include:

* freezing when they should act  
* surrendering or shrugging it off  
* daydreaming
* crying
* defiant behavior
* disconnecting from friends or family     
* acting out   
* sleep problems


Some kinds of stress are common, and can be positive - like the stress of starting school, or getting a shot at the doctor’s office.  Some stress is related to a specific situation and is tolerable - like the loss of a family member or a natural disaster.  The type of stress that is really a problem is the toxic stress of ongoing, long-term exposure to negative situations - like seeing or hearing or being aware of abuse in the home, being abused, or repeated exposure to violence in the neighborhood.  This type of stress is considered the most threatening for children; weakening the architecture of the developing brain and creating physiological problems.



Infants and children react to trauma, poverty and stress very differently than adults do. For this reason adults often misinterpret the effects of the trauma on the child, believing the child was too young to know what was happening or thinking the child will easily get over what has happened.


We are often quick to think the child doesn’t know what is going on in another room, but that is just how we convince ourselves we haven’t done any harm to them.  In truth, children see and hear more than we want to admit, and it takes a toll.  Children are sponges and they are collecting information about their environment at all times.  They are reading body language, overhearing details without having a good way to process that information, and in many cases they have to re-live the stress day after day.


A child will often become unattached or nonreactive, which can be misinterpreted as resilience. But in reality the impact is detrimental to their development.  Infants are more vulnerable than any other age.  Young babies are able to detect anxiety and stress from the tones in adults voices. Infants and children are dependant on adults for care, and can become anxious, stressed and/or fearful when they feel threats in their environment.  Even that tiny baby knows when things aren’t right in the home.  


It is up to us to help our children gain the skills to be able to interact with stress and use it to strengthen them!



TRAIN UP A CHILD…
Caregivers can be parents, grandparents, family friends, teachers and more. Regardless of the relation to a child, all adults serve as educators because we are models. Training a child to be resilient prepares that child to be a functioning steward in society when it’s their time to leave the nest. The earlier we start being invested in how we train up a child, the greater the opportunity for a child to develop valuable skills and traits.
Resilience is made up of a set of characteristics that can help a child overcome the negative effects of stress, poverty, and trauma.  These traits are:
  • * Persistence
  • * Self-Control
  • * Curiosity
  • * Conscientiousness
  • * Communication
  • * Grit
  • * Self-Confidence
  • * Self-Regulation
  • * Transition Techniques




These qualities can be summed into one word - CHARACTER. Helping develop a child’s character begins in the early stages of life.


Next month we will explore how to develop these qualities and traits in our children at every age level.  Tune in to July’s issue to read “Childhood Stress Part 2 of 3 - How do I help my child build resilience?”  and in August we’ll share “Childhood Stress Part 3 of 3 - How do I reduce unhealthy stress in my child’s life?”