Jeffrey Bernstein, Ph.D.

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Dr. Jeffrey Bernstein’s Counseling Update
COLUMN 3

THE JOY OF BEING A MOM

Children and teens tend to lash out with anger most at their mothers. Ironically, it is the closeness and trust from mom that promotes the venting of anger at her.

MARITAL ISSUES RELATED TO HAVING LD/ADHD KIDS

Parents who support each other do better in managing their LD/ADHD children.

  • When most energy is devoted to the child there is nothing left for the marriage.
  • Trouble communicating between partners in the form of blame, anger, or defensiveness are warning sings of trouble.
  • Working as a team to deal with school conferences and meetings can increase cohesiveness in the couple.
  • Include your child or teen in discussions of what works and does not work re: ADHD/LD issues at home.

RISK FACTORS FOR DEFIANT CHILDREN

A report from the surgeon general suggests that in preschool boys, high reactivity, difficulty being soothed, and high motor activity may indicate risk for the problems with defiant behavior. Marital discord, disrupted child care with a succession of different caregivers, and inconsistent, unsupervised child-rearing may contribute to the condition.

To contact Dr. Bernstein for counseling, speaking engagements, or to be added to his mailing list:

JEFFREY BERNSTEIN, PH.D.

LICENSED PSYCHOLOGIST

430 Exton Commons

Exton , PA 19341

(610) 280 - 7282

 

www.DrJeffonline.com

Email: Drjeff4help@aol.com

COLUMN 2

TUTORING MAY NOT HELP KIDS WITH ADHD

So many exasperated parents use tutors to help their ADHD children and teens succeed.

A recent study, however, found that as children's attention difficulties approached the level that is often seen in ADHD, the beneficial affects of tutoring were substantially reduced. This study controlled for a number of other factors that may have influenced children's reading achievement, including IQ, parental involvement in school, and still found that attention difficulties were the critical factor in whether or not tutoring was likely to be beneficial.

Source: www.helpforadd.com

WHAT MOST FAMILIES FORGET

I find that many families overlook their strengths. It amazes me when I see the psychological resources of some couples and family members. Surviving deaths of other family members, working back from the shock of infidelity, coping with a family member in the throes of an addiction, hanging tough through job loss, smiling in the face of chronic pain, and dealing with the medical and emotional challenges of children with special physical and emotional challenges are just a few that I have seen.

I have learned that providing couples and families with concrete specific observations of how they cope effectively has a tremendous therapeutic value. I use these observations to inspire hope and optimism and this plays an important role in helping families. Watching a child’s eyes light up when I emphasize his courage to accept a new born sibling, or for her to play a new sport or sharing that a mother’s success in balancing of home and career is impressive really does mean a lot. Reflecting how invested a husband was to have painted his mother-in-law’s house, or acknowledging that a couple has been at a major impasse but admiring them for not giving up on their marriage, are more examples of highlighting the client system’s strengths. Focusing on strengths makes it easier to make improvements.

COLUMN 1

THREE EMOTIONAL DIFFICULTIES OF ADHD/LD CHILDREN AND TEENS

I recently was invited to speak at the 27th Fall Conference of the Philadelphia Branch of the International Dyslexia Association. The presentation centered on the three main fears of ADHD/LD children and teens.

  • Fear of Rejection
  • Fear of Failure
  • Fear of Criticism.

All three fears are fueled by the child or teen’s frustration of not meeting his own expectations and those of others in his life.

A Related Parenting Tip:

Think of your child as “motivationally blocked” instead of “lazy.” The “lazy” label shuts down motivation and is very hard to shake. Once you give a child or teen a label, they tend to live up to it.

WHEN ADHD AND DEFIANCE PROBLEMS START

In considering the kinds of interventions needed to prevent or treat defiant behaviors in children and adolescents, it is important to be aware of critical intervention points. The average age of onset of the disruptive behaviors associated with hyperactivity in ADHD is around age two. For Oppositional Defiant Disorder, the onset is usually around age five or six. (It is important to note that a certain amount of oppositionality is developmentally normal, at around age two or three and, again, during pre-adolescence and adolescence. When you see a severe Oppositional Defiant pattern between ages five and ten, it is generally not developmentally appropriate). The usual onset of Conduct Disorder symptoms is around age eight or nine. The destructive nature of these conditions demands intervention as soon as the patterns become evident.

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