Archive of ‘Empathy’ category

How to Help Your Child When They Flip Their Lid

Many of us have witnessed children getting taken over by intense emotions resulting in losing their temper, reacting without thinking, or blowing up. In those moments it can be really difficult to stay grounded and regulated, while also trying to calm your child down. Dr. Dan Siegel, author of Whole Brain Child, terms these instant reactions your child experiences as “flipping their lid.” Once we understand how the brain affects the way we regulate emotions, then not only can we can help our children stay calm but we can also keep our own lid on. 

What is Flipping a Lid?

Flipping a lid has everything to do with the brain and how messages are sent to different sections of the brain about what our bodies are experiencing. When children are able to problem solve, act kindly, and be empathic, those are immediate signs that their prefrontal cortex or “rational brain” is intact.  Said differently, their lid is on. When the prefrontal cortex is engaged, children feel calm, safe, and relaxed. When children are experiencing big feelings (e.g. very angry or anxious, overreact, yell) that serves as a warning sign that they are not thinking with their rational brain but instead using their “emotional or animal brain.” This is when the amygdala is activated, fight, flight, or flight response is triggered, and children flip their lids. The emotional brain keeps children safe and guards them against things that pose as a threat. During this state, their rational brain has been disconnected from their emotional brain- logic no longer influences emotions. 


How to help your child keep their lid on 

Hugs 

Hugs can be a great way to provide relief for your child who has flipped their lid. Instead of flipping your own lid and matching your child’s high emotional state, hugs activate mirror neurons in your child’s brain. This can can help your child sense your emotionally regulated state and influence their reactions. When your child’s brain recognizes the love and affection in your hug, its chemistry is altered and can return to a state of calm and relaxation. Their lid begins to close.  

Validate and Ask Curiosity Questions

When you are noticing your child has flipped their lid, it can help to understand their point of view. Show your child that they have your undivided attention and provide them a space where they feel seen and heard. Ask them curiosity questions to better understand their experience, such as “Are you feeling frustrated that you have to go to bed?” or “Do you want some space from me or would you like a hug?”  By creating a sense of safety and being empathic, they can slowly tame their emotions and put their lid back on. 

Apologize

There will be times when flipping your lid is unavoidable. It is after these moments that sincere apologies can repair the relationship and reconnect you with your child. Let your child know that you are sorry for flipping your own lid, which may have caused hurt feelings. It is also important to ask your child how you can fix this mistake. Mending the rupture with apologies can model valuable skills to your child, such as cooling off, emotional regulation, problem solving, and reconnection. 

You can find Dr. Dan Siegel’s scientific explanation of “Flipping Your Lid” here: https://www.youtube.com/watch?v=gm9CIJ74Oxw&ab_channel=FtMyersFamPsych


When heroes need help

firefighters in action

byMaria Vanillo, M.S.

My father has been a first responder for over 30 years. His profession has come with numerous sacrifices both he and our family have made. From sleepless nights to difficulties with facing everyday stressors, we all struggled. I learned how difficult it is to ask for help, the misconceptions of receiving assistance, and the ripple effect a problem can have when it goes unsolved.

5 Steps to Asking for Help

Acknowledge there is a problem.

When it comes to family matters’ there is a false belief that a single person is to blame for all the negative aspects of our lives. Therapists who work from a family systems perspective believe that an occurring issue is not because of an individual but the family unit as a whole. Both positive and negative behaviors, thoughts, and emotions are reinforced within families. The negative beliefs loved ones have passed down about mental health, asking for help, and the misconception that vulnerability is a weakness is hurting us. Just because these thoughts are loud and feel true does not make them correct.

Identify safe individuals to speak with.

Finding helpful resources can be frustrating. To find a counselor that suits your needs searching Psychology Today or Inclusive Therapists allows you to specialize your search for a mental health professional. You can also speak with your primary care physician to ask about local referrals and support groups. 

Be vulnerable and share what is happening.

Once you have found a clinician you trust, SHARE! Share your thoughts, from fears of what therapy is to what brings you joy. Clinicians are not mind readers and are not making attempts to declare insanity. We ask questions to understand what is happening in your life and provide resources that best suit your needs.

Give yourself grace when working on steps to solve the problem.

It can take years for someone to reach out for help. It takes time for a clinician to provide tools to help you solve the problem. 

Set boundaries.

If you are not ready for the world to know you’re in counseling, that is okay. Voice your concerns to your clinician. They can help you create boundaries when discussing personal matters with others. Privacy is of the utmost importance when conducting sessions. What is shared and what is kept confidential will be discussed during the first session with your clinician.

Reminders

  • You are not alone, and many people are struggling with the same problem you face.
  • Talking to a mental health professional does not make you a burden.
  • Ignoring the problem does not fix it.
  • Not asking for help is scarier than receiving it.

Written by

Maria Vanillo, M.S., LPC-Associate, Supervised by Molly McCann, M.S., LPC-S
Clinician

Meet Maria!


Dementia: An Introduction

Have you been, or has your loved one been, diagnosed with dementia? Do you dread the journey that lies ahead? Here are a few facts and resources to help you face this difficult challenge.

Do not be afraid

Almost all of us who are over 50 fear that we will get dementia someday. But not many of us will actually get it. Among people who are over 65 years old, fewer than one out of 12 people (less than 8%) have dementia. Many centenarians (people over 100 years old) do not have dementia (source: The Merck Manual of Health and Aging, p. 307).  Dementia is very different from normal aging. 

What does normal aging look like? Each year, starting at age 25, our brains lose 1% of their processing speed. By age 50, we notice this, with chagrin. We also do not retrieve remembered information as quickly. Imagine how many names you learned before you were 20. Now imagine how many names you learned by age 50. When we are over 50, our “file cabinet” of names has a lot more items in it. No wonder it takes a little while to sift through that large volume of information to find the correct name when we see a familiar face, or hear a familiar voice. These are among the challenges of normal aging.

But remember that normal aging also has many advantages. At age 56, I value highly my life experiences. I would not trade in that hard-earned wisdom for the speed and agility that my brain had when it was young. As a grad student in my 50s, I was fascinated by classes about human behavior. Each concept that my professors presented was something that I could mentally illustrate with my observations of people whom I have known. 

Recall from history and literature that most cultures around the world, in most periods of history, have revered elderly persons as sources of wisdom and keepers of highly-valued traditions. Our culture might be in a minority in that it tends to glorify youth, and dismiss old age.

Get the facts

If you think that you or a loved one is experiencing some memory loss—not just normal aging—I encourage you to get the facts. As in many areas of life, even unpleasant facts are better than out-of-control fears. A good person to ask is your family doctor. He or she, or a member of the clinical staff, is likely to administer a standardized assessment at some point. There are several questionnaires for assessing memory loss that are well-researched, reliable (consistent) and valid (meaningful). These mental-status questionnaires take into account the person’s age and educational level, both of which can affect his or her scores. The questionnaires look not only at short-term memory, but also at the person’s ability to complete several different mental tasks. 

If you or your loved one scores below average for their age and educational level, that does not necessarily indicate dementia. There are several medical conditions that can mimic memory loss—but unlike memory loss, they are entirely reversible. During grad school, I interned in a medical clinic that primarily served older adults. Among my happiest moments were the times that I administered a mental-status questionnaire and found a normal result in a person whose result had previously been below average. These persons’ mental status returned to normal once they were treated for ordinary medical conditions such as urinary tract infection, vitamin B-12 deficiency, or depression. 

Safety first

If your doctor determines, after carefully eliminating all other possibilities, that you or your loved one has dementia, what comes next? Safety! You and your loved one need to think about safety, focusing on 5 areas of possible risk, namely:

  1. Driving. Is it still safe for your loved one to drive? If not, ask your doctor for help in having this difficult conversation with your loved one. What alternatives are available in your community (e.g. special public transportation services for handicapped persons, rural transportation that is sometimes covered by Medicaid, ridesharing services such as Lyft or Uber, and organizations of volunteers who serve elderly persons)? 
  2. Cooking. Sometimes persons with dementia forget to turn off burners on the stove, thereby causing fires. If needed, how can you protect against this?
  3. Medications. Sometimes persons with dementia skip doses or double-up doses of their medicines. Depending on the medicine, this can be dangerous. A first step in medication safety is to buy a pill container with a compartment for each day of the week and each time of day. Fill this pill container for your loved one each week, and check that the medicines have been consumed. Later, if the dementia progresses, you may need to hand medicines to your loved one, and watch him or her take them.
  4. Wandering. Sometimes persons with dementia get lost when they go out on walks. Even frail persons can walk surprisingly far. They may be searching with great determination for a place that they cannot find. Sometimes a person with dementia is searching for a place that no longer exists, such as a childhood home. Caring neighbors can be made aware of your loved one’s tendency to wander, so that they can gently redirect your loved one back home.
  5. Bills and taxes. Persons with dementia can inadvertently cause major financial problems by failing to pay bills or taxes, or by spending imprudently. If your loved one has been diagnosed with dementia, consider helping them find a financial services firm that can regularly pay their bills and taxes. Alternatively, try to persuade your loved one to sign a power of attorney that allows a responsible person to handle their finances for them when the need arises. 

A brain disease

Sometimes well-intentioned family members urge a loved one with dementia to try harder to remember information, or to practice skills. Unfortunately, the person with dementia cannot reduce the symptoms by trying harder. Urging them to try harder is based on a misunderstanding of the nature of dementia. Our common experience is the raising of children, who constantly learn new information and gain new skills. It is very hard for us to accept that in a person with dementia, the process goes in reverse—no matter how hard they try, and no matter how hard we try. 

Remind yourself frequently that dementia is a brain disease characterized by biological changes in the brain. Throughout the course of dementia, brain tissue is actually lost. The brain of a healthy, adult human weighs about 3 pounds. The brain of a person with end-stage dementia weighs only 1 pound. Recalling this fact can help a caregiver to be compassionate, patient, and understanding with their loved one who has dementia. Assume that at each stage of the disease, they are doing the best they can with the reduced amount of brain tissue that is left. 

An umbrella term

Dementia is an umbrella term that includes over 100 separate illnesses. Alzheimer’s is the most common form, accounting for over 60% of cases. The second most common form is Lewy Body Dementia, which has a distinctive pattern of symptoms. The third most common form is Vascular Dementia, which can result from strokes—either a major stroke, or a series of minor ones. 

Some helpful books

Here are my favorite books about dementia, with a brief description of each. 

The 36-hour day:  A family guide to caring for people who have Alzheimer Disease, related dementias, and memory loss, by N. L. Mace & P. V. Rabins. This is the classic, comprehensive guide to caring for a loved one with dementia. It can be used as a reference book: check the index for the topic you need, and read a few pages about it. 

Dementia caregiver guide: Teepa Snow’s Positive Approach to Care techniques for caregiving, Alzheimer’s, and other forms of dementia, by T. Snow. This book describes simply and briefly what life is like for a person who has dementia, at each stage of the disease; and gives practical instructions on how you as a caregiver can help the person. 

Alzheimer’s: A Broken Brain, by Dementia Education and Training Program, Tuscaloosa, Alabama. Available from the University of Alabama. Trigger warning: Do not look at this booklet if medical images bother you. This short booklet demonstrates in an unforgettable way that dementia is a brain disease. The booklet states 10 key facts about dementia, one sentence each. Each fact is illustrated with photos of 2 autopsied brains: the brain of someone who died from dementia, contrasted with the brain of someone who died of another cause. The difference between the brain images is dramatic. 

The whisper of the fallen oak: A family’s guide to early, middle, late, and end-stage dementia, by R. Wallace. Available from Wings of Change Publications. This booklet is a short, simple guide to the stages of dementia, and how to care for the person at each stage. 

Caregivers find meaning and purpose

Although caring for a person with dementia can be difficult and exhausting, it can also be extremely fulfilling. In 2016, researchers Cheng, Mak, Lau, Ng and Lam studied 57 caregivers of Alzheimer’s patients. The researchers identified ten positive themes that the caregivers reported, including “a sense of purpose and commitment to the caregiving role… increased patience and tolerance… cultivating positive meanings and humor… developing a closer relationship with the care recipient… and… feeling useful helping other caregivers.”

Key takeaway

The most important thing to remember about your loved one who has dementia is that he or she has the same value, dignity, and worth as you and I do.

The most important thing to remember about your loved one who has dementia is that he or she has the same value, dignity, and worth as you and I do. His or her value as a person is intrinsic, and does not depend on cognitive ability. In order to relate to your loved one, you may need to learn new skills. These skills are worth learning, because the person is worth relating to. If you make the effort to relate to a person with dementia, you will be rewarded in unexpected ways. 

[I wish to thank Laura A. Ellis, LMSW, James W. Ellor, Ph.D., D.Min., LCSW, Dennis R. Myers, Ph.D., LCSW, and Teepa Snow, MS, OTR/L, FAOTA, for teaching me the above material.] 

Written by: Catherine C. Stansbury, LMSW, supervised by Melissa L. Gould, LCSW-S. Catherine is a therapist here at Austin Family Counseling. She is an EMDR Trained Therapist specializing in trauma therapy for adults. She has a Master of Social Work from Baylor University. She is a Certified Practitioner of the MBTI, trained by The Myers & Briggs Foundation; a PAC Certified Independent Consultant, trained by the Positive Approach to Care organization; an associate member of the Aging Life Care Association; and an associate member of the EMDR International Association (EMDRIA).


1 2 3 5