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By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth The question:
It’s clear to our entire family that my adult sister has big emotional issues, but she won’t recognize this fact. How do I deal with her mood swings in a loving way, but also not promote further outbursts that seem to only be brought on for attention? The answer: Speaking to anyone who is in denial about their personal issues is difficult in the best of times. But the challenges become particularly amplified when a relationship with an immediate family member is potentially at stake. A sibling bond is unique and special in so many ways, given the shared experiences – after all, no one better understands parents and family issues better than someone who was raised in the same environment. Yet our sibling relationships are often the most complex as well, particularly when elements such as competition, jealousy or insecurity play a role. You care about your sister and want to be supportive, yet seem to be struggling with being available as a support for her, but also establishing boundaries for what behaviours of hers you will tolerate. The first thing you want to do is offer to provide support to your sister, if you haven’t already done this. (“I’m concerned about you, and want to help however I can.”) When communicating with her, ensure that she doesn’t feel ganged-up on by the family. Speaking to her one-on-one, without others there, is the most respectful way to approach this. Don’t be blaming or accusatory, and stick to the facts of what you observe, as well as the impact on you. (“I felt extremely hurt when you yelled at me last week for disagreeing with your opinion on what we should do for dinner.”) Ask her what you can do differently to help improve the relationship. Ask yourself what your contribution to her outbursts may be. When there is a long history of problematic behaviour in a relationship, friends and family members often, without even realizing it, react in sarcastic or passive-aggressive ways, given their understandably pent-up frustration. Be mindful of patterns that trigger her. Are there certain topics that push her buttons which you can simply avoid (say, talking about careers or relationships)? Identify your hard and fast boundaries in the relationship. For example, you may decide that you will no longer tolerate her yelling or using profanity in disagreements. Figure out what your response will be (for example, ending the visit). Verbalize what you are doing and why. (“I find myself getting very upset when you swear at me, and I’m choosing not to be around you if that’s how the conversation is going to go, so I am leaving.”) Then, consistently stick to this. Often, emotional outbursts get reinforced because the family doesn’t implement consequences to the behaviour. Your establishment of clear and consistent boundaries may serve as a catalyst for her to change. Finally, realize that the only actions you can control are those of your own. We are stuck with the family we have for the long haul, but remember that we can maintain love for them – without always having to like them. Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail. By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth  We know sleep is a critical contributor to our overall state of physical and psychological health. One of the most important functions of sleep involves allowing our bodies and our brains to recover and recharge. Sleep is even more important for children, as it directly impacts mental and physical development The topic of children and sleep can be a challenging one though. Children don’t typically understand the importance of sleep and aren’t intrinsically wired to maintain a sleep schedule and structure without external guidance. So, as a child develops, it’s up to their caregivers to manage their sleep schedule and ensure they’re getting enough sleep. Managing children’s sleep problems can be hard enough but teenagers may be even more challenging. We will also address teenagers’ sleep challenges here.
Children and sleep Sleep patterns and needs change drastically across age ranges. For instance, those who have experienced a newborn know that sleep happens whenever the child feels like it, making the parents’ sleep schedule highly irregular. Fortunately, between the age of 6 months to 2 years, children typically begin to develop more of a regular sleep pattern. Once this happens, it’s possible to start implementing proper sleep hygiene principles. Sleep Hygiene for Children Here are 5 effective sleep tips for children aged 2-13 years that can help children with sleep problems:
Sleep hygiene is always the best place to start when it comes to managing sleep challenges but what if it isn’t enough? What if sleep hygiene doesn't work? Sleep hygiene should always be tried first when it comes to sleep challenges. For children and adults alike, maintaining consistently good sleep hygiene is typically enough to help with sleep problems. It’s important to note that sleep hygiene will likely take a few weeks, or longer, to have a noticeable impact on your child’s sleep. So be patient and consistent with their bedtime routine. If your child still has sleep problems (such as not being able to fall asleep, or waking up in the night) some other home treatment options have been found to be effective. For example, research has found white noise played over the course of the night was able to help children with ADHD get to sleep faster and stay asleep longer. Weighted blankets are also demonstrating some preliminary and promising effects on sleep for children with Autism Spectrum Disorder. Teenagers and Sleep Another age category that tends to have significant sleep challenges is teenagers. Despite the traditional angsty know-it-all attitude and resistance some teens may have to regular sleep, their brains are still developing as well as their bodies changing, so sleep is just as important during these years as it was when they were younger. What impacts teenagers’ sleep? Many of us can remember being a teenager and wanting to stay up excessively late, resisting structure and schedule in terms of sleep. And, as a result, feeling constantly sleep-deprived or irritated and grumpy as a result. This is not just rebellious teenager behaviour. Research has shown in the teen years circadian rhythms change drastically, as do hormones. Teenagers don’t just want to stay up longer, their body is telling them to. All the while their schooling starts just as early, if not earlier than it did when they were younger. The net result is sleep-deprivation, as environmental expectations make getting the required amount of sleep more difficult. So, how can we support our teenagers in getting better sleep?We may think that allowing them to sleep in on the weekends to catch up on sleep is the best thing we can do. It isn’t. Letting them sleep in actually makes things worse, as this disrupts the body’s internal clock even more. Remember – a consistent bedtime and wake up time is an important aspect of sleep hygiene – and as such, keeping a consistent schedule is still the best thing for teenagers. Since their circadian rhythms are changing and impacting the time they want to sleep, it can be helpful to adjust this sleep rhythm. This can be done by adjusting their light exposure, such that light is increased in the mornings and decreased at nighttime. Effectively adjusting light exposure involves (1) exposing oneself to natural light (even it it’s cloudy) shortly upon waking up in the morning, and (2) removing light in the evenings by ensuring lights are dimmed. There are blackout blinds/curtains, and discouraging use of screens like smartphones, TV’s and computers before bed. Final Thoughts If your child or teenager still has significant sleep problems or other contributing health issues (physically or emotionally), it’s recommended you speak to a medical professional. Sleep is a very important and incredibly complex process, so when presented with recurrent issues it should be addressed by a qualified healthcare professional and not self-diagnosed or self-medicated. By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth  A divorce, particularly when children are involved, can be one of the hardest life experiences to deal with. Certain times of the year – holidays, birthdays, etc. – amplify the pain that comes along with not having the same once-intact family configuration. Parents typically make arrangements that determine which holidays or portions of holidays they will be able to spend with their children. This often leaves one parent alone and it can be challenging for that parent to not focus on the sadness and loneliness. The first few holidays following a divorce will be the most challenging as the family establishes a new normal around the occasion. So, let’s talk about how to manage family holidays following a divorce.
Missing the kids – and the sadness and loneliness that comes along with that – is not an emotion to shove away. Our emotions are a signal to our brain and body that we are experiencing something that impacts an important part of our life, and what we value. Those emotions validate how important the kids are, how important family is, and that we wish the situation were different. All too often we want to shove away our negative emotional states. But that rarely turns out well, as emotions often rear their heads later on. Our emotions also provide us with the motivation to take some kind of action, to do something differently. So, how do parents manage holidays, especially when a divorce may mean spending them alone? How to Manage Family Holidays Following a Divorce
Editor’s Note: This post was originally published as part of a Globe and Mail “Ask the Psychologist” column authored by Dr. Samra, and has been edited and updated. By Dr. Joti Samra, CEO & Founder of the Psychological Health & Safety (PH&S) Clinic and MyWorkplaceHealth The question:
I hate giving and receiving gifts. It seems so materialistic to me – but everyone around me seems to just love it at this time of year. Is there something wrong with me? How can I mentally get behind the idea of gift giving? The answer: Christmas has become an increasingly commercialized holiday: you are not alone in your feelings about gifts. I would challenge your perception that everyone around you seems to love it at this time of year – although many people outwardly may seem to love the holiday season and all the associated traditions. I think if you were to ask people, you’d be surprised at how many share your sentiments. The Christmas holiday itself is religious – but more broadly is viewed by even those with non-religious views as being a time of celebration, love, and giving. The gift component can take away from the true spirit and intent of Christmas, particularly when an emphasis is placed on what one “wants” and is “getting”. The reality is that the holiday season can also become a hugely taxing time of year from a financial perspective. Unfortunately, the focus on gift giving adds to the social pressure that many feel to “keep up with the Joneses”. The net effect is that individuals often get in real financial debt, which is one of the biggest reasons why the Christmas holidays (and the January aftermath) become the most stressful time of year for many. Instead of trying to accept something that is inconsistent with your beliefs, speak openly with your loved ones and others that you exchange gifts with about how you feel. I think you may be surprised at the reaction that you get. Do not be shy about expressing your underlying reasons, which stem from the values you hold. Indicate that you feel that the holiday season and gift-giving is becoming overly materialistic, and that you would like to think of adding some new traditions this year. Propose setting a monetary limit or gifts, or only giving hand-made gifts. Suggest keeping the gift giving for children only. Think about having a Secret Santa gift exchange (where everyone brings one gift, and each person receives only one). Or, propose adopting a family in need and providing gifts to that family. Excerpted from Dr. Joti Samra’s “Ask the Psychologist” weekly column in The Globe and Mail. |
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