Therapy for Littles: Support for Children 5 years old & younger

You might be surprised and curious to find that there are therapists who meet with children under the age of 5. When would a child need to see a therapist and what does this therapy look like? We can help you think about how your child might benefit from therapy.

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Children under the age of 5 are known for their ever-changing emotions; one minute they’re gleefully playing and the next they have sunk into utter despair. How do we know when the need for therapy arises? The answer is whenever you feel you need support! We can help your child process a scary event, manage temper tantrums, overcome their fears, and cope with transitions in their life. We’re here to help you manage unthinkable challenges along with developmentally appropriate, yet difficult, behaviors.

If you decide that you would like support to help your young child, you might wonder what it looks like. You may feel that your child won’t sit and talk to a therapist, and you’re probably right. Young children learn through exploring, playing, and moving. You can expect the therapy session to be quite busy, enjoyable, and enlightening! We can follow your child’s lead to think about new ways of responding to your child’s behavior and teaching your child new skills to cope with big feelings. We can use toys and books to help children learn to express their feelings in productive ways and help the grown-ups feel confident in their skills. It’s common to meet with both the parent and the child together to learn what is typical for your child and consider what you can do outside of the therapy session to address your concerns at home and in the community. Sometimes the most helpful thing is to hear from someone else that you are doing the right thing so you can feel confident and calm while helping your “little.”

If you want to learn more about how we can help your child no matter how small, please reach out to us! Our therapists would be honored to be a part of your journey.
We are here to help Embolden YOU!

10 Ways to Help Your Child/Teen Effectively Manage a Pandemic

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As we mentioned in our blog post 10 Ways to Effectively Manage a Pandemic - Back to the Basics, our brains are having a hard time processing what is going on right now because this is not something we have encountered before. We do not have any past experiences to understand or make sense of this challenging situation. You may be wondering if we as adults are struggling, how can we help our children through this? While times right now can feel scary, stressful, or uncertain, know that there are absolutely things within your control to help you and your children get through this effectively! Here are our top 10 tips:

  1. Provide age appropriate resources. We as parents do need to inform our children of what is going on. For many, their whole schedules have been turned upside down and some may even feel afraid of what is happening. Based on the age of your child, you are going to want to explain what is happening differently. For example, a first grader does not need to know death counts and shortages of supplies; however, it is appropriate for them to know that there is a sickness going around and the reason we are staying home is so we can all do our part in keeping everyone safe and healthy. We do want to give them facts, we do not want to lie to them about what is going on, and we need to do this in a way they can understand. 

    • Early elementary school children: Provide brief, basic information that balances facts about the virus with reassurance that they do not need to worry and that adults are here to keep them safe. Talk about basic steps to stop germs from spreading such as washing hands (while singing ABCs) and staying home to keep healthy. 

    • Middle school children: Answer questions they may have and provide reassurance that they do not need to worry and adults are working to manage what is happening. Provide more information about how to keep germs from spreading such as staying home, distancing from others, washing hands, and not touching their face. You can provide more information on what is happening on a state, national, and community level to manage the illness. 

    • High school students: Issues can be discussed in greater depth. Refer them to appropriate resources for the facts. Provide honest, accurate, and factual information to help them understand what is happening. Discuss what are valid sources of information versus sources that instill fear. 

    • If you have more specific questions about how to speak with your children about what is happening please do not hesitate to reach out to us for help! Here are a couple of great resources/stories that explain the COVID-19 very well for kids:

  2. Limit news exposure. This is especially important for younger children. When children are exposed to certain types of media about COVID-19 it can be very scary to them especially because of the content that is often discussed (e.g., deaths, panic, etc., and let’s be honest, it can be scary for us too!). It is recommended that younger children do not obtain information about COVID-19 from the news and instead you provide them with the necessary information. 

  3. Check in with them to make sure they understand what is going on. This is especially true if they have been watching the news along with you or hearing your family discuss the current events. Children/teens may struggle to understand what is happening and what our brains naturally do to understand situations we have difficulty making sense of is to “fill in the gaps” and for children this can include information that is not factually based and perhaps fuels unnecessary anxiety. Always check in with them to make sure they have appropriate information. For example, you can ask them if they know why they are being asked to stay home, why they cannot see friends, what they know about the COVID-19, etc. 

  4. Validate their emotions. As always we want to validate! Validation is just acknowledging their experiences (whatever they may be) that they are facing with this abrupt shift in their schedules and concern regarding COVID-19. Children can have a range of responses to what is occurring. You may find that your child is very vocal about their concerns with what is occurring and may express fear, anxiety, uncertainty, or sadness. On the other hand, your child may not verbalize much of a reaction to what is happening. Some children may be having reactions, but may not be verbalizing their concerns because they do not know how to express them and may instead show us through their behavior. For example, increased acting out behavior may suggest that they are feeling overwhelmed with the changes occurring and you can validate this by saying: “I wonder if you are feeling overwhelmed with all of the recent changes going on, we have had a lot of things change lately.” If you would like more information regarding validation and how to validate, please check out our recent presentation on validation:

  5. Demonstrate healthy emotion regulation for them (manage your own anxieties). Just as children may have a range of reactions/responses to what is occurring we as adults do as well! You may find that you have been very calm about what is happening or you may find that you yourself have felt very overwhelmed, stressed, fearful, or anxious. Any of these responses are appropriate and valid. If you are feeling more overwhelmed it is important to seek out your own support as children learn to regulate their emotions through their caregiver’s modeling of emotion regulation. We are all doing our best and we aren’t looking for perfection here, but it is important to note that we must be mindful of how we are doing (putting our oxygen masks on first) in order to take care of our littles! 

  6. Follow a (loose) schedule. We do not need to be super strict here and follow a minute by minute schedule (if that works for your family and goes over smoothly and calmly—go for it). However, for most it is important to just follow a loose routine (you do not even need to name the routine to your children, but have a loose routine in your mind that you follow). Just as adults benefit from trying to stick to a daily schedule, kids benefit from this as well. For example, similar wake/bedtime routines, time for play, art, screen time, and similar meal times. Trying to give them some sense of freedom as well as predictability can go a long way.

  7. Try to reduce pressure to drill academics. Pick your battles. This is a challenging time for all of us and ALL children are in the same boat. You may feel worried about them falling behind and how this will impact them academically and it makes sense you are concerned because you care about your child. An important thing to remember is that all children are lacking the exact academic structure they are used to AND they will all get through this together! Please remember that your child will benefit most from and remember not what they learned during this time, but how YOU made them feel. Also, know that teachers are the experts in this area and they are there to help you troubleshoot any academic problems--please reach out to them for support as needed. 

  8. Help them stay connected with friends and family. Social distancing does not have to mean social disconnection. This is especially important for children/teens as socializing is very important developmentally. You can assist them with this by contacting other parents to set up video chat sessions with friends, helping to send art or letters to friends/family, or just checking in with them to see if they have other ideas they would like to connect with others right now. 

  9. Use this as a time for increased connection with YOU. Again, a major thing children are going to remember most during this time is how they felt. You can use this as a time to slow down, go back to the basics, and connect! Play a game, check out something new online, get creative with art together, ask them what they would like to do. Take time to slow down with them and reassure them of your connection.

  10. Take advantage of awesome resources to help keep you sane. So many bloggers are posting free activities to keep your kids busy, which can take the load off of you for coming up with ideas. Check out these sites:

As always, we are here to help! We are currently offering telehealth appointments. These work very well for obtaining parenting support or conducting individual sessions with children/teens (in fact they think it’s kind of fun)! Please reach out to us for more information.
We are here to help Embolden YOU!

COVID-19 Wellness Resource List

We thought it would be helpful to compile a list of wellness resources to help improve your overall well-being during these challenging times. This is by no means an exhaustive list. Please feel free to use and share this page as you like!

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CONNECTION

  • Hope Line for Older Adults Experiencing Isolation
    1.866.578.4673 (HOPE)

  • SAMHSA Disaster Distress Hotline
    1.800.985.5990

  • Online Recovery Group - Smart Recovery

  • MeetUp
    Online meet-ups now available.  Check it out to find one that suits you.

FINANCIAL RESOURCES

LEARNING, GROWING + ENTERTAINMENT

CALMING THE BODY

RESOURCES FOR KIDS + FAMILIES

spirituality

movement

Mental health

other resources

**Embolden You and its clinicians in no way endorse any of these businesses or resources as we have not been able to try them all and some offers may have expired.  This is a list of resources found being shared. Please investigate each option further for yourself and your needs.

10 Ways to Effectively Manage a Pandemic - Back to the Basics

We will be completely honest with you---they didn’t have a class in grad school on how to help people through a pandemic or “stay at home” situation.  This is uncharted territory for ALL of us. Even though we are the psychological experts, we too are feeling the fear, uneasiness, and anxiety of these uncertain times.  I know you are probably thinking “Oh great, even my psychologist is freaking out, now what do I do?!” While we are also having these feelings with you, the good news is that we actually do have the tools (and you do too!) to take care of ourselves right now.  When we go back to the basics, we will be able to effectively and safely navigate these incredibly stressful times.   Here are our top 10 tips!

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  1. Keep a consistent routine. Many of us are experiencing a disruption in our regular schedules.  Because of this, it can be easy to take a “vacation” from having a routine.  However, we know that keeping a consistent routine can actually be a great tool for managing stress, anxiety, low mood, etc.  Create a routine for your day that is similar to your typical day. Wake up, get dressed, complete daily hygiene tasks. Write down your schedule and set intentions for your day making sure you are creating time for both work and self-care.  This does not have to be rigid and should include some flexibility.  

  2. Get adequate and consistent sleep. Although many of us are experiencing a disruption in our typical routines, it is essential to maintain a consistent sleep schedule (think going to bed and waking up around the same time each day and sleeping an appropriate amount of time).  Poor sleep hygiene will make us more vulnerable to stress, anxiety, and low mood. If you are having a difficult time falling or staying asleep, consider using a meditation app, such as Headspace or Calm. If you are having difficulty with sleeping too much, set an alarm (and refrain from hitting snooze!) and make sure your first activity in the morning is something you look forward to (enjoying a cup of coffee, listening to your favorite song, calling a friend, etc.).   

  3. Eat mindfully. Eating regularly throughout the day is another way to reduce our vulnerability to stress and intense emotions.  It is important to mindfully check-in with our hunger and fullness cues and to honor them accordingly.  Plan to eat at regular times throughout the day. Be aware that social isolation and “stay at home” orders can trigger disordered eating behaviors even for people who have not struggled with food issues in the past.  Food can serve as a form of comfort during such uncertain and anxiety-provoking times, which might lead to restrictive or overeating patterns. The fear of food scarcity can also trigger people to feel out of control with food, which may be a sign that eating has been too restrictive in the past.  No matter what is coming up for you in regards to food, practice kindness and grace towards yourself, and seek support as needed.

  4. Physically isolate, not socially isolate.  Social connection is another protective factor that can help reduce anxiety and improve mood.  Although we need to physically isolate and stay at home to flatten the curve, we can still connect socially via technology (let’s all take a moment to be grateful this is happening in 2020 and not 1994!).  Yes, connecting via technology is not the same as connecting in-person. However, it is important to stay emotionally connected even when physically separated and we can do so by getting creative. Hang out with family or friends using video chat.  Take out a pen and paper and write a letter to send to a loved one in the mail (yes, snail mail!). Text or call an old friend you have lost touch with. Focus on staying emotionally connected to others.

  5. Intentionally move your body. Moving our bodies is a great and effective way to manage stress.  Notice we said to intentionally move your body and not exercise.  When we engage in intentional movement, we shift our focus to how it feels to move our bodies versus putting unnecessary pressure on ourselves to have some (unhelpful) end result (e.g. burning calories), which can actually cause us to resent movement.  Movement does not need to be big or militant. It can be as simple as focusing on the movement of your breath or walking to your mailbox. Ask yourself “What type of movement brings my body joy?” and do that.  Intentional movement is enjoyable (not a punishment) and can greatly improve your mood and overall well-being.    

  6. Be mindful about social media use. Like we mentioned earlier, technology is very helpful in many ways, but it can also be problematic when we have such easy access to it 24/7.  It is important to stay informed and connected, while also being thoughtful about limiting the amount of exposure you have to distressing or anxiety-producing information on social media platforms.  Focusing on factual information (such as from the CDC ) versus anecdotal information that sometimes occurs on social media sites can lessen anxiety.  You can also use this time to pay attention to the accounts you follow or interact with and unfollow accounts that cause you anxiety or lower your mood. 

  7. Acknowledge and allow ALL emotions for yourself (& others). As we discussed in our previous blog post “5 Ways to Tame Unpleasant Emotions,” it is important to acknowledge your feelings and feel how you feel without judgment.  These are unprecedented times which means we are going to feel a lot of uncomfortable and unpleasant emotions. Practice validating your emotions by telling yourself “It makes sense I feel this way” versus trying to avoid or suppress your emotions.  When we acknowledge our feelings and allow them to come and go like ocean waves, we actually reduce their intensity (which is exactly what we want!).

  8. Find helpful forms of control.  When things are feeling completely out of control, focusing on things we can control can help ground us and bring a healthy sense of stability.  Organize a drawer or closet, get rid of old clothes, build something, learn a new skill, create to-do lists. Practice grounding or meditation exercises. There are many healthy ways to practice control especially in unpredictable times.

  9. Practice gratitude. As we posted in our previous blog post “Gratitude--what’s the big hype?” gratitude is a powerful tool to improve overall well-being.  Practicing gratitude has been linked to more energy, less anxiety, improved mood, better sleep, feeling more connected to others, and even fewer physical health issues just to name a few.  We can practice gratitude even while quarantined. Start a gratitude journal or write a letter of gratitude to a friend or family member. Spend time reflecting on what is going well in your life versus what is not going well.  Share your gratitude with others. If you are spiritual or religious, practice gratitude by praying or meditating.    

  10. Be gentle with yourself. Remember that we are all in this together.  This is uncharted territory. Have realistic expectations for yourself (don’t feel like you need to publish a New York Times best seller or come up with a new invention).  Go back to the basics and know that it is okay to have doubts and uncertainties during these times. Remember that there is no such thing as perfect, and there will be days that feel more challenging than others. Practice compassion towards yourself and know you are not alone!

If you are noticing that these tips seem hard to implement right now, consider getting some extra support and schedule an appointment for individual therapy via telehealth. 

We are here to help Embolden YOU!

Gratitude--what's the big hype?

Throughout the month of November, it is common to hear people talking about what they are thankful for in their lives. People have even gone to the extent of sharing their daily gratitude on social media sites. Have you ever stopped to wonder why expressing gratitude is important? We all know that warm-fuzzy feeling we get when we tell someone what we are thankful for, but what’s even more compelling are the many other significant benefits of expressing gratitude that we tend to overlook.

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[Hang tight—we are going to get nerdy for a second.] Research studies have found that people who practice gratitude regularly experience significant positive effects on their overall well-being. Practicing gratitude has been linked to more energy, less anxiety, improved mood, better sleep, feeling more connected to others, and even fewer physical health issues just to name a few. Who doesn’t want that?!

Gratitude is incredibly powerful and almost effortless to do. It is one of the shortest paths to happiness and an overall positive well-being. There are a variety of ways to practice gratitude regularly. One of my personal favorites is to keep a daily gratitude journal and write down 1-2 things you are grateful for each day (“I am grateful for the unexpected smile from a stranger. I am grateful for a warm meal.”). You can also write a note or letter of gratitude to a friend or family member. And if those seem too overwhelming, the simple act of mindfully reflecting on a few things you are grateful for each day will do the trick.

With the changing season, colder weather (it’s getting very chilly here in MN!), and stress of the impending holidays, it can be easy to focus on what isn’t going well and forget about the simple joys that surround us each day.

What are you grateful for today?

While gratitude may help improve our overall well-being, there may be times where practicing gratitude alone is not enough to improve your overall mood. Do you feel like you are having a harder time than other people in your life right now? Does practicing gratitude feel like a chore? Consider getting some extra support and schedule an individual therapy appointment today. We are here to help Embolden YOU!

5 Ways to Tame Unpleasant Emotions

Oh emotions, you can bring us such joy yet be SO unpleasant at times. Yes, unpleasant NOT bad. There are many functional and wonderful purposes of what many like to label as bad emotions. Don’t believe us? Hold tight we’ll explain in a bit. For now you’ll just have to trust our recommendation of describing emotions as pleasant and unpleasant. Are you wanting a better handle on controlling those unpleasant emotions? Here are 5 quick tips to get you started:

5 Ways to Tame Unpleasant Emotions. Therapy near St. Paul, Minnesota.

Recognize your emotions serve a purpose

Emotions are hard-wired, biological processes. Every single emotion we have serves a purpose. We feel anxious to motivate and keep us safe, sad to acknowledge things that are important to us, angry to protect ourselves/others from being hurt or to address barriers in working towards our goals. It is important to recognize the function and purpose of each emotional response as this can guide and direct us on how to respond to our emotions and allow them to do their job.

Acknowledge Your Emotions

If we had a quarter for each time we encountered emotional restrictors we would be rich! Now that you understand our emotions serve a purpose, let’s use an analogy of spoiled food here (sorry in advance for a slightly gross example, but it’s a good one and not too graphic so hang in there). When we eat food that is spoiled or harmful to our bodies, our system has a process for digesting and processing this to help us feel better (e.g. vomit or bowel movement). Like harmful food, we must also process and digest unpleasant emotional experiences. If we restrict or cut off our emotional experiences, it is much like trying to stop our bodies from digesting harmful food. It would NOT feel pleasant to have that harmful food sitting inside our bodies. Emotions are much the same. Emotions are messages and signals to us and they want our attention. Acknowledge their presence and let them do their job! Research shows that merely acknowledging emotions reduces their intensity.

Manage your vulnerabilities

Hangry—need we say more? We all know that when we are faced with vulnerabilities such as hunger, fatigue, illness, pain, or recent stressors, we have a much harder time handling new stress. The more you can be on top of managing vulnerabilities or at least acknowledging their presence the more likely you will be on the right path to managing those unpleasant emotions. If you cannot prevent vulnerabilities we often recommend at least acknowledging their presence and coming up with a plan for how you will handle your day accordingly. Do you need extra self care? More support from others? Less expectations for today? More self compassion?

Catch Your emotions before they grow

So often we wait to manage our distress until it’s too late. We may notice the unpleasant emotion building yet we do nothing about it. The bigger and more intense emotions are, the harder they are to control. One fun fact is that emotions love themselves. For example, when we are sad we tend to want to listen to sad music or watch a sad show. Therefore, in the early stages of emotional intensity, many can often feed the exact emotion they are not wanting to experience. Or many may have a short window of opportunity to notice the emotion before it intensifies (0 to 60 anyone?). Or perhaps you just aren’t paying attention until it’s too late? Being aware of the early signals and triggers of our emotions is key. Once you know your signals and triggers of growing emotions, come up with a plan ahead of time for how you will manage when they do pop up.

Create a distress tolerance kit

During times of distress our brains functionally do not work the same. We are less able to access our thinking and problem solving part of our brain, which means our emotions run the show. We have all been there. So why not make it easy for yourself? Do the thinking ahead of time and create a kit of all of your coping skills. Use a shoebox, a bag, the note section on your phone, and put actual items or a list of potential skills to use. Pictures of enjoyable memories, comforting scents (e.g. lavender), fidgets, calming music or reminders of songs that you enjoy. The ideas are endless so get creative! Once you’ve finished your kit place it somewhere you will have easy access to or create one for multiple locations such as home, your car, or work.

As much as we don’t like them, unpleasant emotions are very much a part of the human experience. At times, our emotions become too big or too unmanageable, and we need and deserve extra support. Are you wanting support in managing your unpleasant emotions? Are you wanting to increase your experience of pleasant emotions? Consider getting some extra support and schedule an appointment at our Mahtomedi counseling practice today.  We are here to help Embolden YOU!

4 Ways to Embrace Winter

It’s that time of Winter—we’ve made it through a good chunk of freezing cold days and piles of snow and yet we still aren’t sure when Spring is coming (Spring IS going to come again right?!).  With the lack of Vitamin D and constant grey sky, many of us start to notice our moods feeling a bit lower than normal.  Although it can feel as though we may NEVER see that baby blue sky again, Winter will indeed eventually end.  So as we wait for the smell of fresh cut grass, let’s talk about a few ideas to help us embrace the rest of Winter.

4 Ways to Embrace Winter. Counseling near St. Paul in Mahtomedi, Minnesota.

Practice Gratitude

Noticing things that we are grateful for can seem like an insignificant act.  However, research shows that people who practice gratitude on a regular basis experience many significant benefits such as improved mood, physical health, sleep, and self-esteem.  Who doesn’t want that?!  One way you can practice gratitude on a regular basis is to keep a gratitude journal.  This can be as simple as jotting down 2-5 things you were grateful for at the end of every day.  It may feel more difficult to practice gratitude in the Winter, but get creative. Today I am grateful for the beauty of the glistening snow on the tree branches.

Reframe Negative Thoughts

Research shows that our thoughts greatly impact our emotions and behaviors (‘aka’ Cognitive Behavior Therapy).  When we are thinking negatively, we often feel worse (depressed, anxious, sad) and behave in ways that can worsen our mental health (isolate, sleep too much, withdraw). When we are able to notice and re-frame our negative thoughts, we tend to see an improvement in both our emotions and behaviors.  So instead of thinking Winter is awful and I am NEVER going to make it through Winter, you can re-frame to a more balanced thought such as Winter is getting long and Spring will be here soon.

Get Creative with Movement

Most people know the benefits of movement (improved mood, sleep, physical health, energy, etc.) and yet it can feel exceptionally hard to move our bodies when it is freezing cold outside and we’d rather be snuggled up by the fire.  With that said, it can help to get creative with how we move our bodies during Winter months. If you enjoy walking, but prefer to be inside, consider going to a climate controlled space, such as a mall or community center.  If you don’t mind the cooler temperatures, consider activities that are unique to Winter such as snowshoeing, cross country skiing, or ice skating. Oh and don’t forget shoveling as a great form of Winter movement (we have enough snow in St. Paul, Minnesota right now to keep our bodies moving for awhile!).

Try a New Hobby

How about that scarf you’ve been wanting to learn how to knit?  Or that Pinterest project you are wanting to attempt? Maybe you want to learn a new language?  Trying a new hobby and mastering a new skill can greatly improve our mood and overall well-being.  So often we think we are too busy to make time to try something new and yet we find ourselves scrolling (hours upon hours) through social media or engaging in other mind-numbing tasks.  Switching up our daily routines and trying something new is a healthy way to pass time and to challenge our brain.

While many of us may notice a slightly lower mood during the Winter, some people experience a significantly lower mood.  Do you feel like you are having a harder time getting through Winter than other people in your life? Does it feel like these ideas are harder to implement on your own?  It could be more than just colder weather and shorter days impacting your mood. Consider getting some extra support and schedule an individual therapy appointment today. We are here to help Embolden YOU!