Everyone, from the youngest child to the oldest adult, experiences anxieties and fears at one time or another. Feeling anxious in a particularly uncomfortable situation never feels very good. However, with kids, such feelings are not only normal, they’re also necessary. Experiencing and dealing with anxieties can prepare young people to handle the unsettling experiences and challenging situations of life.

Anxieties and Fears Are Normal

Anxiety is defined as “apprehension without apparent cause.” It usually occurs when there’s no immediate threat to a person’s safety or well being, but the threat feels real.

Anxiety makes someone want to escape the situation — fast. The heart beats quickly, the body might begin to perspire, and “butterflies” in the stomach soon follow. However, a little bit of anxiety can actually help people stay alert and focused.

Having fears or anxieties about certain things can also be helpful because it makes kids behave in a safe way. For example, a kid with a fear of fire would avoid playing with matches.

The nature of anxieties and fears change as kids grow and develop:

• Babies experience stranger anxiety, clinging to parents when confronted by people they don’t recognize.
• Toddlers around 10 to 18 months old experience separation anxiety, becoming emotionally distressed when one or both parents leave.
• Kids ages 4 through 6 have anxiety about things that aren’t based in reality, such as fears of monsters and ghosts.
• Kids ages 7 through 12 often have fears that reflect real circumstances that may happen to them, such as bodily injury and natural disaster.

As kids grow, one fear may disappear or replace another. For example, a child who couldn’t sleep with the light off at age 5 may enjoy a ghost story at a slumber party years later. And some fears may extend only to one particular kind of stimulus. In other Continue reading »

Many kids — particularly teens — are concerned about how they look and can feel self-conscious about their bodies. This can be especially true when they are going through puberty, and undergo dramatic physical changes and face new social pressures.

Unfortunately, for a growing proportion of kids and teens, that concern can grow into an obsession that can become an eating disorder. Eating disorders such as anorexia nervosa or bulimia nervosa cause dramatic weight fluctuation, interfere with Continue reading »

How much should my child eat?

How much your child eats may be very different from how much another child eats. Don’t worry if it seems that your child doesn’t eat enough at one meal. Children often make up for a small meal or a missed meal at the next mealtime.

If your child has plenty of energy and is growing, he or she is most likely healthy. Talk to your doctor if you have any concerns about how your child is growing or if you are concerned that picky eating is slowing your child’s growth.

What if my child is a picky eater?

As long as your child is choosing nutritious foods, you can let him or her choose what to eat. Sometimes your child may want to eat a particular food again and again for a while, and then not want to eat it at all. Try to let your child explore new foods on his or her own. It won’t help to demand that your child taste new foods. It may take him or her several times to try a new type of food.

You may need to prepare special servings of some foods to make sure your child gets a balanced diet. For example, if you’re making beef stew for dinner and your child Continue reading »

What else can I do to help my child behave well?

Make a short list of important rules and go over them with your child. Avoid power struggles, no-win situations and extremes. When you think you’ve overreacted, it’s better to use common sense to solve the problem, even if you have to be inconsistent with your reward or punishment method. Avoid doing this often as it may confuse your child.

Accept your child’s basic personality, whether it’s shy, social, talkative or active. Basic personality can be changed a little, but not very much. Try to avoid situations that can make your child cranky, such as becoming overly stimulated, tired or bored. Don’t criticize your child in front of other people. Describe your child’s behavior as bad, but don’t label your child as bad. Praise your child often when he or she deserves it. Touch him or her affectionately and often. Children want and need attention from their parents.

Develop little routines and rituals, especially at bedtimes and meal times. Provide transition remarks (such as “In 5 minutes, we’ll be eating dinner.”). Allow your child choices whenever possible. For example, you can ask, “Do you want to wear your red pajamas or your blue pajamas to bed tonight?”

As children get older, they may enjoy becoming involved in household rule making. Don’t debate the rules at the time of misbehavior, but invite your child to participate in rule making at another time.

Children who learn that bad behavior is not tolerated and that good behavior is rewarded are learning skills that will last them a lifetime.

Why shouldn’t I use physical punishment?

Parents may choose to use physical punishment (such as spanking) to stop undesirable behavior. The biggest drawback to this method is that although the punishment stops the bad behavior for a while, it doesn’t teach your child to change his or her behavior. Disciplining your child is really just teaching him or her to choose good behaviors. If your child doesn’t know a good behavior, he or she is likely to return to the bad behavior. Physical punishment becomes less effective with time and can cause the child to behave aggressively. It can also be carried too far — into child abuse. Other methods of punishment are preferred and should be used whenever possible.

How do I encourage a new, desired behavior?

One way to encourage good behavior is to use a reward system. This works best in children over 2 years of age. It can take up to 2 months to work. Being patient and keeping a diary of behavior can be helpful to parents.

Choose 1 to 2 behaviors you would like to change (such as bedtime habits, tooth brushing or picking up toys). Choose a reward your child would enjoy. Examples of good rewards are an extra bedtime story, delaying bedtime by half an hour, a preferred snack or, for older children, earning points toward a special toy, a privilege or a small amount of money.

Explain the desired behavior and the reward to the child. For example, “If you get into your pajamas and brush your teeth before this TV show is over, you can stay up a half hour later.” Request the behavior only one time. If the child does what you ask, give the reward. You can help the child if necessary but don’t get too involved. Because any attention from parents, even negative attention, is so rewarding to children, they may prefer to have parental attention instead of a reward at first. Transition statements, such as, “In 5 minutes, play time will be over,” are helpful when you are teaching your child new behaviors.

This system helps you avoid power struggles with your child. However, your child is not punished if he or she chooses not to behave as you ask; he or she simply does not get the reward.

What are some good ways to reward my child?

Beat the Clock (good method for a dawdling child)

Ask the child to do a task. Set a timer. If the task is done before the timer rings, your child gets a reward. To decide the amount of time to give the child, figure out your child’s “best time” to do that task and add 5 minutes.

The Good Behavior Game (good for teaching a new behavior)

Write a short list of good behaviors on a chart and mark the chart with a star each time you see the good behavior. After your child has earned a small number of stars (depending on the child’s age), give him or her a reward.

Good Marks/Bad Marks (best method for difficult, highly active children)

In a short time (about an hour) put a mark on a chart or on your child’s hand each time you see him or her performing a good behavior. For example, if you see your child playing quietly, solving a problem without fighting, picking up toys or reading a book, you would mark the chart. After a certain number of marks, give your child a reward. You can also Continue reading »