Resources

004: [On-Air Consult] Parenting with Patience Across Two Homes with Amanda Berlin

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Posted on by Zoe Barnes

Welcome to the fourth episode of Impressive. Doctor Kimberley chats with Amanda Berlin, a former corporate publicity strategist and currently helps business owners with her expertise on PR. In this on-air consultation, Amanda seeks advice on how to deal with the frustrations when her five-year-old daughter is having a meltdown when trying to learn new things. Enjoy:

  • Learning patience while encouraging kids
  • How co-parenting works in separate households
  • Decisions of a new mom when finding the business suitable for starting a new chapter in her life

Enjoy the Episode

Recommended Resources

Keep updated with The Impressive Podcast

Join Dr Kimberley O’Brien on the Impressive Facebook Group to receive news, share your opinion and learn about resources for home and school. You can also Join the Mail List.

About Impressive

Impressive is a weekly podcast that sheds a new light on the world of parenting. Join host, Dr Kimberley O’Brien PhD, as she delves into real-life parenting issues with CEOs, global ex-pats, entrepreneurs, celebrities, travellers and other hand-picked parents.

In an approachable on-air consultation style, she listens to some of the smartest, kindest parents share theit latest parenting challenge with their incredible kids. Together they brainstorm solutions and Kimberley offer handy tips and valuable resources to help bring out the best in toddlers, teens and in-betweens. Drawing mostly on two decades of experience as a child psychologist, Kimberley also shares her personal insights as mother of two and entrepreneur with a passion for problem-solving.

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Understanding Childhood Depression

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Posted on by Leonardo Rocker (Quirky Kid Staff)

Feeling sad is normal but how can you know if your child’s sadness is indicative of a disorder? The following article discusses what childhood depression is, how it is diagnosed, and what to look out for if you have concerns for your child.

What is Childhood Depression?

Just as in adulthood, children experience a full range of emotions; from happiness and excitement to anger and sadness. According to a recent Australian government survey, 2.8% of children between 4-17 years met criteria for a major depressive disorder (Lawrence et al., 2015). Prevalence rates were higher in the 12-17 years age group, affecting more females than males (5.8% and 4.3% respectively; Lawrence et al., 2015).

Depression is a mood disorder characterised by periods of low mood for most of the day, most days for a period of two weeks (American Psychiatric Association [APA], 2013). How it presents and the severity in which it is experienced varies from individual to individual. In children, depression can present itself more like irritability than typical sadness (Australian Government, 2018).
There is no exact way to predict who is more at risk of developing a depressive disorder. It is a likely combination of biological predisposition (i.e. the child tends to focus on the negatives of a situation) and life circumstances. In children, key social stressors focus on pivotal times of change, including family conflict, friendship trouble and difficulties at school (Siu, 2016).

How is Depression diagnosed?

Diagnoses can be made by psychologists and psychiatrists using clinical interviews and observations in context to the Diagnostic Statistical Manual of Mental Disorders or the International Classification of Diseases (DSM-5 and ICD-11 respectively; APA, 2013; World Health Organisation, 2018). Screening questionnaires like the Depression, Anxiety and Stress Scale (DASS; Lovibond & Lovibond, 1995), may be a useful tool to help discern whether an individual is experiencing clinical depression.

To be diagnosed, at least five of the following symptoms need to be observed over a minimum two week period. At least one of the symptoms is either depressed mood or loss of interest/pleasure (APA, 2013). Other symptoms include significant weight changes, sleeping difficulties, psychomotor agitation or slowing, fatigue, feeling worthless or guilty unnecessarily, reduced concentration, and/or thoughts of suicide. These symptoms need to be having a significant impact on different areas of your child’s life (e.g. socially, at school, at home).

Presentations will vary and an initial consultation between the child and psychologist and the parent would best determine whether they are expected to meet the criteria.

Early Signs to look out for

Identifying characteristics of depression in a child can be difficult. Concerns may arise due to the ‘absence’ of behaviours considered to be ‘normal’ development and the ‘presence’ of behaviours considered to be ‘abnormal’ development. Consider seeking help if your child is demonstrating the following behaviours (Australian Government, 2018):

Emotional Signs Physical Signs Behavioural Signs
Feeling Sad Weight gain or loss Difficulty sleeping (too much or little), nightmares
Saying negative comments about themselves or the world around them
e.g “I am not good at anything”
Feeling tired, lethargic. Hard to get your child motivated. E.g. ‘dragging their feet’ Trouble at school; with friendship groups or concentrating in class/grades slipping
Gives up easily, hopelessness e.g. “what is the point in trying, I won’t be able to do it” Deliberate harm to self No longer enjoying games or activities e.g. wanting to drop out of the soccer team. Avoids social interaction
Irritability, grumpiness Dizziness Changes to eating
Low confidence Tummy Aches Bed Wetting
Sensitive to rejection or being told no Cry easily Poor memory forgets details or doesn’t seem to listen
Indecisive Jumpy, cannot settle Risk-taking behaviours particularly in adolescence e.g. drug taking

 

Following diagnosis, recommendations for treatment are provided and they are tailored to each unique needs. Typically, the most common treatment for depression involves a cognitive behavioural approach (Australian Psychological Society, 2018). In addition to working directly with the child, treatment considerations may include working with the parents/carers and family systems to provide strategies to assist at home.

Remember that your child will experience good days and bad days. If you are concerned your child may be depressed, talk to them, and check in on anything that may be troubling them. This can be difficult as they may not know how to verbally communicate the issue. Be supportive and remember, what you might be able to cope with, your child may be finding difficult.

Strategies for Parents

Whether you are worried about your child exhibiting some of the aforementioned childhood depression symptoms, or you are looking to help prevent the onset of childhood depressions  symptoms, the following strategies may be used to support your child:

Keep your child active. Research indicates that children that participate in regular physical activity are more likely to exhibit fewer depressive symptoms in later years (Zahl, Steinsbekk, & Wichstrom, 2017).

  • Ensure a good diet. Changes to eating patterns is a key sign of depression (APA, 2013). Ensuring your child is well nourished with a balanced diet with limited refined sugar has been shown to foster better mental health in children (O’Neil et al., 2014).
  • Develop a good parent-child relationship. Parent rejection has been shown to have a strong relationship with childhood depression (McLeod, Weisz, & Wood, 2007). A parent that is actively involved in presents as interested and encouraging will help your child develop a healthy sense of self.
  • Social and emotional learning. Teaching your child to recognise different emotions and label them as they are being experienced can help them to better manage experiences of overwhelming emotion (Durlak, Weissberg, Dymnicki, Taylor, & Schellinger, 2008). It can also help your child to develop better social connections.

Seeking Intervention

Whether your child has a formal diagnosis or not, you know your child best. Start intervention as soon as you suspect that your child’s mood is detrimentally affecting their daily functioning.

Here at The Quirky Kid Clinic, our experienced team of Psychologists are more than happy to meet with you to discuss any concerns you have in relation to your child’s development and behaviour.

We always start with a parent only consultation to ensure that we get a thorough understanding of your child’s developmental history and a sense of your families identity, history and cultural dynamics. From here we provide an individualised case plan dependent on your child and families needs.

Please don’t hesitate to contact our friendly reception on (02) 9362 9297.

References

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Australian Government. (2018) Depression. Retrieved September 3rd, 2018, from https://www.kidsmatter.edu.au/mental-health-matters/mental-health-difficulties/depression

Australian Psychological Society. (2018). Evidence-based interventions in the treatment of mental disorder: A review of the literature. Retrieved from https://www.psychology.org.au/About-Us/What-we-do/advocacy/Position-Papers-Discussion-Papers-and-Reviews/psychological-interventions-mental-disorders

Durlak, J. A., Weissberg, R. P., Dymnicki, A. B., Taylor R. D., & Schellinger, K. B. (2011). The impact of enhancing student’s social and emotional learning: a meta-analysis of school-based universal interventions. Child Development, 82(1), 405-432. doi: 10.1111/j.1467-8624.2010.01564.x.

Lawrence D., Johnson S., Hafekost J., Boterhoven De Haan K., Sawyer M., Ainley J., & Zubrick S. R. (2015). The Mental Health of Children and Adolescents. Report on the second Australian Child and Adolescent Survey of Mental Health and Wellbeing. Canberra, Australia: Department of Health.

Lovibond, S. H., & Lovibond, P. F. (1995). Manual for the depression anxiety stress scales. Sydney: Psychology Foundation.

McLeod, B. D., Weisz, J. R., & Wood, J. J. (2007). Examining the association between parenting and childhood depression: A meta-analysis. Clinical Psychology Review, 27(8), 986-1003. doi: 10.1016/j.cpr.2007.03.001

O’Neil, A., Quirk, S. E., Housden, S., Brennan, S., L., Williams, L. J., Pasco, J. A., … Jacka, F. N. (2014). Relationship between diet and mental health in children and adolescents: A systematic review. American Journal of Public Health, 104(10), 31-42. doi: 10.2105/AJPH.2014.302110

Parenting Strategies (2018). Preventing depression and anxiety. Retrieved from https://www.parentingstrategies.net/depression/

Siu A. (2016). Screening for Depression in Children and Adolescents: U.S. Preventive Services Task Force Recommendation Statement. Annals of Internal Medicine, 164(5), 360-366. doi: 10.7326/M15-2957

World Health Organisation (2018). International Classification of Diseases, 11th Revision (ICD-11).  Retrieved 21 August, 2018, from https://icd.who.int/browse11/l-m/en

Zahl, T., Steinsbekk, S., & Wichstrom, L. (2017). Physical activity, sedentary behaviour, and symptoms of major depression in middle childhood. American Academy of Pediatrics, 139(2). doi: 10.1542/peds.2016-1711

 

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003: How to Raise a Humble High Achiever with Zac and Lan Mu

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Posted on by Dr. Kimberley O'Brien

Tips to Calm a Toddler in Distress : On-air Consultation/Travelling and Spending More Time with Kids - Seasoned Family Traveller

Welcome to episode 003 of the Impressive Podcast. In this episode, Kimberley talks with Lan Mu and her son, Zach Mu who has won awards for public speaking. How Lan Mu created such a humble and down to earth, yet high achieving young boy in Zach.

Lan will also be sharing the details about the Timor community and how she brought everybody together so that Zach has some great mentorship and family. Enjoy:

  • Time is a luxury many don’t value. Zac and Lu explain how time management is integrated into their lives.
  • Goals that attainable and interesting for a young person
  • Rules and how the reaction differs from a school-aged child to a teenager.

Enjoy the Episode

Recommended resources

Here are the recommended resources to support a 3-year-olds exhibiting Rigid thinking, Sensitivity to change, Issues with emotional regulation and Meltdowns

Keep updated with The Impressive Podcast

Join Dr Kimberley O’Brien on the Impressive Facebook Group to receive news, share your opinion and learn about resources for home and school. You can also Join the Mail List.

About Impressive

Impressive is a weekly podcast that sheds a new light on the world of parenting. Join host, Dr Kimberley O’Brien PhD, as she delves into real-life parenting issues with CEOs, global ex-pats, entrepreneurs, celebrities, travellers and other hand-picked parents.

In an approachable on-air consultation style, she listens to some of the smartest, kindest parents share their latest parenting challenge with their incredible kids. Together they brainstorm solutions and Kimberley offer handy tips and valuable resources to help bring out the best in toddlers, teens and in-betweens. Drawing mostly on two decades of experience as a child psychologist, Kimberley also shares her personal insights as a mother of two and entrepreneur with a passion for problem-solving.

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How Sarah Scully used Quirky Kid Resources with Clients in Canada.

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Posted on by Leonardo Rocker (Quirky Kid Staff)

Quirky Kid Therapeutic Resources in Canada

At Quirky Kid, we are committed to developing engaging and creative therapeutic resources and evidence-based programs (see Basecamp, The Best of Friends and Power Up) for use in clinics and classrooms around the world.

One of our most popular resources is the Quirky Kid Pack, which contains 11 resources for a range of applications. Each tool has been carefully designed by our team to assist clinicians in building social, communication, and self-awareness skills with their clients.

Their use and application have grown significantly since they were first published and we love hearing from our customers around the world about how they implement the resources in their clinic.

Recently, we were contacted by Sarah Scully, a Mental Health Clinician/Behavioural Consultant with the Developmental Disabilities Mental Health Services in British Columbia, Canada. Sarah reached out to share her experience in using the Quirky Kid pack. Her reflection highlights how this resource can be used with a diverse range of clients and settings.

Sarah’s team is made up of psychiatric nurses, mental health clinicians, behavioural consultants, art therapists and occupational therapists. They provide mental health services to people with an IQ below 70 and who live with a psychiatric illness or challenging behaviour.

Read Sarah’s case study:

I am fairly new to the Developmental Disabilities Mental Health Services team in Canada and had to deliver a presentation to my senior staff members, with the goal to work on our youth team as a counsellor, I shared my secret weapon…Quirky Kids resources.

I own and love the Quirky Kid Pack and presented on how I use these resources with my client population; adults with intellectual disabilities (ID).

Quirky Kid Therapeutic Resources with Clients in Canada

I shared how I use ‘Face It Cards to help my clients expand on their emotional literacy.  Somewhat similar to young children, many of my ID clients have the basics; mad, sad, happy and not much else. These cards help expand their emotional vocabulary and provide a fun way to notice the nuances of different facial expressions.  In learning new feelings and emotions my clients are able to start relating to and naming their physiological experiences.  By getting to understand what my client is feeling, I can support them and the people around them to enhance their mental health.  When a facial expression comes up that a client can not name, we discuss the possibilities of what the person is thinking or feeling, making it a great way to develop empathy.

I also told my tea how I use ‘Face It Cards’ in a projective way, helping my clients deal with a history of trauma, abuse or loss. I use the cards to enable my clients to speak about the picture they see, rather than themselves. There is often hidden gems of truth in the stories created by my clients, which can be used therapeutically. I have successfully used the cards to encourage conversation about past experiences, which can open up a dialogue and courage clients to share their stories and feelings.

 

There is often hidden gems of truth in the stories created by my clients, which can be used therapeutically.  I had one client who expressed, for nearly every card, “someone said something bad to her”, or “someone must have said something nice to her”.  This encouraged a conversation about her past experiences of being bullied as a child, which related to her current feelings of being unheard by her support team today.  These patterns can open up a new dialogue and encourage clients to share their stories and feelings.

I love to use ‘Tell Me a Story Cards’ as Icebreakers.  When meeting a new client, it helps to build trust and rapport while sharing information that you wouldn’t normally share, like the farthest you ever swam!  Poor self-esteem and negative self-talk is something I commonly see in the people I serve. I use the ‘Tell Me a Story Cards’ with clients to reinforce their accomplishments and obstacles they have overcome.

Finally, I like to use the ‘Just Like When Cards as social stories. Often, adults with disabilities have little in the way of social connection and may not understand social norms and behaviour.  These cards are a good way to explore social scenarios while talking through their personal experiences or making up stories based on the images.  These cards also encourage empathy for others.

 

Summary

One of the best things about these amazing resources is that, although they are meant for children, they are not immature.  They translate extremely well to adults with intellectual disabilities. So often, this population is infantilized and treated as permanent children as they struggle to establish their own independence as adults with extra support needs.  The Quirky Kid cards are a great way to meet my clients in a developmentally appropriate but respectful way.

I am happy to say that the presentation was a success and I was offered the position.  I am looking forward to kids aged 12-19 and hoping to get more use out of my ‘Likes of Youth Cards’!

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002: From CEO to Seasoned Family Traveller with Michael Peachy

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Posted on by Dr. Kimberley O'Brien

Tips to Calm a Toddler in Distress : On-air Consultation/Travelling and Spending More Time with Kids - Seasoned Family Traveller

Welcome to the second episode of Impressive. This episode is all about travel and adventure. Kimberley talks with Michael Peachy, the CEO of Seasoned Family Traveller. Listen to how Michael Peachy moved out of the CEO lifestyle into travelling and spending more time with their kids. You can enjoy:

  • How to adjust to travel and family life
  • How to from corporate lifestyle  to following your dreams and make it all work
  • Creating new projects on the go.

Enjoy the Episode

Recommended Resources

Keep updated with The Impressive Podcast

Join Dr Kimberley O’Brien on the Impressive Facebook Group to receive news, share your opinion and learn about resources for home and school. You can also Join the Mail List.

About Impressive

Impressive is a weekly podcast that sheds a new light on the world of parenting. Join host, Dr Kimberley O’Brien PhD, as she delves into real-life parenting issues with CEOs, global ex-pats, entrepreneurs, celebrities, travellers and other hand-picked parents.

In an approachable on-air consultation style, she listens to some of the smartest, kindest parents share their latest parenting challenge with their incredible kids. Together they brainstorm solutions and Kimberley offer handy tips and valuable resources to help bring out the best in toddlers, teens and in-betweens. Drawing mostly on two decades of experience as a child psychologist, Kimberley also shares her personal insights as mother of two and entrepreneur with a passion for problem-solving.

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