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Index
Contents
Acknowledgments
How to Use This Book
Who Should Read This Book?
Do Parents Need Help?
Who Are the Hard-to-Manage Children?
Why Do I Need a Tool Box with 25 Tools to Manage my Child?
Tools for Teaching Children to Calm Themselves Down
Tools for Building Self-Esteem
Tools for Managing Out-of-Control Behavior
Tools for Providing Structure
Tools for Improving Interpersonal Skills
1 The Intense, Irritable Child
Reasons Children Are Irritable
What Makes Your Child Irritable?
What Happens to the Parent-Child Relationship When the Child Is Irritable?
How Does a Child Become Calm and Well-Regulated?
When Is My Child’s Irritability More Than Just a Bad Mood?
Basic Guidelines to Teach Your Child How to Become a Good Self-Regulator
Help Your Child Adjust to Demanding Situations
Help Your Child Read and Give Good Social Cues
Help Your Child to Predict His Own Behavior and That of Others
Read Your Child’s Cues: Understand What the Irritability Means
Treatment Ideas to Help Your Child
Rule Out Medical Problems
Address Sensory Hypersensitivities That May Contribute to Irritability
Avoid Overstimulating Your Child
Soothe Yourself and Your Child
Create Opportunities for Your Child to Learn How to Self-Calm
Help Your Child to Learn How to Make Transitions
Provide Clear Limits
Help the Child Become More Self-Reliant
Develop Tolerance for Frustration and a Sense of Mastery
Overcoming Feelings of Isolation and Getting Respite for Yourself
Explore What You Think Your Child’s Behavior Means
Provide Forums for Your Child to Express What the Distress Means
Summary of Strategies
Summary
2 Coping with Different Kinds of Anxiety
Separation Anxiety
Foundations of Normal Development
Temperament
The Role of Parents in Separation
Albert: An Intense and Reactive Child
Anxiety Expressed by Refusal to Talk
Louise: Who Had to Cope With Severe Kidney Disease
School Anxiety
April: A Child Who Could Not Count Dice and Hated School
Anxiety Caused by Personal Trauma
Eric: Trauma From Living in the War Zone of His Parents’ Hostility
Parents’ Response to Trauma
Actions Parents Can Take to Minimize Trauma
Anxious From the Beginning: Children Wired to Be Anxious
Indira: Intense Anxiety in Response to Every Demand in Her Life
Summary of Parental Strategies for an Extremely Anxious Child
Summary
3 Mealtime Battles, Picky Eaters, and Kids Who Just Won’t Eat
Why Is Good Eating Important?
Skills for Healthy Eating
What Can Go Wrong With Eating?
Refusal to Eat
Overeating
Types of Eating Problems
Amy: A Child with No Appetite Drive
Colin: A Child Who Ate to Settle His Irritability
Samantha: A Child Who Ate to Nurture Herself
Stephen: A Child with Severe Sensitivities to Touch
Impact of the Child’s Feeding Problems on Parents
A Mother’s Story: How Her Eating Problem Impacted Her Child
Relationship Problems and Impact on Feeding
Problems of Attachment
Children Growing Up in Orphanages: Emotional and Sensory Deprivation
Fostering Independence and Self-Control
Getting an Evaluation
Suggested Assessment Process for Eating Problems
Strategies to Help Your Child Eat
Medical Management
Tactile Problems of the Mouth, Face, and Hands
Get the Face, Mouth, and Hands Ready for Food: Tactile Wake-Up
Kayla: A Child with Food Aversions
Improving Utensil Use
Strategies to Improve Utensil Use
Matthew: A Child with Motor and Sensory Problems Who Resisted Eating
Improving Appetite Drive
Joseph: An Irritable Child Who Rarely Ate
Helping the Picky Eater
Strategies to Help the Picky Eater
Mimi: A Child with Aversions to Food Textures
The Problem of Overeating
Addressing Problems of Overeating
Addressing Anxieties Accompanying Reflux
Sophie: A Child with Anxiety About Swallowing Certain Foods
Helping Your Child to Come and Sit for Meals
Strategies to Help Your Child Come and Sit for a Meal
Guidelines to Improve Eating Behaviors
Summary
4 Up All Night, Crying, and Fretful
Skills for Good Sleep Habits
Developmental Tasks that Support Sleep in Toddlers and Older Children
Sleep Problems in Children: Birth through School Age
Infants
Toddlers
Other Factors that Influence Sleep
Impact of Sleep Problems on Development
Developing Good Sleep-Wake Cycles
Self-Soothing and Why it Is Important for Sleep
Making the Bedroom Environment Conducive to Sleep
Types of Sleep Problems in Children
The Hypersensitive Child
The Child Who Craves Movement Stimulation
Problems with Attachment and Separation
Helping Your Child Be Alone
Helping Your Child Cope with Sleep Anxiety
Summary
5 The Dark Secret
What Is Obsessive Compulsive Disorder?
Are All Rituals Signs of Obsessive Compulsive Disorder?
What Causes Obsessive Compulsive Disorder?
How Can This Disorder Be Treated?
Getting Information
Explaining to Your Child What Is Happening to Him
Getting Ready to Lead Your Child Out of an Unreasonable World toward the Normal World
Getting Rid of These Thoughts: Exposure to the Feared Object or Situation and Inhibiting the Urge to Respond
Grier’s Hierarchy of Fears
Getting Rid of These Thoughts: Positive Self-Talk
Medications
Collaborating with Teachers
This Is a Family Problem
Religion
Structure
Common Pitfalls: Things to Avoid
Summary
6 He Won’t Listen and Can’t Finish a Thing!
The Mixed Bag That Makes Up “Attention Deficit Disorders”
Treatment Approaches for ADHD
How Children Learn to Pay Attention
Learning to Focus and Orient to What Is Important
Learning to Process Information Effectively
Learning to Sustain Mental Effort
Learning to Curb Impulses
Learning to Get Organized
Learning to Put More Effort into Tasks
Learning to Screen Out Distractions
Helping Your Child Be Better Motivated and Have Better Self-Control
Summary
7 The Oppositional Child
Why Do Children Become Oppositional?
Biology
Characteristics of an Oppositional Child
How Does the Environment Contribute to a Child Becoming Oppositional?
Techniques that Parents Can Use to Deal with an Oppositional Child
Point Out What Your Child Is Doing Right
Show Your Child That You See Him
Teach Your Child to Calm Himself
Teaching Your Child to Solve Problems
Steps to Problem Solving
Encouraging Your Child to Be Cooperative and Responsible
Teaching Responsibility: Tasks for Children Eighteen Months to Three Years Old
Tasks for Four to Six Year Olds
Tasks for Seven to Twelve Year Olds
Changing Your Child’s Behavior by Behavior Modification Techniques
Making a Repair
Stopping Oppositional Behavior with a Time Out
Stopping Oppositional Behavior with Consequences
Provide a Predictable Structure
Teach How to Ask Rather Than Demand
Summary
8 Children with Sensory Overload
Common Sensory Integration Problems
Sammy’s Response to Sensory Stimulation
Sammy’s Response to Frustrating Experiences
Sammy’s High Need for Her Mother’s Reassuring Presence
Identifying Sensory Processing Problems
Common Problems of the Touch System
Symptoms of Tactile Defensiveness
The Movement Sense
Symptoms of Hyper- and Hyposensitivities to Movement
Motor Planning Problems
Summary
Resources
9 The Curious, Clueless, and Disorganized Child
Providing Structure at Home around Time and Space
Waking Up
Structuring the Beginning of the Day
Time Management after School
Time Management at the End of the Day
Getting Compliance with Scheduling
Learning to Manage Belongings and Space
Helping Your Child with Homework
The Binder or Notebook System
Homework and Time Management
Helping Your Child Learn to Study
Helping Your Disorganized Child Cope with Social Issues
Summary
10 Depression
What Causes Depression?
Three Portraits of Depressed Children
The Depressed Child Who Withdraws
What to Do with a Depressed and Withdrawn Child
The Depressed Child Who Is Angry and Irritable
Factors Showing Vulnerability to Bipolar Depression
Summary
11 The Perils of Parenting a Hard-to-Manage Child
How to Work with Your Child to Make Things Change
How to Do Child-Centered Time
Does Child-Centered Time Actually Work?
How to Do Child-Centered Time: A Summary
Being a “Good Enough” Parent
Summary
12 The Toolbox
Tools for Teaching Children to Calm Down
Tool 1. Self-Soothing
Activities Involving the Sense of Touch
Activities Using Sound
Activities Using Vision
Activities Using the Sense of Smell
Activities Using Taste and Texture
Activities Involving Movement
Activities Using the Hands
Activities Involving Deep Breathing
Activities that Use Creativity and Imagination
Tool 2. Activities for Problems of Touch
I. Activities for the Tactually Sensitive Child
II. Activities for Children Who Are Undersensitive to Touch
Tool 3. Guidelines for Helping Children Move with Ease and Comfort
Tool 4. Teaching Your Child to be More Coordinated
Tool 5. Learning to Pay Attention
Tool 6. Distraction
Distraction for Babies with the Parent as Teacher
Tool 7. Positive Self-Talk
Tool 8. Mindfulness: Stilling the Mind
Tool 9. Systematic Relaxation: Stilling the Body
Tools for Building Self-Esteem
Tool 10. Validation
How to Validate
Tool 11. Child-Centered Time
Tool 12. Having Fun
Tools for Managing Out-of-Control Behavior
Tool 13. Changing Behavior: Positive Reinforcement, Ignoring, Modeling, and shaping Behavior
Tool 14. Teaching Consequences and Repair
Tool 15. Observing Limits
Steps to Follow in Observing Limits
Tool 16. Time Out
Now, Steps One, Two, Three, and Four
Tool 17. A Token Economy: Rewarding Positive Behavior
An Example of a Token Economy
Tools for Providing Structure
Tool 18. Food Rules
Tool 19. Being Content Alone
Tool 20. Strategies for Managing Your Child at Night
Getting Ready for Sleep
How to Make this Program Work
Tool 21. Helping Your Child Feel Less Fearful At Nighttime
Tool 22. Providing Structure to the Day
Tools for Improving Interpersonal Skills
Tool 23. The Ice-Cream Sandwich
Tool 24. Having GREAT FUN Communicating
How You Do a Great
Tool 25. Teaching Responsibility and Cooperation
Glossary
Bibliography
Anxiety and Depression
Obsessive Compulsive Disorder
Asperger Syndrome and Autistic Spectrum Disorders
Attachment Disorders
Attention Deficit Disorder and Learning Disabilities
Attention Deficit Disorder
Learning Theory
Behavioral Management
Development in Children
Eating Disorders
Irritability and Mood Problems
Medication Management
Meditation
Sensory Integration Disorder
Sleep Problems
Appendix
Index
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