Hands Full of Rocks

They're not all like that

So, I've been talking about the anxiety thing lately.

Also at home and around others. Miss M doesn't look like a kid with anxiety most of the time. It shows if you know what you're looking for, and certainly under some conditions it is quite clear. But mostly it looks like normal shy.

Miss R, however, has these little freakouts over new things (people, events, etc.) that made us realize that we've coached so much for Miss M, and not at all for Miss R, and now Miss R's skills are a bit behind.

Leap forward to earlier this week, when Miss R had an extraction at the dentist. She got her mommy's tooth eruption pattern, and her front adult teeth come in behind her baby teeth instead of under, so they just hang out being in the way and risking cavities in the adult teeth. Lovely?

When I was a kid, they just left the other teeth in until they fell out on their own. As a consequence, I had very deep gumline (exposing a bit of root) on my lower front teeth for several years until the gumline decided to adjust. Maybe not the best plan.

So, modern approach is to extract if the adult tooth is well erupted but the primary hasn't loosened up much.

Miss R, understandably, was Not Impressed with the plan.

Okay, so let's Coach! Talk through what is going to happen, give her strategies for handling it...

Uh, or not.

Because as soon as I started talking about what was going to happen, she started to freak out worse. Cried, threw things, insisted she wasn't going to cooperate, that she HATED the dentist, she was going to just stay home. Uh. Fail?

So I changed to strategies for coping. Worse! Even just asking her for ideas about what she could do was a fail. Her only strategy was 'refuse to play'.

I quit while I was only about a mile behind where we started.

Sigh.

And then I remembered. (D'oh!)

They're not all the same.

Some kids (and adults) really do function better if they don't think too much about it beforehand, just go in and carry on. We can talk around observing what else is happening at the time (how do others handle it, would that work for me, what are the pros/cons of that approach In The Moment, what else could I try), but talking beforehand? Lightly, seldom, and not directed at pre-planning the strategy, but at pre-planning the meta-strategy (how to figure out your strategy on the fly, rather than figuring out your strategy now).

In the end, the extraction was a success, and had quite the teachable content there, too. She said she wasn't brave, because she cried. Daddy, seeing that moment, caught it and talked about bravery being not the same as not being scared, and that she did it (knowing it was the right thing to do but not wanting to) was evidence of courage on her part.

Learning all around. I re (re re re re) learned that Miss R is Not Like The Others (just as they're all Not Like The Others, only she's Not in different ways than the others...). She learned that she is brave. Even if she doesn't always feel it.

Which, in the end, is rather a lot like the others.

Working 'step two'

Miss M used to have severe anxiety. A big part of that was the diet - a side effect of eating the wrong diet when you have Fructose Malabsorption is that tryptophan isn't absorbed well. No tryptophan, body can't effectively make serotonin. Imbalance in serotonin = mood issues (depression/anxiety/rage).

So she had a pretty bad case of it, tilted toward anxiety. Turned into a little zombie when people talked to her. It was so bad that at the early intervention assessment, she couldn't even close her hand on a toy. Just sat on my lap staring straight ahead. Kinda scary, actually. The home visit with the psychologist was no better. Sat on my lap, couldn't speak, couldn't move. Wah!

But the diet change helped tremendously. Funny that! In four days, she was a new person. But she still had a baseline anxiety issue.

The psychologist was great - not the least being great with the parental side of things.

She asked (seeing M all catatonic) if we took her out places. No, really, we'd cut back on all activities that caused her to shut down.

Good job, mom. You guys have done a fantastic job at step one of the process - protecting your child from harmful situations.

And now, step two. Step two is giving her the skills to safely and comfortably participate in life, including situations that she 'naturally' finds stressful. Time to give her the skills to participate in and enjoy the things that right now are 'too scary'.

It was nice to hear that we'd done so well at step one, even though I knew we'd pretty much skipped step two at that point. Didn't even realize there was a step two!

I think a lot of parents don't think about step two. We're so media trained to worry about safety, to fret for the dangers, to be wary, that we don't even think about coaching the skills for enjoying uncomfortable and 'scary' situations. Sure, we coach for survival (what to do if a stranger approaches you inappropriately), but what about just 'nervous'? What about just being around strangers with your parents? What about all the other skills for handling unknown or uncomfortable situations?

Once we knew there was a 'step two', we kicked into gear on coaching, prepping, practicing, giving alternatives to try, and being backstop/safety net. Told her where we were going, what we'd do there, who would be there. Reminded her of her skills for talking, playing, and asking for help when she needed it. Let her bring her big stuffed shark to church (where it could add a layer between her and 'people'). Explained the rules for parties, set expectations, talked about events before they happened, gave her a job or role for the event...

And it has worked. Still works, and we still use it. Birthday parties are now fun, and nobody knows she has that much baseline anxiety. Most people would guess it is Miss R who had the big scary fear of people and events. Miss M? She's off into the puppy pile, racing ahead, in charge of herself, certain of what she's doing, knows how to handle the emotional discomfort.

She's becoming an old hand at working step two.