Welcome!

Welcome guests! The intent of my blog is to provide a place to post information related to children, families, mental health concerns and aspects of life that impact these. I often find great information that would be nice to share with others such as, interesting readings, videos, or links. Nothing on this blog should be taken as advice on its own, however, as readers/bloggers you should consult with your family doctor or mental health practitioner if an issue seems relevant to you.

Monday, December 13, 2010

Christmas

Be careful folks. This is the time of year where GRIEF rears its ugly head.
To read more about grief see posts from earlier this year.
Be well.
SHC

Friday, September 17, 2010

Grief and Hauntings

Often people experience what professionals call "hauntings" but are nervous to acknowledge these or bring them up in discussion. Here are some thoughts on "hauntings" borrowed from Elizabeth Kubler-Ross' writings.

• There are many types of hauntings, such as sounds you hear, people you see (visual haunting), words that echo, and even the physical sensation of being touched.
• You may be tormented by a scene you wish you hadn’t witnessed, like a loved one with tubes, the smell of the hospital room, or the pained expression on your loved one’s face.
• You can talk about the visions or draw pictures of them. Art therapy can help people give physical form to their visions as these move from mind to canvas. Whatever your vision may be, find a way to get it out. Try to externalize it. Talk about it. Write a letter.
• For some, the haunting is a feeling in the room, a presence that seems like a loved one hovering, a beloved soul lingering.
• Many such feelings and sensations are beyond explanation. We simply need to acknowledge that the feelings are real, and if the presence feels unsettling, there is some unfinished business at hand.
• Hauntings after the death of a loved one are normal and common. They often bring important
messages from the psyche that arise from our inner world of grief. They may also bring fear.
• Hauntings contain valuable clues, threads to be followed to their source.
• “he was just here and he told me how much he misses me. Oh yeah, he told me to tell you he’s okay and the cancer is gone.”
• Whether or not they are physical realities is irrelevant to the grief process. To spend time questioning the experience is to miss the point…and perhaps the gift.

Grief related Dreaming

Dreams

• It is not unusual to dream that your loved one is still alive.
• Many people say that regardless of the outcome of the dream, they are grateful for even a few more moments with a loved one.
• Dreams can provide information about what is really going on inside us.
• Our dreams can demonstrate the inevitable lack of control we feel when we are grieving.
• Dreams may serve many purposes, including a distraction from pain or a demonstration of the soul grappling with reality.
• Dreams help us deal with incomprehensible feelings while we sleep. The unconscious mind cannot distinguish between a wish and reality.
• Before a loss, people agree that most dreams are hard to understand because their messages are not clear. After a loss, messages are usually much more to the point and contain signs of reassurances, continued existence, and emotional support.
• In some cases, dream visitations bring frustration when we can’t control them. Some want to dream and cannot.
• When people dream of a loved one, they often report feeling a sense of peace afterward, a reassurance beyond words.
• Eventually, the dreams will begin to subside and become less frequent.
• The dream vision of a loved one can also represent unfinished business, the chance to complete something that was suddenly severed.

Grief messes with our belief system

Life Beliefs & Grief
• Grief is the shattering of many conscious and unconscious beliefs about what our lives are supposed to look like.
• “Life was never supposed to be perfect but was always supposed to be long.” We learn as children that old people die because “their body gets old and worn out”.
• No one expects us to say these things to a child, but as children grow, we need to update their views on life and death. If we don’t we perpetuate the beliefs and assumptions that nothing ever goes wrong.

• When there is an exception to our belief system, we want to assign a reason that makes us feel safer.

• Even the belief that child is not supposed to get sick and dies, that a child’s death is unnatural, is not a reality.

• Today, we believe that modern medicine can cure anything that ails us, and we relax into that belief.

• The belief that healthy living will stop us from dying is a hard belief system to hold together when we are deep in grief.

• Take the time to live with the question of “why me?” For some the answer is “Why not me? Why should I be excluded from life’s losses?”

• Your belief system needs to heal and regroup as much as your soul does. You may start to rebuild a system that has room for the realities of life and still offers safety and hope for a different life.

"The Story" of grief...

Grief- The Story

Most people have experienced a death. It can be a time where people come together. It also can be a time where people realize that living is an individual experience. Sometimes, grief can be isolating and lonely, at times. People "story" grief without knowing they are doing this. The following are some points about the story.
• We find ourselves sitting by ourselves remembering the story of the loss. We may find ourselves retelling the story to friend and family.

• As time passes, you may see others grow weary of hearing the story, although you are not yet tired of telling it.
• Telling the story is part of the healing of a traumatic event.

• Your mind lags behind, trying to integrate something new into your psyche.

• Grief must be witnessed to be healed. Grief shared is grief abated.

• There is something about taking the inner thoughts of your mind and speaking them out loud that helps put things in order.

• You will find the story changing over time; not necessarily what happened, but what part you focus on.
• If you don’t tell the story over and over, you will have missed crucial insight.

• The stories we tell give meaning to the fact that our loved one died, which is why, in American Indian cultures, stories are given the highest priority. In fact, the function of the elderly is to tell the stories of the lives and deaths of the ancestors, the stories that keep their history alive.
• The ways we now have in our society to share our loss become fewer as we discount grief and loss. Not telling the story and holding it back also takes an enormous amount of energy.

• Not telling the story can be very unnatural.
• Our stories contain lessons, often of kindness and honesty.

• Sometimes a loss is so great, you need a larger platform. Sometimes people create videos, write stories and books.
• When someone is telling you their story over and over, they are trying to figure something out. There has to be a missing piece or they too would be bored. Ask questions about parts that don’t connect.

Tuesday, September 7, 2010

Brief comment on Attachment....

For my friends and followers living with foster or adopted children...

I've been away on a few camping trips .... on which I can not bring my adopted daughter as a result of  inappropriate behaviour (if you are living this, you know what i'm talking about)....and despite the fact that she has other struggles (mental health and other).....she continues to present as a dysfunctional attached child. Specifically, she cries desperately when i'm gone that she misses me, but can't communicate with me at all in any appropriate manner when i'm home. This is a significant indicator of one type of dysorganized attachment. After 2.5 years, I thought we'd be further. Just when I think we are making slight headway, here are the symptomology right in front of me.

If you are in this position, consider reading anything by Dan Hughes. Further swing through some old posts on this blog for attachment links etc.

Criteria for Bipolar (as set out in the DSM-IV)

Criteria for Manic Episode, as outlined in the criteria manual the DSM, IV:


A. A distinct period of abnormally and persistenntly elevated, expansive, or irritable mood, lasting at least 1 week (or any duration if hospitalization is necessary).

B. During the period of mood disturbance, three (or more) of the following symptoms have poersisted (four if the mood is only irritable) and have been present to a significant degree:

(1) inflated self-esteem or grandiosity

(2) decreased need for sleep

(3) more talkative than usual or pressure to keep talking

(4) flight of ideas or subjective experience that thoughts are raciing

(5) distractibility (i.e. attention too easily drawn to unimportant or irrelevant external stimuli)

(6) increase in goal-directed activity or psychomotor agitation

(7) excessive involvement in pleasurable activities that have a high potential for painful consequences (e.g. engaging in unrestrained buying sprees, sexual indiscretions, or foolish busiiness investments).

C. The symptoms do not meet criteria for a Mixed Episode.

D. The mood disturbance is sufficiently severe to cause marked impairment in occupational functioning or in usual social activities or relationships with others.....

E. The symptoms are not due to the direct physicological effects of a substance or a general medical condition.

MIXED EPISODE

"A mixed Episode is characterized by a period of time (lasting at least 1 week) in which the criteria are met both for a Manic Episode and for a Major Depressive Episode nearly every day. The individual experiences rapidly alternating moods (sadness, irritability, euphoria) accompanied by symptoms of a Manic Episode and a Major Depressive Episode.

AS WITH ALL MENTAL HEALTH CONCERNS, THE READER SHOULD CONSULT WITH THEIR PHYSICIAN OR A REGISTERED PSYCHOLOGIST IN ORDER TO ATTAIN ACCURATE ASSESSMENT. THIS BLOG IS INFORMATIONAL ONLY. THIS IS MY DISCLAIMER.

Social Work's Assessment of Mood/Bipolar Disorder

Mood disorders are divided into Depressive Disorders and Bipolar Disorders. The defining feature of Bipolar Disorder is the experience of one or more manic or hypomanic episodes. According to the DSM IV (1994) - diagnostic manual - the central feature of mmood disorders is disturbance of mood - manic or depressive. The range of the mood disorders include the following: Major Depression, Dysthymia, Seasonal Affective Disorder, Mania, Hypomania, Bipolar (1 + 2), and Cyclothymia.


As several people are most knowledgable about Depression, I will start with outlining Manic experiences. However please note the following. Often general depression co-occurs with other illnesses such as: medical illness (myocardial infarction, cancer, post-stroke patients). Other concurrent illnesses include: panic disorder, eating disorders, and substance abuse disorders. Issues such as substance abuse must be discontinued so that a clear diagnosis can be made and the appropriate treatment tiven.

When assessing to treat mania, the following factors may be considered.

1. Destructive acting out behaviour

2. Extreme hyperactivity

3. extreme agitation

4. Self-injurious behaviour

5. Loud, and escalating aggressiveness

6. Threatening behaviour

7. suspiciousness or paranoid ideation

8. hostility, threatening harm to self or others

9. Rageful

10. Aggressive body language or aggressive acts

11. Provoking behariour (challenging)

12. hallucinations or delusions

13. possesses the means to harm

14. bragging about prior incidence of abuse to self/others

15. Altered throught processes

16. Impaired social interaction

17. low self-esteem

18. sleep disturbances



Some of the following information has been borrowed from Sharon Johnson's "Therapist's Guide to Clinical Intervention: The 1-2-3's of Treatment Planning".

Bipolar Disorder (repost)

Several folks of late have asked me questions about the diagnostic criteria and ins and outs of Bipolar Disorder. As an up to date blogging start, I am reposting this post from 2007 with a youtube link that contains a slight introduction to Bipolar Disorder.

2007
I recently viewed this video with a teen whose parent and sibling struggle with Bipolar Disorder. She found it helpful. It is one of a six part series that can be found at www.youtube.com with a title "Bipolar Disorder: It is a brain thing". Perhaps others will be interested.




http://www.youtube.com/watch?v=nfiYvSFhvM4

Sunday, August 29, 2010

Issues with Blogspot

So, i've had some problems with Blogspot having changed to gmail platforms. I was having trouble getting into the system to convert things over to a google email address. However I appear to have it sorted out and thus hope that I am back for some "mental health" blogging.

I hope everyone has enjoyed their warm, dry summer and that we are ready to get back to the grind!

Cheers,
Sarah

Saturday, May 1, 2010

ASD and Disney

While on a family trip to Disney I was surprised at my child's propensity to manage herself MOST of the time. Struggling with ASD contributes to her inability to regulate her mood and this was evident (as it is at home) throughout the trip. For example, waiting in lines for attractions and characters could be a chore. On one occasion we waited in line to see Chip and Dale for a period of time and finally got to meet the character WHEN THE RODENTS TOOK A COFFEE BREAK.....mood swing for daughter which invariably required a significant amount of "talking through". As a parent I wind up managing her mood for her.

My strategies to intervene:......1. bring wait time distractions; 2. limit amount of characters/attractions that you wait for; 3. expect struggles; 4. prompt in advance that character breaks are short, that they will take breaks etc; talk with the parents around you, in the event that you need to label or identify the disability when mood swing occurs.

Struggling with ASD also means that my child becomes easily overstimulated (by noise, too much activity, sensory input visually, touch etc) and highly anxious in new or novel situations. This was an obvious issue for us.

My intervention: 1. shorten day by visiting the parks in the a.m. and returning to resort/hotel early afternoon for quiet time or a swim in the pool; 2. keep my expectations low about what we can accomplish in one day; 3. expect to move slowly at times and to have to take time to cue child verbally or physically.

So there were a number of other noticable issues we faced but these will have to wait for another posting. (motor skills, self in physical space - getting lost ).....constant cueing.....one direction at a time.

That's all for now.
SHC

Monday, April 26, 2010

Back from a Disney Vacation with ASD child!

Just in! Met other parents of ASD children on the vacation. Updates to come. Watch for upcoming blogging....

Friday, April 16, 2010

Walt Disney World with 6.5 year old with Autism (Asperger's)

I'm currently heading to Disney World with the children. I'm fortunate to have my spouse accompanying, while i am aware that several single parents have attempted this feat. My son, age 4.5, will also be along for the fun. I feel as though we are embarking on an experiment in light of our daughter's special needs.

For true stories from the experience and a good giggle check in over the next week or so for 'the life and times of a Young Gal at Disney World'.....

SHC

My Practice Updates

As of the month of April 2010, I am available several hours per week for therapy appointments.

My practice phone number if folks are looking to book appointments continues to be 705.441.5504.
Practice location has moved from 78 Moberly Street in Collingwood to 46 Brock Crescent.
I have added a sliding scale to my practice whereby individuals are able to access a rate in line with their income.

So long for today.
SHC

Sunday, March 14, 2010

ASD Evening - Temple Grandin

http://www.autismontario.com/

The following website is offering a great opportunity for inspiration and education related to ASD-HF in Barrie at the end of June. Check it out. I'll be there. Wouldn't miss it.

Saturday, February 13, 2010

Gabor Mate, MD

If you've never seen this man speak, any opportunity is a good one.

He is booked to run a seminar in Toronto on May 6-7 2010 entitled "Taming the Hungry Ghosts". This seminar will illuminate where and how addictions originate and what they have in common. A large component of the seminar will be devoted to learning about brain chemistry and physiology of people with substance dependency.

He is also well know for his books/seminars: Scattered Minds, When the Body Says No, and Hold On to Your Kids.

You may find this workshop noted at http://www.leadingedgeseminars.org/

Upcoming ASD workshops

If you are interested in Autism Spectrum information/approaches/treatment the following are reportedly excellent seminars:

Understanding the Autism Spectrum: Moving Beyond the DSM
Led by John M. Ortiz, PhD
Thursday May 27, 2010

and

Creative Strategies for Autism, Asperger's Syndrome, and Nonverbal Learning Disorders.
Led by John M. Ortiz, PhD
May 28, 2010

Register online at: http://www.leadingedgeseminsars.org/

Monday, January 11, 2010

More Hair Therapy

In continuing the healthy hair theme, i have found more information on natural hair treatment. This was borrowed from a website and passed on by a friend. Thus, i am not the brilliant creator, however support the combo! Enjoy.

2 tbsp honey
2 tbsp milk
mix these two well, then add:
3 tbsp olive oil, whisk well then add:
1 tbsp apple cider vinegar

Now you will wnat to do this in either your tub where you can clean up easily. Tip your head back and drip this mixture right into your hair, rubbing it down into your scalp gently. If you have one of those Ketchup bottle things that one puts hair dye in, that would probably work well. Then quickly, before the vinegar runs into your eyes, wrap a thick towel around your head. Let it sit there, doing its yummy magic, for about 20 minutes. Wash well. You can feel the difference in your hair even while you're shampooing it. Lighter, softer, silkier, and any itch that is normally there should be gone.

Sunday, January 10, 2010

The wildly expanding vocabulary of a 4 year old....

Things you may hear from the "common" four year old...."actually", 'that is the worst", "electricity", "i'm allergic", "possibilities"....and the list goes on. It is often scary that children can 'actually' use these words in context beginning around this age.

The cognitive skills of a 3 to 6 year old are most obvious in their repidly expanding vocabulary. These children begin to describe what they see and feel. Their memory seems 'too good' at the best of times and they can "retell" parts of stories - be careful with this one!!! This typically includes the conversations you don't want them to hear, nor remember. Language development progresses on a n individual schedule that varies from child to child.

As an adult caregiver you can:
*Talk with and listen to your child. Maintain eye contact. Be patient with the halting speech patterns of this age group.
*Be aware that self talk is important for their development.
*Read, read, read to your child.

Don't hesitate to get a professional evaluation for a preschooler who can't follow simple directions or listen carefully and repeat basic information.

Enjoy this incredible time when children seem to know sooooo much.

Wednesday, January 6, 2010

Adoptive/Foster Parent and Professional Resource

Please see the following link for workshops related to adoption and foster children/families and over all mental health. Dan Hughes is the current guru related to Attachment issues in children of these populations.

http://www.danielhughes.org/

Great workshops, highly recommended!

Interesting Books

  • When the Body says No (trauma)
  • Scattered Minds (ADHD)
  • Cinderally Revisited
  • It's Not About Food by Normandi & Roark
  • Thinking in Pictures: My Life with Autism by Temple Grandin
  • The Optimistic Child by M.Seligman
  • Where the Pavement Ends by Wadden
  • Codependent No More by M.Beattie
  • Raising Adopted Children by L. Ruskai Melina
  • the Dance of Anger by H.G.Lerner
  • Queen Bees and Wannabes by R. Wiseman
  • Get Out of my Life, but first could you drive me and Cheryl to the mall?
  • Reviving Ophelia: Saving the Selves of Adolescent Girls by M. Pipher
  • Dinosaurs Divorce
  • No Body's Perfect Journal by K. Kirberger