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Dr. Caroline Buzanko, R. Psych. [email protected] www.korupsychology.ca 2 1 2 3 1
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Page 1: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Dr. Caroline Buzanko, R. Psych. [email protected]

www.korupsychology.ca

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Page 2: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Worries are hereto stay

• Normal, protective feeling

• Necessary for survival

• Helps us perform our best

• Helps motivate us

• Temporary in the moment

4

5

• Social, existen t ial,

future

• After high

school!!!!

Pre-Adolescen ce

Adolescence

• Mortality,

health

Sch ool

• Changes, perform ance,

family

Preschool

• Animals,dark,

separation

Infant/

Toddlers

• Separation,

novelty

Worries to be expected

6

Worries tobe expected

Developmentally appropriate fears

• Survival: separation, danger

Life transitions

• New school, graduation, change in family composition, teenage years

Stressful experiences

• New or unfamiliar situations

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Page 3: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Worries tobe expected

Temporary

Do not interfere with functioning

Students still successful in achieving goals

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Page 4: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Kids continue to frighten themselves with their own thoughts

10

Expecting something bad to happen

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12

• Released hormones• Increase heart rate

• Increase blood pressure

• Increase energy

• Increase alertness• Slows other processes (to

fight or run away)

• Secretes acid into thestomach to empty it

Over time leads to cardiovascular problems and lowered immune system

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Page 5: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

13

Physical

sym p tom s

are a p r o b l e m

Anxiety leading reason for children’s emergency

room visits and hospitalizations

50% of kids will have a mental

illness

14

Anxiety is the most common mental health

problem inkids K-12

50% of kids have a

mental illness

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Page 6: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Anxiety is the most common mental health

problem inkids K-12

Not something you

outgrow

16

Anxiety is the most common mental health

problem inkids K-12

Most gowithout

effective support

until after they are atween

17

Teens are extremely susceptible for developing

anxiety

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Page 7: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Significant interference (home,

school, social); anxiety starts to

make decisions

AnxietyDisorder

Significant distress that is

more frequent and more

extreme than that of peers

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Untreated anxiety is the leading predictor of depression in teens & young adults

Early intervention helpsminimize later problemswith depression

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Page 8: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

70% of all mental health problems begin in childhood nd adolescence

Canada spends over $14 billion each year treating mental illness.

It is becoming the leading health care cost in the country.

Mental health biggest single predictor of life satisfaction,

even more than physical health, unemployment, income etc.

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Page 9: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Can be preventative. Most treatable disorder

25

How Anxiety Manifests

ids develop patterns of behaviour/ways to

respond to stress depending on whether they

perceive the demands are bigger or smaller

than what they believe they can manage.

Resilient kids

□Effectively respond to

and cope with

everyday challenges+

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Page 10: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

High resilience

Inte

sc

re

ho

st in

ol Effective

problemsolver

initiativ

Assertive

Take

e

EmpatheticResp

trust

onsible

and

worthy

Realistic

Independent

Positive

outlook

Asks for help

when

needed

Low resilience

Low resilience

WithdrawWithdraw

Tantrum/

emotional

meltdown

Tantrum/

emotional

meltdown

AngeroutburstAngeroutburst

AggressionAggression

ResentmentResentment

AnxietyAnxiety

DefianceDefiance

VindictiveVindictive

How Anxiety Manifests:Affect

• Emotion

• Physical symptoms (e.g.,

stomach aches, poor sleep)

• Greater sensitivity to symptoms

• Frequent doctor visits

• Poor school attendance

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Page 11: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

How Anxiety Manifests:

Thoughts

• Unrealistic, extreme

• What if ’s…

• The world is dangerous

• I can’t handle it

• Catastrophic thinking

• Feel incompetentDepend on others to reassure them; clingy, co-sleeping, call home

• Isolation

31

Thoughts

• Mom and Dad are late – they must

have died in a car accident.

• My work has to be perfect otherwise

people will think I am dumb.

• I am going to throw up at school

tomorrow.

• I can’t catch a ball very well so can’t go

to school tomorrow when we start basketball.

• I can’t read in front of the class because

everyone will laugh at me.Substitutes

don’t know how to help me so I can’t

go to school tomorrow.

32

How Anxiety Manifests: Behaviour

• Opposition, defiance

• Irritability, tantrum, explosiveness,

moodiness, crying

• Avoidance, escape, procrastination

• Attention seeking

• Difficulty transitioning

• Perfectionism

• School refusal

• Phobia

• Substance use

• Fidgety, nervous habits (e.g., nail biting)

• Distraction

• Rigidity

• Give up easily33

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Page 12: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

34

Behaviours: Internalizing

• Withdrawn/isolated

• Anxious

• Sad/irritable

• Head/stomach-aches

• Eating issues (under- or over-)

• Sleep problems

• Fatigue

• Low self-esteem

• Rejection

• Repetitive behaviours/obsession

• Difficulties concentrating

• Avoidance

• Disorganized

• Cry

35

Behaviours: Externalizing

• Easily triggered

• Disrespectful

• Disregards rules

• Difficulties focusing

• Aggressive

• Lies

• Steals

• Temper outbursts

• Restless/fidgety

• Interrupts/intrudes

• Impulsive

• Defiant

• Argumentative

• Yell

• Repetitive questions

36

FBA

Skill deficit

Teach skills

Social Comm.Emotion

regulation

Rewarding

Attention, task

avoidance, st imulation

Skill deficit! Teach how to get needs met

No bad kids!!! What are they defending?

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Page 13: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

How Anxiety Manifests:

Impairs Daily Functioning

• Sleep!!!

• Academics

• Social interactions

• Happiness and outlook

• Family relationships

37

By the time they are 11…

…kids have seen over

8000 murders

100,000 other acts of violence

…just on TV

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Page 14: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

40

Stress

• Kids are more stressed now than inpatient

psychiatric patients 50 years ago

• Teens report more

stress than adults

• More homework

• More deadlines

• Less resources

• Fewer breaks/recess

40

Already increased stress responses

= increased vulnerability to stress. Add anymore:

• Effects learning and memory

• Greater risk for other mental health problems

• Greater risk of emotional trauma

• Increased stress-induced illnesses

• Alters the maturation of brains

• Compared to adults, unable to cope

• Effects can be long-lasting and even irreversible41

AND I CAN’T HANDLEIT

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Page 15: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Are youmakingcommonmistakes?

Kids learn anxious behaviours from their parents

Rushingreinforces

anxiety

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Page 16: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

• Ask lead ing quest ions

• Answer th e i r quest ions

46

It’s real for them

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Brain in high stress state = amygdala icks in and becomes a stop sign for information and any rational thinking

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Page 17: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

4499

□ Can’t learn

□ Can’t remember

□ Brain seeks pleasure (stop trying)

□ Reactive response

fight/flight/freeze)

Anxiety…

• Wants certainty

• Wants predictability

• Wants comfort

Talking a nd do ing

makes it feel

impor tant !

Catering to t he fears.

Reassur ing t he fears.

Avoiding t he fears.

alking abo u t t he fears.

= Persist ent fears.

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Page 18: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Avoid traps

• Adults jumping in harms kids:

• Changes brain development

• Can’t make problem

solving connections

• Learning limited

• Anxiety ingrained

• akes kids vulnerable because no opportunities to

experience manageable amounts of stress

• Confidence stunted

Avoid traps

• Protected kids who are told they

are special with few challenges

and little responsibility

• Do not learn to value hard

work

• Do not play by the rules

• Entitled

• Narcissism

• Socially inappropriate

behaviours

• Fall the hardest when stress

hits

Resilience

Ability to adapt well to

adversity, trauma, tragedy,

threats, or even significant

sources of stress.

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Page 19: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Positive

adaptation or

Risk or adversity

competence

Key Ingredients

Resilience

90% of kids and adults successfully decrease their anxiety through

lifestyle changes that foster…

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Page 20: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Assertiveness training

Asserting yourself = feel

good brain

• Self-assertion decreases

anxiety by producing a

sense of mastery and

control over the

environment

• Small kids can do it!

• Identify and express

their feelings

• Ask for appropriatehelp if worried or uncomfortable

58

Self-control, willpower, & motivation DON’TWORK

58

Warning!Avoid placing too

much emphasis on

the individual

student.

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Page 21: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Warning!

• Brain is changed through the

EXPERIENCES we are exposed to.

• The right experiences build

resilience.

• We need to provide the right

experiencesWe need to

provide the right

environments

Factors that BuildResilienceChild Factors

• Self-regulation, coping, & healthy thinking

• Social skills

Family Factors

• Relationships and connectedness

• Parenting skills

Community Factors

• Positive peer interactions & school relationships

• Healthy risktaking

Societal Factors

• Social and cultural values

• Political and economic conditions

• Legislation

Self-control, willpower, & motivation don’twork

Motivation comes from circumstances Environment rich

inopportunities

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Page 22: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Resilience

E

Riskor

Internal adversity

resources

xternal

resources

Resilience Pyramid

Individual Factors

Opportunities

Social connection

Supportive environment

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#1: Start with yourself

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Page 23: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

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Stress andanxiety arecontagious

Freaking out and problem solving

are not compatible

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Page 24: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Most dangerous wordin our language

• Releases stress hormones in your AND

your listener’s brain

• Shift what you choose to attend to (and

how you do it) loosens anxiety

70

Use mirror neuronsBrain can’t tell the difference

71

Show confidence =

FEELconfidence

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Page 25: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Being Helpful

• Connection

• Flexible

• Show your own vulnerability

• Being brave

• Model effective coping

• Seek and receive help

• Recognize own unhelpful thoughts and

behaviours

• Self-care (even breathing regularly)

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Being Helpful• Give kids the chance to do, think, and make

mistakes on their own. What are 3 things you canstart tomorrow?

• Dress on own

• Pack own bag

• Order own dinner

• Run own bath

• Make own breakfast or lunch

• Solve conflicts

• Make own friends

• Encourage kids to try new things, even whenscared

• Create opportunities to be successful(especially with previous failures)

• Teach kids to be comfortable in the world

• There is no certainty

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Page 26: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Safe, nurturing environment…

Relationship

• Create strengths-

based opportunities

• Recognize and

reinforce adaptive

behaviours

• Collaboration on

things

• Tweens & teens – need

status and respect

• Validate

• Avoid power

struggles

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Safe, nurturing environment…

• Sense of control

• Sense of belonging

• Sense of contribution

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Safe, nurturing environment…

Multiple adults need to be part of their fan club

Bullied

Mom

DadGramps

Math Mom

Writing

Grams

Dad

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Page 27: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Help KidsNavigate Resources

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What resources exist

• Rare for none available; just need to

know they are there

Make resources available

How to access resources

• Set up support

Start from Strengths! Multiple self-esteems

Trouble in one area doesn’t mean kids aren’t confident in others.

Capitalize on Multiples sources.

Highlight Strengths….

Capable Caring Careful Charismatic Charming

Cheerful

Competitive

Cooperative

Decisive

Determined

Educated

Enthusiastic

Fast

Fun

Grateful

Honest

Imaginative

Integrity

Joy

Learning

Magnetic

Mysterious

Optimistic

Passionate

Philosophical

Precise

Quick

Respectful

Self-confident

Clever

Confident

Courageous

Dedicated

Diligent

Efficient

Entrepreneurial

Flexible

Funny

Happy-go-lucky

Honour

Initiative

Intelligent

Jubilant

Listening

Mature

Negotiator

Open-minded

Patient

Playful

Problem Solver

Quiet

Responsible

Self-controlled

Collaborative

Conscientious

Creative

Delegator

Disciplined

Empathetic

EQ

Focused

Gentle

Hardworker

Hopeful

Independent

Intuitive

Justice

Logical

Modest

Non-linear

Orderly

Peaceful

Pleasant

Proud

Reliable

Responsive

Self-reliant

Communicative

Considerate

Curious

Dependable

Eager

Endurance

Fair

Forgiving

Generous

Healthy

Humorous

Insistent

Jester

Knowledgeable

Loving

Motivated

Obedient

Organized

Persistent

Polite

Prudent

Resilient

Sarcasm

Sensitive

Compassionate

Content

Daring

Detailed

Easy-going

Energetic

Faithful

Friendly Goal

oriented

Helpful

Idea generator

Inspiring

Jovial

Leadership

Loyal

Motivator

Observant

Outgoing

Persuasive

Practical

Punctual

Resourceful

Savvy

Sharing

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Page 28: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

….& Connect to challenges

Otherwise, you get resistance

• Because this is scary.

• The scariness outweighs

anything other than buy-in

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Confidence over anxiety

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Page 29: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Anxiety is normal. Anxiety knows how to

overwhelm BUT is totally predictable and treatable.

Confidence over anxiety

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#3: Teach

What anxiety is

and what it

wants.

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What anxiety is &what it does….

• Anxiety is normaland will always bewith us

• Need it forprotection

• Helps improveyour motivation

• Helps you doyour best

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Page 30: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

What anxiety is &what it does….

• Amygdala

• Animal brain the size of an

almond

• Our alarm system

• Can be helpful…

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What anxiety is &what it does….

….BUT most of the time it sets off

false alarms

• Humans are the only ones that

can worry about the future

• Blocks the rational part of the

brain and takes over our imagination

• Brain can’t tell we’re imagining it

and our body responds like it is

really happening

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What anxiety is &what it does….

• Visuals helps kids identify(and quantify) feelings (anabstract concept)

• Kids can use thisinformation to change howthey feel

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Page 31: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

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Panic! Terror!(I amoutta here)

Really, Really Nervous(Ack! Help!)

Really Nervous(Not sure how I am going todo)

Starting to feelnervous(But I think I got it)

Cool and Calm(I got this)

Understand how anxiety shows up = Adaptive thinking

The mystery is gone

Of course you feel uncomfortable!

No wonder - your adrenal

glands have sent out all that

yucky stuff. That makes sense.

92

Understand how anxiety shows up = Adaptive thinking (mystery is gone)

I understand what my body is doing

I can handle what my body does

I can handle discomfort

I know I can breathe to make my brain and body calmdown

Expecting physical sensations helps reduce signals to amygdala

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Page 32: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

What anxiety is & what it does….

• Can’t turn the alarm off

• We can’t get rid of worry

• We can’t get rid of the feelings

• The discomfort will still be there

BUT we CAN

• Take control and take action

• Be ready for worry when it shows up

• Stretch ourselves and do the opposite

from what worry expects

94

Blaming genetics/biochemical reasons leads to pessimism about recovery (i.e., there is nothing I can do about it)

Teach: genetic expression and chemical makeup is changeable. Leads to optimism.

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Rigid

• Must know, needs to be my way, yeah but

All-or-nothing

• Never, always, no matter what, nothing can

change

Avoidant

• I can’t unless…, I don’t want to, I am sick

Permanent

• I will always be like this.

Catastrophic

Thoughts arenot

trustworthy!

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Page 33: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

97

Yep, that’s your story you’re

trying to tell me. Nice first draft.

Nice conspiracy.

You’re normal.

This is not an emergency.

You’re annoying.

I am learning.

Expect positive outcomes

• How do high school students cope sociallywhen they are told that people can change

“socially relevant traits”

Yeager et al. (2016) How to improve adolescent stress

responses. Psychological Science, 27(8), 1078-1091.

98

Expect positive outcomes

• I might not know what will

happen but I know I can

develop the skills and tools I

need to handle uncertainty.

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Page 34: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

100

This feeling isn’t great. But I am still learning. And I can

handle it.

I can be anxious but follow through with what I need to

do.

This is temporary. I will just let my body do its thing.

This isn’t an emergency. I have felt this way before and

will make it through again.

#5: Teach Skills

□ Externalize

101

ExternalizeYou are not your anxiety

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102

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Page 35: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

Expose it

• Remind how anxiety works

• Yep, there’s the gremlin.

That’s what he does.

• Wow, he’s working hardto make you think theworst.

• He really knows how to

try to freak people out.

• Yeah, we knew he’d show up now. Hedoesn’t want you to goto your sleepover.

103

Draw cartoons

Mute it

Say it really fast

Mimic it

Roll my eyes – you’re

so boring!

Make fun of it

104

#5: Teach Skills□ Externalize

□ Tolerate discomfort and not knowing

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Page 36: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

The problem with technology#426: It takes uncertainty away

Stop playingdefense.

Get onoffense.

Create Opportunities for Independence• Remove attention from anxiety

• Includes giving reassurance, talk, andaccommodations

• There is no certainty

• Give kids the chance to do, think, and makemistakes on their own

• Get ready to gohome

• Pack own bag

• Check their homework

• Solve conflicts

• Make their ownfriends

• Encourage kids to try new things, even whenscared

• Create opportunities to be successful (especially with previous failures)

• Teach kids to be comfortable in the world

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Page 37: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

When vs. if

Expect worry to show up!!!

When the gremlin shows up, what does it do? Say?

• What parts are helpful?

• What parts are not helpful?

• How does he want you torespond?

• How do you respond?

109

Wants comfort Do opposite of

& Certainty what itwants!

110

If I am uncomfortable

It is temporary

• I am learning and growing

• I am retraining my brain and resetting my alarm

system

• I can do what I want to do

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111

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Page 38: Dr. Caroline Buzanko, R. Psych. caroline@korupsychology.ca … · 2020-02-19 · •Secretes acid intothe stomach toempty it Over time leads to cardiovascular problems and ... •

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I am willing to be

uncomfortable & not know how it will turn out.

Over & over!

• What are things you have

already done/learned to

do?

• What uncertainty was

there?

Use stories or pastsuccesses

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• I want to go on the class tripso I am willing to go to get the needle and not know how much it will hurt

Write it out!• Too much to process and remember

• Visuals help make connections

Connect with Buy-in!

• I want to go to come into class happy so I am willing to say good-bye to mom at the car even though I wanther in class with me

• I want to be part of the play so I am willing to go to the audition and I am willing tofeel anxious

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What worry says: 1.2.

3

What I am going to say back:1.2.3

Never negotiate with the terrorist! Get out of crisis. Get out of avoidance.

Once there is Teaching how to

h a n d l e w o r r y(the unexpected)

Even whenwe are uncomfortable

through p r o b l e m-s o l v i n g t h i n k i n g

• Versus offeringcertainty andcomfort

• Versus helpingthem learn toavoid the world toprevent worry

• Versus expandingtheir answerbank

awareness

when/how it

shows up we

move to:

#5: Teach Skills□ Externalize

□ Tolerate discomfort and not knowing

□ Problem solving & Flexibility

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I amafraid of

Why I

should try

How I will keep anxiety from standing in

my way:

Problem solving

No solving problems for them! Kids

need to experience discomfort so

they can work through it

No lectures or explaining!

Give lots of opportunities to

figure out what works and what

doesn’t

Collaboration

Brainstorm ideas and create a

plan

Pros/cons

Break into parts Good, bad, neutral

Self-talk

Scaffold language

• What would…. Do?

• What workedbefore?

Problem solving: Foster Creativity

• Creative play and

activities

• Divergent thinking: Find out of the

box solutions

• School problems

• Classroom problems

• Family problems

• Individual situations

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Problem solving: Fear of unknown

• What if I miss the bus?

• What if no one picks me up?

• What if someone is mean?

• What if I have an allergic reaction?

• What if I get lost?

• What if I am late?

• What if I have to go pee?

• What if I get hurt?

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• Brainstorm solutions

• Listen (vs. talk)

• Open-ended questions

• As many as possible: Noevaluations!

• Pros and cons ofeach

• Choose one

• Make a back-up or two

• Evaluate: what worked? Didn’t? What

was hard? Easy? Next time?

Jim’s mom • Wait with Jim

gets a flat at the waiting

tire spot

Jim’s mom • Go to

forgets to the

pick me up office

The office • Find

is lockedthe

janitor

Can’t find • Walkthe janitor home

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What Iknow

• Friend’s name and hismom

• House

• Dog

• I have my own pillow

• Will watch a movie

What I don’tknow

• Where I will sleep

• What we will eat

• What time we willgo to bed

• How dark it willbe

• If the hall light will stay on

• If we will have snacks

• What we will do after movie

• What movie we willwatch

• What time people get up

• If his brother isannoying

• If he will fart at night

Book of Wisdom Answer own questions based on past experiences

and lessons learned

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• Pair with a coping strategythat works

• Model it

• Use regularly

• When feeling good or

neutral too

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Cool and Calm(I got this)

Panic! Terror!(I amoutta here)

Really, Really Nervous(Ack! Help!)

Really Nervous(Not sure how I am going todo)

Starting to feelnervous(But I think I got it)

Coping Experiment

Strategy How well i t works I l ike t h is

st r a tegyNot a t all A little A lot I am better

Get a drink of water

Draw a picture

5 deep breathes

Chew gum

Read a book

Jumping jacks

Other idea:

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Sounds like Feels like I can

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Strategies: Review success book; Do 10 jumping jacks; I’ve got this

Adults: Ignore anxiety but be available

Adults: Remind and coach

Adults: Help identify anxiety and what it’s doing; coach

Strategies: Boss back (Leave me alone!)

Coping Card

1. Anxiety is normal and not dangerous. It’s just being a

bully.

2. I can boss him back – I have done it before!

3. My tummy and chest hurt, but that’s the anxiety trying to

make me even more worried. It’s not a problem.

4. Ican:

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No idea how it will work out.

But, I am going to use what I’ve

got to get through.

• What strengths do I have?

• What resources are available?

Create op p or tu n i t i es

Talk about

flexibility and how you manage uncertainty

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Unexpected event of the day & how you handled it

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Modelling

• I feel frustrated. I need to take aminute to think what to do next.

• Can you help me brainstormideas?

• That’s a tight timeline. I am goingto plan this out.

• I am a little nervous; I have no ideawhat will happen. Let’s figure thisout.

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Practice Flexibility: Get Unstuck

• Looks like anxiety has you stuck

• What little change can help?

• How can you find that out?

***Brainstorm to build flexible

problem solving.

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Chain of flexibility

Wall of Flexibility

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#5: Teach Skills□ Externalize

□ Tolerate discomfort and not knowing

□ Prob lem solving & Flexibility

Growth Mindset

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Growth Mindset: Effortover outcome

• Effort/coaching statements: theycan figure it out (e.g., You can dothis!)

• Collaborate ideas re: how

they can figure it out

• Hypothesis: I predict… (e.g., you

will feel 8/10 proud when you are

done.).

• How did you do?

• Did you try your hardest?

• What did you learn?

• What will you do differently

next time?

I know you can figure it out. Go brainstorm with _______ and make a plan. Come back and tell me your plan.

I look forward to hearing thepositive things you will say to yourself as this gets hard.

Lets brainstorm the ways you can boss back this inner critic.

What are other ways to deal with this problem instead of fighting?

I know you can stick up for yourself. What are things you can say to them?

Growth Mindset Cues

I know you can figure it out. Go brainstorm with

and make a plan. Come back and tell me your plan.

I look forward to hearing thepositive things you willsay to yourself as this gets hard.

ets brainstorm the ways you can boss back thisinner critic.

What are other ways to deal with this problem instead of fighting?

I know you can stick up for yourself. What are things you can say to them?

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Effort over outcome

• BUT if kids fail, some may beat themselves

up because they did not try hard enough

• The environment to help them be successful

is as important as personal effort

Growth mindset

• Today is your lucky day!

• Failure = get to t ry again! Yay!

• Now we have all of this information we can learn from

this failure…Now we know so much more

• What did you notice?

• What did you learn?

• What needs to happen next time?

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• Have a “Mistake of the day” to share a mistake

they faced, how they fixed/handled it, and what

they learned

• Use feedback statements and questions so kids

can analyze the problem and learn from it

Embrace mistakes

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Embracing mistakesWhat was this experience like? What did you learn today?

What mistake did you make that taught you something?

What did you try hard at today?

What can you learn from this?

What will you do the next time you are in this situation?

What advice can you tell others based on this?

Take accountability for

failure and mistakes

• Rather than deflect failure, focus on the child’s role to

learn from the experience to grow and improve

• 1. What was your role?

• 2. What could you have

done differently?

• 3. What have you learned?

• 4. What’s next?

Try & try again

Learn & pract ice a rote

phra s e to keep going

“Fall seven times,

get up eight”

– Japanese Proverb

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1/28/2020

□ Identify t h e silver lining: wh a t was lea rn ed or gained?

□ Gain a n ew perspective.

□ O p en s o t h e r possibili t ies

□ Lessens t h e st ress resp on se

• Draw a picture of a difficult

situation & draw on the flipside

them mastering it

• Help internalize messages

FLIPSIDE

• What did you do to get there?

• How did they master the

situation

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Pride!Masters of our

fate

Instils a love

for learning

Intrinsic

motivation and

momentum

with tasksPersistence

despite

frustrat ion

Success

Feeling good

through hard

taskHave fun to

boost

motivat ion!

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Anticipatory Pride

• PRIDE VS. SHAME

• SMALL STEPS VS.

LONG GOAL

• CO NTIN UED

PROGRESS

#5: Teach Skills□ Externalize

□ Tolerate discomfort and not knowing

□ Problem solving &Flexibility

□ Experience

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When kids avoid things they don’t feel comfortable with,they lose the chance to practice and grow

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90% of what kids learn is from what they experience

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The problem with

technology#37:

It takes away important

opportunities

Entitlement

• Everything comes easily

• Everything always worksout

• Expect every reward there is

• Ethics of hard work lost

• Self-esteem suffers

Poor coping

• No opportunities to manage stress

• Avoid

• Anxiety

• Give up when it is not easy

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Create Opportunit ies: Stress Inoculation

CHOOSI NG ANOTHER WAY TO GIVING UP

Face fears… and the unknown

Otherwise, leads to avoidance, which is debilitating

and changes the brain

Builds immune system to develop coping skills

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Takerisks!!!

• Doing something brave

and difficult is more

important than the

outcome

• Experience to cope with challenges – realize they

CAN manage and have thecapacity to succeed

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Risk-takers advantage

• Exposing kids to opportunities for

some risk is helpful

• Travel

• Be with the people

• Fly on their own

• Limits on screen time• Let them buy them themselves

• Scheduled activities – one man one

kit

• Learn the skills they need to

survive early

• Quad

• Help with important events

without criticism

• Hanging lights

• Using tools

• Bake

Creating Opportunities :

Capitalize on current challenges!

□ Challenges are part of life.

□ Dealing with them is part of learning.

□ Optimize teachable moments

□ Let them try.

□ Let them fail (but don’t set them up for failure)

□ Kids to takeaccountability

□ Understand other’s perspectives

□ See the consequences of their behaviours

□ Work through next steps and how to fix

things

Create challenges!

□Challenge of the day, week, or month

□Work through things on their own

□Challenging puzzles

□ Airplane riddle

□Might get frustrated in the moment but theintrinsic reward once solved is far greater

than if helped

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Exposure

• Talking not enough to change the brain

• Doing makes stronger memories

• Doing gives us experience

• Kids learn first hand they can manage

anxiety!!!!

• Worry MUST show up for learning to

happen

• Do new things – more engaging. And,

stretching!

• Quicker progress

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Exposure

• Set up as a series of experiments

• Repeat exposure to buildconfidence

• Persevere despitesetbacks

• Praise/reward

• Short-term, immediate rewards

• Explain why rewarding

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Exposure• Collaborate – need to focus on things they WANT to and then figure out how

What should we start with?

Predict:

What will worry say? How will

your body feel? What will your

parents do if you get sucked back

in?

What can you say if your parents get

sucked in?

What will happen if you move on

when worry shows up?

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Don’t end exposure until anxiety decreases!

Habituation Curve

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Work on it everyday

• Focus on what skills

your child needs to

develop specifically

• Problem solving

• Making mistakes

• Asking for help

• Frustration

tolerance

• Persistence168

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• Stretch

•Do opposite

• Of what normally would

do

• Of what worry expects

• Break worry rules

• Create opportunities for

greater independence

• Shy child order own food

or ask for help

• Go beyond comfort

• Be silly!

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Practice!

Structured teaching trials

□ Teach kids the skills they need

to tolerate and cope with the

stress

□ Set up the stressor

□ Practice skills

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Hard Working

on itSuccess!

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Lots of Important Opportunities!!!

Experiencingrejection anddisappointment

Without

softening it

Taking ownership, even

in unfair situations

Circle of

influence

Making a difference

With self, with others, with the situation

School Avoidance

• Need to get kids in the school as quickly

as possible as long as possible

• Staying at home relieves the child

• Relief = reinforces anxiety

• Remove incentives for staying

home

• Separation anxiety

• Limit hellos and good-byes

• Normalize moment of good-bye,

focus on moment of hello

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School work• Still coach (e.g., division)

• CPS

• Timed period of productivity

• One-minute writing – anything!

• Process over product

• One step at a time with employee

assistance

• Focus on effort-improvement

connection

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# 6: Exercise

• Kids are not meant to sit all day

• Stretching and yawning can reduce stress

• Exercise boosts serotonin and melatonin

• Tires and relaxes muscles,

• Supports bodily processes for sleep

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• Remind how worry works

• Those gremlins are up to their usual tricks.

• Making your forget how to manage this.

• Making you think the worst is going to happen.

• Making you want to run away and not have any fun.

• Trying to get stronger by making you forget.

• Sorry dudes, we are going to build a reminder bridge.

• Past successes with managing worry

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178

Anxiety is

p red ict ab le.

O u r responses

sho u ld be too.

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More to think about

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RelaxationAs a Family!

• Mindfulness

• Muscle relaxation

• Deep breathing

• Mantras (Positiveself-talk)

ModelMindfulPresence(Use all of your

senses and

comment as you do)

□ Frost on trees

□ Raindripping

□ Taking mindfulwalk outside

□ Drink coffee in the morning

□ Smells

□ Chimes, bells, crystal bowls

□ Experiment with things that are

peaceful

□ Use them to visualize

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Pair a cue word with a relaxed body (e.g., rub fingers along

body while resting/in tub)

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Self-soothing• Play!

• Music

• Nature

• Warm bath

• Wrap in warm blanket out of dryer

• Smells

• Hobbies/crafts

• Chimes, bells, crystal bowls –

reverberate

• Mantras – repeated 10x morning and

night

• Touchstones to remember to practice

• Crystals, rock, mineral – natural

resources

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Let it go

• Daily intention

• Example: Imagine washing away

stress when wash hands.

• Stay fully present to feel the suds

and the waterMantra – I am

letting go all of the stress and

worries. I am going to have a

restful afternoon.

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Family Rituals

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Family Rituals:

Tea time!

• Reading or homework

• Chamomile – helps

ith sleep

• Jasmine and lemon

balm also soothing

188

Family Rituals: Let it go

• Daily intention

• Example: Imagine washing away

stress when wash hands.

• Stay fully present to feel the suds

and the water

• Mantra – I am letting go all of the

stress and worries. I am going to

have a restful night.

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Family Rituals: Dance party

• Friday shake

• Dance lets go of tension

• Few minutes of music; let go of

self-consciousness!!!!

• Upbeat

• Get jitters out

• Shake your whole body

Wind down the night

• No screens (or homework)

2+ hours before

• Stops melatonin from

being released

• Dim lights

• Read, soft music ok

• Gentle side stretch

• Review of positives with

snack

• Protein and carb –

cottage cheese or Greekyogurt with dried

apricots. Turkey on bread with milk. No cocoa.

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Sleep considerations

• Cool 15-18 Celsius (60-65 F)

• Wake up earlier

• Helps reduce anxiety

• Gets body ready for bed

easier

• Use the time for movement

and good breakfast

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• Exposure to fearful images and stories

Minimize Screen time• Weaken their ability to use their brain

power to overcome anxiety and bepresent

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Dr. Caroline Buzanko

Koru Family Psychology

[email protected]

www.korupsychology.ca

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