Saturday, September 13, 2014

How to help kids develop self esteem

A child grows up on the trust it builds on the caretakers and other significant people around her. In the course of growing up , she begins to develop the sense of well being from the kind of responses that she gets from the people around. The environment and the people reward or reprimand the actions , behaviours and / or intentions in verbal or non verbal ways. This response helps the develop an 'image' of who am I. This image if positive , adds to the self esteem of the child. 
Childhood is that period of life when the child is most open to exploration and experimentation. A safe environment where a child can freely move around and manipulate objects helps to build the basis of child self esteem. 
Parents' undivided attention when the child wants to share her experience, feeling or pain helps her feel wanted and important- this goes a long way in building self worth of the child.

The kind of language and words used with children and for that matter in all our relations plays an important role in building, maintaining and enhancing the self esteem of a person. While talking to children be careful what words you use. The tone should be soft and pitch low when talking to them. Avoid shouting and hitting is a strict 'No'.
Avoid discussing your child and her problems with anyone. The more people you talk to about your child , the more humiliated the child feels - resulting in a lower self esteem.

In your interaction with children avoid bringing in your own personal and professional difficulties . Your child is not responsible for them. 
Avoid counting the sacrifices you made for your child - that was your choice.
Avoid drawing comparisons from your childhood or some other child, sibling or cousin.

If you can be available for your child when she wants you, if you have a designated time with your child when she has your undivided attention and when you listen to your child without judging- your child will have the confidence to face the world.

How to deal with a child who has started lying


There is a reason for all behaviors.
We act in any particular way, because stand to gain some thing.
Lying is an automatic response of most of us when we are in situations which we find difficult to handle or want to avoid.
When your child lies ,there is a good reason behind it. Either he wants to be exempted from doing something or he has done something knowingly or unknowingly, for which he will be punished or reprimanded.
Confronting the child is one way of handling but it usually backfires becoz when the person consistently denies, you are stuck. Even if you have evidence for your accusation, being caught and cornered may lower the self esteem of the child and/or arouse anger in the child.
One of the ways to handle lying and for that matter any negative situation is, focus on what you expect from the child, what should have been done- get it done eg. You want child to complete his school work and report whatever is done in class, check the almanac/ diary every day and keep a vigil on the child's activities.
Lying or any other undesirable behaviour is only an indication that you are not attending to your child enough.
Kindly don't panic- your child will not become anti social if lies or steals as a child. That could happen only if we don't do anything about it- he will learn it okay to trespass the boundaries.
Be very careful with the kind of words you use for and with your child- never ever use words with negative connotations.
Remember your child is just a child, learning the ways of the world and in the process is bound to make mistakes.
Help him learn from them.

Tuesday, September 2, 2014


Early detection and intervention in childhood disorders



Increasing trends in psychological illnesses and psychosomatic conditions and
somatization/ stress related disorders like hypertension and pulmonary heart diseases have over the years reiterated the need for early detection and intervention.

Early childhood behaviour  as has always been emphasised sets the tone for later behaviour- a well known saying in hindi language ' poot ke pauw palne mein nazar aana'-  future of a child is visible while she is still an infant, becomes equally relevant when we talk about difficult behaviour.

Psychologically, a lot of behaviour is learnt and is influenced by the social milieu and the interaction pattern of the family, peers and teachers with the concerned child. Early detection and reporting of difficulty helps identify faulty maintaining factors, inconsistencies in parenting patterns and other environmental aberrations. There have been instances where early identification and intervention has helped avert many a children from falling into the drudgery of hardcore psychiatric problems, on the other hand the lack or failure to do so has led to severe psychiatric conditions. There are a no. of cases where early identification has proved beneficial in making a child a part of the mainstream, I would like to point out a case ( many more would be there) where a 19 years old- being brought in with complaints of - reduced rather zero social interaction, disregard for personal hygiene,  repetitive talking ( echolalia) incoherence in speech - on drugs for OCD for the last 4 years . A detailed history revealed that  even as a child he found it difficult to cope with school work, communication skills with teachers and peers were poor, being a 'weak' child he was defended and indulged with by parents, when in class 7 he was bullied by some classmates , which resulted in school avoidance - instead of addressing the issue he was moved from the school and sent to a hostel where things deteriorated further for demand of a certain degree of independence and self reliance- to be again withdrawn from the boarding and put on psychiatric drugs. As of now the child has very low self esteem, avoids social interaction and unable to function even at a minimum level without direction. He is always unsure of himself.

The importance of early identification cannot be emphasised enough in the light of the fact that besides some cases where there are genetic and/ or neurological / neurodevelopmental factors leading to psychological disturbances, many of the psychological disorders have roots in the psychosocial experiences during the course of growing up.

In this regard the awareness and acceptance regarding psychiatric illness needs to be worked on. There is a persistent need for spreading awareness regarding various aspects of personality building, communication and interaction patterns to parents, teachers and the society as a whole. It is very important to develop appropriate social skills, empathy, critical thinking, problem solving outlook and skills in children right from the beginning. Not only this, there is an increasing need to gear young adults towards positive and proactive parenting. Gone are the days when children just grew up- they need to be carefully groomed and reared . Gone are the days when the only source of information to kids were their families and teachers and within the family setup there was ample emotional support system to cater to the individual needs if not in the form of a parent , then at least in the form of a grandparent, uncle, aunt, cousin, older sibling. Today the child is influenced by information from all over the world yet has very scant approach for emotional support.


On the one hand while the access to information at a click of a button has made us more aware and well informed , the flip side is that it has made us hypersensitive to certain other aspects of our life. Growing awareness has made us more intolerant to deviation from the so called normality. This information overload poses more challenges and points out to us in a hundred ways our inadequacy  as individuals. Therefore a fine balance is the need of the hour.