Community, Pediatrics, Infectious Disease
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Helping Your Child Manage Back-to-School Anxiety
Blog
Back-to-school butterflies are common at the start of every new school year, as our kids adapt to new teachers, new routines, shifting friend dynamics and more. And this year especially, after so much change and with some uncertainty still lingering, your child’s anxiety might be at an all-time high. Fortunately, there are steps you can take to help.
Talk about feelings: Theirs and yours
Some children naturally have more worries than others, and many don’t like to talk about their feelings. Ongoing reminders that you’ll always be there for support will go a long way. And although it can be hard to wait for your child to come to you with any concerns, it’s essential to be patient and allow them the necessary time and space.
Many kids feel stress about fitting in or bullying, not doing well enough in school, resolving troubles with a teacher or using the school bathroom. COVID-19 worries are also still top-of-mind. In many cases, your simple but steady support can help:
Acknowledge you hear their concerns, whatever they may be
Be sympathetic, understanding and supportive
Normalize feelings in the moment, and explain that it is also normal for emotions to change many times during the day.
Point out the steps you (and others) are taking to protect them (and what they can do to protect themselves)
Stay committed to offering your support as they work through each issue
Also, remember your child will learn from your example. Try to be a good role model for managing and overcoming your own worries in a healthy way.
Set the foundation: Back to basics
A healthy lifestyle is crucial for children with anxiety. Focusing on taking care of the basics around your home can help you all live easier and with less stress.
Allow time to unwind
Practicing mindfulness, meditation and deep breathing techniques can help manage symptoms of anxiety. It may also help to give children unstructured, quiet time throughout the day.
Keep a good bedtime routine
Kids need the right amount of sleep to maintain their physical, mental and emotional health. Preschool kids should get 10 to 13 hours of sleep, school-aged children should aim for nine to 12 hours, and teens should get around eight to 10 hours of sleep a night, according to national guidelines.
Help them stay active during the day
Most kids age six to 17 should do at least an hour of physical activity every day. Work with your child to find a form of exercise they enjoy, whether it’s an organized sport like soccer, neighborhood activities like bike riding or a class like karate.
Shop for healthy foods
Plan ahead, so you have enough food in the pantry for healthy cooking. And meals don’t have to be creative or elaborate to be healthy — simple, wholesome foods on a weekly rotation will do the trick. Include as many fruits and vegetables as possible, and from there, focus on whole grains, legumes like beans, peas and lentils, and lean proteins, nuts and seeds. Limit sugary treats and saturated fat.
If your child’s anxiety peaks in the mornings before school, plan a routine together to help them get out the door on the right foot. Simple steps, like making sure they have clean clothes ready to go and a simple breakfast that feels easy on a nervous stomach, can make a difference.
Watch for signs that more help is needed
Kids show anxiety in different ways and it can depend on their age. Very young children may cry or act extra clingy at drop-off, while older school kids might argue about going to school or complain of physical symptoms like a stomachache or headache. It’s normal for this to happen occasionally and fade over a few weeks.
However, if school has been in session for more than a few weeks and you’re still dealing with these behaviors it’s likely time to get help, especially if your child’s worries are getting in the way of their daily life or interaction with family and friends.
We’re here when you need us
Remember, children are adaptable and resilient. Your child will weather the storm — after all, they have you by their side.
When a little extra help is needed to get your child back to living their best life, your trusted primary care physician is a great place to start for advice on next steps. Luminis Health mental health specialists are also ready, should you need us, with the support you need to help your child thrive.
Authors
Jennifer Williams is a Licensed Clinical Professional Counselor
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Behavioral Health, Pediatrics
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How to help your child cope with school safety anxiety
Blog
In the wake of tragic events involving school shootings in our country, school safety has become a top concern for parents, children and school officials. The conversation around school safety has become an important topic that can at times seem scary, yet necessary to have. The sense of fear and worry about being safe at school is real —children want to feel safe at school. However, what happens when your child expresses daily worry and fear about going to school? What do you tell your child to give them a sense of comfort and security to help him or her have a normal school day?
When children hear about events involving a school shooting on the news or on social media, each child will react differently. Some children will not show concern or fear and will continue with normal daily activities. Some children may develop a sense of anxiety about going back to school. An anxious child may start to wonder, “Will this happen at my school?” or, “If there is a school shooting, what will happen to me?”
Children may show their anxiety in a variety of ways such as refusing to go to school; complaining of stomachaches or headaches so they can stay home; frequently visiting the school nurse; and being less focused in class because they are watchful of the door, window, or a particular student in the classroom.
If you notice that your child is expressing this type of anxiety, here are some ways to ease his or her fears and help your child feel safe again.
Listen to your child
It is important to listen to your child if he or she is worried about going to school. Ask your child about school, including their daily routine, classes, and other students or teachers that make him or her anxious. Younger children like to use drawings or paintings to express their feelings. Sit down and have art time with them to help them communicate what they are feeling. Acknowledge that the anxiety exists and feel free to ask questions about what you can do to help. This can include talking to teachers, counselors and administrators so both you and your child are aware of safety procedures at school.
Have open and honest conversations
When children hear about school shootings or threats of a shooting, they will have questions. If children come to you with questions about school safety, have an age appropriate conversation with them about their feelings.
Younger children may express more worry about themselves and will have broader questions due to lack of full understanding. With younger elementary school children, you should leave out details but answer any questions they may have. According to the American Psychological Association (APA), psychologists who work in the area of trauma and recovery suggest to be honest and let children know that bad things do happen. But even though you cannot always stop bad things from happening, children should know that school is still safe.
Older children may have more specific questions and worry about the possibility of an active shooter at school. Even if the conversation makes you nervous, talk to your child about a safety plan. This plan should include how you will communicate with each other if an active shooter event occurs. Even though the risk may be low, having a safety plan in place increases a sense of safety. Let children know that administrators, teachers, counselors, and school resource officers work hard each day to make sure that school is a safe place and the risk of harm to students is low.
READ MORE: Safeguard your child against cyberbullying
Cut down on news and social media
Always hearing about or seeing negative events increases anxiety for both children and adults. Research shows that some younger children believe the events are happening again each time they see a replay of the news footage. Children who frequently hear about negative events can experience more anxiety that leads to a snowball effect of worries. If possible, limit the amount of news and social media your child accesses. Sit down as a family and talk to your child about his or her day and things that happened during the day. Have family time away from the television and internet so children can come to you as a source of information instead of relying on coverage from the media.
Support the desire for change
For middle school and high school students, the sense of anxiety may leave them feeling helpless. They may even feel a sense of anger because they think the school administration is not doing enough to keep them safe. Encourage your child to write letters to the school principal or state government officials to express his or her concerns about school safety. Support your child with joining student government organizations so he or she can be a voice for change. When children are able to take a proactive stance on change, they will feel they have a voice that needs to be heard and are more likely to attend school daily to express their point of view.
For more information, visit the American Psychological Association’s website.
Author
Jennifer Williams (Walton), MA, LPC, LCPC, is a mental health professional at Anne Arundel Medical Group (AAMG) Mental Health Specialists, located in Annapolis. To reach her, call 410-573-9000.
Ask questions, find resources and learn more at askAAMC.org/HealthyMinds.
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Behavioral Health, News & Press Releases
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Luminis Health Doctors Community Medical Center Launches Much Needed Behavioral Health Services in Prince George’s County
Blog
With a significant rise in the need for mental health services, Luminis Health Doctors Community Medical Center (LHDMC) will soon offer a broad continuum of services for people dealing with mental health issues and substance use disorders. Today, Victoria Bayless, chief executive officer of Luminis Health, and Deneen Richmond, president of LHDCMC, joined Prince George’s County Executive Angela Alsobrooks and other local and state key stakeholders for the ribbon cutting of the new Behavioral Health Services Building located on the hospital’s Lanham campus.
“Mental health impacts all of us, and we know many in our community are struggling, and even more so through the global pandemic,” says Bayless. “When Luminis Health was formed in 2019, we made a commitment to increase access to high-quality care in Prince George’s County. Today, we deliver on that promise by making healthcare easier, more personal, and built for the communities we call home.”
Major funding for the project was made possible through a $20 million grant from Prince George’s County Executive Angela Alsobrooks and the Prince George’s County Council. “We are excited to celebrate the grand opening of the Luminis Behavioral Health Facility,” says Alsobrooks. “We have looked forward to this day for a while, and today is proof of what happens when we capitalize on a time of rising opportunity for our residents. Prince George’s County has had some longstanding challenges in providing residents with access to behavioral healthcare, but with the opening of this facility, Prince Georgians will now have access to the high-quality healthcare they need right here at home.”
This July, we will open first floor ambulatory services:
Outpatient Mental Health Center (OMHC): Therapy and medication management for adults at the beginning, evolving to include children
Behavioral Health Walk-In Urgent Care: For non-emergent behavioral health concerns for all ages
Psychiatric Day Treatment Program (PDTP): Mental Health Partial Hospitalization Program (PHP) and Intensive Outpatient Program (IOP) for adults and adolescents
8-bed Addiction Residential Service
Substance use disorder intensive outpatient treatment program
“This facility will provide much needed access to behavioral health care and will ensure people receive the care they need, close to home,” says Richmond. “We’ve served this community for more than 45 years, and the opening of this facility will help us fulfill our mission of enhancing the health of the people and communities we serve.”
The second phase, a 16-bed adult inpatient psychiatric unit on the second floor, is scheduled to open this December.
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Behavioral Health, Wellness
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Does our Child Have The Summer Blues? They May Need a Mental Health Day
Blog
Kids have busy lives…and so do you! If you and your children feel overwhelmed by summer activities like sports, camps, chores and more, it might be time for a mental health day. I like to call them ‘Family Skip Days.’
According to the most recent Prince George’s County Community Health Assessment, almost a third of middle and high school students felt sad or hopeless enough that it impeded their normal activities.
That’s why mental health days are just as important for kids as for grown-ups. While it might feel challenging to fit one of these days into our busy schedules, it’s important to prioritize mental health and wellbeing to help the whole family recharge.
What are the signs?
While everyone feels down at times, you might consider a mental health day if your child is feeling persistent sadness or showing frustration that does not match the situation. Remember, summer should be fun. You can look out for these signs too:
Changes in sleep or appetite
Difficulty concentrating or completing tasks
Increased irritability or anxiety
Negative comments on social media
Noticeable stress of feelings of being overwhelmed
Physical complaints (like stomachaches) without a clear cause
Withdrawal from social activities
Threatens to harm or kill oneself
Many of these signs may be more obvious in teens, but harder to spot in younger children. Watch for signs like frequent, unexplained temper tantrums, persistent nightmares, or ongoing disobedience and aggression. Whatever the signs, children of all ages can benefit from mental health days.
Tips for a successful mental health day with your child
Mental health days should be fun and relaxing, not stressful. Here’s how I make these days easy to schedule and fun for my own family:
Schedule wisely: Pick a day when your family has the fewest obligations to reduce the stress of rescheduling other events.
Start the day strong: Sleep in and help your children pick out or make their favorite breakfast in their pajamas.
Pick enjoyable activities: It will feel more special if your kids can help decide the activity. Consider giving them options that are local and budget-friendly to make the day easy on your wallet.
Connect with your kids: Ask your child if there’s anything on their mind or if something is bothering them. You can talk while you’re cooking, playing or walking to a park.
Rotate the time: If you have multiple children, rotate activities so that each child has some one on one time with you.
Don’t be afraid to ask for help: If your child expresses feelings of anxiety, depression or other mood disorders, you may consider reaching out to a behavioral health professional. It’s okay that your kids are not okay.
If you think that your child could benefit from meeting with a behavioral health professional, you can book an appointment online without a referral at Luminis.Health/BehavioralHealth. For urgent matters, visit the Behavioral Health Urgent Care at Luminis Health Doctors Community Medical Center in Lanham. At the urgent care, walk-in appointments are available Monday through Friday, from 7:30 AM to 3:30 PM.
Lastly, the most important thing is to get out of the house and enjoy your time together. Put away the phones and turn off the TV and game consoles. A mental health day is not about checking out, it’s about checking in with your child and being present without any distractions.
Authors
Dr. Jesselina Curry is the System Medical Director for Ambulatory Behavioral Health Services at Luminis Health.
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Behavioral Health
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Former Pathways patient says treatment program changed her life
Blog
Abby Forbes was in drug rehabilitation for the second time when she had to overcome an unexpected hurdle.
By the time she was in her mid-twenties, Abby had been battling addiction for nearly a decade. She began consuming alcohol at 15, drinking to the point of blacking out. She later began experimenting with marijuana and ecstasy before moving on to heroin.
Her addiction led her to Pathways, Anne Arundel Medical Center’s drug and alcohol treatment facility, where she was determined to get clean for good.
But a new obstacle stood in her way. This time, it was in the form of adventure therapy, Pathways’ hands-on outdoor activities course designed to challenge patients’ problem-solving skills.
Abby remembers standing on a wooden platform with about 15 other people. Each person had to climb up a rope and swing to another platform several yards away.
As Abby struggled with the rope, the others tried to help. Still, she was determined to do it herself, insisting to the group that she could handle it despite falling twice.
Mark Sakraida, Pathways’ adventure therapy coordinator, walked over to her. His words remain clear in Abby’s mind, 16 years later.
“How is that like recovery?” he asked her.
It was as if a lightbulb went on in Abby’s mind.
“I learned to ask for help,” she says.
“I couldn’t do it alone”
Abby first came to Pathways in 2000, after her parents had kicked her out of their home.
“I was in a very child-like state,” she recalls. “I wanted what I wanted, when I wanted it.”
She briefly moved in with a boyfriend, living in his family’s basement in squalid conditions. After a few days, she called her parents. They told her she could come back home – as long as she went to rehab.
She remembers having a chip on her shoulder the first day at Pathways, though she felt better after receiving treatment for drug withdrawal symptoms.
Abby stayed at Pathways for 15 days. She loved the supportive community there, but didn’t know what to expect upon being discharged.
“I was scared,” she says. “I left with knowledge of coping skills. And then it somehow evaporated.”
Abby says she got back in touch with other users, and fell back into her old habits. Seven months later, she returned to Pathways.
This time, she was in a different place mentally.
“I wasn’t as nervous. I was excited about who I was going to meet and learn from,” she says.
Abby had been through adventure therapy when she was at Pathways the first time, when she learned the importance of teamwork.
Yet it wasn’t until she was back for a second round, standing on that platform and working hard to climb up the rope, that the lessons hit home.
“I couldn’t do it alone,” she says.
READ MORE: The benefits of play: Why the playground is essential to a child’s development
The benefits of adventure therapy
Now 42, Abby has been sober since 2001. She works as a peer support specialist with the Anne Arundel County Department of Health, connecting addicts with community resources such as Pathways.
Abby says Pathways gave her a strong foundation that has served as the basis for her successful recovery.
She regularly attends 12-step meetings, where she met her husband. And she’s still not afraid to ask for help when she needs it.
Mark, who has served as adventure therapy coordinator since 1994, cites an ancient Chinese proverb when explaining why adventure therapy works.
“Tell me, I’ll forget. Show me, I’ll remember. Involve me, I’ll understand,” he says. “I tell patients that my job is to take them out of their comfort zone – and I think I do a pretty good job of that.”
More than a decade and a half after leaving Pathways, Abby finally got the chance to thank Mark.
She was at a work meeting at Pathways this summer when she walked past him in the hallway. She stopped and told him how she still thinks about the lessons she learned so many years ago.
“He has a special place in my heart,” Abby says.
Mark says he relishes every chance he gets to give his patients a dose of Vitamin A – “pure adrenaline.”
“Every day I do this is a blessing,” he says.
Ask questions, find resources and learn more at askAAMC.org/HealthyMinds.
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