What Makes A Family Tick? Part VI

Happy Family with LifelineThis is the sixth of a multi-part series that examines the workings of a healthy family. It’s meant to be a sort of how-to guide that can help you create the family you always dreamed of.

The Four Foundation Stones

Hierarchy

Every family has a management structure or chain-of-command. When the hierarchy is clearly defined with the parents at the top and in charge, the family has the best chance for success.

The “executives” of the family are expected to make the rules and decisions and establish order and consistency so that everyone can grow and develop in a safe and loving home. And they must operate as a team. Dad may be the “authority “ on some subjects, and Mom the “go-to” person for other things but what counts is that everyone knows they are a unit, or subsystem unto themselves.

An invisible boundary separates them from the other subsystem, which is made up of the kids. Even though the kids will constantly try to infiltrate the top tier, this boundary must be kept intact and respected if you want to get good results. So you don’t share your adult worries and concerns with your kids. You don’t get them involved in taking sides with you against your spouse. You allow them to stay free and innocent of the inner workings of the management team. You let them be kids and you figure out how to take care of business with your adult partner, or if you are a single parent, on your own or with help from another adult you can trust.

A hierarchy that is steadfast and dependable allows kids to grasp the nature of the pecking order and their place in it. Once they learn to respect and work with the authority figures in their own family, they can take those skills into the bigger systems they must function in, like school and the workplace. If those skills aren’t developed, the child will have issues with peers and bosses alike.

Of course in a family, the top dogs are performing all these duties with the added ingredients of love, warmth and respect. Effective parents must learn how to show their kids they mean business in a kind, firm way without creating a harsh or fearful environment. As children get older they will challenge mom or dad for more autonomy and control. And little by little, parents must allow them to take it on. That’s the only way they a child will become independent, which is the ultimate goal of parenting.

If the hierarchy is not clear, who’s in charge may change from day to day. Sometimes the parent may be on the job and other days not so much. Some days the child may feel compelled to move into the top spot because something needs to be done and the parent isn’t doing it.

If this becomes the norm, kids end up losing rather than gaining confidence because they have to make decisions or perform duties without going through a proper apprenticeship first. They may feel out of their league. And even if things work out okay, the child may believe that his success was just a matter of luck and that he could never pull it off again.

Regardless of any particular outcome though, the idea that you might have to stand in for the master of ceremonies at the last minute creates an atmosphere of apprehension and anxiety for anyone, especially a child.

Consider Mary, a young intensive-care nursery nurse, who came to me pregnant and overwhelmed. She had been raised by a severely alcoholic mother and never knew her dad. The hierarchy in her family was not clear. Roles were reversed and Mary was often left with the responsibility of caring for her siblings. She had been moved to the top position in the hierarchy and given the role of parent, a role she was completely unprepared for. She did the best she could but she had no safety net and always felt like one wrong step would send her and everyone else flying.

Even though she was a well educated adult, when she became pregnant she was terrified of taking on the responsibility of bringing up a baby. She had no blueprint for what a normal family should look like and no good role model to emulate. And she also had a lot of bad memories. She was afraid that she would repeat the same mistakes her mother had made. Luckily, Mary faced her fears, got help in learning the role of mother and went on to raise her child competently and with confidence.

Sometimes a child must move up to the executive level to help out a parent who is ill or working long hours to support the family. But even then, the child must know that he or she will not be carrying that burden of indefinitely or without clear guidelines and support.

The kids work out their own hierarchy, too, and learn a lot about how to get along with friends, and later colleagues and spouses, by interacting with their siblings. It is the perfect place to learn all sorts of very useful life skills like sharing, cooperating, loyalty, accountability, the art of negotiation and how to challenge authority.

Children need space from their parents in order to do this though. That boundary we were talking about allows this to happen. If mom or dad is too involved in their kids’ business, it makes it very difficult for them to practice and perfect these skills. Every set of brothers and sisters known to man has kept secrets from their parents and all parents have kept secrets from their kids. This is as it should be.

One of the most famous threats between siblings is, “I’m going to tell,” which in family therapy speak means, “You are crossing a line and I’m going to disregard the boundary and get you in trouble with the boss.” That’s not to say that the parents should stand idly by while World War III rages on in the family room. They must set limits and expectations around acceptable ways for their kids to argue and work things out but then give them a chance to practice on their own.

When my kids were growing up we made it a habit to have dinner together and spend that time talking about the day and what was happening in everyone’s life. But a pattern developed in which my seven-year-old, always a big talker, was gabbing away for the entire meal. At one point I explained that it wasn’t polite for him to be the only one talking and that we had to let other people share their thoughts and ideas, too. I turned to my daughter, then four, and asked what she would like to talk about. She looked me in the eye and said, “I would like to give my time to Ben,” the older brother whom she adored and utterly respected.

I had to gently but firmly tell her that she couldn’t—that I was making an executive decision and wanted her brother to work on listening more and talking less. Besides, we were all interested in what she had to say. We laugh about it now but it really brought home how respectful this little girl was of the hierarchy within her sibling subsystem.

Next Week, Part VII: The Four Foundation Stones, Rules

 

 

 

Email This Post Email This Post

What Makes A Family Tick? Part V

Happy Family with LifelineThis is the fifth of a multi-part series that examines the workings of a healthy family. It’s meant to be a sort of how-to guide that can help you create the family you always dreamed of.

The Four Foundation Stones

Boundaries

In every family three different kinds of boundaries should be operating at all times:  the boundary around the family itself; the boundary that separates the parents from the kids; and the boundary that separates each individual from each other. Boundaries are there to keep the system and subsystems intact and protected from outside threats.

The vital but invisible boundary that separates the family from the larger world allows family members to know who belongs and who doesn’t. In a family with a good, semi-permeable boundary, members feel free to step out and participate in the world without losing their sense of security and belonging.

Think about the doors and windows of a house. When they are closed, the boundaries are intact and the family is safe and secure within. Add some screens and you can now get fresh air and good circulation but still have a boundary that protects you from flies, mosquitoes and random people walking in. When night falls or it’s rainy or cold, you can shut the windows and doors until conditions improve. The doors, windows and screens create a boundary that is semi-permeable.

If the boundary around the family is rigid, it’s like the windows and doors are locked or nailed shut. There is no way for fresh air or the sounds of the outside world to come through. And there is no chance for people to come or go without some difficulty.

Rigidity in a family boundary often develops when serious problems like alcoholism, mental illness or abuse are present. In these cases it becomes difficult for members who may be suffering to ask for outside help because a strict “Don’t talk about our problems to anyone outside of the family” rule is operating.

On the other hand, if the boundary is too loose it may be hard to maintain any kind of structure or stability at all because of the constant or unpredictable stream of people coming and going. Part of the reason that a boundary exists in a family is to clarify its membership, which must be intact in order for the structure to develop well. Without it, chaos will reign.

When I was working in Foster Care, I once visited a family on the verge of losing custody of their children. The first thing I noticed was that the front door was missing. Snow was blowing in and anyone could just walk in, day or night so everyone who lived there was constantly exposed to danger. Life in this family was extremely chaotic and the missing door proved to be a very powerful metaphor for what turned out to be a lack of any boundaries at all in this very troubled family.

An interpersonal boundary between individuals also exists in families. This boundary allows each person to feel entitled to having her own thoughts, feelings and personal space while still knowing she can reach out for comfort, information or emotional support when needed.  If a child starts crying or yelling, for example, the parent shouldn’t automatically assume she knows why, although she might have a good idea.

In order to respect that boundary, she should start by asking the child what’s going on and giving him a chance to tell her before rushing in with some kind of reaction. In other words, a good interpersonal boundary helps keep assumptions and mind reading to a minimum. Before jumping to conclusions about what someone might be thinking or feeling, family members who respect interpersonal boundaries take the time to check in with each other and ask first.

When these boundaries are too loose, people tend to be over-involved in each other’s lives and overly reactive to each other’s behavior. Family members may feel that they have no privacy or the priveledge of keeping some things to themselves. A parent might flip out if one of the kids doesn’t get invited to a party or gets cut from a team. Interpersonal boundaries are so loose that it gets hard to tell who actually suffered the loss—the kid or the parent. In extreme cases, a lack of interpersonal boundaries can lead to physical or emotional abuse or even incest.

Parents start to help their children learn about this important boundary early on by giving instructions like, “Keep your hands to yourself,” or “Mind your own business.” On the other hand, when interpersonal boundaries are too rigid, it’s hard to get anyone to care or get involved with helping at all. Individual family members are caught up in their own worlds and have a hard time connecting with each other emotionally. When this is the case, you might see problems like emotional or physical neglect.

At certain times during a family’s life, this interpersonal boundary is necessarily looser or stronger. During infancy for example, a mother often feels like there is no boundary at all between herself and her baby. She spends a tremendous amount of time literally attached to her child as she goes through the routines of feeding, burping and holding.

The parents are appropriately deeply tuned in to every sound and movement that baby makes and often know when he is about to start crying minutes before he makes a sound. But as the child grows, he starts spending more time in his crib or being held, fed, and played with by others. The individual boundary between mother and child begins to form.

During adolescence, teenagers begin to spend more time in their rooms away from their parents. They’re working on finding out who they are and establishing an identity for themselves that is separate from their family. It’s totally normal but every parent feels a little left out at first.

The boundary is being renegotiated and it’s confusing. If you only have one child, you may take it personally for a long time. But if you have more than one, by the time the second or third child starts isolating himself you know it’s just a part of their development and you don’t worry. A lot of parenting is like this—kind of a bad joke really. By the time you figure out what’s going on, you’ve moved to the next stage and you don’t get to show off how skillful you’ve become at handling it all. So annoying!

Next Week: Part VI, The Four Foundation Stones, Hierarchy

 

Email This Post Email This Post

What Makes A Family Tick? Part IV

Happy Family with LifelineThis is the fourth of a multi-part series that examines the workings of a healthy family. It’s meant to be a sort of how-to guide that can help you create the family you always dreamed of.

We Are Family!

People marry and have children for all sorts of reasons. Some believe it’s just the natural order of things while others are looking for security and companionship. And then there are those who want to create the family they never had growing up. Regardless of the reasons for how and why people come together, that they do has huge implications for everyone.

Social scientists describe families as the building blocks of society—strong family units combine to create a strong society. If the family as an institution starts to unravel, so, too, does the society.

Families are counted on to take at least some responsibility for each other’s safety and well being and in the best cases, to love, support, nurture and respect one another. The most important aspect of a family revolves around the relationships within it, which are irreplaceable and deeply influence each member’s journey through life. One of the main purposes of this “institution” is to nurture the next generation into adulthood. For this to happen there must be a certain amount of organization and a clearly defined hierarchy.

Before you can start to get organized, you have to know who belongs. Then you can start to figure out what you’re tying to accomplish and how to reach your goals. So what gives a particular group of people the right to be called a family? The philosophers could have a field day with this one but the bottom line is that the people in a family are related to each other by blood or by law. There are only three ways to get in—birth, adoption or marriage—and only one way to get out—death.

But even that doesn’t always work because long after our loved ones have died we continue to hear their voices. We imagine what they might say, for example, when we get a raise or our child scores the winning goal. We wonder what advice a dearly loved parent might give when we are faced with a scary diagnosis or the loss of a job. And we also find ourselves acting or talking just like them (or the exact opposite of them) with our own children, even if we were not crazy about the way we were raised. You’d be amazed how many people are still rebelling against their critical or overbearing parents even though they have been dead and gone for years.

Leaving the family is not really an option, although many have tried. You can’t quit and you can’t get fired. You might be the “black sheep” or “the deadbeat dad” but you are still “The Sherman’s” black sheep or “Sandra’s” deadbeat dad. And even if you have flat-out disowned the bad-news-brother who crashed your car and stole the money in your cookie jar, you’ve got to admit that in some subtle ways he is still influencing you—even if that influence involves nothing more than your conscious effort not to be like him. Your family is your family, but improvements can always be made.

The term “nuclear family,” refers to a mother, a father, and their children whereas “extended family” includes all those other folks like cousins and grandparents who are related and tend to show up on holidays and birthdays. Family therapists also use terms like “family of origin” to describe the family we grew up in and “family of procreation” to describe the one we raised or are raising.

Family membership changes over time as children marry and have their own children, parents and grandparents pass on, or divorces and remarriages occur. If the family is to remain strong they must adjust to these changes. They have to figure out how to welcome and accept new members and how to say goodbye to those who have gone.

Betty Carter, one of the giants in the family therapy profession, says that the active emotional field of any family includes at least three generations at any given time. She means that Grandma Toni, for example, may start an exercise program to get strong and fit enough to take care of her little twin grandsons whether they live next-door or 500 miles away.

Her 5:30 spinning class on Tuesdays and Thursdays may push her husband Steve to step up and cook dinner on those nights even though that has been Toni’s job in the past. Toni may spend hours on the phone each week advising her daughter Michelle on feeding, sleep schedules and toilet training. Her daughter may spend hours more sifting through her mother’s advice and deciding what to accept and what to reject.

The lives of Toni and Steve are being very much affected by the presence of those twins in the world and they are willing to make personal changes because of them. And the lives of Michelle and her new family are being affected by their relationships with Michelle’s parents even if they only get together a few times a year.

Next Week Part V: The Four Foundation Stones

Email This Post Email This Post

What Makes A Family Tick? Part III

Happy Family with LifelineThis is the third of a multi-part series that examines the workings of a healthy family. It’s meant to be a sort of how-to guide that can help you create the family you always dreamed of!

Family Blueprints

Some people were lucky enough to grow up in families where the structure was sound and the rules of operation were clear and made sense.

They received a lot of first hand experience in how to share power, talk about a problem, cooperate, discipline a child, deal with stress, negotiate an important decision, or lay down the law without being tyrannical. And they will probably incorporate a lot of those customs, or ways of doing business, into their own families once they become adults.

But for all the others who experienced a less than ideal family life growing up, creating a strong, resilient family structure can be tougher. The set of instructions they received may be intrinsically flawed and they might not even realize how. As the old poem goes, “Children learn what they live,” and we all learned a lot about how to be in a family based on the one we grew up in. Much of it happened through osmosis though, so we might not know what we know and are shocked when the same old family problems that plagued us in our youth show up again in the new family we are trying to build.

Since most people eventually have children, it seems that a basic course or two on child and family development should be offered in every high school, right? I mean after all, we’re primates, so when it comes to raising children, we have to learn everything. We are just as clueless as a gorilla or a chimpanzee when it comes to child rearing. New gorilla parents get shown the ropes by older gorillas. They get a lot of hands-on training from the pros. Without the guidance and attention of many gorilla aunties, a new mother might leave her baby up a tree or never get the hang of nursing. We are no different. But rarely in our culture does anyone in the know explain how to grow a healthy family. So good or bad, we are left with the model we grew up with.

When I was working as a family therapist, I used to think about that all the time. It seemed so odd to me that the only people who got to learn the basics about how “normal” families develop and operate were the ones in treatment, who were burned out and on the brink of disaster. Even then though, with so much stacked against them, it was amazing how often they were able to make structural changes that led to great improvement for one and all.

Imagine for a moment trying to run a retail company if you didn’t have a structure or a plan—if you didn’t know who was in charge, what to order or how much to charge, when the store should be open or what the competition was up to. It wouldn’t matter how enthusiastic you were or whether running a company was something you had always wanted to do. If you didn’t have a basic, sound understanding of what a business like this needed in order to succeed, chances are you’d be filing for bankruptcy before most of your neighbors even knew you had a store.

When you make the decision to raise children, you are in a sense traveling down that same path. You are opening up a “family” business. So you need to know how to set up shop. You need a business plan. You need to understand the basic concepts that must be present and in good working order if you even want a shot at creating and maintaining the happy family we all dream about. Don’t get me wrong though—there is no magic formula here. Obviously all families will run into problems and difficulties—mild or severe—throughout their lifespan. But the ones with a strong, healthy structure tend to fall less often and recover more quickly when they do.

Next Week, Part IV: We Are Family

Parts I and II can be found in the MamaToMama Blog.

Email This Post Email This Post

What Makes A Family Tick? Part II

Happy Family with LifelineThis is the second of a multi-part series that examines the workings of a healthy family. It’s meant to be a sort of how-to guide that can help you create the family you always dreamed of!

Connecting the Dots

We used to think that a family was made up of individuals who were separate and independent of each other—free agents. We didn’t get the idea that a family is way more than the sum of its parts, and that individual members work in sync with each other like the separate but linked systems within our bodies.

During the early stages of a family’s development, members begin to take up the slack for each other depending on the talents and abilities they have to offer. If the man of the house loves to cook and the woman can’t open a can, for example, he might take that job on while she picks up something else, like the shopping or cleanup. Family members tend to complement each other’s strengths and weaknesses in the psychological realm, too, so the gregarious one might be more out in the world and the shy one more behind the scenes. Building on their personal strengths, abilities and ideas about  how it should be and what each one wants, a couple starts to create their family system.

As the family grows, each member becomes connected to the others like the pieces of a mobile, and when one of them changes or starts to do things differently, the others are affected, too. As long as the system can remain flexible and accommodating as situations within the family change, they will be in pretty good shape.

Let’s go back to the house analogy for a minute. At first glance, it seems that each part of the house, like the plumbing or the heating, is independent. If it breaks, you just get it fixed and that’s that, right? Off the top of your head you might say, “Yes.” But any seasoned homeowner would be quick to point out that these separate pieces are interdependent and if one thing goes haywire, it can quickly set off the chain reaction from hell. Imagine, for instance, that you are away for the weekend and a cold snap hits your neighborhood. You come home, open the door, innocently flip on the light switch and nothing happens. So you think, “Is the switch bad? Is the light bulb burned out? Did we blow a fuse?”

Then you notice that you’re standing on a squishy carpet and realize that there’s more going on than just a burned-out light bulb. Eventually you trace the problem back to the thermostat, which happened to break down while you were gone. The busted thermostat meant no heat, which left the house vulnerable to that unexpected cold snap. So the water froze in the pipes, which burst and flooded the floors, leaked through the ceiling, hit the frayed wire, and shorted out the electricity. A classic domino effect.

This is exactly what happens in families. Sometimes a child may be exhibiting a “symptom” like the light switch that didn’t turn on. Say, for example, he’s a 16-year-old who is spending his days smoking pot on the roof at home after being expelled from school. Seems to be his problem, right? Possibly. But then again, that symptom may be the result of something wrong somewhere else in the system that’s just showing up in him first. If the underlying issue is not identified and the teenager becomes the sole focus of intervention, most likely things will not improve much. It would be like just changing the light bulb or replacing the frayed wire in the flooded house and leaving it at that.

The solution for Andrew, the pot-smoking dropout described above, went beyond getting him off the roof and confiscating his stash of weed. The underlying issue in his personal drama involved his parents, who were legally divorced but still embroiled in a lot of emotional conflict. Bill and Jackie hadn’t made the transition from “intact family” to “divorced family” and their son was paying the price.

Couples sometimes forget that their roles as spouses are distinct and separate from their roles as parents and may end up chucking them both if they split. Andrew’s father had pretty much kissed off his original family after the divorce and had replaced it with a new one. Not surprisingly, Andrew and his mom were hurt and angry. Jackie was left with all the parenting responsibilities and Andrew was left without a father.  Jackie was spending long hours at work, followed by long hours alone in her bedroom. She hadn’t made a new life for herself and was lonely and depressed. Andrew, unfortunately, was left pretty much alone to raise himself.

But whenever he got in trouble, his dad was called back in to help deal with the mess. This resulted in Jackie getting a little support in caring for her son and gave Andrew some semblance of family life even though it was warped and dependent upon him failing. And they were stuck. The dysfunctional pattern of—mom and dad retreat, son gets in trouble, mom and dad get together to parent child, child gets a little better, mom and dad retreat, son gets in trouble—had developed and threatened to ruin all of their lives.

Once Bill and Jackie began to see that their son’s future was truly at risk, they were able to put their differences aside and get serious about modifying the old family structure that no longer functioned. They worked together as parents to get Andrew re-enrolled in school. The two of them set clear expectations for his behavior and figured out how to jointly deal with consequences if he didn’t obey. They also set up a regular schedule for Andrew to spend time with his dad when he wasn’t in trouble. When Jackie saw that Bill would be around on a consistent, non-emergency basis for their son, she started to create a fuller life for herself. Her anger and resentment began to melt away and her sunnier outlook began to rub off on Andrew.

Most importantly, the couple faced the unacknowledged pain surrounding their broken marriage. Even though Bill had remarried, he and Jackie still jointly owned the house they had lived in together. It was the source of much friction and forced them to revisit their anger and resentment every time the mortgage or taxes were due. Jackie bought Bill out of his share of the house and the last piece of spousal business left between them was completed. They acknowledged that as parents they would always be connected and needed to maintain a strong working relationship for the sake of their son. And Andrew was finally off the hook. To everyone’s delight he got off drugs, back into high school and graduated a couple years later, on time, with his class.

When major events like divorce, death, or even the introduction of a new family member occur, the family structure must change. Although Andrew’s family had struggled for years, they were finally able to reestablish a new structure that allowed for the reality of divorce. They honed in on Andrew’s immediate problems and explored what was out of balance in the larger family system, too. Jackie and Bill let go of the role of spouse without abandoning the role of parent. Together, they figured out how Andrew could have a good relationship with each of them without someone feeling betrayed or left out.

Part I can be found in the Mama To Mama blog

Next week, Part III: Family Blueprints

 

Email This Post Email This Post

What Makes A Family Tick? Part I

Happy Family with LifelineThis is the first of a multi-part series that examines the workings of a healthy family. It’s meant to be a sort of how-to guide that can help you create the family you always dreamed of.

Introduction

They say Eskimos have a hundred words for snow. One for flakes that are wet and slushy and another for those that are dry and powdery. There’s a word to describe the stuff that falls fast and hard and another for the snowflakes that fall softly and silently to the ground. Since it blankets their landscape for most of the year and is such an integral part of their day-to-day life, they are quick to recognize the subtle distinctions that you and I might miss. But at the end of the day, regardless of the specific type, snow is snow and Eskimo or not, you know it when you see it.

 Same thing with families. They come in all sorts of shapes and sizes, too and include everything from the traditional, straight, married, two-parent kind to the one headed by a gay, single, adoptive parent. But just as all the different kinds of snow share characteristics that make it snow instead of rain, families share certain characteristics that distinguish them from a club or a mere houseful of roommates.

And if you look a little closer, you can’t help but notice that some families seem to hum along while others tend to lurch from one crisis to the next. But why? Is it luck? Magic? Good karma? Are some families just destined for success while others are doomed to fail? Or is there some kind of matrix that can be developed in every family that will help them grow strong, steady and better able to weather the lifelong challenges that inevitably arise?

The good news is that there are definite, essential elements that all families need in order to thrive. These elements can be seen, known and understood and every family can work to incorporate them. There is a rhyme and a reason for why some families operate well, regardless of their composition, while others, despite the best intentions of everyone involved, fail again and again.

The key lies in understanding the nature and function of the family structure, its unique life cycle, and its specific stages of growth and development. Before we can really understand the reasons why some parenting styles don’t work, it’s important to figure out what does work and why.

 So what exactly are those essential elements that help families flourish? To begin with, all families, from Mr. Rodgers’ to Osama Bin Laden’s, have a structure, a way of existing and operating in the world that’s unique to them. Sort of the way a house—with its walls, roof, floors, and windows—has a structure that optimally allows for safe, comfortable living.

But besides the brown shingles, wood frame and brick chimney, there’s a separate network of systems operating behind the walls that bring that house to life. The “guts” of the house—the heating and cooling systems, the wiring and plumbing—work with the more visible parts to make it functional and pleasant to be in.

Whether a house is a tiny, cozy duplex in the heart of the city or a storybook mansion high atop a tree-covered, suburban hill, a home inspector goes through the same basic list when he assesses its soundness. If termites have made a meal of the front porch, or the wiring is shot, or the pipes have corroded and no longer bring water in, then the people who live there will have to make some improvements before they can call it “home sweet home.”

Families are like that, too. On the outside, there’s the typical cast of characters involving some combination of parents and kids that everyone can see. But what makes each family a one-of-a-kind is partly based on the slew of operating instructions that have evolved within it over time.

Every family has a chain of command, for example, a way of getting things done and making decisions and a whole set of rules, some spoken and some implied, that dictate everything from when it’s okay to cry to who takes out the garbage. There are also boundaries that surround and protect the family as a whole and each individual and subgroup within it. All of these invisible elements form the family structure and work together to make it strong and healthy or weak and prone to problems.

Strangely enough, this structure is usually set in place without any deliberate planning by anyone involved. Somehow a hierarchy develops, rules are established, and family members take on a variety of roles and responsibilities that go along with them.

Before you know it, certain decisions have been made: Saturdays are for grocery shopping, paying bills and hanging out; the oldest child takes the dog out every night at 9:00; you can leave the bathroom door partly open when you’re using it, unless company is over; Mom pays the department store bills and Dad pays the mortgage and utilities; arguments can get loud but never physical; family vacations happen with your brother and sister-in-law except for “February Break,” which is when you visit the grandparents in Florida; a teen’s 11:30 P.M. curfew is really a 12:00 curfew; no one talks about Uncle Steve’s drinking problem; serious discipline is doled out by Mom, Dad is the pushover; medical problems are never discussed with anyone outside the family except Mom’s best friend Julia; any grade below a B results in a “talk”; and when Mom gives you “that look” the discussion, whatever it is, is over.

The result is the emergence of a unique family system with it’s own distinctive language, culture and set of instructions. But unique does not necessarily mean good. Without some careful thought and discussion, the structure that appears might be more Jerry Springer than Walt Disney.

Next Week, Part II: Connecting the Dots

Email This Post Email This Post

Get Smart About Antibiotics!

20110106000758_0You may have read recent media reports about the dramatic rise in Superbugs — dangerous bacteria that are resistant to multiple antibiotics intended to treat them. To help you understand the facts about antibiotic resistance, we are reprinting this Q&A from the Centers for Disease Control, followed by a link to a fun quiz to test your knowledge. This is important stuff, Mamas! 

Q: What are bacteria and viruses?

A: Bacteria are single-celled organisms usually found all over the inside and outside of our bodies, except in the blood and spinal fluid. Many bacteria are not harmful. In fact, some are actually beneficial. However, disease-causing bacteria trigger illnesses, such as strep throat and some ear infections. Viruses are even smaller than bacteria. A virus cannot survive outside the body’s cells. It causes illnesses by invading healthy cells and reproducing.

Q: What kinds of infections are caused by viruses and should not be treated with antibiotics?

A: Viral infections that should not be treated with antibiotics include:

  • Colds
  • Flu
  • Most coughs and bronchitis
  • Sore throats (except for those resulting from strep throat)
  • Some ear infections

Q: What is an antibiotic?

A: Antibiotics, also known as antimicrobial drugs, are drugs that fight infections caused by bacteria. After the first use of antibiotics in the 1940s, they transformed medical care and dramatically reduced illness and death from infectious diseases.

Although antibiotics have many beneficial effects, their overuse has contributed to the problem of antibiotic resistance.

Q: What is antibiotic resistance?

A: Antibiotic resistance is the ability of bacteria to resist the effects of an antibiotic. Antibiotic resistance occurs when bacteria change in some way that reduces or eliminates the effectiveness of drugs, chemicals, or other agents designed to cure or prevent infections. The bacteria survive and continue to multiply causing more harm.

Q: Why should I be concerned about antibiotic resistance?

A: Antibiotic resistance has been called one of the world’s most pressing public health problems. Almost every type of bacteria has become stronger and less responsive to antibiotic treatment when it is really needed. These antibiotic-resistant bacteria can quickly spread to family members, schoolmates, and co-workers – threatening the community with a new strain of infectious disease that is more difficult to cure and more expensive to treat. For this reason, antibiotic resistance is among CDC’s top concerns.

Antibiotic resistance can cause significant danger and suffering for children and adults who have common infections, once easily treatable with antibiotics. Microbes can develop resistance to specific medicines. A common misconception is that a person’s body becomes resistant to specific drugs. However, it is microbes, not people, that become resistant to the drugs.

If a microbe is resistant to many drugs, treating the infections it causes can become difficult or even impossible. Someone with an infection that is resistant to a certain medicine can pass that resistant infection to another person. In this way, a hard-to-treat illness can be spread from person to person. In some cases, the illness can lead to serious disability or even death.

Q: Why are bacteria becoming resistant to antibiotics?

A: Antibiotic use promotes development of antibiotic-resistant bacteria. Every time a person takes antibiotics, sensitive bacteria are killed, but resistant germs may be left to grow and multiply. Repeated and improper uses of antibiotics are primary causes of the increase in drug-resistant bacteria.

While antibiotics should be used to treat bacterial infections, they are not effective against viral infections like the common cold, most sore throats, and the flu. Widespread use of antibiotics promotes the spread of antibiotic resistance. Smart use of antibiotics is the key to controlling the spread of resistance.

Antibiotics kill bacteria, not viruses.

Q: How do bacteria become resistant to antibiotics?

A: Antibiotic resistance occurs when bacteria change in some way that reduces or eliminates the effectiveness of drugs, chemicals, or other agents designed to cure or prevent infections. The bacteria survive and continue to multiply causing more harm. Bacteria can do this through several mechanisms. Some bacteria develop the ability to neutralize the antibiotic before it can do harm, others can rapidly pump the antibiotic out, and still others can change the antibiotic attack site so it cannot affect the function of the bacteria.

Antibiotics kill or inhibit the growth of susceptible bacteria. Sometimes one of the bacteria survives because it has the ability to neutralize or escape the effect of the antibiotic; that one bacterium can then multiply and replace all the bacteria that were killed off. Exposure to antibiotics therefore provides selective pressure, which makes the surviving bacteria more likely to be resistant. In addition, bacteria that were at one time susceptible to an antibiotic can acquire resistance through mutation of their genetic material or by acquiring pieces of DNA that code for the resistance properties from other bacteria. The DNA that codes for resistance can be grouped in a single easily transferable package. This means that bacteria can become resistant to many antimicrobial agents because of the transfer of one piece of DNA. Over time, the use of antimicrobial drugs will result in the development of resistant strains of bacteria, complicating clinicians’ efforts to select the appropriate antimicrobial for treatment.

Q: How can I prevent antibiotic-resistant infections?

Only use antibiotics when they are likely to be beneficial.

A: You are taking the first step to reducing your risk of getting antibiotic-resistant infections. It is important to understand that, although they are very useful drugs, antibiotics designed for bacterial infections are not useful for viral infections such as a cold, cough, or the flu. Some useful tips to remember are:

  1. Talk with your healthcare provider about antibiotic resistance:
    • Ask whether an antibiotic is likely to be beneficial for your illness.
    • Ask what else you can do to feel better sooner.
  2. Do not take an antibiotic for a viral infection like a cold or the flu.
  3. Do not save some of your antibiotic for the next time you get sick. Discard any leftover medication once you have completed your prescribed course of treatment.
  4. Take an antibiotic exactly as the healthcare provider tells you. Do not skip doses. Complete the prescribed course of treatment even if you are feeling better. If treatment stops too soon, some bacteria may survive and re-infect.
  5. Do not take antibiotics prescribed for someone else. The antibiotic may not be appropriate for your illness. Taking the wrong medicine may delay correct treatment and allow bacteria to multiply.
  6. If your healthcare provider determines that you do not have a bacterial infection, ask about ways to help relieve your symptoms. Do not pressure your provider to prescribe an antibiotic.

Q: How can healthcare providers help prevent the spread of antibiotic resistance?

A: Prevent the spread of antibiotic resistance by

  • Only prescribe antibiotic therapy when likely to be beneficial.
  • Use an agent targeting the likely pathogens.
  • Use the antibiotic for the appropriate dose and duration.

Q: Are antibacterial-containing products (soaps, household cleaners, etc.) better for preventing the spread of infection? Does their use add to the problem of resistance?

A: An essential part of preventing the spread of infection in the community and at home is proper hygiene. This includes hand-washing and cleaning shared items and surfaces. Antibacterial-containing products have not been proven to prevent the spread of infection better than products that do not contain antibacterial chemicals. Although a link between antibacterial chemicals used in personal cleaning products and bacterial resistance has been shown in vitro studies (in a controlled environment), no human health consequence has been demonstrated. More studies examining resistance issues related to these products are needed.

The Food and Drug Administration (FDA) Nonprescription Drugs Advisory Committee voted unanimously on October 20, 2005 that there was a lack of evidence supporting the benefit of consumer products including handwashes, bodywashes, etc., containing antibacterial additives over similar products not containing antibacterial additives.

Q: Can antibiotic resistance develop from acne medication?

A: Antibiotic use, appropriate or otherwise, contributes to the development of antibiotic resistance. This is true for acne medications that contain antibiotics. Short and long-term use of antibiotics for treatment or prevention of bacterial infections should be under the direction of a physician to ensure appropriate use and detection of resistance.

Q: Do probiotics have a role in preventing or treating drug resistance or drug-resistant infections?

A: Probiotics are defined as microorganisms that when administered in sufficient quantities may improve health. There are a variety of probiotics that have been studied for various health benefits. Their role in preventing drug-resistant infections in humans has not been established. CDC is currently monitoring research on probiotic use, but cannot make any recommendations at this time.

Now that you’ve gotten the facts, take this Antibiotics Quiz on the CDC website to test your knowledge.

Be part of the solution.

Email This Post Email This Post

Does Your Child Have “Affluenza?” Uh Oh.

What on earth is affluenza? Is it contagious? Is it serious? Well according to PBS, which coined the term and produced an hour-long television show about it, affluenza can be defined as: “1. The bloated, sluggish and unfulfilled feeling that results from efforts to keep up with the Joneses. 2. An epidemic of stress, overwork, waste and indebtedness caused by dogged pursuit of the American Dream.”

Basically, it’s an addiction to materialism — the overwhelming desire for more, more, more.

But what does that have to do with my kid, you might ask? He’s only three-years-old and more concerned with pursuing the household dog than dogmatically pursuing anything else. Career ambitions? Short-term, we’re shooting for total success in the potty training field and long-term, we’re possibly looking at something involving fire engines.

I know, but it actually does have a lot to do with your kid, and every kid, for that matter. It doesn’t just affect adults. Kids are suffering from it, too — in a big way — and yes, it is serious and highly contagious.

Just pair the affluenza idea with a recent study from San Diego State University and you’ll understand what I mean. Incredibly, they found that the number of teens suffering from anxiety and depression today is five times higher than it was during the Great Depression. Did you get that? And according to an article from Connect With Kids, the experts are pointing to affluenza as a major reason why.

That statistic took my breath away and it should get your attention too, because the trends that appear in the teen set today usually stick around for awhile and then eventually hit the pre-school set a few years later. The patterns and expectations you set up with your children now, while they are little, will last for a long time.

When we launched  this website, we promised to warn you about the inevitable potholes that appear when you least expect them, and hopefully save you some trouble. I know you’ve got a lot on your plate, with little ones running around but as a mom and a family therapist, I’m urging you to pay attention, because this is a big one.

So here’s the low-down on this prevalent and frightening virus: what it looks like like, how it gets passed around, and how you can prevent your child from becoming its next victim.

SYMPTOMS:

Many of the kids who were questioned in the study  (regardless of family income), said they needed the latest ipod, iphone, sports car, designer handbag, or $200.00 pair of jeans in order to feel comfortable and “good enough”  about themselves. Several reported buying something they wanted and then lying about its cost to a parent.

They knew they had crossed an important line regarding trust. But with affluenza, one’s sense of self worth gets linked to their possessions. What they own becomes the mark of who they are. Their accomplishments, ideals, families, talents or dreams for the future are not nearly as important as their “things” in determining how they see themselves.

The symptoms present as an obsession with shopping, or constantly comparing what they have with what their friends have. It’s a disease marked by competitiveness and their perception of “personal lack” can result in feelings of shame, anxiety, depression or unworthiness.

This is not, counter to what you might think, an exclusively upper-class disease. Kids from all racial and socioeconomic groups are affected.

CONTAGABILITY:

This one gets passed around very easily and often gets its start at home. Parents beware! Take a step back and look at how you spend money and family resources. Do your purchases tend to be needs or wants? We all like to indulge ourselves once-in-awhile, but a picture is worth a thousand words and guess which one they’re looking at?

They are certainly going to pick up on the behaviors and norms of their buddies in the neighborhood and at school. But that makes it even more important to make sure that at home, you practice what you preach.

TREATMENT:

Affluenza can be successfully treated. The first step is to spot it and call it for what it is. The rest is based on good, old fashioned follow-through. So here’s the plan:

1. Slow down on all the presents. Save them for birthdays and Christmas or Hanukkah. And even then, keep it modest. In a previous article, I mentioned that a large research study had found that 73% (yes, 3 out of 4) of the stuff parents bought their kids were things that the children hadn’t even asked for. The parents bought the stuff simply because they thought their kid might like it. Don’t go there. It can create an addiction and the story of the overindulged child does not end well. The kids in that study grew up deeply resenting their parents, and vowed not to spoil their own children when they became parents.

2. Set limits. If your child does want something, help him figure out how to either wait for it (“Put it on your Christmas list”); save up for it (remember the lay-away plan?); work for it; or forget about it. Remind him that just because he wants something doesn’t mean he gets to have it. And then, stick to your guns.

3. Hold off on giving them their own credit card until they are mature enough to handle it. Many of the kids in the San Diego study had them and spent over their limit on a regular basis. Unless you plan to fund them for the rest of their lives, you had best avoid that trap. That’s not to say they can’t have a credit card when they go to college for books, emergencies etc., but make sure you check it carefully each month and hold them accountable for any unauthorized purchases. And if they abuse it, cancel it.

4. Get them involved in giving back in one way or another. Volunteering in their community or school is a good way to start. This can start very young, with you!

PREVENTION:

There is no vaccine but there is hope. You are their best shot at prevention. And you can make all the difference. How?

1. Family dinnertime. Once again, it comes up as an antidote. Start right away with this habit and keep it going. Make it a priority to eat together at least 4 or 5 times per week. The research is crystal clear in demonstrating the positive effect on behavior, self-esteem, and overall happiness in children.

2. Spend time with your child playing, talking, and goofing around. Institute Family Game Night and “Special Time” and keep it going. The more quality time they spend with you away from the television and computer, the more confident they will feel about themselves.

3. Encourage them to develop their imaginations and become good at something creative that they enjoy. Something, not a hundred things. Maybe it’s music, or art, or fishing, or rock polishing. Just make sure it’s truly something that they like and don’t go overboard with lessons or teachers. Just give them encouragement and opportunity, and help them to develop their hobby or talent over time.

4. Make a pact with your friends to tone down the birthday parties and limit the excess when it comes to bigger and better. Work with your nursery school or P.T.A. to keep it simple when it comes to holiday parties or celebrations at school. And ask any well-meaning but notoriously overindulging grandparents, aunts, uncles or friends not to go overboard on a regular basis.

You can do this. I hope you’ll try. If you need a little more inspiration, keep in mind the wise words of Frank A. Clark: “A child, like your stomach, doesn’t need all you can afford to give it.” Now that’s something to chew on.


Email This Post Email This Post

No Study Drugs for Healthy Kids

no-pillsLast weekend, during our ritual Saturday morning power walk, my friend, Lisa, shared a concerning story about her niece — a college student in the Northwest. It seems this niece, who we’ll call Meg, has been using Adderall as a study aid. A LOT of Adderall.

When Meg’s mom called her recently to see how midterms were going, Meg reported that she was facing her fourth night without sleep because there was soooo much work to do. WHAT?!?!, her mom asked. How can you stay up for four nights straight? The answer: Adderall.

Adderall is a stimulant drug used to treat attention deficit/hyperactivity conditions, but as any high school or college student will tell you, its more common application is to enhance the ability to focus on school work for hours at a time, and it’s incredibly easy to get. In Meg’s case, she sought out a physician near campus and went in complaining of difficulty with concentration. She was overwhelmed by her work load, she said, and would become distracted as soon as she sat down to study. She left the office with a prescription.

What started out as a sincere effort to maximize her study time, soon became a way to manage her body clock and stay awake almost indefinitely — with a doctor’s seal of approval.

Meg is in great company. More and more students are using and abusing stimulant meds solely to boost their capacity for school work. The media has taken note, and in-depth investigations, like this frightening NY Times story about Richard Fee, a college class president and aspiring medical student who lost his life to these drugs, are getting lots of face time.

My own kids tell me how easy it is to score Adderall, Concerta, Strattera, and other stimulants on campus. And how easy it is to get legitimate prescriptions from doctors who underplay the risks.

But it looks like that may be starting to shift — on the part of physicians, at least. Take a look at the statement recently published by the American Academy of Neurology (and note the emphasis on parents who request these drugs for their kids):

Prescribing drugs solely to boost thinking and memory functions in children and adolescents who do not have neurologic disorders is not justified, nor should physicians acquiesce to parents seeking such medications to improve their children’s academic performance.

Academy researchers note that prescriptions written for stimulants and other psychotropic medications to treat children diagnosed with attention-deficit/hyperactivity disorder have increased substantially during the past 20 years. However, there also is a growing trend of healthy adolescents using the same neuroenhancing drugs to improve their own cognitive functioning before exams and of parents asking physicians to prescribe these drugs to boost their children’s focus or memory.

The researchers also point out the alarming rise in recreational use of stimulant medications as teenagers and college students illegally share these prescription drugs with friends.

The position paper, the first to focus on the practice of prescribing stimulants for healthy children, is supported by several years of research that studied ethical, legal, social, and neurodevelopmental issues related to pediatric neuroenhancement and the role of physicians who care for children and adolescents.

Based on its research, the AAN finds that the long-term health effects of taking neuroenhancement drugs have not been established; that children should be free to develop their cognitive skills, emotional abilities, and decision making without the influence of medications; that physicians have ethical and moral obligations to evaluate requests for neuroenhancing medications from pediatric patients or their parents so to safeguard their physical and mental health; and that prescribers are obligated to prevent the misuse or diversion of controlled drugs.

The position paper concludes that prescribing neuroenhancement drugs to children without a diagnosis of a neurologic disorder is “not justifiable.”

Wow.

Meg’s mom is worried, of course. She’s educating herself about the real risks of Adderall and other stimulants, and has spoken to Meg’s doctor about her concerns. But Meg is over 18, and her mom no longer calls the shots. For those of us with college-age kids, this is scaryland. For those with high schoolers who have considered using these drugs, there’s still time to intervene.

A telling piece of information: for kids and teens who actually have ADD or ADHD, these meds don’t have the classic stimulant effect. They improve focus, but won’t, for example, keep you awake for days at a time. The effect on brain activity is different. In fact, a trial on meds is often used as a diagnostic tool.

One national expert notes; if kids aren’t identified with signs of ADD/ADHD in elementary or high school, and don’t have obvious problems with concentration in those earlier years, it’s exceedingly unlikely that they will suddenly appear during college and respond appropriately to these medications.

Mamas: be concerned … be very concerned.

 

Email This Post Email This Post

How to get them to talk – to YOU!

teen-talk“Keeping the lines of communication open is a critical part of good parenting.”

Duhhhh! Already knew that. Who on the planet doesn’t? It’s obvious, right? And there’s probably not a mom or dad out there who wouldn’t comply, if they only knew how.

Instead of simply doling out lofty platitudes like that, with no explanations attached, it would be ever so much better if the “experts” would walk us through exactly HOW to accomplish so noble a feat, because once the pre-teen freeze-out begins, it can be pretty tough to break the ice.

So for all of you out there who might be wondering how to keep those kids talking, here are some tried and true tricks to start thinking about now, while they are still small and more than happy to talk your ears off.

  • Play lots of board games and cards with them when they are little (CandyLand, Sorry, Go Fish, Old Maid, etc.) to get them used to the idea of hanging out and talking. Later, when they are not so inclined to want to spend time with the ‘rents, the groundwork for a comfortable way to connect has already been laid and they will be more likely to want to wade in. 

I’m talking old-school, non-electronic stuff here. Why? Because the pace is slower, you can stop at any time to chew the fat about this-and-that and there is way less visual and auditory stimulation to distract them. Once they hit the teen years, they will love to play endless games of Monopoly, Risk, or Scrabble with the family IF it is already something you guys do together. 

Lots of random stuff comes up during these games and it creates a great, playful climate for you to share. Knowing there will be no lectures or questions about why they didn’t do better on their latest history test will help them loosen up and kid around with you which will ultimately strengthen your relationship. Plus, it will give you the chance to create new, positive memories together. If you make some hot chocolate and popcorn to go with it all, you will really up your odds for success.

  • As kids begin to age into the double digits, their attention starts to shift to people outside of their own house. Normal.

 If you pay close attention to when this natural transition time starts, you can take advantage of it. How? Start asking lots of light, non-threatening questions about their friends and their friend’s families so you can keep track of who and what matters to them.

And get to know their buddies. By establishing real relationships with their friends early on, you’ll have another way into your mute-by-choice kid later through them. The friends are likely to become big fans of yours if you treat them well and later on will want to hang out in the kitchen with you and chat, especially if you have something hot and delicious for them to eat.

Your kid will have to hang out there, too, and you can milk the friend for the scoops on what’s happening at school and with other kids if you keep it light and lively. Once the info is out, it’s fair game to bring up later for further discussion, after the friend goes home. Just make sure you honor their willingness to speak openly by never holding anything that’s said during those conversations against them.

  • Say a strong and powerful no to having T.V.’s, ipad’s or phones on in the car. Make your auto an unplugged, techno-free zone.

Why? Because it’s the one place where you can create and control privacy and space for things to bubble up naturally, especially when it’s just the two of you. It’s often there in the car where normally shut-off teens will let down their guard and spill their guts, so you want to be ready. 

One of the reasons kids are more likely to talk about feelings and problems in the car is that they don’t have to make eye contact. They know you have to keep your eyes on the road and hands on the wheel. And since they can look out their window away from you when they discuss touchy subjects or answer difficult questions, it’s less threatening. If you have snacks available for munching, you’re likely to do even better since teens love to eat.

  • This “having something else to do while you’re talking” works outside the car, too. Don’t insist on always making them “Sit down and look at me, damn it!” if you want them to talk. Teens often need a certain level of distraction, or something to do with their hands like playing around with a YoYo or throwing a ball into the air in order to feel comfortable. They aren’t necessarily being disrespectful, just making themselves feel less exposed and reducing the intensity of the face-to-face talk.
  • Know that teens are also more likely to want to talk late at night when it’s time for bed. When they are tired and worn down by the day, they often become more vulnerable and willing to let you in. So make sure you don’t hit the hay before they do, if at all possible. I know how exhausted moms are by days end but late at night seems to be the magic witching hour when the chance to really connect appears.
  • Learn as much as you can about their hobbies or interests. If they are all about sports, as one of mine is, take the time to find out what’s going on with their team.

Shock them occasionally by asking questions like, “Can you believe the fill-in-the-blank’s traded fill-in-the-blank to the fill-in-the-blanks? What idiots! They should have let fill-in-the-blank go instead!” Your kid will look at you with new eyes and may let loose with all sorts of info on the team and what he thinks about it all. Nod your head knowingly as he speaks and compliment him on his brilliant analysis of whatever it is he is talking about even if it’s all Greek to you. If you can at least fake it for a few minutes, you’ve created another opening through which to connect.

  • Find a television show or two that you can watch together. I watched the first couple seasons of American Idol with my youngest and that gave us tons to talk about for years. Another show that provided us with a fantastic platform for discussion about all sorts of teen-related issues was Friday Night Lights. My latest favorite is Leader of the Pack with Cesar Millan (I’m obsessed with that man) which I discovered when I was sick for a week with a bad virus. A show like that is fantastic to watch together, especially if you have a dog because it’s educational and entertaining.
  •  Establish an annual camping trip or activity-based family vacation that they are expected to go on every year. Once away from their ‘hood and their buds they are often willing to be with you in a way they wouldn’t/couldn’t be if they were home. Nature-based is especially great because the lack of gadgets forces you to find new things to do together. This is GOOD!
  • Search out funny, silly youtubes and make it a habit to share them with your teen. This single act can easily create a half hour or more of laughing and talking together as they show you their latest favorites, too. This back-and-forth youtube sharing will give you a serious peek into the kinds of things they are paying attention to and provide you with lots of fodder for future conversations.
  • Try hard not to hold grudges or bring up dirty laundry from the past. Once it’s over, however awful it was, let it be over even if it still makes you mad. They desperately want you to think well of them and if you will be big enough to let bygones be bygones, they will love you all the more for it. And they will feel freer to do better and make positive changes because for a very long time, they will see themselves through your eyes.
  • Remember that it’s not so much what you talk about as it is that you talk. Once you’ve got that down, the rest will come a lot easier.
Email This Post Email This Post
Loading

MAMAS ON DEMAND

PARENT COACHING
& CONSULTATION

With One or Both of Us


Go to AskDrMama.com & AskMamaEllen.com for the scoop!

Phone • Internet • Your Home or Group

Listen up

Hugs 4 Health

Really? Find out what you’re missing if touchy-feely’s not your thing!

Watch This!

How many unsafe activities can you find in this short video? OY!

What You Said

  • Ellen Schrier: Right??
  • EdgewaterIsle.com: Good Lord. It’s a wonder anyone got married in the ’50s. I’d rather stay single...
  • Rachel Zahn: Thank you! We’ll check it out …
  • african mango extract reviews: Howdy just wanted to give you a brief heads up and let you know a few of the pictures...
  • virtuellt gastric band: fantastic. Many thanks informations. Ill come back. Thank you again
  • Cheryl: antiperspirant for a 5 year old is RIDICULOUS GIVE.ME.A.BREAK.
  • stuhrling original: Hey! This is my first comment here so I just wanted to give a quick shout out and tell you I...
  • Lindsey: I have went through something similar. We used to have these neighbors that lived in a trailor next to us...
  • Ann: My son and his friend are offended :)
  • Ann: Our sleep challenge is school start times–7:35. So the kids need to be up by 7, which means asleep by 9 to...

Just so you know

The Mama ButtonThe information provided by MamasOnCall is not intended as a substitute for professional advice, but is for information purposes only. You assume full responsibility for the health and well-being of your family. Talk with your healthcare provider about any questions you may have regarding a medical or psychiatric condition.