Monthly Archives: July 2016

Avoiding Meltdowns


Important Note: The image in this post and in all the previous ones are not images of the children discussed in the posting. They are simply children whose photos I have collected throughout my travels. 

Yesterday two excellent parents came to talk to me about their 8-yo daughter, “Hannah”. They suffer from her temper tantrums, and they know she suffers too. When we tried to sort out what was causing her to meltdown, we were able to identify three major sources of the tantrums. I am going to write three blog postings, one for each of the vulnerable times for this child and her parents. The first was our old friend or enemy, transitions. The second is sibling relationships. The third is complying with parental authority. As you may have guessed, these three trigger points are not completely distinguishable, since sibling conflict often arises at times of transition, and the same could be said of compliance with parental demands. Let’s start with transitions.

This beautiful and intelligent child happens to have a tricky cognitive profile, something I have talked about before. She is extraordinarily bright in some areas of cognitive capacity and only average or even below average in others. This makes life harder for her. It is harder for her to make realistic expectations for herself since she can perform excellently in some tasks and struggles much more than her peers in others. In addition, just the unevenness in the domains of her cognition can be subjectively experienced as disorganizing. It is harder for her to make flexible and adaptive meanings of her experience in the world. You can see how this would add to the usual difficulty people have with transitions.

Let’s start with the first transition of the day – waking up in the morning and getting ready for school. Many of us have difficulty with this transition. Lou Sander, the “grandfather of infant research”, has said that day-night organization is the first organization facing the newborn human organism. In this case, Hannah often wakes up “in a bad mood”. The anticipation of this possibility makes Hannah’s mother anxious, which increases the stress of the situation for both of them. I suggested talking to Hannah about how she feels in the morning – maybe they could create a scale, for example, “grumpy”, “a little grumpy”, “good”, maybe even including “very grumpy” and “great”. The benefits of doing this together is that while you are in the process of coming up with “strategies” for dealing with Hannah’s moods, you are also helping her learn about her various affect states – their subjective “feel”, what causes them, and what to do about them. This will take some time, and you certainly don’t want to pop this idea on her when she is just waking up, especially in a grumpy mood. But you can begin with a gentle observation that she doesn’t seem to be feeling very good, coupled with an idea about how to make things better. Would it help to take a little longer waking up? Would it help to have Mom bring a small glass of juice or water to her bedside? Would it help to have some music? The idea for Mom is that there is some legitimacy to Hannah’s grumpiness (a struggle making the transition – physiological, motoric, symbolic – to get up in the morning) and that she, Mom, can come up with ideas about how to make it better. Mom doesn’t need to feel helpless nor does than Hannah. (Mom’s feelings of helplessness in this situation can contribute to her lack of flexibility in responding to Hannah’s needs.)

The getting dressed part can also be a big challenge. Sometimes Hannah can’t decide what she wants to wear to school. Sometimes she knows what she wants and she can’t find it, or it is in the dirty clothes. There is a simple (though not always easy) solution to this problem. Institute a routine of picking out her clothes the night before.

Bedtime is another big transition. The key to a comfortable bedtime is a good bedtime routine. (As I have mentioned many times, “a routine is a parent’s best friend”; that is true of the morning transition, too, of course!) That means the same preparatory activities practiced every evening the same way at the same time in the same order, except under unusual circumstances. Usually these activities include a bath or washing, tooth brushing, toilet, bedtime story or song, and bed. Typically, only one parent is in charge of the bedtime routine for one child, and if there are two children or more, the parents take turns. Important things to remember are (1) no excitatory activities such as roughhousing or video watching right before bed; (2) no overly long bedtime story time – settle on 1-2 stories and stick to it; (3) if there are two siblings, it is better if each sibling stays out of the bedroom area where the other child is being put to bed. Sometimes that is very hard when there is one parent putting to bed two children, but it usually works better that way.

I will pick up the subject of siblings in the next blog post.

Read this blog in Spanish.