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| Rising Sun Psychotherapy & Nuevo Amanecer |
| Michele Boudreau,
PhD, MFT, LMHC, NCC |
Daily Routines & Habits
Children are creatures of habit. Undesirable behavior patterns will develop
a life of their own if they are unchecked. The following suggestions can help
ease children through transitional times with a minimum amount of
frustration.
BEDTIME
Use the following actions to help children settle down at night and get
needed rest:
Make sure children are completely ready for bed in advance by
withholding favorite activities until baths are taken, pajamas are on,
and teeth are brushed.
Establish a routine of reading or talking with children while they are
lying in bed.
Allow children to keep a light or music on if this helps them stay in
bed.
Children may need to cry it out until they learn to fall asleep in their
own beds. Prepare yourself for one to four nights of screaming. You
can go to the room every 10 minutes to reassure children that they
are not abandoned and calmly say, “Time for sleep.”
If children leave the room, physically take or return them to bed
without any discussion and hold the door closed until they
demonstrate that they can stay in bed.
Do not allow children who stay up late to oversleep. This creates
vicious cycles.
Use rewards in the morning (points, stars, TV with breakfast, bacon
for breakfast, or special cereal) to reinforce desirable bedtime
behavior until it becomes a habit.
When the above do not help, therapy may be needed for trauma or
obsessive concerns.
Note: When children prolong their bedtime but can get up when they are
supposed to and are not tired during the day, their bedtime may be too
early.
BED-WETTING
If children had good bladder control and have regressed, they may be
reacting to trauma and need therapy. However, a small, immature, bladder
often causes bed-wetting. Many children do not grow out of this condition
until they are 10 or older. Often, a parent had the same problem as a child.
Medication and “bladder training” can help:
Withhold liquids two to three hours before bed.
Have children drink lots of liquid during the day to stretch the bladder
and then gradually increase the length of time they must wait until
they are allowed to urinate.
Teach children how to stop and start their stream while urinating to
build muscle control.
Give children a choice of wearing padded pants at night or washing
their own sheets until they learn control.
BEDROOM STANDARDS
Should children be required to keep their room clean, or can they be
allowed to set their own standards? There is no right or wrong answer, but
teenagers who have had their rooms kept clean for them when they were
young will not automatically take over the responsibility just because they
are older: Most children need training!
Supervise and help toddlers—“I’ll pick this up and you pick up that.”
Withhold privileges until school-age children clean their rooms. Do
the same for at least a month with teens who have never been taught
to keep their rooms neat.
When teens who have had some training in keeping their rooms
clean become resistant, allow them leeway on how they “define” their
territory. This will give them an option for “healthy rebellion.”
CURFEW
Although parents can become panic-stricken when a child does not come
home on time, it is natural for children to be late now and then. Make sure
you have considered the child’s viewpoint before establishing curfews and
seek input from other parents or professionals. If problems persist, several
courses of action can be taken:
Assign the writing of essays that show understanding of the need for
curfews and plans for keeping them.
Withhold important privileges (telephone or TV) until curfews are kept
Put children on restriction from going out—a day for every 20
minutes late.
Go after children who violate curfews if you know their whereabouts.
As a brief punishment, insist on accompanying children when they go
out.
HYGIENE
Children vary greatly in the ages at which they become interested in good
grooming. Simply train children who have other priorities by withholding
privileges until they have taken baths, and brushed hair and teeth.
Reassure children that they will not always need reminders. Make sure you
are not overly concerned. Remember that some children do not need daily
baths.
SNEAKING OUT
Many young teens engage in this behavior. Assess if young people are
sneaking out due to an adventurous spirit or if it is a symptom of a more
serious problem. The severity of the consequences will depend on the
underlying causes.
Assign essays on the dangers of sneaking out, its effect on others,
and plans to change.
Withhold privileges until there is no evidence of sneaking out for a
couple of weeks or until essays are written.
In extreme cases, use locks or alarms on doors, bar windows, or
sleep in front of the child’s door.
SOILING
When children over 4 are under stress or are chronically angry, they can
tense their anal sphincter and not eliminate feces properly. Eventually, their
bowels may stop sending messages to the brain when elimination is needed
and some feces may leak out. A doctor should be consulted to rule out any
medical condition. Stool softeners can be prescribed to relieve impacting,
and the child can be rewarded for relaxing on the toilet and having clean
pants. Relaxation training and helping children express feelings may be
needed.
WAKING UP AND GETTING READY FOR SCHOOL
When an alarm clock or one reminder does not help a child get out of bed,
find an action that does: use a fine water mist spray, hold a piece of
vinegar-soaked cotton under the nose, or send rowdy pets into the room. A
special breakfast treat, watching TV with breakfast, or another reward can
be used as an incentive if the child is completely ready for school at a
specified time. Always eat breakfast after a child is dressed and ready.
When they are running late, children can be put into cars in their pajamas,
provided you have a change of clothes and an instant breakfast.