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TAMERA SCHREUR, MA, L.M.F.T.

FAMILY TIME.  SCREEN TIME. GREAT ARTICLE.

10/29/2013

 
I think this is a must read for everyone!  

http://www.huffingtonpost.com/2013/09/04/ways-screens-are-ruining-your-familys-life_n_3860927.html8 Ways Screens Are Ruining Your Family's LifePosted: 09/04/2013 8:09 am EDT  |  Updated: 09/05/2013 4:27 pm EDT

The link is above, the article is below:
For her new book, The Big Disconnect: Protecting Childhood and FamilyRelationships in the Digital Age, Catherine Steiner-Adair EdD -- a clinical instructor in the department of psychiatry at Harvard, a school consultant, and a therapist in private practice -- interviewed more than one thousand children between the ages of 4 and 18 to find out how technology was impacting their relationships and their social and emotional lives. What Steiner-Adair discovered was neither surprising, nor comforting: Technology is becoming a kind of “co-parent;” too much screen time is impeding childhood development; and parents’ obsession with their devices is harming communication with their children and even fracturing families.

Just in time for back to school, The Huffington Post asked Steiner-Adair to tell us the eight essential things parents with children of all ages need to know about screens.

1. Don’t put your baby in front of a screen. Ever.



If you’re not convinced by the recommendation of the American Academy of Pediatrics, then consider this: “We don’t know yet the chemical interaction between asmartphone and a baby’s brain," says Steiner-Adair. One 2010 Danish study of 28,000 children found that exposure to cell phones before and after birth seemed to lead to an increased risk for behavioral problems. Beyond that, one of the most important skills a baby needs to learn, Steiner-Adair says, is how to calm herself down. “If you hand [a young child] a screen of any kind when they’re frustrated, you’re teaching them how not to self-soothe,” she says. “You’re handing them a stimulant. Your baby’s brain is brilliant and what it needs is good stimulation and soothing from you. You are the best app for your child.”

2. And think hard about putting your toddler in front of one, too.



“A child only has from 0-5 to develop neurologically what we call the sensorium -- that’s the part of the brain where pre-literacy, kinesthetic movement, and language development happens,” says Steiner-Adair. This kind of brain development takes place through outdoor play, building, dancing, skipping, coloring -- all activities involving multi-sensory engagement. This kind of healthy engagement is basically the opposite of passively swiping a finger across a screen, says Steiner-Adair. While she acknowledges that decent games and apps exist -- Steiner-Adair directs parents toCommon Sense Media’s website for recommendations -- she insists that replacing play “IRL” with play on a screen is not what children this age need.

3. Teachers can tell if your child is getting too much screen time.



Educators interviewed for Steiner-Adair’s book said that kids who spend too much time in front of screens play differently -- and less creatively -- than other children. Those who act out “Mario Brothers” or “Angry Birds” in the school yard aren’t tapping into their capacity to create their own narratives, says Steiner-Adair. “Instead of saying ‘look how high I can go’ when they’re on the swings, they say ‘look, I got to the next level!’” she says. Teachers also told the author that students who play a lot of video games don’t seem to have as much patience to sit still in the classroom, especially when they are being read to. “The capacity for attention doesn’t develop as well when kids are used to interacting with a screen that’s instantly gratifying, instantly stimulating, and provides them what the answers for the next level,” says Steiner-Adair.

4. Your kids hate your screens.



Steiner-Adair says that what came up again and again during her interviews with hundreds of kids was how frustrated, sad and angry they were about having to compete with screens for their parents’ attention. “Children hate it when their parents pick them up and are on their phones and don’t even turn to say, ‘Hi honey, how was your day?’ Instead they’re giving them the shhh one minute signal which basically says ‘you’re not as important to me as whoever this other person on the phone is.’ Car rides to and from school as well as dinner, bath and reading time -- parents should be present and phone-free for all of these daily rituals, she says. “Kids do not need our undivided attention all day long, but they do in those real-life moments of talking and reading and doing the hard work of parenting -- dealing with meltdowns, teaching them how to pick up their clothes.” The bottom line: If you think your kids don’t notice that you’re distracted, you’re deluding yourself. One of Steiner-Adair’s subjects told her, “I miss the olden days when families were more important.”

5. Just because we can be connected to work 24/7 doesn’t mean we shouldbe.



Many parents argue that part of why they’re plugged in during family time is because they feel they have to be available to their employers. “You either sacrifice being a good mother or father and the very limited time you have to raise your children -- or you sacrifice and risk your job to support your ability to live,” says Steiner-Adair. “This is not healthy for anybody and it’s a no-win choice.” Being constantly on call or being afraid of missing something if you don’t check your work email means you’re preoccupied and stressed when you should be enjoying your family. Steiner-Adair says that if the modern workplace is ever going to change, parents must ask employers for modulated schedules and speak up about their need to unplug.

6. Screens aren’t good for your marriage. And that’s not good for your kids.



Steiner-Adair asks parents to answer this question honestly: “First thing in the morning, do you roll over in bed and look at your phone and scroll through it -- or do you roll over and cuddle your partner?” Kids are acutely aware of their parents’ disengagement from each other. In her interviews with children, many spoke to Steiner-Adair about their parents’ constant bickering over screen rules (such as no phones at the table) and said that they view their parents as hypocrites when they see them flouting the family guidelines they’ve set up. “Kids see parents talking to each other about something important and then one of them answers a call mid-conversation,” she says. “One parent has dropped the other parent. What does it say to kids about how we connect to the people we love the most?”

7. In order to be a good parent, you need to take care of yourself.



“Adults use screens the same way kids do -- to avoid interaction and to avoid relying on our own inner resources," says Steiner-Adair. Increasingly when parents have a few minutes to recharge they are using that time to browse Facebook, send texts, etc. “It’s so much easier than picking up a magazine or putting your feet up on the couch and having a mini moment of relaxation -- or going for a walk and getting some fresh air-- all these things that we know actually make us feel better.” Some parents may feel that browsing Instagram or scanning the news is actually a calming way to take a break, but Steiner-Adair is skeptical. “Checking your email is not relaxing,” she says. ”Holding a tiny little hand held screen is not visually relaxing.”

8. Sorry, but you really don’t know what your kids are doing online. But that doesn’t mean you should give up trying.



Steiner-Adair points to a June 2013 McAfee study, “Digital Deception: Exploring the Online Disconnect Between Parents and Kids,” as evidence that parents are often clueless about what their kids are doing online -- and says that their ignorance is seriously harming their kids. Among the study’s findings: 80 percent of parents don’t know how to check up on what their kids are doing online. Not only that, 74 percent “simply admit defeat and claim that they do not have the time or energy to keep up with their children and hope for the best,” according to the study’s authors. But Steiner-Adair says defeat is not an option when you consider all of the damaging content kids can easily stumble upon online. While interviewing kids for her book, Steiner-Adair says, several teen boys asked her questions about sexual scenes they’d seen online. “They would say, ‘can you help me understand why a woman would want to be choked while having sex? Why would she want to be peed on?’” Indeed, the McAfee study found that over 57 percent of 13-23 year olds use the Internet to search sexual topics while only 13 percent of parents believe they do.

But Steiner-Adair sees hope in at least one of the McAfee stats: Nearly half of the teens surveyed said they would change their online behavior if they knew their parents were watching. “This means we can have an impact,” Steiner-Adair says. In addition to making sure that all computer use is done in a public place in the home, Steiner-Adair recommends that parents and kids sign an agreement that clearly states acceptable and unacceptable online behavior – and post it prominently. “The reason you’re supposed to sign it and post it is to remind kids, but also so that when other kids come over it makes it easier for your child to say, ‘oh no, I’ll get in too much trouble if I go to that site. See, I have the worst parents in the word," Steiner-Adair says. “That’s what you want your kids to say. You want to be that worst parent in the world.”

E-motion!  Timing Matters.  Alot.

8/15/2013

 
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E-motion!  Therapy and Sexual Ethics

7/17/2013

 
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9AM:  Got my cuppa Joe, set the AC to high, and settled in a comfy chair.  Plan was to write a light-hearted  post about managing the high heat index we have hugging us this week.

Changed my mind quickly as I scanned the latest local news on Patch and read this steamy headline: 
 “Local Therapist Denies Sex Abuse Charges.”  Seemed more important to comment on that.  

And, I don’t just want to comment.  I want to be absolutely clear.

Sexual abuse of minors is not okay at any time, 

by any person, therapist or not.  Period.

Does it still happen?  Unfortunately, yes.  Did it happen in the current case? Charges have been made. We will know more soon.   I’m glad our law enforcement authorities are working to examine the situation, keep kids safe, and follow through in a just manner, as needed.

I want to be clear that therapists have responsibility to maintain good sexual ethics with minors, but not just with minors.   Therapists should be beacons of light and healing, not hurting.  Therapists have responsibility to maintain good sexual ethics with all clients, of any age or gender.   I think most people know that sexual abuse of minors is wrong and, when it occurs, should be prosecuted to the highest extent of the law.   But, what might not be as well known, is that therapists should not have sexual intimacy with any client, regardless of age or gender.

Therapy is a licensed profession.  There are rules and expectations involved.  There are standards and ethics agreed on.   

Every major mental health profession prohibits 

sexual exploitation of clients. Period.    

The standard for therapists is this; sexual intimacy with clients is considered exploitation.  So, every therapist knows it is wrong to be involved in sexual intimacy with clients of all ages. 

Here’s what the code of ethics of my professional organization (AAMFT--American Association for Marriage and Family Therapy) says about sexual intimacy with clients:

1.4 Sexual Intimacy with Current Clients and Others. Sexual intimacy with current clients, or their spouses or partners is prohibited. Engaging in sexual intimacy with individuals who are known to be close relatives, guardians or significant others of current clients is prohibited.

1.5 Sexual Intimacy with Former Clients and Others. Sexual intimacy with former clients, their spouses or partners, or individuals who are known to be close relatives, guardians or significant others of clients is likely to be harmful and is therefore prohibited for two years following the termination of therapy or last professional contact. After the two years following the last professional contact or termination, in an effort to avoid exploiting the trust and dependency of clients, marriage and family therapists should not engage in sexual intimacy with former clients, or their spouses or partners. If therapists engage in sexual intimacy with former clients, or their spouses or partners, more than two years after termination or last professional contact, the burden shifts to the therapist to demonstrate that there has been no exploitation or injury to the former client, or their spouse or partner.

 Therapy involves an exceptional amount of vulnerability and trust on the part of clients.  I’m a therapist and know this well.  When a therapist takes advantage of that trust and exploits a client sexually, it is wrong.  It is unethical, and, in some cases (and always if the client is a child), illegal as well.   

And yet, we’ve seen it on television and in the movies.  And, like today, charges of sexual abuse by a therapist in the news. I wish this wasn’t true, but, likely we can all think of at least one movie where a psychotherapist became sexually involved with a client.  Sometimes a movie or show will even promote the sexual involvement as benefiting the client and promoting healing.   It makes me cringe.  And, it makes me angry too.  It’s an ethical violation.

What happens in movies or on television is pretend, but it does influence us.  It might influence us to believe what we see is the ethical standard, so, it’s okay.  So, again, let me be clear.  Therapists are wrong when they engage in sexual activity with clients, of any age or gender.  They are wrong to initiate it, and they are wrong to respond sexually to any invitation that comes their way by a client.  And again, sexual abuse of minors is always wrong and illegal.

If it happens to you or someone close to you, report it.   Right away is best. There are two places for reports.  First, law enforcement needs to know if minors are involved or if laws were broken.  Secondly, therapists usually belong to a professional organization, like AAMFT,  NASW (National Association of Social Workers), or APA (American Psychological Association).  Make a report to the organization too.  Contact details for the various organizations are available online.  They need to know about ethical violations of their members so they can investigate and follow up appropriately. 


Life is...

6/28/2013

 
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“Life is an opportunity, benefit from it.
Life is beauty, admire it.
Life is a dream, realize it.
Life is a challenge, meet it.
Life is a duty, complete it.
Life is a game, play it.
Life is a promise, fulfill it.
Life is sorrow, overcome it.
Life is a song, sing it.
Life is a struggle, accept it.
Life is a tragedy, confront it.
Life is an adventure, dare it.
Life is luck, make it.
Life is too precious, do not destroy it.
Life is life, fight for it.”
― Mother Teresa

Satisfactions of Summer

6/27/2013

 
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As I peak into the start of summer, I'm thinking about lots of things.  Most of them are fun things.  Summer means special fun to me!  How about to you?  What comes to mind when you think, "Heh, it's the end of June, summer has started!?"  
Kids are home, routines are different, the weather is finally nice, vacations are on the way or even started.
It's good to have some plans to look forward to.  Part of the satisfaction of a vacation is getting it all planned.  Once things are planned, we can look forward to them!
So, get some plans on your calendar!  It doesn't have to be elaborate, there are plenty of things right here in our area that are great fun, and even, free!  Like Jazz concerts at Lyndhurst Castle out on the big lawn with the sun setting over the Hudson River, Library reading clubs for kids and adults with prizes and picnics at local parks with friends.  
Here in Westchester, our lives can get pretty hectic.  That isn't always good for us.  Take time this summer to focus on relaxing and kicking back some.  Spend time with those you love, extra time.  And, make it good; choose to enjoy each other and focus on the good stuff.  Don't sweat the small stuff.  If you mess up on that one day, try to make the next day better.   I like to remind myself each morning; the sunrise is new today, and today I get a new day, a fresh start.  And then, I try to make it a good day, even, a great day.

Enjoy the satisfactions of a sweet summer!

How is Wellness connected with Mental Health?

5/7/2013

 
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For more than 60 years, Mental Health America and our affiliates across the country have led the observance of May is Mental Health Month by reaching millions of people through the media, local events and screenings. This year's theme isPathways to Wellness.

Key Messages
  1. Wellness - it's essential to living a full and productive life. It's about keeping healthy as well as getting healthy.
  2. Wellness involves a set of skills and strategies that prevent the onset or shorten the duration of illness and promote recovery and well-being. Wellness is more than just the absence of disease.
  3. Wellness is more than an absence of disease. It involves complete general, mental and social well-being. And mental health is an essential component of overall health and well-being. The fact is our overall well-being is tied to the balance that exists between our emotional, physical, spiritual and mental health.
  4. Whatever our situation, we are all at risk of stress given the demands of daily life and the challenges it brings-at home, at work and in life. Steps that build and maintain well-being and help us all achieve wellness involve a balanced diet, regular exercise, enough sleep, a sense of self-worth, development of coping skills that promote resiliency, emotional awareness, and connections to family, friends and community.
  5. These steps should be complemented by taking stock of one's well-being through regular mental health checkups and screenings. Just as we check our blood pressure and get cancer screenings, it's a good idea to take periodic reading of our emotional well-being.
  6. Fully embracing the concept of wellness not only improves health in the mind, body and spirit, but also maximizes one's potential to lead a full and productive life. Using strategies that promote resiliency and strengthen mental health and prevent mental health and substance use conditions lead to improved general health and a healthier society: greater academic achievement by our children, a more productive economy, and families that stay together.

May is Mental Health Awareness Month!

5/7/2013

 
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More sadness...

4/16/2013

 
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It's hard, ever so hard, to wrap our minds around tragedy.  Especially senseless mean tragedy, like what happened yesterday at the Boston Marathon Finish Line.  
Just at the point of triumph, just at the point of exhaustion, just at the point of reunion with loved ones, bombs exploded.  Bombs hit, hurt, and killed.  
The deaths and injury are terrible and sad.  My heart goes out to the victims and the families of victims.  When something like this happens, there is so much hurt, so much pain.  The victims, of course, are hurt in the most horrific ways.  I can't begin to really comprehend what it must be like for the injured today.

I was safely home in New York.  Relaxing and stretching, actually, after my own run, albeit only a 5K.  As soon as I found out about Boston, my heart started hurting, aching in outrage and sorrow.

I think there's hurt all round, for all of us who are hear about this type of violence, no matter where we live.

  • I'm wondering what else could happen.  What else might happen.
  • I'm hurting for those who were hurt.
  • I'm feeling angry.  I'm trying not to hate.
  • I'm feeling afraid.
  • I'm feeling concerned especially for children who hear about this, another killing.  Another killing where a child dies.
  • I'm feeling confused, I just don't understand how someone could choose to do something like this.
  • I'm also feeling grateful, in a strange almost guilty way, that it didn't happen to me or to my family members.  I take this abit personal, my sister was going to run, but didn't.  I'm glad I could call her right up and hear her voice on the other side, safe.


I'm feeling all these things, and I wonder if you are too...

I'm a mental health professional and it's hard for me to put this all together, to get past this, to figure out what to say.  It will take time. I reminded myself to take extra care of myself today, to be gentle with myself, because this kind of thing shakes me up.  I remind you to try to do the same.

And, if you are parenting, keep your young children away from the news, especially any that includes video or photographs.  Let them be kids and know as little as possible.    So, turn the television off when they are around.  We can get traumatized in a secondary way from hearing about tragedies, and this is something we can choose to avoid.

Today and throughout this week, I'm going to be deliberate in reaching out to others, even in small ways, to share comfort, and to get comfort myself.  A smile here, a hug there, a conversation and kindness here and there.  

It's a powerful way to stand up to violence. 

It will also honor the victims of Boston.

 I invite you to join me in doing so.








Think Green!

3/8/2013

 
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Think Green.
I know, it's snowing; big flakes too.  
Again. 
Isn't this March?

But, think green anyways. Green, like finding the pointy shoots of crocus flowers, running through green grass, planting tiny seeds to grow into yummy food! 

Thinking green gets our mental juices flowing. It starts us thinking of change, welcome change, and warmth. Vacations and summer too.  Even St. Patrick's Day. 
So, when you see more white outside, think green inside. 
Things will feel brighter and better.

Expect a surprise in 2013!

1/4/2013

 
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I get excited about a new year.  I especially like it when New Years Day shows up with a fresh white covering of clean snow.  Sounds trite, but the it reminds me of how a new year is, like clean snow, unmarked.  Unmarked and waiting for marks!  Footprints, experiences, opportunities, change.  That's the excitement of a new year.  Clean, fresh, possible.

I found this quote from one of my favorite theologians that seems to fit nicely for celebrating and contemplating a new year.  

"Each day holds a surprise. But only if we expect it can we see, hear, or feel it when it comes to us. Let's not be afraid to receive each day's surprise, whether it comes to us as sorrow or as joy. It will open a new place in our hearts, a place where we can welcome new friends and celebrate more fully our shared humanity." -- Henri Nouwen

I hope you get some good surprises in 2013.

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