Join our expert, collaborative team! NESCA is hiring full- and part-time pediatric neuropsychologists in our Newton, MA and Londonderry, NH locations. Read more about the position details, requirements, benefits, and how to apply on our Careers page: https://nesca-newton.com/neuropsychologists/.

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balance

154

Learning to Ride a Bike: A Rite of Passage

By | NESCA Notes 2021

By: Jessica Hanna MS, OTR/L
Occupational Therapist, NESCA

If there is one positive takeaway from the COVID-19 pandemic, it’s the ever-growing love for being outdoors. It’s spring, the flowers are blooming, the sun is out, and the air is light. Everything in our body is telling us to go outside and play.

For many kids with and without disabilities, bike riding is meaningful, liberating, and a rite of passage. Close your eyes and try to remember the first time you rode a two-wheel bike. Can you remember the color of your bike? The smell in the air? The complete joy it brought you? That was the day we all felt a bit more confident and like we grew a bit taller.

So how do we help our children achieve this meaningful occupation? The days of running behind our children while holding onto their bike seat, telling them to pedal, not to stop, and hoping for the best and that they will forgive us when we let go (when we clearly promised we would not let go!) should be far behind us. But are they?

A lot goes into learning how to ride a bike, so do not let your child give up so soon when it takes more than a couple of days, weeks, or months to get it right. Consider the following skills that are addressed in learning to ride a bike:

  • Attention and concentration
  • Bilateral coordination
  • Balance
  • Body awareness
  • Core strength
  • Hand-eye coordination
  • Motor planning
  • Postural stability
  • Sensory processing
  • Upper and lower extremity strength
  • Visual scanning

Children as young as five years of age will begin to acquire and develop the skills needed to ride a two-wheel bike, and still others may not feel ready until they are pre-teens or even into adulthood.

Before getting started, here are a couple things to consider regarding the equipment involved in learning how to ride a bike:

  • Bike – The height of the bike is a crucial element to success when learning how to ride. When seated on the bike, your child’s feet should be firmly planted on the ground. The bike seat may appear too low and the bike too small; however, this technique enables movement security, engages proper core and postural stability, and increases confidence.
  • Braking System – Be sure to learn the difference between hand brakes vs. coaster brakes (using feet to backpedal). Both braking systems have pros and cons. Hand brakes are a personal favorite. They are more flexible to position, offer better control, but require adequate hand strength and coordination to manipulate. Coaster brakes (using your feet to pedal backward to brake) use an intuitive motor planning motion for children. When you pedal forward, you go; when pedaling backward, you stop. They are helpful for children who lack the hand strength skills to wrap and squeeze their hands around a hand brake; however, they provide awkward foot positioning and the constant tendency to backpedal.
  • Helmet – Safety, Safety, Safety! When handling a bike for any occasion (i.e., walking a bike, doing balance drills on a bike, or riding a bike), it should become an automatic habit to wear a helmet. Your child should be in charge of putting on and taking off their helmet independently. There is nothing more important than wearing a helmet that fits correctly with fasteners that can be easily manipulated. When choosing a helmet, be cognizant of the type of fastener/clasp it comes with and if your child has the fine motor skills to adjust it (this skill could take time to learn).If you are unsure if your child’s helmet is a good fit, any cycling store will be more than pleased to assist in finding your child the most appropriate size. 
  • Pedals – When learning to ride for the first time, the removal of pedals should be highly considered. It provides the opportunity to address balance, core, and postural stability for both younger and older children while also increasing movement security.
  • Training Bike – Which is best…balance bikes vs. training wheels? Balance bikes are light in weight and can be introduced to children at a much younger age than a pedal bike. They promote core strength and increase motor planning, sequencing, and balance training skills, making the transition from a balance bike to a two-wheel pedal bike more fluid and easier to manage. Training wheels promote ease in learning motor planning techniques to push on pedals while providing assisted balance. It’s important to note that removing the balance component can be disadvantageous when transitioning from training wheels to a two-wheel pedal bike.

Overall, the literature supports the observation that, for children with and without disabilities, learning to ride a bike is a popular activity that increases confidence, provides opportunities for shared recreation with families and peers, and promotes social inclusion (Dunford, Bannigan, Rathmell (2016).

Several of the many clinical diagnoses of children who can ride a bike follow here; however, this list is certainly not inclusive of the many other diagnoses that do not preclude children from bike riding:

  • ADHD
  • Anxiety
  • Autism Spectrum Disorder
  • Cerebral Palsy
  • Developmental Coordination Disorder
  • General learning disability
  • Hearing impairment
  • No diagnosis

The art of bike riding can be broken down into various steps, from learning how to use the kickstand to the act of pedaling. Each step deserves attention, because through repetition and practice, confidence is achieved.

If using these tips feels difficult or is not helping your child with the level of focus and skill they need to successfully achieve their goal to use a bike, we recommend reaching out to your occupational therapist or getting an occupational therapy evaluation. If in-person direct services continue to be a concern, biking riding skills can be offered via telehealth from the comfort of  your home. Jessica offers successful biking riding drills and adaptive home exercise plans through telehealth that address the skills required to learn to ride a bike. Contact NESCA’s Director of Clinical Services Julie Robinson, OT, to learn more at: jrobinson@nesca-newton.com.

 

References
Dunford, Bannigan, Rathmell (2016) Learning to ride a bike: Developing a therapeutic intervention. Children Young People & Families Occupational Therapy Journal 20(1) 10-18

 

About the Author

Jessica Hanna has over 10 years of pediatric OT experience in conducting assessments and providing treatment of children and adolescents with a broad range of challenges and disabilities, including autism spectrum disorders, sensory processing disorders, visual impairments, cerebral palsy, executive function deficits and developmental disorders of motor function. Prior to joining NESCA, Jessica trained and worked in a variety of settings, including inpatient and outpatient hospital settings, private practice, schools and homes. She has served on interdisciplinary treatment teams and worked closely with schools, medical staff and other service providers in coordinating care. In addition, Jessica provided occupational therapy services at Perkins School for the Blind and Spaulding Rehabilitation Hospital pediatric inpatient unit, where she conducted comprehensive evaluations and interventions for children with a broad range of presentations.

 

To book an appointment or to learn more about NESCA’s Occupational Therapy Services, please fill out our online Intake Form, email info@nesca-newton.com or call 617-658-9800.

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

6

Helping Your Anxious Child through COVID-19

By | NESCA Notes 2020

 

Almost a year into Covid-19, many of us can use this blog as a reminder when our children exhibit signs of anxiety from learning of new developments with the pandemic; friends, family or others testing positive for Covid-19; or returning to school. The guidance shared in this blog still holds true, nearly one year since many of us went into lockdown and schools shuttered. 

 

By Yvonne M. Asher, Ph.D. 
Pediatric Neuropsychologist

A recent New York Times article by Jessica Grose discusses ways to support your child, specifically helping them to feel less anxious, during the COVID-19 situation. Their “top 4” suggestions are great ones – validate their feelings, manage your own anxiety, aim for some kind of predictable routine and try mindfulness or progressive muscle relaxation activities.

The larger consideration in this case is this: anxiety, particularly in the current situation, is normal. We can label it with clinical words, give you our best clinical tools and recommend that you seek help (and please do!). At the same time, if we take a large step back, being anxious right now is exactly how we are meant to feel. We are social beings, designed to live in the community and support one another through face-to-face social interactions. When something threatens our safety, or the safety of our families, it is normal to respond with fear, worry and hypervigilance. Everyday interactions that would typically result in no response, like hearing someone nearby cough or sneeze, all of a sudden have become indicators of a threat. Even having others in close proximity to us is now a threat, meaning that the social communities in which we are supposed to thrive have now become potentially dangerous places. In this new environment, our bodies, well-attuned and primed to handle threats, are doing what they should do – they are putting us on “hyper-alert mode,” keeping us exceedingly sensitive to these threats so that we can avoid them and preserve our safety.

Children are in this mode, too, albeit with far fewer resources to help mitigate their fear and worry. As adults, we have far more lived experience with threats, anxiety, fear and worry, and we can use this experience to manage our responses to this novel situation. For children, this may be the first time they are struggling with persistent worry and fear. Or, they may have struggled to cope with other fears and worries for a long time, and this new stressor has overwhelmed their system. In either case, it is important to normalize fear and anxiety, in addition to the myriad of other emotions that children may be experiencing.

The key is balance. We have to balance validating and normalizing feelings with reinforcing unhealthy habits. What does that look like? One dimension to consider is time – validating and normalizing feelings is a short acknowledgement that the child is heard, understood and believed. On the other hand, repeatedly discussing the same questions or topics, engaging in persistent conversations about the threats and explaining “adult” information to children (especially dire predictions, long-term impacts, etc.) is not healthy. These behaviors may appear to decrease anxiety in the short-term, but over time, can be detrimental.

Another important consideration is space – focusing on what is happening in the present is important to help children process and understand the radical changes that are impacting their day-to-day lives. However, if you find that your conversations linger on the past or the future, try to shift back to the present. Your mind may be filled with regrets from the past (e.g., “I knew we should have stocked up on their favorite snack last time we were at the store”) or fears for the future (e.g., “My parents are elderly and at high risk”), and these thoughts are entirely normal. At the same time, when talking with children, it is important to try as much as possible to focus on the here and now. Of course, it is important to give children the space to express their fears for the future, and we can and should acknowledge and validate these fears. We can also, simultaneously, bring children’s focus back to the present and back to tangible, concrete things that they can do (e.g., “I know you are really worried about grandma, and it’s sad that we can’t see her right now. Everyone is working hard to keep her safe, and we are going to call and talk to her later today”).

For some children, advanced intellectual abilities may allow them to understand (at least, in some sense) a great deal of the information that is portrayed on the television and news media. However, it is important to remember that, while their cognitive abilities are years ahead of their peers, their emotional development is not. It may be necessary to closely monitor their online activity, as they may be seeking out information (which is a normal response to fears, especially fear of the unknown) without having the critical thinking abilities to understand the source or potential biases in the way the information is presented. On the other hand, some children may struggle to understand the situation, either because of their young age, learning disability or other developmental delays. If this describes your child, consider putting together a story, with pictures and words, to help them understand some basic information (e.g., why we can’t go to school right now, why we can’t go play with friends). This is often referred to as a “social story,” and clinicians at NESCA can help you create one specifically for your child.

Last, and most certainly not least, seek help and support for yourself, your child or anyone in your family who is struggling. While experiencing anxiety during these times is normal, when these thoughts and feelings are taking over your child’s daily life (or your own), it may be time to look for assistance. Many clinicians, including here at NESCA, are available via phone or videoconferencing, and we can assist with a range of concerns. Whether you want a brief consultation to help you respond to persistent questions from your child or whether your child has a pre-existing anxiety disorder that is exacerbated by these challenging times, we are here to help.

 

About Pediatric Neuropsychologist Dr. Yvonne Asher:

Dr. Yvonne M. Asher enjoys working with a wide range of children and teens, including those with autism spectrum disorder, developmental delays, learning disabilities, attention difficulties and executive functioning challenges. She often works with children whose complex profiles are not easily captured by a single label or diagnosis. She particularly enjoys working with young children and helping parents through their “first touch” with mental health care or developmental concerns.

Dr. Asher’s approach to assessment is gentle and supportive, and recognizes the importance of building rapport and trust. When working with young children, Dr. Asher incorporates play and “games” that allow children to complete standardized assessments in a fun and engaging environment.

Dr. Asher has extensive experience working in public, charter and religious schools, both as a classroom teacher and psychologist. She holds a master’s degree in education and continues to love working with educators. As a psychologist working in public schools, she gained invaluable experience with the IEP process from start to finish. She incorporates both her educational and psychological training when formulating recommendations to school teams.

Dr. Asher attended Swarthmore College and the Jewish Theological Seminary. She completed her doctoral degree at Suffolk University, where her dissertation looked at the impact of starting middle school on children’s social and emotional wellbeing. After graduating, she completed an intensive fellowship at the MGH Lurie Center for Autism, where she worked with a wide range of children, adolescents and young adults with autism and related disorders.

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

To book an appointment with Dr. Yvonne Asher, please complete our Intake Form today. For more information about NESCA, please email info@nesca-newton.com or call 617-658-9800.

 

5

Helping Your Anxious Child through COVID-19

By | NESCA Notes 2020

By Yvonne M. Asher, Ph.D. 

Pediatric Neuropsychologist

A recent New York Times article by Jessica Grose discusses ways to support your child, specifically helping them to feel less anxious, during the COVID-19 situation. Their “top 4” suggestions are great ones – validate their feelings, manage your own anxiety, aim for some kind of predictable routine and try mindfulness or progressive muscle relaxation activities.

The larger consideration in this case is this: anxiety, particularly in the current situation, is normal. We can label it with clinical words, give you our best clinical tools and recommend that you seek help (and please do!). At the same time, if we take a large step back, being anxious right now is exactly how we are meant to feel. We are social beings, designed to live in the community and support one another through face-to-face social interactions. When something threatens our safety, or the safety of our families, it is normal to respond with fear, worry and hypervigilance. Everyday interactions that would typically result in no response, like hearing someone nearby cough or sneeze, all of a sudden have become indicators of a threat. Even having others in close proximity to us is now a threat, meaning that the social communities in which we are supposed to thrive have now become potentially dangerous places. In this new environment, our bodies, well-attuned and primed to handle threats, are doing what they should do – they are putting us on “hyper-alert mode,” keeping us exceedingly sensitive to these threats so that we can avoid them and preserve our safety.

Children are in this mode, too, albeit with far fewer resources to help mitigate their fear and worry. As adults, we have far more lived experience with threats, anxiety, fear and worry, and we can use this experience to manage our responses to this novel situation. For children, this may be the first time they are struggling with persistent worry and fear. Or, they may have struggled to cope with other fears and worries for a long time, and this new stressor has overwhelmed their system. In either case, it is important to normalize fear and anxiety, in addition to the myriad of other emotions that children may be experiencing.

The key is balance. We have to balance validating and normalizing feelings with reinforcing unhealthy habits. What does that look like? One dimension to consider is time – validating and normalizing feelings is a short acknowledgement that the child is heard, understood and believed. On the other hand, repeatedly discussing the same questions or topics, engaging in persistent conversations about the threats and explaining “adult” information to children (especially dire predictions, long-term impacts, etc.) is not healthy. These behaviors may appear to decrease anxiety in the short-term, but over time, can be detrimental.

Another important consideration is space – focusing on what is happening in the present is important to help children process and understand the radical changes that are impacting their day-to-day lives. However, if you find that your conversations linger on the past or the future, try to shift back to the present. Your mind may be filled with regrets from the past (e.g., “I knew we should have stocked up on their favorite snack last time we were at the store”) or fears for the future (e.g., “My parents are elderly and at high risk”), and these thoughts are entirely normal. At the same time, when talking with children, it is important to try as much as possible to focus on the here and now. Of course, it is important to give children the space to express their fears for the future, and we can and should acknowledge and validate these fears. We can also, simultaneously, bring children’s focus back to the present and back to tangible, concrete things that they can do (e.g., “I know you are really worried about grandma, and it’s sad that we can’t see her right now. Everyone is working hard to keep her safe, and we are going to call and talk to her later today”).

For some children, advanced intellectual abilities may allow them to understand (at least, in some sense) a great deal of the information that is portrayed on the television and news media. However, it is important to remember that, while their cognitive abilities are years ahead of their peers, their emotional development is not. It may be necessary to closely monitor their online activity, as they may be seeking out information (which is a normal response to fears, especially fear of the unknown) without having the critical thinking abilities to understand the source or potential biases in the way the information is presented. On the other hand, some children may struggle to understand the situation, either because of their young age, learning disability or other developmental delays. If this describes your child, consider putting together a story, with pictures and words, to help them understand some basic information (e.g., why we can’t go to school right now, why we can’t go play with friends). This is often referred to as a “social story,” and clinicians at NESCA can help you create one specifically for your child.

Last, and most certainly not least, seek help and support for yourself, your child or anyone in your family who is struggling. While experiencing anxiety during these times is normal, when these thoughts and feelings are taking over your child’s daily life (or your own), it may be time to look for assistance. Many clinicians, including here at NESCA, are available via phone or videoconferencing, and we can assist with a range of concerns. Whether you want a brief consultation to help you respond to persistent questions from your child or whether your child has a pre-existing anxiety disorder that is exacerbated by these challenging times, we are here to help.

 

About Pediatric Neuropsychologist Dr. Yvonne Asher:

Dr. Yvonne M. Asher enjoys working with a wide range of children and teens, including those with autism spectrum disorder, developmental delays, learning disabilities, attention difficulties and executive functioning challenges. She often works with children whose complex profiles are not easily captured by a single label or diagnosis. She particularly enjoys working with young children and helping parents through their “first touch” with mental health care or developmental concerns.

Dr. Asher’s approach to assessment is gentle and supportive, and recognizes the importance of building rapport and trust. When working with young children, Dr. Asher incorporates play and “games” that allow children to complete standardized assessments in a fun and engaging environment.

Dr. Asher has extensive experience working in public, charter and religious schools, both as a classroom teacher and psychologist. She holds a master’s degree in education and continues to love working with educators. As a psychologist working in public schools, she gained invaluable experience with the IEP process from start to finish. She incorporates both her educational and psychological training when formulating recommendations to school teams.

Dr. Asher attended Swarthmore College and the Jewish Theological Seminary. She completed her doctoral degree at Suffolk University, where her dissertation looked at the impact of starting middle school on children’s social and emotional wellbeing. After graduating, she completed an intensive fellowship at the MGH Lurie Center for Autism, where she worked with a wide range of children, adolescents and young adults with autism and related disorders.

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

To book an appointment with Dr. Yvonne Asher, please complete our Intake Form today. For more information about NESCA, please email info@nesca-newton.com or call 617-658-9800.

 

1

Understanding Chinese Medicine on a Deeper Level

By | NESCA Notes 2019

Breaking down a common pathology and get it in balance this spring

By Holly Pelletier, L.Ac.
Licensed Acupuncturist

If you are alive today, chances are you have some form of one of the most common Chinese medical diagnoses, Liver Qi stagnation. Let me break down this complex, and presumably new, terminology.

Liver (LV)—In Chinese medicine, all of the meridian systems are named after organs in the body. When we talk about Liver, Spleen or the Heart, for example, and you see it with a capital letter, the scope of the word’s meaning is much larger. When you see Liver in this post, know that it means the energetics of the organ as well as the organ itself. This includes the meridian system, the emotional connection and the actual physical lines in the body the meridian comprises—in this case, the inner leg line or your adductor muscles.

Qi—Qi = Energy (roughly). Everything is Qi, just like everything is energy—physics taught us this, and, well, there is no arguing with physics!

Stagnation—This one is simple. Stagnation simply means the stuck-ness of something/that something is not moving.

Pathology—A pathology is an imbalance in your system. Altogether, Liver Qi stagnation pathology is an imbalance caused by something not moving along your Liver meridian.

Now that you know the breakdown of the pathology, how do you know if you have Liver Qi stagnation? Let’s look at some common signs that might signal you have some (or a lot) of this imbalance.

Possible symptoms

Irritability, depression, displaced anger, tight muscles, pain anywhere in the body, restlessness, PMS, headaches, irregular and/or painful periods, constipation, inappropriate anger, frustration, abdominal pain/discomfort, mood swings, sighing, sensation of a lump in the throat, excessive sleep or hiccups. 99% of individuals have at least one of these common imbalances on a regular basis.

What causes LV Qi stagnation?

Stress and lack of movement are two BIG players, and the Liver organ system is actually most susceptible to imbalance in the Springtime. During spring, the above-mentioned symptoms can flare more easily. To take care of this organ system, now is the time to pay more attention to it, before we are fully into the spring season.

Why is it important to pay attention to this?

Understanding how your body works and how the seasons affect us is the first step in your own personal health journey. This is one of the foundational principles of Chinese medicine as a preventative means to wellness.

When the Liver is in balance, it is a strong force to be reckoned with. You’re more likely to experience a lot of forward progress, determination and healthy amounts of focus and clarity in completing a particular “job” (think of a job as dreams, hopes, desires).

Unfortunately, many people have the mindset of, “If I’m not sick, I’m healthy.” The problem with that is we are not trained to see symptoms of early illness or disease. For the most part, we do not know how to correct imbalances early on or properly deal with emotions—i.e. not pushing them down or not taking them out on those who do not deserve it. We don’t know how to tap into the energy of the body and world around us to create an environment and a lifestyle conducive to optimal health. We will have pain and brush it off, or a nagging headache and say that’s normal, when in reality these are symptoms our body is trying to tell us about an imbalance! We need to learn to listen and to tap in EARLY if we want to live a healthy, disease-free life.

What’s more is that a MAJOR cause of disease is stagnation. There is usually some form of stagnation in every illness or ailment, and the Liver is the organ system in charge of clearing, moving and breaking up stagnation.

3 Easy Tips to Balance your Liver Qi this Spring!

1. Move!

The best way to take care of your Liver and harness the energy of this organ system is to move your body. There is so much flexibility with this—whatever you like to do to get moving is A-OK. Try walking, biking, yoga or dancing! Anything goes…just get going TODAY!

If movement and exercise is totally out of your lifestyle at the moment, start with small tricks like taking the stairs or parking further away so you have a longer walk through the parking lot!

2. Let emotion out in a healthy way!

When I first did therapy, my therapist introduced me to a “rage room.” It took me about three years to actually use it, but when I did, I felt amazing! My rage room back then consisted of a punching bag that we hit with a bat, but there are so many ways to release pent up emotions so they don’t stagnate and lead to disease.

Some easy and accessible examples are:

  • Scream while alone—in the car, woods or at your house when no one else is around. Note: If you are thinking about this in terms of your child, which undoubtedly many of you are, it is good to encourage them to let out emotion. Help them find a safe space they can do it in.
  • Jump up and down, shaking out your limbs (really effective)
  • Run or jog
  • Practice Vinyasa Yoga
  • Write a “rage page” in your journal where you get all of your feelings out (Note: the secret to this is that you must throw the page away after and never look back at it again. We are letting things out, NOT trying to dwell on them more).
  • Take an exercise class, like kickboxing

3. Get acupuncture, or at least acupressure!

Schedule an acupuncture session with a licensed practitioner—stick to an acupuncturist and not someone who just does “dry needling,” which doesn’t offer the benefits of a well-rounded treatment that addresses your root pathology, whether that be Liver Qi stagnation or something else.

If that is not in the cards for you, start tuning in to your own body. Begin with self-massage—the feet and hands are good places to begin—between the webbing of the fingers and the toes, in particular, and assess for stagnation. How can you tell if there is stagnation? If there is pain, sensitivity, built-up heat or cold, or numbness/tingling.

As you start to become intuitive with your own body, remember: Pain = Stagnation = Energy not flowing = built-up accumulation = disease at some point in the future. Start to get friendly with your own energy and begin to understand your body more!

 

About the Author:

Holly Pelletier, licensed acupuncturist, has been working with children, adolescents and young adults, in many different capacities since 2004. Prior to treating youth with acupuncture, she worked as a teacher, coach and mentor. She especially enjoys working with young people and acupuncture because of their speedy response time and genuine excitement about this form of medicine.  For more information about acupuncture at NESCA and our new ‘Acupuncture & Mindfulness’ program for teens, please email Holly Pelletier at hpelletier@nesca-newton.com. For more blog posts by Holly check out her personal blog: www.holisticallyinspired.org.

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton and Plainville, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

 

To book an appointment with Holly or other Integrative Treatment providers at NESCA, please fill out the intake form and note that you would like to see Holly.

0

“Vitamin G” Project

By | NESCA Notes 2018

By: Ann-Noelle McCowan, M.S., RYT
Guidance Counselor; Yoga Specialist

Each school year I observe the fluctuations of student and adult stress, and each August the return of relaxed and recharged kids and adults.  For many, summer means a slower pace and longer days filled with activities that bring joy and support our health and happiness. Time with family, friends, and pets bonds us with others. We’re connected with nature through the fullness of trees or the heat of the sun, and our perspectives are turned outward with less time inside on screens and gaming devices.  We’re renewed with less packed schedules, fewer alarms, more sleep, and our bodies are nourished by eating outside, less complicated meals and more fruits and vegetables. So how can summer’s ease and joy build our resilience to handle the natural unavoidable stressors of the school year and seasonal changes? By starting a gratitude practice.

Gratitude practices that amp up “Vitamin G”  have been shown to help people feel better about their lives, experience higher levels of positive emotions and have fewer physical problems or even feel less pain. Vitamin “G” helps us act kinder and more generous towards others, feel less stress and then handle stress better when it shows up, as well as get more exercise, eat healthier and sleep better!  Neuroscientists have said that our brain has a “negativity bias” where our minds respond like velcro for bad thoughts and Teflon (non-stick) for good thoughts. Vitamin “G” to the rescue!  When we are thankful, it helps stop negative thoughts and increases the feel-good chemicals like dopamine and serotonin. Summer naturally provides time and opportunities to teach kids about gratitude, to practice the crucial ability to notice and acknowledge things in their life that bring them pleasure. Now how to begin…

  • Start by thanking your own children and help them learn about appreciation. Don’t worry too much about younger kids who might say they are thankful for a toy, you are building the idea of gratitude. It’s the practice, not perfection. Feel free to connect Vitamin G to other important nutrients or times when you have asked them to thank others.
  • Use age-appropriate language: we are going to learn how to name/ acknowledge/ build an account or recording of things that make us feel happy/ appreciative/ lucky/grateful. Give some examples of the benefits of Vitamin “G”. Explain that deposits to this “bank account” builds a mind that feels happier, less stressed and healthier.
  • Decide how you want to recognize daily gratitude. It could be a journal, a jar, a shared blog, drawings, colleagues, voice or video recordings, or a routine prayer with your child at night. I’ll expand on how to build a gratitude jar but experiment and choose what works for your child and family.
  • Gratitude Jar: Essentials are a writing utensil, slips of paper and a vessel to store your “gratitude slips” in. You could have your child pick one or two shades of colored paper or a special pen for recording, the jar could be decorated with pictures of things they enjoy or a beloved pet or kept blank to view the collection.
  • Cut up a few different sizes of rectangle slips of paper, or print a few prompts if that works for your child. Examples of prompts could be: Today I loved… I’m thankful for….. I appreciate that … I’m grateful for… I liked it when … I felt happy when….I feel good when.
  • Make a commitment to model this on a daily or routine schedule with your child, start recording and watch their account grow.

Your Vitamin G  project will hold beautiful recollections of summer as well as teach your child an important habit of mind and useful stress buster tool. Starting a gratitude practice will build resilience and empower them to find moments of happiness and goodness even when summer ends. Enjoy and have fun!

 

About the Author: 

Ann-Noelle provides therapeutic yoga-counseling sessions individually designed for each child. NESCA therapeutic yoga establishes a safe space for a child to face their challenges while nourishing their innate strengths using the threefold combination of yoga movement, yoga breath, and yoga thinking.

Ann-Noelle has worked with children and adolescents since 2001 and practiced yoga and meditation since 2005. Since 2003 she has been employed full time as a school counselor in a local high performing school district, and prior to that was employed in the San Francisco Public Schools. Ann-Noelle received her dual Masters Degree (MS) in Marriage, Family and Child Therapy (MFCC), and School Counseling from San Francisco State University in 2002, her BA from Union College in New York, and her 200 hour-Registered Yoga Credential (RYT) from Shri Yoga. Ann-Noelle completed additional Yoga training including the Kid Asana Program in 2014, Trauma in Children in 2016 and Adaptive yoga for Parkinson’s in 2014.

For more information on the therapeutic yoga at NESCA, please visit  https://nesca-newton.com/yoga/

 

 

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.

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Acupuncture for Mental and Emotional Spectrum

By | NESCA Notes 2018

 

By: Holly Pelletier, L.Ac.
Licensed Acupuncturist

Acupuncture is a gentle approach to health care that utilizes energy meridians in the body to help facilitate and unblock areas of stagnation and congestion. There are many different ways to perform an acupuncture treatment, some don’t even require the use of needles. Because acupuncture works to restore balance in the body, it can literally work for anything. In fact, some of my favorite things to work with lie on the mental-emotional spectrum; it works wonders for anxiety, depression, stress, obsessions/compulsions, and ADHD. It can also treat everything from digestive disorders to insomnia.

Acupuncture is a great preventative medicine, so you do not need some big serious main complaint to get treated. In fact, I recommend seeking treatment before anything arises, and even after your symptoms clear! I strongly encourage patients to continue treatments as a preventative and maintenance approach to their health.

For more information or to set up a consult and/or treatment please feel free to email me at hpelletier@nesca-newton.com.

 

About the Author: 

Holly Pelletier has been working with children of varying ages, in many different capacities since 2004. Prior to treating kids with acupuncture, she worked as a teacher, coach, and mentor. She especially enjoys working with children and acupuncture because of their speedy response time and genuine excitement about this form of medicine. Acupuncture is a wonderful healing modality because children’s bodies are very adaptable, and, being so young and not yet deeply affected by the stresses of life, children generally show signs of response to acupuncture quickly.

Holly has a very gentle technique and has specific training in non-insertive acupuncture styles, which does not require needling directly into the skin. Acupuncture is great for many different concerns because it’s focus is that of bringing balance back to a body where this has been disrupted. Therefore, basically any form of imbalance can be helped with acupuncture. Common imbalances kids seek treatment for, are stress, anxiety, digestive issues, headaches, low energy/motivation, and fluctuations in mood.

Holly is licensed by the Massachusetts Board of Medicine and by the National Certification Commission for Acupuncture and Oriental Medicine. She graduated from the New England School of Acupuncture at MCPHS University in Newton, MA where she studied Japanese and Chinese acupuncture styles, along with Chinese herbology.

For more written by Holly, check out her personal blog, www.holisticallyinspired.org

 

 

 

 

Neuropsychology & Education Services for Children & Adolescents (NESCA) is a pediatric neuropsychology practice and integrative treatment center with offices in Newton, Massachusetts, and Londonderry, New Hampshire, serving clients from preschool through young adulthood and their families. For more information, please email info@nesca-newton.com or call 617-658-9800.