Latest / Dr Justin Coulson's Happy Families / #82 Anxiety
Transcript
- 0:00Speaker 1: This is the Happy Famili's podcast, the podcast for the time,
- 0:03Speaker 1: Poor Parent who just wants Answers Now. Doctor Justin Coolson
- 0:07Speaker 1: sharing today on the issue of anxiety. How do we
- 0:10Speaker 1: recognize it in our children? And then what do we
- 0:13Speaker 1: do if we do recognize it? I'm Susie. Luke's here
- 0:15Speaker 1: as well. Let's get into it.
- 0:17Speaker 2: Well, so glad you're here.
- 0:19Speaker 3: Yeah, we need you because basically I don't know how
- 0:23Speaker 3: we parent without you in our house.
- 0:24Speaker 1: We've had a child diagnosed with social anxiety. So recognizing
- 0:29Speaker 1: anxiety in our kids big topic for us, but I
- 0:32Speaker 1: think it is for a lot of family.
- 0:33Speaker 4: Yes, statistically, anxiety is My friend Michael Gross has just
- 0:38Speaker 4: written a book about anxiety and kids with doctor Jodie Richardson,
- 0:41Speaker 4: and they call it the common cold for kids in
- 0:44Speaker 4: the psychological world.
- 0:46Speaker 5: It's being diagnosed all over the place.
- 0:47Speaker 4: It's such a such a big deal and so debilitating
- 0:51Speaker 4: for our kids, as you would be experienced.
- 0:52Speaker 3: Is there a perception that is getting worse or is
- 0:54Speaker 3: there just a perception that we've been neglectful of understanding it.
- 0:57Speaker 4: Oh, I think there's a whole host of things, Luke.
- 0:59Speaker 4: There's there's arguments that is being over diagnosed. There's certainly
- 1:03Speaker 4: an argument that the definition has expanded and the criteria
- 1:06Speaker 4: for meeting it has been loosened, so therefore more people
- 1:09Speaker 4: are experiencing it. There's also the idea that the more
- 1:12Speaker 4: people know about it, the more they're identifying it within themselves.
- 1:15Speaker 4: Once upon a time, we didn't talk about this stuff.
- 1:16Speaker 4: Now everybody's going, oh, well, I have anxious moments, maybe
- 1:18Speaker 4: I've got anxiety.
- 1:20Speaker 5: We're seeing.
- 1:22Speaker 4: There's evidence that we're overprotecting our children and our paranoid parenting.
- 1:27Speaker 4: I mean, you think about it. If you're paranoid, your
- 1:30Speaker 4: kids are going to be paranoid. I'm using the word loosely,
- 1:32Speaker 4: by the way, Please, I'm being a little bit living
- 1:34Speaker 4: a bit loose.
- 1:36Speaker 5: But you know, if the research shows that if we're highly.
- 1:38Speaker 4: Controlling as parents, and I recognize as soon as I
- 1:42Speaker 4: say this, that some parents are going to start introspectively
- 1:45Speaker 4: getting anxious about the most skilled person talking about anxiety
- 1:48Speaker 4: can still invoke anxiety in others.
- 1:50Speaker 5: So a little bit of a trigger warning here.
- 1:52Speaker 4: But if you, as a parent are highly controlling, what
- 1:55Speaker 4: happens is you're essentially saying to your child, I believe
- 1:57Speaker 4: that the world is unsafe, and therefore I need to
- 1:59Speaker 4: control and under control what you're doing and where you're
- 2:01Speaker 4: going and who you're being with, because I don't think
- 2:03Speaker 4: that anything is safe. What your child learns, therefore, is
- 2:05Speaker 4: that the world is unsafe, and so they become anxious
- 2:08Speaker 4: because they believe the world's unsafe because you've taught them
- 2:10Speaker 4: the world is unsafe. As you see their anxiety and
- 2:12Speaker 4: their unwillingness to try new things or go new places
- 2:15Speaker 4: or experience novel events. What then happens is you think, oh,
- 2:18Speaker 4: my goodness, my child is anxious, so I need to
- 2:20Speaker 4: protect them even more.
- 2:21Speaker 5: So we get this cycle, which is terribly damaging.
- 2:24Speaker 4: Now the evidence shows that parents are much more controlling
- 2:29Speaker 4: and much more anxious than they ever have been. But
- 2:31Speaker 4: this can be overcome. And I'm certainly not shaming parents
- 2:35Speaker 4: right now, nor am I trying to make them feel
- 2:36Speaker 4: guilty or anxious about their parenting, just highlighting a trend
- 2:40Speaker 4: that seems to be increasingly evident when we look at
- 2:43Speaker 4: how parents are doing.
- 2:45Speaker 5: The good news is we can work around this.
- 2:47Speaker 4: But I think the most important thing is we've got
- 2:48Speaker 4: to be able to recognize what anxiety is.
- 2:50Speaker 1: Well, let's start at that point. Then, if we're looking
- 2:52Speaker 1: at recognizing anxiety in our children, what is anxiety?
- 2:56Speaker 4: Well, we could get really technical, but you can find
- 2:58Speaker 4: the technical stuff on the end. Look up the Diagnostic
- 3:01Speaker 4: and Statistical Manual. It's the kind of like the Bible
- 3:03Speaker 4: for psychologists, a psychiatrists, people who work in medical and
- 3:06Speaker 4: medical areas around mental health. They use the DSM and
- 3:09Speaker 4: it's got all the fancy definitions of what anxiety actually is.
- 3:12Speaker 5: For our purposes, for our.
- 3:13Speaker 4: Conversation today, I think it's easy to keep it fairly simple.
- 3:16Speaker 4: Anxiety is the brain's natural response to something that could
- 3:21Speaker 4: harm us. So if we experience anxiety, what happens is
- 3:25Speaker 4: the amigdala, the part of the brain that's in charge
- 3:28Speaker 4: of regulating fear responses. In our emotional brain, it says,
- 3:33Speaker 4: watch out, watch out, watch out, stay away, And all
- 3:36Speaker 4: of a sudden we're on alert, we're on higher work
- 3:38Speaker 4: because the anxiety increases, need to stay away from this.
- 3:42Speaker 5: That's kind of what anxiety is.
- 3:43Speaker 4: It's a fear response that says I need to be
- 3:45Speaker 4: aware something bad might happen here.
- 3:48Speaker 2: Well, that's not a bad thing, not all.
- 3:49Speaker 3: That's actually a good level of anxiety should be warning
- 3:54Speaker 3: us to.
- 3:55Speaker 4: This is what I say to parents all the time.
- 3:56Speaker 4: If your kids are a bit anxious, or if you're
- 3:58Speaker 4: a bit anxious, be glad. Anxiety keeps us safe. The
- 4:02Speaker 4: problem with an anxiety disorder or somebody who is just
- 4:05Speaker 4: highly or over anxious, so let's not even get into
- 4:07Speaker 4: the psychopathology just a really anxious kid is that they
- 4:11Speaker 4: start to get anxious about everything. They start to see
- 4:13Speaker 4: something to be worried about in everything. And what research
- 4:17Speaker 4: tells us with kids that have got anxiety is that
- 4:19Speaker 4: they're actually drawn to threatening information. And so something that's
- 4:22Speaker 4: completely ambiguous, something is not really dangerous at all, nothing threatening,
- 4:28Speaker 4: they will hear it and wonder, I wonder if I
- 4:31Speaker 4: could perceive something dangerous about that. And what then happens
- 4:34Speaker 4: is they tend to dwell on it for much longer.
- 4:36Speaker 4: They ruminate, they cogitate, They're like, oh, my goodness, do I.
- 4:41Speaker 5: Need to be worried about this?
- 4:42Speaker 4: I think that I should be worried because this sounds
- 4:44Speaker 4: like it could be scary. You know, at the dinner table,
- 4:48Speaker 4: we might say something about what we're going to get
- 4:49Speaker 4: up to this weekend, and it could be completely innocuous,
- 4:52Speaker 4: completely safe, or.
- 4:53Speaker 5: I might have a little a degree of ambiguity.
- 4:55Speaker 4: We're going to go for a walk in the hints
- 4:57Speaker 4: land and when we walk up there, it just make
- 4:59Speaker 4: sure it's away from the edge, because there are going
- 5:01Speaker 4: to be some cliffs, and all of a sudden, one
- 5:03Speaker 4: child's going to be like, Oh, that sounds awesome. We're
- 5:05Speaker 4: going to have family time, we're going to be in nature,
- 5:06Speaker 4: we're going to be exploring, we're going to be adventuring.
- 5:08Speaker 4: And the child who has that predisposition towards anxiety says, oh,
- 5:12Speaker 4: I don't want to do it, because if there's cliffs,
- 5:15Speaker 4: something might happen to me or somebody that I love,
- 5:17Speaker 4: and they ruminate over it and they're drawn to that
- 5:20Speaker 4: aspect of the information. So that's kind of what's going
- 5:22Speaker 4: on in the meigals going O red alert and the
- 5:25Speaker 4: prefrontal cortex, the part of the brain that's in charge
- 5:27Speaker 4: of thinking things through logically, gets overridden.
- 5:31Speaker 3: Our nephew one time asked a question when he was
- 5:34Speaker 3: going on school camp. Is there palm trees, sorry, coconut trees,
- 5:38Speaker 3: And they said, yes, there's some coconut trees around. He said,
- 5:40Speaker 3: I'm not going, and he refused to go because a
- 5:43Speaker 3: week earlier, someone had said more people die from coconuts
- 5:46Speaker 3: falling on your head, whatever the fun stat was, and
- 5:50Speaker 3: he just went, if there's coconut trees, I could die.
- 5:52Speaker 5: Great example.
- 5:52Speaker 4: Now when I'm saying that that young man has anxiety,
- 5:55Speaker 4: but what we're saying is that if we've got a
- 5:57Speaker 4: predisposition mentally to be drawn towards those kinds of things
- 6:00Speaker 4: that can invoke anxiety inn and invoke an anxiety response.
- 6:04Speaker 1: Okay, so understanding what the problem is, then justin how
- 6:07Speaker 1: do we as parents recognize that in our children.
- 6:10Speaker 4: Let me give you a list. I've actually come prepared
- 6:13Speaker 4: today for the first time ever. I've got a list
- 6:14Speaker 4: of ten things. Now we could do a list of
- 6:16Speaker 4: twenty things or thirty things. There are so many ways
- 6:18Speaker 4: that anxiety shows up, but the ten most common that
- 6:21Speaker 4: I sort of scribbled down at these. If you're dealing
- 6:25Speaker 4: with school refusal, there's a reasonable argument that there could
- 6:30Speaker 4: be some anxiety. There could be any name of other
- 6:31Speaker 4: reasons as well, but certainly school refusal is one way
- 6:34Speaker 4: that anxiety shows up. Anger is a big one, because
- 6:37Speaker 4: kids don't know how to control their emotions, so they
- 6:39Speaker 4: just have these outbursts and it's not that they're actually angry,
- 6:41Speaker 4: it's that they're scared. Anger is a secondary emotion. It
- 6:45Speaker 4: comes from somewhere else, in this case, fear and anxiety.
- 6:49Speaker 4: You know that anxiety could be showing up if your
- 6:51Speaker 4: child says what if and you give them an answer
- 6:53Speaker 4: and say, yeah, but what if?
- 6:55Speaker 5: What if?
- 6:55Speaker 4: And no matter how logical you are and how many
- 6:57Speaker 4: answers you give them, they.
- 6:58Speaker 5: Keep saying what if, what if? What if?
- 7:00Speaker 4: That could be an indication that their brain is in
- 7:02Speaker 4: over protection mode. Tears, lots and lots of tears, and specifically,
- 7:07Speaker 4: I don't know, and you said, but what about this?
- 7:09Speaker 5: I don't know? And the kids just don't have an
- 7:11Speaker 5: answer for anything. They just don't know anything at all.
- 7:14Speaker 4: You know, when they can't walk, you know, when their
- 7:17Speaker 4: limbs are so sore, that's an indication that there could
- 7:20Speaker 4: be some anxiety. When they can't sleep, when they're jittery
- 7:22Speaker 4: and bouncy, when they've got to saw tummy, when they're
- 7:25Speaker 4: feeling sick, or when they're just super clingy they don't
- 7:28Speaker 4: want to let you go, especially if they're fifteen or sixteen,
- 7:31Speaker 4: but even when they're four or five, or six or seven.
- 7:34Speaker 4: These are ways that anxiety shows up. There are other ways,
- 7:37Speaker 4: of course, this is a short list, but it sort
- 7:39Speaker 4: of gives you an indication of how we might sit.
- 7:42Speaker 1: Okay, so we've got the problem of anxiety, how to
- 7:45Speaker 1: recognize it. We've got a few clues there. So if
- 7:47Speaker 1: we start to recognize some of these things and we
- 7:49Speaker 1: actually think maybe our child is anxious, what do we
- 7:52Speaker 1: do well?
- 7:53Speaker 4: We could spend two weeks talking about that on the show.
- 7:57Speaker 4: I don't think that we have time for time.
- 7:58Speaker 2: We've got time.
- 8:00Speaker 5: Okay, let's go.
- 8:03Speaker 2: Well, just or.
- 8:06Speaker 5: I reckon.
- 8:07Speaker 4: There's a couple of things that might be helpful. The
- 8:09Speaker 4: first is that we don't argue against it. We don't
- 8:11Speaker 4: try to tell each other they're being silly, to cut
- 8:13Speaker 4: it out, to stop it, that they're overreacting. That doesn't
- 8:17Speaker 4: tend to be helpful. Instead, a little bit of empathy
- 8:18Speaker 4: can go a really long way. And the best way
- 8:21Speaker 4: for me to describe that, rather than giving you words
- 8:23Speaker 4: or a technique, is to provide a metaphor. I may
- 8:26Speaker 4: have actually used this metaphor before when we've had conversations.
- 8:31Speaker 4: The metaphor of the balance beam seems really apt to me.
- 8:35Speaker 4: Your child's walking along the balance beam of life. It
- 8:37Speaker 4: looks like they might topple. Anxiety is they're starting to topple,
- 8:41Speaker 4: you know, And when you see them start to fall,
- 8:43Speaker 4: you've got a couple of options. You can watch them
- 8:45Speaker 4: land on the ground, which doesn't sound particularly kind, or
- 8:49Speaker 4: you can jump up and give them a great big
- 8:50Speaker 4: hug and carry them across the balance beam yourself and say.
- 8:53Speaker 5: Look, you made it.
- 8:53Speaker 4: Everything's okay, it's all done. But that's not necessarily helpful either,
- 8:57Speaker 4: because our kids have actually got to walk across that ball.
- 9:00Speaker 5: It's been themselves. That's what life is all about.
- 9:02Speaker 4: I think that it's much more helpful if we recognize
- 9:05Speaker 4: that they're starting to feel anxious, they're starting to feel worried,
- 9:08Speaker 4: and empathy and encouragement look like this. We reach up
- 9:11Speaker 4: and metaphorically put a hand on their leg while they're
- 9:13Speaker 4: up there on that beam, and we say, I can
- 9:15Speaker 4: see you starting to tip, but I've got you.
- 9:18Speaker 5: I'm here.
- 9:19Speaker 4: I know that you're a little bit nervous. I know
- 9:21Speaker 4: you're a little bit worried about this. I know it's
- 9:23Speaker 4: causing you a little bit of stress. But I'm right
- 9:25Speaker 4: here with you. How can I help? So what we're
- 9:29Speaker 4: doing is We're saying, I get it, I know it's
- 9:32Speaker 4: hard for you, and I'm right beside you. But we're
- 9:34Speaker 4: also saying very clearly, while I'm not going to let
- 9:37Speaker 4: you fall, I will not carry you because you've got
- 9:41Speaker 4: to walk across this beam yourself. We're setting a really
- 9:44Speaker 4: clear boundary saying I've got all the empathy in the world.
- 9:46Speaker 5: Now I want to encourage you.
- 9:48Speaker 4: And so we say I'm going to take my hand
- 9:50Speaker 4: off now and I want you to take the next step.
- 9:52Speaker 5: I know you can do this. Empathy and encouragement.
- 9:55Speaker 1: Yeah, that's good because I think sometimes it's good to
- 9:58Speaker 1: remember that whole idea of saying to our children, I
- 10:02Speaker 1: can't do this for you. You have got to be
- 10:04Speaker 1: the one to do this, but what can I do
- 10:06Speaker 1: to help is a really good, safe approach. I think
- 10:09Speaker 1: about it, even just in relation to our children. One
- 10:11Speaker 1: of our sons had an operation recently and he did
- 10:14Speaker 1: really well. He wasn't super anxious about it. But I
- 10:16Speaker 1: found myself getting that way. But that became a good
- 10:19Speaker 1: question to ask myself, is what do I need to
- 10:21Speaker 1: help myself through this? As an adult, I can ask that,
- 10:25Speaker 1: but as a child, we don't think too, so we
- 10:27Speaker 1: as the parent need to kind of provide that question.
- 10:30Speaker 4: Right, So empathy and encouragement kind of goes, I see
- 10:33Speaker 4: how hard this is for you, and I'm here. That's
- 10:36Speaker 4: the empathy part, and then the encouragement part is how
- 10:39Speaker 4: can I help? And if they say I want you
- 10:41Speaker 4: to do it for me, you say, I can't lay
- 10:43Speaker 4: on the operating table for you. I wish I could,
- 10:45Speaker 4: but I can't do that.
- 10:46Speaker 5: But I'm right here. What else can I do? How
- 10:48Speaker 5: can I help?
- 10:49Speaker 4: The second thing that I was going to suggest is breathing.
- 10:54Speaker 5: There's power and breath. There's power in you know, taking
- 10:59Speaker 5: good deep breath.
- 11:00Speaker 4: There's all sorts of apps, there's websites, there's instructions all
- 11:04Speaker 4: over the internet. I'm not going to go Different breathing
- 11:06Speaker 4: techniques work for different ways for different people. But I reckon,
- 11:09Speaker 4: as a parent, if you've got a child who feels anxiety,
- 11:12Speaker 4: it's worth investing half an hour on the internet to
- 11:15Speaker 4: find the right one for you and for your child
- 11:17Speaker 4: and give it a go. It's remarkable how breathing and
- 11:20Speaker 4: mindfulness can reduce anxiety and restore much more effective thinking.
- 11:27Speaker 3: I know, hearing what you say. It always resonates with me,
- 11:31Speaker 3: and I know how powerful it is. But what you've
- 11:33Speaker 3: got is a responsive peace and a responsive calm and
- 11:37Speaker 3: control from the parent. Usually when we see these symptoms
- 11:40Speaker 3: of anxieties, they can come up in moments where we're
- 11:42Speaker 3: not feeling that right, and so our response to those
- 11:45Speaker 3: symptoms of anxiety is to yell, to get frustrated, to
- 11:48Speaker 3: force them through. And then what we feel afterwards when
- 11:51Speaker 3: we realize we've done it wrong is a whole lot
- 11:53Speaker 3: of guilt and shame as a parent that that's how
- 11:56Speaker 3: we responded. But I mean, is it just as simple
- 11:59Speaker 3: as Okay, I know how I should respond. So I'm
- 12:02Speaker 3: going to keep working on preparing myself because you don't
- 12:04Speaker 3: always predict when they're going to come out.
- 12:06Speaker 5: No, that's right.
- 12:06Speaker 4: And the most common thing that I hear from parents
- 12:08Speaker 4: when their child's going through some sort of anxiety moment
- 12:11Speaker 4: is would you.
- 12:12Speaker 5: Just calm down, Calm down, calm down, calm down.
- 12:14Speaker 4: And what child has ever looked at their parent in
- 12:16Speaker 4: that moment and said, right, good reminder.
- 12:22Speaker 5: Three deep breaths and I'll be fine.
- 12:24Speaker 2: Don't be silly.
- 12:25Speaker 3: You're right.
- 12:27Speaker 5: They don't do that at all.
- 12:28Speaker 4: You know, I get this question all the time. People say,
- 12:32Speaker 4: justin you always calm. The answer is no, not always,
- 12:34Speaker 4: but most of the time. And the reason that I
- 12:36Speaker 4: am is I've practiced, and every time I've got it wrong,
- 12:40Speaker 4: I've gone, hmm, Okay, that was that moment that I
- 12:42Speaker 4: got wrong. Next time, how am I going to respond?
- 12:44Speaker 4: And every time you get it right, you're like, oh,
- 12:47Speaker 4: nailed it.
- 12:47Speaker 2: Yeah, it feels great, it feels.
- 12:50Speaker 4: Amazing, and it feels so good that you can sort
- 12:52Speaker 4: of say, well, if I can do it once, I
- 12:54Speaker 4: can do it again. And I'm sure that anybody listening
- 12:57Speaker 4: to this right now knows that in their child's anxious moment,
- 13:00Speaker 4: they've completely blown it, but they've also got it absolutely
- 13:03Speaker 4: right at different times. We concentrate on the times we
- 13:05Speaker 4: got it right. Forget the steps, because you're.
- 13:07Speaker 5: Going to forget them anyway.
- 13:09Speaker 4: Just be the kind of person who is kind and
- 13:11Speaker 4: responsive and encouraging.
- 13:13Speaker 5: That's all. That's all you need to do.
- 13:15Speaker 3: I had a moment recently where Susie had a couple
- 13:17Speaker 3: of days, you know, with Royden in hospital, and I
- 13:20Speaker 3: was taking care of two children by myself, and they
- 13:23Speaker 3: were beautiful with each other, and they were so beautiful
- 13:26Speaker 3: with me and they did everything they were asked first
- 13:28Speaker 3: time like this was this was unbelievable. And so the night,
- 13:32Speaker 3: the first night with them and the next morning the school,
- 13:34Speaker 3: there was just so much calm and peace because they
- 13:37Speaker 3: were just so incredible, and they joked about it and times.
- 13:40Speaker 2: And said we've been like the best ever, like we've
- 13:41Speaker 2: never been that good for Dad and I.
- 13:44Speaker 3: During the day, I thought, I don't want my calm
- 13:48Speaker 3: to be down to how well behaved they are as kids.
- 13:51Speaker 2: I should have more control than that. So then the
- 13:54Speaker 2: next afternoon and the next morning, when they weren't quite
- 13:57Speaker 2: as responsive, I was pre planned in those spaces to go,
- 14:01Speaker 2: I'm going to be calm no matter what they do.
- 14:05Speaker 3: This is who I want to be.
- 14:06Speaker 2: And it was hard.
- 14:06Speaker 3: There was one point where I literally I almost got
- 14:09Speaker 3: mid sort of a little sort of yell reaction, and
- 14:13Speaker 3: I caught myself and turned it into that, haha, I'm
- 14:17Speaker 3: just joking that I'm getting worked out, boys, But it
- 14:23Speaker 3: was It took me being the pre thought of who
- 14:27Speaker 3: I wanted to be as a dad before those moments
- 14:29Speaker 3: came that enabled me to do that.
- 14:30Speaker 4: Yeah, so hard to do, but the more you practice it,
- 14:33Speaker 4: the easier, it gets great story.
- 14:35Speaker 5: Love hearing you share that.
- 14:36Speaker 2: Doctor Justin Wilson is our guest.
- 14:38Speaker 3: Thank you so much. This is a really important conversation,
- 14:40Speaker 3: one that's very significant to have, and thank you for navigating.
- 14:44Speaker 2: Us through it.
- 14:44Speaker 5: That's a pleasure. Thanks.
- 14:46Speaker 1: For more information on this and many other topics, head
- 14:49Speaker 1: to the Happy Families website. It's happy families dot com
- 14:52Speaker 1: dot au. If, of course, you're interested in chatting with
- 14:55Speaker 1: Justin yourself or having him speak at your event, find
- 14:57Speaker 1: out more details at Justinkilson Come