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Parent and Child Psychological Services PLLC 
941.357.4090 (Office)/ 727.304.3619 (Fax)
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The Mindful Evaluation Process By Dr. Ginger Martin

12/29/2022

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I have been conducting autism evaluations for over fifteen years and have seen every way to do it. I have worked in clinics where time was short and evaluations were rushed, I have worked in settings where detail and the process were valued, and I have even seen some clinics who offer diagnoses via telehealth. In my journey working with this wonderful population, the most meaningful experiences for the child, the family, and myself have been found when the time is taken to truly understand each person’s perspective, concerns, needs, and especially their strengths. I always strive to listen to parents, to honor their concerns, to observe the child and note their most special qualities, to include the providers who work so hard and so closely with the child and family, and to provide feedback that is kind, respectful, thoughtful, and positive. I have told countless families that a diagnosis does not change anything about how wonderful the child is; it simply helps us understand them better and to guide the next steps for support. 

Years ago, when I began to cultivate my practice and determined how I wanted to offer the gold standard in autism evaluations, I determined that it cannot be a rushed process and that all people need to be heard. That is why I sit with the child and family for a detailed intake process, asking specific questions, allowing parents to share stories and examples, and paying attention to what they need as a parent during this process. Allowing the child to play, explore the office, interact with their parents and myself, and become comfortable is an essential part of the evaluation as well. It allows me to start to get to know them, observe nuances of their interactions, and start to build rapport. When the child and parent return for the evaluation session, both are more comfortable and relaxed which offers more opportunity to truly see both strengths and weaknesses during the assessment. I enjoy the playful process of the evaluation, a chance to be silly with your child, and to put everyone at ease. I want to see each child at their best and may even ask mom or dad to join us on the floor; often you can get more from your child and I want to see what they are truly capable of! I always include developmental or cognitive testing as well so that I can get a full picture of your child and their needs. 
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Combined with our intake discussion, parent and teacher forms, and all my observations and assessments I have plenty of information to pour through and compile into a detailed and thorough evaluation report. My goal is to look at all the information with a microscope and then to pull back and look at the big picture and patterns. This allows me to formulate the diagnosis that most truly fits. No one is feeling particularly hopeful when scheduling an autism evaluation for their child and my goal is to put parents’ minds at ease, to allow them to trust my process, and to support them in the journey. The outcome is that most parents leave feedback sessions feeling grateful, relieved, and hopeful about their child’s next steps. We take our time during the feedback meeting, discussing details of the data, offering explanations of my observations, and educating the parent about the diagnosis. Parents are free to ask questions, challenge the data, and to indicate if they feel I truly saw their child. I always provide detailed next steps, a roadmap individualized for your child, and offer continued consultation as needed after the evaluation. My goal is for your child to succeed, for you to know how to best understand and support them, and for everyone to see the gifts each child has to offer. 

Dr. Martin is now accepting new clients for evaluations for ages 2-18 at her office in Venice FL for immediate availability. She provides a comprehensive and collaborative evaluation process to assess for autism or other developmental disorders. Contact mbhschedule@gmail.com to inquire about scheduling.

Mindful Behavioral Health
333 S Tamiami Trail, Suite 283
Venice FL 34285


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Mindfulness During the Holiday Season By Krista Morgan, BS

12/22/2022

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As winter approaches, our daily routines are easily influenced by the changing weather and holiday season. Days feel shorter, despite the additional errands and activities we commit ourselves to during this time of year, and sooner than later you may find yourself lost among the chaos of appeasing others before putting your own needs first. If you are struggling to take care of yourself this holiday season, the below tips and resources can help you cope with the triggers you may face and help you kick off the new year on a more purposeful stroke.

Prioritizing Yourself: Setting Boundaries and Establishing New Expectations in Groups
Spending time with family can feel heartwarming and rejuvenating, but if you often find yourself eventually feeling overwhelmed by family dynamics or socially claustrophobic it is important to listen to the signals your body is sending you and have a plan to remove yourself from the situation in order to stabilize your nervous system. You might notice yourself mentally drifting from the present environment, your body temperature rising, your leg shaking or your fingers rapping, your stomach growing painful or nauseous; these are all signs of anxiety rising and your body telling you it is not comfortable with your surroundings. 

Acknowledging these physiological manifestations of distress is the first step in being able to effectively self-regulate your body. Once you notice the discomfort, it’s important to reflect on what in your environment is causing you to feel so dysregulated in order to respond appropriately. Below are some ways you might take care of yourself in these situations.
    
Proactively, if you know what will trigger you:
  • Create a plan with an accountability partner for how long you will attend an event or what time you will leave
  • Choose to only attend gatherings with people you feel comfortable spending time with
  • If traveling, plan your own accommodations so that you have your own space to retreat to
  • Rehearse responses to personal questions or comments you may not feel comfortable answering in the moment
  • Be transparent but firm about the boundaries you are setting in order to set expectations for your participation, or absence, as necessary
    In-The-Moment, if you notice your stress elevating:
  • Excuse yourself from the interaction and change your environment by leaving that room or surrounding yourself with different people
    • Find your accountability partner whose simple presence may help calm you
    • Go for a walk or find fresh air outside
    • Spend a few minutes in the bathroom using cold water to wash your hands or your face and sit down if you can
  • Do some subtle mindful breathing or grounding exercises
    • 5 5 5 breathing or 2-4 breathing
    • Count your breaths
    • Take a drink of water or a bite to eat
    • Hold an ice cube in your fist
    • Notice what you can physically feel around you
    After the Event, to prepare for next time:
  • Reflect on which stressors affected you and how it made you feel
  • Determine whether your response in the moment was helpful, harmful, or neutral
  • Create a plan for how you will respond in-the-moment next time you experience similar stress
  • Talk through your experience with a trained counselor or therapist

Healthy Routines: Nourishing Your Mind and Body
As schedules are constantly changing to accommodate for hurried errands and festive events, it is easy to get caught up in making sure you accomplish every task without considering your own needs first. This is especially exacerbated by the impact Daylight Savings has on the circadian rhythm our bodies are naturally used to following. Furthermore, being surrounded by others who seem like they are able to handle the stress of this time of year with grace and perfection can negatively impact how successfully you feel like you have managed your own responsibilities. Reference the below reminders to ensure you are supporting yourself before worrying about others during this hectic season.
    
Eat Well and Hydrate
  • Schedule meals into your day if you know you will overlook breakfast, lunch, or dinner
  • Carry snacks and water with you at all times
  • Respond to your body as it lets you know when it feels hungry or satisfied
  • Confer with a trained counselor or therapist if you know you struggle with disordered eating or substance use
    • Large gatherings, especially during religious observances and Thanksgiving celebrations, are often focused on heavy food dishes and alcoholic beverages. These can be dangerous triggers for those who struggle with what and how much to put into their bodies. Prioritize what supports you need in order to be your healthiest in these situations, even if it means limiting your engagement or practicing exposure, as guided by your mental health professional.
    Maintain Regular Routines & Rituals
  • Try your best to avoid adjusting your sleep patterns too often
  • Continue practicing self-care rituals, such as a skincare routine and hair styling, as you normally would
  • If you take any medications or supplements, set reminders if necessary to ensure you do not forget these!

Follow the below resources for more information and guidance on how to approach this holiday season with intention and mindfulness.
  • https://www.mindful.org/meditation/mindfulness-getting-started/
  • https://www.psychologytoday.com/us/basics/mindfulness
  • https://www.nhs.uk/mental-health/self-help/guides-tools-and-activities/
  • https://www.mayoclinic.org/healthy-lifestyle/stress-management/in-depth/stress/art-20047544
  • https://www.verywellmind.com/understanding-and-managing-holiday-stress-3145230

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Understanding the Gifted Application Deadlines in Sarasota County for the 2023-2024 School Year By Tara Motzenbecker, NCSP, LMHC

12/16/2022

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Positive Parenting By Jessica Custer, BA

12/2/2022

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Positive Parenting is a lifestyle that focuses on building a positive relationship with your child and setting firm limits with consistent consequences. Through nurturing, protecting, and guiding, you teach your children that they are important to you and that you believe in them. It is about meeting the physical, emotional, and psychological needs of children and providing effective, and expected consequences. 

Make 1-on-1 Time a Priority

When starting on your Positive Parenting journey, the very first thing you should do is find time every day to spend focused one-on-one time with each of your kids. You can call this “Special Time”, or whatever label makes sense for your family. The important thing is to label this time, so your kids understand that they are going to get your full, undivided attention for a specified amount of time every day. It should be at least 10 minutes per day, and you should do an activity your child chooses.

Start small. Find just 10 minutes each day (per kid) and focus on engaging with them. It won’t take long for you to see the impact of this very small-time investment. Your kids will behave better and contribute more when they feel a sense of belonging.

This quality time is important for kids of all ages. Sometimes older kids will resist hanging out with their parents because it’s not cool. But find things they enjoy and be persistent. Eventually, you’ll find something that works. Kids will begin to look forward to this time with you and start planning their activities.
If you only implement one of these positive parenting techniques, make sure it’s this one. It’s so powerful that it can change your home’s dynamic.

Give Specific, Labeled Praise for Positive Behavior

Praising your child for their accomplishments and being specific about what you like will lead to higher self-confidence and more positive behavior. Giving general praises like, “Good job!” will not be as effective as, “Good job on getting your chores done on time”. An even better praise would be, “You really worked hard on your homework tonight and you must be so proud of yourself”. This will encourage your child to think about how their own accomplishments make them feel and will motivate them to more positive behavior.
 
Give Your Kids Power

Let your kids make choices regularly. Giving them the power to choose will give them a sense of belonging and significance. It will also make them feel like they are a valued member of the family. And letting kids dress themselves, choose between the red cup or the blue cup, or decide if they’ll eat spaghetti noodles or penne noodles for dinner will not impact their day at all, but will allow them to feel some control over their day.

Offer choices any time you feel you might experience a little pushback. For young kids, it can be to offer choices at bedtime. It sounds like this, “We need to sleep now, do you want the nightlight on or off? and do you want the door open, or closed?” By making a choice, your child is not only agreeing to the initial statement of ‘We need to sleep now, but also has some choice in the matter. It makes kids feel powerful, but bedtime is not an option. For an older child you might say that it is homework time, but would you rather do it at the kitchen table or in the living room? Or Would you prefer to have a snack before homework, or after homework?

Focus on Routines

Human beings, kids especially, thrive on routine. When you know what comes next there’s very little to think about or be anxious over. For kids, routines build trust and help develop strong relationships with caretakers. When all the basic routines are in place to take care of all their needs, they are free to focus on the ‘work’ of being children (which is learning through play). Develop routines for all the repetitive processes in your life. Start with bedtime, morning get-ready time, and mealtime. Once you have routines in place and follow them consistently, you’ll get much less pushback from your kids, and those key transition times will go smoothly and quickly.

Look Beyond the Misbehavior

The next time you experience mischievous behavior, stop to consider the cause of the behavior. Usually, behavior has a purpose.  Ask yourself questions, did we miss our special time today? Could she be hungry? Did he not get enough sleep last night? Was there an unusual, stressful situation that popped up today? More times than not you will realize that there’s an outside factor that’s influencing the situation. When you’re able to recognize that your child is HAVING a hard time, and not just trying to GIVE you a hard time, it’s much easier to handle the situation with love, empathy, and grace. If the purpose of the behavior is attention-seeking, see below for the ignoring technique.

Get Plenty of Sleep

This doesn’t seem like much of a positive parenting skill, but it’s an important topic to cover. Sleep is a grossly under-recognized stressor for kids. There’s ample research indicating that children today are not getting enough sleep. Children must get the right amount of sleep to function and develop properly. You might notice that behavior, attitude, and focus improve drastically once your child is getting the right amount of sleep consistently. A nightly routine can be really helpful in helping kids be ready for sleep.

Implementing “Rest Time” or “Quiet Time” can help ensure young kids get enough rest. This is a 60 to the 90-minute period around mid-day where everyone gets a break. Kids can play quietly, read books, or ‘rest their eyes.
 
Spend Time Playing as Your Inner Child

Allow your inner child to come out when you’re engaging with your kids, especially during your one-on-one time. This means you might have to get messy with paint, play pretend with monster trucks, or make a mess in the kitchen to make chocolate sprinkle cupcakes. This is how you’ll build strong relationships and develop lasting memories with your kids.

Some parents resist this positive parenting tool because they hate to pretend play. Tea parties and superhero battles aren’t for every parent, but you can find an activity you both enjoy with a little exploration. Let your child be in charge and guide you. Try baking, coloring, or doing puzzles.

Are you still struggling with this one? You’re not alone. Many parents have a hard time finding their inner child. They just want your time, so don’t overthink it.
 
Use Your Calm Voice

Practice using your calm voice every single day. This is an essential positive parenting skill and it’s surprisingly difficult to master. Many of us have spent our entire lives raising our voices when our blood pressure starts to rise. Developing calming techniques, communicating your feelings and needs in a productive manner, and displaying emotional maturity is key to your success. Let your kids see you using calming techniques like deep breathing, counting, taking a break, and even doing yoga or meditation regularly. Your kids will emulate your behavior. And you will be rewarded with less yelling and more problem-solving from your kids.
 
Stop Playing Referee

Mediating arguments between your kids is exhausting, especially when you were not there when the conflict began. Stop participating as a referee or peacemaker for your kids. Share your decision with your kids ahead of time and inform them of the consequences should conflict occur.

A great positive parenting strategy is to put the kid ‘all in the same boat, meaning the consequence will apply to ALL parties. For example, if they cannot decide who gets to choose the TV show for their 30 minutes of screen time, then they don’t get screen time at all. It can be helpful to role-play some conflict resolution skills before implementing this ‘all in the same boat’ rule.

Create Effective Consequences

Consequences are a basic principle that kids need to learn. Through this positive parenting tool, you can create related consequences for behaviors you want to discourage, or you can let natural consequences occur and let kids learn lessons from life themselves. The key is that consequences need to be related to misbehavior. They should also be realistic, developmentally appropriate, and revealed in advance of the misbehavior. If you don’t follow these guidelines, the consequence will feel like an unfair punishment, and your little one probably won’t learn from it. It is also important to make your commands direct, and specific. Saying, “Please put away the blocks” will be much more effective than, “Will you please put away the blocks?”.

Here are a couple of examples of effective consequences:
  • If you do not do what I asked, you will sit in time out.(consistent and expected)
  •  You may not throw your iPad. If you throw your iPad, we will put it away for the rest of the day. (Related Consequence)
  • I cannot pick you up from school today. If you forget your umbrella, you will probably have to walk home from school in the rain. (Natural Consequence)
 Be sure to follow through every time consistently.

Require Contributions from Everyone
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Chores are a huge battle for many families. Gather your family and discuss how each person can contribute to the family to achieve common goals. Kids should contribute to the family because they are part of the community. You can use chore charts at the beginning to help everyone remember and give small rewards to reinforce following through.
For example, in my family, we all contribute around mealtime. I often plan and cook the meals, the kids set the table and help with cleanup, and my husband washes dishes. Implement a routine to make these contributions just part of the way your family operates. There are plenty of ways even the littlest of kids can contribute. It will give your kids a huge hit of belonging and significance.

Tips for Success

Start Slow
First, don’t try to implement every Positive Parenting tool and strategy on day one. Start slow. Master one strategy before moving on to another. You’ve probably been parenting differently for months or years. Many positive parenting techniques require you to build new habits. Sustainable change happens over time. Don’t feel pressured to move quickly. Build your positive parenting skills at a pace that is manageable for you.

Recognize Positive Parenting as a Lifestyle
Positive Parenting is not a quick fix to discipline problems you’re currently struggling through. It’s a lifestyle, and it needs to be implemented over time. You won’t get the results you’re looking for if you don’t commit to a long-term lifestyle change.

It’s a Process for the Whole Family
Positive Parenting isn’t just a ‘kid’ strategy. It’s a lifestyle for the entire family. You’ll have to change some of your behaviors. It’s necessary for you to face some of your skill gaps. It requires patience, persistence, and sometimes perseverance.

Stick With It
Don’t throw in the towel without giving it a true chance. You will get out what you put in. Spend time understanding and implementing the tools. Make the effort to change your bad habits. If you push through the struggles, you’ll reap the rewards.

Handle Setbacks with Grace
Every family is different. Each child is unique. Some tools will work better for your family than others. Realize that your Positive Parenting solution will be unique to your family, and face setbacks with grace. When you make mistakes, own up to them, talk about them with your kids, and plan to do better next time. One of the great things about using positive parenting techniques is that they don’t require perfection to make an impact.

Ignore Small, Attention-Getting Misbehavior
When children do small, attention-getting behaviors, like whining, or interrupting, ignoring the behavior is your best strategy. This does not mean letting them get away with it, but actively ignoring, and giving no attention to the behavior and waiting until positive behavior resumes to give attention will reinforce the positive behavior. Be sure to praise the positive behavior as soon as it happens following a behavior you are ignoring. For example, if your child is interrupting, you can ignore the behavior completely, this is not easy- especially at first, and the interrupting may escalate at first, but if you continue to ignore (no eye contact, or responding verbally at all), then as soon as he backs off and starts doing something else, or maybe steps back to wait, you quickly praise the behavior, “Thank you so much for waiting until I was finished, I really like it when you wait your turn”. This will reinforce the positive behavior you are looking for and diminish the annoying behavior. Keep in mind ignoring won’t work if there is another gain that the child is getting from the behavior, like cheating on a game, or stealing a cookie from the cookie jar. Those behaviors will have to be addressed with consequences.


References
CDC. (2021, September 23). Child Development: Middle Childhood (9-11 years old) | CDC. Centers for Disease Control and Prevention. https://www.cdc.gov/ncbddd/childdevelopment/positiveparenting/middle2.html

Parent-Child Interaction Therapy - Official Site. (n.d.). PCIT - Official Home. Retrieved November 17, 2022, from https://www.parentchildinteractiontherapy.com

Positive parenting. (n.d.). NSPCC Learning. Retrieved November 17, 2022, from https://learning.nspcc.org.uk/research-resources/leaflets/positive-parenting/


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    Parent and Child Psychological Services is a private practice serving children and families in the Sarasota, Florida area. The practice is owned and operated by Dr. Gibson, a Licensed Psychologist who is Board Certified in Clinical Child and Adolescent Psychology. ​

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Parent and Child Psychological Services PLLC 
info@childtherapysrq.com
941.357.4090 (Office)
727.304.3619 (Fax)                                                                                                                                                               
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