Tag Archives: Dr. Harvey Karp

Parents With Disabilities Need The Happiest Toddler on the Block Techniques

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I usually write about children with disabilities, but today’s post is about parents with challenges.  As an occupational therapist that sees children in their homes through the Early Intervention program, I meet all kinds of parents.  This includes parents with disabilities of their own.  Some parents have vision or hearing issues, some have orthopedic issues (try lifting a toddler all day with a bad back!}), and some have emotional or cognitive issues.  I have worked with parents with addictions and parents that were intellectually challenged.  I may have seen it all, with the exception of parents in wheelchairs and parents that are deaf.  But my career isn’t over yet; there is still time.

They all have had one thing in common:  parenting small children is even harder when you have a disability.  Not impossible, and no reason to think that they cannot do a good or even a great job.  But it is definitely harder to raise children when you have a disability.  Small children are demanding, in a 24/7, self-centered manner.  That is normal, that is the natural state of a young child.  It doesn’t make it any easier.  There are no coffee breaks, there is no weekend off.  Not unless you have willing relatives or friends that will come over or take care of them in their own homes.

The Happiest Toddler on the Block techniques are methods to teach children self-regulating skills and strategies to help children learn to communicate their needs and feelings without aggression or defiance.  They don’t require an advanced degree, and they could save you from going to a therapist yourself, just to complete a sentence that doesn’t start with “For goodness sake,….!”

Parents with disabilities often think that what they need most are the skills or the capacity that they lack.  And I am not going to tell you that being able to see well, hear well, move easily or have boundless energy wouldn’t be a good thing.  But if a child is able to calm down, wait for a snack or a toy, follow directions and even assist the parent in accomplishing something, life gets so, so much better.  Just the removal of stress from tantrums and whining makes everyone’s life better.  You are able to focus and work out how to get things done and feel good about yourself as a parent.  Children that can self-regulate are better able to handle the frustrations of life, and better able to empathize with others.

If you are a parent with a disability, or you know such a parent, please share this post with them.  Tell them to read Why Telling Your Child “It’s OK” Doesn’t Calm Him Down (And What To Do Instead) , Stretch Your Toddler’s Patience, Starting Today! and Use The Fast Food Rule For Better Attunement With Your Child for some useful strategies that start turning things around right away.

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Why You Still Need the 5S’s, Even If You Bought a SNOO

 

 

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Want peace?  Of course you do!

OK, I won’t make you wait to get the answer to this question:  your newborn won’t spend all day, every day, in the SNOO!  Don’t know what the SNOO is?  The SNOO smart sleeper was designed by pediatrician Dr. Harvey Karp as a bassinet that uses many of his fabulous Happiest Baby on the Block techniques to soothe your newborn for sleep.  It effectively quiets and calms newborns with the touch of a button (almost).

After seeing what the SNOO can do, you may WANT to leave her there all day, peacefully dozing away.  That isn’t a reality for most parents.  After the first few weeks, and sometimes earlier than that, you will want or need to take your little bundle out of the SNOO and out of your home.  You may visit your parents, go shopping, go to the park with older children, etc.  Uh-oh!  The SNOO can’t come with you!  Oh, and by the way, leaving your little one in any device with her head against a surface for too many hours of the day places her at risk for “positional plagiocephaly”.  Yes, giving your child a flattened skull.  The same cranial bones that are malleable enough to slide through the birth canal can be deformed by letting a child lie in one position too long.  So no, you cannot leaver her in the SNOO all day long!

We know that the agitated screaming that is called colic starts on average at 2 weeks after the due date, and peaks around 6-7 weeks of age.  For the great majority of babies, serious digestive problems and other medical issues aren’t the reason for all that crying.  Babies are often just too little to be able to handle the complexity of post-uterine life in those first few months.  Combine individual temperament, limited brain development, and the big shift to the external world’s demands, and their tiny nervous systems get overwhelmed and they end up screaming.  Loudly, and often for a long, long time.  Parents get exhausted and discouraged.  The SNOO does provide the neuro-developmental needs these tiny babies have so they can calm down.    But asking the SNOO to solve your baby’s problems all day long is going to mean that you will have to be tethered to it for months!

Thank goodness you don’t have to!  Before he developed the SNOO, Dr. Karp created the 5 S’s  New Baby? Exhausted? Try The 5 S’s To Pull Things Together.  Dr. Karp’s 5 S’s are what will save your sanity when you pop him out of the SNOO and take your show on the road.  Knowing how to swaddle, shush, swing, use sucking and the side/stomach positioning (for calming, not sleep) will make your whole day better and more flexible.  I teach the Happiest Baby concepts in classes and in individual consultations, and I think that every parent should learn the 5S’s and buy the SNOO.

If the SNOO’s steep price tag has you hesitating, then you definitely need to learn the 5 S’s.  Get the video or go to a class.  But don’t think that you are a bad parent or that your baby is in trouble because of all that crying.  Most newborns are just fine; they just need your help to pull themselves together until they are old enough and skilled enough to do it themselves.  Learn to give your baby what she needs, and you all can sleep a little bit better this week!

 

Looking for more information on the 5 S’s and helping your baby calm for sleep and feeding?  Take a look at Successful Swaddling May Take More Layers of Calmness and Why Some Newborns Look Like They Hate To Be Swaddled.  As a nationally certified Happiest Baby educator, I love to help parents learn what their little one needs to settle down and make that “fourth trimester” transition!

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Sensory Sensitivity In Toddlers: Why Responding Differently to “Yucky!” Will Help Your Child

Sensory sensitivity and aversive behaviors are among the most common reasons families seek occupational therapy in Early Intervention.  Their kids are crying and clinging through meals, dressing, bathing and more.  What parents often don’t see is that they can help their child by being both empathic and educating them throughout the course of the day.

My clinical approach has matured over the years from the standard OT treatments to a whole-child and whole-family strategy.  One important part of my approach is to alter how adults react to their children.  It isn’t complex, but it is a shift away from thinking about the problem as being exclusively “my child’s issues with sensory processing”.  Once adults understand the experience a child is having from the child’s point of view, they can learn to respond more effectively to a child, and get results right away.

I recently did a therapy session with a toddler and her mom.  When the child became overwhelmed by her dog barking and rushed to her mom to be picked up, I warmly and clearly said “You want up?” twice while using explicit body language to convey calmness, while the mom looked at her child but didn’t scoop her up right away.  The child turned to look at me, stopped whining and dropped her shoulders.   She relaxed at least 50%, stuck her thumb in her mouth for about 30 seconds, then started to play quite happily.  What I know is that this short interaction affected her body’s level of neuro-hormonal arousal, her thinking about how adults handle sensory events, and her memory of how she feels when she is overstimulated changed. I believe that those differences physically change the wiring of her brain in a small but meaningful way.

I cannot take full credit for this strategy; I used the Fast Food Rule from Dr. Harvey Karp  Use The Fast Food Rule to Help ASD Toddlers Handle Change.  I am using it for therapeutic means, but it the same tantrum-defusing method he developed.   I responded with loving calmness to her over-the-top reaction, acknowledging her request while not granting it. She was “heard” and accepted.   I gave her a moment to come up with an alternate response (quick thumb-suck and then search for fun a fun toy).

This little girl has a habitual reaction to sensory input that puts her into a fear-flight pattern on a regular basis.  Cuddling her works for the short-term, but it leaves her seeking adult assistance for any fears, and it doesn’t give her any skills to handle things or suggest that she could handle situations differently.  Shifting her habitual reactions to  these benign events is essential to make progress, and telling her that it was “just the dog barking” doesn’t work.

Why?  Because Dr. Karp will tell you himself that toddlers hear you saying”just” as if you were telling them “you are wrong”.   They protest more to make you exactly see how upset they are.  Explaining things rationally doesn’t help a little person in the throes of emotion.  Modeling calmness while acknowledging their feelings is what helps them learn and grow.

Your child is wiring his brain every moment of every day. Your sensitive child is assessing all of your reactions to learn about what is a danger and what is not.  His brain, not his hands, are interpreting the world as irritating or frightening.  Your reactions to events and to his responses will help to hardwire his brain to believe something is scary, or challenge him to adapt and change that automatic pattern of response.  It isn’t all psychological, it is neurobiological as well.  Most researchers don’t differentiate between the two any longer.  They know that biology drives thought and that thought can alter biology.  The rubber meets the road right here, right now, in your own home!

OTs working with sensory processing disorders generally believe that an aversive response to a benign stimulus (hysteria when touching lotion or oatmeal) is not a skin issue or a mental health issue, but a brain interpretation gone wrong.  There are many reasons why this would happen, but most of us believe that experience and exposure, done well, can change the brain.  Some exposure is done with programs like the Wilbarger Protocol, the use of weighted or pressure garments, and many other great therapeutic techniques.  Changing adults’ responses hasn’t been researched nearly as much, but my clinical experience tells me it probably should be.  I know that teaching parents how to shift their behavior has made a difference for my clients almost immediately.

Good therapy can diminish a child’s aversions substantially, and even create exploration and excitement.  It is wonderful to see a formerly anxious child move through her day exploring and enjoying the world around her!

Does your sensitive toddler struggle with toilet training?

 The Practical Guide to Toilet Training Your Child With Low Muscle Tone is my new e-book (hard copies can be obtained by contacting me directly) that may help you tonight!  Sensory-based strategies can really help children with sensitivity, and good instruction minimizes all the multi-sensory mess that training can become when you don’t know what to do.  Your child doesn’t need to have severe issues with low tone.  Many children have both sensory sensitivity and low muscle tone.

Visit my website tranquil babies, and click “e-book” on the top ribbon to learn more about this unique book!

Overwhelmed With Your Toddler’s Demands? How To Cut Tantrums in Half!

 

Do I have your attention?  Good, because to achieve this amazing feat you will need to learn some new techniques, and understand your toddler’s perspective more clearly.  Take a look at two of my popular posts on toddler behavior, then practice a bit until your new communication skills shine.  The posts that will teach you some new ways of responding are Stretch Your Toddler’s Patience, Starting Today!  and  Taming Toddler Tantrums Using Sympathetic Reframing.  They give you easy strategies to use two of the best Happiest Toddler on the Block techniques.  These moves build listening skills and enhance cooperation in little people who are prone to big reactions.  Tantrums happen less often when toddlers feel heard and feel powerful.  You still are the parent.  Set limits and create consequences, but start here to get your toddler calm first.

Why change yourself in order to change your toddler?  Because they are waiting for you to show them how to behave, and waiting for you to reward them for their great progress.  You are teaching them skills, and so you have to model them.  Trust me, this isn’t that hard to learn.  Once you see a potential tantrum dissipate into the air, you will want to practice these techniques all the time!

You need to know a few things about the toddler mind.  It isn’t the same as the kindergartner mind, and certainly not the elementary school mind.  It’s an immature brain, running on very little frontal lobe power and a lot of amygdala and hippocampus use, all in a frenzy.  Add sugar, some taunting from an older brother, shake gently, and watch the “fun” erupt!  But that is life, so accept that your toddler is who he is, and teach him some skills to manage his reactions.

I will mention that these techniques will come in handy in about 10 years, when you have an emotional teen standing in front of you!

Here are some highlights that you should know about the toddler mind while you practice:

  • They haven’t mastered language, so talking more isn’t helpful.  Pare down the amount of words you use, and use more expressions/ gestures to express yourself.
  • They always react emotionally, not logically.  Your responses have to acknowledge their feelings, rational or not, or you are going to increase tantrums, not stop them.
  • Brains grow slowly, like trees.  Don’t expect that success once or twice means you can stop using these techniques.

Yes, I am really promising you an actual 50% reduction in tantrums .  Maybe not today, since it does take some time to become really good at the Fast Food Rule and Patience Stretching.  And maybe not when you are in the nightmare trifecta of a very tired child who is also feeling ill and is changing schools or caregivers.  That is a super-stressed child!  All bets are off then, but I think you will be able to diminish even these tantrums.  But all those other tantrums over broken cookies and not being allowed to stand on the table?  The Happiest Toddler methods can help you stop those before they even start.

The other great Happiest Toddler on the Block techniques such as Gossiping and Playing the Boob ( Dr. Karp, I wish you would rename that one!) support a warm and loving relationship with your toddler, and they will give you another 10-15% reduction in tantrum severity, depending on how much your toddler needs a more positive connection with you right now.  But just these two techniques from Dr. Harvey Karp will give you more smiles and less whining, all day long!

Low Tone and Toilet Training: Parents And Children Need To Work Together

This one is simple to explain, but not so easy to achieve with some kids.  Children whose interactional pattern is defiance or whining are going to be much harder to train, regardless of whether or not they have significant issues with low muscle tone.  In fact,  I would rather coach a very physically unstable but cooperative child than a toddler with mildly low tone but a firm commitment to resist any adult request.   If both parties aren’t able to work together, things may not go well.  At all.

Toddlers and preschoolers are known for their tendency to love the word “no”.  Did you know that, developmentally, the high-water mark for hysteria and the reflexive “no” is between 18 and 24 months?  Yup, that’s when language skills haven’t emerged to support expressing feelings and comprehending adult reasons. It is when emotional fuses are neurologically short, as in that forebrain is still sooo immature.   They really can’t handle their emotions at all on a brain level.  They have just left that sweet-baby phase where they want to please you more than anything, and they can’t be quite as easily distracted from bad behavior now.  This is a generalization, and there are some parents reading this that are thinking “We never got that lovely baby phase.  He went from crabby infant to bossy toddler!”  Well, I sympathize,  and I still invite you to read on.  All is not lost.  As language, emotional and reasoning skills slowly grow, a child who still falls apart easily and rages constantly isn’t always at the mercy of neurology as much as not having some basic coping skills.  It’s time to work on them before you jump into potty training.

Toddlerhood is long, all the way up to 5 years-old, and I won’t minimize the tantrums and agitation that can emerge.  This extended path to greater maturity is why I bought, devoured and constantly use The Happiest Toddler on the Block, Dr. Harvey Karp’s great book on building toddler coping skills. Half of the benefit is learning to both listen to and talk to toddlers in a way that calms things down.  I could not do my work as a pediatric occupational therapist with as much joy and enthusiasm as I have without these strategies.  Thanks, Dr. Karp!

For parents of children with language, communication or cognitive issues that result in developmental delays, your child may be 4 years-old but their other skills that are closer to 18 months old.  You can still toilet train.  Has your child been diagnosed on the autistic spectrum?  You can still train them.  Really.  The process may take longer and you may have to be both very creative and very consistent, but it can be done.  Job #1 is still the same: building a cooperative and warm relationship.

If your days are defined by defiance and whining, you need to learn all of the Happiest Toddler techniques that reduce frustration, including Patience Stretching and the Fast Food Rule.  Stretch Your Toddler’s Patience, Starting Today! You need to use “time-ins” for shared fun and warmth without a goal in mind.  You could try some of the more language-based techniques such as Give It In Fantasy and Gossiping.  And of course, you need to look at your approach to setting limits. All that love is great, but if your child knows that there are no consequences to breaking family rules or aggression,  your plan is in trouble.  Dr. Karp’s techniques aren’t intended to be a toilet training plan, but they set the stage for learning and independence.  Those are the ultimate goals of toilet training!

If you would like a more detailed or more personal level of support, visit my website tranquil babies  and purchase a consultation (in the NY metro area) or a phone/video consult!

 

First Father’s Day? You Might Be the Best Baby Calmer In The House

Fathers are often the partners that jump right into practicing the Happiest Baby on the Block techniques.  They “shush” loud and long, they do the quick jiggle (for swinging) with enthusiasm, and they can usually use just one arm to support a newborn on it’s side to calm them.  Moms are in awe of their guy who couldn’t stand to change a diaper and was too nervous to even hold that baby a few weeks ago.  Go, Daddy!

Women do not have the corner on the comforting market.  Yes, they can nurse a baby to calm them, but not every fussy baby is a hungry baby.  Men can be a warm, yet rock-solid, source of physical comfort for children.  The Happiest Baby techniques seem more intense than a standard soft cuddle.  It’s because they are more intense.  Not dangerous in any way, but designed to give newborns a replication of the more sensory-rich womb experience .  Dr. Karp’s awareness of temperament and early development refine that basic concept to give newborns what they need to pull it together, get calm, and get some sleep.  Giving them more touch, more movement and more loud and steady white-noise sounds all together is the key.  The fact is that learning these techniques are new to moms as well helps a father not be intimidated by the “natural” knowledge of women.  The truth is that no one is born knowing what to do, and you can’t google it either.  The parents I teach are pretty much on a level playing field for this stuff.  And the men sometimes amaze me with their new skills.

Happy Father’s Day to all the dads who have stepped up their game, and mastered the easy way to calm their newborns!

 

How Early Can You Use The Happiest Toddler Approach?

Something happens to babies between 12 and 18 months.  The adorable little child that could be easily distracted from grabbing your earrings, ate anything you offered, and smiled when you praised him is replaced by someone whose favorite word is “NO!!”, delivered at astonishing volume for a person who weighs in at only 23 pounds.

Welcome to toddlerhood.  Get ready, it is going to be a bumpy ride!

Dr Harvey Karp’s Happiest Toddler techniques are usually discovered by frustrated parents of two year-olds who are tearing around the house, taking hostages.  But these effective behavior management methods can be cherry-picked to be used with younger toddlers.  In fact, starting early with patience stretching and the Fast Food Rule Taming Toddler Tantrums Using Sympathetic Reframing is a smart way to grow a toddler.  These techniques really do teach patience with kids Stretch Your Toddler’s Patience, Starting Today! and teach them that their complaints will be heard without always getting their way.  Dealing with bad habits later takes longer than instilling good ones any day.

You just have to be aware of which methods work for tiny minds and start planting the seeds before things get out of hand.  Some methods, like Giving It In Fantasy, will not work.  Young toddlers do not have the capacity to distinguish reality from fantasy.  Too many words, as well.  Same with Gossiping About Good Behavior.  They think that you are talking to them and don’t get the full effect of “overhearing” a compliment.

Not sure you want to “time-out” a 14 month-old?  Use Kind Ignoring, in which you momentarily turn away from the whining or defiance of a very young child.  Ignore the behavior briefly, even move 10-15 feet away without saying anything or making gestures or even a negative facial expression.  In fact, doing nothing at all but removing your self from the banging or throwing of toys sometimes works better than a statement or a look.  Your action coveys that this is not going to get your attention, it is going to remove you from their presence.  So much of the time, the littlest toddlers are doing these things to engage you when they don’t have the words to do so.  Don’t take that bait, and you have avoided what the Baby Whisperer would call “accidental parenting”.

She is a big believer in “start as you mean to go on”, and so am I.  Consistency gives all children a bedrock at home and at school.  They know what to expect, how to gain attention and how to successfully communicate even at an age where they have less than 20 words.  If you want more peace, don’t think that you have to wait until you can have a conversation about behavior with your child.  The door to communication is open way before that point!