executive with Poor sleep hygiene
Anxiety, Managing emotions

Terrible Sleep Habits? How Executives Can Stop Destructive Late Nights and Actually Rest

You’re exhausted, but when bedtime rolls around, they just can’t let go. Instead of drifting off, you linger in the wee hours, scrolling through your phones or binge-watching shows that don’t even hold your interest. It’s not that you don’t know better—you do. You feel the pull to sleep, to recharge for the demanding day ahead.

You’re looking for a sliver of time that’s just yours, free from emails, meetings, or family obligations.

Poor sleep hygiene for executives often stems from that craving for autonomy. It’s like they’re carving out a secret space to breathe, to feel like themselves again—the version that’s not always adapting to everyone else’s needs or expectations.

Yet, the moment they start to enjoy time away from work, guilt creeps in. “I should be sleeping,” they think. “This is a waste of time.” And so begins the internal battle, leaving them stuck in a hazy middle ground where they get neither sleep nor real enjoyment.

High-Achievers Often Sleep Terribly

You push through long days, making decisions that affect teams or entire companies, all while juggling personal responsibilities. By evening, you’re wiped out, but that quiet time after everyone else has gone to bed feels like the only chance to unwind without interruption. Maybe you tell yourself it’s just a quick check of social media or one more episode, but hours slip away.

The problem isn’t the activities themselves; it’s that they’re not truly fulfilling. You’re not laughing with friends, pursuing a hobby that lights you up, or even just daydreaming freely. Instead, it’s this numb scrolling, half-hearted and laced with self-reproach. You end up feeling more drained, frustrated with yourself for “wasting” time, and then the cycle repeats the next night.

Sleep suffers, energy dips, and that sharp edge you need for your professional life starts to dull. Over time, this constant push-pull can leave you feeling fragmented, like parts of yourself are unraveling under the strain of always putting duty first:

Poor Sleep Hygiene is Costing You a Lot

SymptomStatisticReference
Diminished Focus and Decision-MakingAfter five consecutive nights of partial sleep deprivation, participants showed reduced data gathering before making decisions and increased risk propensity.Effects of Total and Partial Sleep Deprivation on Reflection … – https://pmc.ncbi.nlm.nih.gov/articles/PMC7261660/
Lowered Creativity and InnovationDeclines in sleep are associated with lower individual creativity and productivity, significantly impacting the elaboration process in innovation.Workforce sleep and corporate innovation – ScienceDirect.com – https://www.sciencedirect.com/science/article/pii/S0048733325000204
Increased Irritability and Mood SwingsPoorer sleep quality is directly associated with increased irritability (β = 0.25, p < .001).Associations between sleep quality and irritability – PubMed Central – https://pmc.ncbi.nlm.nih.gov/articles/PMC10978035/
Heightened Risk of BurnoutAt least 79% of UK employees experience burnout, with around 35% reporting extreme or high levels due to factors including lack of breaks.64 workplace burnout statistics you need to know for 2024 – Spill – https://www.spill.chat/mental-health-statistics/workplace-burnout-statistics
Strained RelationshipsPoor sleep leads to increased feelings of anger, which in turn negatively impacts perceptions of romantic partnerships.New psychology study uncovers the romantic consequences of poor … – https://www.psypost.org/new-psychology-study-uncovers-the-romantic-consequences-of-poor-sleep-quality/
Physical Health DeclineInsufficient sleep leads to increased incidences of cardiovascular morbidity and chances of diabetes mellitus, with about 1 in 3 US adults reporting not getting enough rest.What Are Sleep Deprivation and Deficiency?
Reduced Productivity and PerformanceFatigue from poor sleep costs US companies around $136.4 billion annually in productivity losses.The Link Between Sleep and Job Performance – Sleep Foundation – https://www.sleepfoundation.org/sleep-hygiene/good-sleep-and-job-performance
Elevated Anxiety and DepressionParticipants averaging 6 hours or less of sleep per night are about 2.5 times more likely to have frequent mental distress, including anxiety and depression symptoms.Effect of Inadequate Sleep on Frequent Mental Distress – CDC – https://www.cdc.gov/pcd/issues/2021/20_0573.htm
Hindered Career ProgressionNearly 25% of US adults suffer from insomnia, often experiencing excessive sleepiness that impacts work performance and career opportunities.When Insomnia Threatens Your Career: Finding Balance Between … – https://wesper.co/blogs/wesper-journal/when-insomnia-threatens-your-career-finding-balance-between-sleep-and-work
Compromised Overall Well-BeingLack of sleep is compromising the mental health of 78% of adults, contributing to reduced overall well-being.Lack Of Sleep Is Compromising The Mental Health Of 78% Of Adults – https://neurowellnesstms.com/lack-of-sleep-is-compromising-the-mental-health-of-78-of-adults/

Poor Sleep Hygiene Is the Result of Unmet Needs

What if we flipped the script and saw this late-night resistance not as a flaw, but as a signal from your innermost self? Deep down, you’re craving freedom. You want a moment to simply exist without the constant adjustments to please or perform for others. It’s a chance for your creative, spontaneous side to emerge uninterrupted.

This is called your “creative self” and it’s as essential to your brain as food is to your body. This is the impulse you feel, especially after a demanding week, to indulge yourself, to play, to do something that’s not for anyone else but you. Sometimes it’s wanting to create, explore, connect, or simply enjoy.

The “creative self” passively repairs your mind

Accessing the Creative Self is the way we flush out the content of the day, daydream, and often, we passively find solutions to hard problems. It’s a mode that restores our energy, and is essential for high level creativity and problem solving. It’s what some people call “active rest”, and neglecting it has detrimental consequences for your body and mind.

Connecting with this aspect of yourself is like coming up for air in competitive swimming. That breath might feel like it costs you speed in the moment. But skip it too often, and your form starts to falter. Your strokes weaken. Eventually, you’re gasping and collapsing from lack of oxygen.

Or think of an F1 driver eyeing a pit stop. To a rookie, it seems like a frustrating delay that slows the race. But a seasoned pro knows refusing to change those worn tires will lead to blowouts, spins, or worse. It could derail the whole lap.

Similarly, a marathon runner can’t skip hydration breaks thinking they’ll save time. Dehydration leads to cramps and slowdowns. It could mean dropping out of the race altogether.

In the same way, you might not realize just how much denying yourself that exhale—to play, to reward yourself freely—is costing you. It clouds your focus at work. It strains your relationships. That unmet need to create and enjoy doesn’t vanish. It builds up, and if not listened to, can create larger problems down the road like angry blow ups, burnout, avoidance of important problems, relationship stress and chronic pain.

Honor Needs Openly for Balance

Imagine honoring that need openly, without the sneakiness or shame. Picture building it right into your week—like scheduling an evening walk where your mind can wander, or dedicating time to a creative pursuit that brings a genuine smile.

Treat it as non-negotiable, just like a key meeting or a workout. As Winnecott, a British psychologist, once observed, “It is in playing and only in playing that the individual child or adult is able to be creative and to use the whole personality, and it is only in being creative that the individual discovers the self.”

The Emotional Habit that’s Impacting Your Sleep

This pattern is a step-by-step emotional process where your drive to be always productive collides with a quieter, more authentic urge for down time, leading to an exhausting back-and-forth that gives you neither. This often traces back to early habits of always putting others first, shaping a pattern where your own needs feel secondary.

Here’s what’s unfolding inside:

  1. Constant Demands Build Up: Your day starts with a whirlwind of responsibilities—leading teams, solving problems, supporting family—where you’re always tuning yourself to fit what others need. It’s like wearing a mask of efficiency and reliability, but over time, this nonstop accommodation leaves little room for your own unfiltered thoughts or whims. By nightfall, you’re craving a break from this role, a space where you don’t have to adjust or perform.
  2. Personal Space Rebellion Emerges: As the house quiets down, that suppressed part of you stirs—a need for autonomy, for time that’s purely yours to let your mind drift or explore without agenda. It’s not laziness; it’s your creative self pushing back, seeking a moment of uninterrupted being where you can feel whole and alive, not fragmented by constant demands.
  3. Self-Doubt and Fragmentation Intrude: Just as you start to relax into it, the critical voice kicks in: “You should be productive or sleeping—this is selfish.” This clash creates an inner fracture, where guilt amplifies the tension, turning what could be restorative into something anxious and draining. You feel scattered, like pieces of yourself are pulling in opposite directions, leading to that numb, unproductive limbo.
  4. Grey Zone Stalemate Persists: Stuck in the middle, you default to safe but empty habits like doom-scrolling, which mimic freedom without delivering real joy or rest. The tug-of-war drags on, eroding your energy and leaving you frustrated, as neither side “wins”—you don’t get the sleep you need, nor the genuine recharge your inner self is begging for.
  5. Guilt wins: You finally tell yourself you’ve really messed up, and that you need to be better about getting to bed at a good time. You chastise yourself, and head off to bed dreading how tired you’ll be tomorrow, wishing you hadn’t been so selfish… only to start at #1 again in the morning.

Guilt Blocks Progress, Not Your Need for Down Time

The biggest hurdle to your sleep?

It’s NOT your need for down time.

This is where we need to get it right. Your need to relax and recoup, to access your creative self, is not the problem. The problem is that you’re not respecting your valid need for a break to yourself, and when you do, it’s crowded out by guilt.

That nagging guilt. It whispers that taking time for yourself is indulgent, that real leaders push through without “frivolous” breaks. Maybe it stems from early lessons about hard work equaling worth, or from seeing colleagues who seem to never slow down. Whatever the root, it keeps you locked in the tug-of-war, afraid that embracing your need to just be means dropping the ball elsewhere. But here’s the truth: ignoring that need doesn’t make it go away; it just manifests in ways that harm you more, like poor sleep, burnout, and that sense of inner unraveling.

Guilt is that root problem. If you didn’t have guilt, you might plan a reasonable time to enjoy yourself. Even a half hour doing something you truly enjoy *without guilt* is rewarding. But waffling back and forth all night leaves you both unsatisfied and more exhausted.

Guilty Self-Talk vs. Healthy Alternatives

Guilty PhraseHealthy Alternative
“I should be sleeping instead of this.”“I deserve this moment to unwind and recharge.”
“This time is such a waste— I need to be more disciplined.”“Taking time for myself now will make me sharper tomorrow.”
“Why do I always sabotage myself like this?”“It’s okay to honor my need for autonomy.”
“Real professionals don’t need personal time; they just power through.”“Play and rest are essential for my long-term success.”

Depth Therapy Offers Support

Therapy offers a gentle path forward. In these conversations, you explore the origins of that inner conflict in a safe, supportive space—no judgments, just curiosity. It’s about uncovering why you’ve learned to prioritize accommodation over your own creative flow. It’s also about rediscovering the freedom to exist without constant interruption or self-reproach.

You’ll learn to quiet the critical voice and build a stronger sense of permission, allowing your true self to surface without the anxiety of fragmentation. Many find that as they delve deeper, sleep improves naturally, energy returns, and life feels less like a constant pull and more like a harmonious flow. Reaching out to a therapist could be the kindest step you take for yourself.

FAQ

What causes poor sleep hygiene for busy professionals?

For busy professionals who struggles to sleep at the end of the day, poor hygiene is often a conflict between daily demands and the need for personal autonomy, leading to guilt and unproductive habits that disrupt sleep.

How can professionals incorporate downtime without guilt?

Start by scheduling short, intentional breaks for enjoyable activities earlier in the evening, treating them as essential for overall well-being and performance.

When should someone consider psychotherapy for sleep issues?

Consider psychotherapy if guilt around self-care feels persistent and impacts sleep, work, or relationships, as it helps explore and resolve underlying conflicts.

What are quick ways to improve sleep hygiene?

Establish a consistent bedtime routine, limit screen time before bed, and create a calm sleep environment free from distractions.

How does poor sleep affect professional performance?

It can lead to reduced focus, decision-making errors, and increased stress, ultimately impacting productivity and relationships.

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Anxiety, Healthy Relationships, Neurology, Parenting, Podcast

Attachment Styles: How to Heal the Hidden Lens Shaping Your Relationships

Attachment styles profoundly impact the way you view yourself and your world.

Have you ever wondered why you react the way you do in relationships? Whether it’s a romantic partnership, a friendship, or even a professional connection, the way you form and maintain bonds with others is deeply influenced by something you may not even be aware of: your attachment style. Rooted in early childhood experiences, attachment styles act as a lens through which we view and navigate our relationships. This lens can either clarify or distort how we connect with others, often without us realizing it.

In this article, we’ll explore what attachment styles are, why they matter, and how they impact your life as an adult. We’ll also discuss practical ways to move toward a more secure way of relating to others. By understanding your attachment style, you can gain valuable insights into your relational patterns and take steps to build healthier, more fulfilling connections.

What Are Attachment Styles and Why Do They Matter?

Attachment styles are patterns of behavior, emotion, and thinking that we develop in early childhood based on our interactions with primary caregivers—typically our parents. These patterns form a template for how we approach relationships throughout our lives. The concept of attachment was first introduced by British psychologist John Bowlby, who observed that the bonds formed between children and their caregivers have a profound impact on emotional development and relational behavior.

At its core, attachment is about survival. Human beings are wired to seek safety and security through social bonds. Our brains, particularly the prefrontal cortex, evolved to help us form secure tribes or communities where we feel protected and valued. This need for connection doesn’t fade as we grow older; it simply shifts from parents to peers, partners, and colleagues. However, the way we learned to attach as children continues to influence how we seek and maintain these connections as adults.

Understanding your attachment style is crucial because it affects every relationship you have. It shapes how you handle conflict, express emotions, and perceive the availability of support from others. Fortunately, attachment styles are not set in stone. With self-awareness and effort, you can move toward a more secure way of relating to the world.

The Four Main Attachment Styles

Researchers have identified four primary attachment styles: secure, avoidant, anxious, and disorganized. Each style reflects a different way of perceiving and responding to closeness and emotional needs in relationships.

Secure Attachment: The Foundation of Healthy Relationships

People with a secure attachment style feel comfortable with intimacy and independence. They trust that others will be there for them when needed and are confident in their ability to navigate challenges. In childhood, securely attached individuals typically had caregivers who were responsive, attuned, and consistent in meeting their emotional needs. As adults, they tend to form stable, trusting relationships and are skilled at balancing their own needs with those of others.

Avoidant Attachment: The Struggle with Emotional Closeness

Avoidant attachment develops when caregivers are emotionally distant or dismissive of a child’s needs. As a result, individuals with this style learn to suppress their emotions and rely heavily on self-sufficiency. They often view asking for help as a weakness and may feel uncomfortable with too much closeness. In adult relationships, avoidantly attached people can appear independent and self-reliant, but they may struggle to form deep emotional bonds and often feel isolated.

Anxious Attachment: The Fear of Abandonment

Anxious attachment arises when caregivers are inconsistent—sometimes attentive, sometimes unavailable. This unpredictability leads to heightened anxiety about relationships. Anxiously attached individuals often crave closeness but fear that others will abandon them. They may become overly dependent on their partners, constantly seeking reassurance and validation. In adult relationships, this can manifest as clinginess, jealousy, or difficulty trusting that their partner truly cares.

Disorganized Attachment: The Impact of Chaos and Trauma

Disorganized attachment is the most complex and often stems from traumatic or abusive experiences in childhood. Caregivers in these situations may have been a source of fear rather than comfort, leaving the child confused and without a clear strategy for seeking safety. As adults, individuals with disorganized attachment may exhibit a mix of anxious and avoidant behaviors, often feeling overwhelmed by their emotions and struggling to maintain stable relationships.

How Attachment Styles Impact Adult Relationships

Your attachment style doesn’t just stay in childhood—it follows you into adulthood, influencing how you interact with others in profound ways. Here’s how each style typically manifests in adult relationships:

  • Secure Attachment: Securely attached adults are generally confident in their relationships. They communicate openly, handle conflict constructively, and trust their partners. They are also comfortable with vulnerability, which allows them to form deep, meaningful connections.
  • Avoidant Attachment: Adults with avoidant attachment often prioritize independence over intimacy. They may avoid emotional discussions, struggle to express their feelings, and distance themselves when relationships become too close. This can lead to feelings of loneliness or dissatisfaction, even in otherwise healthy relationships.
  • Anxious Attachment: Anxiously attached individuals tend to be hyper-vigilant about their relationships. They may overanalyze their partner’s words and actions, constantly seeking proof of love and commitment. This can create tension, as their need for reassurance may feel overwhelming to their partners.
  • Disorganized Attachment: Those with disorganized attachment often experience intense emotional highs and lows in relationships. They may oscillate between seeking closeness and pushing others away, driven by a deep fear of rejection or harm. This unpredictability can make it difficult to maintain long-term, stable partnerships.

It’s important to note that attachment styles exist on a spectrum. You may recognize elements of more than one style in yourself, and that’s perfectly normal. The goal isn’t to fit neatly into a category but to understand how your attachment history influences your current relationships.

Moving Toward Secure Attachment: Strategies for Growth

The good news is that attachment styles are not fixed. With self-awareness and intentional effort, you can develop a more secure way of relating to others. Here are some strategies to help you on that journey:

1. Cultivate Self-Awareness

The first step toward change is understanding your attachment style and how it affects your relationships. Reflect on your emotional responses, especially in moments of conflict or stress. Ask yourself: Do I tend to withdraw when I’m upset? Do I constantly worry about being abandoned? Recognizing these patterns is key to interrupting them.

2. Practice Emotional Vulnerability

Secure attachment requires the ability to express your emotions openly and honestly. If you’re avoidantly attached, this might mean pushing yourself to share your feelings, even when it feels uncomfortable. If you’re anxiously attached, it might involve learning to sit with uncertainty without seeking immediate reassurance.

3. Seek Support from Trusted Relationships

Healing attachment wounds often happens in the context of safe, supportive relationships. Whether it’s a friend, partner, or therapist, having someone who can listen without judgment allows you to explore your fears and vulnerabilities. Over time, these experiences can help you build a more secure internal template for relationships.

4. Engage in Therapy or Counseling

Therapy can be a powerful tool for addressing attachment-related challenges. A skilled therapist can help you process past experiences, develop healthier relational patterns, and practice new ways of connecting with others. Modalities like attachment-based therapy or emotionally focused therapy (EFT) are particularly effective for this purpose.

5. Be Patient and Compassionate with Yourself

Changing deeply ingrained attachment patterns takes time. It’s normal to experience setbacks along the way, but each step forward is progress. Treat yourself with the same kindness and understanding you would offer a close friend. Remember, the goal is not perfection but growth.

The Power of Understanding Your Attachment Style

Attachment styles are a fundamental part of what makes us human, shaping how we connect, love, and navigate the world. By understanding your attachment style, you gain a powerful tool for self-awareness and relational growth. Whether you identify as securely attached or recognize elements of insecurity in your patterns, know that change is possible. With patience, reflection, and support, you can move toward a more secure way of being—one that allows you to form deeper, more fulfilling relationships.

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Managing emotions, Neurology, Podcast

[VIDEO] Motivation 101: How to Rewire Your Brain to Get Things Done

Have you ever found yourself staring at a to-do list, feeling completely overwhelmed and unable to start even the simplest task? Maybe your house is a mess, your inbox is overflowing, or that big project is looming like a dark cloud. You’re not alone. Many of us struggle with motivation, especially when life feels like a high-wire act with no safety net.

But what if I told you that understanding your brain’s natural mechanisms could help you regain your drive and accomplish your goals? In this podcast episode, we dive into the psychology of motivation, why we lose it, and how to get it back—without beating yourself up in the process.

The Overwhelm Trap: Why Motivation Slips Away

Picture this: You’re trying to walk a high wire, 200 feet in the air, with no safety net below. Every step feels like a life-or-death decision, and the fear of falling keeps you frozen in place. This is what happens in your brain when you’re overwhelmed. Your limbic system—the emotional center responsible for sensing safety and danger—gets flooded with too many signals. Deadlines, chores, expectations—they all pile up, screaming “threat!” until you shut down.

This overwhelm often triggers a depressive spiral. You know something needs to get done—a report, the laundry, calling a friend—but instead of acting, you feel a heavy weight settle in. Sadness creeps up, followed by a sense of “I can’t do this.” In that moment, what you really need is comfort, rest, or a helping hand. But too often, what you get instead is your inner critic swooping in: “Why can’t you just get it together? You’re so lazy!”

I’ve been there. I once had a huge presentation due, and instead of starting, I berated myself for procrastinating. The harsher I got, the less I accomplished—until I was a ball of exhaustion and guilt. Sound familiar? That self-critical voice might feel like a tough coach pushing you forward, but it’s actually sinking you deeper into the spiral. The sad, overwhelmed feelings almost always win, leaving you stuck.

How Your Brain Wants to Motivate You

Here’s the good news: Your brain is built to motivate itself—it’s just that overwhelm and self-criticism throw a wrench in the works. Three key areas team up to get you moving:

  1. Limbic System: This is your safety detector. When it’s calm, you feel secure enough to act. When it’s flooded with “danger” signals, you freeze—like you’re stuck on that high wire.
  2. Prefrontal Cortex: Think of this as your inner planner. It breaks big goals into bite-sized steps and keeps you on track, like a coach mapping out a marathon training schedule.
  3. Ventral Striatum: This is your reward center, and it thrives on social connection and meaning. It’s the cheering crowd at the finish line, the pride of sharing your win with someone, or the feeling of becoming the person you admire.

When these parts work together, motivation flows naturally. The problem? Modern life floods the limbic system, drowns out the prefrontal cortex, and leaves the ventral striatum starved for meaningful rewards. But you can flip the script with a few smart strategies.

Three Steps to Reignite Your Drive

Ready to get unstuck? Here’s how to tap into your brain’s natural motivation system:

1. Create Safety First

If your limbic system thinks you’re on a high wire, it’s going to keep you paralyzed. Bring it back to solid ground with these simple tricks:

  • Gratitude: Jot down three things you’re thankful for—it could be coffee, a sunny day, or a kind text.
  • Comfort: Give yourself a hug (seriously, it works!) or call a friend to vent about your day.

These acts dial down the overwhelm, signaling to your brain that it’s safe to move forward.

2. Break It Down—Way Down

Your prefrontal cortex loves a clear plan. Big tasks like “clean the house” or “finish the project” can feel like unclimbable mountains. Instead, shrink them into tiny, doable steps:

  • Instead of “write the report,” start with “open the document.”
  • Instead of “organize the closet,” begin with “pull out one shelf.”

Focus on just the next step. Once you check it off, the momentum builds—and suddenly, that mountain looks more like a hill.

3. Make Rewards Social and Meaningful

Your ventral striatum doesn’t care about another cup of coffee or a Netflix binge. It lights up for rewards that connect you to others or your values:

  • Social: Who can you share your win with? Plan to text a friend, “I did it!” or celebrate with a loved one.
  • Meaningful: Link the task to who you want to be. Maybe finishing that report means you’re responsible like your role model, or helping a teammate aligns with your desire to be kind.

For example, when I finally tackled that presentation, I told myself, “This is me being the reliable person my dad always was.” Plus, I called my best friend to brag when it was done. Those rewards pulled me through.

The Real Motivation Killer: Self-Criticism

Here’s the catch: None of this works if your inner critic is running the show. That voice saying, “You’re not good enough,” or “Why can’t you keep up?” isn’t motivating—it’s paralyzing. Often, it’s a leftover habit from childhood, when you needed help but got sighs or eye rolls instead. Over time, you learned to turn that criticism inward.

Next time it pipes up, pause. Ask yourself, “What would I say to a friend who’s struggling?” Chances are, you’d be gentle: “It’s okay, you’ve got a lot on your plate. Let’s figure this out together.” Offer yourself that same grace. If the self-criticism feels like a brick wall, therapy can help you explore where it came from and set it aside—so you can focus on who you want to become.

You’ve Got This—And You Don’t Have to Do It Alone

Lack of motivation isn’t about laziness or a lack of discipline. It’s your brain crying out for safety, clarity, and purpose amid the chaos. By calming your limbic system, leaning on your prefrontal cortex, and feeding your ventral striatum with rewards that matter, you can break the overwhelm spiral and get moving again.

So, next time you’re staring down that to-do list, try this: Take a deep breath, list three things you’re grateful for, pick one tiny step to start with, and decide who you’ll tell when it’s done. You might be surprised how far it takes you. And if you’re still stuck? Reach out—to a friend, a loved one, or a professional. Motivation isn’t a solo sport, and you don’t have to go it alone.

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Anxiety

Deep breathing isn’t helping? How to finally stop recurring anxiety

Deep breathing isn’t helping your anxiety

For many, anxiety is a recurring theme, showing up every day like an overstayed house guest. You try everything to avoid the Groundhog’s Day recurrence, only it doesn’t stop. For many, the anxiety shows up unwelcomed and unforeseen through a pain in your chest, tightness, migraines, fast heartbeat, or antsy behaviors like fidgeting, pacing, angry outbursts, sleeplessness… or all of the above. Anxiety can show up:

  • First thing in the morning
  • On the drive to work
  • When logging off work
  • Going to bed

It can impact your relationships, your productivity, and keep you in a heightened state of discomfort.

A common way many people cope is to try to calm themselves. They try everything:

  • Change their diet
  • Change their sleep patterns
  • exercise more
  • track their sleep
  • track their steps
  • track their heart rate
  • take deep breaths, or 
  • distract themselves. 

It’s incredibly frustrating when your efforts only keep the anxiety at bay for a moment before it reemerges, like a firefighter who puts out a fire, only for the house to burst into flames the moment you roll up the hose.

Deep breathing isn’t helping.

Deep breathing doesn’t stop your anxiety from resurfacing

There’s a reason your anxiety keeps reemerging. The more you tamp down your anxiety, the worse it will become. It will get louder and louder. The emotional energy pushing your heart rate up, messing up your sleep, causing you to pace is much stronger and more resilient than any breathwork you can do. For many, the anxiety peaks into a panic attack, IBS issues, back pain, addiction, or relationship problems. 

“Why is this? Why doesn’t the deep breathing or sleep tracking work?” People often ask. “I must not be diligent enough. I’ll double down on my tracking and be more strict about meditation.” 

I see this cycle all the time in my practice. Clients treat their anxiety like a tumor they must remove, or an invasive ivy they must uproot before it takes over. It’s an aggressive metaphor in which we battle against anxiety to try to achieve peace.

Using a battle metaphor profoundly shapes the way we see the problem. In this metaphor, anxiety acts as a villain we need to defeat.

There’s a historical reason some people use a battle metaphor to understand their anxiety.

Early experiences impact your perspective on anxiety

This isn’t your first time handling anxiety, not by a long shot. 

Your first time handling anxiety was when you were a baby. You’d cry, you’d get scared, and you learned a certain way to manage yourself in tandem with your caregivers. For some, they learned an aggressive way to handle anxiety – called avoidant attachment.

These children learned that when in distress, it was their crying that was the main problem to be fixed. “Stop crying or else something bad will happen” was the message reverberating in their minds. Instead of focusing on solving the larger reason for their tears, their parents focused on turning off the tears. 

This strategy teaches a child that their cries aren’t actually useful for solving a problem. They learn to see their cries as unhelpful and disgusting to others, not as signals that something is needing attention.

  • The kid with a splinter who cries out and is dismissed may end up with an infected toe.
  • The boy who bites their lip to keep from crying when they’ve been rejected at school may fail to elicit their parent’s support to make new friends.
  • The young adult who learns to silence their own cries after being unfairly treated by a partner will lock themselves into a hellish relationship.
  • The adult who silences their anxiety may be completely unaware of the ways their life is needing care and mending. 

Instead of deep breathing, reframe your perspective on anxiety

Anxiety is not the villain. It’s actually the signal that will point you toward healing.

I’m aware how that sounds: woo-woo, therapy speak, lofty. But consider it with me for a minute. The reason tamping down a fire alarm doesn’t work is because when there’s smoke, the fire alarm will sound – it’s doing its job to point you toward the fire. 

Anxiety is a signal. It’s fear. It’s telling you you’re feeling unsafe where you are. If we even make this small shift, what starts to come into focus? Why might you feel unsafe? What might feel threatened or fragile or lost in your life?

Take a moment to think on these questions.

Sometimes the answer is immediately apparent: a current relationship, or work stress, or direct worries about finances or job stability. Other times the worry is less apparent: There’s a sense of instability, but you can’t pin it on your current situation. Our minds are incredibly intuitive. Most of the time, our fear response precedes our rational mind. Anniversaries of difficult moments, reaching the age our parents were when a major crisis hit, our own kids reminding us of past trauma, our friends’ situations reminding us of our own pain that needs attention. 

Instead of deep breathing, cultivate curiosity about where your anxiety is leading you

Curiosity is the right stance. You want to be in an open, curious stance toward your anxiety, as this will lead you toward security and healing. 

In fact, you want more than to constantly combat and suppress your anxiety. You want more than constant vigilance about your anxiety. Not only does it not work – it’s overwhelming and frustrating. What you really want is security. Here’s what that looks like:

Secure People Identify Their Pain

Secure people are adept at recognizing when something isn’t right. They don’t see pain as an enemy but as information. They notice the signs of anxiety not as failures but as prompts to dive deeper into what might be causing distress.

Secure People Soothe Themselves

Instead of suppressing their feelings, secure individuals learn self-soothing techniques. This process is something natural to our nervous system. Secure people develop a calming internal presence that reassures them of their value and their safety.

Secure People Ask for Help

Understanding that no one can manage everything alone, secure people reach out for support when needed. This could mean talking to friends, consulting with therapists, or joining support groups where they can share and learn from others’ experiences. On a more immediate level, they express what they feel and get support then needed.

Secure People Create a Plan

Once they understand their anxiety, secure individuals take proactive steps. They don’t just name their feelings and move on. Instead, they listen to their anxiety as feedback about things that might need to change, they set expectations in relationships and work, they plan breaks and self-care activities, and they confront conflicts directly to get resolution. All in all, they listen to their feelings to help them  discern a plan for enhancing overall life satisfaction.

Secure People Help Others

Finally, secure people often extend their understanding and skills to help others. By sharing what they’ve learned, they contribute to a community of support, teaching others how to navigate their own anxieties. This not only helps others but reinforces their own sense of security and belonging.

Anxiety will lead you toward health

Instead of treating anxiety like it’s some intruder to be expelled, and suppressing it with deep breathing, let’s consider it more like that annoying alarm clock that never seems to let you snooze. It’s irritating, yes, but it’s also trying to wake you up to something important. It’s time we stop fighting the signal and start listening to what it’s got to say. 

So, when anxiety next comes knocking, don’t immediately reach for the bolt. Maybe sit with it for a bit, hear it out. You might just discover that what you thought was an enemy is actually your mind’s way of telling you where you need to look next for healing.

I help people with anxiety with psychoanalytic psychotherapy

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Anxiety

How to stop a Panic Attack: Video Explanation

A panic attack can be really scary and overwhelming.

A lot of people can get frustrated with themselves when they experience a panic attack.

It can be something that happens constantly and as a “regular” thing in your life. Because of that, you don’t feel comfortable going out in social settings or to work or other places where you fear you’ll have another panic attack. So you stay close to home and isolate yourself.

Panic attacks are a difficult experience that can cause disruption to your daily life. Let’s talk more specifically about what they are and what you can do the next time you find yourself experiencing one.

What is a Panic Attack?

A panic attack is a heightened state of anxiety. It can feel like a heart attack; you might experience heart palpitations (your heart beats really fast), chest tightness, headaches, and the inability to think clearly.

Sometimes the only thing you can do when you’re experiencing a panic attack is lay down in bed or some other safe space and wait for the pain to pass.

Why do we Have Panic Attacks?

Panic attacks can be a sign of dysregulated anxiety that’s become extremely physiological. Whenever we get anxious, our bodies sometimes give out smaller signals at first. We might feel fluttering in our chest, or we feel tension and anxiety around certain situations. Then it can build without our knowing it, until it gets to the point where it feels like something is physiologically wrong. Many people even go into the ER because they think they’re having a heart attack.

Woman overcoming panic attacks with self-care

There’s actually a lot you can learn about yourself if you are experiencing panic attacks. When you experience panic attacks, it’s a sign that something is off in your life. Something is hard to deal with, something is putting pressure on you, you’re experiencing some sort of big stressor in your life. However, sometimes you don’t know what that is on the surface, which is frustrating and difficult.

How to Reduce Panic Attacks

1. Journal Panic Attack History


Set aside some time to journal and ask yourself a few questions. When did the panic attacks start? How bad are they? What’s the normal course of a panic attack for you? When does the pain start? What symptoms do you experience? How intense do those symptoms get? When does the panic attack finally pass? Usually panic attacks last under an hour, typically around 30 minutes. Have you always experienced panic attacks or when did they start to become a thing in your life? Was there a moment in which they became worse?


The reason these things are important to know is because when you go into a panic attack, you want to know what triggered it and how long the course of the panic attack might last.

2. Make a plan for the panic attack


A lot of people get frustrated when they experience panic attacks; they just want them to go away. But once you get to that heightened state, there’s not much you can do aside from waiting it out. As difficult as it may be, waiting it out requires you to release, relax, and let it all pass. So find a comfortable, safe space where you’re not around other people. It might be helpful to have something to hold, somewhere to lay down, something to drink – whatever will help you feel safest. Let yourself ride it out, knowing that it will eventually pass. You don’t have to talk about your anxiety during those 30-ish minutes or try to figure things out ways to make the panic go away. You just need to ride the wave. At the end of those 30-some minutes (or however long it takes for the panic to pass) is when you can do some assessing.

3. Assess Causes for the Panic Attack


Get out the same journal you originally wrote in (or a piece of paper or even a Notes app) and ask yourself: When did I first start experiencing this panic attack? When did it first start to come on? What was the earliest point that I can recognize I started to feel anxious? For some, the anxiety builds for a week before they experience a panic attack. For others, the anxiety builds for a day before they experience a panic attack. What was that moment for you, in which you started to feel anxious and tense? See if you can do a bit of exploration to understand the earliest moment at which you remember yourself feeling anxious.

4. Work with a Therapist who can treat a Panic Attack


In addition to these things, working with a professional will be important in order to understand your panic attack history and to learn ways to manage and regulate your anxiety before it escalates to a panic attack. Through therapy, you get the opportunity to learn how to pay attention to the cues your body gives you when you are feeling anxious, and know how to take care of yourself in the moments when you are feeling increasingly stressed. You learn to listen to yourself, to take care of yourself, and to resolve the anxiety before you find yourself in a full blown panic attack. We have therapists who can help with anxiety and panic attacks.

A panic attack can be treated, and you can experience relief

Those who deal with anxiety and panic attacks often feel very alone, but you are not alone. Please reach out to a professional if these are things you are struggling with. It might be nerve-wracking to do so but doing so is also a significant step towards better understanding yourself and prioritizing your mental and emotional well-being.

I help professionals who experience panic attacks to learn new ways of coping with difficult emotions.

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Anxiety

Why do I get panic attacks? How to soothe yourself and restore calm inside, for lawyers and other professionals

The familiar pounding in your chest, the tightness in your lungs – it can feel like you’re having a heart attack. What’s worse is you are afraid it could happen again at any moment. You feel hesitant going out, being social, even driving, for fear that you’ll have another attack.

As someone who takes pride in your work, who is used to pushing hard and getting a result, it’s common to feel shame about the anxiety attacks. You can wonder

  • Why is this panic attack happening?
  • Why won’t it go away?
  • What do I do when I have panic attacks?
  • Do other professionals experience this?

There are many people who experience panic just like you. It’s a common way our bodies react when anxiety flares up. Let’s talk about why panic attacks happen and how to shift your approach to help you grow.

Why you’re experiencing panic attacks: suppressing anxiety

Panic attacks happen when anxiety is “disregulated”. This means that the anxiety isn’t consciously seen or paid attention to. When this happens, the anxiety doesn’t have a backboard. It becomes louder and louder until it shows up in a strong physiological way: heavy breathing, tight chest, and the feeling like something is seriously wrong in our bodies.

Why is the anxiety not consciously paid attention to? For some of us, we don’t like to pay attention when we’re anxious. We might avoid feelings like disappointment, worry, and concern because they make us feel out of control. Sometimes our way of getting through those feelings is to “change the channel”. This is called affect suppression. When the feeling of anxiety comes up we don’t pay attention to it or wonder about it – we try to get it out of our heads. This can look like

  • Addictive behaviors
  • Fidgeting
  • Workaholism
  • Excessive phone use
  • Substance use
  • Sleeplessness
  • Avoiding silence

But the trick is, the less we pay attention to the anxiety, the louder it tends to get.

How to make panic attacks stop: seeing anxiety as a signal

For panic attacks to stop, we need to see anxiety as a signal, not a disease. Our anxiety is usually a signal that something doesn’t feel safe. It’s a sign that something needs attention, just like when a fire alarm goes off.

If your building’s fire alarm went off, you wouldn’t put in headphones right away. You’d turn, look, not for the alarm sound, but for the look and smell of smoke. In the same way, our panic attacks are not themselves the thing we need to “fix” or make go away. They are a signal that something is off in our lives. It may be a relationship, a re-emerging trauma, a life-transition, or work-related stressor that is no longer tolerable. Your mind is telling you that you’re unsafe and you need to pay attention.

What happens if we don’t pay attention to the anxiety signal?

If we don’t pay attention to the signal of anxiety, our panic will get worse. The more common panic attacks become, the more they lead to agoraphobia – the fear of leaving the house. You may feel this presently in your life. It’s the feeling of fearfulness and avoidance of any trips or engagements that take you away from home. The fear that you’ll have another panic attack keeps you close to home. People who have agoraphobia struggle to accomplish daily tasks and the world feels unsafe to them.

Additionally, if we don’t pay attention to anxiety, we continue to avoid and suppress it through addictive behaviors. It becomes hard to sleep, hard to rest, hard to concentrate. We depend more and more on substances like caffeine, alcohol, and other addictive substances. We avoid anything that will trigger an attack.

Most of all, when we don’t pay attention to anxiety, we diminish some of the most vibrant parts of ourselves.

There’s a different way to handle anxiety and panic attacks

We need to learn a new way to engage our anxiety if we want panic attacks to subside. For lawyers and other professionals, it can be hard to slow down and trust that doing so will actually move them forward faster than “changing the channel”.

It’s incredibly difficult.

Because listening to your anxiety requires a new voice inside: one that can be understanding and empathetic toward your experience. One that is soothing rather than critical. It can be difficult to trust that this small act is actually a fulcrum that will change the course of your life. Yet this is the work I engage in all the time with people just like you. One of the most powerful things you can do with your panic attack is give yourself a chance to listen to yourself. I can help you do that. Contact me today for a consultation.

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ADHD, Parenting, Testing and Assessment

Planning for Success with ADHD at Home: ADHD Strategies for Children

It is possible to have more fun with your child and experience less frustration, even if your child has ADHD. You may feel like all you do right now is remind or nag your child to brush their teeth, complete homework, get ready in the morning, and not fight with siblings. You have tried the strategies that worked with your other kids or have worked for your friends, but with no success. If your child has traits of ADHD or has been diagnosed with ADHD, this probably sounds very familiar. This blog can help you learn ADHD strategies for children that you can utilize to help your child successfully complete tasks such as school assignments, chores, and self-care.

ADHD Strategies for Children at Home

Many parents of kids with ADHD struggle to get their children to complete tasks at home. Your child may need more support than other children their age to be able to be successful at homework, chores or even maintaining hygiene.

Thankfully, there are a few strategies that will help you and your child navigate the challenges. These strategies can be used by all parents, but are especially important for parents of a child with ADHD. You may have to provide more consistency and structure in your parenting to support the different ways your child’s brain works.

1) Prioritize

When tackling challenges at home, it is important to start small. You have a thousand things you want your child to do and they all are important. Focus on the most important task first. Select 1-3 things and become highly consistent in prioritizing them until they become a habit for your child. Then, you will know it is time to move on to the next thing on your list.

While this can be challenging, it is key for success.

Remember, you will have to ignore some important things as you focus on your goals. However, doing so will be more effective. It will help your child make progress with one task before moving on to the next.

Prioritizing is especially important for children with ADHD, because they already experience difficulty remembering what needs to be done. Fewer things to remember equals more success.

So, what is the one task you want to focus on right now?

2) Create a Plan

Now that you have prioritized, create a plan with your child. If your child has ADHD, then you may need to be more explicit when creating a plan to enhance their ability to remember the plan.

Your plan should include a very clear description of your expectations for your child. It also needs to include description of what you are going to do to help them. Create a plan in collaboration with your child. This will grant the opportunity for them to express what is difficult for them and what they need from you in order to succeed. Keep in mind, you may have to adjust your expectations so that the plan works for both of you.

3) Rewards

Rewards can be far more powerful for changing behavior over time than punishments. However, they can be difficult to implement.

Identify what your child can earn if they complete the task you expect this week. Maybe it is a later bedtime, additional screen time, or the selection of your family dinner or the Friday night movie. Think of things that can be repeated, are doable, and do not break the bank. Create a menu so that your child can choose which reward they want: whatever best incentivizes them from your pre-approved list.

Rewards are effective for all children, but may be more necessary for children with ADHD. They tend to be more bored by routine tasks less likely to feel naturally rewarded by completing a task they need to do. Attaching an external reward can make the task seem feel interesting or worthwhile.

4) Praise

Praise more than you think you need to. This is so important for children with ADHD because they may often feel like a failure. Praise serves as an incentive for them to repeat appropriate behavior. It also helps boost their self-esteem.

Even if something is not perfect, praise them for the little progress you observe every week.

5) Reminders

Get creative with these! Because the ADHD brain works differently, reminders are crucial. Keep in mind, they need to be consistent with your child’s interests or strengths. You can try charts, phone alarms, visual reminders, and scheduling a check in with you, so that you can remind them about the plan and praise any progress. Choose a reminder system that works best for your child based on their age and preferences.

6) Consistency is Key

It takes times to form healthy habits and may be harder for your child with ADHD. If they are forgetful or uninterested, it can take a while to figure out what they need and create a habit.

7) Get Help with ADHD Testing in Los Angeles

Even the best parents need help! These ADHD strategies for children may sound easy. However, they can be challenging for children with ADHD to accomplish consistently. That’s why identifying and developing a strategy that works best for your child’s unique needs is so important. Every child with ADHD has different needs, strengths, and interests. It may be helpful to work with a psychologist to identify the strategies that will work best for your child. ADHD testing can also help clarify how your child’s brain works, as well as identifying their strengths and weakness.

If you are wondering if your child has ADHD and would like more information about therapy or testing, you can set up a free consultation to discuss your assessment and/or therapeutic needs.

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ADHD, Managing emotions

How to pay for your Child’s ADHD Assessment: 3 Ways

An ADHD assessment provides answers. It can help you understand your child’s behaviors and illustrate their strengths and weaknesses. It clarifies a diagnosis and provides a clear path forward. But how do you get an ADHD assessment for your child and how can you pay for it?

Thankfully, you have some options. There are 3 ways to receive or pay for an ADHD evaluation: through your child’s school, through insurance, and through private pay. Each option has pros and cons to consider.

ADHD Assessment through your Local School District 

First, consider having your child evaluated through your local school district. Whether your child attends private or public school, the school district is required to provide educational evaluations for students who are struggling academically.

Pros:

  • Cost: There is no cost for an evaluation through the school district.
  • Access: You do not have to find an outside provider or take your child out of school for extended periods of time. This is because all testing can be done at school by school staff.

Cons:

  • Qualifying: It may be difficult to get the school to complete an evaluation if your child is doing well enough academically. Schools are only required to provide evaluations for students who qualify based on low academic performance.
  • Long wait times: Schools usually have a long process to determine if students qualify for an evaluation. Even once the school approves an evaluation, it may take months to complete.
  • Less comprehensive: A school evaluation considers academics and school behavior, but is less likely to take other parts of your child’s life into consideration. A school evaluation might not be able to provide a diagnosis of ADHD.

ADHD Assessment through Insurance

ADHD is a medical diagnosis and so an ADHD assessment may be covered by your insurance provider.

Pros:

  • Cost: There is low cost to you or may be paid completely by your insurance.
  • Provider list: Check with your insurance for a list of providers who take your insurance in your area.

Cons:

  • Access: It is sometimes difficult to find a provider through insurance. Providers may have long wait lists.
  • Comprehensiveness: Insurance plans limit what they pay for. Your insurance will likely not cover academic testing or testing for other mental health diagnoses. The evaluation may only be able to determine whether or not a child has ADHD, and not include what else could be going on for your child (ex. learning or emotional problems.)

ADHD Assessment Through Private Pay

Lastly, you have the option of paying out of pocket for an ADHD evaluation. You pay for the evaluation up front but insurance may still cover some or all of the cost of an evaluation. Many providers offer a superbill, which is a receipt that you submit to your insurance. Based on your plan, your insurance may reimburse the full or partial cost for the evaluation.

Pros:

  • Choice of provider: Paying out of pocket allows you to choose a provider who will be the best fit for your child’s needs based on location, specialty, availability and your comfort with the provider.
  • Comprehensiveness: Your provider can tailor the assessment to answer your specific questions instead of only focusing on what insurance covers. Get all of your questions answered, without the limits of school resources and insurance coverage.

Cons:

  • Cost: This may be a more expensive option since you pay up front and there is more uncertainty regarding insurance reimbursement, depending on your plan and deductible.
  • Access: You may have to take your child out of school longer to travel to see your provider.

Weighing Your Options 

All of these options can be really helpful for getting support for your child. You may decide to check in with school and insurance before deciding whether or not private pay is the right option for your family. Whichever you choose, having more answers and clarity will empower you to advocate better for your child’s needs.

If you would like to discuss which of these options would be the best fit for you or if you are ready to schedule an appointment, please contact us for a free consultation.

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ADHD, Parenting, Testing and Assessment

5 Empowering Options for your Child with ADHD

You received a diagnosis of ADHD for your child. Hopefully that clarifies some of the questions you had!  But where do you go from here?

Whether a diagnosis feels helpful or daunting, it does give you some options. You can now make an informed decision of what will be best for your child. Consider each one and discuss them with your child’s pediatrician or mental health therapist. More than one option may be right for your child.

School Accommodations

Having a diagnosis will give you the ability to advocate for your child’s needs at school. Check out my blog on school strategies for more details on this option.

Medication

Many pediatricians recommend medication to help manage the symptoms of ADHD. Doctors most commonly prescribe psychostimulants, but other options exist. Medication is an effective treatment for many children and often improves focus, peer relations (ex. by reducing aggression), compliance with teacher instructions and work completion.

Weigh the pros and cons of medication and find a medication that works best for your child. Not all children respond to the same medications. Side effects also need to be considered and closely monitored when trying a medication. Some common side effects include insomnia and lack of appetite.

Many parents worry that the use of psychostimulants in children will increase the risk of substance abuse in adolescents. However, the majority of studies have found no increase in risk. Some studies have actually found that prescription of medication for ADHD reduces likelihood of substance abuse in the future. This may be because those who are properly medicated are less likely to self-medicate. Stimulants can be over used, either to get high or in attempts to improve intelligence, and their use may need to be closely monitored. They may not be recommended for adolescents who already struggle with drug abuse.

Medication is very effective for immediate improvement but behavioral treatment and mental health treatment should also be considered for more long term impact. For more information, check out FIU’s Center for Children and Families information sheet.

Supplements

Though generally less effective than medication, some children may still benefit from supplements. Evidence suggests that some children with ADHD have lower levels of Omega-3 fatty acids, which are essential for brain development. For this reason, Omega supplements may help alleviate symptoms. It is unlikely that a supplement will reduce symptoms entirely, but it may be helpful for children with mild ADHD symptoms or for maintaining lower doses of medication for children with moderate or severe ADHD.

Omega-3 supplements are not considered a primary treatment for ADHD, due to lack of efficacy and the need for more research. However, it may be useful as an adjunct treatment.

Neurofeedback

Neurofeedback aims to develop the capacity of the brain to self-regulate at the cortical level. Theoretically, individuals with ADHD have an under-aroused brain with insufficient communication between neurons. Neurofeedback utilizes EEG technology to help train the brain to increase certain brain waves while decreasing waves that are excessively active in ADHD.

There is growing evidence of the effective use of neurofeedback for ADHD. It has not been found to be as widely effective as medication but may be helpful for those who do not respond well to medication or are hoping to maintain lower doses.

Mental Health Therapy

Due to the stress of living with ADHD, children often feel more anxious, depressed or angry. They need to learn how to cope with these feelings and also develop new strategies that work with their brain. Mental health therapy has a very good track record for helping reduce the negative impact of ADHD through behavioral and emotional strategies.

Behavioral interventions help children, their teachers and parents identify strategies that will help compensate for the symptoms of ADHD. This may include regular check-ins, organizational strategies and reward systems. Emotional strategies help children overcome anxiety, anger and sadness.

Mental health therapy does not reduce the prevalence of inattention or hyperactivity, but instead helps kids and parents cope with them more effectively. Therapy provides long-term skills and most research indicates that the combination of mental health therapy and medication as the most effective treatment for ADHD.

Here for you!

If you are interested in a consultation to see if therapy would be a good fit for your child, give us a call today. If you are not sure if you child has ADHD, contact us to discuss psychological testing.

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Teen girl achieving success in school due to proven ADHD strategies
ADHD, Parenting, Testing and Assessment

20 ADHD Strategies for a Happy, Successful Kid at School

A lack of strategies for ADHD preventing success at school is one of the greatest challenges for kids with ADHD. As a parent, you may feel overwhelmed by how to help your child. You may feel that you do not have the expertise to help your child develop effective coping strategies for ADHD.

Qualifying for School Accommodations

In order to receive additional supports or accommodations at school, your child will need to qualify for a 504 Plan. A 504 Plan is a detailed description of how the school will aim to support your child. It is not part of special education (such as an IEP). Instead, 504 Plans help children with disabilities and health impairments have equal access to school. Remember, ADHD is considered a health impairment.

In order to qualify, the school may provide an assessment or require you to provide a diagnosis from a psychologist or physician. Check with your school to see what the requirements are for receiving a 504 Plan for your child.

Strategies for ADHD in the Classroom

504 Plans document accommodations that your child will receive. Some schools and teachers may be willing to provide these supports without a 504 Plan, such as in private school settings.

Here is a list of research-based accommodations that can prove helpful for children with ADHD:

  1. Reducing the number of homework problems without changing the level of content
  2. Preferential seating near front of classroom to reduce distractions
  3. Testing outside of classroom in a quieter environment
  4. Providing extra time on tests or assignments
  5. Increased positive reinforcements (e.g. rewards) and praise in the classroom
  6. Meeting with a school counselor to work on academic or behavioral goals
  7. Breaking long assignments into smaller parts
  8. Increased check-ins to make sure student understands instructions
  9. Allowing for more breaks
  10. Increased support for organization and communication with parents

There are many more options for accommodations based on your child’s needs and the school’s capacity to provide support. Meeting with the school as well as a mental health professional can help you identify which strategies will best meet your child’s specific needs.

ADHD Strategies for Homework

Whether or not your child has accommodations at school, you are still going to need some strategies at home for helping with homework. Some strategies will be the same as those used at school. If your child has a 504 plan it may include a few things that help with homework, like reduced repetitive tasks for homework or extended deadlines if needed.

Here are some strategies that will help at home whether or not your child has a 504 Plan:

  1. Removing distractions during homework (ex. Devices, TV in the background, etc.)
  2. Set a timer and provide breaks
  3. Have a specific time and place for homework
  4. Schedule agreed-on check-ins to make sure your child is staying on task
  5. Break down assignments into smaller tasks and goals
  6. Create a system for checking in with teacher regularly to increase communication about homework (ex. Assignment record that student completes and teacher signs daily)
  7. Provide rewards for completed homework
  8. Create a visual checklist of things that need to go to school every day
  9. Use an accordion folder and reward having no loose papers in backpack
  10. Discuss plan of what needs to get done and how long it is expected to take daily

Start small and choose a few strategies to implement at a time. After all, you do not want to overwhelm yourself or your child by attempting to tackle all of these strategies at once.

How Therapy Can Help

If you need more support, arrange a consultation with a psychologist who specializes in ADHD. They can help you select and implement personalized strategies. Find a psychologist who is willing to work with you and your child collaboratively to create a plan that will work for both you and your child.

For more information on ADHD assessment as well as strategies for ADHD, you can download my ADHD Field Guide for free. Reach out today to schedule a free consultation call to discuss therapy or an ADHD assessment for your child. 

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Melissa Winfield, PsyD
Melissa Winfield, PsyD

I help children, teenagers and parents find hope and resilience through the tough times.

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