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. 

Schedule Today

Melissa Winfield, PsyD
Melissa Winfield, PsyD

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

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parent and child using adhd assessment results to help alleviate child's adhd symptoms and help them succeed academically
ADHD, Parenting, Testing and Assessment

3 Best Benefits of an ADHD Child Assessment

Your child isn’t getting good grades, even though they are smart. Maybe you spend hours convincing and helping them to  complete to their homework. Or they rush through their work, making many mistakes. Perhaps they forget to turn in their homework. Or teachers are concerned about their ability to focus in class.

If these scholastic struggles sound familiar, then a psychological assessment for ADHD can provide the answers you need.

What Are The Benefits Of An ADHD Assessment?

An ADHD assessment assesses multiple factors that can help you understand your child and learn how they can succeed academically. A comprehensive assessment can provide additional answers. The benefits of a comprehensive ADHD assessment include understanding how your child brain functions, how they learn, and what other emotional challenges, such as anxiety or depression, are contributing.

The process of an ADHD assessment provides three major answers:

What an ADHD Assessment Provides

Diagnosis and Recommendations

Following the ADHD assessment, you will receive a written report that includes a diagnosis (if applicable) and recommendations. Recommendations include strategies for school, parenting, and medical and/or mental health treatment. You may provide this report to your child’s school if the psychologist recommends you advocate for more academic support.

ADHD Medication

Additionally, you may give the report to your child’s pediatrician or psychiatrist if you are interested in medication for your child. If you are not interested in medication, your pediatrician may recommend other supplements, such as melatonin for sleep or an Omega supplement to help with focus. Your pediatrician may address other nutritional imbalances that can impact ADHD symptoms.

Parenting Strategies

The report will also provide parenting strategies. Parenting is never easy. A child with ADHD, however, may require some additional support. This can make parenting more challenging. Additionally, parenting a child with ADHD likely looks different to the parenting your other children or your friend’s children require. Thus, recommended strategies will be tailored to fit your child’s specific situation. This can include transitioning between multiple households, difficulty with sleep, or a busy family schedule.

Empower Yourself And Your Child With An ADHD Assessment

It may feel overwhelming to meet your child’s needs especially with, no doubt, numerous other demands on your time. One of the major benefits of an ADHD assessment is that it provides a road map. It can help reveal what your child needs and how to start providing this. Then, both you and your child can feel confident to take the next steps towards effective change. 

Schedule Your Consultation Today

Schedule a free consultation call to see if an ADHD assessment would benefit your child. For more information on the assessment process and strategies, you can download my ADHD Field Guide.

Melissa Winfield, PsyD
Melissa Winfield, PsyD

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

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ADHD, Parenting, Testing and Assessment

Does My Child Have ADHD? How to get answers

The diagnosis of ADHD (Attention Deficit Hyperactivity Disorder) is getting thrown around everywhere these days. It’s so common that some parents have become suspicious of the label while others become concerned that every problem their child has may be related to ADHD. But what actually is ADHD and would it be helpful to get a diagnosis for your child?

What is ADHD?

ADHD is more than just attention problems or hyperactivity. It is a mental health diagnosis that  includes a long list of symptoms that occur when children (and adults) have difficulty with executive functioning. Executive functioning is our brain’s ability to plan ahead, sustain attention, organize, and stop certain behaviors.

When your child is arguing for the one hundredth time about taking a shower and you want to yell at them to just do it, but instead you take a deep breath and speak calmly…that is your brain using executive functioning to monitor your behavior. Getting yourself to focus on work, planning out what you need to do today and finishing the dishes when you don’t want to…that is also your brain using executive functioning.

Attention problems are a sign of ADHD but there is more to it.

What are the Symptoms of ADHD?

Here are some other signs of ADHD:

  • Loosing things frequently
  • Difficulty starting tasks (Ex. Needs frequent reminders to do homework or chores)
  • Difficulty completing tasks or following through with instructions (Ex. Completes homework but forgets to turn it in)
  • Makes frequent mistakes on things that they should know
  • Forgets things that they have to do daily
  • Gets easily distracted
  • Fidgets constantly
  • Has difficulty sitting still in sitting is required
  • Seems to be aways on the go
  • Runs or climbs when it is not appropriate to do so
  • Not able to play quietly
  • Blurts out answers to questions
  • Has difficulty waiting turns
  • Does not play quietly but is always making noise

Likely your child has struggled with one or more of these items, even if they do not have ADHD. And very few children will have all of these symptoms. But if your child has many of these symptoms AND it is impacting school, their ability to make friends or making home life very difficult, then they may need additional support.

When Should I Get Help?

If you are looking at this list and your child meets more than 5 of these regularly or a specific symptom is causing significant concern, then getting an evaluation from your pediatrician or a qualified mental health professional may be helpful. Without a professional evaluation, it is difficult to know for sure if your child meets criteria. This is because there are a few other factors involved. For example, other things can look like ADHD…like past trauma, anxiety, difficulty transitioning between homes or learning difficulties.

Is Getting a Diagnosis Important?

Getting a professional diagnosis may be helpful for you to know how to better support your child and to give you a road map of what to do next. A diagnosis can help you advocate for accommodations at school, discuss treatment with your pediatrician or know how to better structure your child’s time at home.

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Testing and Assessment

Could a Psychological Evaluation help your Immigration Case? Learn the Value in this Article.

Living in a new country as a refugee or trying to change your immigration status can be very stressful. Maybe you are worried that a family member will face deportation. No matter the situation, you want to do everything in your power to ensure that you or your loved one will be able to legally stay in the United States. How could a psychological evaluation help you?

Immigration Psychological Evaluation

For many immigration applications, a psychological evaluation can support your case. This evaluation provides a clear portrayal of your story and describes the hardship you have already faced or expect to face in the future due to deportation. If you have suffered any psychological or physical abuse, it is valuable to have the mental impact of this abuse well documented. 

This article provides a brief description of the kinds of cases in which a psychological evaluation may be helpful. However, this is not legal advice. Consult your attorney about whether a psychological evaluation would support your case. 

Extreme Hardship Waiver

In extreme hardship cases, a waiver can be provided to an applicant if their removal from the US would cause “extreme hardship” for a family member who is a citizen or lawful permanent resident. Your case must show that there will be extreme hardship if family members are separated due to deportation or if family members must relocate with the one being deported. Extreme hardship is defined by the US Citizenship and Immigration Services as a hardship that is more than what is commonly expected for family separation or relocation. Factors in determining hardship may include access to health care, finances, education, caring for family members, safety, and social or cultural impact. 

A psychological report can help to clearly document your situation and the hardship that would result in either family separation or relocation. If separation or relocation may include mental health concerns, a psychological report is invaluable to describe how mental health is likely to be impacted. 

Cheerful aunt laughing and giving cheese to niece while enjoying with family in kitchen at home during weekend

Spousal Abuse (VAWA) 

The Violence Against Women Act (VAWA) was created to provide a pathway to legal status for family members who have experienced abuse from a U.S. citizen or lawful permanent resident (LPR). An immigrant family member is usually reliant on a U.S. citizen or LPR to petition for legal status on their behalf. But for cases in which there has been abuse, VAWA provides protection for individuals to apply without the knowledge, consent, or participation of their abuser. This protection is not just for women, but includes all spouses, children, and parents who have suffered abuse and who would otherwise be dependent on their abuser to apply for immigrant status. 

Abuse in these cases is described as “battery and extreme cruelty.”  This includes physical and sexual abuse as well as non-violent acts or threats of violence that are used to control the victim (ex. isolation, blaming, threats of deportation, etc.) 

A psychological evaluation can be provided as evidence to demonstrate battery and extreme cruelty. Meeting with a psychologist for an evaluation allows clear documentation of the psychological and emotional hardship you have experienced. It allows your story to be portrayed accurately and compassionately in a comprehensive written report. 

U Visa 

A U Visa is similar to a VAWA case in that it allows an individual to self-petition for legal status due to having been the victim of a crime. It provides protection for those who have “suffered substantial mental or physical abuse.” In order to meet requirements, the victim must be willing to participate with law enforcement. 

In these cases, a psychological evaluation can be helpful to document and provide evidence for the mental and emotional impact of abuse. 

Asylum 

Lastly, a psychological evaluation may be helpful if you are seeking asylum. In order to receive asylum status in the United States, you must show that you have suffered persecution or have a well-founded fear of persecution in your home country. Persecution may be based on factors such as race, religion, nationality, political opinion, or membership in a social group experiencing discrimination. 

A psychological evaluation documents the persecution or suffering you have already experienced before coming to the United States or the reason why you are fearful that you would not be safe if you returned to your home country. It can also help document the reasons why you did not apply within the year deadline of arrival in the US, if applicable. 

In all of these cases, you want a professional who will treat your case with compassion and expertise. I will work closely with your immigration attorney to create a helpful report that clearly documents what you have been through, your current situation, and any hardship you expect in the future. A psychological evaluation gives you confidence that your unique immigration story will be heard and that evidence for mental health impact will be presented. 

References: 

Extreme Hardship Waiver: https://www.uscis.gov/policy-manual/volume-9-part-b
VAWA:  https://www.uscis.gov/policy-manual/volume-3-part-d
U Visa: https://www.uscis.gov/policy-manual/volume-3-part-c-chapter-1
Asylum: https://www.uscis.gov/humanitarian/refugees-and-asylum/asylum

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Testing and Assessment

International Adoption Psychological Assessment: Common Questions

You have decided to adopt internationally and are likely feeling very excited about what this means for you, your family, and the child you will bring home. Even though you’re excited, all of the steps in the adoption process may feel daunting. For many international adoptions, one of those steps is completing a pre-adoption psychological evaluation. In a previous blog, I outlined the process of getting a pre-adoption psychological evaluation to have a general idea of what to expect. In this article, I want to answer some specific questions that I have gotten from families going through this process. Additionally, I want to provide information specific to my practice to help alleviate some anxiety.

Can this evaluation be done virtually?

The evaluation process includes two components: an interview and personality testing. Both can be done virtually. However, check with your adoption agency first to see if they would have any concerns with a virtual evaluation.

All evaluations and adoption paperwork will need to be approved by a committee in the country from which you hope to adopt. Each country has different standards and some may not approve virtual evaluations at this time.

I am able to provide evaluations both virtually and in person, based on your preference and agency’s recommendation. Since evaluations are usually completed in two sessions, one can be virtual and the other in person, if needed.

How long does the evaluation take?

Evaluations require 5-6 hours of your time and can be completed across multiple sessions.

How much does an international adoption evaluation cost?

Costs vary based on the testing required by the country from which you plan to adopt, and additional testing may be recommended at times. Currently, international adoption assessments through my practice generally cost $900-$1200 per individual.

What questions are asked during the interview?

Most clinical interviews include detailed information about your mental health, medical, employment, educational, and social history. However, some questions are specific to adoption. These questions may vary depending on the country from which you are adopting.

It is common to be asked about your journey to parenting through adoption. Questions may include why you decided to adopt and what factors led to this decision. You may also be asked about what you are hoping will result from the adoption. What are your dreams for your family? How do you envision life with an adopted child?

Other questions will explore your parenting style, including how you learned to parent (from your parents, prior experience, parenting classes, etc.). You may also be asked about your willingness to help a child connect with their biological family in the future and your understanding of stressors that your adopted child may have experienced before adoption.

Preparing for Adoption

There are a lot of questions involved but no need to be anxious! There are no “right” answer. Just be open to reflecting on your experience (the good and the bad) that led you to today. This evaluation is not to find your weaknesses but to give an accurate and complete sense of who you are and who you will be as a parent to an adopted child.

Though the evaluation may feel like just another step, it can also be a valuable time to reflect on your experience, identify strengths individually and as a couple, and talk about areas where you may need support. Bringing home a child is both exciting and stressful, so this evaluation helps you prepare for what is ahead.

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COVID, Parenting

Successful Transitions: Back to School

“How can parents best support their child during this time? We’re joined by Melissa Winfieldlicensed clinical psychologist at Here Counseling in downtown Los Angeles, to discuss.”

Melissa Winfield, PsyD was interviewed by AirTalk with Larry Mantle for KPCC. The intervew with Dr. Winfield begins at 35:00.

Back-to-School

Back-to-school looks different this year. After a year and a half of the pandemic, kids, parents and teachers are all feeling the impact of yet another transition. For some kids being back in the classroom is a highly anticipated relief from the challenges of remote learning. They are excited to see friends and have the support of teachers. Others are more worried about this change.

Even with the excitement, new transitions can increase anxiety and apprehension for children and teenagers. In order to help kids with this transition, we need to understand the unique stressors that children and teenagers are experiencing and the necessary parenting tools.

Mental Health Impact of Transition

All transitions, even happy ones, can cause increased stress for kids. They will be facing new expectations, engaging with new people, having to get up early again…and dealing with the emotional impact of the pandemic.

Unlike other years, many students have missed out on a whole year of being with peers and learning in person. This may result in the following experiences:

  • Increased self-consciousness about the changes in their bodies (ex. Growing taller, gaining weight, starting puberty)
  • More social pressure as they reconnect with peers in person
  • Feeling awkward or believing that they have lost social skills
  • Exhaustion due to not being used to the demands of school
  • Fear about getting COVID-19 at school and bringing it home to at risk family members

Additionally, the isolation and stress of the pandemic has caused an increase in depression and anxiety among children and teens. Even if going back to school is a good change, they may still be experiencing more worries, discouragement, and lack of motivation than they were prior to the pandemic.

Parent Tools

So what can parents do to help? Well…a lot, actually! Parent engagement and support is a major contributor to helping kids deal with stress and build resilience.

Here are some things that you can do to help your child/teenager cope during the transition:

  1. Talk About Feelings
    Recognize that increased irritability or acting out may be the result of stress and help your child verbalize how they are feeling. You may need to model expressing your own feelings to help them learn this skill. Ex. “I’m feeling nervous about seeing people in person again, how are you feeling about going back to school?”
  2. Keep Routines
    Limit the changes in routine as much as you can, especially if your child is struggling with going back to school. Routines help kids feel safe and secure because they know what to expect. Try to keep routines that you have been doing during the pandemic. For example, if you spent more time as a family doing certain activities or have been visiting specific friends or extended family during the pandemic, keep doing those activities regularly.
  3. Provide Reassurance
    When kids are anxious, they need a lot of reassurance that it’s going to be ok and that they are safe. If you child is nervous about going back to school because of COVID, help them understand the safety precautions provided at school and how this can help keep them safe. They may need to hear this reassurance multiple times to trust that things haven’t changed again. Praise kids for following guidelines so that they feel good about themselves and their efforts to maintain safety.
  4. Take Care of Yourself
    Parent anxiety can increase stress on kids. Children take in both verbal and non-verbal cues from adults about how safe or scary a situation is. By taking action to manage your own anxiety and stress, you can be more encouraging, positive and reassuring for your kids. Watching you handle stress well can go a long way to help your children build resilience and be successful in this transition.

And as always, reach out for help if you would like to talk to a therapist about the specific needs of your child or are struggling to manage your own emotions in this time. Transitioning back to in person school during a pandemic is a new challenge for everyone. Thankfully with the right support most kids will become more resilient and learn to cope with this new transition.

Melissa Winfield, PsyD

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

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Managing emotions

Helping Teenagers Sleep Better

Teenagers often struggle to get enough good sleep. It may take hours to fall asleep or they might wake up in a panic in the middle of the night. Sometimes they sleep ok but always feel tired. Teenagers still need 8-10 hours of sleep per night, even though their internal clocks have shifted to not get tired until later in the evening. Without enough sleep, school gets harder, focusing and memorizing are difficult and mental health is impacted. Not getting enough sleep can make all of us (adults and teens) more irritable, sad or anxious. 

If you are a teenager or the parent of a teenager who is struggling with sleep, here are a few things that you can do to help. 

Set a Sleep Schedule 

Going to bed at the same time every night and getting up at the same time every morning improves your sleep. Your body will get into the habit of falling asleep at that time and wake up feeling more refreshed in the morning. If you can, keep that schedule on the weekend as well (or sleep in no later than 1 hour), in order to help you get better sleep throughout the week. 

Start a Calming Bedtime Routine 

Your brain relies a lot on external cues to tell you when it is time to sleep. That is why you might feel tired earlier in the winter when it is dark so early. Our bodies use light to determine when we sleep but it can rely on other cues as well. So establishing a bedtime routine prepares your brain for sleep. Routines like putting on pjs and brushing your teeth help you start unwind and relax. But you may consider expanding your routine to include a few more things. 

Here are some ideas: 

  • Drink hot herbal tea
  • Journal 
  • Read a favorite book 
  • Listen to calming music 
  • Start a diffuser of essential oils 
  • Put on lotion 

Doing these activities consistently as part of your nightly routine communicates to your body that it is time to sleep and helps you fall asleep sooner. 

Reduce Screens 

The light from screens (including phone, TV etc.) mimics natural light and wakes up our brains. If you are having a hard time falling asleep, turning off all screens an hour before bedtime can make a big difference. 

Avoid Homework in Bed 

When you do school work, your brain becomes more alert, focused and possibly more stressed or frustrated. If you are doing school in the same place where you sleep (on or in your bed), your brain will associate your bed with school. As a result, when you lie down to sleep, you might start thinking about school or start feeling stressed and alert. Doing activities you enjoy on your bed, like talking to friends or watching TV can have a similar effect of keeping you awake as well because those activities make you excited and energized. As much as possible, only use your bed for sleep and relaxing activities. Anything that is stressful or exciting will keep you awake later on. 

Increase Physical Activity 

Being active and getting outside during the day can also help with sleep. Take a walk, go for a jog, jump on the trampoline, shoot hoops, chase your dog, dance! Anything that gets you moving during the day will help you sleep at night. Just avoid doing these things right before bed or in the evening, because that might wake you up more. 

Get support

If you are feeling a lot of stress, worry, sadness or loneliness, your mental health may also be impacting your sleep. If you try these things and are still struggling, reach out to a therapist for support. Learning to cope with whatever is going on for you can help you feel better and improve sleep. 

So I encourage you to try one or two of these strategies (or all of them! Why not?) and ask for help if you need more support. 

Help Your Teen Sleep Worksheet

Want these questions in an easy to use free downloadable worksheet? This worksheet will help you take steps forward in dealing with anxiety. You’ll also get access to all our worksheets in Here Counseling’s Resource Library!

 

Melissa Winfield, PsyD
Melissa Winfield, PsyD

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

Read More