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Tag: Children

102. Anxiety and Coparenting with Tammy Daughtry, LMFT

In this episode, Carrie sits down with Tammy Daughtry, author of “Co-Parenting Works: Helping Your Children Thrive After Divorce,” to discuss the challenging topic of co-parenting and its impact on anxiety. Tammy shares her personal journey as an adult child of divorce and her mission to provide hope-filled resources for co-parents through Co-Parenting International. 

Episode Highlights:

  • The impact of managing emotions on co-parenting dynamics and children’s well-being.
  • Techniques for seamless transitions during handoffs using body language and tone.—The importance of prioritizing child safety and well-being over personal disagreements.
  • Creating secure spaces for kids by acknowledging parenting style differences and encouraging open communication.
  • The significance of self-care for parents during alone time, promoting personal well-being and smoother transitions upon children’s return.

Episode Summary:

Welcome to Christian Faith and OCD. In this episode, we’re diving into the complexities of co-parenting, a topic that resonates with many of our listeners who may be facing anxiety and stress due to the challenges it brings. Today, I’m joined by Tammy Daughtry, the author of Co-Parenting Works: Helping Your Children Thrive After Divorce.

Although I went through a divorce several years ago, I didn’t experience co-parenting, as I didn’t have children in that marriage. But I know this is a significant issue for many, and I wanted to bring Tammy on to provide insights and hope to those navigating this journey.

Tammy shares her personal story, rooted in her experience as a child of divorce and later as a co-parent herself. After an eight-year marriage, Tammy found herself at a crossroads, leading to divorce and the beginning of her co-parenting journey. Her quest for hope-filled resources led her to create Co-Parenting International, a platform aimed at providing support and guidance to parents in high-conflict situations.

In our conversation, Tammy emphasizes the importance of the “handoff”—the transition of children between parents. She highlights how body language, facial expressions, and tone of voice during these exchanges can deeply impact a child’s emotional well-being.

Tammy also addresses the often-overlooked aspect of alone time for single parents. She offers practical advice on making healthy choices during these periods, emphasizing the importance of self-care and community engagement to cope with the emotional void that can arise when children are with the other parent.

This episode is packed with wisdom and practical tips for anyone navigating the complexities of co-parenting. Whether you’re dealing with the daily challenges or preparing for the long-term impact on your children, Tammy’s insights provide a roadmap for fostering resilience and hope.

Related links and Resources:

www.coparentinginternational.com

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94. Podcast Updates and a Mom’s View on God

In today’s episode, Carrie shares some of the lessons she has learned about God from being a mother and some important podcast updates.

Episode Highlights:

  • The recent loss of both of Carrie’s parents and the impact it has had on her life and the podcast.
  • How being a mother has helped her to understand God’s love and care for his children.
  • The joys and challenges of motherhood, and how it reflects God’s love for us.
  • Personal motherhood stories of Carrie’s best friends, Christen and Michelle.  (excerpts from Sending Hope and Love to the Not Yet Mothers) 

Episode Summary:

In this episode of Christian Faith and OCD, I want to share something deeply personal. Over the past year, I’ve faced significant losses, including the passing of both my parents. I had intended to talk about these events sooner, but the weight of my grief has made it challenging to find the right moment. I’m still navigating these emotions, and I’m not yet ready to fully unpack everything.

I’ve been reflecting on how grief impacts our mental health, especially when dealing with OCD. It’s a journey of trying to find balance between acknowledging our pain and continuing with our healing process. ss.

In this episode, I’ll also discuss how faith has been a crucial anchor for me during this period. Leaning into my spiritual beliefs has provided comfort and strength, helping me cope with the intense feelings of loss. I hope that by sharing my journey, I can offer support to others who may be going through similar struggles.

I appreciate your patience and understanding as I continue to work through these personal challenges. Your support means a lot to me, and I look forward to bringing more insights on integrating faith and mental health in upcoming episodes.

Explore Related Episode:

Welcome to Christian Faith and OCD episode 94. I am your host, Carrie Bock and we are all about reducing shame, increasing hope, and developing healthier connections with God and others.

I titled this podcast episode, Podcast Updates and a Mom’s View on God. I really strive to be transparent on this podcast and, and sometimes there’s things that I’m just not ready to talk about yet, and one of those things has been my mother’s death.

It hit me really hard. My mom died in September of pancreatic cancer, and it was a short time between her diagnosis and her death. Before the cancer, she’d always taken good care of herself, had no ongoing health conditions, so it was pretty shocking to lose her and what felt like so young. I had planned for this episode since it was gonna come out on Mother’s Day, to talk about my mother’s death.

I felt like I was going through the grieving process and ready to talk about what I experienced and learned through the process. Then in March my father died suddenly of a heart attack, and this set my grief process way back to square one. So I’m not ready to talk about my parents’ death yet because it’s something that I’m still working on processing myself.

The main reason that I’m sharing this with you now is because of how it will impact the podcast. If you’ve been listening for a while, I hope you know how much I’ve really enjoyed this work over the past two and a half years, and it has been work. None of it came overnight or was easy. There have been late nights, early mornings, lots of writing, editors I had to fire and assistant I had to hire. It’s been far from a cakewalk, yet. through all of that, I’ve been able to put out episodes consistently, and I’m very proud of that. I’m definitely in a different season right now and God is telling me to slow down, not stop, but slow down. If you’ve been through a major loss in your life, you know how exhausting it is and how much energy it takes just to get through everyday tasks.

My mind is foggy. My motivation is down. I am pretty weary from losing both parents in a six-month time span. And in this season of slow down, I stopped taking new clients for a bit and I’m now being selective about who I take on limited my schedule to be with my family more. I’ve also put a hold on the course I’ve been creating for Christians with OCD.

It’s painful for me to admit that because this is something I hoped would be out into the world already and available for people. I know that in the right time, the course will be out there and available for people when I’m able to finish it, and I look forward to telling you about that someday. I have been providing some one-time consultation sessions, for listeners that are outta state to help them either find a therapist in their area, guide them in their next steps, and I’ve been really enjoying that.

You’re welcome to contact me if that’s something that might interest you. I’ve also been enjoying the intensive work that I’m doing on Fridays with clients and absolutely want to do more of that. So if you have a desire to travel or aren’t too far away from me, from Middle Tennessee, I’d love to talk with you more about that opportunity if you think it might be right for you.

We have a prior episode on that, a bonus episode that you can listen to. In the spirit of taking care of myself, I need to stop recording podcast episodes for a bit until I have the mental and emotional bandwidth to do so. The next couple episodes, they are already recorded. Let me tell you. They are so good.

I’m super excited to share them with you. They are on developing a healthy theology around healing and suffering. My guests took on some tough questions and were vulnerable enough to share their own struggles. I really enjoyed interviewing them. After those episodes come out, I’m not sure. I may have my assistant compile some of the stories of hope into episodes.

I think those would be fantastic and encouraging for all of us, myself included. We may replay some of our more popular episodes and I can give you some of my own commentary on them as I listen to them later. It’s my desire to give you 100 tips for reducing anxiety on our 100th episode, which is coming up not too far away.

I think it’ll be a good review of some of the things we’ve already learned on the show. We will continue putting out episodes. It may be a little recycled at times, and for our friends who listen to the show on a regular basis, I felt it was important to let you know why. It’s not Carrie slacking off.

It’s Carrie practicing what she preaches, taking care of her body, mind and spirit. Going to bed on time, trying to eat well, getting movement, going to therapy, journaling. More than being tired. I feel weary and I need God to restore me. I’m going through the Psalms right now and doing my best to connect with God.

I will say that he doesn’t feel close right now, but in faith, I believe that he is. And the Bible tells us that God is near to the brokenhearted. On a much happier note. One thing I’m really excited about is that for the first time ever, Hope for Anxiety and OCD will have a booth at the American Association of Christian Counselors Conference or AACC in mid-September.

If you don’t know, the AACC conference is a really big deal. It’s attended not just by professional counselors, but also lay counselors and others in ministry. When I first saw the conference was going to be in Nashville this year, I couldn’t pass up the opportunity to get the podcast out in front of an audience who can share it with others who need support and encouragement.

If you happen to be a counselor listening to the podcast, who will be at the conference, please stop by our booth and say hello. I’ll be working on getting some pins made as well as more podcast promotional materials. I’m very excited to get the podcast in front of so many people in basically a short timeframe.

This is one of a few things that I am pretty energized about right now in honor of Mother’s Day. I wanted to share with you a few things I’ve learned about God from being a mother the last 14 months. My daughter knows that I love her, even though she doesn’t understand everything right now. Why won’t mom let me touch the outlet?

She doesn’t understand how serious some of these things could hurt her, and sometimes I have to get stern in my tone with her about not messing with certain things. God does the same thing with us in scripture about sin. He knows how destructive we can be when we’re just out here left to our own devices.

I have my daughter’s best intention at heart, even when she doesn’t realize it. Scripture says that God knows what we need before we even ask. Most of the time my daughter hates taking naps, but they are good for her. Sometimes she doesn’t wanna have her diaper changed, but I love her enough not to let her stay that way.

We’re all a work in progress and I wanna give my daughter everything she wants, but it wouldn’t be wise or good for her character development. I had some friends who adopted two little boys from foster care, and they had a lot of issues with their teeth because their biological mother never said no to candy or sweets..

She wanted to give her kids everything they wanted, and the result was cavities. Unfortunately, I have to realize that when God doesn’t give me what I want at this moment, it’s for my ultimate good. Perhaps it’s so I won’t develop the cavity of pride or greed or something else that sneaks up on you slowly, like a cavity, but can be a whole lot more destructive.

It’s pretty amazing that my daughter loves me, even though I’m not perfect. I don’t always know what she needs. I don’t always respond with patience and kindness. She’s still there with hugs and still learning how to give kisses. She’s a picture of God’s grace in my life for sure, and I’m so happy to have her here during this time in my life.

It doesn’t help me to ask God why he didn’t allow me to have more time with my parents, but I do trust that he still loves me and he has my best interest at heart. Some of you’re wondering why God hasn’t answered a prayer or healed you. I wanna encourage you that God’s always at work. Even if we don’t see it or can’t feel it right now, to all the mothers out there, you mean so much to your kids, even more than you probably know.

If you’ve lost your mother, I feel you. I miss mine daily, but I know that she would be proud of me and what I’m doing. I know if she was here and physically able, she’d be the first person to hop on a plane and help me with the AACC booth.

The first Mother’s Day episode for the show was Sending Hope to the Not Yet Mothers when I wasn’t a mother. It was two years ago before I had my daughter Faith, and I told you all how much my mom meant to me. I also told you about how much of a promoter of this show she was. She was passing out podcast promo cards, everybody at her church, on planes. And once I do some more grief work, I will tell you more about my mom.

Until then, check out these stories of Hope from our first Mother’s Day episode on how two of my friends became mothers after waiting a long time. All good things are worth the wait.

Christin’s Motherhood Journey

How did I become a mother? That’s a loaded question. Hi, my name is Christen Jasmine Wilson, and this is my story to motherhood.

I am 39 years old, and this is important because. Maybe like some of you, I wasn’t sure I would ever become a mother. I can remember from the earliest time, always loving being around kids, around babies. I grew up babysitting, starting at a very young age. Probably too young if you ask me, but I started babysitting as early as 11 for my next-door neighbor.

She had two beautiful kids that I used to watch on occasion, and I can even remember Connie and my mother into serving with me at the nursery during the second service at church just because I loved kids that much. You can say that this might be a God-given desire. I would say that had this idea in my mind that I would always be a mom, but in my mind, by age 25, I met the love of my life in college, fell madly, deeply in love, became a psychologist.

I even found a letter that I wrote to myself in high school. I wanted to become a psychologist and have three kids of my own. By 2011 or something crazy like that. However, sometimes life just takes you on a journey and that’s not necessarily how things go. For me, I went to high school and had two boyfriends maybe, all of which lasted two weeks, and my singleness was a really, really, hard thing.

I struggled with being single for a very long time. I went to college while I was in college, and decided to get involved in the church that was right across the street from our school. I, again, loved kids so much that I started volunteering. As a college student in the middle school ministry working with middle schoolers.

I know I’m a rare breed, but loved the naivety and the gullibility and just the welcoming nature of that age in working in the middle school ministry though. Remember college, I always thought I would meet the love of my life in college. I never did. In fact, after college, I started working for a ministry and for a non-profit that really just worked with middle school kids. All the while knowing that I wanted kids of my own, all the while really wanting to be married and not ever wanting to have. Kids without a partner in life.

I know I have had a lot of friends that have adopted or wanted to foster and have done that single-handedly and by themselves and my hat goes off to them. However, I knew for me this was not a journey. I wanted to enter a loan, just knowing my own personality. I knew I would need a partner and a friend, and so I prayed to God many nights that he would bring me not only a man of God, but somebody who I could have children with, and that we could raise children together.

I will say that, but it came not without tears, and not without many, many years of doubting God, of asking hard questions, of crying out to the Lord, of yet one more guy who I was attracted to and had feelings for, not return those feelings, not return that love. I can remember during college and a little after I spent some years during those college times in West Palm Beach in one of my places, I would really have heart-to-heart conversations with Jesus. I was on the beach and I can remember there was this one guy and I really just had fallen head over heels in love with him and he had no clue. I was good friends with his sister and I knew her, she could tell, but I just remember like really asking the Lord, “Why, just, why, why? I just remember asking, am I oblivious to guys?”

What is it that allowed me to not be seen by guys? Really, I look back now and I see that had those guys looked at me and seen me, I would’ve fallen head over heels with the wrong guy and really my heart is so honestly flippant and I fall in love with the drop of a hat. So it’s only the Lord’s grace and mercy that has allowed me in this. That really kept me for my husband of today. Again, college thought I would be married by 25. That was my cutoff date in my head. That did not happen. In fact, I remember I. At 25, I actually freaked out and was like, oh my gosh. I remember my mom had me at 25 and I’m really like far behind the timeline here cuz I wanted to have kids.

I thought by that time I would have them. However, that was not what was in the carts for me, and in fact it took me. A long time to even work through what it looked like to actually be in a relationship and what it looked like to actually start to date, which then led to motherhood. All the while working with kids, all the while though, taking care of other people’s kids. All the while knowing that I wanted to be a mother. I remember turning 30 and still being single, and I remember actually 29 going, I’m almost 30 the whole year, and grieving that. Of being single and turning 30, and I almost wish that whole year of 30 away. I think it was 32 or 33. When I was 32 or 33. I finally was like, if I ever want to have kids, then I need to actually seriously start dating some guys on through a few apps.

At first, I had really a hard time even wrapping my mind around if that was acceptable, how, and what I believed. And so again, this really challenged my own thinking, but kind of came to the conclusion that if I was ever going to get married, I needed to be around guys and talk to them and have conversations.

I went on a journey of having dates and chronically on all of those dates. Some were fun and some were really, really bad. I could probably tell you stories, but I don’t want to embarrass any of the guys that I went on dates with. Let’s just say there are a few that really still have me kind of chuckling today.

Fast forward to 2016, I was talking to a guy who happened to live in California and actually had a daughter. I knew that was going to be a little tricky, but I had been laid off. The organization I was working for had closed down and I didn’t have anything keeping me at my current location. So I decided to move to California and see if things would work out.

I honestly remember sacrificing a lot of my ethics and a lot of my morals for something that was only temporary something that wasn’t real and something, and for somebody that wasn’t authentic. I think in some of those, in that particular instance, I had really become so sick of being single and was trying to do things my own way and in my own timing, honestly, at 35, I was feeling like I was the only 35-year-old woman who had never been married. I was feeling I was the only 35-year-old woman who didn’t have kids by this time. I had high school friends that had babies. I’ve had college friends, got married and have babies. I had friends adopting babies, and I just for a long time felt like my life was on this pause track where I just had no control. So many people kept saying, well, why aren’t you married or, You’re a catch. Why are you still single? When are you going to start having babies of your own? I really hated those questions because I felt like it was my own fault that it was unable to be a mother at that time. So at 35, I got into this relationship and I just decided to try to make things happen of my own accord and was completely devastated.

When this guy only wanted to use me for certain things and then bit me back out. So with that, I packed up my bags and I moved back to my home in Chicago and warded off dating for a while actually. It was like, I’m done. This guy is stupid and really, my heart was broken into million pieces and it was partially my own fault for giving it to him without putting up boundaries to safeguard my own heart. Of course, during that time, My relationship with the Lord was nonexistent because at that point, I felt like I didn’t trust him and I was angry. I didn’t want anything to do with a God that didn’t love me enough to give me a husband and children by the time I was 35, knowing that most women go through menopause and are unable to bear children in their forties, so yeah, that was hard.

Sometimes the life that I’ve lived is great. I’ve gotten to do so many things as a single woman I’ve gotten to explore and gotten to travel and have had so many different experiences that I would not have had. If I had been married and had kids, maybe I would’ve, I don’t know. But at that point, I was just done with being a good girl and following the rules and thinking that, you know, God blesses you and you know, honors you if you X, Y, Z. I think if I were to put it into different words, I was trying to make myself follow this God in order to get the blessing. And so in other words, it wasn’t really about knowing God or trusting him, it was about I’m gonna do this.

In the end, I got this and ultimately that didn’t work. For a small little time, I said, I’m not dating anyone else. At the time, I did have a dating coach, um, just because I was like, if I’m gonna be dating and dating on an app, I’m going to need some extra advice. I was actually visiting her at the time and staying with her that weekend, and this guy popped up on my app and I was weary. I was not even sure I wanted to talk to him. She encouraged me. I showed her our conversation, and she encouraged me to start a conversation and so we did. And he was actually from Chicago. I was already planning to move back there after having my heart broken, wasn’t about to stay in California.

From there, I fell in love and met my husband, my current husband. We dated. That was in 2017. We dated for a couple of years, and got engaged on February 22nd, 2019. We were married on June 22nd, 2019, and I have also had a lot of friends that have gotten married later on in life as well. So I’ve had a lot of friends, but like some of the ones that had gotten married like late in their late thirties, they struggled with infertility and struggled with having babies.

I was not even sure that I would be able to conceive right away without some sort of help. And so we decided that when we got married and went on our honeymoon, we would not prevent, but not also like put a lot of pressure and not try. And lo and behold, we, uh, got pregnant within the first couple of months without even trying.

I remember laying in bed after finding out and after like looking at the pregnancy test and really coming to terms with it and, just hearing the song in Christ Alone play through my head. As like my song of coming really back to Christ and back to to relationship with Jesus. Like that was what had sealed and kind of redeemed and you know, kind of brought me back and brought forgiveness to who God was.

I think I was slowly coming back there with just the introduction of meeting my husband and there’s a lot of emotions, and hurt that had happened because of my own. Decisions in my own choices, but I think with my becoming pregnant, was my aha moment. It’s been a journey too. I’ll tell you that becoming a mom, especially at this S age, was not easy.

At 38 when I got pregnant with him, it was probably a lot harder than most people. I don’t know. I can’t say I was never married at 25, but did have a cousin who got pregnant around the same time and she was in her twenties. There’s a drastic dis difference of energy between a 20-year-old mom, a soon-to-be mom, and an almost 40-year-old, soon-to-be mom.

The gratefulness and the humility that I feel like the Lord offered and allowed us to name our son Ellis Jason, which means the kindness of God. Ellis means kindness, and I just really felt it was the Lord was kind in allowing me after all these years of struggling and wanting to become a mom and to have his kindness.

God giving us a son is truly a gift. If you were like me, maybe you have dreams of becoming a mom and having children. I would say it’s not too late. The Lord is good. He is kind. He gives life and brings us through things that only teach us lessons to then share and bring hope to others that might be in those same situations.

We are not without hope. We are not without life. It was really sweet to have Kristen share because I’ve seen her through this whole journey and this spiritual growth process that she’s been on. I know her story is gonna be encouraging for those of you maybe who are still single or have been through a long period of singleness.

Michelle’s Motherhood Journey

The next story is from a dear friend of mine that I have known since about 2014.

Hi guys. My name is Michelle. I’m here with you today to share my testimony as well as my infertility, foster care and adoption journey. I was married and divorced at a young age to my first husband. We did not have children together, and that was not something we had really tried to do, but when I met what would eventually be my second husband, I knew that I did want to have children. We were a little bit older when. We got married. My second husband and I, I was 35, and so immediately after we got married, we started trying to have our own child. Unfortunately, that was not happening for us, so we went to a fertility doctor and over the course of, I’d say about a three-year span, we had. Approximately nine procedures were done and close to $12,000 was spent, but that did not bear any fruit. At the end of those three years, I think we were both emotionally, I was physically spent and somewhat spiritually spent as well.

We both prayed and prayed over this journey and desperately wanted to have our child, and at that time we could not understand why the Lord was not providing that for us. The way I was looking at it is some so many people have children that don’t even want them, but God, why are you not providing us with a baby of our own? It made me feel unworthy of having a child the way I was looking at it. God, if you could let this person who is abusive to their child or neglectful or abandons their child, if you can let them have one, what does that say about me?

What does that say about the parenting you think that I would do? God and I went into a deep, dark depression. At the end of those three years, I began to resent my husband because I felt that I was the only one going through the emotional struggle, especially the physical struggle because all these procedures were happening to me and some of ’em were very painful.

I felt like he was doing a small fraction. Of the work and over time through scripture and prayer, I did grow to see that. That was very unfair of me to think that way, but human and I felt that I was, had been abandoned by the Lord during that period of time. I was also very resentful of other women who.

During this phase, we’re discovering they were pregnant and having healthy pregnancies and having these beautiful children. What makes it probably even worse is my career was in early childhood education, so my career was children and especially. Babies and toddlers and those early stages of life. That was my career.

Day in and day out, I was seeing and working with these babies and it really brought me to a low place. So my husband and I eventually decided that we would go through the foster care program through the PATH classes, but I told him that he would have to do all the legwork of getting us set up for the classes.

Basically, he would just tell me the time and place and I would show up. And so that’s what he did. We went through the path classes and through those classes I met other women who were in a very similar situation, who felt almost identical to how I felt. They felt worthless and useless. And the way I felt during that dark period was that I basically had one job to do.

The Lord made me a female, which meant I was supposed to have children. I couldn’t do the one job that God had given me to do, and I just felt so inadequate and so useless that some days I didn’t want to get out of bed. Luckily, through prayer and scripture, through family and friends who rallied around me, around us, my husband and I both and supported us, and a God who never, never gives up, he never fails us.

I began seeing how, even though those were the things that I wanted to have my own child, my own biological child, I wanted to know the joys of being able to tell family and friends that we were expecting a child to feel a life growing inside of me and seeing this beautiful baby when it was first born and caressing them against my chest having all those moments.

Through time and through prayer, God very gently showed me that he had a different plan for me, even though I kept questioning, God, what is this? What plan is this? Do you have one for me? I don’t understand. I don’t see it yet. God. He was just really patient with me and just showed me that I need to stay the course.

We finished the path classes. We sold our small house and bought a bigger house so that we could accommodate children, and we knew we probably wanted to have multiple.In 2015 we got our first sibling set. It was a brother and a sister, and we actually got them on my daughter, what is now my daughter’s sixth birthday.

My son Larry, was seven, about to turn eight. We went from zero to 60 in 2.8 seconds. We had no kids and then we had two kids and it was the youngest child’s sixth birthday. Throw together a little party, and our lives changed from that day. Like we could have never imagined. We have been blessed beyond measure. Even in the rough times. We have been blessed because the Lord has stretched us. He has grown us. My husband and I have grown closer together. Uh, we have grown closer to the Lord. And God revealed to me pretty quickly into the foster care process that his plan for us was to adopt children who needed a family.

It took us three and a half years to be able to legally adopt our children. Then finally on January 30th, 2019, we were able to legally adopt Kimberly and Larry. Our journey has not always been an easy one. There have been days where I have. I wanted to pull my hair out and say, “God, what have I done?” and then immediately I was filled with all the love and joy that the Lord had put into our hearts when he brought us these kids. They are amazing. We knew pretty instantly that we were meant to be their parents, uh, that these kids were gonna be with us forever. And it has been such a journey and such a blessing. My husband and I both feel. That the, we just stayed the course with the Lord. He’s always sovereign. He’s always faithful to us.

He never leaves us. He never abandons us. He shows us what we need eventually in his time and not our own. So I just hope this fills you with some peace and some hope, and knowing you are not alone. If you’ve been in a similar situation and that God does have a plan for you, you may not see it at this moment, but, he will reveal it to you.

Just be faithful. I hope you have a wonderful, wonderful day, and I just push blessings upon you. God bless you all. I really appreciated the vulnerability and the spiritual wrestling that Michelle shared in her story because I believe that someone who’s listening is really going to be able to relate to those thoughts and questionings that she had and wrestled with God.

That’s all for today. Thank you for giving me the grace in this season to slow down. I love you all and I will be back with some interviews before you know it.

Christian Faith and OCD is a production of By the Well Counseling. Our show is hosted by me, Carrie Bock, a Licensed. Professional counselor in Tennessee. Opinions given by our guests are their own and do not necessarily reflect the use of myself or By the Well Counseling. Until next time, may you be comforted by God’s great love for you.

57. Parenting A Teen in Crisis with Aaron Huey

Aaron is a parent coach for parents of kids at risk and the host of a parenting podcast called Beyond Risk and Back.  Aaron shares with us his valuable insights on parenting a teen in crisis and his own journey of recovering from addiction.

  • How did Aaron get involved in working with teens?
  • Common issues within the families Aaron has worked with
  • What are the causes of drug abuse and other dependency issues among teens?
  • Reasons why being a teenager is hard today
  • Some common things that loving parents do that aren’t helpful for their children, especially children going through a crisis
  • Helpful parenting tips and advice 

Related Links and Resources:

Aaron HueyBeyond Risks and Back
Parenting Teens That Struggle

More Podcast Episodes

Transcript of Episode 57

Carrie: Welcome to Hope for Anxiety and OCD Episode 57. I am your host Carrie Bock, and you have been listening to our show for a while, you know that one of the things that we talk about are healthy relationships . And today, I’m very excited to have Aaron Huey on the podcast talking about Parenting Your Teen in Crisis.

Aaron is a podcast host of Beyond Risk and Back. And he also coaches parents with teens who are in deep crisis. And, he is going to give us some examples of some situations that he’s walked parents through, who have very challenging situations with their teenagers. Welcome to the show. 

Aaron: Carrie, thank you so much. I loved having you as a guest on mine, and I’m really honored to be on yours. Thank you.

Carrie: How did you get involved in working with teens and parents?

Aaron:  Well, it started way back, I was one of these teens and being in crisis for me meant living the life of experiencing being abandoned by my biological father. I was bullied mercilessly in school.

I was sexually assaulted when I went to acting school after high school. And these things led me to utilize weed and alcohol and LSD as a maladaptive coping strategy. I just did not want to feel the pain that I was going through. And I, I, the way I say it was this, “ When I was high, I was happy when I was sober, I was suicidal.”

So I had a lot of beautiful, loving people telling me, “ You got to get sober. You have a kid, you have to work.” But I didn’t have the language to say to them, “ When I’m sober, I’m ready to die.” And having had some near, some close calls as a child with my suicidality, I was very afraid of dying.That led and the, in my moment of sobriety, my, my moment of grace,my intimate communion with Divine love and forgiveness on May 21st, 1998,  set me on a path of that 12-Step in recovery, which is bringing the message of hope to people who still struggle. 

I was running a kids’ camps in the years afterwards, and a teen rites of passage program, and we had a parent. The other thing that I was doing was driving around Boulder, Colorado on, on Friday nights and Saturday nights, picking up teenagers who had contacted me saying, “ I don’t want a party this weekend.I want to go to a meeting.” So the parents would say, “ Yes, take my kid to a meeting.”  And so I would go to 12 Step meetings on the weekend evenings. I ran a martial arts school during this time.  And I had a parent who just called me one day and said, “ Can my kid just live with you?” And yeah, and my wife and I discussed it and it wasn’t that they had a bad relationship. It’s just that at home, this kid just kept spinning sideways, no matter what they tried and spun out. The motivation was not working. So could we just create a whole new environment? So we took this kid in. That mom told her sister who told her friend and that friend called us and said, “ Can my kid come live with you?”

And we said, “ Yes.”  And a week later, Carrie, we had six boys and four on a wait-list. It was literally like we were being told what to do. And we, you know, you, you have to listen. And the 12 Step decrees that you say, “ I am here to give hope to the addict that still struggles.” But right away I saw it was the whole family.

Patch Adams was a mentor of mine at a very early I mean,  for a very short time, but he said, “Your grandmother doesn’t have Alzheimer’s. Your family has it . Treat the family.”

And so right away, even at the very beginning, when we were just this sober home model, the kids doing martial arts with me, going to meetings, heading to the gym, doing family meals and them, doing online school, just restructuring the day with a lot of love and more love.

And when they did angry, risky things, we tried to find love and communicate love until they took over the work of love. Loving themselves so much that they fit the pot. And, right away, we started in on the fans. And that was the key to our success. The more we did the work, the more people wanted to do the work with us.

We started taking in interns, we started taking insurance. We moved to a huge, you know, 16,000 square foot lodge on 40 acres and staff housing. Everything like that. And we became one of the top treatment facilities in the United States, highest success rate, top 50 healthcare provider award in 2019, and then 2020 top 100 innovators of healthcare.

And, 13 days ago, I closed down the facility because insurance companies decided that my property was a high risk property. And my property insurance went from $20,000 a year to $470,000 a year. And we were utterly devastated that the insurance company would not be supportive of a childcare facility that had the success that we had.

So, in 13 days we closed it down. I’m continuing my work with families and parents and doing parent intervention and working with teens. But, we found that our success did not come from the work we did with the teens. We did good work. We did cool, cool stuff. We work with wolves. We were very art-focused. We were very unique. Holistic.

 We would get our own 12 steps. Like, we had a good kids’ program, but the work we did with parents, no one else did to the level that we did it. Our intervention on parents is where our success came from. So that’s what I’m going to continue doing. Moving forward is how can I help parents keep their kids out off jails institutions and Morkes, 

Carrie: That’s absolutely so true from my experience as a counselor and I used to work with children and teens, oftentimes, we would see teens go to residential centers and the parents didn’t engage in counseling. They maybe had like one weekend or something of that nature for parents.

And then the kids went right back into that environment and the whole cycle started over again. So absolutely, it is important to address a whole family in these types of situations. 

Aaron: Here’s the thing, I, the way we would explain it was like this to parents, because they would want to come in and say, “ Fix my kid.”, drop their kid off, to pick them up in four months and everything the kid was doing, they’re not doing anymore. And everybody’s happy. 

Carrie: Sure. 

Aaron: Number one, the moment your happiness is based upon the actions of someone else, you are in survival mode. Because that is how lizards think,” If only the Hawk would stop hunting, I could bake and warm myself on the rock. Right. But the Hawk didn’t. These kids are not making bad choices. They are expressing the language of the entire family out loud, their confusion, their distress, and the trauma becomes their language. Their behavior is their language. So to think that if a child changes what they’re saying, everybody’s going to be happy means that we’re not actually listening to what they’re saying.

Number two, at home, let us just say everybody in the family is speaking. When a child goes to treatment, we’re going to teach them the language of recovery. Let us call it Spanish. And so the child becomes fluent in recovery language, in Spanish. Now the Spanish speaking child comes back home to an English speaking family.

What do you think the child has to do to survive the family dynamic? They have to go back to their old language. If the parents don’t change the language, then the child’s language will change back to the parents’ language. The parents have to change the moment a child, let me say that word again, child, is responsible for the happiness in the home for the self-care in the home ,for the harmony of the home is the moment the parents have lost control of the whole.

Carrie: Give us an idea of some of the issues that the families are facing that you’ve worked with.

Aaron: It’s a broad subject, but I can tell you, the teens are expressing the distress, the trauma, the dis ease through the mental health issues through self-harm through video game dependency, social media dependency through drug use, whether or not people think that cannabis is a drug.

It does change brain chemistry. You can, it does all the research shows that it does. Is it heroin? Absolutely not. And I’m sure you are working as a counselor, you’ve seen, I have never, in 20 years of working with a kid who is struggling with drugs or any dependency issue, I have never not found trauma. Not once. 

Carrie: That’s huge.

Aaron: There’s always trauma. Understanding trauma is a key for parents in this, because we will always find trauma with mental health issues, co-occurring with dependency issues. Self-harm is a dependency issue. When kids are cutting, it follows the exact same cycles as someone who is using it. So,  as a facility, we specialized in dual diagnosis and we were trauma engaged . We will always look for the trauma and any parent that says, “ But my kid has none.”,  has two things going on.

Number one, parents go online and take the ACE quiz, ACE Adverse Childhood Experiences. Do it for yourself and do it for your kids because you will find a root and those roots create the fruits. It is not a kid’s bad choices. I hate that term bad choices that families are struggling with. It’s the risky choices that children, teens are making, and that’s the fruit.

And you cannot pluck a fruit and demand the tree gives you a different fruit. You have to go to the roots. Epigenetics is the root. Your own trauma is the roots. The divorce you had, which may be you and your ex are best friends. It’s still a little T trauma. It could be a big T trauma to your kid. So what we see in families, parents always want to avoid, you know, the therapist sitting down and saying, “ Tell me about your mother.”,  because nobody wants to be blamed for their children.

But, if there is a failure point in the family system, we cannot expect the child to fix it. 

Carrie: Yeah. I think that there’s an element there where school systems and bullying, and it’s how we handle those things as parents, I think is important, you know, trying to make sure that your child has a positive educational environment.

It is very easy for children to just get labeled as a bad kid. Like, they’re non-compliant, they’re not cooperative, they’re not doing what they’re supposed to do. They’re difficult, You know, they’re the strong-willed child, whatever you end up labeling them as, and then it taints everyone’s view and interaction of them from that moment forward.

And that happens in all of those systems that you talked about.

Aaron: Well, I know, I mean, so much of this has to do with us stepping back from the results. And the actions that the child is taking and the results that they’re getting, which are less than favorable results and step back, and look at systemic failure. Regardless of what end of the political spectrum you are on, I bet that 99% of us believe that the political system has failed. We all share a common belief , that the education system has failed. Now, I’m not saying teachers. Teachers are warriors. They do it for the outcome, not the income, anybody who does it for the outcome, not the income : soldiers, ER, nurses, teachers. These are the warriors of our society

Carrie:  Absolutely.

Aaron: And are really doing it for the right reason. But the system, the political system, the military system, the things that these people are working under, have failed our children. The healthcare system has failed our children and our families. These are massive systems.Now take another step back , and look at how we are sitting in the midst of a global pandemic. A belief that the air you breathe, the people you love. If they touch you or breathe near you, it could kill you. And in America, 700,000 people have died from being breathed on. This is a level of fear and failure that we are living with that I have to ask the question, “ Does anybody feel safe? Can you, do you feel safe walking outside?” We were told that violence is on the rise. Suicides on the rise. Drug use is on the rise. People are standing in the streets, screaming at each other. Nobody thinks they’re on the wrong side of history or the wrong side of the spectrum. Nobody thinks they’re the bad guy and our own backyards are filled with weeds that need away.

And we’re wondering why 25% of the children ages 13 to 17 are displaying clinical anxiety issues. This is the result of systemic failure. Now, labeling kids bad because of how they’re handling, leaving a child bad because of how they’re handling systemic failure,something that they have no recourse to change. How do we allow ourselves as adults to say that, “ Kids are making bad choices?” when what we see with adults is systemic failure.

Carrie: I think that leads kind of into the next question is, “ We have more and more teens that are facing severe mental health issues. Do you feel like it’s harder to be a teen today than when you and I were growing up?” I mean, there’s different challenges with social media and all of that.

Aaron: You know, this is, this is such a powerful question because it is something and I love Facebook. And as a gen X-er and being connected to the gen X and the boomer communities and having millennial kids and working with the younger generation, the  I gen, or the gen Zs, there is a belief that these kids are somehow less resilient than we are.

That somehow these kids don’t know how to pull-up by their bootstraps. There are a few points we have to look at. Number one, psychoanalysts, and psychologists are saying that there’s a truth to that, but that’s environmental.  It is like, there’s an environmental poison that is affecting it,  that we have to take a look at.

So what are these environmental poisons that are making these children less resilient than we are? Number one, we, in the past 20 years, the research on trauma, pretty much indicates that the gen X generation and the boomer generation are walking wounded, that we are traumatized. We have denied it, compartmentalized it and buried it.

And our parenting reflects that we have not addressed our own issues. Right. We still think therapy is for crazy people. And then our children are crazy for needing it and it’s just flat out wrong. Trauma is much, PTSD is much more prolific and prominent than we ever thought. 

Understanding things like autism and ADHD and OCD and anxiety and depression, really understanding this, has led a lot of adults to go, “Oh, well, I’m depressed.” Like, “ Yeah.” You are like, “ We’ve all had to live with it. How about you go do something about it?”  So that’s number one. It’s that we know more and it looks like these kids are being affected by it. We are just treating them for it. Number two, can you remember when you were in elementary school? You know, I mean really, really young age and or middle school or even high school and the last time, that was the very last one in primary school where you had to practice a live shooter drill?

This is something that we didn’t have to deal with. And if you watch the videos of what just took place in Texas, that the kids were filming with their phones, watching the police, open the door and say, everybody hands up, we’re knocking down your barricade. And ,  they pushed the barricade over , three policemen walked into a classroom with fully automatic weapons, fully loaded, fully armored, saying, “ Is everybody okay?”

And when you hear the children go, “ Yeah”  you hear the trauma. 

Carrie: Right 

Aaron: Because someone opened fire in the school. We didn’t have to live with that. Number three, the anarchy of the internet. Can you imagine, as a child having full and total access, uncontrolled library cards,  limitless borrow to the library of Alexandria.?

Everything. The sum total of human knowledge is available to our children in their pockets and 30% of it is pornography. Can you imagine a library with 30% of that library, those books were pornographic and the other 70% was everything else. That’s the internet. So we have all those things . And now we’re going to call the children less reserved?

We are going to call them, but they need to just buckle down. You know what? They did not ask for the ribbon for participation. They did not ask for a graduation ceremony from second to third grade when we had to wait till we were in high school, you know, who is giving it to them? The adults. 

Carrie:Right.

Aaron:  We can not say that they’re more fragile. If we treat our children like glass, they will grow up breakable. And when we do not pay attention to the cracks, they will shatter. So this cannot be something that we look at the children, we go, “ You should be better.” We have to look at the adults and go, “You should do better.” And that’s hard. We don’t want to hear that.

We love our kids and we are trying our hardest and we are working with what we have that got us here. You want to get there, you have to do something different. And I say, “ I’m not going to call you enabling. I’m not going to say you’re codependent.”  I’m going to say , “ Everything we did as parents got us to this point, what can we do differently to get away from this?” That’s the work.

Carrie:  I’m sure there are plenty of parents out there that feel like, you know, they’re doing a good job and I wonder what are some common things that you see, maybe well-meaning parents do that are not helpful for their children, especially children going through a crisis or trauma?

Aaron:  Well, what a beautiful question, Carrie. And I’ll say I,  although I had a completely absent biological father, I had an amazing dad who adopted me when I was four years old. And I got to say, my mom was extremely progressive. She had great ideas. She was a good mom. She was a work at home mom. She was head of the HOA and the theatre. She was active in our community. She was a late J league leader and a late J league instructor trainer. So she was constantly teaching other women in the community to support them and being modeled. My dad was a hardworking businessman in the community who was respected and he was an amazing dad. I had incredible parents And I bet that bottle of vodka in their liquor cabinet to this day, because it’s the same one that was there when I was a kid, is still half water because I replaced it.

You have to understand that one of the mistakes we make as parents is no matter how good we do, your kids are still affected by other environments and traumas. Your kids are still affected. It’s hard with parents who have adopted their kids, just have given you everything except parents who’ve adopted kids.

You haven’t given them their biological parents. And if you don’t understand the wound that that creates, then you will never understand that it won’t matter how much love and support you give them. You cannot fill that void. You are not designed to. That means a different kind of work than you’re doing.

So that’s one thing, is thinking that somehow it’s something that we’ve done or not done is the root. And we go through the list of all the good things we’ve done and say, “ I don’t understand. You’re just acting out.” “ What are you acting out for?” Second, is that parents don’t really do the education about mental health.

When kids are dealing with anxiety and depression, you have to understand, that this is not about willingness. This is about capability. Depression is not a feeling. It cannot be solved by getting up and going jogging. It can be solved by getting up and going jogging every day for 90 days. That can be the beginning of the solution, but we also may need pills, it’s pills and skills.

But the mistake we make is thinking that this depression is an attitude and actually depression is a description of brain chemistry. The brain’s functioning is depressed. The brain is depressed, not the emotion. The emotions are sad, and hopeless. The brain’s chemistry is depressed. Anxiety is not an attitude.

It’s a response from the amygdala when the environment matches the picture of a trauma. And so it sets off an alarm in the body and the body goes into shutdown mode. And understanding this, understanding why your kid is attracted to cannabis, understanding why your kid is attracted to cutting and what’s going on in the brain.

That’s the work. It’s not we punish because we think it’s about willingness. 

“ My kid’s just not willing.” I have to wonder if our kids are not capable because we’re punishing their inability to do something. We are making it worse. And that’s one thing that I see as good parents, mistake capability for willingness.

Carrie: Right.

Aaron: Second thing I see, good parents do is, the moment the kid starts spinning out, the kid becomes the focal point. The kid becomes the patient of the family. And so, mom and dad are talking, mom and  X are talking,  dad and XR talking, the other siblings are talking, aunts and uncles are brought in on the situation because dad’s on the phone with his mom and saying, my kids just blowing sideways and mom’s telling dad’s sister.

And then everybody gets together for Christmas. And there’s this tiptoeing around this kid. Who’s struggling and they feel it on a psychic level and the child becomes the patient. And everybody says, “ This child needs to change energetically, psychically or verbally out loud.” This child, all of a sudden, is the black sheep of the family.

When, in truth, the parent changed the dialogue to say, “ This family is struggling with depression and is really hard on little Johnny.” “ This family’s dealing with anxiety.” “ This family is dealing with self-harm issues and we’re all doing our work,  and everybody does their work and everybody recovers.” And we say to the kid, “ Hey, we’re all going into recovery. We know this is not just about you.”,  that you are actually talking the family language out loud. Have that courage as a parent to say., “You’re speaking the family language out loud and you’ve shown us a lot of things that we could do differently. And we didn’t know how to do it differently, but because of you and because of how you’re going through the struggle, we’ve realized we all have to make some changes.So we’re in and we’re with you and we’re together.”

Carrie: I liked that. I interviewed someone recently who had a spouse that went into the psychiatric hospital and she shared her story about how that really triggered up some of her own stuff. And she went to therapy to help herself and also figure out how she could support herself.

But she knew that she had to put on her own oxygen mask first. And I imagine it’s similar with parents like,they have to be willing to read the books about, you know, depression, get some help, read some materials, learn different styles of communication, whatever it is, like you said, doing their work as well. And then, being able to communicate to that, to your teenager, I think is so powerful to say like,  “ Hey, I’m in this with you. I’m learning new things. I know that I don’t have it all together.”

 I think that that vulnerability as a parent is really powerful.

Aaron: It’s amazing Carrie, because you have perfectly demonstrated the trap we fall into as parents about avoiding the work and thinking that, you know, reading the book about depression so that we can help our children, is the work. That’s actually the third thing you do. That’s not the first. Right. And I love that you said that because that is the first thing we all gravitate to. “ My kids got anxiety.” “I better get online and learn about anxiety.” And we study and we print out articles and we call our, our spouse and we call our moms and we dig and we, we give the article to our children. We are still making the child first. We are still totally and solely focused on this child. The first thing we do as parents when our children starts to struggle, if we find out God forbid, we find out that something has happened to our daughter or our son, and they have been sexually assaulted, they are being bullied at school, the first thing we do is like, “ What can I do for them? “ And we think that’s good parenting. Well, what we forget is that when our child has a suicide attempt, we are traumatized. 

Carrie: Right. 

Aaron: And, when we are traumatized because of something that happened to our kid or something that our kid does, they steal the car, they wreck it, they total it, the police show up and they are smashed out of their mind on drugs. And we had no idea they were even using it. You are traumatized. Now, what you’re doing is parenting from that place.

And when we are traumatized, what happens? We stopped sleeping. Well, we stopped eating well. We stopped drinking water. We stopped moving our bodies and we stopped breathing on purpose. And if one of those things slips, if one of those things goes away, the other four will follow because it is a domino of biology.

The moment. I am not sleeping the moment I am not eating. Right. My blood sugar levels are crashing up and down. I have coffee because it’s morning.I  don’t eat until one o’clock and I have a total sugar crash. Shall I eat? And what am I craving? I’m craving something. That’s going to jack my energy right back up.

So, it’s a lot of carbs. And so I jumped right back up and then he came and I’m just on this roller coaster of blood sugar and I am not drinking enough water. My system is no longer lubricated on coffee and I’m soda and I’m energy drinks, and I’m doing whatever to sustain beause I gotta be there for my kid.

I got to do the right thing for my kid. And I’m not sleeping that night because my system’s all jacked. And now I’m supposed to come up with a good consequence. It’s actually gonna focus my kid on their strategy and not my emotions. There is no way to be a good parent from a bad place. You cannot accidentally parent your child out of a crisis.

Well, you have to do it on purpose, which means number one, parents, you take care of yourself first. You do the fab five: sleeping ,drinking water, eating nutritious food, moving your body, and even if it’s only one, even if it’s for an hour, I don’t care. Breathe on purpose. Not accidentally breathing through the day, but actually,  go, “ Whoa, Aaron, you are not breathing.” Oh, you know what? I just practiced self-care.

Carrie: Yeah.

Aaron: Now, the second thing I do is more important than now wanting to go parent my child. The second thing I do is I tend to my adult relationships because children can not relate to my emotional experience. Children cannot relate to my level of fatigue, fear, anger or anxiety with what’s going on in my home.

I have to find other adults who relate and I’ve got to be with those adults. I got to join a support group. I don’t care if it’s on Facebook or if it’s in your church basement. You join a group and you find other adults in your community who are going through what you’re going through. And if you can’t find them,start one.

Be that parent who says, “ Hey, I need other parents who are struggling with kids and call it, “Parenting teens that struggle.”, I don’t know. I just made that name up.  “ That’s the name of my group on Facebook folks. Join me!” , but just start it if you can’t find it. And I’m also talking about your marriage or your exes, your, your parenting partners, your loves.

You have to tend to your adult relationships because that’s your support system. You got to go vent with your husband and be like, “…. I can’t take it anymore.” And your spouse goes, “ I was intense. Are you doing okay? I’m just listening. I’m just, being here. Don’t expect my feedback at this moment. How you’re doing?’,and you’re just, you’ve got to have these huge fear, frustration,anger and anxiety and fatigue experiences with another adult. So self-care first,  adult relationship care second. Now you’re ready to go parent.

Carrie: You have really hit the nail on the head there. We have to have an outlet for our intense emotions when we are dealing with someone that’s going through a crisis, meaning that we’re experiencing the crisis and the trauma ourselves like ,  this is real work. And I think what you’re saying is that a lot of people, focus the same level of energy, but they’re focusing on the wrong areas. And if they would disperse some of that energy towards themselves, towards healthy relationships, then they will have that energy that they need to give to their child.

But it won’t be like this overwhelming overarching smothering, “ We got to fix your energy” , because they’ll have dispersed some of that. 

Aaron: The anger, fatigue, fear, anxiety, and frustration that we bring to our parenting forces the children to focus on our emotions, emotions aren’t leveraged. Emotions are not consequences, especially in our kids become teenagers.

We have big, huge emotions. Teenagers could beat you in that game. They can go way over the edge. You, you have big tears and hollering voices and all of a sudden they call you a name that you have to go look up. You’ve suddenly found yourself in an urban dictionary going, “ Wow. That’s what that means. Geez, that kid was, oh, I’m devastated.”

I’m not saying you can’t have emotions. I’m saying you can’t use those emotions as consequences. You can’t leverage those emotions to get your child to focus on their strategy. That’s what consequences are supposed to do , is to get the child to look at what they’re doing and go, “ Oh, that didn’t work.”. But to see your emotions and you, “ Gimme your phone! ” They’re not going to focus on losing their phone . They’re going to focus on how you took it. The truth is , when I coach parents, I care less what the parent does and more how they do it. Because there’s two ways to take a child’s phone. Well, there’s actually a thousand, but I’ll give you two choices.

There’s this way, “ I can’t believe you did! You can’t send pictures like this. You’re under. Gimme your phone. No, you can’t have it back. I’m enough. I’m enough. I’m tired. I’m done!” or  “I’m really sorry you’re going through this. Now we have agreements in this house that I’m willing to provide a phone and internet, as long as there’s no lying, stealing, sneaking, cheating, or breaking the law and you know this.  I also know that being a teenager is really hard. So, I’m going to go ahead and manage your phone and the internet for two weeks. And as things change, I’ll change what I manage. I’m really sorry. I love you and I know you’re going through some rough times.” Now on both of those, I’m taking the phone away on one of those before I ever talked to my kid to have that level of voice, that level of calmness, that level of connection before correction, alliance  before compliance. To have that, I have to have been resourced. I have to settle my own nervous system. I have to remember, I got to hit my knees in conscious prayer, not just those desperate nights when I can’t sleep and I’m crying out for some intervention from the Divine. But actually saying, “ At 12:30 today, I’m going to spend some time with my book and some time with my God. And I’m just going to ask to be shown the light in all this darkness.” And to be deliberate in your prayers, to write down a list of things you want to ask for to communicate clearly, what I do know is that you are actually writing down the list of what you’re going to ask God for, is you, using your prefrontal cortex? , not your survival, “ God, someone helped me!”  You have to come out of survival mode if you want your kids to thrive, 

Carrie: Right.

Aaron: You cannot accidentally parent your child out of crisis. It does not,  never ever know how ,  no way works.

Carrie: Tell us about how people can find and get in touch with you.

Aaron: I have a few freebies. I want to start with first and foremost, Carrie, thank you for the opportunity to talk to you, your moms and dads, and the people listening to your podcast. I really appreciate the opportunity.  Parents, I have a free Facebook group called , “ Parenting Teens That Struggle.”  I moderate it. My daughter moderates it as well.

I have some other therapists that I really know, like, and trust. Who are in there, Avani Dilger, Kaia, and you got to see , “ Kaia on notes by Kaia on Instagram” . She’s awesome. And Carrie, if you can get her as a guest, she is a wonderful, wonderful woman. And this is just, I have 1600 parents on there who are just supporting each other.

And these are parents who are in a pretty deep crisis and it’s just a place to go up and email and go, “ Here’s everything that’s going on with my family. Oh my God. I’m so embarrassed that no one else is going through this and I’m terminally unique. And 15 to 30 other parents would go, “ Oh no, I, I that’s exactly what I’m going through.”

And that’s the moment of tending to yourself and tending to your adult relationships that you go, “ Oh, thank God. I am not alone.” , because you are not.   Parenting teams that struggle on Facebook. I post videos. I post podcasts, I answer questions and other families engage with what you’re going through. The second thing is , that my podcast

 “ Beyond Risk And Back.” This is for the parents of kids who are really struggling. And this is where I interview the experts. People like Carrie,  to talk about OCD and Anxiety, to come on and give you their advice. So,  not everything’s coming from me, but I’m just a conduit where the experts can speak through my medium.

And I have learned so much from people like you, Carrie. And I know in your show, I called you. I was like,  “ I got to know about OCD.”  because there’s, “ Oh, my God. I’m so OCD.” And then there’s OCD. 

Carrie: Right

Aaron: OCD is devastating to watch anybody that you love go through. And to hear from you , to give you to my audience, to have my items go, “ Oh, okay. Now my kid’s just a little type of …” 

Carrie: Peculiar. 

Aaron: Yeah, peculiar versus , “ My child is counting steps to the door and if they don’t get the right steps, they go back.” , and you know this is interfering. This is dysfunction . So beyond risk and back parenting teens that struggle.  And then third, if you go to brabapp.com, B R A B  A P P Brab stands for Beyond Risk And Back, brabapp .com for the same cost as a week’s worth of coffee. I put up 56 parenting sessions,  in a red, yellow, and green course and you can take the classes. The red is the deep crisis. The yellow is ,  the at-risk and the green is , things are going good, but man, they could be great. This child is a world changer. “ What do I have to do as a parent differently to inspire this kid to the next level of expression and connection with the world?”

So all of these are everything that I have ever taught a parent and I made it extremely affordable because I want every parent to feel supported, not just the ones who can afford treatment. Let’s be clear, folks. Treatment is expensive mentally, physically, emotionally, spiritually, and financially. So, let’s try changing the home before we go ask the kid to change ,so that the home can feel better.

That’s the backwards way of doing it. 

Carrie: So towards the end of every podcast, I like our guests to share a story of hope since this is called Hope for Anxiety and OCD. And so this is a time in which you received hope from God or another person.

Aaron: On May 21st, 1998,  I stopped using drugs and alcohol for good . On May 20th, 1998, I hit my knees and I asked for a miracle. I had been a minister since 1996. I’ve had a very colorful spiritual life. But despite my promises to God, despite my promises to my daughter, despite my promises to who became my ex-wife, I loved drugs more to the point where the shame and the guilt forced me to my knees. And I said, “ I can’t stop. You have to stop me. I’m not going to quit. You have to make me quit. And I’m asking for a miracle. I’m asking to be shown that there’s something outside of this. Because otherwise this is going to kill me and I’m slowly dying. You have to bring me back to life.”  The next morning I got up and I went to work and I got in my truck and I got high as I was driving to work and my truck died and my parents lived out in the country outside of Longmont, Colorado.

And so I had to walk about a mile and a half to get to a phone so I could call my dad to come pick me up. So I got my drugs and I got my paraphernalia and I started walking, leaving my truck on the side of the road and up ahead on my left, as I was walking down, this dirt road was the small, and it’s the quintessential picture in your brain of an old country church, right? Little white building, single room steeple and cross in the front, quintessential Norman Rockwell painting that you could imagine. And so I’m walking towards it. I hear this noise….and I know what’s coming and my heart starts pounding. I know that I’m about to get what I asked for,  which was the end. It was my personal Babylon, was showing up. And as I’m walking, I’m getting closer. I’m staring at this church trying not to look at it and it’s just…and it’s getting louder and louder as I’m walking toward and I’m terrified. And all I did was say, “ Stop me. “ And now I knew that I was about to get stopped. I’m standing across the street from the driveway to this church and the noises now… like the worst scratching TV, FAS. And it was so loud. And I turned and looked and Christ was standing there and he said,” You can put down the drugs now for the rest of your life and never look back. “

Carrie: Wow.

Aaron: And the feeling of love and forgiveness that I experienced in that moment to that overwhelm of pure unconditional love. The thing that I had always been searching for and had never found. It just washed me and I threw them, took my drugs out of my pocket and Carrie, I swear on everything I had that bag hit the ground and the wind with and blew it out.

I threw my pipe and a ditch and I burst into tears and the noise was gone and the experience was over and I walked. And if that was the end of the miracle, then this will be a nice, short story, but I’m going to have to take you deeper into what happened next. So I went and I hit the phone. My dad comes and picks me up. When I get home, I call work, “Tom. I’m not coming in.” They’re not surprised I’m absent all the time. Because I’m always going. And I go up to my room and I call the triangle club, the 12 step group there in Longmont, Colorado on main street. And I said, I, I had called them two weeks prior and the line was busy and I, I promise you, that I took that as a sign from God that I was overreacting and that drugs weren’t that bad.  I had lost my home,  custody of my daughter, and my marriage. I was living either in my parents’ house at 28 years old, or I was living in the back of my truck, and drugs weren’t that bad. But that’s how insane this thing is. But this time when I called that the night of that first experience,  May 21st, I called the 12-step and somebody answered on the first ring and they said,”  Triangle Club”, and I said, “ When’s your next NA meeting? I think I’m an addict.”  And the guy said, “ Where are you? I’ll come get you.”  And I said, “ Don’t do this.”  He goes, “ It’s okay, man.”  And I said, “ Don’t you say it. I’m not ready to hear it.” ,  and it got all quiet. And he said, “ I love you. It’s okay.” And I said, “ I can’t do this right now.” And he goes, “  Every hour, we have a meeting. If you need a ride, someone will get you.”  And I hung up the phone on him. And there was that love of a stranger. Somebody who didn’t know me didn’t know my past and he was willing to say, “ I love you.”

Carrie:  Wow. 

Aaron: So then the next morning I wake up and I go downstairs and I’ve decided I have the day off. So I’m going to a meeting and I go downstairs and my parents are watching TV and I kid you not, they’re watching clean and sober with Michael Keaton. And I sit down on the couch and I’m like, “ I can’t believe this.”  And like, “ This is a sustained miracle and I’m exhausted.”  And I sit down and I turn off the TV and my mom goes, she has this funny way of saying it. It’s very dear. She goes, “ Excuse me?”  And she was being goofy. And I look at her about to break her heart. And I say, “  I’m not going to a meeting at work. I’m going to a 12 step meeting. I’m an addict.”  And my mom goes pale. And my dad, the man who raised me, not my father, but the man who gave me everything who had lied to,  who had stolen from and hurt his younger biological children.

He looked at me and he goes, “ Whatever you need me to do, I’ll do it because I love you.” And it was those three experiences of unconditional love that I just said, “ That’s it. That’s what this is about. I don’t love me, but everybody else does have this thing that I’ve always been seeking for, has been seeking me.

And I just have to let it in now.”  And that’s what I say to families and to teenagers is  “ A – I love you, and B what you are seeking is seeking you.”  And that was the miracle I got on May 21st, 1998. And then on the 22nd, the miracles continue. A biker who yanked me back into my chair at the 12 step meeting who told me to sit down and shut up for once in my life and maybe I’ll learn something,  who became my sponsor, the police officer that pulled me over after my first meeting and said, you know who I told him?, “ I, it was my first meeting. It’s the first time I didn’t have drugs in my vehicle in seven years and I didn’t have to lie.”  And he looked at me and he saw the big stack of 12 step books in my truck, and he goes, “Keep going back at works . If you work at and you’re worth it.”, which is what we say at the end of every 12 step meeting, he told me he was a member.

Carrie: I understood. Yeah.

Aaron: And 23 years later, the miracles still continue. And that’s been my life for 23 years. I was born 23 years ago. And the sadness, these are tears of joy,  folks because I have such a beautiful, blessed life.

I have a daughter, I have a son. My ex-wife and I are friends. I love my parents and they did so well. My brothers and I get along, my business is successful and all I do is the 12 step, and bring the message of hope to people who still suffer. 

Carrie: Yeah. Aaron, that’s such a powerful testimony, which is amazing. I don’t think we can ever underestimate the power of unconditionally loving another human being.

And we, when we bring in that unconditional love to someone else, we are showing them the love of God. That God has, you know, showed us, and so many times, like, tries to get our attention and we’ve ignored. And then, like you said, you, you have to allow it to come into you like it’s there for you, you know, understanding that unconditional love and acceptance is there for you, but you have to let it in sometimes, man, that’s, that’s amazing. Thank you so much for sharing the story and going deep with us on that.

Aaron:  If there’s one thing I can say, I’ve not met the devil. But if the devil is here on earth, it’s addiction. It’s that low ,  only people in addiction understand how far the devil can take you down. Loving when things are going good, loving an addict who struggles, loving your kids. Those two things are when things are easy when things are good, love is easy. Love is good. But when you’re standing at the gates of hell, love is divine and it’s the hardest place to find. 

Carrie : Yeah. Well, I just appreciate you sharing just all your wisdom for parents that are struggling that have teens and crisis.

And hopefully, this gives them some hope and some ideas that the things can turn around and yeah. Then just thank you for being here.

 Wow. That was probably one of the most powerful stories of hope that we have had on the show. I am so glad that Aaron came and shared that with us. I know Aaron spoke of a show that we recorded together for his podcast.

I wanted to let you know, at the time of this recording, that, that hasn’t come out yet just in the nature of podcast recording and how we batch episodes. I believe mine is going to be coming out before his, when that episode does come out on OCD, I will link it to  this episode, so you can listen to it. Aaron asked me some really great questions about OCD and it was a super great experience to be on his show as well.

So check the show notes here, or we’ll also be posting it on social media with links from our Instagram and Facebook pages. You can always follow along on either of those pages for the most up-to-date information about our show. And hopefully, it’s a way for you to receive a little bit of a daily dose of encouragement.

Hope for anxiety and OCD is a production of By the Well Counseling in Smyrna, Tennessee. Our original music is by Brandon Mangrum and audio editing is completed by Benjamin Bynam.

Until next time. May you be comforted by God’s great love for you.

Different Types of Therapy

Using Brainspotting for Anxiety and OCD with Brooke Randolph, LMHC

  • What is Brainspotting? How does it work? 
  • How was Brainspotting developed? Who discovered it?
  • How can Brainspotting help with anxiety and OCD?
  • What happens during and after a Brainspotting session
  • Can Brainspotting be used with all ages? 
  • Brainspotting training
  • Comparison between Branspotting and other forms of therapy.

Brooke Randolph, LMHC
Counseling At The Green House

Play Therapy for School Aged Children with Anxiety with Brittany Dyer, LPC-MHSP

  • How does anxiety present in school-aged children? 
  • How does childhood anxiety present differently from adult anxiety?
  • Behaviors that may indicate a child has anxiety
  • Anxious parents with anxious children.
  • Things parents can do to help their child with anxiety.
  • What is play therapy? How does it work?
  • How to introduce therapy to your kids
  • How does play therapy reduce anxiety in children and even in adults?
  • Signs that your child may need a therapist 


Brittany Dyer, LPC-MHSP

Reducing Anxiety with Secret Keeping Horses (Equine Assisted Therapy), Bailee Teter, LPC-MHSP (temp)

  • Bailee’s story about how she became an Equine Assisted Therapist without being a “horse person.” 
  • What is Equine Assisted Therapy?
  • Different models of Equine Assisted Therapy.
  • How does equine therapy help with anxiety and other mental issues?
  • Human-animal emotional connection. God says take care of the animals.
  • Horses read and respond to human emotions like anxiety.
  • Stories about how equine therapy helps people with anxiety

Unbridled Changes Website
Bailee Teter

Welcoming the Parts We Don’t Like (Internal Family System -IFS) with Lindsey Castleman, LMFT

  • What is IFS (Internal Family System) Therapy
  • How did Lindsey get into Christian counseling
  • How did she incorporate Christian faith principles into her practice
  • Looking at the core of self through attachment and faith-based lens
  • Some parts of self want attention come in different forms like anxiety and OCD
  • Bringing all parts of yourself connected as God is three in one

Lindsey Castleman, LMFT

The Power of EMDR Therapy for Anxiety with Sarah Slade, LPC-MHSP

  • Our path to receiving EMDR training
  • What is EMDR?
  • Different types of trauma (little t and big T)
  • Getting to the root of troubling body sensations and 
  • How EMDR can be helpful for people with anxiety 

Sarah’s Counseling Practice: Willow Tree Counseling, licensed in TN and KY
Sarah’s book: Healing Negative Wounds: The Impact of Trauma

How PCIT Can Help Your Anxious Child with Anika Mullen, LPC-MHSP

  • What is Parent Child Interaction Therapy?
  • How PCIT is helpful for children with behavioral problems
  • How receiving PCIT virtually through online counseling benefits families
  • Are the tantrums my young child is having a normal part of development?
  • PCIT Calm adaptation for anxious children
  • Reinforcing brave behaviors over accommodating anxiety

Anika Mullen, LPC-MHSP: https://ecounselingconnection.com/clinician-credentials

The Science Behind Engaging with Music for Anxiety Relief (Music Therapy) with Tim Ringgold

  • Spiritual pain
  • Neuroscience behind how music calms the nervous system
  • Practical ways to utilize music when stressed
  • Difference between listening to music passively and engaging with it

Tim Ringold: https://www.timringgold.com/

Music therapy: https://www.musictherapy.org/about/musictherapy/

34. Sudden Onset of OCD in Children: Is it PANS/PANDAS? with Dr. Roseann Capanna Hodge

I had the privilege of interviewing Dr. Roseann Capanna-Hodge, a Licensed Professional Counselor (LPC), Certified Integrative Medicine Mental Health Provider (CMHIMP), and a Board Certified Neurofeedback Provider (BCN).  She is also the founder and director of The Global Institute of Children’s Mental Health and Dr. Roseann and Associates. 

Dr. Rosean shares with us her knowledge and clinical experience in treating PANS (Pediatric Acute-onset Neuropsychiatric Syndrome) and PANDAS (Pediatric Autoimmune Neuropsychiatric Disorder Associated with Streptococcus).

  • What should parents know about PANS/PANDAS? What are its signs and symptoms?
  • How are PANS/PANDAS diagnosed? Is there a test for PANS/PANDAS?
  • What is the treatment for PANS/PANDAS?
  • PANS/PANDAS in the school setting
  • Dr. Roseann’s book: It’s Gonna Be Ok

Links and resources:
Dr. Roseann Capanna Hodge
Book: It’s Gonna Be Ok

Support the show 

More Podcast Episodes

Transcript of Episode 34

Dr. Roseann: Wow, I’m so excited to be here, Carrie, and have this conversation. 

Carrie: Can you tell us a little bit about yourself and your background? 

Dr. Roseann: My name is Dr. Roseanne Alanna Hodge, and this is my 30th year in mental health in supporting kids, their families and adults using only proven holistic therapies like neurofeedback, biofeedback, and of course, psychotherapy.

Carrie: Awesome. What type of training does it take to become a certified integrative medicine, mental health provider? That’s a long title. 

Dr. Roseann: Well, you know, here’s the deal. Since I literally have only been an integrative mental health provider my entire career, there was no certification. There was nothing years ago.

I started out with going to the basement in a library and looking at microfiche and doing my research that way. And then I bought literally hundreds of books about integrative care, everything from nutrition to exercise, supplements, genetics, and did a lot of that training. So when these certifications became available because if you’re a licensed mental health provider, depending on what state you’re in and in my state, Connecticut, my license allows me to do work as long as I’ve had training. And so I always try to do highest and best and get certification. So I have certification to be an integrative mental health provider. I also have the Amon certification. I’m also a certified neurofeedback provider. It really just means you’ve done extensive training in a certain area in order to guide your clients, your patients, whatever you call them to that area.

Carrie: Okay. And your specialty is working with children and adolescentsts

Dr. Roseann: Yeah. And families.

Carrie: Okay, awesome. So why did you want to come on the show today and talk with us about PANS or PANDAS? 

Dr. Roseann: Yeah. So I am somebody who specializes in PANS and PANDAS, and it is something that is dramatically on the rise.

And what is it? Is that they’re separate disorders that have the same infectious or toxic trigger. And there’s also another one in there, autoimmune encephalopathy, but PANS and PANDAS is a sudden onset of a mental health issue because the body has a misdirected immune response starts attacking itself and has an inflammatory effect, which then can produce a wide variety of psychiatric, neurocognitive and physical issues. And autoimmune encephalopathy is the same, except it’s not a sudden onset and why I want to talk about it. Like I said, it’s on the rise and infectious disease triggers are a very common source of mental health problems in the time of COVID. You know, we’re all seeing people with long holler symptoms affecting their cognition, right? Whether they’re calling a brain fog or they’re having psychiatric problems, I’ve had more than one person with psychosis as a result of COVID but there’s more than that. Right? So we have depression. Yeah, right. And, and there’s, it’s a very, very common source of anxiety, depression, EDD like- symptoms.

And I want therapists and people out there in the world to know about it. And, you know, we specialize in OCD in our center because we specialize in PANS and PANDAS. And other than one or two people who have OCD that come to us, all have a primary diagnosis of pans and pandas. So people are just not making this connection in my mission.

I’m on a mission to change the way we view and treat children’s mental health. I mean, that really is my mission, but I want people to know about this because not only am I somebody who treats and started working with people with Lyme disease almost 24, Is it 25 years ago? Somewhere, a long time ago, Carrie

And then I of course get my own child who gets Lyme disease at 22 months and develops PANS, but It is a horrible journey for any person, a child or an adult that has, you know, PANS and PANDAS, Lyme disease, because what happens is the first people that they see medical people, miss it. Then they get slopped into mental health providers who then say, “Oh, this is a mental health problem”.

They don’t understand the physical components. And you asked about like I do integrative work. I mean, What does that mean? It means that I really am studying about mind and body. And I don’t want to get the spirit out of there, but I’m really working on mind and body connections. And we are not educated enough as therapists, but parents are not educated.

They’re not getting educated that their kid could have a mental health problem. That results from something that could be medically treated, not with an anti-anxiety or antipsychotic, but with anti-inflammatory antimicrobial drugs to address what’s causing that root cause of that mental health problem.

So it’s something that’s incredibly common. One in 200 kids, the research says have it. And even though it’s called pediatric acute onset neuropsychiatric syndrome, it can actually now be an adult-onset. So we’re no longer just making, you know, saying it has to occur. 

Carrie: So kids who have PANS or PANDAS when they go to get mental health treatment and the parent brings them in, oftentimes I imagine they’ll be misdiagnosed as either having anxiety, OCD, ADHD. Is that right? 

Dr. Roseann: Tic disorder, separation anxiety. Yeah, absolutely OCD. I know there’s a separate category in the DSM for oppositional defiant disorder. It’s not real. it’s a symptom of another issue, So, you know, whether things are your depression and OCD on that spectrum, you have internalizers and externalizers and odd kids, or externalizers. It’s really the behavioral manifestation.

People haven’t done their due diligence to figure out what it actually is that sourcing this anger and non-compliance. Sorry people that are listening. Parents, they’re refusals. 

Carrie: Right. So how do people get diagnosed? How do they come to a place of a proper diagnosis? What does that testing process like?

Dr. Roseann: Yeah. So first I have to say whether it’s Lyme disease or PANS and PANDA, there is no single test of the diagnosis. And this is so critical because people will go down rabbit hole after rabbit hole, after rabbit hole, looking for an official diagnosis. And particularly if the source is a tick-borne illness and there are hundreds of types of tick-borne illness.

We really often only hear about Lyme. Sometimes we hear about Bartonella or BBCA. They have very, very much impact to your mental health and some of your more severe psychiatric conditions, including schizophrenia, bipolar and there’s research to substantiate some of the things that I’m talking about.

They have a high rate of tick-borne infection. So. No single test. Okay. Are there tests civil? Of course. But as I mentioned with Lyme disease, Some people say it’s the most genetically evolved bacteria on the planet. And because it’s been around since prehistoric times they’re finding it.

They definitely found it coming over with Columbus in 1492, but people are saying prehistoric times, And so this bacteria can hide inside of a cell. So that means standard testing may not pick it up. And then there’s a whole controversy about what tests people are using and not, but in pans and pandas, there is a panel called the Cunningham panel.

It does not mean if your child is negative on that, that they don’t have PANS and PANDAS. So you have to look at clinical symptoms. And do they meet criteria, PANS and PANDAS? You know, there’s going to be a sudden onset of a problem or a deep acceleration of a preexisting condition. I like to talk about this because people really don’t understand this.

So you could have ADD. And then it’s literally off the charts, right. Or a low level of anxiety and then sudden onset of OCD. And that can be a confounding variable because people like, well, my kid always like saying chest, you know, but then literally overnight. So, and sometimes it’s really easy to see Carrie because.

People will come to me and say, oh, my kid got, the case of somebody who came to me recently, he got COVID and within 10 days he is psychosis. 

Carrie: Wow. 

Dr. Roseann: So pretty easy to make that connection. 

Carrie: Sure. That was really fast. 

Dr. Roseann: Yeah, with physicians still wanted to send them to the psych hospital and I was like, what is going on? We got to treat it. So we got him to where he needed to go. I think it’s really important that people find a provider- PANS and PANDAS trained provider. And you can do that by going, there’s a great national organization called Aspire Care where you can go to epidemic answers and they have providers listed there.

Carrie: Okay. That’s awesome. I think that that’s really great. This is a sudden onset of psychiatric symptoms, but it’s based on a physical medical problem and part of the problem that we have sometimes is we don’t always know, is something mental health-related or is something medically related. And we talked about in one of our very early episodes on the show, kind of ruling out medical conditions for mental health disorders.

What are some things that parents might see if they think that their kid might be struggling with this? what are some signs or symptoms to look out for? 

Dr. Roseann: Yeah. I want to say that if you’ve had chronic anxiety or chronic stress or long-term any type of physical or mental health problem, you’re going to have physical effects on your body.

Your body is not designed to run on empty. And when your nervous system is hyper stress-activated, you’re going to start getting nutrient depletion. You’re going to get physical problems. You may have hair loss, your thyroid might go down. So whether that’s the actual source or something that’s worsening it. Really taking a functional approach through lab work is really important. So what are signs of PANS and PANDAS? We can only connect the dots looking forward. I mean, looking back not looking forward. And so these are things that people see. So when it’s really sudden, and sometimes people will come to me.

I know when they write down a date that it started. I’ve got to consider PANS. And it wasn’t like, oh, the grandmother died, or you know, they got bullied. Whatever it was, it isn’t something traumatic that happened often when it’s really sudden overnight, and you will hear stories of this, then all of a sudden they woke up.

And this is very common OCD, very, very severe to the point where they’re doing obsessions in compulsive thinking and behaviors. So they cannot function at all. Right? So these behaviors and intrusive thoughts may be going on for hours on it. And it wasn’t present there before, or was present at a very mild level.

So the level of how it destroys your functionality is a big red flag. You also can have regressive behaviors, so you can have a loss of bladder functioning. Right? Frequent urination is one of the hallmark signs. And this can occur in adults too. It’s not just kids, a loss of handwriting or coordination is another one or a loss of academic skills, math and reading, being the two most common.

And then, you know, you’re going to, you’re going to look for things like. Vocal or motor tics, a real extreme level of anxiety. And, and, you know, I mean, as somebody, a professional who spent so much time with OCD and anxiety, these are conditions that are misunderstood. You know, most people think about OCD as only compulsive behaviors, hand-washing and whatnot.

It always starts off as intrusive thoughts, right? And often the nexuses worry it’s anxiety. And then it’s, what we call a maladaptive way of coping with anxiety. So some people are like I’m going to go and work out. I’m going to go pray. I’m going to go to my spin class with my bestie, and we’re going to socialize when I’m feeling anxious and you find these healthy ways to cope. But OCD gets in there and there’s this habituation and it can really ignite like a wildfire due to the negative reinforcement cycle in the brain. And what happens with neuro-transmitters reinforcing us, but what it looks like. And these kinds of things. If there’s sort of a wax and weaning, all of a sudden your kid might need reassurance a lot and they weren’t a kid that needed reassurance, separation anxiety can all of a sudden show up.

One of my dearest friends, her daughter was totally typical and got bitten by a tick and within 30 minutes became a different human being. She developed severe separation anxiety within 30 minutes, her mom is a psychologist. She had to quit her job, and unfortunately, she didn’t really respond to a lot of treatments.

So she wound up getting tick-borne illness and then strep on top of it. So PANDAS, it’s strep only, but PANS is any infection or toxic trigger. And most of these individuals have layers of infection. So they could have scars. Like, my max had nine co-infections from ticks, Scarlet fever, a bunch of other things, you know, it was a lot of work to clean him up.

So a variety of symptoms can result that are mental health-related and they can be quite extreme behavior can be frightening. Not to speak in a way that’s saucy or inappropriate. Because I’m a PANS’ mom, parents will come to me and say, I literally thought my kid had a demonic possession. They just flipped out, you know, just can be very, very extreme, whether it’s an internalizing where they’re scared or extreme rage externalizers and then, you know, psychosis can happen in this as well. And it can be really, really frightening. And the most recent research, early, 2021, which is in my book, it’s going to be okay. Is saying what I knew. That these kids have paradoxical reactions to psych meds.

No surprise, because the issue is inflammatory response, infection and toxins, and every psych med has a toxin load. There isn’t a psych med that doesn’t have a toxic component. And so you add that into a system that’s already flooded and overwhelmed by infections and toxins. It actually worsens things.

Carrie: They can’t tolerate the medication cause their system’s already on overload.

Dr. Roseann: Overload. And, yes, they’re anxious. But the source is not neuro-transmitter genetics. That’s what everybody wants us to believe. So this is surprising to people. When I talk about this, most people, I hope people are listening, and this is why I do this.

You know, why am I doing this? I want you to think about it, right? So if you’re a therapist, you’ve got somebody on your caseload. This is who they are, who they are. And if you’re a parent or a friend to somebody, you might be like, holy moly. That’s what happened to Becky’s kid. And you want to say, this is an episode that I want you to listen to because I learned a lot.

And that information can just really change the trajectory of not only that individual, but their entire family. I mean, this is a devastating thing we knew within like six months that my 22 month-old had Lyme disease. I already was integrative. I already am in the Northeast with the top experts in the world.

He’s 16 and I’m telling you it took 14 years. And I won’t even tell you how much money, because it is not attainable for most people, because a lot of my friends have lost their homes and marriages. It is extraordinary what we did to get him better. And that is the norm and it’s rabbit hole after rabbit hole, after rabbit hole.

And I didn’t have the same issues as other people, because most people are forced to go in network where they’re challenged you belittled. I mean, when you hear some of these stories of what happens to people, it’s frightening. I mean, I, when I talk about cases, I. Give information that hides and protects there’s identity.

I mashed them up. I like to say I’ve had people who were tied down in psych hospitals, even though their titers were showing that they had off the charts. I had one client who had the highest strep titer that the hospital has ever seen and they refused to treat her for strep.

Carrie: So tell us a little bit about what the treatment is usually like for PANS and PANDAS.

Dr. Roseann: So there’s a treatment triangle and it involves antimicrobials really getting at that infection and then anti-inflammatory treatment and then mental health. Because even though this isn’t a biochemical problem, this is very traumatic. There are mental health components, parents need a lot of support.

They may have had a totally typical kid who now is hijacking the family, you know, financially behaviourally everything, and they’re not equipped to deal with this. And so they need a lot of support for themselves on how to really kind of get through this and, you know, really set these loving limits with their child and support them through this.

It’s very, very challenging. 

Carrie: Absolutely. Parents that have children with mental health issues or physical issues need a lot of support and a lot of help. And unfortunately, a lot of times are judged is just, well, you’re a bad parent because your kid’s acting out and that’s not the case.

Dr. Roseann: And sometimes kids are called bad. I did a summit and my friend, JJ Virgin was on and Bob Hope’s granddaughter, Miranda hope is on and myself and we all have the same story. All three of our kids were kicked out of preschool. 


Carrie: Wow. 

Dr. Roseann: Yeah. And my kid was called a feral animal, by the teacher. Now what human being would tell a mother, your kids, a feral animal.

And each of us had horror stories. Right? JJ Virgin’s son was left outside in Palm Springs in September, outside the room locked out because they said he was a bad boy. 

Carrie: Wow.

Dr. Roseann: Yeah, so we have to change that, that’s not okay. And one in two children in America has a physical or mental health problem. That’s ten-year-old data. That study is being updated. I can’t even imagine what it’s like right now. So we have to be way more tolerant and accepting and loving.

Carrie: So tell us a little bit about your book, Dr. Roseanne, It’s Going to be Okay, which I love that title. So tell us what it’s about. 

Dr. Roseann: Well, thank you. I love this title. So I tell every person that I work with, it’s going to be okay. And that’s the first thing that I tell them because they need to hear that because you feel alone, you feel scared, you don’t know who to trust, and you definitely don’t know what to do. And you know, people find me in all these different ways. It’s unbelievable. And I work with people in person and remote and all different ways.

So this book is going to be okay. I lay out the eight pillars, what I call hope and healing. And I show people how to reduce mental health symptoms using only proven holistic therapies. And it is all there. All science-backed ways are over 40 pages of research citations. So I want people to know this stuff that made it and heard about.

But I can feel comfortable that they’re safe. I can try these out and as overwhelmed as we feel as parents in general, but when you have a kid who struggles, you feel even more overwhelmed, I encourage parents to get this book. Start with one thing. And when we do one small action consistently, it can create a lot of change.

And so I’m really, really excited. This is truly the 30 years worth my work in one book. And I really want parents to know it’s going to be okay and show them how to do it. 

Carrie: Awesome. Awesome. So towards the end of every podcast, I like to ask our guests to share a story of hope. So a time where you’ve received hope from God or another person.


Dr. Roseann: Yeah. Well, you know, when you ask me this question, it’s actually hard for me to answer because I feel very connected to God. And so when I struggle in that moment and being a special needs, mom, times two, I have learned. That I have to be in the moment and really try to appreciate the moment. And so I think that I’m most connected when I’m with my kids and I am actually having fun and trying to laugh, not trying to laugh, laughing, just being there.

And so I have the blessing of having a million moments like that every day, being present and connected and having a lot of love around you. 

Carrie: Okay. Okay. Hey, so every day, moments of hope for you, with your family.

Dr. Roseann: Yeah, absolutely. And, and I’m so lucky that I’m able to bring hope to people because at a time when I feel that people have the lowest level of hope and trust I’ve ever seen in these 30 years, it’s a conversation that I’m starting wherever I go, which is why I start off by saying it’s going to be okay, because people need to hear that like they’re feeling overwhelmed and out of hope. And I just think taking the moment to be extra kind to anybody who’s in your presence just goes a long way. And I know it sounds really hokey, but people are so lonely and disconnected and scared very much so. And I think they were before the pandemic and the pandemic has really thrown some fuel on this fire.

Carrie: Yes, I would definitely agree with that for sure. Well, thank you so much for coming on the show and sharing your wisdom with us today. 

Dr. Roseann: Thank you for having this conversation. And if you think that, you know, your child has PANS or PANDAS, find a provider. I say this wherever I am, nobody ever regrets getting help. The only regret is when they don’t. 

Carrie: I knew a little bit about PANDAS from my previous work with children. However, I’ve found this interview to be very informative in terms of thinking about, we always have to look at the holistic picture of anyone’s health, whether that’s a child or adult, how are they impacted physically, mentally, emotionally, spiritually. And if you’re looking at things from a holistic lens, instead of only being treating one or the other, usually something ends up missing in that picture. Unfortunately just with the way our current medical system is often doctors and counselors and psychiatrists aren’t always communicating together in the best possible way.

So it’s important for parents to really be the best advocate for their children in providing the linkage between some of those areas. 

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I wanted to announce to you all that our next free webinar for hope for anxiety and OCD is going to be sometime, probably in mid-September. I would love topic suggestions for this webinar.

What would you like to dive into a little bit deeper? What would you like to have questions answered on about? So there’ll be a very short, you know, 30 or 45 minutes of teaching for the webinar. And then I want to leave time at the end for questions. So if there’s something that you would like to see some helpful teaching on and be able to ask some questions, feel free to contact me through our website, www.hopeforanxietyandocd.com.Thank you so much for listening. 

Hope for anxiety and OCD is a production of By The Well Counseling in Smyrna, Tennessee. Our original music is by Brandon Mangrum and audio editing is completed by Benjamin Bynam.

Until next time may you be comforted by God’s great love for you.

28. Play Therapy for School-Aged Children with Anxiety with Brittany Dyer, LPC-MHSP

Today’s special is my good friend, Brittany Dyer, a  Licensed Professional Counselor.  Brittany shares her knowledge and expertise in play therapy.  

  • How does anxiety present in school-aged children? 
  • How does childhood anxiety present differently from adult anxiety?
  • Behaviors that may indicate a child has anxiety
  • Anxious parents with anxious children.
  • Things parents can do to help their child with anxiety.
  • What is play therapy? How does it work?
  • How to introduce therapy to your kids
  • How does play therapy reduce anxiety in children and even in adults?
  • Signs that your child may need a therapist 


Brittany Dyer, LPC-MHSP

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Transcript of Episode 28

Hope for Anxiety and OCD episode 28. Today on the show, I got to talk with a good friend, Brittany Dyer about play therapy. If you remember from one of our original episodes back in the beginning, we talked with Anika Mullen about PCIT and how anxiety shows up in young preschool-age children. Today with Brittany, we’re going to be talking about how anxiety shows up in school-age children, and how play therapy is able to help with that and develop kids’ confidence.

Carrie: Tell us a little bit about yourself. 

Brittany: My name is Brittney and I am a licensed professional counselor and I am working towards getting my registered play therapy certification. I have an amazing supervisor, Jamie Langley. She is the president of the Tennessee Association for Play Therapy. We have an awesome supervision group that we meet once a month.

So I’m really excited about that. And I have a private practice in Smyrna, Tennessee, and I’m just across the street from Carrie.

Carrie: Which is fun. 

Brittany: Yeah. I have been back in private practice for a little over three years now. I took a little sabbatical. My husband and I lived overseas. We were missionaries in Haiti and in Thailand for a couple of years. And before that, I had been in private practice probably three or four years before that too. So we really enjoyed our time learning about other cultures. I feel like that really helps me in the counseling field as well, knowing about other cultures. Glad to be back here now and doing what I love, counseling and especially working with kids.

Carrie: There’s a wide variety, I guess of training that people can get in play therapy. Some people may say that they use play therapy and some people may say, “I’m in the process of becoming a registered play therapist” and that takes a while. Can you tell people a little bit about what that process is like?

Brittany: Yeah. So they actually have just changed the rules and I’m not a hundred percent up on them as I’m still working towards it. I just keep trying to knock things out. To become a registered play therapist, you do have to have a mixture of play therapy training. Like education we call them CEUs. You have to get a large amount of those. They have just increased those. You have to have a certain amount of hours of supervision with a registered play therapist who has the supervision certification as well. And then you have to get quite a bit of client hours as well.

Carrie: So people know this is on top of what you’ve already done to become a licensed professional counselor. So it’s like it’s another certification process of all, after graduate school, after licensure stuff. It’s quite a process, but it’s good. It sounds like a good process for people who know that they really, really want to do play therapy.

And that’s kind of like their niche and I think it’s interesting when people are looking for therapists to kind of know some of these differences, because they may see certain letters after people’s names and not necessarily know what all of that means. Or some counselors may say, I have training in this area, but they haven’t done the further study or the further continuing education to get certified or so forth. That’s a good process. 

We’re going to talk today a little bit about anxiety in school-based children. I had a guest on the show in one of the pretty early episodes who talked about anxiety in toddler preschool type ages. And so since anxiety looks different, a little bit different at different ages.

Tell us kind of how it presents in school-aged children.

Brittany: Anxiety looks different than it does with adults. Just a few things I guess to look for children that would be different than adults would maybe be like a clinginess to their parents or to another adult, to their teacher or anything like that because they’re looking for that security.

So clinginess would be one. Another thing would be irritability, a high level of irritability. So tantrums, throwing fits those sorts of things that parents really get irritated with. It’s not just a fit that they’re throwing it if they’re having a high level of irritability because maybe they’re feeling anxious about something.

And another thing would be lots of unexplained stomachaches or trying to avoid going to school. Those sorts of things would be signs to look for in children that would be different than adults. 

Carrie: Right and I think it’s easy for people to mistake defiant behavior just as my child’s having behavior problems versus really trying to dig in there and understand why they are refusing to do things. What’s underneath that? What’s driving that behavior?

So that’s a good thing for their parents to kind of be aware of. And also I’m sure that you find a lot of times that children who are more anxious have a tendency or a greater proclivity to having an anxious parent possibly. So the parent is dealing with some of their own anxiety and then the child’s dealing with their anxiety. And sometimes those two things can interact with each other in a healthy or unhealthy way.

Brittany: Yeah, absolutely, definitely. Not only is it biologically related, that maybe a child can have anxiety because their parents could have anxiety, but it could also be a learned behavior and environmental behavior because they’ve seen their parents acting in an anxious way.

And so then they begin to kind of display those symptoms as well. And they may be acting out in an anxious way as well, but again it can look different in the parent and the child. 

Carrie: I’ve noticed just from my work in the past, I don’t work with that many children now, but I did in the past.

This tendency for there’s great empathy for that child who’s anxious if a parent has experienced anxiety and there may be a tendency to kind of want to give in a little bit more to the avoidance, or just allow them to not do things that would be healthy or good for them to do. 

Brittany: Yeah. That can absolutely happen. Not that that’s necessarily a helpful thing but it can happen. 

Carrie: Yeah. How do you work with parents who maybe are experiencing some of that and having a hard time? Maybe encouraging their kids to do what we call brave behaviors? 

Brittany: Well, one of the things that I work with parents with is number one, recognizing if you have anxiety and the way that you portray your anxiety in front of your child.

So if you have anxiety and you’re acting out your anxiety in front of them, they’re going to pick up on that like we were talking about and they’re going to begin to exhibit those symptoms as well. That’s one thing is making them aware, but also kind of helping them learn how to not show those maybe in front of their kids so that they aren’t picking up on that. And that’s not something that they’re doing. Another thing that I would say would be to kind of teach them how to encourage their children to have those brave behaviors like you’re talking about. Encourage them to try things even when they’re hard. Kind of taking on that sort of a language like, “yeah, you can still do it. It might be hard. You can try. You don’t have to succeed. It’s okay to fail.” 

So again, talking with parents about those perfectionistic tendencies that a lot of these kids pick up on. Because that’s what we are as parents. A lot of times we portray them too. So talking a lot about those perfectionistic tendencies and helping them to kind of let’s reel those back a little bit and not project those onto our children so that they can just do the things that are normal for them to do and not expecting behaviors that aren’t normal for them to do.

Carrie: Right, because they’re not going to get it right all the time. We don’t get it right all the time either. Let’s talk a little bit about play therapy. How does that work? 

Brittany: The way that we in the play therapy field kind of describe it is that play is a child’s language. They may not have the language to verbally tell us everything that they’re experiencing. So we use play to be their language. Play provides them a safe place to express themselves because they may not have the language. Sometimes we as adults don’t have the language either because it’s hard to get down in that deep stuff that we’re going through but play is a safe way to be able to do that.

We can play out our emotions in a positive way. A child doesn’t necessarily come in and pick up a doll and say, “this is me.” And these are all the things that I’m experiencing. It doesn’t happen that way. They can choose different kinds of toys that symbolize what they’re going through and play that out in a more positive way, not necessarily in a way that we would sit down and talk about it as adults. It also helps them to work through their emotions and to learn how to regulate their emotions themselves, which also helps to boost their self-esteem. So if they’re working through their issues on their own, they’re figuring out how to do them, which again builds their self-esteem to say things like, “Hey, I can do this. I can handle this. I’ve done this on my own.”

And then it gives them a place to practice the skills that they learn while they’re in play therapy. We practice those skills over and over again as they’re playing. We do those in a fun way. We may use bubbles to do breathing exercises so that they can learn how to blow bubbles. Because if you blow a bubble quick and fast, you’re either going to get little ones or you’re not going to get one at all, but if you take a slow, deep breath like we teach people to do to help them to calm down then they are going to be able to blow a really big bubble, which is always fun. Then pop the bubbles, which is a release too. You’re having fun and you’re doing these things. There’s a lot of different skills that you can use while having fun but also teaching them different coping skills and things like that. Basically, play helps us to learn how to express what we’re feeling.

It helps us to learn those physical skills like coping skills. It also helps us, helps kids through touch, which is also a big thing with kids, 

Carrie: Sensory issues or things like that. 

Brittany: Yeah and then also emotionally just helping them to work through whatever issue it is that they’re dealing with.

Carrie: Do you find that some kids that are anxious maybe it’s almost like they don’t know how to play? They’re so serious or afraid of getting something wrong or anxious about engaging, maybe with different materials or trying new things that play process does kind of help loosen them up a little bit or be more open.

Brittany: Yeah, so sometimes it happens when I first come into the room. It takes them a while to kind of get used to the room and get used to what they can do and what they can’t do and can not be messy, those sorts of things. But as time goes on and they begin to see that they’re kind of in charge of how things go with boundaries obviously. I don’t want anybody to get hurt, but, but they’re kind of in control that they can. They begin to relax and they begin to play.  And then they begin to work through the things that they need to work through, which is part of that anxiety, and whether it’s perfectionism or just being worried about what other people think of them or whatever it is they begin to. We’ll work through those things.

Carrie: Socialization, I think can be a big aspect of those kids that are anxious about being in social settings that can help them too as they are interacting with you. I think it’s important for parents who are really thinking about bringing their kids in for therapy to recognize that it is going to look a lot different than if the parent went to therapy themselves. I think sometimes parents may unintentionally put this pressure on their child like, “you need to go in there and you didn’t tell Miss Brittany everything that’s going on with you, everything that’s bothering you.” And that they’re not able to do that as an unrealistic expectation a lot of times.

Brittany: Yeah, it’s definitely a learning curve when I explain to parents what we do in here. And I tell parents a lot of times, I’ll say you’re Tom may leave here and be like, “Oh, we did that. It was play.” And I’m like, “I promise that’s not all we did experience, but we worked on some things too while we’re in here.”

If you’re engaging with a child where they’re in control and you’re reflecting what they’re doing and you’re listening to them, change is going to happen because again, they’re able to just work through whatever issues that they’re dealing with.

Carrie: And I would hope that it should be an enjoyable experience for them because otherwise, they won’t want to come back. Right. There’ll be like kicking and screaming like, “Oh, I don’t want to go there.” Also, don’t tell your kid that they’re going to a doctor because that really sometimes can freak them out or make them think that they’re going to get a shot or have other kind of nervous expectations about what to expect.

Brittany: Yeah, I think that’s a good thing. As best as you can explain what they’re going to be experiencing while they’re there, but I try to do that when I meet with them to explain to them. And when they come in and they see the toys and you can tell they’re kind of shy and they’re like, “Can I play with the toys?”

I’m like “of course.” So again, trying to explain that. In my room obviously looks different than if you go to a doctor’s office and you sit there. On the table, there’s nothing to play with in there. It is a lot different, but I always encourage parents. I have this question sometimes, do I tell them that they’re coming to see you? How much do I tell them? And I say, tell them as much as you can so that again, they’re not anxious about coming in and worried about what the experience is going to be like. 

Carrie: Yeah. I think anytime we can prepare kids and let them know what’s coming and help them set up for success, I think that’s going to be really awesome.

So tell us a little bit about the ages maybe that play therapy is typically utilized for and what an initial first session might look like. 

Brittany: Play therapy can be used for all ages. Like I said, sometimes we have difficulty as adults expressing everything that’s going on. So play therapy can be used with adults, but play therapy is most appropriate for children ages three to 12.

I use aspects of play therapy with kids up to 18. And sometimes we use art therapy with adults too. And that would be kind of considered in the play therapy realm as well. But it’s mostly used with children ages 3 to 12 and that just allows for that age group where they’re more willing to play a lot of times. When you get 13, 14 and those teenage years are kind of like, you think that you shouldn’t, that’s kind of like the societal perception and so they don’t as much. They’re like, “I don’t really want to do that,” but it still can work for them too. 

Carrie: I know that I’ve also had adults in the office that had maybe very rigid childhoods where they didn’t get that opportunity to play or didn’t get the opportunity to express themselves and doing things like playing with Play-Doh or blowing bubbles.

Sometimes it’s a little uncomfortable for them, but it allows them to relax and be a little bit more free. So that’s true. There are elements certainly that can be used with all ages. What is the first session of play therapy usually like?

Brittany: Typically during a first session of play therapy, my initial session I asked parents to come in so that I can get that background information from them [00:18:44] and I can explain what play therapy is kind of what they should expect. And then I discuss with the parents what their reasons are for bringing the child in. What symptoms they’re experiencing and have been noticing.Things that exacerbate their symptoms and things that might help with their symptoms as well.

And what the things are that they’re noticing. So we discuss all of those things, as well as a medical history, family history, the development of the child just so I can get all of that background information to know, are there reasons why the child may be acting this way? What’s going on in the child’s life that may be kind of causing them to exhibit these symptoms, but also to know. When they’re playing, they’re not going to tell me exactly what’s going on. So I kind of need a background to know. If they’re playing with animals in a certain way, why are they kind of playing with them in that way?

So just getting all of that background information is for me to kind of know how to proceed and know what’s going on. And I typically like to meet the child during this first session if the parents want to talk to me individually without their child being there. That’s perfectly fine. But if I can meet the child on that session then that kind of gives us a leg up where they can come in.

They’ve already met me. They’ve seen the room and they know what to expect. When a child comes in for the first time, they come into the room, and most of the time they just kind of look around and kind of see what all’s in here and figure out what they can do. What their boundaries are I guess you can say, which are very limited unless they’re going to get hurt.

There aren’t very many boundaries because again, I want them to feel in control so that they can work through the issues that they’re dealing with themselves. So they come in usually and kind of figure out what they’re supposed to be doing because it is a little different. I mean, you don’t go into a doctor’s office and just sit down and play, that’s different.

So they kind of try to figure out what they do while their parents are waiting in the waiting room. If they want their parents to come back with them the first time or the first couple of times and that’s fine, they can do that. Usually what happens is the parents will come in and the parents will try to retreat out the door throughout the session.

Just so that, I mean, if a parent brings their child to counseling or to play therapy, then that there’s a reason and they want them to be able to be there. And then usually by the end of the first session, not always, but usually they become more acquainted with the room. They become more comfortable.

They become more comfortable with me and they begin to play. Again, not always, but they may begin to play and just figure out what I am supposed to do while I’m here. So even in the first session, you can kind of see that the anxiety decreases a little bit, just because “Okay, I can choose what I want to do. I figured out what I can do in here.” 

Carrie: Good. How have you seen play therapy be helpful for children with anxiety? 

Brittany: Just allowing a child to make their own decisions in the playroom really gives them a sense of power and control over things. Children don’t often get control over things in their lives because there’s always somebody telling them what to do. You have parents and you have teachers and those are good things. Children need people telling them what to do for an hour or 30 minutes to an hour. They get to come in here and they get to be in control and they get to decide what they want to do.

So that just helps them to just kind of take on that sense of power for themselves and be able to make things go the way that they want themselves to go. And that in and of itself reduces anxiety.

Carrie: That builds a level of self-confidence and mastery. 

Brittany: Yeah. And there’s also no judgment in my room if whatever they do is okay. And so that also builds that sense of self-confidence that, you know, if I do something bad, no one’s going to reprimand me for it. Now, if you’re going to do something that’s going to get you hurt. Then I’m going to set a boundary for you, but I’m not going to reprimand you for it.

You’re not going to get in trouble for it, but you’re going to see that that’s not inappropriate behavior. So even that just gives them that sense of self-esteem that’s building within them just to come to a place where they’re not being judged. And then that allows them to see themselves as good.

“I am a good person.” And so when we have that nonjudgmental attitude and we have lack of reprimand but teaching opportunities then children don’t really need to worry because they don’t have those things to worry about. I’m not worried if I’m going to get in trouble, I’m not worried about what this person’s going to think of me.

So those things help to reduce that anxiety with them too. 

Carrie: Right. Just a difference between if you are in a play therapy session and they grab the toy gun and start shooting all the stuffed animals. Probably most parents would be horrified. Whereas the play therapist is really thinking about what is this child trying to communicate to me by shooting all the stuffed animals.

You know, it’s just a random example.

Brittany: It’s not necessarily about the child shooting. And we would think about it. Maybe he’s trying to kill the animals.  There’s lots of different interpretations. It could be going on but it’s not quite as literal as we typically think about it.

Carrie: Yeah. Sure. Just finding different ways to kind of like, I’m sure as you’ve gone through your training too, the emotions that are coming out and the scenarios that are playing out, a lot of times kids will act out things that are going on in their families or at school with other children. If they have bullying issues or things like that.

And it’s, it’s been really interesting to see and sometimes you may walk away and not totally know that they worked through something, but not totally understand what it’s about until the parent comes back to you the next time. And they say, “oh, they seemed more comfortable on the playground when I took them to the park or they’re sleeping in their own bed now.”

So it’s a little bit harder, I think, maybe to measure some of the results, but you’re really just looking at what’s going on in their day-to-day interactions. 

Brittany: Yeah. Sometimes it definitely is hard to measure. And it’s not really our job as play therapists to understand everything that’s going on in their life, because again, it’s about them working through it. We don’t have to know exactly everything that they’re working through, but knowing that the space that’s provided for them to work through it, they’re going to do that. And I guess the results would be the parents come back later and say, “Hey, so-and-so has been really behaving well at school, which is really different than in the past.”

And you may not know exactly what happened to help them do that but the result is that their behavior has changed. 

Carrie: Yeah. That’s pretty awesome. I know that we’re talking specifically about anxiety but play therapy can actually be used for a wide variety of issues and behaviors that may result in children. Do you want to talk a little bit about that? And just kind of like expand out the window a little bit.

Brittany: Play therapy can be used for a number of different issues that children are experiencing. It can be helpful for children with depression. It can be helpful with children who are experiencing sexual abuse or physical abuse. It can be helpful for children who have been neglected, children who have been removed from their homes. It helps children with autism. It helps children who have low self-esteem. It really is beneficial across the board for any psychiatric problem that children are experiencing, ADHD as well. 

Carrie: Good. I think that’s helpful for parents to know.

Is there anything that you want to talk about in terms of, if there’s a parent that’s kind of on defense, maybe like, I’m not really sure if my child needs therapy or not, how would you help them know? When is a good time to bring their child in?

Brittany: So typically a good rule of thumb to go by is if their typical daily life is being altered by anything, whether that be anxiety, again, stomach aches, they don’t want to go to school headaches, things like that. If their daily life is being altered, then I would suggest contacting a professional.  And even just calling it professional, most of them are very helpful. And if you just have a question, should I bring my child in or should I not?

I say that anything is affecting them. Maybe they’re not sleeping well. Maybe their grades have dropped. Just different factors like that. Those things seem to be different than the way that they typically have been in the past. 

Carrie: Good. And I don’t think it hurts to potentially establish care with a provider and have them maybe evaluate your child for a few sessions, and then they can make a recommendation about whether or not they feel like further therapy would be helpful, or if it seems like the child is doing well in spite of maybe circumstances or changes that have happened in their life.

Sometimes parents when they go through things like divorce or major family changes or death, sometimes the kids bounce back and are very resilient and do well. But the parents were just a little bit more concerned maybe about, “I don’t know how this is going to affect them.” So I think looking at their day-to-day functioning level is a really good gauge.

As we’re winding down to the end of the episode here, I like to ask our guests to share a story of hope, which is a time where you received hope from God or another person. 

Brittany: My story actually kind of relates to what we’ve been talking about today and why I wanted to become a counselor. I lost my parents when I was in elementary school. They died suddenly. And I had a school counselor who was amazing, her name’s Jana Chambers. Thankfully, I can still be in contact with her. My husband and her son are really good friends. So I still get to see her sometimes which is amazing. She was my hope during that time. She really helped me. I don’t remember anything that we did, to be honest. I don’t remember. I remember we played, but I don’t remember anything specific. The only thing I remember is one time we had puppets out and that’s all I remember, but just going to see her and having that space where I felt comfortable and she was just such a comforting person and caring and listening.

I just remember feeling so light when I would come back from her office. That’s the only way I know how to put it. I felt light. She helped me so much and gave me so much hope for my future in such a hard time for me. So I am just so thankful for her and all the children that she influenced and helped throughout the years.

So I’m thankful that she inspired me to be a counselor and that I just get to pass along that hope to many other kids too. 

Carrie: That’s really awesome. That was something I didn’t know about you. And that’s a great story. Thanks so much for coming on and sharing your wisdom with us about kids and anxiety and play therapy. I think this is a great conversation for people to learn from. 

Brittany: Yeah, of course. Thanks so much for having me. 

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Just a reminder that this Saturday, the 15th at 10:00 AM Central time, I will be hosting a free webinar called Lightening the load, Reducing Shame for Christians. We’re going to be talking about the differences between guilt and shame, condemnation.  How to get out of shame and condemnation and get into a healthier relationship with God. It’s going to be about an hour. And I really hope that you’ll be able to join us. For more information please go to www.hopeforanxietyandOCD/webinar to sign up. 

I received a very sweet message from Will the other day who said that the podcast gives him hope.

That really meant a lot to me because I can look at the download numbers for the podcast. I can look at where people are listening from, but it’s always so nice to be reminded that you are each individual with unique needs and desires and experiences that you’re having. And so to hear from you on an individual level really means a lot, and it helps encourage me to keep going and keep doing what I’m doing.

Thank you so much for all of your feedback, love and support in this process.

Hope for anxiety and OCD is a production of By The Well Counseling in Smyrna, Tennessee. Our original music is by Brandon Mangrum and audio editing is completed by Benjamin Bynam.

 Until next time may be comforted by God’s great love for you.

7. How PCIT Can Help Your Anxious Child with Anika Mullen, LPC-MHSP

  • What is Parent Child Interaction Therapy?
  • How PCIT is helpful for children with behavioral problems
  • How receiving PCIT virtually through online counseling benefits families
  • Are the tantrums my young child is having a normal part of development?
  • PCIT Calm adaptation for anxious children
  • Reinforcing brave behaviors over accommodating anxiety

Resources and links:
Anika Mullen, LPC-MHSP
Parent Child Interaction Therapy

By The Well Counseling

More Podcast Episodes

Transcript of Episode 7

Hello, Welcome to Hope for Anxiety and OCD Episode 7. 

For today’s episode, I got to interview one of my friends in the counseling profession. Anika Mullen. It’s kind of like Monica but without the M. It’s what she told me when I first met her. Anika was so sweet because when we went to record this show. We had been talking and got through almost the entire interview. We were towards the end and I realized nothing got recorded. I was absolutely mortified.

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