Promoting Self Esteem and Positive Identity While Reducing Anxiety and Depression in Dyslexic Children

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Promoting Self Esteem and Positive Identity While Reducing Anxiety and Depression in Dyslexic Children Presented by: Roberto Olivardia, Ph.D. Harvard Medical School Roberto_olivardia@hms.harvard.edu

Dr. Roberto Olivardia Dr. Roberto Olivardia is a Clinical Instructor of Psychology at Harvard Medical School and Clinical Associate at McLean Hospital. He maintains a private psychotherapy practice in Lexington, MA where he treats a wide range of conditions He also treats the various issues that accompany learning disabilities, such as stress and negative self- esteem along with many other conditions in his practice He is on the Scientific Advisory Board for ADDitudeMagazine, a publication serving the needs of individuals with ADHD and Learning Disabilities.

Dyslexia and Self Esteem Academic difficulties Being bullied Feeling stupid Feeling different Stress Anxiety Depression Feeling inferior

COPE Model Creating a Healthy Philosophy about Emotions Operating a Shame-Free, Judgment-Free Mindset Promoting Self Esteem and Self Advocacy Encouraging Authenticity

Creating a Healthy Philosophy about Emotions The Price of Suppressing Emotions We must feel emotions in order to cope with them Tremendous energy in emotional suppression Numb a negative, numb a positive Suppressing an emotion creates an uncontrollable expression of that emotion Anxiety becomes panic Anger or sadness becomes depression or rage

Operating a Shame-Free, Judgment-Free Mindset The Devastation of Shame Shame is feeling bad about who you are (or who you think you are) Leads to numbing, avoidance and withdrawal Suppression of emotions lead to a suppression of self Leading to development of inauthentic self

Promoting Self Esteem and Self Advocacy No one is superior or inferior to you ALL of us are vulnerable to a breaking point given specific circumstances Dyslexia is not about low intelligence, willpower or morality Develop and I.P.P. (Ignorance Preparation Plan)

Labels: What s In A Name? Proper diagnosis is important for treatment Labels can validate that they are not the only one Define the term before someone else does Calling it something other than it is unintentionally can induce shame Educate Label is not for limiting oneself or denying accountability

Encouraging Authenticity The degree to which one is true to one's own personality, spirit, or character, despite external pressures True self esteem and confidence stems from authenticity If you are inauthentic, no positive feedback gets absorbed

The Dyslexic Identity View dyslexia in more accepting ways versus a doomsday diagnosis ( a way the brain is wired, a learning difference ) INTRODUCE the terms, Do not shy away from them, Embrace them, especially for children. If you do not define the terms, someone else will Have positive models of others with Dyslexia

Positive Features of Dyslexia Creative Highly aware of environment Curious Intuitive Imaginative Abstract thinkers Flexible Enthusiastic Spontaneous Energy and drive Entrepreneurial

Parenting the Dyslexic Child Assume they are trying the best they can, even when they are overtly not giving it their best shot Most parents/adults diagnosed when their child is. Empathize, don t say Well, I got through it. Explain how you got through it. Support for yourself as well as your child Self esteem and mental health is the # 1 Priority!!!!!!

Mood Disorders Warning Signs Frequent bouts of sadness or angry outbursts, especially out of context No pleasure in anything (even things once did) Social Isolation on continuous basis, even with opportunities to be social I hate myself. I wish I was dead.

Mood Disorders Warning Signs Somatic complaints School refusal Major sleep or eating changes Grandiosity/Devaluation Regressive, baby-like behavior

Risk Factors for Depression Loss Abuse (includes Bullying) and Neglect Maternal Depression Parental Criticism Parental Conflict Learning Disability Stress Social Alienation/Poor Social Skills

Anxiety Disorders Warning Signs Constant worrying (especially about future) Obsessive thoughts, intrusive, interfering Somatic complaints (migraines, IBS, GERD, stomachaches) Rituals to reduce anxiety or neutralize bad thoughts Perfectionism Avoidance

Risk Factors for Anxiety Learning Disability/Academic Difficulties Genetic factors Perfectionistic traits Stress Medical Illness in Family Shyness Traumatic Event (Direct or Indirect) Poor Sleep

Pro-Active Approaches - Mood and Anxiety Tell me 2 good things and 1 not so good thing about your day Comment on observed behavior Discuss a time when you (parent) felt down/were anxious and what you did about it Find physical or creative means of engaging them and discharging their emotions Don t brush it off as a phase, drama, or simply tell them they ll feel better with time

Pro-Active Approaches - Mood and Anxiety Let s work together to make you feel happier Validate that it can be hard to even articulate Buy children s books that talk about these issues Teach relaxation techniques/deep breathing Self-monitoring. Scale of 1-10 Challenge negative thinking Do not accommodate unhealthy avoidance Seek professional help sooner rather than later

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Promoting Self Esteem and Positive Identity While Reducing Anxiety and Depression in Dyslexic Children Roberto Olivardia, Ph.D. Harvard Medical School Roberto_olivardia@hms.harvard.edu