I Don't Want My Kid Following In My Footsteps

What if you haven't been the greatest role model for your kid in the past and are just starting out to become one? What can I do to help my kid not follow in my footsteps??!

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Hi M.,

Simply think about what you say and how you act in front of your child. Your child learns social skills and how to deal with stress by listening to and watching you.

Do not take part in illegal, unhealthy, or dangerous practices related to alcohol, tobacco, or illegal drugs or he may believe that, no matter what you say, these practices are OK.

Perhaps most importantly, know that you are a good mother in spite of some bad choices you may have made in the past. The past is NOT the present, and no one should be held hostage by their past.

Mark

Any Natural Treatment For ADHD?

My son is ADHD, but I don't like the idea of him being on strong medication for it. Is there any natural way to treat ADHD?

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Hi A.,

There are many natural treatments for ADHD, but few of them have ever been compared to a placebo, so it is hard to know if they really work.

The only natural treatments worth considering for ADHD are those based on increasing certain fatty acids in the brain. There are abnormalities in these fatty acids in the brains of people who have ADHD.

Omega-3 fatty acids may work best. Sources of Omega-3 are fish, flax seed oil, and some greens. Of these three, fish oils may work best and are worth trying -- not because they work so well -- but because they have few side effects. But there's no hard evidence that they work at all.

Sorry I don't have better news for you,

Mark

He's Soiling His Pants

My son is 6-years-old and was diagnosed with ODD last year. I am currently having a problem with him soiling his pants. I am at "whits end" ...don't know what to do.

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Hi J.,

Some of the reasons for soiling are:

---problems during toilet training

---physical disabilities, which make it hard for the child to clean him/herself

---physical condition (e.g., chronic constipation, Hirschprung's Disease)

---family or emotional problems

Soiling which is NOT caused by a physical illness or disability is called encopresis.

Children with encopresis may have other problems, such as short attention span, low frustration tolerance, hyperactivity and poor coordination.

Occasionally, this problem with soiling starts with a stressful change in the child's life, such as the birth of a sibling, separation/divorce of parents, family problems, or a move to a new home or school.

Encopresis is more common in boys than in girls.

Although most children with soiling do not have a physical condition, they should have a complete physical evaluation by a family physician.

If no physical causes are found, or if problems continue, the next step is an evaluation by a child psychiatrist. The psychiatrist will review the results of the physical evaluation and then decide whether emotional problems are contributing to the encopresis.

Encopresis can be treated with a combination of educational, psychological and behavioral methods. Most children with encopresis can be helped, but progress can be slow and extended treatment may be necessary. Early treatment of a soiling or bowel control problem can help prevent and reduce social and emotional suffering and pain for the child and family.

It will be important for you to catch your ODD son in the act of "not doing something wrong" (i.e., soiling himself). The trick will be for you to provide a lot of intensity when he is not soiling himself, and to provide NO intensity when he does.

Here's additional info on encopresis: www.aafp.org/afp/990415ap/2171.html

Please stay in touch,

Mark