A behavioral diet toolkit

I am not what I would describe as a great enthusiast for the alternative health craze. I remember reading when I was a child about the “snake oil salesmen” who precipitated this country’s need for a Food and Drug Administration. Although I’d love to believe that all of our modern snake oil salesmen are well-intentioned, I know that many of them are just out to make a buck from a sometimes desperate and often gullible public.

Fish pills
Fish pills are a simple addition to your child’s diet that may make huge changes in mood regulation.

At the same time, some of our most interesting research on children’s behavioral health is coming out of investigation of things that many in the alternative health world have been saying for a long time: We don’t necessarily have an epidemic of new “disorders” for kids—ADHD, high functioning autism, allergies—what we have is a coming together of various strands of our culture to create problems in our children’s growing bodies.

I will only briefly mention how our children’s lives have changed: from most kids walking to school a generation ago to few walking now, most children playing outside a generation ago to most playing inside on a screen now, from kids getting dirty and engaging in creative play to kids stuck in fluorescent-illuminated classrooms now.

What I want to focus on here are a few dietary changes that can be life-changing for kids with behavioral problems. If your child has behavioral problems, it’s worth considering trying any of these changes to see if there is an improvement.

1) Reactive hypoglycemia and omega supplementation

Omega-3 is so helpful for so many kids, but especially for those fast-talking, fast-metabolizing kids who seem to go up and then crash mid-morning. I wrote an article on reactive hypoglycemia, and another on the effects of omega-3. There’s no reason not to start your child on fish pills today, except, perhaps, for the screaming at the yucky stuff goes down. Some people say that their kids like flavored chewables. My kids hate the flavored ones so we’ve settled on Pure Formulas, which they swallow whole. But I think parents should use whatever their kids are willing to take. You may also encourage your child to eat oily fish, which happily, my children love but many children are unwilling to try.

2) Impulse control and iron supplementation

There is a lot of new research coming out linking behavioral issues with iron deficiency. I have a forthcoming article about this in the 2e Newsletter and I will post a link on my Facebook page when it’s out. If your children have trouble with impulse control and mood swings, get their iron tested, and make sure the tests break out ferritin levels, which is only done if specified. Kids who get ADHD diagnoses seem prone to low ferritin levels, and ferritin is what helps the brain regulate serotonin levels. If their ferritin is low, choose an easily digestible supplement. We use Pure Formulas, but only because it was recommended and doesn’t give my daughter an upset stomach. If she could swallow bigger pills, I might want to go for one of the “real food” based supplements, but they taste awful and are large. (Nope, Pure Formulas isn’t paying me, but perhaps I should send them this blog and see if they will!*)

3) Gut bacteria and probiotics

I have been reading recently, especially in research on autism, about emerging evidence that gut bacteria actually play a huge role in behavior. This was very interesting to me because our daughter’s greatest difficulties happened when she was taking an antibiotic for a congenital urinary system disorder. There are new and very expensive ways to diagnose and treat gut bacteria imbalances, but the easy thing you can you is either have your kids eat lots of live culture yogurts, pickles, and sauerkraut or have them take a probiotic. One of the most interesting papers I read about this showed that kids with gut bacteria imbalances actually seek out the foods that are worst for them, which is something I’ve seen as well. I know that there are a lot of very expensive treatments out there, but as far as I’ve read, their efficacy is not yet proven.

I’m not a doctor or a nutritionist, but it seems to me that the suggestions above should fall into the area of common sense. I find it shocking and more than a little depressing that doctors are willing to diagnose drugs to treat a problem before they suggest trying lifestyle and dietary alterations. I have read that France has a fraction of the number of ADHD diagnoses that we have, simply because they always try lifestyle, education, and dietary alterations first before putting what may be unnecessary drugs into a developing child’s body.

I’m not fond of the snake oil salesmen, and in fact I hate all the noise they make which drowns out the sensible voices in alternative health. But parents can take their own proactive approach, even if their pediatricians persist in sticking with a 1960’s view of medicine and treatment.

* Note: My joke above was just a joke. When I am approached by companies wanting me to hawk their products, I always refuse. I only recommend products either because they happen to fit my family’s needs, or as an example so readers know what to look for. In most cases, a variety of brands will have similar characteristics.

Book review: Searching for Meaning

Searching for Meaning: Idealism, Bright Minds, Disillusionment, and Hope
by James T. Webb
Great Potential Press

Searching for MeaningDr. Webb’s work has been very important in my life. The day I picked up A Parent’s Guide to Gifted Children is the day that I started to learn about my children—and myself. This was the first parenting book I’d read that admitted that children are different, that families are different, and that it’s not only OK to be different—it’s OK to acknowledge that you are different. And it’s not only OK, but also necessary, to know who you and your children are if you are going to get on with the business of living fulfilling lives.

Dr. Webb’s work with gifted children necessarily led him to the next step: what happens when gifted children grow up? In common belief, giftedness = high achievement. So a gifted child is only gifted by virtue of his or her high grades, and once school is over, somehow we all become “the same.” Yes, some of us as adults are achievers, but it doesn’t matter whether we were whiz kids in school or dropouts who made it big later in life—giftedness is not supposed to matter anymore.

What Dr. Webb has noticed, however, is that the brain that makes gifted children more excitable, more prone to being misdiagnosed with disorders, highly sensitive, and socially unusual does not disappear with adulthood. It’s that same brain, but more developed, more in control. The girl that screamed when she went into a room with bright lights becomes the woman who wears tinted glasses and has found a way to avoid working in office buildings. The boy who kept being sent to the principal’s office because he couldn’t sit still when he was excited about what he was learning has become the man who paces his office and talks to himself when he’s solving a difficult problem. We didn’t suddenly stop having a different brain because we grew up; we simply learned to shape a world that fit our needs.

But that ability to shape the world has its limits. Yes, the woman who is sensitive to light can wear tinted glasses, but if she’s sensitive to violence it’s hard for her to avoid knowing about the violence in this world. The man who paces his office has control of his part of the project he’s working on, but he doesn’t have control over the exploitation of the workers who make the computers he programs. We figure out a way to cope, but sometimes coping is not enough. When you have a brain that works on overdrive, it’s not easy to turn it off at your convenience.

Searching for Meaning is not an easy book. I have to admit, it’s not a book I would have picked up while browsing in a book store. Disillusionment? Hm, maybe I should go for something lighter. Existential depression? Gotta go, I’m late for an appointment. Admitting that what made me a “smart kid” is still intrinsically part of how I interact with the world? Not likely. But despite the fact that I would have avoided this book—perhaps because I would have avoided it—I really appreciate having read it through to the end.

The book takes an analytical approach to the problem by first dissecting it. What is a gifted child? What is a gifted adult? Webb devotes ample space to questioning what makes us who we are. He then lays out the base that the rest of the book builds on: Our overexcitabilities lead us to be idealists; our idealism leads us to want to change the world; our attempts to make things better will eventually lead us to realize that there are limits to what we can do; facing our limits can sometimes lead us to question what our lives are worth.

Dr. Webb could have made this a gloomy book, indeed. However, by laying the foundation of why so many bright minds find themselves confronting disillusionment and depression, he is then able to build on this understanding to help us climb back into the light. Using the different points of view of a variety of thinkers through the ages, Dr. Webb shows ways that we can view what we’re experiencing through a new lens. He offers new ways of looking at what might seem to be a bleak landscape, and cautions us against coping mechanisms (anger, narcissism, avoidance) that become destructive even as we think we are protecting ourselves.

Finally, Dr. Webb offers us the challenge to view our idealism and sensitivity as an asset, to find coping mechanisms that improve our lives and the lives of others, and to aim for hope, happiness, and contentment in a world that desperately needs more of all three.

If you think it’s uncomfortable admitting that your child is different and has different needs, magnify that 20-fold to admit that about your adult self. Dr. Webb’s current mission is to remind us that our brains — no matter which type we ended up with — still need TLC once we move into our adult lives. Dr. Webb’s mission is to understand the needs of brains we called “gifted,” but this book takes its place in a greater striving to understand all different aspects of humanity now that we have the tools to do so.

We are all different. We do have our own needs. Dr. Webb’s brave book encourages one segment of “special needs adults” to learn more about caring for their singularly overexcitable brains.

From soccer to leadership

My daughter has been going to soccer camp since the day she saw a flyer and said she just had to go. We’re not a big organized sports family, so she had to drag us along as she wanted more: soccer camp every summer, then recreational soccer in the fall then softball in the spring. I am very generally involved in my kids’ activities, but this the area of my parenting where I am thankful for all the involved parents who coach and organize. All I do is play my Good Little Mommy role and bring snack when my turn comes up.

But although this is the one area in my child’s life where I don’t play a big role, I am still aware of the great things that happen when kids learn through play and fun. There is nowhere that this learning through enjoyment happens more than at Santa Cruz Soccer Camp. Today I went to the last day of the first week of soccer camp, and it was magic as usual. Following tradition, the campers ganged up to play against the parents, and as usual, the campers played magnificently. (And I am rather proud of myself that the ball came in contact with my foot twice, which was astounding given that I was largely doing my best to avoid it!)

Of course, the game wasn’t about the score (which wasn’t actually being kept). Soccer camp is about learning how to be part of a team, where you have to do your best, but you also have to take into account what the other needs of the team are. Bill Trimpi, the owner, pointed out that people who are just looking for personal glory aren’t great soccer players. If you’re not hooked in with the other players and aware of what they need and what their skills are, you won’t be a great player.

Now that my daughter is double-digits, I have become more aware of the value of another thing soccer camp offers: leadership training. The kids who go to camp don’t just start as small campers and leave as bigger campers. Each year they grow into new roles and expectations. Some of them stay long enough to do the camp’s leadership program. Some of those kids go on to coaching during their high school years. Some of them return each summer to continue while they’re in college. One notable graduate of soccer camp is current director Katy Scowcroft, who started at the camp when she was 7, went through leadership, returned as a coach, found her calling in working with kids, and now directs the camp in the summers between her “real job” teaching elementary school.

I realize that I’ve made a transition: At first I was thankful that there was a camp that could handle my unusual child. Then I was hopeful that the experiences in camp would translate into more appropriate behaviors in other settings. Then it was great to drop her off and know that she was going to do well and come home happy.

Now, I’m starting to look forward and I realize that it will be amazing to watch her next journey, from child to responsible teen. I am always impressed by how self-assured the teens at camp are, how they seem comfortable with their roles and dedicated to helping other kids make the transition. And I know that I couldn’t ask for more than that for my daughter.

This spring when we were talking about her summer schedule, she’d clearly forgotten about how important soccer camp has been to her. “I could skip soccer camp,” she said.

“I think we can fit it in,” I responded. I can’t let on to her how much it means to me, or she might get suspicious.

She still thinks soccer camp is fun. But I know that it’s much, much more.

[Find other musings on Santa Cruz Soccer Camp and the value of sports here and here and here.]

Book review: The Explosive Child

The Explosive Child: A new approach for understanding and parenting easily frustrated, chronically inflexible children
Ross W. Greene, Ph.D.
HarperCollins, 2009

The Explosive Child by Ross Greene has been on my reading list for a long time. I regret that I didn’t get to it earlier, though reading it now, when many of the other difficulties in our household have been ironed out, has been good timing.

Greene, who is a clinical professor of psychiatry, starts with a simple thesis that many families with sensitive, twice-exceptional, ADHD, learning disabled, or emotionally volatile children figure out over time: the usual parenting strategies don’t work with these kids. Many of us have taken a journey in this regard. We start out looking for help from standard parenting manuals, friends with typical kids, or even professionals. They have great ideas, but for some reason our kids are different.

Greene speaks directly to parents who feel like they’ve tried everything, and he points out that most of the solutions we’ve heard about boil down to two approaches. What he calls Plan A is otherwise known as authoritarian parenting; this is the “Because I said so” approach. Greene notes that even milder-sounding terms like “consequences” are a form of Plan A, because they don’t take the child’s point of view into account.

What he calls Plan C is the opposite: just giving in and letting explosive kids get their way. This permissive approach often seems easier in the short term, and Greene acknowledges that sometimes it’s a necessary part of getting through the day. Though most parenting books don’t advocate permissiveness directly, they do often counsel parents to offer understanding and support to their children in the midst of a tantrum, without giving any guidance for addressing the root causes of the behavior, as typically developing children will usually outgrow tantrums without intervention.

Greene’s interest is in helping parents put together a plan that not only addresses the root of the problem but also helps the child learn valuable life skills in the process. Neither Plan A nor Plan C fulfills these criteria, and in fact, both approaches can damage a volatile child’s chance of developing into a healthy functioning adult.

Greene’s Plan B isn’t easy. First of all, he acknowledges that it pushes a lot of common parenting buttons. Most of us harbor deep suspicions about letting badly behaving children “get away with it.” Also, we have immediate goals, such as wishing our children to be polite in public, that Plan B will put off for a more distant time while we work on our own responses to our children’s behavior. And, he admits, Plan B can be hard for our extended community, such grandparents, teachers, and adult friends, to buy into.

But the great thing about this book is its watertight argumentation: no matter what your resistance to moving to this new—difficult—mode of dealing with your child’s explosive behavior, Greene has a thoughtful, empathetic response.

I can’t vouch for the longterm success of Greene’s approach in my own parenting life, as I just read the book and am working slowly to implement changes in my own responses to common situations in our household. But I can say that as I read this book, I kept saying, “yes,” “yes,” “yes,” as Greene outlined the difficulties of raising a volatile child, and solutions that are at once sympathetic, humane, practical, and based on the longterm goal that we all have: raising happy, well-adjusted adults.

Update, 5 years later

I see that I wrote this five years ago. I can now revisit my last paragraph above and unequivocally state that Greene’s approach has been successful in my family and also for me as a teacher. I believe that reading this book changed the path our family was on. My fifteen-year-old is a happy, well-adjusted kid. Yes, sometimes we argue, but in a normal, healthy way. I can’t recommend Greene’s collaborative approach highly enough.

Now available