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3 things I learned from my kid's ADHD therapy that every parent needs to know

Parent Child Interaction Therapy was the ultimate crash course in parenting a stubborn child.

Unsplash and Evan Porter/Upworthy

Learning more means doing better for everyone.

We knew our now 4-year-old daughter was different very early on in her life. On her first birthday, she had another 1-year-old friend over to play in the backyard (it was COVID times, so there was no big party with all of her daycare friends). The boy, a neighbor of ours, sat and played in the baby pool for a solid hour without moving or making much of a peep. Our daughter, meanwhile, stripped off her swim diaper and spent the entire afternoon wandering around the yard, rolling in grass, swinging sticks around, and generally making mayhem. Making mayhem pretty much became her norm for the next few years. She slept poorly, had multiple meltdowns every day, and was so defiant my wife and I were left completely exasperated and in tears most days.

It wasn’t too long before we started to look into parenting coaching to get a grip on her behavior and regain some sense of normalcy in our lives. The stuff that had worked with our older daughter had been a colossal failure thus far. I loved our parenting coach and her ideas. Talking to her was almost like therapy for us. But her techniques didn’t work either. Then we tried Occupational Therapy. Our daughter loved going because she got to climb around on obstacle courses and play fun games that were meant to work on her vestibular system and help her feel more calm and grounded, but we never saw much of a difference in her.

gif of a a tired man falling to the floorWe were exhausted.Giphy

Finally, we took the plunge and did a full-scale psychiatric evaluation, and the results showed that she had ADHD. It confirmed what we pretty much already knew. We thought we’d be going down the medication road sooner than later, but our doctor actually recommended a specific kind of therapy. It was called PCIT.

Parent Child Interaction Therapy promised to ‘train’ us on how to better interact with our daughter. Great, more parenting coaching, we thought. Another person to tell us that we need to be more consistent, apply more discipline, and yadda yadda yadda. But we didn’t have any other options, so we gave it a try.

In short, and to our complete surprise, PCIT has been a life-changer. When it was described to us as coaching or training, they really weren’t kidding. We spent several sessions in the office with our daughter while literally being observed with a camera and fed lines through a headset! As of this writing, we’ve been practicing the techniques for several months and we’ve seen a big difference. At so many points throughout the therapy, my wife and I agreed that all parents with stubborn kids should go through this program.

Here are just a few of the things we learned that helped us immediately in our daily life with a super defiant, too-smart-for-her-own-good, highly dysregulated kiddo.

1. The magic of 'Special Time'

boy playing with  blocks on white wooden table Photo by Ryan Fields on Unsplash

Our first task in PCIT was to have more positive interactions with our daughter. We spent so much of our time telling her, "No," reprimanding her, arguing, bargaining, negotiating, and punishing that it was making it really hard to take any joy in being her parent.

So, our therapist introduced us to a concept called Special Time. For just five minutes every day, we were instructed to give our daughter our undivided attention and fill her with as much positive energy as possible. There were extremely specific ways that we did this, and, in fact, we even practiced and were measured in the therapy setting on how well we implemented all the techniques! But during Special Time, we play with our daughter one-on-one and let her lead the interaction. Our job is to play along. Meanwhile, we shower her with praise (“Wow, I love how nicely you’re sharing the toys with me!”), touch or speak to her affectionately (“I’m having so much fun playing with you”), imitate the way she played and even echo things she said back to her to let her know she was being heard and listened to. Doing Special Time made a huge difference, almost immediately, in reducing her negative attention seeking behaviors.

And we always feel good at the end of it, which helps offset the stress and frustration of our many conflicts. If you’ve got a kid that sometimes acts out for attention, pre-emptively giving them lots and lots of positive attention might help.

2. The Time Out flow chart

I think a lot of parents can relate when I say that, for years, we found implementing punishments with our daughter to be a disaster most of the time. With a stubborn and dysregulated kid, doing things like taking a toy away or doing 'No Dessert' would almost always cause an explosion, and/or end up hurting us more than it hurt her.

A lot of parenting experts have their own approach to Time Out, but not many of them are clinically validated like the one used in PCIT. When we learned how to do Time Out properly, Time Out became the primary 'punishment' we use. When she doesn't do what we clearly ask her to do, or she breaks a House Rule (like 'No Hitting'), she goes into Time Out. Once she's ready to do the thing we asked, she can come out of Time Out and the conflict is over. She can go right back to playing or having dessert. It’s so much simpler.

Although, when I first saw the flow chart for how Time Out worked, it looked like anything but simple.

a flow chart about how to handle Time Out in PCITIt looks complicated at first, but it's actually simpler and more effective than we thought.Evan Porter/Upworthy

Seeing this flow chart at first was incredibly overwhelming! But with a little practice, it made sense. The first couple times using the Time Out sequence at home were a little rough, but after a little while of being consistent with it, just the threat of it is usually enough to get our daughter back on the right track.

Even if you don't follow the brain-dizzying flow chart above, I think all parents could benefit from learning a consistent Time Out sequence that ends with your child complying every single time without fail. It's tough! Sometimes it takes a while and you have to be a little stubborn yourself in order to see it all the way through to the end, but the investment is worth it.

3. Active Ignoring

This one is a little controversial in some circles but we found it to be an excellent tool to have in our toolbox. Our therapist even told us that if she could teach her patients just one thing, it would be how and when to use Active Ignoring or Selective Attention.

A handout from UC Davis describes this technique as: "We use Selective Attention to deal with behaviors that are minor, irritating, and inappropriate. Ignoring these behaviors is an active way to correct them! You will strategically use the technique to stop specific behaviors," like whining, sulking, screaming, being clingy, lying, and more. The idea is that these behaviors are attention-seeking so any kind of attention only fans the flames and rewards them.

gif of a woman trying to get a man's attentionSometimes being unbothered works.Giphy

When our daughter is fussy, irritated, and whiny, we first try to help her regulate. One of the best ways we learned to do this (again, through PCIT!) is with leading by example. We used to bombard her with calming options. “Want to color? Want a snack? Oh, let’s walk outside! How about a drink of water? What if we put on some music?” And of course she would just say No, No, No!!!! And then we’d wonder why we could never get her to calm down by coloring. It turns out that sometimes what works way better, and is less overwhelming for her, is if we just calmly get out all the supplies and start coloring ourselves. She’ll almost always join in when she’s ready.

But if we just can't shake the grumpiness and whining and tantrums, we'll turn to Active Ignoring. This approach has two big benefits. Number one, it stops the conflict from escalating further. We used to get into these cycles where everything we would try to say or do would just make the tantrums worse to the point they became full-blown nuclear explosions. By just walking away, we were able to nip a lot of those in the bud. Number two, ignoring helps keep us calm. Yes, parents are human beings that get frustrated and angry and upset, too! And when those emotions start to pile up, it makes everything worse. Having the freedom to just turn away or walk away or stop talking has done wonders for our mental health.

Sometimes, some of the techniques we've learned in therapy feel "mean." We're not able to be as flexible and gentle sometimes as we'd like to do, but that's because flexible and gentle is not what our daughter needs most of the time. She needs us to be strong and consistent. That makes us reliable and safe, and it helps keep her regulated. The techniques taught in PCIT won't be right for every kid or every family, but it was right for us.

I was as skeptical going into all of this as anyone, but going through the therapy has allowed us to enjoy being her parents so much more. She's the sweetest kid and one of the funniest people on the planet. She brings so much fun and laughter to our lives, and it's been absolutely amazing to spend less time butting heads with her and more time soaking in her incredible energy.

abigaellanai/Instagram

This is truly a gamechanger.

Date nights are important for any couple with kids. But they can be hard to come by if you don't have lots of family nearby or have infinite money for, and access to, trustworthy babysitters. Enter the babysitting swap! It's a popular concept where couples with kids will take turns "swapping" babysitting duties with other couples they know so each can enjoy the occasional date night.

My wife and I have done this with friends, and it's great! It's free and it gives your kids a chance to play with their friends. But it does come with a few logistical challenges. Like the fact that two sets of children from different families will have different bedtime routines and needs. It can also be a lot of work for the babysitting couple to take care of twice the number of children, and then to have to navigate the different nighttime needs of both sets of kids all on their own.

Mom Abigael Lanai thinks she's 'cracked the code' behind the perfect babysitting swap.

As she explains in an Instagram reel, here's how it differs from your usual swap:

First, it starts later. In this version, the babysitting couple shows up for duty after the parents have already put their own kids to bed in their own rooms. So it means date night has a delayed start, but the kids get their own bedtime with their own parents which (hopefully) goes off without a hitch. And the babysitting couple just has to act as "warm bodies" in case of emergency—so, in most cases, they won't have to do much work.

You might be thinking, it only takes one person to be a warm body! And where are the other kids during all this? Now this is the twist! In Abigael's example, she goes over to her friend's house to "warmbodysit" by herself while her husband stays home and puts their kids to bed. Now, Abigael can relax on her own and watch Netflix or read on the couch, while her husband can enjoy a night to himself at home playing video games or whatever husbands like to do. And all the while, the other couple is out on a date.

“He’s getting a night to himself to play video games ... they’re on a date ... I am chilling on their couch, I’m going to watch their Netflix, I get a night off from doing my kid’s bedtime routine and watch whatever trash reality TV that I want," Abigael says. "It’s a win for everybody.”

Actually this is pretty much what Michael Scott would call a win-win-win.


gif of Michael Scott air-drummingthe office drum GIFGiphy

You can watch Abigael's full explanation here:

People had a lot of opinions on Abigael's secret recipe for more date nights and nights off. Most loved the idea.

Abigael's video went viral on Instagram to the tune of over 100,000 Likes and 2.5 million views. Her advice was a huge hit with moms who are desperate for more relaxing time in their lives.

"This is the 'village' I wish I had," one user wrote.

"As a mom who doesn’t really do well with other people’s kids, this would be a great option for me. I like the idea of not actually having to babysit, but just being the responsible adult in case of emergencies. I can do that," another said.

Commenters also had a few misconceptions about the method. The first being "This isn't a night off if you're taking care of other people's kids." But remember, the idea of warmbodysitting is that you won't have to do anything unless there's an emergency or the kids wake up! They're already asleep when you show up and, most of the time, moms like Abigael who warmbodysit for friends just hang out and watch TV. Sounds like a night off to me.

The second misconception was that the dads are getting off too easy in this arrangement. "He just gets to play video games while you do all the work?!" Don't forget that if dad stays back at home, he's putting his own kids down and doing bedtime at the house solo. So he's putting in plenty of work before he gets to relax.

gif of babysitter telling child, "By the way, you're actually my favorite kid I babysit for." Kid Babysitter GIF by HalloweenGiphy

Others brought up a more-than-fair point: Communities of friends and families helping to care for each other's kids shouldn't be unusual or even interesting. It should be the norm, and in some communities, it already is.

"This truly shows how little community at large is valued in mainstream (read: white) culture because this is a pretty reasonable and normal thing I have always seen done in my various communities. It’s sad that it’s ‘revolutionary’," a user wrote.

Now, this approach won't work for everyone. If your kids are in a phase where they're waking up a lot, it could be a problem. But luckily there are lots of different set ups you can explore to see what might work for you, your kids, and your lifestyle.

Here are some other popular versions of babysitting swaps that can also be lifesavers — and marriage savers.

The daytime swap. In this version, Couple A goes out on a date while Couple B watches the kids, but just for a few hours during the day. Couple B just has to supervise a big play date, no stressful bedtime stuff necessary. Some people love being the babysitting couple in this scenario because, with the kids so pre-occupied playing with each other, mom and dad can get a ton of stuff done around the house.

The multi-family swap. If you can involve three or four different families, you'll have more kids in the mix but also more capable adults to help watch them. A four-family setup works well, with two couples going out and two couples watching all the kiddos. Plus, it's way more fun for the babysitting couple if they have friends there to socialize with while they're supervising.

The moms- or dads-only swap. Date nights don't have to be just for couples! A great way to get extra social time with your friends who are parents is for the dads to stay home with the kids while the moms go out together, or vice versa. It works great when all four people in the couples are great individual friends as well.

Parents need quality time with their kids, spouse, and friends—plus time spent alone to enjoy whatever they like doing. There simply aren't enough hours in the day to get them all! We need to be so much better at leaning on, and supporting, our community of parents so that we can at least attempt to fill our cups with the social, romantic, and alone time we need. Abigael's version is just one of many that give us a fighting chance.

Family

The Gen X 'stay at home mom' crisis is real, but what's the solution?

Some moms in their 40s feel like they were lied to about what their "resume gap" would mean.

40-something moms who stayed home to be with their kids are finding themselves in uncharted waters.

A few generations ago, parents had pretty clearly defined roles with the dad generally being the breadwinner and the mom being the homemaker and stay-at-home mother. Then, in 1848, the women's rights movement in the United States began with a powerful second wave coming in the 1960s and 70s, empowering women in the workplace, ushering in the era of two working parents, and producing an entire generation of "latchkey kids."

Now those Gen X latchkey kids are parenting Gen Z, with the pendulum of working motherhood having swung somewhat to the middle. We were raised to believe we could be anything we dreamed of being and that we didn't have to choose between being a mom and having a career. Gen X also became mothers during the heyday of parenting self-help books that impressed upon us the importance of attachment and hands-on childrearing, as well as the era of super-scheduled kids, whose activities alone require a full-time manager.

As a result, those of us in our 40s have raised our kids straddling two worlds—one where women can have all of the career success we desire and one where we can choose to be stay-at-home moms who run seemingly effortless households. At first, we were told we could have it all, but when the impossibility of that became clear, we were told, "Well, you can have it all, just not at the same time." But as many moms are finding as their kids start leaving the nest, even that isn't the full truth.

in 2023, a Facebook post by Karen Johnson, aka The 21st Century SAHM (short for "stay-at-home mom") nailed the reality many stay-at-home moms in their 40s are facing as they find themselves floundering with the glaring gap in their resumes.


"This is for all the moms in their 40s who put their careers on hold to do the SAHM thing because you knew you couldn't do both—career you loved and motherhood—and do both WELL, so you picked, saying to yourself, 'This is just for now and we'll see,'" Johnson wrote. "But now it's 15 years later and so much has changed in your career field that you know you can't go back. So really, when you 'took a break' all those years ago, you gave it up."

Johnson explained that yes, moms know they should be grateful for the time they've had with their kids. Most are. That's not the issue. Whether a woman chose to be a stay-at-home mom because she really wanted to or because childcare costs didn't work in the financial equation of the family, the transition out of it feels like completely uncharted waters.

"Okay, so you're looking for a 'career' with part-time hours and a 100% flexible schedule because you're still Mom-on-duty but you do have *just* enough hours during the day to reflect on the fact that you *do* have a college degree (maybe even 2) and although being a mom is the greatest and most important job in the world, you *might* actually want something more to your life than folding laundry and running hangry children to 900 events and remembering that they're all due for dental cleanings," she wrote.

Yup. The "default parent" role is real and weighted heavily toward moms as it is. For stay-at-home moms, it's 100% expected, and that doesn't suddenly end when it's time to start thinking about joining the workforce again.

And, of course, moms barely have time to try to figure all of this out.

woman in white long sleeve shirt holding brown and white labeled can

A working mom is the ultimate multitasker.

Photo by Memento Media on Unsplash

So, as Johnson says, "But for now, you cram yourself into the only pair of jeans you have right now that fit and find a t-shirt on the floor that isn't clean but isn't dirty and will pass for the 4 hours of mom-taxiing you're about to do and you tell yourself, 'I'll figure it out another day. Right now, I gotta get the kids to practice.'" Oof.

Johnson's entire post is worth a read, as it resonates with so many women at this stage of life. But just as telling are the comments from women who not only see themselves in Johnson's description but who feel like they were sold a bill of goods early in their motherhood. So many of us were led to believe that the skills and experiences of managing a family would be valued in the workplace simply because they should be and that the gap in their resume wouldn't matter.

"This hits hard. I am right there too. And all those volunteer hours & leadership positions people said would look good on my resume when I once again applied for jobs? Those people all lied. It means squat," wrote one person.

"Thank you! You spoke my heart. 42 this year, resigned from teaching almost 12 years ago, and never been more confused about my personal future, or exhausted in my present," shared another.

"I’ve never related to a post more in my life! THANK YOU. Your words perfectly summarize the loneliest, most important job in the world and how that perspective shifts in your 40s. It is confusingly beautiful," wrote another.

Some moms have chosen to see their post-stay-at-home era as a fresh start to learn something new, which might lend some inspiration to others.

woman carrying baby with two ladies beside her smiling

Beginnings are often rough, but that's okay.

Photo by Alexander Grey on Unsplash

There is hope in the comments, too.

"I went back for my master’s degree at 47 years old. I’m now 50 in a new career I love and my husband is doing just fine pulling his weight with after school/carpool/dinner. Happy for the years I stayed home, happy with this new season too," shared one person.

"Yuuuup. I decided to go back to grad school at 45. It’s insane but every term I complete I’m like - omg I’m doing it! So don’t let sweaty out of shape bodies and carpool fatigue stop you. I take naps and write grad school papers and have meltdowns where I cry from the frustration of it all - but dammit I’m doing it!" wrote another.

One mom who is past this stage also offered some words of encouragement:

"So incredibly well written. I feel all these things and did throughout my 40s. Now I'm in my early '50s and I'm so glad I was able to stay home with my kids, but the guilt! The guilt of not using my education, the judgment of people who don't understand why someone would stay home with their kids, the social engineering... We just eat each other alive sometimes don't we? I wouldn't trade it for anything, but it is a very lonely road and one you always question. I can tell you that all three of my kids were so grateful to have a full-time parent. I might not have always been the best, but they were glad to always have someone to talk to if they needed it. It's hard to fill other people's buckets when your bucket isn't full, but the rewards do come back when the kids tell you thank you for everything that you've done. ❤️"

Being a mom is hard, period. Working moms have it hard, stay-at-home moms have it hard, moms who have managed to keep one foot in the career door and one foot in the home have it hard. There's a lot that society could do to support moms more no matter what path they choose (or find themselves on—it's not always a conscious choice), from providing paid maternity leave to greater flexibility with work schedules to retirement plans that account for time away from the workplace. Perhaps that would at least make the many choices moms have today feel more like freedom and less like choosing between a rock and a hard place.


This article originally appeared two years ago.

A happy mother and her smiling child.

Parents of newborns know they are in the middle of a joyous and stressful era. But far too often, the people they run into choose to frame things negatively when talking to them about their young child. They’ll say things like, “Don’t worry, it gets better” or “Boy, do you have your hands full.”

That’s why Steph Morrison's video on TikTok touched so many hearts. It’s about the fantastic things that can happen when people choose to see things in a positive light instead of a negative one.

“The sweetest thing just happened,” Morrison begins in her video. “I was just finishing my walk and we were just pulling down our street and this old man, he stopped so we could walk by because we’ve got the double-wide stroller that takes up the whole space, and he goes ‘Wow! You’re going to have a lot of fun.’"

The comment blindsided Morrison because it reframed how she looks at being a parent.

@_stephmorrison_

I never would have guessed what the man would say nor did I ever predict tears would roll down my face like they did. Thankful for this sweet glimmer from God 🫶🏼✨ #momspiration #momsoftiktok #momsover30 #quotesforyou #momquotes #postpartumjourney #postpartumlife #happywords #happinessbegins #creatorsearchinsights

“I don’t know why I’m getting emotional telling you now. But most people say, ‘You’ve got your hands full’ and it’s my biggest pet peeve, but he was so sweet and I could, like, see the memories flash through his eyeballs as he said that to me: ‘You’re going to have a lot of fun.’”

“Like, dang! That’s the type of vibe and energy I’m going to bring to motherhood,” she continued. “I was having a really great time with the kids already, so I don’t know why I’m crying while telling you this. But if you’re a mother out there, I hope you’re having a lot of fun, too, because why not?”

Everyone knows that parenting can be hard. But it’s also filled with joy, laughter, hope, possibilities and new experiences. The elderly man’s comments were a great reminder to Morrison and her followers to focus on the joy and possibilities of being a parent instead of the challenges and hard work.



The video struck a chord with mothers in the comments who shared similar experiences.

“An older man in the grocery store stopped me when my son was 8 months old and said, ‘Young enough to still talk to the angels, put in a good word for me!’” Rachel wrote. “My only son is 7 months old. I can’t have any more kids due to life-threatening complications at birth. The other day, a man said to me, ‘He gets to have you all to himself. Isn’t that so special?’” Happy_Gilmoree added.

CaitlinPrice25 hit the nail on the head. “Society makes us feel like kids are a burden,” she wrote. “Just a little change of perspective can make all the difference.”

A positive mindset can make life much easier for parents, but it’s also great for their children. Children look to their parents and model their behavior; those with a positive attitude are likely to raise happy, optimistic children. “A mother’s ability to model positivity becomes a powerful tool in shaping a child’s character, fostering qualities such as kindness, compassion, and a positive outlook on life,” The Motherhood Center in Houston, Texas, writes.

The story also reminds everyone, whether they are parents or not, of the importance of leading with positivity when dealing with others. The man could have said something cliché such as “I hope you’re getting enough sleep,” but instead, he reminded Morrison of the joy of parenting, and she made his remark her north star. That’s the power of positivity.

This article originally appeared last year.