Blog Post

Phobias: Fight or flight from the flutes explained.

• Oct 23, 2018

Aulophobia (n): An exaggerated or irrational fear of flutes (musical instrument)

Seems a bit silly, right? Some people are terrified of something most would consider so trivial such as a musical instrument (that we typically get joy from), but to a sufferer of aulophobia - “woodwind” you know - stage fright at the orchestra is taken to a new level!

A phobia is an anxiety disorder characterized by the presence of extreme fears of a specific object, place, or situation that is out of proportion to the actual risk for harm or danger posed by the feared object. In children, phobias result in
intense feelings of anxiety/fear that disrupt an individual’s daily functioning and are significantly more intense than normal fears that commonly observed in childhood. For example, most children are fearful of spiders, but a child with a spider phobia may refuse to play outdoors or be within visible distance of a harmless spider. Extreme anxiety related to the object of a phobia causes activation of the sympathetic nervous system (i.e., the “fight or flight” response) and can lead the child to generalize their fear to other situations and activities and spend excessive time fixated on the fear. When exposed to the feared object, related situations, and thoughts about the fear, the child struggles to understand that their fears are inaccurate and/or unlikely to occur. Similarly, parents find it difficult to reason with a child due to their hyper-focus on the feared object.

Examples of phobias observed during childhood include phobias of blood and needles, exposure to vomit, choking, insects, becoming sick, or having a loved one become sick. Biological factors (e.g., neurotransmitter levels), family factors (e.g., genetic predisposition, modeling of extreme fears), and traumatic experiences can also play a role in the development of phobias. When left untreated, phobias can lead to the development of other problems, such as panic disorder, separation anxiety disorder, depression, and other problems. Cognitive-behavioral therapy and exposure-based therapy approaches are very effective in helping children and adults overcome phobias. With the assistance of a psychologist or counselor, the child will learn new strategies to help them manage feelings of anxiety/fear (e.g., diaphragmatic breathing, relaxation, self-reassurance) while they engage in systematic exposure to a hierarchy of anxiety-provoking situations associated with the object of the phobia. Treatment for phobias and other anxiety disorders is offered here at The Woodlands Behavioral Health and Wellness Center.

Call our office today to schedule a complimentary consultation at 281-528-4226.

Melissa Mignogna, Ph.D., Pediatric Clinical Psychologist

Staff Therapist at The Woodlands Behavioral Health and Wellness

18 Apr, 2024
Tantrums, hitting, and whining are some of the most common issues that parents share with me in my role as an early childhood psychologist. These challenging behaviors often force us to dig deep into an already-depleted well of patience, leading to an exasperating cycle of “let’s see if this works!” over and over again. What if I told you that there is a miraculous way to greatly reduce these behaviors and shift the tone in your home, for only 10 minutes a day? Enter Special Time! Special Time involves spending about 10 minutes per day purposefully playing with your child in a one-on-one setting. During these few minutes, your child has your undivided attention — no phone, no chores, no work, no siblings. You may be thinking, “But I spend all day with my kids…how much more could they possibly need?” The mindset shift to keep in mind is quality over quantity. While we may spend lots of time together through the hustle and bustle of the daily routine, our children often don’t receive the direct attention they crave. The goal is to fill each child’s “cup” with positive attention each day through Special Time, greatly reducing their need to misbehave in order to get more. Special Time should occur every day for about 10 minutes. During this time, your goal is to follow your child’s lead and allow them to be the star. Choose activities that allow for close interaction and joint play, especially those that don’t have many pre-determined rules. Great choices include blocks, trains, cars, dolls, coloring, and any other activities that allow for creativity and imagination. Your primary job during Special Time is to notice what your child is doing and act like a sportscaster by narrating what you see. For example, “You have the red car and the blue car on the track,” or “The animals are sleeping inside the barn.” If you are unsure what to say, just take a guess—your child will correct you if you are wrong, and that is exactly what we want. This is their opportunity to take the lead in an age-appropriate setting…play! This also means that there is zero criticism and no correcting during Special Time. This is child-directed play, not teaching. Your child is likely to love Special Time, which means that wrapping up can be a bit challenging. For a smoother transition once the 10 minutes are up, be sure to give multiple warnings so they know what to expect. When having Special Time with my own child, I prefer to set an alarm on my phone to let me know when to give the transitional warning. This way, I remain present during the play and avoid checking the clock. When your child asks for more Special Time, remind them that you are all done for today, but they will have another 10 minutes tomorrow. While it is best to avoid dropping everything and commencing the 10 minutes any time your child starts to unravel, Special Time can be especially helpful as a “re-set” on challenging days. It should ideally be a routine occurrence that your child can count on, and not taken away as a punishment for misbehavior. Even if you only have 5 minutes, need to do Special Time in the bathtub after soccer practice, or make it work by drawing in the carpool line…every bit matters! While Special Time is not a magic solution for challenging behaviors…it just might feel like one. So sit back, relax, and play!
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Have you ever found yourself watching your child or grandchild’s behavior and thinking, “how in the world am I supposed to handle this?” ...if so, you are not alone! With so much advice floating around, many caregivers find themselves facing decision paralysis – fearful of making a wrong move and mishandling a situation. The good news is that there is a simple, research-based mindset shift that can help to guide us in the right direction: Shine Your Spotlight! The behaviors of young children are ever-changing. One minute, they might whine, complain, and tantrum – even though they are wonderful helpers and good listeners just a short time later. Instead of getting stuck focusing on the unhelpful behaviors, first think about what you can do to increase good behavior. The most powerful way to do this is by shining your spotlight on the child when they are behaving well. When you shine your spotlight, you are providing lots of positive attention and letting the child know that you notice them. Praise is one of the most powerful ways to let children know that you enjoy their helpful behaviors. Positive attention is also an important way to help children feel good about themselves. Praise sends an important message to children, so it is essential that you say something specific like, “Thank you for helping me,” or “I love that you’re playing so quietly,” or “Great job sharing with your brother.” The child will need to hear these words often in order to know you’re attending to them. Specific praise should also include non-verbal communication too (hugs, hi-fives, fist bumps, back rubs). Remember to praise frequently! When children do not get enough positive attention for behaving appropriately, they learn that the best way to get attention is to misbehave. This might mean that you are having to manage more interrupting, yelling, whining, complaining, and arguing during the day. Children may also behave this way when they are upset, stressed, or just not getting their way. When caregivers respond to displeasing behavior with a brief period of ignoring- turning off the spotlight- they signal to children that they must behave appropriately in order to get attention. It is important to remove both verbal and non-verbal attention during these moments. Also, remember to return your bright spotlight with lots of praise as soon as the child is back to engaging in an appropriate behavior. Give this strategy a try and help the children in your life learn which behaviors make them shine! Katherine Cohn, PhD Licensed Clinical Child Psychologist Licensed Specialist in School Psychology
Diversity, mental health and group therapy counseling support meeting, healthy conversation
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The Woodlands Behavioral Health and Wellness Center is proud to announce its support for Mental Health Awareness Month in May. As an organization dedicated to helping individuals achieve mental and emotional wellness, we believe it's important to raise awareness and break the stigma surrounding mental health. Mental health refers to our overall emotional and psychological well-being. It affects how we think, feel, and behave, and can impact our relationships, work, and daily life. Mental health conditions can take many forms, such as depression, anxiety, bipolar disorder, and schizophrenia, among others. According to the National Alliance on Mental Illness, 1 in 5 adults in the United States experiences mental illness each year. However, despite the prevalence of mental health conditions, many people still struggle to get the help they need due to shame, stigma, and lack of resources. The Woodlands Behavioral Health and Wellness Center is here to help. We offer a range of services to support individuals struggling with mental health concerns, including individual counseling, group therapy, and psychiatric evaluations. Our team of licensed professionals IS dedicated to providing innovative, personalized treatment plans for patients with mental health issues. We treat patients of all ages using a holistic, integrated, and comprehensive multimodal approach. By working with clients individually, we can develop personalized treatment plans to meet their mental health goals. But we can all play a role in promoting mental health and breaking the stigma. Here are some things you can do: Educate yourself and others about mental health: Learn about the signs and symptoms of mental health conditions and how to support someone who may be struggling. Speak up: Share your own experiences with mental health, or advocate for better mental health resources and support in your community. Be a good listener: If someone you know is struggling with mental health, listen without judgment and offer your support. Practice self-care: Take care of your own mental health by getting enough sleep, exercise, and social support, and seeking help if you need it. We encourage everyone to take a proactive approach to mental health and reach out for help if they need it. Mental health conditions are treatable, and recovery is possible. Don't suffer in silence - reach out to The Woodlands Behavioral Health and Wellness Center today for a complimentary consultation. To learn more about our services or to schedule a presentation for your school, business, or community group, please visit our website at www.addwoodlands.com or call us at (281) 528-4226 .
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