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So I am not a bad mom because you are angry, right? She was angry because her needs were not met. What better way to teach a behavior than modeling the behavior you want to teach? Show them how to respect by respecting them. True story. Most of us are not this extreme but we still do some variations of preference policing. But if you want your child to respect you, start with respecting their choices. Everyone has their own preferences.

Alternative to Sticks, Clips, and Charts

As much as I want my little one to be a mini-me and like exactly the same things I do, she is not. My child has her own liking.


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But ultimately, she has to learn to make decisions for herself. As long as her choice is not a danger to safety or health, is not too financially consuming and does not hurt others, I honor it. That is why I let her make her own choices in things such as her own outfits. Every person has the right to think independently and like different things.

That should include children. This understanding and tolerance for differences will become especially important when the teenage years come. Discipline means to teach or to train, not to punish. Imagine if you make a silly mistake at work and the boss talks down to you in a demeaning way. That must feel really lousy, right? Would any of us therefore have more respect for this boss?

No, right? The same with children, being harsh or using punitive punishment will not earn us respect. One can be firm and kind at the same time when disciplining. Setting firm boundaries and sticking to them are the keys to successful discipline.

Parenting is one of the hardest jobs in the world. Parents spend so much effort, time and money to care for their little ones. Their entire lives changed and started to revolve around their children the moment they were born. We ourselves decided to take on these responsibilities.

Think about a chain smoker telling his child not to smoke. How effective is that?! Model good behavior such as being respectful to everyone, including our children. Most of the time, inadequate intake occurs in perfectly normal children, but children with a chronic disease are often poor eaters.

Children with a chronic or recurrent infection, an immune deficiency, inflammatory bowel disease [10] or celiac disease often have poor caloric intake while experiencing few or no gastrointestinal symptoms. Poor growth despite adequate intake may be seen in children with an endocrine disease, renal failure, renal tubular acidosis [11] or a genetic syndrome. Malabsorption should be suspected when a child does not grow despite having a higher caloric intake than would be needed normally.

Issues to explore with caregivers might include the following:. Parental responses to feeding problems should also be explored. Feeding and growth problems often generate stress and anxiety and can affect the parent-child feeding relationship. While inadequate caloric intake in an otherwise normal child is the most common cause of growth failure, an underlying disease is sometimes found Table 1. A complete history and a physical examination should be performed.

If clinically indicated, a basic workup may be obtained Table 2. Increased energy needs may be attributable to: — an underlying chronic condition — chronic or recurrent infections. Other rare causes of failure to grow in toddlers: — the presence of a diencephalic tumour — renal tubular acidosis. If no underlying disease is detected, parents should be reassured that their child is healthy.

Behavior Charts and other Resources

Then consider the following steps:. Total intake takes into account requirements for age and the need for supplemental calories to ensure catch-up growth.

Formulas are given after meals to avoid interfering with food intake. In exceptional cases, pharmacological therapy may be considered for children with growth failure due to inadequate dietary intake.

10-Year-Old Child Development Milestones

This intervention should only be undertaken after a careful assessment by an expert in this area. The child feels hunger and is happier to eat. Parental anxiety is therefore diminished and mealtimes become less stressful. Cyproheptadine is an antihistamine that is sometimes used to increase appetite. It can cause transient drowsiness. Tolerance develops over time, and it is necessary to cycle its use to maintain efficacy [13].

Other appetite stimulants, such as cannabioid derivatives and megestrol acetate, have been used in some clinical situations but they should not be administered to healthy children [15]. Tube feedings may be used in exceptional cases when a child does not grow, but they are traumatic for both child and family [12].

Insertion of a nasogastric tube is an unpleasant experience and may cause increasing oral aversion and decreasing appetite in an already fragile child. These effects make eventual weaning off tube feeding more difficult. Tube feedings should only be used in patients whose underlying disease is worsened by their poor nutritional status, jeopardizing outcome, or if oral intake is deemed unsafe. No arguing. He tends to pay extra attention to completing the tasks the following weeks. I first give him a warning. Taking their hard-earned allowance money away makes the problem urgent to them.

In other families, behavior charts establish a set amount of money based on completion of each chore or task works. Kids get to choose how much they earn by how much they do. It is only effective 50 percent of the time, but that is better than zero percent!!!

Behavior Charts for Children with ADHD

Make a special slumber party an incentive, or create an extracurricular activity that is contingent on getting chores done. So I often find myself fishing, bug hunting, and rock collecting as a reward for reaching small goals, set up to help get him successfully thru a school day. One of the keys to enjoying iPads and video games is learning time management. He really likes bottled iced tea, so that works! Sugary drinks provide glucose, which is the primary source of fuel to the brain.


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It allows him to be invested in the outcome. Sometimes the reward is candy or going out for ice cream. They are allowed to indicate a wish they have and want to work toward. He has a list of tasks to complete, and each is worth a set value. Then he can spend it on whatever privilege he likes. The amount each privilege costs varies on how often we want him to be able to use it. Things like five minutes extra computer time; Choose what to watch on TV; Stay up minutes past bedtime, etc.

Children — especially those with ADHD — have a hard time seeing the long-term value of homework assignments or chores. Children with ADHD spend a lot of time being reprimanded and told what they are doing wrong. Edward M.