Ravina Sewani

Samiksha Choithani

Entomophobia is defined as the fear of insects; this type of phobia is focused on particular insect and not on situation or experience. It is not just about avoiding to see insects but the mere thought of insects creates anxiety. Causes:<ul><li>Developing the phobia from family, some of the family members could have experienced it in front of the child, for example a parent would have shouted in front of the child while seeing a cockroach/spider.</li><li>Traumatic brain injury in early years of age could be one of the possible reasons for anxiety and panic.</li><li>A traumatic experience during early years of childhood, for example the child would have a lizard fallen on his/her arm.</li></ul> Physical symptoms of phobia:<ul><li>Sweating</li><li>Increased rate of heart beat</li><li>Trembling</li><li>Discomfort in speaking</li><li>Tightness in the chest</li><li>Shortness of breath</li><li>Upset stomach</li><li>Numbness</li><li>Feeling dizzy or fainting</li><li>Nausea</li></ul> Psychological symptoms:<ul><li>Feeling out of touch with reality or detached from your body</li><li>Fear of fainting</li><li>Fear of losing control</li><li>Fear of dying</li></ul> Diagnosis:<ul><li>A mental health expert can diagnose phobia; keep a regular track of your child’s behaviour/health in particular situations and with objects.</li><li>Phobia diagnosis is based on diagnostic guidelines and a thorough clinical interview. If you feel that your child has a phobia, take him/her to a healthcare expert. Your child's doctor will either ask you or your child about the symptoms. The doctor might also take a medical, psychiatric, and family history.</li><li>Your child's doctor might also use the diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).</li></ul> Treatment:<ul><li>Exposure Therapy: It is a method by which the child is deliberately set to experience the situation, phobic trigger until the panic attack passes away. “Imaginary exposure,” in which the child just thinks about ticks, may be the first step in therapy. Next, your child may be shown a cartoon picture of a tick, and then a photograph of an actual tick, and then a video of a tick. At last, your child might be exposed to an actual tick or bug. Keep your child close to you and assure them that they are safe with parents and the therapist around.</li><li>Cognitive behavioural therapy (CBT): The therapist of your child will help your child challenge their own thoughts about ticks. They will help your child write down the thought, look at it and think about it, and then replace it with a more appropriate thought - such as that there are ticks in the country, but not in this neighbourhood.</li><li>Virtual reality (VR): It's a treatment where your child will be exposed to computer simulations of insects. Getting the experience of an insect in the virtual world can help your child get over his/her fear in a setting that feels safe.</li><li>Modelling: In this method, the child sees other person facing the situation without fear and panic.</li><li>Medicines like tranquillisers and antidepressants (prescribed by a doctor) can be helpful along with the above treatments.</li></ul>

Entomophobia is defined as the fear of insects.

Entomophobia - Symptoms, Causes, Diagnosis, Treatment

The authoritarian parenting style is characterized by parental use of high levels of control behaviours and showing low levels of warmth and support. Authoritarian parents tend to be restrictive, allow little input from children, and provide little reasoning behind rules and regulations. People with this parenting style often use punishment rather than discipline. CharacteristicsThe authoritarian approach represents the most controlling style. Rather than valuing self-control and teaching children to manage their behaviours, they focus on adherence to authority. Instead of rewarding positive behaviour, feedback is in the form of punishments for misbehaviour. <ol><li>Demanding, but not responsive –&nbsp;Such parents want their kids to grow exactly the way they want. Parents have lots of set and unwritten rules for their kids and expect them to follow —even though children receive little to no explicit instruction about these "rules." Instead, children are expected to know that these rules exist.</li><li>Show no feelings or empathy -&nbsp;Parents show no feelings for their children and do not empathize with them. They do not entertain questions or make an effort to understand the child's emotions.</li><li>Little Explanation for Punishments –&nbsp;Yelling and Abusing a child is often seen in such parents, rather than explaining in the love and caring manner when the rules are broken.</li><li>Don't offer choices to children -&nbsp;Parents' approach to discipline is strictly one way. They don't discuss the rules with their children before implementing them. The kids are rarely allowed to make a choice.</li><li>Have a low tolerance for indiscipline and misbehaviour –&nbsp;Parents usually misbehave and expect their children to follow the rules with no choice.</li><li>Lack of trust in their children -&nbsp;Parents, expect high standards from their children. They do not allow them the freedom to put up their best behaviour and make choices. Instead of letting their children make choices, the parents ensure that the kids follow the instructions so that they do not commit mistakes.</li><li>Not Responding to a Child's Questions or Requests -&nbsp;Any conversations from children to their parents are irrelevant and are not met with an acknowledgement. Even when the child successfully manages to adhere to all the expectations, the feedback would still be of expecting a lot more the next time, without any praise or acknowledgement of the present achievement.</li><li>Shame their children for indiscipline -&nbsp;Parents use shame as a strategy and force their children to follow the rules by using phrases such as "Why do you always do that?" "How many times do I have to tell you the same thing?" or "Why can't you do anything right?". These parents believe that shaming them will encourage them to follow the rules.</li></ol> Effects on ChildrenThe authoritarian style of parenting affects kids in different ways. It can impact them mentally, emotionally, and socially. Below are the impacts of authoritarian parenting on Child: <ul><li>Do not learn to think independently and&nbsp;cannot make decisions.</li><li>Display more&nbsp;aggressive behaviour&nbsp;outside the home.</li><li>Act fearful or overly shy&nbsp;around others.</li><li>They grow up with&nbsp;low self-esteem.</li><li>Have difficulty in social gathering due to a&nbsp;lack of social skills.</li><li>More likely to have symptoms of&nbsp;depression and anxiety.</li><li>Poor academic performance&nbsp;due to mental tolerance.</li><li>Lack of creativity&nbsp;as they are afraid that they might go wrong.</li></ul> This generalization appears to apply across a variety of cultures. Kids from authoritarian families may find it more challenging to fend for themselves and make friends. Pros of Authoritarian ParentingOften strict and rigid, authoritarian parents expect their kids to follow the rules at all times. But there are some good things about this parenting style. Good behaviour -&nbsp;Children have a good understanding of what is and isn't acceptable. They are also highly attuned to the negative consequences that can stem from wrong behaviour, so they will avoid stepping out of the line.Safety -&nbsp;Authoritarian parenting places a strong emphasis on safety, which minimizes the types of risky behaviour a child may engage in.Goal-driven -&nbsp;As per the standard of living in this style, children can understand what steps need to be taken to accomplish a goal. Cons of Authoritarian ParentingThis parenting style may lead to symptoms of depression and anxiety. There are several other cons of authoritarian parenting that should be considered if you're adhering to this type of child-rearing. Rule-dependent-&nbsp;A heavy emphasis on rules set by parents without any real explanation, makes children feel insecure and unsure of how to behave in specific scenarios or social gathering.Reduced self-esteem-&nbsp;As choices are limited, child skill development and creativity are limited, which may have a direct impact on his or her self-esteem. Children who depend on others to develop their confidence will often struggle in social situations or new environments.Rebellion -&nbsp;Children eventually grow tired of the seemingly endless list of rules without any discussion. Children then start to defy the rules and risk their safety eventually intentionally.Emotionally withdrawn -&nbsp;Children who are raised by authoritarian parents tend to shy away from expressing their emotions as Parents do not entertain questions or make an effort to understand the child's emotion.

When parents practice tough love parenting, they adopt a parenting style that psychologists call authoritarian parenting. Find out if this parenting style is right for your child.

Authoritarian parenting

Nikita Thacker

Dr Aliraza Khunt

Palak Vyas

About 30-60% of elementary school students bite their nails at some point. Although it is an annoying habit, nail-biting in kids doesn’t mean any serious health issue.<ul><li>Kids bite their nails due to various reasons such as curiosity, to pass the time, to relieve stress and anxiety, habit or imitation.</li><li>The most common reason for child biting nails is to relieve anxiety and stress. They may also shake legs or even rub ears to relieve from anxiety and stress. All children get anxious which triggers this habit. Joining a new school, pressure to perform well in class or feeling shy at a social function are common triggers. In such cases, there’s nothing to worry about. You just need to find a good time and discuss the things (s)he may be tensed about.</li><li>In rare cases, severe nail-biting can be a sign of excessive anxiety. Consult your child's health professional if nail-biting is severe, long term, surfaced suddenly and co-occurs with other worrisome behaviours like picking at his/her skin, pulling his hair or if (s)he's not sleeping well.</li><li>Sometimes when the child is pampered a lot at home and if that child has to go out to some friends’ or relatives’ or anywhere alone or when they don't find their parents around, they start biting nails to distract self.</li></ul> Ways to combat child's nail biting habit:<ul><li>Cut your child's nails regularly.</li><li>If your child is old enough, give them finger foods.</li><li>Engage them in an activity or give them a toy which will keep their fingers busy and hence distract your child from biting the nails.</li><li>Develop a code word or a subtle sign between you and your child. Whenever you notice your child nibbling on his/her nails, you can say the code-word or gesture your sign without letting anyone else know about it. This will keep your child alert to not bite the nails.</li><li>You can try applying bite averting nail paints on your child's nails. But keep in mind, that sometimes such nail paints can be irritating for your child so consult your child's doctor before using such a chemical.</li><li>Explain the health consequences of biting nails to your child. Unhealthy nails can lead to upset stomach as well.</li><li>As a parent, you can build your child’s confidence. The child can be gradually taught to be self confident and they should be allowed to go and meet new friends, family members on whom the child has trust. This will boost the child's self confidence and if the situation is due to this nature of the child, the habit can be get ridden off.</li></ul>

Nail biting is common not only in children but also in adults. It is important to understand the underlying reasons behind this habit.

Nail biting habit in children

As your child is experiencing the new journey of walking, climbing and exploring, it is quite normal to fall down often. This may lead to mild bumps, cuts and bruises. You can treat minor injuries at home. Be patient, without playing a blame game just focus on child’s injuries:<ul><li>Dab the injured part of the body with an ice-pack</li><li>Try to distract the child with toys or stories</li><li>Change the environment to comfort the child</li><li>Let the child rest or sleep for a while</li><li>Watch the injury closely for the next 24 hours to ensure there are no unusual symptoms</li></ul> Consult a paediatrician if:<ul><li>The child vomits more than once after falling</li><li>Is not able to walk properly</li><li>Sleeps very often or finds difficulty in waking up</li></ul>

Kids are curious individuals. No matter how much cautious you are, they are bound to fall and get an injury some or the other day. Maintain your cool and do the best that you can to comfort your child.

Emergency situation with children: Falling down

Claustrophobia is the fear of closed spaces. This can be experienced in an elevator, small rooms without window, caves, cellars, small closed cars and sometimes tight – neck covered clothing. If you know the child is claustrophobic do not tease the child in panic situations. Causes:Calustrophobia may be caused due to a traumatic event in early years of childhood. These event(s) could be:<ul><li>Child getting locked in dark room unable to find door</li><li>Child crawling into a hole and getting stuck</li><li>Child locked in a closet</li><li>Child left alone in car or van</li><li>Child with clautrophobic parent(s)</li><li>Child who was bullied or abused</li></ul> Triggers:People affected by claustrophobia will often go out of their way to avoid confined spaces, such as lifts, tunnels, tube trains and public toilets. But avoiding these places may reinforce the fear.Some people with claustrophobia experience mild anxiety when in a confined space, while others have severe anxiety or a panic attack. The most common experience is a feeling or fear of losing control. Some common triggers are:<ul><li>Lifts</li><li>Tunnels</li><li>Tube trains</li><li>Revolving doors</li><li>Public toilets</li><li>Cars with central locking</li><li>Car washes</li><li>Shop changing rooms</li><li>Hotel rooms with sealed windows</li><li>Planes</li></ul> Physical Symptoms:<ul><li>Sweating</li><li>Trembling</li><li>Hot flushes or chills</li><li>Shortness of breath or difficulty breathing</li><li>A choking sensation</li><li>A rapid heartbeat</li><li>Tightness in the chest</li><li>Upset stomach</li><li>Headaches and dizziness</li><li>Feeling faint</li><li>Numbness or pins and needles</li><li>A dry mouth&nbsp;</li><li>A need to go to the toilet</li><li>Ringing your ears</li><li>Nausea</li></ul> Psychological symptoms:<ul><li>Feeling out of touch with reality or detached from your body</li><li>Fear of fainting</li><li>Fear of losing control</li><li>Fear of dying</li></ul> Diagnosis:<ul><li>A mental health expert can diagnose phobia; keep a regular track of your child’s behaviour/health in particular situations and with objects.</li><li>Phobia diagnosis is based on diagnostic guidelines and a thorough clinical interview. If you feel that your child has a phobia, take him/her to a healthcare expert. Your child's doctor will either ask you or your child about the symptoms. The doctor might also take a medical, psychiatric, and family history.</li><li>Your child's doctor might also use the diagnostic criteria in the Diagnostic and Statistical Manual of Mental Disorders (DSM-5).</li></ul> Treatment:<ul><li>Exposure therapy: In this method, your child will be exposed to the situations that frighten him/her. This is done to help a child get over his/her fear. The situations that trigger the fear or phobia are gradually intensified. For example, at first, your child might be asked to just look at a photo of a tight space. Then, with the help of your child's therapist, your child will be worked up to being inside a tight space. Mind well, this method should be used in the presence of a mental healthcare expert as this can trigger intense panic attacks and anxiety.</li><li>Cognitive behavioural therapy (CBT): This is a type of talk therapy where your child can meet with a trained therapist one-on-one. The child will be encouraged to talk the negative thoughts that drive his/her fear and learn ways to overcome them. Your child may get CBT alone or combined with exposure therapy.</li><li>Virtual reality (VR): It's a treatment that uses computer simulations of tight spaces like elevators or MRI machines. Getting the experience of a tight space in the virtual world can help your child get over his/her fear in a setting that feels safe.</li><li>Modelling: In this method the child sees other person facing a closed space situation without any fear or panic.</li><li>Medicines like tranquillisers and antidepressants (prescribed by a doctor) can be helpful along with the above treatments.</li></ul>

Claustrophobia is the fear of closed spaces.

Claustrophobia - Symptoms, Causes, Diagnosis, Treatment

<ul><li>Being a parent if you are keen to prepare your child for natural disasters, it is great!! Such occurrences are stressful and traumatic. Most of the events are such that we tend to forget a lot of things and sometimes even children or little negligence can have a significant impact on the lives of little ones. Hence, it is pertinent to prepare them for natural disasters and its after effects.</li><li>Plan in advance: National Climate Departments usually inform before the natural calamity is about to occur, which gives enough time to prepare for the calamity. Create an emergency plan with the family – like keeping a bag stuffed with salt, passport and first aid ready. It can be anything that is essential for survival, keep it ready and train your child to pick it in case of a natural disaster.</li><li>Train them to be safe: If you are living in a flat or an apartment, train your children to use the staircase in case of fire or earthquake. In case of earthquake train them to hide below a wooden table instead of jumping from the window or running around.</li><li>Stay near your kids: If you are informed about the natural calamity, keep your children around.&nbsp;Children get insecure about being left alone and getting separated from their parents/family. During natural disaster and after that, try to keep your children physically close to you.</li><li>Read about Natural Disasters: Even if the national agencies do not inform, you can prepare your child for natural disasters by reading books that explain about natural disasters and dealing with them.</li><li>Patience is a must: If you are affected by the natural disaster, try to be sensitive with your children. Instead of getting impatient about the situation, talk to them for a while as they too are into a trauma and need your help to come out of it.</li></ul>

Natural disasters affect one and all. It is advisable to be best prepared.

Emergency situation with children: Natural disaster

While buying a crib for your child, keep the following things in mind: <ol><li>The crib should not have drop-side rails, which means it should have fixed side rails. The cribs with drop-side rails have been banned because infants get trapped or strangulated in the side space of the drop-side rail.</li><li>The next important safety measure is to check the slat distance. The safe distance between slats is 6 cm. This distance protects the infant from falling out and trapping their heads between the slats.</li><li>Buy a crib that has the firmest mattress. Check it yourself. Soft mattresses increase the risks of Sudden Infant Death Syndrome (SIDS).</li><li>Ensure that there is no extra space between the mattress and a crib to avoid baby from sliding. So the mattress should fit in properly.</li><li>The corner posts should be at the right height that is over 16 inches. In case if you are using a used crib from family or friends make sure to look for its condition and fittings and in any case, it should not be older than 10 years.</li><li>Always place your baby on his/her back to sleep.</li><li>Keep checking all the screws and hardware regularly and tighten them if needed.</li><li>Do not put anything extra in the crib like soft toys, extra mattresses, comforters or anything. This can cause your baby to suffocate.</li><li>Whenever you are placing your baby in the crib, see that (s)he is not wearing any bib or neck-piece as it may strangulate the baby.</li><li>Keep a vigilant eye over your baby when (s)he is in the crib, do not leave the baby unattended for longer duration.</li></ol>

A crib or a cot is a small bed especially designed for infants and very young children.

Selecting a crib for your baby

Juhi Mishra

When a toddler asks you a question, either it comes out of curiosity or it could be just attention seeking. Figure out if your child needs your undivided attention. If yes, please give proper attention. In the times of social media and technology all around, a child misses that personal time with parents and so (s)he might be asking questions in an attempt that you pay attention to them.But Sometimes it is just curiosity. For a few initial years, a&nbsp;child comes across so many things that (s)he hasn’t seen or heard about. So, (s)he will have a few questions almost everyday. It is always best&nbsp;to satisfy their curiosity and never shush them. The problem arises when they ask too many questions which ultimately annoys parents to a limit that they lose patience. How do deal with this:<ul><li>Acknowledge their questions and postpone it&nbsp;until a more convenient&nbsp;time. For example your child doesn’t eat spinach and asks you why should he eat, you can say, “I understand you don’t like it but let’s talk about its value after dinner. You have it now and i will tell you how it has benefited you, when we talk”. You need to answer them later without fail on due time.</li><li>Don’t be afraid to say, “I don’t know.” Sometimes parents get exhausted trying to come up with answers to all the questions a child has, particularly when they don’t know anything about that field. In such cases, tell them, “That is a great question. I don't know exactly about it right now but we can find out later this night or on the weekend. Whenever you postpone, be specific about the timings and discuss about it. Stick to your own words.</li><li>How about asking them questions instead of getting angry and shooing them away.For example, when the child asks why should (s)he be eating spinach. Ask him what does (s)he think will happen if (s)he does not eat it. If your child asks why can’t (s)he have ice cream when he is suffering from cold, ask him what does (s)he think would happen if (s)he eats.</li><li>Keep cool when you say that. Be ready and patient to listen to their answers.</li><li>You can also make a list of questions or ask them to do so on a sheet of paper, notebook or on stick pad on fridge. Fix a convenient time in a week and solve their queries.</li><li>All these things can take a lot of time. But by doing this you are encouraging their curiosity. In case if you have 20 questions at the end of the week, ask your child to select 10 first. Like this you will know about their thought process and ideas too.</li></ul>

When a toddler asks you a question, either it comes out of curiosity or it could be just attention seeking. Whatever is the case, it is always best to feed your child's curiosity and give them undivided attention.

Being patient with child’s numerous questions.

Proper measures post the shock without panicking will be helpful. Stay calm and help your child in the best way you can. <ul><li>Electric shocks among children are quite common in a residential setup, hence children are prone to low voltage shocks. Child suffering from electric shock may not have an external injury, however burns may be visible.</li><li>Hands, heels and head are the most common parts that will get into direct connection with the electric points during the occurrence of electric shock</li><li>In case the child feels difficulty in breathing, chest pain or abdominal pain there are high chances of internal injuries.</li><li>There are high chances of shock in mouth as children have a habit of biting electrical cord; this may cause burn on lip. If it’s a major shock, immediately rush to the doctor. Do not worry if there are no noticeable burns on skin (redness or sore lips), minor shock injury will heal naturally. If the child is breathing normally and not complaining about any pain that means the child is safe.</li></ul>

Proper measures post the shock without panicking will be helpful. Stay calm and help your child in the best way you can.

baby wipes parenting concerns

Parenting issues are a part of the everyday parenting journey. Following article(s) might help you with your concern(s).