Palak Vyas

Symptoms of an ant bite:<ul><li>Redness</li><li>Swelling</li><li>White yellow pustule at the site of the bite</li></ul> What to do after an ant bite:<ul><li>﻿Clean the bite site immediately with warm soapy water, then with plain water and wipe it dry.</li><li>Apply an ice pack or cold compress.</li><li>Do not touch or pop it unnecessarily.</li><li>Apply antibiotic ointment on the site of the bite.</li><li>If the child is old enough, give him/her paediatrician’s prescribed pain reliever and oral antihistamines to reduce pain and itching if it’s unbearable.</li><li>If there is facial swelling, itching, stomach cramps or trouble breathing, immediately seek medical attention.</li></ul>

An ant bite usually goes unnoticed until some symptoms arise.

Dealing with ant bite in children

Children experience mental health issues when they feel pressurised, when they feel that they are not being heard, or when they are going through something. Signs that your child might have mental health issues:<ul><li>Mood changes. Look for feelings of sadness or withdrawal that lasts at least two weeks or severe mood swings causing problems in relationships at home or school.</li><li>Intense feelings. Be aware of feelings of overwhelming fear for no reason or when the child is not able to express the reason of his fear.</li><li>Behaviour changes. These include drastic changes in behaviour or personality, as well as dangerous or out-of-control behaviour. Fighting frequently, using weapons and expressing a desire to badly hurt others are warning signs.</li><li>Difficulty concentrating. Look for signs of trouble focusing or sitting still.</li><li>Unexplained weight loss. A sudden loss of appetite, might indicate an eating disorder.</li><li>Physical symptoms. Frequent headaches and stomach aches could also be a sign of underlying mental health issues.</li><li>Physical harm. Sometimes a mental health condition leads to self-injury, also called self-harm. This is the act of deliberately harming your own body, such as cutting or burning yourself. Children with a mental health condition also might develop suicidal thoughts or attempt suicide.</li></ul> Treatment of mental illness in children: As soon as you see one or more of the mentioned signs, or a combination of few signs, consult a psychologist. The treatment includes:<ul><li>Psychotherapy. Psychotherapy, also known as talk therapy or behaviour therapy, is a way to address mental health concerns by talking with a psychologist or other mental healthcare provider. During psychotherapy, a child might learn about his or her condition, moods, feelings, thoughts and behaviours. A few counselling sessions can help your child cope with the situation.</li><li>Medication. Your child's doctor&nbsp;might recommend that your child take certain medications — such as stimulants, antidepressants, anti-anxiety medications, anti-psychotics or mood stabilisers — to treat his or her mental health condition.</li><li>Some children benefit from a combination of approaches.</li></ul> Helping your mentally ill child:<ul><li>Your child needs your love and support. Talk to the doctor and adapt new ways to handle his/her illness.</li><li>Seek ways to relax and have fun with your child. Praise his or her strengths and abilities.</li><li>Consider seeking family counselling or the help of support groups, too. It's important for you and your loved ones to understand your child's illness and his or her feelings, as well as what all of you can do to help your child.</li><li>To help your child succeed in school, inform your child's teachers and the school counsellor that your child has a mental health condition.</li><li>If you're concerned about your child's mental health, seek advice. Don't avoid getting help for your child out of shame or fear.</li></ul>

It is necessary to pay as much attention to mental health as physical health. Treating mental health problems at the right time is important so that a child has a happy childhood.

Mental health of children

Dr Ajab Primuswala

<ul><li>First of all, draw a criterion about what according to you is disobedience. Do these following conditions come under disobedience according to you:</li></ul> <ol><li>(S)he does not follow the things you say.</li><li>(S)he is doing something that is against social norms.</li><li>(S)he is hurting himself or herself.</li><li>(S)he is not listening to you.</li><li>(S)he is wasting time and not being productive.</li></ol> <ul><li>The first thing to do is to check your own behaviour with your child. Children always model their parents. Is your child back answering in the same language which you use with them? If this is the case, mellow down the tone of your language and then try telling them something which you would like them to do.</li></ul>&nbsp;<ul><li>Another thing to keep in mind is that they learn a lot from their peers. Always have an eye on the company they keep. You can’t stop them from being around people but you can make them aware enough to keep their behaviour in check. You can make them aware about what is right, wrong, appropriate, and inappropriate.</li></ul> <ul><li>Reflect on yourself. Think about how you channelise them. Do you directly give them commands like “Don’t do this!”, “You are not allowed to talk like this.” You cannot command them like this because such commands will make your child a rebel. Instead explain them the consequences of their actions.</li></ul> <ul><li>You can explain - “If you talk to this person, this is the language you are going to develop and it is not appropriate in our culture or our social status or our basic learning processes.” “If you feel this is appropriate you can go ahead with it but do not use this kind of language when you are at home.” This is how you make them realise because after a certain age a child develops critical thinking and they have a very strong urge to explore new things.</li></ul> <ul><li>Just telling them plainly about not to do certain things is not going to work. Give your child strong conditioning about why you do not allow him/her to do so and then leave for him/her to decide. This will help your child to develop his/her own perspective. Gradually, (s)he would realise the consequences of his/her actions. Your child will act responsibly when you trust him/her.</li></ul> <ul><li>For children after certain age, friends tend to become more important than family and parents. They are just trying to find their identity among them. Here as a parent you should have a vigilant eye on what kind of friends they have. Keep tabs on what social media they use because gadgets give them a lot of exposure which they are not able to digest at a very young age. So be vigilant, stay with them but don’t keep hovering that they start taking you as a disturbance in their life.</li></ul>

Before assuming that your child is a disobedient child, assess what according to you is disobedience.

Dealing with a disobedient child

Waking up early is always a task but rather than making it a happy start we tend to begin with tantrums and add to the drama by yelling or pouring cold drops of water to pull the little ones out of the bed. Here are some of the ways that will help you to make a beautiful &amp; happy start in the morning:<ol><li>Identify the problem. If the child is not getting enough sleep at night this could be disturbing. Make sure the child gets at least 10 hours of sleep to begin with a happy morning and an active routine.</li><li>Instead of shouting let’s start with some music. Have a routine morning music, put it on for the entire family and let it be your sweet alarm. You can play favourite rhymes or audio books for the little one.</li><li>Take time to snuggle and hug the little one, hug them in bed instead of pulling them out, these little moments will have a lasting impact to set the morning routine.</li><li>Put your efforts in making your child sleep early rather than putting those efforts in waking them up.</li><li>Dim the lights, begin with bed time story and most importantly keep the phones and devices away from the bed.</li></ol>

Waking up early is always a task but rather than making it a happy start we tend to begin with tantrums.

Waking child up peacefully for school

Try the following to help your child boost his/her self-confidence: 1. Step back and let them choose.Let your child take risks, obviously stay around and stay watchful. Let them make their own choices, solve problems and stick with what they start. Do give children choices within a reasonable set of options pre-selected by you. This can make them feel empowered. 2. Don’t do everything for your child:Be patient and let him do his own thing. For a preschooler to dress is a challenge. Let them take this challenge. New challenges make them more competent and confident. For example, letting them wear their shoes, wearing their clothes, etc. 3. Assign age appropriate household chores:Let little difficulties and risks and problems come in their ways. For example, you can ask them to arrange their bags for school and fold their little clothes or helping you arrange dining table with glasses and plates.. Maybe you can help a little if required. When they accomplish, they will have a feeling that yes they can do it. That is what builds self confidence in them. 4. Let your child know it is okay to be imperfect:Show by example that it is fine if anything is not done perfectly. Give them understanding between perfection and excelling. Teach them that we can always excel and do better than before. 5. Don’t offer insincere praises:Children can easily distinguish between real and fake compliments. Like if they had made a not so good drawing, don’t say wow, that’s amazing. Instead focus on its details and tell him/her that (s) he has added beautiful details in the picture. 6. Appreciate individuality:Don't compare your child either with his friends or siblings. No one likes comparison .Appreciate your child’s uniqueness and teach them the same. 7. Make clear that your love is unconditional:Be always clear that you would love them no matter what. You may not like the habit and you may be a little harsh to them for a bad habit but that doesn’t mean you stop loving them.

Self esteem or self confidence plays a huge role in an individual's life. Encouraging a child's confidence at the right time can do wonders.

Promoting child’s self esteem

In this techno savvy and fast-paced world, it becomes difficult to get our children out of screen time and make sure that they spend some quality time with their grandparents. This is required to build warm and loving bonds in the family. Ultimately it is our relationships and family bonding that matters in life. Tips to increase closeness between your child and their grandparents: <ul><li>Let your child talk to his grandparents. In case they are not staying around, make sure your child talks to them over regular calls. The more they talk, the more they bond. This way they will get to know each other well.</li><li>If it is possible, take them to their grandparents’ place often and allow them some quality time.</li><li>You can plan a dinner date for your child and their grandparents. They can visit libraries or parks or some art exhibition together.</li><li>You can ask your parents to narrate their life stories to your children.</li><li>Your child and his/her grandparents can cook some dishes together.</li><li>A perfect picture is also a good option. Ask them to go to a picture studio and get clicked. Get this picture framed and hang it in their room.</li><li>They can read books to each other. Play chess and some vintage games like snakes and ladders, ludo, carrom etc.</li><li>Eventually, they will develop a beautiful bond and will be sharing stories soon.</li></ul>

Many families observe that children don't want to spend time with their grandparents. This can be improved with a few steps.

Making children spend time with grandparents

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

Nyctophobia is when a child fears nighttime or darkness, this is one of the common childhood fears that progresses till adolescence. Fear of darkness or sleeping alone at night usually develops between 3 to 6 years (36 to 72 months) of age. At this age some of the common fears are:<ul><li>Monsters</li><li>Ghosts</li><li>Strange noises</li></ul> Causes:<ul><li>Looking at the anxiety or fear of a parent/caregiver could develop a phobia in a child.</li><li>Over protection by parents can also lead to anxiety when left alone or without parents (with other family members).</li><li>Late night negative experience, like an accident while travelling or injury can lead to anxiety and panic during long term.</li></ul> Physical symptoms:<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: This treatment exposes children to their fears repeatedly until the thing they fear, such as being in the dark, no longer triggers the feelings of anxiety or panic.</li><li>Cognitive Behavioural therapy (CBT): This type of therapy helps children identify their feelings of anxiety and replace them with more positive or realistic thoughts with the help of a therapist. With nyctophobia, your child may be presented with information to show that being in the dark doesn’t necessarily lead to negative consequences.</li><li>Modelling: In this method the child sees other person facing the situation without fear and panic.</li><li>Virtual reality (VR): It's a treatment where your child will be exposed to computer simulations of dark places. Getting the experience of a dark place in the virtual world can help your child get over his/her fear in a setting that feels safe.</li><li>Medicines like tranquillisers and antidepressants (prescribed by a doctor) can be helpful along with the above treatments.</li></ul>

Nyctophobia is when a child fears nighttime or darkness.

Nyctophobia - Symptoms, Causes, Diagnosis, Treatment

Separation anxiety often develops after a significant stressful or traumatic event in the child's life, such as leaving child for&nbsp;school, a stay in the hospital, the death of a loved one or pet, or a change in environment (such as moving to another house or a change of schools). Measures which can be taken to deal with this situation:<ul><li>Good-byes should be quicker and loving: See them off with warmth and love. Kiss them bye, provide a special blanket or toy as you leave, keep the good-bye short and sweet. If you take longer time the child gets anxious, so make it quick.</li><li>Be consistent: Try to drop them at the same time each day, to avoid unexpected factors whenever you can.</li><li>Attention: While you are leaving your child, give your him/her full attention, be loving, and provide affection. Then say good-bye quickly despite their cries for you to stay.</li><li>Keep your promise: You’ll build trust and independence as your child becomes confident in his/her ability to be without you when you stick to your promise of return.</li><li>Be specific, child style: When you discuss your return, provide specifics that your child understands. If you know you’ll be back by 3:00 pm, tell it to your child on his/her terms; for example, say, “I’ll be back after reading time and before afternoon snack.” Define time in a way (s)he can understand.</li><li>Practice being apart: Leave the children off to grandma’s home, schedule play-dates, and allow friends and family to provide child care for you (even for an hour) on the weekend. Before starting child care or preschool, practice going to school and your good-bye ritual. Give your child a chance to prepare, experience, and deal in your absence!</li></ul> Separation anxiety hardly persists after pre-school years. In case of working parents, separation anxiety can occur to both parents as well as children. Above mentioned measures can be helpful in this case as well.

Separation anxiety can be difficult to deal with but things can be made easy by following a few measures.

swallowing parenting concerns

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