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Emotion Regulation: Strategies for Children and Adolescents Experiencing Irritability and Difficulties Managing Their Emotions

Presenter: Julie Ryan, Ph.D.
Download this webinar’s corresponding slides here.
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Dr. Ryan reviewed emotion regulation strategies for children and adolescents. She gave us tools to use in validating the persons feelings without agreeing with their behaviors as well as understanding that feelings can also cause physical reactions. Dr. Ryan also reviewed PLEASE skills.

37 Responses to “Emotion Regulation: Strategies for Children and Adolescents Experiencing Irritability and Difficulties Managing Their Emotions”

I was wondering if you would be able to explain the difference between “you are not our feelings” and trusting your instincts. Also, it seems like opposing concepts when you said that you are not your emotions and that you need to love your emotions because they are a part of you. If you could help me deliniate these concepts it would be much appreciated.

How do you help an elementary student who is excessively whiny? How can you help them to be more aware of this behavior and work on changing it?

Are the handouts you used available for purchase?

What role does the educator play in this process?

What should a parent do at the onset of a major outburst?

What should a parent do during the outburst if it continues?

I would like to receive some specific tips/strategies in dealing with managing emotions as it relates to a young adult with Autism Spectrum, TS or ADHD.

Are response cost strategies effective with young children (e.g. age 6) in a school setting?

Can you discuss how to handle when the behavioral reaction to a *consequence* is worse than the original misdeed?

Does the Dr. feel that medication can be a part of a treatment protocol. If so which ones?

How does validation and mindfulness work with students with cognitive impairment that throw tanturms in school? These tantriumms can be throwing things, refusing to leave the room, cursing etc.

How should we deal with emotion regulation for children that have limited cognitive abilities and who are communication impaired?

I am looking for a DBT program for my 15-year-old daughter who may have BPD. I find providers who say that they use some DBT techniques, but I think that a DBT center that includes integrated individual and group strategy sessions would be best. Any suggestions for how to find an appropriate match?

I apologize- I missed the part about a child questioning the “”opposite action,”" and stating that they’re not being genuine. Now I know you were saying that that is okay when you’re experiencing a strong emotion…but is it okay because sometimes an emotion can be so strong that we cannot really see how we feel and how we want to appropriately respond? Or was there another rationale?

I feel i have lost so much time in not practicing this while my son was young. Now at 18, he just yells his answer and runs off to his room. what do i do now?

I have a 7 year old with TS. He tends to react to negative encounters (teasing by his brother, comments he takes as “mean”) to an extreme, and it sends him into a rage. Are there any strategies we can employ in those moments when we see him approaching rage?

“Q: I have a problem with using TV as a reward for good behavior. Isn’t this teaching the child that watching TV is a good thing?

If your child has a dx of Emotional Dysregulation, how much can I expect that they would be able to do this? How do I keep him from feeling like a failure if he can’t stop and think before acting?

“Q: My 10 & 12 year old boys have TS and really struggle with their emotions, especially with each other. They are both in therapy along with tic controlling medication. They are so quick to attack each other. They really can’t regulate their emotions with each other! Any advice?

My 9 year old son has ADHD and does take medication, Concerta. He tends to overfocus on situations where he feels a injustice was done to him and it fuels his fellings of persecution. His thoughts are often negative and he takes no responsibility for his part in the situation. These occurances happen most often in school and is affecting his peer relationships. His reactions are most often becoming upset, crying, etc. He does not get angry or lash out but he is harboring these negative emotions and situations. What do you recommend?? Would a SSRI coupled with his Concerta be helpful?

My daughter has TS,ADHD,OCD,ODD and anxiety disorder. She suffers with extreme rages daily directed at us, her parents. We have had 2 rounds of family based services, 2 rounds of Wrap around services and are currently working with multisystemic therapy without much success. She is 13 and has also spent 11 months in a residential facility. Is there anything else out there for us? She has no reasoning ability once she’s in a rage and she hits that point without warning.

Has there been any studies on hormonal changes in girls once they start their menstrual cycle, as far as worsening their behaviors? Has birth control been tried to help regulate the intense feelings girls go through?

We live in southeastern idaho and have had a very difficult time finding a well-trained therapist for our son. Any advice on questions to ask to find a good therpist?

What parenting strategies do you find are most effective for children with ADHD and ODD?

“Q: What age are the youngest children you see for CBT or DBT?
Do you think it is possible to teach young children to control the anger urges? I mean 5-6 year olds. For my daughter, fear seems to be the root of her “”anger actions”". Is this the case with many children?

What do you do about children who are exceessively whiny? How do you help them understand this emotion and help them to be less whiny?

What do you do for an 11 year old who becomes agitated by classmates everyday and leaves class? She cries and yells for a significant amount of time.

Wwhat do you do when your 16 year old child with selective mutism/anxiety who role plays great with emotions but won’t apply them to real life situations. She Is very stubborn with parental suggestions(as per therapist), how do I determine if it is the anxiety in the real situation or if just oppostional behavior? She’s been in therapy for 7 years and on medication. She’s been given a huge array of straegies to use. She just won’t use them.

What is the name of the Emotion Tracking App?

Where can we find more examples of the type of scenarios/vignettes that Dr. Ryan talked about – i.e. simple examples of situations a child may find himself in?

Will the replys to the above be sent to the individual or to the group. I have many of the same questions!!

Your question touches on the core of dialectics in the Dialectical Behavior Therapy skills I was discussing. Dialectics is a philosophical stance which involves several assumptions:
a. every thing is connected, b. change is constant and inevitable, and c. opposites can be be true at the same time and integrated together are a closer approximation of the truth-and the truth is never a constant it is always changing and evolving.

Your question touches upon the last tenet of Dialectics, it is true that our emotions are a part of us AND we are not (only) our emotions. Therefore we should take into consideration the information our emotions give us, and appreciate the intensity of our emotions, and at the same time not allow our actions to be solely governed by our emotions.

So when it comes to “trusting our instincts” we should appreciate the information our emotions or “our gut” gives us and at the same time take a step back and put this information into a larger picture, incorporating what we know from past experiences and our knowledge of the present moment, along with the valuable information we get from our emotions or instinct.

I hope that helps to clarify your questions.

This was a reply to jorr

To Kara11102:
Not having assessed this child myself I can’t be sure why the child is “whiny” and therefore can only answer in general. My first question would be regarding why the child whines, and when? After understanding the reason for the behavior, (e.g. to seek attention, to communicate a feeling) I would see if there was something maintaining the behavior. If the child wants attention, does he/she get more attention when whining? If this is the case, positive attention should be given to the child when he/she is not whining. Examples of positive attention can be a smile, a hug, a high five, a genuine comment such as “I can tell you’re working really hard on your home work and not complaining, I’m proud of you”

Mindfulness skills may help the child to become more aware of his/her behavior, however asking the child to change their behavior without understanding and validating why s/he does whine, may make the child resistant to this change (i.e. feel misunderstood).

Reply to janvanpatten
Unfortunately these worksheets are not yet available for purchase.

The adult worksheets are available for purchase through Guilford Press, however they may not be very helpful for children.
Linehan, M. M. (1993b). Skills Training Manual for Treating Borderline Personality Disorder. New York:
Guilford Press.

The book is more helpful for children.
Parenting a Child Who Has Intense Emotions: Dialectical Behavior Therapy Skills to Help Your Child Regulate Emotional Outbursts and Aggressive Behaviors
Pat Harvey LCSW-C, Jeanine Penzo LICSW

Hopefully we’ll have our worksheets published and available for distribution in the next year or so.

Reply to KelleyT:
Educators in a mainstream classroom setting can help children and adolescents develop their emotional knowledge by integrating emotion education into their lessons. When working with specific children experiencing difficulties with emotion regulation, educators can collaborate with the parents in a non-judgmental way to put a behavioral plan into place at school and at home. This might be through the earning of points for using coping skills appropriately throughout the day, which can be exchanged for privileges or prizes (this can even work with teens).

Educators may also play a very important role in recommending further assessment or treatment. A teacher may recommend that the child having difficulties be assessed for learning disabilities that may have been overlooked. A teacher may recommend that the child speak to a counselor to develop better coping skills.

“Q: What age are the youngest children you see for CBT or DBT?
Do you think it is possible to teach young children to control the anger urges? I mean 5-6 year olds. For my daughter, fear seems to be the root of her “”anger actions””. Is this the case with many children?”

Yes, CBT has been shown to be helpful to children in this age group, however the younger the child the more parent involvement is needed. Often when children are 5-6 we work with the parents teaching them the skills so they can be their child’s coach on a day to day basis. One hour a week with a parent goes much further than one hour with a 5 year old- so therapy at this age should intensively involve the parents. And often “angry” outbursts in younger children are expressions of other emotions, like anxiety or sadness.

This discussion has been closed. Thank you to everyone who participated!