Elizabeth is a single mom by choice. She had yearned for a child for a very long time and had to go through many procedures to have Mireille (5), the HSCs featured in the introduction to this chapter. Elizabeth had spent a lot of time fantasizing about the close bond they would have—being on their own, together—and how happy she would make her child. But now Elizabeth finds herself totally exhausted. She feels suffocated by Mireille whose needs seem to be endless. “If I try to gather a moment of space to regulate myself, which sometimes I need to do to avoid becoming punitive or yelling, it intensifies her distress. She will follow me and come into my physical space. I can feel how desperate she is for my comfort, which I’m absolutely willing to give her, just once I’ve calmed myself down.” Mireille also ruminates. When Elizabeth says they can’t go to the playground because it’s raining, Mireille will whine and mope, talk incessantly about how much she’s missing the swings…for hours. She will get a tiny scratch and nurse and complain about it for the entire day.

Mireille protests every limit Elizabeth tries to set, such as no screens during mealtimes and not snacking all day. Elizabeth finds herself often caving on these limits even though she knows this isn’t good for Mireille. They’re late to school every day which is becoming a problem. The teacher reports that Mireille is calmer and more engaged when she arrives on time. Joining the class late is dysregulating. She’s out-of-sorts on those days.

Mireille’s meltdowns are so epic that Elizabeth worries she’s too fragile to tolerate not getting what she wants. She’s afraid that Mireille’s anger in these moments will taint the strong, connected relationship she’s trying to build with Mireille—her number one priority. Further, Elizabeth can’t tolerate seeing Mireille in distress as she (mistakenly) equates it with being unhappy. She focuses all her energy on rescuing Mireille from any discomfort. She hopes that constantly filling Mireille’s cup will make her feel safe, secure and loved, and make her a happy and content child.

By the time Elizabeth comes to see me, she’s beginning to see that this approach isn’t making Mireille more content. In fact, she’s becoming more demanding and the stress in their relationship is growing—the exact opposite of the connection she’s trying to forge with Mireille. That’s how she knew it was time to seek help. Through our work, Elizabeth gained the following insights:

• Mireille is actually a very competent child who is quite resilient. At school and with other adults, she is able to manage disappointment and frustration and regulate her big emotions.

• This demand for constant connection may be what Mireille wants, but this kind of unhealthy attachment is not what she needs. ⁠It’s also not healthy for Elizabeth to feel suffocated by Mireille—to have no personal space, to feel like Mireille is trying to control her, and that she’s feeling AT Elizabeth. This is not enabling her to be the mom she wants to be for Mireille.

• Mireille may want to be in charge, but that’s also something that’s not good for her or what she needs. This dynamic has resulted in unhealthy outcomes for Mireille, like getting to school late, too much screen time and too many sweets. She and Mireille are also locked in protracted power struggles which is causing Elizabeth great despair and worry.

• The lack of limits is what is causing so much stress in the family and is the biggest obstacle to solidifying the close, trusting relationship Elizabeth so badly wants with Mireille.

With this change in mindset, Elizabeth makes the following changes:

A common conundrum for many parents who seek my consultation is how to impart important lessons to their kids who won’t listen. Their kids reject, argue, shut the conversation down or put the blame on their parent.

You will see from the stories below that what I have found...wait for it..is that less is more in these moments. The more you try to get your child to absorb the information you want to impart, the less likely they are to tune in to and internalize it, as these stories below show. 

Time to tackle a thorny issue: what to do when your child is not cooperating with an important limit or transition—a “have-to"—and the only way to ensure that the limit is enforced or that the transition is made is by physically handling her. For example, when your child: refuses to get out of the pool; sits down in the middle of the parking lot in protest because you wouldn't get her the unicorn at Target; is being unsafe and destructive and won't voluntarily go to the calm-down corner; or, keeps coming out of her room at bedtime.

Many parents I have talked to recently are uncomfortable with "manhandling" their child. It feels forceful and harsh, understandably.

Since my job is to help parents thread this seemingly elusive needle of staying calm and connected, while also maintaining clear limits and boundaries to keep their children safe and help them learn to adapt to life's limits and expectations, I have had to grapple with how to best handle these very tense moments. Here is where I have landed. I share my thought process so you see how and why I came up with this approach. You can then decide whether it resonates and feels comfortable for you.

Our five-year-old, Gabriel, is a very bright, funny, charming little guy. But he still has a lot of tantrums, which we thought would be over by this age. He reacts very poorly to consequences. He will get very threatening and aggressive physically and verbally: slamming doors, hitting, and lashing out verbally. We are constantly negotiating with limit setting. When we hold to the limit, he will escalate and sometimes will have very intense tantrums that can last over 30 minutes. When he is happy, he is the most delightful child. But the second something doesn’t happen exactly how or when he wants it, he is explosive. We are totally exhausted.

Gabriel is also very sensitive and self-conscious. He is easily offended. He doesn’t like people focusing attention on him or looking at him. Every single performance he has participated in he turns his back away from the audience. He is also a perfectionist and will be very self-critical when he doesn’t do things perfectly.

Gabriel feels rejected easily. For example, the other day I was giving his little sister a piggyback ride down the stairs in the morning. He went under his covers and started screaming all sorts of inflammatory and threatening things. When I try to talk to him about these incidents, he covers his ears. If we try to ignore his inappropriate language, he will just escalate. He eventually calms down and feels badly about his behavior. When we process it once the explosion is over, he will say things like “I push people away, like Elsa (of Frozen).” Or, “My brain is so out of control…I don’t know why I stay so mad.”

Most parents who seek my services have a Gabriel (to varying degrees) in their family. Whether the motivation to make that first call to me is for a challenge with tantrums, aggressive behavior, power struggles, sleep, or potty training, the common denominator is that their child is highly sensitive (HS) by nature, also known as temperament.  

Temperament is a child’s way of approaching the world—the “why” that explains the meaning of his behavior. Temperament is something we are all born with, not something children choose or that parents create. It influences the way we process our experiences in the world. It is why some children jump right into new situations and others are anxious and need time to warm up to the unfamiliar. It is why some children go-with-the-flow and weather life’s ups and downs with ease and others have big reactions to seemingly minor events. It is also why siblings can be so different. They share DNA and grow up in the same family, but their reactions to the very same experiences—a move, a loss, their parents’ approach to discipline—may be vastly different based on their temperament.

The reason HS children tend to experience more challenges is because they are wired to register their feelings and experiences in the world more deeply than other children. Parents often describe their HS children as being either ecstatic or enraged—with no middle register. They are sometimes referred to as “orchids”[1] because they are affected by and reactive to even minor changes in their environment. They are more vulnerable than the kids we call “dandelions” who go with the flow and thrive even in challenging circumstances (and make their parents looks so good!)

This blog is part of a series based on my 2021 book, Why Is My Child In Charge? Through stories of my work with families, I show how making critical mindshifts empowers parents to solve their most vexing childrearing challenges, including: tantrums, aggressive behavior, sleep, mealtime battles, and potty learning. Most importantly, it shows you how to get back in the driver's seat--where you belong and where your child needs you to be.

When my child tries to get her way, she is being manipulative.

Luca and Scott walk into my office and announce that they have a master manipulator living in their home. They explain that they had established what they wanted to be a hard and fast rule that there would be no screen time for their daughter, Sophie (4), in the mornings before school.

But Sophie refuses to get dressed unless they let her watch an episode of Peppa Pig while she puts her clothes on. Every morning it’s the same scenario: Luca and Scott ask Sophie to get dressed. She demands Peppa. They remind her there is no TV in the morning. They tell her they will come back in five minutes and expect her to be dressed. When they return, Sophie is just messing around in her room and announces: “I need Peppa!” They get annoyed and start raising their voices, telling her they are going to be late and that she needs to cooperate!

After a prolonged power struggle, it always concludes the same way: the clock is ticking, so to get everyone to their destination on time, Luca and Scott give in and turn on the show. They are angry at Sophie for putting them in this position and “extorting” them. They wonder how they have gotten to a point where a four-year-old can wield so much power and control the family in this way.

_________________________________________________________

Three-year-old Joseph is pushing the limits around bedtime, demanding an increasing number of books and songs and then calling out with a litany of problems he needs fixed, such as his blankets being messed up or the animals on his shelf not being positioned the way he wants them to be. Joseph's parents are getting increasingly annoyed with Joseph and are feeling manipulated. He is calling all the shots and they are angry at him for making them feel out of control. They don’t know how to turn it around. 

Making the Mindshift

What happens when you have done such a good job establishing routines and making sure your child knows what to expect that they fall apart when there is a break in the plan? Or when something unexpected happens? Read on. . .

One of the most challenging situations families of big reactors face is what to do when their children are so out of control that they are destructive. They are "going to a category five in a nanosecond" and there is no calming them once they are triggered. Their meltdowns are frequent and intense. In the heat of these "red-zone" moments—when their children are hurling objects, kicking, hitting, biting, scratching and spitting—these parents are pushed to their emotional, and physical, limit. They instinctively know that a break is necessary—for themselves and their children.

The problem is that most have spent a fair amount of time on social media and have been barraged with the message that time-out is not developmentally appropriate and can be detrimental to their child; that it is negating children's feelings and tantamount to traumatizing them by abandoning them when they are in distress. What loving parent would do something that could be so harmful to their child?

This leaves these parents in despair, feeling like their hands are tied, totally helpless. It is an awful feeling that is not good for them or their kids.

Few things are more vexing than when children are physically aggressive: hitting, kicking, pushing, biting, pinching. Many parents I work with worry that this kind of behavior signals a lack of empathy. One dad recently wondered about something that is perplexing to many parents: "How could we—such loving, peaceful people—have created a kid who can be so hurtful?”  

At the same time, parents fear the consequences for their child: Will she be seen as a bully? Will other children not want to play with him? Will she get kicked out of preschool? And for themselves: Will I be alienated from the other parents who judge me because of my child’s behavior? 

These are all very natural concerns which understandably trigger intense reactions. In an effort to eliminate these aggressive behaviors, most parents become harsh and punitive. They shame: “What is wrong with you? Why would you want to hurt your friend?”  They use threats and punishment: “No TV time for the rest of the week if you hit again!” Or, instill fear: “No one will ever want to play with you if you hurt them.”  

The problem with these tactics is that while they may seem logical from an adult perspective—that they should motivate a child to stop the behaviors—they often backfire for several reasons:

I have been talking to a lot of parents recently who are struggling with how to respond to demanding, dictatorial behavior. Think:

"Get me orange juice!"

"Put my shoes on!"

“Bring me my blanket!"

Most parents find demands like this from their kids infuriating, understandably. Their knee-jerk reaction goes something like this: "You can't talk to me that way! I won't get you anything when you use that tone." This seems totally logical, but it often backfires. When we respond with a negative (and often revved-up) tone, it tends to amplify children's negativity and make them more of a "fascist dictator" as many a parent has been known to describe their child.

As counterintuitive as it may seem, I find the most effective response is to take the following approach:

“I always thought Samantha was just more ‘intense’ than other children. Her reactions to nearly everything were incredibly strong. She threw massive tantrums at least 5-10 times per day over things such as having to sit in her car seat or accidentally getting water in her eyes during bath time. People would tell me tantrums were “normal,” but I felt it wasn’t normal to be having such intense tantrums so many times each day. She was incredibly impulsive and constantly reached out to touch interesting things she saw, regardless of the appropriateness (such as clothing on someone’s body) or the danger (such as a burning candle). She also seemed to both seek physical input (for example, by climbing on others) while also protesting intensely to any physical touch that she didn’t like (for example, an adult restraining her from an unsafe situation). She would melt down if someone else did something she wanted to do like flush the toilet, push a button, or turn on the faucet to wash hands, and she often didn’t “recover” for several minutes, even an hour at times. She also had a hard time listening to and following directions, so things like getting her dressed were often very difficult. I felt completely overwhelmed and lost.”

— Samantha's mom

About 10 years ago, I was feeling increasingly frustrated with the limited progress many children I was working with—such as two-year-old, Samantha—were making using the typical tools of my trade. Trained as a clinical social worker, my focus was on helping parents understand their children’s emotions and providing them with strategies to help their children learn to manage their feelings so they could behave in constructive, “pro-social” ways. No matter how tuned in, loving, and empathetic parents were, and how clearly and consistently they were setting limits and boundaries, their children continued to struggle with typical challenging behaviors such as: biting/hitting/kicking, defiance, extreme fearfulness/anxiety, impulsivity, or an overall lack of self-regulation.   

Around this time, a friend was telling me about problems she was having with her then 3-year-old, “Ruben”. He was very impulsive, aggressive, defiant, and wasn’t tuning in to others—all behaviors very typical of the kids I was having the hardest time helping.  She told me that after trying many different failed behavioral interventions, they were referred to an occupational therapist (OT) who identified underlying sensory processing challenges that were at the root of many of the problematic behaviors Ruben was exhibiting. Further, she explained how the therapy Ruben was doing with the OT was yielding very positive results for the first time. I am embarrassed to admit that at that time I was mostly ignorant about OT for kids. I thought of it as an intervention for adults with carpal tunnel syndrome or who had been injured on the job. What could the “occupation” of a child possibly be? So, I asked my friend for permission to observe a few sessions of her son’s OT.  

That experience proved to be a watershed moment: I saw first-hand how many challenging behaviors children exhibit are rooted in problems in their sensory processing systems and that this was a critical piece of the puzzle that I was missing as I tried to make sense of the meaning of children’s behaviors. For example, some of Ruben’s challenges were the result of a low threshold for tactile input. When people got too close to him, he pushed them away—by biting, hitting, kicking—to protect himself. Through targeted activities, the OT incrementally exposed Ruben to tactile experiences to help his system better detect, regulate, and interpret these sensations and respond to them more appropriately. In effect, OTs help children do their most important “jobs”, which include the ability to: manage their bodies and feelings, learn, play, get along with others, and work well in groups—pretty much everything that enables children to function effectively in the world!

Marta has told her 3-year-old, Ruby, to pick up her toys 5 times in the past 10 minutes. Marta is getting increasingly agitated and annoyed, and finally shouts at Ruby that if she doesn’t put all the toys away, Marta will throw them in the garbage.  When Ruby continues to ignore her mother’s request, Marta pulls out a plastic trash bag and starts to fill it with Ruby’s toys. Ruby becomes hysterical and Marta feels horrible and ashamed. She takes the toys back out of the bag and comforts Ruby. Marta ultimately cleans the toys up after Ruby has gone to bed.

Every week I am in the homes of families with young children who are struggling with these kinds of scenarios. They are frustrated and angry that their children won’t cooperate, and that they are “driving the car”—taking the parents for a ride. Further, parents feel ashamed when they lose it, when they say harsh things to their children in the heat of the moment and make threats they have no intention of following through on (i.e., to never give them the iPad or take them to the playground again). Ultimately, these parents are depleted and sad, because by the end of the day all they have done is yelled and dealt with ugly power struggles, leaving little room for the pleasures of parenthood.

As I have watched these dynamics unfold on one home visit after another, it has become clear that one key factor at the root of the problem is that the limits and expectations parents set are often dependent on the child’s cooperation—to clean up their toys, get into their PJs, or climb happily into the car seat. The problem is that you can’t actually physically make your child do these things. And any time you are waiting for your child to follow a direction or trying to convince her to cooperate, she is in control. You can demand repeatedly that she not throw a ball in the house or to stay in her room after lights-out, but unless you have a plan for how you are going to follow through on the limit you are trying to set, your child is in the driver’s seat and she knows it. This is not good for her or for you.  So, as you go about setting limits, keep in mind that a limit is only as effective as your ability to implement it.

The following are key elements to a positive and effective approach to setting limits: