
Founder
Mental Health Works Ltd
Mental health expert Noel McDermott examines what our children need through periods of transition; it’s first important to understand what we mean psychologically by a transition. A transition isn’t just a change of something, it is a change that requires an emotional adjustment. To some extent this type of change, a transition, is mediated by age and experience, but there are also some types of change that require an insight into transition, or adjustment needs, for all of us and especially kids. Transition needs affect humans in general and are linked to deep needs we have connected to survival mechanisms. These transition issues generally fall into 3 categories often called central life circumstances:
- Home – place of safety and survival
- Love relations – family, close friends, romantic partner
- Work – meaningful productive activity that is social and has survival outcomes (school, workplace, university)
Changes to these areas will likely produce transitional phenomena which are behavioural and emotional disturbances that might see A) a reversion to previous coping mechanisms (regression) or B) the development of new coping mechanisms (adaptations.) Typically coping mechanisms are designed to manage distress and some will be fine and some might be upsetting or even destructive. Types of coping mechanisms or soothing mechanisms in younger kids that we accept as normal might be:
- Being clinging
- Being grizzly emotionally
- Thumb sucking, return to pacifier
- Holding on to ‘blankie’
If age appropriate we don’t notice these and assume correctly they will grow out of it, but when they are a little older and we see these behaviours suddenly emerge again, which they can and do through transitions, we might get worried. But, regression is normal when the three central life circumstances are affected as are adaptions. The key question is are they doing something to help? Adaptations in particular may be unhelpful or what we call ‘maladaptive’. Examples might be aggression, self harming, substance misuse, excessive drinking. These might seem extreme but often they might emerge over time. More subtle forms of expressing distress in children in particular would be sleep disturbances, changes on mood, appetite, withdrawal etc.
The question is how do we reduce the risk of disturbance during transition and when it does emerge help our kids and ourselves manage it? These are some key ideas to utilise:
Normalisation – knowing and accepting that transitions can be upsetting allows us to normalise and explain to ourselves and our children what is happening. Often it’s the magnification or catastrophising of the behaviours that is the problem. When we can say, ‘oh this is normal’ during times of change we can manage things better
PPP – plan, prepare and practice. Plan: If you know the change is coming discuss it before it happens, if it’s a big change start the discussions early, some months before. Prepare: Get folk on board with organising the practicalities which facilitates normalisation, discussion and empowerment. Practice: If say moving home, go visit the new place or area. Stay there if possible for a night or two before moving etc. Build an emotional ‘on ramp’ that allows the reality of the change to be grown into, as opposed to an emotional cliff edge where you all fall off and smash into the rocks of the new reality below
Increase soothing and support for all before during and after the change. More movie nights on the sofa, more self care, more massages, more spa days, more friends and fun, more family meets and openness about feelings, tell the school, work and all support networks about the transition and ask for understanding
Refocus on the four corners of health and wellbeing:
- Nutrition (hydration) – eat well and regularly (in between the movie night binges of course!)
- Sleep and rest regularly
- Get moving and exercise
- Manage stress with relaxation, massage, meditation
Often adapting these approaches will not only take the sting out, but it will also mean you have no discernible negative transition issues. Or if you do have them, they are less intense and of shorter duration. If there is a history in your children or yourself of mental health issues, eating disorders, addiction etc then it is super important to focus on support and also developing individual plans for those involved around relapse prevention; for example should a mental health professional be brought in to help, should medication be used prophylactically to reduce the risk of relapse?
Read more articles by Noel McDermott.
About Noel McDermott
Mental health expert Noel McDermott is a psychotherapist and dramatherapist with over 30 years’ work within the health, social care, education, and criminal justice fields. His company Mental Health Works provides unique mental health services for the public and other organisations. Mental Health Works offers in situ health care and will source, identify and co-ordinate personalised teams to meet your needs – https://www.mentalhealthworks.net/