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Moment of Calm (5 minutes) - Sensory Breaks with GriffinOT

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What Is Metacognition? Exploring Different Definitions...

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This newsletter provides updates about the latest SEND news, developments and services across Bromley

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This newsletter provides updates about the latest SEND news, developments and services across Bromley

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Fight, Flight, Freeze - A guide to anxiety for children 

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Fight, Flight, Freeze - A guide to anxiety for children 

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Fight Flight Freeze – A Guide to Anxiety for Kids

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You are not your thoughts

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The Worry Tree - How to deal with your worries

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The Worry Tree - How to deal with your worries

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Bromley Metal Health and Wellbeing Toolkit

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Bromley Metal Health and Wellbeing Toolkit

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Please find a link for this new and comprehensive toolkit on how to access resources for mental health and wellbeing in Bromley

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Children read more when we Turn On The Subtitles! 

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Children read more when we Turn On The Subtitles! 

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We wanted to let you know how this simple change to children’s existing TV viewing habits can drastically improve their reading skills.

Click on the link below to find out more about the benefits...

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Hello, how are you holding up?

We take our hats off to you and all the hard work it takes to raise children in today's bonkers world. Which is why we wanted to share this brilliantly simple idea with you - turning on the subtitles can double the chances of a child becoming good at reading. Incredible isn't it?

So the next time your child is watching TV or the tablet, there could actually be an opportunity to improve their reading skills at the same time! In fact research has shown that it can double the chance of your child leaving school as a proficient reader. You can turn them on for the whole family or most streaming services will now allow you to do it just for individual children if you like.

If you find this tip useful please do spread the word by sharing the media below.

Stuff to share right away

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Or if you want some regular text, you can steal this or write your own:
Turning on subtitles while children are watching TV can greatly improve their reading skills. A quick, simple, free way to make TV time, reading time. #turnonthesubtitles
Together we can spread the word and change lives. Thank you!!

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Hello, how are you holding up? We take our hats off to you and all the hard work it takes to raise children in today's bonkers world. Which is why we wanted to share this brilliantly simple idea with you - turning on the subtitles can double the chances of a child becoming good at reading.

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There are lots of ways to feel calmer. It's about finding what works for you. Try some of our breathing exercises, activities, games and videos to help let go of stress, anxiety and worry.

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Pause and notice what you are saying, doing or thinking.

Write it down.

Ask yourself if that thought or activity is helping you or not right now.

If it's not helping, choose to think or do something different.

You could try getting out of bed and doing 10 star jumps, thinking about a happy memory instead of a sad one or chatting to a friend online instead of feeling alone

Find a box, something small like a shoe box or a chocolate box.

Write down what's worrying you on a piece of paper and place it in the box.

Tell yourself that you don't need to think about the worry at the moment and you can let it go and leave it in the box for now.

You can do this as many times as you like.

Remember to keep the box somewhere private.

Breathe in, breathe out

If you're feeling overwhelmed, take some long, deep breaths.

Breathe and sigh

Breathe in through your nose

Make a big sigh and drop your shoulders downwards as you breathe out through your mouth

Repeat 4 times

Calming words

Breathe in while you say to yourself "I feel calm"

Breathe out while you say to yourself "I let go of stress"

Breathe in while you say to yourself "Feel calm"

Breathe out and say to yourself "Let go of stress"

Breathe in as you count 1, 2, 3, 4

Hold as you count 1, 2, 3, 4

Breathe out as you count 1, 2, 3, 4

Hold as you count 1, 2, 3, 4

Keep your counting even and trace your finger along the 4 edges of a box of tissues or a dice if that helps you to keep focus

Repeat 3 times

Write 1 or 2 words about how you're feeling.

Using a notebook, Art box or your mood journal draw a heart or a star for yourself and write 3 kind words or messages to yourself.

Remind yourself that no matter how difficult things feel, you are not alone - someone in your street, neighbourhood, town or city is likely to be feeling similar emotions to you right now.

Draw a heart or a star for someone else who is feeling like you do and write 3 kind words for them too.

You can do this for as many people you like.

Draw the outline of your hand on paper or using the Art box. Follow the outline with your finger or click on it with the mouse to trace the shape as you take a slow, deep breath.

Start at the thumb, move to your other fingers and end with your little finger as you breathe in.

Trace back from the little finger to the thumb as you breathe out.

If you can't make it all the way around, you can start with tracing around the thumb and the first finger while you breathe in and around the first finger and back around the thumb as you breathe out.

You can colour in the hand after.

Imagine 3 months from now.

Draw or write what could look different, what challenges you will have faced and what positive changes you want to make

Try to focus on things that seem possible to achieve like feeling more confident about an exam, starting a new hobby or making a new friend.

If it's hard to think that far ahead, you could start by imagining next week or next month.

Draw yourself as your closest friend or a close family member would describe you. Remember, they can see who you are as a person as well as what you look like.

Draw or write the positive qualities they notice about you, especially the ones that you find hard to see yourself. Include things like being kind, patient and fun.

Lots of people use yoga to feel calm. It can help you relax, gently build your fitness and keep you active. And Nicole from Yotism has created a few short activities and routines for you to try.

Remember to take breaks when you need to and only try poses you're comfortable with. If you're worried about your health or mobility, it can help to ask an adult you trust for advice before you start.

Build your happy place

Create your ideal room. Fill it with things that help you feel happy, calm and safe.
Play now

Balloon game

Play our game and feel your worries float away.
Play now

Tower of Confidence

Build a tower made up of all the great things about you.
Play now

Wall of expression

Write your worries on the wall and then watch them crumble away.
Play now

Watching a video can help to distract you from problems and thoughts. Our videos have ideas about things you can do to feel calmer, especially when you're feeling stressed, sad or anxious.

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Pause and notice what you are saying, doing or thinking. Write it down. Ask yourself if that thought or activity is helping you or not right now. If it's not helping, choose to think or do something different.

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Helping Your Child Sleep - Help and Support

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Helping Your Child Sleep - Help and Support

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Sleep problems affect a child’s learning, behaviour, mood and health, and the physical and mental wellbeing of the whole family.

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Sleep problems affect a child's learning, behaviour, mood and health, and the physical and mental wellbeing of the whole family.

There are some factors beyond your control that can affect your child's sleep. You should get advice from a medical professional if:

your child is in pain

your child's condition can disrupt sleep

your child's medication can affect sleep

Most sleep problems are caused by behaviours that they have learned. Teach your child to self-settle at the onset of sleep so that when they naturally wake during the night, they will be able to fall back to sleep on their own.

You could also try talking to your child to find out if they cannot sleep because they're worried about something. Do this during the day, not at bedtime. Speak to your doctor if you think your child might have anxiety.

Before bedtime

Spend time with your child doing a quiet activity like play dough, massage, jigsaws or colouring as part of their bedtime routine.

Do the bath or shower just before bed, or earlier if your child finds a bath too exciting.

Make sure your child has a supper snack at the start of their bedtime routine if they are still hungry.

In the bedroom

Put away or cover toys, bright colours and noisy items from the bedroom to make it feel calm.

Make sure the bedroom is dark enough. Use Velcro blackout kits or blackout blinds to keep light out.

The best temperature is 16 to 18 degrees Celsius, but try to find out what your child finds comfortable.

Lie on your child's mattress to see if it's comfortable. If possible, ask how it feels to your child.

Settling your child when they wake up

Show your child that you're there to reassure them, but try not to stimulate them.

If they fall asleep with a light on or listening to music, keep these on to avoid potential night wakings due to a change of environment.

Repeat the same phrase, such as "It's time to sleep."

Avoid making eye contact.

Keep the lights off or use a night light.

It's important to wake your child at the same time every day. This includes weekends and school holidays. If you follow this advice for at least 3 weeks, your child's sleeping pattern should get better.

If you have a partner, try to take turns being responsible for your child's sleep. That way at least someone can get a good night's rest.
Keep a sleep diary to monitor your child's sleep patterns and what affects them.
Scope's sleep services

We run sleep services that support families of children with additional needs, aged between 2 and 18, who have severe sleep problems.

These services provide workshops, clinic appointments as well as support by telephone and email.
Scope's Sleep Right service Scope's Sleep Right podcast
If you have any medical concerns, you should contact your Paediatrician or GP.

Talking about how you feel

Speaking to other parents with disabled children can be a good way of getting support and advice.

Last reviewed by Scope on:

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More help with sleep problems

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Helping your child to sleep | Disability charity Scope UK

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Most sleep problems are caused by behaviours that your disabled child has learned. Here are some tips on how to help your child to sleep.

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It's Ok to Make Mistakes Social Story (3)

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It's Ok to Make Mistakes Social Story (3)

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It's Ok to Make Mistakes Social Story (2)

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It's Ok to Make Mistakes - Social Story (1)

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It's Ok to Make Mistakes - Social Story (1)

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What are social stories and how can they be used effectively?

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Lots of examples of different social stories

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Social Stories for Autistic Children – The Ultimate Guide

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Discover the importance of social stories for autistic children. Learn how they can provide support, understanding, and growth opportunities.

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Ambitious about Autism Covid Home Testing Social Story

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Having a Covid test Social Story example

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Interventions are small group or one-to-one activities that are set up to address a specific area of difficulty that a child is experiencing. The class teacher oversees the progress and development of the child no matter who is leading the intervention. Each intervention has a distinct purpose and works towards very specific targets or outcomes. The attached document shares a selection of the interventions often used at our school:

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Please see the attached tutorial for PowerPoint 'Speak'. This is a tool to support people who can struggle to read or have a diagnosis of dyslexia or dyslexic tendencies. If it is switched on then it will read an entire document aloud and save the stress and anxiety caused by being unable to read.

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Microsoft PowerPoint Read Out Loud Tutorial

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A flow chart to show the SEND Journey at Edgebury

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A copy of our ASEND Policy

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At Edgebury Primary School we believe that:
 all children should be valued regardless of their abilities or difficulties
 all children are entitled to a broad and balanced curriculum which is differentiated to meet individual needs
 all teachers are teachers of children with SEN
 all children can be enabled to fulfil their potential through effective teaching and learning, supporting and encouraging
 effective assessment and provision for children with SEN will be secured with partnership with parents/carers, children, the Local Education Authority and any relevant outside agencies

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SEND Information Report - Covid 19 additions

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SEND Information Report - Covid 19 additions

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Please find additions to our SEND Information Report, directly related to Covid 19 arrangements and support

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Universally Speaking - ages and stages of children's communication development for children aged 5 to 11

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Universally Speaking - ages and stages of children's communication development for children aged 5 to 11

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The ages and stages of children's communication development

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Our Wellbeing characters are ready to teach pupils all over the country. Each day has a focus to help pupil's wellbeing.

The focus is on bravery and confidence. Pupils will focus on that strength of character and will find ways to increase their confidence and bravery.

Tuesdays we look at being 'thoughtful'

The focus is on being thoughtful and kind. How they can help others and think about other people's feelings.

The focus is on goals and wishes. How they can set a goal and reach that goal. How that will make them feel.

Thursdays we look at 'thankfulness'

The focus is on gratitude and looking for those little things we appreciate. This will help their positive outlook on life.

The focus is on friendship and how connecting with friends is important for their wellbeing. It will also look at qualities of friendship.

The focus is on looking after minds and bodies by doing things that make them feel good.

The focus is on celebrating their achievements that week. If you look hard enough there is always something to be proud of.

Each PowerPoint has a few slides which you can share remotely from home using screen share, on a whiteboard in the classroom, on an IPAD (install the free PowerPoint app), on a laptop with PowerPoint installed.

Should you want to print this out you could do that by saving the PowerPoint as a PDF and then printing it.

For week one the PowerPoint starts with the character, moves onto vocabulary, then activities which only need paper and pencils. It ends with affirmations. This will change slightly each week. There are plans for 3 weeks worth of PowerPoints and that will be reviewed and extended if needed. You could add other activities or parents you could really focus the whole day on the PowerPoint and find other activities to do to compliment it. Check our free resources for additional resources.

We also have a printable pack with posters and worksheets and you will find the link within each PowerPoint.
WEEK 1 WEEK 2 WEEK 3
If you want to share these resources with parents you MUST ensure our terms and conditions remain on the resource. We use some licensed clipart and it is important that clipart artist is credited. The easiest way is to link to this post for parents to download.

If you want some activities for FEBRUARY please download our FREE Calendar which is linked to Children's Mental Health week. There are 28 activities in PowerPoint and Printable format. Please go to this link 'ELSA Support February Calendar'

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Wellbeing Week Daily Resources - Elsa Support

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Our Wellbeing week daily characters are ready to teach pupils all over the country. Each day has a focus to help pupil's wellbeing.

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This video outlines key features of Dyslexia and some strategy principles.

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Dyslexia Awareness Part 1: Module 1 - About Dyslexia

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Some time back, I noticed posters like this in our school hallways. I found out from learning support that they were to help the children learn self-regulation. The posters were based on a concept called The Zones of Regulation.

Source: Pinterest

What is Self-Regulation?

Self- regulation is the ability to manage disruptive emotions and impulses, and to think before you react. - Mind Tools

In school, children need to be able to self-regulate to help them be ready to learn. Children whose states of arousal are too high or too low will struggle to focus on the learning task at hand.

Update: new research links self-regulation with greater resilience in young people

Researchers have analyzed whether self-regulation would be a good predictor of resilience. This study shows that helping these young people to bounce back from adversities by acquiring self-regulation skills such as setting goals and adjusting their path after a misstep, equips them better to do well in school and in life. - Science Daily

What happens when children cannot self-regulate?

Children that are unable to self-regulate are prone to the following:

tantrums and outbursts

abusive behaviours - e.g. self abuse, punching, kicking, biting

emotional distress

inattention/distractibility

refusal to participate

How can we help children learn self-regulation?

To help children learn self-regulation, we need to work on their:

executive functioning - memory, planning and behaviour inhibition.

emotional regulation - initiating, inhibiting, or modulating our state or behavior in a given situation.

sensory integration - the process by which we receive information through our senses, organise this information, and use it to participate in everyday activities.

What are the Zones of Regulation

The following video provides a helpful summary on the Zones of Regulation and how they help children with self-regulation.

What do the Zones look like:

The Zones of Regulation is a cognitive behaviour approach for helping students self-regulate their behaviours, emotions, and sensory needs. By using concepts and visuals to help students learn to recognise their feelings and level of arousal, it allows them to employ strategies for optimal learning.

The Zones can be compared to traffic signs. When given a green light or in the Green Zone, one is "good to go". A yellow sign means be aware or take caution, which applies to the Yellow Zone. A red light or stop sign means stop, and when one is the Red Zone, this often is the case. The Blue Zone can be compared to the rest area signs where one goes to rest or re-energize. All of the zones are expected at one time or another, but the curriculum focuses on teaching students how to manage their Zone based on the environment and people around them. For example, when playing on the playground or in an active/competitive game, no one would think twice about one being in the Yellow Zone but that would not be same in the library. - Zones of Regulation

Although the Zones of Regulation is often used to support the needs of children with ASD or ADHD, it is very much applicable to all children, and even adults. The ability to recognise our own state of arousal and to make the necessary adjustment so that it is appropriate for the occasion we face is something we all require to function optimally.

The goals of the zones of regulation are to teach children to:

identify their feelings and levels of alertness

develop effective regulation tools

learn when and how to use the tools

problem solve positive solutions

understand how their behaviours influence thoughts and feelings

ultimately - develop independent regulation

Blue Zone: low level of arousal; not ready to learn; feels sad, sick, tired, bored, moving slowly.

Green Zone: calm state of alertness; optimal level to learn; feels happy, calm, feeling okay, focused.

Yellow Zone: heightened state of alertness; elevated emotions; has some control; feels frustrated, worried, silly/wiggly, excited, loss of some control.

Red Zone: heightened state of alertness and intense emotions; not an optimal level for learning; out of control; feels mad/angry, terrified, yelling/hitting, elated, out of control.

What Zone are You in?

Blue Zone - your body is running slow, like when you're tired, sick, sad or bored.

Green Zone - like a green light, you feel "good to go". Your body may feel happy, calm and focused.

Yellow Zone - when you start to lose control, like when you feel frustrated, anxious, worried, silly or surprised. Use caution when you are in this zone.

Red Zone - when you experience extreme emotions. When you are in this zone, you are out of control, you have trouble making good decisions, and you need to STOP!

For the Blue Zone - increase arousal: For the Green Zone - maintaining:

think happy thoughts

talk about your feelings

rub hands together

run on the spot

shoulder rub

ask for a hug

swinging or spinning

stretching or jumping jacks

strong scents

vibration

drink water

crunchy foods

bright lights

listening to loud music

For the Yellow - decrease arousal:

keep your eyes on the teacher

remember your daily goals

finish your homework

think happy thoughts

be a good friend

help others

work hard

smile

For the Red Zones - decrease arousal:

talk to my parents/friends

take 3 deep breaths

do a wall push up

use a fidget

go for a walk

take a break

read

deep pressure

slow movement

heavy work to muscles

soft lighting

listen to music

chewy foods

take three deep breaths

how big is my problem - the size of your reaction should match the size of the problem. How big do others see the problem? How big should your reaction be?

jump on a trampoline

relax your muscles

talk to an adult

sensory break

push the wall

count to 20

walk away

STOP!

deep pressure

slow movement

heavy work to muscles

soft lighting

listen to music

chewy foods

Can you be in more than one zone at a time? Should children be penalised for being in the RED zone?
Common Questions on the Zones of Regulation
Can you look like one zone on the outside and feel like you are in another zone on the inside?
Yes. Your child may feel tired (blue zone) because she did not get enough sleep, and anxious (yellow zone) because she is worried about an activity or contest at school. Listing more than one zone reflects a good sense of personal feelings and alertness levels.

It's best for children to experience the natural consequences of being in the RED zone. If a child's actions/choices hurt someone or destroys property, he needs to repair the relationship and take responsibility for the mess they create. Once the child has calmed down, use the experience as a learning opportunity to process what the child would do differently next time.

Yes. Many of us "disguise" our zone to match social expectations. We use the expression "put on a happy face" or mask the emotion so other people will have good thoughts about us. Parents often say that their children "lose it" and goes into the RED zone as soon as they get home. This is because children are increasing their awareness of their peers and expectations. They make every effort to keep it together at school to stay in the GREEN zone. Home is when they feel safe to let it all out.

Tips for Practicing the Zones of Regulation
What is it? What to put in it?

Know yourself and how you react in difficult situations before dealing with your child's behaviours.

Know your child's sensory threshold. We all process sensory information differently and it impacts our reactivity to situations.

Know your child's triggers.

Be consistent in managing your child's behaviour and use the same language you use at home.

Empathise with your child and validate what they are feeling.

Have clear boundaries/routines and always follow through.

Do not deal with an angry, upset child when you are not yet calm yourself.

Discuss strategies for the next time when you are in a similar situation.

Remember to ask your child how their choices made you feel (empathy).

Praise your child for using strategies. Encourage your child to take a sensory break to help regulate their bodies.

Sensory Tools on Amazon
Make a Coping Skills Box

A coping skills box is a place to keep things that help to calm you down in periods of distress. Having everything gathered in one place helps you remember to use your coping skills rather than using negative behaviours.

1. Self-Soothing Objects that help to calm you through your five senses:

2. Distractions to take your mind off the problem for a while, e.g. puzzles, books, artwork, crafts, knitting, crocheting, sewing, crossword puzzles, sudoku, positive websites, music, movies, etc.

3. Opposite action - do something that is opposite to your impulse that is consistent with a more positive emotion:

affirmations and inspiration - e.g. looking at drawings or motivational statements

something funny or cheering - e.g. funny movies, books

Put it all together
4. Emotional Awareness - tools for identifying and expressing your feelings, e.g. a chart of emotions, a journal, writing supplies, art supplies.

5. Mindfulness - tools for centering and grounding yourself in the present moment, e.g. meditation or relaxation recordings, grounding objects (rock, paperweight), yoga mat, breathing exercises.

5. Crisis Plan - contact info of supports and resources for when coping skills aren't enough, e.g. family/friends, therapist, psychiatrist, hotline.

Once you have gathered everything, put them together into a box and decorate it. Keep the box in a place where you'll remember it and USE IT!

Image Source: Pinterest

See also: Essential Life Skills for Kids - Stress Management

Sensory Break: Sensory Activities for Sensory Integration

Some time back I wrote about sensory processing disorders (SPD) identifying sensory difficulties that affect some children and the sensory integration activities that can help address their sensory hotspots. The following image helps teachers and parents identify some of the common sensory hotspots that some children may have:

Sensory activities that can help children with these hotspots may be proprioceptive, vestibular, or tactile in nature.

Proprioception

Proprioception is the sense of knowing the relative positions of the various parts of our bodies and strength of effort we employ during a movement. Children with proprioceptive needs can benefit from the following activities:

carrying heavy baskets or objects

jumping jacks

leaning against a wall or table palm presses

pushing or pulling boxes; wheelbarrow walk

jumping on a trampoline

crawling through a tunnel

pushing against objects, wall push-ups

standing on toes and stretching

finger fidgets

Vestibular

The vestibular system is responsible for the sense of balance and spatial orientation for the purpose of coordinating movement with balance. Children with vestibular sensory needs can benefit from the following activities:

bounce on a yoga ball

walk on a balance beam

bear/crab/snake walk

roll neck slowly in a circular movement

imitation game - e.g. Simon Says

gentle rocking

jump up and down; try to touch the door frame

sit and spin / yoga seat

roll on the mat

Tactile sensory needs can be fulfilled with "touch" activities, such as the following:

Sensory Activities at Home

When your child needs a sensory break at home, try these activities:
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"kid-sandwich" - pushing down on them between two pillows

"kid-burrito" - rolling them in lycra and gently pressing down and pretending to eat them

roll out the "cookie dough" with a yoga ball firmly over the back and limbs

pillow fight

mopping or sweeping the floor

stirring cookie dough or cake batter

jumping jacks

chewing gym, eating crunchy foods (pretzels carrots, small ice chips, or sipping water from a cup with a thick straw while doing seated work)

pushing or pulling boxes or laundry baskets with a few toys or books in it

carrying or pushing pillowcases of stuff animals around the house

helping with chores, pulling a heavy trash can, vacuuming, water plants

removing couch cushions, piling them on the floor and "crashing" into them

roller-skating uphill, ice skating, jumping rope, marching, hopping and skipping

walking on a treadmill set to go uphill

pulling other kids around on a sheet or blanket

crawling through a t-shirt tunnel

yard work, such as raking leaves, pushing the wheelbarrow, water the flowers

shoveling sand into a bucket

crossing monkey bars

swinging on a swing

pulling heavy items in a wagon

More Resources:

Related:

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Self-Regulation and the Zones of Regulation

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Some time back, I noticed posters like this in our school hallways. I found out from learning support that they were to help the children learn self-regulation. The posters were based on a concept called The Zones of Regulation. Source: Pinterest What is Self-Regulation? Self-regulation is the ability to manage disruptive emotions and impulses, and to...

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From Young Minds UK

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If the current news on coronavirus (COVID-19) is making you feel anxious, concerned or stressed, here are some things you can do.
Feeling concerned or overwhelmed by the news is understandable, especially if you are struggling with your mental health or you have a physical illness. It might be that you're anxious about your own health, the health of someone in your family, or what impact the virus will have on your life. Here are some steps you can take if you are feeling anxious:

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What to Do if You're Anxious About Coronavirus | Blog

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If the current news on coronavirus (COVID-19) is making you feel anxious, concerned or stressed, here are some things you can do. Feeling concerned or overwhelmed by the news is understandable, especially if you are struggling with your mental health or you have a physical illness.

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The Zones of Regulation is a framework designed to foster self -regulation and emotional control.  This is an approach we use at school to help pupils.  It is based on the concept that individuals identify and then describe their emotional state.  They then use a chosen suite of  'tools'  to self regulate.  Tools can be their own  strategies such as self talk, reading a favourite book, playing with a lego set, skipping, dancing to music. Other tools can include support from those around them such as having a hug, seeking reassurance, reading together etc.

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THE ZONES OF REGULATION: A SOCIAL EMOTIONAL LEARNING PATHWAY TO REGULATION

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A website with lots of useful information. Have a look at the top tips videos.

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Welcome to the Parent Portal, our award-winning speech and language support website for parents, carers and families.

At Speech and Language Link, we understand that supporting your child's language learning, alongside everything else that life demands from you, can be challenging. The Parent Portal provides ideas and advice, information and activities for developing your child's understanding, talking and listening in a way that works for all of your family.

How to use the site? Visit the development tab to help you work out what the next steps are for your child's learning and then go to the stage-appropriate activities section. You don't always need to create a special time for working on listening and talking, use our everyday activities turn many routine tasks into support activities.

Our speech and language therapists have devised support videos for you. Check out the 'Can I have your attention please?' series to help get your child in the right frame of mind for learning and access super fun games and ideas to encourage a range of language skills.

Our activities are designed to fit around normal family life and by implementing some of them every day you can make a real difference to your child's language development.

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Supporting Parents and Carers who support children with SLCN - Speech and Language resources, information and activities

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Advice and Support from Evelina Speech and Language Therapy Service

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Advice and Support from Evelina Speech and Language Therapy Service

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The Duchess of Cambridge visits Evelina London for National Portrait Gallery creative arts workshop

Her Royal Highness The Duchess of Cambridge visited Evelina London Children's Hospital, to meet children, young people and their families, taking part in a creative arts workshop led by the National Portrait Gallery.

A schoolgirl can walk and talk thanks to care at Evelina London

A girl who was locked in her body is now able to talk and take steps after receiving life-changing treatment.

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Evelina London Children's Hospital and community services are part of Guy's and St Thomas' NHS Foundation Trust. We are the second largest provider of children's services in London. Our vision is to be a world leading centre of life-changing care for children, young people and their families.

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Helping Your School Aged Child to Put Words Together

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Helping Your School Aged Child to Put Words Together

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Advice from Afasic.org

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Helping Your School Aged Child  to Listen

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Helping Your School Aged Child  to Listen

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Advice from Afasic.org.uk

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Raa Raa The Noisy Lion Parent Information from the Communication Trust

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Raa Raa The Noisy Lion Parent Information from the Communication Trust

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This programme is available on BBC Iplayer. Designed with Speech and Language Therapists, the programme includes lots of Repetition, Rhyme, Rhythm and Retelling.

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Suggestions from the Communication Trust for Younger Learners

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Suggestions from the Communication Trust for Younger Learners

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The Communication Consortium is a membership body made up of more than 35 community and voluntary sector (not for profit) organisations which support children’s speech, language and communication development. This can be either for all children or children with particular speech, language and commu…

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Suggestions from the Communication Trust for Primary School Age Learners

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Suggestions from the Communication Trust for Primary School Age Learners

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The Communication Consortium is a membership body made up of more than 35 community and voluntary sector (not for profit) organisations which support children's speech, language and communication development. This can be either for all children or children with particular speech, language and communication needs.

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Have fun drawing characters from Ed Vere's book Max and Bird.
Drawing is not only enjoyable and creative - it's great for developing fine motor skills too!

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If you're a parent helping your child to learn a new skill, backward chaining is a useful approach. You can use this for mastering a range of skills such as dressing and undressing, doing up and undoing zips and buttons as well as writing letters and drawing.

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Kim Griffin is a paediatric OT who has a You Tube channel with a range of motor skills videos and information about sensory processing disorder.

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"sensory processing disorder" children "special education" "occupational therapy" "sensory integration" "fine motor activities" "gross motor activities" dysp...

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GriffinOT helps children children to achieve their full potential by providing supports their parents and educators. Our expert advice and online training is specifically designed for educators and parents who want to know how they can help their children succeed.

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The Evelina Resource Pack for school aged children

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The Evelina Resource Pack for school aged children

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Lots of activities here to focus on specific areas of difficulty.

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Practise counting along or back using a hundred square. Use the hundred square for addition or subtraction.

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Use bricks to help you add amounts.

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Build your number bonds using Lego bricks!

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Practise counting along a number line to help you add or take away.

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Welcome to ictgames. Here you'll find free to play educational games aimed at children between 5 and 8 years old; written by a UK teacher with 20 years experience. The games are linked to the UK KS 1 and 2 curricula. Here are some help videos to get you started.

&nbsp Number - number and place value

&nbsp Number - addition & subtraction

&nbsp Number - multiplication & division

&nbsp Geometry - properties of shapes

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Free educational games aimed at children between 5 and 8 years old. Made by a UK teacher with 20 years of experience in education.

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iPad apps for Learners with Dyscalculia 

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iPad apps for Learners with Dyscalculia 

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Many children struggle with learning disabilities that can hinder their ability to process and understand information. Dyscalculia is a developmental disorder that involves difficulty conceptualizing and performing mathematics. The following are several practical ways that parents can help a child who struggles with dyscalculia.

Play With Dominoes
Playing games that use dominoes can help a child more easily understand simple math concepts. Specialist Ronit Bird states that a child should learn to recognize the number patterns on the dominoes and dice instead of counting the individual dots each time. Start by using dominoes and dice by themselves so your child feels comfortable with these objects. Next, find a game your child enjoys that uses these items.

Resist Using Worksheets
Whenever possible, parents should play games with their children to reinforce math facts instead of relying on worksheets. Games are almost always more interesting for kids. They present math as fun challenges to solve instead of boring concepts to memorize. If worksheets are used, it may be necessary to highlight important numbers in the instructions and throughout various problems. Allow your child to use a variety of colored pencils when completing worksheets, as it may help them more easily organize their work.

Use Manipulatives
Seeing and handling a tangible object will help a child better understand the abstract principles of mathematics. Legos and simple blocks can be used to teach addition and subtraction. TheSchoolRun.com suggests using a counter when working with children. Actually covering a certain number of counters with your hands will enable your child to more easily visualize different groups of numbers.

Learn the Language of Math
Parents should encourage their child to talk out loud as they work through a problem or new math concept. Children who struggle with math may have good language skills that could help make the mathematical process easier. It's a good idea for children to learn several synonyms for a variety of math terms. For example, when discussing addition problems they could use terms such as "plus," "increase" and "more than." Explain basic terms to your child and allow them to talk about each definition, describing what it means in their own words.

Create Visual Models
While this is similar to using manipulatives, creating visual models can expand beyond working with basic handheld objects. Understood.org advises moving around large objects in a room or drawing pictures to vividly explain aspects of math problems. Even simple household objects such as different colored socks or pairs of shoes can be used to teach addition and subtraction.

Use Accommodations
Accommodations can include everything from circling keywords in math sentences to giving your child extra paper to work out math problems. You should also discuss with your child's teacher accommodations that can be implemented at school. A few include extra time given for tests and access to a math resource room if one is available. The school may also allow a child with dyscalculia to use a calculator when working on daily math problems as well as tests.

Teach Toward Understanding
While learning math can be broken into sections, it's always a good idea to have the end goal in mind. Memorizing facts -- such as multiplication tables -- is a good idea, but simply memorizing facts won't always lead to real understanding of a math concept or process. Start by instructing your child to reason through a problem using logic instead of rote memorization. It's also a good idea to memorize a few basic strategies that have wide application.

While each one of these strategies may not work with every child, finding even a few that do will likely go a long way in helping a child build their math skills. It's important for parents to acknowledge the struggles and praise the progress that's achieved with each new skill that their child masters.

Contact us today to schedule an assessment. You can also view the research and results of the program on the website.

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7 Practical Ways Parents Can Help a Child with Dyscalculia

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Many children struggle to process and understand information. Dyscalculia is the difficulty of conceptualizing & performing math. Here are 7 ways to help!

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Help yourself to help others

If a fear of maths has you hiding from homework, we can help!

With a little help from us you can build your number confidence and skills, and begin to feel more prepared for when children come to you for help, and help pass your confidence onto them.

The free National Numeracy Challenge is designed to help you! It's a free, quick and easy way to check your skills and confidence with numbers, where you can go at your own pace, with learning resources tailored to you and your level. It helps with the maths we come across at work and in daily life - not algebra, or trigonometry. You can get started in just 10 minutes, and join the 390,000 others that have already started their journey to number confidence. Give it a go!

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With a little help from us you can build your number confidence and skills, and begin to feel more prepared for when children come to you for help, and help pass your confidence onto them. The free National Numeracy Challenge is designed to help you!

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A folder with lots of activities to learn how to spell common exception words

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How many different ways can you practise writing your name? Look at some of these fun ways!

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Phonics Bloom create interactive online phonics games to help teach children the relationship between letters and sounds and develop the skills needed to read and write. All our resources are designed by an experienced team of teachers and parents.

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Phonics Games for the Classroom and Home - Phonics Bloom

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Play a range of online phonics games, helping teach children the relationship between letters and sounds and develop the skills needed to read and write.

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Free eBook library | Oxford Owl from Oxford University Press

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Browse our library of free children’s eBooks to read with your child including Oxford Reading Tree adventures with Biff, Chip and Kipper.

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Parents and families | National Literacy Trust

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Our parent-facing site Words for Life provides milestones, tips, fun resources and advice to help parents support their children’s literacy development.

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Once Upon a Picture - Images to Inspire - Teaching Resources

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All of our children are expected to make predictions while reading. Here's a look at the curriculum objectives:

KS1: Predict what might happen on the basis of what has happened so far
KS2: Predict what might happen from details stated and implied

So, this can be as simple as asking the question, 'What do you think is going to happen next?', quickly followed with, 'Why?'.

However, we need to make explicit the additional skills needed to be able to do this. To be able to predict, you need to be able to read and understand what has happened, and is currently happening. You need to be able to retrieve and infer ('details stated and implied'), combine this with your knowledge of the world, weigh up probability, and make a sensible prediction of the next outcome. It might come naturally to many, but it's worth breaking it down to look at what's involved.

I've selected these images because they are 'in the heart of the action'. They allow for discussion around what has just happened, to use inference to work out additional information, and then a discussion of what might happen next. Here's a useful resource (aimed at Upper Key Stage 2, but could be used with children of all ages to introduce the language) for thinking about possibilities: Making predictions - modal verbs and adverbs. After teaching children how to predict, and how to answer questions, move them on to doing this with text.

When teaching prediction, it really does come back to the simple question:
What do you think is going to happen next, and why?
Just remember what else is needed to answer that question.
Note: In SATs papers, this question will come in several forms, such as, 'Will Taylor change his behaviour on future visits to the field?' or, 'Based on what you have read, what does the last paragraph suggest might happen to the explorers next? Use evidence from this paragraph to support your prediction.'

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The Prediction Collection - Once Upon a Picture

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All of our children are expected to make predictions while reading. Here's a look at the curriculum objectives: KS1: Predict what might happen on the basis of what has happened so far KS2: Predict what might happen from details stated and implied So, this can be as simple as asking the question, 'What do you think is going to happen next?', quickly followed with, 'Why?'.

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Website

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Free Text to Speech Online with Realistic AI Voices

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Convert text into ultra-realistic audio. Have any text read aloud with AI Voices. AI text reader for pdfs, books, documents, and webpages.

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Help

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Hear posts, chat messages, and assignments read aloud using Immersive Reader in Microsoft Teams for Education. Immersive Reader also includes grammar tools such as Parts of Speech and Picture Dictionary.

Launch Immersive Reader from a message

Hover over a message with your cursor or tap with your finger on a touch screen device.

Select More options , and then Immersive Reader .

Immersive Reader will launch as a full-screen experience.

Launch Immersive Reader from an assignment

If you're a student, open an assignment and select Immersive Reader .

If you're an educator, open an assignment and select Student view, then Immersive Reader .

Immersive Reader will launch as a full-screen experience.

Immersive Reader features

You can do one or more of the following in Immersive Reader, depending on how you'd like to focus on the message or assignment text.

Select Play to hear your document read aloud and to see the text highlighted simultaneously. The narrator starts reading from the top of your page by default, unless you have selected a word, in which case it will start reading from the selected word. Select Pause to stop narration.

Select Voice Options on the top right of the document to change the speed of narration.

Text Options

You can change the appearance of your document by using Text Options. Text options can help you focus on your content and remove visual distraction.

Set Text Size, Spacing, Font, and Themes that suit your learning needs. You can increase or decrease text size and the amount of spacing between letters and words. The Theme color you select becomes the background color of the document.

Switch on Show Source Formatting to retain formatting from the original text, such as bolding or underlining.

Parts of Speech in Grammar Options

Select one or more of the following options:

Syllables to break words into syllables.

Nouns to highlight nouns in your document in purple.

Verbs to highlight verbs in your document in red.

Adjectives to highlight adjectives in your document in green.

Adverbs to highlight adverbs in your document in yellow.

Switch on Show labels to see the label underneath the highlighted parts of speech.

Reading Preferences

Line Focus enables readers to narrow the focus of their reading experience by highlighting sets of one, three, or five lines within their chosen material in Immersive Reader. Use the toggle to turn it on or off.

Picture Dictionary gives you the ability to click on any single word to hear it read aloud and see a picture that helps define the word.

Translate lets you translate your text into other languages by word or document.

Select Close to exit Immersive Reader.

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Hear posts, chat messages, and assignments read aloud using Immersive Reader in Microsoft Teams for Education. Immersive Reader also includes grammar tools such as Parts of Speech and Picture Dictionary. Hover over a message with your cursor or tap with your finger on a touch screen device.

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A folder with lots of activities to learn how to spell common exception words

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Listen or read these sentences and follow the instructions.

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Speech and Language Activities for Parents and Teachers 

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Speech and Language Activities for Parents and Teachers 

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Herefordshire and Worcestershire Health and Care NHS Trust

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Herefordshire and Worcestershire Health and Care NHS Trust

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Resources for Children's Speech and Language

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Children's Speech and Language resources to download

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A collection of resources based on the idea of sleep hygiene
Suitable for settings working with all ages (age suitability marked on each resource within this collection)

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Getting your little ones to sleep can be tricky. Here are 10 tips that may help your kids settle into bed.

Sleep is an important part of maintaining good health, but issues with falling asleep aren't just problems that come with adulthood. Kids can have trouble getting enough rest, and when they can't sleep... you can't sleep.

Bedtime can become a battle zone when little ones won't settle in and fall asleep. But there are ways to even the odds of victory. Try using these 10 tips to learn how to fight the battle... and win!

School-age children need between 9 and 11 hours of sleep each night, according to the National Sleep Foundation. But there's a lot of variability in sleep needs and patterns. Most kids have patterns that don't change much, no matter what you do.

Early risers will still rise early even if you put them to bed later, and night owls won't fall asleep until their bodies are ready.

That's why it's important for parents to work with their children in setting a responsible bedtime that allows them to get plenty of sleep and awake on time, says Ashanti Woods, MD, a pediatrician in Baltimore, Maryland.

Set a wake-up time based on how much sleep your child needs and what time they go to bed. Woods recommends creating a wake-up routine as early as the preschool years to help prevent stress for parents down the road.

And remember to be consistent with the schedule. Allowing your child to sleep later on weekends is generous, but could backfire in the long run.

Those extra hours of sleep will make it hard for their body to feel tired at bedtime. But if you can try to make bedtime and wake-up time the same, within an hour or so every day, you'll be making everyone's lives sooooo much easier.

Routines are especially important for infants, toddlers, and preschoolers. Woods recommends that after dinner the remainder of the evening should include light playtime, bath, brushing teeth, a bedtime story, and then bed.

Aim for a routine that is comforting and relaxing, setting the ideal bedtime atmosphere. Before long, your child's body may automatically start to become sleepy at the beginning of the routine.

Melatonin is an important piece of sleep-wake cycles. When melatonin levels are at their highest, most people are sleepy and ready for bed.

Research from 2011 found that blue light from a television screen, phone, or computer monitor can interfere with the production of the hormone melatonin.

Watching TV, playing video games, or scrolling web pages on a phone or computer right before bed keep your child up an extra 30 to 60 minutes, according to this 2017 study.

Make the bedroom a screen-free zone or at least make sure all screens are dark at bedtime. And keep your phone on silent when you're in your child's room - or don't carry it in there at all.

Instead of screen time, Abhinav Singh, MD, director of the Indiana Sleep Center, recommends reading to your child in the evening to allow their brain to rest.

Another hormone that plays a role in sleep is cortisol, also known as the "stress hormone." When cortisol levels are high, your child's body won't be able to shut down and go to sleep.

Keep pre-bedtime activities calm. This can help avoid excess amounts of cortisol in your child's system. "You need to reduce stress to make it easier to fall asleep," says Dr. Sarah Mitchell, chiropractor and sleep consultant.

Soft sheets, room darkening shades, and relative quiet can help your child differentiate between day and night, making it easier to fall asleep.

"Creating a sleep-inducing environment is important because it sets the stage for sleep by reducing distractions," says Mitchell. "When you're calm you are not distracted, and can fall asleep more quickly and with less help."

Your child's sleep cycle isn't just dependent on light (or the lack thereof). It's also sensitive to temperature. Melatonin levels help to regulate the drop of internal body temperature needed to sleep.

However, you can help regulate the external temperature. Don't bundle your child up too much or set the heat too high.

Whitney Roban, PhD, clinical psychologist and sleep specialist, recommends dressing your child in breathable cotton pajamas and keeping the bedroom temperature around 65 to 70°F (18.3 to 21.1°C) at night.

Ghosts and other scary creatures may not actually roam around at night, but instead of dismissing bedtime fears, address them with your child.

If simple reassurance doesn't work, try using a special toy to stand guard at night or spray the room with "monster spray" before bed.

Roban recommends scheduling time during the day to address any fears and avoiding using bedtime for these type of conversations.

"Children are very smart and will quickly learn that they can stall bedtime if they use the time to express their bedtime fears," she says.

Kids can have trouble shutting their brains off for the night. So, instead of increasing that anxiety by insisting that it's time to go to bed ("now!"), consider focusing more on relaxation and keeping your child calm.

Tryteaching your child a deep breathing technique to calm their body. "Breathe in through your nose for 4 seconds, hold for 5 seconds, exhale through your mouth for 6 seconds," says Roban.

Younger children can just practice taking long, deep breaths in and out, she says.

Sometimes, your best-laid plans just don't yield the results that you want. (Hello, welcome to parenthood!)

If your child has trouble falling asleep, has persistent nightmares, snores, or breathes through their mouth, they might have a sleep disorder, says Mitchell.

Always talk to your pediatrician if you have any concerns about your child's sleeping habits. They may recommend a sleep consultant or have other suggestions for you to try so the entire family can get a good night's sleep!

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Bedtime can become a battle when little bodies don't abide by the clock. Here are 10 tips to learn how to win the fight.

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therapy resources | therapy comics | sleep

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A workbook on sleep hygiene using comics instead of text

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Fortunately, specific behavioral changes and adjustments to the sleep environment will help most children with insomnia. We've compiled the top tips that are proven to help kids sleep. The recommendations outlined here are best suited for toddlers through early adolescence. Both babies and teens will have specific considerations of their own.

These lists may seem long, but you don't need to implement them all at once. It's better to focus on trying a few small changes, giving them time to work, and then adjusting your approach based on how your child responds.

Keep in mind that every child's sleep needs will vary based on their age, genetics, and cultural differences. Therefore, not all approaches will work equally well for all children, and there can be an element of trial and error. However, your patience will be rewarded in time as your little one learns to fall asleep quickly on their own and keep sleeping soundly through the night.

Sleep hygiene - a collection of habits and behaviors that promote good sleep - is vital for children. Many sleep struggles are caused or made worse by poor sleep hygiene. When practicing sleep hygiene, remember that consistency is key. Sleep strategies take time and repetition to be effective.

Create a Routine: Humans are creatures of habit. A lets your child's body and mind know that it's time to settle down and prepare for sleep. The actual routine can be specific to your child, but it should last around 20 minutes and consist of three to four quiet, soothing activities such as putting on PJs, brushing teeth, a warm bath, and reading. Bedtime routines provide children with a sense of familiarity and comfort, which acts in direct opposition to the uncertainty of insomnia.

Set a Bedtime: A sleep schedule works with your child's natural biological clock to promote dozing off with regularity. Bedtimes are most useful when they're consistent, so try to keep the same bedtime on weekends as on school nights. Altering bedtimes during the weekend will make it more difficult for kids to maintain their normal weekday schedules.

Implement a Screen Curfew: The ubiquity of screens makes this rule hard to implement, but it's well worth it. Mobile devices, TVs, and tablets emit a type of blue light that suppresses melatonin, a hormone that promotes sleep. Children may be to the effects of light from screens. Screen time also stimulates the brain, making it harder to wind down for sleep. Electronic devices should be kept out of the bedroom and ideally not used within one hour of bedtime. Consider using the created by the American Academy of Pediatrics.

Get Exercise: Physical activity is proven to help people of all ages . Most children need at least of exercise per day. Just make sure to avoid vigorous activity within two hours of bedtime. Otherwise, your child may feel wound-up and find it harder to fall asleep.

Avoid Scary or Violent Content: Feeling scared or worried is a common reason kids can't sleep. So it's no wonder that scary or violent movies, TV, video games, and even books in the evening are in children. If your kiddo likes the gory or spooky stuff, save it for the daytime.

Nix Caffeine: This is a no brainer. Caffeine is a stimulant that can both make it harder to fall asleep and reduce the quality of sleep. In addition to the usual suspects like soda, coffee, and energy drinks, watch out for more discreet sources like tea, decaf coffee (which still has trace amounts of caffeine) and chocolate. Even small amounts of caffeine can have a in a little body. Don't let your child consume caffeine , or preferably, avoid it all together.

Don't Sleep With a Pet: While it's tempting for tots to snuggle Fido in bed, a pet's movements and noises during the night can awaken them from a peaceful slumber. Try having your furry family member sleep outside of your child's bedroom for a few nights to see if that helps. To make the transition easier, include saying goodnight to pets in the bedtime routine.

Optimizing your child's bedroom is an integral part of inducing quick and seamless shuteye. People with insomnia are more likely to be distracted by an uncomfortable bedroom National Library of Medicine, Biotech Information The National Center for Biotechnology Information advances science and health by providing access to biomedical and genomic information. View Source , which makes sleep even harder. These tips can help you create the perfect sleep setup for your little one:

Room Temperature: The body and brain both in preparation for sleep, and this can be disrupted by a stuffy bedroom. To avoid this, try to keep the thermostat around 65 degrees.

Noise: Research suggests that even mild sound disturbances can , even if the sleeper never awakens. Consider noise-blocking curtains to cut down on street noise. You can also use a fan or white noise machine to drown out unpredictable or distracting sounds.

Light Level: Start dimming indoor lights as bedtime approaches, and keep your child's bedroom as dark as possible. This and . If your child is afraid of the dark, a small nightlight is okay.

Soothing smells: Calming scents like can have mild sedative effects. You might try using essential oils, a room diffuser, or dried potpourri sachet to provide a soothing, sleep-inducing smell.

Unfortunately, childhood anxiety is steadily rising Centers for Disease Control and Prevention (CDC) As the nation's health protection agency, CDC saves lives and protects people from health threats. known to disrupt sleep Anxiety and Depression Association of America (ADAA) ADAA's mission focuses on improving quality of life for those with anxiety, depression, OCD, PTSD, and co-occurring disorders through education, practice, and research. View Source . Stress is View Source in all ages, so anything that can reduce worrying before bed is helpful. Help your child learn to manage their concerns with these tactics:

Write In a Journal: Encourage your child to get their anxious thoughts out of their head and onto paper. It can also help for them to write about the good things that happened in the day. Focusing on the positive will help children feel more secure.

Mindfulness Exercises: Mindfulness exercises like meditation are proven to . There are many kid-friendly meditations that parents and children can do together. These often consist of simple breathing techniques, body awareness, or guided imagery. Look to books, tapes, and even smartphone apps for ideas.

Create a Worry Time: It's okay to discuss worries, just not at bedtime. Set aside a specific time during the day for your children to discuss their concerns and how to cope with them. This can free children of the need to dwell on worries before bed.

It's normal for even the best little sleepers to awaken from slumber and ask for a parent. When your child cries out for you, it's okay to tend to them. However, you should do so with intention. This is not the time to give in to demands, as doing so can increase stimulation and make it harder to fall asleep. Fulfilling your child's every request can also reinforce an unhelpful pattern of relying on parental assistance for sleep.

Instead, keep the checks short and simple. The point is to provide your child with reassurance that they're safe and cared for, while still fostering their ability to self-soothe and sleep on their own. Some parents may even wait a few seconds before answering a call so that their child has the opportunity to fall back asleep on their own.

If you have any doubt over whether your child's nighttime checks are appropriate, consult your child's doctor for guidance.

If your child continues to have trouble sleeping despite your best efforts, it may be time to check in with their pediatrician. Although uncommon, there can be more serious causes of childhood insomnia, such as childhood sleep apnea or restless leg syndrome.

Any of these reasons are cause to involve a doctor:

Significant daytime sleepiness

Frequent or severe snoring or other abnormal breathing during sleep

Suspected psychological or developmental condition

Considering medications or supplements to aid in sleep

For a couple of weeks before the doctor appointment, it can help to keep a sleep diary. This is a nightly recording of your child's bed time, nap times, sleep length, and activities. A sleep diary helps to identify patterns and possible problems to address.

Learn more about our Editorial Team

References

Esparham, A. (2020, January 2). Melatonin and Children's Sleep. HealthyChildren.Org.
https://www.healthychildren.org/English/healthy-living/sleep/Pages/Melatonin-and-Childrens-Sleep.aspx

Mindell, J. A., Li, A. M., Sadeh, A., Kwon, R., & Goh, D. Y. (2015). Bedtime routines for young children: a dose-dependent association with sleep outcomes. Sleep, 38(5), 717-722.
https://pubmed.ncbi.nlm.nih.gov/25325483/

LeBourgeois, M. K., Hale, L., Chang, A. M., Akacem, L. D., Montgomery-Downs, H. E., & Buxton, O. M. (2017). Digital media and sleep in childhood and adolescence. Pediatrics, 140(Suppl 2), S92-S96.
https://pubmed.ncbi.nlm.nih.gov/29093040/

Family Media Use Plan. (n.d.)., Retrieved September 23, 2020, from
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A.D.A.M. Medical Encyclopedia. (2017, August 30). Benefits of Exercise., Retrieved August 30, 2020, from
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A.D.A.M. Medical Encyclopedia. (2017, August 30). How Much Exercise Do I Need?., Retrieved August 30, 2020, from
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Garrison, M. M., Liekweg, K., & Christakis, D. A. (2011). Media use and child sleep: the impact of content, timing, and environment. Pediatrics, 128(1), 29-35.
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Temple J. L. (2019). Review: Trends, Safety, and Recommendations for Caffeine Use in Children and Adolescents. Journal of the American Academy of Child and Adolescent Psychiatry, 58(1), 36-45.
https://linkinghub.elsevier.com/retrieve/pii/S0890856718318847

Drake, C., Roehrs, T., Shambroom, J., & Roth, T. (2013). Caffeine effects on sleep taken 0, 3, or 6 hours before going to bed. Journal of clinical sleep medicine : JCSM : official publication of the American Academy of Sleep Medicine, 9(11), 1195-1200.
https://pubmed.ncbi.nlm.nih.gov/24235903/

Narisawa H. (2013). Anxiety and its related factors at bedtime are associated with difficulty in falling asleep. The Tohoku journal of experimental medicine, 231(1), 37-43.
https://www.jstage.jst.go.jp/article/tjem/231/1/231_37/_article

Harding, E. C., Franks, N. P., & Wisden, W. (2019). The temperature dependence of sleep. Frontiers in Neuroscience, 13, 336.
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Van Der Werf, Y. D., Altena, E., Schoonheim, M. M., Sanz-Arigita, E. J., Vis, J. C., De Rijke, W., & Van Someren, E. J. (2009). Sleep benefits subsequent hippocampal functioning. Nature neuroscience, 12(2), 122-123.
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Burgess, H. J., & Molina, T. A. (2014). Home lighting before usual bedtime impacts circadian timing: a field study. Photochemistry and photobiology, 90(3), 723-726.
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Gooley, J. J., Chamberlain, K., Smith, K. A., Khalsa, S. B., Rajaratnam, S. M., Van Reen, E., Zeitzer, J. M., Czeisler, C. A., & Lockley, S. W. (2011). Exposure to room light before bedtime suppresses melatonin onset and shortens melatonin duration in humans. The Journal of Clinical Endocrinology and Metabolism, 96(3), E463-E472.
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Koulivand, P. H., Khaleghi Ghadiri, M., & Gorji, A. (2013). Lavender and the nervous system. Evidence-based complementary and alternative medicine : eCAM, 2013, 681304.
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National Center on Birth Defects and Developmental Disabilities. (2020, June 15). Data and Statistics on Children's Mental Health. Centers for Disease Control and Prevention.
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Anxiety and Depression Association of America. (n.d.). Sleep Disorders., Retrieved August 31, 2020, from
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Ong, J. C., Manber, R., Segal, Z., Xia, Y., Shapiro, S., & Wyatt, J. K. (2014). A randomized controlled trial of mindfulness meditation for chronic insomnia. Sleep, 37(9), 1553-1563.
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Sleep Strategies for Children | Sleep Foundation

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Wondering about sleep aids for kids? These proven sleep tips will help children learn to fall asleep quickly and stay asleep.

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Fine Motor Skills Activities for Older Kids

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These fine motor skills activities could work with older kids who find other tasks too childish.

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Gross Motor and Core Strength Activities

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Gross Motor and Core Strength Activities

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Inside: Kid-friendly coping skills used to help manage anger, including safe ways to express anger, books to read and videos that can help. This post contains affiliate links. Learn more.
It's starting again, as usual, right after your son gets off the school bus. He is frustrated from things that happened during the day, and now he's yelling and stomping around the house. You're feeling overwhelmed and don't know what to do next.
How do you help an angry child?
Here's a collection of the best tools and tips to teach children how to manage their anger in safe and healthy ways. Let's start with some quick, safe ways to help kids express those feelings.

Looking for more quick ideas to help kids express their anger?
Stop sensory meltdowns by hanging upside down 5 simple ways to help children calm angry feelings 10 more ways to help kids manage anger A Different Way to Respond When Your Child is Aggressive
We need to help our kids understand and expect that they will experience a variety of feelings as they go through life, including anger. It's normal to feel angry at times. It's what you do with those feelings that matter.

Here's a great reminder from Imperfect Families that anger is a feeling too.

When a child is in fight, flight or freeze mode, they can't process information as well as when their body is in rest and digest mode. This is not a teachable moment, and they can't take in a lecture at this point. Your goal is to get them through this rough moment. It's best to keep talking to a minimum. When you do speak, make sure you use a neutral, calm, and quiet tone. Keep it short and repeat the same phrase. Repeating it is helpful because they aren't processing information and words as they usually would. Repetition makes it more likely that they'll hear what you are saying.

Phrases that you can say at that moment:

"I'm here for you."

"I love you."

"I want to help you."

"Let me know when you're ready."

"You are mad; I get it."

"I understand."

Looking for some more inspiration for phrases to say? Check this out:
26 Phrases to Calm and Angry Child
When some kids get big feelings, they destroy items around them - rip books, throw toys, etc. If that's the case for your child, it may be helpful for you to set up a safe spot where kids can go when they are angry. In that space, take everything out that can be destroyed or thrown that might injure someone or damage property. If you have more than one floor, set up a safe spot on each level of your home.

If you aren't in the safe spot when your child is dealing with big feelings, move harmful objects out of the way and try to get them to that safe place.

It may make sense to set up their room as a safe place too. We found this helpful when our son was dealing with a lot of angry feelings. We moved his toys and his bookshelf to a different room in the house so he could still play with them. The items that stayed in his room were those things that wouldn't hurt him or us. We did this to keep everyone, including him, safe. And as time went on, and he had better control of his emotions, we were able to add things back to his room.

How to Make a Calm Down Spot at home
Calm Space in Schools
One of the best things you can do is work on teaching coping skills kids can use before things escalate to epic proportions. The trick is practicing when they are in a calm and relaxed mood, not in the moment when they are angry.

Identify Triggers

Start by talking about what's making them angry. Help them identify those triggers, so you both know for the next time. Is it a particular school subject that makes them frustrated? Perhaps being hungry or thirsty? Are their specific noises or locations that are frustrating?

help kids identify where they feel angry in their body

Sometimes, kids don't know they're angry until after the explosion has happened. Help them identify the signs their body gives them that they are feeling angry. Over time, they'll start to recognize that feeling and ideally use a coping skill before things get too overwhelming.

Explore what other emotions they may be feeling

When kids are angry, there are usually other feelings that they are experiencing too. But anger is easy to see and often hides different feelings that lie below the surface. It's sometimes referred to as the "Anger Iceberg." It takes a bit of time to figure it out, but when your child is in a calm place, talk about what other feelings may be hiding underneath their anger.

Read more about the anger iceberg here.

Identify and practice coping skills

Now that they know what causes those big feelings and how to identify them, help them figure out ways to deal with those feelings in safe and healthy ways. Go through the coping skills checklist and have kids check off the skills that work for them, cross off the ones that don't and circle the ones they want to try.

Identify one coping skill your child would like to try. Take a few minutes during the week and have them practice a coping skill they may be able to use next time. For example, if they are going to try using shapes for deep breathing, have them practice before, so they know how it feels. The idea is to have them practice, so they know what it feels like to do it when they are calm.

Using coping skills to deal with big feelings will not go perfectly every time. Learning to manage anger is a work in progress. Little by little, with practice and time, kids will get better at it. Encourage them when they make safe and healthy choices. When they don't, continue to work with them to figure out better steps they can take the next time.

Use a Feelings Thermometer

Using a feelings thermometer can help kids make the connection between their feelings and their coping skills. Here's how you can make an anger thermometer.

How to Make an Anger Thermometer:

Have the child pick out three colors, one for each section of the thermometer and color it in. Then talk about each section.

Ask what it looks like when they are just a little angry, at the bottom of the thermometer. Do they sigh loudly, growl, etc.?

Then move on to the middle section of the thermometer. If they are medium-sized angry, what does that look like? Does their voice get louder? Do they stomp their feet, etc.?

Finally, talk about what it looks like when they are experiencing big anger at the top of the thermometer. What does that look like? Is it yelling, throwing things, etc.?

It isn't always easy for kids to do this. If they are having a hard time identifying what the behaviors were, I tell them what I noticed the last time I saw them get angry. Or, if I haven't seen them angry, I'll give them a prompt to help them, like "When some kids get angry, they yell, is that something you do?"

Once we go through and identify behaviors on the thermometer, then we work on identifying coping skills they can use to calm down. Some examples include getting a drink of water, taking deep breaths, shredding paper, or taking a break.

Make sure they have coping skills that will help them at each level of anger. It's essential to have a variety of coping skills for each level because not all coping skills will work all the time. For some kids, taking a drink of water can help calm them down when they are just slightly angry. However, when they are furious, getting a drink of water won't help. They need to do something different at that point, like take a break.

When Sophie Gets Angry, Really, Really Angry by Molly Bang Poor Sophie has a hard time managing her anger when she has to share gorilla with her sister. It's a visually appealing book to show how big her feelings get and how it looks when she calms down again.

When I Feel Angry by Cornelia Maude Spelman This is part of "The Way I Feel" series. It explains how different things can make you angry, and that feeling angry is an expected part of life, but it's what you do when you're feeling that way that matters.

Cool Down and Work Through Anger by Cheri J. Meiners M.Ed. Another great book that talks about how anger affects your body and suggesting safe ways to express yourself.

Angry Octopus by Lori Lite and Max Stasuyk A great book that actually is a progressive muscle relaxation and deep breathing script for kids. It's wonderful!

Don't Rant and Rave on Wednesdays by Adolph Moser It mentions the consequences of having unchecked anger, and acknowledges that adults struggle with this too. A large part of the book explains different strategies kids can use to express anger in a safe way, which I think is fantastic.

How to Take The Grrrr Out of Anger by Elizabeth Verdick and Marjorie Lisovskis I love using this book for kids who are having a hard time managing being angry. I typically read one chapter at a time with the kids and work on some of the strategies listed in the book.

What to Do When Your Temper Flares by Dawn Huebner This book has lovely illustrations and goes through "anger dousing" methods.

Happiness Doesn't Come from Headstands by Tamara Levitt. This is a beautifully illustrated book all about growth mindset and resilience. Leela wants to do headstands and is getting frustrated, and believes the only way she can be happy is if she does headstands. With the help of a friend, she shifts her focus from what she can't do to what she can and focuses on the journey, not the singular goal is doing a headstand.

The Secret to Clara's Calm by Tamara Levitt. This is another beautifully illustrated book that demonstrates the power of mindfulness in managing big feelings. Clara has a bad temper and has big reactions to small problems, but then that leads to kids not wanting to be around her anymore. She works on learning how to be mindful and manage her big feelings with the help of a bird named Brodhi.

Chillax!: How Ernie Learns to Chill Out, Relax and Take Charge of His Anger by Marcella Marino Craver This is a graphic novel, perfect for the tween set.

It's common for parents to struggle with staying calm when their child is angry. As a mom, I know that's tough, especially when your child is having a difficult time. But it's important to learn to do it. You have to get yourself calm before you can help your child. One of the best ways to help your child is to make sure you stay calm yourself.

Use Self-Talk

Here are some phrases that may help you as you are working with your angry kid:

They're having a hard time, not giving me a hard time.

Share my calm, don't join their chaos.

I am in charge of staying calm, no matter how my child is acting and behaving.

All feelings are OK. My job is to help my kid manage them.

I can remain calm, and be a good example for my child.

Be the thermostat, not the thermometer.

TAKE Deep Breaths

If you're getting upset and about to blow up, try deep breathing. I know, it sounds hokey, but it makes a difference. When you are feeling overwhelmed, your body can go into fight, flight, or freeze mode, but in situations like these, you want to stay in rest and digest mode. By taking deep breaths, you're signaling your body to go back to rest and digest mode. Expand your belly as you inhale, and contract your belly as you exhale. Try taking several deep breaths before you take steps to intervene.

Use a grounding technique

If you're overwhelmed, sometimes it helps to do a grounding exercise to calm yourself down.

FIND your support system

Know that you are not alone. Read what this mom has to say about parenting an angry child. If you don't have a support system, then it's time to find one. Here are some ideas for both in person and online support groups to help you.
In Person Support:
There are lots of places you can get support in person. One resource I love is the National Alliance on Mental Illness. They offer Family Support Groups, which meet regularly. They also offer a 12 week class for parents by parents, called Family to Family Support. Search for your local NAMI chapter here.

Having support for your child outside of your family can be a lifesaver. Talk to the school, teachers and coaches to help support your child during a difficult time. Sharing knowledge about what strategies work, and how you child responds in different environments is invaluable information.

You can also seek help from a licensed therapist to help support you. It's great to have someone to talk through the tough situations you are experiencing. If scheduling an in-person meeting is tough, you can see therapists online at sites like betterhelp.com. Some kids also benefit from seeing their own therapist. Read this to get a little more information about when you should seek outside help for your child.
Facebook Groups:
Did you know you can search for groups on Facebook to find others who are struggling with similar issues to yours? Here are some active Facebook Groups that have been helpful for families.
Note: You may need to apply to some of these groups in order to be added.
Support for Sensory Needs

Raising Poppies

Happy Sensitive Kids Community

Modern Parenting

The Neighborhood, Imperfect Families

The World's Okayest Parents
Coping Skills for Kids Group
As your son continues to stomp and growl, you take a few deep breaths and say to yourself "Be the thermostat, not the thermometer." Then, in a calm voice, you say to your son "I'm here to help. I love you."

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Inside: Kid-friendly coping skills used to help manage anger, including safe ways to express anger, books to read and videos that can help. This post contains affiliate links. Learn more. It's starting again, as usual, right after your son gets off the school bus.

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This page contains affiliate links, read the disclosure statement Inside: Kid tested strategies used by child therapists for calming anxiety, including ideas to calm down, books to read and videos that can help
It's happening again. Your daughter is frustrated and stomping away down to her room, slamming the door and in general "has her cranky pants on". You say calm down, but she yells back "I don't know how to do that!!!"

We tend to tell our kids to "calm down" without ever giving them explicit directions on how to deal with stress and anxiety. Here's a collection of the best tools and tips I've found to teach children how to calm down and relax.

Sometimes you'll need a quick way to help your child calm down and you don't have much with you. Maybe it's when you're out at Target or stuck in traffic. These tips will come in handy at those times:

Imagine your favorite place - it's like taking a mini vacation wherever you are

Think of your favorite things

Name animals alphabetically (alligator, bear, cow, dog, etc...)

Squeeze Something (play dough, clay, silly putty, your fists, a stress ball)

Get a Cold Drink of Water

54321 Grounding - go through each of your 5 senses

Put your arms straight out in front of you, palms facing out.

Put one hand over the other at the wrists and interlace your fingers.

Swoop your hands and arms toward your body and then place your interlaced hands on your chest.

Cross your feet at the ankles and put your tongue on the roof of your mouth.

Stay still for one minute.

It's great to have a big list of coping skills to try when your child needs to calm down. Here are two more short lists of ideas for calming down at home or at school.

From Imperfect Families - Strategies to use at home

From Encourage Play - 10 Strategies to Help Kids Calm Down at school or home

People usually roll their eyes initially when they hear "breathing is important". But I will continue to say it and explain why. It's so simple, yet has such a big impact on your body's physiology.

When you and calm and relaxed, your body is in "rest and digest" mode. You breathe normally, your heart rate is lower and your muscles are relaxed. However, when stress or anxiety or anger occurs, your body automatically switches into "flight, fight or freeze" mode. Your muscles tense up, your heart rate increases and your breathing becomes more shallow.

Taking deep breaths, instead of shallow breaths, is one way to tell your body to get back to resting and digesting. That's why deep breathing is important!

Luckily, there are some fun ways to teach kids deep breathing techniques

Things to use

Things to say

Breathe in like you are smelling a flower, breathe out like you are blowing out birthday candles

Arms up and breathe in, arms down and breathe out

Pretend your belly is a balloon. Breathe in and make the balloon bigger, then breathe out and make the balloon shrink.

Videos to watch
4 - 7 - 8 Breathing by GoZen
Breathing at Sea Otter Cove from Stress Free Kids

A Coping Skills Toolbox is a kit that you create to help your child calm down when they are upset, anxious or worried. In order to get the most benefit from this, you should create this kit before an issue occurs. When your child experiences anxiety, then they can pick out an item from their Coping Skills Toolbox. This is one of my favorite ways to help kids learn to calm their anxiety.

Here are some other fantastic ideas for what to put in a coping skills toolbox/calm down kit from And Next Comes L

You can create a place specially designed to allow to calm down in a few steps

Find a spot and make it cozy (ask your child for help with that - maybe they can place a favorite blanket or stuffed animal inside)

Add calming tools

Explain how to use it and practice before

When they are starting to escalate, catch it early and give them a calm reminder about their calm down spot

Use the following phrases as a way to support your child, let them know that you're going to support them and help them in any way that you can.

"I'm here for you"

"Talk to me and tell me what's going on"

"How can I help?"

"Together, we can work on this. We're a great team"

"I love you"

"Do you want a hug?"

Here are some more ideas of what to say to calm an anxious child.

From Go Zen - 49 Phrases to Calm an Anxious Child

From Lemon Lime Adventures - What to Say to Calm an Anxious Child

Did you know there are podcasts with stories for children? Usually the hosts have a soothing voice and the stories tend to be pretty short. Your child can listen to these podcasts as a way to have some down time.

There are scripts you can read to your child to help them relax and calm down. Slowly and carefully read the words as your child listens and follows the instructions. Check out Inner Health Studios list of scripts you can use with your child. If you prefer not to read a script, there are ones that are pre-recorded.

There are also scripts to practice mindfulness with children. Eline Snel has written a great book on Mindfulness with Kids, Sitting Still Like a Frog. Here are the several scripts that can be used from that book!

Annaka Harris also has several pre-recorded scripts to help kids practice mindfulness

Confused about how to introduce mindfulness to kids? Check out these resources:
Simple Ways to Introduce Mindfulness and Meditation to Children 11 Simple But Effective Ways to Teach Mindfulness to Kids
What you need:

I've used empty soda bottles, empty water bottles, glass jars and plastic containers. Use whatever makes sense for you and your family. For instance, for the calming jars the kids have in their room, I used a heavy duty plastic bottle. I didn't want them to accidentally knock over a glass jar in the dark - that would be a huge mess!

I've had the best results when I've used warm water - it makes it easier for the water and paint to combine.
Glitter Paint
I prefer using glitter paint (or glitter glue) instead of glitter because then I'm not cleaning up glitter for weeks at my house after we make them :-)

To make your jar, add glitter paint to the bottom of the jar until it just covers the bottom of it. Add warm water. Put the cover on and shake to help the ingredients combine. Once you are satisfied with the look of your jar, then you can super glue the lid shut so it doesn't spill. In a pinch, I've also used duct tape to secure the lid.
Watch Make a Simple Calming Jar from Coping Skills for Kids on YouTube Wet Ingredients
Sometimes you want the glitter/other items to stay afloat longer or for a shorter amount of time. Here are some different ingredients you can use as the wet ingredients.
Dry Ingredients
To see several other ways to make calming jars, take a look at what Preschool Inspirations did.

One of the first things I always like to do with kids if they are struggling is to start using visuals. When you're stressed and anxious, it's harder to read and take in information. Visuals are easier.

I like to keep calming cue cards in my children's coping skills toolboxes so that they can make a decision about what coping skill they can use. Sometimes pulling out a list is too much in the moment. You can make your own cue cards.

Take several index cards or small pieces of cardstock

On each one, write or draw one coping skill

Hole punch the cards and place them on a keyring (to make them extra sturdy, you can laminate them)

Put them into the coping skills toolbox for easy access

Using visuals is a powerful way to help kids. When kids are overwhelmed, sometimes it's hard for them to figure out what to do. By having cue cards, your child can have a visual reminder of what calms and relaxes them.

To make things a little easier, I've created ready to use coping skills cue cardsfor you. There are four different sets: Calming, Physical, Distracting, and Processing. If you'd like all 4, I created a set where you can download them all together.

If your child is anxious, they may also be having a difficult time getting settled for bedtime. Here are some ideas to help your child get settled at bedtime.

PINPOINT WHAT THE FEAR IS

One of the most important things to do is to figure out exactly what is causing the anxiety. Is it fear of the dark? Is it a worry about something in the closet? Is it monsters? Is it spiders? Figuring out the cause of the fear will help you come up with ways you can help your child combat it.

REARRANGE THE ROOM

Are there particular spots of the room that seem to be darker or cause more fear at night than others? Go into the bedroom during the day with your child and talk about the spots that make your child nervous. Try moving night lights and furniture around for a more calming room arrangement.

TRANSITIONAL OBJECTS

If your child has a hard time separating from you, try a transitional object. This is a special item that helps your child feel comforted. It helps them feel like part of you is still present even when you're not there. It could be something like a stuffed animal or a special stone or necklace, or a sweatshirt of yours. The object isn't what matters, it's what the object represents. They can keep it and hold it all night long to help them relax and go to sleep.

Find more strategies here: 12 Kid Friendly Strategies to Calm Anxiety at Night

Looking for some calming guided meditation to help get to sleep at night? Try one of these: Best Guided Meditations for Sleep.

Whenever I sit down and talk with someone about their coping skills, one of the first
things I ask is if they have tried writing about it. Why do I always start with journaling as
a way of processing through difficult feelings?

It's easier to write about than talk about hard things

Journaling helps you process what's happening.

It's convenient.

It's not graded

It can help you solve a problem

It can help you re-frame your thinking

Looking for a journal for a child or teen? Check out Big Life Journals!

General Anxiety

The Coping Skills for Kids Workbook by Janine Halloran. This book has over 75 strategies for kids to try to help them manage their stress and worry. This book also includes colorful worksheets to help kids learn more about their anxiety and what they can do to manage their stress.

Wilma Jean the Worry Machine by Julia Cook I love that when Wilma Jean's physical reactions are described, they're also illustrated. When is says she has knots in her stomach and her knees lock, her stomach really looks like it's tied in a knot and there's a real lock around her knees. I love the activity she does with her teacher, going over worries she can control and worries she can't, it's a great way to help kids manage their anxiety.

David and the Worry Beast by Anne Marie Guanci David's anxiety is a beast, and the more anxious he gets, the bigger it grows. David learns to control his thoughts, and his beast shrinks. There's also a couple of pages for parents and kids in the back.

When My Worries Get Too Big by Kari Dunn Buron This book is wonderful! There are several pages where kids can add in their own thoughts, worries and what helps them relax. This book also uses the 5 point scale to talk about stress and different ways to manage it.

What To Do When You Worry Too Much by Dawn Huebner, PhD This book goes through several ways that can help kids manage anxiety, including setting a time for worries, thinking about things that make you happy and resetting your body with activity or relaxation. There are some interactive places in this book, where a child can write down their worries, draw some images of things that might help, etc.

What To Do When You're Scared and Worried by James J. Crist This is one of my favorite books for kids to help them deal with anxiety. Near the beginning of the book is a checklist that helps kids narrow down what they are anxious about. The beginning of the book covers the basics of what anxiety is and how to help manage with coping skills. The next section of the book goes into detail about different types of anxiety kids might experience, including Separation Anxiety, Phobias and Panic Attacks.

Separation Anxiety

The Kissing Hand by Audrey Penn Classic about managing separation anxiety when kids start school. My daughter's kindergarten teacher read this on our visit to school the first day.

When I miss you by Cornelia Maude Spelman This is perfect for little ones who have a hard time dealing with the fact that they are away from their parents during the day. It suggests a couple of things they can do to help and reassurance that parents will come back at the end of the day.

Wemberley Worried by Kevin Henkes Poor Wemberley worries about everything, and then she gets really worried when she is about to start school.

This E-Course offers you instant support from a Child Therapist.
You will get:
12 Videos that are quick and bite size

14 Exercises that will expand on the skills taught

6 Cheat Sheets that will serve as a reference
Along with the course you get:
Access to the instructor for ongoing support

Downloadable PDF versions of all lessons

Lifetime access to the course

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Hampshire Child and Adolescent Mental Health Service is an NHS specialist service, provided by Sussex Partnership NHS Foundation Trust for young people aged 5-18 years and their families who are experiencing difficulties with their mental and emotional health. Many young people experience difficulties with their mental health such as anxiety, low mood, trauma, eating difficulties plus many others which can impact on all aspects of life such as education, home life, hobbies and interests, socialising and having fun.

It is important to know that everyone has mental health and that we can all experience tough times and this can cause our mental health to suffer. CAMHS work with young people, their families and other important organisations (such as schools) to achieve the following:

* Assess and diagnose mental health and neurodevelopmental difficulties
* Identify realistic goals or changes
* Identify and build on strengths
* Improve self-esteem and confidence to cope with difficulties
* Learn emotional coping techniques to help manage difficult or upsetting thoughts, feelings, urges or experiences
* Empower the young person to identify, express and communicate their needs, take responsibility for their health and wellbeing and feel confident in knowing where and how to get additional support if necessary
Hampshire CAMHS Thresholds
We cannot "cure" mental health difficulties or prevent difficulties ever coming back. Lots of things can impact on our mental health, some of which are beyond anyone's control. Instead we work with you to help you learn how to manage your difficulties and in many cases overcoming them is absolutely possible. There may also be some difficulties or experiences which CAMHS are not able to provide support for. In these cases we will help you access appropriate help from other organisations and services such as drug and alcohol services and bereavement services plus many others.

You will need to be willing and committed to attending sessions that are offered as well as trying and practising techniques until you find what works well for you. You will need to be prepared to work with us in this way so that you have the best chance of achieving your goals/recovery.

Overcoming difficulties also depends on how much an individual would like to change. Often change can be scary and many young people feel they don't have the energy or the motivation to change or try different things. If you have made the step of asking for help and attending an assessment and are committed to making changes, we will work with you to help you achieve your goals/recovery.

Anyone can help you get an appointment at Hampshire Specialist CAMHS; you, your parents or carers, your teachers, a health professional (such as a school nurse or GP) or a social worker, using our online referral form which you can complete and submit online. You can also call Hampshire CAMHS on 0300 304 0050 (Monday - Friday, 9am-5pm).

If you are experiencing difficulties, it is really important to talk to those around you so that they can support you with these and with getting the right help and support.

We would recommend talking to CAMHS before making a referral so that we can offer advice and guidance and to decide whether CAMHS is the right service to meet your needs. CAMHS may also be able to offer recommendations about other services, organisations and things that may be helpful.

If after receiving a referral it is agreed that it would be helpful for CAMHS to offer an appointment, you will be given a date as soon as possible. Please be aware that there may be a wait for an appointment. If you feel that things are becoming more difficult or more urgent whilst you are waiting for appointment, please contact the Single Point of Access for CAMHS on 0300 304 0050 to let us know.

* At your first appointment we'll start with introductions and outline what will happen during the appointment. Your first appointment may be by telephone or face to face
* We'll ask you to fill in some questionnaires. These help us to understand your strengths and any difficulties you might be experiencing
* Your clinician will also talk to you about confidentiality and consent to share information
* The aim of your first appointment is to find out what your goals are and what you would like to be different
* By the end of the appointment we will decide together the best way forward in order to help you reach your goals/recovery
* If you have any questions, worries or concerns please speak to your clinician - we're all here to listen and to help, your initial appointment is a chance to discuss what is currently going on for you.

We have a leaflet entitled 'About your CAMHS appointment' which you can download here.

This leaflet clearly explains what to do if you have difficulties getting to appointments, it may address other questions you may have and also explains our appointment policy.

We understand that there are lots of reasons why you might not want information shared with your young person's school. We will want to understand those reasons so that we can make sure you still receive the help and support you might need.

There are some situations when we will need to share information with others. If your young person or someone they know are being harmed or are at risk of harm, we have a duty to protect anyone from harm so we will find a way together to share information in an appropriate way. We will include you in all discussions as much as possible when sharing information is involved.

If you are worried about information being shared please speak to your clinician about this so you can agree a way forward together.

* Following your first appointment, if it is agreed that CAMHS can help you a number of things may happen
* You may be offered a group to attend. We know that for some that groups with other people experiencing similar difficulties are the best support. These will be run by our experienced clinicians
* You may be offered a further period of assessment and intervention by one of our clinicians. They will contact you to arrange this.

This will depend on many factors including the type of difficulties you are experiencing and your goals. There will be regular reviews of how things are progressing and discussions with you and your family about the care we provide. At CAMHS we aim to empower young people to learn and develop skills to help themselves cope and work towards their goals.

Sessions usually last between 50 minutes and one hour. Some sessions are longer depending on the therapy approach being used. You can use as much or as little of your session time as you want.

No, not everyone that comes to CAMHS is prescribed medication. Medication can be helpful for some young people depending on what difficulties they are experiencing. If you have any questions or worries about medication, you can ask your clinician.

You might also find useful information and guidance about psychiatric medication on this website: www.headmeds.org.uk

If there is an emergency and you or someone else is at risk of serious harm, call 999 immediately and tell anyone else who may be near you so they can help.

If your young person is in crisis and you do not know what to do, click here.

If it is not an emergency, encourage your young person to find someone to talk to; a parent/ carer or family member, friend or partner, or call the helpline. If you already see someone at CAMHS, you can call after the weekend or the next day to speak with them or someone else in the team.

We know that when people finish their work with us and are discharged (closed) from our service, people can worry that they might not cope. It is important that if you are working with CAMHS that you complete a relapse prevention plan before you finish. It is important to keep this and follow the plan if you are struggling.

You can use the self-help pages of this website to remind yourself of the top tips to help you cope and access extra self-help information and advice. The most important thing to do is to let a parent/carer, teacher or trusted adult know that you are struggling so that they can support you.

Young people can sometimes be re-referred to CAMHS if this is agreed this would be the most helpful thing to do.

Yes!
* Specialist Eating Disorder Team
This team covers the whole of Hampshire and works with young people who have eating disorders and difficulties and their families. Our aim is to see young people as quickly as possible and provide specialist treatment. The team also provides information and guidance for anyone who might be concerned about an eating difficulty. The Specialist Eating Disorder Team can be contacted Monday-Friday 9-5pm on 0300 304 0062.
* i2i (Urgent Assessment and Home Treatment Team)
Our i2i team provide specialist intensive assessment and treatment to young people who are experiencing crisis or who require extra care to try to prevent crises from happening. This service can only be accessed by young people already coming to CAMHS and who have been referred by their CAMHS worker. The team provide urgent assessments and help develop care plans with you, your family, the CAMHS team, school and other agencies (where needed) that aim to keep young people as safe as possible.
* Learning Disability Care
Hampshire CAMHS also offer their services to children and young people with a learning disability, making sure that young people with a learning disability who also have a mental health difficulty can get the help and support they need. Every team in Hampshire CAMHS has a specialist learning disability CAMHS worker who can offer a range of approaches depending on each person's needs. One of the main approaches used is Positive Behaviour Support. This is an approach to support children and young people when they have behaviours that can be challenging.

We work together to find out why a behaviour may occur, including triggers and outcomes. This helps us to think of strategies to help a young person manage their feelings and helps parents or carers to respond in helpful ways.

Further information can be found at: www.challengingbehaviour.org.uk
* Youth Offending Team and Forensic CAMHS
The Youth Offending Team (YOT) is a service provided by Children's Services for young people who are involved in the Criminal Justice System. CAMHS provides specialist assessments and ways to help young people who have been involved in crime and are working with YOT. These CAMHS clinicians work within the YOT teams and alongside the YOT workers.

Forensic CAMHS is a specialist service for young people who experience a mental health difficulty and who may pose a risk to themselves or others. CAMHS workers in this team provide training, and advice and consultation to other professionals as well as specialist assessments and work with the young person and their family. The Clinicians in this team work closely with children's services, schools, the Police and other relevant organisations to ensure the health, wellbeing and safety of the young person and those around them

What do certain words mean? Read our Glossary.

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