Living with OCD and Anxiety: A Group for Teens

We’re starting a new group for Teens with OCD and Anxiety in August 2017 in Calabasas.The first group session is free, allowing you to get to know Melissa and her approach. Afterwards, the price is $75 per two-hour group session.

Life and school are challenging enough, but when you add OCD or anxiety to the plate it can be overwhelming. Friends and family try to be supportive, but no one can understand the challenges as well as someone who is dealing with the same kind of thing.

Topics include:

  • How can I be sure it’s OCD, anxiety or panic?
  • Is my OCD different or more complicated than most?
  • Managing compulsions, anxiety, and panic attacks at school
  • Dealing with parents and family members
  • Sharing your struggles with friends . . . or not
  • Learn and share strategies for managing OCD, tics and related disorders
  • What CBT tools are best for you?
  • Why exposures can help and how to do them
  • Am I the only one who . . . ?

You can talk about anything you want. Most kids with OCD and anxiety find it an incredible relief to meet others with the same experiences.

Contact Melissa for more information or an initial chat.

Living with Your Child’s OCD: A Group for Parents

We’re starting a new group for parents in August 2017 at our offices in Calabasas.The first group session is free, allowing you to get to know Melissa and her approach. Afterwards, the price is $75 per two-hour group session.

Parental support accounts for roughly fifty percent of the success of the treatment of children and teens with OCD. But our own anxiety and confusion can get in the way of helping our kids. Working with OCD is often counter-intuitive and can be emotionally challenging, frustrating and exhausting.

This group will allow you to meet with other parents with the guidance of Melissa Mose MFT, an experienced OCD therapist who is also the parent of a child with OCD.

Topics of discussion include:

  • Understanding OCD: the types, the course and the strategies
  • Common parenting traps and how to stop falling into them
  • The stressors and emotional strain of living with OCD: taking care of yourself and dealing with your own anxiety
  • Parenting skills specific to OCD treatment
  • Increasing competency behaviors in your child and reducing avoidance and symptomatic behaviors
  • Setting realistic goals and effective limits
  • Managing meltdowns, escalations and OCD moments: constructive approaches to anger and frustration
  • How to deal with siblings

We will also discuss issues as they arise within the group, or as requested by you.

Contact Melissa for information on dates and times.

When Change Is Good, And Bad, But Ultimately Good: Starting Middle School

“You can’t walk me in. I’m really sorry, but it’s middle school, mom. I WILL get teased.” – Parting words from my 11-year old on the first day of school.

The many unsettling changes that occur in and around our children as they enter Middle School provides them with the experiences that they need in order to grow. Nature gives us building blocks – the tools and the abilities – but for us to effectively grow our skills and employ those building blocks, we need nurturing…we require learning.

Today’s world provides a whole new set of experiences that may make this process more challenging than ever. What we know is that middle school is a rite of passage, and while this time in life has always proven incredibly fruitful, there’s no doubt that it’s just as incredibly difficult. Some of the more external adaptations facing today’s new Middle Schoolers includes more stringent academic demands, more kids and new faces, as well as a variety of different classrooms and teachers rather than the single room and teacher they’ve been used to their whole lives, who by the end of the day may spend as much time with a child as his or her parents.

In addition to these external adaptions, there are the internal ones that can weigh quite heavily on a child. Hormonal changes mean that bodies and emotions are in flux, making it much harder to cope with a steady, predictable environment, much less a radically different one. Hormones can also distort thinking, impact judgment and decision-making, wreak havoc on motivation and create strange new obsessions and desires. The bottom line is that a rapidly developing brain means that not all systems are online at all times.

One of the ways this manifests is bullying – kids at this age aren’t always very nice to each other. Sure, adults aren’t either, but Middle School is where it seems to begin. Kids are more vulnerable and scared than ever before, and consequently they are often mean, critical or aggressive, after all, fear and anger are generated in the same part of the brain – they go together. When we are stressed, feeling insecure or depleted many of us are more likely to bark at people or kick the dog. So, why are we surprised when kids do it? Why kids are so mean to each other? That’s when we have to remind ourselves that what seems like a “mean kid” may actually be a small human being who hasn’t yet developed the experience it takes to control intense emotions without acting or reacting. And since acting out is designed to relieve tension, it works. It makes us feel better. So, naturally, we keep doing it.

There are other benefits to being mean. People leave you alone, for instance. The best defense is a good offense. Bullies want an easy target – kill or be killed. Ok, perhaps that was a bit extreme, but these sayings are trite for a reason: they are true. That doesn’t necessarily mean they are productive, healthy, or good for world peace, but there’s no denying that such behavior tends to increase in middle school along with all of the other internal and external changes and stress triggers. And this is how children learn.

I might be writing this because I myself need to hear it – as my daughter enters Middle School, it’s not out of my nature to see her as the easy target and I need to remember all of this so that I don’t “go all mama bear,” as she likes to describe it.

So how do we help our children navigate the myriad of landmines that they potentially face? Is it by protecting them, arming them, or giving them the tools and training for the journey? The answer is all of the above.

There are many researchers and clinicians who have studied and addressed the topic at length. If you have a new Middle Schooler in the family, here are a few books and articles I highly recommend:

Playground Politics: Understanding the Emotional Life of Your School-Age Child by Stanley Greenspan and Jacqueline Salmon.

http://www.psychologytoday.com/blog/liking-the-child-you-love/201402/the-hiddennot-so-hidden-fears-middle-school-students

http://www.education.com/reference/article/emotional-development-middle-school/

http://www.edutopia.org/blog/how-middle-schooler-mind-works-brains-part-one-heather-wolpert-gawron

A Lesson In The Lost Art Of Listening

Melissa Mose_Listening

Sometimes it seems like absolutely nobody really knows how to listen. I suppose it’s odd that I’m bringing this up since listening is one of the reasons that I have a job, but it just seems like the world would be a much more harmonious place if people were more aware of how often they ‘hear’ what others are saying without really ‘listening.’ Exploring why this happens might help us to identify and change our behavior. The good news is, it is actually very understandable. Read More

What I Learned, As A Therapist And A Mother, About Childhood OCD

parents of children with OCD

Childhood OCD is a heartbreaking condition that is often misdiagnosed because it can look like anything from ADHD to a myriad of behavioral problems. I know this both as a clinician and as the parent of a child who experienced the debilitating symptoms of OCD as a result of a strep infection.

Pediatric Autoimmune Neuropsychiatric Disorder Associated with Strep (PANDAS), or the more generalized version, Pediatric Autoimmune Neuropsychiatric Syndrome (PANS), occurs when the antibodies produced by a strong immune system response to something like Strep or Lyme disease cross the blood brain barrier and trigger tics and/or a host of other OCD symptoms.

Most parents with a child suffering from PANDAS can tell you the exact day that came on. For me, it was December 26th. My daughter was eating a Christmas cookie that she had made with her father, and she found a tiny piece of plastic wrap on the cookie. She launched into a million questions – and I might not be exaggerating. “What if I swallowed plastic wrap mommy?” “How do you know I didn’t swallow plastic wrap?” “Would I suffocate if I swallowed plastic wrap?” “Would I be dead by now if I did swallow plastic wrap?” Read More