Written by Cathi Spooner, LCSW, RPT-S

 

If you’re a mental health professional working with children, youth, and families, chances are you’ve worked with children who struggle with regulating their strong emotions.  Parents of these children are often overwhelmed and unsure how to help their child and are looking to you as the “expert” to know what to do and how to help their child. Emotion dysregulation wreaks havoc on self-esteem and relationships for children so the impact can be experienced throughout their lives if not addressed early.  So how do we help our young clients and reassure their parents that everything will be okay? How do we make sure they have effective skills that will actually help? These are the questions we need to ask ourselves when working with children who experience regular emotion dysregulation and their families. 

 

First, a short review of the mind-body connection to help guide our treatment strategies

From birth children are creating the neural circuitry that will allow them to regulate their emotions, so it’s important to identify treatment strategies that will support this important developmental process. The goal for treatment is helping our young clients develop the ability for long-term emotion regulation skills that will help them to internally regulate their emotions. It’s important for mental health professionals to understand the mind-body connection so they can accurately target their interventions and recognize the underlying triggers for behavior. Using neuroscience-informed strategies to teach coping and calming skills to children and their caregivers provides an opportunity for children to establish the emotion regulation neural circuitry needed to be successful in their relationships and daily lives.

 

From birth children are creating the neural circuitry that will allow them to regulate their emotions, so it’s important to identify treatment strategies that will support this important developmental process.

 

Polyvagal theory developed by Stephen Porges (2011) provides an understanding the role of the autonomic nervous system and the vagal system to regulate emotions. He discusses the importance of maintaining strong cardiac vagal tone and flexibility via the vagal brake (discussed in the blog article: Calming Strategies for Regulating Strong Emotions). Our goal in the treatment process is to help our young clients struggling with emotion regulation create wide windows of tolerance. Since parents are the co-regulators for their children (discussed in the blog article: Benefits of Co-regulation for Children and Parents in Play Therapy), it’s important to teach coping and calming skills to parents so they can regulate their own emotions while helping their child to regulate their emotions. I like to use the analogy of the roller coaster to help parents understand the importance to remaining emotionally regulated during their child’s “emotional storms.”  In this analogy, the roller coaster rails are the child’s emotions and during an emotional meltdown the child is in the roller coaster car moving along the ups and downs and upside downs of the roller coaster with their emotions. Every roller coaster ride has a platform where people wait their turn to get on the roller coaster ride. In this analogy, parents need to remain “on the platform” while their child “rides the emotional roller coaster” to help remain steady and calm until the child can “disembark” from their emotion dysregulation episode. If parents dysregulate then they essentially get on the roller coaster with their child, and there is no adult to be the calming, steadying force to help the child calm down. So helping parents understand the importance of staying on the “platform” is key to helping their child regulate their strong emotions.

 

What does a roller coaster have to do with breathing and mindfulness, you ask? 

To help children and youth (as well as parents) regulate their emotions (i.e. – get off the emotional roller coaster), mental health professionals can teach the importance of mindfulness and breathing. Remember cardiac vagal tone? The ability to slow down the heart rate will in turn bring our vagal system into a state of homeostasis. Helping clients regain homeostasis within their bodies requires that mental health professionals use strategies to teach their clients how to regain balance within their bodies. This will help clients develop emotion regulation circuitry to tolerate stressors throughout their day and remain within their windows of tolerance. If you’ve read my previous blog articles, I discussed the role of vagal nerve system, emotion regulation and co-regulation, and the importance of understanding the neuroscience underlying behavior to make sure you conceptualize treatment needs for your clients. 

 

Helping clients regain homeostasis within their bodies requires that mental health professionals use strategies to teach their clients how to regain balance within their bodies.

 

Paced breathing helps regulate heart rate which in turns helps to settle down the body and settle down emotions and bring your young clients into a mindful state. Mindfulness is generally defined as paying attention on purpose in the present moment. Regulating our breathing critical for this process. When we’re in a mindful state, we are fully present in the moment and focused on calming our emotions and relaxing our bodies. Teaching breathing strategies, such as Square Breathing, Belly Breathing, and other breathing techniques is a valuable tool for regulating emotions and entering into a mindful state. In this mindful state, we are fully present in the moment, not in the past ruminating about unpleasant events or perseverating on potential negative future events, also known as “future tripping.” I love using paced breathing because it can be used anywhere at any time with no special equipment or supplies. For children and adolescents who struggle throughout the day to manage their strong emotions, taking short breaks throughout the day using paced breathing to practice the skills and get into the habit of using this powerful skill can be useful and help strengthen those emotion regulation circuits. What gets “fired” gets “wired”, right? Integrating the therapeutic powers of play into this process ensures the interventions meet their developmental needs. I love using bubbles to teach breathing skills, plus they’re just fun and absolutely helps to be fully present in the moment. Who doesn’t love bubbles, right?

 

Here are links to two paced breathing videos to use with children and teens:

 

https://www.youtube.com/watch?v=YFdZXwE6fRE

 

https://www.youtube.com/watch?v=AOL3isokmY4

 

 

Are you a mental health professional working with children and families? Here’s a free pdf with five of my favorite mindfulness-based emotion regulation interventions to help children regulate their strong emotions.  (I used the beans, bubbles, and water activities with my own chidlren and they were magical!). Click here for a free copy of my pdf: 5 of My Favorite Mindfulness-based Interventions for Regulating Emotions

 

 

Reference

 

Porges, S. W. (2011). The polyvagal theory: Neourophysiological foundations of emotions, attachment, communication, self-regulation. New York, NY: W. W. Norton.