4 Ways to React to a Problem

Giving children and teenagers the tools to solve problems is vital if we want self aware and resilient kids. (Let’s face it, plenty of us adults need these tools too!)

According to DBT*, there are 4 ways to react to a problem:

1. Solve the problem: this could involve getting other people on board to help or be done on one’s own. Maybe you can change/avoid or leave the situation.
2. Feel better about the problem: change the way you are viewing the situation. Regulate your emotions, so the problem itself doesn’t change, but your reaction to it does. (As @gabbybernstein says, “obstacles are detours in the right direction”)
3. Tolerate the problem: if you can’t manage either of the first two, then maybe you can accept and tolerate the situation. This is called radical acceptance-it doesn’t mean you approve of the situation, you just stop fighting reality.
4. Stay miserable: don’t make any changes and possibly feel worse (!)

This might seem obvious but have you actually ever stopped to think about how you react to problems and the choices you have in those moments when problems arise? Have you ever talked through a problem with your teen or older child and used this kind of terminology?

I think by knowing that there are 4 ways to approach a problem you will already start to feel better about it and more in control (of your reactions).

Try thinking about the four options the next time you’re faced with a problem and let me know how it goes!

*Based on Dialectical Behaviour Therapy (DBT) which is an evidence-based psychotherapy

About Circumcision

Top facts about circumcision:
⏺A hood of skin, called the foreskin, covers the head (or glans) of the penis. In circumcision, the foreskin is surgically removed, exposing the end of the penis.
⏺ Circumcision is one of the most common surgical procedures in the world.
⏺It may also be one of the oldest, likely predating recorded human history.
⏺ Male circumcision is compulsory for Jews and is commonly practiced among Muslims.
⏺Most circumcisions are done during the first 10 days (often within the first 48 hours) of a baby’s life.
⏺ When a newborn is circumcised, the procedure takes about 5-10 minutes. Adult circumcision takes about an hour.
⏺circumcision prevalence around the world is ROUGHLY 38%
⏺some studies say it decreases sexual sensitivity/pleasure and other studies say it doesn’t 🤷‍♀️
⏺ Opponents, particularly of routine neonatal circumcision, question its utility and effectiveness in preventing diseases and object to subjecting newborn males, without their consent,to a procedure they consider to have dubious and nonessential benefits, significant risks, and a potentially negative impact on general health and later sexual enjoyment, as well as violating their human rights.

Some reported benefits
Studies show, those who are circumcised have a lower likelihood of:
* getting HIV and other sexually transmitted diseases (STDs) when they are older
* developing urinary tract infections (UTIs), especially in the first year of life
* getting cancer of the penis, which is rare in those who are both circumcised and uncircumcised. It is not yet clear if the decreased risk is related to circumcision itself or differences in hygiene.
* developing irritation, inflammation, or infection of the penis, because it is easier to keep a circumcised penis clean

Some reported risks
Like any surgical procedure, circumcision has some risks. These are rare (apparently around 3%) but include:
* Bleeding
* infection, which is usually mild and easy to treat 
* more skin or less skin removed than planned
* scar tissue forming

Source: Morris et al. Population Health Metrics (2016)
Morton Frisch 2011

Top Questions I Get Asked About Periods

When I begin lessons about periods I know I am going to get a barrage of questions about them. When you think about it, the science behind them can be a lot for a younger person to really grasp and then there’s all the emotional feelings involved, as well as any societal myths or taboos that need dispelling. Here’s how I answer some of the most common questions:
1. How will I know when I am going to start? Your body usually starts showing other changes associated with puberty before you start your periods, such as breast buds and vaginal discharge (maybe 1 or 2 years before)
2. Will they hurt? They could do! First of all remember that during your first year or so of periods you are going through menarche, which means you won’t get regular periods for a while and the amount of blood could be small. Some people suffer from period cramps. If you are suffering from pain rather than discomfort you should see a doctor and not accept that it’s a normal part of having a period. It takes a long time to get diagnoses for period related issues so be an advocate for your child or for yourself if the pain is getting in the way of normal daily life.
3. What if I start when I’m in the swimming pool? When you first start your period, that very first time will probably be such a small amount you wouldn’t even notice in the pool, and neither would anyone else. The blood would be diluted in the water.
4. Do they ever stop? Yes! When a person stops getting their periods (for 12 months) they go through something called menopause. This is not an overnight process, but takes a few years (on average 4-5) and there can be some side effects whilst the body is changing.

Timely vs Age Appropriate

I had the pleasure of delivering two workshops to parents a few weeks ago and an overarching theme was that parents were not sure what to teach and when. I speak a lot about what to teach here, but wanted to spend a moment looking at when!

It would be amazing to give a definite guide where on the day of a child’s birthday you know that it’s time to trot out the puberty talk, but unfortunately it’s not like that, is it?!

I like to use the word ‘timely’ instead of ‘age appropriate’ for 2 reasons:
1️⃣Children are all different and learn at different stages. What is right for one 7 year old is not necessarily right for another. Maybe your 7 year old has lots of older siblings or people around them and it feels right to get in there earlier with info that you want them to get from you and not from second hand sources.
2️⃣I’ve always felt that ‘age appropriate’ is some kind of catch all phrase that governments/schools (institutions mainly) say without any real understanding of s3x ed in order to cover their backs and give people a false sense of security-eg. We’ll talk about puberty when it’s age appropriate and then the schools themselves are left on their own to decide when that might be

If you’d like a rough guide, I’d say teach them the correct names for body parts from the beginning, use the word uterus when they ask about babies in tummies, talk about private and public parts and safe and unsafe touch as early as possible, answer in a scientific, matter of fact and shame free and simple way any time they ask about bodily functions and once they are around 7 or 8 you’ll start going into more detail about the changes associated with puberty. If you want to get in there before society/friends/older siblings when it comes to conception and sex, I wouldn’t leave it later than 11.

Of course, where I’ve mentioned ages it might be more TIMELY for your child to hear this stuff earlier. IF you are able to answer questions as and when they pop out throughout their early lives, talking about puberty and sex is going to be a natural progression from that. IF you are thinking, “oh my goodness, I’ve not done any of that and they’re X years old now” don’t panic! It’s never to late to introduce these topics. If you need help as to how, DM and I’d happily deliver a workshop to you and your parent friends to give you some pointers!

The vulva

New year, new push on correct terminology🙌

I still hear people on tv programmes, social media and around me calling the vulva a vagina. I know that people reading this are probably up on this stuff-so please encourage the people around you to follow your fantastic example. And if they ask you why it is important? Well here is why…

1. Because IT IS a vulva, not an elbow, leg or vagina!!!
2. If you don’t call it anything you deny it’s existence and send the message to others that it’s something not to be spoken of, which in turn perpetuates feelings of shame or embarrassment
3. Many nicknames for private parts have negative connotations-either really violent or really passive / flowery and LANGUAGE MATTERS!! It sends messages even if you’re not aware of them yet (thinking of children)
4. Giving your children the knowledge around their bodies empowers them. If they are assaulted or abused, they will have the precise language to communicate what happened to them and where
5. On that, if they were trying to disclose abuse and didn’t have the correct language then they may not be able to get their point across and then stop trying, as the adult they’ve told doesn’t understand what they are talking about
6. There is a resistance to talking freely and matter of factly about the vulva and clitoris that simply doesn’t exist when it comes to the penis and testicles. This is testimony to the inequalities in all of our societies and we can all play a part in breaking free of that by using the language correctly and without shame.

It can take us a while to break out of society’s social conditioning-hey, we’ve been sent this messaging all our lives! It takes a concerted effort to use new language in many different situations until it becomes second nature, but I promise you that you’ll be doing yourself and everyone else around you a favour by doing so.

Ps. I know from my own experience that people with a vulva can also cringe/shy away from using the correct terminology but that is just testimony to the depth of our conditioning. I don’t want future generations to be waking up at 40 and realising all this stuff! Let’s teach our kids the right terminology from the get go 👏👏👏

Mental Health and Younger Children

We are becoming more and more aware of the strains that stress can play on our children’s mental health. We need to get in there at an early age to give them the tools that they can use to manage these stresses. There are some things that we can help protect children from (eg. not giving them devices too young/parental controls on devices) and then there are many things we can not-life in general!

Therefore we need to foster the skills of resilience, problem solving, critical thinking and stress management so that they have a toolkit ready for when life throws stuff their way.

So how can you help?
-ask open ended questions to encourage open dialogue
-practice being non judgemental-the less judgemental you are, the more they’ll open up
-show them that you’re not perfect and that you don’t have it all figured out. Speaking about (appropriate) problems that won’t be scary for them shows them that you are human too and so they don’t grow up feeling like their parents always had everything figured out or think they need to be perfect like you
-be vulnerable in front of them: if they never see that they won’t think it’s ok for them to be it either
-encourage any creative/musical or sporting activities that they show an interest in, but don’t push.
-model / set healthy behaviours/boundaries when it comes to devices
-get out in nature
-get the whole family taking part in mindfulness techniques-doesn’t have to be a big thing, just little and often will model the tools to them (guided meditations/mindfulness colouring in books/yoga etc)
-animal therapy (!) pets are great de-stressers for kids
-if you’re trying to get your child into a secondary school where they have to take exams and interviews, tread carefully. I know you want the best for them and that includes sending them to a good school, but I’ve seen first hand how much stress children take on board when trying to pass entrance exams

I will do a separate post on a set of skills that can help early and be used throughout life ❤️

Puberty Changes-can you name all the changes bodies go through during puberty?

From 8 years old I start teaching about changes that happen during puberty. We revisit puberty each academic year, adding changes until they are 12, when they know all of the changes listed below:
EVERYONE
~growth spurts
~voice deepens (more in males)
~mood swings
~possible spots/acne
~sexual feelings can develop
~genitalia grows (female anatomy too!!)
~hair growth all over the body (also underarm hair and pubic hair)
~greasy hair (head)
~sweat more / smells different
~masturbation might start
PEOPLE WITH PENISES
~erections (can be uncontrollable but will calm down once having gone through puberty)
~testicles start producing sperm
~testicles drop
~wet dreams might happen (some people have them/some don’t/some have more than one)
~facial/chest/back hair might grow
~voice breaks
~shoulders broaden
~muscles thicken
PEOPLE WITH A UTERUS
~vaginal discharge will start 6 months to a year before periods start
~periods start
PEOPLE WITH FEMALE REPRODUCTIVE ORGANS
~breasts develop
~hips broaden
~bones get heavier

 

In order to be as inclusive as possible, I use careful language from the very beginning of my teachings around puberty. If asked why I am saying, “people with a penis” for example, I will explain (in an age appropriate way) that people can identify as a different gender to their anatomical sex/body parts, so a person with a penis could identify as a woman, for example. Introducing the idea that not all females are born with a uterus or that some people are born with reproductive or sexual anatomy that doesn’t fit into the boxes of ‘male’ or ‘female’ (intersex) is a way to educate your child that (possibly) the whole world doesn’t just look like they do and might even help with the diagnosis of various medical conditions (eg. roughly 1 in 5000 women are born without a uterus). When told in a matter of fact way, children are very curious and accepting of this information. It is factual and inclusive and therefore anyone sat in one of my classrooms who may not fit into a hetero cisgender box will hopefully feel seen, whilst hetero cisgender children will learn that other people are not living the same experiences as they are and are free to ask questions about that.

Appearance Ideals-How I teach about self esteem

I am currently teaching my class of 10-year-olds about self-esteem.

We start by thinking about appearance ideals and where we actually get our ideas surrounding beauty from.

First we analyse fashion to see how it changes over the decades, and we even think about why it’s changing. As we have studied a lot about World War I, World War II and propaganda we discuss the politics of fashion and, for example, why women were encouraged to go back into the home and be glamorous housewives after World War II because the men came back and needed the jobs.

This encourages them to realise that our ideas surrounding what looks good and what doesn’t can be manipulated, swayed or changed by the fashion industry, the music industry, movies and social media.

I give them an outline of a female and male body and ask them what messages does society send them about what women and men should look like. I’m always amazed to see 10 year olds list things like long hair, big lips, big breasts, big bums, skinny, long legs, no wrinkles& hairless for women, and tall, muscular, six pack abs, short hair for men. One year I had large penises added to the list too.

They may be 10 years old but society’s messaging surrounding appearance is not going unnoticed. I suspect one could do these lessons (or have these conversations) with seven and eight-year-olds and still get similar answers.

We go on to think about how much time and money might go into reaching for these goals and as they are ever changing, how we’ll never be able to obtain them and how this could pay a toll on our mental health (such as eating disorders). We think about what makes us unique and how we can celebrate our differences and special gifts 💝

Next I’ll be talking to them about photoshopping and filtering and how we really can’t believe everything we see.

Raising media literate children is the only way to help them become critical thinkers and navigate the world they are in. #Comparisonisthetheifofjoy

Can you have babies with one testicle?

I was asked this question in class recently-for the first time! Love it when I have to research! This is the what I found out:

⏺⏺Most people with a penis have two testicles in their scrotum — but some only have one. This is known as monorchism. Monorchism can be the result of several things. Some people are simply born with just one testicle, while others have one removed for medical reasons.

⏺It’s estimated about 1 in every 25 people with penises are born with undescended testicles. In most cases no treatment is necessary, as the testicles will usually move down into the scrotum naturally during the first 3 to 6 months of life. But around 1 in 100 has testicles that stay undescended unless treated.

⏺ Cryptorchidism is defined as the absence of one or both testes from the scrotum. This condition originates during fetal development. It is the most common birth defect of the male genitalia.
⏺Testicular regression syndrome, or vanishing testes. During embryonic or fetal development, various disruptions of the testicular development can cause its complete failure and a missing testis. The damage to testicular tissue activates the immune system cells, which then resorb the testicular tissue. In such cases, the testis is present neither in the scrotum, nor in the inguinal canal.
⏺Surgical removal of the testis. Because of various testicular tumours, the testis may have to be removed.

👏 Most people who have one testicle have normal sexual development and are perfectly capable of having children 👏

👩‍⚕️ If you ever have any worries about your genitalia, go see your doctor.

FUN FACT-testicles are constantly producing new sperm in spermatogenesis. The full process takes about 64 days. During spermatogenesis, testicles make several million sperm per day — about 1,500 per second!!🥳
(Main source -fertilitypedia.org)

 

It is always interesting to think about why I am being asked these questions-is the person actually asking for themselves, a sibling, did they see it on TV and wondered if it could be true….? I ask my classes to write anonymous questions and hand them in on folded paper so they can feel free to ask anything. When they are my own class (I am also a class teacher so teach them all the subjects all day long, apart from when I move around the school to teach Relationships and Sex Ed to other classes) I can generally tell who has asked what question, based on the handwriting, which can be really helpful in case anyone is asking something which raises a red flag for me.

You’re Getting A Sister!

I was written to the other day by a mother of a 2.5 years old who was wondering how to approach talking about her pregnancy and the arrival of a sister into the family with her son.

So first we need to think about what language has been used around him in terms of body parts. Using the scientific words for body parts is one of the fundamentals of good sex ed to empower children. So make sure you are using ‘penis/testicles’ and not nicknames, and if you are, just explain we are going to start using the proper words from now on. Children are very accepting and just repeat the correct terminology back to him if he continues to use old terms that he has learnt previously until he doesn’t any more. PS. The more family members that are on board with this, the better!

🤰 When talking about the baby, if you are not doing so already, use the word uterus rather than tummy for where the baby is.
👶Obviously once the baby has arrived, changing nappies and bath times are times where he might talk about the differences he’s seeing. I think keeping things organic whereby you are responding to him and what he is looking at/pointing out or saying is key and repetition often really helps.
📚 In terms of preparing him, you could start sharing some age appropriate books with him where you can already introduce body parts, for example, “your sister will have a vulva (PLEASE USE VULVA RATHER THAN VAGINA 😊)like mummy, you have a penis like daddy.”(If that’s the case in this particular household).
😔The shame/stigma for these words comes from adults and not children so the more comfortable we are using the words, the more we model that there is nothing to feel ashamed of or secretive about when it comes to private parts.
📖 A good book for you to reference and then have in the house to dip in and out of is ‘Let’s Talk.’ 
🤱Once baby is here, if he goes to touch her body/hug her etc you can already introduce consent just by simply saying, “can I hug you?” Start as you mean to go on and that will become a natural part of their behaviour and is excellent modelling of consent and bodily autonomy. There are always opportunities at this age to teach consent.