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Your Toddler

Toddlers Lack of Sleep Tied to Behavior Problems

2:00

Sleep is vital to survival and while we may appear to be doing nothing, our brains are very active. Sleep deprivation can make us grumpy and unable to make good decisions or concentrate. Not only do adults need sufficient amounts of sleep- so do children.

 A new study looks at the affects not enough sleep can have on toddlers and found that those little ones that slept less than 10 hours a night or woke up frequently were more inclined to have emotional and behavioral problems at age five.

Researchers were surprised that the “risks were so strong and consistent” said lead author Borge Sivertsen of Uni Research Health and the Norwegian Institute of Public Health in Bergen.

“While only an experimental study can determine causality, our study does suggest that there is an increased risk of developing such problems, also after accounting for a range of other possible factors,” Sivertsen told Reuters Health by email.

The results were from a long-term study of 32,662 pairs of mothers and children in Norway. The mothers filled out questionnaires when they were 17 weeks pregnant, when the child was 18 months old and again when the child was five years old.

Mothers rated 99 child behaviors on a scale from “not true” to “very true” and reported how long the child slept in a 24-hour period and how often he or she woke up during the night.

At 18 months, almost 60 percent of toddlers were sleeping for 13 to 14 hours per night and about two percent were sleeping for less than ten hours per night. About 3 percent of toddlers woke three or more times per night. Most kids woke a few times per week or less.

Toddlers who slept less than 13 hours per night often had emotional or behavioral problems at the same age, the authors write in JAMA Pediatrics.

They also had a higher risk of internalizing problems such as being emotionally mercurial, anxious and depressed.

While the study doesn’t prove causation, it does lend a lot of credibility to there being a link between too little sleep in toddlers and later emotional and social problems.

“Although it is difficult to tease out causality from observational studies, this longitudinal study does suggest that inadequate sleep in early childhood increases the risks for later emotional and behavioral problems,” said Michelle M. Garrison of Seattle Children’s Research Institute in Washington, who wrote an editorial about the research.

Not all of these children will necessarily develop mental health problems later in life. Other factors also play important roles like the child’s temperament and his or her parent’s emotional health.

If your child seems to have difficulty sleeping well or getting to sleep, talk with your pediatrician about tips to help your little one get the rest he or she needs. 

Source: Kathryn Doyle, http://www.reuters.com/article/2015/04/13/us-toddlers-sleep-behavior-idUSKBN0N41U920150413

 

Your Toddler

Thumb Sucking

2.00 to read

I admit it – I was a thumb sucker for way too long. My thumb and mouth didn’t part company until I was in first grade. The fear of getting caught during a sleepover at a friend’s house was enough for me to finally call it quits.

It’s normal for babies and toddlers to suck their thumbs. Babies are born with the urge to suck as part of their survival. They also use it as a way to soothe themselves when they feel hungry, afraid, restless, sleepy or bored. Toddlers carry on that natural instinct as they find their way in the world.

By the time children are around four-years-old they’ve typically stopped sucking their thumb and found replacements for self-soothing. Occasionally, children (like myself) will continue to suck their thumb out of habit.

Some experts say that if a child is still sucking their thumb by the age of six, they may be doing so because of emotional distress such as anxiety.

Thumb sucking isn’t a problem under the age of four, but if a child continues- with great intensity- after five or six years old, they could be setting themselves up for dental or speech problems.

Prolonged thumb sucking may cause their teeth to become improperly aligned (malocclusion) or push their teeth outward. If the thumb sucking stops, the teeth most likely will align correctly, but the longer the sucking continues the more likely orthodontic treatment will be needed.

Extended thumb sucking may also cause speech issues such as lisping, inability to say Ts and Ds, and pushing the tongue out when talking. A speech therapist may be needed to help correct these problems.

How do you help your child stop sucking their thumb? It takes a lot of patience.

One place to begin is to pay attention to what triggers the thumb sucking. Does your little one start when they are bored, sleepy, or unsure about something? Redirecting can help. Busy hands help keep thumbs from going into the mouth. Give your child a large stuffed animal to wrap their arms around or have them help hold the book when you are reading to them. Offer a squeezable rubber ball or finger puppets to grasp when they are watching TV.  The key is to offer an alternative at the times you notice they are the most likely to want to suck their thumb.

Ask your child to not suck their thumb in public and gently remind them when you see them doing it. Let them suck their thumb at home, but start the process of being self-aware in public. Kids often unconsciously slip their thumb into their mouth. A reminder helps them notice what they are doing.

You can also start talking to your child about why it’s time to give some thought to stopping. In age-appropriate language explain how thumb sucking is okay for younger children, but as children get older they learn how to stop. Ask them questions like “Do you see (insert name of an older child or adult here) sucking his or her thumb?” They’ll think about it more and start to decide whether they want to continue. It’s a process that takes time.

Punishing or shaming your child is absolutely the wrong method to address thumb sucking. This approach not only doesn’t work, but also lowers a child self-value and can create an even stronger desire to thumb suck. It’s like quitting anything you’re doing that may not be good for you in the long run- the worse someone tries to make you feel about it- the more you want to do it (think overeating, smoking, drinking.)

You can also talk to your pediatrician or family doctor for his or her suggestions on how to help your child. For older children, behavioral therapy may be beneficial.

There are products that are nasty tasting that can be swabbed on your child’s thumb, but some experts think that approach is cruel and more like a punishment than a humane way to help a child outgrow a natural inclination.

Most kids will simply quit sucking their thumb when they are good and ready. Helping your child reach that point may require patience and creativity, but in time his or her thumb will cease to be a constant comfort companion.

Sources: http://children.webmd.com/tc/thumb-sucking-topic-overview

Your Toddler

Anchor It!

1:45

The U.S. Consumer Product Safety Commission (CPSC) has launched “Anchor It”, a national public education campaign, to help make people aware of the dangers that free-standing furniture and TVs present, particularly to children.

The annual number of children injured or killed from furniture and TV tip-overs is astounding.

According to CPSC data, unstable and unsecured TVs and large pieces of furniture kill a child every two weeks, on average, in tip-over incidents that are easily preventable.  CPSC also reported that 38,000 Americans go to emergency rooms each year with injuries related to tip-overs of top-heavy furniture or televisions placed on furniture, instead of a TV stand.  Two-thirds of those injuries involved children younger than 5.  Additionally, between 2000 and 2013, 84 percent of the 430 deaths reported to CPSC involved children younger than 10.

A January 2015 CPSC report found that a television tipping over from an average size dresser falls with thousands of pounds of force. 

The impact of a falling TV is like being caught between two NFL linemen colliding at full-speed—10 times. 

“Every 24 minutes in the U.S. a child goes to the emergency room because of a tip-over incident involving furniture or a TV,” said CPSC Commissioners Marietta Robinson and Joseph Mohorovic. “We must take action now. CPSC’s new ‘Anchor It!’ campaign is a call to action for parents and caregivers to ‘get on top of it, before they do.’ If we can prevent one more death, it will be worth it.”

Cards and posters are being distributed parents and caregivers of toddlers at daycare centers and preschools. A list of safety steps parents and caregivers can take are printed on the handouts. They are:

·      Buy and install low-cost anchoring devices to prevent TVs, dressers, bookcases or other furniture from tipping.

·      Avoid leaving items, such as remote controls and toys, in places where kids might be tempted to climb up to reach for them.

·      Store heavier items on lower shelves or in lower drawers.

·      Place TVs on a sturdy, low base and push them as far back as possible, particularly if anchoring is not possible.

·      If purchasing a new TV, consider recycling older ones not currently used. If moving the older TV to another room, be sure it is anchored properly to the wall.

The “Anchor It” campaign’s website (www.Anchorit.gov) shows you how to anchor furniture and television sets properly, with easy to follow instructions. Keep your little one safe and Anchor It!

 

Your Toddler

Recall: Strollers and Rumble Seats Due to Choking Hazards

1:45

UPPAbaby is recalling about 71,000 of its’ 2015 CRUZ, 2015 VISTA strollers and 2015 RumbleSeat. The strollers’ and RumbleSeats’ bumper bar poses a choking hazard when a child bites the bumper bar and removes a piece of the foam covering.

UPPAbaby has received 22 reports of children biting off a piece of the bumper bar foam. No injuries have been reported.

The strollers and rumble seats were sold at BuyBuy Baby and other juvenile product retailers nationwide and online at Amazon.com from December 2014 through July 2015 for about $500 for the CRUZ stroller, $860 for the VISTA stroller and $170 for the RumbleSeat.

Consumers should immediately remove and stop using the bumper bar on these recalled strollers and RumbleSeats and contact the firm to receive a free bumper bar cover and warning label.

The CRUZ strollers have an aluminum alloy grey or black frame with a black fabric toddler seat with a colored fabric sunshade canopy and a black basket under the seat. The UPPAbaby name and logo are printed on the side of the canopy and “CRUZ” is printed in white lettering on the handlebars of the stroller.

The VISTA strollers have grey or black aluminum frames, colored sunshade canopy and are made to hold one, two or up to three children. VISTA is printed in white lettering on the handlebars of the stroller and UPPAbaby is printed across the bottom diagonal rail of the stroller frame next to a black, fabric basket.

The RumbleSeat is a separate seat attachment that can be attached to the stroller frame. RumbleSeats have manufacture dates stamped on the bottom of the seat from September 2014 through May 2015. The RumbleSeat comes in various colors and allows the child to ride rear facing, forward facing or reclined.

All of the strollers and RumbleSeats have a foam bumper bar across the middle of the product for the child to hold.

The recalled stroller and rumble seat model numbers are listed online at http://www.cpsc.gov/en/Recalls/2015/UPPAbaby-Recalls-Strollers-and-RumbleSeats/#remedy.

Consumers can also contact UPPAbaby customer service toll-free at (844) 540-8694 from 9 a.m. to 5 p.m. ET Monday through Friday, email contact@uppababy.com or online at www.UPPAbaby.com and click on Safety Notice on the lower right hand corner of the page for more information.

Your Toddler

Proof That Reading to Your Child is Good for Them

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Not only do small children love being read to but a new study confirms that it is actually good for them.

Brain scans taken of 19 preschoolers whose parents regularly read to them showed heightened activity in important areas of the brain. Experts have long theorized that reading to young children on a consistent basis has a positive impact on their brain development; researchers say this study provides hard evidence that it does.

 The study’s leader Dr. John Hutton, of Cincinnati Children's Hospital Medical Center,

 and his team used functional MRI scans to measure real-time brain activity in 19 children, aged 3 to 5 years, as they listened to stories and to sounds other than speech.

Parents were interviewed about "cognitive stimulation" at home, including how often they read to their children. Based on their responses, the number ranged from two nights a week to every night.

Overall, Hutton's team found, the more often children had story time at home, the more brain activity they showed while listening to stories in the research lab.

The impact was largely seen in the area of the brain that is used to obtain meaning from words. There was "particularly robust" activity, the researchers said, in areas where mental images are formed from what is heard.

"When children listen to stories, they have to put it all together in their mind's eye," Hutton explained.

Even though children's books have pictures, he added, that's different from watching all the action play out on a TV or computer screen.

When a child is listening to a story being read to them, they are engaging a different part of the brain than when they are passively sitting in front of a screen with images.

The American Academy of Pediatrics (AAP) advises parents to read to their children every day, starting at birth. That pre-kindergarten time is a critical time for brain development, Hutton said. Other research has found that children with poor reading skills in first grade usually do not "catch up" with their peers.

Hutton believes that a traditional story time provides a critical "back-and-forth" between parents and children.

"It's not just a nice thing to do with your child," he said. "It's important to their cognitive, social and emotional development."

Reading to your child can help him or her build a lifelong relationship with the written word. That skill will help them be able to navigate more easily in school, later on in business and can bring hours of personal pleasure through the stories of gifted writers.

Source: Amy Norton, http://consumer.healthday.com/cognitive-health-information-26/brain-health-news-80/brain-scans-show-why-reading-to-kids-is-good-for-them-701897.html

 

 

Your Toddler

Preparing For Your Toddler’s First Halloween

1:45

Remember your first Halloween? Most likely, you don’t. Like many kids, you were probably just a toddler when your parents dressed you in a costume and took you house to house in search of candy and other treats.

Now that you have a child of your own, preparing him or her for their first Halloween adventure can be a bit overwhelming.

Here are 7 tips to help ease parents and toddlers into the Halloween tradition:

1. Allow for plenty of prep time to help your child understand what Halloween is all about. Reading books and stories to your child about trick-or-treating—and Halloween in general—are great ways to help that discussion. You might even want to have your child practice in his or her costume before the big day. Toddlers need to know that Halloween is just for fun and the scary stuff is simply pretend. Some children may feel intimidated by costumes and crowds of people. If your little one doesn't want to partake in Halloween, then let that be okay. There is always next year, and 12 months can make a big difference!

2. Go out before it gets dark. If you’re planning on trick or treating in your neighborhood, try and time your outing before the sun goes down. This can help your child stay on his or her regular evening schedule. Toddlers need a consistent bedtime and starting early helps them keep that time in check. If your neighborhood tends to start Halloween festivities after dark, you might consider a center where activities are offered earlier in the day.

3. Watch out for tripping hazards. Toddlers aren’t quite in control of their walking abilities – even on a good day when nothing much is going on - walking can be a balancing act for tots. While you won't be able to prevent all of the tumbles, choosing a costume that is not too long or too bulky will help a great deal. Be sure to check the forecast before you go out and try to include layers if needed. Also remember to help your little one climb up and down any steps and porches.

4. Always have another costume on standby. Lots of toddlers are prone to toilet training accidents. If potty-training is still in its early stages, then there's a narrow window between "I have to go" and an accident. Keep that in mind when choosing a costume – the simpler, the better. There is also no harm in putting him or her in an easy-on, easy-off diaper. 

5. Know when to pack it in. You never know what you’re going to run into on Halloween. If a house or costume is too scary or he or she takes a tumble or maybe your toddler has had a rough day already, then you already know that a temper –tantrum could be right around the corner. Once your tot gets too tired or just can’t seem to cope any longer, it’s time to head home. But all is not lost! Once your little one is home and has recovered, you might want to see if he or she would prefer to help hand out candy to all the "big kids" for a little while. You know your child best and can read the signals he or she is sending. An hour or less of trick or treating may be plenty for a first time out.

6. Watch out for sugar overload. While Halloween and candy go hand in hand, make sure your little one doesn’t over do the sweets – besides all the common sense reasons children shouldn’t be eating too much candy - a sugar crash can make kids more susceptible to overwrought tantrums.

7. Keep an eye for any choking hazards. It's best to avoid eating while walking or running. Once your child is ready to enjoy treats at home, keep in mind that babies and toddlers should not have any hard candies, caramel apples, popcorn, gum, small candies (jelly beans, etc.), gummy candy, pumpkin seeds, or anything with whole nuts. Candy wrappers, stickers, small toys, or temporary tattoos can be a choking hazard, for tiny throats. As all parents know, babies and toddlers will put just about anything into their mouths!

Halloween is thought to have originated with the ancient Celtic festival of Samhain, when people would light bonfires and wear costumes to ward off roaming ghosts. The holiday has been observed and celebrated since ancient times and has also become an American tradition; exciting children’s imaginations every October 31st.  If this is your little one’s first Halloween, be prepared, have fun and don’t forget to take lots of pictures to share with family and friends!

Story source: Dina DiMaggio, MD, FAAP, https://www.healthychildren.org/English/safety-prevention/on-the-go/Pages/Easing-Infants-Toddlers-into-Halloween-Fun.aspx

Your Toddler

AAP: Winter Car Seat Safety

2:00

So far in Texas, this year’s El Nino weather pattern has made for a pretty mild winter compared to previous years. But, other areas around the country are being hit hard with a wintery punch and it’s only a matter of time till temperatures drop and snow and ice find their way to the Lone Star State.

Winter can be a bit tricky for child car seat use. While it sounds like the opposite might be true, bulky clothing such as coats and snowsuits should not be worn under the car seat harness.

More padding - more cushion right? That seems logical until you know what happens when a car crashes. In a wreck, fluffy padding immediately flattens out from the force, leaving extra space under the harness. A child can then slip through the straps and be thrown from the seat.

So how can you keep your little one warm and protected while buckled up? The American Academy of Pediatrics (AAP) has these tips to help strike a comfortable and safer balance.

·      Use a coat or blanket over the straps. You can add a blanket over the top of the harness straps or put your child's winter coat on backwards (over the buckled harness straps) after he or she is buckled up. Some parents prefer products such as poncho-style coats or jackets that zip down the sides so the back can flip forward over the harness. Keep in mind that the top layer should be removable so your baby doesn't get too hot after the car warms up.

·      Use a car seat cover ONLY if it does not have a layer under the baby. Nothing should ever go underneath your child's body or between her body and the harness straps. Be sure to leave baby's face uncovered to avoid trapped air and re-breathing. Many retailers carry car seat bundling products that are not safe to use in a car seat. Just because it's on the shelf at the store does not mean it is safe!

·      Dress your child in thin layers. Start with close-fitting layers on the bottom, like tights, leggings, and long-sleeved bodysuits. Then add pants and a warmer top, like a sweater or thermal-knit shirt. Your child can wear a thin fleece jacket over the top. In very cold weather, long underwear is also a warm and safe layering option. As a general rule of thumb, infants should wear one more layer than adults. If you have a hat and a coat on, your infant will probably need a hat, coat, and blanket.

·      Don't forget hats, mittens, and socks or booties. These help keep kids warm without interfering with car seat straps. If your child is a thumb sucker, consider half-gloves with open fingers or keep an extra pair or two of mittens handy — once they get wet they'll make your child colder rather than warmer.

·      Get an early start. If you're planning to head out the door with your baby in tow on winter mornings, you need an early start. You have a lot to assemble, and your baby may not be the most cooperative. Plus, driving in wintry conditions will require you to slow down and be extra cautious.

·      Tighten the straps of the car seat harness. Even if your child looks snuggly bundled up in the car seat, multiple layers may make it difficult to tighten the harness enough. If you can pinch the straps of the car seat harness, then it needs to be tightened to fit snugly against your child's chest.

·      Remember, if the item did not come with the car seat, it has not been crash tested and may interfere with the protection provided in a crash. Never use sleeping bag inserts or other stroller accessories in the car seat.

·      Store the carrier portion of infant seats inside the house when not in use. Keeping the seat at room temperature will reduce the loss of the child's body heat in the car.

·      Pack an emergency bag for your car. Keep extra blankets, dry clothing, hats and gloves, and non-perishable snacks in your car in case of an on-road emergency or your child gets wet on a winter outing.

·      Make sure your cell phone is charged. If there is an emergency, you want to be able to reach 911 or call for assistance in case of a flat tire or engine trouble.

This is a time when there is a lot of holiday travel from state to state or just down the road to grandma’s house.

Remember, it’s not just children in car seats whose coats shouldn’t be tucked under the harness, adults and older children should make sure their coats are on the outside of the seat-belt.

Little steps can make a big difference in everyone’s safety.

Source: https://healthychildren.org/English/safety-prevention/on-the-go/Pages/Winter-Car-Seat-Safety-Tips.aspx

Your Toddler

Is Your Child a Biter?

2.00 to read

At some time or another your sweet child is going to bite or wallop someone, most likely another kid. And yes, it's embarrassing to have to pull your child off another or to apologize to grandma because her grandchild just took a chunk out of her arm. 

Know that you’re not alone - all kids bite and /or hit. The key to stopping aggression in children is teaching them that there are alternative ways to handle frustration and biting is not acceptable behavior.

Not all biting stems from anger. The younger the child, the less chance that biting is an aggressive behavior. It can also be a simple case of exploration. Young children bite for many reasons, from painful gums because they are teething to seeing what kind of reaction they get. Children between the ages of one and three typically go through a biting phase they eventually outgrow.

While biting may be a normal phase kids go through, it’s something you want to discourage.

Let’s look at some of the reasons kids bite.

  • They're in pain. When babies bite, typically it's because they're teething. They're just doing it to relieve the pain of their swollen, tender gums.
  • They're exploring their world. Very young children use their mouths to explore, just as they use their hands. Just about everything infants or toddlers pick up eventually winds up in their mouths. Kids this age aren't yet able to prevent themselves from biting the object of their interest.
  • They're looking for a reaction. Part of exploration is curiosity. Toddlers experiment to see what kind of reaction their actions will provoke. They'll bite down on a friend or sibling to hear the surprised exclamation, not realizing how painful the experience is for that person.
  • They're craving attention. In older kids, biting is just one of several bad behaviors used to get attention. When a child feels ignored, discipline is at least one way of getting noticed -- even if the attention is negative rather than positive.
  • They're frustrated. Biting, like hitting, is a way for some children to assert themselves when they're still too young to express feelings effectively through words. To your child, biting is a way to get back a favorite toy, tell you that he or she is unhappy, or let another child know that he or she wants to be left alone.

So, how do you prevent or teach your child that they can’t go through life biting others?

You start with consistent prevention and move on to discipline if they are older.

  • If your baby is teething, make sure to always have a cool teething ring or washcloth on hand so he or she will be less likely to sink teeth into someone's arm.
  • Avoid situations in which your child can get irritable enough to bite. Make sure that all of your child's needs -- including eating and naptime -- are taken care of before you go out to play. Bring along a snack to soothe your child if he or she gets cranky from being hungry.
  • As soon as your child is old enough, encourage your child to use words such as “I'm angry with you" or "That's my toy" instead of biting. Other ways to express frustration or anger include hugging (not hitting) a stuffed animal or punching a pillow. Sometimes redirection is helpful; shortening activities or giving your child a break can help prevent the rising frustration that can lead to biting and other bad behaviors.
  • Give your child enough of your time throughout the day (for example, by reading or playing together), so he or she doesn't bite just to get attention. Extra attention is especially important when your child is going through a major life change, such as a move or welcoming a baby sibling. If your child is prone to biting, keep an eye on any playmates and step in when an altercation appears to be brewing.

You’ve done all that is possible to prevent another biting situation, and low and behold your child is biting another. What do you do then?

When your child bites, firmly let your child know that this behavior is not acceptable by saying, "No. We don't bite!" Explain that biting hurts the other person. Then remove your child from the situation and give the child time to calm down. It’s important that you remain calm.

Seeing your child bite another is naturally going to create an unpleasant reaction in you. As soon as you witness a biting episode, your body tenses, your heart races, and even if you don't actually scream, you really want to. The angrier you are, the tenser the situation becomes. You are much more likely to strike your child when you let your anger get the best of you. Take a deep breath, assess the situation and intervene calmly. Remove your child, let him or her calm down and explain (yes, once again) that biting is not going to be tolerated. If your child is old enough to understand time-out, this is a good time to use it. If not, remove the child from the temptation. Playtime is over.

One way some parents handle biting is to bite their own child to show them how painful it can be. Doing what you are telling your child not to do sends a mixed message. It’s similar to hitting your child and then saying “don’t hit others.” Most likely your child will experience how painful it is because another child will bite them someday.

The point is not so much that biting is painful, the action itself is unkind, unproductive and wrong.

When biting becomes a habit or continues past the age 4 or 5, it may stem from a more serious emotional problem. This is the time to ask for help from your pediatrician, family doctor or a child psychologist.

If your child is bitten, wash the area with soap and water. If the bite is bleeding and the wound appears to be deep, call your child’s doctor. The bite may need medical treatment, which could include antibiotics or a tetanus shot or both.

Biting is a horrible habit to get into and a difficult one to stop. Start teaching your child early that momma and daddy are not putting up with it and that there are better ways to explore the world and handle frustration.

Source: http://www.webmd.com/parenting/guide/stop-children-from-biting

Your Toddler

Making Time Outs Work for You and Your Child

2:00

It’s not going out on a limb to say that at eventually, mom or dad will resort to the “time out” rule when their little one is behaving badly. And that’s a good thing. 

Time-outs can be very effective in helping children learn how to change their behavior as long as they are not overused and handled correctly.

What is a time-out? Basically, a time-out is when a child is separated from others for behavior that is unacceptable such as throwing a full-out tantrum, continuingly refusing to obey a command, or biting, hitting or kicking someone. 

When used correctly, a time out can teach a child how to modify his or her behavior in a more acceptable way. However, problems can arise when parents don’t know how or when to use time outs effectively.

Time outs should be used as positive and consistent discipline, not as a form of punishment. Time outs separate a child from positive feedback when they are intentionally acting up. It gives them the space and time to settle down and associate the behavior with the consequence.

A time out should consist of a designated place in the home where the child is safe and can be seen. The place should be quiet and away from the activity that caused or included the behavior. Many parents have a stool, chair or step on standby for time outs. The area needs to be boring and not have “reward” objects such as TVs, toys, or computers present.

How long should time outs last? Many follow conventional wisdom that when a child demonstrates unacceptable behavior, he or she should be separated from the activity for a number of minutes equal to his or her age.

Time outs should be used to help a child calm down and think about the behavior that got them there.

The American Academy of Pediatrics (AAP) says it's okay to give children as young as 1 a time-out – but it's best only as a last resort. Until he's a little older, your child may not have the self-control and reasoning skills to make a traditional time-out effective. Instead, think of a time-out as the "quiet time" your toddler needs to calm down and get his or her emotions under control. It’s also a time when parents can get their own emotions under control as well.

If you’re child is capable of understanding that certain behaviors are not going to be tolerated, and yet they are right in the middle of acting out one of those behaviors, that’s when a time out should be implemented.

You want your child to associate the behavior with the consequence. Calmly tell your child in no more than 10 words why they are in time out. As soon as he or she calms down, reward them with positive attention.

Children whine, cry and sulk – those are not reasons to put them in time out. Time outs are for intentional behavior such as biting or continuing to break rules.

What's helpful about a time-out is that it can defuse and redirect an escalating situation in an unemotional way. It lets you teach your child without setting a negative example, the way yelling or hitting does.

Parents tend to over explain a situation to a child, that’s why it’s important to keep the wording simple and direct. Over-talking the problem also tends to make the parent more agitated when the behavior doesn’t change. Being calm when putting your child in time out not only de-escalates the situation but also helps your child relax and think about their behavior. If you’re screaming and jerking your child to the time out area, they are more likely to be frightened and / or defiant than contemplative.

When the time-out is over, give your child a hug. A sign of affection demonstrates that he or she is still worthy of your love even though the behavior is unacceptable.

What if your child won’t stay in the time out zone? Toddlers are going to give you a challenge- that’s their nature. Power struggles can easily get out of hand. Until your toddler can appreciate the need to follow rules, limit the use of time-outs. Otherwise he or she won't understand why she's being corrected, and you may get frustrated and abandon the strategy prematurely.

You might actually consider “practicing” time outs with your child. Say your little one is revved up and on the edge of losing it- this might be a good time to grab a favorite book and sit down together. This is more like a “time-in” that associates positive attention to calming down before the behavior gets out of control.

When your child can follow simple directions and has a slightly longer attention span, they’re ready for a more traditional time-out. Between ages 2 and 3, you'll probably notice that he or she is better able to understand cause and effect.

But don't spring the tactic on them in a burst of frustration – a time-out works best if it's explained ahead of time. Use simple terms: "When you get too wild or act in a way that Mommy and Daddy don't think is a good idea, I will call, 'Time-out.' That means you will sit in this chair for a little while until you can calm yourself down."

Some parents find it useful to act this out or to use a doll or teddy bear to demonstrate taking a time-out.

Time outs are not miracle cures for unacceptable childhood behaviors. They are one tool parents can use to help educate their children about cause and effect. Parenting is a balancing act between positive reinforcement and consistent discipline.

When a child is very young, redirecting their attention to something more appropriate or fun may be the best approach. The key is to always keep your expectations realistic.

Sources: Paula Spencer, http://www.babycenter.com/0_time-outs-how-to-make-them-work-12-to-24-mo_12252.bc?page=1

http://www.news-medical.net/news/20150320/Time-outs-can-train-children-to-behave-better.aspx

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