All Posts Tagged: child psychologists

Jerome Siegmeister MD

Jerome Siegmeister, MD, MaED – Consult The Expert On How Virtual Schooling Is Affecting Children

Dr. Jerome Siegmeister, the Center’s newest clinician, is an expert on the psychiatric concerns of children and adolescents. A former high school teacher, he is in a unique position to help children through mental health resources that are tailored specifically for kids or teens in need.

Since the pandemic, parents and children have had to adapt quickly as schools shut down for periods of time. Virtual classes have become routine. An online learning environment can be difficult enough for kids, without being isolated from their peers. “Covid has really devastated these kids,” Dr. Siegmeister says. “Though some children can do well in this environment, virtual learning causes an issue for most.”

“The virtual learning modality is basically a lecture modality,” he continues. “What do you and I do when listening to a lecture? If we are honest, most of us listen to it in the background while doing other things, so we miss a lot of the information.”

“Children are no different,” he says. “From a developmental standpoint, it is clearly better for kids to attend in-person schooling, but the unfortunate reality is that we need to be worried about public health, as well. In many cases, virtual learning is all we have right now, but this isn’t workable for many kids.”

Aside from the loss of knowledge, the pandemic has affected our children’s social interactions. “Virtual classes have their place because kids need to be learning, one way or another, but it comes at a price,” he explains. “It is very obvious that our children’s socialization has been affected and will be for a long time to come.”

“At this point, we have lost at least eighteen months of socialization,” he says. “Society pushes the idea that we need others to validate us, so kids rely on social acceptance for much of their self-worth. Covid took away much of that.”

Even older teenagers are being tested by this new normal. “The pandemic has been very hard for kids who are transitioning to college,” he notes. “Life is drastically different for them, especially if they are having to do their first year of college virtually. They are missing out on the social aspects that help them adjust to college life.”

Nevertheless, Dr. Siegmeister is optimistic. For most kids who are struggling, “it isn’t too hard to stabilize them and they can do really well,” he says. “Counseling and working one on one with kids will make things better in the majority of cases.”

When it comes to mental health concerns, Dr. Siegmeister believes in treating the whole person. He often uses a team approach and commonly involves the child’s parents, teachers, or college faculty. He also may combine two or more treatment methods for children whose needs that are not being met by one single approach. For example, he may use cognitive behavior therapy along with medical treatments if the child has an underlying psychiatric concern.

And, although a pandemic silver lining would seem unlikely, Dr. Siegmester says there is one. “Mental health is often swept under the rug,” he says, “but depression is now pretty pervasive in both children and adults and people recognize this. In fact, many so called “sick days” happen because the person is depressed and really needs to take a mental health day. The positive outcome from covid is that people are now much more aware of anxiety and depression because they’ve experienced it themselves. This means it has become much more acceptable to seek help.”

About Jerome Siegmesiter, MD, MaED. (Child And Adolescent Psychiatry / General Psychiatry)

Jerome Siegmeister, MD, MaED, is a South Florida Native. He has worked with clients of all ages, and believes that the whole person needs to be treated. Consequently, he evaluates all aspects of the situation, from medical to situational, to determine the best initial course. He has a background in both individual and group therapies, employing supportive, behavioral, and insight oriented approaches, as appropriate to best fit his client’s needs, as well as comfort with medical treatment of any underlying conditions that might manifest psychiatrically. He has significant experience in all forms of psychiatric issues, including mood symptoms, thought disorders, anxiety, phobias, attention deficits, behavioral issues, insomnia, compulsive disorders, emotional lability, substance abuse, and trauma.

Dr. Siegmeister graduated with his Bachelor’s from Florida International University, after which he spent a number of years teaching, and obtained a Masters from the University of South Florida in Career and Technical Education/Adult Education. Upon deciding to pursue medicine, he initially completed a Post Baccalaureate Pre-Medical Certificate program at the University of Miami, and then obtained his MD from the University of Miami Miller School of Medicine, staying there afterwards for his specialty training in Psychiatry, followed by a fellowship in Child and Adolescent Psychiatry, where he served as Chief Fellow, and was awarded with a Research Distinction. After training, he has worked providing Emergency care, with additional work in inpatient settings, both in mental health and as a consultant to medical units at multiple hospitals. He is currently Board Certified by the American Board of Psychiatry and Neurology in both general Psychiatry, and Child and Adolescent Psychiatry, and by the National Board of Physicians and Surgeons in Psychiatry.

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woman looking at child

Our Search for Meaningfulness

The human brain is a curious organ. It is programmed from birth to actively search the world around us. As we get older and mature this search gets fine tuned and focused. We pursue education, friendships, hobbies, sports. Our quest for life experience allows us to learn about the world around us and just as importantly develop a better sense of our own identity. We progress from a period of knowledge acquisition (“knowing”) that can last decades into a prolonged journey that requires that we utilize what we have learned and productively participate in life. This “doing” often includes pursuing gainful employment and careers, raising a family, involvement in spiritual endeavors, development of hobbies, political involvement and altruistic pursuits.

Is there a common thread throughout the stage of knowing and the stage of doing? Both stages involve the presence of meaningfulness. Knowledge, employment, raising a family, friendships all invest humans with a sense of value and worthiness. Curiosity without meaningfulness leads to emptiness. Curiosity requires the attainment of goals and real-time accomplishments. Otherwise curiosity ceases and is replaced with apathy and malaise.

All of us need day-to-day meaningfulness to replenish and sustain our souls. A healthy sense of self thrives on it. The covid 19 virus has created an overwhelming challenge to life’s meaningfulness. Our pandemic world has led to anxiety, an overarching sense of helplessness, and problematic hypervigilance as we worry about getting infected. Covid 19 imposed social isolation has led to depression, hopelessness, helplessness and family stress.

How to cope with a world that none of us have control over?

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student graduating from college

What Makes A College A Great Fit For You During The Pandemic?

This is the time of year when college acceptances start coming in. Right now, both teens and parents are feeling incredibly overwhelmed in the decision making process, due to the pandemic. When looking at acceptance letters, what is the best way to determine what makes a college a good fit for them? Is staying close to home now the top priority?

Choosing A College During Covid

Often, high school seniors have a favorite college or university in mind, which they hope to attend because they think is best for them. While this may not always be an objective measure of a good fit, it is important that your child gets to include this college in their process of narrowing down the top college choices.

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child wearing face mask in empty classroom

Separation Anxiety: Going Back To School During The Pandemic

As the 2020 – 2021 school year begins, children who normally go through separation anxiety may be even more anxious about going back into the classroom during the pandemic. After all, the beginning of a new school year can be threatening during normal times, but returning into a situation where the coronavirus is likely to be present has raised anxiety levels in many kids and parents.

For parents who live in school districts that offer a choice between virtual or in-person learning, how do you make a decision about which is best for your child? Being safe at home means that kids who have special needs or who learn better in person will lose out on many learning opportunities. Children who are fearful of being in a classroom, however, will struggle more if they have to go back into the school.

All this stress can bring up school refusal in kids, not to mention heightened school anxiety in parents.

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Signs Your Child May be a Hypochondriac

Signs Your Child May be a Hypochondriac

A hypochondriac is someone who lives with the fear that they have a serious, but undiagnosed medical condition, even though diagnostic tests show there is nothing wrong with them. Hypochondriacs experience extreme anxiety from the bodily responses most people take for granted. For example, they may be convinced that something as simple as a sneeze is the sign they have a horrible disease.

Hypochondria accounts for about five percent of outpatient medical care annually. More than 200,000 people are diagnosed with hypochondria (also known as health anxiety or illness anxiety disorder) each year. While health anxiety generally begins in early adulthood, children can also experience hypochondria.

Hypochondriac Symptoms

True hypochondria is a mental health disorder. Hypochondria may show up in a child after they or someone they know has gone through an illness or a serious medical condition. Its symptoms can vary, depending on factors such as stress, age, and whether the person is already an extreme worrier.

In children, hypochondriac symptoms may include:

·         Regularly checking themselves for any sign of illness

·         Telling you about a new physical complaint almost every day

·         Fearing that anything from a runny nose to a gurgle in their gut is the sign of a serious illness

·         Frequently asking their parent to take them to the doctor

·         Asking to have their temperature taken daily (or more than once per day)

·         Talking excessively about their health

·         Happily wearing bandages like badges of honor, has one on almost constantly

·         May focus excessively on things most children typically don’t: a certain disease (example: cancer) or a certain body part (example: worrying about a brain tumor if they have a headache)

·         Having frequent pains or finds lumps that no one else can feel

·         Fearing being around people who are sick

Health anxiety can actually have its own symptoms because it’s possible for the child to have stomachaches, dizziness, or pain as a result of their overwhelming anxiety. In fact, illness anxiety can take over a hypochondriac’s life to the point that worrying and living in fear are so stressful, the child refuses to go to school or participate in outside activities.

You may be wondering what triggers hypochondria. Although there really isn’t an exact cause, we do know that people with illness anxiety are more likely to have a family member who is also a hypochondriac. The child with health anxiety may have gone through a serious illness and fear that their bad experience may be repeated. Or, they may already be suffering from a mental health condition and their hypochondria may be part of it.

Hypochondriac Treatment

Self-help for child hypochondria can include:

  • Letting your child know that sometimes focusing too much on being sick can cause anxiety that makes their bodily sensation worse
  • Trying to not talk about your own aches or pains in front of your child
  • Helping your child learn stress management and relaxation techniques
  • Encouraging older children to avoid online searches for the possible meanings behind their symptoms
  • Focusing on outside activities such as a hobby they enjoy
  • Working to help your child recognize that the physical signs they experience are not a symptom of something ominous, but are actually normal bodily sensations

Professional treatments for hypochondria include:

  • Cognitive Behavioral Therapy (CBT), which is very helpful for reducing patient fears. In this type of therapy, the child learns to recognize and understand the false beliefs that set off their anxiety. Research has shown that CBT successfully teaches hypochondriacs to identify what triggers their behavior and gives them coping skills to help them manage it.
  • Behavioral stress management or exposure therapy may be helpful
  • Psychotropic medications, such as anti-depressants, are sometimes used to treat health anxiety disorder

Get Help for Hypochondria and Health Anxiety Disorder

Being a hypochondriac negatively affects the lives of the child who suffers from it.  The child psychologists at the Children’s Center for Psychiatry, Psychology and Related Services in Delray Beach, Florida are experienced in helping those with illness anxiety. For more information, contact us or call us today at (561) 223-6568.

Reference: https://jamanetwork.com/journals/jama/fullarticle/198437

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Meet Dr. Andrew Rosen

Our very own Dr. Rosen was recently interviewed by VoyageMIA! See the full interview here.

Dr. Rosen, let’s start with your story. We’d love to hear how you got started and how the journey has been so far.

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Benefits of Psychological Assessment for Children

If someone has suggested that your child might benefit from a psychological assessment, you may be confused about the need for one and wonder what takes place during a meeting or evaluation with our child psychologists.

Children may be referred for a psychological assessment for a variety of reasons. Among other things, they may be depressed or anxious, have attention or behavior problems at home or in school, be subjected to bullying, or have a learning disorder. Often when kids are struggling in school or seem to be behind their peers developmentally, a counselor or teacher will suggest the child undergo a psychological assessment.

The results of this type of evaluation will reveal which areas the child is doing well in and which are the ones he or she might need to address (for example: an undiagnosed learning disability).  Dr. Ryan Seidman, the Clinical Director here at the Children’s Center notes that, “Having your child evaluated can promote improvement in academic and emotional functioning.”

Who Performs a Psychological Assessment?

Assessments are done by specially trained child psychologists who are experts at what they do. These mental health professionals evaluate the child’s strengths and weaknesses, then work with parents and teachers to formulate an approach to help the child progress.

What Happens During a Child’s Psychology Test?

These evaluations aren’t intimidating the way an “actual” test can be. It is best if the child is relaxed during the assessment, so the evaluation isn’t a pass or fail test like the kind you would normally study for.

During a psychological assessment, the child psychologist will:

  • Interview (talk with) the child and their parents to learn more about their emotional and behavioral skills, in addition to their neurological functioning in areas such as spatial processing. In some cases, they may also talk to the child’s teachers or others who know the child well.
  • Will observe the child during the evaluation. Depending on the reason for the test, the child psychologist may also visit the child at home or at school to further evaluate their interactions with others.
  • Will have the child complete a standardized test. These tests have been taken by many people and allow the child psychologist to compare your child’s results with those of others in order to assess a range of abilities. They want to know how the child functions in areas such as behavior or movement (dexterity) and in subjects like reading, writing and math.
  • May evaluate medical records, school records, or interview or test the child’s parents or teachers to learn more about the child.

Psychological testing isn’t a quick evaluation. The assessment often takes several hours to complete and likely will involve more than one session to be certain the psychologist has all the details about a child. By putting all the information together, the child psychologist comes to an understanding of where a child needs assistance and can develop strategies to help the child reach their full potential.

What Happens When We Get the Results of a Psychological Assessment?

When the testing is complete, the child psychologist will go over the results with the child’s parents. Keep in mind that the outcomes do not reveal 100% of a child’s potential, abilities or skills. Rather, the evaluation is used as a way to learn about the child’s “present functioning level” emotionally, in their school and home environments, how they learn, and their strengths and weaknesses.

The child psychologist will discuss areas in which the child does well and offer suggestions to help them improve in areas that need to be addressed. If the child is diagnosed with a learning disability, or a behavioral or emotional issue, recommendations will be made for ways to help the child manage that specific concern or problem.

By evaluating and understanding where the child has issues, child psychologists can provide positive coping strategies, reduce the child’s stress and enrich their competence and well being.

Learn More about Children’s Psychological Assessment

For more information about how our child psychologists can evaluate your child through psychological assessment, contact the Children’s Center for Psychiatry Psychology and Related Services in Delray Beach, Florida or call us today at (561) 223-6568.

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School Bullying – Defense for your Child

School Bullying – Defense for your Child

October is National Bullying Prevention month. During the entire month, schools and organizations work together to increase awareness of school bullying and help prevent its impact on children.

School bullying is the use of power to control another person. The student who is being bullied may have a hard time defending themselves or may be unable to guard against these attacks. Bullying always intends to harm the targeted child – usually psychologically, but sometimes physically, as well. Additionally, bullying is carried out by the same person or the same group of people who repeatedly go after the same child.

The children most at risk of being bullied are those who:

  • Are less popular than others
  • Have low self-esteem
  • Have few friends
  • Are depressed or anxious

Bullies usually:

  • Have social power
  • Like to dominate others
  • Are concerned about their popularity
  • Often also have issues with low self-esteem
  • Are aggressive and often act impulsively
  • Are easily pressured by their peers

Most bullying happens in middle school and about 1 in 4 children report having been verbally or socially bullied at school.

Types of Bullying

While bullying can be physical (for example: hitting, fighting, or forcing a person to do something they don’t want to do) or verbal (teasing, name-calling, threatening someone), today’s children also face social bullying:

  • Cyber bullying – Kids practically live on social media, but this has created an environment in which the bully can be anonymous. Since they don’t have to face their target or witness the effects of their bullying, they don’t have to be sympathetic about the pain they are causing. Texting and social media allows the bully free reign to post embarrassing pictures, make rude comments, or post humiliating videos almost instantly and without recourse.
  • Social Alienation – In social bullying, the idea is to damage someone’s reputation, get them excluded from social activities, and to get others to avoid them. This can often be accomplished by cyber bullying.
  • Slut shaming – censuring a female’s character in sexual terms in order to embarrass, humiliate, or intimidate her for actions that are a normal part of female sexuality. For example: a male teen may be praised for his sexual experimentation, however a girl may be bullied and called a slut. This scenario has been explored in Netflix’s 13 Reasons Why show (you can read our recent article about it here. In the show, the girl who is slut-shamed ends up committing suicide.

What are the Effects of School Bullying?

A child who is bullied may avoid situations and interactions with others that could actually be positive for them. The effects of school bullying can create depression and anxiety disorders in the child who is being attacked. Often this depression and anxiety will stay with the youth and follow them into adulthood. In fact, someone who was bullied in school is more likely to be the target of workplace harassment as an adult.

The symptoms of school bullying can be both physical and emotional. Your child may experience:

  • School refusal
  • Headaches, stomachaches or other aches or pains throughout their body
  • Weight loss
  • Nightmares and/or sleeplessness

Fight Back against Bullying

StopBullying.gov offers the following suggestions to help stop school bullying.

They say:

  • Look at the kid bullying you and tell him or her to stop in a calm, clear voice. You can also try to laugh it off. This works best if joking is easy for you. It could catch the kid bullying you off guard.
  • If speaking up seems too hard or not safe, walk away and stay away. Don’t fight back. Find an adult to stop the bullying on the spot.

StopBullying.gov also lists things your child can do to stay safe in the future:

  • Talk to an adult you trust. Don’t keep your feelings inside. Telling someone can help you feel less alone. They can help you make a plan to stop the bullying.
  • Stay away from places where bullying happens.
  • Stay near adults and other kids. Most bullying happens when adults aren’t around.
  • Stand up for others When you see bullying, there are safe things you can do to make it stop.
  • Talk to a parent, teacher, or another adult you trust. Adults need to know when bad things happen so they can help.
  • Be kind to the kid being bullied. Show them that you care by trying to include them. Sit with them at lunch or on the bus, talk to them at school, or invite them to do something. Just hanging out with them will help them know they aren’t alone.

Additionally, child psychologists, such as the professionals here at The Children’s Center, can work with your son or daughter to develop coping techniques that will teach them how to react in particular situations. Child psychologists can also help bullying victims rebuild their self-esteem and confidence so that future harassment can be avoided.

In all cases of school bullying, it’s important to seek help and report the incident as soon as possible. Ignoring the issue often makes it worse because the bully begins to think it is okay to continue hurting others. Additionally, the targeted child sometimes begins to believe what is being said about them.

We Can Help

For more information about how we can help your child learn to defend against school bullying, contact the Children’s Center for Psychiatry Psychology and Related Services in Delray Beach, Florida or call us today at (561) 223-6568.

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