Staying Power: When Your Child Wants to Come Home From College

By Jennifer Van Luven, MSW, LCSW, CDM

Staying Power: When Your Child Wants to Come Home from College

Jennifer Webbe Van Luven, MSW, LCSW, CDM

 

As a mother of a college freshman, I must admit that I may be more attuned to the conversations of new college freshmen being “unhappy” and deciding to leave college – before it has really begun. Kids today find it very easy to call it quits and move back home and, alarmingly, many parents allow them. There may be several reasons as to why this happens. Do we live in a world where today’s youth need instant gratification? Is this generation just “entitled?” Have we given them the tools to fly the coop? Or is it that we parents have enabled this batch of kids so much that they lack the independence and skills to make it on their own?

Dissatisfaction with the college experience at the end of the first semester is not uncommon. Several national studies suggest that one-third of college students do not return for their sophomore year of college, though there is little data regarding how many of those students leave at the midpoint of their first year. However, both college personnel and first-year students know that there are many students who will not be back for the second semester.

There are good days and bad days for everyone, of course. College students are no different. As parents, we hope that our college students will have more good days than bad. But sometimes, your college student may hit a string of bad days or may seem particularly unhappy with their college experience. This is one of those times when, as parents, we may feel most helpless. In some ways, we are. It is tremendously difficult to sit back and watch your student try to work through the situation him or herself…and some students may lack the ability to make lemonades out of their lemons.

Many of today’s kids come from a house of entitlement and feel as if they need instant gratification. They move into a dorm room that is less than plush; it does not resemble the comforts of home. They may decorate to the nines and try to settle into their new residence. However, as much as they try, it will never be home. Mom is not in the kitchen making their favorite meal, fresh towels are not in their community bathroom, and they are living with a complete stranger. Our kids think that they will instantly be settled. It takes time, patience, and a lot of social networking. This is something most didn’t have to do in high school. As parents, we need to allow them to be uncomfortable and to work through the process.

Kids today have a difficult time “fending for themselves.” This is due in part to our generation of parents who have coddled and hovered during those teenage years. Many of our kids did not learn the skills they need to be independent and spread their wings. Parents rushed to their child’s aid with teachers, coaches, and homework assignments. Now, living away from home and not having that helicopter parent there to help can leave our college students flailing in the wind. This contributes to lonely and helpless feelings.

Your child needs to have a sense of belonging on campus or the feeling of “fit.” Working or being off campus can impact that feeling. Many students who spend a significant number of hours off campus, either due to work or outside activities, (more than twenty hours per week) often feel less satisfied with their college experience because they are less connected.

Social isolation also has a big impact. Students who feel alone are obviously unhappier. Even on a very large campus, it is possible for your student to feel isolated from others. These students need to be encouraged to join activities. That may be an intramural sport, Greek life, or campus government. In many cases, student dissatisfaction stems less from academic programs, residence hall conditions, or activities than from feelings of connection and fit. Encourage your child to do all that he or she can to find and connect with others.

When considering a return home, perhaps one of the first and most important things that parents need to determine is the level of certainty that their student has about that decision.  Is he firm that he will not return, or is he floating the idea to measure your reaction and perhaps seek your advice? Your task will be less to tell her what to do and more to help her explore her own feelings, abilities, and options. Whatever is decided in the end, your student must be comfortable with and committed to the decision.

 

Some things we can do as parents:

·        Listen. Take time just to hear what your student has to say and reflect on his or her thoughts. They may just need you to be a sympathetic ear.

 

·       Help your child realize that they are not alone. Many students feel the same way at various points in their college careers. Although he or she may still be unhappy now, understanding that this is a normal phase may help to put things in perspective.

 

·       Help them determine the validity of their complaints. Are their expectations realistic? Is their problem chronic or a one-time issue?

 

·       Insist on honesty. Insist that your student be honest both with you and with him or herself. Don’t let them make excuses. Don’t let them gloss over real issues. Help them take a full and honest look at the situation and their place in it.

 

·       Encourage time and patience. Sometimes issues or situations may need time to run their course. If your student is unhappy at the midpoint of a first semester and talks about transferring or dropping out, try to insist that they finish the year. A second semester is often very different. Giving the experience a chance may be all that is needed. Countless students talk about transfer during that first semester and wouldn’t consider leaving their school by the end of the year.

 

·       Help your student reflect on their attitude and actions. What are they doing to correct or improve the situation? Have they tried to connect or talk to someone on campus or made an effort to change their approach? Help them think about whether they are working to improve the situation.

 

·       Consider a strategy or action plan. Rather than just waiting it out, or continuing to be miserable, help your student create a plan of attack. Taking action, even in small ways, helps your student feel empowered and in control.

 

·       If your student is considering a transfer, help them consider whether they will be taking their problems with them. Are the issues truly with the school or with themselves? What would be different somewhere else?

 

·       Help your student think about the satisfied and happy students on campus. What is it about those happier students that make them happy? What are they doing differently? They are at the same institution and are having a better experience. Why? Are there behaviors that your student might adopt?

 

·       Don’t set your student up with unrealistic expectations. Many of us, as college parents, may be guilty of telling our students that, “These are the best years of your life!” They may not be. Help your student realize that there will be some wonderful experiences, but there will also be some lows. College is about hard work, meeting new people (some of whom your student may not like), navigating a new world, and learning independence and responsibility. These factors can make demands on students that may, at times, seem overwhelming.

 

·       Lastly, consider whether this college or university was truly your child’s choice or your own. Many of today’s parents press their children into making the college choice that most appeals to the parent, rather than that which feels right to the child. The same can be said for college majors, dormitories, and even first-semester courses. If your son or daughter never wanted to attend this institution, their unhappiness may be a sign that they need to make the choice that is right for them.

 

 

The college experience is a roller coaster for most students. The good times are particularly exhilarating, and the lows are particularly deep. The student who is prepared for the emotional changes will better weather those changes. Although, as a parent, you cannot change the experiences, you can help your student learn from, value, and grow through the experiences.

 

What Parents Should Know About Children and Psychiatric Medication

While pediatricians are an important part of a child’s healthcare team, seeing a psychiatrist for medication management can be crucial for a child’s mental health treatment. Here are some reasons why:
Expertise: Psychiatrists are medical doctors who specialize in mental health. They have extensive training and experience in diagnosing and treating mental health conditions, including those that require medication management. While pediatricians have some training in mental health, their expertise is primarily focused on physical health and development.
Diagnosis: Psychiatric diagnosis can be complex, and accurate diagnosis is key to effective treatment. Psychiatrists have a deep understanding of the various mental health conditions that can affect children and can provide an accurate diagnosis based on a comprehensive evaluation. They can also differentiate between similar symptoms that may be caused by different conditions.
Medication Management: Medication can be an effective treatment for many mental health conditions in children, but it must be carefully managed to ensure safety and effectiveness. Psychiatrists have a deep understanding of the medications used to treat mental health conditions, including their potential side effects, interactions, and appropriate dosages. They can also monitor a child’s response to medication over time and adjust treatment as needed.
Therapy: Psychiatrists can provide clinical guidance well as medication management. Because they understand and specialize in mental health diagnoses, they can help make sure that all of the mental health pieces are being considered and addressed. As such, they can help connect children to a therapist who would be an appropriate match for the specific issues that they are treating, and can then collaborate with this therapist to provide the utmost quality of care.
Overall, while pediatricians are an important part of a child’s healthcare team, they may not have the specialized training and expertise needed to effectively manage a child’s mental health treatment with medication. A child seeing a psychiatrist can benefit from their specialized knowledge and experience in mental health diagnosis and treatment, leading to more effective and safer medication management. At West County Behavioral Health, we have the complete team – therapists and psychiatrists collaborating together – to make sure that your child gets the BEST care possible!!
West County Behavioral Health offers full service medication management for both children and adults.  Please contact our office at 314-200-5119 to schedule and appointment with one of our providers.
Meet Our Medication Management Team
Shelah Radke, MD, JD
Pursuing mental wellness is a sign of strength. As a Child and Adolescent Psychiatric Physician, I have enjoyed celebrating my client’s strengths for the past 10 years, having dedicated my career to working with children, adolescents, and young adults in the field of psychiatric medicine.
  • Double Board-Certified in Psychiatry and Child and Adolescent Psychiatry
  • Graduated from Case Western Reserve University School of Medicine
  • Residency at University Hospitals of Cleveland and Fellowship through Rainbow Babies and Children’s Hospital in Cleveland, Ohio.
  • Recently served as the Medical Director of Child Crisis Psychiatry Services at Mercy Hospital in St. Louis
  • Provided direct clinical care in two private practice settings in the Washington, D.C, area
  • Worked with clients at Monarch boarding school in Cleveland, Ohio, collaborating with teachers and parents frequently to optimize opportunities for creative learning.
I am committed to using evidence-based practices, including integrative, lifestyle, and pharmacological interventions, to help my patients achieve better mental health outcomes. I also enjoy partnering with clients by using the shared decision-making model of care. I work with clients to understand their unique needs and goals, and together we develop personalized treatment goals that are tailored to their individual needs. This approach empowers patients to take an active role in their own care and can lead to more positive outcomes and greater overall satisfaction with the treatment process.
Jeff Boatman, APRN-MHCNS
I received my Bachelor of Science in Nursing and my Master of Science in Nursing from St. Louis University, specializing in Psychiatric Adult Mental Health Nursing. I have worked for over 25 years as a certified Advanced Practice Clinical Nurse Specialist in Adult Psychiatric and Mental Health Nursing. While in private practice, I have had a collaborative practice arrangement with Dr. Adam Sky.
I function as an Advanced Psychiatric Practice Nurse with prescriptive authority and have seen patients in hospital, office, and nursing home settings. I serve the adult population, age 25 and up. I am affiliated and have privileges at St. Mary’s Health Center in St. Louis. In addition, I am an active member in the American Psychiatric Nurse’s Association and the APNA Missouri Chapter where I have served on the Board.
I look forward to serving your psychiatric and medication needs with compassion and skill – I want to take the time to truly understand your situation and offer you the tools to feel better and stay well.

Creating the New Normal: Navigating the Holiday Season in Separate Houses

By Jennifer Webbe VanLuven, MSW, LCSW, CDM

 

Adults and stress go hand in hand during the holiday season. There is so much to do. Family to be seen, school holiday programs, gifts to be bought and wrapped, and special celebrations such as Kwanzaa, Chanukah, Christmas, and New Year. When parenting from two households, the stress can feel insurmountable.
You may also discover this time of year stirs up a lot of different feelings for your children. If this is their first holiday season following your separation or divorce, keep in mind the change in the family may hit them very hard. While you can’t take away the pain your children feel, how you spend the first holiday after a separation or divorce can really impact children’s perception about family change.
Too often, parents get caught up in issues like who is buying what or dividing up the holidays. One of the best things you can do for your kids is use this time to rebuild a sense of family. Create new traditions and events in each household. Kids need to know that life will go on and they’re going to be okay. While your child’s perceived loss of ‘family’ may hit them very hard during this time of year, there are ways you can help your children manage the experience in a healthy way.
Keep your emotions in place. Children take emotional cues from their parents. The holidays will be hard on parents, but they need to realize that it is doubled for the children. If you as parents need a little extra emotional support, don’t be afraid to call in the troops and take time to care for your emotions.
Silence isn’t always the best way to go. Be sure to talk to your children about the new plans for the holidays. Kids like to know what is going to happen and prepare their own minds and feelings. Talk to them about what will be different and what will stay the same. Avoiding this conversation, keeps kids on edge and guessing what the holiday will look like.
Focus on creating meaning. Focus on cutting back and on the true meaning of the holiday. Find an activity that will promote a deeper meaning for the holiday. Adopt a family or volunteer at a shelter. This will make new memories and place the focus on something other than old traditions.
Let your stress guide you. Newly separated parents often ask if they should spend the holiday together. This is a good idea in theory but eventually, parents move into new relationships and the “new normal” is only delayed. This can cause even more stress on parents and children are quick to pick up these cues. Start your new tradition as soon as possible and reduce the parental conflict from the beginning.
Different isn’t devastating. As parents, we need to ask ourselves which traditions are worth hanging on to and which can be replaced. We don’t have to recreate the whole holiday. Maybe think of one new thing that you can do as a family.
Make gift-giving painless for the kids. Children love to participate and give gifts. No matter how you feel about your ex, do not allow your child to arrive empty-handed. It is not about “you” giving a gift, it’s about your children giving a gift. Not only is this a reminder about the joy of giving, it strengthens a child’s sense of security.
Do not give gifts with strings. Do your best to coordinate gift-giving with the child’s other parent. If that is not possible, think before you buy. If you are hesitant about the child taking this gift to the other parent’s home, then don’t buy it. If a child cannot decide where the gift will go, then it’s not really a gift.
Creating the new normal is difficult. The difficulty is not only for the children but for parents as well. This list is not complete, there are many other ways to create happy holidays for your children and yourself. Take time to do a frequent status check with yourself. Knowing where your emotions lie is imperative in keeping children feeling safe and happy.

Divorce and the Sense of Personal Identity

By Jennifer Van Luven, MSW, LCSW, CM

When you think of “trauma” you may imagine Big Trauma experiences: serious accidents, natural disasters, assault, or life-threatening illnesses. These kinds of events obviously and in a very public way transform the foundation of who you are and how you live. Other incidents can feel equally traumatic and life-changing. Divorce is one of them.
When the life and world you have built falls apart due to a divorce or separation, whether amicable or not, the way you see the world and your place in it changes. Accepting and evolving into a new person can feel distressing and painful as you give up a portion of your lifestyle, home, family, financial security, love, and dreams. To manage the shock of the change, you might find yourself letting go of activities you once enjoyed and implementing coping mechanisms geared toward reducing emotional pain, fear of the future, and the sense of loneliness and uncertainty that takes up space in your head. In fact, coping after divorce may have taught you to live with thoughts of being “less than.”
The main factor in how you define yourself is the context in which you understand where and how you belong. Your identity will change during and after divorce because your understanding of who you are and the world in which you live has dramatically altered. Losing a sense of safety, control, and certainty shifts you into a feeling of vulnerability. You may see yourself today as someone robbed of innocence, trust, love, well-being, and the feeling of being able to protect yourself. You may deeply feel that you are undesirable, physically damaged, emotionally or psychologically disfigured. This new self-definition impacts how you see the world, think about yourself and others, and make choices and take actions. If that’s the case, then it’s time for an identity makeover.
When considering how you can create a new, post-divorce identity, it helps to understand the characteristics of identity in general.  Identity relates to the idea of who you are and what defines you as a person in this world. Identity is how you describe yourself and the characteristics that make you unique. Identity development can change in a moment as you experience the divorce process and divorce becomes the lens through which you and others view yourself and the world around you. Your only choice at this point is to continue to move forward, make new choices about the direction you wish to move and create a post-divorce self that combines all of your best features and attributes.
Though your current identity may seem diminished, another part of you sees the bigger picture. This is the part of yourself that inspires and motivates you to move toward (re)claiming a more positive, solid, stable, and proactive sense of self. While your “less than” self may dictate who you are today, your “more than” self gains ground every time you work toward restoring yourself. It is your “more than” self that forms the basis of who you will become when you continue to create your new identity.
It is impossible to go back to who you were previously as a wife or husband. Right now decide: “I will stop looking back.” Though this process may feel uncomfortable, being forward-thinking works to your advantage.
Your personal identity develops according to your perception of the experience. You are an individual and your perspective of the world is your own; what feels traumatizing to you may not feel that way to someone else. Likewise, what feels traumatic to someone else may seem trivial to you. If perception plays a key role in trauma, then it can also play a key role after trauma. While it doesn’t feel this way at first, how you perceive yourself becomes a choice. Who you are during and after divorce is… Who you decide you are.