Children and Adolescent Services Archives - Promises Healthcare
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Ask A Child Psychologist: S C Anbarasu on Children’s Mental Health

child psychologist singapore

S C Anbarasu, child psychologist at Promises

Senior Clinical Psychologist and child psychologist S C Anbarasu was featured on Yellow Pages Singapore’s Ask A Doctor series, which decided to engage him to answer some questions about children’s mental health issues because of increasing awareness about the effects of Singapore’s education system on their mental well-being.

He answers questions on how to recognise stress in children, Singapore’s education system, child suicide rates here, recommendations on this pressing issue, and more.

Read the full interview on the YP SG website.

How You See ADHD Defines It For You

How You See ADHD Defines It For You

In this episode of the Health Check podcast, Dr. Winslow reveals that he suffers from attention-deficit hyperactivity disorder. No-one would begrudge you your raised eyebrows, least of all him. After all, it is precisely his duty to educate you about ADHD.

Dr. Winslow joined journalists Joyce Teo and Ernest Luis at The Straits Times’ podcast studio, where the duo court the expertise of medical professionals to inform and enlighten. Armed with myriad perspectives, Dr. Winslow availed his own brain to help demystify ADHD.

It wasn’t until Dr. Winslow began to see the parallels between his childhood behaviour and those of his clients with ADHD, that he realised he too had the disorder. It didn’t seem to bother him too much – he laughs at being chided by his son’s teachers for his pride in his son’s ability “to pass exams exactly the same way” as he did, without paying attention in class.

Dr. Winslow says that in the brains of people with ADHD, communication between cells is difficult – that’s how they are more likely to lose focus, become distracted, or give in to impulses. Singapore’s regimented education system doesn’t help either. Students with ADHD face real disadvantages, in their inability to sit through lessons, and in the way educators see those who refuse to (or simply can’t) pay attention for long stretches.

Dr. Winslow recalls being forced to run laps around the school as a child by his teachers, who had hoped to wear his indefatigable energy down into submission in time for class. He admits that it worked surprisingly well. ADHD can be managed, as he would learn.

It is unfair to say that ADHD is “not a real disorder”, and that one merely needs to “concentrate on overcoming it”. That just doesn’t make sense. ADHD is a medical condition that can be tackled with correct tools and the right will. Dr Winslow says it’s possible to address the few big symptom groups (Hyperactivity, Impulsiveness, and Difficulty with Distractibility) with practical advice in the right contexts. For example, you might teach your always-tardy child about time management with to-do lists.

Dr. Winslow says parents should try and come to terms with their child’s ADHD, or risk more worrisome aspects spilling over into adulthood. Adult ADHD often comes packaged with low self-esteem, where inability to complete tasks due to inattention becomes internalised as laziness in a self-defeating cycle.

Overcoming ADHD is easy, says Dr. Winslow, when you understand this maxim: “The more you understand the complications brought by your limitations, the more you can do to manage your symptoms.” It’s an expansion of the classic “knowledge is power”. 

Once you begin to appreciate the ADHD brain for its quirks, advantages become more apparent. The meandering thoughts of people with ADHD often help them develop novel solutions to problems – “thinking outside the box”. 

The doctor’s recommendations? Don’t panic, try to understand ADHD, and don’t forget the fish oils!

Listen to the Health Check podcast over at The Straits Times website, or search for it on your favourite podcast platform.

Intrinsic motivation as a source of vitality?

Intrinsic motivation as a source of vitality?

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“Vitality management is provided for organizations that have a vision”. A quote from Pauline van Dorssen, writer of “Vital People in a Vital Organisation”. This is a new successful training (NIP). Positive psychology and the use of vitality are central. The response from Occupational and Organisational Psychologists and Occupational Health Psychologists was exuberant, with all available places booked. In addition, the same question arises from organizations, who often need advice and coaching in the field of vitality.

To know more, here is the original article in Dutch language: Artikel_De Psycholoog_lisa van der Heijden

Written by Lisa van der Heijden, Clinical Psychologist.

If you are interested to know and learn more therapy for children/adolescents, contact Promises Healthcare for more information.

The Relationship Between Media Multitasking and Executive Function in Early Adolescents

The Relationship Between Media Multitasking and Executive Function in Early Adolescents

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The increasing prevalence of media multitasking among adolescents is concerning because it may be negatively related to goal-directed behavior. This study investigated the relationship between media multitasking and executive function in 523 early adolescents (aged 11-15; 48% girls).

The three central components of executive functions (i.e., working memory, shifting, and inhibition) were measured using self-reports and standardized performance-based tasks (Digit Span, Eriksen Flankers task, Dots–Triangles task). Findings show that adolescents who media multitask more frequently reported having more problems in the three domains of executive function in their everyday lives.

Media multitasking was not related to the performance on the Digit Span and Dots–Triangles task. Adolescents who media multitasked more frequently tended to be better in ignoring irrelevant distractions in the Eriksen Flankers task. Overall, results suggest that media multitasking is negatively related to executive function in everyday life.

To read the full article: http://jea.sagepub.com/content/early/2014/02/17/0272431614523133.abstract

Written by Lisa van der Heijden, Clinical Psychologist, Susanne E. Baumgartner and Wouter D. Weeda.

Contact Promises Healthcare if you are interested to know and learn more therapy for children/adolescents.

Myth Busting Teen Mental Health – Self-Harm

Debunking myths about adolescent mental healthviolence-self-harm

Although society has made some headway in reducing the stigma and misinformation about general mental health issues, the public’s understanding of self-harm remains decades behind. Let’s debunk some common myths about adolescent self-harm.

Myth: ‘Self-harm means cutting right? Only emos and goths do that.’

Self-harm refers to a range of behaviours that are purposely inflicted to cause damage to the body. It can include cutting, but also refers to scratching, picking at wounds, burning, pinching, hitting, head banging, and minor overdosing. Self-harm can also be in the form of excessive risk-taking that is above and beyond typical adolescent risk-taking.

It is a misconception that only ’emos’ and ‘goths’ self-harm. Although self-harm can be part of adolescent subculture experimentation, it is more often a sign that a teenager is experiencing unmanageable distress. Self-harm becomes a way of coping with distress that provides temporary relief from emotional pain.

Myth: ‘Self-harm is all about attention-seeking. If a person was really depressed enough to cut themselves then they would probably just commit suicide.’

Self-harm is not about attention-seeking. It is often a secretive and private behaviour. For a teenager, self-harm is a way of coping with unmanageable distress, and can be a medium to communicate that distress to others. Self-harm should never be dismissed as attention-seeking.

A person who cuts themselves is not necessarily suicidal. Cutting behaviour can be suicidal, non-suicidal, or a mix of both. It is important to remember that suicide risk is not static. A teenager who displays non-suicidal self-harm can become suicidal at another point in time.

Any teen who self-harms should undergo a thorough and comprehensive suicide risk assessment by a registered mental health professional. Their suicide risk should be closely monitored and assessed at regular intervals.

Myth: ‘I can punish my teen so that they stop self-harming. That will solve the problem.’

Punishing a teen for self-harming does not solve the problem. Cutting is a symptom of a deeper issue – unmanageable distress. Stopping the cutting via punishment may actually worsen their distress, especially if the teen lacks healthy and effective coping strategies.

Here are some suggestions for what you can do instead of punishing your teen:

  • Be an active listener
  • Validating their feelings
  • Be emotionally and physically present for them
  • Engage in joint problem solving

Always seek advice from a registered child psychologist if you suspect that your teen may be self-harming.

Written by Leeran Gold, Psychologist in our Forensic Service.

At Promises Healthcare, we are committed to helping you through your journey to recovery. Discover a new life and find renewed hope. If you or someone you know needs mental health support, please contact our clinic for inquiries and consultations.

For after-hours crisis support contact your local mental health service or emergency services.

In Singapore: IMH 24-hour helpline +65 6389 2222, Ambulance 995.

Myth Busting Mental Health – Youth Suicide

Myth Busting Mental Health – Youth Suicide

youth-suicideLet’s take a look at some common mental health myths about youth suicide and set the record straight.

Attempted suicides are just a cry for attention.

A suicide attempt should never be dismissed as ‘just a cry for attention’. A young person is highlighting that their level of internal distress is unmanageable and unbearable. They need help, not judgement. A young person can feel even more isolated and misunderstood if those around them fail to take their actions seriously. Never ignore or minimise suicidal behaviours and seek professional help as soon as possible.

Teens who cut their wrists must be suicidal.

Cutting is a form of self-injury that can either be suicidal or non-suicidal. In both cases, the cutting is a sign that a young person is not managing their internal distress in a healthy way. Any young person who self-injures should undergo a full suicide risk assessment by a registered mental health professional.

If I ask a young person whether they are feeling suicidal, it might put the idea in their head.

This is a particularly dangerous myth as it discourages discussion of the issue at hand. Talking about suicidal feelings will not encourage a young person to commit suicide. When having the conversation try to stay calm and non-confrontational. Remain open and genuine, and remember the overall message – it is ok to talk about feelings, and there is help available. Show that you care and avoid judging the young person. If you are uncomfortable or unsure about having the conversation, get in touch with a mental health professional for some tips and guidance.

Written by Leeran Gold, Psychologist in our Forensic Service.

At Promises Healthcare, we are committed to helping you through your journey to recovery. Discover a new life, away from addiction and find renewed hope. If you or someone you know needs mental health support, please contact us today for inquiries and consultations.

For after-hours crisis support contact your local mental health service or emergency services.

In Singapore: IMH 24-hour helpline +65 6389 2222, Ambulance 995.