Supporting Your Teen Athlete When Stress is High

Supporting Your Teen Athlete When Stress is High

The American Academy of Pediatrics (AAP) Council on Sports Medicine and Fitness and the American Medical Society for Sports Medicine have both recently highlighted the importance of mental health and providing a safe environment for student athletes. Here are some tips to help you recognize possible signs of stress in your athlete and ways to offer support.

Stress in Teenage Athletes
In addition to academic and social stressors that most teenagers face, teenage athletes can also experience stress from:

  • Too much pressure from parents or coaches to perform
  • Overscheduling
  • Not wanting to play the sport
  • Balancing school, athletics, and social demands amidst sport demands

Learn to Recognize Signs and Symptoms of Negative Stress in Teenagers
Signs are things you may see. Symptoms are things an athlete reports feeling or experiencing. Here are a few signs and symptoms to watch out for:

Physical

  • Persistent stomach and headaches
  • Muscle tension
  • Prolonged pain and/or pain out of proportion of what is expected after an injury

Emotional

  • Irritability
  • Mood swings
  • Emotional outbursts
  • Withdrawing from activities or social interactions

Behavioral

  • Fatigue
  • Difficulty concentrating, easily distracted
  • Changes in eating habits
  • Poor sleep
  • Biting fingernails
  • Aggression
  • Procrastination
  • Use of drugs/alcohol

How Can You Support Your Athlete?
Try these ideas to help your young athlete develop healthy coping skills even before you see changes in behavior.

  • Talk to them. Ask your young athlete about their stressors and how you can support them. Help them problem-solve by breaking down big problems into smaller parts. This allows them to take one step at a time, rather than trying to tackle everything at once.
  • Reframe how your athlete defines achievement. Young athletes often experience a sense of failure or disappointment when they don’t reach an expected outcome in competition. Encourage your athlete to:
  • Giving his or her best effort.
  • Measuring personal progress, rather than end results or winning.
  • Encourage breaks and down time. For example, suggest that they check in with friends, watch a movie, read a book or listen to music.
  • Take a time out. Institute a “no [primary sport] talk” rule for two hours after a game or practice, no matter the outcome. Emotions tend to run high right after the activity, and parents can often unknowingly increase stress. By taking a time out from discussing performance or outcomes, you can avoid unintentional stress and/or arguments.
  • Encourage diverse interests, hobbies and friend groups. Introduce your young athlete to new ideas for activities and hobbies unrelated to their sport. This helps with meeting new people and exploring interests they may not be aware of yet.
  • Discuss healthy coping skills that can help manage stress. Deep breathing techniques, progressive muscle relaxation, yoga going for a walk or engaging in a physical activity other than their primary sport. Learn to relax with apps like Headspace, Calm, Smiling Mind (free) and Stop, Breathe, & Think Kids (appropriate for kids 10 and under).
  • Encourage the use of positive self-talk. Teach them to use phrases like, “I’ve got this,” “I can do better next time,” or “I choose to learn from my mistakes, not be held back by them.” Negative self-talk (“I can’t do this” or “I let the team down”) increases stress. With practice, an athlete can learn to shift negative to positive thoughts and reduce stress.
  • Support healthy sleep hygiene. Teenagers should be sleeping a minimum of eight hours per night. Teach good habits including limiting screen time and caffeine before bed, consistent waking and bedtime and a creating a quiet environment.
  • Encourage a healthy diet. Encourage them to choose water over sugary beverages, fuel for school and activity and eat a variety of fruits and vegetables.

All of these ideas can help, but if the problems are ongoing or the suggestions above are not helpful, it may be time to seek professional mental health services for your young athlete. Talking through stressors with a licensed psychologist or mental health counselor can be a healthy outlet for chronic stress and help your athlete learn positive coping strategies to use in the future when experiencing negative stress.

In case you are concerned, and you are not sure where to turn, here are two resources in addition to your school counselor and behavioral health resources provided by your health insurance plan:

  • Crisis Text Line (Text HOME to 741741) – connect with a crisis counselor via text
  • National Suicide Prevention Lifeline (1-800-273-8255)

Check out a message from sports medicine physician Jane S. Chung, M.D.

At Scottish Rite for Children, our team of trained pediatric psychologists are here to help our patients throughout treatment and recovery. Learn more about our Psychology department.

Child Life Spotlight: Empowering Children and Families to Master Challenges in Health Care

Child Life Spotlight: Empowering Children and Families to Master Challenges in Health Care

As an organization, we are committed to treating the “whole child” – mind, body and spirit. Through our multidisciplinary team of experts, we make sure the patient is comfortable at every stage of their treatment. The Child Life department helps to achieve this positive experience and is a resource at the Dallas and Frisco campuses. Through this spotlight, we hope you will understand a bit more about the field of Child Life and learn how you can contact the department for your next visit.

What Is Child Life?
Certified Child Life Specialists (CCLS) focus on the social, emotional, developmental and educational needs of children and teenagers in the hospital setting. To help reduce fear and promote coping during the visit, a CCLS can provide the following services to your child:

  • Prepare and support the patient for medical procedures
  • Educate them about their diagnosis
  • Teach coping techniques to use during medical experiences
  • Engage in medical play
  • Provide outlets for self-expression
  • Support for brothers and sisters

Being Admitted as an Inpatient at the Dallas Campus?
Staying at the hospital can sometimes be stressful. Children may be nervous, worried, have questions and/or have behavioral changes prior to a hospitalization.

  • A CCLS will meet with your child on admission day to provide age-appropriate preparation for their hospitalization and answer any questions they may have.
  • Pre-admission tours are an extra service available to your child. These can be beneficial to help alleviate nervousness prior to admission day.

Here for a Clinic Appointment?
Coming to the hospital for a clinic appointment can be stressful, too! If your child is nervous or has questions about coming to their appointment, a CCLS can help prepare the child by answering questions as well as be present for the following:

  • Cast removal
  • IV placement
  • Lab draw
  • Surgery discussion
  • Joint injection
  • Radiology procedure (MRI, CT, ultrasound, VCUG, etc.)
  • New diagnosis
  • Brace compliance
  • Pin removal
  • Pill swallowing
  • Dressing change
  • Anything potentially stressful

Services at the Frisco Campus:

  • Two Certified Child Life Specialists
  • Work with patients who are seen in the Fracture Clinic:
    • Prepare patients for casting and procedures
    • Develop a coping plan
    • Provides support throughout casting
  • Sports Medicine:
    • Provides support throughout procedures (joint injections, suture removal, etc.)
    • Pre-op tours
    • Presence on surgery day
  • The team also provides their services to the following departments:
    • Rheumatology and Infusion
    • Orthopedics
    • Radiology
    • Orthotics & Prosthetics
    • Physical and Occupational Therapy
    • Day Surgery

Who Makes Up the Team?
Certified Child Life Specialists are professionals who are certified through the Association of Child Life Professionals (ACLP). They hold bachelors and/or master’s degrees in child development, psychology or a related field. Their training includes a specialized internship in a pediatric hospital setting. Other team members include program coordinators, who have a background in child development and volunteers assist the activity coordinators in organizing patient activities in the inpatient playroom.

Meet Our Child Life Team
Ashleigh Kinney, L.C.S.W. (Director, Child Life) – Dallas
Andrea Brown, B.S., CCLS – Dallas
Molly Bass, B.S., CCLS – Dallas
Mellina McCormick, B.S., CCLS – Dallas
Ashley Hargrove, M.S., CCLS – Dallas
Morgan Brinson, M.S., CCLS – Dallas
Dulce Rubio, Child Life Program Coordinator – Dallas
Remington Rosene, Child Life Program Coordinator – Dallas
Laurie Hamilton, M.S., CCLS – Frisco
Marissa Willis, B.S., CCLS – Frisco

How to Contact the Child Life Department?
As a parent or caregiver, you can request that any staff member contact a Certified Child Life Specialist to meet with your child during their appointment.

To schedule a visit with a Certified Child Life Specialist or a pre-admission tour, please contact the Child Life department.

Dallas
214-559-7795
[email protected].

Frisco
469-525-7187
[email protected]

Learn more about the Child Life department.

Fatherly: 5 Things You Probably Didn’t Know About Kids’ ACL Injuries

Fatherly: 5 Things You Probably Didn’t Know About Kids’ ACL Injuries

“Even after an ACL reconstruction, teen athletes are prone to re-injury simply because they are active, participate in aggressive contact sports, and have less neuromuscular control than adults,” says Dr. Wilson — assistant chief of staff. Our sports medicine team was recently interviewed about their latest research regarding a new technique for ACL reconstruction surgery for young athletes.

Read more about the misconceptions surrounding kids’ ACL injuries. 

Over-scheduled to Under-scheduled: When Your Kids Can’t Go to School and Usual Activities

Over-scheduled to Under-scheduled: When Your Kids Can’t Go to School and Usual Activities

Transitioning suddenly from an over-scheduled routine to an under-scheduled, and hopefully temporary lifestyle, may not be such a bad thing for kids. We know they are happy while at school and active in their sports, but a little pause might be good too.

Our team has a few suggestions for making the most out of this time and helping your family cope and come out on the other side ready to go.

Physical Activity and Good Nutrition
It might seem obvious to some, but the consequences of dropping hours of physical activity may sneak up on kids. Missing daily playground, sports practices and games and even birthday parties at venues or parks, dramatically reduces energy expenditure. Taking action to keep physical activity up and nutrition balanced to meet those demands and not exceed them requires a little planning.

Look for ways to be physically active for 60 minutes each day.

  • Search online for ideas and resources like videos for kids’ yoga and active games.
  • Make play time a family event.
  • Get outside and take a walk.

Young athletes will benefit from a rest from intense training in their primary sports.

  • Consider “cross-training” activities that are unlike the primary sport.
  • Keep working on individual skills for sports.
  • Help your kids replicate activities from the practice that are independent or in very small groups.
  • Check out our warm-up programs for golfers and basketball players.

Each day, more websites and organizations are making their creative ideas accessible to the public.

Matters of Their Minds
Pediatric psychology postdoctoral fellow, Emily Stapleton, Psy.D., advises families to talk about COVID-19 in a calm, non-reactionary way and limit exposure to the news. Parents should select resources like the American Academy of Pediatrics (AAP) blog for advice on helping children through this challenging time. A recent article specifically addresses keeping a consistent daily routine in spite of school closures and how to talk to your children in an age-appropriate and honest way about the situation.

Be a Good Role Model
Whether it’s good hand hygiene or creative exercise, consider the impact watching you has on your child’s health. Stay calm and connected and help your children do the same.

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