Wednesday, November 10, 2010

Mealtime Question

Parent Question: My 4 year old child is not eating for me at the table. He wants both my husband and I to help him eat and is very fussy; won't try mashed potatoes or anything. It's a constant battle as he wants toys at the table when eating, like something to keep him occupied rather than eating. He does eat pasta and fishsticks but we sometimes have to literally feed him so it gets eaten. I know this is a bad habit, but it's awful getting him to eat much of anything. It's become such a constant battle that I now hate mealtimes. Please help!

Answer: There are so many answers to this one. I am going to give a few guidelines and point you in the direction of a great book for more. The book is "How to Get Your Kid to Eat But Not Too Much" by Ellyn Satter. She wrote another book and there is also a book by Elbrit, but I like this one.
Guidelines: Parents are in charge of what is offered, children are in charge of what and how much of that they eat. Control what is offered; once it is on the table let him pick and choose. If he fills up on fruit and wants more, ok, you offered it. If that is all he will eat, offer it less often and other things more. Go as wide as you can. Put in those 'only foods' once a month so he can't rely on them. The idea is to let go of the battle. You don't want to be battling over food intake once it is on the table. Lessen the emotion; emotion fuels power struggles.
That is the short answer for a long question. We do have a two-hour workshop on managing mealtimes that includes all this on pickyness. The books I mentioned are also very good.

Tuesday, November 9, 2010

Nap Time Question

Parent Question: My 3 3/4 year old doesn't want to nap. It takes her time to fall asleep when she does nap, both at bed time and naptime. When she does nap, I would say that on a 24 hour period, she sleeps 10-12 hours. How much sleep should she be getting in a 24 hour period? How long should her naps be at this age and moving forward? Any suggestions for those days (especially with the holidays around the corner) when she stays up late at night and still wakes up early the next day? Thank you!

Answer: 10-12 hours in the 24 hour cycle is the goal now thru late elementary school. Significantly less than 10 can be problematic. 8 is a low minimum. If it were my house, we would be transitioning to 'quiet time.' An hour everyday of play quietly in your bed which you respect like a nap - same time, same length everyday. You can say, "You don't have to sleep, just stay in bed and stay quiet." I would give a quiet activity or book after the first 20 mins or so. If you provide this religiously the idea is they are still resting and if they need to should fall asleep. If she naps, think 60 to 90 minutes, which is probably plenty. Don't want it to vary widely from day to day. On really crazy holiday days, plan quiet breaks in the day. Maybe spend 30 minutes in the afternoon snuggling and reading a chapter book or time listening to quiet music.
Sincerely, Dr. Rene