Dr. Deborah Ledley Licensed Psychologist
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Dr. Ledley's Blog

college-bound - new group offering

2/28/2019

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I am pleased to be offering a new group at my office called COLLEGE-BOUND.

Beginning in May, this group will meet weekly and is open to students beginning college in Fall 2019 (or returning to college after time away).

All potential group members must meet with me for a one-hour session prior to joining the group to assess suitability and discuss confidentiality.  

Groups will be led by Dr. Ledley with a segment dedicated to teaching valuable COLLEGE-BOUND skills and a segment reserved for group sharing and discussion.  

Topics will include:

-Dealing with roommates and making friends - with students often selecting their own roommates, kids are going into college assuming this relationship is going to be a perfect, life-long friendship -- but it often doesn't turn out that way.  We will discuss how to deal with disappointment if roommate choice does not work out; how to resolve conflicts with roommates; and how to make friends around campus.
-Academics - Students tell me that it is very hard to adjust to the academic independence of college after the hand-holding of high school.  We will discuss what to expect in college, how to manage independently, how to choose classes, how to stay organized, and how to seek help and speak to professors.
-Drinking - Many patients who I work with have made the decision to NOT drink or to drink minimally in college and have found it challenging to find like-minded friends.  We will discuss this issue, as well as how to deal with substance use problems in roommates and friends, and how substances are often used to manage emotions.  
-Managing emotions away from home & Homesickness -- Kids are very connected to their parents these days and that has its definite plusses - except when kids are texting their parents at all times of day and night because they are having difficulties managing the day to day challenges of life away from home.  We will learn valuable emotion regulation skills designed to foster independence.  
-Finding resources on your campus - Despite the time we take selecting a college, students often don't know about the resources available to them when they need them.  We will discuss how to know if you need help and where to find that help (academic, medical, emotional).  Each group member will build a list of these resources to take to school with them.
-Life skills - These days, so much time in high school is spent on school work and on building one's resume that college comes and kids don't know how to pump gas, cook eggs, or do laundry.  Not knowing how to do these basic skills can add to stress in college and maintain reliance on parents.  We will discuss and work on these skills throughout our group.
-Managing Your Anxiety Disorder - Kids are going to college with social anxiety, OCD, panic attacks and so forth.  We will discuss how these disorders can impact college life and what we can work on in advance in order to be ready for these challenges.  We will also discuss how to get ongoing help at college if needed.  

Please contact me to get involved in this valuable and fun group!  drledley@me.com


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Kids and new year's resolutions

1/2/2019

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Last night, I cooked a nice dinner and we began discussing New Year's Resolutions.  Let me tell you that even psychologists can have bad parenting moments - or at the very least, ones we question!

My kids, ages 11 and 13, contributed some ideas for their New Year's resolutions.  The 13-year old wanted to eat fewer chips.  The 11-year old wanted to annoy his big sister less often.  Okay, nice resolutions guys.

And then, we got into the mix.  We just couldn't let it rest.  My husband and I started giving the kids New Year's resolutions.  We believe that one of our kids really needs to work on "emotion regulation skills" (yes, I am a psychologist!) and the other needs to focus on building reading and writing skills.  

Within the few minutes, the kids started giving US New Year's resolutions.  Mommy should work on being less snappy.  Daddy should work less.  And so on.  The conversation degenerated quickly.  The kids felt criticized and the parents felt --- well, we also felt criticized and, perhaps, like the children were talking about things they didn't really understand.

So, who should be setting kids' New Year's Resolutions?

The answer?  I am not sure!  

All good psychologists know that motivation is strongest when it comes from within.  If my daughter really believes that it is important to cut back on chips, then she will likely succeed at this goal.  A win-win - she is healthier and feels good about accomplishing a goal she set for herself.

Yet, as parents, our job is to guide and teach and our kids might not have the ability to frame or verbalize the things that they need to work on.  It is hard to hear about weaknesses (I know this firsthand, since I was told last night that I need to be less snippy!), but if we only tell our kids how wonderful they are, they won't grow and they will also sense a lack of genuineness in all this praise.  

If I could turn back time on last night's dinner, here's what I would do.  I would have each family member set one resolution for themselves, and be open to one suggestion from another family member on something they might consider working on.  I would then check back in a week on how each family member has made sense of that suggestion and articulated it for themselves.  Rather than harping on the kids for their weaknesses, I hope that they would come to see why they might want to work on these goals for their own benefit.  

What did you do with resolutions with your kids?  Any thoughts or suggestions to share?  
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THE THREE L'S OF GOING BACK TO SCHOOL

8/29/2018

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With school starting all over the country, I've decided to repost a favorite post from last year!

​I've had a really busy week with clients preparing to start a new grade in elementary school or make the transition to middle school, high school, and college.  Although each of my clients is so unique, the concerns they tend to share at this time of year are very similar.  The boil down to the Three L's:

-Who will I sit with at LUNCH?
-How will I get into my LOCKER?
-Will I get LOST (and as an addendum to that one, will I be LATE?)


For anxious kids, I think these fears point to a few very important lessons to be learned:

-All adjustments take time.  Every kid is going to have a hard time getting into their locker the first week of school.  Everyone is going to get lost on their way to class in the first few weeks of school (and might even be late).  Every student is going to feel uncertain about who to sit with at lunch.  I tell kids that by the end of two weeks, they will feel pretty good.  With respect to friendships, it will take longer.  For college freshman, it might take several months to find a group of like-minded kids who really make you feel at home in your new surroundings.  All of this is normal and should be expected.  

-The only way to succeed is to ask for what you need.  If you can't get into your locker, ask a friend or teacher for help.  If you are lost, ask an older student.  If you are alone at lunchtime, ask to join some kids who look nice.  What is the worst thing that might happen?  Test out this fear.  In all likelihood, this fear will not come to pass.  For example, if you fear that someone will laugh at you if you ask where your next class is, test it out.  In all likelihood, the student you ask will point you in the right direction or even walk with you to help you find the way.

-Anxious kids often fear doing the wrong thing and getting in trouble.  Ask yourself, "What's happened in the past for me?"  or "What would happen if this happened to another kid?"  For example, in the first week of school very few kids get in trouble for coming into class late.  Remind yourself that when you've made a minor mistake in the past, the world hasn't ended - you haven't even got a detention!  These is generally wiggle room for kids to make little mistakes, and even if a teacher says some sharp words, you can handle it!  

Good luck with the new school year - and send me any questions or concerns you'd like me to address!


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Social Graces and Parenting

10/21/2017

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I was happy to be quoted in the Chicago Tribune recently on a situation we have all been in....haven't we?


What do you do when a stranger tries to parent your child in public? (Photomondo / Getty Images)
Christen A. Johnson  Chicago Tribune

Q: A stranger tries to parent or critique your child in public. How do you deal with the person without becoming irate?
​

The first inclination is to give a dirty look or nasty retort.  These public put-downs can eat away at us for hours, or even days, after they’ve happened. They can make us question our capabilities as parents or the goodness of our kids.

Ask yourself if you value what this person thinks of you. There are many people you care about who give parenting feedback and whose advice you will take to heart.

The stranger in the playground or the neighborhood restaurant? Not so much. You don't know the person’s values or parenting skills. So be prepared for these situations with a set response. "Sorry he's bugging you. We were all kids once, right?" Or a simple, "I've got it, thanks."

Care about the people who do matter to you, and be able to dismiss the people who just pass through your life momentarily.


— Dr. Deborah Roth Ledley, author of “Becoming a Calm Mom: How to Manage Stress and Enjoy the First Year of Motherhood”
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Why Are More American Teenagers Than Ever Suffering From Severe Anxiety?

10/11/2017

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Today's New York Times is a must read:  ​nyti.ms/2yYp7cn

The article,
​
Why Are More American Teenagers Than Ever Suffering From Severe Anxiety?

captures what I do on a daily basis - the kids I see, the issues they face, the reality of treatment (what it can achieve and its limits).  I encourage all parents to read this wonderful article.  And, please leave your comments here.  
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Learn to Treat Perfectionism - A New Continuing Education Program 10/27/17

9/25/2017

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​Using Cognitive-Behavioral Strategies to Treat Perfectionism Across the Anxiety Disorders in Children and Adolescents:
Learning to Live by Values Instead of by Rules



Friday October 27, 2017, 10am-2pm
Philadelphia, PA

Deborah Ledley PhD and Lynne Siqueland, PhD

 

  1. Identify the ways in which perfectionism presents in youth with various anxiety disorders and to develop an understanding of the ways in which perfectionism impacts quality of life.
  2. Engaging children and adolescents in motivation for treatment by understanding personal and societal pros and cons of perfectionism and addressing clinical dilemmas
  3. Apply cognitive interventions, exposure exercises, and behavioral experiments to challenge beliefs about the value of perfectionistic standards with youth across a broad age-range.
  4. Summarize family based interventions strategies to address parental perfectionism if present or how parents can support focus on health and values.
Cost: Professionals - $120, students: $25 (please include a copy of your current student identification card)
 
Continuing Education Information: The Children’s and Adult Center for OCD and Anxiety is approved by the American Psychological Association to sponsor continuing education for psychologists The Children’s and Adult Center for OCD and Anxiety maintains responsibility for this program and its content.  Participants will earn 4 CE hours for completing this workshop.

Please contact Lynne Siqueland for more information and to register:   siqueland@pobox.com

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Adjusting to College

9/7/2017

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​​I love working with kids during their Senior Year in high school.  It is a time of so much potential stress, and a time when cognitive-behavioral therapy can be SO beneficial.  Each year, I feel an internal burst of happiness when I have finally helped to navigate each of my Seniors through the craziness of the college application process, the agony of choosing a school, and the preparations for leaving home (sometimes for the very first time).  

And then they arrive.  

And, it is not all that it has been chocked up to be.  All that WANTING.  All that STRIVING.  And kids find themselves in a squishy dorm room, with a not-so-nice roommate, on a floor of loud and immature fellow freshman.  Oh, and we didn't mention school.  Even kids who went to the most rigorous high schools tend to be surprised by the expectations of college professors and the absence of the grade inflation they were so used to.  

Here are some tips for College Freshman as they adjust to their new "home":

-Have reasonable expectations: Too often, we send kids to college telling them it was "the best time of our lives."  We forget what those first few weeks or months were like.  Everything, absolutely everything, is new.  Where are my classes?  Who can I eat with?  What do these professors expect?  Who am I going to be friends with?  How often should I call home?  How do I do my laundry?  What do I do with spare time during the day?  It will take at least a semester to feel settled an comfortable at your new school.  This is TOTALLY NORMAL!

-Find like-minded friends: We all know people who became best friends for life with their freshman year roommate.  Or who met their future spouse standing in line registering for classes on their first day of school.  Most of us, however, spent our first few weeks (or months) of college feeling quite lonely.  As anyone who knows me know, I am a huge fan of Frank Bruni and he has written so eloquently about loneliness in college students in this week's www.nytimes.com/2017/09/02/opinion/sunday/college-freshman-mental-health.html NYTimes.  The key to college happiness, in my opinion, is to find like-minded friends.  Where can you do this?  Class is a good place to start - introduce yourself to people sitting next to you.  Extra-curricular activities are even better.  Do you love playing soccer?  Join an intramural soccer team.  Do you enjoy writing?  Go and check out the school newspaper.  And, if you are a person who doesn't enjoy drinking and partying, don't fear.  There are lots of people just like you.  You just need to find them.  There are kids at college who do like to play board games, watch movies, go explore cities, and other cool stuff like that on Saturday nights.  

-Be mindful of reliance on your parents and friends from home: It is reasonable to call or text your parents or friends from home when you are feeling sad, lonely, or anxious during your first few weeks of college.  But, as the weeks go by, consider relying on a new college friend.  If you are stressed about a test, consider texting a new friend and telling him or her.  This is a great way to build a friendship.  It is likely that friends are feeling the same way, and just waiting for someone to share so that they feel comfortable sharing!  College will become a more comfortable place when you have people right there, in person, to rely on.  

-Schedule your day:  A lot of college freshman feel stressed by the free time they have in their days.  Kids are used to going non-stop morning till night in high school and if they have only one class on a Tuesday/Thursday in college, this is the day that anxiety and homesickness tend to hit.  Try scheduling your day.  Put in some regular exercise (a group class at the school gym is good for anxiety and your mood and a good way to make friends).  Set aside some time for laundry and chores.  Schedule in some library time to get work done.  Make a lunch plan with a new friend.  The key is to stay active rather than letting the anxiety and sadness take over and crawling into bed with Netflix.  

-Don't forget the basics:  It can be really hard to sleep in a dorm room.  But, sleep is so important - the less sleep we get, the more anxious and depressed we feel and the less well we do in school.  It is totally okay to go to bed at a reasonable hour in college.  You can use earplugs to block out the noise and discuss some ground rules with your roommates for times that lights should be out and guests should no longer visit.  Eating is also very important.  Low blood sugar can mimic the feelings of anxiety and can make it hard to focus.  Even if you don't feel hungry, make sure to eat three healthy meals a day.  Eating alone can be very anxiety-provoking.  Ideally, try to plan meeting up with new friends for meals.  But, if you do find yourself eating alone, bring something to read and enjoy this "down-time."  As with most things, the more you do it, the easier it will get!


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The Three L's of Going Back to School

8/18/2017

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I've had a really busy week with clients preparing to start a new grade in elementary school or make the transition to middle school, high school, and college.  Although each of my clients is so unique, the concerns they tend to share at this time of year are very similar.  The boil down to the Three L's:

-Who will I sit with at LUNCH?
-How will I get into my LOCKER?
-Will I get LOST (and as an addendum to that one, will I be LATE?)


For anxious kids, I think these fears point to a few very important lessons to be learned:

-All adjustments take time.  Every kid is going to have a hard time getting into their locker the first week of school.  Everyone is going to get lost on their way to class in the first few weeks of school (and might even be late).  Every student is going to feel uncertain about who to sit with at lunch.  I tell kids that by the end of two weeks, they will feel pretty good.  With respect to friendships, it will take longer.  For college freshman, it might take several months to find a group of like-minded kids who really make you feel at home in your new surroundings.  All of this is normal and should be expected.  

-The only way to succeed is to ask for what you need.  If you can't get into your locker, ask a friend or teacher for help.  If you are lost, ask an older student.  If you are alone at lunchtime, ask to join some kids who look nice.  What is the worst thing that might happen?  Test out this fear.  In all likelihood, this fear will not come to pass.  For example, if you fear that someone will laugh at you if you ask where your next class is, test it out.  In all likelihood, the student you ask will point you in the right direction or even walk with you to help you find the way.

-Anxious kids often fear doing the wrong thing and getting in trouble.  Ask yourself, "What's happened in the past for me?"  or "What would happen if this happened to another kid?"  For example, in the first week of school very few kids get in trouble for coming into class late.  Remind yourself that when you've made a minor mistake in the past, the world hasn't ended - you haven't even got a detention!  These is generally wiggle room for kids to make little mistakes, and even if a teacher says some sharp words, you can handle it!  

Good luck with the new school year - and send me any questions or concerns you'd like me to address!


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New School Year, New Worries

8/7/2017

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One of the goals I have when working with each of my clients is to tailor treatment to their unique needs.  I'd like to do the same with my blog!  With the school year beginning, what is your child worrying about?  Fill in this survey and I will write some blog posts to address YOUR concerns (confidentially, of course!).

    Please fill in the survey for each of your children.

Submit
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Put Your Worries in a Box

3/31/2017

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Want some tips for coping with worry?  Click on the link to hear me speak about putting your worries in a box!

​lifespeak.com/lifespeak-video-training-excerpt-a-cognitive-strategy-for-generalized-anxiety/
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    Dr. Ledley

    I am a licensed psychologist working with kids, teens, and adults with anxiety disorders.  

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Contact Me:

Deborah Roth Ledley PhD

Licensed Psychologist


Phone: 610-737-8940 
Email: drledley@me.com 

Photos used under Creative Commons from Renaud Camus, mr_t_77
  • HOME
  • Continuing Education
  • Dr. Ledley's Practice
    • First Step - New Patient Requests
    • Next Steps
    • Telehealth Information
    • PAGES group
    • Consultation/Supervision and Speaking
    • About Anxiety Disorders
    • Helpful Resources
  • About Dr. Ledley
  • Blog
  • Books
  • In the News
    • In the News about COVID-19