Thursday, 31 August 2017

Do chores ruin a happy childhood?

This is the extended* article, first published in the York Press on Tuesday, August 8th, 2017.

http://www.yorkpress.co.uk/news/15466661.Chores_should_be_part_of_childhood/


I was reading an article about large families and how working mothers manage their time. In three of the four families mentioned, the children did ‘chores’. Sometimes the children were paid and sometimes they were unpaid and the chores were just part of family routine. In one family the children did not do any chores and the mother’s reason for this was, “I want my children to have a happy childhood.” 

*I despaired. So often this and other variations comes from a parent's own childhood when they were made to do something they didn't like. However 'rosy' we may wish to make childrens' childhood, one day they will be faced with a real life with domestic responsibilities. Grown-ups having tantrums is not life or relationship enhancing for anyone.

Fortunately society has moved a long way from children being sent up chimneys and down mines, but reading the article, I did wonder how realistic it is to allow a child to grow up without taking their turn with chores, paid or unpaid. I was reminded of someone who told me that the reason they were unable to cope with some challenging life events was that, “my parents made my childhood too happy.” My grandchildren are staying with us again. They have happy times, but their stays always include chores. Some are paid, some are done with love.

* I recall hearing about the problem being a too happy childhood and knew then that if we wants to find blame, we can find it in anything. By that time I'd heard every variety of reasons for blaming others in the past for a present predicament. For as long as we puts the blame on something or someone else, which isn't going to change, it makes changing our own attitude more challenging and extends any healing time.

Taking workshops, I used to ask the participants to recall a time when they were up against it, but didn’t give up. The example I loved was a woman describing her altercation with a jammed photocopier, “I wasn’t going to let it beat me.” I then suggested that her attitude could be used in other situations where she may feel beaten. It can be helpful if we look at past experiences for ideas as to how we can manage present challenges.

No-one has an easy ride through life and no-one knows exactly what goes on behind closed doors. My school friends certainly didn’t know about my life anymore than I knew about theirs and it’s only much later that we discovered that it wasn’t all fun.  I don’t wish difficulties on anyone, but on reflection it’s the harder and challenging life events that gave me life-saving resilience, as well as hope. Is making childhood too comfortable and without responsibilities, leading to having unrealistic expectations in adulthood? If chores are part of growing up, as well as playing, then I believe children should learn that life is about helping each other and that, certainly, ‘life isn’t fair’. 

©AlisonRRussell2017

Saturday, 29 July 2017

Needs first, wants later...with extra salt.

This is the extended* article first published in the York Press on Tuesday, July 4th 2017.
http://www.yorkpress.co.uk/news/15383305.Column__Our_needs_must_be_met_before_our_wants/


Last year I was having a check-up with a cardiologist, having had some tests after experiencing a blackout. I joked that having concussion for six weeks had kept me from drinking alcohol and I was looking forward to resuming my one glass of wine, four days a week. Hardly extreme. “Why?”, he responded. “Do you need it?" 

The answer is, of course, “No, I don’t need it.” Though, thinking of those stressful, not party times, when I’ve used alcohol to ‘fuzzy the edges', the difference between need and want could sometimes appear borderline.

I have been reminded of the doctor’s words in recent times, particularly the Grenfell Tower tragedy. People have had to find out in terrible ways, that it’s an individual’s needs that must be met before turning to their wants. Within minutes of tragedy unfolding, the basic needs of shelter, food, water, clothing and money became urgent for hundreds of people. The need for security, community and friendship became obvious too. Personally, I would be distressed to lose family memorabilia, as would most people, but none would matter if I hadn’t got my basic needs met. It’s a thought-provoking exercise to seriously look at everything one owns and reflect on what one would actually need in an emergency. This is something I done a couple of times in life and it’s sobering when realising that very little we surround ourselves with, actually matters when lives and sanity are at risk.  

Another need is a sense of control and it must be unsettling to feel that events have temporarily taken personal control away. Other critical needs to enable an individual to thrive, are being stretched and a sense of achievement. When helping people with emotional problems, an audit of the client’s needs and resources was always made. Sometimes the root of a problem was in the present day, though often it could be traced to a lack or perceived lack, of a need being met in childhood. 

* There are studies which show that if a person's needs are met, then the possibility of developing Post Traumatic Stress Disorder (PTSD) are lessened. I recall this being shown strongly after the London bombs on July 7th 2005. Some of the injured and affected victims were living on their own and did not belong to a community. They were more vulnerable to PTSD than others.  The sense of community is enormous at the Grenfell Tower site, which is good, but as the weeks pass, the loss of control and security in the  resident's lives is causing increasing distress.  It's not just at the Grenfell Tower site either, as more tower blocks all over the UK need attention.

Returning to the Cardiologist. He was correct in that I didn’t need wine to live healthily. What I did need was more plain water and salt and I have increased my daily intake of both. I also enjoy a glass of wine four times a week.
..............             ..............           .............          ............

* By the time I had an appointment with a Cardiologist in 2016, which was only at my insistence, I had experienced 'funny turns' since 2008, which I knew were somehow stress related. (Fifty-four in 2009 and now only one or two a year.) The only diagnosis I had received was from a Neurologist, who after many tests said, "We don't know, so it must be pre-epilepsy and take this medication." In 2016, another Neurologist said it definitely wasn't epilepsy.

*As the medication was anti-psychotics and I was pretty sure the epilepsy wasn't the root cause, I didn't take the medication and I'm here to tell the tale. If simple questions about water and salt intake had been asked, then Vasovagel Syncope could have been diagnosed earlier and I could have avoided two head injuries. The Cardiologist even told me to look up the diagnosis on Google to see if I agreed. I was astonished. I did look it up and agreed with him at the follow-up appointment.

*It's interesting that in the last few weeks, the medics are questioning whether 6grams of salt a day is too little. It probably is.  When I was in hospital, the staff nurse mentioned that patients being admitted due to falls had spiked in recent times for no particular reason. A friend who worked for a food agency on the traffic light system on food wrapping, said that when the salt limit was announced some years ago, she and her boss said that it was too little and there would be problems. She could be right. https://www.nytimes.com/2017/05/08/health/salt-health-effects.html

* A handy hint. Be careful how you describe your symptoms. I used the word, 'deja-vu', which proved my undoing. I changed it to 'visual disturbance'. 

*If you should know anyone from the services or related to service personnel, active or retired, who may be experiencing PTSD, I can highly recommend this charity. http://ptsdresolution.org

©AlisonRRussell2017


Tuesday, 27 June 2017

Turning molehills into mountains - Toxic Thinking.

This *extended column was first published in the York Press on Tuesday, May 30th 2017.

http://www.yorkpress.co.uk/news/15319075.Rita_Leaman_column___If_you_pick_it__it_won___t_get_better_/

It was a great gathering, everyone was happy and everything went well. There was a small incident. Did I sense a slight insult? If I did, it was unintentional and easily explained. Nobody said anything and the incident went to the back of my mind while we all continued to enjoy ourselves.

Except some people thought that it was insensitive and discussed it together. A few hours later it was mentioned to me. I didn’t feel a discussion would be helpful, but started to feel emotional. I begun to replay the incident, over and over. The tears weren’t far away. My imagination got going and I started to build up various negative scenarios. Little was based on facts, just my imaginings.

A day passed and it was all I could think about. Now, not only did I feel hurt, bewildered, embarrassed, but angry too. The tears seemed permanently lodged behind my eyes. I desperately tried to put it out of my mind, but I had become emotionally hijacked and the memory was on replay. The molehill had become a mountain. I wanted it to stop and reminded myself that ‘if you pick it, it won’t get better’. As a therapist I know that picked over memories can become toxic and do great damage to oneself and others and I didn’t want that. In the end I decided to just let the tears flow. Alone, I bawled my eyes out. The dam of emotion had burst and I felt better, which slightly surprised me. I haven’t felt upset since.

Shakespeare gave some wise words to Hamlet in Act 2, Scene 2.

“…for there is nothing either good or bad, but thinking makes it so. To me it is a prison.”

Emperor Marcus Aurelius lived centuries before Shakespeare. He should have an entire therapeutic approach to life built around his many insightful quotes.  

“You have power over your mind - not outside events. Realise this, and you will find strength.” 

“The happiness of your life depends upon the quality of your thoughts.” 

(*Look for the book 'Meditations' - the philosophy of Marcus Aurelius.) 

To bring it up to date, I will finish with a quote from Disney: “Let it go!”
.......................

* Since the column was published, the memory has come back a couple of times and tried to make mischief in my mind. Being busy  and using diversionary tactics, I have been able to 'let it go' or push the mischief maker away. In the past I have been known to shout very loud and very rudely at an intrusive negative thought. It somehow can break the trance state of introspection and works. I choose a suitable time and place, just in case I'm overheard!

In my practice, I made a poster of one Marcus Aurelius quote. 

2000 Years Ago

"Many of the anxieties that harass you are superfluous, being but creatures of your fancy, you can rid yourself of them and expand into an ampler region letting your thoughts sweep over the entire universe."

2017
Stop imagining the worst and look at the bigger picture

©AlisonRRussell2017 

Sunday, 30 April 2017

Setting and pushing boundaries.

This is the extended* Wellbeing Column, first published in the York Press on Tuesday, April 25th, 2017. 

http://www.yorkpress.co.uk/features/health/15239099.Mind__body_and_soul__Walk_on_the_wild_side/


It has been like the BBC TV programme, ‘Springwatch' in our back garden recently. As well as a tuneful variety of bird life, the bird feeders and garden have encouraged other visitors too. Squirrels, rabbits, deer, a stoat, pheasants, hedgehogs, bees, butterflies and even a pair of ducks have appeared near the house for the first time.

One morning we looked out of the window and were shocked. There was a scene of wanton vandalism. Hanging feeders lay on the ground, broken and empty. A baton of wood was snapped in two. Due to the height of the feeders, we blamed deer, but out of curiosity, we erected a night time camera.

The next morning, a similar scene met us. We looked at the camera and were amazed. A badger was the culprit. We know how fortunate we are to have such a wonderful selection of wildlife on our doorstep and we encourage it, despite the downside of nibbled flowers and shrubs. But it is wild life. Life that knows few boundaries.

Recently I heard a retired headteacher talk to a group of NSPCC supporters, about her years in charge of a primary school, in a tough area. She talked of children growing up ‘wild’ and how much they responded to the boundaries set at school. “They knew where they were and what was expected of them.” People need boundaries. When we’re younger, we have to be told and guided, learning about taking personal responsibility and that actions bring consequences. We push at them, question them, sometimes break through them, but need them for a healthy society. As we grow up and our brains mature, we can set boundaries for ourselves.

* Taken from the book, 'Are you Chasing Rainbows?' 

Peter, in his fifties, was an only child and close to his mother, who idolised him. He held a prestigious academic position in a university. He regularly had tantrums in the workplace, generally shouting, screaming, banging the table and walking out of meetings. Most of the time he succeeded in getting his own way.
I would suggest that while he had a high IQ, his EQ (emotional intelligence) did not match: he presented as a man/boy. He had grown up getting his own way by having tantrums, and was indulged by staff members. Unless someone was able to draw boundaries and be consistent in their non- acceptance of his behaviour, it was likely to continue. 

If animals, both domestic and wild, are kept inside boundaries and those boundaries are too restrictive, they will not thrive and usually display disturbed behaviour. The same can be observed with children. It’s not easy for parents and carers, especially with teenagers. Boundaries which are too restrictive can lead to as many problems as too few boundaries. 

*There is general acceptance now that praise and encouragement are helpful, and that filling a child with a sense of failure is unhelpful. The problem is that teaching is tipping the balance into giving a child unrealistic expectations. We praise a baby when it picks up a toy, but when do we stop? If we continue to praise a child for doing something that comes easily, the praise will be devalued. As adults, we need to move the boundaries of praise, along with the expectation of success. For example, a young child can be praised for a drawing: if that drawing doesn’t get much better and the praise continues, the child will know that the praise is empty. Either that or they will not try to stretch themselves because they will be praised anyway. What I suggest is that the effort should be praised instead.
 
Sometimes, as adults we set ourselves inflexible and unnecessary boundaries - a comfort zone. Perhaps 2017 is the year to step outside and explore the unknown?

* There are many reasons for preferring to stay within our comfort zone, but a major reason for may people, especially as they grow older, is not to wanting to fail. An adult can often be reminded of uncomfortable, even horrible, childhood experiences. The childhood emotion can 'hijack' the adult thinking and they stay in their comfort zone. That can be a shame and a loss of personal development.

"Failure is success, if we learn from it." Malcolm Forbes.

©AlisonRRussell@2017

Thursday, 30 March 2017

Striking the balance of being solitary.

This is the extended* Wellbeing Column, first published in the York Press on Tuesday, March 14th 2017. 
http://www.yorkpress.co.uk/features/health/15167791.Mind__body_and_soul__finding_time_for_yourself/

Two women of mature years met on the bus going into town and enjoyed chatting and catching-up on their lives. Sitting in a nearby seat, I couldn’t help but hear some of their conversation. One of the women said, “he’s a bit clingy.” and I wondered if they were talking about a grandchild. It quickly became clear that the woman was talking about her husband. Both women compared notes on having husbands at home who wanted to know what their wives were doing and where. The women were going into town to have some precious time on their own. They laughed as they admitted not taking their mobile phones with them, so that they couldn’t be contacted. “My son would be cross with me”, said one woman, “but it’s such a bother.” I smiled at the description of her trying to retrieve a ringing phone from deep inside a handbag, looking for her glasses and then finding out that it was her husband wanting to know how long she would be. She said longingly, “I don’t get much privacy these days.” The quote about retirement came to mind. ‘I married you for life, not for lunch.’ 

Finding time and space for some ‘me time’ is the other side of the loneliness coin, a well-aired subject at the moment. We need to find a balance. Too little time to oneself can be as emotionally unhealthy as too much time.  In the same way as too much self-reflection can be as unhelpful as too little.  We need to find some personal space each week, somehow, somewhere. Somewhere away from the demands of others. It is not about being selfish, it is a human need for healthy emotional growth. The activity could be a hobby, a class, reading, walking, listening to music, gardening or just ‘being’. The space could be a shed, spare room, study, the bath, going to the shops and cafes, enjoying a walk or sitting in a garden.

The writer Alice Koller wrote: “Being solitary is being alone well: being alone luxuriously immersed in doings of your own choice, aware of the fullness of your won presence rather than the absence of others. because solitude is an achievement”
                            ..............................................

*Taken from the book 'Are you Chasing Rainbows?' Chapter 20.

Privacy, or time on one’s own, is like the refrain in the story of ‘Goldilocks and the Three Bears’. Too much is not right. Too little is not right. We need a balance of just enough to be just right. However, in reality, who is able to achieve that? We are just as likely to be screaming inside that we want to be alone for just a minute, as we are feeling that we are getting too much of our own company.
I had a crazily busy life that veered from barely a moment alone, to one where every evening was spent on my own with the TV and red wine for company – but I did discover the difference between loneliness and solitude. I spent many hours feeling very solitary but, due to a great network of family and friends, I never felt lonely. 
.........................................

Thinking time. Being still. Putting things into perspective. Certainly some problem-solving can be achieved in states of high emotional arousal in an emergency, but generally if we want to look at all the options available to us, we need the mind to be more relaxed so that the brain can work effectively. Using alcohol and drugs is a common way of relaxing and switching-off the noise of life, but they come with a price: addiction and/or later problems with ill-health. In the same way that as children we were often given a sweet or biscuit to ‘make it better’ when we had hurt ourselves, rewarding stress and a need to relax with alcohol and drugs sends a message to our brain that this is what we do when we need to relax.
..............................................


That need is one that we all have at times: some ‘me time’, some space. It is not about being selfish, it is about allowing the brain to slow down. A time to rest the mind and body. A time to recharge the batteries. Like the battery indicator on a mobile phone, we all need to have a time for our mind and body to recharge, otherwise our batteries run out. We are warned. Our body tells us, the red light goes on – and we don’t listen to our cost. Or perhaps our mind and body feel like an electrical socket, and each demand on us is a plug: it is easy to imagine how the circuit can be overloaded. We need to remove a plug or two, or just switch off the whole system for a while. 
................................................ 
©AlisonRRussell2017

Tuesday, 28 February 2017

Managing an illness and recovery.


 This is an extended* column, first published in the York Press on Tuesday, February 14th, 2017

http://www.yorkpress.co.uk/features/health/15093396.Body__mind_and_soul__Four_point_plan_to_help_in_sickness_and_in_health/

 How was your January? Did you cough your way through it? I did and it appears that there were many others who did too. *Coughed through February too, my commiserations to others who have experienced this persistent bug.

 I was mostly housebound for ten days. After a couple of days of feeling ‘proper poorly’ and becoming bored with daytime television, I knew that my daily routine needed to be reassessed. Television is a useful distraction at times, but it can also lead to apathy and be a delayer of recovery. *I witnessed this on a psychiatric ward.

 What was needed were some daily targets and a reason to get up and dressed. It is surprising what an effort it can take to get washed and dressed, if there is no real incentive to do so. This became my four point plan.
1. A purpose. Gentle de-cluttering. I spent 60 - 90 minutes a day completing a light de-cluttering task. Most homes can benefit from de-cluttering drawers, cupboards and paperwork. In my case it was boxes of paperwork, acquired from clearing my father’s house four years ago. I had some plastic storage boxes, bin liners and an audio book to listen to for distraction. Satisfaction from a task completed each day felt good.
2. Small steps. Each de-clutter or other small task would last around an hour. I recovered slowly, but now, can reflect on fourteen hours spent completing jobs I didn’t want to do and would have stayed not done, if I had I been well.
                    3. Task and treat. I would reward myself after any task 
             that was completed. Sitting on the sofa with a magazine 
             and a hot drink had to be earned. The same with a TV 
             programme. Resting was important too.

4. Gentle exercise. My family gave me an exercise wristband last year. There was no hope of achieving the usual 10,000 steps a day, it was 2-3,000 most days. My target was another figure on the band, 250 steps an hour between 9am - 5pm.This encouraged me get up and move around much more than I would have done without a visible target. These four points can be adapted for most people in a variety of circumstances. It is much better than doing little and feeling even sorrier for oneself.


*After writing this article, some thirty year old memories came to mind. In 1985, after having a cold, I developed aching limbs, brain fog and a very weak body. It was ME/CFS (Myalgic Encephalopathy/Chronic Fatigue Syndrome), but in those days, very little was known about the illness. Thirty years later the diagnosis is still controversial and leads to debate. After many tests, no-one could say what the problem was, but by chance I read a magazine article by the round the world sailor, Claire Frances and recognised her symptoms of ME/CFS. The GP was minded to agree.

Because there was nothing medical that could be done, I kept going - just. I lay on the sofa for most of the day, but just about cooked a family meal each evening.  I seem to recall only one day defeated me. This meant I had a purpose and had to move.

In the end, I recovered slowly. I firmly believe that having to move and cook a meal every day led to a faster recovery than if I had done nothing. Nowadays the thinking is that minimal movement is a good idea, though at the time, ones mind is screaming not to make things worse. It was really quite frightening and even now, if I'm overtired, a leg muscle can ache in the way it did all those years ago and make me stop and think. I wrote about my experiences in 2011.

Monday, 30 January 2017

Emotional maturity seems a topical subject.

There has been a change in the rota for contributors to York Press and my next column isn't due until February.  I thought a reminder of the contents of my book would be timely, as over recent days and weeks, there have been many mentions of emotional maturity in the media. 

As I have been writing about emotional maturity for ten years, it seems timely to 'cut and paste' some relevant parts of the book, the title of which is, "Are you Chasing Rainbows - a personal and practical insight into emotional maturity and why adults sometimes behave like children.' I started collecting examples of such behaviour years ago and used many in the book and on the website.  Over the last few days, I have been overwhelmed at the examples available. I could comment and write something up-to-date, but I will leave readers to make up their own minds.

From the Introduction in the book

Have you ever looked at an adult and thought, “Oh grow up”? Perhaps you have uttered those precise words. I am sure you have – in fact, I should be astonished if you have not. The person may be someone well-known to you, or a complete stranger. It makes no difference to the fact that at that precise moment, their behaviour in some way resembles that of a child, and you are feeling a sense of despair and frustration.

If this person is someone who you have to live or work with, then it could be helpful to understand a little of what may be happening in their brain. Of course, in the unlikely event that those words have ever been said or thought about you, then it might be helpful to know what may be happening in your brain.

However, it is not only the expression “Oh, grow up!” that is commonly used. There are all sorts of words and phrases that suggest the speaker is observing some behaviour that they find irritating and exasperating.

“You’re acting like a child/two-year-old.” 
“Why can’t you act your age?” 
“Stop being so childish.”
“You’re behaving like a spoilt brat.” 
“She’s daddy’s little princess.”
“He’s a mummy’s boy.” 
“It’s playground behaviour.” 

“Your child acts older than you do.” 
Then there are descriptions of immature behaviour:

“They threw their toys out of the pram.” 
“They spat the dummy out.”
“She’s daddy’s little princess.”
“He’s a mummy’s boy.”

“He’s a Peter Pan.”
“It’s playground behaviour.”


The type of immature behaviours that can be observed include:
  • having tantrums
  • sulking
  • pouting
  • slamming doors
  • throwing things in a temper
  • not facing the speaker
  • blocking ears
  • sucking a thumb or sleeve

    In the context of this book, this is about when these expressions and descriptions are of adult behaviour. They are not complimentary, and they are used in a critical way: the implication is that the person allegedly behaving like a child is, in fact, an adult.
    What precisely is being described in such a negative way? The criticism may be directed at the whole person, but really it is only a part of them that appears to be a little underdeveloped at times. Physically, they should be at their fully grown height and weight, so their build is not childish. Chronologically, they have grown to be the age shown on their birth certificate: the age of an adult. Intellectual growth may have some development to go,
       In the context of this book, this is about when these expressions and descriptions are of adult behaviour. They are not complimentary, and they are used in a critical way: the implication is that the person allegedly behaving like a child is, in fact, an adult. 

Generally, the IQ (Intelligence Quotient) is appropriate for the adult’s age. Immature behaviour can appear quite incomprehensible at times if the adult we are observing is highly intelligent. So, what we are left with is emotional development (EQ or Emotional Intelligence). Could it be that while the person looks and works like an adult, at times they feel like a child and their behaviour reflects their feelings? Perhaps some of their emotions are well past their sell-by date. If some of the following statements, which have been said to me by people with emotional health problems, are true, then I suggest they are: 

“I behave like a stroppy teenager.”
“My mother makes me feel like a child of six.” 
“My father treats me like a nine-year-old.” 
“I’m forty-five going on five.”
Think anger in children, think of a tantrum. Think adult throwing a tantrum, think child.
After some years of seeing clients who were able to recognise their own infantile behaviours, there was one question that interested me: why do adults behave like children? What is the point? What do they gain? It doesn’t seem to make anyone happy, so why do it?
I should state here that if there is a tacit agreement between adults that childish behaviour will be tolerated, then there may be no problem to address. If people in relationships are tolerant and supporting of behaviour that is carried on behind closed doors and does not upset anyone else, then this is not a criticism of them. After all, there are different strokes for different folks (Chapter 9).

Childish, or childlike? 

“There’s nothing wrong with being childish. It’s fun.” I have heard this many times from people disagreeing with my views, but they tend to be mixing up childish with childlike. The difference between childish and childlike is important and needs to be highlighted from the beginning, as the difference is not always appreciated. 
Childlike 
Enjoying childlike moments of joy, fun, wonderment, innocent curiosity and simple pleasures is to be recommended and encouraged until the day we die. We can still behave as an adult and remain in control, and it is not boring. It can be delightful, uplifting, fun and enjoyable for all. I definitely recognise and enjoy childlike moments in my life. Some examples are: 
visiting the seaside 
receiving gifts 
playing games with children 
having harmless fun 
Childish 
What certainly is boring and a pain for everyone involved is childish behaviour. Someone behaving in a childish way appears to have had their emotions hijacked, their thoughts and actions taken over (‘hijack’ is a term coined by Daniel Goleman in his book Emotional Intelligence; see Bibliography). The results can be extremely damaging and long-lasting. For example:
  • sleep problems
  • complaining of feeling unwell – whether real or imagined
  • bed-wettingpage28image976
  • head-banging and other self-harming actions
  • eating problems
  • not wanting to go to school or go out to play 
The type of immature behaviours that can be observed include: 


•having tantrums
•sulking 
•pouting
• slamming doors
• throwing things in a temper
•not facing the speaker
•blocking ears
•sucking a thumb or sleeve
...................  
From Chapter 1
As stated, if a baby is failing to thrive it will show distress physically. A child’s physical and emotional distress will show in wider behaviour problems:
  • attention-seeking behaviour
  • the use of old comforting behaviours
  • outbursts of emotion – crying or temper
  • irritation
  • lying
  • sulking
  • hitting
  • biting
  • throwing
  • sleep problems
  • complaining of feeling unwell – whether real or
    imagined

    ............................
    Postscript
    After a workshop I was giving, a man approached me. He said, "Looking at that list of behaviours, I've just realised that my six year old child is troubled. What should I do? " We talked about the options available.

    ©AlisonRRussell2017