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Author: Audrey Monke

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Camp Director, Mom, Author, and Speaker Audrey Monke and other youth development experts discuss summer camp, family life, raising thriving kids, and ideas for living more connected and happier lives.
218 Episodes
In the Tough Twenties series, I'm interviewing young adults, answering questions submitted by listeners, and sharing resources and tips related to thriving in young adulthood and beyond. Whether you're an adolescent or a young adult in your twenties, or you're parenting a young adult, I know you'll be encouraged by this series. In this episode, I chat with summer camp directors Andy and Alison Moeshberger. Each year they interview, hire, and train two hundred young adult counselors, so they have a lot of great insights on the skills and traits that lead to success at work for young adults.  We discuss: The benefits of working at a summer camp, such as gaining responsibility, decision-making skills, and leadership opportunities. They also discuss the accelerated learning opportunities, the rapid feedback system, and the development of relationship skills due to the face-to-face communication and round-the-clock community and communication. The importance of being coachable, be receptive to feedback and view feedback as an opportunity for improvement rather than a personal attack. How the best employees are flexible, open minded, and willing to work through the discomfort of challenges and learning new skills.  The mindset shift that young adults need to make when transitioning from a school environment to a professional setting. They note that in school, competition and high grades are often emphasized, whereas in the working world, soft skills and relational skills are most valued.  Overall, they emphasize the benefits of working at a summer camp, such as the accelerated learning opportunities, rapid feedback system, and development of soft skills. Get in touch Submit an anonymous question or comment for the series Resources Download my "Ready for Adulthood Checklist" Mentioned on the Podcast   The Defining Decade: Why Your Twenties Matter -- And How to Make the Most of Them Now 3 Reasons to Choose a Job at Camp Instead of a Summer Internship  Why Being a Camp Counselor is the Best Summer Job The Greatest Internship: 6 Critical Skills Counselors Develop at Camp  
In this episode, I share about some myths that can hold you back from living your best life. It's easy to get caught up in the pressure to conform and meet expectations of others. We can find ourselves striving for success based on societal standards or seeking validation from those around us. To live our best lives, it's essential to explore our unique strengths and follow our own path.  During this episode I share about five myths many adults base their lives on, truths that counter those myths, and what you can do now to start living your best life. It took me a long time to learn these lessons, and I really wish someone would have talked with me about them when I was launching into adulthood.  Myths that Might Be Holding You Back Everyone (or certain people) need to approve of our job/career for it to be “successful.” Truth: Some of the older adults that you think of as being successful are not happy with their lives and regret not pursuing something they were really interested in but didn’t have the same level of prestige/income associated with it.  What to do: Chase your strengths/interests. Spend time learning about yourself and talk through ideas with a friend or trusted mentor.  Some tools you might use: Enneagram VIA Strengths Four Tendencies  Gallup Strengths We have to make really big changes in order to reach our goals. Truth: The tiny, consistent habits are the way most people eventually reach their goals. This is true for both vocational goals and physical goals. “Cramming on something for a couple of hours once in a while as just a slow, steady progression, a little at a time. TINY HABITS, BJ Fog ON WRITING, Stephen King What to do: Break down an impossible-seeming goal and break it down into the tiniest step possible. Ex: Read one page of a book about a topic you want to learn more about. I need to start really big and do something huge for my first career-type job. “I want to write a book.” “I want to start a non-profit organization.” What to do: Figure out what’s the first, very small step towards XYZ (starting a non-profit in a particular area).  Example first step: Do a Google search of the non-profit food providers in your area. Example next step: Volunteer a few hours at one of the food providers. Get an accountability partner!  Brainstorm together Is this step small enough? Circle back in a week and report on your first step, discuss your next step. Once I _________, then I’ll be happy. Truths: We actually miss a lot of the great moments in life when we’re spending all of our thoughts on this thing out there in the future. It does feel good to accomplish things, but sometimes we feel bad after we reach the goal. “You’re gonna miss this” song (Trace Adkins) What to do: Figure out your current “Once I…” statement that you’re believing in too much. What’s something you can replace that with? Like, what is it about your life right now that you’re really enjoying? What are you grateful for in this season? I’ll get to ______ later, when I have more time. Truth: Regardless of life stage, your time will get filled by things you can’t control but there’s always some discretionary time. Sometimes we’re not aware of it, because we default to spending time doing things that don’t lead to better well-being. What to do: Recognize that you have the same amount of time as everyone else. Figure out what you want to prioritize and schedule it in. Cal Newport Deep Life Podcast - Zero Sum Time Budgeting.  One more idea: You can make time more meaningful and things more memorable by putting a little more effort into it. Laura Vanderkam’s “Effortful Fun” Power of Moments, Chip Heath & Dan Heath In conclusion, discovering our unique strengths and path is essential for living a fulfilling and thriving life. It requires us to challenge the myth that we need others' approval or validation for our choices. Instead, we must invest time and effort in self-discovery, exploring our interests, and understanding our strengths. By embracing our uniqueness and following our own path, we can find true happiness and fulfillment. Remember, success is not measured by societal standards but by the alignment between our passions, strengths, and purpose. Get in touch Submit an anonymous question for the series Resources Download my "Ready for Adulthood Checklist"  
In the Tough Twenties series, I'm interviewing young adults, answering questions submitted by listeners, and sharing resources and tips related to thriving in young adulthood and beyond. Whether you're an adolescent or a young adult in your twenties, or you're parenting a young adult, I know you'll be encouraged by this series. In this episode I'm chatting with my son, Owen, who has just entered into his twenties. We discuss building connections and relationships in young adulthood and how unplugging from technology can help foster those connections. Owen shares his experiences as a sophomore at San Diego State University.  Highlights Unplug to Connect: Owen suggests that taking breaks from technology and unplugging can be beneficial for establishing and nurturing connections. Unplugging also allows for reflection, goal-setting, and engaging in activities that can lead to shared experiences and stronger connections. Focus on developing "weak ties" socially, as well (see Meg Jay quote below). Develop some daily habits including activities like exercising and reading. For reading, you might consider some focused reading on a topic you want to learn more about. You can become an "expert" by reading five books written by five experts in the field.  Take advantage of brain plasticity and learn new skills you're interested in, like learning to play guitar in Owen's case. Get in touch Submit an anonymous question for the series Links & Resources Download my "Ready for Adulthood Checklist" Sharing Topic: Highs, Lows, & Buffaloes "As a result, brain regions that support executive, social, and emotional functions appear to be particularly malleable and responsive to the environment during early adolescence, as plasticity occurs later in development." Read more about brain plasticity during adolescence in Neuroscience News. “Information and opportunity spread farther and faster through weak ties than through close friends because weak ties have fewer overlapping contacts. Weak ties are like bridges you cannot see all the way across, so there is no telling where they might lead.” The Defining Decade, Meg Jay Free Guy Movie – Mentioned when Sunshine couldn't come up with the appropriate acronym NPC (non-player character), or what some students seem to act like as they walk across campus with headphones on, heads down, and not interacting with other humans. 
In the Tough Twenties series, I'm  interviewing young adults, answering questions submitted by listeners, and sharing resources and tips related to thriving in young adulthood and beyond. Whether you're an adolescent or a young adult in your twenties, or you're parenting a young adult, I know you'll be encouraged by this series. In this episode my daughter Charlotte, age 25, and I talk about one area that can be challenging during the transition to adulthood - taking care of health. This episode was motivated by the following listener question: How do I manage the transition from college to the "real world"? If you have a question or topic you'd like us to cover on the Tough Twenties series, please submit it here.  "We all are allotted 24 hours in the day, and we're choosing how we spend every one of those hours...What are you doing in some of those hours that you could cut down on slightly?" -Charlotte Foundational Habit #1: Sleep "Going to bed early is sleeping in for adults." Laura Vanderkam, Why You Need a Bedtime (Harvard Business Review) "For adults, getting less than seven hours of sleep a night on a regular basis has been linked with poor health, including weight gain, having a body mass index of 30 or higher, diabetes, high blood pressure, heart disease, stroke, and depression." How many hours of sleep are enough for good health? Mayo Clinic "Experts recommend that adults sleep between 7 and 9 hours a night. Adults who sleep less than 7 hours a night may have more health issues than those who sleep 7 or more hours a night." How Much Sleep is Enough? National Institute of Health Foundational Habit #2: Nutrition Eat your breakfast! Managing blood sugar Foundational Habit #3: Exercise "Find an exercise routine that you enjoy and that's fun for you." Charlotte "Call a friend while you're on a walk." Charlotte "Find something to get your body moving, and if you can be outside and get some fresh air and vitamin D while you're doing that, it's even better." Charlotte Foundational Habit #4: Manage Alcohol & Drug Use "It's important to evaluate what your relationship with alcohol is." -Charlotte Alcohol and Young Adults Ages 18 to 25, National Institute of Health Related Posts & Episodes: Ep. 180: [Tough Twenties] Charlotte, Age 25 Conversations Before College: Honest Talk about Alcohol [ENCORE] Ep. 124: Promoting Mental Health with Dr. Jess Shatkin Ep. 56: Off the Clock with Laura Vanderkam Links: @charchareats (Charlotte's Holistic Health & Wellness Instagram) Download "Ready for Adulthood Checklist"
Navigating dating and romantic relationships - and figuring out how to decide who to commit to and marry- is one of the biggest decisions of the twenties. In this episode, I'm chatting with my daughter Gretchen, age 29, about her romantic relationships in her twenties, what she's learned from her own experiences and her observations and discussion with other young adults, and from the book, The Defining Decade (Meg Jay, PhD). Get in touch: Submit an anonymous question for the series Download my "Ready for Adulthood Checklist" Previous Tough Twenties Episodes Ep. 180: [Tough Twenties] Charlotte, Age 25 Ep. 181: [Tough Twenties] Ready for Adulthood Links: Choose Wisely: 8 Questions to Ponder Before you say "I Do" (post I read from in this episode) “Think hard about who you marry. It’s the most important decision you will ever make."David Brooks, Commencement Speech "My strong advice is to obsess less about your career and to think a lot more about marriage. Please respect the truism that if you have a great career and a crappy marriage you will be unhappy, but if you have a great marriage and a crappy career you will be happy." David Brooks, To Be Happy, Marriage Matters More than Career The Defining Decade, Meg Jay, PhD
The Tough Twenties series continues with a discussion of skills to work on to be ready for adulthood, a mindset shift for parents and young adults, and how to foster connection and friendships rather than competition. Resource: In this episode, I share about my "Ready for Adulthood Checklist" Listener Question: This week I give my response to this listener question, which was submitted on my survey: "How to see school/work/social gatherings as a common ground of building friendship rather than a competition of who is better (performance, looks, etc.)" Get in touch: Submit an anonymous topic request or question for the series Download my "Ready for Adulthood Checklist" Send me an email Related: Happy Campers Book Ep. 127: The New Adolescence with Christine Carter, Ph.D. [ENCORE] Ep. 159: The Social Dilemma Why Summer Camp May be the Secret to a Longer Life Ep. 171: Julie Lythcott-Haims talks about YOUR TURN: How to be an Adult Ep. 170: Adulting with Emma Liberman Self-Reflection Ideas: More of, Less of, Same of (MO, LO, SO) [Encore] Ep. 119: Year-End Reflection Activities
It is not an easy time to be a young adult. In this new series on Sunshine Parenting, I'll  interview young adults, answer questions submitted by listeners, and share resources and tips related to thriving in young adulthood and beyond. Whether you're an adolescent or a young adult in your twenties, or you're parenting a young adult, I know you'll be encouraged by this series. In this first episode of the Tough Twenties series, I'm chatting with my daughter Charlotte, age 25. We talk about Charlotte's early twenties and the pivots she's made so far as she navigated a college transfer, a challenging backpacking trip across Costa Rica, and graduating during COVID. We talk about what Charlotte's discovered about herself and her career goals. Get in touch: Submit a question you'd like covered in the series Free Download: "Ready for Adulthood Checklist" Related: Ep. 171: Julie Lythcott-Haims talks about YOUR TURN: How to be an Adult Ep. 170: Adulting with Emma Liberman [ENCORE] Ep. 85: Grit is Grown Outside the Comfort Zone (PEGtalk) Links: The Defining Decade, Dr. Meg Jay Using Lifestyle-Centric Career Planning To Pursue A Life You Love (YouTube Video by Cal Newport) Why Women Don’t Apply for Jobs Unless They’re 100% Qualified (Harvard Business Review)
HAPPY CAMPERS: 9 Summer Camp Secrets for Raising Kids Who Become Thriving Adults is now available on Audible! Visit Sunshine Parenting for more episodes & resources. Subscribe for resources and ideas for happier, more connected families. In Episode 179, I chat with Phyllis Fagell about her amazing book, MIDDLE SCHOOL SUPERPOWERS: Raising Resilient Tweens in Turbulent Times. ABOUT THE BOOK When things don’t go right for a tween, it often feels HUGE: failing a test, being left out of a group chat, struggling with body image or identity, getting cut from a team. Middle school is often one of the rockiest times in a child’s life, even without today’s added challenges: a pandemic, the fear of school violence, divisive politics, and the scourge of social media. It’s filled with physical changes, social pressures, transitions in family, friend, and school dynamics, and countless new experiences that can be overwhelming and scary.   In MIDDLE SCHOOL SUPERPOWERS: Raising Resilient Tweens in Turbulent Times (Hachette Go, August 1), Phyllis Fagell—a school counselor, Washington Post education column contributor, and the author of the definitive guide to this age group, Middle School Matters—offers a practical, evidence-based, and compassionate guide for parents and educators to help today’s tweens navigate these always-formative years. ABOUT THE AUTHOR Phyllis L. Fagell is a licensed clinical professional counselor, a certified professional school counselor, a frequent contributor to The Washington Post and other national publications, and author of Middle School Matters and Middle School Superpowers. She is a school counselor at Sheridan School in Washington, D.C. and provides therapy to children, teens, and families at The Chrysalis Group Inc. in Bethesda, Maryland. Phyllis also speaks and consults on issues relating to parenting, counseling, and education.
HAPPY CAMPERS: 9 Summer Camp Secrets for Raising Kids Who Become Thriving Adults is now available on Audible! Visit Sunshine Parenting for more episodes & resources. Subscribe for resources and ideas for happier, more connected families. In Episode 178, my daughter Gretchen and I share a few tips for connecting more deeply with friends, co-workers, family, and people we just met. Have a bold, specific purpose for every gathering In Priya Parker's The Art of Gathering (which I recently listened to on a two-day binge), Parker talks about the importance of being really clear on why we're gathering - whether it's a work meeting, a birthday celebration, or a walk with a friend or two - and to have a specific, bold purpose for every gathering we host. "Celebrating a birthday" or "Having a weekly check-in meeting" are not bold purposes, but are what Parker calls "categories." She makes a compelling argument that as hosts we often spend so much time and energy on food, decor, and logistics but we neglect determining why we are gathering. And that purpose or why is what makes the event memorable. Here are some examples I've come up with with for events with more specific purposes: Having dinner together to celebrate the past year and share our best tip for the next one. Sharing our projects for the next week and setting up accountability and encouragement partners. Telling stories about ourselves that others don't know so that we can get to know each other better. Celebrating a birthday by bringing (and reading aloud) notes of what we appreciate about the person. Parker notes that it's important to tell guests the specific purpose before the gathering, so as not to put anyone on the spot. A simple inclusion on the invitation will suffice. How are you really doing? In this episode of Greg McKeown's podcast, he talks about simple tweaks on the normal "How are you?" question that help get us beyond the usual, "fine," or "great!" He suggests instead using either, How are you really doing? or a three-part series: How are you doing on the surface? How are you doing in the middle? How are you doing deep down? Ask (or provide) Great Questions One of the most important skills for making and keeping friends is asking questions. I've written and talked extensively on the topic (see links below). In my book Happy Campers I provide a resource list of questions that are great to use with groups of kids (including in your own family). These are questions we provide to our camp counselors as we train them to connect with their campers and help campers connect with one another. You can read more in Connection Through Questions & access the free PDF here. Even with people we are close to, there are still things we don't know about them. Consider using good questions - and great listening - to grow deeper connections. Audrey & Gretchen's other chats The Magic Relationship Ratio Ep. 161: An Inside Look at Sunshine's Parenting Ep. 135: Advice & Ideas from Teachers During COVID-19 Links Loneliness in America The Pandemic of Loneliness The Art of Gathering, Priya Parker The Greg McKeown Podcast Ep. 157: See Through People's Masks Essentialism: The Disciplined Pursuit of Less, Greg McKeown Ep. 40: Frientimacy with Shasta Nelson Camp Secret #1: Connection Comes First (Free audio chapter from Happy Campers) Connection Through Questions (PDF resource from Happy Campers) 36 Questions to Get Closer to Someone You Love Making Memories at Mealtime (Goodwin University) Mealtime Conversation Cards (Goodwin University) 50 Family Dinner Conversation Starters (Six Sisters Stuff)
Show Notes Subscribe for resources and ideas for happier, more connected families.  This episode is a live recording of my chat with Sara Kuljis about some of our favorite year-end reflection activities. Joining Sara and me for this episode is Kate Rader, one of the participants from our Raise Thriving Kids Workshop. Kate is a stay-at-home mom to 3 adventure-seeking and fun-loving kiddos, Lauren and Caroline, identical twins who are 13 and Jack, age 10, wife to her college sweetheart Jeff and curious lover of books, podcasts, and conversations about intentional parenting and living. Here's what Kate had to say about our workshop: "It was just so wonderful to be in a room with people who care enough to be intentional about the choices they're making for their families and what they want for their families because it's a work in progress--and we're all working together." Big Ideas In addition to parenting books, podcasts, and coaching, workshops are a great resource for parents. Just as most people need continual training and education in their careers, parents can also take the time to learn and connect with others in order to feel invigorated. It is helpful to share what is working and to discuss best practices for strengthening family bonds. We talk a lot about the importance of self-care and modeling a balanced life for our kids. Today we discuss the ideas I shared in my recent post, 5 Simple Year-End Reflections: Create a Reverse Bucket List. Look back over your life and make a list of the cool things you've already done. 100 Family Memories Brainstorm and make a list of what happened in your family this year. Pick a Quote of the Year Find a quote that resonates with you, or something motivational, looking back or looking ahead, a quote you want to live by. Select One Word that you want to guide you in the new year Be authentic and make it a word that is uniquely yours. Remember your Favorite Books or resources from the past year Take time to let the new things that you have learned (in books, podcasts, workshops) to percolate and apply the concepts or practices to your life. Pick one or two of these ideas that resonate with you. You can do an activity on your own or engage the whole family. Make the delivery of the idea fun and light. Allow people to be silly. Getting the family together over the holidays, expressing gratitude, and setting intentions together are my favorite ways to bring in the new year. Quotes Sara: "Sometimes parenting intentionally feels counter-cultural. When we're swimming upstream, to have fishies to swim with is so confidence building. It's reassuring, it's empowering. I've loved all the parents we have gotten to work with through this project because it has fueled me." Kate: "The regular accountability is equally as important to me as the one-day workshop. Whether it's via podcasts, recorded conversations, or live conversations, getting together at Starbucks, or whatever it might be, that's really beneficial in maintaining the kind of wonderful feelings that we got coming out of the workshop." Kate: "If we're going to develop a true family culture, we need to be intentional about spending time together as a family. And that time is harder and harder to come by." Kate: "Just being together, away, experiencing some new adventures has been a neat way for us to firm up our family culture and values and make memories together. That's been a key take away for me." Kate: "It's not about those grand gestures. It's about the thoughtful, meaningful moments where people take the time to appreciate their relationships." Audrey: "Even if you're not a person who gives affirmations, I really don't think there's a person in this world who wouldn't mind getting a nice note saying something that someone likes about them." Audrey: "Sometimes parents start thinking that their relationship with their child is supposed to be like a normal, reciprocal relationship. Expecting that you pour into this child and they're going to pour back to you, is not how parenting works. However, I'm seeing that once they're adults you may get more of the reciprocity than when they were kids. I get very filled up now by my adult children when they give me affirmations or send me a nice message--it's really great." Audrey: "You keep encouraging, even if you don't think it means something because I think it really is landing somewhere." Audrey: "Another activity could be taking a year's worth of fun texts, cards, and nice messages and putting them somewhere like in a scrapbook just as a great boost." Sara: "I love the idea of sitting down with the whole family and saying, 'let's look way back' because there is a chance that something that I didn't consider very bucket-y might have been really significant to my kids. I think it will remind us that it has been a rich life of experiences." Audrey: "I would challenge you to focus on yourself for your own reverse bucket list. Sometimes it's good to just think about for your own self-awareness and self-worth and knowing that you're enough just the way you are. I would suggest that the bucket list idea is more of a personal thing because it is recognizing the goals you've already achieved and the cool things that you've done, whereas the 100 Family Memories would be the things you're grateful for." Audrey: "The goal is to try to remember (as many as) 100 things so you get down to some of the minutiae and those are some of the funny, random, individual things that happened. It's been a really fun practice." Kate: "I think when you allow each family member to share their treasured memories from the year, it gives us insight into their personalities and their level of value and priorities, as well." Audrey: "I like spending time at the end of the year, really thinking through what my one word is, thinking about what was good this year and what is it that I want to take into the new year and feel more of, or do more of--I love the process." Audrey: "Determine the kind of person you want to be in the next year. Identify the characteristics of that best self. When you're being your best self, what does that look like? It has guided me a lot because once I pick a word, I then seek out resources and ideas to help me live that word better." Kate: "It's a neat way to put the focus on how you're going to spend your time, your energy, your reading, and research--all that good stuff. When it is meaningful, it really does carry you through the year and it gives purpose to how you're spending your time." Audrey: "It really hit me that my best contribution to my family, to the world, comes when I focus and take the time to do some research, reading, writing, thoughtful time, which is not a normal part of life anymore. You have to actually build in focus." Audrey: "There are so many new ideas and things you can do, but to really move the needle, all you need to do is just one. I am challenging myself this year to slow down on the consumption of new information and instead get out the books I've read, look at my highlights and just recap." Related Posts & Podcasts 5 Simple Year-End Reflection Activities Learning to Enjoy the Little Things 100 Family Memories #oneword My One Word for 2019: Focus 15 Books for a Happier, More Purposeful Life Stop & Celebrate Ep. 68 12 Parenting Tips for Happier, More Connected Families Ep. 105 Live Above the Noise with Rob Reiher Resources Present Over Perfect: Leaving Behind Frantic for a Simpler, More Soulful Way of Living by Shauna Niequist How to Raise An Adult: Break Free of the Overparenting Trap and Prepare Your Kid for Success by Julie Lythcott-Haims One Thousand Gifts: A Dare to Live Fully Right Where You Are by Ann Voskamp Finding Fred Podcast  
Enjoy the little things because one day you'll look back and realize they were the big things.   In Episode 63, I’m chatting with my friend Sara Kuljis of Yosemite Sierra Summer Camp and Emerald Cove Day Camp. We talk about family gratitude practices and lessons from camp for having more grateful families. At Thanksgiving, it's easy to remember to be grateful, but the habit of gratitude -- practiced at camp, at home, and in the world -- helps us to be happier all year long. BIG IDEAS Gratitude is a muscle. We can build it with practice. Research has shown that those who express gratitude daily have a more optimistic view of life and a healthier well-being. Developing relationships with the people around us makes it easier to share authentic gratitude. Model respect by thanking others, especially those who serve us. Use their first names when possible. Make eye contact Ways to show gratitude at camp or at home : Flower Sunday -- the practice of handing a daisy while sharing an affirmation or gratitude with another person. You give your flower away and receive a flower from someone who acknowledges an action or quality they appreciate. Using a token such as a flower makes a difference. WOW Bulletin Board -- staff and campers send and receive notes to build each other up and express thanks. Thankful Thursday -- a note, text message or phone call to someone expressing thanks can become a helpful habit. 3 Good Things -- share three good things that happened at the end of each day. Commit to sharing them with friend or family member via text. It helps with accountability and makes it easier to remember. Go around the dinner table and share with your family or friends. Write them down in a journal before bed, or share three things you are thankful for first thing in the morning. This habit can not only strengthen your gratitude muscle but also deepen your relationships and improve your outlook on life. Gratitude Jar -- keep slips of paper for family write down things they are grateful for and collect the scraps in a jar. Share the memories collected over the year at New Year's Eve or at Thanksgiving or anytime. Attach the messages to a bulletin board or even to the Christmas Tree! Warm Fuzzies -- Take a sheet of paper for each person, write their name on it and pass it around. Have everyone write down what they appreciate about that person. Be specific. It is nice to recognize precise actions or character strengths we appreciate in others. Go around the table at mealtime and share 3 good things, something you are grateful for (besides friends and family) or something you are grateful for about yourself Ask children to think of ways they would like to show gratitude for others. Children have really good ideas themselves. QUOTES Audrey: "We cannot raise grateful kids if we are not promoting our own gratitude." Audrey: "It's important to remember that it's not just about completing a task, like sending a text or writing in your journal. It's about taking the moment to feel thankful. We need to take the task out of it and feel the gratitude." Sara: "At the end of the day being grateful makes me kinder and softer to those around me." Sara: "There's a lot of not-feeling-good-enough in the world. I enjoy helping people identify their natural talents and the natural goodness that is built in them and being intentional about building those into strengths for making a positive impact in the world." More Gratitude Resources and Ideas My Pinterest "Gratitude Board" 5 Ways to Avert Thanksgiving Disappointment Raising Grateful, Not Entitled Kids A Grateful Family is a Happy Family Gratitude Revisited Feeling Thankful 3 Reasons to Give Your Kid a WOW Today Grateful Campers are Happy Campers Learning to Enjoy the Little Things Teaching Kids Gratitude Rather than Entitlement: Berkeley News/Christine CarterGiving Thanks can Make you Happy, Harvard Health The Science of Gratitude: More Benefits Than Expected; 26 Studies and Counting, Happier 7 Scientifically Proven Benefits Of Gratitude That Will Motivate You To Give Thanks Year-Round, Forbes 30 Days of Gratitude, Kind over Matter Why Gratitude is Important Like listening to Audrey and Sara? Here are more of our episodes: Ep. 57: The Importance of Adult Friendships Ep. 28: Focusing on Our Kids' Strengths Ep. 23: Peaceful Mornings Ep. 15: Traits of Parents Who are Great to Work With Ep. 7: Family Pace & Space Ep. 3: Raising Resilient, Independent Kids Want to Watch this Episode on Video? Our Favorite Books About Gratitude
Visit Sunshine Parenting for additional resources mentioned in this episode. Check out Audrey's book, Happy Campers: 9 Summer Camp Secrets for Raising Kids Who Become Thriving Adults Sarah R. Moore is the founder of Dandelion Seeds Positive Parenting and author of Peaceful Discipline: Story Teaching, Brain Science & Better Behavior. She’s a public speaker, armchair neuroscientist, and most importantly, a Mama. She's a lifelong learner with training in child development, trauma recovery, interpersonal neurobiology, and improv comedy. As a certified Master Trainer in conscious parenting, she helps bring JOY, EASE, and CONNECTION back to families around the globe. Her heart's desire is to bring greater peace and healing to the world through loving and respectful parenting. Follow her on Instagram, Facebook, YouTube, & Twitter.
Sunshine Parenting host Audrey "Sunshine" Monke & pediatrician (and camp doctor) Dr. Heather Silverberg talk about how COVID is impacting kids this summer at camp. Want encouragement & simple strategies for raising thriving future adults? Check out Audrey's book, HAPPY CAMPERS: 9 Summer Camp Secrets for Raising Kids Who Become Thriving Adults. Happy Campers on Audible.
HAPPY CAMPERS: 9 Summer Camp Secrets for Raising Kids Who Become Thriving Adults is now available on Audible! Visit Sunshine Parenting for more episodes & resources. Subscribe for resources and ideas for happier, more connected families. In Episode 37, Sara Kuljis (of Yosemite Sierra Summer Camp and Emerald Cove Day Camp), and I share tips and ideas for parents sending kids to overnight camp for the first time. Camp Preparation Topics We Cover  Forms: What parents need to do now, including reading through camp information and filling out all your camp forms thoroughly and completely. Why camp staff needs the forms well in advance of your child's arrival. Importance of letting camp directors know any special circumstances that might impact your child's stay. Medications: Why it's never a good idea to make any changes in prescription medication right before camp. Importance of sending all medications in their original prescription containers. Thoughts on whether to continue vitamins. Encouraging Your Child to Reach Out to Camp Staff: Talking about and role-playing with your child how they can talk with trusted adults (counselors, directors) at camp. Packing for Camp: Importance of camper being involved in the packing process so they know where everything is! Packing as a life skill and a way to build responsibility. Make sure you know what items are not allowed at camp (so that those don't go to camp). How to pack (rolling outfits, using ziplock bags, and other methods). Not to bring expensive clothing items or ones that require special laundering. Bringing a comfort item, photo album, journal, and/or books. Sending Letters: Send a letter ahead of time so your camper has one at first mail call! Let friends and relatives know your camper's address at camp and any mail policies Planning for Downtime before and after Camp: Allow some margins in your family's schedule so your child can be well-rested before camp. Familiarize Yourself with your Camp's Online Services: Find out where to get news, photos, texts, etc. Opt-in to anything that isn't going to automatically come to you! The Gift of Letting Your Child go to Summer Camp: Why letting your child go to camp is a great way to set your child up for future independent experiences. Related Ep. 39: How to Handle Your Camper's Homesickness Ep. 10: Homesick and Happy with Michael Thompson, Ph.D. Countdown to Camp 5 Essential Summer Camp Packing Tips 5 Fun Ideas for Letters to Campers Messages for an Anxious Camper How Camp Helps Parents Raise Adults Label Daddy More information about Audrey’s book is here: Happy Campers: 9 Summer Camp Secrets for Raising Kids Who Become Thriving Adults. In Happy Campers, Audrey shares what she’s learned from three decades of creating a culture where kids become happier while gaining important social and emotional skills. The book is based on her thousands of interactions with campers, camp counselors, and parents, her academic research in positive psychology, and interviews with camp directors from across the country.  
Join Debbie's TILT Parenting book club (Spring, 2022). In this episode, I'm talking with Debbie Reber, creator of TiLT Parenting, the host of the TiLT Parenting Podcast, and the author of Differently Wired: Raising and Exceptional Child in a Conventional World. While this book was written mainly for parents that need extra support, I think it will resonate with all parents of all kids. Big Ideas Every child deserves to be understood and accepted for who they are. We are all wired differently. Some differences are more visible than others. Each kid needs different tools to thrive in life and we can help them figure out what they need for their individual journey. When parents and children communicate their needs and explain their differences to others, people are more understanding and accepting. 3 Key Take-Aways: Find a community and resources Find the right kind of support (parent coach, couples counselor, online communities) Embrace and accept kids' strengths; teach them to articulate their needs. Gifted kids also have special needs that can be addressed and supported in schools and at home. As a parent, set aside what you think your child's (social, academic, physical) life should look like, and respect your child's own timeline. Quotes Audrey: "Sometimes people are just kind of under the radar. Maybe they aren't diagnosed with something, but their parents just sort of know that they don't move through life the same way that other people do." Debbie: "Many of the kids in my community may not have a formal diagnosis but a lot of them are extra sensitive, have heightened anxiety and are more tuned in and the world is an intense place for them." Debbie: "I wanted to cast a wide net and include any sort of narrow atypicality because there are so many of us. But when we stay in our little buckets, we don't get to tap into the collective and recognize the power in our numbers and why things really do need to change." Audrey: "Sometimes our biggest challenges become our biggest gifts." Audrey: "You did this journey together with your son, learning how to help him navigate the world and then how to help you navigate the world as a parent. You figured out how to embrace your son and all of his strengths and his uniqueness and help him become his best self. And you helped him be able to articulate to the world who he is and what he needs." Audrey: "I've always loved delving into all the personality type inventories that just help us learn how the way we see the world or react to things is different from other people and being a little more empathetic and understanding of that as opposed to thinking it's wrong." Debbie: "We're really looking at this person as an individual human on their own incredible journey. I think it can be really hard when we're just kind of on this treadmill of life, doing what everybody else is doing. Take a conscious step back and say, 'wait a minute--who is this kid and what do they need to do to really thrive?'" Debbie: "It's not easy to take that pause and to really shift your focus." Audrey: "Even for people with different interests, the concept that there is one path is so flawed. Kids who aren't academically inclined or school isn't their thing are left feeling like they don't fit in. Often, it beats them down to the point where they don't have the opportunity to explore their interests." Audrey: "The impact of not letting kids be who they really are and exploring that is coming out in the rise of mental health disorders, substance abuse, and suicide among adolescents and young adults. All of these things can be traced back to the same idea that if you don't fit into some prescribed thing, the world is hard." Audrey: "We all have a lot of parental shame, insecurity, guilt, worry and often loneliness when we are kind of embarrassed by our kids' behavior or confused or just don't get it." Debbie: "There's a lot of judging in parenting. It's pervasive and it's really harmful. It hurts us and when people are judging it is triggering their own insecurities. I think it's so important to find safe spaces to connect and to share." Debbie: "It's important to get clear and remember what the core goal is and that is to support these kids in becoming who they are." Debbie: "One of the ways we can bolster our foundation is to surround ourselves with people who fully support our family. When we do this, we relax, our kids relax, and we all get to go about our business from a place of confidence. Community changes everything. It lifts us up. It deepens our well of resources. It fuels our bravery. It allows us to be our authentic selves. It reminds me that we and our children are not alone. It's time we ditched the doubters, skeptics, and those will never get it and instead surround ourselves with our people." (Differently Wired, pg. 217) Debbie: "Part of the process is for us to speak openly, without fear or shame or worry. That's part of the accepting process of knowing that there is no one way to be normal." Debbie: "I imagine we are going to create a more accepting society if we stop shaming certain behaviors, ostracizing people, or making them feel like they're aberrations when really it's just a different way of being." Debbie: "One of the biggest gifts we can give a kid is the opportunity to truly know themselves and understand how their brain works and what's going on and then how to advocate for themselves, how to speak up." Debbie: "When people understand, it changes everything. People are afraid of what they don't understand. In a society that puts so much weight on conforming and fitting in, when we don't understand something, we tend to make up stories about it or push it aside." Audrey: "For more typically-wired kids, it teaches them super important character traits like kindness, empathy, and compassion." Debbie: "As parents, we can really spin out and get concerned if what we're seeing in our own family isn't matching our idea of what this should look like. Every child is on their own timeline. Everyone is growing in strengths and may have some lagging skills but they even out eventually. If we can keep our eye on the goal to raise a responsible human being who knows themselves, who understands what they need and has the tools to reach their potential, that's what we're going for." Resources The Miracle Morning Learn more about Debbie Reber and TiLT Parenting: TiLT Parenting on Facebook TiLT Together Facebook Group TiLT Instagram Related Posts/Podcasts If you liked this episode, listen to Ep. 104: Know and Love Yourself AND Your Kids 4 Ways to Focus on our Kids' Strengths Ep. 71: Growing Your Child’s “Bushy Broccoli Brain” Ep. 30: How to Raise a Durable Human with JJ Madden 10 Friendship Skills Every Kid Needs
Check out Audrey's book, HAPPY CAMPERS, for insights and ideas for raising thriving future adults. Now available in audio, digital, and print formats. Visit Maureen Healy's website, Growing Happy Kids, for more about Maureen's work and books. Visit Sunshine Parenting for more resources & episodes. In this episode, Maureen Healy, Ph.D., and I talk about her new book, The Happiness Workbook for Kids, which is her brand new, kid-friendly workbook with ideas based on her many years of experience helping children improve their happiness and well-being. We previously discussed The Emotionally Healthy Child, which we discussed back in Ep. 80: The Emotionally Healthy Child with Maureen Healy.
Visit Sunshine Parenting for Show Notes & Links. ENCORE NOTES: This incredible book came out just prior to the start of the pandemic. I was privileged to read an early copy and hear Christine speak about it in February, 2020. If you have (or will eventually have) an adolescent, I highly recommend this book. Things have changed since we were their age, and Christine offers her trademark, research-backed wisdom in this must-read. In this podcast episode, I'm joined by my friend Christine Carter, a sociologist working out of UC Berkeley's Greater Good Science Center and author of some of my favorite parenting books. We are talking about her newest book, The New Adolescence, Raising Happy and Successful Teens in an Age of Anxiety and Distractions. Big Ideas As your kids enter adolescence, parents should change their mindset from being their manager to being their coach. As they get older, kids need to be their own manager and take care of more things independently. Kids need less practical support and more emotional support. As their "life coach" you can help them to clarify what outcomes they want and be there for them, without being over-involved. 3 Core Skills Kid Need for the Digital Age: Focus Connection Rest Parents should try to model a life full of focus, connection and rest. The New Adolescence offers tips and talking points on some difficult topics such as sex, drinking alcohol, drugs, and money, and ways to discuss them with your child. The earlier kids start drinking alcohol, and the more they drinking in high school, the more likely it is that they will develop a substance abuse disorder. It is important to note that marijuana today has higher THC and less CBD than in years past and pot use in adolescence has proven to hinder brain development. Real-life social connections are a good antidote for depression, stress, and anxiety. Quotes Christine: "As parents, we haven't adapted to the massive changes (in our culture) and we're not continuing to adapt as things continue to change." Christine: "If we're used to doing everything for our kids and we find meaning and a sense of purpose in being somebody's chief of staff or manager, then it's hard. It's a loss of a role." Christine: "Kids need coaches to ask them to clarify what it is they want, what outcomes they are after and to help them to get those outcomes. You can be as emotionally supportive as you want but not over-involved." Audrey: "Our kids will have setbacks and make mistakes and sometimes get themselves into bad circumstances. These things are going to happen." Christine: "We can only do our best. I understand why parents are not engaging in some of these harder issues because it's hard to even understand what's going on." Audrey: "Your book is a great guidebook and it's a great start for people who are struggling. There's this balance that sometimes parents have a hard time finding, between letting your child grow up, gain more responsibility, more independence, trusting them, and changing your relationship." Audrey: "I think it's very simple to think about changing from being a manager to a coach. You're there for advice. You want them to come to you when they're struggling with something or need some help, but you are not going to, for instance, make their dentist appointment anymore. You share with them the phone number and make sure they know how often they need to go and that kind of thing." Christine: "We are living through an age of great distraction. At the same time, we're seeing a real change in the type of work these kids are going to be asked to do. Most of them will be paid to think...and focus." Christine: "They're not developing focus as a skill because they're multitasking all the time. They're constantly interrupted. They never learned to value focus or have the experience of doing deep work." Christine: "Focus is the superpower of the 21st century. That is the most important thing that they need for their success and happiness. We know that the sort of deep gratification and fulfillment comes from being able to persist in your long term goals. And that takes focus." Christine: "Building mastery takes focus. The things that are really gratifying to us, take focus. That's different from focusing for hours-on-end on a video game." Christine: "Connection is the most important predictor of happiness that we have. It's the most consistent finding we have in a hundred or so years of research. Our overall wellbeing is predicted consistently by both the breadth and depth of our real-life social connections." Christine: "This is a generation that is less connected, ironically, than previous generations. They spend less time with their friends." Christine: "The human nervous system evolved to be connected in person. We get a lot out of touch, even micro touches, like a pat on the shoulder, and eye contact. Our nervous system doesn't feel alone when it can make eye contact with somebody else." Christine: "When your nervous system feels like it's alone, as it does when you're alone in your room, but connecting with people over text or social media, it starts to feel stressed." Audrey: "If parents only do one thing, it's fostering the relationship with their kids and helping their kids foster those close face-to-face relationships." Christine: "When you look at the tsunami of mental illness that is coming toward us in terms of super high anxiety, depression, suicidality, it's explainable alone from a data standpoint--just by sleep depravation. When you control for sleep, all the problems start to go away." Christine: "Kids are the most under-slept teenagers we've ever seen. It's really affecting their mental health. They're under the impression that they need to stay up late, that it's more important to study than to sleep, that they're too busy to take breaks." Christine: "Our culture believes in busy-ness like it's a sign of your value, your productivity, your importance. And of course, none of that's true. It's completely limiting belief. But this is how we operate and our kids have picked up on this. They don't rest and it impairs their brain development." Audrey: "I'm better at what I do when I take breaks, if I get a good nights' sleep, if I have plenty of time to read, time with my friends, I'm better at everything else. Those rest breaks make me better." Audrey: "It's not that the screens are bad, there are lots of fun things that happen and connection, it's what it has replaced when kids are on them all the time." Christine: "If you have a kid who's struggling, they're not alone. You're not alone. It's really hard for all of us and there are a lot of resources out there." Christine: "We just have to engage. We just have to do our best. Once you have some more tools, you'll be able to do better. You'll see the quality of your relationship with your kids will change." About Christine [caption id="attachment_7187" align="alignright" width="243"] Photo Credit: Blake Farrington[/caption] Christine Carter, Ph.D., is a sociologist and the author of The New Adolescence: Raising Happy and Successful Teens in an Age of Anxiety and Distraction (2020), The Sweet Spot: How to Accomplish More by Doing Less (2017) and Raising Happiness (2011). A senior fellow at UC Berkeley’s Greater Good Science Center, Carter draws on the latest scientific research in psychology, sociology, and neuroscience — and uses her own often hilarious real-world experiences — to give parenting, productivity and happiness advice. She lives with her husband, four teenagers, and dog Buster in Marin County, California. Resources Christine's free downloads are available on her website. Follow Christine of Facebook, Instagram, YouTube, or LinkedIn Her books: Raising Happiness, The Sweet Spot, The New Adolescence Coaching resources Christine Carter's Blog Greater Good Magazine Related Ep. 1: Raising Happiness with Christine Carter Raising Happiness: 10 Simple Steps for More Joyful Kids and Happier Parents, Christine Carter, Ph.D. Ep. 41: Getting Comfortable with our Kids’ (and our own) Discomfort with Christine Carter The Sweet Spot: How to Find Your Groove at Home and Work, Christine Carter Ep. 123: Connection Comes First Ep. 93: Teaching Healthy Relationship Skills to Improve Lives Ep. 92: Creating Strong Relationships with Teens Connection Through Questions Ep. 2: 10 Friendship Skills Every Kid Needs  
Audio excerpt from Audrey Monke's book, HAPPY CAMPERS: 9 Summer Camp Secrets for Raising Kids Who Become Thriving Adults. Available at Audible.
Dr. Tina Bryson and I talk about her phenomenal book, The Power of Showing Up.
Show notes & links available here. In this episode, I'm speaking with Dr. Jess Shatkin, about preventing mental illness and promoting health in children and adolescents. As a clinician, researcher and educator, Dr. Shatkin is one of the country's foremost experts in adolescent mental health, risk and resilience. Big Ideas Extensive research about mental health has led us to a good understanding of what we can do preventatively for young people. Dr. Shatkin offers practical strategies for parents and people working with kids to help prevent mental illness: Practice authoritative parenting: show love and support give clear guidelines set limits reinforce positively punish infrequently Other parenting styles, authoritarian, permissive or negligent parenting, produce more negative outcomes for children. Professionals need to understand and apply these authoritative parenting skills when working with kids. Kids themselves can learn these basic tools of behavioral modification, and it would go a long way toward helping them have better relationships, social awareness, and improved mental health. These behavioral modification tools are: positive reinforcement effective commands - brief directives not stated as questions and praise by labeling exactly what was done right active ignoring - ignore the behavior you don't like coupled with positive reinforcement for good behavior scheduling kids using reward programs limit setting consequences (such as time-outs for little kids) Global strategies to address these issues: We should support more teacher training in these areas. Early education should include teaching behavior modification, emotion regulation, emotion identification, and communication skills. Resilience education with college students has lowered anxiety, improved mood, and coping skills, lowered dysfunctional attitudes. Dr. Jess Shatkan's triumvirate of good health, three healthy habits that every parent can help their child to develop: Exercise When people exercise regularly, they feel better about themselves, they feel more competent and more empowered. Too many kids are not getting enough exercise. More physical activity leads to better concentration and overall health. Sleep Sleep is critical for managing stress and anxiety. When people don't sleep their brain patterns are disrupted causing worse decision making, higher rates of obesity, and less empathy. Nutrition Obesity is a huge problem, as over 35% of children are overweight. Parents need to provide healthy meals whenever possible, avoid fast food and pesticides and hormones in food. Schools and parents can teach the importance of good nutrition. Because excessive screen use is shown to have damaging effects on health and wellbeing, parents should enforce these screen rules: parents own the screen and the child uses it as a reward or opportunity. parents "friend" their kids on social media parents supervise and limit screen time screens should be in public spaces (not bedrooms) use a blue light blocking device when used in the evening to avoid sleep problems An environment like camp, which offers time away from screens, exercise, healthy food options, positive social interactions and well-trained counselors, promotes good mental health for our children. Quotes Jess: "Mental illness is growing in frequency, it's happening more commonly. The more we study it, the more we see it, the better our practitioners are trained, the more easily we pick it up, the more treatments we have, the better people do. But at the same time, we've learned so much now about mental health that there's a lot we can prevent." Jess: "Kids who have parents who are authoritative do much better in every way. They become better students. They're more likely to stay in school, less likely to have a premature pregnancy, less likely to get sexually transmitted infections, less likely to get involved in drugs, less likely to have accidents and injuries like automobile accidents. They are more likely to go to college. They're more likely to be healthy adults and not have depression and diabetes and all the rest. It's the amazing power of parenting." Jess: "I think that we should be teaching the skills that lead to this kind of approach, this sort of behavioral modification, in the earliest of years, that teachers could be using these skills in elementary schools and kids could be learning what these skills are in high school so that all their relationships are better." Jess: "So it's a mistake to ask your kids for things unless no is an acceptable answer.  If you give them a choice, 'would you like to wear a sweater or jacket? It's cold tonight.' You get a choice, but it's not, 'do you want to put on something?' or 'do you want to brush your teeth?' or 'do you think it's time to do this or that?' Or 'how about cleaning your room buddy?' or those kinds of things." Jess: "Authoritative parenting can be taught through parent training--this is what I mean by prevention. We see a lot more mental illness amongst kids who drop out of school, amongst kids who have premature pregnancy, amongst kids who have accidents, injuries, and sexually transmitted infections. And these kinds of things will help us to manage the behavior of kids better so we don't get to that point." Audrey: "The camp counselor training that we do is a lot of this stuff that you're talking about. It's using positive words, ignoring things, pointing out the kid that's doing the thing right so that the other kids see that you noticed. It's all this basic stuff but most of them have not experienced it themselves before they've come to camp. And so they will tell us afterward that because of the training they got at camp, they're a better parent. They're great teachers." Audrey: "Some teachers don't know how to relate to kids. They go through their teacher training, they get their credentials, and they know all about physics or English, but they don't know what their kids need in order to feel belonging, connection to the teacher and a desire to learn what's being taught." Audrey: "I always say like connection before everything else. Connection before correction of course, but also just connection before learning. Your kid on the first day of school is sitting in that class of 30, and they're thinking, who's here am I gonna have any friends? Who's gonna be my partner at this science table? The teachers need to address that. Do a few team building activities like the ones we do at camp. It might take five minutes and then you have this connection and the kids are looking forward to going into that room and feeling part of this community. It's so fundamental. And the same with families. So I'm with you on that. I would love to see universal parent education." Jess: "When I go into schools and I say to parents, 'what do you want for your child by the time they graduate high school?' they never say 'be great at geometry' or 'be able to speak iambic pentameter.' What they say is, 'I want them to share. I want her to be a good citizen. I want him to do what he says he's going to do. I wanted to have good friends.' They never say anything about academics. Mostly its human qualities." Jess: "We spend a third of our lives asleep, yet nobody knows anything about sleep except for people who study sleep. And then there's a lot to know about sleep. Now you may not be able to make yourself a perfect sleeper by learning about sleep, but you can do a whole lot better than you're probably doing now. And it makes a big difference for people." Audrey: "I agree with you that the first thing is just parents understanding communication, how to relate to their child and have this authoritative style. But sleep is so critical and for parents too because when we don't get enough sleep, we are not good with anybody. So it's like everybody is sleep-deprived." Jess: "Increasingly we're recognizing that there really is an impact from screens. It impacts the brain, it impacts the way we perceive a threat, how anxious we feel. It affects our sleep in a big, big way, and when your sleep is affected, a lot of things are affected." Jess: "We can look deep into the brain now and we see the effect that being on screens is having on kids. We see less empathy and when the screens are taken away, they all of a sudden become more empathic." Jess: "Exercise helps our bodies in myriad ways, not the least of which is to sleep and burn calories effectively. You maintain a high metabolism, but also to improve your mood. We know that people who exercise regularly improve mood and we know that exercise works as well as psychotherapy for mild and moderate depression." Jess: "I always direct parents to do stuff with their kids. Go biking with your kid, take vigorous walks with your kid, go hiking with your kid. There's nothing better than family activity." Audrey: "I just think if there was one thing parents of young kids could do now is just keep the screens out for themselves too. It seems like that's a simple thing that actually if you're not on your screen as much, you're probably getting more exercise and more sleep." Jess: "There was an interesting study where they took middle school kids out in the woods for five days and they did school out in the woods and the kids had better eye contact at the end of those five days. They reported more empathy in the surveys that they completed. They were happier." Audrey: "It's true that when kids are at camp, they report that they feel happier and they feel like they have better friends in those two weeks at camp than all year because it's real connection without distraction. And they're outside, getting tons of exercise and a lot more sleep and nutritious food." Resources Dr. Jess P. Shatkin, MD, MPH, is a board-certified child, adolescent, and adult psychiatrist, who leads the educational efforts of the NYU Department of Child and Adolescent Psychiatry. He sees patients each day, in addition to r
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