Screen time for your children: No easy answers

The American Academy of Pediatrics recommends strict limits on screen time for kids, and many parents are deeply worried for good reason. In July 2018, the World Health Organization concluded that “gaming disorder” is a new form of addiction for individuals whose jobs, educations, family or social lives have been negatively impacted by video games. Screen time can lead to a refusal to do homework, bathe, eat properly, etc. Some children have been victimized by online predators, and cyberbullying is common. Some parents have even worried to me that excessive screen time may have caused their child’s autism, which it does not.

On the other hand, I recently heard on a podcast, the pulse, that pediatric guidelines in the U.K. have no limits on screens, except for an hour before bedtime. Their belief is that the risks are overblown and that screens are now part of our culture and play an important role in society. In the first-ever guidelines, the Royal College of Paediatrics and Child Health (RCPCH) recommends four key questions for families to help sort out their children’s use of technology:

  1. Is screen time controlled?
  2. Does screen use interfere with what your family wants to do?
  3. Does screen use interfere with sleep?
  4. Are you able to control snacking during screen time?

On this side of the pond, a recent article in the Scientific American, “The Kids (Who Use Tech) Seem to Be All Right,” reported that a rigorous new paper, using a new scientific approach, concludes that the panic over teen screen time is likely overstated. This method, using data on over 350,000 adolescents, concluded that technology use has a nearly negligible effect on adolescent mental health including depressive symptoms, suicidal ideation, pro-social behavior, peer-relationship problems, etc. Nonetheless, video game addiction is real and may even require residential treatment, but there is scant evidence of what works for this disorder which often overlaps with depression, anxiety, ADHD.  

In my psychology practice, the question of screen time comes up frequently. In some families, screen time seems out of control, and there are withdrawal symptoms when parents then try to impose limits. In contrast, on a recent public television interview, I talked about therapy between a father and 20-year-old son, who had dropped out of college. Because he was playing computer games most of his waking hours, his parents thought he didn’t have real friends, and I agreed…until I talked to him and really listened.

Online gaming can promote social development.

He told me, “They’re real…we play a game where we talk to each other, and it’s all text-based. I don’t know their real names. They have avatars. They don’t know my real name. They don’t know what I look like, and that makes it easy for us to communicate because I have trouble processing language. Text-based — I can think about it, and I can answer.”  He told me that they talk about the game, as well as their disappointments, what makes them happy, and what makes them sad. When I asked if he ever wanted to meet and know their names and faces, he told me they were planning to go to a gaming tournament together. 

This young man totally exploded my idea that online friends weren’t real friends. Even if he wasn’t going to meet them in person, they were real relationships. They talk about their lives and support each other. This type of friendship and can offer needed support and feelings of connection.

While widespread panic seems overstated, ignoring what seems like excessive time spent on technology with negative impact is not healthy for your family. Here are some questions to consider:

  • Is screen time interfering with family time such as meals or other activities?
  • Is screen time causing a lack of sleep which might then result in mood changes?
  • Are grades in school declining?
  • Are social activities with peers lessening?
  • Do you know what your children are doing on their screens?
  • Are you engaging with them around these and other activities?
  • What games are your children playing, especially face to face games, and what are they learning from them?

In the case of children with developmental issues, there are many apps to encourage the development of language skills and reading. In general, using smartphones, tablets, and televisions as babysitters is not healthy. Adults should also self-monitor their own screen time and be positive role models because children need to use technology appropriately and crave our active involvement in all aspects of their lives.

I hope this brief discussion of screen time is useful. If you are concerned about possible addictive behaviors in your family, it is wise to consult a qualified professional.

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Who sits down first in a job interview?

According to Dr. Stephen Shore, “Who’s on first? What’s on second? How can autistic people make sense of the job interview process… and perhaps more importantly, how can employers better understand what people on the autism spectrum can contribute to the workplace?”

Stephen and I were around the world in Bahrain speaking at the “Untangle Autism” Conference when this podcast was released.

Check out this Shrinks on Third podcast in which the Shrinks interview Stephen M. Shore, EdD, an autistic professor of special education, and me about our work together creating a curriculum to prepare neurodiverse youth for the workplace. These are things neurotypical people take for granted and autistic people have to be taught directly. Listen to their conversation at Stephen and I just returned from Bahrain where we presented on these issues to an enthusiastic international audience. The curriculum is available at

Posted in acceptance, adults, appreciation, autism, autism awareness, autismacceptance, Bahrain, employment, neurodiversity | 1 Comment

No clear dividing line

“No Clear Dividing Line” is the title of the Shrinks on Third Podcast in which I talk about families living with and loving someone on the autism spectrum and what we can learn about our shared humanity. Topics include the diagnosis, race, class, cultural factors, and the myth of closure for such an ambiguous situation. Listen at or wherever you get your podcasts.

Posted in acceptance, autism, autism awareness, autismacceptance, social justice, special needs | Leave a comment

“When you argue with reality you lose”

Holding and touching your baby for the first time can be one of the most powerful experiences of a lifetime whether as a birth or adoptive parent.  Feeling the baby’s soft skin and tiny body nestled against you is an unforgettable experience that lives inside us.  From those early days parents discover what pleases and displeases the baby.  Parents learn to pay attention to the baby’s needs to sleep, to eat, or to be changed. Our baby teaches us to be in the moment in order to notice and respond to these cues. This is a skill which has to be learned and relearned throughout the stages of parenthood as things rarely go as we imagined. As Ellen Galinsky teaches “our dreams are in a constant tug-of-war with realities.” …

As Jon Kabat-Zinn (2005) points out, we accept that no one controls the weather. He uses the metaphor of sailing to point out that good sailors will avoid storms if possible. But if the storm cannot be avoided, good sailors batten down the hatches and ride things out, controlling what is controllable and letting go of what is not.

From the perspective of mindfulness, acceptance means seeing things as they actually are. For example, if you are having trouble going to sleep, you accept your difficulty. If you’re overweight, this means accepting this as a description of your body in the present moment. Acceptance requires a willingness to see things as they actually are.  This frame of mind then makes it more likely to be able to figure out what can be done and what needs to be let go of.  We may have to go through intense emotions, such as denial, anger, shame, or depression to progress to terms with what really is in our lives.

Tara Brach (2003) describes this willingness to experience ourselves and our lives as “Radical Acceptance” and a moment of genuine freedom.  The root of our suffering in life is longing for things to be different from the way they really are. Seeing this clearly then frees us to begin seeing our choices about what is possible.  Radical acceptance is a quality of awareness when physical or emotional pain arises. As opposed to trying to push it away, we may recognize fear, for example, and notice that our thoughts are racing, our breathing speeding up, and that we want to run away.  Acceptance does not mean liking this fear but rather being kind and loving to ourselves in the moment to moment experience.  Although this way of thinking comes from Buddhist thought, psychologist Carl Rogers had a similar insight when he stated, “The curious paradox is that when I accept myself just as I am, then I can change.”


This excerpted from my book, Autism in the family: Caring and coping together.


Brach, T. (2003) Radical acceptance: Embracing your life with the heart of the Buddha. New York: Bantam.

Gallinsky, E. (1987).  The Six Stages of Parenthood. New York: Addison Wesley.

Kabat-Zinn, J. (2005) Full catastrophe living: Using the wisdom of your body and mind to face stress, pain, and illness, 15th-anniversary edition. New York: Bantam Dell.

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Beyond Borders: Our Human Family

No matter the color of your skin, how you dress, how or if you pray, the language you speak, we are one human family. Now more than ever we need bridges not walls for our children and our families.

Click to watch the video. Arabic subtitles are available by clicking on the YouTube settings.

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Posted in acceptance, autism, children, social justice, special needs, Uncategorized | 1 Comment

Preparing neurodiverse youth for the workplace

This complete resource is available now through the Arc of Philadelphia.

”Preparing Neurodiverse youth for the workplace” is a new educational resource now available through the Arc of Philadelphia. This resource was developed with the support of a grant from the Pennsylvania Department of Education, Bureau of Special Education (BSE)/ PaTTAN in collaboration with and the Pennsylvania Office of Vocational Rehabilitation (OVR). These materials share practical strategies and lessons learned through the “Neurodiversity in the Workplace” initiative. The goal is to better prepare neurodiverse people for rewarding and meaningful lives. You are urged to use these resources at no charge. Customize, improve, and redistribute these resources. You and your organization must not charge or sell the materials, and you must recognize the source as the Arc of Philadelphia. You are urged to participate in the conversation about improving resources for neurodiverse people. Listen to a brief introduction by Drs. Stephen Shore and Robert Naseef, lead consultants on the project.

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Mindful Parenting: Moments of Joy

MarbleRuns01-300x300His 5-year-old boy was not interested in playing catch with his father. Instead, he kept placing a marble at the top of his marble run and watching it go round and round to the bottom for an hour straight. His father watched with a knot in his stomach. Then he realized his son was joyful. As he told his story to the 7 other men in the room, he reflected that he couldn’t remember ever being joyful for an hour.

Although this awareness arose through the experience of having a child on the autism spectrum, experiences like this can occur for parents of typically developing children. According to Rick Hanson, Ph.D. in Hardwiring Happiness: The New Brain Science of Contentment, Calm, and Confidence, “The brain is like Velcro for negative experience and Teflon for positive ones.”

The human brain has evolved of necessity to be constantly scanning for threats to protect us. The downside is that the brain loses sight of the big picture. We spend most of our time worrying about things that might go wrong in the future and ruminating about things that have already happened. Hanson states that the way to “hardwire happiness” into the brain is to take in the good — being present to life’s tiny, joyful moments.

By observing the positive experiences with the greatest personal impact, we can train our brains to keep our eyes open for happiness and contentment and cultivate a sense of wonder.  Although all parents face challenges, parents of children with autism and other special needs often experience more anxiety, depression, guilt, and shame.

Getting in tune or in sync with your child starts with just being there and seeing the world through your child’s eyes. The child with special needs is, first of all, a child. It is through everyday routine activities that children learn and develop.  Just being there and learning to enjoy your child again is the starting point for getting back in sync. It starts with taking turns, an essential relationship skill.

  • Start with imitating or mirroring the child’s actions or vocalizations.
  • Follow your child’s lead.
  • Use facial expressions, gestures, expressive vocalizations, etc.
  • Keep taking turns increasing the number of turns that keep your child engaged.
  • Decrease whatever leads to less engagement.

In Everyday Blessings: The Inner Work of Mindful Parenting, Myla and Jon Kabat-Zinn describe the deep connection that is “available to us virtually in any moment, even in the more difficult ones, if we stay attuned both to our children and to this moment.” (p.2)  There can be moments of pure bliss, such as a child’s first steps or first words, or moments of intense frustration and pain, such as during a meltdown or aggressive behavior.  These difficult moments have the possibility of opening our minds and hearts to new learning and growth just as the father who realized that his son was blissfully playing with the marble run.

Opening to inner experience is vital for parents for we find happiness as a passing state that comes and goes as we experience everything else.  We cannot chase moments of delight any more than we can hold onto a rainbow that comes after the rain. Perhaps happiness can be understood as the side effect of living life to the fullest.

Posted in fathers, happiness, joy, mindfullnes, parents, personal growth, relationships, repetitive behavior, special needs | Leave a comment