Ten Complementary Therapies That Can Help Children
May 28th, 2012
By Traci Stein, PhD, MPH, Complementary & Alternative Medicine, Topic Expert Contributor
A question I am frequently asked is, “What are the best complementary or alternative therapies for kids?” This is a broad and potentially complex question, but many parents use complementary or alternative medicine (CAM) therapies for their children. What is the most appropriate course of treatment will depend both on the presenting problem and the balance of safety and probably efficacy of the therapy being considered.
The most recent data from the National Center for Complementary and Alternative Medicine (NCCAM) found that 12% of the 9,000 children surveyed in 2007 had used some form of CAM during the previous year. Parents’ CAM use typically ranges from providing remedies in lieu of medical treatments—such as using a homeopathic flu remedy instead of a prescription—to using CAM in conjunction with conventional remedies. The latter can be as simple as giving a child tea with honey, or a zinc lozenge, in addition to the antibiotics or other medications a doctor prescribes when a child has a sore throat or throat infection. Another example is when a child has been diagnosed with attention deficit (ADD/ADHD), and his or her parents employ dietary changes even if the child is also receiving medication and/or psychotherapy to help with this issue. For children who have chronic pain conditions, or notable anxiety, CAM therapies are often used, sometime independently and ideally in combination with psychotherapy (and appropriate medical care, if this is indicated), to help manage symptoms.
A point NCCAM emphasizes that is worth noting here is that children are not merely smaller versions of adults. Similarly, more studies have been conducted regarding the effects of many CAM therapies on adults, although there is a growing body of research on CAM with children. Thus, what may be considered an appropriate CAM therapy for an adult, or an appropriate dose of that therapy, is not necessarily what we can recommend for a child at present.
That being said, there are a number of treatments that are considered generally safe for children, particularly when provided or informed by appropriately trained professionals. My favorites are listed here. You’ll notice the emphasis on non-oral-intake therapies, although at times these may also be appropriate.
- Guided imagery or self-hypnosis: helpful for managing mood symptoms, pain, and itch, sleep difficulties, as well as nausea
- Mindfulness or other types of meditation: can help with mood, pain, itch, sleep, nausea, and concentration
- Aromatherapy: can help reduce anxiety and enhance feelings of calm, especially when paired with other therapies, including cognitive behavioral therapy, meditation, imagery/hypnosis, or massage
- Movement therapies (yoga, dance therapy, tai chi etc.): can increase children’s feelings of mastery, discharge excess physical tension, help children to focus, and may improve mood
- Massage: can increase relaxation and decrease muscle tension or soreness
- Energy therapies (Reiki, therapeutic touch, etc.): may help increase calm and decrease stress; may also help with some physical discomforts
- Art therapy: can help children cope with change, shed light on emotions and concerns that they may have trouble verbalizing, and reinforce healing images created during guided imagery and hypnosis
- Homeopathy: can be gently calming and is reported to help with fears, anxiety, tantrums, etc. There are fewer data on this therapy, but it is generally considered to be safe
- Dilute Ginger tea: can help with upset stomach/nausea
- Dietary changes (eliminating processed foods, caffeine, sugar, etc. and emphasizing whole grains, fruits, vegetables, beans/legumes, and healthy sources of protein): health-supportive overall, and some parents report improved mood, sleep, and concentration when processed foods are limited or eliminated
One common theme that runs through most of the therapies listed above is that they help children to feel calmer. Some of the approaches provide children with tools to help them directly impact how they feel (movement therapies, imagery/hypnosis, meditation, art) via what they do, and this can enhance children’s feelings of mastery and control. All of these approaches require at least the initial participation and benefit from ongoing monitoring by parents—a key ingredient in helping children to feel safe, loved, and supported. It is difficult to quantify the positive impact of this support, but few would deny its importance.
As always, it is essential to keep healthcare providers in the loop when using CAM therapies with children, particularly with those who have a medical or psychological illness.
Finally, if I were to add a number 11 to the list, it would be to emphasize that children pick up on and are undoubtedly affected by their parents’ mood and other issues. It is essential for anxious or depressed parents, as well as those with other psychological challenges, to obtain appropriate treatment. Doing so helps parents feel better, enhances their ability to cope with the many demands of parenting, and teaches children about the value of self-care. Furthermore, emotionally healthy parents tend to parent more effectively, and this can also reduce children’s feelings of anxiety and depression.
For more information regarding the above:
- National Center for Complementary and Alternative Medicine: CAM Use and Children: http://nccam.nih.gov/health/children
- The Integrative Therapies Program for Children with Cancer – Columbia University Medical Center: A leading program that emphasizes both research and clinical practice. Their website contains a wealth of information about a variety of therapies, as well as helpful links: http://integrativetherapies.columbia.edu/index.html
- Stein, T. R., Sonty, N., Saroyan, J. M. (2012). “Scratching” beneath the surface: An integrative psychosocial approach to pediatric pruritus and pain. Child Clinical Psychology and Psychiatry, 17(1), 33-47. This article details an integrative (CAM) treatment of pediatric pain and itch (pruritus) with a 7-year-old girl.
Related articles:
Helping Your Child with Anxiety
Aromatherapy and Psychotherapy
Complementary and Alternative Medicine Therapies for Insomnia, Part II: Mind-Body Therapies
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Comments
I have found that as a mom, and not just in a classroom setting that movement is the key to maintaining sanity for me and the kids too.
Think about how you felt as a child all cooped up inside with no chance for experiencing something through moving. And then think how good it feels just to get up and release some of that energy!
That is how I feel on rainy days and I know the kids feel that way too. Nothing better during those times than just to get up and have a dance, or do a few jumping jacks, anything to get that energy flowing again.
And once we do that, then the day doesn’t seem quite so bad.
I have read a lot of different places that making even small dietary changes can make a big difference in the behavior of many children.
What did they used to talk about being so bad for them, some kind of red dye or something like that?
I know that sugar hypes people up, but have there been any other changes that some of you out there have trued and have noticed a positive difference as a result of the changes?
I have even heard that switching to a gluten free or even a vegan diet can make big differences in bad behavioral issues. Thoughts?
All of these ideas, when combined with appropriate mixture of therapy and other behavioral modifications, could work wonders for any child who is experiencing some difficulties in both school and at home. Sometimes it doesn’t take much, just some small little tweaks to make the most impression, as well as the most benefiacial changes.
@Zenia: I think this is one of those situations where unfortunately there is no one dietary change that will benefit everyone presenting with a certain condition. Although the evidence to date is somewhat mixed, there are recommendations that are worth considering if a child has behavior problems or difficulty focusing on tasks. Among these are reducing refined carbohydrates, which can lead to rapid increases and sudden drops in blood sugar (and can make both adults and children feel pretty awful afterwards), and avoiding processed foods in general, particularly those that contain MSG, artificial colors (especially red and yellow), or sodium benzoate (a preservative). Increasing consumption of omega-3 fatty acids (see my previous blog post for more information) is particularly good for overall brain health and improving mood. If your child’s behavior or attentional problems persist even after making the above changes, I recommend consulting with a registered dietitian (RD) and/or an allergist to see if there are other dietary changes worth making. For more information on food and ADHD, please visit this informative link: http://www.webmd.com/add-adhd/guide/adhd-diets
Thanks for the link Traci. I will definitely have a look.
How I wish my mother knows this complementary therapies when I was still a kid. She never did something like this. But I know my mother loves me so much that she would do everything she can for me.
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