children

Gender Identity and Young Children

I was having coffee with my friend, M, the other night.  We talked about this and that… a meandering conversation the way mothers do when we manage to get out without our kids for a few hours.

One of our many topics was her son A, who is a unique little boy.  He sees the world in his own way.  Which is wonderful, until it isn’t.

M sent me this note today and allowed me to reprint it here, because, quite frankly, I was stumped.  Having a daughter who is very much a girly girl, I’ve never had to explore gender identity.  But what would you do in M’s situation?

 

Hubby and I are discussing how to support A’s emerging gender identity while still giving him the tools he needs to protect himself from bullying. So far we’ve supported him in whatever choices he’s made but are worried about school starting and the fact that he doesn’t always conform to established norms.
 
Here’s the background. My middle son A is 4, going on 5. He’s got some mild developmental issues that we’re identifying (sensory, gross-motor), and may be operating slightly younger then his chronological age (maybe late 3/ early 4). He’s an amazing child and has a wonderful sense of self and individually. I love the way he looks at the world.
 
In my opinion, he has a very healthy gender and self identity. He knows he’s a boy, and that he like some “girl” things. His favorite colour is purple, and he likes pink. He plays babies and kitchen with his little sister, but also monsters and Pokemon with his older brother.
 
He’s worn his sister’s purple dress to preschool over his clothes, and when told by his peers that boys don’t wear dresses, just matter of factly told them “Sometimes I do.” We went shoe shopping this week, and he left with pink sparkly princess shoes. Which he proudly told everyone he saw about “I’m a boy who wears princess shoes.” He wants the pink and white bike (which he didn’t get cause he doesn’t need a bike). He fought with his sister over the pink t-shirt that my mother picked up at the thrift store. When playing, sometimes he’s the mom, sometimes he’s the dad, sometimes he’s the dad lady, and sometimes he’s a dinosaur. Most days he’s in typical “boy” clothes with bright purple socks, and now his princess shoes.
 
He’s given his sister a lecture on gender equality when she told him that boys don’t cook. “Sometime Mommy cooks, and sometimes Daddy cooks. Sometimes Daddy cleans, and sometimes Mommy cleans.”
He told me once that when he grows up he wants to be a “girl teacher with purple hair”. I told him that if he still wants that when he’s older I’ll support him.
 
I love him like he is and wish I could change the world to make it fit him. I don’t want to change him to fit the world. I just hope that he keeps his self confidence and sense of himself.
 
We’ve talked about it, and don’t care if he’s gay or trans, or just a boy who likes “girl” things. But both of us were heavily influenced by bullying when we were kids and really worry about that too. So far we’ve been erring on the side of, “we’ll support you in what ever you decide” (in 4 year old words). Right now we’re thinking that we’ll talk a little more about how although it’s ok to like girl things, not all his classmates will agree and they may comment or tease. But I worry that he won’t have the emotional maturity to really understand that he’s a little outside the norm. We’re not even sure if he’ll be ready for kindergarden in the fall (outside of any gender discussion).
 

Any suggestions, resources, tips?

And so, my dear readers… what say you?
Hoping someone out there has some fabulously brilliant ideas, because I am at a loss.

Jenn’s Guide to Melatonin

One of the questions I get all the time is ‘You give melatonin to V right?  I think I want to start giving it to my kid, but I don’t know how much.”

I decided to put together a little FAQ, which turned into a bit of a novel.  Sorry.

But here is:

Jenn’s Guide to Melatonin


Now… first things first.

I am not a doctor, I only play one on Twitter.  This information only comes from my own personal experience and research.  It should NOT take the place of medical advice from your doctor or pediatrician.  Melatonin, like any drug, can have adverse effects, and as such, should be used carefully.  If you are considering using melatonin for your child, I strongly suggest consulting your child’s doctor or pediatrician to see if it’s right for them.

OK.  Now that’s out of the way.

What is melatonin?
Melatonin occurs naturally in your body.  It’s the magical substance that helps your body fall asleep by making you drowsy and lowering your body temperature.

So why would you need to take it in pill form if your body is already producing it?
There have been studies that prove that children on the autism spectrum don’t produce as much melatonin as normal.

It’s been my personal experience that this extends to a lot of kids with neurological or central nervous system impairments, as well.

These kids seem to fall into cyclical sleep patterns. I’ll use Vista as a specific example of what I mean by cyclical sleep.

At the beginning of her cycle she sleep like any normal kid.  The further she gets into her sleep cycle, the less she sleeps, until, at the peak of it, she might sleep an hour or two a night.  The rest of the time she’s wide awake.  Eventually her body becomes so exhausted that it forces her to start sleeping more and more, until we’re back at the beginning of the sleep cycle again.

One full sleep cycle for Vista lasts about 2 months.  So she might go without sleep for weeks at a time.

I, on the other hand, cannot go without sleep for weeks at a time.  I turn into a zombie.  (true fact – the zombie apocalypse is going to be caused by exhausted parents)

So, this is when we turned to our pediatrician crying “we can’t do this anymore *sob*” and he told us that
a) we were silly for waiting so long to talk to him and
b) to put her on melatonin, stat, or he would call the loony bin and tell them I was on my way in

How do I know if melatonin is right for my child?
Melatonin is not a cure all pill.  And it is certainly not right for every kid.

If your kid throws a temper tantrum every night when they go to bed, this is a behavioral problem.  Melatonin will not magically fix the issue.

If your kid likes to get up super early every morning, I can guarantee you that melatonin will not fix this issue (personal experience speaking here).

If, however, your kid just doesn’t seem able to sleep at night, or wakes repeatedly, then melatonin might help.

Melatonin is not meant for newborns or very young children.  Every parent with a baby is sleep deprived.  It’s a right of passage.  Get used to it.

By the time your child is 2 or 3yrs old, though, they should definitely be sleeping a full 8-10+ hours.

This is where I recommend you talk to your pediatrician/doctor, though, to see if they think this is a behavioral issue or a possible melatonin deficiency.

OK, my doc recommended melatonin.  How much do I give?
Again, I would talk to your doctor, but here is my personal experience with dosing…

Start slow and work your way up.  I cannot stress this enough.  Do not slam your kid onto a high dose of melatonin, because this is definitely a case where more does not equal better.

Too much melatonin can cause vivid, horrible, night terrors.  These will keep you up all night and can make kids afraid to sleep.  So, I say again – start at a low dose and SLOWLY work your way up.

Most melatonin comes in 3mg doses, as that is a ‘typical’ adult dose.  Check with your health food store to see if they care a 1mg dose for kids.  This will make it much easier to get an accurate dosage.

There are different forms that melatonin comes in – capsules, sub-lingual (pills that you put under your tongue), and strips (that you put on the tongue that melt).  We usually use the capsules and open them into a cup of milk that Vista takes half an hour before bedtime.

Start with 1mg.  Try this for a week, minimum.  Give it time to work.

If 1mg isn’t working, go up to 2mg.  Stay there for a week or two to see if it helps.

Continue like this, slowly increasing the dose, 1mg at a time, until it starts working.

How will I know if it’s working?
Oh, you’ll know.

The first morning you wake up and realize you got to sleep through the entire night rather than getting up with your kid for the first time in who knows how long?  Yeah, that’s when.

What’s the highest dose I can give my child?
The generally accepted answer to that is 9mg/night.  However, I don’t know anyone who has ever needed to give their child anywhere close to that.

Most people I know eventually settle in the 2-4mg range with their kids.

Do I have to give it every night?  How long should they be on it?
There’s no easy answer to this as it depends on your child.

First off, yes, you need to give it every night, while you’re using it.  And you should leave them on it a week or two, once you find the dose that works.

Sometimes that week or two is all kids need to reset their sleep clocks and they start sleeping through the night on their own.

You can try backing off the dose and see if the sleep problems come back.  If they do, return to the dose that was working.

Vista has been on melatonin for over a year and a half.  We have tried taking her off it, and the sleep issues returned, so her pediatrician recommended we leave her on it for the foreseeable future.

Over the past year and a half we have slowly increased her dose.  She was on 3mg for quite a while.  It’s only in the past few months that, due to a change in medication, we’ve had to bump her up to 4.5mg/night.  Now that her meds have been properly adjusted, we will probably try and take her back down to 3mg.

Will melatonin make my kid drowsy during the day?  Should I give it to them for naps?
No and definitely NO!

I have used melatonin myself.  You do not feel drowsy or ‘hung over’ like you can with sleeping pills.

Melatonin is meant for use at night.  It will not help your children nap and can actually throw off their natural sleep rhythms if you try and use it for that.

When do I give it to my child?
You want to give it to them half an hour to an hour before you want them to go to bed.   This gives it time to work.

This does not mean however, within an hour your kid is going to magically collapse in a pile of sugar plum dreams.

Unlike sleeping pills, melatonin does not put you to sleep, it merely prepares your body to sleep.

There have been times that we give Vista her melatonin at 7:30pm and she still ends up being awake until 9:30pm or later.

Where it does help is that, once your child finally decides to settle down to sleep, they’ll drift off faster and stay asleep.

Is there anything else I should know before giving my child melatonin or taking it myself?
Melatonin, like any drug, can cause adverse effects in people with health issues.  Always check with your doctor before starting to take it.

If you’re pregnant or breastfeeding, you should definitely not take melatonin.

A site I find to be a good resource is http://melatonin.com.  They have information on dosing, cautions, and research.

If there’s anything you think I’ve missed, or information that you feel is incorrect, please let me know.

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