Besides Henry getting breathing treatments and new glasses last Friday, Clara also got the booster tDap shot in preparation for middle (!) school next year. Clara has a lot of anxiety about shots. In the fall, I made the kids get the flu shot because Henry had been born. Clara was super upset and kept trying to leave and was crying and screaming very loudly--she finally
had to be held down by two large and intimidating nurses on the table while I looked in her eyes and told her it would be okay. She talked about it for days and days afterwards, how I forced her to do it and how terrible the nurses were, etc. I told her, that yes, I had forced her to, but sometimes moms have to do that for their children's safety, etc. Still, though, I felt bad that it had happened like that and wanted to help her feel more in control.
This time around, I was determined to be more prepared. I was reluctant to build up the experience because I felt like it would just make it worse in terms of her stress. However, since just throwing her in had been a disaster the last time, I wanted to try something different this time and see if it went better.
I looked up ideas about how to help prepare kids for shots, and one
helpful article from a psychologist included the idea to give them lots of exposure to kids handling shots well to habituate them to the experience. We watched several Youtube videos of kids being brave while getting shots. The psychologist also recommended watching the Sid the Science Kid episode about shots, which Clara watched three times.


Another recommendation was making a "coping card," which in our case was an index card. I wrote the steps of what would happen at the appointment and then Clara had me write down some positive words for herself to say to herself during the shot. The article also talked about "brave body," which is where the child sits by herself (not on the mom's lap), relaxes the shoulder, rolls sleeve up without a care, looks away, and gets the shot. I liked the author's point that it's not about not being scared; it's about coping with the fear that is what makes you brave. She kept the card with her, took it to school, etc. I don't think it helped a ton during the actual shot, but Clara realllly likes to "know the plan" in terms of what's coming next, so I think that helped in advance of the actual appointment. (The downside is what to do when things don't go according to plan...)
Clara and I role-played her getting the shot several times the night before. She was still very stressed about it but I could tell she felt more confident this time around than the flu shot experience. However, when we got there, Clara was thrown off because there were two other shots she needed to get (not required for middle school but needed nevertheless), and I had also told her we were going to do the HPV shot as well. She started getting really upset, so I walked out of the room and told the nurse we'd just do the required tdap shot and do the others another time.

Here she is, pre-shot, sleeve rolled up and ready to go. As soon as the nurse came in with the shot tray, Clara got even more nervous and tried to leave, crying and really starting to freak out. I held the door closed and told her, "You can do this. We've practiced it and it's going to be fine, etc." Nurse Samantha, who is very calm and unexcitable, just waited, and we finally got Clara over and she stood while getting the shot. The only thing that finally got her to stay still was looking on my phone while she got it, which I confess I was a little bummed by (I wanted her to do it all by herself), but it was a big improvement from the last time.

Post-shot. She made it!! There were some tears and complaints for the next week or so (hard to know if it's overreaction or the fact that she does feel things more due to her sensory processing stuff), but overall I felt like it was a success. And we get to go back to do the other boosters (yay), which will give her even more practice at coping with her fear. I think I am learning that more information and preparation is better than assuming that knowing more will actually psych her out more.

Robbie also had a big day this past week--his first visit to the dentist. I knew he would do great, and he did. He was quiet and didn't talk too much, especially at first, but he got up on the chair without a problem, wore his sunglasses like a pro, and let the hygienist polish and floss his teeth and even take x-rays. No cavities! She did tell me we need to floss his teeth more, though. I was so proud of him and he was proud of himself. I love that he is so open to new experiences and is confident in himself.