the teenage brain and type 1
DESCRIPTION
A presentation by Ellen O’Donnell, PhD, Staff Psychologist, Massachusetts General Hospital, at JDRF New England chapter's 2nd Annual “Living Well with T1D” Symposium on March 3, 2013.TRANSCRIPT
The Teenage Brain and Type 1:
How to Help Your Tween / Teen on the Road to Greater Independence
Ellen H. O’Donnell, Ph.D.Mass General Hospital
The Teenage BrainPros and Cons
Functions of the Prefrontal
Cortex:
• Planning • Reasoning• Organization• Impulse Control• Judgment• Memory• Regulating Attention
• Self Monitoring
Preparing to Leave the Nest
Risk Taking has a purpose.
Motivated by novelty and rewards.
Will take greater risks when with friends.
Individual Differences
The Big Picture
What Teens with Type 1 Want:
What Parents of Teens with Type 1
Want:
For my teen to be more independent in taking care of his / her diabetes.
To be more independent in taking care of my diabetes.
DiabetesA Moving Target
95% of Diabetes Care is “Self”
Care Parents
School
Nurse
Teen5% for medical team
Division of Responsibilities:
ParentsTeen
School Nurse
Other Helpers
Remember:The Goal is not Perfection
Some Tips and ToolsMaking the Transition
Goal Setting
O SpecificO RealisticO MeasurableO Time Limited
O Sara will write down BG at bedtime nightly for two weeks. Mom will send to nurse to figure out adjustments.
Problem Solving
O S elect a Problem
O O ptions
O L ikely Outcome
O V ery Best One
O E valuate
CommunicationO Agree on a time and schedule for
routine talk about diabetes.O Leave meter in designated spot to review
O Set rules for critical communication.O e.g. If BG is above or below agreed upon
range.O Use tools:
O CalendarO Texting/ smartphonesO Software
The Bigger Picture
Putting Diabetes In It’s Place
Putting Diabetes on the “Back Burner”
Diabetes Burnout
It’s more like a fizzle