Evidence-Based Approaches to Disciplining Children

Emily Oster

10 min Read Emily Oster

Emily Oster

Evidence-Based Approaches to Disciplining Children

1-2-3 Magic, Incredible Years, Triple P—Positive Parenting Program, and more

Emily Oster

10 min Read

When I sat down to write Cribsheet, I had a pretty good sense of the topics that I wanted to cover. Discipline was not among them. As I told my editor, Ginny, “I don’t think there is any very good data on this, and I do not want to wade into a topic where I literally can say nothing.”

But sometime during the writing, Ginny raised this again. She noted the popularity of a system called 1-2-3-Magic. Could we say anything about the data behind that?

In the end, this proved to be one of the areas where writing the book changed how I parent. In fact, the data was better than I thought. There are evidence-based discipline approaches. More than one, in fact. These include things like 1-2-3 Magic, Incredible Years, Triple P—Positive Parenting Program, and so on. Many schools—including those that have children with serious behavioral issues—use a program called Positive Behavior Interventions and Supports, which has a similar set of goals and structures.

What do the data-based discipline approaches have in common?

Broadly, all these emphasize a few key elements.

First, recognize that children are not adults, and you usually cannot improve their behavior with a discussion. If your four-year-old is taking their shirt off in the museum, they will not respond to a reasoned discussion about how you actually do need to wear shirts in public places. The flip side of this—more important—is that you shouldn’t expect them to respond to adult reasoning. And as a result, you should not get angry the way you would if, say, your spouse was stripping in the museum and didn’t stop after you explained why they shouldn’t.

All these interventions emphasize not getting angry. Don’t yell, don’t escalate, and definitely don’t hit. Controlling parental anger is the first central part of the intervention.

This is so easy to say, but it is often so hard to do. It takes practice on your part. Most of us do not want to get angry with our kids, but we have all found ourselves furious in various moments. Toddler discipline is, really, parental discipline. Breathe. Take a second. I once told my children, “I’m so mad right now, I’m going to the bathroom for a while to calm down.” (It’s the only door in the house that locks.) And I did, only coming out when I thought I could handle not only them, but myself.

An extension of this your-child-is-not-an-adult observation is that it is probably not a good use of your time to think a lot about why your small child is having a tantrum. There is a strong temptation to try to figure out what exactly is the issue—to try to get them to articulate the precise problems they are having. Even if they can talk, this is likely to be fruitless, since they probably do not know. Tantrums happen for all kinds of reasons. Working on disciplining the tantrum behavior is the goal. If they do not think of a tantrum as a way to react, they can work on developing other, more productive ways to communicate their problems.

Second, these approaches all emphasize setting up a clear system of rewards and punishments and following through on them every time. For example, 1-2-3 Magic develops a system of counting (to three, obviously) in the face of disruptive behavior, and if three is reached, there is a defined consequence (a time out, loss of a privilege, etc.).

Finally, there is a strong emphasis on consistency. Whatever is the system you use, you use it every time. If the consequence of counting to three is a time out, then there needs to be a time out every time, including, say, in the grocery store. (The book suggests you find a corner of the store, or bring a “time-out mat” with you.)

As an extension, if you say no to something, you stick to no. If your kid asks for dessert and you say no, you cannot then later say yes if they whine for long enough. This basically makes sense—what do they learn from that? That whining will sometimes work. Let’s do more of it! And similarly, do not make threats you cannot carry out.

Let’s say you are on an airplane and your child keeps kicking the seat in front of them. Telling them, “If you do that one more time, I’m going to leave you on the airplane” is not a good threat. Why? Because you are not going to leave them on the airplane. When they then kick again to test this, and they find they are not, in fact, left on the airplane, they’ll file away this for later. The same logic goes for the common parent car trip threat, “I’m going to turn this car around if you kids do not stop fighting!” Fine to say this, but you better be prepared to turn around.

These are the broad parameters. The specifics differ across programs. If you are hoping to use this kind of discipline, you’ll probably want to pick a particular program and stick to it. One may not be better than the other, but given the importance of consistency, it is necessary to adopt one approach among everyone who is with your kid, not five similar but not identical approaches.

These approaches are helpful through older ages, but can be used as early as two. The books have some specific guidelines for time outs—for example, they should be shorter at younger ages and do not start until after a tantrum has ended. And they do outline some key components that are useful for very small children. For example, do not let your child use a tantrum to get what they want.

How do we know these approaches work?

The evidence that these work is based on a number of randomized controlled trials.

To give an example, a paper published in in 2003 in the Journal of Child and Adolescent Psychiatry reported on an evaluation of 1-2-3 Magic among 222 families. All the parents involved were looking for help managing their children’s behavior, although none of the children had clinical behavior problems. That is to say, they were just engaging in the standard difficult behaviors.

The intervention was fairly light—parents attended three two-hour meetings that discussed the 1-2-3 Magic approach, and were shown videos and given handouts about particular problem issues. There was a fourth two-hour meeting a month later to reinforce.

The experimental group—the one that got the intervention—had improvements on all the variables measured. The parents scored better on measures of parenting—i.e., “Are you hostile and angry toward your child?”—and the children scored better on a variety of measures of behavior. Moreover, the parents reported their children were better behaved and more compliant, and that the parents’ stress had gone down. The authors noted the effect sizes were not enormous—it would be hard to expect huge effects, given how limited the intervention was—but they were large enough for parents to notice them and affect their time with their children.

Smaller trials of 1-2-3 Magic with longer follow-ups have shown similar impacts, with authors arguing that the effects of these programs can be seen even two years later. The evidence isn’t limited to this particular program. A number of studies—especially in the UK and Ireland—have seen similar impacts with the Incredible Years approach. The results there show improvements in parenting practices, reductions in child behavior problems, and lower parental stress. Reviews that pull together evidence on all programs of this type show similarly consistent findings across studies. The bottom line is, they just seem to work.

So, okay, these approaches work. But should you use one?

One answer to this is that it depends on the alternative. In Cribsheet, I talk more about spanking. Bottom line: the evidence suggests that it has negative consequences in both the short and long term. So if hitting is the alternative, then one of these programs probably is worth a try. And if you are tired and frustrated and feel you don’t like your kid very much, then, well, that’s a reason to try also.

In this way, these programs are also not unlike sleep training. Many of the benefits are to the parents: lower stress, better relationship with your child, etc. If what you are doing is working for you, great. If not, this might be worth a try.

Back to the present moment. I was reflecting on these issues last week, albeit in a slightly different frame.

During the invasion of the Capitol last week, a friend texted me to the effect of “How on earth am I supposed to deal with this while also my kid is being difficult?” (Answer: TV, but let’s put that aside). Obviously that was an extreme day, but I cannot be alone in finding it hard to parent well with everything else is going on.

Let’s imagine there is an email at 5pm on Friday saying your kids school is going remote for the next week, and you have a non-negotiable engagement every day for the whole day the following week, and your partner needs to work too and you have no back-up child care. It is really, really hard to then sit down at 6pm and have a normal dinner in which you engage the kids about their day. It is really, really easy to fly off the handle when they use their placemat/table/shirt as a napkin.

(This is all totally hypothetical obviously).

Part of this instinct, part of why this is hard to control (at least I think!) is that we sometimes expect a degree of understanding from our kids which they just do not have. This gets harder as kids get older. With a ten year old, or even a very verbal six year old, you can get the impression of greater maturity and control than they really have.

Why can’t you understand that I actually do need to be looking at my phone to find out if we are having a real coup or what? I just cannot help with the stupid Lego problem right now. It’s not important!

But the point is, really, the same as the one above. When we think about the discipline discussion, the first big take away is recognizing that your children are not adults (see shirt-in-museum example above.) They’re not adults in this moment, either. Which means it may not be reasonable to expect them to understand why you’re scared and upset without some explanation. To my five year old, focusing on the Legos is important.

All this is to say, there may be some broader lessons here about managing this really, really complicated time. As I told my friend, though, some of those lessons may involve television.

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I’m calling on you today to share your story. I know that many of you have experienced complications during pregnancy, birth, or postpartum. It’s not something we want to talk about, but it’s important that we do. Not just for awareness, but to help people going through it feel a little less alone.

That’s why I’m asking you to post a story, photo, or reel this week with #MyUnexpectedStory and tag me. I’ll re-share as many as I can to amplify. Let’s fill our feeds with these important stories and lift each other up. Our voices can create change. And your story matters. 💙

#theunexpected #emilyoster #pregnancycomplications #pregnancystory

I’m calling on you today to share your story. I know that many of you have experienced complications during pregnancy, birth, or postpartum. It’s not something we want to talk about, but it’s important that we do. Not just for awareness, but to help people going through it feel a little less alone.

That’s why I’m asking you to post a story, photo, or reel this week with #MyUnexpectedStory and tag me. I’ll re-share as many as I can to amplify. Let’s fill our feeds with these important stories and lift each other up. Our voices can create change. And your story matters. 💙

#theunexpected #emilyoster #pregnancycomplications #pregnancystory
...

OUT NOW: My new book “The Unexpected: Navigating Pregnancy During and After Complications” is available on April 30th. All of my other books came out of my own experiences. I wrote them to answer questions I had, as a pregnant woman and then as a new parent. “The Unexpected” is a book not to answer my own questions but to answer yours. Specifically, to answer the thousands of questions I’ve gotten over the past decade from people whose pregnancies were more complicated than they had expected. This is for you. 💛 Order now at my link in bio!

OUT NOW: My new book “The Unexpected: Navigating Pregnancy During and After Complications” is available on April 30th. All of my other books came out of my own experiences. I wrote them to answer questions I had, as a pregnant woman and then as a new parent. “The Unexpected” is a book not to answer my own questions but to answer yours. Specifically, to answer the thousands of questions I’ve gotten over the past decade from people whose pregnancies were more complicated than they had expected. This is for you. 💛 Order now at my link in bio! ...

OUT NOW: My new book “The Unexpected: Navigating Pregnancy During and After Complications” is available on April 30th. All of my other books came out of my own experiences. I wrote them to answer questions I had, as a pregnant woman and then as a new parent. “The Unexpected” is a book not to answer my own questions but to answer yours. Specifically, to answer the thousands of questions I’ve gotten over the past decade from people whose pregnancies were more complicated than they had expected. This is for you. 💛 Order now at my link in bio!

OUT NOW: My new book “The Unexpected: Navigating Pregnancy During and After Complications” is available on April 30th. All of my other books came out of my own experiences. I wrote them to answer questions I had, as a pregnant woman and then as a new parent. “The Unexpected” is a book not to answer my own questions but to answer yours. Specifically, to answer the thousands of questions I’ve gotten over the past decade from people whose pregnancies were more complicated than they had expected. This is for you. 💛 Order now at my link in bio! ...

OUT NOW: My new book “The Unexpected: Navigating Pregnancy During and After Complications” is available on April 30th. All of my other books came out of my own experiences. I wrote them to answer questions I had, as a pregnant woman and then as a new parent. “The Unexpected” is a book not to answer my own questions but to answer yours. Specifically, to answer the thousands of questions I’ve gotten over the past decade from people whose pregnancies were more complicated than they had expected. This is for you. 💛 Order now at my link in bio!

OUT NOW: My new book “The Unexpected: Navigating Pregnancy During and After Complications” is available on April 30th. All of my other books came out of my own experiences. I wrote them to answer questions I had, as a pregnant woman and then as a new parent. “The Unexpected” is a book not to answer my own questions but to answer yours. Specifically, to answer the thousands of questions I’ve gotten over the past decade from people whose pregnancies were more complicated than they had expected. This is for you. 💛 Order now at my link in bio! ...

Is side sleeping important during pregnancy? Comment “Link” for a DM to an article on whether sleep position affects pregnancy outcomes.

Being pregnant makes you tired, and as time goes by, it gets increasingly hard to get comfortable. You were probably instructed to sleep on your side and not your back, but it turns out that advice is not based on very good data.

We now have much better data on this, and the bulk of the evidence seems to reject the link between sleep position and stillbirth or other negative outcomes. So go ahead and get some sleep however you are most comfortable. 💤

Sources:
📖 #ExpectingBetter pp. 160-163
📈 Robert M. Silver et al., “Prospective Evaluation of Maternal Sleep Position Through 30 Weeks of Gestation and Adverse Pregnancy Outcomes,” Obstetrics and Gynecology 134, no. 4 (2019): 667–76. 

#emilyoster #pregnancy #pregnancytips #sleepingposition #pregnantlife

Is side sleeping important during pregnancy? Comment “Link” for a DM to an article on whether sleep position affects pregnancy outcomes.

Being pregnant makes you tired, and as time goes by, it gets increasingly hard to get comfortable. You were probably instructed to sleep on your side and not your back, but it turns out that advice is not based on very good data.

We now have much better data on this, and the bulk of the evidence seems to reject the link between sleep position and stillbirth or other negative outcomes. So go ahead and get some sleep however you are most comfortable. 💤

Sources:
📖 #ExpectingBetter pp. 160-163
📈 Robert M. Silver et al., “Prospective Evaluation of Maternal Sleep Position Through 30 Weeks of Gestation and Adverse Pregnancy Outcomes,” Obstetrics and Gynecology 134, no. 4 (2019): 667–76.

#emilyoster #pregnancy #pregnancytips #sleepingposition #pregnantlife
...

My new book, “The Unexpected: Navigating Pregnancy During and After Complications” is available for preorder at the link in my bio!

I co-wrote #TheUnexpected with my friend and maternal fetal medicine specialist, Dr. Nathan Fox. The unfortunate reality is that about half of pregnancies include complications such as preeclampsia, miscarriage, preterm birth, and postpartum depression. Because these are things not talked about enough, it can not only be an isolating experience, but it can also make treatment harder to access.

The book lays out the data on recurrence and delves into treatment options shown to lower risk for these conditions in subsequent pregnancies. It also guides you through how to have productive conversations and make shared decisions with your doctor. I hope none of you need this book, but if you do, it’ll be here for you 💛

#pregnancy #pregnancycomplications #pregnancyjourney #preeclampsiaawareness #postpartumjourney #emilyoster

My new book, “The Unexpected: Navigating Pregnancy During and After Complications” is available for preorder at the link in my bio!

I co-wrote #TheUnexpected with my friend and maternal fetal medicine specialist, Dr. Nathan Fox. The unfortunate reality is that about half of pregnancies include complications such as preeclampsia, miscarriage, preterm birth, and postpartum depression. Because these are things not talked about enough, it can not only be an isolating experience, but it can also make treatment harder to access.

The book lays out the data on recurrence and delves into treatment options shown to lower risk for these conditions in subsequent pregnancies. It also guides you through how to have productive conversations and make shared decisions with your doctor. I hope none of you need this book, but if you do, it’ll be here for you 💛

#pregnancy #pregnancycomplications #pregnancyjourney #preeclampsiaawareness #postpartumjourney #emilyoster
...

We are better writers than influencers, I promise. Thanks to our kids for filming our unboxing videos. People make this look way too easy. 

Only two weeks until our book “The Unexpected” is here! Preorder at the link in my bio. 💙

We are better writers than influencers, I promise. Thanks to our kids for filming our unboxing videos. People make this look way too easy.

Only two weeks until our book “The Unexpected” is here! Preorder at the link in my bio. 💙
...

Exciting news! We have new, high-quality data that says it’s safe to take Tylenol during pregnancy and there is no link between Tylenol exposure and neurodevelopmental issues in kids. Comment “Link” for a DM to an article exploring this groundbreaking study.

While doctors have long said Tylenol was safe, confusing studies, panic headlines, and even a lawsuit have continually stoked fears in parents. As a result, many pregnant women have chosen not to take it, even if it would help them.

This is why good data is so important! When we can trust the data, we can trust our choices. And this study shows there is no blame to be placed on pregnant women here. So if you have a migraine or fever, please take your Tylenol.

#tylenol #pregnancy #pregnancyhealth #pregnancytips #parentdata #emilyoster

Exciting news! We have new, high-quality data that says it’s safe to take Tylenol during pregnancy and there is no link between Tylenol exposure and neurodevelopmental issues in kids. Comment “Link” for a DM to an article exploring this groundbreaking study.

While doctors have long said Tylenol was safe, confusing studies, panic headlines, and even a lawsuit have continually stoked fears in parents. As a result, many pregnant women have chosen not to take it, even if it would help them.

This is why good data is so important! When we can trust the data, we can trust our choices. And this study shows there is no blame to be placed on pregnant women here. So if you have a migraine or fever, please take your Tylenol.

#tylenol #pregnancy #pregnancyhealth #pregnancytips #parentdata #emilyoster
...

How many words should kids say — and when? Comment “Link” for a DM to an article about language development!

For this graph, researchers used a standardized measure of vocabulary size. Parents were given a survey and checked off all the words and sentences they have heard their child say.

They found that the average child—the 50th percentile line—at 24 months has about 300 words. A child at the 10th percentile—near the bottom of the distribution—has only about 50 words. On the other end, a child at the 90th percentile has close to 600 words. One main takeaway from these graphs is the explosion of language after fourteen or sixteen months. 

What’s valuable about this data is it can give us something beyond a general guideline about when to consider early intervention, and also provide reassurance that there is a significant range in this distribution at all young ages. 

#cribsheet #emilyoster #parentdata #languagedevelopment #firstwords

How many words should kids say — and when? Comment “Link” for a DM to an article about language development!

For this graph, researchers used a standardized measure of vocabulary size. Parents were given a survey and checked off all the words and sentences they have heard their child say.

They found that the average child—the 50th percentile line—at 24 months has about 300 words. A child at the 10th percentile—near the bottom of the distribution—has only about 50 words. On the other end, a child at the 90th percentile has close to 600 words. One main takeaway from these graphs is the explosion of language after fourteen or sixteen months.

What’s valuable about this data is it can give us something beyond a general guideline about when to consider early intervention, and also provide reassurance that there is a significant range in this distribution at all young ages.

#cribsheet #emilyoster #parentdata #languagedevelopment #firstwords
...

I saw this and literally laughed out loud 😂 Thank you @adamgrant for sharing this gem! Someone let me know who originally created this masterpiece so I can give them the proper credit.

I saw this and literally laughed out loud 😂 Thank you @adamgrant for sharing this gem! Someone let me know who originally created this masterpiece so I can give them the proper credit. ...

Perimenopause comes with a whole host of symptoms, like brain fog, low sex drive, poor energy, and loss of muscle mass. These symptoms can be extremely bothersome and hard to treat. Could testosterone help? Comment “Link” for a DM to an article about the data on testosterone treatment for women in perimenopause.

#perimenopause #perimenopausehealth #womenshealth #hormoneimbalance #emilyoster #parentdata

Perimenopause comes with a whole host of symptoms, like brain fog, low sex drive, poor energy, and loss of muscle mass. These symptoms can be extremely bothersome and hard to treat. Could testosterone help? Comment “Link” for a DM to an article about the data on testosterone treatment for women in perimenopause.

#perimenopause #perimenopausehealth #womenshealth #hormoneimbalance #emilyoster #parentdata
...

What age is best to start swim lessons? Comment “Link” for a DM to an article about water safety for children 💦

Summer is quickly approaching! You might be wondering if it’s the right time to have your kid start swim lessons. The AAP recommends starting between 1 and 4 years old. This is largely based on a randomized trial where young children were put into 8 or 12 weeks of swim lessons. They found that swimming ability and water safety reactions improve in both groups, and more so in the 12 weeks group.

Below this age range though, they are too young to actually learn how to swim. It’s fine to bring your baby into the pool (if you’re holding them) and they might like the water. But starting formal safety-oriented swim lessons before this age isn’t likely to be very helpful.

Most importantly, no matter how old your kid is or how good of a swimmer they are, adult supervision is always necessary!

#swimlessons #watersafety #kidsswimminglessons #poolsafety #emilyoster #parentdata

What age is best to start swim lessons? Comment “Link” for a DM to an article about water safety for children 💦

Summer is quickly approaching! You might be wondering if it’s the right time to have your kid start swim lessons. The AAP recommends starting between 1 and 4 years old. This is largely based on a randomized trial where young children were put into 8 or 12 weeks of swim lessons. They found that swimming ability and water safety reactions improve in both groups, and more so in the 12 weeks group.

Below this age range though, they are too young to actually learn how to swim. It’s fine to bring your baby into the pool (if you’re holding them) and they might like the water. But starting formal safety-oriented swim lessons before this age isn’t likely to be very helpful.

Most importantly, no matter how old your kid is or how good of a swimmer they are, adult supervision is always necessary!

#swimlessons #watersafety #kidsswimminglessons #poolsafety #emilyoster #parentdata
...

Can babies have salt? 🧂 While babies don’t need extra salt beyond what’s in breast milk or formula, the risks of salt toxicity from normal foods are minimal. There are concerns about higher blood pressure in the long term due to a higher salt diet in the first year, but the data on these is not super compelling and the differences are small.

Like with most things, moderation is key! Avoid very salty chips or olives or saltines with your infant. But if you’re doing baby-led weaning, it’s okay for them to share your lightly salted meals. Your baby does not need their own, unsalted, chicken if you’re making yourself a roast. Just skip the super salty stuff.

 #emilyoster #parentdata #childnutrition #babynutrition #foodforkids

Can babies have salt? 🧂 While babies don’t need extra salt beyond what’s in breast milk or formula, the risks of salt toxicity from normal foods are minimal. There are concerns about higher blood pressure in the long term due to a higher salt diet in the first year, but the data on these is not super compelling and the differences are small.

Like with most things, moderation is key! Avoid very salty chips or olives or saltines with your infant. But if you’re doing baby-led weaning, it’s okay for them to share your lightly salted meals. Your baby does not need their own, unsalted, chicken if you’re making yourself a roast. Just skip the super salty stuff.

#emilyoster #parentdata #childnutrition #babynutrition #foodforkids
...

Is sleep training bad? Comment “Link” for a DM to an article breaking down the data on sleep training 😴

Among parenting topics, sleep training is one of the most divisive. Ultimately, it’s important to know that studies looking at the short- and long-term effects of sleep training show no evidence of harm. The data actually shows it can improve infant sleep and lower parental depression.

Even so, while sleep training can be a great option, it will not be for everyone. Just as people can feel judged for sleep training, they can feel judged for not doing it. Engaging in any parenting behavior because it’s what’s expected of you is not a good idea. You have to do what works best for your family! If that’s sleep training, make a plan and implement it. If not, that’s okay too.

What’s your experience with sleep training? Did you feel judged for your decision to do (or not do) it?

#sleeptraining #newparents #babysleep #emilyoster #parentdata

Is sleep training bad? Comment “Link” for a DM to an article breaking down the data on sleep training 😴

Among parenting topics, sleep training is one of the most divisive. Ultimately, it’s important to know that studies looking at the short- and long-term effects of sleep training show no evidence of harm. The data actually shows it can improve infant sleep and lower parental depression.

Even so, while sleep training can be a great option, it will not be for everyone. Just as people can feel judged for sleep training, they can feel judged for not doing it. Engaging in any parenting behavior because it’s what’s expected of you is not a good idea. You have to do what works best for your family! If that’s sleep training, make a plan and implement it. If not, that’s okay too.

What’s your experience with sleep training? Did you feel judged for your decision to do (or not do) it?

#sleeptraining #newparents #babysleep #emilyoster #parentdata
...

Does your kid love to stall right before bedtime? 💤 Tell me more about their tactics in the comments below!

#funnytweets #bedtime #nightimeroutine #parentinghumor #parentingmemes

Does your kid love to stall right before bedtime? 💤 Tell me more about their tactics in the comments below!

#funnytweets #bedtime #nightimeroutine #parentinghumor #parentingmemes
...

Got a big decision to make? 🤔 Comment “Link” for a DM to read about my easy mantra for making hard choices. 

When we face a complicated problem in pregnancy or parenting, and don’t like either option A or B, we often wait around for a secret third option to reveal itself. This magical thinking, as appealing as it is, gets in the way. We need a way to remind ourselves that we need to make an active choice, even if it is hard. The mantra I use for this: “There is no secret option C.”

Having this realization, accepting it, reminding ourselves of it, can help us make the hard decisions and accurately weigh the risks and benefits of our choices.

#parentingquotes #decisionmaking #nosecretoptionc #parentingadvice #emilyoster #parentdata

Got a big decision to make? 🤔 Comment “Link” for a DM to read about my easy mantra for making hard choices.

When we face a complicated problem in pregnancy or parenting, and don’t like either option A or B, we often wait around for a secret third option to reveal itself. This magical thinking, as appealing as it is, gets in the way. We need a way to remind ourselves that we need to make an active choice, even if it is hard. The mantra I use for this: “There is no secret option C.”

Having this realization, accepting it, reminding ourselves of it, can help us make the hard decisions and accurately weigh the risks and benefits of our choices.

#parentingquotes #decisionmaking #nosecretoptionc #parentingadvice #emilyoster #parentdata
...