How to Set Boundaries With Other Grown-Ups

Yael Schonbrun

9 min Read Yael Schonbrun

Yael Schonbrun

How to Set Boundaries With Other Grown-Ups

The science of setting boundaries with your favorite unruly adults

Yael Schonbrun

9 min Read

Most people assume becoming a parent means setting boundaries with kids: yes, you do need to leave the bathroom while I’m pooping; no, you cannot have the last bite of my ice cream. But setting boundaries with adults is just as important — and about eight hundred times as hard. 

With kids, your age and parental status (on occasion) offers authority. Not so with other adults, making it critical to have effective tools at your disposal. As a clinical psychologist specializing in the science and art of relationships, I often help couples and families use ideas from social science and the therapy room to set boundaries with the unruly adults in their lives. 

Recently, Kai, a 42-year-old mother of two kids under the age of 3, reached out for advice with a painful situation. Kai described a supportive partnership, a thriving career, and caring deeply about her family, employees (including caregivers), and her mother-in-law, who is a regular part of their family life. But she had recently discovered from her nanny that her mother-in-law had been saying nasty things behind her back. The mother-in-law had regularly and harshly derogated how Kai parented, cleaned her house, and showed up as a partner. The mother-in-law had urged the nanny to “take advantage” of the fact that Kai was too busy to take care of her own children.

Kai admitted, “The easy answer is to throw up a hard boundary and let her freeze in familial Antarctica. Because, really, f- her!” Setting boundaries is often complicated, not simply because other people have hurt us, but also because the need to set boundaries arises at vulnerable times of life when the people who are supposed to be protecting you are the ones you need to protect yourself from. 

Common situations that find us needing to set boundaries include:

  • The first exhausting days in the hospital or home with a newborn when visitors want to come meet the baby
  • In the aftermath of unsolicited advice 
  • With a co-parent whose behavior makes more work for us, rather than being helpful
  • With a caregiver who doesn’t see how their behavior may be unsafe

Although there is no one-size-fits-all solution for setting boundaries in complicated situations, principles from psychology offer helpful and flexible guidance.

Practices for pain management

It’s painful to be in a situation where you need to set boundaries. One distinct pain point involves the belief that you “shouldn’t have to” set a boundary in the first place — that adults should know right from wrong, appropriate from inappropriate. True as this may be, cognitive therapists explain that “should” statements get us locked in an unwinnable battle with reality. Rather than fight that unwinnable battle, psychologists recommend turning toward practices of self-compassion. 

Self-compassion may seem like a meager response to what feels like major injustice, but research shows that it fosters better coping, optimism, and effective engagement in various life roles, including parenting and other close relationships. 

Self-compassion consists of three distinct practices: 

First, self-kindness. This is a practice of extending kindness toward yourself, just as you would for someone else you loved dearly who was going through something similar.

Next is common humanity, which helps you feel less alone in the pain by recognizing what a universal experience it is. Practically speaking, this can look like reaching out to friends who “get it” or joining discussions like in the ParentData Village with people who have comparable challenges. 

The final self-compassion practice involves bringing nonjudgmental attention to your pain. That might sound corny, but studies show that it improves our ability to tolerate and figure out what to do in the face of pain. Nonjudgmental awareness helps you recognize and accept what can’t be so that you can make space for what can.

Get clear on your values

A boundary-trampling person can be so emotionally activating or draining that you get off track from behaving in line with your better self — or even remembering what’s most important to you in the first place. Clarifying your values, a practice drawn from a scientifically backed treatment called acceptance and commitment therapy (ACT), helps keep you on track to set boundaries that protect what matters most. 

I’m a huge fan of advice from Lindsay Gibson, a therapist and best-selling author of Adult Children of Emotionally Immature Parents, on dealing with difficult people in close relationships. Gibson emphasizes that we can’t control how other people behave or respond, or whether they are willing or able to understand. She advises focusing on what you can control, like knowing how you want to show up when the going gets hard. 

Values are a way to get clear on something you can control — that is, being the kind of person you want to be in the various contexts of your life, including in relationships with people who disregard or disrespect you. 

To clarify your values, try the following exercise from the therapy room. Imagine yourself in 10 years and that your difficult relationship has recovered from the boundary-trampling. Take a few minutes and imagine your future self looking back on this phase of life, asking:

  • What was I proud of having stood for in that difficult patch?
  • What model am I glad I offered my kids, given that they too will eventually have difficult relationships?

As Kai went through this exercise, she identified values that seemed in conflict: involving extended family in the kids’ lives and fostering an emotionally safe home. As Marianne Lewis, a professor at the University of Cincinnati, explains in her book Both/And Thinking, we often get trapped in either/or thinking that locks us in a zero-sum game. Shifting into both/and thinking can help us identify values that are more creative and comprehensive. We can make this shift by asking, “What might the balance between protecting my family and cultivating connection look like, and how can I manifest that?” rather than “Which value do I prioritize?” 

“What” and “how” are helpful words for prompting both/and thinking.

Find support 

Support in navigating difficult relationships, whether emotional or strategic, can be invaluable. There are two different kinds of support you might seek out: (1) people who are “on your side” and (2) neutral people. 

Although most of us default to seeking support from people who are on our side, studies show that validating listeners can cause us to get more, not less, stuck. A neutral person who sees good in you and the other person can more helpfully encourage setting boundaries that work for both sides. 

As a 2013 study showed, even imagining a neutral third party can help protect relationships when people don’t see eye to eye. In this study, married participants were told to think about disagreements from “the perspective of a neutral third party who wants the best for all involved; a person who sees things from a neutral point of view” and to bring that third-party perspective to mind during moments of conflict in the months that followed. This simple 21-minute intervention provided significant protective effects through the yearlong study follow-up. Real or imagined, support from perspectives that see and want the best for all involved can help.

The benefits of the doubt 

It may seem counterintuitive, but setting boundaries tends to go more smoothly when we offer the benefit of the doubt to the other person. This flies in the face of what we want to do, particularly if we feel hurt or angry. But staying positive isn’t for the other person’s benefit — it’s for ours. Actively seeing good in others can motivate them to behave better, a classic “Pygmalion effect” that shows up in classrooms, workplaces, and close relationships. And benefit of the doubt fosters connection, which ultimately gives you more leverage.

A trick to this approach that helps you stay authentic involves separating people’s misbehavior from their core character. For instance, behavior can come across as insensitive (or downright harmful), even though it doesn’t reflect core positive attributes or fundamental care for you and your kids. 

It helps, too, to remember that benefit of the doubt for others helps pave the way to boundaries that work better for you.

Set boundaries like a negotiator

Hostage negotiators are tasked with persuading people in extremely high-stakes situations. And a powerful strategy they use involves giving the other person some control — or at the least the illusion of control.  

This may seem counterintuitive. Shouldn’t we be inflexible with boundary-trampling people? Nope. Inflexibility wakes up inner 2-year-olds, due to psychological reactance, a phenomenon describing why being more forceful with others leads to their greater resistance. (A hilariously titled article reviews the research: “A 50-year review of psychological reactance theory: Do not read this article.”)

Rather than being forceful, consider inviting the other person to collaborate. Hostage negotiators operationalize this using an approach called calibrated questioning, which has you invite the other person to help identify a solution that addresses both sets of desires. Just like both/and thinking, calibrated questions assume you can arrive at a boundary that works for both parties, and that the other person can help you get there. For instance, Kai might say, “Given that you’ve expressed unhappiness about me to the nanny, how do you want to build our family relationship going forward?” 

Moving forward

When I initially suggested to Kai that her mother-in-law’s behavior might be more about feeling threatened than genuine dislike, she responded, “Okay, good point, but what the hell do I do about that?” 

After hearing some of the suggestions above, Kai worked to clarify her values, landing on setting a positive tone and remaining curious as to what positive things could unfold for her relationship with her mother-in-law. She also realized that she could use this rough patch to teach her kids various lessons, like not personalizing other people’s behavior, seeing stories from many angles, and recognizing that people who have been harmed do not need to harm others in order to heal.

When it came to interacting with her mother-in-law, Kai and her husband initiated a boundary-setting conversation that began with expressing love and appreciation. Then they shared that the nanny had requested more limited contact and asked the mother-in-law what she thought about moving to pre-planned instead of spontaneous visits with the kids.

The ultimate lesson in boundary-setting, Kai told me, was that it wasn’t about getting her mother-in-law to abide by new rules after all. Instead, it was about accessing good support from her partner and clarifying values that would allow her to show up as the best version of herself, given the circumstances.

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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
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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
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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.

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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
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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
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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
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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
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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
...

Excuse the language, but I have such strong feelings about this subject! Sometimes, it feels like there’s no winning as a mother. People pressure you to breastfeed and, in the same breath, shame you for doing it in public. Which is it?!

So yes, they’re being completely unreasonable. You should be able to feed your baby in peace. What are some responses you can give to someone who tells you to cover up? Share in the comments below ⬇️

#breastfeeding #breastfeedinginpublic #breastfeedingmom #motherhood #emilyoster

Excuse the language, but I have such strong feelings about this subject! Sometimes, it feels like there’s no winning as a mother. People pressure you to breastfeed and, in the same breath, shame you for doing it in public. Which is it?!

So yes, they’re being completely unreasonable. You should be able to feed your baby in peace. What are some responses you can give to someone who tells you to cover up? Share in the comments below ⬇️

#breastfeeding #breastfeedinginpublic #breastfeedingmom #motherhood #emilyoster
...

Potty training can feel like a Mount Everest-size challenge, and sadly, our evidence-based guidance is poor. So, I created a survey to collate advice and feedback on success from about 6,000 participants.

How long does potty training take? We found that there is a strong basic pattern here: the later you wait to start, the shorter time it takes to potty train. On average, people who start at under 18 months report it takes them about 12 weeks for their child to be fully trained (using the toilet consistently for both peeing and pooping). For those who start between 3 and 3.5, it’s more like nine days. Keep in mind that for all of these age groups, there is a range of length of time from a few days to over a year. Sometimes parents are told that if you do it right, it only takes a few days. While that is true for some people, it is definitely not the norm.

If you’re in the throes of potty training, hang in there! 

#emilyoster #parentdata #pottytraining #pottytrainingtips #toddlerlife

Potty training can feel like a Mount Everest-size challenge, and sadly, our evidence-based guidance is poor. So, I created a survey to collate advice and feedback on success from about 6,000 participants.

How long does potty training take? We found that there is a strong basic pattern here: the later you wait to start, the shorter time it takes to potty train. On average, people who start at under 18 months report it takes them about 12 weeks for their child to be fully trained (using the toilet consistently for both peeing and pooping). For those who start between 3 and 3.5, it’s more like nine days. Keep in mind that for all of these age groups, there is a range of length of time from a few days to over a year. Sometimes parents are told that if you do it right, it only takes a few days. While that is true for some people, it is definitely not the norm.

If you’re in the throes of potty training, hang in there!

#emilyoster #parentdata #pottytraining #pottytrainingtips #toddlerlife
...

For children or adults with severe food allergies, they can be incredibly scary and restrictive. We may imagine that it’s easy to deal with a peanut allergy by, say, not eating peanut butter sandwiches. But for someone with a severe version of this allergy, they may never be able to go to a restaurant, for fear of a severe reaction to something in the air. Right now, there’s only one approved treatment for severe allergies like this and it’s limited to peanuts.

This is why the new medication Xolair is very exciting. It promises a second possible treatment avenue and one that works for other allergens. A new trail analyzed data from 177 children with severe food allergies. Two-thirds of the treatment group were able to tolerate the specified endpoint, versus just 7% of the placebo group. This is a very large treatment effect, and the authors found similarly large impacts on other allergens. 

There are some caveats: This treatment won’t work for everyone. (One-third of participants did not respond to it.) Additionally, this treatment is an injection given every two to four weeks, indefinitely. This may make it less palatable to children. 

Overall, even with caveats, this is life-changing news for many families!

#xolair #foodallergies #allergies #peanutallergy #emilyoster #parentdata

For children or adults with severe food allergies, they can be incredibly scary and restrictive. We may imagine that it’s easy to deal with a peanut allergy by, say, not eating peanut butter sandwiches. But for someone with a severe version of this allergy, they may never be able to go to a restaurant, for fear of a severe reaction to something in the air. Right now, there’s only one approved treatment for severe allergies like this and it’s limited to peanuts.

This is why the new medication Xolair is very exciting. It promises a second possible treatment avenue and one that works for other allergens. A new trail analyzed data from 177 children with severe food allergies. Two-thirds of the treatment group were able to tolerate the specified endpoint, versus just 7% of the placebo group. This is a very large treatment effect, and the authors found similarly large impacts on other allergens.

There are some caveats: This treatment won’t work for everyone. (One-third of participants did not respond to it.) Additionally, this treatment is an injection given every two to four weeks, indefinitely. This may make it less palatable to children.

Overall, even with caveats, this is life-changing news for many families!

#xolair #foodallergies #allergies #peanutallergy #emilyoster #parentdata
...

If you have a fever during pregnancy, you should take Tylenol, both because it will make you feel better and because of concerns about fever in pregnancy (although these are also overstated).

The evidence that suggests risks to Tylenol focuses largely on more extensive exposure — say, taking it for more than 28 days during pregnancy. There is no credible evidence, even correlational, to suggest that taking it occasionally for a fever or headache would be an issue.

People take Tylenol for a reason. For many people, the choice may be between debilitating weekly migraines and regular Tylenol usage. The impacts studies suggest are very small. In making this decision, we should weigh the real, known benefit against the suggestion of this possible risk. Perhaps not everyone will come out at the same place on this, but it is crucial we give people the tools to make the choice for themselves.

#emilyoster #parentdata #tylenol #pregnancy #pregnancytips

If you have a fever during pregnancy, you should take Tylenol, both because it will make you feel better and because of concerns about fever in pregnancy (although these are also overstated).

The evidence that suggests risks to Tylenol focuses largely on more extensive exposure — say, taking it for more than 28 days during pregnancy. There is no credible evidence, even correlational, to suggest that taking it occasionally for a fever or headache would be an issue.

People take Tylenol for a reason. For many people, the choice may be between debilitating weekly migraines and regular Tylenol usage. The impacts studies suggest are very small. In making this decision, we should weigh the real, known benefit against the suggestion of this possible risk. Perhaps not everyone will come out at the same place on this, but it is crucial we give people the tools to make the choice for themselves.

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