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Stony Brook CARE February Newsletter

Posted Date: 02/17/26 (12:42 PM)


CARE Newsletter Masthead

February 2026 Newsletter

Supporting Healthy Minds And Bodies, A Monthly Resource for Families

In this newsletter

  • Virtual Parent Workshop: Feb. 25 at 6:15 pm — Navigating Difficult Emotions
  • Behavioral Health: Helping Kids Handle Big Feelings 🎭
  • Kids' Wellness: Getting A Jump on Heart Disease 🫀
  • Extra: Understanding Your Child's Blood Pressure Reading
  • PSA Video: Protecting Their Tomorrow Starts Today 💉
Resource:
  • Missed the January Parent Workshop? Watch the Replay — How to Help an Anxious Child Thrive

FREE Virtual Parent Workshop

How to Help Your Child Navigate Difficult Emotions

Big feelings are part of growing up — and you don't have to navigate them alone. Join us for a free, virtual workshop to help you better understand how emotions work. Plus, how to support your children through tough moments with confidence and care.

What You’ll Learn:
  • Why emotions matter and how they affect behavior
  • Simple ways to validate feelings and practice active listening
  • How to model healthy coping skills (and repair mistakes when they happen)
  • When emotional behaviors are typical — and when extra support may help
With real-life examples from elementary, middle, and high school, this session offers practical tools you can use right away. Supporting big emotions can lead to stronger, more connected families!

🗓️Date: Wednesday, February 25
🕡 Time: 6:15 pm
💻 Location: Virtual on Teams
⏱ 45 minutes + Q&A

More About the Expert
Caitlyn Strauss, LCSW (she/her/hers) is a licensed clinical social worker who specializes in evidence-based treatment for individuals with severe emotion dysregulation, chronic suicidality, borderline personality disorder, and trauma- and stressor-related disorders. Her clinical approach is strengths-based and collaborative, emphasizing skill development, problem-solving, and supporting individuals in shaping their environments to promote meaningful and sustainable change.

Join Microsoft Teams Meeting

Meeting ID: 249 637 510 363 62
Passcode: r8pg7Kd9

Dial in by phone

Phone conference ID: 361 598 008#

BEHAVIORAL HEALTH

Helping Kids Handle Big Feelings

All children experience big emotions — anger, frustration, anxiety, excitement. The challenge for parents is helping kids manage those feelings before they turn into disruptive or hurtful behavior.

Caitlyn Strauss, LCSW, licensed clinical social worker in the Department of Psychiatry & Behavioral Health, explains that problems arise when emotions feel so intense that a child's reaction becomes disproportionate to the situation.

For example, a child upset by something a classmate says may feel deeply hurt or angry — yelling, lashing out, or shutting down.

Well-meaning responses like “You’re overreacting,” “Calm down,” or “You’ll be fine” can unintentionally invalidate a child’s emotions and make things worse — especially for sensitive children. The goal isn’t to eliminate big feelings, but to teach kids how to regulate them. It's a skill that takes time and practice.

Why Emotions Matter
Emotions serve important purposes, they:
1. Motivate action. Anger can push a child to stand up for themselves.
2. Provide information. Anxiety before a test, for example, may signal it feels important.
3. Communicate needs. Emotions show when a boundary feels crossed or when support is needed.

Even uncomfortable emotions can be helpful. The key is helping children respond constructively.

How Parents Can Help
1. Listen First — Validate Before You Solve
Start by describing what happened:
  • I saw that you were really upset.”
  • “It makes sense that you felt angry.”

Validation doesn’t mean you approve of negative behavior — it acknowledges the feeling. Once your child feels heard, move into problem-solving :
  • What could you do next time instead of yelling?”
  • “Could you ask the teacher for help?”
Validation + problem-solving = skill building.

2. Model Emotional Regulation
Children learn from what we do. If you feel frustrated, instead of yelling, try: “I’m feeling frustrated. I’m going to step away for a few minutes to calm down, and then we’ll talk.”

When children see adults pause, breathe, and regulate themselves, they are more likely to try those strategies too. Apologizing is powerful, too: “I didn’t handle that well earlier. I’m sorry. I want to understand how you felt.” This shows that emotional regulation is a process — even for adults.

When to Seek Extra Support
Emotional ups and downs are part of development. But some signs may indicate a child needs additional help:
  • Frequent emotional outbursts
  • Ongoing conflicts with teachers, coaches, or peers
  • Difficulty making or keeping friends
  • Persistent irritability at home and school
  • Refusal to talk about problems
  • A noticeable drop in grades
  • Emotional struggles interfering with multiple areas of life

Younger children may show anxiety through stomachaches or hyperactivity. Older children may appear irritable, withdrawn, or sarcastic.

If concerns are persistent, consider speaking with your pediatrician, school counselor, or a mental health professional. Remember, the CARE team is here to help you.

KIDS WELLNESS

Getting A Jump on Heart Disease: High Blood Pressure in Kids

If you think high blood pressure only affects adults, think again. According to the Cleveland Clinic, 1 in 25 teens (ages 12–19) has hypertension, and 1 in 10 has elevated blood pressure. “While elevated blood pressures are more common in kids over 12, we do see them in children under 12,” says Katarina Supe-Markovina, MD, a nephrologist and Director of the Pediatric Hypertension Center at Stony Brook Children’s Hospital. “The general population is just not aware that kids can have high blood pressure.”

Why It Matters
High blood pressure in children usually has no symptoms, so it often goes unnoticed unless detected at a yearly checkup.

In rare cases, children may experience:
  • Headaches
  • Blurry vision
  • Chest pain
  • Difficulty concentrating at school

While kids don’t typically have heart attacks from hypertension, years of uncontrolled high blood pressure can lead to serious conditions including chronic kidney disease, cerebrovascular and heart disease in adulthood. Early detection is critical.

What’s Normal?
Blood pressure in children varies by age, height and gender.
Under age 13, doctors use percentile charts:
  • Below 90th percentile = Normal
  • 90th–95th percentile = Elevated
  • Above 95th percentile = Hypertension
  • Age 13 and older: Adult guidelines apply
  • Under 120/80 is normal

What Causes High Blood Pressure in Kids?
Risk factors include:
  • Obesity
  • Lack of physical activity
  • Family history
  • Type 1 or Type 2 diabetes
  • Premature birth
  • High-sodium, ultra-processed diets
“The heart of the problem is lifestyle,” says Dr. Supe-Markovina. “We need to move more. We’re sitting too much and eating too many ultra-processed foods.”

What Families Can Do
Lifestyle changes can make a big difference, especially when the whole family participates. The list below can help you prioritize healthy habits at home.

Eat for Heart Health
Try the DASH diet and:
  • Fill plates with colorful fruits and vegetables
  • Choose lean proteins
  • Reduce salt and processed foods
  • Watch portion sizes
  • Limit sugar and refined
  • Think “eat the rainbow” to ensure a variety of nutrients
Easy Ways to Move More
  • Take family walks – a 20-minute walk after dinner is a wonderful way to connect with each other, stabilize blood sugar and improve digestion of the meal.
  • Encourage outdoor play and sports
  • Limit screen time and prioritize sleep. Children ages 6 to 12 should be receiving 9 to 12 hours/night; teens need 8 to 10 hours nightly.

When Lifestyle Changes Aren’t Enough
Some children may need medication. In certain cases, your child may be referred to Stony Brook Children’s Healthy Weight and Wellness Center to be evaluated for a GLP-1 weight loss drug. Early intervention helps prevent long-term damage.

The Bottom Line
High blood pressure in kids is no longer rare — and is often silent. The best defense is getting annual well-child checkups and developing a healthy lifestyle.
 

Understanding Your Child's Blood Pressure Numbers

Pediatric blood pressure varies with age, height and gender. For patients below the age of 13, these factors are entered onto a percentile chart for accuracy. Normal blood pressure is below the 90th percentile, elevated is 90th-95th. Hypertension is above the 95th percentile.  

Adolescents (over age 13) follow adult guidelines under 120/80. “Anything above the 90th percentile is considered elevated, and anything above the 95th percentile is something more concerning,” says Dr. Supe-Markovina. 

“If a doctor takes three blood pressure readings on the right arm with the correct cuff and finds concerning readings then that patient would need to be referred to a pediatric nephrologist further screening of the heart, kidneys, thyroid and cholesterol,” Dr. Supe-Markovina explains.

Treating High Blood Pressure in Kids
At Stony Brook’s Pediatric Hypertension Center every young patient gets a 24-hour ambulatory blood pressure monitor to establish whether they have hypertension. Worn on the arm, the monitor measures blood pressure every 15 to 20 minutes during school, homework and sleep. If blood pressure readings taken in the doctor’s office or the clinic are high, but the 24-hour measurements are normal, the patient may have white coat hypertension — higher pressures sparked by the anxiety of having a measurement taken in the medical office.

Patients with white coat hypertension are advised to have the 24-hour ambulatory blood pressure monitoring once a year with basic labs rechecked.

“White coat hypertension is not a benign diagnosis – if the child is obese and have a family history of high blood pressure, they might eventually develop sustained hypertension and will need to be checked again in a year,” says Dr. Supe-Markovina.

Every patient who is found to have high blood pressure gets an echocardiogram (a painless ultrasound that lasts about 30 minutes) to make sure they have a structurally normal heart; their thyroid, lipids and kidneys are also checked.

When the tests are complete, doctors can determine if patients have primary hypertension, with their high blood pressures caused by obesity or genetics, most common in adolescents or teenagers, or secondary hypertension, with their condition caused by kidney disease or heart issues. Secondary hypertension tends to be found among younger children.

RESOURCE

Replay January's Parent Workshop Here

Presentation slide titled 'Identifying and Supporting Anxiety in Children' with a play button.