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Food Introduction Fears

2/21/2023

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With research now showing that delaying the introduction of allergens to infants may increase the risk of developing allergies, there's been a purposeful focus on "letting the babies eat" - which is a catchy phrase to help remind parents of this important data (links to useful data at the end of this article). 

But what happens when fear enters the equation (which it likely will, because fear is a normal emotional response to a perceived and/or actual threat, such as an allergic reaction).  When fear gets in the way of introducing new foods? 
Fear of Food Allergen Introduction
Maybe you're the parent/caregiver of an infant and want to introduce allergens, but are scared to. Or perhaps you have a toddler and while you haven't been diligent about introducing new foods along the way, you now want to, but find that your nerves are getting in the way of actually following through. 

While it's outside of The FAC's professional scope to provide any medical guidance, it's within its  scope to offer tips to help navigate the fear and anxiety impacting your ability to follow through with introducing new foods. With that said, this important disclaimer needs to be made before moving on to helpful tips:
Guidance given here is for educational purposes; please consult with your own allergist and/or physician for guidance specific to your situation, including determining which foods are safe to introduce and when. 

Now, let's get to 3 practical tips to help you introduce foods even with fear present!

Tip #1: Make "Bite-Sized" Goals:

Especially if you're feeling that you're "behind" on the goal of introducing new foods, you may set such high expectations that you'll get derailed before you even start. Maybe you're pressuring yourself to introduce as many foods as possible, as quickly as possible! But if you find that approach only leads to more avoidance of food introductions, then it's not a workable approach for you. Here's what may help if this is how you're feeling, whether you're working on infant food introduction or introductions with an older child: 


  • Develop a food introduction timeline with your allergist and/or physician, including how often to introduce foods and which foods to introduce when; use this as your compass rather than trying to guess your way through it (which will likely increase fear and anxiety)

  • Stay in the present-moment, only focusing on the food you're currently introducing

  • If you get derailed, explore how you got off-track and focus on encouraging yourself to get back on the food introduction ladder (you just need to get on that first step to reconnect with your bravery and use that as momentum to keep moving forward!)

  • Don't hesitate to reach out to your allergist and/or physician if you get off-track or have any concerns. (And, no, you're NOT bothering them with such questions!)

Tip #2: Practice Self-Compassion: 
We tend to be judgmental of ourselves when we are unable to follow through with tasks we feel we should be doing. This may lead to thoughts of "Why aren't I brave enough?" and "I'm not being a good enough allergy parent!" And once we jump down that judgmental rabbit hole, it may actually feel harder to introduce foods since we're now dealing with fear AND judgement! Here's what helps if you find yourself experiencing self-judgement: 


  • Develop compassionate self-talk statements to say to yourself when you're feeling down about the struggle to introduce new foods. This can include statements like: "I am not feeling ready YET, but I'm working towards that!" or "I can do hard (and scary) things!"

  • Give yourself grace! It's not easy to do things that we feel are threatening - if it was, then we'd all be doing it already. 

  • Connect with the collective experience of food introduction. You're not the only parent/caregiver finding it hard to introduce new foods. Reminding yourself of this can help normalize how you're feeling.

  • There's no need to compare yourself to how other allergy parents/caregivers are navigating this task - it won't feel helpful! Everyone's situation is specific to them - including their allergies, how they feel, and how they navigate through food introductions.  

Tip #3: Focus on Your "WHYs" for Food Introduction:
Yes, one big WHY for introducing allergens early and often are to help with allergy prevention, but there are likely other reasons why you're wanting to do food introductions. These WHYs become important reminders that help us push through the times when we're anxious, and help us stay on track when it feels hard to do so. To determine your additional WHYs for food introduction, ask yourself these questions: 
  • What will I and/or my child be able to do more of if I introduce more foods and potentially expand food options? 

  • What is *not* introducing foods costing me and/or my child? (ie. what are you not able to do that you want to; is it causing stress; is it impacting relationships/family or quality of life?)

  • What goals am I looking forward to once I start working through these food introductions? 

BONUS Tip for Toddler Food Introduction: 
Start off  super simple - by making food feel like a fun topic to explore! With foods approved for introduction, focus on helping your child learn about them. Start by finding books that include the foods and spotting them in stories, pointing them out at grocery stories, and if approved by your allergist/physician, touching them* - basically anything that helps them become open to trying the food. Then build from there! This sets a fun tone for food introduction, and is one way to get your foot on the first rung of that introduction ladder.

*[Discuss with your allergist/healthcare provider whether touching allergens prior to introducing/ingesting it is recommended or not, especially if your child is at higher risk for developing food allergy, or is managing eczema and other allergic conditions].


So here are this week's takeaways:
  • Fear is a normal emotional response to food and allergen introductions when an allergic reaction is a perceived and/or actual threat
  • We can introduce foods while feeling scared - the fear doesn't have to be gone in order to do so
  • Work with your own allergist and/or physician to determine your food introduction plan
  • Break the overall plan into bite-sized tasks, focusing only on the food you're currently introducing
  • Don't compare yourself to others when it comes to food introductions - give yourself grace and work at your own pace
  • Stay connected to your WHYs - why it's important to push through the fear of food introductions

To read more on the topic of food introduction, check out these resources: 
  • A Consensus Approach to the Primary Prevention of Food Allergy Through Nutrition: Guidance from AAAAI, ACAAI and CSACI

  • Q&A: Consistent, Timely Exposures Are Key to Infant Food Allergen Introduction 

want more empowering allergy life tips like this emailed directly to you? subscribe to receive "food allergy counselor corner" emails!


And don't forget about ALL of the FAC resources there to support you!
  • Allergy counseling information for  patients, therapists, allergists
  • Find an allergy-informed therapy provider - most offering telehealth
  • Listen to podcast episodes offering practical and relatable guidance
  • Watch (and listen to) webinars and podcast interviews
  • Explore allergy-focused behavioral health resources
  • Learn mindset strategies from allergy-specific therapeutic worksheets
  • Connect with other allergy-informed therapy providers!
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Getting Out of Your Allergy Comfort Zone

1/31/2023

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A common question asked in allergy support groups relates to how to move from fearing food allergies to confidently managing them.

The honest answer is: It's a learning process. 

So let's explore that process.

Once you've adjusted to life with a food allergy, you'll likely find yourself in the allergy comfort zone. It's a place filled with routine, a sense of comfort, and most likely, limited risk-taking - all of which helps keep your anxiety manageable. Since we feel safe in our comfort zone, it can feel incredibly hard to motivate yourself to leave it.

So then, why would you want to leave a place that feels so comfortable just to welcomes more fear?

To learn, grow, and develop food allergy confidence!

Sure, it's possible to stay in the allergy comfort zone forever and there's no judgement if that's the choice you make. But what happens when we stick within these rigid walls of comfort is that we limit our ability to engage in a number of meaningful life experiences because we experience fear and discomfort even just thinking about them, never mind trying them.

Therefore, let's look at the zones we move through in order to develop allergy confidence, and why its beneficial to be willing to step outside of your allergy comfort zone!
​
Allergy Comfort Zone

​THE FEAR ZONE

Yes, the fear zone is just outside of the walls of the allergy comfort zone, but reminding yourself that it's just part of the process of developing confidence is useful. Many experience increased anxiety, a lack of self-confidence, and even physical panic sensations while in the fear zone. This is understandable! When we are faced with the unknown, increased risk, and something new, it's common for anxiety and fear to increase.

However, we don't have to stay in the fear zone, and we don't have to run right back to our allergy comfort zone either (as much as we may want to). By reminding yourself that fear and anxiety are normal parts of this process, it can help you feel more empowered to keep moving forward to the next zone!

THE LEARNING ZONE
The learning zone is where we do AND learn! It's where we develop new skills that help us move closer to feeling food allergy confidence. Yes, this means we actually have to practice these new skills - which can make us feel very uncomfortable. But by practicing new skills, you are allowing yourself to experience situations that are useful for developing new insights that will truly make a difference in your mindset about allergy management. This is crucial, because confidence is developed by building competence - or building your ability to do things effectively, such as navigating an anxiety-provoking situation.

Just because we're in the learning zone doesn't mean we don't still feel fear - these stages aren't as linear as the image shows. Again, anytime we're facing the unknown, unpredictability, uncertainty, newness, and transition, it's common for increased anxiety, and if there's perceived risk associated, an increase in fear as well. But these feelings of discomfort don't always signify danger - sometimes they signify growth!


THE GROWTH ZONE
This is the zone we can't wait to get to! The growth zone is where we develop more confidence in our ability to navigate the feared experiences we've wanted to learn how to handle better. As a result, this often leads to decreased anxiety and fear, and essentially brings us to a new and expanded version of our allergy comfort zone!
​
Tips to Help You Move Through The Zones:
The following can help you stay committed to moving forward (rather than moving back to the allergy comfort zone) and towards growth and confidence in managing your allergies: 
  • ANXIETY & STRESS MANAGEMENT TOOLS - Identifying and using anxiety management tools, such as thought editing, journaling, and mindfulness exercises, as well as tools to manage physical anxiety sensations, such as breathing and relaxation exercises, movement, and physical exercise.

  • REMEMBERING THE PURPOSE - Staying connected to your WHY - the reason or benefits of going through this process (i.e. better ability and more confidence in navigating eating out, traveling, parties, etc).

  • MINDSET REMINDERS - Remembering that increased anxiety and fear are common when we underestimate our ability to manage a situation, and/or don't feel we have the necessary tools to do so - that's why going through the learning and doing stage (i.e. developing new skills) is key in building food allergy confidence!

  • MOTIVATING QUESTIONS TO EXPLORE - Think about your own desired growth, starting by identifying what might be worth pushing yourself out of your allergy comfort zone. Explore the following questions:

    • What actions or experiences would you like to have that fear and/or anxiety are holding you back from?

    • Are there allergy management areas in which you'd like to learn new skills and/or grow confidence in managing? 
      ​
    • When have you stepped outside of your allergy comfort zone, and how did it help you grow?  

    • What would it take to motivate you to step outside of your allergy comfort zone again? 

    • What tools would help you follow through the zones to the growth stage? 
Final Thoughts:
When we're brave enough to leave our comfort zone, and push through the fear zone into the learning zone, we allow ourselves to develop the skills that help make things feel less scary. Skills that help us assess allergy risks, logically think through scenarios, and ultimately increase our belief in ourselves. All of this then helps us develop a more empowered attitude about living with food allergies!


Want more tips to help you when you're outside of your allergy comfort zone? Check out this FAC content: 
  • G.R.O.W. Through Allergy Discomfort
  • Unhelpful Allergy Beliefs 
  • Building Allergy Life Skills When Anxious
  • Two Ways to Help Kids Build FA-Related Self-Esteem

want more empowering allergy life tips like this emailed directly to you? subscribe to receive "food allergy counselor corner" emails!


And don't forget about ALL of the FAC resources there to support you!
  • Allergy counseling information for  patients, therapists, allergists
  • Find an allergy-informed therapy provider - most offering telehealth
  • Listen to podcast episodes offering practical and relatable guidance
  • Watch (and listen to) webinars and podcast interviews
  • Explore allergy-focused behavioral health resources
  • Learn mindset strategies from allergy-specific therapeutic worksheets
  • Connect with other allergy-informed therapy providers!
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Stress Management Skills For All Ages

1/17/2023

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Allergy Stress Management Toolkit
In a recent FAC post, we explored what stress is and how it differs from anxiety, with specific mindfulness-based approaches for managing food allergy-related stress. 

But there's no one perfect way to manage stress! It's important for everyone to find strategies that work specifically for them - and this takes trial and error to determine.

​Therefore, in an effort to help you better understand your own stress and decide which stress management tools to put in your toolbox, this post offers a variety of videos with  different strategies for you to consider. Additionally, it includes skills to teach your kiddos and share with your teens so they also learn how to cope with stress, too!

(While these aren't allergy-specific, they will help with allergy-related stress...and are useful in other areas of life as well).

Stress Management Skills for Kids

  • 2-minute story: Little Monkey Calms Down [early childhood age]

  • Read-Aloud Video: "Keep Calm: My Stress Busting Tips" by Gina Bellisario [best for elementary age and older]​
    ​
  • 7-minute video explaining stress, physical and emotional responses to it, and simple strategies for coping with it  [best for upper elementary and older]
    ​
    ​

Stress Management Skills for Teens 

  • 5-minute video with quick tips to unwind and help manage stress 

  • 3-minute video with practical stress management tips [especially helpful for older teens and young adults]

  • Ted-X Youth Talks - Stress & its impacts on teens [especially helpful for older teens and young adults]

  • Ted-X Youth Talks - Stress at school [especially helpful for older teens and young adults]

​

Stress Management Skills for Adults

  • Quick Stress Release: Anxiety Reduction Skill

  • 6 Daily Habits to Reduce Stress & Anxiety [useful for young adults, too]

  • 7 Simple Science-Backed Tips for Reducing Your Stress 
    ​​
  • Ted Talk: How to Make Stress Your Friend (similar approach to Tamara Hubbard's "Befriend Your Allergy Anxiety" approach - free webinar here)
​

Stress Management For Parents & Families

  • When a Child Has a Chronic Illness: Tips for Managing Family Stress
    ​
  • Ted-X Talk: Compassion Fatigue & Caregiver Stress [easily applies to parenting kids with chronic allergic conditions]
    ​


want more empowering allergy life tips like this emailed directly to you? subscribe to receive "food allergy counselor corner" emails!


​And don't forget about ALL of the FAC resources there to support you!
  • Allergy counseling information for  patients, therapists, allergists
  • Find an allergy-informed therapy provider - most offering telehealth
  • Listen to podcast episodes offering practical and relatable guidance
  • Watch (and listen to) webinars and podcast interviews
  • Explore allergy-focused behavioral health resources
  • Learn mindset strategies from allergy-specific therapeutic worksheets
  • Connect with other allergy-informed therapy providers!
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