New mom? Don’t feel right?

New mom? Don’t feel right?

Postpartum depression is one of several mood and anxiety disorders that can follow the birth of a child. The Hadden Clinic at Hanna Perkins offers effective treatment for these serious health issues. If you don’t feel right, call. We’ll see you within 48 hours.

For an appointment/consultation, contact Kimberly Bell at 216.991.4472 (ext. 209 after hours).

Not sure? Learn more about the symptoms with this short article.

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2017 Spring Conference Registration

Living & Working With Children: Taking Care of Yourself & Others

Registration options:

  1. Register online below (nominal registration fees apply)
  2. Click for a mail/fax registration form (no additional fees apply). Save form to your computer. You may fill it out on-screen or after printing it. To submit registration, print the form, then fax or mail with payment per instructions on the form itself. 

Windows Into Children’s Behavior

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Annual Report

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Referring patients for Postpartum Mood & Anxiety Disorders

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Message from Victoria Todd

Message to Teachers and Guidance Counselors

victoria toddWhen bullying became a nationwide cause of concern, I was approached by a number of schools requesting that I give talks to their student bodies on the subject.

I did so, but soon began to question the helpfulness of these traditional talks. Although the need to educate students on bullying was warranted, I felt the lecture format was ineffective. I estimated that half the students remained attentive throughout my presentations, while the others listened for awhile and then shut down and tuned me out.

After considerable thought, I realized that children need the opportunity figure things out for themselves, rather than be told what to do by some well-meaning adult. That’s when I devised my plan for focused, small-group discussions that would allow children to engage in creative problem-solving while mastering developmental skills.

Parents want their children to be kind and well-liked. But it’s also important that they are able to stick up for themselves. Mad feelings save us from those who wish to harm or take advantage of us. Children who are not permitted to be mad are being set up to become victims. But children need help learning how to verbally express their mad feelings in an appropriate way.

Bullies are often triggered by mad feelings, but the real problem is that they are stuck at the toddler stage of development. Toddlers love to torment their mothers and take pleasure in hurting others – biting, hitting, kicking. A knowing mother helps her toddler master this by saying things like, “Ouch! That hurts. Have you forgotten your loving feelings for me? I want you to be a kind person.” Eventually, the wish to hurt is outweighed by a child’s loving feelings for his or her mother. They may have mean thoughts when angered, but rather than acting on them, they learn to express them constructively.

Bullies, who have not been helped to grow up through this process, continue to gain pleasure from torturing others and making others feel small – especially if there is an audience available to watch the process.

Most of my child and adult patients through the years have eventually made clear they had never been helped to manage their mad feelings. Often, when angered, they become mean.

Mastery of mad feelings is a developmental process that always involves the use of words for feelings, and it leads to self-esteem.

The lessons in this curriculum begin with “use your words” (appropriate for preschoolers) and extend through “mad not mean” for those who have developed a conscience (generally around 5).

During each lesson, we will take important steps toward mastering of the concepts being discussed.

Following each section there is a post-test to assure that the children understand the concept presented. If they don’t, more individual help can be provided, either at school or at home. In addition, I encourage empathy – helping the child to put him- or herself into other people’s shoes; it’s an essential skill for building friendships.

Remember, mastery requires much practice. Usually, new material must be presented to children at least three times for them to integrate it. That is why the children are repeatedly reminded about past lessons. It is also important that you, as educators, continue to work with your children in the weeks after the program is finished. Watch for examples of the presented content in everyday life, in books, on the Internet and in the media. Bring them to your class’s attention and inquire about the children’s thoughts.

Victoria Todd, LISW-S
Child Psychoanalyst

Afternoon Enrichment

painting_stuart miles_freedigitalphotosIn Hanna Perkins’ Afternoon Enrichment program, your child (age 3-7) will get new experiences, learn new skills and make new friends in a comfortable, calm environment centered on each child’s social-emotional development.

The program lasts for nine weeks and meets for an hour each time; you can choose to have your child attend from 2:00-3:00 or 3:00 to 4:00.

Each day focuses on a different subject – art on Monday, cooking on Tuesday, open gym on Wednesday and music on Thursday. Registration is by the subject and costs $99 for all nine sessions. Discounts are available if you register for more than one day a week.

Classes are led by a teacher specifically trained in The HP Way, Hanna Perkins’ unique approach to helping children understand, communicate and manage their feelings. This fundamental skill set, often known as emotional intelligence, helps children advocate for themselves, develop strong relationships and enjoy learning ­ key factors for success in school and life.


  • Ages 3-7
  • 2:00-3:00 p.m. or 3:00-4:00 p.m.
  • Beginning Oct. 12, 2015
  • Ending Dec. 11, 2015
  • Monday: Art
  • Tuesday: Cooking
  • Wednesday: Open Gym
  • Thursday: Music
  • Cost: $99 per subject

Registering for art class means attending for 9 Mondays and costs $99.
Registering for all four classes means attending M-Th for 9 weeks and costs $300.

Parents of younger children may want to stay on-site, where a waiting room with free wi-fi is available.

An orientation for families interested in the Afternoon Enrichment program will be held at 3:30 p.m. on Wednesday, Oct. 7, 2015 at The Hanna Perkins Center for Child Development in Shaker Heights.

For more information or offline registration, contact Pam Millar at Hanna Perkins Reinberger Parent/Child Resource Center by e-mail or call 216-991-4472.

Online registration

Image courtesy of Stuart Miles/



Your vacation and their daycare

Following the last vacation season – spring break – I heard from several parents about their young children’s disruptive behavior at home.

They were puzzled by this, as they had maintained their children’s daycare schedule even though they took time off from work. They had made this decision because they needed time to “recharge their batteries.”

But children need time away from the daily grind too.

Parents also indicated that they didn’t want to disrupt their children’s schedule. They assured me that their children didn’t mind or even know that they were at home. In truth, children are very perceptive. And yes, they may be quite attached to their care providers at daycare, and they might miss playing with classmates. But nothing is as important as spending time with their parents.

As for the disruptive behavior, I suspect it was a communication — a child’s way of letting parents know of his/her sad and mad feelings.

I know that being a working parent is taxing. But I would urge you to keep your children with you when you have several days off.

Remember, the time is coming when children will be much more focused on their peers and not so needy of your attention. And when turbulent adolescence arrives, you will be very glad to have established a strong bond with your son or daughter.

More Parenting Tips available at

Image courtesy of Imagery Majestic/


Preventing Bullying: A free webcast on early prevention of bullying

Mrs. Wilson's class 003Most programs to prevent bullying focus on middle school or high school. But by then, the processes and behaviors that cause bullying are already deeply embedded – and hard to correct.

Hanna Perkins psychoanalyst Victoria Todd, LISW-S, has been working with preschool children to identify early warning signs of bullying, and help the children who exhibit them.

“These behaviors are typical in the emotional development of children at this age,” Todd said. “But they indicate a need for intervention. With proper guidance, children who act in a way that’s hurtful to others readily learn more effective ways to express themselves. They don’t grow into bullies.”

Todd’s program will be the focus of a free webcast hosted by Hanna Perkins from 1-2:30 p.m. (Eastern) on Thursday, May 14. To register at no cost, click the registration button below.

Register Now button

Webcast details

It’s Never Too Early: Intervention for Tomorrow’s Bullies Today

Helping children express mad feelings without hurting others

  • A developmental understanding of bullying: Why it happens
  • Why typical bullying prevention programs begin too late
  • Spotting warning signs in children as young as 4 – and how to help them
  • Mad v. Mean – A curriculum to head off bullying before it starts, for preschools and child-care centers
  • Open Q&A

1-2:30 p.m., Thursday, May 14 – live on your computer.
All you need is a free registration and an internet connection.

This free webcast is appropriate for:

  • Early childhood educators
  • Preschool and child care administrators
  • Parents of young children
  • Anyone interested in the cause and prevention of bullying

Registered participants will receive 1.5 Step Up To Quality-approved training hours.


  • Victoria Todd, LISW-S, Child & Adolescent Psychoanalyst
  • Ruth L. Hall, M.A., Child Psychoanalyst


Register Now button

Upon registering, you will receive a confirmation, timely reminder notifications, and instructions to access the event.

“We hope preschool teachers and child care workers will attend, because they observe the children in action, and they are in a good position to provide the kind of helpful intervention that’s needed,” said Pam Millar, Associate Director of Community Engagement & School Programs at Hanna Perkins. “We were mindful in scheduling this of the daily cycle for teachers and child care workers, and hope to make it convenient for them to attend.”

This event is made possible through generous support from Globalcast MD, a production company that specializes in live, Internet-based broadcasts that actively engage and promote interactions among professional communities. With the technology to help facilitate real-time discussions between experts and participants,  GlobalCastMD’s live events allow the professional community to stay abreast of the latest innovations and trends as well as to share valuable insights from their own experiences and practices.

Illustration by Victoria Todd for the Mad versus Mean curriculum