a traumatic or life-threatening event that is outside the normal range of daily human experience ...
TRANSCRIPT
TRAUMA IS: A traumatic or life-threatening event that is
outside the normal range of daily human experience
“An emotional wound or shock that creates substantial lasting damage to the psychological development of a person.” (The American Heritage College Dictionary).
These events confront people with such horror and threat that it may temporarily or permanently alter their capacity to cope, their perception of biological threat and their self-concepts.
TRAUMATIC EVENTS
Sexual Abuse Violence (family, social, predatory) Terrorism Natural or other disasters (hurricane, earthquake, fire) Multiple disruptions of attachment Rape/Assaults Murder Threaten with a weapon War Loss of parent Chronic neglect Parental substance abuse Parental mental illness Secondary trauma
TRAUMA AND THE BRAIN
Cortex- thinking processing reasoning
Limbic system – doing responding action
Amygdala –smoke detector/signals release of hormones
Hippocampus – assists in transfer of information
cortex
Limbic system
amygdala
TRIGGERS Any stimulus which acts as a reminder of a
traumatic experience, and leads to set of behaviors/actions designed to cope with the original experience
A trigger may be Internal (emotion, physical sensation) External (facial expressions, crowds, smells, sounds) A combination
TRAUMA AND BEHAVIORWhen a child does this…
Disobeys instructions
She/he may be trying to express this… I didn’t understand all the
sounds and words coming at me because I was deprived of sound and language exposure when I was young and can’t process them yet
I want to be in control because adults have always proven unreliable
I have learning delays that prevent me from understanding these instructions
Karyn Purvis (2007) “The Connected Child”
TRAUMA AND BEHAVIORWhen a child does this…
Becomes angry easily
She/he may be trying to express this… I am terrified and trying to
protect myself from a situation that resembles a terrible experience I had in the past
My blood sugar level is uncomfortably low and I don’t know how to deal with (or recognize) my hunger appropriately
I must be in control because I’ve never known trustworthy adults before
I am frustrated because I don’t know how to express my feelings and needs
Karyn Purvis (2007) “The Connected Child”
IT’S NOT WHAT I SAY… Trauma can impact children’s ability to understand, tolerate,
and manage their feelings. When triggered, children often don’t know what is upsetting them, only that there is a bad feeling inside and something needs to happen to make it go away.
Without adequate coping skills, children will react. They work out their distress with their bodies and through their actions.
Talking to people about their feelings can be harder than dealing them. For kids who have been hurt or neglected by adults, reaching out for help may feel dangerous or scary. - Kinniburgh and Blaustein
IT’S WHAT I’M TRYING TO SAY Most children communicate through their
behavior. The ability to use words to share feelings and experiences grows over the course of development.
They need help understanding their own feelings and having those validated.
The experiences driving traumatized children’s behaviors may be less obvious, but at the core, the feelings are the same: fear, sadness, anxiety, or anger.
HOW TO HELP CHILDREN REGULATE Validate feelings
Reflective listening Tracking
Help them to use their tools If you are doing it too, they are more likely to do it
Be on their level Eye contact Face to face Touch if appropriate
Stay calm! They will pick up on your emotions
SPECIAL CONSIDERATIONS FOR TEACHERS: DR. BRUCE PERRY Do not be afraid to talk about trauma
If child brings it up, listen, answer questions, provide comfort and support
Avoid shock, surprise, or shaming
Provide a consistent predictable pattern for the day Make sure the child knows the pattern, if the day
includes something new or different, make sure the child knows beforehand.
Discuss expectations for behavior as well as consequences Make sure there are clear rules and clear
consequences Be consistent Meet need before giving consequence
SPECIAL CONSIDERATIONS FOR TEACHERS (CONT.) Watch closely for signs of re-enactment
Play, drawing, behaviors Being withdrawn, daydreaming, avoiding others Physiological hyperactivity
Protect the child Stop or cut short activities that are upsetting or re-
traumatizing or the child.
Give the child choices and some sense of control When a traumatized child feels they do not have
control, it is likely they will be more symptomatic. Give choices where either choice is acceptable.
SPECIAL CONSIDERATIONS FOR TEACHERS (CONT.) Some ideas:
Stress balls/ Fiddle Toys Quiet Place Extra attention / talking it through Play: draw safe place Listen to behavior Emotional Age Transition time Predictability and consistency Activities for up-regulation or down-regulation Examine the need for increased or decreased
sensory stimulation
REMOVED VIDEOS Part I
https://www.youtube.com/watch?v=lOeQUwdAjE0
RESOURCES Bethany Christian Services
Family Counseling Center ADOPTS – specialized therapy
Resources: David Ziegler: “Traumatic Experience and the Brain” Bruce Perry: “The Boy Who Was Raised as a Dog” Bruce Perry: Child Trauma Academy (
www.childtrauma.org) The National Child Traumatic Stress Network: (
www.nctsn.org) TCU Institute for Child Development (www.child.tcu.edu)Karyn Purvis: Empowered to Connect(http://empoweredtoconnect.org/)
ARTICLES WITH MORE INFO… Principles of working with Traumatized Children http://
teacher.scholastic.com/professional/bruceperry/working_children.htm
Early Childhood trauma
http://www.nctsn.org/sites/default/files/assets/pdfs/nctsn_earlychildhoodtrauma_08-2010final.pdf
http://www.nctsnet.org/sites/default/files/assets/pdfs/age_related_reactions_to_a_traumatic_event.pdf
Understanding Child Traumatic Stress
http://www.nctsnet.org/sites/default/files/assets/pdfs/understanding_child_traumatic_stress_brochure_9-29-05.pdf
Child Development and Trauma Guide
http://www.secasa.com.au/pages/child-development-and-trauma-guide/
ARTICLES CONTINUED: Psychological and Behavioral impact of Trauma Preschool
http://www.nctsn.org/sites/default/files/assets/pdfs/preschool_children.pdf
Elementary School
http://www.nctsn.org/sites/default/files/assets/pdfs/ctte_elementary.pdf
Middle School
http://www.nctsn.org/sites/default/files/assets/pdfs/ctte_middleschool.pdf
High School
http://www.nctsn.org/sites/default/files/assets/pdfs/ctte_highschool.pdf
DR. KARYN PURVIS Trust Based Relational Intervention
http://empoweredtoconnect.org/will-trust-based-parenting-work-for-my-child/
IDEAL Response
http://youtu.be/761xx61-q1c