STOP Ignoring These Complex Trauma Signs in Kids
Channel: Doc Snipes
Date: 2017-03-21

STOP Ignoring These Complex Trauma Signs in Kids.  Trauma can present as physical, interpersonal, emotional, cognitive symptoms.

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00:00 Introduction
05:00 Defining Complex Trauma
10:00 Impact of Trauma on Children’s Brains
15:00 The ACE Study Overview
20:00 Unpredictable Caregivers and Emotional Impact
25:00 Developmental Delays and Emotional Dysregulation
30:00 Attachment Styles and Trauma
35:00 Long-Term Behavioral Impacts
40:00 Biological Changes and Hypersensitivity
45:00 Interventions for Trauma in Adolescents
50:00 The Role of Secure Caregivers in Recovery
55:00 Complex Trauma and Diagnosis
    Common diagnoses related to complex trauma, such as ADHD, oppositional defiant disorder, and generalized anxiety disorder, and how these relate to childhood experiences.
60:00 Conclusion

    Final thoughts on how understanding trauma and its effects can help clinicians better support children and adolescents through their recovery journey.

~ This presentation is based, in part, upon
~ a white paper from the National Child Traumatic Stress Network: “Complex Trauma in Children and Adolescents” 2003
~ Child-Witnessed Domestic Violence and its Adverse Effects on Brain Development https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193214/
~ The Adverse Childhood Experiences Study https://www.cdc.gov/violenceprevention/acestudy/

7 Domains of Impairment
~ Attachment
~ Biology
~ Affect Regulation
~ Dissociation
~ Behavioral Regulation
~ Cognition
~ Self-Concept
Attachment
~ Disorganized
~ Lack of co-regulation
~ Erratic behavior in young kids (clingy, dismissive, aggressive)
~ Adolescents’ behavior can be extreme, rigid and themed—helplessness or coercive control (primitive survival)
Poor Attachment: Symptoms/  Interventions
~ Uncertainty about reliability and predictability of the world and their own “gut”
~ Cognitive Processing Therapy
~ Use Mindfulness to
~ Increase self and other awareness
~ Improve ability to communicate wants & needs and ask for help
~ Create structure and stability
~ Correct the behaviors and love the child
Poor Attachment: Symptoms/  Interventions
~ Problems with boundaries
~ Teach about emotional, social and physical boundaries and healthy relationships
Behavioral Control Impairments
~ Poor modulation of impulses
~ Self-destructive behavior
~ Aggression
~ Pathological self soothing behaviors
~ Oppositional behavior
~ Difficulty complying with rules
~ Re-enactment of prior trauma in daily behaviors
Problems with Cognition
~ Difficulties in attention regulation
~ Lack of sustained curiosity
~ Difficulty processing new information
~ Deficits in object constancy
~ Problems with orientation to time and space
~ Problems understanding own contribution to what happened to them
The Good News
~ Stressors early or later in life that are predictable, escapable or controllable, or in which responsive caregiver contact is available, and safe opportunities for exploration are reinstated, tend to
~ Increase hippocampal and prefrontal cortex neuronal functioning;
~ Behaviorally enhance curiosity, working memory, anxiety management, and the ability to nurture
Good News cont…
~ Restoration of secure caregiving after early life stressors has a protective effect, reducing long-term biological and behavioral impairment, even if:
~ (a) only visual, not tactile, or symbolic contact with the caregiver is possible
~ (b) the sociophysical environment is severely impoverished
~ (c) the caregiver is not the biological parent

Summary
~ Millions of children in the US are abused or neglected each year
~ This maltreatment often leads to negative emotional, social, physical consequences that can last a lifetime
~ When put in context, at the time the behaviors were learned, behavioral issues often make sense
~ Recovery requires learning to trust self, develop a healthy social support system, re-examine learning experiences through a different lens.