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Continuing Education for LMFT, LCSW, LPC, LMFT. NAADAC and State Accredited Education Provider Dawn-Elise Snipes, PhD, LPC NPI: 1699003533 STOP Ignoring These Complex Trauma Signs in Kids. Trauma can present as physical, interpersonal, emotional, cognitive symptoms. A direct link to the CEU course is https://www.allceus.com/member/cart/i... Subscribe to the podcast at https://allceus.com/CounselorToolbox #parenting #complextrauma #cptsdawareness AllCEUs provides #counseloreducation and CEUs for LPCs, LMHCs, LMFTs and LCSWs as well as #addiction counselor precertification training and continuing education. Live, Interactive Webinars ($5): https://www.allceus.com/live-interact... Unlimited Counseling CEs for $59 https://www.allceus.com/ #AddictionCounselor and #RecoveryCoach https://www.allceus.com/certificate-t... Pinterest: drsnipes Nurses, addiction and #mentalhealth #counselors, #socialworkers and marriage and family#therapists can earn #CEUs for this and other presentations at AllCEUs.com 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/arti... ~ The Adverse Childhood Experiences Study https://www.cdc.gov/violencepreventio... 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.