Trauma in Children and Families WERE ALL IN

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Trauma in Children and Families WE’RE ALL IN SUMMIT Trauma in Children and Families

Trauma in Children and Families WE’RE ALL IN SUMMIT Trauma in Children and Families Dyverynce Lambert, LPC

Objectives View Redefine Teach View trauma as an event that affects the entire family

Objectives View Redefine Teach View trauma as an event that affects the entire family system. Redefine trauma symptoms as necessary coping strategies shaped by culture and social economic status. Teach traumatized family members to separate who they are from what happened to them and use family strengths to conquer life after tragedy.

What is Trauma? • A traumatic event, either witnessed or experienced, representing a fundamental

What is Trauma? • A traumatic event, either witnessed or experienced, representing a fundamental threat to one’s physical integrity or survival. • Responses involve intense fear, helplessness or horror. • The meaning of the event may be as important as the actual physical act or experience.

Change What changes have occurred in the family system as a result of the

Change What changes have occurred in the family system as a result of the trauma? Culture How does culture/social economic status affect the family’s symptoms and ability to cope? Coping What are the family’s strengths and how can they be used to restore the family system? Three C’s of Family Trauma

Family Trauma • Trauma is an experience that involves and affects the entire family

Family Trauma • Trauma is an experience that involves and affects the entire family system. • Families are dynamic systems in which parents, youth, and siblings affect one another. • Trauma should be viewed not as a discrete event that occurs to an individual family member, but as a disturbance to inward and outward relationships.

How has Trauma Changed the Family System? • Trauma symptoms can be intergenerational. •

How has Trauma Changed the Family System? • Trauma symptoms can be intergenerational. • Trauma can affect parenting styles. • How have family roles changed?

Trauma and The Family System

Trauma and The Family System

Trauma and The Family System

Trauma and The Family System

Trauma and The Family System

Trauma and The Family System

Culture and Family Trauma How has culture shaped the meaning of the trauma? What

Culture and Family Trauma How has culture shaped the meaning of the trauma? What level of trauma has the family already experienced based on their culture/economic/ social status? Clinicians should use the clients culture to identify strengths and beliefs to support recovery.

Culture and Family Trauma

Culture and Family Trauma

Culture Activity

Culture Activity

Family Coping

Family Coping

Normalizing • Educate the family on signs and symptoms Thoughts • Helps the family

Normalizing • Educate the family on signs and symptoms Thoughts • Helps the family understand that their reactions are not uncommon. • Help each family member connect feelings, thoughts, and behaviors to promote resiliency. Feelings Behaviors

Extended Family Relationships • Assist with family rituals and traditions • Provide respite and

Extended Family Relationships • Assist with family rituals and traditions • Provide respite and care giving • Emotional Support

Confronting Cognitive Distortions • De-pathologizing- Help family members separate themselves from their diagnosis. •

Confronting Cognitive Distortions • De-pathologizing- Help family members separate themselves from their diagnosis. • Family Narratives- What is the trauma story? • Reframe- What are behaviors telling us?

Symptoms as Metaphors Anorexia Feeling invisible, neglected Depression Loss of Hope Symptoms as Communication

Symptoms as Metaphors Anorexia Feeling invisible, neglected Depression Loss of Hope Symptoms as Communication Cutting Fingers These hands participated in sexual behavior and should be punished Sibling Physical Abuse I blame you for the change in our family system Parental Neglect They are better off without me Symptoms as Coping Strategies Reframing Eating, Drinking Self-medicating Suicidal Ideations Alleviate Anxiety Dissociation Avoiding Perceived Threat

Q&A

Q&A

Integrated Health Services • We are a community based agency grounded in trauma focused

Integrated Health Services • We are a community based agency grounded in trauma focused and evidenced based modalities with locations in Hampton Roads and Richmond • We serve clients who are considered at risk, juvenile sexoffenders, and trauma survivors. • For more information please contact your nearest location or view our website at www. ihsva. com Richmond Office 1403 Pemberton Road Suite 106 Richmond, VA 23238 804 -225 -8405 Hampton Office 2 Eaton Street Suite 1103 Hampton, VA 23669 757 -838 -1894 Virginia Beach Office 287 Independence Blvd. Suite 322 Virginia Beach, VA 23462 757 -838 -1894

References • Ferentz, L. (2015). Treating self-destructive behaviors in trauma survivors: a clinician's guide

References • Ferentz, L. (2015). Treating self-destructive behaviors in trauma survivors: a clinician's guide (2 nd ed. ). New York: Routledge. • Kerig, P. K. & Alexander, J. F. (2012). Family Matters: Integrating Trauma Treatment into Functional Family Therapy for Traumatized Delinquent Youth. Journal of Child & Adolescent Trauma, 5, 205 -223 • TF-CBT Web 2. 0 - https: //tfcbt 2. musc. edu • The National Child Traumatic Stress Network- https: //www. nctsn. org