Thank you all for
attending Refresh!! The Overlake
Christian Services team and all the sponsors work hard behind the scenes to
bring you a life altering experience.
Paulette Caswell, LICSW
Branch Director, Bethany Christian Services of Washington
Serving children and families throughout the Pacific Northwest
1501 N. 200th St. Ste. 103 Shoreline, WA 98133
O – (206) 367-4604 x7972 F – (206) 367-1860
www.bethany.org/washington
pcaswell@bethany.org
Branch Director, Bethany Christian Services of Washington
Serving children and families throughout the Pacific Northwest
1501 N. 200th St. Ste. 103 Shoreline, WA 98133
O – (206) 367-4604 x7972 F – (206) 367-1860
www.bethany.org/washington
pcaswell@bethany.org
Slide Show Outline:
Parenting Child
with Anxiety/PTSD
Paulette Caswell, LICSW
Executive Director, Bethany Christian Services of the
Pacific Northwest
Presented at the Refresh Conference
2/2014
What is Anxiety?
Anxiety is considered an irrational and excessive fear
and worry which has both an emotional and physical response. Anxiety is a
protection your body has, it is a part of your natural fight or flight
system. We all have anxiety sometimes.
What are symptoms of anxiety in children and youth?
Pounding heart
Sweating
Stomach upset or dizziness
Frequent urination or diarrhea
Shortness of breath
Replaying trauma through nightmares, play or story
telling
Feelings of apprehension or dread
Trouble focusing
Feeling tense and jumpy
Anticipating the worst
Tremors and twitches
Muscle tension
Headaches
Sluggish
Difficulty Sleeping
Clinging to parent
Moody, easily angered
Fidgety, Restless
Hyper vigilant/Watching for signs of danger
School refusal/activity refusal
What is the difference between anxiety and PTSD?
What is PTSD?
Post traumatic stress disorder (PTSD) is a form of
anxiety that has a “trigger” that is associated with a traumatic
experience.
What is a traumatic experience?
Many of us know that soldiers returning from war can
suffer PTSD. However, a traumatic event does not always have to involve
having your life threated and your safety in danger. It can be any
situation that leaves you feeling overwhelmed, fearful, or isolated, even if it
does not involve a threat of physical harm or actual harm.
PTSD may be caused by emotional trauma:
· Falls or accidental
injury (i.e. knee injury in
soccer)
· Surgery early in life,
not understanding the purpose
· The severing of a long term relationship (i.e. a breakup)
· The sudden death of someone loved or permanent separation (such as
termination of parental rights)
· A car accident
· A humiliating, highly embarrassing situation
· The diagnosis of a severe illness
· Sexual Abuse
· Witnessing act(s) of violence
What can enhance the effects of trauma?
· An event that happens un-expectantly, the individual was
unprepared, and individual felt powerless
· It happened repeatedly
· It happened with the intent to harm
· It happened in childhood
SCARED-Screen Child for Anxiety Disorder
Has your child
seen a specialist in adoption/foster care physician?
Utilize an adoption specialty clinic or foster care
specialty clinic
University of Washington Center for Adoption Medicine (http://adoptmed.org/)
Oregon Health Science University
Adoption Health Services (http://www.ohsu.edu/xd/health/services/family-medicine/specialized-services/adoption-health-services.cfm)
Foster Care Clinic at Harborview (http://www.uwmedicine.org/locations/foster-care-harborview/care-providers)
List of other clinics: http://www2.aap.org/sections/adoption/directory/map-adoption.cfm
Another Considerations
How does your
personal past trauma and experience as a child effect parenting a
child who has suffered trauma?
How do you know if trauma is the root cause of your
child’s behaviors?
Avoiding bedtime/going to sleep/sleep disturbance
Eating issues
Seeking attention/affection of strangers
Difficulties regulating their emotional response to situations
Difficulties in school
Poor social interaction
When should you seek help?
If you are child’s symptoms are interfering in more
than one domain in their life or lasts for a significant period of time, it
might be time to consider seeking outside intervention.
Intervention
According to Dr. Judith Cohen, MD Medical Director, Center for Traumatic Stress in Children & Adolescents at Allegheny General Hospital in Pittsburgh, Pennsylvania, Any form of child intervention related to anxiety/trauma need to involve parent—the best interventions include the following: PRACTICE
According to Dr. Judith Cohen, MD Medical Director, Center for Traumatic Stress in Children & Adolescents at Allegheny General Hospital in Pittsburgh, Pennsylvania, Any form of child intervention related to anxiety/trauma need to involve parent—the best interventions include the following: PRACTICE
Psycho-education of parents-increase parents knowledge/awareness
Relaxation Skills-for child and family.
Affect Modulation-Identification of feeling using words
to describe emotions
Cognitive Coping Skills-understanding the thoughts
behind the behavior
Trauma Narrative-having the child share their story
Invio-Mastery of Trauma Reminders
Conjoint Sessions with Parents
Enhancing Safety
Evidence Based
Treatments
Trauma Focused Cognitive Behavioral Therapy (TFCBT http://tfcbt.musc.edu/)
ADOPTS (Addressing Post-Traumatic Stress in Adopted Children http://www.bethany.org/main/adopts-program)
Empower to Connect has a great curriculum for parents on
parenting an adopted child who has suffered trauma (http://empoweredtoconnect.org/)
Parent Child Interaction Therapy (PCIT) (http://www.pcit.org/)
Family and Child Traumatic Stress Intervention (http://www.nrepp.samhsa.gov/ViewIntervention.aspx?id=305)
ACES Study
Adverse Childhood Experiences Study
Resources: PNW Post Adoption Resource Blog
Resources:
The National Child Traumatic Stress Network
has a great guide on finding treatment providers-I see no reason to recreate
the wheel. http://www.nctsnet.org/about-us/about-this-web-site
Adverse Childhood Experience Study http://www.cdc.gov/violenceprevention/acestudy/
American Academy of Child and Adolescent Psychiatry:
Separation Anxiety http://www.aacap.org/AACAP/Families_and_Youth/Facts_for_Families/Facts_for_Families_Pages/Children_Who_Wont_Go_To_School_07.aspx
American
Academy of Pediatrics Parenting a Child after Trauma: http://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/healthy-foster-care-america/Documents/FamilyHandout.pdf
.
American Metal Health Alliance http://americanmentalhealth.com/
Provides a listing of ethical therapist. On the "THERAPIST LOCATOR" page of the website you can locate a therapist or counselor in your area.
Provides a listing of ethical therapist. On the "THERAPIST LOCATOR" page of the website you can locate a therapist or counselor in your area.
Anxiety BC
http://www.anxietybc.com/resources/ptsd.php
How do you know if it is
PTSD?
Anxiety and Depression Association of America www.adaa.org
Bethany Life Lines Magazine: Effects of Complex Trauma
http://www.bethanylifelines.org/complex-trauma/
*Help Guide
www.helpguide.org
National Institute of Mental Illness: Children and Violence http://www.nimh.nih.gov/health/topics/child-and-adolescent-mental-health/children-and-violence.shtml
The National Child Traumatic Stress Network: http://www.nctsnet.org/
Oregon Post Adoption Resource Center list of Resources for
parents on Trauma & PTSD: http://www.orparc.org/library/materials/lists
Trauma+Post_Traumatic_Stress_Disorder_%28PTSD%29.pdf
NREEP SAMHSA’s Registry
of Evidence-Based Program and Practice http://www.nrepp.samhsa.gov/AdvancedSearch.aspx
Treating Children with PTSD Pod Cast: http://www.adaa.org/resources-professionals/podcasts/treating-children-with-ptsd
Virginia Child
Protection New Letter Evidence Based Treatment for Childhood Trauma http://psychweb.cisat.jmu.edu/graysojh/pdfs/Volume95.pdf
Books:
·
What
to Do When You Worry Too Much: A Kid's Guide to Overcoming Anxiety (What to Do
Guides for Kids) by Dawn
Huebner and Bonnie
Matthews (Sep 15, 2005)
·
Freeing
Your Child from Anxiety: Powerful, Practical Solutions to Overcome Your Child's
Fears, Worries, and Phobias...2nd
Edition by Tamar Chansky Ph.D. (2014)
·
Anxiety-Free
Kids: An Interactive Guide for Parents and Children by Bonnie
Zucker (Nov 1, 2008)
·
The
Relaxation and Stress Reduction Workbook for Kids: Help for Children to Cope
with Stress, Anxiety, and Transitions... by Lawrence E. Shapiro Ph.d., Robin
K. Sprague, Matthew McKay and Matthew McKay PhD (Feb 2, 2009)
·
Growing
Up Brave: Expert Strategies for Helping Your Child Overcome Fear, Stress, and
Anxiety by Donna
B. Pincus (Aug 28, 2012)
·
The
Anxiety Workbook for Teens: Activities to Help You Deal with Anxiety and Worry
by Lisa
M. Schab (Apr 1, 2008)
Adoption Medical Clinics
List: http://www2.aap.org/sections/adoption/directory/map-adoption.cfm
u
University of
Washington Center for Adoption Medicine (http://adoptmed.org/)
u
Oregon Health
Science University Adoption Health Services (http://www.ohsu.edu/xd/health/services/family-medicine/specialized-services/adoption-health-services.cfm)
u
Foster Care
Clinic at Harborview (http://www.uwmedicine.org/locations/foster-care-harborview/care-providers)
