Komplexes Entwicklungstrauma: Bindung, neurobiologische und kognitiv-behaviorale Interventionen zur Heilung des traumatisierten Kindes

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Christina Reese, PhD, LCPC Related seminars and products

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Christina Reese, PhD, LCPC, has been working with children impacted by trauma and their families for the last 20 years. She is a licensed clinical counselor in Maine, Maryland, and Pennsylvania and is a licensed clinical supervisor. Dr. Reese is an internationally recognized trainer for mental health professionals in creating trauma-informed schools, working with mental health in the classroom and attachment and trauma in children. She is a TBRI practitioner and owns Felicity Counseling Services. Dr. Reese authored the books Attachment, Puzzle Pieces, The Attachment Connection, Trauma and Attachment, The Socially Confident Teen, and Leveling Up.

 

Speaker Disclosures:
Financial: Dr. Christina Reese maintains a private practice and has an employment relationship with Sheppard Pratt Health System. She receives royalties as a published author. Dr. Reese receives a speaking honorarium, recording, and book royalties from PESI, Inc. She has no relevant financial relationships with ineligible organizations.
Non-financial: Dr. Christina Reese has no relevant non-financial relationships.

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Ziele

1. Identify how to bring healing to the cognitive and biological impacts of trauma to improve daily function. 
2. Differentiate between developmental delays and trauma regarding the impact on social participation.          
3.  Develop felt safety for children by meeting their needs to increase engagement in relationships with adults. 
4. Utilize body-based interventions to biologically rebalance stress hormones to improve daily function. 
5. Use neuro-biological strategies to create new neural pathways to heal the traumatized brain and improve emotional health.  
6. Choose brain-based interventions to manage five of the largest behavioral challenges.          

Gliederung

Trauma’s Impact on Children

• Abuse – shatters trust in adults as safe figures
• Neglect - undermines trust in adults’ ability to provide care
• Attachment trauma - fragments the perception of relationships as safe havens
• Exposure to violence - erases the concept of safe spaces
• Medical trauma - disrupts the sense of safety within one’s own body

Complex Developmental Trauma Commonalities

• Anxiety- dysregulated nervous system
• Depression - biological imbalances
• ADHD - delayed executive functioning skills
• ODD - distrust of adults leading to defiance

Relation to PTSD

• Impact of complex developmental trauma
• Emotions - dysregulation and tantrums
• Neural pathways – wired for mistrust, hypervigilance
• Behaviors - control and impulsivity
• Body - stress hormones
• Development - upstairs and downstairs brain

Strategies to Put Kids Trauma Brains Back on Developmental Track

• What we learned from the ACES Study
• Correlation to poverty, substance abuse, criminality
• Establish safety with adults
• Grow emotion regulation
• Increase self/biological regulation
• Assess development and select strategies to develop neural pathways through neuroplasticity
• Limitations and potential risks

Strategies to Heal the Traumatized Brain
Help a Child Feel Safe to Leave their Survival Brain

• Be a Safe Adult
  • Model emotion regulation
  • Button pushing behaviors
  • Develop felt safety
  • Build healthy attachment
  • Establish trust-based relationships
• Meet a Child’s Needs
  • Decrease manipulation
  • Reduce attention seeking behaviors
  • Recognize the need behind the behavior

Develop Trauma-Delayed Executive Functioning Skills

• Neuroplasticity to develop new neural pathways
• Build the scaffolding

Enhance Emotional Regulation

• Brain-based tantrum intervention
  • Biological rebalance for stress hormones
• Calm the activated nervous system
  • Cognitive interventions
    • Develop awareness and growing insight
    • Change the inner voice
    • Disengage the nervous system
  • Body-based Interventions
    • Breathing interventions
    • Movement to find balance
    • Nutrition and hydration
  • Sensory Interventions
    • Erdungstechniken
    • Sensory calming stations
    • Back to baseline from high and low

Zielpublikum

• Anwälte
• Sozialarbeiter
• Psychologen
• Ehe- und Familientherapeuten
• Couples Therapists
• Berater für Schulberatung
• Beschäftigungstherapeuten
• Lehrer
• Fall-Manager