06.14.10

ADHD – Are you sure?

Posted in Uncategorized at 8:25 am by Administrator

Many, many kids with developmental trauma have a diagnosis of ADHD.  A diagnosis of a child that truly has clinical ADHD is hard to come by because so much of it is based on anecdotal observations and observational checklist.  I had some fabulous training from Dr. Ed Hamlin of the Pisgah institute in Asheville, NC.  I’ve heard this same explanation backed up by the work of van der Kulk and Bruce Perry. 

When children experience developmental trauma (DT) it fundamentally changes the blueprints / wiring of the brain.  Both in the way the brain wires (mylination) and in the brain chemistry (neurotransmitters).  The amygdala is like the watchdog of the brain and acts much like a filter for incoming signals.  So the example I always use is, if you are sleeping, the amydala is always keeping watch for you and filtering out all the routine sounds in your house.  If though, a window breaks in your house, then your amygdala is going to wake you up with all the fight, flight or freeze responses.  You check out the problem and realize it was just a branch hitting your window, not a life-threatening situation.  Your body eventually restores to homeostasis and you eventually go back to sleep. 

For our kids with DT, they have lived for periods of time in fight, flight or freeze.  Their brain then gets wired to stay in this state.  So the brain is always “on” keeping watch, being in fight, flight, or freeze.  They have lost the ability to return to homeostatis.  This hyperaroused state is their normal.  So this looks very much like ADHD because they are unable to be still and attend because of the hyperaroused state.

ADHD drugs primarily work on the neocortex (frontal lobe) to stimulate activity in the frontal lobe.  Truly we could all take Ritalin (or whatever ADHD med) and perform better.  BUT ADHD drugs do not reach the amydala and so therefore are not reaching the root cause of the issue.

Truly kids with DT must have neurotransmitter support (supplementation and diet), therapeutic parenting, processing of trauma at the body level, and time.

I hope this helps explain some of the mechanism of what is happening in the brain of kids with DT.

Blessings,

Melissa R.
www.wholechildcoaching.com

06.13.10

When Siblings Become Traumatized by Heather Forbes, LCSW

Posted in Uncategorized at 6:56 pm by Administrator

Hey guys,

Here’s a great article from Heather Forbes (Beyond Consequences) about when siblings are traumatized when dealing with a difficult brother or sister.  Forwarded with Heather’s permission:

Q: For the past three years, our 16-year-old daughter, Jackie, has had to deal with the complete chaos of her younger adopted sister who was severely traumatized before we adopted her. Jackie was an only child before my husband and I adopted and my world revolved around Jackie. We lived a relatively peaceful, fun, and happy life. All of that drastically changed once her sister entered our family. I realize now that Jackie has been traumatized by the disruption, fear, and struggles our family has endured. What can I do to help my daughter, without dismissing the trauma she has gone through?  
A: You’re exactly right when your say Jackie’s trauma of living with a severely traumatized younger sister cannot be dismissed. In fact, her experience needs to be maximized and brought to the surface in order for her to find healing. Jackie needs the emotional space to be heard and to be understood.

However, listening to your daughter’s challenges can easily evoke feelings of guilt, shame, and perhaps, resentment in you. When this happens, all too often, parents inadvertently stop listening and work to minimize or stop their child’s pain, closing off this child’s needed opportunity to have a voice.

The first place to start is to realize that you cannot fix Jackie’s experiences from the past three years. What is, is. Yet, what you can do is work to understand her experiences (getting into her shoes) and giving her the time, patience, and emotional space to discharge ALL of her feelings.

It takes being willing to commiserate with her and allowing her to express her story, not just at the cognitive level, but at the emotional level. Absorbing her pain means not responding in a defensive or a minimizing manner and not giving her solutions for the moment (that can come later).

A conversation might sound something like this:

Mom: “Sweetheart, there is something that I haven’t recognized about your life. I haven’t seen how difficult it has been for you since your sister came home. For the last three years, especially when she came home, I ignored you, I didn’t pay the same amount of attention to you, and I wasn’t there for you.”

Jackie: “You just care for her more than you do for me!”

Mom: “Is that what it feels like?”

Jackie: “Yes! She gets ALL the attention. You sleep with her, you cater to her every need, and you spend all your time with her.”

Mom: “I do. And where does that leave you?”

Jackie: “With NOTHING! Everything I ever had is gone. I’m MAD. I’m so tired of her. I’m tired of her meltdowns. I love her but I don’t love her and I want it to go back to the way it was before she was here. I don’t want it to be this way.”

Mom: “I hear you, honey. Tell me more. Tell me how hard this has been for you because I’ve expected you to be the grown up in this. Tell me how that’s not fair to you.”

Jackie: “It isn’t fair. She embarrasses me. She can’t do anything. WE can’t do anything and our whole life is centered around everything that SHE ever does. We can’t do anything we used to do. Everything is different. I just want it to go back; I just want it to go back to the way it was before.”

Mom: “I know…..” (quietly pausing and working to stay present with her daughter)

Jackie: “I’m angry.”

Mom: “Are you angry at me and dad for doing this? Tell me. I can handle your anger. I want you to give it all out to me. I haven’t known how angry you are at me…I’m okay with it. Tell me ‘I’m mad at you, mom!’”

Jackie: “I’m mad. I’m mad at everything. I hate that you and dad did this to me. Why didn’t you love me enough not to mess up my entire life??!!?”

This conversation might need to continue for a while, each time with mom “dancing” with whatever her daughter says in return, allowing her daughter to lead the conversation. Yet, the most important part of such a dialogue is that it happens with emotional intensity, at the heart level.

Allowing Jackie the safety of a parent who is present and working to just listen, will allow her to discharge her anger, pain, and frustration now and not in the heat of a difficult moment when her sister is melting down.

But perhaps you are saying that you’ve tried this and these types of conversations happen over and over without movement forward.

If this is the case, then you have to dig deeper. Are you stopping your daughter at any level? Are you really able to handle her anger and pain? What feelings inside of you are coming up when she is expressing? Guilt? Fear of the future? Helplessness?

Feeling the depth of your child’s pain in these moments, coupled with your own dark feelings that have not been honored or expressed, will shut you down. Your daughter will feel this. Thus, her expression is not being heard and she stays stuck in her healing process. Then conversations like the one above will keep looping and looping, keeping everyone in a state of victimhood.

You have to allow your pain to be felt, honored, and understood. In order for you to feel your child’s pain, you have to feel your own pain first. This can be scary. It may seem that if you feel the depth of pain within you, opening up the floodgates, you won’t be able to parent effectively and you won’t be able to pull it together.

Ironically, this is exactly what keeps parents from being able to parent the way their children need them to. Parents have to go deep within the caverns of their own hearts. They have to own and acknowledge their own pain.

Parents have to stay in their hearts; that is where their children are living.

Effective parenting ultimately comes from self-love, self-discovery, and self-understanding. Love yourself through your pain in order to get to the depth of your child’s pain. Healing resides within this powerful dynamic.

 
Press on,  
Heather  
Heather T. Forbes, LCSW
Parent and Author of Beyond Consequences, Logic & Control: Volume 1 & Volume 2, and Dare to Love

P.S. Check out our newest Ask the Expert interview with Claudia Roberts. Just click on the link to start listening. http://www.asktheexpertinterviews.com

06.10.10

Mother’s Day Conference, first installment

Posted in Uncategorized at 8:54 am by Administrator

Hey all,

I got back from the BCI Mother’s Day conference almost three weeks ago and it has given me much to think about and process.  Here are some random thoughts:

1.  It was a profound experience and blessing to be in the midst of so many remarkable women and warrior moms. 

2.  I was amazed at the depths of strength that the women at the conference showed at facing their own deep fears and wounds (that were inhibiting their ability to parent from a place a love).

3. I had the immeasureable blessing of being able to be a part of someone coming to a real place of healing and getting “unstuck”.  I was in a very real sense able to be God’s hands and feet.

4.  I was amazed at several layers of my personal “onion” that still had not been peeled away.  Healing is a continual process that will utimately never be completely done because life is ever-changing.

5.  Heather Forbes does a remarkable job of creating a safe place for people to feel free to process through whatever they are dealing with at the moment.

More to come later….

Melissa