1. Beyond PTSD: An Overview of Childhood Developmental Trauma Jane Probst, LCSW & Christian A. Brashear, Esq.

2. Trauma Introduced

3. Analytical Definition Image: Colossus, from Digibarn.com

4. A sudden and traumatic event Image: Wordpress.com

5. Perceived as dangerous Image: defendpitbulls.com

6. Which may involve threat of personal harm Image: derekneighbors.com

7. Or actual physical harm

8. Which leads to intense fear. Image: Psycho (1960)

9. Clinical Definition Image: wordpress.com

10. The capacity to adapt to changes in the environment has been overwhelmed. Image: rialise.blogspot.com

11. Types of Trauma

12. Type 1: Acute Trauma Typically involves a one-time stressor Image: olatheks.org

13. Example of acute trauama NATURAL DISASTER Image: ireneimmink.com

14. Example of acute trauama CAR ACCIDENT Image: injuryinchicago.com

15. Type 2: Complex Trauma Involves prolonged or multiple traumatic events Image: treatmentandrecoverysystems.com

16. Type 2: Complex Trauma Typically occurring within a care giving relationship Image: universalscribbles.com

17. Example of complex trauma NEGLECT Image: blogspot.com

18. Example of complex trauma PHYSICAL ABUSE Image: thenewagenda.net

19. Example of complex trauma SEXUAL ABUSE Image: endignorance.org

20. Type 3: Developmental Trauma Occurs in the early years of life Image: pierce.birmingham.k12.mi.us

21. Type 3: Developmental Trauma Image: www.theredlinereport.comwww.theredlinereport.com Causes the integrative fibers of the brain to stop functioning well

22. Type 3: Developmental Trauma Image: publicdomainpictures.net Causes the integrative fibers of the brain to suffer growth delays

23. Type 3: Developmental Trauma Image:stevensmagic.com Causes the integrative fibers of the brain to diminish

24. Type 3: Developmental Trauma Image: whengodandscienceunite.com/blogspot Evidenced in lessening of the self-regulatory fibers in the corpus callosum

25. Type 3: Developmental Trauma Image:whatyear.org Evidenced in lessening of the self-regulatory fibers in the prefrontal regions

26. Type 3: Developmental Trauma Image:mnscu.edu Evidenced in lessening of the self-regulatory fibers in the hippocampus

27. Type 3: Developmental Trauma Self-regulation impacts : executive functioning

28. Type 3: Developmental Trauma Executive functioning is the ability of an individual to assess the priority of events in life. Image: theskinnyon.typepad.comtheskinnyon.typepad.com

29. Type 3: Developmental Trauma Executive functioning example: Do I ignore the baby to watch my favorite TV show? Image: telegraph.co.uk

30. Type 3: Developmental Trauma Executive functioning example: Do I ignore the infected blister on my foot to go dancing with my girlfriend? Image: foothealthcare.com brettworks.com

31. Type 3: Developmental Trauma Image: blogspot.com Self-regulation impacts : emotions

32. Type 3: Developmental Trauma Image: newmediaandmarketing.com Self-regulation impacts : attention spa

33. Type 3: Developmental Trauma Self-regulation impacts : thought

34. Type 3: Developmental Trauma Self-regulation impacts : behavior Image: www.windham.k12.me.us/

35. Type 3: Developmental Trauma Self-regulation impacts : social functioning Image: www.stockport.gov.uk

36. Type 3: Developmental Trauma Developmental trauma at its most basic overcomes the system of personality and its ability to integrate these complex systems.

37. Why is Trauma important? EVERY CHILD IN FOSTER CARE IS SUFFERING FROM SOME MANNER OF TRAUMA Image: themindfulword.org

38. Why is Trauma important? A child's family IS his or her universe.

39. Why is Trauma important? As children, we assume the life we lead is normal.

40. Why is Trauma important? Case Study: The dirty mattress

41. Why is Trauma important? Children are NOT tiny adults.

42. Why is Trauma important? Though they may use a different logic system, a logic system is still there.

43. Why is Trauma important? Trauma can manifest itself in a wide variety of symptoms.

44. Why is Trauma important? Nervousness. Image: blinkofyoureye.com

45. Why is Trauma important? Fatigue. Image: yourdictionary.com

46. Why is Trauma important? Headaches. Image: naturalheadacheremedies.com

47. Why is Trauma important? Stomach aches. Image: advancedallergytreatment.com

48. Why is Trauma important? Nausea. Image: naturalremedies.org

49. Why is Trauma important? Palpitations. Image: drsvenkatesan.wordpress.com

50. Why is Trauma important? Pain. Image: elephantjournal.com

51. Why is Trauma important? Insomnia. Image: myzeo.com

52. Why is Trauma important? Nightmares.

53. Why is Trauma important? Fear. Image: blog.rockstarsuperstarproject.com

54. Why is Trauma important? Anxiety. Image: www.psychiatry.emory.edu

55. Why is Trauma important? Panic. Image: blog.lib.umn.edu

56. Why is Trauma important? Irritability. Image: 1.bp.blogspot.com

57. Why is Trauma important? Anger. Image: media.mercola.com

58. Why is Trauma important? Withdrawal. Image: upload.wikimedia.org

59. Why is Trauma important? Indifference.

60. Why is Trauma important? Depression. Image: www.yalescientific.org

61. Why is Trauma important? Confusion. Image: jaypgreene.com

62. Why is Trauma important? Hopelessness. Image: faithfulthoughtspot.wordpress.com

63. Why is Trauma important? Inability to concentrate. Image: allwomenstalk.com

64. Why is Trauma important? Skipping School. Image: theepochtimes.com

65. Why is Trauma important? Poor grades.

66. Why is Trauma important? Emotional barriers to caregivers. Image: petertothpaulik.files.wordpress.com

67. Why is Trauma important? Distrust. Image: sitearm.wordpress.com

68. Why is Trauma important? Attachment issues. Image: rolereboot.com

69. Development of Trauma Children are a DEVELOPING microcosm of their own environment. Image: coolmath.org

70. Development of Trauma That development becomes internalized into their own response mechanisms.

71. Development of Trauma Primitive Brain v/s Advanced Brain Image: guardian.co.uk calvarychapelabuse.com

72. Development of Trauma The primitive brain triggers the release of adrenaline, cortisol and other hormones, resulting in simple responses...

73. Development of Trauma FIGHT...

74. Development of Trauma FLIGHT...

75. Development of Trauma FREEZE...

76. Development of Trauma The advanced brain, however, is responsible for thinking, reasoning and processing. A child exposed to trauma may become “stuck” in the primitive brain.

77. ACE SCORES Use The ACE Score Calculator to find out! The ACE Score attributes one point for each category of exposure to child abuse and/or neglect. Add up the points for a Score of 0 to 10. The higher the score, the greater the exposure, and therefore the greater the risk of negative consequences. These consequences are discussed throughout the publications also available for download from http://acestudy.org. Adverse Childhood Experience

78. ACE SCORES Image: acestoohigh.com

79. ACE SCORES Image: acestoohigh.com

80. ACE SCORES Image: acestoohigh.com

81. ACE SCORES Image: acestoohigh.com

82. ACE SCORES Image: acestoohigh.com

83. ACE SCORES Image: acestoohigh.com

84. ACE SCORES Our Group - Per Question

85. ACE SCORES Our scores. Our Group – Frequency Distribution

86. ACE SCORES 10 9 8 7 6 5 4 3 2 1 0 Our Group – Frequency totals The average was ….. 2.41

87. Happy Birthday, Tracey Sasso!! Special thanks to Missy Wilson and Jennifer Fowler.