Geraldine has become disrespectful at school. She often talks back to her teachers and gets in fights with other students. School is another caregiving system of Geraldine’s. Since going through this traumatic event, Geraldine feels easily attacked and is very guarded. She is often getting in trouble. It can be hard for a teacher to understand why a student is acting a certain way. Geraldine’s teacher was recently informed of the event, which has helps when dealing with Geraldine’s behaviors. Geraldine’s behaviors also contribute to the core concept of “children can exhibit wide range of reactions to trauma and loss” (The National Child Traumatic Stress Network, 2018). Geraldine’s behaviors have completely changed since the death of her mother. Geraldine is on edge and often scared something will happen to her or her sister. She has a lack of interest in school and often acts out when other peer confront her. This shows traumatic can affect each individual differently. Although, at home Geraldine seems reserved and spaced out, she is very aggressive in school. Relating Geraldine’s needs to these core concepts help the social worker implement the best treatment. Geraldine and her family would benefit from home base services since Geraldine’s grandmother does not drive. Geraldine would also benefit from individual therapy as …show more content…
TST suggest pharmacological intervention when the child is a safety risk and in danger of hurting others around them (Brown, Hansen & Saxe, 2018). Geraldine has become more aggressive in school and could be considered a safety risk. Geraldine’s behaviors are very different from her norm. This does not necessarily mean she needs to be prescribed medications. The use of TST and a therapy will monitor her behavior changes, if there is any. If Geraldine does not seem to be benefiting from treatment alone, a medication can be prescribe to address and decrease her aggression and
Cohen, J. A., & Mannarino, A. P. (2008). Trauma-Focused Cognitive Behavioral Therapy for Children and Parents. Child & Adolescent Mental Health, 13(4), 158-162.
Trauma-Focused Cognitive Behavioral Therapy (TF-CBT) is one of the most commonly utilized interventions for children (Cary & McMillen, 2011). TF-CBT is a highly structured intervention consisting of 90-minute weekly sessions. The clinician works with the client through eight competencies, including psychoeducation, relaxation, affective expression and regulation, cognitive coping, trauma narrative development and processing, gradual exposure, joint parent/child sessions, and enhancing future development (Cary & McMillen, 2011). TF-CBT has an extensive history and many variations. Clinicians utilize a number of other cognitive behavior treatments that have been adapted to meet the needs of traumatized children (Cary, & McMillen, 2012; Smith et al., 2007). While there are a number of cognitive behavior treatments, TF-CBT has received the highest classification rating for supported and effective treatment from many studies (Cary, & McMillen, 2012; Kauffman Best Practices Project, 2004).
The purpose of this visit was to initiate therapy to resolve the cycle of conflict between the child and mother. My client is very hyper and instigates conflict with her mother. Because of her low self esteem she does not want to attend school so she is excessively absent. She hits and kicks her mom when she tries to wake her u...
Cloe Madanes once said psychotherapy is the art of finding the angel of hope in the midst of terror, despair and madness.
Research has shown that children who are at highest risk for toxic stress are those exposed to social isolation, poverty, family violence, and parents with substance abuse or depression (Franke, 2014). If adults and authority figures can identify toxic stress in children during the early stages, measures can be taken to prevent the harmful effects that are associated with this high stress level. Treatment of toxic stress should be aimed towards helping children learn to deal with stress in a healthy manner and responding to the child’s needs (Franke, 2014). Providing children with a strong support system is crucial so children have an outlet to communicate with and receive advice on healthy coping mechanisms. Examples of a buffering support system could be a parent, relative, social worker, or counselor. Recent research has also found that treatment of toxic stress can occur through teaching relaxation methods such as breathing techniques and guided imagery (Franke, 2014). It may also be beneficial to focus on the caretaker of the child by providing educational opportunities regarding toxic stress and by administering social resources for the parents, such as parenting classes to help with problem solving skills (Franke, 2014). It is also important that the nation as a whole raise awareness of the issue of toxic stress and provide schools,
For instance, I learned that one major component of resilience is physical health. Thus, it is imperative for children to eat well, exercise, and get six to eight hours of sleep each night. Another component of resilience is school support. This means that children need support from another adult that does not pertain to their family, such as a school counselor. Furthermore, I learned several strategies that schools and teachers can implement to help their students overcome traumatic experiences. For example, I learned that teachers should keep familiar routines, maintain high expectations for their students, and avoid focusing on their students’ negative behaviors. In addition, schools can be flexible and give these students time to speak to their teachers, counselors, or staff members. Talking to any of these individuals helps students express their feelings instead of bottling them up. Overall, this article helped me acquire more knowledge on resilience and strategies that I can one day use with my future
My theoretical approach to family therapy is very integrative as I believe families cannot be described nor treated from a single-school approach. I view humans through a humanistic and existential lens but am more technically structural and solution-based. With this integrative approach, I believe I will be the most effective in helping families grow and reach their goals.
Childhood Trauma is defined as “The experience of an event by a child that is emotionally painful or distressful, which often results in lasting mental and physical effects.” (The National Institute of Mental Health). Childhood trauma is an epidemic that seems to be running its way throughout the world. Childhood trauma is a worldwide problem that can affect anyone and everyone. People tend to just try and help the problems that occur due to the childhood trauma, but not the problem itself. Many of these issues will also follow the child into their adult years and will cause negative effects. This paper will discuss the negative outcomes for a child who suffers from childhood trauma, and the negative outcomes that can follow them into adulthood.
Childhood trauma has a significant impact on the life of a child. It affects the child’s overall functioning and development, including emotional, cognitive, behavioral, and social elements. (Perry, Pollard, Blaicley, Baker, & Vigilante, 1995). An overwhelming number of children experience some type of trauma in developmentally critical years which, as previously mentioned, has a major impact on the various aspects of their functioning- specifically their development. Trauma can present itself in a multitude of forms. It may occur that the child lives or lived in a state of poverty or that he suffered a significant injury or the loss of a parent or caregiver. A disheartening number of children experience neglect or abuse in its various forms;
There are several domains that must be considered when treating a survivor of child abuse: the need for safety and trust, sense of belonging, protection from perceived or actual threats, facing the defendant in court, prevention of revictimization, and empowerment (Sawyer & Judd, 2012). Davis, 2005, states that “children terrorized through sexual abuse, neglect, physical abuse, or wartime atrocities may suffer from lasting wounds, nightmares, depression, and troubled adolescence involving substance abuse, binge eating, or aggression.” Victims of child abuse need to regain their sense of control over their lives. Experiencing healthy relationships, being nurtured by adults and helping them to learn resilience are all interventions that have been well-documented (Sawyer & Judd, 2...
According to the American Psychological Association, trauma is an emotional response to a terrible event. Some terrible events that happen all too often are rape, natural disasters or an accident. Immediately following the event shock and denial are likely to occur, but in the long-term flashbacks, unpredictable emotions and troubled relationships can arise. Defining emotional trauma on a child. Emotional trauma in a child can be created by bullying, emotional abuse, death of loved ones, separation from parent, or chaos and dysfunction in the household. Child symptoms of trauma can be very similar to depression symptoms. They can over sleep or sleep to little, unexplained anger, trouble focusing, obsessive worrying and some anxiety. How a child experiences an event and how it’s handled by those around him have an effect on how traumatizing it can be, notes Dr. Jerry Bubrick (Child Mind Institute , 2017). People grieve at different speeds and the way the child grieves is not the correct indicator on how the child will cope later. Defining physical trauma on a child. Physical trauma on a child is considered non-accidental or the cause of physical injury. Some households that suffer from alcoholism/substance abuse and anger issues have higher occurrences of child abuse as compared to households without according to psychology today. Sometimes kids that are abused are unaware that they are being abused and are victims of child
Dr. Alice Miller, Childhood Trauma, presented as a lecture to the YWHA, New York City, 1998
Trauma relates to a type of damage to the mind that comes from a severely distressing event. A traumatic event relates to an experience or repeating events that overwhelmingly precipitated in weeks, months, or decades as one tries to cope with the current situations that can cause negative consequences. People’s general reaction to these events includes intense fear, helplessness or horror. When children experience trauma, they show disorganized or agitative behavior. In addition, the trigger of traumas includes some of the following, harassment, embarrassment, abandonment, abusive relationships, rejection, co-dependence, and many others. Long-term exposure to these events, homelessness, and mild abuse general psychological
According to Monica McGoldrick, “A genogram should always be part of a more general process of joining, assessing and helping a family (McGoldrick, 1999).” Although I feel it really should depend of the presenting issues of the family, there is a great deal of merit to its use. Genograms allow for the “Tracking [of] critical events and changes on family functioning allows us to notice anniversary reactions,” or most importantly in Jared’s case “systemic connected between seeming coincidences…its resources and vulnerability to future stresses…” (McGoldrick, 1999). Simply making mental notes while Jared’s aunt was speaking, and eventually putting those notes to paper, both Kassi, his intake counselor and I, realized the issues surrounding Jared’s unbecoming behavior began five years ago. Five years ago can be interpreted as time full of change, difficult change, for Jared. It was around this time that his aunt had moved into the household and the torch that symbolized his parenting moved from his grandmother to his aunt. His aunt moved in because not only was her father sick, but her mother could no longer take care of her husband because she also became sick. She was
A family came in for therapy. There are five people in this family. There are two teenage girls, an 18-year-old male, and a mother and a father. Lately, one of the girls is no longer attending school, she is also withdrawing from friends. She has been disrespectful towards dad. She has been posting lewd pictures on social media, and there are people in the neighborhood telling the parents that they have seen one of their daughters drinking when with their friends.