According to the National Center for Post-traumatic Stress Disorder, Telehealth or TeleMental Health services are an effective treatment strategy for trauma. Telehealth uses information technology, such as email, phone calls, FaceTime video, and Secure Online Video to conduct therapy services. This technology allows a therapist and a client to engage in real-time two-way interaction. Services that can be provided via Telehealth include assessments, individual and group therapy, psychoeducational interventions, and general therapeutic interactions.
Traditionally, mental health services are engaged in face-to-face, office visits. Just because this is traditional, doesn’t mean that is is more effective. There are times when face-to-face visits are preferred due to lack of adequate technology, challenges with privacy at home, or personal limitations of the client in using technology. In all other situations, TeleHealth is a unique service that provides several benefits, including:
Savings in time and money,
Overcome geographic distance for rural populations,
Increased access to care for individuals with mobility issues (lack of transportation),
Flexibility of appointment times (e.g., out of town for work, babysitting concerns, or other restriction on clients availability like a lunch hour, etc.),
Promotion of physical health by avoiding spreading a contagious illness (COVID-19 or general sickness, like a cold).
Telehealth is not new. It has been used for six decades, in the medical field, and is now being adopted by TeleMental Health as a flexible option for individuals. It is not a “lesser” alternative to mental health care. Outcome research has proven it to be very effective in many areas of mental health issues, like anxiety, depression, and trauma. It also offers convenient support for many general concerns, such as parenting education, life transitions, spiritual direction, and more.
A recent article from the Washington Post points out how global pandemics, like the COVID-19 virus, have shifted the landscape of mental health services through the use of technology allowing more people to attend to their mental health needs. Therapists and individuals may be just blocks away from one another geographically, but medical issues isolate and create an insurmountable “distance” between them. The use of Telehealth or TeleMental Health eliminates geographic and social distance.
The reality is that people around the world are suffering and in need of mental health treatment, education, and support. Children and adults who have experienced trauma cannot wait for medical cures or be punished for lack of mental health access. Telehealth/TeleMental Health is a powerful tool to bring immediate hope and healing.
A lot of people are looking for a therapist that understands their Christian values and beliefs. I offer online therapy for teens and adults who want to deal with anxiety, trauma, and difficult life situations from a faith based perspective. I have dedicated my career to finding practical solutions that combine 30 years of traditional mental health insights and tools with spiritual interventions that integrate the whole person (Body / Mind / and Spirit).
“Trauma can affect our spirit and our spirit can heal our trauma”
Ron Huxley, Faith-Based Family Therapist and Trauma-Informed Trainer
Trauma tells us lies about our identity. It internalizes outer pain into an inner reality. It tells us that we are unsafe, unwanted, unworthy, unloveable. It must be true because we keep getting this message from the world, the universe, from God, right? It must be true because it FEELS so true, right? Fortunately, that is not right.
Faith-Based Trauma Therapy uses trauma-informed, attachment-focused, and faith-based approaches to transform the false narratives written on our hearts.
TRAUMA-INFORMED = BODY
ATTACHMENT-FOCUSED = MIND
FAITH-BASED = SPIRIT
Trauma results in broken-heartedness, people feeling poorly about themselves, being unsafe in the presence of others, and estranged from God.
Trauma dysregulates our body. It impairs the nervous system and alters a child’s development. It hijacks our thinking brains with hyper-vigilance activating the “fight or flight” mechanism God designed within us for protection. But we are not designed for the amount of stress that comes from traumatic events and it overruns our bodies/brain.
Trauma disrupts our minds. Synaptic energy flows through our brains creating thoughts and emotions. Trauma disrupts that flow of energy resulting in modern mental health issues like depression and anxiety. It presents problems in impulse control, emotional management, planning and organizational skills, task completion, memory, motivation, and self-esteem.
Trauma disconnects us from ourselves, others, and God. It brings a dark night over the soul feeling cut off from sources of support. We can’t hear God’s voice, we question his will and we wonder if we ever did know it. Our most basic building block of trust is pulled from our foundations and it feels like we are crashing inward. We isolate, insulate, and avoid others. This wall of isolation makes us feels safe but also prevents others from getting close. Trauma tells us lies about who we are and our purpose in life. It shuts down dreams and destiny.
A powerful practice to engage in each day is to ask ourselves: “How’s my heart today?” This is a common question I ask in the therapy session which makes the inner inquiry of…
How am I feeling about myself?
How are my relationships with family and friends?
What is the level of my relationship with God?
This inquiry of the heart, done daily or maybe hourly, sets the course for healing body, mind, and spirit. We notice the hurts caused by trauma and find ways to engage them instead of avoiding them. The only way out of hurt is through the hurt. On the other side, joy is waiting for us.
This is an inner work frequently neglected in favor of outer behavior management. Outer works are more sanitary and mechanical which makes them easier to manage. Inner work can be messy. Over-focus on outer works causes family members to react versus respond to others trauma/behavior. It views the person as the problem.
The truth is that the person is not the problem. The problem is the problem. Inner work connects with the person against the problem. Together we will think about the problem and work to solve the problems that trauma bring because together there is healing.
The strategy of healing in faith-based trauma therapy includes 1. Calming the body/brain, 2. Elevating the executive functions, 3. Rewrite our life narratives, and 4. Deepen our inner and outer connections. This is a holistic approach to healing that is a “bottom up, top down and spiritual surround” interventions.
In faith-based trauma therapy, traditional interventions blend naturally with spiritual practices to forgive relational wounds, decrease residual trauma from our nervous system, increase attachments, restore emotional balance, reprocess lies, find the new truth, process grief and restart the flow of hope in our lives.
Emotional Intelligence is one of the most important attributes of success at home and school (and later in life, in business). This is because EQ is about being self-aware and socially sophisticated. The better children are at understanding and managing the world of emotion and social interactions, the better they will be at controlling anxiety.
Another way of looking at EQ is to say that “emotional intelligence is being able to feel an emotion without having to act on it.”
Emotional IQ TrainingHoward Gardner, a psychologist at the Harvard School of Education, has suggested that there are many different types of intelligence, not just academic (linguistic and math) ones. He refers to these as talents that all children possess, male or female. Being able to use these talents is what makes people successful and satisfied in life. Peter Salovey, another psychologist, refines Gardner’s talents into five main domains of emotional intelligence:
Knowing one’s emotions
Recognizing emotions in others
and Handling relationships.
In order to help boy and girls develop all of these areas of emotional intelligence and use it to cope with stress and anxiety, we have to intentionally implement “learning opportunities” into their daily lives. The more skills that we provide our children in understanding their emotions, recognizing stress, and feeling confident to manage it, the more adept our children will be in finding freedom from fears and anxiety. It is the avoidance or lack of confidence emotionally that causes anxiety to be so intimidating.
Gender Differences In Emotional Intelligence
FACT: Girls are 2x as likely to develop anxiety than boys.
FACT: Boys use aggression to express most of their emotions.
Research has shown that girls develop language skills much sooner than boys and are more articulate when it comes to expressing themselves emotionally. This natural advantage and the de-emphasis on emotional training for boys, lead males to communicate their emotions behaviorally. This may be why so many boys get into fights, play competitive sports, or act aggressively towards others. It is their way of communicating their feelings. And anger is the socially acceptable spokesperson for all of those feelings, be they positive or negative.
Why, in our modern society, do we continue to see this pattern of emotional deficiency in boys? Is it simply a matter of biology and not something that we can control. Although nature is a significant part of personality and social/emotional development, I don’t believe that is the answer.
In most societies around the globe, girls receive more “training” on how to process a full range of emotions that do boys. Research proves that biological is not as powerful a reason for this as you might think. A lot has to do with nurture and modeling.
Research and common sense suggest that we give our sons undivided attention every day. This means full attention, not partial or half. Don’t engage in cooking, cleaning, reading or anything else that might detract from the attention given. Playing a game or working on a project, side-by-side, with minimal words is enough. Jerrold Lee Shapiro, Ph.D., in his book, The Measure of a Man: Becoming the Father You Wish Your Father Had Been, states that while men and women experience emotions similarly, they may share those emotions differently. Men, due to past Emotional IQ training, are used to indirectly communicating with one another. This is what, Dr. Shapiro calls “side-by-side” or “shoulder-to-shoulder” communication. Moms tend to prefer the more “face-to-face”, direct approach.
Dr. Shapiro talks about the different styles of communicating emotions by men and women: “Men have long been criticized for either having no feelings or having the wrong ones, or being unable to describe them. It is true that males in our society are trained to deny, ignore, cover up, and rise above feelings. However, we do have them all the time. It is important that we express our feelings to our children in male ways. It is customary for men to be most open, for example, while they are working on a joint project together (i.e., shoulder to shoulder).”
It is also important that mom’s and dads encourage boys to express the full range of emotions. Past social conditioning that only some emotions, namely anger, are acceptable need to be removed. All emotions are valid. Be receptive to a baby’s sadness and discomfort as well as his cooing and giggles. Ask toddlers and school-age boys if they are feeling sad or tired and empathize with those feelings. Tell older boys that it is normal to feel awkward or anxious and have open discussions about his relationships with girls, other boys, siblings, teachers, and family.
When boys do express themselves aggressively or act rambunctious, look below the anger. While it is true that boys, on the average, do play more aggressively, don’t let that prevent you from checking for underlying emotions of sadness or anxiety. Remember that acting out means just that. Boys often act out their feelings of hurt and loss. Labels those feelings for them if they are obvious or ask them about their feelings if they are not. Reflect on their behavior by stating, “You seem to be upset about this situation. I wonder if you are feelings hurt/sad/anxious by it.” Model complex feelings by admitting you often get angry when you feel these other emotions too. It is often difficult for young children to understand that people can have more than one emotion at a time.
Be willing to express your love and empathy openly and generously. Loving your son will not “baby” him, “spoil” him, or make him a “sissy.” It will make him more self-assured, confident, and secure. When a dad is openly affectionate toward his son, a very deep message about manhood and emotions is communicated. Tell your son that you love him as much as you wish. Give him hugs and take opportunities to play with him.
This still begs the question as to why girls are more likely to be anxious than boys. Aren’t they more socially trained to express feelings? Yes, but boys have one advantage over girls in this area…They tend to externalize their feelings whereas girls internalize it more. This results in girls being more anxious about their bodies, negatively affected by social ostracism, inadequate, sad and lonely.
Mental health data supports that girls are more like to miss school due to overwhelming feelings of sadness and contemplate suicide and/or engage in self-harm behaviors when situations feel more emotionally overwhelming. Helping them develop their EQ will be a powerful deterrent to these risk factors.
Expectations, Pressure, and FailureThere is a high correlation between children’s anxiety and parents high expectations. Parents want the best for their children but sometimes this can translate into unnecessary pressure on the child. Children who are pressured to perform and made to feel guilty or ashamed at not being the best are most likely to develop anxiety disorders. Parents need to take a look at themselves and their own drives to be perfect, look good to others, and issues around failure. They may be projecting their own “junk” onto their children. High expectations can lead to children making irrational conclusions about their failures. A child might state that “I failed my math test because I am dumb. I will always be dumb and I will never do well in math.” Parents need to be empathic when they hear these types of statements. Don’t criticise them for the irrationality. Help them redirect their perspectives with positive statements, such as: “You failed the test because it was a very hard test and you didn’t have much study time. You will do well next time and we will work on it together.”
EQ is NOT Innate
When children are born, they have neurons but no connections and so everything can feel stressful. The connections are created through experiences with parents and peers. Over time, through many, many experiences, children develop the skills they need to understand themselves and the social-emotional world around them. Allow them the safety to go through this process of trial and error. Be a coach to them as they learn. Don’t be too quick to tell them how to do something, manage friendship quarrels, or find solutions to frustrating situations.
Name Them to Tame Them
The best Emotional IQ strategies are the simplest. Putting names to feelings helps children communicate and master them. Fears and anxiety can appear so large and overwhelming that children don’t know how to cope. Giving them a name makes seem smaller and more manageable.
Parents can say “Anxiety wants to make you have a bad day and tell you that you can’t remember anything when you take a test. He’s such a pest, isn’t he?”
“It is very frustrating when your brother won’t share his video game with you.”
“Worry wants us to argue in the car about getting to school on time but let’s listen to the music instead.”
“When you get afraid, it makes your heart beat fast. Feel it? Good thing we can use our breathing exercises to slow it down. Let’s do it together.”
Using imaginative labels for anxiety and its entourage of characters (worry, fear, panic, frustration, perfectionism) helps children externalize their emotions and have more confidence to control them(selves).
Naming emotions are centered in the left hemisphere of the brain in a small region called Brocas Area. Our right hemisphere lacks the verbal labeling of the left but is able to process images and bodily sensations that go along with feelings. Naming our fears allows both hemispheres of the brain to work together. Strong emotions, like anxiety, panic and phobias will hijack the thinking brain as a protective function to real or perceived danger. Using words to describe them puts the thinking brain back in charge and sends signals to the body to be calm and peaceful.
Once a child learns to name their own emotions, they can better recognize emotions in others. This makes them skilled at handling anxiety, feeling confident, and being socially competent. A great combination!
EQ Habits for the home
Parents and children can use some simple habits to improve EQ and decrease anxiety:
1. Use a diary to describe one emotional experience per day.
2. Do “emotional weather” check-ins every morning to be more aware of our feelings states.
3. Practice identifying emotions in others nonverbal behavior and make a scavenger list of feelings to see how many you can spot per day.
4. Watch movies and call out the feelings spotted in others on the screen.
5. Write a list of negative feelings and then write down their opposites. Pick one positive and have a family plan to experience that through outings, research, etc.
6. Use dramatic play to act out feelings in puppets, artwork, music, poetry, dance/movement, character voices, fictional stories.
Where do we start?
The most natural place is the home. And the most natural person is a mom or dad. We need to be more conscious about what and how we are teaching emotional literacy to our children. Handling any and all emotions make us better equipped to tackle anxiety. Don’t sit passively by and wait till there is a big issue. Go after it now! If anxiety has already become a big problem, you can use Emotional IQ skills to uproot anxiety and build new, more adaptable reactions instead.
You might wonder if it is possible to treat post-traumatic stress disorder (PTSD) during a COVID-19 pandemic crisis, but this is the situation that therapists and clients find themselves. Can we find a way to maintain effective treatment through the use of modern technology? Is it possible to treat trauma with this “new world” approach to mental health?
Since the beginning of this year (2020), countries worldwide have worked to protect vulnerable populations from the virus COVID-19. The primary strategies used to prevent the spread of the virus is social distancing and self-imposed quarantine. While this has been effective in reducing the pandemic’s physical effects, it hasn’t protected us from the psychological effects of this unprecedented life-situation. We see an increase in fear, anger, anxiety, panic, helplessness, and burnout in both children and adults. As a therapist working remotely with people dealing with stress and trauma, I have seen several extreme reactions of hallucinations and delusions due to the isolation and continual digestion of negative news media.
A Healthline.com survey of what COVID-19 is doing to our mental health gives a somber picture: increased worry and insecurity over finances, higher than normal depression and anxiety, prevalent feelings of sadness, and being “on edge,” and an alarming rise in suicides. In America, Federal dollars are being released to increase mental health services nationwide to stem this rising tide of trauma without fully knowing the long-term effects of trauma.
Therapists, just like the general population, use social distancing and remote work to keep themselves, their families, and their clients safe. Therapists are “front-line responders” and considered “essential workers,” but not all therapists choose to be exposed to 30-40 people a week who might have the COVID virus. Many of them, like myself, have family members who have compromised immune systems and considered to be at-risk. Working from an office and seeing individuals, face-to-face is not an option. Therefore, therapists and clients have to seek alternatives that can be equally beneficial to both.
The European Journal of Psychotraumatology studied the Telehealth models for post-traumatic stress disorder using cognitive therapy and found that clients rated it as very successful in managing their symptoms. High patient satisfaction ratings were given for both video conferencing and phone call sessions. In the later technology, the only nonverbal communication was the tone of voice, and yet it still benefited clients.
The journal defines Post-traumatic stress disorder by “a sense of serious current threat, which has two sources: the nature of the trauma memory and excessive negative appraisals.” Traumatized individuals frequently have intrusive, negative thoughts about traumatic experiences and continue to see the world with a negative lens. They have a feeling of hopelessness about their future and easily triggered by daily events.
Professional organizations are rising to the challenge and providing education and support to remote mental health workers on the unique delivery of mental health through technology. Guidelines have been created by the American Psychological Society, International Society of Traumatic Stress Studies, and the National Institute of Health and Clinical Excellence, specifically targeting PTSD. Governing boards for various mental health professionals are also outlining specific legal and ethical requirements for safe, trustworthy online therapy.
According to the Psychotraumatology journal article, Telehealth’s use led to “improvements in PTSD symptoms, disability, depression, anxiety, and quality of life, and over 70% of patients recovered from PTSD (meaning they no longer met diagnostic criteria). The Journal of Family Process has reported several articles on the effectiveness of Telehealth with children, adults, couples, and families.
Therapists, offline and online, can provide education and support to (1) reduce negative reactivity in thoughts and emotions, (2) build more effective coping skills, and (3) deepen the quality of life and relationships.
These three areas are healing strategies outlined in my trauma-informed training and therapy.
The foundation for PTSD work, in face-to-face or video conferencing, is to establish a sense of safety from which to utilize these healing strategies. The client has to trust the therapist, believing he can offer some hope, create an atmosphere of security, and witness the traumatic hurt for PTSD individuals. Empathy isn’t confined to the physical space of the therapist’s office. It can exist in the relational space online as well. Facial expressions on video, tone of voice, empathic responses, and supportive comments assist the connection despite distances.
Finding a private place to have a conversation is one real-world challenge of online work. Privacy can be increased by changing locations (some of my clients go inside cars, relocating to other rooms in the house, or going outside), using headphones, and letting family members know that they can’t be disturbed hour or so. Additionally, therapists can also learn about resources in the client’s living area if referrals are needed. Homework assignments can also be used between sessions and discussed online for adolescents and adults. Parents can participate online with young children, and family members can “zoom” in from different locations at an agreed-upon time. And lastly, follow up with secure emails and text messaging can further increase the outcome of this digital therapeutic medium for PTSD.
If you are looking for a trauma therapist or someone to help you or a family member with anxiety, contact Ron Huxley today at RonHuxley.com
Be sure to take advantage of our free online resources for families during the COVID-19 Pandemic at FamilyHealer.tv
There is some interesting research on the link between depressed dads and its effects on their children. This supports much of the posts I have written on the importance of father/child bond. The research is summarized by Child-Psych.org at http://bit.ly/mvo6nu: “The current study used a nationally representative sample of fathers of one year-olds, 1,746 dads in total.
The men answered questions in four different areas: interactive play (e.g., peek-a-boo), speech and language interactions, reading to the child, and spanking. Whether or not the fathers had talked with their child’s pediatrician during the past year was also assessed. Seven percent of the fathers in the study reported being depressed during the past year. Seventy-seven percent of these dads also had spoken with the pediatrician over the past year… there were no differences between fathers that were not depressed and those that were in their reports of playing interactive games and singing songs/nursery rhymes with their children. Depressed dads were less likely to read to their one year-olds and much more likely to spank them.”
Conclusions of this study focused on the relationship between a fathers well-being and the child emotional and academic abilities later in life. As you might expect, the higher the depression in dad, the lower the functioning of the child. In addition, there is a connection between how aggressive dads were in their discipline. A higher percentage of dads spanked or acted out of anger with their children. Why do I keep harping on this topic? I want dads to be aware of and accept how vital there role is in the life of their children. I want others (moms and society in general) to be more mindful of the need to educate and support dads in this role. As men, we don’t get the same amount of formal or informal training to be parents as moms. More focus is needed for men to rise to the challenge of parenting.
In the last video of our 5-part virtual series Parent Connection Coach and Educator Ron Huxley, L.M.F.T., answers questions to assist families in building resilience and expanding their stress toolbox. #HelpingFamiliesThrive #ParentalResilience #StrongFamilies https://conta.cc/2WMJGHz
In this first video of five total video series on Building Family Resiliency we talk about how to manage anxiety in a time of uncertainty. Learn powerful tools that will help you and your children find freedom from anxious thoughts. Discover bodily-based strategies that don’t require lecture, rationalization, or complex ideas to bring peace to your life.
Get more free tools at FamilyHealer.tv or schedule a time to talk to Ron today!
Parent Connection Coach and EducatorRon Huxley, L.M.F.T., is here to help you and your family build resiliency during these stressful times.
Watch the video and learn how to: 1. Gain new perspectives. 2. Teach your children to be problem solversHelp parents become resiliency coaches and avoid power struggles. 3. Eliminate negative game playing to develop loving and cooperative relationships.
Ron Huxley has over 30 years experience helping families heal and serves as a parent coach and educator with Parent Connection of San Luis Obispo County. In his capacity as a parent coach, Ron specializes in working with families who’ve experienced trauma. He believes in taking a strength-based approach that builds on solutions and he creates strategies that fit each family situation in the shortest time necessary.
Ron Huxley is a licensed Marriage and Family Therapist providing trauma-informed therapy for individuals and families. Currently practicing on the Central Coast of California, Ron travels internationally educating parents and professionals on trauma-informed care.
Mental Health Awareness Month (also referred to as “Mental Health Month”) has been observed in May in the United States since 1949, reaching millions of people in the United States through the media, local events, and screenings.
Mental Health Awareness Month began in the United States in 1949 by the Mental Health America-organization (then known as the National Association for Mental Health). Each year in mid-March Mental Health America releases a toolkit of materials to guide preparation for outreach activities during Mental Health Awareness Month. During the month of May, Mental Health America, its affiliates, and other organizations interested in mental health conduct a number of activities which are based on a different theme each year.
Just because your children are stuck at home doesn’t mean that can’t benefit from occupational therapy or therapeutic movement. Now you can use the Coordikids Home-Based OT program. Watch Your Child’s Social Skills and Self-Control Dramatically Improve!
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How does Sensory Integration Heal Trauma?
Sensory Integration is a relatively easy way to assist trauma victims towards full recovery. Researchers have recently begun to learn more about the important link between sensory integration challenges and children who have suffered from trauma. Similar to adults who suffer from Post Traumatic Stress Disorder (PTSD), children who experience trauma early in life may be anxious or constantly concerned something bad will happen. Recognizing these children’s understanding of the world is based upon their sensory systems is an important first step in helping them to cope with everyday experiences.
A person deals with trauma using sensory processing and lower brain functions (and not with things such as rational thoughts). Therefore, responses may not be reasonable as they are driven by instinctual reminders. This knowledge can be vastly helpful in guiding treatment for young trauma victims. For example, when talk therapy is used exclusively, not all of the impacted senses are addressed. Consequently, as illustrated in a 2010 study by Kaiser et al., trauma victims show far more improvement when therapy includes sensory integration treatments. Addressing such areas of challenge both alleviate trauma symptoms and assists children in developing strategies to better manage future situations.
For children who may be struggling to manage sensory inputs, changing the intensity of the input can help immensely. For example, decreasing the volume of a video clip, lowering the level of surrounding activity or minimizing the use fabrics perceived as “itchy” or “clingy”, may help significantly. CoordiKids encourages the development of the sensory motor skills through easy-to-follow exercises that can significantly help trauma victims.