When it is chronic and untreated, adverse events can become toxic stress and severely impact individual health, social and cultural structure, and economic stability.
Trauma affects everyone and has known no boundaries. It affects children and adults from all socioeconomic and ethnic backgrounds. It is one of the common denominators for individuals receiving services from social services organizations, and its structural disorganization shows up in correctional institutions, jails, schools, hospitals, and the workplace.
According to the Substance Abuse and Mental Health Services Administration (SAMHSA), “individual trauma results from an event, series of events, or set of circumstances experienced by an individual as physically or emotionally harmful or life-threatening with lasting adverse effects on the individual’s functioning and mental, physical, social, emotional, or spiritual well-being.” [https://www.integration.samhsa.gov/clinical-practice/trauma-informed]
The upside of recognizing the commonality of adversity and toxic stress causes us to respond compassionately to ourselves and others!
This continual horror, triggered by events in the individual’s world, leads to a nervous system shutdown that has repercussions in the ability to read and express social cues, access executive brain skills, and find motivation or purpose in life. For researchers like van der Kolk, the body is key to understanding trauma treatment. This insight into toxic stress opens the doors of hope to helpers burdened by the cold cognitive concepts consisting of thought processes alone.
Recognizing the body’s role on the mind and the mind on the body has opened the door to new therapies that allow for deeper healing!
Get more healing for you and your family with Ron Huxley’s online courses at FamilyHealer.tv or schedule a session with Ron today.
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
Through audio and video over the internet, you can meet with your clinician on-the-go from your desktop, laptop, tablet, or mobile device (iOS or Android) – it’s your choice!
Telehealth allows us to connect anywhere with secure and convenient appointments that save you time and hassle. There’s no need to deal with traffic when you can schedule and attend your appointments directly from a laptop or mobile device.
To participate in Telehealth appointments from your home, you will need one of the following devices:
Desktop computer with a webcam, speakers, a 2.5 GHz processor, and 4 GB of RAM OR
Laptop computer with built-in webcam and speakers, a 2.5 GHz processor, and 4 GB of RAM OR
Tablet device with built-in webcam and speakers, OR
Smartphone with at least iOS 10 or Android 7.0 (Note: To use a smartphone, you must first download Telehealth by SimplePractice – available for iOS or Android in the app store.)
You will also need an internet connection that is at least 10mbps. For optimal results, a reliable, high-speed internet connection with a bandwidth of at least 10 mbps will minimize connection issues and provide the best quality.
Note: We recommend using the Pre-call Tool to check your internet connection.
The day of the call
Using a desktop or laptop computer
If you plan to use a desktop or laptop, there is nothing to download prior to your appointment. Here are the steps to join:
Approximately 10 minutes before your appointment, you’ll receive an email appointment reminder.
Note: If you have already consented to receiving text and/or email reminders, you will continue to receive them for Telehealth appointments as well. For new clients, make sure you have provided your email and or mobile phone number so that I can enable email or text reminders.
Click the unique link embedded in the reminder. You may have to copy and paste the link into your web browser if clicking the link does not work. Your video call screen will now open in a new tab.
If I have already joined the call, you will see my face on the screen. If I have not, you will see yourself, as shown below.
You will also see the Welcome prompt. Click Play test sound to test the your camera and microphone settings.
When you are ready, click Join Video Call. This will take you straight into the video call.
Using a smartphone or tablet
If you plan to use a mobile device, here are the steps to join:
Download Telehealth by SimplePractice (for iOS or Android) in the app store. Approximately 10 minutes before your appointment, you should receive an email appointment reminder.
Open the reminder email on your device and click the unique link. This will open the Telehealth by SimplePractice app.
If I have already joined the call, you will see my face on the screen. If I have not, you will see yourself.
When you are ready, click Join Video Call. This will take you straight into the video call.
Note: There may be a slight delay for me to join the appointment if I am finishing with a previous appointment. Please be patient and I will join momentarily.
Tips for success
I recommend joining the video appointment a few minutes early to test your settings.
If you can connect to the Internet, but are having trouble joining the video, you can use our recommended Pre-call Tool.
To use a smartphone to join a video chat, you must first download the Telehealth by SimplePractice app available in the app store for iOS or Android.
If you need to cancel or have questions about the appointment, please contact me.
Trauma impacts the brain and body. Our sensory system can become dys-regulated and dys-integrated due to toxic stress and trauma. The result may be sensory processing problems that look like other mental health disorders but are really just trauma. This video will look at the four A’s of treatment and how trauma affects our senses. Get more info at FamilyHealer.tv or schedule a session today.
Ron Huxley can provide your organization or event with trauma-informed trainings on a variety of topics, tailored to your specific group. Click here for more…
All families experience trauma differently. Some factors such as the children’s age or the family’s culture or ethnicity may influence how the family copes and recovers. After traumatic experiences, family members often show signs of resilience. For some families, however, the stress and burden cause them to feel alone, overwhelmed, and less able to maintain vital family functions. Research demonstrates that trauma impacts all levels of the family:
■ Families that “come together” after traumatic experiences can strengthen bonds and hasten recovery. Families dealing with high stress, limited resources, and multiple trauma exposures often find their coping resources depleted. Their efforts to plan or problem solve are not effective, resulting in ongoing crises and discord.
■ Children, adolescents, and adult family members can experience mild, moderate, or severe posttraumatic stress symptoms. After traumatic exposure, some people grow stronger and develop a new appreciation for life. Others may struggle with continuing trauma-related problems that disrupt functioning in many areas of their lives.
■ Extended family relationships can offer sustaining resources in the form of family rituals and traditions, emotional support, and care giving. Some families who have had significant trauma across generations may experience current problems in functioning, and they risk transmitting the effects of trauma to the next generation.
■ Parent-child relationships have a central role in parents’ and children’s adjustment after trauma exposure. Protective, nurturing, and effective parental responses are positively associated with reduced symptoms in children. At the same time, parental stress, isolation, and burden can make parents less emotionally available to their children and less able to help them recover from trauma.
■ Adult intimate relationships can be a source of strength in coping with a traumatic experience. However, many intimate partners struggle with communication and have difficulty expressing emotion or maintaining intimacy, which make them less available to each other and increases the risk of separation, conflict, or interpersonal violence.
■ Sibling relationships that are close and supportive can offer a buffer against the negative effect of trauma, but siblings who feel disconnected or unprotected can have high conflict. Siblings not directly exposed to trauma can suffer secondary or vicarious traumatic stress; these symptoms mirror posttraumatic stress and interfere with functioning at home or school.
Download the complete fact sheet at http://TraumaToolbox.com and learn more practical tools on how to have a trauma-informed home. Contact Ron Huxley today to set up a therapy session or organize a seminar for your agency or event at email@example.com / 805-709-2023. You can click on the schedule a session link now on the home page if you live in the San Luis Obispo, Ca. or Santa Barbara, Ca. area.
There is a common problem in social work and mental health today in trying to label people who have experience trauma. The reason for this is that trauma can impact the brain and the body in a way that produces a wide-range of symptoms that can be confusing to understand.
Most professionals are not “trauma-informed” meaning they haven’t received training on how trauma affects every area of human functioning or how to treat the whole person. Trauma, particularly the adverse experiences endured in early childhood, that can result in coping mechanisms that mimic criteria of various clinical diagnoses.
What are some of the labels you have heard placed on traumatized children or adults?
and many more…
In addition to a lack of trauma awareness, we are all “meaning-seeking creatures” that want to label everything so that we can feel better about ourselves and our world. Unfortunately, it can do a lot of damage to the people we are labeling. If we label incorrectly, we will treat them incorrectly. This is might also be why so many survivors appear to “sabotage” their success. It isn’t a real desire to ruin their life. They need sensitive professionals and parents who understand how to deal with the root, trauma issues.
Fortunately, there is a national movement to train parents and professionals, who work with traumatized children, to become more “Trauma-Informed.” This movement is reaching out to homes, school, and organizations and explaining “What is trauma?”, “Impact of Trauma on the Brain, Behavior and Health”, “Adverse Childhood Experiences”, “Power of Resilience”, “Regulation Skills”, “Dissociation”, “Mindfulness and Compassion”, “Recognizing Signs and Symptoms of Trauma in Children”, “Attachment Disorders”, “Post-traumatic stress and Post-trauma Growth”, “Trauma in the Community”, “Avoiding Re-traumatization in Survivors”, “Trauma-Sensitive Schools”, “Faith-Based Approaches to Trauma” and more.
The focus of these training efforts is shifting the primary question inherent in treatment plans, screenings, programs and polices from asking “what is wrong with you” to “what has happened to you”.
This paradigm shift starts the dialogue with survivors, humanizes our practices and helps traumatized children and adults on how to find true healing.
If you would like Ron to train your organization on Trauma-Informed Care, contact him today at 805-709-2023 or email at firstname.lastname@example.org.
The other side of toxic stress and trauma is resiliency. We can build resiliency skills in our homes, schools, and the community-at-large. Trauma-informed care asks us to make a paradigm shift in our approaches from asking survivors “what’s wrong with you?” to “what happened to you?”. The latter creates safety and respect in our programs and procedures with traumatized children, women, and men.
Learn the six key principles of SAMHSA (Substance Abuse and Mental Health Services Administration): Safety, Trustworthiness, Peer Support, Collaboration, Empowerment, and Cultural Awareness.
Individual strengths of the survivor should be build on, expanded, and celebrated. Together the individual, organization, and community can heal together.
We must move beyond cultural stereotypes and biases and recognize and addresses historical trauma.
These principles lead to the development of the 4 R’s: Realize the impact of trauma, Recognize the signs of trauma, Respond in policies, practices and procedures, and ultimately, to Resist retraumatization.
What does this look like in your organization or business? Get helpful quizzes, handouts, checklists more at TraumaToolbox.com
PTSD (posttraumatic stress disorder) is a mental health problem that some people develop after experiencing or witnessing a life-threatening event, like combat, a natural disaster, a car accident, or sexual assault.
It’s normal to have upsetting memories, feel on edge, or have trouble sleeping after a traumatic event. At first, it may be hard to do normal daily activities, like go to work, go to school, or spend time with people you care about. But most people start to feel better after a few weeks or months.
If it’s been longer than a few months and you’re still having symptoms, you may have PTSD. For some people, PTSD symptoms may start later on, or they may come and go over time.
Who Develops PTSD?
Anyone can develop PTSD at any age. A number of factors can increase the chance that someone will have PTSD, many of which are not under that person’s control. For example, having a very intense or long-lasting traumatic event or getting injured during the event can make it more likely that a person will develop PTSD. PTSD is also more common after certain types of trauma, like combat and sexual assault.
Personal factors, like previous traumatic exposure, age, and gender, can affect whether or not a person will develop PTSD. What happens after the traumatic event is also important. Stress can make PTSD more likely, while social support can make it less likely.
Although there are a core set of PTSD symptoms that are required for the diagnosis, PTSD does not look the same in everyone. In addition symptoms may come and go and may change over time from childhood to later adulthood.
Avoidance Avoidance is a common reaction to trauma. It is natural to want to avoid thinking about or feeling emotions about a stressful event. But when avoidance is extreme, or when it’s the main way you cope, it can interfere with your emotional recovery and healing.
Trauma Reminders: Anniversaries On the anniversary of a traumatic event, some survivors have an increase in distress. These “anniversary reactions” can range from feeling mildly upset for a day or two to a more extreme reaction with more severe mental health or medical symptoms.
Trauma Reminders: Triggers People respond to traumatic events in a number of ways, such as feelings of concern, anger, fear, or helplessness. Research shows that people who have been through trauma, loss, or hardship in the past may be even more likely than others to be affected by new, potentially traumatic events.
Aging Veterans and Posttraumatic Stress Symptoms For many Veterans, memories of their wartime experiences can still be upsetting long after they served in combat. Even if they served many years ago, military experience can still affect the lives of Veterans today.
Very Young Trauma Survivors Trauma and abuse can have grave impact on the very young. The attachment or bond between a child and parent matters as a young child grows. This bond can make a difference in how a child responds to trauma.
PTSD in Children and Teens Trauma affects school-aged children and teenagers differently than adults. If diagnosed with PTSD, the symptoms in children and teens can also look different. For many children, PTSD symptoms go away on their own after a few months. Yet some children show symptoms for years if they do not get treatment. There are many treatment options available including talk and play therapy.
History of PTSD in Veterans: Civil War to DSM-5 PTSD became a diagnosis with influence from a number of social movements, such as Veteran, feminist, and Holocaust survivor advocacy groups. Research about Veterans returning from combat was a critical piece to the creation of the diagnosis. So, the history of what is now known as PTSD often references combat history. * Source: