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Signs of Stress and Trauma in Children

Looking Through a Trauma Informed Lens Part 2

In Part 1: Understanding Stress and Trauma we learned that stress and trauma can significantly impact children’s health, development and overall wellbeing. Trauma can influence how children interact with others and their environment. When a child experiences stress or trauma, the survival brain may be activated and take control of how the child responds. 

The problem arises when the brain is in a constant state of survival. When the survival brain is activated, the thinking brain shuts off.  During this time, the emotional brain takes cues from the survival part of the brain and goes into “danger mode”, expressing large emotional responses such as a fight, flight, or freeze. 

Long-lasting or recurring stressful experiences may prevent a child from regulating their emotions appropriately and they may fall behind in their learning and development.  What was once easy for a child to do, can become overwhelming as they try to manage their stress and learn at the same time.  Support from caring and responsive adults who can offer strategies to help a child move out of survival and emotion to thinking is important.

Common signs of stress and trauma in children may include the following:

  • Presenting as less mature than peers of the same age
  • Difficulty with transitioning to other activities
  • Difficulty regulating emotions, e.g., tantrums, outbursts, irritability, or crying easily
  • Difficulty following instructions or routines that were previously learned
  • Regression in skills previously learned, such as toileting
  • More hands-on with peers during play
  • Overly physical reactions to conflict, difficulty with problem solving
  • Easily startled
  • Difficulty focusing on tasks
  • Disruption in sleep patterns
  • Flight risk, running away or hiding
  • Loss of interest in toys and activities previously enjoyed
  • Hypervigilance or constantly on “high alert”
  • Clinging or looking for extra attention from familiar adults
  • Overly physical play, over-activity or difficulty with physical self-regulation

When a child is experiencing stress and trauma, these common signs of stress may appear as if the child is ‘acting out’.  This is because the survival brain is responding to a threat by any means necessary. The emotional brain may respond through large scale emotions.  This behavioural response is a sign or symptom of the problem, not the problem itself.

Using a “trauma-informed lens” allows adults to see that the child is stressed and the survival part of the brain is overloaded. It is important for adults to remember that children are not acting out on purpose, but in fact, they are communicating, “I’m not feeling safe and this is all I know to do to get back to safety!” The adult’s role is to support the child to move out of survival mode to thinking again. 

When using a trauma-informed lens, be a detective.

When responding to children’s behaviour through a trauma informed lens, adults act as a detectives by gathering information through observation, documentation and reflection to find ways to best help the child. This detective work is most effective when all adults in the child’s life contribute to these discussions and observations.

Start by tracking events and look for triggers.

  • Date/Time – Does it always happen on the same day of the week or at the same time of day? 
  • People involved – Is there a person the child has greater difficulty with or is calmer around?
  • What happened right before behaviour?  – Track what happened, where, with who, how and when.  Write down what was said specifically. 
  • Who? Is there a particular staff or peer that is part of the dynamic when behaviour occurs? Is there something about a person that activates behaviour?  Tone of voice? Body language? History of relationship?
  • What? What is the behaviour over? An object? An injustice? A request or opportunity that the child is wanting? E.g., A peer was playing with a toy which a child wanted, resulting in a behaviour. Was there a specific expectation given?
  • Where? E.g., Is it always outside? Always in the hallway? In the class? In circle/group activity?
  • How? How did the child express behaviour? What did it look like?Does the child run away? Fight? Refuse or protest? Shutdown and not respond?
  • When? Does the behaviour happen when it’s time to tidy up for lunch? Does it happen around rest/quiet time? Always in the morning or in the afternoon? 
  • Behaviour – What was the behaviour or action from the child?
  • Conclusion/outcome – What actions did staff take to intervene?  What was said specifically? What were the consequences, expectations, follow through? What support was given to the child?
  • Focus on skills -What skills were missing that could have made that situation successful?

By being a trauma-informed detective you can learn to notice the patterns of the child and gain valuable information that will help guide you on what to do next.  Recognizing triggers will help adult’s develop a plan to support the child more effectively.  If there is an underlying skill that the child needs to develop, adults can identify and help the child learn the skills.

Remember:

It is important to recognize the signs of stress and trauma and how the survival brain and emotional brain express themselves when triggered and overwhelmed.  Adults can support children when this occurs, by acting as detectives and tracking patterns that help to identify the underlying cause of the child’s signs or symptoms.


Written by Amanda Boyd, BA, CYC, CTP; Behaviour Consultant, Lumenus Community Services, Every Child Belongs

References:

Hughes, D.A., Golding, KS, Hudson, J (2019) Healing relational trauma with attachment-focused interventions: Dyadic developmental psychotherapy with children and families. WW Norton

Perry, B. D. (2006). Applying Principles of Neurodevelopment to Clinical Work with Maltreated and Traumatized Children: The Neurosequential Model of Therapeutics. In N. B. Webb (Ed.), Social Work Practice with Children and Families. Working with traumatized youth in child welfare (p. 27–52). Guilford Press.

Purvis, KB,  Cross DR,  Dansereau DF,  Parris SR. (2013) Trust-Based Relational Intervention (TBRI): A Systemic Approach to Complex Developmental Trauma.  Retrieved June 11, 2020 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3877861/

Siegel, DJ(2010) Mindsight: The New Science of Personal Transformation. New York, NY: Bantam Book.  Excerpt of: Hand Model of The Brain retrieved June 15, 2020 from https://www.psychalive.org/minding-the-brain-by-daniel-siegel-m-d-2/

Van Der Kolk, B., (2015)  The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. Penguin Books

Understanding Stress and Trauma

Looking Through a Trauma Informed Lens: Part 1

Stress and trauma can significantly impact the emotional wellbeing of children and influence the way they interact with others, form relationships, and engage in different environments. Exposure to repeated or long-lasting stressful situations may impact a child’s health and development.  When this happens, the brain shifts to a heightened state of survival and instead of growing and learning, focuses on survival: simply staying alive, safe and meeting basic needs.

What is stress?

Stress is a state of mental or emotional strain/tension resulting from adverse or very demanding circumstances. Stress can be associated with negative and positive experiences. 

What is trauma?

Sometimes we have experiences that are far beyond our ability to manage. These experiences, if left unsupported or experienced for long periods, can be traumatizing. Trauma is a lasting emotional response to the impact of reoccurring negative experiences associated with danger, harm, neglect and/or abuse and may persist even after the experience has ended. Feelings associated with trauma can leave lasting effects on a child’s emotional, social, physical and cognitive development, making it difficult for children to reach their full potential. 

Understanding childhood trauma and the impact this has on children’s brain function will help adults respond to the needs of children through a trauma informed lens. 

Think of the brain in three parts:

Consider the child’s brain in three parts that work together to create a child’s identity, relationships with others and responses to life’s experiences. 

  1. Survival Brain keeps us safe at all costs. It controls our instinctive responses for survival, and does so through fight, flight, or freeze responses.
  2. Emotional Brain is responsible for our emotional experience – how we emotionally assess or judge a situation and respond or engage. 
  3. Thinking Brain is responsible for rational thought and higher cognitive functions.  Examples of higher functions include:
    • concentration, organization, judgement, reasoning, problem solving, decision-making, emotional regulation, thinking before responding
    • social skills and reading social cues
    • abstract thinking and memory
    • language, empathy, and creativity

How do these parts of the brain work together?

The thinking brain is responsible for our personality, sense of humour, ability to interact, form relationships and show empathy towards others.  This helps children manage tricky situations faced in life. This thinking brain receives information from experience, analyzes and communicates this analysis to the emotional brain. The emotional brain determines how to feel and respond. If a threat is determined, the emotional brain communicates this information to the survival brain activating a survival response to the situation or experience. 

What happens to the brain when we experience stress and trauma? 

When a person experiences a stressful or traumatic experience, this threat activates the survival brain. Staying safe is typically the immediate response. For example, if there is a tiger at our door ready to pounce, we are not reviewing our shopping list in our minds; we need activation NOW, to get away and be safe.  We need our survival brain to react.  

Why is prolonged stress and trauma a problem?

The problem arises when the brain is in a constant state of survival. When the survival brain is activated, the thinking brain shuts off.  During this time, the emotional brain takes cues from the survival part of the brain and goes into “danger mode”, expressing emotional responses such as, fight, flight, or freeze. When the thinking brain shuts off, this prevents the child’s ability to store and access all of the skills needed for learning.  If the thinking brain is deactivated, we cannot use any of the skills that will help the situation and cannot learn new skills. This is especially risky for children when their learning and development is interrupted. Potential lifelong risks for children experiencing prolonged stress and trauma may include:

  • Cognitive or learning delays
  • Difficulties interacting with others and forming positive relationships
  • Emotional and self-regulation difficulties
  • Physical illnesses 

What can we do?

The brain grows through experience. If a child has learned through the experience of stress and hardship, they can re-learn through different types of experiences, such as nurturing, attentive, and caring relationships and connections.  Consistent, predictable, nurturing, and patient relationships with familiar adults can help calm a child and support them to feel safe. When this happens, they may grow and develop to their fullest potential. 


Written by Amanda Boyd, BA, CYC, CTP; Behaviour Consultant, Lumenus Community Services, Every Child Belongs

References

Brous, K. (2018) Developmental Trauma: What you Can’t See. Retrieved on June 8, 2020 from https://www.acesconnection.com/blog/developmental-trauma-what-you-can-t-see

Dowshen, S (2015)  Childhood Stress.  Retrieved on June 8, 2020 from https://kidshealth.org/en/parents/stress.html

Hughes, D.A., Golding, KS, Hudson, J (2019) Healing relational trauma with attachment-focused interventions: Dyadic developmental psychotherapy with children and families. WW Norton

Hughes, D.A., Golding, KS, Hudson, J (2019) Healing relational trauma with attachment-focused interventions: Dyadic developmental psychotherapy with children and families. WW Norton

Kirby, S (2020) Fight Flight Freeze: How To Recognize It And What To Do When It Happens.  Retrieved on June 8, 2020 from https://www.betterhelp.com/advice/trauma/fight-flight-freeze-how-to-recognize-it-and-what-to-do-when-it-happens/

Perry, B. D. (2006). Applying Principles of Neurodevelopment to Clinical Work with Maltreated and Traumatized Children: The Neurosequential Model of Therapeutics. In N. B. Webb (Ed.), Social Work Practice with Children and Families. Working with traumatized youth in child welfare (p. 27–52). Guilford Press.

Purvis, KB,  Cross DR,  Dansereau DF,  Parris SR. (2013) Trust-Based Relational Intervention (TBRI): A Systemic Approach to Complex Developmental Trauma.  Retrieved June 11, 2020 from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3877861/

Siegel, DJ (2010) Mindsight: The New Science of Personal Transformation. New York, NY: Bantam Book.  Excerpt of: Hand Model of The Brain retrieved June 15, 2020 from https://www.psychalive.org/minding-the-brain-by-daniel-siegel-m-d-2/

Van Der Kolk, B (2015) The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma. Penguin Books

Suicide and Suicide Ideation in People with Intellectual and Developmental Disabilities/Dual Diagnoses (IDD/DD)

Suicide and Suicide Ideation Play video

Presented by: Michelle Anbar-Goldstein

Michelle has a passion for the prevention of abuse, criminalization, and exploitation of people with developmental and intellectual disabilities through the facilitation of workshops, groups and educational initiatives. Michelle will be speaking about the prevalence of suicide and suicidal ideation within the ID/DD population.

Michelle will introduce Living Work’s Applied Suicide Intervention Skills Training (ASIST) program and speak to how this methodology can help to reduce rates of suicidality, both within the population of individuals served and caregivers providing supports.

Powerpoint presentation

Life after high school

Play video

A webcast facilitated by Holland Bloorview Kids Rehabilitation Hospital & ConnectABILITY.ca

Presenters: Laura Howson-Strong, Janelle Withers, Danielle D’Alessandro, Jason Maher

This workshop is geared for:

  • Families and youth/young adults between the ages of 16-26
  • Youth who are on diverse high school pathways including students taking non-credit courses, on a certificate stream, or in a special education program

Join us to explore:

  • Accessing employment supports and resources
  • Other learning options and programs
  • Related online community resources
  • Hearing from staff, families, and partners

Resources

Advocates for a Better Future

Mission

“We are a group of people from all walks of life who form a community circle of support where everyone feels comfortable and safe enough to share.

It’s a place for people with disabilities to meet new people, new friends and allies and talk about long-term solutions to issues that are important to us.

We work on educating the general public, agencies, media, and government about disabilities so that they understand us better”.

Meetings

Join us on the 2nd Saturday of each month on Zoom from 1pm-3pm!

2024 Meeting dates:

  • January 13
  • February 10
  • March 9
  • April 13
  • May11
  • June 8
  • July 13
  • August 10
  • September 14
  • October 19
  • November 9
  • December 14

We want to be a safe and supportive group. If there are barriers to you attending, let us know how we can help.

Contact

Guidelines

These Group Guidelines were made by the group, for the group. The Group Guidelines are here for you and for everyone else who comes to the group. When people follow these guidelines, Advocates for a Better Future is a place where everyone feels safe and respected.  

Each person is responsible for how they treat others. 

Everyone is expected to follow these guidelines. 

  • ABF is a SAFE and SUPPORTED space. Treat everyone how you want to be treated. Treat everyone with respect. 
  • No sexual harassment. Sexual harassment means making inappropriate sexual comments and touching without permission. 
  • Treat everyone as equals. No discrimination and bullying. Discrimination means treating someone bad because of gender, disability, race, sexuality, religion, etc. Bullying means having power over somebody physically, emotionally and mentally. 
  • Respect everyone’s culture, ethnicity and their native languages.
  • If you need support, you can ask another group member or helper for help. You can take a break if you need space. 
  • Communicate with respect. Listen to and learn from others. Respectful communication is not screaming, shouting or yelling. Wait your turn to talk and don’t interrupt. Stay focused on the group. 
  • Respect people’s privacy and confidentiality. What happens here, stays here.  
  • If someone threatens to harm themselves or someone else, we can call the police if we need to. 
  • Respect other people’s boundaries. Respect people’s body, physical, emotional space and belongings. 
  • Turn cellphones on vibrate. All calls should be made in the hall. If you are expecting an important call, let the group know before the meeting starts. For Zoom meetings, please mute your microphone to eliminate background noise.
  • If you are coming late, come in quietly. Grab some food and take a seat.

Relationship Group Peer Mentors

Meet a group of peers who help facilitate a special 4-part series of online workshops to discuss relationships and what relationships mean to them.

Meet a couple of the mentors

Andreas

Andreas

• My story
• What I am looking for
• Talking to each other
• Boundaries
• Musical

Sarah

• Sarah tells her story
• Being judged
• Being a part of the Relationship Group

Chris

• Relationships
• Barriers
• Dreams
• Friends
• Parents
• What helps
• Stop and think
• Working with RG group

Jamie

• Roommates
• Dreams
• Work
• Advice

Zachary

• Relationship Advice
• Roommates
• My dream
• Acceptance
• Being in a relationship
anthony-Julie

Julie & Anthony

• Anthony's story
• Julie's childhood
• Friends
• Employment

Kathy

• Kathy's intro
• Boyfriend
• Moving out
• The Future
• Dad

The Relationship Group is for self advocates with a Developmental disability to build safe and strong relationships. We work on safety, respect and self esteem.

This group is for anyone who:

  • Is interested in learning about healthy relationships.
  • Wants to listen and share their relationship experiences.
  • Is looking to meet up with peers.
  • Is able to attend all meeting dates
  • Is 18 years or older.

Contact us

Linda Ger Walters: lingerwalters@gmail.com or 416.716.8343
Relationship Group: relationship.group.toronto@gmail.com

Introduction to Supporting Social Skill Development in Young Children

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In this module you will learn why social skills are important, the foundations of social skill development and the first steps in supporting that development.

Empowering your Sex-Esteem

By exploring the language related to sexual orientation, gender identity and gender expression

Empowering your Sex-Esteem Play video

Presenters: Deanna Djos she/her, Sexual Health Promoter, Michelle Anbar-Goldstein she/her, MSW, RSW and Gabe Wertman-Parris he/him, Self Advocate.

Join us and learn about why we should all take the time to respect and learn everyone’s name and pronoun, celebrate self-expression and what is the importance of gender identity.

Presentation

Links to videos played during presentation

RECORDED: June 25, 2021

Children’s Services offered by Community Living Toronto

Home Management – Provides in-home behavioural, skill building and family systems consultation, including collaboration with community networks and resources to support the family.

Family Support – Coordinators work with families to build personal supports, identify, and access services/resources to facilitate the growth and development of a child living at home.

Early Childhood Services – Staff collaborate with families and other professionals to plan for services for children in early learning settings. This may include accessing specialized services and supporting the transition to school.

Youth 2 Work – Supports youth in the transition from school to work or to community activities.  Focus is on gaining employment experience, developing community networks, and increasing self-esteem.

Respite – Families have access to short periods of residential respite for children who live at home. 

Residential – Programs provide a variety of residential supports to meet the needs of the individuals who live there. We currently have specialized homes for children with Autism Spectrum Disorder (ASD) and complex needs.

Shadow Lake Camp – Residential summer camp and recreational programs for individuals ages seven and up who have intellectual disabilities.

Types of support offered

EnvironmentAgePrograms
Home2+Home Management
Family Support Coordinator
Community0-12Early Childhood Services *
14+Youth2Work
Directly Operated Programs2-18Respite
10-18Residential
variesCamp

* Families interested in finding a child care program should contact CityKids at 416-920-6543.

 * Families interested in receiving support for their child who is already attending a licensed child care program/home child care program should discuss their request with the centre supervisor who can make an online request through the City of Toronto’s request portal

647-426-3220

Download the flyer (pdf)

The Power of Choice

Welcome to a basic tips video brought to you by Aptus Treatment Centre and Mackenzie Health’s Centre for Behaviour Health Sciences. In this video, we’re going to look at the power of choice and how such a simple strategy can have a huge impact on behaviour.

This video will show you how offering choices, for many different people in various settings, can have a powerful impact on behaviour and most importantly the individual’s quality of life. Through the use of very common examples, we will show you how offering choices does not need to be difficult or complicated and can be done quite easily in your work or home setting.

These tips and tricks can be used in many different settings and we encourage you to share this video with anyone who might benefit from them.

You can also find a like to our Basic Tips Guide for more detailed information and explanations here: Tips for Dealing with Challenging Behaviour

Aptus Treatment Centre, an agency in Ontario supporting people who have developmental disabilities, has prepared this series of bilingual resources to support children, youth and adults in managing difficult behaviours. All videos are available in English and French. These videos are provided with funding from the Ministry of Children, Community and Social Services.