Trauma Flashcards
trauma criterium A
exposed to (near) death, serious injury or sexual violence
op welke manieren criterium a
directly experience it yourself
witnessed from others
learning about close people experiencing this
learning in depth details on and on again
type 1 trauma
acute event, happened unexpectantly
type 2 trauma
chronic exposure (job, neglect, war, child abuse)
B: intrusion symptoms
dreams, flashbacks or distress coming with triggers.
C avoidance
spreekt voor zich
D negative alterations in cognition and mood
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alterations in arousal and reactivity
-
criterium a in children
more focus on caregivers
criterium c and d in children
the same (avoidance and mood)
criterium e
is the same as d (mood and alterated arousal)
toddler symptoms
confused, separation anxiety, aggressive
primary school
attention, aggressive, worried about own and others safety
adolescents
thrill seaking, extreme behaviour, limited future
complex trauma…
no good screening for
7 areas in which complex trauma manifests
biology attachment self esteem emotion regulation dissociation regulation of behavior cognition
intervention phases
safety
stabilization and motivation
treating the trauma
sharing and bonding
stabilization first or start with trauma healing immediately?
stabilization is important because trauma treatment requires thinking about emotions etc. children cannot handle that yet after trauma.Clients need to be able to summon the courage and strength required to confront and resolve trauma and its aftermath
tegenargument: it could calm the stress system and teach the child to deal with their emotions.
preparation phase
build a relationship, build trust and security -> make them feel safe.
EMDR
denken aan het trauma, tegelijkertijd wordt een andere stimulus afgespeeld. Daardoor wordt de herinnering aan het rauma minder erg door de afleiding.
effects of the therapy
Desensitisation gives them a narrative negative -> positive emotions widens perspective growth
