Monday, November 29, 2010

Child development and RAD

Above you see Maslow's Hierarchy of Needs Pyramid. It shows the order in which our needs are developed and build upon one another.  First our physical needs: food, clothing, shelter.. must be met before we can go on to the next level.

After our physical needs are met, we need to feel safe. Can we think about anything else if our lives are in danger or we are afraid? If you are stuck on the railroad tracks in your car with an oncoming train, will you sit there and read a book? Of course not, and so many of our children live with this sense of fear 27 and we want them to do "normal" activities like the other kids. Many of our children are stuck right here on this level.

Next are social needs, a need to belong, feel a part of a family, a group.  Remember, first the physical needs and need to feel safe must be met before a child can feel like they belong. We get frustrated they don't believe us. We try to prove our love over and over....maybe we need to back up and help them to feel safe first.

The next level is esteem needs. Our kids have felt rejected often not by one family but by several.  They feel it is their fault they are moved. They have an overwhelming sense of shame due to past neglect, abuse and moves. They want to love this new family but do not feel safe and can't. "What is wrong with me?" is often their inner cry which comes out "There is nothing wrong with me." I don't know how many times I have heard my boys say this. I assure them there is nothing wrong with them. They have healing hearts.  They have been told by people they are "foster kids", they were a mistake, they are trouble. I assure them they were planned by God. He has a plan for them and values them far above rubies.

The top level is self actualization. Wikipedia (who knows all things) defines this as "motive to realize one's full potential". I'm not sure any of us can actually say we do this, but many of us have it as a goal.  Our children have difficulty here, mainly because they are stuck on lower levels.  Their emotional, intellectual, spiritual, psychological development are stuck.

I don't know if this gives anyone a clearer understanding of how our kids get stuck but I like the visual for myself.

Have a healing day!

Sunday, November 21, 2010

Having a thankful Thanksgiving

Any holiday is hard for traumatized kids.  Sometimes it is memories that come flooding back of holidays past.  Those can be good or bad. Either is hard.  Sometimes it is the whole "all strong emotion goes to the flight/fright/freeze" part of the brain and produces chaotic behavior. Sometimes it is the change in schedule makes them uneasy. Changes in food effect us all. They sure do me.

So here are a few tips I've picked up over the years on getting through Thanksgiving.

Getting ready:

Don't start to soon. The further ahead the kids know the tougher it is.

Start by talking to the kids about where you are going, how long you will be there, who will be there and what will be happening. When my kids were young every time we went to any body's house their first question was "Am I going to live there now?"  Changes in homes were common place and yet terrifying to them.  Do better than "NO, you live here now." Give them "I love you and you are my son. You will live with me the rest of your childhood.  Going to grandmas' is a part of Thanksgiving." Share some of your holiday memories from your childhood.

Make a packing list and have them help with the plans. Have them help you pack too so they know you are going to stay too.  Pack some board games and take along some outdoor activities, like side walk chalk if it is warm enough.

Have them help you cook.

On the way there. Play "I Spy", listen to music and keep them busy.  Idle hands are hyper hands.

When you are there:

Do not make food a battle.  DO NOT MAKE FOOD A BATTLE.

Keep them close to your side. Play board games with them. You will be surprised when family members join in and it becomes a family activity.


Take them outside for exercise. They need to release that energy. If there is nothing to do go for a walk, take them to a park.

Be prepared for well meaning family who will want to love all over your child.  If you can prepare them ahead of time and tell them that you are still working on attachment issues with your child and that for now they should be careful about that. Some will ignore you and do it anyway. Let it go if you can't stop it. It is only for  a few days. YES you will have to repair. You will have work to do after the visit anyway. If you have to take your child to a movie, the mall or some place to get away for an hour or so.

Work out a signal. Whether touching your ear. Holding up 1 -4-3 fingers (I Love You) when your child starts to escalate to let them know you understand, you are there, but they need to come to you and settle down.

Use Time In.  Don't set your child off alone in a room if they misbehave.  Set them on the floor next to you and touch them, their should, the top of their head, hold their hand.  If they cannot calm them selves then help them by being calm and telling them I will help you calm yourself.

Keep the sleep schedule as close to normal as possible.

When you get home, go right back to the schedule, eating and sleeping habits your child is used too.  Do a lot of letting them know they are safe. Let them know that you understand that was a hard visit. Let them know that there were times when it is scary and they are safe and warm and at home with you.

It will be a tough week.  Just know if you keep it up that there will be wonderful Thanksgiving's ahead where your child will be appropriate and happy with the relatives.

Oh....And what are you thankful for??? I hope during the focus on your child you take time to think about your own life. It should not be so enmeshed with your child's that you do not know what blessings you have I am thankful for my own little family, extended family, friends old and new, our home, being done with my masters, freedom, and a warm home on cold days. I am thankful for each of you.

Have a healing Thanksgiving!!

Saturday, November 20, 2010

Weekend fun with RAD

This morning I am taking Taz to his MMA (Mixed Martial Arts) class. Later today we are taking the boys to see Red. We told them yesterday.  Then we will go to Culver's for ice cream. If it warms up we will put the Christmas lights on our house. Sound like a regular day in suburbia?  Not so long ago we would have done this all very differently. Our kids are healing.

Children wit RAD have a great deal of difficulty in extra curricular activities.  This is hard because school teachers and therapists unRAD push having your child in social activities. The only way they could handle the classes at all was if I went with them as a sponsor and that didn't work so well either. 

I would receive phone calls from teachers or coaches. Taz would not follow any rules, he was disruptive, he wouldn't keep his hands to himself, he said something inappropriate. There were a few reasons for this. Developmentally many children who have suffered trauma are stuck at the age when the trauma happened.  Think about your child's behavior and ask yourself what age you believe they most closely resemble....Then ask yourself what was going on at that time in their life. It is like putting a large 3 year old in with a group of 8 year olds and expecting success.

They do not know how to talk to the other kids. They do not know how to relate to the adults.  This is a stressful situation that cannot end well.  I finally started telling people that until Taz made some progress I felt putting him in these activities was very detrimental to his self esteem. It was intentionally putting him in a situation in which he would fail.

And now he is in MMA 3 times a week. Yes. He is.

It used to be if we were going to a family activity like a movie/ice cream we would not tell them until we were headed to the car. They would be so wild/angry/out of control that it was hard not to cancel the activity. So we just didn't tell them.  Sometimes it was tempting to not do family activities because of the chaos that would come wit it. The self sabotaging behavior.  They don't think they deserve it.  All emotion goes right to that flight/fright/freeze mode, even excitement. Before you leave for an activity tell them then OR tell them it is a surprise.  But tell them as you leave they are safe, you will be with them and that they do deserve it because they are a part of the family.

Now we told them yesterday. It is not big deal.

Healing can happen. Until then treat special kids in a special way. Don't let anyone tell you that you are not doing it right.  Protect their hearts. Keep things calm, safe and in control on your part.

It is hard but it is worthwhile.
Have a healing, fun day!

Friday, November 19, 2010

Dr. Karyn Purvis

I was not familiar with Dr. Karyn Purvis until I visited Christine at her blog yesterday and watched her videos. Dr. Purvis is the director of the Institute of Child Development.  I feel Dr. Purvis is a great example of what Nancy Thomas calls the correct combination of Grandma and Arnold Schwarzenegger. Gentle and yet strong. I love that. I am not saying I agree with all her views. I am not familiar enough with her work to say this.  But I do love the two videos on Christine's blog.

Thursday, November 18, 2010

Rolling with the Resistance

Children who have RAD are resistant.  Did that make you smile or roll your eyes? No kidding. They resist out of fear, mistrust, which comes out as defiance.

Therapists who use DDP use PACE to work with a resistant child and it will work for you too.

Playful
Accepting
Curious
Empathy

Playful:  Change the subject. Start talking about the dog, start doing some fun activity, get that brain out of the back (Flight, fight, freeze) mode and into the front of the brain with the logical thinking works. You might be surprised how easily they switch!

Example: When Taz is angry (reason doesn't matter) "Let's make some muffins". I keep muffin mixes in the cupboard that require few ingredients and he can make them easily with me along side. Or even "Look at that tree. Aren't those the most beautiful colors you have ever seen?"

Accepting: Accept whatever story your child gives you. Do not question or argue.  Roll with it.
Example: "I want to work at ___. It looks like the most fun place of all." After I have told him that place is too far from home. My response "It does look like fun." He stopped and moved on. He felt heard.

Curious:  "Could it be...... " come up with some possibilities of what "might" have  happened. Be gentle, curious and completely NOT sarcastic.  If they become defensive immediately repair.

Example: "He hit me first and I did not do anything to deserve it. So I hit him back. He did deserve it." The teacher has told you that when your child was out in baseball at recess that he walked up and punched someone on the other team who was standing off to the side.
FIRST Give the accepting response. "That must have been very upsetting. I know I'd be upset if he did that to me." "Could it be that you were really upset about getting out. Sometimes it is so hard to be out when you really want to make a point. It can make us have some big feelings that we don't know what to do with.

Child becomes angry and says "I said he hit me for no reason. I didn't do anything".
Parent: "I'm sorry if I brought those big feelings back up for you again. I hope you will forgive me."
Child: "It's OK. I might have been a little mad when I was out."
Parent:"I know I sometimes lose my temper when I am feeling sad.  Let's talk about how to handle that in away that makes you feel good about yourself."

This conversation can go back and forth for awhile with the curious parent/repairing the relationship. 

Last is
Empathy: "If this had happened to me I would have been so embarrassed (use the feeling you believe might fit your child. You are the expert on them). Some kids seem to be so good at sports and I know all of us wish we could be.. It is frustrating."

It is easy to fall back on the "What did you do? Don't lie to me." sort of mentality and it does not work with kids who feel so much shame/sadness/fear.

Give it a try. You might be happy with the results!

Have a healing day!

Wednesday, November 17, 2010

What is DDP? How do we know it works?

Dr. Daniel Hughes and Dr. Arthur Becker-Weidman are the leading proponents of Dyadic Developmental Psychotherapy in the treatment of traumatized children.  What is it? How do we know it works?

What is it?

This is a form of therapy developed in 1990.  It is attachment-focused and family centered. Dr. Daniel Hughes gives a very understandable description of DDP on his website, Dyadic Developmental Psychotherapy. Please read this material. It is vital to our children's healing.

How do we know it works?

Dr. Arthur Becker-Weidman has done to empirical studies on DDP.  We want our children to be treated with methods that are shown to be effective, reliable and valid.  Please feel free to go to his site, Center 4 Family Development to read not only his research articles but other articles on DDP.

It is a mistake to think that just because the methods our children's trauma therapist's use are not common, they may not be correct.  Long gone are the days of holding and "re birthing". 

Read the research. Be informed about your child's care.  It is empowering.

Tuesday, November 16, 2010

How You Be

It’s not “what you do”, it’s “how you be”.

by Mary-Jo Land

“What should I do when my son lies?”

“What should we do when our daughter steals?”

“What should I do when my son hurts my other son?”

These are questions parents ask frequently. Before I learned about attachment disorder and the effects of early trauma and neglect, I would talk with parents about antecedents, behaviours and consequences. We would engage in conversations with the child about what the rules are and what will happen if they are broken. This dynamic is at play in most “Western” culture families, and is reflected in our society. Our legal systems focus on negative consequences for unwanted behaviour. We use police to gather evidence, courts to examine it and judges to decide the fate of the accused ne’er-do-well. As a parent do you ever feel as though you have become the police, judge and jury when your children misbehave? When behaviour is the focus, this is likely to occur.

This cognitive behavioural approach works well with typically-developing children; children who love and trust their parents and who strive to maintain concordance with them. This is the way most of us were raised. We didn’t want to get into trouble because we didn’t want to feel our parents’ disappointment, or experience unwanted emotional distance. Our actions were governed by the internal motivation of feeling in the good graces of our parents. Any breach in that feeling of the positive, protective relationship was uncomfortable if not painful. The rules that were broken were relatively minor, and correction came quickly with natural and logical consequences. The breach in the relationship was restored. This normal repair system worked because the child with secure attachment has an intact sense of self; she believes that she is good, worthy and valued; that parents are trustworthy and well-intended and the world is a safe and interesting place.

Children with early relational trauma begin life with a basic failure of the care-giving system. As a result, they do not develop a secure attachment characterized by trust in the benevolence of the adults in their lives. Rather than basking in the knowledge that they are loved and protected by their parents, they are uncertain about or fearful of their parents. Benevolence is not assumed. Maltreatment is anticipated. Rather than an intrinsic motivation to remain emotionally close and harmonious, the motivation becomes survival of the self through independence from others. We see this as pathological or precocious self-reliance. In this way, children with attachment disorder have not had the opportunity to learn to want to be acceptable to the primary care giver.

Another aspect of this dynamic is the child’s need to avoid their own inner life. How can he examine feeling scared, rejected and shameful when he feels alone and without help to do that? Without the ability to reflect on his own inner life, he struggles for any understanding of the inner life of others (Theory of Mind). Affective and arousal dysregulation are common-- and frightening—experiences. Children with traumatic relational experiences often feel out of control. When a behavioural consequence is administered to a child who is out of his own control, the child may feel unjustly and unfairly punished because they did not consciously intend nor premeditate the misdeed. For some children though, punishment may be sought out as a way to have the parent see the “bad child” that the child believes he is. If punishment is given while the parent is angry or upset (frightening), the child is reinforced in his belief that parents are malevolent; and the attachment disorder is supported.

One more reason why behavioural methods are not effective for children with disorders of attachment is that rewards and consequences are conditional on behaviour. The positive regard from parent to child is felt by the child to be conditional. In other words, “I know I am bad. My parents reward me when I am good, but deep down I know I am bad and not really worthy of a reward. They don’t love me when I am bad so that proves I am unloved / unlovable.” Parenting children with relational trauma requires therapeutic parenting. Providing your child with unconditional positive regard (not just love) is essential to gradually growing the seeds of a positive sense of self. This is about accepting your child as he or she is (while not permitting your child to do as he likes). Consistent unconditional positive regard for your child in the face of obnoxious or violent behaviour is one of the keys to reducing the deep shame the child feels. As you remain open, kind and calm in the face of your child’s dysregulation, she learns that no matter what, you accept the worst she has to give; the smeared feces, the broken lamps, the urine on the carpet, the terrorized dog and the disgruntled neighbours. As she experiences your love of the “bad child” whom she knows she is, along with the good child you want her to be, she can begin to trust that you won’t leave her, hurt her, or shun her. Because you pay attention, care, understand and accept her, her shame has a place to heal.

So when parents ask “What do I do?” I reply, “Create physical and emotional safety. Be calm. Be kind. Be accepting.” Connect heart to heart with your child by staying close. Be wise and confident as you reflect her feelings so she can learn to understand them. Talk about what happened only when your child is calm and able to listen. Work out what to do (repair, give restitution, reconcile) only after your child’s emotions and behaviour have re-stabilized through your positive regard. Natural and logical consequences need to be short and occur when the child is calm and hopefully, willing. Parents of children with attachment disorders should not expect to change behaviour but to teach that limits can be safe and not shaming. The change in behaviour will occur through the process of the development of attachment as the child’s shame is reduced and self-regulation develops. Emphasis needs to be on relationship repair not punishment. Try to end the event with you and your child feeling as close as or closer than when it began. If fact, it isn’t over until you are.

I want to make sure, if you didn't notice at the top of the page, that you see that this article was written by Mary Jo Lund.

Thursday, November 11, 2010

Facing Your Giants


I am reading Facing Your Giants by Max Lucado.  It is very helpful in parenting my kids. It is very helpful in dealing with life.

The book talks about the giants in your life whatever they may be. Those situations that look huge, scary and unconquerable. It is an easy quick read. Each chapter is only a few pages.

It is relative to parenting the hurt child. It is relative to fighting battles each day.

Have a healing day.

Tuesday, November 2, 2010

Defensiveness

I find that one of the things that really gets in my way is my own defensiveness. Teddy is always on the defensive himself. Always looking for danger. The world is his scary place.  So how does a person who thinks they are in grave danger behave? As though  their very lives are at risk.

He does not trust. He is angry because anger feels stronger than fear. He gives short sharp answers. Is sarcastic and unkind.

It is easy to become defensive myself.

Kind answers turn away wrath.  When Teddy makes himself a peanut butter and jelly sandwich he leaves a mess on the counter of crumbs and jelly.  Instead of rolling my eyes and saying something defense myself a simple, pleasant "Could you wash the counter when you are finished please?" Gives me back a pleasant "Sure."  Should I have to tell an 18 year old to clean up after himself? Probably not. But I can set the atmosphere in the house. 

The old adage "If mama ain't happy ain't nobody happy." comes to mind. Don't feed the fear. Don't validate the feeling he is not safe.  Angry eyes, a set jaw and snappy answers do just that.

I find that in providing a healing home the biggest battle lies within me.