Your Family Ancestry – Awareness of Trans-Generational Trauma Facilitates Resilience

Trans-generational Healing and Your Family Ancestry

We are all aware of the impact of stressful or traumatic events in our lives such as the death of a loved one, facing a life-threatening illness, or unexpected job loss. Most of us acknowledge that even positive events such as the birth of a child or a move into a new home can also be stressful. However, what about the invisible threads of stress that can linger from the family generations that preceded you? Research on trans-generationalย healing suggests that attending to your family stories enhances emotional health and facilitates resilience in both adults and children.

family ancestry

What is Trans-Generational Trauma?

Family systems theory has long understood that the relational, behavioral, and emotional patterns across generations provide a broader understanding of us as individuals and our children. Trans-generational trauma refers to the ways that trauma gets transferred from one generation to another either directly or indirectly. Unresolved trauma of one generation is a legacy thatย can beย passed down to the next generation.

yelling-parents-hurt-kidsParents will often say โ€œI donโ€™t want to hover over my children like my mother did and Iโ€™m doing it anywayโ€ or โ€œI donโ€™t want to yell at my kids the way my father did but I find myself saying the same words sometimes!โ€ย  Why do we repeat painful emotional and behavioral patterns across generations? According to neuroscience, we all have implicit memory systems that hold our experiences of the past in the form of images, sensations, and emotions. The facial expressions, voice tone, and how you felt in your body as a child are readily accessible as you parent your child across similar situations and developmental stages.

Trans-Generational Awareness and Resilience

Research affiliated with Emory (Dr. Goodman) and George Mason Universities (Dr. Duke) indicated that assessment and awareness of trans-generational stories facilitates resilience. This was explored after 9/11 and Katrina with results suggesting that individuals who knew more about their family ancestry were better able to manage the effects of traumatic stress. Individuals with an internal narrative about the ups and downs of their family history show the greatest resilience. Hereโ€™s an example from our familyโ€™s story shared across generations:

grandma and grandchild family storyYour grandfather grew up on the family farm as one of fourteen children. He was born during the great depression and was the youngest child. Life was not easy but he worked hard, went to college, and had his own family. When your grandpa was nine he had an illness that left him with health problems but he was helped by his sister and had a surgery that extended his life for many more years. Your grandparents were great parents who raised three strong boys before your grandfather died. One of our familyโ€™s saddest times was when your uncle died unexpectedly. But no matter what we always stuck together as a family.

In the โ€œDo You Knowโ€ study from Emory University, researchers asked children questions like: Do you know where your grandparents grew up? Do you know of an illness or something really terrible that happened in your family? Do you know the story of how your parents met? Do you know about lessons your parentโ€™s learned from good and bad experiences? The results indicated that children with greater knowledge about their family history were shown to have higher self-esteem, emotional health, and happiness!

One of the questions in the Emory University study asked children if they know about a relative whose face โ€œfrozeโ€ in a grumpy position because he or she did not smile enough. Talking about aunt so-and-soโ€™s bitter and hardened face might actually helpย children trust the internal responses they are having. We might even go so far as to compassionately speak about her losses and hardships. When parents speak the truth, children are validated and their emotional intelligence is supported. looking at photos

Further research even indicates a boost in cognitive performance related to active reflection on family history. ย In an Austrian study, entitled โ€œThe Ancestor Effect,โ€ university students asked to think about their ancestral โ€œrootsโ€ produced higher scores on problem solving and intelligence tests when compared to students thinking about random historical events.

Trans-Generational Healing

The more that we know about our history, the greater choice we have about how we respond to stressful life events and triggering parenting moments. ย Take the time to reflect on the influences and experiences you bring from your past.

photo (11)

Trans-Generational Healing – A loving connection between my mother and my daughter

In my family, my mother and her mother had a highly strained, painful relationship that ultimately resulted in them having little contact. My motherโ€™s father died before I was born and I did not have an active relationship with my maternal grandmother. Despite having a close relationship with my own mother, I have long felt the shadow of my motherโ€™s ambivalent relationship with her mother. As an adult, I have explored the influences of my motherโ€™s and grandmotherโ€™s past in my own psyche. When I became a mother to my daughter this maternal lineage dynamic amplified. No longer could I ignore the whispers of the past. When I actively turn toward the traumas caught in the branches of my family tree, I ultimately feel freer. I believe that I am not only freeing myself and my children, but that the unwinding of trauma extends into the past as well, allowing all to benefit.

Bringing the Ancestor Effect Home

Family traditions develop through repeated and repeatable events that are consciously chosen to mark time such as mealtimes, holidays, birthdays. Part of bringing the Ancestor Effect into your home involves actively tying the stories of the past into your present-day traditions. Family members only one and two generations ago have had to face personal and societal problems such as illness, wars, and economic declines. Thinking of the resilience in the generations before us highlights our capacity to overcome the adversities of this generation. Bringing family ancestry into your home might include:family meal

  • Taking time to reflect on the generations before you (both those living and deceased) including their hardships and accomplishments.
  • Making a family tree and researching your roots.
  • Framing and making visible photos of your ancestors.
  • Taking a moment of gratitude for those that provide the foundations of your life today.
  • Developing your own family traditions that help strengthen your family identity

A family tradition in my childhood home was to engage in a check-in at the dinner table. We have evolved this in our present-day home by having a dinner table โ€œhi-loโ€ conversation.ย  Each member gets a turn to share a positive moment from their day as well as a challenging or painful moment. When discussing a hardship we also explore ways of overcoming the hardship and what can be learned from the experience. ย 

Trans-Generational Healing and Resilience Informed Psychotherapy

Whether working with an individual adult, a family, or a child there are benefits to tracking intergenerational patterns in therapy. Therapeutic interventions that illuminate your ancestral roots can provide insight into symptoms and diagnoses, can reveal invisible barriers to life goals, and can guide the healing process. I have a deep reverence for stories and their capacity to either bind us or free us depending on how they are told. As a clinical psychologist, my passion is in strength-based and resilience-informed psychotherapy. Should you need support, it is truly an honor to guide you through your own trans-generational healing.

Further reading:

 

About Dr. Arielle Schwartz

Meet Dr. Arielle Schwartz

Dr. Arielle Schwartzย is a licensed clinical psychologist, wife, and mother in Boulder, CO. She offersย trainings for therapists, maintains a private practice, and has passions for the outdoors, yoga, and writing. Dr. Schwartz is the author ofย The Complex PTSD Workbook: A Mind-Body Approach to Regaining Emotional Control and Becoming Whole. She is the developer of Resilience-Informed Therapy which applies research on trauma recovery to form a strength-based, trauma treatment model that includes Eye Movement Desensitization and Reprocessing (EMDR), somatic (body-centered) psychology and time-tested relational psychotherapy.ย Likeย Dr. Arielle Schwartz on Facebook,ย follow her on Linkedinย and sign up for email updatesย to stayย up to dateย with all herย posts.

EMDR treatment for PTSD in Children – Case Study

Billy’s Story* How EMDR can Change your Child’s Lifechild in thought

*Billy is not an actual person, but a composite of several patients Dr. Schwartz has seen over the past several years. Identifying details have been changed to protect their privacy. The treatments and outcomes are real.

Phase 1 โ€“ Taking a In-Depth History

Billy is a 7-year-old boy in first grade. I met with hisย parents for the first session and received a thorough history of Billy’s life. I learned thatย his mother had no complications duringย his pregnancy and birth.ย They shared that he had no known cognitive or social delays.ย When asked why there were bringing him into therapy at this time, theyย stated thatย over the last 4 months Billy was fearful going to sleep at night and he was increasingly anxious separating from his parents during his transitions to school. When asked about significant historical events,ย his parentsย stated that when Billy was four his father had been in a car accident and had been in the hospital for about 2 weeks following the accident. Billy and his mother were at home at the time and did not witness the accident but his parents wonder about the impact this accident may have had on Billy.

In order to provide the foundation for successful EMDR treatment for PTSDย in children, it isย necessary toย take the time to develop an in-depth history. Iย willย generally meet with parentsย first without the child present to inquire significantย life events, family systems dynamics,ย birth andย developmental milestones,ย medical issues, and social and/or cognitive concerns.ย It is important to for me to understand whatย are your concerns and goals of therapy. I also want to hear about the strengths of your child so that we can build on what is already working.

Phase 2 โ€“ Preparation for EMDR

My first meetings with Billy introduced him to my office, allowed us to get to know each other, and gaveย me an opportunity to learn about him through conversation and play. As we continued to get to know each other I shared that this is a place where he can talk aboutย his feelings.ย ย To start, we talked about the times and places where he feels calm and safe. Billy brought his stuffed animal in to sessions and we introduced EMDR to his bear. He liked how the “buzzers” felt in his hands. We practiced exercises that Billy can do at home when he feels scared or angry and worked together to find a list of his calming activities for home and school.

As we prepare for EMDR therapy,ย I work with your child to build a tool kitย thatย helps him orย herย better manage big emotions.ย We develop a set of “resources” that your child will use when we get into the “yucky” feelingsย that can come upย whenย processing aย scary event.

Phase 3 โ€“ Assessment and Setting an EMDR Target

Now that Billy is comfortable with coming into therapy, we start to talk aboutย theย “scary” feelingsย he hasย when he goes to bed, has nightmares, or leaves for school in the morning. Billyย didn’t want to talk about his feelingsย butย preferred to draw them.ย When askedย what he was most afraid of, he shared that he was afraid that something mightย happen to his parents while he was at school. He drew a picture ofย his momย crying and his dad lying on the ground.ย He said it felt very yucky and drew a picture of himself crying too.

At this point in EMDR treatment forย PTSD in children I will start with the symptom that is bothering your child. In Billy’s case, we worked with his fearfulness when going to school. While I had not directly brought up the accident that his father had his drawings indicated that his fearfulness may be connected. I shared this information with his parents and encouraged them to talk to him about the event. Inย the nextย session, Billy was able to talk about how his dad had a big, scary accident and that he was scared that something like this might happen again.

Phase 4 โ€“ Desensitizationย ย 

I asked him to draw a picture now of how he feels when he thinks of dad’s accident. photo 2 (3)He drew two cars hitting each other and mom and him crying. Using bilateral buzzers that Billy could hold on to he focused on the “yucky feelings” in his body. Billy squeezed the buzzers tight and scrunched up his face. I reminded him that he can have these big feelings and still be OK. After a little while I gave him a new piece of paper and had him draw how he felt now. This time the drawing changed; his mom and he were hugging and he put a doctor next to his dad. We continued to alternate between buzzer timeย and drawings, and each time he shared that it didn’t feel so scary anymore. Eventually, he drew a picture of he and his parents hugging and smiling. He was smilingย at meย too, and got up to do a victory march saying that he felt better.

By using bilateral stimulation, we rhythmically alternate between the two hemispheres of the brain while thinking about a scary event. We know that trauma is primarily stored in both the limbic or mid-brain and in the right hemisphere of the brain. However, we need our entire brainย and bodyย to process traumatic events so that the feelings and memories from the pastย can beย resolved. Desensitization of a target can occur in a single session or across multiple sessions but often kids process single event traumas quickly when given the right support.

Phase 5 โ€“ Installationphoto 1 (3)

Billy was able to think about theย accident and feel better but our work wasn’t done yet.ย ย Now, I asked Billy to think about going to school in the morning. At first he said that he was still afraid to leave. When I asked him how he would like to feel he said, I want to feel strong and powerful. I asked him to draw a picture of himself feeling powerful. He drew himself standing on a stage holding a gold medal.ย I had him imagineย his mother dropping him offย at schoolย while he looked at his “powerful” picture. Weย used the buzzersย several times until he said theย it feltย true!ย We repeated this process with him going to bed at night too.

During the Installation Phase of EMDR treatmentย for PTSD in Children, Iย inviteย a childย toย strengthen the positive beliefs andย feelings and to connect these back to the present lifeย challenges. In Billy’s case, he felt more confident that he could go to school andย separate fromย mom and dad during the day and expressed greater confidence that he could approach themย his new found sense of capability.

Phase 6 โ€“ Body Scan

I gave Billy a flashlight and asked him to imagine that he could shine into the top of his head. I asked him to check inside of his body to see if there is any leftover “yucky” feelings. He said there was just a little bit so we stood up and shook them out. We laughed!

We use the body as a gauge to verify the successful completion of the EMDR process.

Phase 7 โ€“ Closure

Before leaving the session, I invited Billyย to think about his calm place and we took a few deep breaths.

Closure is essential to successful treatment in that it allows the challenging work of desensitization to be contained between sessions. When a child still has distress at the end of a session we have a practice to help put them away between sessions. I inviteย a child toย drawย a box or we make it with a shoebox so that the “yucky” thoughts, feelings, and memories can stay in a safe place until next time.

Phase 8 โ€“ Re-evaluation

In the following session, I asked Billy’s parents and Billy to tell me about his week. I learned that Billy had a much easier time going to school in the morning but he was still scared to go to bed by himself. This let me know where to focus next.

The purpose of re-evaluation allows us to assess the effectiveness of the treatment and address and residual or unresolved feelings.child running

Inย Billy’s case EMDR was a very successful treatment of choice. While it is not for everyย child, EMDR has been well researched and is considered an evidenced based trauma treatment for PTSD in children. Depending on the age and maturity, some children respond better to non-directive play therapy approaches and others respond well to a combination of EMDR and Play Therapy.

Further Reading:

About Dr. Arielle Schwartz

Dr. Arielle Schwartz Complex PTSD, EMDR Therapy, Somatic Psychology

Dr. Arielle Schwartzย is a licensed clinical psychologist, wife, and mother in Boulder, CO. She offersย trainings for therapists, maintains a private practice, and has passions for the outdoors, yoga, and writing. Dr. Schwartz is the author ofย The Complex PTSD Workbook: A Mind-Body Approach to Regaining Emotional Control and Becoming Whole. She is the developer of Resilience-Informed Therapy which applies research on trauma recovery to form a strength-based, trauma treatment model that includes Eye Movement Desensitization and Reprocessing (EMDR), somatic (body-centered) psychology and time-tested relational psychotherapy.ย Likeย Dr. Arielle Schwartz on Facebook,ย follow her on Linkedinย and sign up for email updatesย to stayย up to dateย with all herย posts.

Raising Resilient Children – Dr. Arielle Schwartz

Are Children Naturally Resilient?

Dr. Arielle Schwartz raising resilient children

We want to trust our childrenโ€™s capacity to handle lifeโ€™s difficulties and swe do not want to over-protect them. If we, as parents, jump in too quickly to solve problems for our children we may hinder their ability to develop their own problem solving skills. As children learn how to solve problems, they develop their capacity to be creative and realize they have an impact in their world. The world we live in is not always safe and kind and we need to have confidence that our children can ultimately handle this imperfect world.

However, when children have faced an overwhelming life event they often need help processing what they have seen and how they feel. When a child faces stressors or challenges, we do not want to over-estimate their ability to handle it on their own. The consequence of not supporting children to process traumatic events may be a loss of creative, intellectual, or social potential.

“Ideally, we giveย children the rightย amount of independence and challenge balanced with sufficient support and safety.”
-Dr. Arielle Schwartz

Continue reading

Parenting a Child with Dyslexia – My Story

My Story of Raising a Child with Dyslexia

Demystifying the early signs of Dyslexia is challenging and navigating treatment options can be overwhelming. As a parent of a dyslexic child and a psychologist, I know the challenges that are familiar among families raising a child with a learning disorder. Dyslexia is confusing, painful, hidden, and real. Through the lens of my journey raising my son, this post explores how awareness, resilience, creative responsiveness, and early interventions can make a huge difference in the life of a child with dyslexia.

child with dyslexia

Early Signs of Dyslexia

Our son had been already been identified with Child Find at 18 months for Sensory Processing Disorder and speech language delays. By the time he was 6 we had already received years of interventions from speech pathologists and occupational therapists. There was something else wrong that we were missing.

In pre-school, he was the child who never sang his ABCโ€™s. In kindergarten, he never remembered the days of the week.ย  And, by the time he was in first grade he told me he was โ€œstupidโ€. Every day, after school, he brought home his โ€œreaderโ€. He was at level โ€œCโ€ but the other kids were at โ€œJโ€ and โ€œKโ€. He said, โ€œthe other kids can do something I canโ€™t, mom.โ€ As a six-year-old boy, he was smart enough to know that something wasnโ€™t right. I listened.

The Raw Truth about Parenting a Child with Dyslexia

dyslexia 2We sat down side by side on the couch so he could read to me; that was his only first grade homework, 15 minutes of reading a day. But my son had stories to tell so I listened to those first and he closed his book. Then I would open his book and he would yawn and say he was tired or suddenly have so much energy he would jump off the couch and run around the living room. I corralled him back to the couch, โ€œI want to read in my room, instead.โ€ We get comfy upstairs but the avoidance behaviors continued. ย Then we would finally break down a word, โ€œhis,โ€ โ€œthe,โ€ or โ€œwhat.โ€ Success! However, the same word was on the next page and we would have to start over, every time. ย It was nearly impossible to remain patient. We would melt down in frustration, tears, and anger. Was he just being defiant? Couldnโ€™t he just try a little harder? I had already been through early reading stages with my older child and it wasnโ€™t like this.

Identifying and Demystifying Dyslexia

By mid-year of first grade we had my son tested by a neurons 3neuropsychologist whose testing supported our experience.ย  What I loved about having my child tested was the ability to see his strengths as well as his challenges. He is very smart, has visual-spatial strengths, has an extraordinary memory, and generally is a delight to be around. He has Dyslexia. ย He didnโ€™t have the neurological capacity to develop meaning associated with the symbols that are the basis of letters, phonics, words, and language itself. Until this point, I had taken for granted how we learn to read.

Shortly after my son was given his diagnosis I sought out opportunities to educate myself as his parent. ย I heard Jonathan Mooney (author of The Short Bus: A Journey Beyond Normal) speak about his journey from a dyslexic, 6th grade drop-out to international speaker and published author. I took my son to watch the movie โ€œThe Big Picture: Rethinking Dyslexia.โ€ at a local sold out showing. We looked around the theater with over 500 attendees and I said, โ€œAll of these people are here because they either have dyslexia themselves or love someone that does.โ€ย  After the movie, he turned to me with a big smile and said, โ€œIโ€™m not alone.โ€

Creative Responsiveness and the Power of Early Intervention

As a result of early intervention and a profound journey providing him social and emotional support, my son is currently completing 3rd grade and is reading at grade level. ย Here is what worked for us:dyslexia 5

  • I had to learn to be flexible and creative as his parent in order to support his learning. I have learned to trust my instincts as his mom.
  • I understand that no one can learn when in fight/flight activation and that connection and calming down must precede schoolwork.
  • Iโ€™ve had to educate myself in order to be an advocate for his learning needs with his school such as appropriate IEP services and classroom accommodations. We approach his school with gratitude for all that they can do and recognize that his classroom and special education teachers areย caring human beingsย with real life constraints of high demand, limited supply, and limited budgets.
  • In addition to school interventions, we chose to work withย after schoolย teachers and tutors to provide homework support and one-on-one direct instruction methods that are well researched for dyslexia. (This significantly reduced the homework struggles at home and improved the quality of our family time).
  • Most importantly we found that teaming up with our child’s educatorsย allowed them to connect to my son in a kind and compassionate manner andย helped him to feel safe to learn at his own pace.

The “Gifts” of Dyslexia

There is a lot written about the โ€œgiftsโ€ associated with dyslexia such as inherent right-brained, out-of-the-box thinking. While these traits will indeed allow him to bring his creativity into the world, in our experience thus far, the most valuable long-terms gifts are related to the development of strength of character such as:ian and mom 3

  • The recognition that not everything comes easy and that hard work pays off.
  • That he learns differently than other children in his class and it is important accept who he is rather than compare himself to his peers.
  • To focus on his strengths rather than his weaknesses
  • To trust himself and his pace

While good grades in math or reading are important, the wisdom gained from facing learning obstacles builds a person capable of handling lifeโ€™s challenges.

As a parent and a psychologist, it is a pleasure to support you to raise your child through his or her unique journey through the increased awareness, creative responsiveness, and early interventions that make theย difference in the life of a child with dyslexia.

Further reading:

About Dr. Arielle Schwartz

Dr. Arielle Schwartz Complex PTSD, EMDR Therapy, Somatic Psychology

Dr. Arielle Schwartzย is a licensed clinical psychologist, wife, and mother in Boulder, CO. She offersย trainings for therapists, maintains a private practice, and has passions for the outdoors, yoga, and writing. Dr. Schwartz is the author ofย The Complex PTSD Workbook: A Mind-Body Approach to Regaining Emotional Control and Becoming Whole. She is the developer of Resilience-Informed Therapy which applies research on trauma recovery to form a strength-based, trauma treatment model that includes Eye Movement Desensitization and Reprocessing (EMDR), somatic (body-centered) psychology and time-tested relational psychotherapy.ย Likeย Dr. Arielle Schwartz on Facebook,ย follow her on Linkedinย and sign up for email updatesย to stayย up to dateย with all herย posts.

Early Childhood Developmental Disorders – Sensory Processing Disorder, ADHD, Autism, Dyslexia, Trauma Exposure, and Anxiety

Sensory Processing Disorder and Related Diagnoses

Differentiating between sensory processing disorder, ADHD, learning disorders, autism, anxiety, and early trauma exposure requires diagnostic skill and accuracy. Once clear about your child’s diagnosis, this knowledge is essential in developing the right treatment plan for your child. Read on to learn interventions drawn from child-centered play therapy and occupational therapy that can help your child with the tantrums, challenging transitions, and anxieties associated with early childhood developmental disorders.

Sensory Processing and the Brain

Historically, sensory processing symptoms were not considered to comprise a standalone diagnosis. Rather sensory challenges were thought of as symptom indicating another diagnose in the same way a fever was a symptom but a virus or an infection was the cause. However, a 2013 study out of UC San Francisco, revealed that sensory processing disorder is linked to quantifiable differences in brain structures and has a biological basis differentiated from other childhood disorders.neurons

Underlying all our sensory systems is the vestibular system which functions within the inner ear which takes in information about our relationship to movement and gravity and provides ongoing feedback between mind and body about where we are in space. The vestibular system gets information from the body through proprioceptors, sensory neurons located within the joints of the body. This sensory feedback helps to organize the the information we receive from the world and how we respond. If we cannot orient to where we begin and end in space we tend to feel anxious. When in fight/flight activation it is difficult to pay attention, learn new information, and communicate effectively about our experience. The brain hijacks higher functioning learning systems and engages lower brain resources as if we are experiencing immediate threat. For a child, this can become a repeated habit repeatedly wiring the brain for survival.

Differential Diagnosis

Sensory Processing Disorder has its own biological and neurological underpinnings; however, our sensory system is complexly intertwined with the neurological mechanisms responsible for spatial awareness, attention, language processing, emotional regulation, and learning. Therefore, sensory processing disorder often accompanies other disorders such as:

  • Speech and language delayschild with dyslexia
  • Dyslexia (reading learning disorder)
  • Dyspraxia (movement and coordination difficulties)
  • Dysgraphia (handwriting difficulties)
  • ADHD and difficulties with focus, attention, hyperactivity, and self-regulation
  • Autism and difficulties with social emotional communications
  • Anxiety and heightened fight/flight nervous system activation
  • Children with early trauma, neglect or attachment disruption often develop sensory integration challenges

Knowing the right combination of symptoms and diagnoses allows you to target the right kind of treatment and to avoid unnecessary ones. For example, SPD can contribute to inattention and hyperactivity but medications that treat ADHD may worsen symptoms, create further agitation, or simply be unnecessary. Recognizing and addressing the underlying nervous system activation often helps children with SPD learn how to focus their minds for learning. If you have a child with multiple diagnoses it is important that all professionals understand the role that sensory processing is playing for the child.ย A teacher, speech pathologist, or psychologist who can integrate tools for sensory integration can make greater progress towards their learning treatment goals. For example, the speech pathologist working with my son had him wear a weighted vest that helped him feel his body. As a result he could have greater control of his mouth when learning new speech sounds.

Treating Sensory Processing Disorder

Once clear about your childโ€™s diagnosisย this knowledge is essential in coordinating efforts among your childโ€™s treatment team. You know your child best and can helpย teachers andย other professionals working with your childย understand your child’s sensory world. Here are some interventions drawn from play therapy and occupational therapy that I have found helpful:jumping

  • Create a โ€œsensory dietโ€ for your child. A sensory diet provides your child with regular exercises tailored to meet his or her sensory needs. Examples include skin brushing, jumping on a mini-tramp, listening therapies, and eye exercises. Integrate sensory tools into your child’s school environment by having the teacher provide noise cancelling headphones in your child’sย classroom or limit unnecessary sensory stimuli when possible.
  • Understand your childโ€™s triggers. Recognize when they are in fight/flight and emphasize emotion regulation strategies that help them express emotions in healthy and safe ways. Help your child’s teachers and treatment providers recognize these triggers also so they can be aware of the early signs of dysregulation and hopefully avoid the big meltdown.
  • Develop routines. Routinesย are a way to create more safety and predictability around tricky transitions such as leaving the house or going to bed. Talk your child through these routines and transitions so that they can develop an internal dialogue for themselves.
  • Create a “safe” learning environment. In order to learn, children need to feel safe. When it comes to sensory sensitivity, it is important to reduce distractions such as background noises, visual stimuli, or social interactions that create anxiety. Integrate a body-centered practice such as brain gym before homework sessions, use weighted blankets over your child’s lap when reading together.
  • Integrate play therapy interventions into your home.ย ย Createย regularย child-centered play times that let your child be in charge while you offer your reflective and attuned presence. Turn off the phone and the computer. Show how you feel when your child behaves in an out of control fashion and model self-regulation techniques.

Further Reading:

About Dr. Arielle Schwartz

Meet Dr. Arielle Schwartz

Meet Dr. Arielle Schwartz

As a psychologist and mother of two, my passion is to teach parents how to integrate the tools of play therapy into your home andย through clinical supervision,ย teach other clinicians how to support families with highly sensitive children. I understand the unique challenges parents can face in raising sensitive children and specialize in working with children with sensory processing disorders, speech/language delays, anxiety, challenging behaviors, trauma exposure, and emotional problems.

Dr. Arielle Schwartzย is a licensed clinical psychologist, wife, and mother in Boulder, CO. She offersย trainings for therapists, maintains a private practice, and has passions for the outdoors, yoga, and writing. Dr. Schwartz is the author ofย The Complex PTSD Workbook: A Mind-Body Approach to Regaining Emotional Control and Becoming Whole. She is the developer of Resilience-Informed Therapy which applies research on trauma recovery to form a strength-based, trauma treatment model that includes Eye Movement Desensitization and Reprocessing (EMDR), somatic (body-centered) psychology and time-tested relational psychotherapy.ย Likeย Dr. Arielle Schwartz on Facebook,ย follow her on Linkedinย and sign up for email updatesย to stayย up to dateย with all herย posts.

Parenting a Child with Sensory Processing Disorder – My Story

My Story of Raising a Highly Sensitive Child

fingers in ears

When my daughter was born I entered motherhood ready and excited, yet I was also nervous about howย the experienceย would change me. I was grateful to have several close friends enter parenthood around the same time as me. I had hopes and expectations about motherhood that were realistic enough to include the anticipated challenges of sleep deprivation amidst a major life change. What I didnโ€™t expect was the complete overwhelm I experienced associated with raising a highly sensitive child.

crying babyWhenย our daughter was born sheย was strong butย fragile and fearful. The car and car seatย felt like torture and simple outingsย to visit other parents orย attend an activity led her to cry, scream, shake, or at worst throw up. Vacuuming the house was another ordeal asย loud soundsย seemed to cause physical pain. I knew that something was different but I didn’t understand what it was.

Her differences became even clearer when I joined my friends to attend early childhood music and gymnastics classes. I watched the other 2-4 year olds dance around the room, shake the shakers, sing along with the music, participate in forward rolls, and jump on the trampoline. However, my daughter clung to me, cried, and put her fingers in her ears and consistently refused to participate. Something was definitely different. Our lives became more and more restricted as we avoidedย crowds and turned down invitations to circumvent the public tantrums.

Getting the Right Diagnosis Changed our Lives

I spoke to our pediatrician who also noted that her speech was delayed compared to other children and as a result we were referred to the local clinic for an evaluation. It was the speech therapist who put her finger on a diagnosis; Sensory Processing Disorder.

I read about sensoryย processing disorderย in children and I finally had the information I needed to support my daughter and stop blaming myself! My daughter wasย having neurologicallyย based triggers that were repeatedly activating a fight/flight response. I began to understand herย anxious approach to the world.

Early Intervention forย Sensory Processing Disorder

This began aย five-year process of supporting her development with a caring team of professionals that included play therapy, occupational therapy, speech photo (10)therapy, and an exploration of personal, family and inter-generationalย patterns.ย  As a result of early and consistent intervention, my daughter nowย channels her sensitivity into her creativity, she honors her pace when entering a new environment, and she carries herself with a quiet self confidence.

Further reading:

Raising the Highly Sensitive Child

Raising The Highly Sensitive Child – Sensory Processing Disorder

There are a set of shared experiences among the parents ofย children with Sensory Processing Disorderย and there is comfort in knowing that you are not alone. As a parent of two and a psychologistย who works with parents and children, I understand the unique set of challenges faced by families raising highly sensitive children.

The Highly Sensitive Child

Photo of highly sensitive child with sensory processing disorderThe sensitive child is like a unique and multifaceted gem. This child shines brilliantly sometimes allowing you to see into the depth and clarity at the center, and at times reflecting you so intensely that you are called to see yourself in challenging and uncomfortable ways. At times, these children can project diamond quality strength. Other times, the intensity which with they feel the world can result in meltdowns and tantrums and we must help them through these scattered and intensely challenging moments. That is if we havenโ€™t melted down right along with them! Helping the sensitive child make sense of their inner and outer world can take parents to and beyond their limits.

Raising a Child with Sensory Processing Disorder

There are a set of shared experiences among the parents of sensitive children and there is comfort in knowing that you are not alone in the challenges you are facing.ย  Here is what parents of sensitive children often say:Photo of distressed young girl

  • My daughter is different than other children.
  • My 6 year-old son disrupts our home with his extreme meltdowns; he always needs to be the center of attention
  • My spouse and I are fighting more and blaming each other for our childโ€™s behavior
  • Raising this child takes everything out of me! ย I’m exhausted and sometimes feel that I am not cut out for parenting.

Understanding Sensory Processing Disorder and Highly Sensitive Children

brain traffic for webOnce Iย understood Sensory Processing Disorderย I finally had the information I needed to stop blaming myselfย or feeling as though I was crazy! Myย child was having a neurological โ€œtraffic jamโ€ that was the invisible culprit behind her behavioral breakdowns and anxious approach to the world.

Technically, Sensory Processing Disorder and Highly Sensitive Children are two different but related conditions. Sensory Processing Disorder was first identified by A. Jean Ayres an occupational therapist who identified that some children over- or under-respond in one or multiple senses (e.g. tactile sensitivity, sound sensitivity, light sensitivity).ย The highly sensitive child is a related concept developed by Elaine Aron who describes these children as easily overwhelmed by high levels of stimulation, sudden changes, and the emotional distress of others.The sensory challengesย shared byย parents and children I work with include:

  • My child says that most clothes hurt her. She will only wearย two pairs of pants and I can barely get her to school in the mornings if those pants are not clean.
  • Ifย my childย gets bumped while standing in line at school he reacts as if someone hit him purposely.
  • There are sounds that I hardly notice but my child puts her hands to her ears in pain!
  • Weย can’t go to the movies because my child feels everything so strongly like it is happening to him.

Guidance for Parents of Highly Sensitive Children

  • Stop blaming yourself and/or your partner. Sensory processing challenges are real and require tremendous patience.
  • Get a thorough assessment. Children with Sensory Processing Disorder often have other co-presenting neurodevelopmental challenges such as learning disorders (dyslexia), ADHD, autism, and anxiety. However, getting an accurate diagnosis is important asย someย children are inaccurately diagnosed with ADHD and are medicated unnecessarily.
  • Trust your child! Highly sensitive children often also have a capacity for deep reflection and empathy when given the time to process their environment.
  • Get down to their level. The language of the younger child is play. Most children with sensory challenges feel out of control much of the time. Letย your childย take the lead in imaginary play, allow yourself to follow,ย andย give your child an experience of being in charge or his or her world.
  • Parent and child connectionBecome your child’s emotional coach. Help olderย children talk about their feelings and reflect on what they are experiencing. Validate, reflect, and help them develop problem solving skills.
  • Repair your rocky moments. Reviewing our rough times involves admitting when we parents are not perfect and gives our children permission to make mistakes as well. Good-enough parenting involves ruptures and repair that allows everyone to learn from even our most challenging experiences.
  • Get help.ย Itย takes a village and when it comes to raising the highly sensitive child build your team. Often a treatment team involves play therapy, occupational therapy, speech language, and parenting support. Find a support group or online forum to talk with other parents raising children with Sensory Processing Disorder. I am available to help.

Further reading:

Dealing With Grief and Loss – Hanuman’s Story

A Story of the Courage and Healing

Graphic showing the hindu god hanuman Ocean and Shadow Self Dealing with grief and loss

Stories and poems offer metaphors providing a language for the soul.ย  In many stories there is a demon, dragon, or monster that needs to be conquered, a reminder that we need to face our fears and turn towards our challenges rather than avoid our problems. As a Yoga Instructor, I draw upon eastern philosophy as a source of insight. In this story form the Hindu tradition,ย Hanumanโ€™s journey offers guideposts that help orient us when facing difficult times. These stories comes from the Hindu tradition; they teach us about how to find courage and healing when dealing with grief and loss.

Hanuman and the Ripe Fruit

catch upward spiral build resilience

When Hanuman was a child, he was quite curious (as all children all). He saw an orange globe in the sky and decided it must be a ripe fruit! He began to reach higher and higher and was about to swallow the sun when the gods became quite concerned. To save the sun, the king of all the gods, Indra, struck him with lightening which hit him in the jaw deforming his face. What a mischievous monkey, trying to eat the sun thinking it was a ripe fruit.

Upon learning the news, his father Vayu (the god of the wind) was angry! In his rage, he stopped all of the wind from flowing. All of the people in the land began to complain; they felt as though they were suffocating, they couldnโ€™t breathe. (Sound familiar?)

To appease Vayu, all of the gods came to make amends. In doing so they endowed Hanuman with many special gifts and powers. Yet, to avoid him from becoming too full of himself, Hanuman was forced to forget all of the strengths that were hidden inside of him…until he faced a variety of challenges in his life and he discovered his abilities.

A heroโ€™s journey, isnโ€™t it?

Hanuman and the Long Journey

Somatic Transpersonal Psychology Dr. Arielle Schwartz

Another well known Hanuman story involves his journey to Sri Lanka ย to ease the wounded heart of his dear friend, Rama who had lost his beloved Sita.ย  In his journey across the ocean, Hanuman faces three challenges; challenges that are often set in motion by loss or trauma.

Hanuman’s First Obstacle

The first challenge Hanuman encounters is the seemingly unsurpassable obstacle. As Hanuman prepares to take his leap across the ocean a tremendous mountain rises up from the middle of the ocean. Hanuman could not fight, could not run around this mountain, nor could he fly above. He felt hopeless and despairing. He felt he could not go on.

Without any reserves, his only choice was to let go.

As he allowed his weight to rest upon the earth, the Gods spoke to him and he discovered that the mountain offered a place to rest in the midst of the long journey. While he could not stay there (as he did need to continue on his way) he learned the importance of rest; that he must pace himself when faced with great a challenge.

Hanuman’s Second Obstacle

The second challenge faced by Hanuman is that of a fearful serpent demoness who swallows all who come across her path. Trying to avoid this fate, Hanuman tries in every way to enlarge himselfโ€ฆhe grows larger yet the mouth of the serpent grows larger as well. He expands even larger and she expands along with him until she swallows him whole.

Hanuman was swallowed by the serpent. He thought he might die…and in his grief he began to shrink until he was so small that he was as small as a grain of sand, and still he shrinks until he is as small as the tiniest atom. Now, he was small enough to squeeze out between her teeth, beyond her lips and escape. Sometimes it is only in this well of sorrow that we find our way through.

He could not avoid the truth and had to surrender. This was also the moment that he learned of his power to shape shift; to adapt the meet the demands of a difficult situation.

Hanuman’s Third Obstacle

Exhausted, Hanuman is released forth to continue his journey, but at this stage he moves forward as if in a dream; in disbelief that he will ever make it through to the other side. He feels unable to proceed and is depleted and yet at this very moment is faced with his third challenge; this time a demoness who has the power to possess the shadow of all who she encounters and pull them into the ocean. She takes hold of Hanumanโ€™s shadow and begins to drag him into the sea.

What is required of him in this final phase of the journey is courage.ย  Against all odds, he gathered his strength to turn towards his past and his pain. As long as he can see clearly the murky, avoided, or disowned places in himself he can prevent the demoness from having the power to drag him under by his shadow. He takes hold of his shadow and is released to arrive at his destination, complete his journey, and return love to the broken heart.

Dealing With Grief and Loss

In Hanuman’s story, we are reminded that at times that which we perceive as an obstacle is really a reminder of the importance of rest, slowing down, and the careful pacing that is needed to when moving through the disorientation of trauma or grief. ย This story also suggests that we cannot outrun or avoid reality as it is. Despite our need to feel powerful and in control there are life events that we have no control over. We cannot bring back a loved one who has died. We cannot reverse time. In these moments we are asked to surrender. However, in doing so, we also find our courage and strength that is often hidden deep within the recesses of our being.

When dealing with grief and loss there is benefit in turning towards the pain, to feel what we perceive is unbearable, even if we are afraid that we will break in two. In these moments we may discover a new found strength, our courage, and a new sense of self more capable of living in this unpredictable yet exquisite life.

Build your Resilience

The Post Traumatic Growth Guidebook Dr. Arielle Schwartz

You might likeย The Post Traumatic Growth Guidebook.ย Within this book, you will find an invitation to see yourself as the hero or heroine of your own life journey. A heroโ€™s journey involves walking into the darkness on a quest for wholeness. This interactive format calls for journaling and self-reflection, with practices that guide you beyond the pain of your past and help you discover a sense of meaning and purpose in your life. Successful navigation of a heroโ€™s journey provides opportunities to discover that you are more powerful than you had previously realized.ย Click here to order the book on Amazon.

About Dr. Arielle Schwartz

Dr. Arielle Schwartzย is a licensed clinical psychologist, wife, and mother in Boulder, CO. She offersย trainings for therapists, maintains a private practice, and has passions for the outdoors, yoga, and writing. She is the developer of Resilience-Informed Therapy which applies research on trauma recovery to form a strength-based, trauma treatment model that includes Eye Movement Desensitization and Reprocessing (EMDR), somatic (body-centered) psychology and time-tested relational psychotherapy.ย Likeย Dr. Arielle Schwartz on Facebook,follow her on Linkedinย and sign up for email updatesย to stayย up to dateย with all herย posts. Dr. Schwartz is the author of fourย books:

Resilience Psychology and Coping with Grief

Finding Hope after Facing Loss

Grief Dr. Arielle Schwartz

At some point in our lives all have had to or will have to confront the loss of a loved one.ย  When facing theย death of a loved one we can feel disoriented, uprooted, and isolated. Sometimes, the loss doesnโ€™t feel real, we feel lost in the dark, or we feel as though the grief will never end. This post shares a very personal loss and offers tools for coping with bereavement.

“My husband and I were married less than a year. We had plans. I was applying for my doctorate in clinical psychology and we were talking about the timing of our first child. Then tragic loss changed everything.ย  The call came in the middle of the night. A helicopter had gone down in the Philippines and my husbandโ€™s brother (a special operations pilot) was aboard…”
-Dr. Arielle Schwartz Continue reading

EMDR Case Study – Marie

ย 

Depresses woman EMDRMarie’s Story* How EMDR Can Change Your Life

*Marie is not an actual person, but a composite of several patients Dr. Schwartz has seen over the past several years. Identifying details have been changed to protect their privacy. The treatments and outcomes are real.

Phase 1 – Taking a In-Depth History

Marie had been date raped while in college. Now as an adult, Marie is suffering from anxiety and finds it challenging to develop a meaningful long term relationship. She had been in talk therapy for some time without success. In fact, she never really dealt directly with the trauma surrounding the incident.ย Marie was very skilled at avoiding dealing with the trauma of this incident.

In order to continue to function after a traumatic event, as a coping mechanism, it is common to bury or avoid dealing with the painful feelings or memories. I will take a thorough life history to provide the foundation for successful EMDR treatment. History taking includesย life events, family systems and the strengths and resources that are currently available.

Phase 2 – Preparation for EMDR

Marie had lost a sense of choice or control over her emotional life. She felt flooded with anxiety and needed some resources to help her fell safe again. In our therapy I helped Marie identify times and places in her life where she felt safe. We also gave her tools to use between sessions to help her manage her anxiety. When Marie came back for her next session, she shared that she felt calmer and more in control of her emotions throughout the week.

As we prepare for EMDR therapy, you will build your own tool kit to help you manage overwhelming emotions and your reactions to stressful events. In addition, you will choose the form of bilateral stimulation that works best for you. The methods used are: eye movements, tactile sensations, or bilateral sounds.

Phase 3 – Assessment and Setting an EMDR Target

Marie realized that the rape had a much more profound impact on her life than she had ever allowed herself to feel.ย She understood that she hadย internalizedย theย helplessness of that moment and wouldย repeatedlyย feel helpless when faced with triggering stressful situations at work with her boss and when she was home alone in the evenings. She recognized that she had compensated for the vulnerability she was feeling by pushing people away when they wanted to get close.Marie identified that she wanted to feel capable of taking care of herself and she wanted to allow herself to develop a loving nurturing relationship.

At this point in EMDR treatment we will identify the trauma that will be worked on during desensitization. This trauma is referred to as your target and we will identify the image, emotions, beliefs and body sensations that are associated with that event.

Phase 4 – Desensitization ย 

Using bilateral eye movements, I asked Marie to think about the rape and the image that represented the worst part of her experienceย Marie noted that she felt disconnected and numb when she thought of the event.ย Through careful pacing she began to tolerate the vulnerable and uncomfortable emotions that came up when she thought about the rape. As Marie began to feel the emotions she had a series of memories come forward about what happened that day and associations to other times in her life when she felt helpless. Eventually Marie was able to think about the rape without experiencing any upsetting feelings or thoughts. Furthermore, she began to feel stronger in herself and arrived at a sense of how this event contributed to who she is today.

We know that trauma is primarily stored in both the limbic or mid-brain and in the right hemisphere of the brain. However, we need our entire brain to access the integrative functions of reflective thought and meaning making in order to heal from trauma. By using bilateral stimulation, we rhythmically alternate between the two hemispheres of the brain while thinking about the traumatic event. This process allows the associations, feelings and memories from the past to be brought forward so they can be experienced and resolved. Desensitization of a target can occur in a single session or across multiple sessions.

Phase 5 – Installation

Now Marie was able to think about the rape and feel strong and in control. She recognized that what happened was not her fault and there were changes she could make in how she approached the world today that reflects this new experience of herself. Marie thought about being home alone and the vulnerability she used to feel and allowed a new sense of strength of to infuse her being. She felt more open to the possibility of taking the risk associated with allowing someone to get close to her. She visualized what this would look like in her life today.

During the Installation Phase, I guide you to connect the positive beliefs and sense of self that is achieved through the successful completion of desensitization. We have you imagine the past and present life triggers as you would approach them with this new found sense of capability.

Phase 6 – Body Scan

I invited Marie to scan her body for any lingering areas of tension and to allow any residual distress to release.

We use the body as a gauge to verify the successful completion of the EMDR process.

Phase 7 – Closure

Before leaving the session, I made sure that Marie felt grounded and complete with that day’s process.

Closure is essential to successful treatment in that it allows the challenging work of desensitization to be contained between sessions. Containment is built upon an agreement that we will return to address any remaining distress associated with the traumatic event. This also frees you up by asking you not to think (worry, obsess) about traumatic material between sessions.

Phase 8 – Re-evaluation

In the following session, I asked Marie to check in about how she feels now when she thinks about the rape. Marie shared that she no longer felt any disturbance. She also spoke about feeling lighter throughout the week and that she felt less unprovoked anger toward her boyfriend.

The purpose of re-evaluation allows us to assess the effectiveness of the treatment and address and residual or unresolved feelings.

In Marie’s case EMDR was a very successful treatment of choice. While it is not for every client or every presenting condition, EMDR has been well researched and is considered an evidenced based trauma treatment.

Happy couple

Additional Reading:

Looking for a mind-body approach to healing PTSD?

book-cover

Connect to this post?ย The Complex PTSD Workbook,ย is now available on Amazon!ย Click here to check it outย and increase your toolbox for healing. Whether you are a client or a therapist this book will offer a guided approach to trauma recovery.

About Dr. Arielle Schwartz

Dr. Arielle Schwartz Complex PTSD, EMDR Therapy, Somatic Psychology

Dr. Arielle Schwartzย is a licensed clinical psychologist, wife, and mother in Boulder, CO. She offersย trainings for therapists, maintains a private practice, and has passions for the outdoors, yoga, and writing. Dr. Schwartz is the author ofย The Complex PTSD Workbook: A Mind-Body Approach to Regaining Emotional Control and Becoming Whole. She is the developer of Resilience-Informed Therapy which applies research on trauma recovery to form a strength-based, trauma treatment model that includes Eye Movement Desensitization and Reprocessing (EMDR), somatic (body-centered) psychology and time-tested relational psychotherapy.ย Likeย Dr. Arielle Schwartz on Facebook,ย follow her on Linkedinย and sign up for email updatesย to stayย up to dateย with all herย posts.