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Autism Mental Wellness Uncategorized By Beth Church 0 Comments

Transitions on the Spectrum

 

Written by Jessica Hauser-Harrington, PhD, LP

Spring is a time of transitions and new beginnings. For high school seniors, it brings the end of their secondary education, and often, the transition to college or jobs. For seniors on the Autism Spectrum, it can be a time of both excitement and celebration, as well as one of potential anxiety and uncertainty. Fortunately, with planning and preparation, worries can be reduced and celebrations enjoyed more thoroughly.

Marking the Transition

These transitions are typically marked with milestone celebrations such as graduation ceremonies and parties. For an individual with ASD, large crowds, loud noises, and the need to sit still in one place for extended periods of time can be challenging. Pre-planning strategies to manage sensory overload, anxiety, and fatigue during these milestone celebrations is key. Can they wear ear buds or noise dampening/canceling headphones? If there will be long stretches of time between meals, is there a way to pack a snack? Is there a comfort object or fidget that might help the sitting and waiting feel less stressful? Is it possible to sit near an aisle where getting up and taking a break would be more feasible? Will your son or daughter want to take pictures before the ceremony, after, or on a different day?

When it comes to graduation parties, don’t assume that your child will or won’t want a party. Discuss expectations for the number of guests, the foods served, and how social you want your child to be at the part. This is their first time around celebrating this milestone, and discussing expectations will leave more room for joy.  It may also be useful to pre-plan breaks or “calm down” areas if the party extends over what is a typical interval of interaction time for your child. Would a different type of celebration altogether be more enjoyable–be willing to think outside the box. Finally, make sure to discuss expectations with siblings and extended family members who may also be joining in celebrating your senior.

Transitioning to College

If your son or daughter is transitioning to college, planning ahead is also important. Some teenagers think they will automatically acquire a certain level of responsibility, initiative or skill just by becoming a “college student.” Unfortunately, that’s not usually the case. Whether it’s six months ahead or six weeks ahead or maybe just 6 days ahead, have discussions about what life skills are needed to be successful at college above and beyond the academic demands and start practicing. If they don’t know how to already, teaching your child how to do laundry, how to cook some basic meals, how to manage basic finances (including setting up a bank account that a parent has access to as well), and how to navigate bus systems or public transportation (if applicable) will be important. Use a scaffolding technique, where you demonstrate basic skills, allow your child to replicate them with supervision, and then add on more complex or advanced skills as they progress. You may also consider creating social stories, checklists or algorithms around these new responsibilities that your child can take with them to college.

Many colleges and universities also have ASD-specific programs to help support your son or daughter both academically and socially. Making sure to look into these options and apply to them (if required) ahead of time. Similarly, if your child has an IEP or 504 plan, these can transition into college-level accommodations. Ensuring that your child’s testing is up to date is also a key part of this process as most colleges and universities will want recent testing data. Contacting the school’s office of student support services to learn what their requirements are and what the process is to get the accommodations set up is important and something that you may need to do with your child. If your son or daughter is 18 or older, make sure that they sign the necessary releases of information that will allow you to also communicate with university staff as needed.

If your child sees a therapist at home, consider options for telehealth (if in the same state or allowed by the therapist’s licensing/credentials) or seek out referrals in your child’s new city. Most, if not all, colleges and universities have counseling centers on campus that offer both individual therapy as well as group therapy options. The session number per student might be limited though, so identifying clinicians in the local community is also a great idea. Also, if your child takes regular medications, make plans to have a large enough supply, transfer the prescriptions to a pharmacy on or near campus, or look into mail-order delivery. If your son or daughter will be picking up their medications on their own for the first time, practice going to the pharmacy with them. 

Transitioning to a Job

If your son or daughter is transitioning to a job, utilize resources from your local school district. She or he may have options to take interest inventories that may help point him or her in the direction of a job or work environment they may be interested in. Public schools also have specific transition planning for students with IEPs. Job training resources through the school district or MichiganWorks can be an option to help build skills and identify potential jobs. Helping your son or daughter to be realistic about the number of hours he or she feels they can work, whether he or she wants a public-facing or behind the scenes job, and what level of supervision he or she will require is important. Discussions around managing finances, contributing at home financially and/or through chores will help clarify expectations for your adult child and the changing relationship you may have with them as they age. 

Additional Resources and Relevant Websites for Adolescents and Adults with ASD/CI/DD

Community Mental Health Oakland County https://www.oaklandchn.org/ 

Autism Alliance of Michigan (call to get resource information sometimes better than navigating their online system) https://autismallianceofmichigan.org/ 

Living and Learning Enrichment Center (www.livingandlearningcenter.org) 248-308-3592

OUCARES at Oakland University (http://www.oakland.edu/oucares/): for Adult social groups and employment skills 248-370-2424

On My Own: Independent living resources for adults (https://onmyownofmi.org/)

MORC: Services for individuals with physical and intellectual disabilities in Oakland County (https://www.morcinc.org/)

Community Living Services: https://www.comlivserv.com/ 

The ARC of Oakland County: Non-profit that focuses on advocacy and community participation for individuals with intellectual and developmental disabilities (https://thearcoakland.org/) 

Michigan Rehabilitation Services: https://www.michigan.gov/leo/bureaus-agencies/mrs

Possible places to find additional support:

Friendship Circle: https://www.friendshipcircle.org/

SAIL (group of parents in the area looking for living solutions for their adult children with special needs): https://sailhousingsolutions.org/

Holidays Mental Wellness Self-improvement Uncategorized By Beth Church 0 Comments

Going Beyond Resolutions: Cultivating Change Through Gratitude

Written by: Jessi Beatty, PhD, LP

It’s that time of year when people are setting intentions and goals for the new year.  One important way to transition from the past year into the next is to consciously build or create more positive thoughts and actions. We often think of these as resolutions, but if we look deeper into what supports positive change, we can move beyond resolutions and into lasting positive change.

Rooted in Gratitude

Positive thoughts and actions are often rooted in our experience of gratitude. Research has shown the important benefits of gratitude to our overall mental health, motivation, and physical health.  While our minds naturally notice and focus on the negative to keep us safe and aware of our surroundings, this tendency can burden us with anxiety, depression and stop us from starting positive behaviors. However, with practice you can notice more of the good in your life. It doesn’t have to be a big undertaking to teach your mind to experience gratitude regularly. It’s more about short periods of consistency over time. When we notice what brings us a sense of gratitude, we tend to DO more that brings us that unique and wonderful feeling.

Set up short moments of gratitude practice each day

The first step is, of course, upping the frequency that we consciously attend to gratitude. Regularly building the habit of recognizing and appreciating the good things in your life, no matter how big or small, helps build happiness, self-esteem, and keeps you in the present moment. You don’t have to spend a long time focusing on gratitude to get its benefits. You could add it into your morning or bedtime routine or take a break during the workday to reflect. Possible ways include spending a few minutes listing three good things that happened today. It could be little things like someone holding the door for you, noticing how beautiful the sunrise is, getting a text from a friend or bigger things like finishing a project you’ve been working on for a long time.  You can make a conscious effort to notice when others are doing good things and tell them thank you. Each thank you builds something positive for you both. You can go on a walk and use your senses to notice the sights, smells, and feel of the sun or wind. Regular gratitude practice helps us connect with others, our surroundings and ourselves. 

Change how you ask your family about their day

Another way to help yourself and your loved ones focus more on gratitude involves how you ask about their day.  Rather than simply asking how their day was, try asking: What surprised you about your day? Who made you feel cared about today? Who did you help today? What made you laugh today? When did you feel calm, content or relaxed? 

Questions like this may lead to better conversations rather than getting the typical “fine” or “it was good” response. Questions like these can encourage us to share and reflect on the good, training us to scan for the positive in our days. It can help balance any negative things that happen, which are also important to talk about. It can be so easy to get into the pattern of venting or focusing on the bad with our loved ones. These questions challenge us to reframe the way we reflect on our day.

Change the questions you ask yourself

While building conversations around the good things that happen day to day with our loved ones, it’s also important to be aware of what we are training our own brains to focus on. Our words matter. Not just with others, but also with ourselves! Our internal dialog can easily get stuck in negative spirals or repeatedly place a distorted emphasis on what went wrong. When we focus solely on what might or did go wrong, we aren’t focused on what we did do, or could do right. To break a negative thinking cycle, try asking yourself: What did I learn in the situation? What would I do differently if I had it to do all over again? Focusing on gratitude often helps us set an effective pathway forward for what we actually want, rather than just highlighting what didn’t work or what we’d like to avoid. If anxiety about what’s to come creeps in and you start thinking of all that can go wrong, ask yourself: What if it goes right? What is the more likely scenario? Will this matter in a week? In a month? In a year? You can use visualization to set a positive mindset for upcoming tasks and set yourself up for things to go well, rather than getting trapped in what could go wrong and worst case scenarios. 

Conclusion

Making the intention to cultivate gratitude as a daily practice, in your life and your loved one’s lives, helps kick start the new year in a positive direction.  Things will not always go the way you would like and situations are often out of our control, but building the practice of noticing what is going right helps motivate positive and effective changes, and give important boosts to your mood. Regular practice helps to reset our mindset, pulling us out of the negative spirals, and keeps us moving in a positive direction. Gratitude helps us feel connected and motivated!  

Wishing you and your loved ones a happy and healthy 2025!

Contact us if you have a goal for 2025 that you would like help working towards!

Child Wellness Children Therapy Mental Wellness Parenting Teenage Uncategorized By Beth Church 0 Comments

Mental Health Influencers: Understanding & Managing the Impact of Social Media & Gaming on Youth Development

Written by: Julie Braciszewski, PhD, LP

Do you have a tech zombie at your house? Do you walk into a room only to find a loved one bathed in the blue light of a screen, with glazed over eyes and a blank expression? Or maybe you have a tech gremlin. They appear calm and relaxed on screens but then become irritable or even intensely angry when it’s time to get off screens? Or perhaps you have a Youtube-ing, tech-toc-teen  who appears to partake in social media light-heartedly but shows concerning signs of being influenced in negative ways. Chances are, your child is engaging in gaming or social media use, and you are wondering how this is influencing their mental health?   

Screens & Executive Functioning

You’re not crazy… increased time on screens is associated with worse executive functioning. Executive functioning describes the brain processes that help guide goal driven behavior and self-regulation. So if your child seems to have more difficulty completing less-fun tasks such as picking up after themselves, getting ready to leave the house, or even homework, it might be because screen use has gotten out of balance. You might be yelling ‘OMG just get it done!’ in your household lately, you might want to re-examine the amount of tech use and its timing in your household. This balance is especially hard to attain when kids are on screens all day at school.  

Rewards to Real Life

Most apps, games and social media are designed to manipulate the reward centers of our brain. When we get something we want, achieve a goal, or experience pleasure, positive neuro-chemicals and activity lights up our brain’s reward center. You can even see it on brain scans!  When using apps, games and social media we get lots of little and big reward ‘pings’ in our brain without actually having to exert much effort. So when we re-enter the real world and need to do tasks that require sustained effort and result in more subtle or even long-term rewards, we may react with irritation, frustration, and even feelings of helplessness. Some kids and teens will even react with intense anger when it’s time to put down screens and re-enter the real world.  

Identity Building from Social Media

Identity building in the era of apps, gaming and social media is tricky! Content is pushed via algorithms and is based not only on our patterns of viewing and consumption, but also our identifying factors such as age and gender. Our feeds tend to be narrowly based and can become dangerous echo chambers, leading to reduced exposure to people, ideas and information. Research clearly tells us that  this information greatly impacts our thinking patterns, such as what we think of ourselves and others.

The Social Media Sads

Social Media has a complex relationship with mental health. It can provide a sense of connection and positive inclusion in groups, but it can also fuel fear of missing out, ‘should’ thinking, and intensely unrealistic expectations for everything from looks to socializing and material belongings. 

I Am The Influencer Now

We know social media and gaming will continue to have a huge influence on our thinking, behavioral, emotional and social patterns. But if we are aware of these impacts, we can be conscious of having our own positive influence over learning to regulate screen use in our own family and household. 

Here are some tips to consciously engage in screen time and social media use in your household: 

  1. Model good tech use boundaries: Establish tech free zone in the house (e.g., dinner table? Bathroom? Bedrooms?), and tech check-in times (bed time? Study time?) 
  2. Establishing the timing of when tech is allowed in your household is paramount to kids developing self-regulation skills around tech use.  Fostering the mindset that necessary tasks get done before tech time helps hone expectations and self-regulation. 
  3. Step away from screens. Establish a norm of setting phones/iPads down and turning screens off when engaging in work, chores, eating, etc.  Create physical distance between screens and other essential activities.
  4. Build Self-worth and Identity through real-world competencies: Learning tik-tok dances is fun and makes us feel cool with our friends, but witnessing real-world impact increases positive self-worth and identity much, much more 
  5. Shared Values: Take time to sit with your child and teen and consume social media or games together. Your input and perspective does influence their inner narrative

If you feel your child or teen is demonstrating concerning signs of too much screen use or social media consumption, contact us and speak with one of our specialists.

 

Child Wellness Uncategorized By Beth Church 0 Comments

Laying the Foundation: Encouraging Healthy Emotional Expression in Children

Written by: Alyssa Hedke, MA, TLLP

Starting in infancy children begin the chaotic (but delicate) process of experiencing and expressing emotions. How they choose to express those emotions may not always match what they are experiencing. A simple miscommunication can quickly turn into a chaotic moment, or even worse, a dysregulated kid. For example, children often express anxiety through irritability, control-seeking or tantrums.  As caretakers, we have to learn at turbo speed how to respond to our child’s needs for our survival. But as children grow, they continue to feel more complex emotions with limited knowledge on how to productively express and regulate themselves.

Feelings are a natural part of the human experience- they are our guidance and motivation system. But emotion regulation strategies, especially for intense emotions, do not necessarily develop naturally and must be purposefully taught and developed. There are natural and organic ways to incorporate conversations about feelings into our daily lives that are effective and beneficial to laying the foundation for healthy emotional regulation.

Model the I-Message

Laying the foundation begins with caretakers modeling what we want our children to say and do. As adults, we play a crucial role in modeling healthy emotional expression for children. We can  move our internal experiences to the surface and express them in a clear, structured pattern.. Expressing how you are feeling out loud and how you are processing and working through an emotion creates normalcy and a comfortability  in conversations around feelings. Using a reliable pattern or structure in communication teaches your child an important tool for regulation and expression. 

A commonly taught practice for children is the I- Message. The I-Message is a simple three sentence approach. You can learn to make I-Messages by filling in the blanks:

“I Feel_______”

“When_______” 

“I Need______  / Can You Please_____?”   

“I Feel  _______”:

The I-Message begins with taking ownership of our emotions and normalizing the experience  by speaking in the first person. An example would be saying “I felt angry” instead of “They made me angry”. No one makes us feel any emotion. We all have feelings and it’s natural to feel them! It’s beneficial as adults to include conversations about all feelings; especially feelings that may get glossed over with kids in conversation like embarrassment, guilt, shame, shyness, and nervousness. This helps children be more comfortable approaching adults about uncomfortable or distressing situations. 

“When ______”:

Even though no one made us feel an emotion, it’s important to talk about how an interaction contributed to us feeling an emotion. It’s important to tell others how their actions affect us.  Instead of saying, “Jack made me angry when he didn’t include me”,” try saying this;“I felt angry when I think I’m being left out.”  

“I Need _____/ Can You_____”:

Lastly, advocate for what you need in the moment which teaches more emotional regulation and problem solving skills!  An example of this can sound like, “I needed to take a few breaths. I am going to call Jack and set something up for us to hang out soon. That will make me feel better.”  Or, “Can you please talk with me next time this situation happens so we can solve the problem together?” Modeling the link between an emotion and the resulting choice you make is very powerful for children to see, hear and witness.  

By modeling this pattern of communication over and over again, across many situations our children learn that emotions are a normal and important piece of solving problems, getting their needs met, and having healthy relationships. 

Full disclosure – this process is more challenging with kiddos who feel emotions intensely! We would love to help support you to use this, and other skills in your child’s emotional development. 

Schedule an appointment with an MBH clinician today!

Depression Holidays Mental Wellness Stress Therapy Uncategorized By Beth Church 0 Comments

Balancing the Joy and Stress of the Holidays

Written by: Alyssa Hedke, MA, TLLP
Edited by: Julie Braciszewski, PhD, LP

Pumpkin spice is a distant memory as we transition to peppermint mocha to energize our bodies full steam ahead into the holiday season.  The holidays are marketed as the “most wonderful time of the year”.  Odds are many agree with that sentiment. But, as we know this time of the year can bring both joy and stress. Nothing reminds me more of this delicate balance of emotions than the festive family picture. They are shared with family and friends through social media posts and holiday cards. They showcase families in their finest attire being silly, smiling, and looking lovingly into a camera on their best behaviors. We see the picture perfect family basking in the holiday season in all its glory. What we don’t see is the leadup to the picture perfect portrait. 

We do not hear siblings arguing amongst themselves. We do not hear disgruntled parents bribing their children to wear something other than their princess dress and crocs. We do not see parents frantically running out of the house 15 minutes behind schedule and sweating in their color coordinated outfits mom spent hours researching and putting together.  But, families do it every year. Why?  Because as much stress as the experience causes, we also know the picture will bring us joy. So, how do we manage the holidays knowing we will experience joy and stress together? There are strategies that we can all use to feel resilient and in control at the intersection of holiday cheer and stress.

Find Balance and Execute  

There are numerous wonderful experiences to be had with friends and family in such a short season of celebration. Saying yes to every invite may sound like a wonderful way to connect with your loved ones but it can become draining on your time, resources, and energy. Plan ahead and be realistic with how much time you would like to reserve for yourself and for others. Decide on how many events you feel comfortable attending during a week that will provide yourself and family with both holiday cheer and down time to relax and recharge.   Evaluate the needs of your family and align events that are geared towards your needs. A quiet evening at home watching a movie can be just as memorable as elaborate get-togethers or ceremonies.  

Set Realistic Expectations 

Setting realistic expectations during the season can help manage how we view and enjoy them! Expecting everyone to be filled with holiday cheer and get along  with no setbacks to occur (for an entire evening) may be unrealistic. When we are expecting children to test limits and challenges to occur, it can help us feel in control and prepared to manage them as they arise. Making a mental list of what you hope to experience during an event, as well as what would be reasonable limitations helps us to enjoy bright moments while making room for realistic challenges. 

Take Care of Yourself!  

It may sound silly to say, but it’s important to take care of ourselves to feel well prepared to navigate our emotional responses! Meeting our basic physical needs impacts our overall mental health a great deal. Get consistent sleep, engage in physical movement, and balance meals and water intake. When we are meeting our needs, we can regulate our emotions and reactions easier in times of stress. For instance, sleep has a huge impact on our mood. You may be short-tempered and vulnerable to stress if we’re not getting consistent quality sleep, moving our bodies, and fueling our bodies to feel good.  If needed leave holiday celebrations early – it’s okay to do that! Give yourself permission to care for yourself!  

Seek Help 

As always- reach out! We’re here to help if you’re 

–       Experiencing more mental health difficulties during the holiday season

–       Navigating the “first” holidays without loved ones

–       Feeling like stress is preventing you from enjoying the holidays 

–       Interested in learning strategies to build resilience and balance at the intersection of holiday joy and stress! 

 

Don’t face holiday struggles alone. Contact us and speak with one of our dedicated clinicians.

Child Wellness Depression Mental Wellness SAD Uncategorized By Beth Church 0 Comments

Keeping Away the Winter Blues

Written by: Jessi Beatty, PhD, LP

Now that the days are getting shorter, colder, and the sun is shining less, sadness may creep into our daily mood more often. In fact, it’s not uncommon for many of us to begin to feel ‘the winter blues’ this time of year.

However, some experience more intense feelings known as Seasonal Affective Disorder, SAD.  This is a form of depression that lasts for a specific season of the year, typically the winter months, and goes away the rest of the year. During this time a person may experience the following symptoms: loss of interest in activities they typically enjoy, feeling sad most of the day, feeling easily fatigued, having trouble sleeping or sleeping too much, and/or increased feelings of hopelessness or guilt.  If your winter blues are more intense, like described above, and have occurred for at least two winters, you may have SAD. There is research supporting treatment for SAD, so be sure to reach out to us if your winter blues have reached this level of intensity, we are happy to explain more and want to help.

To help combat the winter blues or SAD, the following research supported tips can help:

1. Get as much sun as possible

Exposure to less sunlight is one reason this season can be especially hard on us. Sunlight is known to affect areas of the brain that regulate mood and the sleep-wake cycle, as well as memory functioning. We feel happier and more ‘mentally sharp’ when we are getting consistent sunlight. One effective strategy to keep away the winter blues is to try to get sunlight shortly after you wake up.  You can sit by the window while you eat breakfast or open the curtains and blinds after you wake up. Winter outdoor activities and sports can also help us get our daily allotment of rays. Even just a 15 minute walk has a positive impact on mood. Also, many people use a light therapy box to mimic outdoor light. This type of light may cause a chemical change in the brain that lifts your mood and helps decrease the feelings of tiredness and sleeping too much. Typically, a person using light therapy will sit in front of the light box first thing in the morning for a short period of time.  Before deciding to start light therapy, it’s best to talk with your health care provider first. 

2. Keep active and moving

Physical movement helps our brain produce neurotransmitters that support positive mood. However, as it gets chilly, our physical activity often reduces. As mentioned above, there are plenty of winter activities that can keep you active. Walking or hiking to take in the fall colors or snow-covered trees, skiing, ice skating, or snowshoeing are all great winter activities in Michigan. If being active in the cold isn’t your thing, there are plenty of opportunities for indoor activities: look for sports teams at your local community center, get a gym membership, start practicing yoga, or take a dance class. Any way to get exercise and keep your body moving will help destress and increase your endorphins for a boost of positive feelings.

3. Maintain connections and social support

Research indicates relationships with good communication, shared experiences and regular time spent together positively impact our moods and can make it less likely for the winter blues to turn into depression for you or your children. During the winter months it’s not uncommon to want to stay in and be less active. However, that can make us feel more isolated and make us feel even more down.  Plan outings 15-60 days out to ensure you don’t isolate. Keep up with friends and let them know if you are feeling down. People around us often don’t realize or know how we are feeling, but care and want to help.

4. Stick to basics

Eating healthy and getting enough sleep are under-appreciated for maintaining your mental health. The fall season brings copious amounts of fresh fruits and vegetables to farmers markets and is a good time to try a new recipe or two. Making sure you’re eating regular meals and trying to stick to a balanced diet as much as you can during the holidays can help. Family meals are a great time to connect and catch up with each other. Involving children in meal planning or cooking with them can teach them important skills and connect. Getting sunlight first thing in the morning can help stabilize your circadian rhythm, stopping melatonin production to maintain regular sleep and wake times and get you more Vitamin D. Placing an importance on getting enough sleep can help with the fluctuations in mood and help regulate your emotions. It’s hard to be at our best for friends and family when we are not taking care of our physical and emotional needs.

5. Reach out sooner rather than later

If the winter blues last longer than 2 weeks or significantly impact you or your child’s functioning with friends, at school or work, or at home, it’s time to get real support or guidance. We encourage people to reach out before a crisis occurs, so that when difficulties arise, you or your child already have coping strategies and support in place.

If these activities do not help, or your symptoms worsen, contact us or talk to your health care provider.

Anxiety Child Wellness Children Therapy Social Skills Uncategorized • • • • By Beth Church 0 Comments

Summer Camp Shoutout: MBH Empowerment & Social Skills Infographics

Dr. Jessica, Anastasia and Rachel did an amazing job teaching our campers empowerment and social skills. Our campers were engaged, exited and energetic! It was so fun to see our staff work with your kids to integrate their creativity and kindness with Cognitive Behavioral Therapy and Mindfulness skill building.

If you missed out, or your camper needs any reminders, our skill building infographics are below:

 

Super Social Summer Boys Group Infographic

 

 

Girl Strong! An Empowerment Group Infographic

Uncategorized By Beth Church 0 Comments

Healing from Tragedy & Trauma: What Comes Next?

Written by Dr. Darren Jones, PhD, LP & Dr. Julie Braciszewski, PhD, LP

Healing Trauma

Dr. Julie Braciszewski, PhD, LP
Dr. Darren Jones, PhD, LP

After a tragedy or traumatic event occurs it can be difficult to know what to do next and when to seek additional support. Many individuals experience intense distress right after the event while some individuals experience little to no distress in the early days after a trauma, only to find the effects present themselves later on and seem to linger. Given the wide range of responses to traumatic experiences, it’s helpful to know the  typical responses immediately following a tragedy or traumatic event, as well as signs that it might be a good idea to seek professional support. Read below to also learn what effective treatment for traumatic stress looks like, what questions to ask your potential therapist, and to gain more resources for you or your loved ones.

What is a ‘normal’ response to a traumatic event?

Immediately following a tragic or traumatic event you may…

  • Experience troubling memories that repeatedly enter your mind even when you are trying not think about them (intrusive thoughts or rumination)
  • Feel on edge, and have difficulty sleeping and paying attention
  • Feel mentally foggy and have trouble thinking clearly or remembering things
  • Have strong emotions such as sadness, anger, fear, or guilt that flow from one to the next quickly, or happen at the same time at an overwhelming intensity
  • Have blunted, or less intense emotions than usual
  • Feel pulled to engage in highly distracting activities and even unhealthy coping strategies
  • Want to avoid things, places, people and sensory experiences that remind you of the event
  • Isolate yourself from others more than usual
  • Have thoughts that amplify perception of potential risk; your thinking patterns might be looking out for danger and risky situations and over interpret potentials risks
  • Feel highly stressed or irritated about things that typically would not bother you

These are a normal reactions to an abnormal event, and for most people these symptoms go away on their own within a few days or weeks.

  • However, symptoms of Posttraumatic Stress Disorder (PTSD) may develop in some people who experience a traumatic event
  • Anyone can develop PTSD at any age and in some cases the symptoms begin many months or even years after the traumatic experience

Who might experience traumatic stress as a result of a tragedy or traumatic event?

  • Those present at the tragedy or traumatic event
  • Those who were not immediately present but feared for their safety or the safety of others
  • Parents who feared their children were in danger
  • Those with elevated risk due to one or multiple Adverse Childhood Experiences or previous traumatic experience(s)

What are signs or symptoms that indicate more support is needed?

  • The above reactions and experiences continue after a month or so
  • Certain places, sensory experiences, people or things that remind you of the tragedy or trauma cause you to experience heightened physical and emotional responses that get in the way of your everyday life
  • Avoidance of things, people, places or sensations that might remind you of the event
  • You find yourself reliving the experience through upsetting memories or nightmares about the event
  • You notice an increase in negative thoughts and feelings
  • Ongoing sadness, anxiety or anger that persists several months after the event
  • Feeling on edge and unsafe weeks, months or years after the event
  • You are having difficulties at work or school
  • Relationships seem strained or it is harder to feel connected with others

What are the treatments for supporting healing after tragedy or trauma?

There are several effective, evidence-based treatments for adjustment after a tragedy or trauma, as well as the disorder known as PTSD. Although there are many approaches to treating traumatic stress, research indicates that the two most effective psychotherapeutic treatments for these difficulties are Cognitive Behavioral Therapy and Prolonged Exposure. While treatments might feel scary to engage in, your clinician should be able to tailor your treatment to your needs and respect the pace at which you need to go to feel safe.

Treatments for traumatic stress often include:

  • Working to reduce the power the experience has over your thinking, feeling and behavioral patterns
  • If needed, working to regain a sense of control and safety in your everyday life
  • Understanding and address changes in your nervous system due to the event
  • Addressing how the event(s) have affected how your view of yourself and the world
  • A respect for and awareness of your individual identity and life experiences as well as cultural and religious beliefs

Medications can also effectively treat some of the symptoms of traumatic stress. Some people find that a combination of both psychotherapy and medication treatment for traumatic stress is most effective. Your psychologist or therapist can work with your physician to help support and guide this process if this feels like a good route for you.

What questions should I ask when seeking treatment after a tragedy or trauma?

Treating trauma is a specialty in behavioral health and not all providers have the appropriate training and experience. Ask your provider about their training and experience.

  • Ask a potential provider if they specialize in treating adjustment after tragedy and trauma, or PTSD and inquire about what evidence-based treatments they offer.
  • If they do not have a background or training in treating PTSD it is important to move on to other providers that have that specialization. General ‘talk therapy’, and/or ‘supportive counseling’ are not effective treatments of traumatic stress.

References:

https://www.apa.org/topics/trauma/stress

https://www.ptsd.va.gov/understand/what/ptsd_basics.asp

https://www.nimh.nih.gov/health/topics/coping-with-traumatic-events

 

Uncategorized By Beth Church 0 Comments

Responding to Mass Violence: Resources for Parents, Teens, Kids, and Teachers

We extend our deepest sympathies to all who were affected by the violent events at Oxford High School. In the aftermath of a tragic event it can feel difficult and overwhelming to provide the needed support and care.  Below are resources to help guide families, teens, school staff and providers through this time. Please reach out for additional support.

Resources in Response to the Oxford High School Shooting

National Child Traumatic Stress Network has developed resources to help families and communities:

·          For Teens: Coping After Mass Violence

·          Tips for Parents on Media Coverage

·          Parent Guidelines for Helping Youth after the Recent Shooting (Also in Spanish)

·          Tip Sheet for Youth Talking to Journalists about the Shooting

·          Talking to Children about the Shooting

·          Helping Youth After a Community Trauma: Tips for Educators

·          Helping Teens with Traumatic Grief: Tips for Caregivers

·          Helping School-Age Children with Traumatic Grief: Tips for Caregivers

·          Helping Young Children with Traumatic Grief: Tips for Caregivers

·          After the Injury—website for families with injured children

·          Health Care Toolbox—website for pediatric health providers working with injured children

Psychological First Aid

The NCTSN also has resources for responders on Psychological First Aid (PFA). PFA is an early intervention to support children, adolescents, adults, and families impacted by these types of events. PFA Mobile is an app that can be accessed for free on Apple and Android mobile devices. Additional PFA resources include:

·          Psychological First Aid for Schools (PFA-S) – field operations guide

·          Providing PFA-S: For Health-Related Professionals – handout

·          Providing PFA-S: For Principals and Administrators – handout

·          Providing PFA-S: For School Support Staff – handout

·          Providing PFA-S: For Teachers – handout

Disaster Hotline

SAMHSA has a Disaster Distress Helpline – call or text 1-800-985-5990 (for Spanish, press “2”) to be connected to a trained counselor 24/7/365.