Posted in Childhood play, free play, Healing

Brain mapping with children affected by neuro-developmental trauma

 

I work with children with neuro-developmental trauma, doing something called brain mapping. Translated, this means that at some point in a child’s development an event has occurred that impacted brain development during crucial developmental phases.

 A number of events can contribute to this. Most of us know that drugs and alcohol are traumatic events to a developing fetus which can impact brain development. A mother who is stressed throughout her pregnancy with cortisol streaming through her body creating a rapid heartbeat can affect the developing fetus. The baby being exposed to this in utero can be born with a heightened stress response system.

A baby born prematurely, or with health issues subsequently who is isolated and cut off from the normal sensory bath that occurs through touch, sound, and sight, can develop attachment issues if the isolation and lack of contact goes on for a significant period of time.

Most of us have seen footage of those children raised in eastern European orphanages who were left in cribs throughout the day with almost no human contact and whose brains had been severely impacted by neglect.  Albeit this is an extreme example, however children who are neglected, abused, and traumatized often have impaired brain development. These children present with attachment issues, difficulty with self-regulation, aggression and a host of other issues.

The earlier the traumatic event, and particularly if it occurs before language has developed, the greater the impact. A child’s body holds the trauma as there are no words to put the trauma into context.

Children exposed to domestic violence often present with neuro-developmental trauma.  Witnessing violence literally changes a child’s brain. Stress produces cortisol which adversely affects a developing brain. Ongoing exposure to domestic violence creates a state of chronic stress, fear and anxiety. Over time this begins manifesting in a series of issues. Children present with aggression, inability to regulate themselves, anxiety, fear, and sensory problems. They live in a state of flight or fight, and because their stress response systems have a higher set point than most children, it takes very little for them to become dysregulated.

These kids are likely to have impaired attachment, and they are often misdiagnosed as being oppositionally defiant, having ADHD, or  sometimes labelled as autistic when this is not the case. These are the children that cannot sit still in class, cannot learn, are disruptive and explosive. They become the bane of their teacher’s existence and are often ostracised not only by their teachers, but their peers alike. They are lonely and most often, misunderstood. The problem is that developmentally they may be years behind their chronological age. Expectations by the people around them, don’t match their developmental age and stage.

Dr. Bruce Perry, a world-renowned child psychiatrist and neuroscientist has contributed hugely to what we now understand to be neuro-developmental trauma. He has pioneered the use of brain metrics or brain mapping in order to better understand how trauma has affected a child’s developing brain. By getting a complete bio-psycho-social on the mother, and by going through the child’s physiological and psychological development, we are able to get a computer-generated representation of a child’s brain, showing which areas have been impacted.

What is known that regular, repetitive, rhythmic movement replicates what should have occurred during early brain development, and these types of movements help to quiet an overactive stress response system. Most of the impairment occurs in the lower portions of the brain, which is less malleable or plastic than the higher regions of the brain. The earlier the interventions, the greater likelihood of success.

Posted in Mental Wellness, overcoming adversity

Staying well during these challenging times

 

 

It seems that after a lengthy winter when most people were looking forward to the renewal of spring, everything changed in a heart beat, and suddenly the world as we knew it was hijacked by a virus none of us had heard of until it was suddenly at our front doors. The normalcy and sameness that dominated our lives was replaced with fear, uncertainty, and for some, skepticism. What was this invisible thing that had arrived without warning, forcing us into exile within our homes and broader community? Where had it come from, and what did it mean in terms of our daily lives? Suddenly were were isolating in our homes, away from friends and family, and left scratching our heads.

Humans have a need for safety, predictability, equilibrium and affiliation. In a blink of an eye, all of that vaporized. People were out of work, with no idea how they were going to pay bills, and children were home from day-cares and school. It was a double edged sword in the sense that some people were reporting a reduction in stress due to more positive family interactions within the family unit, while others were reporting increased stress due to the uncertainty of finances and friction with family members that they were now cloistered with.

There is no doubt that these are challenging times. We are moving into late summer and as the days go by there appears to be an increase in the number of COVID cases, as well as little published information in terms of demographics. There is a vagueness in what information is relayed to the public and it seems that even the medical community can’t agree on a number of related issues. There also appears to be conflicting information in regards to social distancing. People are still highly encouraged to follow safety protocols when in public, and despite this, many are questioning the decision to allow children back to school where they will be in close contact with one another. It is understandable that many people are beginning to question the narrative.

The bottom line is that because there are so many unanswered questions, one has to air on the side of caution and take measures to ensure personal safety and the safety of their family members assuming that the virus is as deadly and transmittable as we have been told.

This situation has brought out the best in people, and also the worst. Paranoia can be seen by individuals in public places, whereby they verbally or physically assault someone that they feel has not followed safety protocols. Mostly people have become stressed, worn down, and exhausted by an invisible interloper that arrived on their doorsteps and is showing no intention of leaving any time soon. Most of us question whether life will ever go back to the way it was, and uncertainty lends itself to anxiety.

Mental health is of critical importance during times like these, self-care being at the forefront. The community social fabric has been torn, and we have become alienated from one another not by choice, but by circumstance. The phrase, “We are in this together” is said almost by rote now and having been said so many times, has become worn out and rendered almost meaningless. We are in it together, but we are no longer together, being forced to keep our physical distance. The wearing of masks and the inability for others to read our facial expressions will likely show consequences further down the road if this is to become ” the new normal”. We rely on reading body posture and facial expressions as part of communication, and for those suffering from trauma and anxiety, this creates uncertainty.

Like most, I have few answers, as we are yet in the midst of this pandemic crisis, of which the future social ramifications remain to be seen. Take care of yourself and each other. Get outside and breathe fresh air. Get an abundance of exercise. Eat healthy. Listen to one another and support the people you are able to. Make sure if you have anxiety and stress, that you find someone to talk to. Be kind to those around you., even the ones who are unable to be kind themselves.