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Moving from Surviving to Thriving After Childhood Trauma and Abuse

December 2, 2019

Written by Brandon Schmidt, LMFT


On Saturday, November 2nd, 2019, Transforming Life Counseling Center was blessed to provide clergy, mental health professionals, and students with a life-giving conference that sought to bring together both the faith-based community and the mental health field.  Our goal was to provide attendees with something that very few in Oklahoma had seen, a conference that focused on mental health while acknowledging that faith is a necessity to healthier living.  We were excited to greet over 200 attendees and to fellowship with them as we learned together. Many relationships were forged and we are excited to see where God will bless these unions in the days to come.


I was fortunate enough to lead a breakout session that focused on childhood trauma.  We took time to acknowledge that trauma can come in many different ways, focused on the stress reactions within children and families following traumatic experiences, briefly examined Post-Traumatic Stress Disorder within children, and looked at the top four treatments, include Parent-Child Interaction Therapy, to help children and families work through trauma and abuse. In this article, I will seek to summarize the highlights within this breakout session.


To illustrate the many different ways that trauma can occur, I drew upon the life experiences of my grandfather.  Most of his pain and suffering as a young boy were brought to life by my aunt, an Oklahoma author, and within the pages of her first book, “Let The River’s Clap Their Hands.”  In her book, she captured beautifully the amazing love story between my grandfather and grandmother and through their faith in Christ, they left a tremendous legacy for our family.  Unfortunately, during my grandfather’s early years, starting at the age of 4, he encountered trauma from many areas of his life.  My grandfather endured trauma through a natural disaster by the way of the Oklahoma Dustbowl, and, through the economic perils of the Great Depression. As a poverty stricken Indian boy, he experienced racism and discrimination, threatening his sense of safety and security. The daily events of his life, drove home the message that he was unwanted and unloved through the deaths of both his parents and later an older brother. Then, there the was abuse and neglect that he suffered within the orphanage that took him and his younger brother in, when family could not keep them, due to the abuse and torture they endured from the very family members who were supposed to keep them safe.

As a mental health professional, I have to look at this story and ask myself, “Despite all the abuse and trauma that my grandfather and his little brother endured, how did they grow up to be such amazing leaders for our family when so many who have endured trauma have continued to struggle with the effects of their trauma?”  This question caused me to ask even further, “Why is it that some people show more resiliency than others?”  As I researched this and later presented on it, it became clearer that resiliency is dependent upon several factors: the characteristics of the individual, the type and characteristics of the event(s), developmental processes, the meaning of the trauma, and sociocultural factors.

Survivors’ immediate reactions in the aftermath of trauma are quite complicated and are affected by their own experiences, the accessibility of natural supports and healers, their coping and life skills and those of immediate family, and the responses of the larger community in which they live.  Although reactions range in severity, even the most acute responses are natural responses to manage trauma—they are not a sign of psychopathology.  Helping individuals know that even though their trauma is unique to them, their responses to the traumatic event(s) are normal will often help put their minds and hearts at ease as they work to confront more of their trauma experiences.

Children who suffer from traumatic stress reactions are those who have been exposed to one or more traumas over the course of their lives and develop reactions that persist and affect their daily lives after the traumatic events have ended.  Traumatic stress reactions can include a variety of responses, including intense and ongoing emotional distress, depressive symptoms, anxiety, behavioral changes, difficulties with attention, academic difficulties, nightmares, physical symptoms such as difficulty sleeping and eating, and aches and pains, just to name a few.  Although many of us may experience these reactions from time to time, when a child is experiencing traumatic stress reactions, they interfere with the child’s daily life and ability to function and interact with others.

When trauma is left untreated, the traumatic stress reactions can last well beyond childhood.  In fact, research shows that child trauma survivors are more likely to have the following: learning problems, including lower grades and more suspensions and expulsions; increased use of health services, including mental health services; increased involvement with the child welfare and juvenile justice systems; and long term health problems, such as diabetes and heart diseases.  So, how do we treat childhood trauma? What are the most effective techniques? The National Registry of Evidence-Based Programs and Practices, along with the National Child Traumatic Stress Network have identified four of the most effective approaches when treating childhood trauma:  Trauma-Focused CBT, Child-Parent Psychotherapy, Attachment and Biobehavioral Catch-Up, and Parent-Child Interaction Therapy.

At TLCC, we have a great group of therapists that love to engage in treatment with children and their families, and one of the leading programs that we use is Parent-Child Interaction Therapy (PCIT).  We have seen so much healing come from this program and the dedication of our therapists as they work alongside families and children who have experienced traumatic events.  PCIT is an evidenced-based treatment that lasts anywhere between 14-25 weeks.  The goals of treatment are to:  strengthen the parent-child relationship; improve the child’s pro-social behaviors; decrease the child’s negative behaviors; improve the frustration tolerance and anger management of both parent and child; decrease parenting stress; and effectively implement a positive discipline plan.  PCIT utilizes structured play sessions between the parent and the child to help heal the attachment bond that was shattered by trauma and instill a feeling of safety and security that can help the child and their families thrive.

When I think about PCIT, it's all about healing the bonds of relationship.  And when it comes to resiliency, one of the leading necessities for resiliency is community.  God has made us to be relational; first, in relationship with Him, and then, in relationship with others.  We are stronger when we are grounded and connected in safe and secure relationships.  Children thrive in this kind of an atmosphere and through treatments like PCIT, we can help them heal while we strengthen their ability to feel safe and secure once again.
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TLCC often has the pleasure of offering training and CEUs to its staff members and extends these opportunities to those in the counseling community. During our last quarter, TLCC heard from a variety of treatment centers and professionals on mental health topics that expanded our team’s knowledge of resources to better serve our community. Stages of Recovery provided information regarding outpatient Drug and Alcohol Rehab in Oklahoma and Texas. Next Level Senior Advisors provided information about the work they do in helping senior adults and their families find the right fit for their loved ones in assisted living. Live Better at Home shared information about senior home care services they offer in the OKC metro area. Please see an overview of each, to determine if you, or someone you know, might benefit from their services and/or the information they provided. Stages of Recovery TLCC wants to thank Linda Morgan for coming to speak with TLCC therapists to tell us more about Stages of Recovery and the great work they do in OKC and Texas. Stages of Recovery is an outpatient dual-diagnosis drug and alcohol rehab, meaning they treat both addiction and any co-occurring mental health conditions. Stages uses a comprehensive model combining psychiatric, behavioral and holistic therapies. For more information, please see the link above. Live Better At Home TLCC wants to thank Jeremy Allen CEO and Kelly Garrett from Live Better at Home for speaking with TLCC staff about the great work they do in the OKC metro area. LiveBetter at Home provides professional home care services tailored to support seniors and individuals needing assistance in the Greater Oklahoma City area. Our services are designed to enhance independence and quality of life while maintaining the comfort and familiarity of home. Our key offerings of personal care, respite care, and virtual care, provide assistance with daily activities such as meal preparation, medication reminders, personal hygiene, light housekeeping, transportation and companionship. For more information, please see the link above. Next Level Senior Advisors TLCC wants to thank Matt Wilson, CEO and Sara Cook, RN from Next Level Senior Advisors for taking the time to speak to TLCC therapists and provide information regarding the great work they do in multiple states. Next Level Senior Advisors is a dedicated Senior referral and placement agency, that specializes in helping families navigate the complexities and transition into Senior Living. They offer personalized consultations; access to a wide network of senior living facilities offering different levels of care, expert advice and guidance through this process, and ongoing support and advocacy. For more information, please see the link above. We want to say a big thank you and Happy Holidays to all our presenters!
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