a harbor in a tempest”

“ A Harbor In A Tempest”

U2

Lisa M Shepard MA, LPC, ALPSReclaiming Youth At Risk

July 30th, 2019

The problems kids cause are not the

causes of their problems

Key Take AwaysO The problems kids cause are not the cause

of their problemsO There is statistical evidence that Mental

Health Issues Affect ChildrenO Mental health is as important, if not more

important than physical healthO The Brain Rules

O Respect In the face of disrespect

Harbor

O A place for vessels to find shelter, especially

one protected from rough water

O Refuge: A place of security and comfort

TempestO A violent windy storm

ADHD, behavior problems, anxiety, and depression are the most commonly diagnosed mental disorders in children

9.4% of children aged 2-17 years (approximately 6.1 million) have received an ADHD diagnosis.

7.4% of children aged 3-17 years (approximately 4.5 million) have a diagnosed behavior problem.

7.1% of children aged 3-17 years (approximately 4.4 million) have diagnosed anxiety.

3.2% of children aged 3-17 years (approximately 1.9 million) have diagnosed depression.

Some of these conditions commonly occur together. For example:

Having another disorder is most common in children with depression: about 3 in 4 children aged 3-17 years with depression also have anxiety (73.8%) and almost 1 in 2 have behavior problems (47.2%).

For children aged 3-17 years with anxiety, more than 1 in 3 also have behavior problems (37.9%) and about 1 in 3 also have depression (32.3%).

For children aged 3-17 years with behavior problems, more than 1 in 3 also have anxiety (36.6%) and about 1 in 5 also have depression (20.3%).

Mental, behavioral, and developmental disorders begin in early childhood

1 in 6 U.S. children aged 2–8 years (17.4%) had a diagnosed mental, behavioral, or developmental disorder.

Many family, community, and healthcare factors are related to children’s mental healthAmong children aged 2-8 years, boys were more likely than girls to have a mental, behavioral, or developmental disorder.

Among children living below 100% of the federal poverty level, more than 1 in 5 (22%) had a mental, behavioral, or developmental disorder.

Age and poverty level affected the likelihood of children receiving treatment for anxiety, depression, or behavior problems.

Here Is What We SeeO AggressionO SleepingO Withdrawal ( I give up)O Bullying OthersO HelplessnessO IrritabilityO Constant MotionO Arguing

STRESS “to pull apart”, (Latin)

11

Memory

Copyright 2008, NRAI

Four Types of StressODevelopmental

OPsychological

OReality

OPhysical

13

STRESS = PRESSURES > RESOURCES

The Stress Formula

S=P>R


HypostressO Non-challenging, bored, uninspired

14Copyright 2008, NRAI

HyperstressO Pushing a person beyond what they can handle


Eustress… Positive StressO Short-term providesimmediate strengthO Arises to motivateand inspire


Stress HormonesCortisol (affects memory)Adrenaline (epinephrine)

↓ Fight or Flight Specific


HYPOTHALAMUS

The HYPOTHALAMUSO controls the release of 8 major hormones by the

pituitary glandO controls body temperatureO control of food and water intake, hunger and

thirstO control of sexual behavior and reproductionO control of daily cycles in physiological state and

behavior also known as circadian rhythmO mediation of emotional responses

HIPPOCAMPUS

Approach/Avoidance

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“The act of ‘towardness’ and ‘awayness’ is common in all animals!”

-Allport


Emotional Regulation

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Emotions Motivate and Move us to Action


Contributing FactorsO Social MediaO Video GamesO PovertyO DiscriminationO Drug AddictionO AlcoholismO Family Violence

My Practice ExamplesO Mike M (12 year old – anxiety)O Scarlet S ( 9 year old- OCDish)O Kevin M ( 6 year old – aggression)O Haley C ( 18 year old – depression)

Synapse


Attunement


Flexible Attunement“Fitting In”

O We study others for the purposes of mimicking their behavior , whether we like them or not.

O When others notice we mimic them, they like us more!O We will mimic others in an attempt to gain favor:

O PostureO Voice tone and patternO Food preferencesO Clothing


CUES, BIDS and Window Words

O Methods students use to identify if an adult is safe, trustworthy, and open. Some time wordless, sometimes by behavior, sometimes by defiant acts. If we only react to the behavior and we don’t respond to need students stop trying.

ReactionO Comes from the back of the brain

Identified by the amygdalaFight, Flight or Flee is activated

Can Create amygdala war

ResponseO Comes from the neo cortex

O Requires Cognition O Thinking and judgment

O Thoughtful

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TRUST

“It takes years to build trust and seconds to destroy it!”- a wise man


Trust Trials™When children and youth provide opportunities for

us to prove ourselves to them and them to us.* will you accept me?* will you help me?* will you stay around?


If the Logical System is in Charge

O The youth’s personal logic is in play, based on experience…it may be rational or irrational.

O Logic is dependent solely on experience. Has it worked or not worked before.

O Work with the logic, we want to be working in this system!

TRANSFORM33Copyright 2008, NRAI

ACE STUDY DOSE-RESPONSE FINDINGS

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We found a strong graded relationship between the breadth of exposure to abuse or household dysfunction during childhood and multiple risk factors …in adults

Adapted from Felitti, VJ, Anda, RF et al (1998)

Adverse Childhood Experiences Study Household DysfunctionSubstance abuseParental separation/divorceMental illnessBattered motherCriminal Behavior

AbusePsychologicalPhysicalSexual

NeglectEmotionalPhysical

While you were growing up, during your first 18 years of life:1. Did a parent or other adult in the household often Swear at you, insult you, put you down, or humiliate you?orAct in a way that made you afraid that you might be physically hurt?Yes No If yes enter 1 ________2. Did a parent or other adult in the household often …Push, grab, slap, or throw something at you?

Try to or actually have oral, anal, or vaginal sex with you?Yes No If yes enter 1 ________4. Did you often feel that …No one in your family loved you or thought you were important or special?orYour family didn’t look out for each other, feel close to each other, or support each other?Yes No If yes enter 1 ________5. Did you often feel that …You didn’t have enough to eat, had to wear dirty clothes, and had no one to protect you?or

6. Were your parents ever separated or divorced?Yes No If yes enter 1 ________7. Was your mother or stepmother:Often pushed, grabbed, slapped, or had something thrown at her?orSometimes or often kicked, bitten, hit with a fist, or hit with something hard?orEver repeatedly hit over at least a few minutes or threatened with a gun or knife?Yes No If yes enter 1 ________8. Did you live with anyone who was a problem drinker or alcoholic or who used street drugs?Yes No If yes enter 1 ________

9. Was a household member depressed or mentally ill or did a household member attempt suicide?Yes No If yes enter 1 ________

10. Did a household member go to prison?

ACE STUDY DOSE-RESPONSE FINDINGS

40

0%

5%

10%

15%

20%

25%

30%

35%

40%

0 1 2 3 4

%Rep

ortin

gIVDrugUse

ACEScore

0.0%

10.0%

20.0%

30.0%

40.0%

50.0%

60.0%

0 1 2 3 4 5 6 7%EverE

xperiencingTeen

Pregnan

cy

ACEScore

0% 2% 4% 6% 8%

10% 12% 14% 16% 18%

0 1 2 3 4

%Rep

ortin

gAlcoho

lism

ACEScore

0% 2% 4% 6% 8%

10% 12% 14% 16% 18% 20%

0 1 2 3 4

%EverA

ttem

ptingSuicide

ACEScore

Source:AdaptedfromFelitti,VJ,Anda,RFetal(1998)

Finding Artificial Attachments


https://reclaimingyouthatrisk.org/handouts/grand-prairie/

Lisa M. Shepard MA, LPC, [email protected]

a harbor in a tempest”

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