1. Change the Lens, Change the Life: Trauma Informed Care
Annie Lange, LMSW, ACSW

2. Annie’s Practice Lab and Greatest TEACHERS!!!

3. Caregivers can make a difference…3

4. Every child is born with beautiful potential

5. What trauma have your children experienced?

6. Triune Brain

7. The Developing Brain
The brain is a social organ and develops in the context of relationship
Humans are hardwired for connection
Attachment changes the brain
A healthy brain supports self-regulation
Genes provide frame work
Life experience directs final brain construction
The Hope of Neuroplasticity

8. Human Danger Response Step 1: Danger Beliefs “lens of danger”
Step 2: Body and Behavior Responses
“Fight – Flight – Freeze”
Step 3: Compromised Healthy Development
Self Regulation * Social * Cognitive
Blaustein & Kinniburgh 2010 8

9. Understanding Triggers
Trigger: A reminder of a past event that can lead to same set of emotions and behaviors
Understanding Triggers
Blaustein & Kinniburgh 2010 9

10. Do exercise where audience identifies white picket fence experience and scary house experience
Andy: safe calm utero, easy birth, nurturing, gentle touch, emotional availability, physical needs meet, consistent parents, sensitive care giving, responsible parents, social needs meet, safety/security, predictability, stable home, good health, consistent housing,
Billy: prenatal drugs, difficult birth, sexual, physical, emotional abuse, neglect, foster care, adoption, accidents, frequent moves, depressed parents, unmet needs, bullying,
Domestic violence, medical trauma, divorce
(Adapted from Forbes 2014)

11. Blaustein & Kinniburgh 2010
Common Child Triggers
Unpredictability or sudden change
Loss of control
Feeling vulnerable
Feeling rejected
Confrontation
Loneliness
Sensory overload
Intimacy
Peace / Calm Quiet
Blaustein & Kinniburgh 2010 11

12. Common symptoms of trauma and attachment disorder
Superficially charming, indiscriminate affection
Need for control
Hyper vigilant
Argumentative, tantrums rage
Demanding or clingy
Lack of empathy, morals or values
Lying, stealing
Destructive to property
Cruel to animals
Constant chatter
Eating issues, hoarding or refusal to eat
False accusations of abuse
Fascination with gore, blood and weapons
Few or no long term friends
Triangulate adults
Attitude of entitlement or narcissism
Affection on child’s terms, not the parent’s terms
Manning, 2013

13. Trauma Informed Care

14. Volunteer  Caregiver  Child14

15. Curiosity Kindness Compassion
Tuning in With…
Curiosity Kindness Compassion

16. Attunement is a moment to moment, day to day process
“I see you”, “I hear you”
Attunement is a moment to moment, day to day process
Attunement fosters co-regulation 16

17. Compassion
Compassion is tied to the practice of mindfulness, paying attention to the present moment, with complete acceptance of thoughts, feelings and body sensations. (Desmond,2016) 17

18. EMPATHY Perspective Taking Withholding Judgment Recognizing Emotions
Communication of Understanding

19. Mindfulness “Name It to Tame It”
Awareness
Of Present Experience
With Acceptance 19

20. What Story are we making up?

21. Psychiatrist and Holocaust survivor
“In between stimulus and response there is a space, in that space lies our power to choose our response, in our response lies our growth and our freedom.”
Viktor Frankl
Psychiatrist and Holocaust survivor

22. Thought Travel

23. Thought Cycle 23

25. Where do we shine the light?

26. The Nurtured Heart Approach
The approach has three basic aspects:
Super-energizing experiences of success.
Refusing to energize or accidentally reward negativity.
Providing a perfect level of limit-setting and consequences. 26

27. GREATNESS PRACTICE PRACTICE * PRACTICE * PRACTICE

28. “I’ve learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel.”
- Maya Angelou

29. To your Greatness!! Annie Lange BSN, LMSW, ACSW Clinical Social Worker
Nurtured Heart Approach Advanced Trainer