Published on 19th June, 2021 by Dr. Sanveen Kang
Developmental trauma is used to describe exposure to multiple, chronic and prolonged developmentally adverse childhood experiences (ACEs).
Children develop concepts of self, others and the world based on their interactions with their parents/caregivers. When caregivers respond consistently to children’s emotional needs and are able to calm them down, they are said to have a secure attachment with their caregivers.
The ability to self-regulate is also dependent on the development of relevant brain areas.
Effective co-regulation leads to the deactivation of this system and child returns to a calm state where s/he is able to engage in reasoning and process emotions. Lack of co-regulation or prolonged exposure to chronic trauma means child is left in a constant of arousal (i.e. in “fight, flight or freeze” mode). Hence unable to process emotions or effectively regulate themselves.
How would a child with developmental trauma present?
As child is in a constant state of arousal, they may present themselves as hyper-vigilant and guarded or “tuned out” and emotionally numb. This also means they may be easily overwhelmed and may have difficulty calming down when upset. In certain scenarios this may present as a child “overreacting” or being unresponsive and detached. For example, a child who is easily frustrated and behaves aggressively when unable to comprehend his/her school work.
As child may struggle with self-regulation and may lack impulse control, their behaviour may seem unpredictable and volatile. For example, they may react defensively and aggressively to perceived threats at one time and may seem rigid, over controlled and unusually compliant at another. For older children or adolescents, they may also engage in high-risk behaviours or activities that break the law (i.e. being sexually promiscuous, shoplifting or being involved with drugs).
Children who have experienced ACEs may have difficulties with problem solving, reasoning and being able to plan or organize. They may have trouble with sustaining attention and be easily distracted, especially in face of perceived threats. They may show deficits in language development and abstract reasoning skills as they may struggle to acquire new skills or take in new information.
They may suffer from body dysregulaton, meaning they over-respond or under-respond to sensory stimuli. This may present itself as hypersensitivity to sounds, smells, light or even touch. Alternatively, some children may seem unaware of pain, touch or internal physical sensations. Some may also have recurrent or chronic somatic complaints such as headaches or stomachaches.
When a child has been repeatedly abused or neglected, they often blame themselves. They may experience shame, guilt and feeling of hopelessness. They may experience a diminished sense of competency, low self-esteem and poor self-image, as they feel powerless to change their circumstances.
Most children who are abused or neglected have difficulty forming a healthy attachment to a caregiver. This translates to them struggling to form healthy relationships with peers and significant others.
As they are more vulnerable to stress, they may have trouble controlling and expressing emotions. This may mean them reacting violently or inappropriately to situations, resulting in difficulties in their relationship with others.
20th July, 2021
What is BPD? BPD is common in both the general population and in clinical settings. Large, nationally representative, nonclinical surveys of the United States general population estimate that the point prevalence of BPD is 1.6 percent and the lifetime prevalence is 5.9 percent. Nearly 75% of people diagnosed with BPD are women. Recent research suggests that men may be equally affected by BPD, but are commonly misdiagnosed with PTSD or depression.
20th July, 2021
Developed on the back of the scientifically validated Cognitive Behavioural Therapy (CBT) model, Dialectical Behaviour Therapy (DBT) is a cognitive-behavioural treatment developed specifically for the treatment of complex mental disorders such as Borderline Personality Disorder (BPD). DBT has also been shown to be highly effective for the treatment of emotional dysregulation and suicidal behaviour.
14th July, 2021
Addiction or mere dependence? It’s a fine line. However, developing a compulsive need to use your digital devices, to the extent where it interferes with your life and stops you from doing things you need to do, is the hallmark of an addiction. Understand how digital addiction impacts children and teens.