Emotion Dysregulation
All sessions can be found in full on learn.nctsn.org under “Clinical Training” – “Identifying Critical Moments and Healing Complex Trauma”. These are worth CEU (Continuing Education Units) credit when completed in their entirety.
After watching the video, please take the time to give us feedback on the session. Your feedback will help us shape the new webinars and sessions! If you have any questions or would like a copy of your responses, please email Meadow Pallein B.A., at ctdtd@uchc.edu.
Reflections on Engagement with an Immigrant Child-Parent Dyad Recently Reunified
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There is often a story of profound pain and fear behind anger and dysregulated behavior in parent-child relationships. During this session, you will see the modern-day manifestations of the intersection of historical, intergenerational, and migration trauma and its compounding impact with present-day traumatic stressors on the parent-child relationship of an indigenous Guatemalan immigrant family. This webinar depicts significant emotional and relational themes faced by young children who come to the US as unaccompanied minors as well as themes that both the children and their parents face upon reunification. Viewers will also see a framework for engagement where the therapeutic relationship is used as a vehicle for the restoration of safety, co-regulation, protection, and hope in the parent-child relationship. This framework is aimed not only at repairing the child-parent relationship but also at exploring, acknowledging, and including the family’s historical and socio-cultural context in complex trauma treatment.
Longing to Reconnect with Family: A Teenager and His Father Encounter Their Losses and Fears
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In this Webinar you will meet Joshua, a 15-year-old who has been in and out of DCF care and foster homes his whole life. Recently he was arrested for attempt of armed robbery. In this session, the therapist was asked by DCF to work on strengthening the relationship between Joshua and his father to see if he could move in and live with his father’s family in the future.
Managing Parental Dissociation During a Dyadic Therapy Session: Meeting the Needs of Dysregulated Parent and Child
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Debbie is a 10-year-old multiracial girl who lives with her 27 year old African American mother Sharon. Sharon has struggled for years with substance abuse. The family lived for several years in a shared space which was quite chaotic. During this time, Debbie often would be with other children in the building for many hours at a time without adult supervision. Many adults would come in and out of the building, and Debbie often did not see her mother, sometimes, for days. During this session Sharon begins to dissociate and the therapist must now find away to comfort Debbie while supporting Sharon.
Addressing Patient Needs While Maintaining Boundaries: A Triggered Patient Seeks Physical Comfort
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In This webinar we meet 11 year Clara. Clara reveals her first sexual abuse experience by her mother’s former live in boyfriend, Michael, and how the abuse progressed. Clara becomes overtly distressed and leaps onto the therapist, embracing him. The therapist gently reestablishes physical boundaries and facilitates her diaphragmatic breathing. The scenario illustrates the complexity of the therapeutic relationship and the balance therapists must achieve for effectively supporting traumatized patients while also maintaining healthy boundaries.
Triggered Distress in a Young Child During Play Therapy
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In this webinar you will meet Maya, a 9-year-old girl, was referred for therapy due to numerous instances of domestic violence by her father toward her mother (some of which she witnessed), physical abuse by her father, and possible sexual abuse with no specific disclosures. Maya’s father is currently incarcerated for drug and violence-related crimes. Her mother was unable to consistently take care of Maya for the past few years due to substance abuse issues so Maya was removed from her care. Maya has two failed foster home placements due to significant aggressive and sexualized behavior. She is currently residing in a stable foster home and has begun to have monitored visits with her biological mother who was recently discharged from a drug rehabilitation program. Maya has attended therapy with this therapist for only a short time and recently, has begun to demonstrate more trauma-related play. This session illustrates how dysregulation and trauma processing can be exhibited in play, sometimes with significant distress for the child with developmental trauma. The critical dilemma involves to what extent the therapist helps a highly traumatized child to manage her distress versus engage in trauma processing.
Helping an Angry Father Find Common Ground with His Son
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Depicts a father who has been physically violent in the past becoming intensely verbally angry, frightening and emotionally alienating his son. The therapist has to find a way to help the father feel supported, so he can engage his son with the love and appreciation which his son needs from him. With this caring and role modeling, the son can heal and move forward in his own life.