Jordyn, who disclosed sexual exploitation in a previous session has continued to see her therapist to address her symptoms of distress which include depression and PTSD. During this session Jordyn is joined by her father Jimmy who has his own trauma history related to combat exposure. Despite notable progress in both Jordyn’s and Jimmy’s respective individual treatment, tensions are growing at home that are related to the upcoming court proceedings and trial for the man who exploited Jordyn. To address the mounting tensions at home, the therapist decides to focus on communication. In this family session, secrets are revealed and the therapist is challenged to repair the rift between father and daughter caused by the information disclosed.

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.

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.

In this webinar, you will meet Adam, a 15 year old Caucasian male. For years, Adam was excelling in school and was a star soccer athlete. Unbeknownst to his parents, Adam was sexually assaulted a year ago by his female tutor Amber. Following the assault, Adam began to struggle in school and behaving in uncharacteristic ways. Adam was referred to a therapist and about one year later, Adam reported to his therapist that he was hearing voices telling him to kill himself. Over several weeks Adam became increasingly anxious and sad and began to experience auditory hallucinations telling him to either hang himself or jump out a window.

This webinar depicts a moment when Rose initially directs her feeling of being victimized toward her therapist. Rose expresses that therapist’s contact with her mother and school has increased the stigma and vulnerability she feels, and her sense that she’s not getting the support she needs. Rose sees the therapist as responsible for greater distress for both herself and her mother.  This webinar illustrates the complexity of developmental trauma and raises questions as to whether the therapeutic relationship can be repaired. The therapist attempts to balance concerns of trust and safety in the context of Rose’s culture and the impact of developmental trauma across generations.

Samantha is a 15-year-old African American girl who lives in public housing in an urban area rife with violence and drug use. Samantha is an outstanding student and attends private school on scholarship, where her friends describe her as beautiful, popular, brilliant, and a star athlete. At age 10, Samantha saw her brother murdered when he was walking her home from school. Their mother became hysterical and chronically depressed, and their father changed from a loving dad to drinking and screaming at the family. Samantha was sexually assaulted by her boyfriend’s male friends at a party at which she, usually a non-drinker, became intoxicated and passed out. Samantha has no memory of the assault and was referred to a female therapist, Dr. Sofia Mattei, by a sexual assault counselor who met with her at the hospital. This webinar presents Samantha’s first therapy session with Dr. Mattei.

Adam a 15-year-old, is referred to therapy after several weeks of unexplained sickness. Adam has always excelled in school despite having been sexually abused by his soccer coach in his past. About a year ago, Adam’s grades and sports performance started to slip when an adult female tutor became sexually abusive and threatened him if he reported her. Adam was already seeing a therapist to work on recent difficulties in school and conflicts with his parents. As he attempts to end therapy, he reveals for the first time that he is experiencing current sexual abuse.