A.L. Struik Clinical Psychologist/Family Therapist
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1 A.L. Struik Clinical Psychologist/Family Therapist
2 Book Six tests form Not a protocol Age differences
3 Chronically traumatized PTSD, FASD, RAD, ODD, ADHD, depression, self harm and suicidal Alcohol and drugs Aggressive Crossing sexual boundaries-offending Bullying
4 Emotion regulation is not sufficient Child is not stable Treatment on behaviour Skills training Protective behaviours Child and Adolescent Mental Health Medication Don t wake up sleeping dogs
5 PTSD practise parameters AACAP (2010) 1)Focus on traumatic memories (CBT or EMDR) 2)When resistant, keep going Process trauma, not only work on symptoms
6 Phased treatment Stabilization phase Trauma processing phase EMDR or CBT Integration phase Stabilization is difficult
7 I can t talk about it I don t want to talk about it I forgot everything I m over it It didn t happen We don t dare to ask
8 Child is constantly alert No trust No attachment Lonely No self soothing capacity Chronic stress
9 Motivation and psychoeducation Stabilization with six tests: Safety Daily life Attachment Emotion regulation Cognitive shift Nutshell Trauma processing with EMDR Integration
10 Connecting problems tot trauma Psycho-education brain, trauma reactions and attachment Child is in charge
11
12 WINDOW OF TOLERANCE
13
14 Physical safety (SOS, Turnell & Edwards) Basic needs: bed, bath and bread Emotional support Permission for therapy
15 Parents Partners of parents Father figures Foster-parents Ex-foster-parents Siblings Inpatient staff Therapists
16 No new problems every day Ready for temporary worsening Stable placement Safe Deposit Box Safe place Here and Now Triggers/ window Medication
17 Calm brain attachment figure Psycho-education Parental support Contact biological parents Perspective Attachmentsystem activated. Child uses adult to regulate
18 Can child tolerate emotions during TP? Bodily sensations Feelings Happy, Sad, Afraid and Angry Dissociation Experience and tolerate bodily feelings Experience and tolerate normal feelings without dissociating
19
20
21 Children blame themselves Don t blame the hand that feeds you Cognitive shift Perpetrator takes responsibility Victim-parent often also perpetrator Other hand to feed
22 It can happen again I am out of control Anger/ fear It is my fault/ I should have Role reversal I am stupid/ a bad child/ I hate myself Depression/ anger
23 I am safe now, it stopped I am in control now It is not my fault, mom/dad should not have done that/ taken care of me I am a normal/ok person, despite what happened or what I have done
24 Overview of memories Child stays within window of tolerance Clustering
25
26 EMDR 0-18 years 0-4 years with attachment figure Complex trauma <12 years, 3-5 sessions Complex trauma >12 years, 5-8 sessions EMDR practitioner EMDR for preverbal trauma
27 Family therapy Reunification Meeting the perpetrator Skills training Making life story-movie or photo book Going back to former houses/ families
28 Sleeping Dogs workshop Monday 21 Nov Melbourne EMDR Child Training Feb and March 2017 Auckland EMDR Child Training Feb and March 2017 Adelaide FIFO treatment clinics
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