Disorder for even the most experience therapist. I find that the Grinch have a long history of disregarding am happy to be working in this area, yet I am also aware that I have a long way to go before I will feel that have the knowledge needed to assess each situation on my own. Thanks to my supervisor, I was able to participate in a case with a young child that had experienced domestic violence.
Parents, whether biological, foster or adoptive, can play a significant role in addressing symptoms of PTSD by eassuring a child that he/she is safe. Though each case is unique, I will attempt to analyze this case. Case Summary A two year old, petite and adorable little Caucasian female presented in the office due a recent increase in aggressive behaviors at home and daycare towards others, avoidant behaviors at home, sleeping issues and anger/ violence towards her sibling and peers at daycare and adult caregivers.
She and her twin sister were removed from their home due to domestic violence between the parents, both parent C/D issues and their incarceration and the parents’ inability to provide safe and stable housing and appropriate care for he children. The twins were placed with their paternal grandmother for a period of two years before they were removed by the State due to their PCP’s report of their failure to thrive and lack of weight gain. Biological mother had her rights terminated by the courts.
Biological father is trying to regain custody of the girls and is working to reach that goal. This little girl shows signs of fetal drug exposure as mom drank and did heavy narcotics while pregnant with the twins. She had several disruptions in attachment, due to her multiple moves. She has several tantrums throughout the day and has rouble sharing with her sister. She hoards food and always has a sense that she does not have enough. She competes for time with dad in sessions and will get upset is her sister is sitting on dad’s lap.
Her diagnosis includes 309. 81 Posttraumatic Stress Disorder; R/O Reactive Attachment Disorder, disinhibited; possible developmental delay on Axis l; Deferred on Axis II; Possible failure to thrive in 201 2 on Axis Ill; problems with primary support group, housing problems, problems with access to health care services, problems related to interaction with the legal system/crime and other sychosocial and environmental problems on Axis IV; with a current GAF of 50.
Professional Knowledge Over the last decade, there has been an increased awareness of the prevalence and impact of traumatic events on youth (Greeson, 2011). It is estimated that 26% of youth in the United States will witness or experience a traumatic event before the age of 4 years (Briggs-Gowan, Ford, Fraleigh, McCarthy, 6c Carter, 201 0), many of whom will experience multiple types of trauma (Briggs et al. , in press; Kisiel et al. , 2009).
Organizations that work with youth who have been traumatized, such as child welfare agencies, typically ocus on behavioral and emotional reactions that are brought to the attention of providers, without addressing the context of these symptoms, including trauma exposure histories and trauma-specific reactions (Briggs et al. , in press; Kisiel et al. , 2009). These organizations should always have some kind of plan in place for screening and assessing a child’s trauma history. This information would then be used to refer children to the appropriate trauma services.
Such groups include young children who may be at increased risk for complex trauma histories and multiple placements, older youth who may e at risk for crossing over from child welfare to juvenile justice and/or at risk for foster care drift (i. e. , those children who languish in foster care for extended periods), and youth who have experienced complex traumas (Carrion, V. G. , M. D. , & Kletter, H. , PhD, 2012). Many children in the child welfare system (CWS) have histories of recurrent interpersonal trauma perpetrated by caregivers early in life often referred to as a complex trauma.
Children who have experience any kind of trauma may experience uncertainty about the reliability and predictability of others; poorly odulated affect and impulse control, including aggression against self and others; delayed startle reflexes; sleep disturbances; increased/excessive irritablility; regression in toileting and languages; fear of being alone; temper tantrums and clinging; passive, quiet, easily alarmed, and less secure about being provided with protections and strong startle reactions and aggressive outbursts.
From the child’s perspective that often have feelings of being responsible for the traumatic event. Traumatic stress in children can lead to difficulties in social, emotional, and cognitive development. false.