Jennifer Lefebre – Trauma Treatment for Kids – Healing the Body Through Play: Advanced Interactive Workshop

Outline

• Neuroscience of Childhood Trauma Trauma Theory Neuroscience of Childhood Trauma Trauma Theory
  • Fight-or-Flight (parasympathetic/sympathetic nervous system)Fight-or-Flight (parasympathetic/sympathetic nervous system)
  • Attachment TheoryAttachment Theory
• Assessment Assessment
  • Complex TraumaComplex Trauma
  • Post-traumatic Stress DisorderPost-traumatic Stress Disorder
  • Reactive Attachment DisorderReactive Attachment Disorder
  • Developmental Trauma DisorderDevelopmental Trauma Disorder
  • A new conceptualization and integrated clinical frameworkA new conceptualization and integrated clinical framework
• Essential Components for Trauma-Informed Treatments Essential Components for Trauma-Informed Treatments
  • Establishing safety and a sense of competence/worthEstablishing safety and a sense of competence/worth
  • Appropriate attachments & relational engagementAppropriate attachments & relational engagement
  • Self-regulation (body & emotions)Self-regulation (body & emotions)
  • Self-reflection & IntrospectionSelf-reflection & Introspection
  • Integration of traumatic experiences (acknowledgment & processing of the trauma)Integration of traumatic experiences (acknowledgment & processing of the trauma)
  • Future safety ~ transitioning beyond the TraumaFuture safety ~ transitioning beyond the Trauma
• Body Based Treatment – Emotional and Behavioral Regulation Body Based Treatment – Emotional and Behavioral Regulation
  • Verbal vs nonverbal responses – how to recognize trauma without verbal reportVerbal vs nonverbal responses – how to recognize trauma without verbal report
  • Bottom-up versus top-down processing – trauma starts in the bodyBottom-up versus top-down processing – trauma starts in the body
  • Developmental needs of traumatized childrenDevelopmental needs of traumatized children
  • Embodied play & sensory integration – emotional and behavioral regulationEmbodied play & sensory integration – emotional and behavioral regulation
• Incorporating Play Therapy into Proven Evidence-based Treatments Incorporating Play Therapy into Proven Evidence-based Treatments
  • Components that “fit” the child’s specific needsComponents that “fit” the child’s specific needs
  • TF-CBT- Trauma focused Cognitive Behavioral TherapyTF-CBT- Trauma phd/">focused Cognitive Behavioral Therapy
  • EMDR – Eye Movement Desensitization and ReprocessingEMDR – Eye Movement Desensitization and Reprocessing
  • CPP – Child Parent PsychotherapyCPP – Child Parent Psychotherapy
  • ARC – Attachment, Regulation, and CompetencyARC – Attachment, Regulation, and Competency
  • TARGET – Trauma Adaptive Recovery Group Education TherapyTARGET – Trauma Adaptive Recovery Group Education Therapy
• Play Therapy Principles Play Therapy Principles
  • Therapist establishes a friendly relationshipTherapist establishes a friendly relationship
  • Accepts the child as he isAccepts the child as he is
  • Creates a permissive relationship; child has freedom of expressionCreates a permissive relationship; child has freedom of expression
  • Validates (acknowledge and reflect) child’s feelingsValidates (acknowledge and reflect) child’s feelings
  • Responsibility for decisions and change is left mostly to the childResponsibility for decisions and change is left mostly to the child
  • Child directs the therapeutic process; therapist followsChild directs the therapeutic process; therapist follows
  • Therapeutic interaction is not rushedTherapeutic interaction is not rushed
  • Limits are set only when necessary for child’s outcomesLimits are set only when necessary for child’s outcomes
• Advancing Trauma Treatment with Play Therapy Advancing Trauma Treatment with Play Therapy
  • Non-verbal techniquesNon-verbal techniques
  • Sensory-based techniquesSensory-based techniques
  • Culturally and developmentally appropriate techniquesCulturally and developmentally appropriate techniques
• Play Therapy Strategies and Techniques Play Therapy Strategies and Techniques
  • Integration of traumatic experiences to acknowledge and process the trauma: Sandtrays, drawings, & playIntegration of traumatic experiences to acknowledge and process the trauma: Sandtrays, drawings, & play
  • Target shame, self-doubt, and selfcompassion: Sandtray Safeplace & All About MeTarget shame, self-doubt, and selfcompassion: Sandtray Safeplace & All About Me
  • Build an understanding of the brainbody relationship: Flip your lid and CharadesBuild an understanding of the brainbody relationship: Flip your lid and Charades
  • Target indiscriminate attachments and interpersonal reactivity: Invisible String & Family SandtrayTarget indiscriminate attachments and interpersonal reactivity: Invisible String & Family Sandtray
  • Improve emotional and bodily regulation: Stressballs, Be Spaghetti, Feelings Map, Trashballs, Yoga, and Weather MassageImprove emotional and bodily regulation: Stressballs, Be Spaghetti, Feelings Map, Trashballs, Yoga, and Weather Massage