Trauma and Attachment in Children and Families: Play, Art and CBT to Reduce Symptomology and Repair Connection – Christina Reese

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What came first, the loss of attachment or the diagnosis … Anxiety, ADHD, ODD?What came first, the loss of attachment or the diagnosis … Anxiety, ADHD, ODD?

For the child who is oppositional, did they respond with opposition after feeling disconnected from their primary attachment or have their oppositional behaviors put stressors on their primary relationships?For the child who is oppositional, did they respond with opposition after feeling disconnected from their primary attachment or have their oppositional behaviors put stressors on their primary relationships?

Imagine a client/family in your office and you’re hearing about the oppositional and defiant child’s behavior from frustrated parents – which came first, the behavior and then the rupture in attachment. Or did the attachment come first and is showing as a behavioral disorder?Imagine a client/family in your office and you’re hearing about the oppositional and defiant child’s behavior from frustrated parents – which came first, the behavior and then the rupture in attachment. Or did the attachment come first and is showing as a behavioral disorder?

Watch me to become more successful in helping identify and heal ruptured attachments in family and children. Learn the ways that attachment trauma and relationship dysfunction impacts a child’s ability to feel safe with adults, follow directions and be respectful.Watch me to become more successful in helping identify and heal ruptured attachments in family and children. Learn the ways that attachment trauma and relationship dysfunction impacts a child’s ability to feel safe with adults, follow directions and be respectful.

Reframe the behaviors to identify the distress, learn how attachment trauma is related to every diagnosis, and how repairing the primary attachment relationship can reduce symptomology.Reframe the behaviors to identify the distress, learn how attachment trauma is related to every diagnosis, and how repairing the primary attachment relationship can reduce symptomology.

Discover attachment-focused interventions to:Discover attachment-focused interventions to:

• Reduce symptomology for anxiety, aggression, opposition, inattention, and mood instabilityReduce symptomology for anxiety, aggression, opposition, inattention, and mood instability
• Increase connection for better self-esteem, coping skills, and sense of belongingIncrease connection for better self-esteem, coping skills, and sense of belonging
• Improve emotional and self-regulation for life-long attachmentImprove emotional and self-regulation for life-long attachment
• Build attachment-focused therapeutic rapportBuild attachment-focused therapeutic rapport

Bring life-altering change to the children that you are working with, repairing foundational relationships and giving them the skills they need for life-long relationships, health and stability.Bring life-altering change to the children that you are working with, repairing foundational relationships and giving them the skills they need for life-long relationships, health and stability.

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1. Distinguish attachment patterns that are healthy versus those that are rooted in trauma.Distinguish attachment patterns that are healthy versus those that are rooted in trauma.
2. Recognize how maladaptive attachment impacts clients’ connections and exacerbates mental health symptoms including anxiety, depression, opposition, defiance and mood stability.Recognize how maladaptive attachment impacts clients’ connections and exacerbates mental health symptoms including anxiety, depression, opposition, defiance and mood stability.
3. Discover the risk factors of developing insecure attachment: parental substance misuse or abuse, a mental health diagnosis in the parent or child, a child with a history of abuse or neglect, and more.Discover the risk factors of developing insecure attachment: parental substance misuse or abuse, a mental health diagnosis in the parent or child, a child with a history of abuse or neglect, and more.
4. Reduce symptomology for anxiety, depression, aggression, opposition, inattention, and mood instability by repairing primary attachment.Reduce symptomology for anxiety, depression, aggression, opposition, inattention, and mood instability by repairing primary attachment.
5. Determine the role that depression, anxiety, bipolar, ADHD, ODD and other traumas have in contributing to attachment trauma.Determine the role that depression, anxiety, bipolar, ADHD, ODD and other traumas have in contributing to attachment trauma.
6. Facilitate relationship building leading to strong foundations for future connections.Facilitate relationship building leading to strong foundations for future connections.

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AssessmentAssessment

• 4 Styles of Attachment 4 Styles of Attachment
  • Research of Bowlby and Ainsworth Research of Bowlby and Ainsworth
    • SecureSecure
    • AmbivalentAmbivalent
    • AvoidantAvoidant
    • DisorganizedDisorganized
  • Symptoms of Maladaptive AttachmentSymptoms of Maladaptive Attachment
• Neurobiology of Attachment Neurobiology of Attachment
  • How the brain categorizes attachmentHow the brain categorizes attachment
  • Changing the brain in attachmentChanging the brain in attachment
  • Assessing Attachment Style Assessing Attachment Style
    • Adult Assessment Inventory for parentsAdult Assessment Inventory for parents
    • Strange Situation Procedure for young childrenStrange Situation Procedure for young children
    • Manchester Child Attachment Story Task for childrenManchester Child Attachment Story Task for children
    • Child Attachment Interview for older children and teensChild Attachment Interview for older children and teens
• Psychosocial Assessment and Identifying the Impact of Trauma on Attachment Psychosocial Assessment and Identifying the Impact of Trauma on Attachment
  • Recognize factors in the child’s history Recognize factors in the child’s history
    • Abuse and neglectAbuse and neglect
    • AbandonmentAbandonment
    • Impact of parent’s attachment styleImpact of parent’s attachment style
    • Substance abuse in caregiverSubstance abuse in caregiver
    • Mental health disorders in caregiversMental health disorders in caregivers
    • Foster care/adoptionFoster care/adoption
    • Relation to other traumasRelation to other traumas

Trauma-Informed Attachment SymptomologyTrauma-Informed Attachment Symptomology

• Attachment trauma that complicates and intensifies symptomsAttachment trauma that complicates and intensifies symptoms
• Diagnosis that can contribute to attachment trauma Diagnosis that can contribute to attachment trauma
  • DepressionDepression
  • AnxietyAnxiety
  • ADHDADHD
  • ODDODD
  • BipolarBipolar
  • Other TraumasOther Traumas

Attachment Focused Interventions – Play, Art, CBTAttachment Focused Interventions – Play, Art, CBT

• Repair Connection Repair Connection
  • The use of art/creative interventionsThe use of art/creative interventions
  • Talking pointsTalking points
  • Collaborative problem solvingCollaborative problem solving
• Strengthen Relationships Strengthen Relationships
  • Physical activitiesPhysical activities
  • Quality time activitiesQuality time activities
  • Face to face interactionsFace to face interactions
• Increase Felt Safety Increase Felt Safety
  • Trust building activitiesTrust building activities
  • Establishing safety plansEstablishing safety plans
  • Identifying family system dysfunction and repair strategiesIdentifying family system dysfunction and repair strategies
• Trust-Based Parenting Trust-Based Parenting
  • Re-do’sRe-do’s
  • Time insTime ins
  • ReframingReframing
• Establishing Supportive Attachments Establishing Supportive Attachments
  • Brainstorming effective supportsBrainstorming effective supports
  • Clarifying needsClarifying needs
  • Building attachment-based support systemsBuilding attachment-based support systems
• Attachment as a Coping Strategy Attachment as a Coping Strategy
  • Interventions to increase connectionsInterventions to increase connections
  • Leaning on social supportsLeaning on social supports
  • Groups – the force of understandingGroups – the force of understanding

The Role of the Therapeutic Relationship in AttachmentThe Role of the Therapeutic Relationship in Attachment

• Building attachment focused therapeutic rapportBuilding attachment focused therapeutic rapport
• The role modelThe role model
• The cheer leaderThe cheer leader
• Therapist self careTherapist self care

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