Tag Archives: trauma

Girl reading and colouring in den

How to Navigate Transitionitis

July is a rock hard month. Every year. The end-of-term routines are chaotic, unpredictable and with all the changes ahead, children often feel adrift. They are overwhelmed and dysregulate at levels unprecedented in the other eleven months of the year. Whilst we haven’t found a magic wand, there are some things we focus on to help our children cope:

  • Things that minimise out-of-school overwhelm
  • Things that calm and soothe
  • Things that engage their bodies in sensory activities
  • Things that de-stress them

Here are a few ideas from me and my twitter friends:

Lean On Your Routines

Make home a haven of normality and routine

  • Say no to parties, trips, and out-of-the-ordinary events. Children are already coping with so much in school, they don’t need even more piled on top at home
  • Create a predictability at the weekend with a routine if you don’t already have one – a mix of sensory stuff, laughter, exercise and calm time

Calm and Soothe

  • Reading together – we’ve recently begun reading together before the school run (walk), as that provides a very calming environment, where we are sat or cuddled close together and sharing an activity
  • Chewing gum – that chewing action on school pick-up can really help them to cope. And research has even proven it. If you don’t like gum, then raw carrots or toffees or bagels are all chewy alternatives
  • Sucking on hard boiled sweets, lollipops, or on drinks through straws. Choose a thick (but not too thick) liquid like a thick milkshake as it both lasts longer and has a stronger sensory impact
  • Singing nursery rhymes or simple songs. Sure, you might be fed-up of Daddy Shark or the Narwhal song but your kids might just need that repetitive and funny song to centre them

Engage Their Senses

  • Bashing, sucking or melting their favourite Lego or plastic characters out of ice-cubes (with hot water pistols)
  • Digging for dinosaurs or unicorns that you have buried in the garden – with their hands or spoons
  • Water fights or paddling pools if the sun is shining
  • Baking together – with lots of tasting and testing and licking of bowls and spoons and then eating something delicious at the end of it all
  • Bouncing – trampolines and bouncy castles can be great at relieving stress and creating a rhythmic sensation
  • Games that include blowing are great for regulation as it helps control their breathing (long exhales are the key)

Chill – Maximum Downtime

  • Avoid homework or bringing school home in any way – its stressful enough without invading their home life as well
  • Relax, alot – movie nights, games, reading in their bedrooms, playing Lego together, painting, drawing – whatever is relaxing for them
  • Dens and small spaces are often heavenly for children who find the emotional and sensory overwhelm exhausting – even a small tent in the garden can be a real respite for them
  • Get outdoors – there is something inherently calming about big open spaces, nature, trees, beaches, sand, soil.

Let It Go

At this point in the school year, the focus in our house is on regulation. Keeping everything calm.

So I might help them dress, put their clothes away (rather than insisting they help), accept that one minutes’ teeth brushing is enough for today, pick up more of their stuff than normal. I also tend to back off insisting they contribute to household tasks – I tend to tidy a bit more, put their laundry away when they are at school.

This is not about creating a precedent or even letting them get away with it. It is about accepting that at this time their capacity is reduced, so I adjust my expectations to avoid tipping them into an amygdala hijack (or meltdown).

Some children need plenty of exercise and extra sleep. It is about knowing (and experimenting) with what works to help your young people to cope with a very tricky time of year.

In the end, it’s all about making everyone’s lives a little bit easier.

Just until term is over and we can all breathe again.

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Adoption Myths: They Won’t Remember

It is tempting to imagine that a child adopted at a young age will not remember the trauma or neglect they experienced. It’s something well-meaning friends and family might say to adopters when they are cradling a small child in their arms ‘They won’t remember’.

The idea is superficially true – young babies and toddlers will not consciously recall their experiences. They may never say “Mummy hit me” but that doesn’t mean to say that they are unaffected by their experiences.

A foetus will not remember the alcohol their mother drank, but that doesn’t mean that they won’t spend their whole lives trying to overcome the changes to their brain and body.

A Little Bit of Neglect

Is neglect worse than abuse? Is alcohol in the womb worse than violence once born? Are wounds that can be seen (treated, mended) worse than those that can’t?

Nearly all children adopted in the England are adopted from social care, having been removed from their birth family due to neglect and inadequate care.  We were told that during our preparation training by our adoption agency, so we knew that. But we also were painfully naive about the potential impact of that neglect on their brains, on their development, on their bodies, on their emotions.

Researchers have started to assess the impact of neglect using simple experiments. In this one, a parent deliberately ignores (neglects) their child for a short period. Note that:

  • The child is safe
  • The child has an adult in close proximity

This research, devised by Dr Edward Tronick powerfully demonstrates just how vital eye contact, engagement, play and responsiveness is to a baby as young as one.

The results are almost immediate and they are devastating. The baby looks to the dad and tries to get the dad back into those games… the baby starts to get frustrated… within three minutes the baby has really dissolved

The Impact on a Child

By being grounded with a parent, who provides a sense of safety and helps her keep an even (emotional) keel, the researcher Dr Richard Cohen goes on to say that the baby can:

  • explore the world
  • meet new people
  • try new things

All because the baby has that safebase to rely on. Dr Cohen goes on to say:

“We can only begin to imagine what it’s like for babies whose life is like … all of the time – and they don’t get that responsiveness, they don’t get any help getting back to an even keel”

The long term impact can be that the child:

  • has trouble trusting people
  • has trouble relating to people
  • has trouble being calm enough so that they can explore the world

Our Adopted Children DO Remember

Our children cannot tell us what they experienced in their lives with their birth family – and we don’t have all the information either.

Yet we have seen how they can struggle with trust, with relationships, with staying calm or on an even emotional keel (all the things the researcher quotes above). As they grow older, these first experiences seem to have an even greater ripple effect on their social interactions and school life.

Bubbles’ stress-response (amygdala) is super sensitive and often hijacks her brain with a fight or flight response to what is an apparently trivial event. Such that the festive season becomes a tightrope of stress, overwhelm and more (see Festive Fear For All The Family).

Babies Are…

As Dr Cohen says at the start of this video, babies are much more capable than imagined – capable of instigating play, of encouraging their carer to interact with them and respond to them.

But they’re also much more vulnerable.

The next time someone tells you that child adopted at a young age won’t remember, why not show them this video and blog?Facebooktwitter

Festive Fear for All The Family

So Christmas (Easter, the Summer, end of term) is upon us again. Tis the season to be jolly, or in our family, tis the season to go a little bit bonkers and have a mini meltdown in a crowd.

Tisn’t The Season To Be Jolly

I love the whole trees, fairy lights, magical side of Christmas (Andy is on the Grinch side of the Christmas divide, but this blog is not about him) and we (okay, I) imagined that the children would love it too. So when they joined our family, we attended lots of Christmas fairs and events with the kids, to immerse them in fun, goodwill and festivities.

But last year, after a fairly bad tempered tree festival, we began to wake up to the fact that these events more often than not deteriorated into crossness, frowns, stomping off and accusations of ‘You are mean.’  We were treading a tightrope across an emotional minefield.

Spontaneous Is Not Fun

From a child’s perspective these events can be:

  • Noisy – there is often loud music and voices clamouring for attention
  • Crowded – being jostled amongst teeming throngs of tall giants isn’t much fun
  • Confusing – do we drink hot chocolate or have cake, listen to the choir or have a lucky dip? They want it all and that’s hard to handle
  • Overwhelming – sounds, sights, smells of food, choices, raised emotions in the people around them, all add up to a sensory assault and rapid overload

These events are different, special, OUT of the ordinary; yet ordinary is what my kids thrive on.

Adopted Children Love Routine

Routine might sometimes be synonymous with boring yet that’s what my children need. They feel safe and happy cossetted in a warm blanket of cosy predictability. Our family is happiest with a simple routine:

  • Getting up at the same time every day and doing things in the same order. The kids beg for breakfast in their PJs on a weekend, but it can throw the whole morning when I ask them to get dressed afterwards
  • Walking the same route to school – when Andy walked them once, Bubbles tugged on his arm and shouted You are Going the Wrong Way!!!!
  • Having predictable meals/ mealtimes/ bathtimes/ playtimes/ bedtimes

Christmas is the Anti-Routine. It is a sparkly curveball that wrecks their safety, and threatens their fragile sense of safety and security. So it’s no surprise they don’t react with giggles and glee.

School Timetables Fear

Schools, nurseries, playgroups, churches etc, organise festive feasts of fun. Event after event after event to celebrate religious festivals or Mothers’ Day, Easter bunnies or ends of term. Discos, film nights, singing, dancing, storytelling, plays, performances, sports, clubs, painting, drawing, snowflake cutting, bake sales, fundraising events and more.

Events that are designed with the best of intention, but that create anxiety and fear in adopted children, traumatised children, kids who have experienced upheaval, abuse, violence or loss associated with this time of year, children who are introverted, or SEN, or autistic (the list goes on).

For Bubbles and Nibbles, these events trigger anxiety, discomfort, uncertainty and more. Even if they enjoy the final event, the countdown can be agony. Bubbles will fret for around two weeks before a performance – two weeks when her learning is reduced, when her trauma mask starts to slip, when her emotions are as unstable as TNT.

A Carol Concert of Fear

Bubbles is singing at a carol concert this week. She loves to sing and be part of the choir.

Knowing full well that this was going to trigger her anxiety, I’ve been telling stories about the concert with her, sharing how the audience will be smiling, how her teacher will be looking out for her. Yet I missed something, because I forgot to step into her world. As we walked to school today, we chatted about the concert, and one fear eclipsed them all:

The church. It’s big and scary‘ Bubbles told me.

She blew me away. Because not only had she expressed her fear out loud, she had added new detail to it, something that I wish I had known earlier. For we could have visited the church together (in advance). Wandered up and down its aisles, got used to its size and shape in the light of daytime. We could have looked for toilets or exits, seen the doors and the pews, seen light shining in the windows. We could have made friends with the church, and in doing so, taken some of the surprise (aka fear) out of the concert.

Festive Fun is Family Fun

So we are starting a new family Christmas tradition.  A Christmas focused on each other. On our relationships and connection, on our energy and well-being.

We are avoiding all the Christmas fairs and events in our local area (which started in November for heaven’s sake). There is little sign in our house that Christmas is approaching – there are no decorations up yet, no obvious signs of the festive season, and as little change to our routines as we can manage with the exception of Rudolf (our own little mischief maker).

Our children have their solid Sundays – a park run in the morning and a swimming lesson before tea bookend a simple day of family time. There may be a trip to the cinema, some tablet time and a walk but not much else.

We are learning to put predictability at the heart of our family and our festive season, for that is where the most fun will be had.

  • Fun can be simple, easy, calm.
  • Fun can be cheap, low-key, at home
  • Fun can be a picnic in the lounge, baking in the kitchen, dens in the bedroom, bubbles in the bathroom, a Theraplay game for one-on-one time, balloons in every room of the house

The heart of family (and festive) fun is creating a sensory experience that my children are comfortable with from start to finish.  

How do you ensure your children have fun (not fear) at out-of-the-ordinary events?Facebooktwitter

The Trauma Mask

“She seems happy” says Hazel* (from school), as she sits on a table with our social worker Mo*.  We three are discussing how best school can support Bubbles to feel safe and secure.

I sigh deeply and remain silent, shaking my head a little.

Bubbles, like many traumatised children, lives her life behind a mask. A mask of control, of pretence, of keeping her feelings and emotions hidden. The mask only slips when she feels safe – when she feels secure enough to express the inner conflict of her world.

Is Bubbles happy at school?” Hazel asks, her tone a mix of bewilderment and concern.

What should I say? There isn’t an easy answer.

A High Functioning Traumatised Child

Bubbles achieves in school. She is meeting expectations in all areas, exceeding them in reading. She tries really hard to do what she is told and what is expected of her. She tries (so hard) to please and be recognised and rewarded in school.

To all intents and purposes she might seem like a model pupil. She is what I call a highly functioning traumatised child. Yet a deep dark secret lies beneath the surface. 

But in holding in together, the truth leaks out as clues

  • The way she can tip into anger or frustration with a single misplaced word
  • Her reaction to friendship issues, to rejection taking it beyond personal into a slight on her very soul
  • How any stress or frustration shown by an adult will stress her out ten fold (by taking perceived safety from her)
  • Her chewing (raw, powerful grinding)

At a recent assembly I watched her chewing (as my heart went out to my amazing girl). It wasn’t just a curl of hair that strayed near her mouth; Bubbles was stuffing great handfuls of hair into her mouth and gnawing it with gusto. When it wasn’t her hair, it was the shawl I had crocheted for her. Yet minutes later, when I gently asked her if she was anxious, she denied it and seemed surprised that the shawl was wet.

The touching sight of her anxiety led me to action: whilst school had been hesitant when I had previous suggested one, that day I bought her a chewigem pendant to bite in school and at home (Bubbles was delighted). Her chewing isn’t the issue; anxiety is the issue. Bubbles isn’t present during her anxiety.  She is stuck in flight or fight mode (when her amygdala – what we call Amy – is in charge). Sometimes she simply doesn’t even remember being anxious or angry, as if her brain has blanked it out.

And because she doesn’t know she is anxious, she won’t tell you she is either.

Her Mask is Safety

Bubbles problem is simple: she doesn’t feel safe. Her early years were sufficiently chaotic and disorganised that she learnt that the only way to be safe was to be in control.

  • To take charge of every situation
  • To do what she is told to avoid anger or violence or harsh words
  • To deny her own emotions for they were too painful

She Yearns For Love

To her teachers and the staff, she seems a happy, cheerful model pupil. Like a swan. All elegant gliding on the surface, but beneath the water, her insides are churning like crazy.

Her need for love, for praise, for acknowledgement, for recognition competes with her anxiety. Bubbles sits and practices her times tables, her handwriting, her reading because she wants someone to notice her and smile.

A little eye contact and a smile mean the world to her.

Yet shame is just beneath the surface. A harsh word and her world crumbles. She tries so hard, exhausting herself every day holding everything tight, holding her world together, taking control of every tiny aspect of her life, losing the carefree years of her childhood.

The Mask Falls Away

At home Bubbles feels safe.

She can express her raw, intense emotions without being shouted at, without incurring the attention of the class, without being shamed. The mask falls away and I see just how much keeping it all together during the day costs my little girl.

I am humbled that she trusts me enough to express her rage, her anger, her intensity – and writing this the guilt rises up at the times when I didn’t react with empathy. On a day when multiple things have gone wrong, her rage can last two hours.

Homework is hard. Not because she is lazy or doesn’t care. Sometimes she cares too much.

  • Sometimes (after a good day) she has energy and enthusiasm to spare and aces her homework, which builds her fragile self-esteem
  • After a hard day, when her anxiety left her running on vapours, then it triggers rage because it feels too hard (and rocks her self esteem)
  • If her anxiety is still sky high, then it triggers shame because she can’t remember her spellings or times tables.

Her battle is real, every school day. Yet somehow through all of this, she still manages to absorb information, to learn, to have moments of fun and friendship.

But when you ask me if Bubbles enjoys school, I don’t really know what to tell you.

* not their real names.

This blog is an excerpt from Emma’s forthcoming sequel to her book “And Then There Were Four” that charts the struggle to learn to parent her adoptive children therapeutically, to get support from school and the adoption agency and to educate herself and others in the needs of her adopted children. It will be published in 2019 and entitled “Hugging the Cactus”.

 

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Is The Future of My Family Bleak?

Yesterday, Adoption UK and the BBC published a survey of over two thousand adoptive parents in the UK.  The results were sobering.

On The Bright Side

An overwhelming majority (percentages not supplied) of adopters said that they were glad that they had adopted.  A bright light after some more troubling statistics.

The Dark Side – Violence

Almost two-thirds of adopters had experienced aggressive behaviour. For some this is serious and sustained child-on-parent (CPV) violence.  I was shocked. How do parents cope with that? I struggle with being screamed at.

Then I remembered a friend whose young birth son was violent towards her over a decade go.  She struggled to get anyone to listen never mind believe that she felt abused by her child.  Has nothing changed?

Is CPV a taboo, a hidden problem in our society, ignited by traumas of all kinds?  Where it is the only outlet for some young people who find this busy, noisy, overwhelming world of contradictions too much to deal with?

And yet despite two-thirds experiencing aggression, only one quarter were in crisis, suggesting that many parents cope (somehow) and do not suffer breakdown. But a quarter is not a figure to celebrate, although it contrasts strongly to other research (over a 12 year period) stating that only 3.2 % of adoptions disrupt or breakdown.

And I wonder if I should have let Bubbles take kickboxing lessons this term.

The Teenage Threat

Being a teenager is no easy task. It is time where young people are trying to answer the question “who am I?” and find their own identity, one which is complicated by adoption, trauma, separation, neglect and more.

There are ten times more disruptions in the teenage years, which tells me that we are not doing enough to support adopted teenagers.

How do we equip all children, including adoptees to deal with the teenage years – what needs to be done before they get there, before the hormones and bodily changes complicate everything so that they have the tools to cope?  What do we need to give adoptive parents so that they can heal their broken children?

Forewarned is forearmed. But is it really that bleak?

A Pinch Of Salt

Clearly an online survey will only capture some adopters.  Not all might have seen the invitation to participate or felt they wanted to. With over five thousands adoptions a year, two thousand responses is a small fraction of those who have an adopted child in their household over the years.

Perhaps those most likely to respond are those parents who are struggling – who most need their voice to be heard, who most need the support systems to wake up to the reality they are experiencing, who most need things to change so that they can mend their problems and stitch their family back together, those who most feel unheard and unsupported in their time of crisis.

Regardless of how representative the survey is, around 1300 families have experienced aggression, and nearly 500 are in crisis, which is too many and means there are many more out there needing help.

Are we as a society content that adopters struggle to get support, to get therapy (one adopter on twitter said the waiting lists were too long for the therapy she needs to help her family – a tragic state of affairs), to get the advice, training, help that they as adoptive parents and their children need?

Shining a light on issues definitely helps – it sparks debate and further research, so that people know the truth of adoption.  But experts, therapies, support, groups, training, they all need funding.  Cold hard cash, if anything is going to change.

Do I Tornado-Proof My Family?

What does our future hold?

My family does not experience child-on-parent violence.  The nearest we come to a ‘crisis’ is when Bubbles can’t find her bunny at bedtime.

Andy and I are truly glad we adopted.

Yet this survey shook me up. Am I supremely naive as an adopter? Am I living in adoption fairy-land, hoping that we will buck the trend and live happily ever after? I want to believe that this will all work out, that our family will be just like other families out there, even if my children arrived through an unusual route.

As I walk the children to school in the morning, hand-in-hand, should I continue our chats about unicorns and the Haka, or start digging into therapeutic parenting to prepare for the coming storm?

Relax, Enjoy, Read

For now, all I can do is enjoy the time I have with my children.  My beautiful, fascinating, surprising, giggle-inducing, warm-hugging children.  Snuggled into the bliss of our family life peppered with the odd tantrum or meltdown over something and nothing.

And yet whilst I sit in the sunshine and read, it might just be a book by Dan Hughes (as recommended by @mumdrah) just in case.

What are your thoughts on the survey?Facebooktwitter