Post Traumatic Stress Disorder in Babies and Toddlers: What Are the Symptoms?

Post Traumatic Stress Disorder in Babies and Toddlers: What Are the Symptoms?

Post Traumatic Stress Disorder in Babies and Toddlers: What Are the Symptoms?

Post-traumatic stress disorder (PTSD) is a reality for many babies and toddlers with special needs. That’s the bad news. The good news is that effective treatments for PTSD exist, and they can be used with children as young as three. Before effective treatment can occur, the condition must first be correctly diagnosed. And for diagnosis to occur parents and health care professionals must be aware of the symptoms of PTSD.

Behavior Reveals Symptoms of PTSD in Babies and Toddlers

PTSD symptoms manifest much differently in babies and toddlers than in older children, adolescents, and adults. Because babies are preverbal and toddlers’ language development is limited, they can’t verbalize their fears. They can’t describe a nightmare or flashback. But the behaviors of infants and toddlers who have experienced significant trauma can offer clues that indicate the development of PTSD. By closely observing their behaviors, caring adults may notice symptoms related to PTSD.

Symptoms of PTSD in Babies and Toddlers

What are some of the behavioral symptoms to look for?

1. Hypervigilance

A baby who is tense, watchful, or on guard even when in a familiar, comfortable, and safe environment is hypervigilant. Adults often consider the behavior to be part of the child’s personality. “He’s an anxious child,” we say. Or, “She’s a worrier.” But the behavior could be a symptom of PTSD.

2. Separation Anxiety or Clinginess

Most babies go through a clingy period between the ages of 6 and 12 months. But when a baby is clingy from a much earlier age and whose separation anxiety persists into toddlerhood, the behavior may indicate the development of PTSD.

To read the rest of this post, visit www.FriendshipCircle.org.

To read the other posts in this series about PTSD in kids, check out these links:

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Jolene Philo is the author of several books for the caregiving community. She speaks at parenting and special needs conferences around the country. Sharing Love Abundantly With Special Needs Families: The 5 Love Languages® for Parents Raising Children with Disabilities, which she co-authored with Dr. Gary Chapman, was released in August of 2019 and is available at local bookstores, their bookstore website, and Amazon. See Jane Sing!, the second book in the West River cozy mystery series, which features characters affected by disability, was released in November of 2022.

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He Won’t Remember: Children and PTSD

He Won’t Remember: Children and PTSD

He Won’t Remember: Children and PTSD

Some things parents never forget. Like the first time a mother holds her newborn child. Or the first time a baby belly laughs at a father’s antics.

But when I think of our son’s early days, one unpleasant memory comes to mind. Our baby’s wince of pain when the nurse took him—bristling with drainage tubes, feeding tubes, IVs, and monitor wires—and placed him in his daddy’s arms.

Newborns Don’t Feel Pain

“Should we really be moving him?” my husband asked. “Wouldn’t it be better for him to lie still in his bed?”

“No,” the nurse assured us. “He needs the security of your arms more than anything right now. Besides, newborns don’t feel pain like they do when they get older. That’s why your baby isn’t on pain meds.”

I looked at the two inch vertical incision on our baby’ stomach and at the horizontal one that began under his armpit and ended at his spine. I looked at my son’s drawn mouth, the frown lines on his forehead, and the strain in his eyes. “Are you sure?” I questioned the nurse…and later the surgeon, the pediatrician, and the GI doctor. “Are you sure he’s not in pain? Are you sure this won’t affect him emotionally?”

He Won’t Remember

One after another, well-meaning health care professionals gave the same answer.

“He won’t remember.”
“He won’t remember.”
“He won’t remember.”

Our baby was 26-years-old before a mental health care professional confirmed our suspicions.

Our newborn son did feel pain during and after surgery.
He did remember.
He remembered a lot.
But because the experiences were pre-verbal, he had no words to describe how he felt.
Those memories were the source of his emotional and behavioral issues during adolescence.

To read the rest of this post about children and PTSD , visit the Not Alone website.

Photo credit: www.freeditigalphoto.net

 

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Jolene Philo is the author of several books for the caregiving community. She speaks at parenting and special needs conferences around the country. Sharing Love Abundantly With Special Needs Families: The 5 Love Languages® for Parents Raising Children with Disabilities, which she co-authored with Dr. Gary Chapman, was released in August of 2019 and is available at local bookstores, their bookstore website, and Amazon. See Jane Sing!, the second book in the West River cozy mystery series, which features characters affected by disability, was released in November of 2022.

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PTSD Risk Factors in Kids with Special Needs

PTSD Risk Factors in Kids with Special Needs

PTSD Risk Factors in Kids with Special Needs

Post-traumatic stress disorder is a mental illness that can affect our children with special needs. For the last year, I’ve been guest blogging about the topic at Friendship Circle of Michigan. The most recent post in the series describes the risk factors that make PTSD more likely to occur in children.

PTSD Risk Factors

According to Dr. Linda Gantt, executive director at Intensive Trauma Therapy, Inc. (ITT) (now of Help for Trauma), the following four risk factors increase the likelihood of PTSD developing in children who have experienced a traumatic, scary event, including invasive medical procedures common for many kids with special needs.

  1. Unexpected, unpredictable, or emergency situations. Think being a child blindsided by a scary event.
  2. The age of the child when trauma occurs. The younger the child, the higher the risk factor
  3. Repeated, significant trauma. What does this mean for kids moved from one foster care placement to another or have repeated medical interventions?
  4. Partial awakening during medical procedures. Patients who partially awaken can hear and sometimes feel what’s happening to them, but they are unable to move or speak. They experience a total lack of control.

The four risk factors are fleshed out at the Friendship Circle of Michigan post, PTSD in Kids: What Risk Factors Exist? To read the other posts in the series, here are the links:

What Do You Know About PTSD and Kids?

Do you have a child with special needs who deals with PTSD, or do you suspect your child has the condition? How are you and your child coping? Where have you had treatment? What other questions do you have? Leave them in the comment box.

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Jolene Philo is the author of several books for the caregiving community. She speaks at parenting and special needs conferences around the country. Sharing Love Abundantly With Special Needs Families: The 5 Love Languages® for Parents Raising Children with Disabilities, which she co-authored with Dr. Gary Chapman, was released in August of 2019 and is available at local bookstores, their bookstore website, and Amazon. See Jane Sing!, the second book in the West River cozy mystery series, which features characters affected by disability, was released in November of 2022.

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Medical Treatment or Child Abuse?

Medical Treatment or Child Abuse?

Medical Treatment or Child Abuse?

“Do you suppose these medical tests and surgeries seem more like physical abuse to our baby?” My husband and I asked the doctors and nurses caring for our son that question over and over.

Time after time, they poo-pooed our concern and gave their stock answer, “He won’t remember a thing.”

Early Medical Treatment Kids with Special Needs

Donna Thomson asked the same question in a blog post at The Caregivers’ Living Room.  She says this about one of the surgeries her son endured as a child:

When Nick was small, he had a surgical procedure to correct gastroesophageal reflux disease, or GERD.  The procedure was called an ‘open full-wrap fundoplication’.  Sometimes words like water-boarding or enhanced interrogation techniques do not sound so bad if you haven’t witnessed them first-hand.  The same goes for an open fundoplication.

Those words resonated with me since our son had a fundoplication when he was four years old. He remembers going into the operating room and waking up after surgery well as one of the scariest events of his life. But we didn’t know that until years later. (Thomson’s complete post can be viewed at Am I an Abuser?)

Early Medical Treatment and PTSD

It turned out that we were right, and the doctors and nurses were wrong. Our son remembered not only the surgery when he was four, but also six other surgeries. The first surgery, and the most horrific because the doctors put no pain medication in his anesthesia, occurred before he was a day old. His reaction to those medical procedures was the same as that of children who are abused. He was traumatized and developed post-traumatic stress disorder (PTSD).

Children with PTSD Can Be Helped

That’s the bad news. But the good news is that treatment for children with PTSD is available and effective. Our son was treated at age 26, and it changed his life. If you think your child may have post-traumatic stress disorder, start searching for a mental health counselor with training. Or visit www.traumatherapy.us to learn more about the treatment our son received.

What Do You Think?

Are you worried that your child could have PTSD caused by medical treatment? To read more about it, type “PTSD” in the search box at the top of the page to find other articles on the subject at this blog and elsewhere. If you have questions or success stories, leave a comment!

Do you like what you see at DifferentDream.com? You can receive more great content by subscribing to the quarterly Different Dream newsletter and signing up for the daily RSS feed delivered to your email inbox. You can sign up for the first in the pop-up box and the second at the bottom of this page.

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Jolene Philo is the author of several books for the caregiving community. She speaks at parenting and special needs conferences around the country. Sharing Love Abundantly With Special Needs Families: The 5 Love Languages® for Parents Raising Children with Disabilities, which she co-authored with Dr. Gary Chapman, was released in August of 2019 and is available at local bookstores, their bookstore website, and Amazon. See Jane Sing!, the second book in the West River cozy mystery series, which features characters affected by disability, was released in November of 2022.

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40 Developmental Assets for Your Child with Special Needs

40 Developmental Assets for Your Child with Special Needs

40 Developmental Assets for Your Child with Special Needs

The 40 developmental assets concept came to my attention at a Foster and Adoptive Parents Conference in January. The assets are results of research done by the Search Institute. The idea was to determine why some children become well-adapted, productive, and happy adults while others don’t. Their research led to the 40 Assets, a list of supports that empower children to succeed.

40 Developmental Assets for Who?

The website features asset lists for children what supports children need around them to succeed. Their research led to different lists in the following categories:

  • Early childhood (age 3–5)
  • Grades K–3 (age 5–9)
  • Middle childhood (age 8–12)
  • Adolescent (12–18)

The site also features a list of assets families need to build a strong framework for success. It’s fascinating stuff.

How about Kids with Special Needs?

The site doesn’t have a list devoted to kids with special needs, but the assets are pertinent to our kids and our families. What makes me say that? Well, take a look at the categories used in each 40 assets list. An asset from each category is included, followed by an example of practical application.

External Assets

  • SupportPositive Family Communication: Parents and/or primary caregivers express themselves positively and respectfully, engaging young children in conversations that invite their input (age 3–5).
  • EmpowermentChildren as Resources: Child contributes to family decisions and has opportunities to participate in positive community events (age 5–9).
  • Boundaries and ExpectationsAdult Role Models: Parents and other adults in the child’s life model positive, responsible behavior (ages 8–12).
  • Constructive Use of TimeTime at Home: Young person is out with friends “with nothing special to do” two or fewer nights per week (ages 12–18).

Internal Assets

  • Commitment to LearningHome-program Connection: The child experiences security, consistency, and connections between home and out-of-home care programs and learning activities (3–5).
  • Positive ValuesIntegrity: Parents help child develop her or his own sense of right and wrong behavior (ages 5–9).
  • Social CompetenciesResistance Skills: Child can stay away from people who are likely to get her or him in trouble and is able to say no to doing wrong or dangerous things (ages 8–12).
  • Positive IdentitySense of Purpose: Young person reports that “my life has a purpose.” (age 12–18).

And the list for the family assets framework uses these categories. Again, after each category, you’ll find a framework item followed by an example of practical application.

  • Nurturing RelationshipsAffection: Family members regularly show warmth to each other.
  • Establishing RoutinesDependability: Family members know what to expect from one another day-to-day.
  • Maintaining ExpectationsFair rules: Family rules and consequences are reasonable.
  • Adapting to ChallengesProblem solving: Family members work together to solve problems and deal with challenges.
  • Connecting to CommunitySupportive resources: Family members have people and places in the community they can turn to for help.

Do you see the correlation to what can help you successfully raise your child with special needs? And to your child with special needs maximizing his or her full potential? Pretty amazing, isn’t it?

How to Put the 40 Developmental Assets into Action

The lists give you the opportunity to see which assets are already in place for your child and family and which ones aren’t. The website also offers oodles of free downloadables and easy-to-find and easy-to-implement practical ideas about how to establish the assets in your family and community. They also consider a faith system one of the 40 assets. How cool is that?

To learn more about the 40 developmental assets, check out this link:
The Developmental Assets Framework

What Do You Think?

After you’ve had a look, come back and leave a comment. How could you adapt these assets for a special needs family? What assets are in place already at your house? Which ones are you going to work on? Your thoughts are most welcome here!

Do you like what you see at DifferentDream.com? You can receive more great content by subscribing to the quarterly Different Dream newsletter and signing up for the daily RSS feed delivered to your email inbox. You can sign up for the first in the pop-up box and the second at the bottom of this page.

photo credit: www.freedigitalphotos.net

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Jolene Philo is the author of several books for the caregiving community. She speaks at parenting and special needs conferences around the country. Sharing Love Abundantly With Special Needs Families: The 5 Love Languages® for Parents Raising Children with Disabilities, which she co-authored with Dr. Gary Chapman, was released in August of 2019 and is available at local bookstores, their bookstore website, and Amazon. See Jane Dance!, the third book in the West River cozy mystery series, which features characters affected by disability, was released in October of 2023.

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Childhood Depression: What Are the Signs?

Childhood Depression: What Are the Signs?

Childhood Depression: What Are the Signs?

Childhood depression is a real and growing concern in modern culture. As parents, we sometimes ignore signs of depression in our kids because we don’t want to believe mental illness can affect them. But rates of childhood depression in our country are growing, and we must not ignore the trend.

Childhood Depression Hits Younger

Not only are more children being diagnosed with depression, they are being diagnosed at younger ages than ever before. In a blog post at her website, Dr. Michele Borba, author and educational psychologist, cited an article in the Journal of the Association for Psychological Science, Current Directions in Psychological Science. In the article, child psychiatrist and researcher, Joan Luby from Washington University in St. Louis reports recent findings about depression in young children. Luby said that “depression in children as young as three years of age is real and not just a passing grumpy mood.”

How to Recognize Childhood Depression

The remainder of Dr. Borba’s blog post describes symptoms of depression at different stages of childhood. Here are some highlights.

Depression in a Preschooler

  • Loss of pleasure in play
  • Frequent stomachaches, headaches, and fatigue
  • Excessive restlessness
  • Low tolerance for frustration
  • Frequent sadness

Depression in a School-Age Child

  • Sleep pattern changes
  • Excessive weight loss or gain
  • Excessive worrying
  • Unprovoked hostility or aggression
  • Refusal or reluctance to attend school
  • Loss of interest in playing with peers

Depression in Adolescents

  • Sleeping longer
  • Abusing drugs, alcohol or smoking
  • Conduct problems in school
  • Loss of enjoyment of previously enjoyable activities
  • Self-destructive behavior
  • Doesn’t attend to appearance
  • Morbid or suicidal thoughts

Borba advises using the “too index” to decide when parents should seek professional help. That index and other signs of depression in kids can be found in Borba’s blog post, Childhood Depression: Signs in Preschoolers, Kids & Teens.

Childhood Depression and You?

Has a child at your house been diagnosed with depression? What symptoms did you see? When did you decide to get help? Leave a comment to raise awareness so children can receive early and effective treatment for this illness.

photo credit: freedigitalphotos.net

Do you like what you see at DifferentDream.com? You can receive more great content by subscribing to the quarterly Different Dream newsletter and signing up for the daily RSS feed delivered to your email inbox. You can sign up for the first in the pop up box and the second at the bottom of this page.

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Jolene Philo is the author of several books for the caregiving community. She speaks at parenting and special needs conferences around the country. Sharing Love Abundantly With Special Needs Families: The 5 Love Languages® for Parents Raising Children with Disabilities, which she co-authored with Dr. Gary Chapman, was released in August of 2019 and is available at local bookstores, their bookstore website, and Amazon. See Jane Dance!, the third book in the West River cozy mystery series, which features characters affected by disability, was released in October of 2023.

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