Category Archives: Parenting

PTSD + Attachment Challenge = Complex Developmental Trauma

Children who have been traumatized by maltreatment of neglect, physical, sexual and emotional abuse, and/or exposure to various forms of environmental toxins and violence, plus they have been taken from their birth mother in the first few years have Complex Developmental Trauma.  YOU or your therapist won’t find that in the DSM (Diagnostic Statistical Manual for diagnosing mental health conditions) because it hasn’t been accepted into that tome yet. There is a long, laborious process to get any new diagnosis into the manual, so it will be years before Complex Developmental Trauma Disorder can be diagnosed officially.
 
That doesn’t mean that it cannot be known and treated.  If your child has been diagnosed with PTSD and has attachment breaches, then very likely Complex Developmental Trauma is a more accurate diagnosis. YOU might ask why that distinction is important.  The number one reason is so that your child will get the most effective treatment for what is actually going on.
 
So many of my young clients have been misdiagnosed with ADHD and Oppositional Defiant Disorder, and half diagnosed with PTSD. They have received every kind of intervention under the sun–PCIT, CBT, DBT, Trauma Focus-CBT, hospitalization, stimulant medications, medical restraint medications, various behavioral (stick and carrot) programs, and best buddy supports.  There is a place for these interventions, but you can be sure that none of them will be effective without a comprehensive approach that includes sensory interventions, therapeutic environmental interventions, attachment therapy based on relationship and play, narrative therapy that builds a coherent personal story, brain-based therapeutic parenting, parent support and treatment for early trauma, and child trauma therapy to bring down the child’s anxiety that “looks” like ADHD, but isn’t.
 
Just thought YOU might like to know.

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Love Matters,

Ce Eshelman, LMFT 
UPCOMING SPECIAL EVENTS:
 
Get more information and reserve your spot here for our upcomingHold Me Tight Couples Workshop for Parents of Adopted, Attachment Challenged, and/or Special Needs Children in Sacramento, CA on April 25th, 26th and 27th.
 
Next Trust-based Relational Parent Training is scheduled for May 10th and 17th.  It is close to full already, so go to www.attachplace.com to register soon to reserve your space.  
Check out our three blogs:

Hold Me Tight Couples Workshop for Parents of Attachment Challenged and Special Needs Children

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Weekend
April 25, 2014   6pm to 9pm
April 26, 2014  10am to 4pm
April 27, 2014  10am to 1pm
Hold Me Tight
Weekend Workshop for Couples with Adopted and Special Needs Children
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The Hold Me Tight Workshop is designed to give you a weekend away to connect with your spouse. This workshop will not teach you useless things; it will give you an opportunity to fully engage the deep, loving connection you desire in your relationship with your partner.

• Address stuck patterns and negative cycles

• Make sense of your own emotions

• Overcome loneliness

• Repair and forgive emotional and physical disconnection

• Communicate to develop deeper understanding and closeness

You will strengthen your bond through private exercises with your partner, didactic experiences, and video demonstrations of couples that have moved from distress to that longed for deep, intimate connection.   This workshop takes place in the safe environment of experienced attachment specialists and other parents experiencing similar attachment pushes and pulls in their lives because of the demands of healing the broken hearts and emotional difficulties of children from difficult biological beginnings, maltreatment, abuse and attachment breaches.  YOU will be “seen” here and your struggles will be understood.

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Hello Ce,
This attachment focused couples workshop is brought to you at a 50% reduced rate by The Attach Place Center for Strengthening Relationships. We believe that you, your relationship, and your love matter.  The stronger your relationship, the better able YOU will be to whether the slings and arrows of raising children from difficult beginnings. The Attach Place Logo  2

This workshop is especially designed with YOU in mind. To that end, we are dedicated to providing creative financing to make this opportunity possible for you and child care options.

Who:                YOU and Your Partner
When:                6pm to 9pm April 25, 2014
10am to 4pm April 26, 2014
10am to 1pm – April 27, 2014
Cost:                $300.00
Child Care:       $5 per hour per child

Snacks Provided and Local Restaurant List for Lunch Options.

Reserve your place by RSVPing to: info@attachplace.com

If you can carve out time for yourselves on a weekend, we promise that you will have valuable experiences to help you strengthening the safety, connection, and bond in your relationship.

Love Matters,
Ce Eshelman, LMFT, Jennifer Olden, LMFT, Robin Blair, MFTI,
The Attach Place
Center for Strengthening Relationships

Thoughts on When Love Is Not Enough

I received an email today from another therapist and adoptive mother asking me to clarify some things, and I thought it would be helpful to put some thoughts down for all of YOU at the same time.

Many of you are using the techniques of Nancy Thomas from her book entitled, When Love Is Not Enough. What I am about to write is not criticism of your choice to do so; however, I have some observations and experience about the methods I want to share.

When I write about how I deal with my kids, you may hear things that are Nancy Thomas-like. In my opinion some of the methods are helpful with very disorganized attachment challenged children. These are the most severely impacted children with the most disturbed attachment reactions–the ones that would be given a Reactive Attachment Disorder diagnosis. One of my children is clearly diagnosed with Reactive Attachment Disorder and continues to behave in adulthood the way she did in childhood–reactively. My other child is anxiously attached with PTSD, pervasive developmental delay, severe ADHD and learning disabilities. Together these two were tornados in our home.

At the time, the only attachment help I could find was based on Nancy Thomas’ work that involved holding children against their will, in effect, forcing them to submit to parental authority with physical restraint. I did that to them. I thought I had to. They were so incredibly self-destructive and reactive. I was desperate to gain control and Nancy Thomas’ approach gave me direction on how to do that. The only attachment therapist I could find back then followed the Thomas methods. So, I held my children against their will for hours on end, day after day, for several years when they were between 2-years-old and 5-years-old. I shut them down, powered over them, and used techniques that were somewhat humiliating and definitely emotionally confusing to them. I was not safe. They did not feel good about themselves or safe around me.

That somewhat stopped their intense, self-destructive behavior (until the teen years when it all resurfaced X10); however, that also caused them both to have posttraumatic stress from the trauma that forcefully holding them caused. They learned to fear me and when upset they would cower or rage at me. Since that time, 15 years ago, so much research, training, and information has surfaced about a better way, a loving way of creating attachment bonds that does not include authoritarian, physically abusive methods that create more trauma. I have read everything available on attachment and I have attended hundreds of hours of training over the years. I have made myself into an attachment therapist for others, so people can find help that is truly helpful and not abusive.

handsIf I had it to do all over again, I would NOT hold my children except for safety. I would do therapeutic, attachment parenting. I would up the sensory stimulation. I would focus on their felt safety and our relationship. I would play more, control less. I would smile and give up the mommy stink-eye. I would coach instead of lecture. I would never use coercive, degrading interventions like forced sit-ups and hard labor. Most importantly, I would get help for myself to regulate and deal with my own childhood trauma. I wish I had known what I know now.

I truly believe that much of what my children dished out in their teen years was a direct result of what I did to them in their early years. I was ill-informed and poorly supported by therapists then. I have had to forgive myself. I have had to ask my children for their forgiveness, but the damage to our relationship was honed in their early years. I have been trying to undo those early interventions for the last 10 years.

I know YOU wonder sometimes…if Ce has so much difficulty with her own children, then why would what she says be helpful to me and my children? The answer is that I did not do trust-based relational parenting early enough, and what I did do caused more harm. Ultimately, that is the sole reason why I have decided to devote my career to helping attachment challenged children and their parents. I am trying to give to YOU what I couldn’t get when I needed it most.

Attachment Help

The Attach Place
Center for Strengthening Relationships

Love Matters,
Ce Eshelman, LMFT

Surprise and Novelty Increase Learning

To drive a point home and increase the likelihood of learning, surprise your child with a happy voice when usually there would be stern tones. On a particularly difficult afternoon, break the rules and get out the frozen yogurt for a pre-dinner treat and a little delicious conversation. Mix it up. You might have become boring.
Wah wa Wah.charlie brown

Surprise and novelty register differently in the brain. It’s more fun for YOU, too.

Love Matters,
Ce Eshelman, LMFT

Attachment Help

The Attach Place
Center for Strengthening Relationships

Still Struggling

The last text my 18.5 year-old daughter sent me said, “Okay, CE, I will be fine without you.” The meaning of her reference to my given name is clear—she no longer considers me to be her mother. This is not the first time for sure, but it may be the last.

Where to draw the line in the sand has been my constant dilemma since she was 3 years-old, running away 6 blocks to strangers she thought would be better parents. I was calling the police at the same time the kind strangers were calling them. I picked her up and drove her home in tears—I was in tears; she actually wasn’t. This or similar scenarios occurred countless times over the last 15 years.

My partner draws his line “here,” my therapist colleagues draw it “near” there, but YOU, you might feel the same as me—stumped to find a way to help my emotionally disabled daughter without enabling her to continue making poor choices that she doesn’t consider poor or that she sees as necessary given her situation.

My sweet friend, Grish, is the mother of a 26 year-old Autism Spectrum adult child and she completely understands why I keep throwing money, support and resources in my daughter’s direction. She instantly said, “It’s not codependence. It’s being a mother!” I love non-husband, non-therapist friends. ☺ I love the other’s too, but they don’t say what I want. My love is conditional. Ha.

Push Me Pull YouNow isn’t that an interesting thing out of the mouth of a non-therapist mother? Is mother synonymous with enabler? I am sure that book has been written, but I know I am in line if it hasn’t been. Many of you are in this situation because I have previously counseled you, or heard from you in regard to other emails I have written that describe this excruciating Push-me Pull-you. When in doubt, reference Dr. Doolittle, right?

My childless friends are very clear. By helping my daughter regularly get out of messy situations of her own making, I am enabling her to continue making poor decisions and, therefore, I should stop it. Just do it! They must have gone to Nike Business School–Just do it! My mother friends are very clearly empathetic and sorely lacking (thank goodness) black and white solutions. Life is grey. Take the middle road. Don’t be severe. She is young. YOU are her mother. Of course you want to continue to help her.

Attachment Help

The Attach Place
Center for Strengthening Relationships

“Okay, CE, I will be fine without YOU,” sticks in my gut like a jagged knife. It is a familiar feeling I’ve had over the years. Cliches always come to mind in times like these, “If you love her, let her go.” The letting go probably never feels good.

Ce Eshelman, LMFT

Narcissistic Wounding

I don’t want to go all Freudian on you, but that rage that you encounter in your children (and sometimes inside yourself); the kind where you want to scream something that will cut your partner, child, best friend to the core over some little slight; the one that overtakes your children and turns them into flailing, spewing, rage machines; that kind of rage; it is called narcissistic rage from narcissistic wounding in the early developmental years when there was a parenting failure of some kind and the child, at the time, is left feeling both wrathfully bad about him or herself and concomitantly angry at the person who failed him/her.

Our children often have this kind of rage because most of them were failed in the early developmental years. YOU may also have it because YOU were failed in your early Hot Tamalesdevelopmental years. That combo plate makes for a home like a hot tamale, where children feel hatefully bad about themselves and, simultaneously, overwhelming anger at their parents, and YOU experience the same thing in return.
If your home is a hot tamale, get some help for your family. Seriously, YOU cannot resolve things on your own. Trust me on this. YOU need your own heart repaired before you can revive the heart of your child. It’s the old oxygen mask analogy: in case the airplane cabin looses oxygen, put your mask on before placing one on your child.

Attachment Help

The Attach Place
Center for Strengthening Relationships

Love Matters,
Ce Eshelman, LMFT

UPCOMING SPECIAL EVENTS:
Next Trust-based Relational Parent Training is scheduled for May 10th and 17th. It is close to full already, so go to http://www.attachplace.com to register soon to reserve your space. Each group has only 16 spaces. Ready, set, go.

Get more information and reserve your spot here for our upcoming Hold Me Tight Couples Workshop for Parents of Adopted, Attachment Challenged, and/or Special Needs Children in Sacramento, CA on April 25th, 26th and 27th.

Check out our three blogs:
http://www.lovestronglovelong.com
http://www.parentingwithheart.net
http://www.wisdomforadoptiveparents.com

This Is Controversial

YOU are so important to the life of your attachment challenged, special needs child.  Get respite, regulation and relief.  If you think you can white knuckle it, YOU are mistaken.  In the end, your child will suffer.  I keep saying this and still some of YOU are not doing it.  Get the help you need, now, before your child is too frozen-over to heal.
 
I know it is hard to do.  I know it costs too much.  I know you don’t have the time.  I know how desperate you are. And, I know you need help.  Don’t be too proud, too hurt, too tough to let someone help you do this.  It is near impossible to parent attachment challenged children without support.  YOU are not alone, unless YOU choose to be.

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Love Matters,
Ce Eshelman, LMFT 
UPCOMING SPECIAL EVENTS:
Next Trust-based Relational Parent Training is scheduled for May 10th and 17th.  It is close to full already, so go to www.attachplace.com to register soon to reserve your space.  Each group has only 16 spaces.  Ready, set, go.
 
Get more information and reserve your spot for our upcoming Hold Me Tight Couples Workshop for Parents of Adopted, Attachment Challenged, and/or Special Needs Children in Sacramento, CA on April 25th, 26th and 27th.
Check out our three blogs:

 

Caution Advised

It is human nature to judge what we experience through our own personal lenses. I’ll give you an example. Let’s say you open your monthly therapy bill from me and see that I have charged you for a session you did not have. What you automatically think about this is dependent on your lens. Here are some possible lenses: It's Okay1. She made a mistake. It’s okay. I trust she will fix it. 2. She made a mistake. I better show her proof that I wasn’t there because she might not believe me and make me pay for something I didn’t get.1. She made a mistake. I’ll let her know and she will easily correct it. 3. She overcharged me probably hoping that I wouldn’t notice. People are always trying to get over on me. angry woman4. She overcharged me because she is squeezing me every chance she gets. This stuff is too expensive anyway and it doesn’t help. I’m not going back. 5. How dare she overcharge me! This stuff doesn’t work anyway. I’m not paying this bill and I’m not going back. There are a zillion more lenses I could guess at, but YOU get my point. Your lens is based on your upbringing, your learning, your experience, your biases, your beliefs, your emotional state, your situation, and your internal compass. Everyone has a unique lens. Beware the lens through which YOU see your child’s behavior. For example, if you see your child’s chronic lying as immoral, manipulative, hateful, offensive, soulless or criminal, then YOU might react personally with anger, hopelessness, harshness, punishment, or cruelty. If you see your child’s chronic lying as the outcome of a hardwired brain reaction to fear of being “in trouble,” caught, exposed, rejected, seen as bad, or unloveable, then you are more likely to respond with empathy, understanding, careful correction, and comforting. There is a huge difference between the first and second response. One will ultimately create “felt safety” in your parent/child relationship, while the other will contribute to maintaining the cycle of fear and more lying.

Attachment Help

The Attach Place
Center for Strengthening Relationships

Love Matters, Ce Eshelman, LMFT

UPCOMING SPECIAL EVENTS: Get more information and reserve your spot here for our upcoming Hold Me Tight Couples Workshop for Parents of Adopted, Attachment Challenged, and/or Special Needs Children in Sacramento, CA on April 25th, 26th and 27th.

May I Have A Compromise?

This is written by Kayla North from http://empoweredtoconnect.org/may-i-have-a-compromise/

When people hear our kids ask, “May I have a compromise?” they tend to look at us a bit funny. They seem completely confused when we respond to our kids as if their request for a compromise is normal. But at our house it is normal. In fact, it’s a request we hear no less than a dozen times each day.
We began teaching our kids to ask for compromises when our now five-year old daughter was only two. We figured that she was old enough to have a conversation with us, so she was old enough to begin learning how to compromise.
One thing we’ve noticed over the years among kids who are adopted or in foster care is that they tend to have control issues — sometimes really BIG control issues. Many kids (and parents) struggle with control issues, but this especially true for adopted and foster kids that come from homes or situations where most, if not all, of their world was out of control. Sometimes these kids had to raise younger siblings, or had to fend for themselves to find their next meal. Sometimes these kids had to use control and manipulation to stay safe, both physically and emotionally. And some of these kids resorted to control as an attempt to mask their lack of trust and feed their desire to avoid being hurt, neglected, or abandoned ever again. Control is often an “all or nothing” proposition for these kids, and when they come to our homes they aren’t willing to easily give up the control they’ve worked so hard to get.

Power Sharing
In our home we’ve decided we are going to help our kids deal with their control issues not by taking control away from them, but by sharing control with them. Share control with our kids? Sounds crazy. After all, we are the parents so we need to show our kids that we are in control, right? The thinking goes that they need to respect our authority or everything will devolve into chaos. We followed this way of thinking for a while, but showing our kids that we were in control was NOT working. As we tried to suddenly take all the control away from them what we got in return were power struggles and the very chaos we were trying to avoid. What worked, however, was a very simple solution…compromise.
The insight that helped us grasp this approach was actually something that Dr. Karyn Purvis said – “If you as a parent share power with your children, you have proven that it’s your power to share.” This helped me understand that I get to decide when and how much power to share when I offer my kids a compromise. And offering compromises doesn’t mean that I lose control or give my kids all of the control. It means that I teach them how to share power and control appropriately and by doing so, I teach them an essential skill for healthy relationships.
Here’s how a compromise works at our house:
Me: Son, please go clean your room.
Son: (who is playing a video game) Sure mom. May I have a compromise?
Me: What’s your compromise?
Son: May I finish this level on my game and then go do it?
Since that is an acceptable middle ground I will typically say sure and let him finish the level before going to clean his room. Of course this is an ideal conversation. Often times it goes more like this:
Me: Son, please go get your room cleaned up.
Son: (who is playing a video game) Ugh!! Can’t I just finish this level first?
Me: Whoa! I don’t like that tone. Are you asking for a compromise?
Son: Yes.
Me: I’m listening.
Son: May I have a compromise?
Me: What’s your compromise?
Son: May I finish this level on my game and then go do it?
Me: Sure! That’s a good job asking for a compromise!
Learning compromises takes practice for both kids and parents. As they learn this skill, it’s important to praise your kids when they ask for a compromise correctly (even if you have to prompt them). Still the risk remains that your child might not hold up his end of the deal. So, as you start using compromises it’s important to remind your kids that if they don’t hold up their end of the compromise, then you won’t be able to offer as many compromises in the future. Contrary to what I thought would happen, my kids have always held up their end of the compromise. As a result, we have had far fewer control battles.
By using compromises our kids have learned that they have a voice. They know that I can’t always give them or agree to a compromise, but they also know that I will as often as I can. And the funny thing is that they now are able to accept ‘no’ much better than in the past.
Remember – compromising is NOT about allowing our kids to argue or debate with us, nor is it about losing our control or giving them all of the control. It is about sharing power – our power. Compromises give our kids a voice and allow them to RESPECTFULLY ask for what they want and need. And compromises give us as parents the opportunity to teach our kids an important way of relating that builds trust and connection.

Triggering Behaviors

I hope you had super wonderful parenting when YOU were a child. If you did, then YOU are one of the best people to have chosen adoption. Why do I say this? Besides the obvious (well-grounded, deeply loved, secure at the core), YOU have a sturdy foundation covered in emotional down that can provide at once a stable and soft landing place for your child from difficult beginnings. While it takes every ounce of strength and emotional constraint for you to parent your child with attachment challenges, YOU likely have the inner resources and hardwired brain to whether the storms on your parenting path.

mother daughter conflictIf you had less that secure parenting, YOU may be fiercely struggling to create a safety zone for your adopted child. When you decided to adopt, you may have thought your own difficult beginnings would make you just right for the task. After all, you have been through it. YOU know what it is like to have a tough childhood. This thinking is extremely honorable, however, misinformed. I say this because you may be finding that you are prone to being triggered by your child’s behavior, making YOU emotionally unstable, volatile and distressed beyond your wildest imagination.

When I write these things, of course, I am aware that there are exceptions. If YOU are an exception, I trust you to take what you need and leave the rest.

Personally, I am an example of the adoptive parent from difficult beginnings. YOU already know that because I write about my reactivity all the time. Because of this, I needed to work all the time on myself. I WAS the problem most of the time. My kids were wounded and I contributed to their insecurity by reacting out of my own. Once I truly understood that, I stopped blaming the kids for ruining my otherwise wonderful life. Then, my love and empathy began to grow and I was better able to give what they needed, rather than react when I didn’t get what I needed.

Attachment Help

The Attach Place
Center for Strengthening Relationships

Frankly, I needed their love. They needed mine first to do that. There in lies the rub. To be a healing parent to your child from difficult beginnings, YOU have to love first and for long. If you can do that, your child’s love for YOU will show up…down the road.

Love Matters,
Ce Eshelman, LMFT

UPCOMING SPECIAL EVENTS:
Get more information and reserve your spot here for our upcoming Hold Me Tight Couples Workshop for Parents of Adopted, Attachment Challenged, and/or Special Needs Children in Sacramento, CA on April 25th, 26th and 27th.

Check out our three blogs:
http://www.lovestronglovelong.com
http://www.parentingwithheart.net
http://www.wisdomforadoptiveparents.com