Tag Archives: Attachment Therapy for Children

Slow Down YOU Move Too Fast

There is an old Simon and Garfunkel song from the 60’s:
 
skippingSlow Down 
YOU Move Too Fast
You’ve Got To Make The Morning Last
Just Skipping Down The Cobblestones
Looking For Fun and Feeling Groovy
 
If YOU know this song, I am sure I just clicked it on “repeat” in your head for the rest of the day.  
 
Now do it. 
 
Love Matters,
The Attach Place Logo

Ce Eshelman, LMFT

Developmental Trauma

I want to straighten a little something out (from my point of view anyway.)  

trauma face

There has been an evolution for me over the last 10 years about what it is I am seeing in traumatized children and what usual diagnoses children from difficult beginnings are given by mental health professionals.
 
There are really only a few diagnoses that routinely get applied to our children: 
Reactive Attachment Disorder of Infancy and Early Childhood (RAD), 
Posttraumatic Stress Disorder (PTSD), 
Bipolar Disorder 
Attention Deficit Hyperactivity Disorder (ADHD)
 

Trauma Boy 2

The fact of the matter is that most of our children are traumatized by attachment breaks, toxins in utero, pervasive maltreatment, neglect, and other abuses in the first 10 years of life.  The abuse that takes place during the first 33 months of life, of course, globally rewires the child’s brain for high alert that becomes cellular and can last a lifetime.
 
I used to stomp my feet and insist that mental health practitioners stop misdiagnosing attachment trauma  as ADHD and PTSD because those labels were inadequate (and they still are.)  I encouraged instead using Reactive Attachment Disorder of Infancy and Early Childhood because it was the only diagnosis that pointed in the developmental direction and I thought early correct labeling would get better, more focused attachment treatment for our kids.  Well, I have moved on from that, too.  Calling all traumatized children RAD is not correct and again points to too narrow of a viewpoint on treatment. And, frankly, some mental health practitioners misinterpret the RAD diagnosis as a “hopeless,” untreatable condition.
 
There is a new diagnosis Developmental Trauma being bandied about, but it has not made it into the Big Book of mental health disorders, the DSM-V.  There was a whole political push for and against this diagnosis just prior to the publication of the latest DSM-V, so it was left out.  Boohoo.
 
Once again, I find myself on the side of advocating mental health labeling that is more effective for treatment.  Labels are intended to support correct treatment, nothing more. Developmental Trauma is usually what we are dealing with when we are parenting children from difficult beginnings.  If we called it by a more attuned name, perhaps we would be more attuned to the various ways their history has impacted their development.  We would also be less scared our children will grow up to be criminals, right? Developmental Trauma can be treated.
 

trauma boy

Developmental Trauma, in my opinion, is a huge public health issue across the world. I saw a statistic that nearly three million children in the U.S. alone are diagnosable with this every year.  EVERY YEAR! My heart aches about this.
 
Developmental Trauma is all about developmental deficits, relational misattunement, and chronic patterns of dysregulation that lead to life-long issues negatively impacting brain development, the nervous system, the endocrine system, and memory.  This is likely a better diagnosis for your child. RAD, PTSD, ADHD, Bipolar Disorder are all too narrow and miss the boat on effective treatment.
Love Matters,
The Attach Place Logo
Ce Eshelman, LMFT 
UPCOMING EVENTS:

  • Next Trust-based Parenting Course is scheduled for July 19th and 26th.  Sign up here
  • The Attach Place is embarking on our second round of scholarships for families with adopted children who need services but have no funding to get them. We used up the last of our scholarship money last summer and are ready to start fundraising again. This time we have a pie-in-the-sky, big, hairy, audacious goal of $25,000. If you have a dollar you can afford to contribute, that is how we will pave the way–one dollar at a time. Go to: Love Matters Scholarship Fund. We are working on non-profit status, so these donations can be tax deductible.  Yay!
 
Feel free to invite your friends and family to receive Daily YOU Time emails, too. Click here to sign them up.  All you need is an email address and first name.

Cognitive Delay

apronsMy mother was quick to anger.  She had very little patience with me and I was all thumbs and left feet. I have a salient memory of needing to make an apron from a paper pattern (which was child abuse, if you ask me) at home for Home Ec.  My mother was an excellent seamstress and while I struggled with something bunchy under the tines of the sewing machine foot, she snapped, “Let me do it.”  In two seconds I was standing aside watching while she silently and effortlessly finished the whole thing. I will never forget that. The things I learned were this:

I was too stupid to live.
My mother was all powerful, all knowing, bigger than life, and scary.
I was useless, inadequate and not worth teaching.
I disgusted her and she didn’t like me very much.
I was afraid of her and I didn’t like her that much either.
 
Of-course, I never learned to sew because I never tried to do it again.
 
Children from difficult beginnings often have cognitive delays in their executive function: working memory, attention, self-checking, cause and effect thinking and planning and time concepts.
 

sewing

Be thoughtful about what you are teaching your child, when you are quick to anger when they cannot easily do a task YOU think should be a piece of cake.  Children, teens, adults from hard places are managing their brain functions all the time and they sometimes cannot easily access parts of the brain that would help them make good decisions, listen to an entire sentence, remember how to do something that they do all the time, check for their own mistakes, know that breaking the rules will beget some kind of consequence, and figure out when it is time to stop playing and start their chores.
Love Matters,
The Attach Place Logo
Ce Eshelman, LMFT 
UPCOMING EVENTS:

 

 

Respite Wrangle

Now that Mother’s Day and Father’s Day have skipped into the background:  What about YOU?  I have always thought those days were really for the kids, but maybe that is just how it seems at my house. 

 

summer cold

Get started planning your Parent Day respite.  If you have been waiting, finding excuses, looking for ideas, holding out for money, time, energy…give it up.  Get respite before it gets YOU via stress, exhaustion, mental health crash, or a blasted summer cold.  
 
YOU take it or it takes YOU.  YOU decide.

 
Inaction is an action, after all. 
Love Matters,
The Attach Place Logo
Ce Eshelman, LMFT 
UPCOMING EVENTS:

 

Frog in a Pot

You have all probably heard the analogy of the Frog in the Kettle, right?  Okay, I’m forced to repeat it.  If you put a frog in a hot kettle of water, it will jump right out–smart froggie style. If you put a frog in a cold kettle of water on a slow to boil stove, the froggie, well, will not have the good sense to stretch a leg.  That same smart froggie will simply adjust, adjust, adjust to death, as the water boils right over.
If you are in a hot pot with your attachment challenged children, you may not realize that you need help, Help, HELP to turn the temperature down.
 
In order to engage and thrive with attachment challenged children in your life, you have to be able to:
  • Open yourself to the realities of their lives before YOU
  • Tolerate their wildly swinging emotions and reactions
  • Handle your own wildly swinging emotions and reactions
  • Become hyper-flexible like a parenting ninja
  • Get support from everywhere and everyone to keep the water cool
pot
If you don’t…Hello froggie, this is not the pond you were hoping for.  Jump!
 
 
Love Matters,
The Attach Place Logo
Ce Eshelman, LMFT 
UPCOMING EVENTS:

 

No Fear

Yesterday, I had a conversation with a friend where I found myself insisting that I have no fear.  She was doubting me and perhaps I protested too much.  Our silly banter made me ponder that concept a little more because I really don’t experience fear.  But why don’t I?  Then I was reminded how my children never seemed to express fear in the years following coming home with me.  They took big physical and relational risks, broke all rules, and seemed to be unmoved by my ire.  I came to know this as traumatic dissociation, because the longer I lived with them the more I saw how much fear and anxiety operated in them.  They were actually afraid of almost everything.

fearMy children and I have something in common.  We have all three been scared “to death” in our lives and survived to see another day.  That kind of trauma can have varying impacts on people.  Some become more fearful and others repress fear completely, thus NO FEAR (or any other feeling for that matter.)

Eventually, the feelings of fear must be uncovered, so life can be engaged with appropriate amounts of risk taking and caution. I think my children have work to do in this arena.  When my daughter calls in tears about how scared she is to be on her own, I hear the grief and work to soothe her.  My son still glazes over to avoid his fears.  There is more processing to be done for them to emerge feeling safe inside themselves and in the world.


So, what is my story.  Of course I feel fear, when I am in danger.  Since I am rarely in danger, I rarely feel fear.  I was scared to death early in my life and I think I did repress my feelings for a number of years.  In my twenties I faced my scary loss with copious crying that seemed to last forever. Talk about keeping my therapist flush with vacations for a few years. When the grief came to a natural close–my loss processed fully, made sense of, and incorporated into my narrative about myself–I returned to a life fully alive and filled with love.  That was my goal then and continues to be my goal now. I think living in love, without fear, AKA anxiety, is the outcome of doing my personal work.  I am grateful for that and for the ability to embrace life and accept it on its own terms.  For me, there is no other option.

unconditional love

Felt safety needs to be our parenting goal for our children, so they can face forward without fear and with love in their own lives.

Love Matters,
The Attach Place Logo
Ce Eshelman, LMFT 
UPCOMING EVENTS:

 
Feel free to invite your friends and family to receive Daily YOU Time emails, too. Click here to sign them up.  All you need is an email address and first name.

Spitting Mad

Spitting Mad

Spitting Mad

You’ve heard the terms spitting mad, fighting mad, biting mad, right?  How often do you feel this way in the face of your attachment challenged (or not) child’s persistent behavior that causes you to repeat yourself? If it is often, then you have to do something different!  It won’t just go away. 

 
Up the empathy for the hard places from which your child comes by mantras and affirmations:
  • Even though I feel this rage, I love and accept my child.
  • Even though I have to repeat myself until I explode, I love and accept my child.
  • Even though I feel this rage and shame about it, I love and accept MYSELF.
What are you waiting for?  Do something different.  If you take the time to say any one or all of those mantras before you speak to your child, you will be making the change you want to see in yourself.  That’s the only person YOU can change.
 
Love Matters,
The Attach Place Logo
Ce Eshelman, LMFT

Empathy Cools the Jets of Anger

I am intimate with anger, my own.  My misunderstanding about the meaning of behavior in the early years of parenting made my blood boil.  I really thought my kids’ behavior was purposeful.  It “felt” that way to me.  Those were only my feelings though, not the facts of the matter.  The facts of the matter were more complex and required me to dig deeper into two things: 1) my own history and 2) my children’s history.

Once I realized that the attachment challenge and trauma suffered in my childhood and the attachment challenge and trauma suffered in my children’s early years transformed our normal brains into chemical turbine factories, I had a better way of understanding behavior, which facilitated the growth of my own empathy for myself and for my children.
cool your jets

 

Empathy significantly cools the jets of anger.

If YOU are too familiar with anger in your relationship with your children, then it makes sense to up your empathy through understanding the impact of attachment and trauma on the brain’s function.  In traumatized humans, survival mode is chronic and pervasive.  Turns out it isn’t really that hard to understand from the factual side.  Tornado

However, when you are swirling in a chemical spiral of emotion, it is pretty hard to see the fear at the center of the tornado.

Behavioral symptoms of a traumatized brain:
Emotional Out-bursting
Controlling
Inflexible Reacting
Demanding
Sneaking
Lying
Stealing
Hoarding
Arguing
Defending
Refusing Responsibility
Resisting Parental Authority
Defying Direction
Running Away

Distracting
Opposing

Freezing
Freezing
Freezing

Fleeing
Fleeing
Fleeing

Fighting
Fighting
Fighting

Fearing
Fearing
Fearing

Up your empathy.

Love Matters,
The Attach Place Logo
Ce Eshelman, LMFT 
UPCOMING EVENTS:

  • The Trust-based Parenting Course  ended last weekend and a good time was had by all, though our back sides are a little sore from all that sitting. Thanks to all of you great parents for your commitment to therapeutic parenting with heart.
  • Next Trust-based Parenting Course is scheduled for July 19th and 26th.  Sign up here.
  • Next Hold Me Tight Couples Weekend Workshop for Therapists and Their Partners presented by Jennifer Olden, LMFT and Ce Eshelman, LMFT is scheduled for June 20, 21, 22, 2014.  If you are a therapist and interested in attending, sign up here.
  • Wow, more generous donations have come in to help other families.  YOU are appreciated–Big Love. The Attach Place is embarking on our second round of scholarships for families with adopted children who need services but have no funding to get them. We used up the last of our scholarship money last summer and are ready to start fundraising again. This time we have a pie-in-the-sky, big, hairy, audacious goal of $25,000. If you have a dollar you can afford to contribute, that is how we will pave the way–one dollar at a time. Go to: Love Matters Scholarship Fund. We are working on non-profit status, so these donations can be tax deductible.  Yay!
 
Feel free to invite your friends and family to receive Daily YOU Time emails, too. Click here to sign them up.  All you need is an email address and first name.

The Grief Within

I was watching the 9/11 Memorial Museum dedication today and had a wave of deep sadness overtake me from that tragedy.  Then, without realizing it, I was consumed in old unrelated grief and simply cried it out until the tears stopped and I felt done.
 
angery griefHow this unfolded this morning in me made me think of YOU and your children. Grief often plays a big part in the background of our lives.  Our children have lost their sense of felt safety along with original attachments and sometimes many subsequent ones.  We parents have our personal grief from wounds past and re-worked dreams for the family life we hoped we were creating when we brought our children home. The grief is deeply stored as trauma in our brains, one painful event on top of another, that lends to inexplicable, triggered emotional experiences throughout our daily lives. 
How this unfolded this morning in me made me think of YOU and your children. Grief often plays a big part in the background of our lives.  Our children have lost their sense of felt safety along with original attachments and sometimes many subsequent ones.  We parents have our personal grief from wounds past and re-worked dreams for the family life we hoped we were creating when we brought our children home. The grief is deeply stored as trauma in our brains, one painful event on top of another, that lends to inexplicable, triggered emotional experiences throughout our daily lives.
 
Grief is sneaky.  It is like the background of a Jackson Pollack canvas.  We often cannot see it anymore due to the wild strokes of everyday life, but it is there, lying in wait for a scratch on the surface to reveal what hides beneath. 
 
Our kids have a complex reality and they rarely understand themselves, their emotions, or why the grief in the form of outbursts, negativity, and aggression overtake them at random intervals when they feel deprivation of any kind.
If YOU understood the grief beneath the outbursts, perhaps you would be more compassionate toward your child tragically tantruming over not getting a second cookie.
Love Matters,
Ce Eshelman, LMFT 
UPCOMING EVENTS:

  • Day one of Trust-based Relational Parent Training.  Super great group of parents.  Wish YOU were here.
  • Next Hold Me Tight Couples Weekend Workshop for Therapists and Their Partners presented by Jennifer Olden, LMFT and Ce Eshelman, LMFT is scheduled for June 20, 21, 22, 2014.  If you are a therapist and interested in attending, sign up here.
  • Big HUG and APPRECIATION for the generous scholarship contributions–YOU know who YOU are.  The Attach Place is embarking on our second round of scholarships for families with adopted children who need services but have no funding to get them. We used up the last of our scholarship money last summer and are ready to start fundraising again. This time we have a pie-in-the-sky, big, hairy, audacious goal of $25,000. If you have a dollar you can afford to contribute, that is how we will pave the way–one dollar at a time. Go to: Love Matters Scholarship Fund.

 

Work It Out–Lean Toward Love

Having spent the afternoon with my 18-year-old daughter and her 6-month-old baby, I am left pondering many divergent things and am filled with so many emotions–the greatest of which is LOVE.  I love that girl, my daughter, and feel a growing attachment with my grand baby. Along with that love and attachment is a deep concern for their obvious challenges ahead.  Another child has been born with generational attachment wounds, in spite of my efforts to change the trajectory–more proof I am not in charge of the Universe (as if I needed more). Darn it.
 
I know this has happened in many of your lives and it is perhaps what many of YOU fear if it hasn’t happened.  First of all, it doesn’t happen in all attachment challenged children’s lives.  Many grow, and heal, and thrive thanks to your ever present attention to their needs and their own tenacity, resilience, and drive to live. I have had plenty of contact over the years with adults who have worked through their childhood challenges and changed their trajectories.  I consider myself in that company.
 
All in all, both of my children express gratitude and love for the family we have together.  They feel loved, and sometimes profoundly wounded by perceived slights.  That is part of their journey.  One day, some day, down the road a little further, as they continue to heal their hearts, I trust that they will work it all out. That is part of the innate human drive to lean toward love.
 
Lean toward love.

Love Matters,
The Attach Place Logo
Ce Eshelman, LMFT 
UPCOMING EVENTS:

  • Count down to the next Trust-based Relational Parent TrainingMay 10th and 17th.  Very excited. Really enjoy being with parents for these extended time periods.  Love it.
  • Next Hold Me Tight Couples Weekend Workshop for Therapists and Their Partnerspresented by Jennifer Olden, LMFT and Ce Eshelman, LMFT is scheduled for June 20, 21, 22, 2014.  If you are a therapist and interested in attending, sign up here.
  • The Attach Place is embarking on our second round of scholarships for families with adopted children who need services but have no funding to get them. We used up the last of our scholarship money last summer and are ready to start fundraising again. This time we have a pie-in-the-sky, big, hairy, audacious goal of $25,000. If you have a dollar you can afford to contribute, that is how we will pave the way–one dollar at a time. Go to: Love Matters Scholarship Fund.
 
Feel free to invite your friends and family to receive Daily YOU Time emails, too. Click here to sign them up.  All you need is an email address and first name.