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Trauma and the stress response

Impact of trauma on the body


childhood trauma and the brain
What are ACEs?

 Traumatic events that can occur in childhood (0-17)

 A report found that 61% of adults from 25 states indicated that that they had
experienced at least one ACE before the age 18

 Women and children of ethnic minority have greater risk


 There are numerous negative effects of ACEs

(CDC, 2022)
Risk factors

 https://casaspeaks4kids.com/risk-factors-child-abuse-neglect/
Prevention/Protective factors of ACEs

 Strengthen economic supports to families


 Ensure a strong start for children
 Teach skills
 Intervene to lessen immediate and long term harm

(CDC, 2022)
Group Activity
How would you define resilience?

Describe real life examples of resilience taking place


What is resilience?

 Resilience is the ability to successfully adapt or adjust to life experiences


 Factors that contribute to one’s ability to adapt
 Coping strategies
 Social resources
 Ways in which a person views and interacts with the world

(APA, 2023)
Resilience video
Vulnerability to stress

Tolerance (Dan Siegel- “window of tolerance”)


Sensitization
Resilience and vulnerability to stress

 Depends on a person’s neural system’s tolerance or sensitization following earlier


experience

 “Use it or lose it” approach- Perry & Szalavitz, 2006, p. 39

(Perry & Szalavitz, 2006)


Epigenetics

Epigenetics: The study of how behavior and environment can cause


changes that impact how your genes function
 https://www.youtube.com/watch?v=_aAhcNjmvhc&t=190s
 https://www.youtube.com/watch?v=NuIM39dcUs4&t=185s

(CDC, 2022)
Brain on trauma

Right limbic area- emotional brain

Visual cortex- lights up (Brodmann’s area 19)

Broca’s area- significant decrease in this area

(Van der Kolk, 2014)


Right brain vs. Left brain

• Nonverbal communication

Right

• Verbal communication
• Deactivation- impacts the
Left organization of experience

(Van der Kolk, 2014)


Bottom to top brain

 Reptilian brain
 Mammalian brain (limbic system)
 Reptilian brain + mammalian brain = emotional brain
 Neocortex

(Van der Kolk, 2014)


Important anatomy regions

 “Cook and the smoke detector”


 “Watchtower”
 “Rider and the horse”
 Thalamus

(Van der Kolk, 2014)


Trauma and stress

 Adrenaline is a hormone that propels us to fight in the face of danger


 Constantly elevated stress hormones impact memory, attention; cause irritability
and sleep disorders
 Some individuals able to go into denial about potential threats

(Van der Kolk, 2014)


Trauma resources

 https://www.nctsn.org/ (National Child Traumatic Stress Network)

 https://ncsacw.acf.hhs.gov/userfiles/files/SAMHSA_Trauma.pdf (SAMHSA
Guidance for Trauma-Informed Approach)

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