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Copy of How Trauma Affects Kids in School

Caroline Miller • December 1, 2020

Ongoing exposure to neglect, abuse, homelessness or violence causes learning and behavior problems in children. Signs of trauma and tips for helping kids who've been traumatized.

We tend to think of trauma as the result of a frightening and upsetting event. But many children experience trauma through ongoing exposure, throughout their early development, to abuse, neglect, homelessness, domestic violence or violence in their communities. And it’s clear that chronic trauma can cause serious problems with learning and behavior.

Trauma is particularly challenging for educators to address because kids often don’t express the distress they’re feeling in a way that’s easily recognizable — and they may mask their pain with behavior that’s aggressive or off-putting. As Nancy Rappaport, MD, a child and adolescent psychiatrist who focuses on mental health issues in schools, puts it, “They are masters at making sure you do not see them bleed.”

Identifying the symptoms of trauma in the children can help educators understand these confusing behaviors. And it can help avoid misdiagnosis, as these symptoms can mimic other problems, including ADHD and other behavior disorders.

In brief, the obstacles to learning experienced by these children include:

  • Trouble forming relationships with teachers
  • Poor self-regulation
  • Negative thinking
  • Hypervigilance
  • Executive function challenges

Trauma and trouble forming bonds

Children who have been neglected or abused have problems forming relationships with teachers, a necessary first step in a successful classroom experience. They’ve learned to be wary of adults, even those who appear to be reliable, since they’ve been ignored or betrayed by those they have depended on.

“These kids don’t have the context to ask for help,” notes Dr. Rappaport, a school consultant and associate professor of psychiatry at Harvard Medical School. “They don’t have a model for an adult recognizing their needs and giving them what they need.”

Many of these children haven’t been able to develop secure attachments to the adults in their lives, adds Jamie Howard, a clinical psychologist and head of the Trauma and Resilience Center at the Child Mind Institute. They need help to let other adults into their lives. “Kids who’ve never developed that early template that you can trust people, that you are lovable and that people will take care of you,” Dr. Howard explains, “need support to form that kind of relationship.”

One of the challenges in giving that support is that when kids misbehave, our schools often use disciplinary systems that involve withdrawing attention and support, rather than addressing their problems. Schools have very little patience for kids who provoke and push away adults who try to help them.

Instead of suspending children, Dr. Rappaport argues, schools need to work with them on changing their behavior. When a student is acting up in class, she explains, teachers need to recognize the powerful feelings they are expressing, if inappropriately.

Rather than jumping right into the behavior plan – deducting points or withdrawing privileges or suspending — Dr. Rappaport stresses the importance of acknowledging the emotion and trying to identify it. “I can see that you are REALLY angry that Andrew took the marker you wanted!” she suggests. “If you’re wrong about what the student is upset about, he’s likely to correct you.”

Acknowledging and naming an emotion helps children move towards expressing it in a more appropriate way. Communicating that you “get” him is the necessary first step, she explains, to helping a child learn to express himself in ways that don’t alienate and drive away people who can help him.

Poor self-regulation

Traumatized children often have trouble managing strong emotions. As babies and toddlers, children learn to calm and soothe themselves by being calmed and soothed by the adults in their lives, Dr. Howard notes. If they haven’t had that experience, because of neglect, “that lack of a soothing, secure attachment system contributes to their chronic dysregulation.”

In the classroom, teachers need to support and coach these children in ways to calm themselves and manage their emotions. “We need to be partners in managing their behavior,” Dr. Rappaport explains. “Co-regulation comes before self-regulation. We need to help them get the control they need to change the channel when they’re upset.” They need coaching and practice at de-escalating when they feel overwhelmed, she adds.

Related: What’s ADHD (and What’s Not) in the Classroom Negative thinking

Another challenge to traumatized kids is that they develop the belief that they’re bad, and what’s happened to them is their fault. This leads to the expectation that people are not going to like them or treat them well. As Dr. Howard puts it, “I’m a bad kid. Why would I do well in school? Bad kids don’t do well in school.”

Traumatized kids also tend to develop what Dr. Howard calls a “hostile attribution bias” — the idea that everyone is out to get them. “So if a teacher says, ‘Sit down in your seat,” they hear it as, ‘SIT DOWN IN YOUR SEAT!’” she explains. “They hear it as exaggerated and angry and unfair. So they’ll act out really quickly with irritability.”

As Dr. Rappaport puts it: “They see negative where we see neutral.” To counter this negative thinking, these students a narrative about themselves that helps them understand that they’re not “bad kids.” And learning to recognize their negative patterns of thought, like black and white thinking, is a step towards being able to change those patterns.

Dr. Rappaport notes that children from abusive homes are sometimes unable to participate in classroom activities because they are paralyzed by fear of making a mistake, and that can make them appear to be oppositional. “A mistake that might seem trivial to us becomes magnified,” she explains, “if their experience has been that minor mistakes incurred adult anger or punishment.”

They need not only support to have incremental successes they can build on in the classroom, but help to see that in this setting, making a mistake is considered a necessary part of learning.

Hypervigilance

 One of the classic symptoms of trauma is hyper-vigilance, which means being overly alert to danger. “It’s physiological hyper-arousal,” explains Dr. Howard. “These kids are jumpy, they have an exaggerated startle response. They can have some big, out-of-control seeming behaviors, because their fight or flight response has gone off.”

This can look like hyperactivity, she adds, leading kids who have been traumatized to be misdiagnosed with ADHD. Being chronically agitated can lead to difficulty with sleeping and chronic irritability.

In workshops, Dr. Rappaport coaches teachers on how to help kids to settle down when something in the classroom triggers an emotional outburst. When a child is escalating, the key, she says, is to “match their affect, but in a controlled way.”

The goal is to connect to their big feeling. “If you can connect with what they’re trying to tell you, they may settle. It can work even if you just make a guess — you don’t have to be right, they can correct you.



By Victor Armstrong, MSW September 27, 2020
Communities of Color
By ADAA Board of Directors June 4, 2020
ADAA Stands Against Racism
By National Alliance on Mental Illness November 7, 2019
The National Alliance on Mental Illness (NAMI) today released the following statement from CEO Daniel H. Gillison, Jr., regarding recent racist incidents across the country and their impact on mental health: “The effect of racism and racial trauma on mental health is real and cannot be ignored. The disparity in access to mental health care in communities of color cannot be ignored. The inequality and lack of cultural competency in mental health treatment cannot be ignored. “Our nation’s African American community is going through an extremely painful experience, pain that has been inflicted upon this community repeatedly throughout history and is magnified by mass media and repeated deaths. We stand with all the families, friends and communities who have lost loved ones senselessly due to racism. And, with more than 100,000 lives lost to the coronavirus pandemic - disproportionately from minority communities - these recent deaths add gasoline to the fire of injustice. “While there is much we need to do to address racism in our country, we must not forget the importance of mental health as we do so. Racism is a public health crisis. “As the nation’s largest grassroots mental health organization, it is our responsibility to serve all. While as an organization we are still early in our intentional Diversity, Equity and Inclusion journey and have much to do, we have renewed our commitment to our values. We continue to strive to deliver help and hope to all who need it. “NAMI stands in solidarity with everyone impacted across the country. You are not alone.” Black Mental Health Resources There are a variety of mental health resources available for people of color, but we have provided a few examples below. Please note: The resources included here are not endorsed by NAMI, and NAMI is not responsible for the content of or service provided by any of these resources. Black Emotional and Mental Health Collective (BEAM) Group aimed at removing the barriers that Black people experience getting access to or staying connected with emotional health care and healing. They do this through education, training, advocacy and the creative arts. Black Men Heal Limited and selective free mental health service opportunities for Black men. Black Mental Health Alliance - (410) 338-2642 Provides information and resources and a “Find a Therapist” locator to connect with a culturally competent mental health professional. Black Mental Wellness Provides access to evidence-based information and resources about mental health and behavioral health topics from a Black perspective, as well as training opportunities for students and professionals. Black Women’s Health Imperative Organization advancing health equity and social justice for Black women through policy, advocacy, education, research and leadership development. Boris Lawrence Henson Foundation BLHF has launched the COVID-19 Free Virtual Therapy Support Campaign to raise money for mental health services provided by licensed clinicians in our network. Individuals with life-changing stressors and anxiety related to the coronavirus will have the cost for up to five (5) individual sessions defrayed on a first come, first serve basis until all funds are committed or exhausted. Brother You’re on My Mind An initiative launched by Omega Psi Phi Fraternity, Inc. and NIMHD to raise awareness of the mental health challenges associated with depression and stress that affect Black men and families. Website offers an online toolkit that provides Omega Psi Phi Fraternity chapters with the materials needed to educate fellow fraternity brothers and community members on depression and stress in Black men. Ebony's Mental Health Resources by State List of Black-owned and focused mental health resources by state as compiled by Ebony magazine. Henry Health Provides culturally sensitive self-care support and teletherapy for Black men and their families. Currently in pilot program available only to residents of MD, VA and DC. Residents of other states can join their waiting list and will be notified when Henry Health is available in their state. Melanin and Mental Health Connects individuals with culturally competent clinicians committed to serving the mental health needs of Black & Latinx/Hispanic communities. Promotes the growth and healing of diverse communities through its website, online directory and events. Ourselves Black Provides information on promoting mental health and developing positive coping mechanisms through a podcast, online magazine and online discussion groups. POC Online Classroom Contains readings on the importance of self care, mental health care, and healing for people of color and within activist movements. Sista Afya Organization that provides mental wellness education, resource connection and community support for Black women. Therapy for Black Girls Online space dedicated to encouraging the mental wellness of Black women and girls. Offers listing of mental health professionals across the country who provide high quality, culturally competent services to Black women and girls, an informational podcast and an online support community. The SIWE Project Non-profit dedicated to promoting mental health awareness throughout the global Black community. The Steve Fund Organization focused on supporting the mental health and emotional well-being of young people of color. Unapologetically Us Online community for Black women to seek support. Self-Care For People Of Color We recognize that many mental health conditions are being triggered as a result of the coronavirus, the economic crisis and repeated racist incidents and death. Learn more about mental health conditions including anxiety disorders , depression and posttraumatic stress disorder . Article on coping with anticipatory grief Article on coping with traumatic stress Article on Racial Battle Fatigue Treatment Directories Association of Black Psychologists Directory Inclusive Therapists Innopsych LGBTQ Psychotherapists of Color Directory National Queer and Trans Therapists of Color Network Psychology Today Directory of African American Therapists Therapy for Black Men Educational Resources On Racism And Inequality Understanding The Context Of Racism And Recent Events Video on understanding racism and the reactions to the death of George Floyd and many others Video on understanding the perspectives of your colleagues of color Article on “White Privilege: Unpacking the Invisible Knapsack” List of Anti-Racism resources Understanding The Context Of Racial Inequality That Impacts Mental Health APA Best Practices on working with Black patients APA Mental Health Facts for Black Americans (2017) Understanding And Addressing The Social Determinants Of Health That Impact Mental Health Article on improving the health of Black Americans and the overdue opportunity for social justice Video on understanding the social determinants of health and toxic stress Video on the social determinants of toxic stress, specifically race and ethnic toxic stress APA Stress & Trauma Toolkit for treating Black Americans in a changing political and social environment The Robert Wood Johnson Foundation Page on Achieving Health Equity – Information about why health equity matters and what you can do to help give everyone a fair shot at being as healthy as they can be. Ways To Take Action As An Ally Or Champion For People Of Color Article on being a white ally through word, actions and power Article on being a white ally for racial justice Community based organizations to partner with: Color of Change , Black Lives Matter , Change Zero , The Innocent Project Books To Read White Fragility: Why It's So Hard for White People to Talk About Racism by Robin DiAngelo, PhD How To Be An Antiracist by Dr. Ibram X. Kendi Eloquent Rage: A Black Feminist Discovers Her Superpower by Dr. Brittney Cooper Me and White Supremacy by Layla F. Saad So You Want to Talk About Race by Ijeoma Oluo The Fire Next Time by James Baldwin The New Jim Crow: Mass Incarceration in the Age of Colorblindness by Michelle Alexander The Next American Revolution: Sustainable Activism for the Twenty-First Century by Grace Lee Boggs The Warmth of Other Suns by Isabel Wilkerson When Affirmative Action Was White: An Untold History of Racial Inequality in Twentieth-Century America by Ira KatznelsonThe new season is a great reason to make and keep resolutions. Whether it’s eating right or cleaning out the garage, here are some tips for making and keeping resolutions.
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