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Sensory Integration: Shaping Perceptions of the World A newly emerging therapy for alcohol- and drug-exposed children

parentingtoolbox:

By Ira Chasnoff, MD

One of the relatively new common themes emerging in clinical care and research with children exposed to alcohol and drugs during pregnancy is related to deficits in sensory integration. Jean Ayres, an occupational therapist, first introduced the concept of sensory integration – the process by which the brain receives, organizes and interprets information from the environment. The information is received by sensory receptors, such as the eyes, nose, ears, fingers, mouth and skin. Sensations such as movement, body awareness, touch, sight, sound and the pull of gravity make up the overall sensory experience.

Source: https://www.psychologytoday.com/blog/aristotles-child/201405/sensory-integration-shaping-perceptions-the-world

The information that is received from the environment is then sent to the corresponding regions of the brain where it is interpreted and organized. Proper sensory integration helps us to maintain attention and build positive relationships with others and shapes our perception of the world. In children, sensory integration provides a crucial foundation for more complex learning and behavior. All of these things contribute to positive self-esteem as well as the ability to learn and concentrate.

For most children, sensory integration develops in the course of ordinary childhood activities. However, prenatal alcohol or drug exposure or lack of stimulation in the early years of development can damage the parts of the brain responsible for sensory integration. An infant who is neglected or has limited opportunities for human interaction, movement, play and exploration is likely to develop sensory integration problems. Sensory integration dysfunction can result when babies are unable to explore their surroundings, are left alone in their cribs for long periods of time, and do not receive the nurturing touch of a caretaker. Likewise, these problems can occur in children who have been hospitalized early or for long periods of time, or in those who have suffered from some sort of trauma and disruption in their developmental process. These life factors are not uncommon in children born into a home in which substance abuse and violence are integral components of the environment.

Children who are experiencing sensory integration difficulties are not intentionally misbehaving. They are simply trying to gain the input that their body needs or avoid extra stimulation in order to function properly. Children with sensory processing problems often feel uncomfortable in their own skin, agitated or out of sorts. That is why it is not uncommon for the children to receive a diagnosis of attention deficit hyperactivity disorder (ADHD) as they reach school age. These children are often intelligent but struggle to control their body and their need for sensory inputs. It is important to remember that the sensory needs of these children are just that – needs. Trying to diminish the needs for these behaviors will not be effective, but finding adaptable ways to satisfy the sensory needs of the child is helpful.

It is important that assessment of sensory integration capabilities be evaluated in children with prenatal alcohol or drug exposure. Some signs that a child may be experiencing difficulty with sensory integration include:

• Clumsy behaviors

• Over sensitivity to sounds, sights, smell, touch or movement

• Under reactivity to sounds, sights, smell, touch or movement

• Distractibility

• Hard to calm down

• Difficulty during transitions and adapting to changes in routine

• Picky when eating – particularly sensitive to the texture or feel of foods

• Resistant to touching things – e.g., resists going barefoot in the grass, playing in sand

• Defensive to light touch

• Agitation when spinning or roughhousing

• Excessive seeking out of spinning or swinging movements

• Tendency to exhibit rocking or swaying body movements

• Increased excitation during play to the point that he cannot calm down

• Distractibility when eating in a noisy environment

• Easily tired

• Weakness in various muscles

• Fear or intolerance of sounds – e.g., holds hands over ears to protect himself from sounds

• Awareness of noises that others do not notice

• Difficulties with teeth brushing, hair washing and/or bathing

• Sensitivities to clothing textures and/or needs tags cut out of clothing

• Overly fearful or avoidant of situations or people

• Impulsivity or exhibiting “daredevil” behaviors

• Difficulty falling or staying asleep.

Of course, many of these difficulties fall into the range of normal behavior, but it is when they cluster or are more frequent and more disruptive than what would be normally expected that they may indicate significant problems.

An occupational therapist, trained in sensory integration assessment and treatment, can evaluate a child and provide these services. Children with prenatal alcohol or drug exposure often suffer early neglect and trauma; sensory integration is a very helpful approach from both perspectives. It often is quite amazing to see the improvement in children’s daily behavior and functioning when they receive this specialized form of treatment.

Note from Ron Huxley: “I posted this some time ago on this blog but thought it timely, for me, to reblog it. I am teaching a class today on Parenting The Drug Exposed Child. Hope it helps others too…”

How do violence and trauma affect a child’s brain? 

Watch this video: https://www.youtube.com/watch?v=eEEVKDW5NDc?

A research-based discussion by Ron Huxley, LMFT

It is interesting how society views traumatic experiences. We tend to “sweep it under the rug” and pretend it doesn’t affect us or tell ourselves to “move on.” So many people come into my office who have a long list of traumatic experiences but can’t identify one reason why they are having problems in their work and family relationships today.

If we as adults do not recognize the effects of exposure to violence and traumatic abuse and neglect, we won’t recognize it in our children either. There is a belief that children are resilient and they won’t remember the early incidents of violence in their lives but that is simply not sound science or everyday reality.

Watch the video above to see what modern-day researchers are saying about a child’s exposure to violence and trauma. I will make a few more comments that highlight areas for parenting the traumatized child. 

The child’s brain develops from the bottom up and the inside out. Fear disrupts and shuts down the thinking areas of the brain that shows up in night terrors, severe tantrums and difficulty in attachment and bonding. At times, it seems that children have no conscience or remorse. These are survival strategies!

Children exposed to violence and trauma have a higher rate of mental health issues and chaotic relationships later in life. It is a “lifetime legacy” with unhealthy coping behaviors and individuals end up doing the very thing that was done to them no matter how much they vow to never be or do that to another human being.

Healing for traumatized children needs to re-experience stressful situations by using calmer, more rational strategies. Being able to talk about feelings instead of acting them out is crucial to children. Children need “healthy adults to connect to…”

Traumatized children who become parenting themselves have to re-learn how to create an environment that is safe and healthy. The “most important thing a parent needs to understand is that a child’s brain will become what it is exposed to…The brain is a mirror of a child’s experience.”

It seems simplistic but if you want your child to be kind, they have to be treated kindly. If you want your children to feel safe, they need to experience safety. If you want your child to be respectful, you have to treat them respectfully.

What are your reactions to this video? How have you overcome your traumatized childhood and become a safe, healthy parent?


Video source: (via https://www.youtube.com/watch?v=eEEVKDW5NDc)

There are no unwanted children, just unfound families.

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(via adoptionbuzz)

What will your family be in 5 years?

Prayer isn’t your typical parenting tool but it should be…families can use all the help they can get in overcoming the challenges that face them in today’s society. Bring the power of Heaven to your aid and begin calling into reality what you want for you and your children today. We can’t provide direction for our family based on our history. We must live from our imaginations and what we need in our future where things have not yet been decided.

Use our FREE Tool “The Future Starts Now” to build the family of your dreams. It will provide you with a clear path to marshaling the resources of Heaven and your relational energy on your behalf. You deserve more joy, peace and love in your family.

Download the PDF Dream Building Tool: “The Future Starts Now”

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Need MORE control of your children? — If yelling, bribery, and giving in no longer works in your home then it’s time to do something different!

The parenting toolbox has a dozen behavior charts that you can use today to regain control of your children and your life.

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We’ve been adding new tools weekly. Perhaps you’ve already gotten them? If not, go now and use them and get MORE control.

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If you need even more than these charts can give you or you need some help or you need to know how to use them for your children then Ron Huxley is available for consultation via Skype or phone. Get more parenting coaching from the parenting expert:

Http://Ronhuxley.com/coaching

We live in a broken world, full of broken families and broken hearts, resulting in anger, depression and anxiety. When people come to see a family therapist, they want change but they want other members of the family to change, not them. How much pain do we have to go through before we are willing to do something different than we have always done before? Listen to Ron Huxley, Family Therapist, as he shares some insights on how to create love and honor in the home to have real, permanent change in the family. 

Be sure to share this with a friend…

Whose the Black Sheep of the Family?

By Ron Huxley, LMFT

Some people call them the “black sheep” of the family and are content to let them stay that way. Others try to change them and take them to psychologists and doctors. A few give up on them all together. This child is the “identified problem child” and many homes spend a lot of time and energy dealing with the member of the family. This rebellious, acting out child is most often seen in dysfunctional homes, where substance or physical abuse is taking place. The identified problem child serves a very important role in this type of family by balancing out the imbalance and protecting the abusive parent from outside interventions. In a lesser degree, even nonabusive families have children who cause more stress and trouble than other children in the home. This child resists parent’s efforts at discipline, is constantly mischievous, and appears to enjoy the attention that getting into trouble provides.

Family therapists have determined that the symptoms of the “identified problem” child are often a reaction to the family’s state of imbalance.  This imbalance can be anything from severe abuse to a mild family stressor, such as the illness of a parent or the loss of fathers job. The negative behavior of the “identified problem-child” may be an effort, albeit unconsciously, to alleviate the families pain.  The child becomes a stabilizing force to reduce stress and thereby return the family to its previous state of balance, even if it is an imbalanced one. A teenagers acting out, a school-age child’s poor grades, a young child’s temper tantrums — all may be efforts to stabilize an unstable system.

Thomas was an “A” student up until his parents announcement of their divorce. Suddenly, he began getting failing grades on his school report card. Fortunately, his parents recognized this behavior as a reaction to their devastating news and brought him in for therapy. After some time, Thomas’ bad grades were more than his depression over mom and dad’s split. They were also a way for him to save his parent’s marriage by forcing them to focus on him and away from the pain of the divorce.  He overheard his parents saying that they would have to come to the school together to talk to his teacher. This was a glimmer of hope, however feeble and small, that he could influence his parent’s decision.

Many parents react to the behavior and not to the underlying family system issues that might be taking place.  This is because, for many parents, it is easier to use the child as a scapegoat then focus on their own issues and problems.

Susan was an overly aggressive child.  She was kicked out of several preschools and was finally referred to a therapist when she viciously bit another child, drawing blood. The doctor recommended medication, but at 4 years of age, the parents felt something else might work.  Over time, it was found that Susan hurt other children to express her own feelings of being hurt.  Due to her poor communication skills, she demonstrates her own internal state by aggressively acting out the role of “I hurt, therefore I will hurt others.”  Her biological father had abandoned Susan when she was just a baby and her mother had recently married another man that Susan didn’t like. Her mother never saw the rejection as a reason for her behavior because she was so young when the biological father left.

When children are misbehaving they are said to be “acting out.”  What is the child acting out, exactly?  According to family systems theory, they are acting out the family’s pain.  Stated another way, when the family experiences sudden change, for better or worse, and members undergo stress, the “problem child” pops up ready to stabilize the family system.  Parents who are able to read their child’s behavior in this way will be able to help them express it in a more positive manner and cope with their “big” feelings or anger, frustration, and loss.

In some cases the best way to deal with the “child’s problem” is to include the whole family. Obviously, the child is not the real problem anyway and the whole family is affected by, and affecting, the child’s behavior. The first task of the family is to unmask the real problem and relabel it as a family issue versus a child centered one. This can be difficult, as other members of the family may have to share some of the blame and resist stepping down from the ideal child or parent pedestal. The next task is to find family focused solutions to the problem. This might involve improving family communication, adjusting family boundaries and rules, and renegotiating family activities.

In the case of Thomas, the parents did not get back together but they did increase their involvement with him and reassure them of their love for him, regardless of the divorce. It took a while for his grades to improve but with patience and cooperation they were able to get them back to normal. With Susan, the family started more family oriented activities and had the new father pick her up from preschool a couple of times a week to spend some one on one time together. This helped her feel connected to the new dad, lessening the hurt she felt from her biological father. With time, she started calling this new person “dad” and her aggressiveness completely stopped.

Not all children act out because of internal struggles but it does occur frequently enough that parents need to look for this as a possible explanation for their child’s behavior. They will have to set aside their own issues and struggles to accomplish this and that could be a difficult thing for many. Family members may need to redraw family roles and responsibilities, and change, even in the best of circumstances, is a difficult experience. The intervention for identified problem children is to look at the entire family system. Sometimes, the problem is bigger than we think!

Limbic System: Your Child’s On/Off Switch for Emotional Grounding, Fight or Flight and Meltdowns – Integrated Learning Strategies

Many systems in the child’s body deal with emotions and the sometimes complex psychological response that they initiate. Two brain systems, however, share the important task of regulating your child’s emotions. Both have distinct jobs that have differing focuses on internal and external demands, but they interconnect to reach the goal of managing and addressing your child’s emotional and survival needs. The two brain systems responsible for emotional grounding and emotional regulation in your child 

Limbic System: Your Child’s On/Off Switch for Emotional Grounding, Fight or Flight and Meltdowns – Integrated Learning Strategies