This blog is my place to vent and share resources with other parents of children of trauma. I try to be open and honest about my feelings in order to help others know they are not alone. Therapeutic parenting of adopted teenagers with RAD and other severe mental illnesses and issues (plus "neurotypical" teens) , is not easy, and there are time when I say what I feel... at the moment. We're all human!

Friday, August 31, 2012

Books and Methods Review - Methods - The 5 Love Languages


The 5 Love Languages

2.     The Five Love Languages of Children by Gary Chapman and Ross Campbell
3.    The Five Love Languages of Teenagers by Gary Chapman


Marythemom:  I use the love languages daily.  Not just to help me understand my husband and family and express my love to them, but with every person I come in contact with.  With my employees, it helps to know how to best reward their achievements and motivate them.  With friends, I can figure out how best to express my appreciation or provide support.

We've read The Five Love Languages, The Five Love Languages of Children, and The Five Love Languages of Teenagers by Gary Chapman about a dozen times in Sunday school classes. The Five Love Languages is a required book for marriage counseling for engaged couples for some churches (a really good idea by the way!). I highly recommend them.

Basically everyone has a primary love language. This is how you know that people love you. You can tell someone you love them until you are blue in the face, but if their love language is physical touch and you rarely touch them - they will not believe you love them!! This is especially important with children in my opinion, but in all relationships knowing their love language (and your own) keeps you from getting frustrated and relationships from ending miserably. It's not totally obvious sometimes what someone's love language is, and some people are "bilingual", but generally here's the highlights.

1. Physical Touch - a big one with guys. This is physical affection (obviously), touches, kisses, hugs...
2. Acts of Service - this is how my Mom expresses love (although it is not her love language). This is doing things (making a meal, knitting a sweater, getting up and getting a drink for someone, mowing the lawn, paying the bills, taking out the trash...
3. Words of Affirmation - this is me and my Mom! This is being told you are doing a good job at something, hearing "I love you," little love notes, even wolf whistles...
4. Quality Time - this is spending time together. (This is Bear big time! If you are not spending time with him, listening to him talk, then you do not love him!) This doesn't have to be talking, can be just watching TV together, going places together, looking into each other's eyes...
5. Gifts - this is one of the few that Hubby and I do not have at all! It is however Kitty’s love language. Not that everyone doesn't like getting gifts, but this person has a special place in their heart for the gift. It is a symbol of that person's love for them. They can tell you where they got it, who gave it to them and under what circumstances. They usually keep it in a special place and take great care of it. Think “The Last Doll” in The Little Princess movie/book.

Young children need ALL FIVE languages and do not have a primary love language until they are early elementary age. This makes a lot of sense if you think about it. Babies especially need ALL of these things done for them. Often you can’t tell a child’s love language until about age 8.

There are tests you can take (here's a good one 
http://www.okcupid.com/tests/the-5-love-languages-test, and another one http://www.5lovelanguages.com/assessments/love/), and reading the book(s) really helps, but even then, sometimes it's hard to tell what people's love languages are. Some are obvious, like my oldest son, others not so much. Sometimes how they express love is a good clue, but that can be altered by experience (for example, my Mom is ACTS OF SERVICE all the time, but her love language is actually Words of Affirmation. I don't know if she was taught to do acts of service - a generational thing, or, more likely, she learned that if she does things for others they are more likely to praise her and give her the words of affirmation that she needs). 

There is a 5 love languages book for children as well. They suggest a test if you really can't figure it out your child’s love language.  Try completely removing one of the love languages and seeing if it makes a difference (like not touch the child for a week). I suppose the opposite would be to go crazy with one and see if the kid blooms (that would be my preference - especially while we're still trying to get some of our kids to attach!). My kids would love treats and presents for a week! (Gifts)

There is a 5 love languages book for teens as well.  It has some practical advice on how to love your teens without embarrassing them (too much).  My adopted children are better served by the child’s version because developmentally they are much younger than their chronological years.

Finding out someone's love language is essential! It affects people's self-esteem if no one loves them (and if you're not speaking their language then they feel you "don't love them!"). Also, if your "love tank" is empty then you are unable to give love or really even function well. You need love!

Because half my kids are attachment disordered they are not going to fill my love tank. Dealing with them regularly drains it in fact. Because I am the only Words of Affirmation speaker in the house, it is not easy for me to get the words of love that I need to function. I have learned to encourage others to speak in my language (they can be taught!! *grin*) and I have learned to go elsewhere for ways to fill my tank. This is one reason I blog!! I love hearing from others that I'm doing a good job.

I use the love languages daily.  Not just to help me understand my husband and family and express my love to them, but with every person I come in contact with.  With my employees, it helps to know how to best reward their achievements and motivate them.  With friends, I can figure out how best to express my appreciation or provide support.  I hope that all parents figure out what their child’s love language is!

Books and Methods Review - Methods - The Trust Jar


The Trust Jar

Created by Aspenhall at punkrebelmama.blogspot.com

This is a visual, concrete way to explain trust to a child.  The trust jar is a very visibly placed large vase filled with cotton balls, lima beans, anything not intrinsically appealing.   The vase should be mostly full, so if the child is 6 and the jar was less than half full, the child would get the life of a 3 yr old....constant supervision, no friends houses, or paints, or scissors etc... If the jar is near full the child has full rights to everything a 6 yr old can do....playdoh access, bike riding, friends’ houses, big kid books etc...

In order to "gain trust points/balls", the child must meet parent’s expectations. One point/ball per expectation met. If the child makes poor choices, they lose points...but not just one at a time. OH NO, trust is EASY to lose FAST, but very hard to gain back fast. Depending on the infraction, you may lose from 2 up to EVERY SINGLE BALL. The child never loses less than 2. Because trust is twice as hard to earn once lost. Trust points are not tied to the parent’s emotions unless the child is attached fairly well. (for example, "I'm disappointed with your behavior, and you now lose 3 trust points/balls.")

For EVERY SINGLE request, the trust jar Is “consulted” to see where the level is at. The response to any, "Can I..." privilege request is always, "I don't know.  Let’s go check the trust jar." 

The parent can buy items they think the child would enjoy, HOWEVER, it is up to the child to decide if she is trusted enough to receive the very cool items ( a 2 yr old cannot be trusted with a DVD etc..). They go up on the shelf next to the trust jar until, or unless, the jar is above half full, AND IF the child has not -lost- a SINGLE trust point that day...which includes all of bedtime...the item of the child’s choice is given ONLY the following day.

Marythemom:  We used a variation of the trust jar for a short time, to help my children understand in a visual concrete way why the amount of trust (and responsibilities and privileges) in the house are not fair (ex. the youngest child frequently got to spend the night at friend’s houses while the older children were usually denied).  

For children of trauma, things that happened in the past are always quickly “forgotten.”  Most schools and programs work with a “blank slate” philosophy that also fosters this.  We are trying to encourage the learning of concepts like restitution and accountability so we hold the child responsible for their actions and use their behavior to make decisions regarding responsibilities and privileges.  

My children were seeing this as me “holding a grudge” or loving another child more than them (because the other, usually younger, child had privileges based on their level of responsibility and trust rather than chronological age or that day’s behavior.  By removing trust beans from the child’s jar when they did something untrustworthy they could see that those beans did not automatically refill in the middle of the night, and kind of understood the concept of “earning and losing trust” a little better.  

We did not end up using this to determine level of privileges based on age like Aspenhall did. 

Love Jar - I also did a quick very visual demonstration of something I called Love Jars based on our trust jar experiment.  My kids seemed to think that love was finite, that you could love people to varying degrees (I loved the other kids MORE than I loved them), and that love of another took away love from them (if I loved Bob then I couldn't love Kitty).  

I took a vase and filled it about ¾ of the way full and told them that it represented the love I had for my adopted daughter the day she moved in, based on what I had read and heard about her, our weekend "getting to know you" meeting, and weekly phone calls before placement.  Then I talked about the events of the following days, weeks and months (both positive and negative!) adding a few beans for every event (whether positive or negative).  Obviously the jar was quickly over flowing.  I did the same for her brother (also adopted). 

Then I told the children that the jar represented one of my bio children on the day they were born.  I filled it full to the top.  Then started talking about events from my biodaughter’s life (positive and negative).  Obviously the jar was already full so beans went everywhere.  The events I chose to bring up were pretty funny (like the time she told me her little brother, “bit himself”… on the cheek!).  So this was just a silly demonstration of the fact that I have the capacity to love more than one person, what they do does not affect my love for them, and that I love them all truly, madly, deeply.

Books and Methods - Methods - Theraplay


Theraplay (type of play therapy)

Theraplay is a child and family therapy for building and enhancing attachment, self-esteem, trust in others, and joyful engagement. It is based on the natural patterns of playful, healthy interaction between parent and child and is personal, physical, and fun. Theraplay interactions focus on four essential qualities found in parent-child relationships: Structure, Engagement, Nurture, and Challenge. Theraplay sessions create an active, emotional connection between the child and parent or caregiver, resulting in a changed view of the self as worthy and lovable and of relationships as positive and rewarding.
In treatment, the Theraplay therapist guides the parent and child through playful, fun games, developmentally challenging activities, and tender, nurturing activities. The very act of engaging each other in this way helps the parent regulate the child’s behavior and communicate love, joy, and safety to the child. It helps the child feel secure, cared for, connected and worthy.

Books and Methods Review - Methods - Talk Therapy


Talk Therapy

Marythemom:  This does not work well for kids with attachment issues.  They tend to triangulate (manipulate people against their parents).  Traditional therapists start therapy by establishing a bond/ developing a rapport with their new client... this isn't going to happen with kids with RAD.  If anyone establishes a relationship with them, it needs to be a parent!  We wasted years in talk therapy with Bear.


Differences Between Attachment Therapy and Traditional Therapy

ATTACHMENT THERAPY
TRADITIONAL THERAPY
"Fix the Foundation"
"Build the House" on a cracked foundation.
Family is the primary healing resource.  If we trust the family with the child, then we should trust the family with the child's history.Child is seen alone by professional.  Information is not always shared with the family.
Parents set behavioral goals.
Child assists in behavioral goal setting.
Corrective Attachment ParentingToken Economies

"Giving Child the Words".  Not talking about the child's issues says, "What happened to you is so bad that even we grown-ups can't talk about it".  It is less traumatizing to talk about the child's issues than to let the child live with the issues.
Wait for the child to talk about issues.
Quick to switch to different strategies.Continue with more of the same.
"Heal the Pathology"
"Diagnose and Medicate"
Limited use of auxiliary services.  Wraparound often takes the child away from the family.  Too many adults are involved in the child's life who are on a different page, working on behavioral goals without working on issues, often providing rewards the parents are not in favor of, the least skilled people provide the most amount of services (i.e., TSS).Overuse of Auxiliary Services.

Books and Methods - Methods - Nutrition/ Allergies/ Supplements


Nutrition/ Allergies/ Supplements

Diet can significantly impact the impaired brain. Neuroscience shows the limbic system is a hot spot for traumatized children (and stressed out parents).  When overused (typical for people dealing with stress/trauma) we can “burn out” the stress receptors.  Additionally we often crave the food(s) to which we are most allergic/sensitive.


Marythemom:  Sometimes it's good to remember that just because our kids have one or more diagnoses, doesn't mean they might not have other reasons for their behaviors and issues too!

Helpful Yahoo group: http://groups.yahoo.com/group/FOODALLERGYKITCHEN/

Feingold diet.  http://feingold.org/

Dr. Karen Purvis, PhD of TCU, author of The Connected Child, believes there is a strong connection between nutrition & healing the "kids from hard places."  She lists resources on her website: http://www.child.tcu.edu/resources.asp and at http://empoweredtoconnect.org/ http://www.child.tcu.edu/Resources/Resources_Topics_Neurotransmitters.htm; http://findarticles.com/p/articles/mi_m0ISW/is_282/ai_n19170309 and a website link from empoweredtoconnect.com: http://adoptionnutrition.org/

Dr. Bernui of Hendersonville, TN was one of the recommended practitioners in Jenny McCarty's 2007 book Louder than Words: A Mother's Journey in Healing Autism. He and other holistic practitioners are investigating nutrition & require much more lab work than what we may be used to:  http://www.restoreyou.net/index.php?tag=NFDTC2R1S.

Dr. Daniel Amen (publisher of SPECT scans of addicted and recovering) http://www.energypsychologycafe.com/healing/amen/gift.asp?id=9876
 

Gut and Psychology Syndrome - Dr. Natasha Campbell-McBride –  Gut and Psychology Syndrome (GAP Syndrome or GAPS) is a condition which establishes a connection between the functions of the digestive system and the brain. Describes how it develops and how to treat it effectively with a sound nutritional protocol. Natural treatment for autism, ADHD/ADD, dyslexia, dyspraxia, depression and schizophrenia.        Videos

Is This Your Child? By Doris Rapp - In this breakthrough book, Dr. Doris Rapp offers a simple yet effective approach to handling "problem" children. Is This Your Child? shows parents how to identify the common foods, chemicals, or common allergic substances that could be the culprits that cause some children or adults to feel unwell or act inappropriately. If your child is always sick, hyperactive, a slow learner, or cranky, the first question you should ask is not "What drug should be prescribed?" or "What have I done wrong as a parent?" Instead, find out the cause.

Love Me, Feed Me: The Adoptive Parent's Guide to Ending the Worry About Weight, Picky Eating, Power Struggles and More by Dr. Katja Rowell - who is known as the feeding doctor. 

Books and Methods Review - Methods - Neuroreorg


NeuroReorg

Replicates the normal developmental sequence that infants use to stimulate and grow brain connections.  Specializes in helping post-institutionalized children and those who have experienced trauma or abuse.  It is effective at any age, from infancy through adulthood without pharmaceuticals or medications; all of the work is movement-based.  It is not a quick, easy fix, but it can be a lasting solution. 

NR in a nutshell - a program of movement (crawling, belly crawling, movement of the body in certain patterns, vestibular work (spinning, bouncing, etc.) in order to "re-set" the brain. The theory is that children of trauma develop gaps in good brain development which lead to a whole host of issues. Claims to treat: 



reactive attachment disorder

anxiety

post-traumatic stress disorder

fetal alcohol exposure

autism spectrum disorders

oppositional defiance disorder

ADD/ADHD

learning disabilities

dyslexia

bipolar disorder

depression

tourette’s syndrome

obssesive/compulsive disorder

autoimmune disorders

limbic rage

sensory processing disorder



http://www.neuroreorg.com/ - Click on Articles/Research and read articles. The first one is How does NR address attachment issues. 

http://www.rainbowkids.com/expertarticledetails.aspx?id=52
http://www.developmentalmovement.org/default.html - Click on Resources and read articles. Click on Media and Press and watch the video about Sargent Goodchild. Developmental Movement Consultants is run by Bette Lamont, NR practitioner. She lives in Seattle but travels to Orlando every few months. 

Informative online support: 
http://health.groups.yahoo.com/group/NEUROnetwork/

An excellent post from a fellow trauma mama explaining  Neuro Reorg and how it works with kids of trauma.

Position paper from the American Academy of Pediatrics (1991) 

This statement reviews patterning as a treatment for children with neurologic impairments. This treatment is based on an outmoded and oversimplified theory of brain development. Current information does not support the claims of proponents that this treatment is efficacious, and its use continues to be unwarranted.

Marythemom:  This is hours of crawling exercises a day, for years.  It requires semi-annual visits to the practitioner (although it can be done via skype, e-mail, phone calls).  There are only a few practitioners so the initial visit can mean a long drive, but the rest can be a long distance.  I’ve heard anecdotal reports of amazing things, although there is often an initial period of regression that can be really tough.  

I did not try this because it’s expensive (not covered by insurance, although the practitioners will work with you) and my attachment disordered kids were already teens by the time I heard of it, Most of all, I didn’t think I could get them to do it, and if I did force them to, I worried that that would damage our attachment work. 

Books and Methods Review - Methods - FAIR Club


The FAIR Club

Marythemom:  This is the discipline method we use at our house.  It is a compilation of selections of everything I’ve ever learned about parenting.  It is ever changing to account for the fact that our children and their needs are ever growing and developing.  The premise is that life is not fair, nor do we want it to be.

The FAIR Club is best used for children who are able to understand abstract concepts emotionally and intellectually. For children under the age of 7 and those emotionally younger (post about determining emotional age), I recommend therapeutic parenting (providing structure and support and setting the child up for success - more like child proofing than consequencing). We discovered that the structure and support of being in the FAIR Club really worked for our children who were physically older, but emotionally under the age of 7 or 8 so they lived in the FAIR Club - we just stopped calling it that. (Post about the Structure and Caring Support we use).

We expect our children to learn to be Respectful, Responsible, Honest, and Fun To Be Around, Loving and Learning  (RRHAFTBALL – pronounced “Raft ball”) in order to enjoy the rights and responsibilities that go with being part of our loving family.

We do NOT try to make everything equal for everyone.  We respect that each of our children has a different personality, is a different age, and has different wants, needs and abilities.  Unlike the FAIR Club, being part of our family means we sometimes cut the child some slack and sometimes we have higher expectations for our children. We’re here to help the child live up to being
more than average or equal.

 RRHAFTBALL

R – Respectful
– You are expected to be kind, courteous, and helpful in everything you say or do.  Think before you act and remember words and actions can leave irreparable scars on your relationships.

R – Responsible – You are expected, and fully capable of, meeting your rights and responsibilities as listed here.  You are also responsible for taking care of yourself, and taking care of the people around you –especially the people that love you.


H – Honest – Not only does this mean not lying, but includes being honest and true to yourself.  It also means being open and honest about your feelings and needs to those who love you and are trying to help you (like therapists and parents).


AFTBA – Attitude/ Fun To Be Around – You are expected to be fun to be around all the time. This is not easy to do, but you are capable of it. This does not mean that you must be happy at all times!  It simply means that you are not to "inflict yourself" on others when you are not in a good mood. If you are not feeling fun to be around, then you need to think about how to fix this (you can ask for help with this), or how to protect others from your bad mood or whatever is making you not fun to be around (this might mean staying away from others while you work this through).  Think about others.  How are they feeling?  If they are upset, is it helping if you are talking about your latest accomplishment?  Use a pleasant, calm voice.  This does not mean you can’t get excited or talk about things you are interested in, it just means others have rights too – do they want to hear the “I hate Barney” song or anything else sung at the top of your voice while they are stuck sitting next to you in the car?

 

Added after our children had been with us for awhile:

L – Loving - Sharing and caring.  We watch out for (actively helping) the emotional and physical well being of all family members including ourselves.  This means having give and take in our relationships with each other (not expecting others to do all the work and caring).  We work on issues we might have with being loving.  Isolating yourself is not usually going to help you with this. 

L – Learning- We are always trying to improve ourselves and our lives.  We educate ourselves both in school and about being a better person.  We want to be productive, helpful citizens of the world.  We believe we should be the best person we can possibly be.

The FAIR Club - If a child is not being RRHAFTBALL or is complaining that life is not fair, then they go in the FAIR Club.  The FAIR Club is designed to provide boundaries and additional support while the child practices and gains (or regains) the ability to be RRHAFTBALL.  This involves removing a lot of the distractions and drains of life (like electronics, phone, friends, even where to sit) and adds ways of dealing with stress (earlier bedtime, spending time with parents who can role model, only going places as a family).  

To demonstrate they are ready to get out of the FAIR Club, the child must be RRHAFTBALL and complete their writing assignment and extra chore.  Assignments and consequences are based on the child’s developmental age, Logical Consequences and restitution.  There is a minimum of 24 hours that a child can be in the FAIR Club, but no maximum.  

If a child refuses to do the assignments or be RRHAFTBALL, that is their choice.  They will remain in the FAIR Club until they are ready.

This takes a LOT of pressure off the parent.  Unlike other techniques, you don’t have to nag the child to do the assignment or let a child who is being horrid off grounding just because their time is up.  They will figure out pretty quickly that “fair” is not fun!

Ex:  My two girls were found playing with Bratz dolls that had been confiscated and put in my closet. One of them took them out, but neither ever admitted to it.  Both knew the dolls were confiscated.  The 10 year old is is neurotypical and is not adopted.  The 11 year old was recently adopted, has learning disabilities, (at the time undiagnosed) RAD and bipolar disorder, and emotionally/developmentally about 4 years old – although intellectually she was much closer to grade level.

Writing Assignment- Write down your version of what happened (do NOT work on this with your sister). Because you lied, did something you knew was wrong, and gave us attitude (and maybe stole from us) we no longer feel we can trust you.  List 5 things you can do to rebuild trust with us. How would you feel if we lied, stole, and gave YOU attitude? Why? Why do you think we don’t do this to you?  Write down at least 5 reasons you think we may not like Bratz dolls.

The very bright 10 year old was told this should take at least 3 pages.  She completed the assignment independently.  The 11 year old needed a lot of emotional support throughout the process.  A parent wrote down her answers to the questions and she received a lot of assistance coming up with responses.

My 14 yr old teenage son with RAD who had been caught lying repeatedly and trying to intimidate people into not holding him accountable: 

Extra Chore: You will find a different person every night to help in some way.  Once your writing assignment is complete you need to use the last question to start trying to rebuild trust.

Writing Assignment: _ Read the articles about trust and lies.  Answer all the questions that follow.