Tag emotional regulation

How Trauma Changes the Brain: What You Need to Know

Trauma, whether it’s from a physical injury or an emotional experience, can have a lasting impact on the brain. Thanks to research in neuroscience, we now know that trauma doesn’t just affect how we feel—it actually changes how the brain works. Understanding these changes can help us see why trauma has such powerful effects and how recovery is possible.

What Happens to the Brain During Trauma?

When you go through a traumatic event, your brain switches into “survival mode.” This is controlled by something called the stress response system, which prepares your body to deal with danger. You may have heard of the “fight, flight, or freeze” response. This is when stress hormones like cortisol and adrenaline flood your body, helping you react quickly to protect yourself.

This response is helpful in the short term, like when you need to escape danger. But if trauma is ongoing, or if your brain keeps thinking you’re in danger even after the threat is gone, this stress response can do more harm than good.

How Trauma Changes the Brain

Trauma can change how different parts of the brain work and even how they look. Here are the three key areas affected:

1. The Amygdala: The Alarm System

The amygdala is the part of your brain that helps detect threats and process emotions like fear. After trauma, the amygdala can become overactive, making you feel on edge or jumpy even when you’re safe. This is why people who’ve experienced trauma often feel anxious or have trouble calming down.

2. The Prefrontal Cortex: The Decision Maker

The prefrontal cortex is like the brain’s “control center.” It helps you think logically, make decisions, and calm down after a stressful event. Trauma can make this part of the brain less active, which means it’s harder to think clearly, control your emotions, or feel in control of your reactions.

3. The Hippocampus: The Memory Keeper

The hippocampus is responsible for organizing memories and distinguishing between the past and the present. Trauma can make the hippocampus shrink, which is why some people have trouble remembering details of the trauma or feel like they’re reliving it (flashbacks), even when it’s over.

Why Do These Changes Matter?

The changes in the brain after trauma explain many of the symptoms people experience, such as:

• Flashbacks or nightmares: The brain struggles to tell the difference between past and present, so it feels like the trauma is happening again.

• Anxiety or hypervigilance: The overactive amygdala keeps you constantly on the lookout for danger.

• Difficulty focusing or making decisions: A less active prefrontal cortex makes it harder to think clearly.

These changes also show why trauma doesn’t just “go away” on its own—your brain needs time and support to heal.

Can the Brain Heal After Trauma?

The good news is that the brain is adaptable. This ability to change and heal is called neuroplasticity. With the right support, the brain can recover from the effects of trauma. Here’s how:

1. Therapy: Treatments like trauma-focused cognitive behavioral therapy (CBT) and eye movement desensitization and reprocessing (EMDR) can help “rewire” the brain and reduce symptoms.

2. Mindfulness and relaxation techniques: Practices like meditation can help calm the amygdala and strengthen the prefrontal cortex.

3. Exercise: Physical activity can increase the size of the hippocampus and improve mood by releasing feel-good chemicals like endorphins.

Trauma changes the brain, but these changes don’t have to be permanent. Understanding how trauma affects the brain can help us be more compassionate toward ourselves and others who are struggling. With the right tools and support, healing is not only possible—it’s likely.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years experience in the social work field. He currently serves as the executive director in outpatient behavioral health therapist at Southeast Kentucky Behavioral health based out of London Kentucky. He may be reached by phone at 606-657-0532 extension 101 or by email at [email protected]

References

• Shin, L. M., Rauch, S. L., & Pitman, R. K. (2006). Amygdala, medial prefrontal cortex, and hippocampal function in PTSD. Annals of the New York Academy of Sciences, 1071(1), 67-79.

• Bremner, J. D. (2006). Traumatic stress: Effects on the brain. Dialogues in Clinical Neuroscience, 8(4), 445-461.

• van der Kolk, B. A. (2014). The Body Keeps the Score: Brain, Mind, and Body in the Healing of Trauma.

How to Stop Worrying: Effective Strategies and Insights

Worrying is a common human experience, but when it becomes excessive, it can negatively impact mental and physical health. Research indicates that chronic worrying is linked to anxiety, stress-related illnesses, and diminished quality of life (Borkovec et al., 1998). Fortunately, there are evidence-based strategies to manage and reduce worry effectively.

Understanding Worry

Worry involves repetitive thoughts about potential future events, often focusing on negative outcomes (American Psychological Association, 2020). While occasional worrying can help with problem-solving and preparation, excessive worry often leads to feelings of helplessness and distress.

Strategies to Stop Worrying

1. Practice Mindfulness

Mindfulness, the practice of focusing on the present moment without judgment, is a powerful tool to combat worry. Studies have shown that mindfulness-based interventions reduce anxiety and promote emotional regulation (Hofmann et al., 2010). Techniques like deep breathing, meditation, or yoga can help individuals break free from the cycle of worry.

2. Challenge Negative Thoughts

Cognitive-behavioral therapy (CBT) emphasizes identifying and challenging irrational or exaggerated worries. Writing down worries and questioning their validity can help reframe thoughts into more realistic perspectives (Beck, 2011). Ask yourself:

  • Is this thought based on facts or assumptions?
  • What is the worst that could happen, and how likely is it?

3. Set a Worry Time

Dedicate a specific time each day to address worries. This technique, often called “scheduled worry time,” can reduce the tendency to ruminate throughout the day (Leahy, 2005). During this time, write down your concerns and brainstorm potential solutions.

4. Focus on Problem-Solving

Instead of dwelling on “what ifs,” shift your energy toward actionable steps to resolve the issue. Research suggests that problem-solving therapy can reduce anxiety and improve coping mechanisms (D’Zurilla & Nezu, 2010).

5. Engage in Physical Activity

Exercise is a natural stress reliever and mood booster. Aerobic activities, such as walking, running, or swimming, have been shown to decrease anxiety and improve overall well-being (Herring et al., 2010).

6. Limit Exposure to Triggers

Reducing time spent on activities that exacerbate worry, such as excessive news consumption or social media use, can help maintain emotional balance. Set boundaries around these activities to minimize unnecessary stress.

7. Cultivate Gratitude

Focusing on positive aspects of life can counteract worry. Keeping a gratitude journal or listing three things you are grateful for each day can shift your focus away from concerns and toward positivity (Emmons & McCullough, 2003).

8. Seek Professional Help

If worrying becomes overwhelming and interferes with daily functioning, seeking support from a mental health professional is essential. Therapists can provide tailored strategies to manage anxiety and address underlying causes of chronic worry.

The Role of Social Support

Connecting with others can also reduce feelings of worry and isolation. A supportive network of friends, family, or support groups can offer reassurance and practical advice.

While worrying is a natural response to uncertainty, excessive worry can harm mental and physical health. By practicing mindfulness, challenging negative thoughts, and focusing on actionable solutions, individuals can regain control over their thoughts and reduce the impact of worry on their lives. Incorporating these strategies into daily life can foster resilience and promote overall well-being.

This article has been written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years of experience in the social work field. He currently serves as the executive director and outpatient behavioral therapist for Southeast Kentucky Behavioral Health based out of London Kentucky. He may be reached at by phone at 606-657-0532 Extension 101 or by email at [email protected].

References

  • American Psychological Association. (2020). Understanding anxiety and worry. Retrieved from https://www.apa.org
  • Beck, J. S. (2011). Cognitive behavior therapy: Basics and beyond. Guilford Press.
  • Borkovec, T. D., Ray, W. J., & Stöber, J. (1998). Worry: A cognitive phenomenon intimately linked to affective, physiological, and interpersonal processes. Cognitive Therapy and Research, 22(6), 561-576.
  • D’Zurilla, T. J., & Nezu, A. M. (2010). Problem-solving therapy. Springer.
  • Emmons, R. A., & McCullough, M. E. (2003). Counting blessings versus burdens: An experimental investigation of gratitude and subjective well-being in daily life. Journal of Personality and Social Psychology, 84(2), 377-389.
  • Herring, M. P., O’Connor, P. J., & Dishman, R. K. (2010). The effect of exercise training on anxiety symptoms: A meta-analysis. Psychosomatic Medicine, 72(6), 465-474.
  • Hofmann, S. G., Sawyer, A. T., Witt, A. A., & Oh, D. (2010). The effect of mindfulness-based therapy on anxiety and depression: A meta-analytic review. Journal of Consulting and Clinical Psychology, 78(2), 169-183.
  • Leahy, R. L. (2005). The worry cure: Seven steps to stop worry from stopping you. Harmony.

Supporting Children with ADHD in Schools: Strategies for Educational Success

Attention-Deficit/Hyperactivity Disorder (ADHD) affects many children and can present challenges in educational settings, including difficulties with focus, organization, and emotional regulation. However, with proper support, schools can play a crucial role in helping children with ADHD thrive academically and socially. This article outlines evidence-based strategies that educators and administrators can implement to support children with ADHD in achieving educational success.

1. Provide Structured and Predictable Routines

Children with ADHD benefit from consistent routines that reduce uncertainty and help them focus.

• Why it works: Predictable schedules minimize distractions and promote self-regulation (Barkley, 2021).

• Implementation: Schools can use visual schedules, consistent class routines, and clear transitions between activities. Providing a daily agenda at the beginning of the day can help students anticipate tasks and prepare mentally.

2. Use Individualized Education Plans (IEPs) and 504 Plans

For students with ADHD, accommodations through IEPs or 504 Plans can address their unique needs.

• Why it works: These plans allow for tailored interventions, helping students access the curriculum effectively (DuPaul & Stoner, 2014).

• Implementation: Accommodations may include extended test time, preferential seating, or modified assignments to reduce cognitive overload.

3. Incorporate Movement Breaks

Frequent physical activity helps children with ADHD regulate their energy and improve focus.

• Why it works: Research shows that movement increases dopamine levels, enhancing attention and motivation (Halperin et al., 2020).

• Implementation: Integrate short movement breaks, such as stretching, walking, or classroom yoga, between lessons. Schools can also provide fidget tools or standing desks for students who struggle with sitting still.

4. Offer Clear and Concise Instructions

Children with ADHD often struggle with processing lengthy or complex directions.

• Why it works: Simplifying instructions reduces cognitive strain and helps students stay focused (Zentall, 2015).

• Implementation: Use step-by-step directions, written instructions, and visual aids. Check for understanding by having students repeat instructions back to the teacher.

5. Provide Positive Reinforcement

Reinforcing positive behavior can motivate students with ADHD to stay on task and meet expectations.

• Why it works: Positive reinforcement fosters a growth mindset and builds self-esteem (Millichap, 2021).

• Implementation: Use praise, reward systems, or token economies to celebrate small successes. Focus on effort and improvement rather than solely on outcomes.

6. Create an ADHD-Friendly Classroom Environment

A well-structured and minimally distracting classroom can help students stay focused.

• Why it works: Environmental adjustments reduce sensory overload and support sustained attention (Pfeiffer, 2022).

• Implementation: Use organizational tools like color-coded folders, labeled bins, and clutter-free desks. Position students away from high-traffic areas and provide quiet zones for focused work.

7. Teach Executive Function Skills

Children with ADHD often need support developing skills such as time management and organization.

• Why it works: Strengthening executive function helps students manage their workload and responsibilities (Zelazo & Lyons, 2012).

• Implementation: Introduce tools like planners, checklists, and digital calendars. Teach students to break down assignments into smaller steps and set achievable goals.

8. Foster Open Communication with Families

Collaboration with parents ensures consistency in strategies used at home and school.

• Why it works: A team-based approach improves problem-solving and creates a unified support system (DuPaul et al., 2011).

• Implementation: Schedule regular parent-teacher conferences, send home progress reports, and maintain open lines of communication via email or apps.

9. Provide Social-Emotional Support

Children with ADHD often face challenges with peer relationships and emotional regulation.

• Why it works: Social-emotional learning (SEL) programs improve self-awareness, empathy, and interpersonal skills (Elias et al., 2015).

• Implementation: Incorporate SEL lessons into the curriculum and provide access to school counselors for emotional support. Use role-playing activities to teach conflict resolution and social skills.

10. Leverage Technology

Technology can help students with ADHD stay organized and engaged in their learning.

• Why it works: Digital tools cater to diverse learning styles and help students track tasks and deadlines (Radesky et al., 2020).

• Implementation: Use apps like ClassDojo for behavior tracking, Google Calendar for scheduling, or gamified learning platforms to maintain engagement.

Schools have a vital role in supporting children with ADHD by creating inclusive environments, providing individualized accommodations, and teaching skills that foster independence. Through structured routines, positive reinforcement, and open communication with families, schools can empower children with ADHD to succeed academically and socially.

This article was written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years experience in the social work field. He currently serves as the executive Director and outpatient behavioral health therapist through Southeast Kentucky Behavioral health based out of London Kentucky. John may be reached by phone at 606-657-0532 extension 101 or by email at [email protected].

References

• Barkley, R. A. (2021). Taking Charge of ADHD: The Complete, Authoritative Guide for Parents. Guilford Press.

• DuPaul, G. J., & Stoner, G. (2014). ADHD in the Schools: Assessment and Intervention Strategies. Guilford Publications.

• DuPaul, G. J., et al. (2011). Home-school collaboration in ADHD management. School Psychology Review, 40(4), 494-512.

• Elias, M. J., et al. (2015). Promoting Social and Emotional Learning: Guidelines for Educators. ASCD.

• Halperin, J. M., et al. (2020). Physical activity intervention improves sustained attention and executive functioning in children with ADHD. Journal of Attention Disorders, 24(10), 1408-1415.

• Millichap, J. G. (2021). Attention Deficit Hyperactivity Disorder Handbook: A Physician’s Guide to ADHD. Springer.

• Pfeiffer, S. (2022). Routines for children with ADHD: Why they matter and how to build them. Psychology Today.

• Radesky, J., et al. (2020). Digital technology and ADHD: Benefits and risks. Pediatrics, 145(S2), S157-S162.

• Zentall, S. S. (2015). Environmental support for children with ADHD. Behavioral Interventions, 30(3), 153-164.

• Zelazo, P. D., & Lyons, K. E. (2012). Mindfulness training in childhood. Developmental Psychology, 48(5), 1023-1031.

Helping Your Child Learn to Focus with ADHD

Attention Deficit Hyperactivity Disorder (ADHD) is a neurodevelopmental disorder that can make it challenging for children to focus on tasks, complete assignments, or stay organized. While ADHD presents unique challenges, parents can adopt effective strategies to help their child build focus and self-regulation skills. Below are research-backed techniques to support children with ADHD in learning how to focus.

1. Establish a Routine

Children with ADHD thrive on structure and predictability. Creating a daily schedule helps reduce distractions and provides clear expectations.

• Why it works: Routines help children anticipate what comes next, reducing anxiety and impulsivity (Pfeiffer, 2022).

• How to implement: Use visual schedules, timers, and reminders to organize daily activities, including homework, chores, and free time.

2. Break Tasks into Smaller Steps

Long or complex tasks can feel overwhelming for children with ADHD. Breaking assignments into smaller, manageable steps can increase focus and reduce frustration.

• Why it works: Research shows that smaller tasks are less intimidating and allow for frequent moments of accomplishment, reinforcing motivation (Barkley, 2021).

• How to implement: Use checklists or break down projects into timed segments, focusing on one step at a time.

3. Create a Distraction-Free Environment

An organized and distraction-free workspace can significantly improve a child’s ability to concentrate.

• Why it works: Reducing visual and auditory distractions supports sustained attention and task completion (Zentall, 2015).

• How to implement: Set up a dedicated workspace away from televisions, phones, or other distractions. Use noise-canceling headphones if needed.

4. Incorporate Physical Activity

Physical activity can help children with ADHD release pent-up energy and improve cognitive function.

• Why it works: Exercise has been shown to enhance attention and executive functioning in children with ADHD (Halperin et al., 2020).

• How to implement: Incorporate regular breaks for movement, such as stretching, jumping jacks, or a quick walk.

5. Use Positive Reinforcement

Children with ADHD respond well to positive reinforcement when they demonstrate desired behaviors.

• Why it works: Praise and rewards can encourage focus by associating effort with positive outcomes (Millichap, 2021).

• How to implement: Provide specific praise for focused behavior, such as, “Great job working on your math problems for 10 minutes without getting distracted!”

6. Teach Self-Regulation Techniques

Teaching mindfulness and self-regulation strategies can help children recognize when they are losing focus and how to redirect their attention.

• Why it works: Mindfulness has been shown to improve emotional regulation and attention span in children with ADHD (Zelazo & Lyons, 2012).

• How to implement: Practice deep breathing exercises, guided meditation, or focus games like “Mindful Minute.”

7. Leverage Technology Wisely

While excessive screen time can worsen focus issues, using technology designed to aid organization and focus can be beneficial.

• Why it works: Tools such as time management apps or gamified educational programs can enhance engagement (Radesky et al., 2020).

• How to implement: Use apps like Forest or Todoist to encourage task management and accountability.

8. Communicate with Educators

Collaboration with teachers can ensure consistent strategies across home and school environments.

• Why it works: A team-based approach provides continuity in behavioral strategies and accommodations (DuPaul & Stoner, 2014).

• How to implement: Share strategies that work at home and ask teachers for regular updates about your child’s progress.

Supporting a child with ADHD requires patience, consistency, and tailored strategies. By implementing routines, breaking down tasks, creating distraction-free environments, and fostering self-regulation, parents can help their child develop the focus and skills necessary for success. Open communication with educators and professionals can further enhance these efforts, ensuring a supportive and cohesive approach.

This article is written by John S. Collier, MSW, LCSW. Mr. Collier has over 25 years experience in the social work field. He currently serves as executive Director and outpatient behavioral health therapist of Southeast Kentucky Behavioral Health based out of London Kentucky. Mr. Collier may be reached by phone at 606-657-0532 extension 101 or by email at [email protected].

References

• Barkley, R. A. (2021). Taking Charge of ADHD: The Complete, Authoritative Guide for Parents. Guilford Press.

• DuPaul, G. J., & Stoner, G. (2014). ADHD in the Schools: Assessment and Intervention Strategies. Guilford Publications.

• Halperin, J. M., et al. (2020). Physical activity intervention improves sustained attention and executive functioning in children with ADHD. Journal of Attention Disorders, 24(10), 1408-1415.

• Millichap, J. G. (2021). Attention Deficit Hyperactivity Disorder Handbook: A Physician’s Guide to ADHD. Springer.

• Pfeiffer, S. (2022). Routines for children with ADHD: Why they matter and how to build them. Psychology Today.

• Radesky, J., et al. (2020). Digital technology and ADHD: Benefits and risks. Pediatrics, 145(S2), S157-S162.

• Zentall, S. S. (2015). Environmental support for children with ADHD. Behavioral Interventions, 30(3), 153-164.

• Zelazo, P. D., & Lyons, K. E. (2012). Mindfulness training in childhood. Developmental Psychology, 48(5), 1023-1031.