Trauma, Development, and Co-Morbidity: Clinical Presentations and Diagnostic Challenges
Total CE Credit Hours: 1.5 Course Info URL: https://www.ce-credit.com/courses/102273
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Early trauma—especially chronic—affects children’s development. Maltreatment, invasive medical treatments, domestic violence, accidents, disasters, grief, loss, war, terror, and many developmental issues: all place children at a high risk for attachment issues, frustration, overwhelm, and distress. Children have limited ability to verbalize distress. Therefore they often communicate it in behavior (and misbehavior), in how they relate to others, how they react, respond, remember, and learn. Traumatized children often present with difficulties in attending and learning, as well as with behavioral and social issues. They are more likely to require Special Education, repeat grades, drop out of school, get in trouble, and be diagnosed with mental-illness. What further complicates the picture is that children who have some form of childhood disability (communication disorders, physical limitations, developmental delays, sensory sensitivities, etc.) can have similar clinical presentations and that as a group these children are at very high risk for maltreatment, behavior issues, and posttraumatic stress.
Trauma can have profound impact on children’s development and clinical presentation. When trauma is not directly assessed, children can accumulate hosts of diagnoses: ADHD, Bipolar Disorder, Autism, Auditory-Processing-Disorder, Conduct Disorder, Childhood Psychosis, and more. Misdiagnosis and missed diagnoses can lead to ineffective intervention, increased frustration, and added need for dissociation. Awareness to the fact duress affects children has improved in recent years, but many professionals remain uncertain about how to differentiate symptoms and behaviors from underlying causes, about the particular ways children communicate distress, and how to address these needs.
This presentation will detail some of the ways trauma affects development, and how traumatic aftermath manifests in the behaviors, abilities, and communication of children. The challenges of differential diagnosis, co-morbidity, and primary versus secondary issues will be discussed, and possible ‘rules of thumb’ guidelines will be offered. Case study vignettes and quotes will be used to elucidate the relationship and complexity of trauma, development, behavior, communication, and differential diagnosis.
This course is based on the recorded webinar, Trauma, Development, and Co-Morbidity: Clinical Presentations and Diagnostic Challenges created by Na’ama Yehuda, MSC, SLP in 2018.
Journal/Publisher
ISST-D
Publication Date:
April 2018
Course Material Author
Na'ama Yehuda, MSC, SLP
Na'ama Yehuda, MSC, SLP, is a speech-language pathologist and audiologist with over 25 years' experience. A clinician in private practice, she consulted for the New York City Department of Education; provides international professional development and consultations on communication, language, trauma, and development; and is the author of the book, “Communicating Trauma” and several other publications on the topic. She was elected to serve on the boards of directors of the Israeli Speech Hearing Language Association (ISHLA) and the International Society for the Study of Trauma and Dissociation (ISSTD), chaired and volunteers on taskforces and committees, and co-chairs the Child and Adolescent Committee of ISSTD. She also writes and publishes fiction.
Na'ama Yehuda, MSC, SLP authored the material only, and was not involved in creating this CE course. They are identified here for your own evaluation of the relevancy of the material this course is based on.
These questions were created by staff and volunteers at ISSTD.
Recommended For:
Counselors, marriage and family therapists, psychologists and social workers. This course is appropriate for intermediate levels of knowledge.
Course Objectives:
After taking this course, you should be able to:
List three ways chronic stress affects development
Identify two diagnostic challenges in assessing traumatized children
Discuss common co-morbidities in traumatized children
Disclosure to Learners
Disclosure of Relevant Financial Relationships
CE Learning Systems adheres to the ACCME's Standards for Integrity and Independence in Accredited
Continuing Medical Education. Any individuals in a position to control the content of a CE activity –
including faculty, planners, reviewers, or others ― are required to disclose all relevant financial
relationships with ineligible entities (formerly known as commercial interests).
The following relevant financial relationships have been disclosed by this activity's planners, faculty, and
the reviewer:
Planners and Reviewers
The planners of this activity have reported that they have no relevant financial relationships.
Commercial support
There is no commercial support for this distance-learning course.
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