Photo by Tanja Heffner on Unsplash
Parents, health professionals, teachers say it often ‘oh children are so resilient, they adapt don’t
they’
This is usually said in the context of parents separating,
moving schools, transitioning to secondary school ect. It is true in these
cases that children/teenagers adjust to change and transition, but what happens
if the child has experienced a traumatic incident, are they able to process
this and move on?
I see young people in my counselling room that are
experiencing school refusal due to severe anxiety, this anxiety is sometimes a
delayed manifestation of a traumatic event that has gone unprocessed. The
teenager believes it is a fear of school, but in fact it is trauma that is
unprocessed, now setting off the flight or fight response, it is the body’s way
of saying that the incident needs to be worked through therapeutically.
Sometimes incidents witnessed by children/teenagers can be
rationalized and talked about at the time and it seems the teenager has dealt
with it well and moved on. To the outside world she or he has coped, so it’s difficult
to determine how much the event has impacted on the young person.
Trying to treat the symptom (anxiety) and not the root cause
will not work. School refusal is sometimes a long-term thing, this is different
than treating generalized anxiety in a CBT way and getting the child back to
school because school want it that way.
Counselling can be helpful if the trauma is processed and
the client feels heard and emotionally held within this experience. Once the
client is starting to feel less fight or flight then the counsellor can look at
the school refusal and help the teenager vocalise what is frightening for him
or her.
It is worth keeping in mind that school refusal is sometimes
about the teenager wanting to ensure that mum or dad is coping well by staying
at home and observing and also feeling emotionally close.
Some examples of traumatic incidents that teenagers appeared
to cope pretty well with at the time are:
Car accident (minor injuries)
House being burgled
Traumatic divorce
Parent hospitalisation
Sudden complicated death of a grandparent
Sibling mental breakdown
Sibling mental breakdown
If you suspect that a certain event may have impacted your
teenager in a traumatic way, you can check this out by asking about their sleep
generally, they may mention waking in the night or a recurrent distressing
dream.
You can speak to grandparents, teenagers may ask
clarification questions to grandparents with the notion that speaking to you
about it may prompt too much conversation or upset you. When you think you may know the root cause then you can ask for the right help from the correct organisation. You can meet with school and clarify to enable them to refer for help to the right place.
I hope you have found this blog post informative and when
looking for a counsellor it is important that some aspect of their continued
professional development (after their core training) is trauma related such as workshops,
online learning ect.
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