Traumatic stress

Wei

Ciara

Karla

Allison

Craig

iuliia

Tanja

Cohort11

Homelessness

Cause

Military family-related stressors (deployment)

Divorce

Death of a family member

Moving to a new country

Cyberbullying

Cyberbullying - abuse of students using digital recourses. It includes sending, posting, or sharing negative, harmful, false, or mean content about someone else. It can include sharing personal or private information about someone else causing embarrassment or humiliation. Some cyberbullying crosses the line into unlawful or criminal behavior.


73% of students report that they have been cyberbullied in their lifespan, and 44% say it happens in the last 30 days.

Symptoms of Domestic Violence

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School Aged Children

Aggressive / bullying

Anxiety

Stomach aches

Poor grades / failure of one or more grades
Low self-esteem / poor social skills

Fear of abandonment

Teenagers

Withdrawn

Poor grades / fails or quits schools

Immunity / irresponsible

Violent outbursts

Property destruction

Unable to express feelings

Low self-esteem

Feels responsible for taking care of home and adult victim

Domestic Violence can be verbal, physical, sexual, and psychological

The US Department of Justice defines domestic violence as "a pattern of abusive behavior in any relationship that is used by one partner to gain or maintain power and control over another intimate partner."

Symptoms

Uneasy, shy, nervous, moody or scared about going to school or outside.

Skip school or protest about going to school.

Nervous or jumpy when texting or using social media.

Upset or frustrated after going online or gaming.

Unwilling to discuss or share information about their online accounts and activity.

Unexplained weight loss or weight gain, headaches, stomachaches, or trouble eating.

Trouble sleeping at night or sleepy during the day.

Loss of interest in favorite hobbies or activities.

Child suddenly seems depressed or anti-social.

Withdrawn from close friends and family.

Change a usual circle of friends.

Making passing statements about suicide or making a suicide attempt.

Response:1. Trusted adult - The top first solution here is to create a class norm and grow its implementation around the whole school community. Homeroom teacher, technology teacher, school counselors, school administration and other related specialists that work with students need to reinforce the idea of a “trusted adult”. This is a strategy where a student have a clear understanding who his/her trusted adult is (or a range of them) and whom he/she needs to talk to at any uncomfortable situations. The school/ homeroom teacher needs really emphasize the importance of reporting cyberbullying cases immediately.

Response 2: Make it visual and easy to approach – each class should have visual poster/ display that explains the steps to follow if experiencing cyberbullying right away:
a) Stop – do not respond
b) Report – tell a trusted adult about the situation that made you uncomfortable
c) Save evidence – younger children might need an adult support here
d) Ignore the meaning of messages – do let cyberbullying hurt your feelings

Response 3: Teacher action – it is important for a teacher to note changes in a student behavior and immediately take actions. Usually as an individual teacher the following steps should be taken:
a) Talk to a student or report to a homeroom teacher about your observations, who then should talk to a student
b) Report the situation to administration/ counselors
c) Help the student to save evidence
d) Inform parents
e) Counselor/ homeroom teacher hold meetings with the victim and help him/her to respond to the situation

Resources:
Adams, C. (n.d.). Cyberbullying: What teachers and schools can
do. Retrieved April 02, 2021, from
https://www.scholastic.com/teachers/articles/teaching-
content/cyberbullying-what-teachers-and-schools-can-do/
Assistant Secretary for Public Affairs (ASPA). (2020, September
15). What is cyberbullying. Retrieved April 02, 2021, from
https://www.stopbullying.gov/cyberbullying/what-is-it
Hartung, E. (2021, March 30). The 10 warning signs of
cyberbullying. Retrieved April 01, 2021, from
https://www.netnanny.com/blog/the-10-warning-signs-of-
cyberbullying/
Broadband. (2021). All the latest cyber BULLYING statistics and
what they mean in 2021. Retrieved April 01, 2021, from
https://www.broadbandsearch.net/blog/cyber-bullying-
statistics

Stress is an unavoidable psychological and emotional factor that affect students who move to a new country. It increases if the change of a location is every several years.
It is quite common for international students, especially of an older age, to experience stress of adaptation to a new environment. There are several affects: language barrier, culture shock, homesick, high expectations, loneliness, departing from friends and favorite places.

Response 1: Clear instructions – make sure that your class norms/ expectations/rules are clear and easy to understand. Use variety of techniques to help ELL students – help to eliminate language barrier.

Symptoms

Absence at school – skipping school or a being actually sick more than usual

Fatigue and headaches – impaired concentration

Lost of patience/ Irritability

Pessimistic attitude

Trouble coping with school/classmates

Unusual desire for social isolation

Change in schoolwork performance

Frequent lying

Response 2: Offer off-class meetings – this is a time where international students can talk to you about different concerns, to clarify class routines, ask for suggestions and advices.

Response 3:Join Groups – offer afterschool activities for international students to join. This will help them to get into a new social group, avoid isolation and to do something that they like.

Response 4: Allow more of a group/peer collaborative projects

Response 5:Trusted adult - this is a strategy where a student have a clear understanding who his/her trusted adult is (or a range of them) and whom he/she needs to talk to at any uncomfortable situations.

Resources:
Elturki, E. (2018, June 14). Teaching international students: Six ways to smooth the transition. Retrieved April 02, 2021, from https://www.facultyfocus.com/articles/effective-classroom-management/teaching-international-students-six-ways-to-smooth-the-transition/
Miriam. (2019, June 09). Signs and symptoms of stress on international students. Retrieved April 02, 2021, from https://www.scholarshubafrica.com/39649/signs-symptoms-stress-international-students/
PlanBook. (2019, November 25). Self-regulation: Helping students cope with school stress and anxiety. Retrieved April 02, 2021, from https://blog.planbook.com/school-stress/

Symptoms

Symptoms of Middle/High School Aged Children

Symptoms

Symptoms of Middle/High School Aged Children

Covid 19 image

*Earthquake

Age1-5 Nervousness, Anxiety about being away from parents or other primary caregivers, Irritability and disobedience

Symptoms

Responses

According to American paediatricians
Signs of stress and mental health challenges are not the same for every child or teen, but there are some common symptoms.

Teenagers

Reference List
American Academy of Pediatrics (March 12,2021) Signs your teen may need more support
Retrieved April 2nd from https://www.healthychildren.org/English/health-issues/conditions/COVID-19/Pages/Signs-your-Teen-May-Need-More-Support.aspx
Wegman, J.Finding happiness in a socially distanced World. 23.march 2021, podcast

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:

  • problems with memory, thinking, or concentration.
  • less interest in schoolwork and drop in academic effort.
  • changes in appearance, such as lack of basic personal hygiene (within reason, since many are doing slightly less grooming during this time at home).
  • an increase in risky or reckless behaviors, such as using drugs or alcohol.
  • thoughts about death or suicide, or talking about it

Toddlers and Preschoolers

Toddlers & Preschoolers, Help keep the routines, Be patient, understanding and kind. Contact parents and paediatrician if needed

Elementary Students and adolescents
Be a role model for sustaining healthy habits,
Integrate mindfulness, relaxation, yoga, Fun Fridays into the weekly lesson plan.
Start lessons asking the question, how are you feeling today? Perhaps introduce the ‘Rose and thorn’ exercise , the muppetmeter, but first, decode the mimics of your students, take a minute to feel the temperature, discuss how it is normal to feel differently in abnormal situations like a pandemic
Group Work to practice trust in a fun way(https://www.bookwidgets.com/blog/2019/10/15-fun-team-building-activities-and-trust-games-for-the-classroom)

Generally,
Be more patient, understanding and kind. If a student is experiencing severe anxiety and depression, contact the parents and mention the possibility of a professional therapist. Suggest online sources like Parenting in a pandemic, tips to keep a calm and caring home, a win win for students and parents. https://www.healthychildren.org/English/health-issues/conditions/COVID-19/Pages/Parenting-in-a-Pandemic.aspx

Wildfire & Displacement

Symptoms

Responses

School might be a evacuation center

Routines are very important to give students feelings of safety and stability

Allow students time and opportunity to talk about their experience, stress, and fears.

Writing and art can provide a therapeutic exploration of the student's experience.

Learning about wildfires - why they happen, how it is fought, what happens afterward - can help students understand and come to terms with the event.

Highlight examples of resilience and strength of human spirit.

Resources

PTSD, depression, anxiety

Physical injuries or health effects

Difficulty with hygiene and apparel due to evacuation or house loss

Physical exercise

Mindfulness exercises

Support through school counselor

Nightmares

Grief

Students may be tired, stressed, anxious

Other considerations

Teachers and staff may be victims, too

The school building may have been damaged

Emotional response might be delayed for months

Suicidal ideation

Acting out in class, disruptive behavior

Numbness, lack of affect, withdrawn

Involves multiple traumas - terror, loss, death, displacement

Be patient and flexible

References

Jones, C. (2020, September 29). Even when the smoke clears, schools find student trauma can linger. EdSource. Retrieved April 3, 2021, from https://edsource.org/2020/even-when-the-smoke-clears-schools-find-student-trauma-can-linger/640713

Pang, V. O., Madueno, M., Atlas, M., Stratton, T., Oliger, J., & Page, C. (2008). Addressing student trauma in the wake of the California wildfires. Social Education, 72(1), 18-23. https://www.socialstudies.org/system/files/publications/articles/se_720118.pdf

Reinberg, S. (2021, February 16). Mental health trauma plagues wildfire survivors. U.S. News. Retrieved April 3, 2021, from https://www.usnews.com/news/health-news/articles/2021-02-16/mental-health-trauma-plagues-wildfire-survivors

Bullying

Symptoms of the victim

Responses

Physical injury

Lost or destroyed possessions

Frequent stomach/head aches

Nightmares, lack of sleep

Reluctance to come to school, increased absences

Declining academic performance

Changes in socialization, isolation

Lowered self-esteem

Symptoms of the bully

Pattern of aggression, increasing aggression

Part of a pack of aggressive children

Self-harm or suicidal ideation

Frequently being disciplined

Blames others, does not accept responsibility

Intervene immediately when you witness bullying

Report the bullying incident to the Child Protection Officer

Separate the children directly involved

Address any medical needs

Make sure everyone is safe

Document the incident in detail in the appropriate school recording interface.

Call police/medical if serious injury or weapons were involved

If you have not witnessed direct bullying, but suspect something is happening based on vicitm's symptoms, report to the Child Protection Officer

If a student tells you they are being bullied, reassure them that it will be addressed and report it to the Child Protection Officer.

References

U.S. Department of Health and Human Services. (2017, September 28). Respond to bullying. StopBullying.com. Retrieved April 3, 2021, from https://www.stopbullying.gov/bullying/warning-signs
U.S. Department of Health and Human Services. (2020, July 21). Warning signs for bullying. StopBullying.com. Retrieved April 3, 2021, from https://www.stopbullying.gov/bullying/warning-signs

BullyVideo Anti-Bullying Top Tips for Teachers

Age 5-11

Age 14-18

Wonder Wonder by R.J. Palacio

Wildfire Wildfire by Rodman Philbrick

Wildfire2 Wildfire! by Ashley Wolff

Bibliotherapy - reading can help students process their trauma

Bibliotherapy - reading can help students process their trauma and learn better social skills


Despite being one of the wealthiest nations on the planet, the United States struggles with a high level of poverty and homelessness, especially among the younger population. In fact, 40% of the homeless population in the US are under the age of 18.


While the numbers are shocking, it’s even more disturbing to learn over 50% of young people living in shelters and on the streets report that their parents actually told them to leave, or at least knew they were leaving and didn’t care.


The main cause of teen homelessness is physical, sexual, and/or emotional abuse from parents or guardians. Here’s a closer look at the numbers:


• 46% reported being physically abused
• 38% reported being emotionally abused
• 17% reported being forced into unwanted sexual activity

Response Strategy

Cause

Response strategy

ptsd


-Parental separation, family reunification, and reintegration.


-Disruption of relationships with friends and neighbors due to frequent moves


-Adaptation to new schools and new community resources.


-The trauma of a parent returning home from combat with injuries or illness; and also some others face their parent's death.

Traumatic stress reactions

Traumatic stress reactions

ptsd image


-Being easily angered Being physically or verbally aggression (e.g., yelling, name calling, hitting, biting, etc.)


-Experiencing sexual aggression towards peers


-Having troubles with their friends


-Fidgeting or difficulty sitting still


-Experiencing stomachaches, headaches, or other body pains
without having an underlying medical condition


-Struggling with new fears (i.e., social situations, separations, changes, etc.)


-Experiencing sudden changes in mood

Book reading about empathy to allow frequent move military kids to have a better transition. ()

Reference:

Reference

PTSD & Trauma. (n.d.). Retrieved April 4, 2021, from https://www.bratswithoutborders.org/ptsd-trauma


Griffin, D. (2020, October 19). Understanding Child Trauma and Resilience: For Military Parents and Caregivers. Retrieved April 4, 2021, from https://www.nctsn.org/resources/understanding-child-trauma-and-resilience-for-military-parents-and-caregivers


MilitaryChild. (2017, August 24). Retrieved April 05, 2021, from https://www.youtube.com

Peterson, S. (2018, May 25). Retrieved April 05, 2021, from https://www.nctsn.org/what-is-child-trauma/populations-at-risk


Peterson, S. (2018, May 25). Retrieved April 05, 2021, from https://www.nctsn.org/what-child-trauma-populations-risk/homeless-youth


Facts on Trauma and Homeless Children [PDF]. (2005). National Child Traumatic Stress Network

  1. Teacher and school both understand "The McKinneyVento Act."
    It requires liaisons to ensure that “homeless children and youths are identified by school personnel through outreach and coordination with other entities and agencies

[McKinney Vento Homeless Act] for video ()

  1. The initial step in dealing with families exposed to trauma is for providers to become trauma-informed. An effective teacher would create safe, supportive, nonthreatening environments by the followings:

• Maximizing choice and control for students

• Avoiding provocation and power assertion

• Modeling prosocial behavior and skills

• maintaining clear and consistent boundaries,

• Sharing power in the running of shelter activities

• delivering services in a nonjudgmental and respectful manner

3.Establish safety and trust in the classroom. Encourage students—as they are ready—to share information and their personal history. (ex. during lunch date with teacher, during recess, or after school. )Youth need to know that no services will be withheld if they don’t answer specific questions.

  1. Assess the need and readiness for therapeutic interventions, and make appropriate referrals.

Many face barriers when it comes to -

  • completing homework assignments
  • finding reliable transportation so they can be in school on time.
  • finishing a full grade at one school. The National Network 4 Youth found that 20 percent of homeless students repeat at least one grade while in school.

Sleep Deprivation
- Without access to a permanent bed of their own, many homeless students sleep wherever they can find shelter – including storage units, vehicles, shared motel rooms with other people, or even on the street. Because they seldom get a restful night’s sleep, many of these students struggle to stay focused while at school.


High Stress
- Aside from the normal stressors related to growing up, homeless K-12 students also must face much larger questions: When will I get my next meal? Will I be taken away from my parents?

-Maintain a predictable and consistent routine. Predictable routines help students feel safe, especially after a trauma. These routines can include, but are not limited to, a clear classroom norm and transition from class to class.

Involve parents

Let parents know that their child's support sources. School liaisons are available at most military installations to support military families. Their role is to help families coordinate access to resources in the community as well as on installation. School liaisons also help military children get set up at school.

Teacher provides continuous positive interactions with students following a traumatic experience. This helps our students balance their emotional experiences. Some positive interactions (dependent upon grade) might include:

  • talking about their day during recess or “lunch date with teacher”
  • playing interactive activities in class

-reading trauma-related book to help students recognize their feelings and emotions.

Incorporate drawing in class. Young graders are unable to put their big feelings into words, ask them to draw how they feel or what makes them feel angry, sad, scared, and worried.

Child abuse - Symptoms and causes. (2018, October 5). Mayo Clinic. https://www.mayoclinic.org/diseases-conditions/child-abuse/symptoms-causes/syc-20370864Effects. (2019, April 25).


The National Child Traumatic Stress Network. https://www.nctsn.org/what-is-child-trauma/trauma-types/intimate-partner-violence/effects


National Center on Domestic and Sexual Violence. (n.d.). Domestic Violence and Children. Retrieved March 31, 2021, from http://www.ncdsv.org/

Symptoms of Elementary Aged Children

Headaches or stomach problems

Frequent crying and emotional distress

Increased separation anxiety

Difficulty concentrating on schoolwork

Extreme negativity or criticism

Risky sexual behavior and/or substance abuse

Headaches or stomach problems

Poor academic performance

Increased conflict with peers

Aversion to activities that were once enjoyed

Symptoms of Elementary Aged Children

Thoughts about their own death

Regressive behaviors

Acting out

Withdrawal from friends

Feeling of denial or anger

Acting out

Regressive behavior

Risky behaviors

Suicidal thoughts

Response Strategies

Response Strategies

Changes in eating and sleeping habits

Lack of interest in fun activities

References

Child Mind Institute. (2020, March 27). Helping children cope with grief. Retrieved April 05, 2021, from https://childmind.org/guide/helping-children-cope-grief/


Shaunak, P. (2021, February 18). The impact of divorce ON School-Aged CHILDREN: COUNSELING@NYU. Retrieved April 05, 2021, from https://counseling.steinhardt.nyu.edu/blog/impact-of-divorce-on-students/

  1. Create a safe space for the child so they are comfortable expressing their emotions.
  2. Listen (and do not dismiss) the child's feelings and emotions, even if they sound irrational.
  3. Set up a 1-on-1 meeting with the student and counselor where they can learn to develop and use coping skills, redirect their focus to taking care of themselves and expressing their emotions and possibly involve the parents to open the communication within the family.
  4. Develop a plan to improve academic performance by arranging homework help, study groups, or tutoring services.
  1. Modify classwork/homework around the funeral/memorial service to relieve unnecessary stress towards the student.
  2. Encourage expression of feelings through physical outlets and symbolic play (ex. drawing and stories).
  3. Encourage the student to talk to the teacher and/or counselor and do not dismiss their grief (allow the student to mourn).
  4. Work with the family and/or counselor to return to a normal routine as soon as possible, even if this means modifying the work during the grieving period.
  5. The teacher, counselor and family should stay in touch following the service to continue the discussion on the best way to help the student.

Common symptoms

  • headache
  • sleep problems
  • digestive problems
  • isolation
  • irritability
  • substance abuse

Age 11-14

  • Loss of interest in activities
  • Poorer school performance
  • Disruptive behaviour,
  • Resistance of authority

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Responses from teachers

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Knowing and watching for signs of possible exposure to violence

No single behavior proves that a child has been exposed to violence, but teachers can watch for:

Physical signs such as bruises

Unexplained changes in behavior

Emotional signs such as depression, mood swings,

and fearful or anxious behavior

Responding appropriately to children's discolsures

express to the teacher that they were the parent

apprehensive about going home

A teacher's willingness to listen to a child's story can lay the foundations of getting the appropriate help.

The teacher’s first responsibility is to follow school policies and procedures and refer the child to specialized professionals such as the school social worker or psychologist

Supporting the healing process

It's important that students have a caring adult with whom they can share with and help to build resilience with.

Teachers can create an emotionally safe place for all children to learn.
These safe spaces will enable children who have been exposed to violence to begin their healing journey.

Get more help if needed

Children might need specialized care that a teacher cannot provide

If that is the case, teachers should refer children to other professionals within or outside the school system.

Interventions provided by schools

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a number of interventions provided in schools have shown effectiveness in working with children exposed to violence. Information about the following interventions is available at the National Child Traumatic Stress Network Web site (http://www.nctsn.org):

Cognitive Behavioral Interventions for Trauma in Schools (CBITS)

UCLA Trauma/Grief Curriculum

School Intervention Project (SIP) of the Southwest Michigan Children’s Trauma Assessment Center
Trauma Center Community Services Program

Neglect

Is frequently absent from school

Begs or steals food or money

Lacks needed medical or dental care, immunizations, or glasses

Is consistently dirty and has severe body odor

Lacks sufficient clothing for the weather

Abuses alcohol or other drugs

States that there is no one at home to provide care

Neglect is defined as the failure to provide for the development of the child in all spheres: health, education, emotional development, nutrition, shelter, and safe living conditions.

Types

Medical

 Failure/delay in seeking medical care 
Noncompliance with plan of care

Supervision/safety

 Car seats/seat belts

 Ingestions

 Guns/other weapons

 Intimate partner violence

Education

 Truancy

 Noncompliance

 Failure to seek care

 excessive damage

 Failure to thrive

 Obesity

 Noncompliance to prescribed diet

Prenatal drug exposure

 Homelessness 

 Clean

Hygiene/clothing

Nurturance and affection/love

 Abandonment

 Ignoring/apathetic care

Dental

Nutrition

Home/Shelter

Safe

Responses

Resources

Hornor, G. (2014). Child Neglect: Assessment and Intervention. Journal of Pediatric Health Care, 28(2), 186–192. https://www.jpedhc.org/article/S0891-5245(13)00349-0/pdf

Recognizing Child Abuse and Neglect: Signs and Symptoms. (2007, June). Childwelfare.Gov. https://www.childwelfare.gov/pubPDFs/signs.pdf

Neglectful families often appear to be multi-problem families, although families with numerous problems are not always neglectful.

Because neglect often is chronic rather than episodic, these children may grow up believing that this is a normal way life and will not seek assistance or confide this information to anyone.

Emotional Neglect

Symptoms

Response Strategies

Parental alcoholism

Symptoms

Response Strategies

Depression

Anxiety

Apathy

Hyperactivity

Low self Esteem

Aggression

Truancy

Confusion/lack of emotion

Withdrawal from Social activities

Poor Hygiene

Report symptoms to school Councilor/Therapist

Compare your observations with other professionals' observations who also regularly visit with the student

Conduct activities that encourage the student to express their feelings and emotions

References



  1. Crosson-Tower, C. (2003). The Role of Educators in Preventing and Responding to Abuse & Neglect. Retrieved April 04, 2021, from https://www.childwelfare.gov/pubPDFs/educator.pdf


  2. Holland, K. (2019, November 25). Childhood Emotional Neglect. Retrieved April 05, 2021, from https://www.healthline.com/health/mental-health/childhood-emotional-neglect


  3. Keller, A. (2020, February 27). Children of alcoholics. Retrieved April 04, 2021, from https://www.drugrehab.com/addiction/alcohol/effects-of-alcoholism-on-families/children-of-alcoholic-parents/


  4. Person. (2018, February 05). Making students feel safe. Retrieved April 05, 2021, from https://www.edutopia.org/video/making-students-feel-safe

Exaggerated self-guilt

Truancy

Loss of weight/eating disorders

Apathy

Withdrawal from social activities

Signs of physical abuse (Bruises, cuts, etc)

Depression

Thoughts of suicide

Give student choices in their learning journey. This helps the student develop preferences and take control of their experiences.

Offer choices in their learning journey. This empowers the student to take control of their learning experience.

Poor academic performance

Inability to express appropriate emotions

Emphasis on social engagement to strengthen social bonds

Report symptoms to school Councilor/Therapist

Plan activities that encourage the student to express their feelings and emotions

Assign a mentor to regularly meet with student about needs and being proactive

Assign a mentor to visit with student about setting goals and being proactive

Establish social and emotional safety in your classroom.

Classroom contracts

Explicit anti-bullying or community-building curricula

Timely interventions in conflicts and hurtful exchanges

Teaching and modeling of empathy and active listening skill

Increase your self-awareness and trauma competency.

Create a behavior-management plan that focuses on positive reinforcement.

Implement student-generated agreements and contracts

Adopt “zero indifference” (NOT zero-tolerance) policies

Seek out training in restorative justice techniques

Explore stress-management strategies to diffuse tense situations and help students process feelings in the moment

Give students opportunities to demonstrate their strengths

Responding to Trauma in Your Classroom. (2016). Learning for Justice. https://www.learningforjustice.org/magazine/spring-2016/responding-to-trauma-in-your-classroom

Create a safe environment for students

Build relationships

Meet students where they are

Be predictable

https:\/\/resilienteducator.com\/classroom-resources\/trauma-informed-strategies\/#author. (2020, June 13). Trauma-Informed Strategies to Use in Your Classroom | Resilient Educator. ResilientEducator.Com. https://resilienteducator.com/classroom-resources/trauma-informed-strategies/

Provide consistency and structure

Utilize social-emotional learning

Use restorative practices over zero-tolerance policies

A. (2021, April 6). Trauma-Informed Teaching Tips for Classroom & Online Educators | Resilient Educator. ResilientEducator.Com. https://resilienteducator.com/classroom-resources/trauma-informed-teaching-tips/

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culture-shock-image-1

Response 6: Prepare in advance

Elementary and adolescents

mood changes,

changes from extroverted to more introverted,

little interest in chatting with friends on social media,

loss of interest in activities previously enjoyed changes in appetite,

weight or eating changes

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  • backward progress in skills, crying more easily.
  • waking up more during the night.
  • feeding issues
  • clingy, withdrawn, or hesitant to explore
  • hitting, frustration, biting
  • bedwetting

Books

Mommy’s Black Eye
By William George Bentrim Unknown

A Family That Fights
By Sharon Chesler Bernstein

Hear My Roar: A Story of Family Violence
By Gillian Watts

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Irritability

Disobedience

school phobia

Heartfulness relaxation exercise focusing on the heart,

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