The paradox of trauma-informed care | Vicky Kelly | TEDxWilmington
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- Опубліковано 30 тра 2024
- This talk was given at a local TEDx event, produced independently of the TED Conferences. Dr. Vicky Kelly has over 35 years of experience as a psychotherapist, administrator, consultant and trainer. She is a nationally known trainer in the areas of trauma and attachment. Her career has included positions in a variety of human service, mental health, and child welfare organizations. She currently serves as the Director of the Delaware Division of Family Services . The common thread across her career has been helping victims of trauma heal. She has been an early advocate for human services to adopt “trauma-informed care,” an approach that calls for a focus not just on someone’s behavior, but, more importantly, on what drives behavior.
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Basic question shift: "what's wrong with you?" being changed to, "What happened to you?"
Red red t
As a baby mental health professional myself, its mind-blowing to me that trauma informed care is a "new" take in mental health care!!! Mind-blowing that that wasn't always the approach, it's so intuitive and now we finally have the evidence to back it.
I have gone around in this exact circle for the last 3 years and some therapists became straight up inappropriate and belligerent when i tried to point this out. Some of the worst behaviour came from the facilitators at a women’s Trauma Therapy Program at a hospital... its mind blowing how arrogant healthcare “professionals “ can get about being right when what they’re doing is not working for you
I'm so sorry that happened. I know the experience personally. Telling my story to myself (journaling my feelings & vulnerable moments, writing out traumatizing interactions that persistently come forward, letting myself express rage safely and grief when I am alone), unedited. I can see and remember things that are significant. During talk therapy, there are too many well-intentioned interuptions. Even in writing it may take multiple walk throughs.
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I'm sorry that happened to you, and I recognize your resilience and inner wisdom not to accept it and re-enact the harmful cycle.
I have encountered that same problem over and over among psychologists, counsellors, therapists. Surely professional associations have a responsibility to ensure that people they grant practice licenses to are not, themselves, caught in a dysfunctional pattern?! The widespread AGGRESSION I have witnessed and heard many others suffer when the say, "I'm not mentally ill, I'm mentally injured. This is a predictable response to injustice (or abuse or grief, etc) is nothing short of shocking.
With no way to know whether or not a professional is REALLY "trauma informed" (they all SAY that they are), I can no longer in good conscience recommend therapeutic intervention to vulnerable people. While they carry their own risks (eg, vicarious trauma, the blind leading the blind) peer support seem like much safer alternatives.
I work in the mental health field and this helped with the lil bit of burnout I got going on. It's important to remember that the people we serve are not making the choices we see as harmful because they "want to live like that" or they "don't care."
The talk would have been much more helpful if she had offered examples of HOW to effectively help people unable or unwilling to step out of the destructive trauma cycle. Of COURSE people burn out faced with the relentlessly unhealthy behaviours childhood trauma begets!
There is a talk on UA-cam by Thic Nhat Hanh (a global icon of serenity and peace) entitled "Hungry Ghosts." He talks about survivors of childhood trauma coming to his monestery. And how even a supportive community of enlightened monks, devoted to meditation and equanimity, even in the safe refuge of an orderly monastic setting, it is sometimes impossible to reach a lost soul.
If living saints teeter on the brink of "being infected" by the contagious suffering childhood survivors of trauma unconsciously carry with them, I hope you are not hard on yourself when you surpass your level of tolerance for it.
Change careers for a while
@@lousialb8962not the goal for these people. They don't want to fix s*** they just want to call it out
Treating a patient from a trauma-informed approach is crucial to providing them the space to heal and grow. This provides the understanding that most people need in the importance of reaching those with previous traumas from a safe medical standpoint.
Addiction and Mental Professional here! this is one of the best Ted Talks ive seen! concise and packed with pertinent details!
Do you have an opinion on people who have been traumatized yet never developed any addictive behavior?
Wow. Thank you so much for this talk. I’m 60 and still trying to heal from this. I’m glad this is becoming known. I almost feel it’s too late for me. You’re right it ends up effecting even the good that happens to us. It effects your whole life and wouldn’t wish it on anyone. It’s lonely. I need a group of women to heal alongside. Hopefully it will happen for those of us who most likely isolated like myself.
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Cool
it's not too late for you :) you're doing great starting when you did. so many people die before making attempts to address and heal their childhood traumas.
Same! I have chronic fatigue and I think it's from the constant fright/flight I've lived in since early childhood. I'm glad they are getting this figured out!
It's NEVER too late! You have a wise inner guide that will lead you to the right path for you. It might not be (is unlikely to be) what you expect.
Personally, I found MORE harm "out there" from professionals (invariably intent on "what's wrong with you?" rather than "what happened to you?"). So I educated myself with UA-cam. Be discerning (lots of snake oil salespeople, self-proclaimed gurus). There are no quick fixes.
Sound healing and reiki online are good places to start to calm the fight-flight-freeze-fawn reaction that self perpetuates. They don't involve words, and you're entirely in control. You can go at your own pace.
Eventually, I learned about complex post-traumatic stress disorder (CPTSD), family systems, intergenerational trauma, self-regulation, boundaries, meditation techniques, and carried on to various spiritual modalities.
I, too, would have loved to have a group or community for support. Perhaps that's not my path, because I haven't found one yet (I tried many, and kept encountering the same things I was trying to heal from -- though I'm sure there are healthy ones out there somewhere). The gift of that is that I learned that I don't NEED it; I'm stronger and more stable having done it on my own. I've learned to trust, love, and honour myself
My Comment: Ms. Kelly started out her talk discussing how trauma has become a very common focus of today. Media, news, TV and casual conversations now focus on trauma. I have seen the shift as well and agree that this is a very focused on topic. I believe it is healthy to recognize trauma and find counseling to overcome the troubled past. I strongly believe that society focusing on micro trauma creates a victim mentality. Victim mentality includes searching ones past for any unfair act against them and categorizing it as trauma. This creates a place of helplessness with an external locust of control. How should we ever become overcomers if we are always in a state of victimhood?
My name es Maria Lezama, I like to listening the trauma course
Thank you. Finally people are catching up with what survivors have known/lived with all along... I am very grateful.
This paradigm has changed my entire perception of my recovery . Trauma informed is the only solution to g health.
A nice overview of childhood trauma and its effects but I found the title misleading. This is NOT a talk about the paradox of trauma-informed care. It's a talk about the difficulty in treating those who have experienced childhood trauma given our current treatment modalities.
Laura Hutchinson I agree... but I think the title may have worked if it was ‘the paradox IN trauma informed care’ (just guessing here)
This paradigm has changed my entire perception of my recovery . Trauma informed is the only solution to mental health.
Keep going! Knowledge is power.
Dr. Kelly does a great job! Healthcare providers, educators, people in person oriented fields should take an interest in becoming trauma informed.
I have noticed that coping mechanisms can change daily, the oddest things will reignite the memories of trauma. This is not an easy field to study. Thank you for a well presented program.
I work in a school and with children who at high risk of experiencing some level of trauma. It is difficult when a child lives in the trauma as a norm.
Thank you. SOMETHING is better than nothing, but, unlike most in this comment section, I can offer no congratulatory messages for a too-little too-late lipservice bare minimum from a supposed expert on this topic. There's something TERRIBLY wrong in society if doctors, psychologists, teachers, social workers fancy themselves cutting edge innovators just for kind of acknowledging that countless children are abused and/or neglected. What took them so long?!
Short and to the point! Comprehensive enough to be effective while quick enough to convince people to watch it.
The Title should be PROFOUND EFFECT OF CHILDHOOD TRAUMA! Thank YOU!!!
Smita B notice how she said that, like 20x seriously, I'm sure she can refer to a thesaurus for an alternate word for PROFOUND lol.
Approve it because it is real and humane to treat without medication. People need to be able to connect the dots to analyze their past.
Teaching every person in a school, church, and business to listen with warm kindness and acceptance is healing because it teaches safety. Blessing and Grace informed relationships are the key!
Alas, this has become a tick-the-box in-service exercise with little or nothing changing in practice. There's an odd resistance, opposition to ACTUALLY changing anything for the better. It's discouraging. I know so many good people harassed out of their workplace for trying.
@@lousialb8962 I agree. What suggestions do you have?
@@garysweeten5196 Stronger unions. Enforceable accountability in leadership. Monitoring by affected groups. Effective recourse mechanisms for employees. More equitable wealth distribution. Community support programs. Higher minimum wages. Funding for grassroots organizations. Education system run solely by educators. Free health and dental care. Enforceable media standards. Rehabilitative (rather than punitive) prison system. Zero tolerance for racism. Eradication of pay-to-play on everything (sports, lessons, counselling, university admissions, etc)
Shall I go on?
I have always been looked at as the problem since 9 year old when my trauma first began, plus was at war at 18 till 20. Yet never thought of I may have a problem and at 46 now it still happens today due to lack of empathy and help..
+tooclaws Trauma Release Exercises have helped me with trauma I experienced in childhood and in my adult years. traumaprevention.com/
Lee, you are not alone!
Ok. I am showing that to all my staff like tomorrow.
This video is great and serves as a reminder that we cannot judge others until we have walked in their shoes. Everyone has different experiences in life and should be treated with kindness for those differences. Childhood trauma can affect people for the rest of their lives and is more common than we think.
Wow! I had to stop and take notes because this content is so so valuable to me as a person and undergrad social worker. Thank you so much for spreading awareness in regards to childhood trauma. Simple amazing!
God bless this woman.
We now know a lot about healing trauma. It is in forming new relationships and connection. The end.
Every article I read offers a paragraph at the end just like this. When will someone write about the actual process. How does one physically go about it? What is the recipe? What is the protocol? Give examples of effective exercises or therapies. What works? I really want to know that.
If you are wanting to know which therapies have shown to be effective, it is a combination of therapies. Not all work for all people, so you have to find the ones that you respond to. Integrated play therapy is being expanded to work with not just young children but also adolescents and adults. Trauma-informed yoga is especially helpful as it helps to rewire the brain and release the trauma that is held within the body (van der Kolk's "The Body Keeps the Score" discusses it quite well). DBT and CBT have worked also, especially in combination with a physical modality or play therapy.
If you want to know how to have a trauma informed approach, I see is akin to being a non-threatening approach to working with children. Giving choices, letting them make decisions, autonomy, kindness, fairness (though the person may not see all policies and protocols as fair to them)... Example: someone is having a meltdown, instead of "you have to leave now" or worse, "get out of here!", "stop that!" "grow up!", a simple "what's going on?" works well. Listen to them. You don't have to try to fix them, just listen and be a source of support. The important thing to remember is that you are respectful, sensitive to their plight, but you don't have to accept their behaviours. You also don't need to feed the fire they're burning.
Thank you for taking the time to type that out in response to my question.
I respect your work very much.
I know you posted this a few months ago- but I wanted to chime in. Connected to the CBT therapies mentioned above is Prolonged Exposure Therapy. It's usually imagined for those who have a single traumatic experience, but I have been doing it with my trauma specialist therapist recently who specializes in developmental trauma treatment and ocd treatment (ocd is surprisingly similar!) and it has worked well for me anyway. I can say that after 3 months working with her my life has changed more than nearly 10 years of doing traditional "talk therapy". I was terrified of doing it, and had a whole host of worries, but the first several sessions are spent doing psycho education about the therapy, teaching you why it works and how, before you ever begin the 'scary stuff'. By the time I started really working on the traumatic memories, I couldn't wait one more second. The therapy helps you, slowly, to be able to address what happened to you fully without falling apart. It has changed my life and my relationship to shame and fear and self-blame. There are not a lot of practitioners of it yet, but it is one of the most evidence based therapies for trauma, and some practitioners at places that do prolonged exposure therapy will do online appointments too. Good luck.
Look up the protocols for trauma informed care. The whole system has to change there are no magic tools. The "system"; at all ecological levels, is traumatised and traumatising and can't help anyone until it understands itself. M
Please look into EMDR...It can be life changing. I know this from personal experience and I know several others who would say this as well. It is now widely accepted around the world and the military uses it for PTSD in soldiers.
Childcare, we need this! And more access to trauma informed training beyond the classroom. Please! I received the training while working human services for a while and then went back to childcare. The difference I noticed in my approach to each child was so different, and natural and good! Not to mention how learning about trauma informed care helped me to identify and deal with my deep childhood trauma. I could go on and on, but instead, to everyone, facilitating this forward movement thank you! Thank you! Thank you!
Such a truly beauitufl woman,- proufondly genuine and sincerity speaks throught her.. as she articulates wtih truth adn conviction. Compassion is vital and this wonderful Woman espouses it.. wish i knew even one Soul.. such as. bless her and this poidum.
It is so interesting to me that it has taken us so long as a society to come to terms with this!! We are all so quick to judge and blame others for their wrongdoings before looking to the root of the problem. This message is SO important, as having an open mind can positively impact those who have experienced trauma. I absolutely love the statement about changing our mindset from "What is wrong with you?" to "What has happened to you?" There is so much power in this mental shift.
Absolutely fantastic summary of a very complex and incredibly important area! What a great message to end with too. Just perfect. Thank you x
That was excellent.
The suffering is horrific... ...it can only be described from within? You, Vicki have made a good summation of it- it offers hope!!! Thank you profoundly!
Thank you for sharing this message! It’s so powerful and still needed 8 years later. Thank you.
I hope more people watch this
Hi Vicky! So great to see you on TEDx :) Thank you for the wonderful talk.
Thank you....Vicky....I was deeply touched. I am currently studying Diploma of Mental Health and learning about Trauma Informed Care. Thank you, thank you.
thank you for this. very helpful. there should be more content like this out there.
EXCELLENT!!! I'm distributing it in Europe, and so on. Yes we all can influence each other and our brains! BRAVA VICKY KELLY!! Gracias!
Thank you for this. Fantastic.
Thank you Dr. Kelly! This was a profoundly enlightening talk.
Perhaps the best way to approach trauma-informed care is to begin with the Pediatrician. Making sure that this is studied and understood by those pursuing pediatrics and even child care. Then, it can be more easily identified so the constant alarm system stops. As children, we are taught to respect elders and honor they parents. When any of those individuals, which should be safe, are the causes of the alarm, there is then trauma bonding. We then carry that out into our relationships as adults but also through youth and the types of friendships we consider "friendships". Further bonding with those that keep that "normal" alarm going off. We do not know how to respond to unfamiliar, healthy or bond with anything that isn't an alarm. Moving forward, we go from PTSD but can easily move into C-PTSD from repeated types of trauma occurring throughout our lives. By the time we are adults, not all represent with addiction disorders that would result in being diagnosed with either. Beginning in pediatrics and child care givers (those required to have an education in child development) may be a way of early intervention. There are methods we can be taught in early childhood to reduce stress, handle/cope/recognize triggers, appropriate responses to things where the alarm doesn't shut off. Then, learning to not only hit the snooze button, but turn the alarm off. Meditation, yoga, music, arts are a few examples, along with guidance in recognition.
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Concise excellent talk.
Well said really enjoyed your talk and the sense it made.
Thank you for this great message.
Very well presented and glad that trauma informed care is moving forward
Excellent presentation.
I was agreeing, until the last minute when Dr. Kelly says the relationship that helps could be one with a teacher or a cop. In my experience that's unlikely, because people in these professions tend to suffer from such horrific trauma themselves, that they're unable to be present with others. I still agree with her larger point, that childhood trauma is something for all of us to be concerned with.
There are teachers out there that I know have personally taken certain kids under their wing after finding out about their trauma. I actually am personally friends with a police officer (well, sheriff's deputy technically) who also specializes in this. She is the one who trains all of the other officers on mental health and de-escalation. She's also the one who is typically sent (when she's available, anyway) to deal with things like domestic violence cases. She's built relationships with some victims better than some of them have with their "friends", and if she gets a call to them sometimes she'll just come and sit down with them for an hour to help them feel better (and she'll gently encourage them to get whatever help, mental or physical, that they need by professionals). There are people who are often in trouble or in a panic that specifically ask for her.
I really think it just depends on the person.
Yes, definitely there are some. I just want it to be clear that in general, the way I see it, jobs that involve using force or threats on people, are not going to filled by people whose compassion is intact. In my opinion, most teachers and cops will have suffered major trauma, or they wouldn't be in those jobs, and instead of having them around children, I would like them to get the help they need in order to recover.
The person who I am friends with actually has PTSD from something that she went through in college and she also went through an abusive relationship just a couple years ago (while an officer!) and got divorced. She has gotten help for it, and for her PTSD I believe that she takes medication, and thanks to that she lives normally. Her having gone through that though I think helps give her perspective and helps give her more ways to help people in those situations. I can definitely understand what you're getting at, but I think that it's a bit careless to discourage people from going to them altogether just because of generalizations. I am a bit confused about your point with teachers though? I don't understand how you think they shouldn't be involved in this? if anything I think they could potentially be one of our greatest assets.
The very most important for each traumatised kid’ is to meet someone who cares for him . It developpes resilience.
Well spoken thanks for sharing
The paradox is that the people who need help the most, are the hardest to help. And she asks the question, do traumatized people need to get better in order to be helped?
this is a great, great question
The more accepting I am of my humanity the more i allow others to enrich my life and the easier it is to steer away from the 'caustics'
Wow. That is an excellent observation. How to reach the unreachable?
Not all.are their to help I have seen pple only probing nd themselves victims nd then in return narcistically Using other victims
They'll often need a catalyst or interventive action to spur them towards contemplating then beginning to actively surrender to begin taking the steps needed along the journey of healing. It's an ongoing process and journey not a destination.
Appreciate the Depth ⛲🙏⛲💓
I'd like to bring her on as a guest on my radio show "You Are Not Alone"--on VoiceAmerica Empowerment. As a survivor of trauma myself and now writing, speaking and teaching on it, many people are just beginning to understand the effects of trauma especially from childhood. I can't seem to find Dr. Vicky on social media or website for her....
April Joy Ford i
April, did you ever find Dr. Kelly?
My understanding of myself has significantly changed as a result of learning about developmental trauma. I have been in the mental health system most of my life as a result of developmental trauma but this was not acknowledged or even considered, I was just seen as for the list of individual diagnosis' that needed treatment and I was criticized when I "didn't get better". It is in my notes that I have had "a great deal of input but with very little success". Nobody thought to question if I was having the right input for me, which I now know I wasn't. I have been retraumatized and damaged by some of the methods of inappropriate treatment I received. I have started doing talks and workshops and youtube videos on my experiences to help those who want to understand the reality of childhood trauma.
Hi this was a great video and you helped me understand things about myself that I never could understand about myself for years thanks
Thanks
Well spoken, nice delivery!! Can relate, thanks for sharing...much appreciated!
Sometimes treating the trauma is not the answer. Treating the symptoms can help a person heal. You can traumatize a person all over again by having them relive this by talking about it.
I've been reliving that trauma all by myself while almost every effort to treat the symptoms has come to nought. What am I supposed to do?
I can relate. My innate potential was suppressed to the point of lifelong emotional disability due to childhood trauma.
This perfectly explains my life. wow
Very interesting
The "G" in Wilmington is driving me absolutely bananas.
Do the trauma care professionals study brain pictures alongside negative contributing outside social factors affecting the thought processes since they study the brains? If so can we review them ?
Humans are emotional beings, not robots. These talks are what makes us think that something is wrong with us and keep us searching in the wrong direction. I highly suggest the Ted Talk by Dr Treisan
Good Relationships are the Key to Healing Trauma.
Well I was just discriminated about this from staff at family practice. Front desk and ppw work or supervisor if office staff, major hospital system affiliation and patient advocacy at hdqtrs had no idea of this Training for TOCE OR THEIR ACE SCORES SYSTEM ... So n
It was not the fault of workers, it is the system of hospital not to have this in their training. They are in for an awakening. I will get answers ... I am a survivor, they need to be respectful!!! I left that system cuz if trust!!!!! It is now 2021 and not to have this implementated
This is why Complex PTSD (CPTSD) needs to be added to the DSM. The U.S. is one of the few countries where it's not an acceptable diagnosis. C-PTSD is very different from PTSD. It covers long-term, inescapable and interpersonal trauma that happens with developmental trauma, domestic abuse, and sometimes long-term imprisonment.
Absolutely. Like the doctor was saying childhood trauma is the greatest health issue because of it's impact on the quality of a person's life but to a host of health problems later on in life.
how do I cite this in APA?
I think I experienced emotional neglect trauma. Any suggestions or recommendations?
Find a therapist who is trauma-informed. Last thing you need is someone who just adds to the trauma. If that is not in the cards at this time, take up yoga or something physical. Get a sand tray (a box with sand in it) and a collection of neutral figures/toys and play with it, making that trauma not your fault (which it isn't your fault). Oh and apparently Eye Movement Desensitization and Reprocessing works very well. That one you need a trained therapist to do it with you.
Above all, you did not deserve to be demeaned or other emotional abuse, and remember that whenever you feel that the past is trying to highjack your brain & life.
EMDR like Libby mentioned below could be helpful and you could also look up "Neurofeedback" therapies which helps undo some of the jacked up wiring in the brain due to emotional trauma
@@Elizabeth-rq1vi I've always loved the sand trays, I think called "Zen gardens"...can you expand on the helpfulness of that?
EMDR!!
THATS MY AUNT YERRRR
I have seen ugh trauma but. Don't.think all Intoxicate themselves....the more ego.u have the worse.u get
Things happen we cannot control, people are evil its true...
Compact movements
Jaoooooo!!!!!
Are things changing ?
What's the paradox?
Skinnymarks “Do people with traumatized brains have to get better before we can help them?”
Then there is today.
Trauma informed care is for rich people. So when they tell you "reach out" don't.
(I don't need more abuse.)
Really. Without insurance, your screwed.
they give jou a bad feeling
She looks like Brenda from young sheldon!
When u realise you have none of the signs of healthy development
Vicky: Do you think a 6 year old child should be forced into trauma-informed care?????
and i ges i have been stil sweet in my words
there is nothing wrong with my brain bud with the humain around me haha
my brain is verry oke and everyone has hard times, its normal, wat jou somthimes is for us perfectly normal acts
There are so many open ended statements by Vicky Kelly. Take the zeitgeist soundbite of the moment "my message today is bigger than that - because trauma effects us all" sounds very dynamic and dramatic, except Kelly provides no evidence to back up the statement. Kelly goes on to state "we now know how to Heal trauma", again no examples are given as to how the "trauma Informed" approach is anything more than being a compassionate human being and treating everyone with respect - this has been a fundamental part of a caring society for some time now. Do we now have to get the psychology profession to repackage this and sell it back to us?
How does the "trauma informed" approach genuinely change a traumatised brain? where is Kellys examples off successful transformative therapy? I feel that this entire "trauma" grift will only open up doors for more victimhood, from young people who's ideas of "trauma" are not getting to choose their preferred training shoes or not getting to stay out late with their friends. The middleclass will absorb this wholesale and wear it like another virtue signalling badge of honour. This only detracts from bigger issues facing the genuinely marginalised, which governments are not willing to tackle.
11:37 how is a cop going to promote healing? I don't think you can put police officers in the same category of "helping professionals" as teachers, coaches, or others.
its al around us
They know all this knowledge, Yet they keep having wars and genocides.
if they warn't negative, i wasn't eather
The teeny dancer lally reflect because wave possibly deliver a a camera. gorgeous, permissible attraction
jeh i rote a book more than 300 pages couse im sik to tel it again and again
i ges jou have never heard wat i have ridden
if jou hate jour child , than jou got i problem, not me
like jou never are sik of it? jou never seen horrebol things jet
they say jou are a lozer, bud they are
I have negative feelings about this video. Probably because of my traumatized brain. Please fix me with your rhetoric
alLways a kat.
...thru cats eye or pet semetery... a cat. where do u most likely meet a cat? german cat. katze..look...two eyes see u faster as they sleep instead. whats dreming in german spoken in class? ... now, i alLways done. now ....cool ig get some to process info at start. n p.a. seriously. coz the others got verdict schitzo. ... i think we shaman philosofy n art personal history aswell...real annoying n arrogant the head rememba half of who is... holier hype consciousness. did not need it at alL. none whatsoever even thou figuring out some of it being .. just a function perception.