ArtsAutosBooksBusinessEducationEntertainmentFamilyFashionFoodGamesGenderHealthHolidaysHomeHubPagesPersonal FinancePetsPoliticsReligionSportsTechnologyTravel

The Gentling Approach to Stress Inoculation in PTSD Children

Updated on June 12, 2012

The Gentling Approach to Stress Inoculation

Stress Inoculation is a strategy that is used in treating children with Post Traumatic Stress Disorder. The idea is to help the child to cope with situations and stimulus that has been identified as triggering stress behaviors, reactions, or stress episodes. Inoculation is process of “de-sensitization”. The child should be exposed to these known triggers in small amounts of time that increase gradually over time. This is paired with supportive measures from caregivers, like coaching, reassurance, and close proximity. There is no formula as to how big of a “dose” should be presented, or how fast the “dose” should get bigger. In the Gentling Approach to treating PTSD in children, the key is to only apply as much added stress that the child can handle without having a severe stress episode. This necessitates that the caregiver applying the Stress Inoculation efforts know the child quite well, so as not to overstep the child’s tolerance. It is important to note that a child’s tolerance is not consistent; it may change from day to day and week to week. Below is a list of stress inoculation areas that caregivers can use to direct their efforts. When the list is used as part of treatment, the caregiver should carefully note: 1.) the day and time of the effort 2.) the response of the child 3.) the conditions that the inoculation effort took place.

Age normal expectations: social behavior with peers and adults in one on one or group situations, school behavior sets, self care, following directives for pleasant, neutral, and unpleasant tasks, ability to self regulate emotions and behaviors when placed under stressful directives.

Novel situations: presentations of new, novel activities, encouragement to participate independently or cooperatively in novel activities, presentation of attractive problems, such a puzzles or games, situational set up to encourage creative solutions.

Self initiated protection: opportunities to exercise learned self protection skills, such as being cautious of strangers, and use of other skill sets to avoid becoming a victim of abuse, increase in reliability of healthy reflexive response and reactions to danger (as opposed to panic, disorganization and decompensation).

Attachment and bonding: ability to manage the normal stress of temporary separation from significant others, ability to adequately function for short periods of time while alone (like in another room, or in the yard), ability to not over react when significant adults place expectations or sanctions on the child, ability for the child to get needs met without use of manipulation of significant others.

Cue and trigger management: ability for the child to experience known cues and triggers and apply learned self regulating behavior and emotions measures, including self comforting, demonstrating cognitive restructuring, and accepting / seeking support and assistance from adults.

EXAMPLE:

Tyler was directed to go out to the yard in the early afternoon on Sunday the 11th, to play alone in the sandbox. It was made clear to him that I would not be going outside with him, and he was given reassurance that I could see him through the kitchen window, and that he could come inside if he got frightened. I saw him to the door, and watched as he went to the sandbox. I left the door and returned to the kitchen. Tyler appeared to play happily in the sandbox alone for nine minutes as I kept checking on him at the kitchen window. At the end of the nine minutes, he came to the back door and called my name through the screen. I answered with “yes?” and Tyler then turned around and went back to the sandbox for another ten minutes before coming inside. This represents progress over the last inoculation effort that Tyler was able to only tolerate without stress for four minutes.

Comments

    0 of 8192 characters used
    Post Comment

    • MrMarmalade profile image

      MrMarmalade 10 years ago from Sydney

      A signifcant advancement in stress control

      Thank you for this information

    working

    This website uses cookies

    As a user in the EEA, your approval is needed on a few things. To provide a better website experience, hubpages.com uses cookies (and other similar technologies) and may collect, process, and share personal data. Please choose which areas of our service you consent to our doing so.

    For more information on managing or withdrawing consents and how we handle data, visit our Privacy Policy at: "https://hubpages.com/privacy-policy#gdpr"

    Show Details
    Necessary
    HubPages Device IDThis is used to identify particular browsers or devices when the access the service, and is used for security reasons.
    LoginThis is necessary to sign in to the HubPages Service.
    Google RecaptchaThis is used to prevent bots and spam. (Privacy Policy)
    AkismetThis is used to detect comment spam. (Privacy Policy)
    HubPages Google AnalyticsThis is used to provide data on traffic to our website, all personally identifyable data is anonymized. (Privacy Policy)
    HubPages Traffic PixelThis is used to collect data on traffic to articles and other pages on our site. Unless you are signed in to a HubPages account, all personally identifiable information is anonymized.
    Amazon Web ServicesThis is a cloud services platform that we used to host our service. (Privacy Policy)
    CloudflareThis is a cloud CDN service that we use to efficiently deliver files required for our service to operate such as javascript, cascading style sheets, images, and videos. (Privacy Policy)
    Google Hosted LibrariesJavascript software libraries such as jQuery are loaded at endpoints on the googleapis.com or gstatic.com domains, for performance and efficiency reasons. (Privacy Policy)
    Features
    Google Custom SearchThis is feature allows you to search the site. (Privacy Policy)
    Google MapsSome articles have Google Maps embedded in them. (Privacy Policy)
    Google ChartsThis is used to display charts and graphs on articles and the author center. (Privacy Policy)
    Google AdSense Host APIThis service allows you to sign up for or associate a Google AdSense account with HubPages, so that you can earn money from ads on your articles. No data is shared unless you engage with this feature. (Privacy Policy)
    Google YouTubeSome articles have YouTube videos embedded in them. (Privacy Policy)
    VimeoSome articles have Vimeo videos embedded in them. (Privacy Policy)
    PaypalThis is used for a registered author who enrolls in the HubPages Earnings program and requests to be paid via PayPal. No data is shared with Paypal unless you engage with this feature. (Privacy Policy)
    Facebook LoginYou can use this to streamline signing up for, or signing in to your Hubpages account. No data is shared with Facebook unless you engage with this feature. (Privacy Policy)
    MavenThis supports the Maven widget and search functionality. (Privacy Policy)
    Marketing
    Google AdSenseThis is an ad network. (Privacy Policy)
    Google DoubleClickGoogle provides ad serving technology and runs an ad network. (Privacy Policy)
    Index ExchangeThis is an ad network. (Privacy Policy)
    SovrnThis is an ad network. (Privacy Policy)
    Facebook AdsThis is an ad network. (Privacy Policy)
    Amazon Unified Ad MarketplaceThis is an ad network. (Privacy Policy)
    AppNexusThis is an ad network. (Privacy Policy)
    OpenxThis is an ad network. (Privacy Policy)
    Rubicon ProjectThis is an ad network. (Privacy Policy)
    TripleLiftThis is an ad network. (Privacy Policy)
    Say MediaWe partner with Say Media to deliver ad campaigns on our sites. (Privacy Policy)
    Remarketing PixelsWe may use remarketing pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to advertise the HubPages Service to people that have visited our sites.
    Conversion Tracking PixelsWe may use conversion tracking pixels from advertising networks such as Google AdWords, Bing Ads, and Facebook in order to identify when an advertisement has successfully resulted in the desired action, such as signing up for the HubPages Service or publishing an article on the HubPages Service.
    Statistics
    Author Google AnalyticsThis is used to provide traffic data and reports to the authors of articles on the HubPages Service. (Privacy Policy)
    ComscoreComScore is a media measurement and analytics company providing marketing data and analytics to enterprises, media and advertising agencies, and publishers. Non-consent will result in ComScore only processing obfuscated personal data. (Privacy Policy)
    Amazon Tracking PixelSome articles display amazon products as part of the Amazon Affiliate program, this pixel provides traffic statistics for those products (Privacy Policy)