Signs of PTSD in Children and Teens

ptsd Oct 16, 2024

Crystal L. Rainey, LCPC

EMDRIA Consultant


Little humans experience trauma too! Children and adolescents are resilient, but this does not mean they are immune to developing PTSD. They process differently than adults which means symptoms may present differently as well. These differences can sometimes lead to misdiagnosis and less effective treatment.

Diagnostic Criteria

The DSM-5-TR requires the presence of the following: Exposure, intrusive symptoms, avoidance, negative alterations in cognitions and mood, and alterations in arousal and reactivity. Duration of symptoms is more than one month, beginning or worsening after the onset of trauma, and causes clinically significant distress or impairment in social, occupational, or other important areas of functioning.

Sometimes diagnosing PTSD in children and adolescents is easy and clear cut. They are referred to therapy after experiencing a big T trauma such as a car accident and symptoms clearly relate to that trauma. They may have...

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What is Window of Tolerance and How Can You Increase Yours?

window of tolerance Sep 11, 2024

By:  Amanda Covalt, LCSW

EMDRIA Consultant


Window of Tolerance

Window of Tolerance is the window in which one can tolerate distressing emotions and use coping skills effectively. Distress can be subjective and some people cannot tolerate positive and/or negative emotions so when they experience these emotions, they become outside their window of tolerance. This window is important when performing trauma work because when one is outside their window of tolerance they are unable to process or cope with distressing emotions and memories. It is often necessary to take time for preparation prior to trauma work to increase window of tolerance to prevent dysregulation and retraumatization.

What does it mean to be outside the Window of Tolerance?

So how do we know when one is outside their window of tolerance? This window falls between hyper- and hypoarousal. When someone is in hyperarousal they are in fight or flight. They may be agitated, angry or anxious. They may be reactive,...

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What You Need to Know About Trauma Specialist Training Instituteā€™s EMDR Basic Training

Marlee Bardenett

LCPC, EMDR Certified Therapist, Consultant in Training 


I completed my EMDR Basic Training in January/March of 2020. Not only did I learn EMDR, I shifted the way I approach case conceptualization, treatment planning, and sessions with clients. With all of the big learning that happens during EMDR Basic Training, it is helpful to know what to expect so you can focus on soaking up all of the new information. 

Essential Details:

Our training is approved by EMDRIA, which is the Eye Movement Desensitization Reprocessing International Association. Not every EMDR training is EMDRIA approved, meaning it does not meet EMDRIA’s standards for training. At the end of our training, you are considered EMDR Basic trained by an EMDRIA approved provider and can use the approach with your clients. If you are interested in further learning, you can pursue EMDR certification, which is outlined on EMDRIA’s website.

What You Can Expect:

Our training consists...

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Understanding The EMDR Circle Membership Levels

emdr circle membership Jul 22, 2024

Jamie Sedgwick, LCPC, NCC

TSTI Training Director


Trauma Specialists Training Institute consists of trainers, consultants, and many other “behind the scenes” team members who share a passion for training all therapists to treat trauma well. We aim to do so by offering a variety of products for learners at every phase of their trauma training journey. 

One of the most unique products offered by Trauma Specialists Training Institute is our EMDR Circle. It is a product for EMDR trained clinicians who want to continue their learning beyond Basic Training with opportunities to stay connected to fellow trainees, consultants, and trainers.

The EMDR Circle consists of three membership levels (Basic, Consultation Plus, Certification Track) with each membership level offering access to a variety of learning tools including a 24/7 learning library, monthly chats, monthly Q&A sessions, consultation, and advanced learning groups. One of the most frequently asked questions...

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How EMDR Therapy Can Help Treat Anxiety

anxiety emdr therapy Jul 03, 2024

By:  Jennifer Youdom, LCSW-C

EMDRIA Consultant in Training


 Anxiety.

Just the word brings a felt sense of this anticipatory emotion. I know for me I can feel the knots in my stomach and the tension throughout my body as I simply think about the concept of anxiety.

While anxiety includes a broad range of topics (including phobias, panic, performance anxiety, OCD, social anxiety, agoraphobia, hoarding, trichotillomania, skin picking, etc.) and can seem like a daunting task to attend to, there are numerous studies showing the effectiveness of EMDR in treating anxiety disorders. Research indicates that participants who engage in EMDR have significantly reduced symptoms of anxiety. Here’s how EMDR therapy can help treat anxiety:

1. Processing Traumatic Memories

Anxiety often stems from unprocessed traumatic memories. EMDR helps individuals process these memories by guiding them through a series of eye movements (or other form of bilateral stimulation) while...

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The Impact of Childhood Trauma on the Development of Personality Disorders

By:  Jamie Sedgwick, LCPC, NCC

EMDRIA Consultant & EMDRIA Basic Trainer


Early on in my career as a mental health therapist, I got training in Dialectical Behavior Therapy (DBT). As a result, clients were frequently referred to me for meeting criteria for Borderline Personality Disorder (commonly referred to as “BPD”). I found these clients to be insightful with high levels of emotional intelligence. However, they commonly experienced difficulty identifying the events that would trigger high levels of emotional distress and render all of their DBT skills inaccessible and unhelpful. As I worked more with these clients to help them understand and manage their symptoms, I recognized a common thread: everyone was reporting experiences of attachment wounding or relational trauma during critical developmental stages in their lives. As I began connecting the dots between these traumatic experiences and Borderline Personality traits in adulthood, I realized I needed to...

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The Impact of Emotional Neglect on Mental Health

emotional neglect May 20, 2024

By: Katie Honeywell, LPC

EMDRIA Consultant


Emotional neglect often goes unnoticed and can have a significant impact on an individual's mental health. This can be a form of abuse, but can also exist with well-intentioned caregivers who lack necessary skills. It occurs when a person's emotional needs are consistently not met, often leading to feelings of vigilance, loneliness, and inadequacy. Let’s dig a little deeper into the impact of emotional neglect on mental health and the importance of addressing this issue to promote overall well-being. 

Neglect can have long-lasting effects on an individual's health. It can lead to a range of mental health issues including depression, anxiety, low self-esteem, complex trauma, and difficulties forming healthy relationships. 

Examples of emotional neglect:

  • A child who grows up in a household where emotional needs are consistently ignored, dismissed, or gaslighted.
  • The absence of feeling, naming, and support in navigating the...
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The Link Between Trauma and Dissociative Disorders

By:  Dr. Shari Kim

EMDRIA Consultant


The human brain is amazing, and we don’t even fully grasp its potential. One of the truly spectacular things it can do is to protect us from things that are too traumatic to hold.  

As we experience traumatic events, we experience a variety of responses. Sometimes, when those events become overwhelming, our brain has the capacity to build compartments within itself to hold those events. The depth of those compartments may vary, meaning we might be able to hold things in them only for short periods of time before they pop back out. At other times, our brains may build them so deeply that we can no longer access them by our own volition. Sometimes our compartments take on lives of their own, developing unique identities.

As we explore how our brain compartmentalizes trauma in this way, it starts to become clear how this process makes us dissociate. The more compartments we build, the easier it is to become lost in them. When...

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Types of Attachment Wounds and their Effects on Relationships

attachment wounds Mar 04, 2024

By: Sarah Martin, LCPC, NCC

EMDRIA Consultant


My partner and I were having a disagreement one day. In true therapist fashion, I asked him a question about his childhood. His response back to me (he works in IT) was, “Does everything have to go back to childhood?” Well, when we’re talking about relationships and communication in relationships to best understand how we show up, we do have to go back to childhood. The relationships we had with our caregivers earlier on in life set the stage for our relationships with others throughout our lives. After all, our very first experience in life with a relationship is the one we experienced with our caregivers. Knowledge is power, and the more we understand about our experiences the better we can understand how to navigate them. Let’s first define attachment.

What is attachment?

I like the definition of attachment from the founder of the Trauma Specialists Training Institute, Rachel Harrison, LCPC, NCC. She defines...

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EMDR vs Traditional Talk Therapy

emdr therapy Feb 13, 2024

By:  April Lehman, LPC

EMDRIA Consultant in Training  


Back in 2011, when I started my journey as a therapist, I had in my toolbox of skills several talk therapies that I routinely used with my clients. I considered myself an eclectic therapist, but I routinely used my “go-to” therapies of cognitive behavioral therapy and motivational interviewing with my clients with co-occurring disorders. After attending a 2-day, live training in 2015 with Bessel van der Kolk on his book The Body Keeps the Score, I learned more about a therapy I was only vaguely familiar with at the time—Eye Movement Desensitization and Reprocessing (EMDR). Then in 2016, a coworker told me about a local EMDR training and I immediately signed up.  It’s not an overstatement to say this training changed the way I practice as a therapist. EMDR has some similar attributes of traditional talk therapy, but how does it contrast?

Let’s start by talking about how traditional...

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