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Helping Children Cope
After Hurricane Sandy
        Angela Adamson, LCSW, ACT
        Behavioral Health & Cognitive
               Therapy Center
Sandy
• Effects
  
      Loss of power
  
      Disruption in schedules
  
      School cancelations
  
      Gas lines
  
      Damage to homes
  
      Limited food
  
      Loss of life
After Sandy

• Common reactions in children
• How you can help your child
• When to seek help
Common Responses in Children


• Occur whenever exposed to or witness
  potentially life threatening events

• Usually resolve in a matter of weeks or
  a few months
Emotional Reactions
                                             •    Worry                             • Helplessness
                                             •    Sadness                           • Hopelessness
                                             •    Anger                             • General/Specific
Image courtesy of: freedigitalphotos.net     •    Shock                               Fear
                                             •    Terror
                                             •    Irritability
                                             •    Blame
                                             •    Guilt
                                             •    Confusion
Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org
Thinking Reactions
         • Imagining dangers                                              • Self-blame
           and risks                                                      • Confusion
                 
                     Especially related to                                          
                                                                                        Repeating questions
                     parents                                              • Questions about
         • Intrusive                                                        death
           thoughts/memories                                              • Nightmares
         • Problems with
                 
                     Concentration
                 
                     School work


                                                                                               Image courtesy of: freedigitalphotos.net
Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org
Physical Reactions
  • Fatigue, exhaustion                                                             •   Headaches
  • Difficulty sleeping                                                             •   Stomach upset
         
              Wanting to sleep                                                      •   Decreased appetite
              with parents
                                                                                    •   Bedwetting
  • Easily startled
                                                                                    •   Increased difficulties
  • Hyper or geared up
                                                                                        with self-control




Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org                  Image courtesy of: freedigitalphotos.net
Behavioral Reactions
        • Argumentative                                                 • Regression
        • Defiant                                                       • Increase in any
        • Clingy                                                          previous behavior
        • Social withdrawal                                               problems
        • Impaired school
          performance
        • Distrust
        • Blame


Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org       Image courtesy of: freedigitalphotos.net
Resilience
• Children are very resilient!

• Studies show that children who are emotionally
  supported through natural disasters are more likely to
  return to normal functioning after several weeks.

• The way parents cope with and perceive natural
  disasters directly impacts how a child will cope.




                                                      Image courtesy of: freedigitalphotos.net
What parents can do
    • Take care of yourself!
    • Recognize reactions as normal
    • Return to routine or develop a
      temporary routine
    • Provide ample physical and
      emotional support
    • Allow your child to tell their story
            
                Talking, drawing, writing, role playing
    • Acknowledge their feelings                                                    Photo credit: Bindaas Madhavi / Foter /
                                                                                    CC BY-NC-ND




Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org
What parents can do
                                               • Limit exposure to news coverage
                                               • Answer questions in age appropriate
                                                 way
                                               • Give your child opportunities to help
                                                     
                                                          Write thank you letters to police, firemen,
                                                          etc.
                                                     
                                                          Help cook a meal for a family without power
                                               • Spend time with family and friends
                                               • Have fun
                                               • Stay healthy
  Image courtesy of: freedigitalphotos.net




Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org
What not to do

• Do not overly focus on the
  natural disaster.
• Do not avoid talking about it.
• Do not have adult
  conversations about the
  disaster in front of children.
• Do not keep the news on
  constantly.
                                   Image courtesy of: freedigitalphotos.net
When should I seek help?

                 • No decrease in intensity and frequency of
                   reactions within one month.

                 • Responses become intensified and/or dangerous.

                 • Disruption in daily activities




Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org
Where to get Help

    Treatment
     • SMG – Behavioral Health & Cognitive Therapy Center
        – 908-277-8900
     • NJ Psychological Association
        – 973-243-9800
     • Academy of Cognitive Therapy
        – www.academyofct.com

    Information
     • CDC – www.cdc.gov
     • NIH - www.nimh.nih.gov
     • NCTSN- www.nctsn.org

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Helping Children Cope After Hurricane Sandy

  • 1. Helping Children Cope After Hurricane Sandy Angela Adamson, LCSW, ACT Behavioral Health & Cognitive Therapy Center
  • 2. Sandy • Effects  Loss of power  Disruption in schedules  School cancelations  Gas lines  Damage to homes  Limited food  Loss of life
  • 3. After Sandy • Common reactions in children • How you can help your child • When to seek help
  • 4. Common Responses in Children • Occur whenever exposed to or witness potentially life threatening events • Usually resolve in a matter of weeks or a few months
  • 5. Emotional Reactions • Worry • Helplessness • Sadness • Hopelessness • Anger • General/Specific Image courtesy of: freedigitalphotos.net • Shock Fear • Terror • Irritability • Blame • Guilt • Confusion Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org
  • 6. Thinking Reactions • Imagining dangers • Self-blame and risks • Confusion  Especially related to  Repeating questions parents • Questions about • Intrusive death thoughts/memories • Nightmares • Problems with  Concentration  School work Image courtesy of: freedigitalphotos.net Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org
  • 7. Physical Reactions • Fatigue, exhaustion • Headaches • Difficulty sleeping • Stomach upset  Wanting to sleep • Decreased appetite with parents • Bedwetting • Easily startled • Increased difficulties • Hyper or geared up with self-control Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org Image courtesy of: freedigitalphotos.net
  • 8. Behavioral Reactions • Argumentative • Regression • Defiant • Increase in any • Clingy previous behavior • Social withdrawal problems • Impaired school performance • Distrust • Blame Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org Image courtesy of: freedigitalphotos.net
  • 9. Resilience • Children are very resilient! • Studies show that children who are emotionally supported through natural disasters are more likely to return to normal functioning after several weeks. • The way parents cope with and perceive natural disasters directly impacts how a child will cope. Image courtesy of: freedigitalphotos.net
  • 10. What parents can do • Take care of yourself! • Recognize reactions as normal • Return to routine or develop a temporary routine • Provide ample physical and emotional support • Allow your child to tell their story  Talking, drawing, writing, role playing • Acknowledge their feelings Photo credit: Bindaas Madhavi / Foter / CC BY-NC-ND Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org
  • 11. What parents can do • Limit exposure to news coverage • Answer questions in age appropriate way • Give your child opportunities to help  Write thank you letters to police, firemen, etc.  Help cook a meal for a family without power • Spend time with family and friends • Have fun • Stay healthy Image courtesy of: freedigitalphotos.net Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org
  • 12. What not to do • Do not overly focus on the natural disaster. • Do not avoid talking about it. • Do not have adult conversations about the disaster in front of children. • Do not keep the news on constantly. Image courtesy of: freedigitalphotos.net
  • 13. When should I seek help? • No decrease in intensity and frequency of reactions within one month. • Responses become intensified and/or dangerous. • Disruption in daily activities Academy of Cognitive Therapy. Retrieved November 9, 2012 from www.academyofct.org
  • 14. Where to get Help  Treatment • SMG – Behavioral Health & Cognitive Therapy Center – 908-277-8900 • NJ Psychological Association – 973-243-9800 • Academy of Cognitive Therapy – www.academyofct.com  Information • CDC – www.cdc.gov • NIH - www.nimh.nih.gov • NCTSN- www.nctsn.org