The Trauma-Informed SLP

So here's something from my Youtube page that, in light of the 2024 election cycle, I thought would be good to post here. Genocide always seems like hyperbole...until it's not. (The video includes images of referenced articles and quotes, so if you benefit from seeing the text on-screen, please check out the link below.) Description from Youtube episode released May 29, 2024: I'm not a political commentator. In fact, I can only consume so much of the news cycle every week before my feelings of helplessness and hopelessness get too overwhelming. Looking at all the atrocities humans have done and are currently doing to each other is so, so heartbreaking -- and honestly, traumatizing. However, you've got to understand the monstrous side of humanity in order to continuously choose compassion and empathy. And, I don't know, maybe it's my neurodivergent brain, but having some academic knowledge helps me to understand and avoid (as much as humanly possible) the propaganda pitfalls that permeate social discourse these days. REFERENCES & RESOURCES: https://www.samhsa.gov/find-help/disaster-distress-helpline PDF of Ten Stages of Genocide: https://www.scasd.org/cms/lib5/PA01000006/Centricity/Domain/1482/TenStages.pdf Ten Stages of American Indian Genocide (Chavez Cameron & Phan, 2018) file:///Users/Kimbrulee/Downloads/webmaster,+Edit3+Cameron.pdf Link to James Baldwin quote: https://www.goodreads.com/quotes/11882302-love-has-never-been-a-popular-movement-and-no-one-s United Nations on how to help ALL victims of the Israel-Gaza Crisis: https://www.un.org/en/situation-in-occupied-palestine-and-israel/donate

Topics covered: Updated episode intro ends around 8:00 (in light of the 2024 U.S. election cycle) Strategies (and I've time marks included below if you're wanting to find specific ones quickly) Intro to strategies starts near 13:40 Physiological needs starts near 14:50 Calming strategies starts near 17:50 "Burning up energy stores" starts near 26:50 What bottom-up processing is Reframing our definition of emotions as signals instead of "good" or "bad" About Us: The Trauma-Informed SLP website Our email Our other social media: Facebook Instagram YouTube Referenced links: Autism Level Up! Maslow's Hierarchy of Needs Butterfly Hug Tactile/breathing exercises Progressive muscle relaxation Destini Ann, "Big Mad," on TikTok

So you've tried all the burnout strategies you can find: Mindfulness, eating better, exercising, goign to bed early ...aaaannnnnd they didn't work. Guess you'll just stay burned out forever, right? Not necessarily... The stuff that really works to help with burnout (and trauma responses) are just not as pithy, toxic-positivity-y, and clickbait-y as the stuff we tend to hear the most about. Not that those things aren't useful for healing, mental health, and recovery...just that complex problems often require complex solutions and burnout? It's complicated, BABYYYY!!!! TOPICS COVERED: The issue with "typical" strategies The ONE strategy we could all use more of Strategies for emotional processing (bottom-up) "Small" strategies that can have a big impact A rough burnout series summary Youtube video of this episode About Us: The Trauma-Informed SLP website Our email Our other social media: Facebook Instagram Youtube channel Wanna support us financially? Give us a tip on our Kofi (only if it's not a burden to you, tho!) CITATIONS Maslach & Lieter, 2016 van Dernoot Lipsky & Burke, 2009 Butterfly Hug instructions Bottom-up processing examples Jacob & Lambert, 2021 (protected processing time example) Ellis, W. R., & Dietz, W. H. (2017) Gill, L. (2017). Finding community: Volpe, 2022 McMillan, 1986 for a sense of community definition and theory

Episode 3 is finally here! On this episode, we talk about secondary traumatic stress (STS), a.k.a vicarious trauma, compassion fatigue, trauma exposure, etc... This is the meat...the "entrée" (if you will)...of the series because I think that the impact of being exposed to other peoples' trauma is a lot more prevalent than we tend to think. And it's what gets confounded with burnout the most. TOPICS COVERED: What STS is Where STS comes from Symptom clusters of STS Youtube video of this episode  About Us: The Trauma-Informed SLP website Our email Our other social media: Facebook Instagram Youtube channel Wanna support us financially? Give us a tip on our Kofi (only if it's not a burden to you, tho!) Citations: (I am unaffiliated with all links below) Cieslak et al., 2014 TIP 57 Shoji et al., 2015 Bride et al., 2004 Judith Herman, "...trauma is an affliction of the powerless"

One little thread on r/slp made me think of three major things that are part of how I process and do neurodivergent-affirming care in the case of emotional dysregulation. So I made a really informal video (using my front cam on my Macbook, so apologies for the quality) to address those things. Outline:1) Definition of dysregulation, it's over-use, and contrasting it with emotional upset.2) Putting more effort into thinking through possible reasons for meltdowns/tantrums/emotional upset vs. trying to figure out which one it is -- and why this is important for child safety.3) All behavior isn't intentional communication, but it can be information: Pro-tip for thinking of AT LEAST THREE possible reasons for the meltdown/upset/tantrum behavior. Citations:-Reddit thread: https://bit.ly/4gFrtTd - Destini Ann: https://www.destiniann.com/epk -Psychology Today article on emotional dysregulation: https://www.psychologytoday.com/us/blog/click-here-for-happiness/202108/what-is-emotional-dysregulation -Quinones et al, 2020: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7682894/ -Quote: "Trauma is an affliction of the powerless" is by Judith Herman: https://www.goodreads.com/work/quotes/530025-trauma-and-recovery  

Part 2 is finally here!! (Whew!) On this episode, we go over both systemic and interpersonal/relationship things in the workplace itself that can contribute to traumatizing experiences for employees. TOPICS COVERED: Reviewing what trauma really means (like physiologically) Systemic issues re: Conservation of Resources, scarcity mentality, and organizational dehumanization Interpersonal issues: Workplace bullying and gaslighting Youtube video of this episode  About Us: The Trauma-Informed SLP website Our email Our other social media: Facebook Instagram Youtube channel Wanna support us financially? Give us a tip on our Kofi (only if it's not a burden to you, tho!) CITATIONS: (TTI-SLP is unaffiliated with all links below) Cieslak et al., 2014 TIP 57 Shoji et al., 2015 Hobfoll et al., 2018 Van Dernoot Lipsky & Burke, 2009 Lagios et al., 2021 List of workplace harassment types Neilsen et al., 2015 Workplace bullying survey Wilson, 2021 Ahern, 2018

Burnout. It seems like everyone has it! (*insert Oprah meme here* "YOU get burnout and YOU get burnout and YOU get burnout! EVERYONE GETS BURNOOOOOOUUT!!!!!") But what really is burnout? And why do so many people suffer from it? This is the first in a series of episodes on this big, complex monster-of-a-thing we call "burnout." I’m hoping this series will help you figure out what you need to start healing from your own burnout. In this video, you’ll discover: What burnout is (and why it feels like you're running on empty) The top culprits behind burnout How taking a break and/or “quiet quitting” ISN’T laziness: Rest and recuperation is a vital part of health Future videos will include: Confounding factors that contribute to (or maybe come from) burnout The issues with self-care hacks and strategies that make up the bulk of burnout content The relationship between autistic burnout / ADHD burnout and professional burn out How burnout can relate to systemic oppression.  About Us: The Trauma-Informed SLP website Our email Our other social media: Facebook Instagram Youtube channel Wanna support us financially?

So, I talked about this at my ASHA 2023 talk, made an image carousel on Instagram, and did rambly Youtube video on this, but figured I'd do a quick podcast ep on this as well, cause I've found myself using these terms more and more these days and, well, I just think it's good to clarify when we're talking about societal/social adversity vs. individual neurodivergent profiles. References and Resources: Disability:In on apparent vs. non-apparent diabilities My insta reel, FB post, and Youtube Vid on this My source of definitions for medical model of disability vs. social model of disability NOTE: Different from pathogenic vs. salutogenic approaches. My systemic vs. individual adversity podcast episode My episode on fight, flight, and freeze (with reference to fawn response) Literature on minority stress model  For how it pertains to autistics, see here. Definition of hemiparesis About Us: The Trauma-Informed SLP website Our email Our other social media: Facebook Instagram Youtube channel

Just thought I'd put out a little update on what I've been up to and what I have planned in the works. Feel free to check out my new(ish) Youtube channel here! And I also have a new look for my website if ya want to check that out.   Feel free to email me with any ideas and/or topics you'd like to hear my viewpoints on or have me do a research deep-dive into!

A new episode!! FINALLY!! I took a bit of time-off from this topic for my own mental health, but now I'm back, baby! Herein lies my info-dump on dehumanization in medical (read: clinical) practice. We go through Haque &b Waytz's functional and nonfunctional causes and also some very valid counterpoints from Kalina Christoff's paper. AND, as a bit of ADHDer magic, this whole thing ended up dove-tailing into articles on burnout, so I get to info dump about that topic next!!  Woot! About Us: The Trauma-Informed SLP website Our email Our other social media: Facebook Instagram Youtube (new!!) Citation links: Main two papers: Haque & Waytz (2012) Christoff, K. (2014) Papers on mpathy, burnout, and emotional labor: (includes some not directly quoted in the episode) Kerasidou, A., & Horn, R (2016) Austen, L. (2016) Wilkinson, H., Whittington, R., Perry, L., & Eames, C. (2017) Gleichgerrcht & Decety, 2013 Nguyen, N., & Stinglhamber, F. (2020) Definition of "emotional labor" ASAN statement on Identify First Language by Lydia Brown  

As the Gen-Zers say, we live in a society. And so do scientists, which means that science is never truly bias-free...despite frequent claims otherwise. To be trauma-informed, however, we have to pay attention to that man behind the curtain. Cause sometimes, research is based in dehumanizing societal biases. And treatments based in that research ends up harming people. This episode covers: A model of dehumanization to conceptualize different types of rhetoric (animalistic and mechanistic). Historical examples of this rhetoric in scientific writings of the 19th and 20th centuries. Modern examples of similar dehumanizing rhetoric in scientific writings of the 21st century on a clinical population of high interest to us. *coughcough*autistics*cough* About Us: The Trauma-Informed SLP website Our email Our socials: Facebook Instagram YouTube channel References: Peer-Reviewed articles: Botha, M. (2021). Academic, activist, or advocate? Angry, entangled, and emerging: A critical reflection on autism knowledge production. Frontiers in psychology, 4196. Botha, M., & Cage, E. (2022). “Autism research is in crisis”: A mixed method study of researcher’s constructions of autistic people and autism research. Frontiers in Psychology, 13, 7397. Haslam, N. (2006). Dehumanization: An integrative review. Personality and social psychology review, 10(3), 252-264. Milton, D. E. (2012). On the ontological status of autism: The ‘double empathy problem’. Disability & society, 27(6), 883-887. Solomon, M. (1985). The rhetoric of dehumanization: An analysis of medical reports of the Tuskegee syphilis project. Western journal of speech communication, 49(4), 233-247.   Other references: Dehumanizing Always Starts With Language (Brené Brown, 2018) Tuskegee Syphilis Study Polygenism On Louis Agassiz: Wikipedia's entry and Saima S. Iqbal's Harvard Crimson article On Samuel George Morton: Wikipedia's entry and George Mason University's page of quotes Harvard’s Eugenics Era (Adam S. Cohen,...

To introduce dehumanization in medicine and science, I decided to use this fun, light-hearted* tail of "crazy" (cis?**) women and the (cis?) men who sought to figure out the source of the crazy. On this episode, we go through: The study of female hysteria in the late 19th century in Paris, France and Vienna, Austria Origins of the study of trauma in western medicine An introduction into how societal biases and dehumanization impact science and medicine *HA HA HA HAHAHAHAHAHAHAA **using question mark cause, let's face it, historical accounts don't really tell us what people felt their internal gender really was, but that doesn't mean some of them might have been elsewhere on the gender spectrum and/or trans. About Us: The Trauma-Informed SLP website Our email Our other social media: Facebook Instagram YouTube References: Freud: Complete Works (1890-1939). (referenced for verification of quotes used in Herman's book). Gordon, Aubrey. Maintenance Phase [podcast]. Episode: Zombie Statistics Spectacular! Herman, Judith Lewis. Trauma and Recovery.

Sorry this one took so long to get out! (Had some software snafus to deal with.) But here we go with the second episode towards becoming trauma-sensitive. Heavy topics, but super important to confront our discomfort with these if we want to truly be trauma-informed. On this episode: The three stages of historical trauma A reframining of a few mass traumas (i.e., stage 1 of historical traumas) experienced by minorites in U.S. history Rhetoric and language around dehumanization Microaggressions as an example of implicit bias and ongoing casual dehumanization About Us: The Trauma-Informed SLP website Our email Our other social media: Facebook Instagram YouTube References: Examples of Microaggressions from the University of Minnesota School of Public Health. Ten stages of American Indian Genocide (2018) by Cameron, S. C., & Phan, L. T. Trauma-informed care and cultural humility in the mental health care of people from minoritized communities (2020) by Ranjbar, N., Erb, M., Mohammad, O., & Moreno, F. A. Whiteness article from the National Museum of African American History & Culture. White Supremacy Culture in Organizations by Kira Page (2019) from the Centre for Community Organizations (coco-net.org). White Women doing White Supremacy in Nonprofit Culture from Equity in the Center. Why and How Trauma-Informed Organizations Attend to Equity, Diversity, and Inclusion presented by Iya Affo through the Arizona Trauma Institute. For continuing education on mass traumas mentioned in the episode: American Indian Genocide Adam Ruin's Everything: The Disturning History of the Suburbs Jim Crow Laws Mexican "repatriation" Japanese-American Internment The Chinese Exclusion Act and also here

Here it is. We've arrived at some tough topics. In order to become trauma-sensitive (per the The Missouri Model), we have to increase our awareness of historical (i.e., generational) and system-oriented traumas/retraumatization. This is where trauma-informed meets cultural humility and cultural awareness. And also where, if we continue to hold on to our cultural blindness (and the implicit biases that go along with that), we cannot call ourselves trauma-informed. On this episode: We go over how social media allows our awareness of cultural and systemic differences to change rapidly (compared to pre-social media/internet days) Definition of historical/generational trauma My "Sisyphus Analogy" of systemic privilege and the importance of not conflating individual adversity with system-driven, group-level trauma (i.e., historical/generational trauma). About Us: The Trauma-Informed SLP website Our email Our other social media: Facebook Instagram YouTube Reference links: Maslow Chart adapted by RYSE Center (2016) TIP 57 A Pair of ACEs (image and explanation) Resmaa Menakem's website "Notice the Rage; Notice the Silence" episode of On Being hosted by Krista Tippet (where I first heard the Resmaa Menakem quote I used--but it is also in his book My Grandmother's Hands)

Happy New Year, Everybody! Before going into trauma sensitive topics, I felt I needed to provide everyone with some tools to process any upsetting and/or uncomfortable feelings that might arise from discussions of historical traumas and systemic oppression. Also, it's a tough time of year, so these might just be useful for you if you're feeling upset about other things/people at this time. Episode outline includes: Strategies (and I've time marks included below if you're wanting to find specific ones quickly) Intro to strategies starts near 05:40 Physiological needs starts near 06:50 Calming strategies starts near 09:50 "Burning up energy stores" starts near 18:50 What bottom-up processing is Reframing our definition of emotions as signals instead of "good" or "bad" About Us: The Trauma-Informed SLP website Our email Our other social media: Facebook Instagram YouTube Referenced links: Autism Level Up! Maslow's Hierarchy of Needs Butterfly Hug Tactile/breathing exercises Progressive muscle relaxation Destini Ann, "Big Mad," on TikTok

Whew! We made it! Here's what I consider the final material you need to officially be trauma-aware (per the Missouri Model). This episode covers the types of potentially traumatic events, how trauma is characterized, and potential life-long impacts per the CDC-Kaiser study ACE Study (and a little side-note on epigenetics). The Trauma-Informed SLP website Our email Our other social media: Facebook Instagram YouTube   Episode References: (in addition to the TIP 57) [Amoeba Sisters]. (2018, December 18). Epigentics [Video].Youtube. https://www.youtube.com/watch?v=MD3Fc0XOjWk Center for Disease Control and Prevention. (2021, April 6). About the CDC-Kaiser ACE Study. www.cdc.gov. https://www.cdc.gov/violenceprevention/aces/about.html Felitti, V. J., Anda, R. F., Nordenberg, D., Williamson, D. F., Spitz, A. M., Edwards, V., & Marks, J. S. (1998). Relationship of childhood abuse and household dysfunction to many of the leading causes of death in adults: The Adverse Childhood Experiences (ACE) Study. American journal of preventive medicine, 14(4), 245-258. Retrieved from: https://www.ajpmonline.org/article/S0749-3797(98)00017-8/fulltext

Yup. That's right. I'm giving 2, 1-hr talks at ASHA this year. 'Cause I'm a loony.    I also have a new website! Woot!  https://www.trauma-informed-slp.com/ 

What's a podcast by an ADHDer without more info-dumping, amirite?? I felt I would be remiss to not include something on the Polyvagal Theory as it comes up A LOT in trauma-informed courses, trainings, and literature. So, here it is! (Along with a bit of neuroscience info-dumping cause I'm a Nerd who just can't help herself.)  About Us: The Trauma-Informed SLP website Our email Our socials: Facebook Instagram YouTube channel References: Liem, T. (2021). Critique of the Polyvagal Theory. Critique, 22, 48. Retrieved from: https://www.osteopathie-liem.de/en/blog/critique-of-the-polyvagal-theory/.  Porges, Stephen (2009). The polyvagal theory: New insights into adaptive reactions of the autonomic nervous system. The Cleveland Clinic Journal of Medicine, 76(Suppl 2): S86–S90 : doi:10.3949/ccjm.76.s2.17.  Van der Kolk, B. (2015). The body keeps the score: Brain, mind, and body in the healing of trauma. New York, NY: Penguin Books.  

This episode goes through the three physiological survival mechanisms: Fight, flight, and freeze. We touch a little on what is known as the "fawn" response before moving into defining each survival mechanism, the physiological cascade that occurs when we go into "survival mode" and how trauma responses occur as a result of this.  There will be a bonus episode that touches on the Polyvagal Theory and why it wasn't directly included in this episode. About Us: The Trauma-Informed SLP website Our email Our socials: Facebook Instagram YouTube channel   References: Gill, L. (2017). Understanding and working with the window of tolerance. Attachment and trauma treatment centre for healing (ATTCH). Retrieved from: https://www.attachment-and-trauma-treatment-centre-for-healing.com/blogs/understanding-and-working-with-the-window-of-tolerance. Logan, R. (2022). Certified Trauma Support Specialist: Module 2 - Further understanding of our nervous system [Online Professional Training Course]. The Arizona Trauma Institute. Retrieved from: https://aztrauma.teachable.com  Quinones, M. M., Gallegos, A. M., Lin, F. V., & Heffner, K. (2020). Dysregulation of inflammation, neurobiology, and cognitive function in PTSD: an integrative review. Cognitive, Affective, & Behavioral Neuroscience, 20(3), 455-480. Van der Kolk, B. (2015). The body keeps the score: Brain, mind, and body in the healing of trauma. New York, NY: Penguin Books.

Okay, here's the info-dump I promised during episode 2. It just got kinda long, so I figured I'd make a bonus episode about it. Covers the topics of: Different rates of memory encoding in key brain structures (Theoretical) different motor pathways for emotionally driven vs. volitional movement Nerve trivia! What is the largest single nerve in your body and why we have poor pain localization in the torso area (particularly in our gut/viscera) Content starts at 4:23. Silly bonus-content theme song is at: 04:04 for those who wish for a dose of silly. (For additional reading on emotional motor pathways, see the Gothard (2014) paper referenced below.) About Us: The Trauma-Informed SLP website Our email Our socials: Facebook Instagram YouTube channel References Fuglevand, A., Bao, S., Cowen, S., Eggers, E., Fellous, J.M., Fregosi, R., Gothard, K., Restifo, L., & Tolbert, L. (2015). Systems Neuroscience [in-person and PowerPoint Slides]. University of Arizona, Tucson, AZ. Gothard, K. (2014). The amygdalo-motor pathways and the control of facial expressions. Frontiers in Neuroscience, 8(43), pg. 1-7. https://doi: 10.3389/fnins.2014.00043