How to Help Children in Times of Trauma

We try to protect our children from as much as we can, but sometimes life has other plans.

The murders in Uvalde have taken over our thoughts, our conversations at home and with friends, the internet, and the television waves. Our children are being bombarded by the nightmare in front of the TV at home, in conversations with friends, and with questions asked by their peers. It can be too much for a child to deal with.

Your child’s experience

Your child’s experience of an event will vary depending on their age,  personal style,  life experience, and  closeness to the disaster. A toddler will only care that his or her parents seem to be upset. Older children will hurt for the people involved, worry about friends and relatives that are not within their sight, and worry that it could happen to them sometime, at some other event. One child asked her mom, “What picture of me will you show?”

What seemed exciting to discuss with friends during the day becomes frightening after the lights go off.

Listen to them

Listen to them talk, and be patient when they ask you the same questions over and over. Reassure them, let them know that such things are extremely rare. Answer questions truthfully, at their own developmental level. Never lie.

Monitor what your child sees and hears

Monitor what your child sees and hears – adult conversation and the media can magnify fear and confusion and increase their trauma. Repetition can intensify anxiety; pictures can get locked in their heads.

What to watch for

After the event symptoms of post-traumatic stress may appear, even in children not directly involved. They may be sad or moody, easily angered or irritable. They may be afraid to go to public venues. They may have trouble sleeping or sleep too much. Appetites may suffer. Your child may be anxious when his or her people are not all nearby, and wake from nightmares.

Children frequently have concentration problems after a trauma, and their grades will suffer. They may regress developmentally: your independent youngsters may become clingy, or need help doing things they had been able to do on their own. They may avoid activities they previously enjoyed, and withdraw into themselves. They may become anxious at the thought of going to school, or of being separated from mom or dad.

They can also develop physical symptoms like headaches and stomachaches. They may try to exercise more control on their environment, setting up their toys in a particular way, wanting their schedule to be predictable, or demanding activities they find reassuring. Teens may act out or try alcohol or drugs in an attempt to feel better.

How to help

Helping them may be as simple as listening. Be available and receptive but don’t push. A younger child may open up and tell you his story when you break out toys or art supplies; an older one may talk if you tell her a similar story about yourself, when you were scared or worried. Schedule time for just the two of you, and wait.

Children may try to hide their symptoms: they think they should be stronger, they don’t want to be a burden, or they think they are abnormal for having the problem. They may even feel that the disaster was their fault; children are not always logical. Allowing them to bury their symptoms will only erode their spirit from the inside.

Also, be a good example. Take care of yourself, eat healthy food, sleep, and discuss events calmly. Turn off the TV and stay off the web. Exercise. Take breaks to play, read a book, and do something unrelated to… it.

Keep to recognizable routines– routine is reassuring and safe. Require reasonable behavior: if they still get in trouble for using that bad word, then everything must be OK. They may test you with bad behavior just to get that reassurance. Don’t spoil them with extra treats, because it will frighten them. Things must be really bad if The Parent gives me toys or lets me eat candy.

Lend a hand to other people. It will help to know that you have the power to help and comfort.

The traumatic symptoms may last quite a while. Triggers like parents going out at night or a security guard at a local festival may bring everything back. Fear of it happening again may linger. An anniversary will renew their anxiety.

If time passes and stress is affecting their lives, think about having them see a counselor or getting them into a peer group with similar concerns. We all need a little help sometimes.

My mom also used to say, “Time heals all wounds.” And with a little help from their guardians it always will.

Words on Guns: A Pediatrician’s Perspective

As a pediatrician I have been fighting for sensible gun law for a while. I lost 3 of my small patients to gun violence. So, useful info on how to discuss guns with gun fans:

An AR 15 is an “Armalite Rifle,” after the manufacturer Armalite. Gun nuts will ask you what AR stands for. Don’t say assault rifle or they will dismiss everything else you say.

The problem is the high velocity bullets (they go through a child’s body so rapidly that they destroy tissue 6 inches around a bullet entry), rapidity of fire, and high capacity magazines (more than 10 bullets in a magazine is not necessary unless you want to kill humans). Use those terms.

If they talk about there already being background checks? Only licensed gun dealers are required to do them, and reporting is not mandatory. We need universal background checks with mandatory reporting.

They talk about how Chicago has gun restrictions but still has gun violence? It is because Indiana, across the road, has no restrictions. Easy to cross a road.

“Guns don’t kill people, people kill people”? That’s why we want background checks on the people, not the guns.

“Car accidents kill kids too”? Yes, that’s why we require driver training, a license, registration, and liability insurance. Also why we have traffic law to regulate their use.

We need:

  • to require safe storage of guns.
  • to keep bump stocks and kits that change semiautomatics into automatics illegal.
  • either magazines that cannot be exchanged (rather, need to be reloaded), take more time to replace, or take 2 hands to replace.
  • to limit the amount of ammunition people can buy, like we do pseudoephedrine.
  • to require licensing, registration, and liability insurance. Let the insurance companies pay for the mental health check and decide which guns are too dangerous to insure. The gun lobby and the insurance lobby can have a conversation.
  • red flag laws, the same in every state.

It is generally impossible to sue shielded gun manufacturers (although one case recently did succeed), and was previously against the law for the CDC to fund any research into gun violence – very unusual restrictions passed purely to protect gun manufacturers. The Dickey Amendment, passed in 1996, was recinded in 2018, but we lost decades of research.

The NRA funnels money from gun manufacturers to politicians on both sides – mostly Republican, but some Dems. There is dark money given that is untraceable, so we really don’t know who is on their payroll. The NRA actually supported Bernie Sanders when he first won office because he promised to never vote for any law that put in a waiting period for hand guns (and he never has).

The top ten traceable donations:

  • Mitt Romney $13,637,676
  • Richard Burr $6,987,380
  • Roy Blunt $4,555,752
  • Thom Tillis $4,421,333
  • Cory Gardner $3,939,199
  • Marco Rubio $3,303,355
  • Joni Ernst $3,124,773
  • Rob Portman $3,063,327
  • Todd C Young $2,897,582
  • Bill Cassidy $2,867,074

We need to educate ourselves to even begin the push for change, because what we are doing now is not working.

Gun lobbies only care about sales, while kids are dying.

Lets do this.