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Valley Voices

Valley Children’s to offer classes on what trauma is and how to recognize it in others

Valley Children’s Hospital is offering a two-part class on understanding and identifying people suffering from trauma.
Valley Children’s Hospital is offering a two-part class on understanding and identifying people suffering from trauma. Fresno Bee file illustration

“What is wrong with you?!” We’ve all had this thought when witnessing someone make a mountain out of a proverbial molehill. Their reaction is out of proportion to the situation, completely over the top.

But did you ever stop to think that perhaps, the better — more supportive — question we should be asking is rather, “What happened to you?” By being mindful of the path others have walked and learning to identify if someone has been the victim of trauma, we could actually be helping someone rather than causing more hurt.

Why might we wonder about a history of trauma? When a person experiences a potentially life-threatening event or emotionally harmful circumstance, they appropriately move into a fight-or-flight mode. This is a normal response to a dangerous situation — one that is rooted in self-preservation. But when individuals are exposed to repeated trauma, or if they experience significant stressors without protective supports in their life, they may begin to exist in survival mode. Their brain and body is chronically activated, always wary of that looming threat, which is why one may respond out of proportion to mildly stressful or even typical situations. Their previous survival mechanisms, such as becoming combative (fight) or withdrawing (flight) kick in. But instead of being protective, they are potentially harmful.

Let’s take a step back; what could cause such trauma?

In 1998, a landmark Kaiser and federal Centers for Disease Control and Prevention study identified 10 adverse childhood experiences, or ACEs, comprised of forms of abuse, neglect and household dysfunction. From this study, we learned that one out of six adults have experienced at least one ACE, regardless of socioeconomic status or educational achievement. Sixteen percent have experienced four or more ACEs, with women, racial/ethnic minorities, low-income individuals and other marginalized populations being at much higher risk. There is a dose-dependent response, which means that the more ACEs one has experienced, the higher the risk for adverse health outcomes, such as heart disease, obesity, cancer and depression. In fact, the odds ratio for a suicide attempt in an individual with an ACE score of four or more is 37:1, relative to someone who experienced no ACEs.

Now imagine no less than one out of six people you interact with each day — friends, family, colleagues — has experienced some form of trauma. You may even be one of them. We all bring our emotions, experiences and coping mechanisms to our encounters, and most often, those experiences are unknown to others. How we interact with one another could either trigger a response or be a positive support. Trauma is widespread, so it is important that we approach others with a trauma-informed lens.

What does “trauma-informed” mean? It means approaching our interactions with one another in a manner that builds trust, empowers others and strengthens collaboration. It requires a paradigm shift and re-framing how we view the actions, behaviors and interactions of those around us.

By learning how to appropriately identify and respond to someone who has experienced trauma or is triggered, we can decrease the likelihood of re-traumatization, and increase the chances that our interactions will help build resilience.

To learn more, Valley Children’s Healthcare is hosting a special two-part virtual series on ACEs and trauma-informed care. The sessions are on Feb. 1 and Feb. 8 from 12:15 p.m. to 1 p.m. Register here for this FREE series today.

Carmela E. Sosa-Unguez, MD, FAAP, is a primary care physician at Valley Children’s and Guilds Center for Community Health director.
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