Child and adolescent psychiatry

And then in that time, I also, I was able to work at a program called the National Center for PTSD, which is actually part of the Department of Veterans Affairs, but it extends well beyond veterans.

And at Dartmouth, and there was a wonderful child psychiatry group there who were doing some really unique research on trauma history with kids

who

were diagnosed with attention deficit hyperactivity disorder, ADHD, and oppositional defiant disorder, ODD.

And so let's then be, let's plan for how you can handle those situations or we can help you in those situations or prevent those kinds of situations and that in that sense that's where it becomes trauma-informed therapy whether it's trauma focused specifically or not

and

that's what i think can be a really a very big advantage because i i meet with child our child psychiatry fellows who are working with kids who've been through all kinds of really really tough experiences and have pretty severe psychiatric problems And every time we talk about a case, we talk about that child's or that teenager's life, what they've been through, the good and the bad.

And as we begin to put together a picture of what that child's life has been like and what they've learned, it informs the fellow about how they can approach the treatment in a way that then reduces some of the trauma reminders or helps the child or a teenager or their parent or caregiver to respond when there is that kind of reminder and recognize that that's a reaction that once you know how to respond to it, it becomes less likely to be triggering.