Trauma
can have a serious effect on babies and toddlers. Many people wrongly believe
that babies do not notice or remember traumatic events. In fact, anything that
affects older children and adults in a family can also affect a baby. Traumatic
and life-threatening events may include incidents such as car accidents,
bushfires, sudden illness, traumatic death in the family, crime, abuse or
violence in the community.
Trauma can seriously disrupt important aspects
of child development that occur before the age of three years. These may
include bonding with parents, as well as foundational development in the areas
of language, mobility, physical and social skills and managing emotions.
Providing support to help the family rebuild a safe, secure and nurturing home
will help the baby or toddler recover.
How trauma affects babies and toddlers
Babies
and toddlers are very helpless and depend on their family and parents for a
sense of safety and security. They need emotional nurturing, through loving and
reassuring interactions, and help with coping in an ongoing and consistent way.
This is how babies and toddlers develop and grow.During their early months and
years, children are very sensitive to:
- problems affecting their
parents or main caregivers, which may include fear, sadness or being
overwhelmed
- separation from their parent or
primary carer – for instance, absence due to injury or other factors
related to the trauma. This can have a double impact: distress of the
separation itself and insecurity of having to manage without the safety,
understanding and nurturing their carer provides. Both can slow recovery
and increase the impact of the trauma
- what is happening in the
household – babies and toddlers are affected by noise, distress or a very
mixed-up routine where they are not sure what is happening
- disruption to the development
of a bond or close relationship with their parent or lack of parental
understanding – trauma can sometimes get in the way and make the formation
of this bond more difficult.
If
any of these things are happening, it is important to think about the effect on
the baby. If the family or primary carer is affected, the baby is probably also
affected.
Common reactions to trauma in babies and
toddlers
When
babies or toddlers are exposed to life-threatening or traumatic events, they
become very scared – just like anybody else. Some common reactions may include:
- unusually high levels of
distress when separated from their parent or primary carer
- a kind of ‘frozen watchfulness’
– the child may have a ‘shocked’ look
- giving the appearance of being
numb and not showing their feelings or seeming a bit ‘cut off’ from what
is happening around them
- loss of playful and engaging
smiling and ‘coo-ing’ behaviour
- loss of eating skills
- avoiding eye contact
- being more unsettled and much
more difficult to soothe
- slipping back in their physical
skills such as sitting, crawling or walking and appearing more clumsy.
What parents and carers can do to help babies
and toddlers cope with trauma
Structure,
predictability and nurturing are key to helping a baby or toddler who has been
traumatised. There are a number of things parents and carers can do to help
their baby or toddler cope with and recover from trauma.
- Seek, accept and increase any
support you need to help you manage your own shock and emotional response.
- Get information and advice on
how the baby or toddler is going.
- Learn to recognise and manage
the child’s signs of stress and understand cues for what is going on for
them.
- Reduce the intensity and length
of the initial stress reaction by helping the child settle and to feel
safe and cared for as quickly as possible.
- Maintain the child’s routines
around being held, sleeping and feeding.
- Offer a calm atmosphere and
soothing activities.
- Avoid any unnecessary
separations from important caregivers.
- Avoid exposing the child to
reminders of the trauma, where possible.
- Expect that the child may
temporarily regress (go backwards) in their behaviour or become ‘clingy’
and dependent. Don’t panic if this occurs – it is one of the child’s ways
of trying to cope with what they have been through.
- Take time out to recharge
yourself.
When to seek help for babies and toddlers
after a traumatic event
The
first and second year of a child’s life has lots of ups and downs. Development
may slow down for a while and then move forward again. It can sometimes be
difficult to work out if this is just one of those times or whether something
more serious is happening.
It may help to seek professional advice if:
- the baby or toddler is slipping
backwards in development
- development slows down,
especially if this occurs following a traumatic event or major disruption
in the family and household
- you feel that the trauma has
got in the way of knowing your baby, developing close, loving feelings and
feeling connected to them – it is important to seek help to get this
bonding process back on track
- you have been separated from
the baby or toddler at the time of danger or during its aftermath
- you or other carers are
emotionally unwell with stress, grief, anxiety, exhaustion or depression –
this can have a serious effect on the baby or toddler
- your family has lost their home
and community.
There
is increasing evidence to suggest that the younger a child, the more serious
the post-traumatic problems. Actively seeking help and advice is important.
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