3 Ethics, Joining, & Collaboration / Chronic Conditions & Behavioral Screeners
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81 Terms
How can trauma affect the body at a cellular level?
It can shorten telomeres, which are linked to lifespan.
What are telomeres?
Protective DNA structures associated with cellular aging and lifespan.
What does telomere research suggest about generational trauma?
Trauma effects may be passed across generations biologically.
What does ACEs stand for?
Adverse Childhood Experiences.
Why is ACEs research important?
It links childhood adversity to long-term health and mental health outcomes.
How does chronic stress affect neurodevelopment?
It can disrupt healthy brain development.
Children with ACE scores of 4+ are how much more likely to have ADHD?
Nearly four times more likely.
Why should clinicians be cautious with quick diagnoses?
Trauma symptoms can mimic other disorders.
Individuals with autism are more likely to experience what?
One or more ACEs.
What common ACE contributors affect autistic youth?
Bullying and peer violence.
How can trauma delay autism diagnosis?
Symptoms may mask autism or limit access to assessment.
How can trauma affect memory?
It can impair working memory and narrative memory.
Why might trauma survivors seem inconsistent when telling stories?
Traumatic memories are often not stored sequentially.
What does the 'fire alarm' analogy describe?
Trauma keeps the brain in a constant danger-alert state.
Why is learning harder for traumatized children?
The brain is focused on survival, not academics.
Why might children seek unsafe peers?
Those peers may help them feel safer temporarily.
How do adults sometimes misread trauma responses?
They punish behaviors instead of seeing distress signals.
Does lack of behavior change always mean therapy isn’t working?
No.
Why can relationship-building itself be therapeutic?
It may be the only safe relationship a child has.
Why do some behaviors persist despite therapy?
They may still be necessary survival strategies.
What role must therapists often hold?
Balancing child advocacy with parent/teacher frustration.
What hormone is associated with connection and attachment?
Oxytocin.
What hormone is associated with stress?
Cortisol.
Secure attachment is linked with what hormonal pattern?
Higher oxytocin and lower cortisol.
What can happen when cortisol stays high long-term?
Sleep problems, weight issues, and blood pressure concerns.
Why do some people engage in risky behaviors after trauma?
To quiet internal distress or feel safe.
Name one trauma-linked coping behavior.
Substance use, reckless driving, risky sex, overeating.
What therapeutic mistake should be avoided?
Pushing abstinence before readiness.
What is a better approach than rushing change?
Meet clients where they are and teach manageable coping skills.
How should therapists introduce themselves in schools?
State name, role, purpose, and student status.
How can therapy be framed to reduce stigma?
As part of the health team like the nurse or counselor.
What is Level 1 consent?
Permission to talk.
What is Level 2 consent?
Permission to share information with the care team.
What is Level 3 consent?
Permission for others to be present.
Why is consent especially important with children?
It gives them agency and builds trust.
What should you do if a child says 'no' to sharing information?
Explore concerns with curiosity.
Why must student therapist status be disclosed in NC?
Licensure and liability requirements.
Is joining only for session one?
No, it is ongoing.
What is a strong opening question for new clients?
'What’s bringing you in today?'
Why must language be age-appropriate?
Children understand different vocabulary by developmental stage.
What should therapists observe besides words?
Body language, tone, posture, facial reactions.
Why pay attention to quiet children?
They may communicate distress nonverbally.
Why carry paperwork with you?
To avoid release-of-information mistakes.
Why clarify who can receive information?
To protect confidentiality.
Why can guardian presence sometimes help?
They can witness advocacy for the child.
Why are siblings often seen separately?
To give each child their own time.
When might siblings be seen together?
To observe family dynamics or protective patterns.
How can confidentiality be explained to siblings?
'This is your time; I won’t share secrets.'
Why call classrooms before pulling students?
To avoid interrupting tests or poor timing.
What classes are students often pulled from?
Encore classes like art, music, or library.
Why avoid promising exact appointment times?
School schedules frequently change.
Why ask parents the best time to call?
Many have unpredictable work schedules.
About how many students have a chronic health condition?
About 2 in 5.
Name one common school-age chronic condition.
Asthma, migraines, diabetes, obesity, vaping use.
Why is asthma common in agricultural areas?
Exposure to dust, pesticides, and chemicals.
Why is systemic thinking needed with chronic illness?
Conditions often occur alongside other health problems.
What causes Type 1 diabetes?
Immune system attacks insulin-producing pancreatic cells.
What causes Type 2 diabetes?
Insulin resistance linked to lifestyle and genetics.
Name one diabetes warning sign.
Extreme thirst, fatigue, urination, blurry vision.
What does Hemoglobin A1C measure?
Average blood sugar over months.
Can A1C improve with lifestyle changes?
Yes.
What is LDL cholesterol?
'Bad' cholesterol that builds in arteries.
What is HDL cholesterol?
'Good' cholesterol that helps remove excess cholesterol.
What is white coat syndrome?
Higher blood pressure caused by medical-setting anxiety.
What does food insecurity mean?
Limited reliable access to adequate food.
Why should nutrition advice be culturally sensitive?
Food choices are deeply tied to culture.
What plate section should be largest in MyPlate?
Vegetables.
Why can distracted eating cause overeating?
The brain misses fullness signals.
What is the 20-minute craving rule?
Wait 20 minutes before acting on a craving.
Why are vaping conversations sensitive in NC?
Tobacco has deep cultural and economic roots.
Why are youth vapes dangerous?
Many contain nicotine and harmful chemicals.
How does nicotine affect teen brains?
Harms learning, mood, impulse control.
Is any age too young to ask about nicotine use?
No.
How much daily activity is recommended for ages 6–17?
60 minutes.
Why is recess important?
Movement and co-regulation support development.
How does sleep help the brain?
It clears and organizes daily information.
What happens when children don’t get enough sleep?
Poor concentration, regulation, and health.
Why treat some diagnoses as family diagnoses?
Whole-family habits often need to change together.
What may look behavioral but actually be medical?
Sleeping in class due to untreated sleep apnea.
Why can children struggle academically when parents are ill?
They worry about their parents.
What key mindset was emphasized?
Everything affects everything all the time.