Adolescents with developmental traumas in therapy in a child and adolescent mental health service, outpatient unit: experiences of daily living and expectations for therapy – a qualitative study

BackgroundDevelopmental trauma has a profound effect on people’s lives. There are few studies of the perceived difficulties and treatment needs of adolescents with developmental trauma. More studies are called for to explore the perspectives and experiences of these patients, especially adolescents....

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Main Authors: Kjerst Olstad, Torgeir Sørensen, Lars Lien, Lars Johan Danbolt
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-05-01
Series:Frontiers in Psychology
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fpsyg.2023.946394/full
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author Kjerst Olstad
Kjerst Olstad
Torgeir Sørensen
Lars Lien
Lars Johan Danbolt
Lars Johan Danbolt
author_facet Kjerst Olstad
Kjerst Olstad
Torgeir Sørensen
Lars Lien
Lars Johan Danbolt
Lars Johan Danbolt
author_sort Kjerst Olstad
collection DOAJ
description BackgroundDevelopmental trauma has a profound effect on people’s lives. There are few studies of the perceived difficulties and treatment needs of adolescents with developmental trauma. More studies are called for to explore the perspectives and experiences of these patients, especially adolescents.MethodSemi-structured interviews were conducted with eight adolescents with developmental trauma aged 14–18 years in a Child and Adolescent Mental Health Service, Outpatient Unit. The interviews were analyzed using systematic text condensation.ResultsA main finding in this study regards the participants’ understanding of why they needed therapy: symptom alleviation and coping tools. They expressed a need for talking with a safe and reliable adult who understood their situation. Their stories of daily functioning and bodily sensations align mainly with symptoms described for adolescents with developmental trauma. The study also shows that the participants’ experiences of trauma affected their lives to a greater or lesser extent, in the form of ambivalence, avoidance, regulation, and coping strategies. They also described various physical problems, especially insomnia and inner restlessness. Their subjective stories revealed insights into their experiences.ConclusionBased on the results, we recommend that adolescents with developmental trauma be allowed to express their understandings of their difficulties and their treatment expectations at an early stage of their therapy. An emphasis on patient involvement and the therapeutic relationship can increase their autonomy and control over their own lives and treatment.
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spelling doaj.art-d91d62bdbc24414ea9be13f42eeb7f1b2023-05-05T04:42:00ZengFrontiers Media S.A.Frontiers in Psychology1664-10782023-05-011410.3389/fpsyg.2023.946394946394Adolescents with developmental traumas in therapy in a child and adolescent mental health service, outpatient unit: experiences of daily living and expectations for therapy – a qualitative studyKjerst Olstad0Kjerst Olstad1Torgeir Sørensen2Lars Lien3Lars Johan Danbolt4Lars Johan Danbolt5Innlandet Hospital Trust, Brumunddal, NorwayFaculty of Health Science, VID Specialized University, Oslo, NorwayNorwegian National Advisory Unit on Concurrent Substance Abuse and Mental Health Disorders, Hamar, NorwayMF Norwegian School of Theology, Religion and Society, Majorstuen, Oslo, NorwayInnlandet Hospital Trust, Brumunddal, NorwayFaculty of Health Science, VID Specialized University, Oslo, NorwayBackgroundDevelopmental trauma has a profound effect on people’s lives. There are few studies of the perceived difficulties and treatment needs of adolescents with developmental trauma. More studies are called for to explore the perspectives and experiences of these patients, especially adolescents.MethodSemi-structured interviews were conducted with eight adolescents with developmental trauma aged 14–18 years in a Child and Adolescent Mental Health Service, Outpatient Unit. The interviews were analyzed using systematic text condensation.ResultsA main finding in this study regards the participants’ understanding of why they needed therapy: symptom alleviation and coping tools. They expressed a need for talking with a safe and reliable adult who understood their situation. Their stories of daily functioning and bodily sensations align mainly with symptoms described for adolescents with developmental trauma. The study also shows that the participants’ experiences of trauma affected their lives to a greater or lesser extent, in the form of ambivalence, avoidance, regulation, and coping strategies. They also described various physical problems, especially insomnia and inner restlessness. Their subjective stories revealed insights into their experiences.ConclusionBased on the results, we recommend that adolescents with developmental trauma be allowed to express their understandings of their difficulties and their treatment expectations at an early stage of their therapy. An emphasis on patient involvement and the therapeutic relationship can increase their autonomy and control over their own lives and treatment.https://www.frontiersin.org/articles/10.3389/fpsyg.2023.946394/fulldevelopmental trauma disorderadolescentsself-understandingstherapysystematic text condensation
spellingShingle Kjerst Olstad
Kjerst Olstad
Torgeir Sørensen
Lars Lien
Lars Johan Danbolt
Lars Johan Danbolt
Adolescents with developmental traumas in therapy in a child and adolescent mental health service, outpatient unit: experiences of daily living and expectations for therapy – a qualitative study
Frontiers in Psychology
developmental trauma disorder
adolescents
self-understandings
therapy
systematic text condensation
title Adolescents with developmental traumas in therapy in a child and adolescent mental health service, outpatient unit: experiences of daily living and expectations for therapy – a qualitative study
title_full Adolescents with developmental traumas in therapy in a child and adolescent mental health service, outpatient unit: experiences of daily living and expectations for therapy – a qualitative study
title_fullStr Adolescents with developmental traumas in therapy in a child and adolescent mental health service, outpatient unit: experiences of daily living and expectations for therapy – a qualitative study
title_full_unstemmed Adolescents with developmental traumas in therapy in a child and adolescent mental health service, outpatient unit: experiences of daily living and expectations for therapy – a qualitative study
title_short Adolescents with developmental traumas in therapy in a child and adolescent mental health service, outpatient unit: experiences of daily living and expectations for therapy – a qualitative study
title_sort adolescents with developmental traumas in therapy in a child and adolescent mental health service outpatient unit experiences of daily living and expectations for therapy a qualitative study
topic developmental trauma disorder
adolescents
self-understandings
therapy
systematic text condensation
url https://www.frontiersin.org/articles/10.3389/fpsyg.2023.946394/full
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