Anger Management or Unhealed Trauma

I am posting from a column by Bryan Post. The scenario posed by parent and answered by Bryan so speaks to the unhealed effects of early trauma and the misconstruction of the reasons for anger/rage and yes oppositional defiant behavior...



Q: Dear Bryan, Our adopted daughter is 15-and-a-half years old and only been with us since age 7.5 years. She is from a family of 6 (we adopted her older brother too), all removed from birth parents due to severe abuse and chronic neglect.
She has a hatred of mother figures (so that's me!) and also a learning disability (unable to follow/understand written and verbal instructions) and is a very visual learner.

She's at an EBD (emotional and behavioural difficulties) school in the UK and runs away from lessons; has learnt to smoke at the school, has run away from home and we had to call the police; lies all the time.

Due to all this and her extreme anger, a psychiatrist wanted to analyse her for possible epilepsy, finally had all the test results in and she does not have epilepsy. The psychiatrist says she has no recognised mental health needs; but both my husband and I, and our old Post Adoption Social Worker all believe she is developmentally delayed and is still traumatised by her past. The psychiatrist is signing her off as there is nothing more she can do for our daughter and suggests she visits a youth charity that helps with the usual teenage angst issues. We feel it's far deeper than this and we don't know how to help our daughter. Please can you advise?
Thank you.

Bryan writes: Oh dear, I’ve heard some crazy things before but for a psychiatrist to tell parents that a child adopted at age 7, from a background of abuse and neglect, has no mental health needs, is among one of the craziest! Yes your daughter is developmentally/emotionally delayed and this is also intensified by her learning disability which is also most likely trauma based.

First of all, instead of seeing her as an adolescent that hates mother figures, do your best to begin seeing her as a five year old little girl, who’s been abused and neglected, and is terrified of mother figures because in her experience she’s never been good enough! Your daughter doesn’t hate you, she feels like you hate her and the challenge…it has nothing to do with anything you’ve done to her. She is challenged by some very old memories that get easily triggered when she is stressed, which sadly happens to be ALL of the time! Start trying to see her as stressed out and scared. Forget psychiatrists, find a counselor that is relationship based and is willing to help you all as a family sort through the challenges but first by seeing your daughter where she is emotionally not chronologically. This will at least get you on the right-track to being able to get behind her wall of shame and defensiveness. She’s seeking to be loved, she just doesn’t know how to let it in. She’s too afraid of being hurt!