Relationship/Attachment
Culture
Neurophysiology
ACEs
Case Study
100

These are the four styles of childhood attachment.

What are secure, anxious-ambivalent, avoidant, and disorganized? 

100

This term describes trauma responses passed down across generations from parent to child. 

What is intergenerational trauma?

100

The two most common diagnoses that occur from childhood trauma. 

What are depression and anxiety?

100
The full version of the acronym ACEs.

What is Adverse Childhood Experiences?

100

An 8-year-old recently lost a grandparent. They feel sad, cry at times, but continue going to school, playing with friends, and deny any thoughts of wanting to hurt themselves.

What is low risk?

200

The most common attachment style in childhood residential treatment.

What is disorganized attachment? (65%)

200

This type of coping involves talking to friends, family, or community members to deal with trauma or grief.

What is social support?

200
The amygdala is associated with this form of abuse.

What is emotional abuse?

200

The least common/reported ACE in the general population.

What is incarcerated relative?

200

A 13-year-old who experienced bullying and cultural discrimination reports feeling hopeless, has stopped participating in activities they once enjoyed, and admits to passive thoughts like “I wish I wouldn’t wake up.”

What is high risk?

300

Attachment is associated with this stage of Erikson's development model.

What is trust vs. mistrust?
300

This concept describes when children look to parents or caregivers to understand how to react emotionally after a traumatic event.

What is modeling?

300

Impulsiveness shows up frequently when childhood trauma and this disorder are comorbid.

What is bipolar disorder?
300

The most prevalent ACE in the general population.

What is emotional abuse?

300

A 12-year-old whose family recently immigrated has become increasingly quiet at school and stopped participating in class. At home, they help care for younger siblings and avoid discussing their feelings. When asked directly about mood, they say they are “fine" and deny thoughts of self-harm.

What is medium risk?

400

This attachment disorder is common in orphaned, abandoned, and maltreated children. 

What is reactive attachment disorder (RAD)?

400

This concept refers to the stress children experience when adapting to a new culture while balancing their family’s original cultural identity.

What is acculturative stress?

400

This part of the brain shrinks the most with childhood maltreatment.

What is the hippocampus? 

400

Percentage of the general population that has at least one ACE.

What is 64%?

400

A 16-year-old who experienced ongoing cultural discrimination reports feeling exhausted and disconnected. They maintain school attendance and occasionally see friends but describe a sense of emptiness and say, “I don’t really see the point in things long-term.” They identify strong cultural and family values as important.

What is medium risk?
500

Reforming attachment through parent training is a version of this therapeutic model. 

What is trauma-informed care?

500

This reaction occurs when children temporarily return to earlier developmental behaviors, like bedwetting or tantrums, after experiencing trauma.

What is regression?

500

Sexual abuse shrinks this part of the brain early in childhood.

What is the corpus callosum?

500

The ten categories of ACEs.

What are physical abuse, physical neglect, sexual abuse, psychological abuse, psychological neglect, parental divorce, incarcerated relative, substance abuse, domestic violence in the household, mental illness?

500

A 15-year-old refugee with a history of trauma reports improved mood and fewer nightmares over the past few weeks. They have recently reconnected with peers and appear more relaxed in sessions. However, they have also begun giving away a few meaningful personal items and mention wanting to “start fresh” without elaborating. They deny suicidal ideation.

What is high risk?