Neurosequential Model of Therapeutic Metrics
This metric assesses the impact of developmental trauma on the brain, which in-turn impacts day-to-day functioning of your child. If your child has sensory issues, memory and learning challenges, emotional outbursts, social challenges, academic challenges, or they just seem younger than their physical age, there may be a brain reason.
This assessment process was developed by Dr. Bruce Perry, Senior Fellow of the ChildTrauma Academy. These metrics assess for developmental risk during the child’s life, from the intrauterine experience to the child’s current age, taking into account epigenetic factors, and genetics. Based on the developmental risk experienced by the child, the relational health, and current functioning, these metrics show the child’s current developmental age, which is typically younger than their physical age due to the trauma experienced. Based on the regions of the brain affected, it offers therapeutic recommendations of where to start interventions because in order for us to make the most progress, we have to tailor interventions at the lowest part of the brain first. That may be sensory interventions, self-regulation interventions, relational, or cognitive.
What is it?
The Neurosequential Model of Therapeutics is a way of understanding the impact of early childhood trauma. The assessment looks at the individual’s developmental history, relational history, and current levels of functioning. The outcome of the assessment gives an estimation of the child’s developmental age, and shows how they’re functioning in four domains: sensory integration, self-regulation, and cognitive. This informs where it would be most beneficial to start therapy. Many kids who have developmental trauma have tried counseling, but with little progress, that’s because counseling (not play therapy) is a cognitive intervention. Based on NMT, we might want to start with sensory integration because the goal is to work from the bottom up—the same way the brain develops.
Who’s it for?
NMT assessments are for kids with developmental trauma. The purpose of the assessment is to help parents and school professionals understand the child, and to guide choices for therapeutic work.
All forms of therapy have their place and where we start is entirely dependent on where your child is developmentally. To see change and development, we have to go in order. The brain decides the approach.