Pissed Off!
Strategies to Parenting and Supporting Children with Traumatic Beginnings
Pissed Off, Strategies to Parenting Children with Traumatic Beginnings is my family’s personal adoption journey from the perspective of me, Hillary Wynn, M.D. a board certified General and Child & Adolescent Psychiatrist. The book is a resource to parents that are considering adopting or those who are trying to navigate their current adoption or fostering of youth with traumatic beginnings. This book provides our real life experience while integrating proven neuroscience knowledge, the application of the behavioral sciences and my professional experience as a Child & Adolescent Psychiatrist.
About the Author
I am the 4th of 5 children born to my college-educated parents. My father’s alcohol dependence sometimes led to violence and abuse in our home. Early on I was taught that alcoholism is a disease. I was envied and bullied by my older siblings due to parental favoritism. My ability to process and understand the psychodynamics (albeit elementary) of why my father selected me as his “favored child” and my siblings’ aggression and resentment of me, was the beginning of my journey to psychiatry. I wanted to understand why there was so much anger. I became very observant and analyzed interpersonal dynamics. This helped me empathize with them. My love and attachment to them never faltered. I had to understand the psychological (mental) and physical (physiological) consequences of a family history of alcoholism and the effects of abandonment. My interest in adoption began in my teens because I understood that some children were exposed to significant childhood adversities. Treating and educating children about the effects of childhood trauma could reduce their risk of an adult life of adversity, chronic illness, and the risk of intergenerational trauma.
I earned a BS in pre-med Biology in 1981 and later a Masters degree in Chemistry. I had to improve my application to medication school and was accepted to a Post-baccalaureate program called MedPrep (Medical and Dental Preparatory Program at Southern Illinois University in Carbondale, Illinois. I attended Drexel University Medical School in Philadelphia. I completed my residency and fellowship at the University of Pittsburgh-Western Psychiatric Institute & Clinic. Practicing for over 25 years at county, tribal, public health, and community-based programs gave me experience with at-risk youth and communities which required an understanding of trauma-informed care and the interplay between socioeconomic, environmental, and biological factors. Currently, I am an independent contractor and the sole proprietor of The Center for Integrative Psychiatric Care, L.L.C. I have provided psychiatric care as a contractor with two locum tenens companies over the past 2 years and as a consultant. I volunteer at The Bread of Healing free clinic and as a clinical supervisor at HIR Wellness (Healing Intergenerational Roots). I have been certified as a Clinical Hypnotherapist and am currently engaged in the Dream Academy while developing my integrated psychiatric practice and the Behavioral Therapy Training Institute with the International Obsessive Compulsive Disorder Foundation (IOCDF). I am a member of several professional organizations: American Psychiatric Association, American Academy of Child & Adolescent Psychiatrists, Wisconsin Medical Society, International OCD Foundation, Cream City Medical Society, and the social service organization Delta Sigma Theta Sorority, Inc.
I am most proud of my family and the fact that my husband and I are the parents of seven amazing young adult children. We first had three biolo
Pissed Off!
Strategies to Parenting Children with Traumatic Beginnings
Chapter 1: Survival
Stories of how survival memories are expressed and require the caregivers immediate attention and understanding.
Chapter 2: The Details
A checklist to support the needs of every family member.
Chapter 3: Extended Family & Community
Ideas to form bonds and unify the blended family while considering “nature versus nurture”.
Chapter 4: Foundation & Learning
Pre-adoption biopsychosocial and educational assessments; followed by educational assessments in the first year post placement.
Chapter 5: Why Were We So Pissed Off?
Explains what is Developmental Trauma (DT) and its short and potentially long term effects
Chapter 6: Adolescence
Adolescence is a stage where the individual strives for autonomy and identity.
Chapter 7: Our Family Connections & Dynamics
Discusses the ingredients required to form stable connections; tenacity, acceptance, forgiveness and unconditional love.
Chapter 8: Idealistic Versus Realistic Expectations
How it is necessary to set realistic expectations for yourself and each individual child.
Chapter 9: Family Traditions & Celebrations
Ideas to create memories, enhance bonding, reinforce family values and trust.

