Origins of Addiction, Frozen In Time: Is Past  Trauma Causing You or Your Clients to     Experience a Slow & Early Death? ...
Paul Radkowski, MTS, Psychotherapist, CEO/Clinical Director, Life Recovery Program            In addition to his extensive...
Overview Introduction What is Trauma? Working Definition & Model Impacts of Trauma- Adverse Childhood Experiences  (ACE...
CCSA- Trauma Informed PracticeGiven that the experience of trauma is commonly associated withsubstance abuse, to meaningfu...
CCSA- Trauma Informed PracticeA multi-side study funded by the Substance Abuse MentalHealth Services Administration in the...
A More Inclusive Definition of Trauma:    Experience vs. Event   It is any occurrence in the past which, when you    thin...
Trauma: A State of Severe & Chronic StressA Trauma is much like a ―third degreeemotional burn‖ that lingers long afteryou ...
Simple PTSDA single traumatic incident,shorter in duration, later indevelopment (life), lessstigma attached to it (i.e. ca...
Complex PTSD                    Multiple Traumatic events,                  longer in duration, earlier in                ...
Impacts: ACE Studyhttp://www.acestudy.org/files/ARV1N1.pdfCentre for Disease Control teamed up with KaiserPermanente to de...
Got Your ACE Score?   http://acestoohigh.com/got-your-ace-    score/                https://www.liferecoveryprogram.com/ ...
Among the Initial ACE Study Findings:ACEs Are Common…Two-thirds of participants reported atleast one ACE (i.e. Abuse, Negl...
How does this relate to             addiction?Of those with higher ACE scores, when comparedto persons with an ACE score o...
Only 1/3 of those studied had not hadadverse experiences and for those thatdid, their past was still affecting them(their ...
Early Trauma & Early Death          https://www.liferecoveryprogram.com/                     copyright 2013
Question…?What is one of the biggest challengesof the 12-Step model?Charlotte Kasl’s 16 step (empowerment) alternative -ht...
Trauma context questionOne time interview…“I see that you have experienced ..... Tell me how that hasaffected you later in...
See also... ―Psychogenic Dwarfism‖ ―Fetal Origins of Adult Disease‖ (psychosocial  womb trauma) ―Thrifty phenotype‖ ―D...
Frozen in Time - Where are you?Frozen States Trances & DissociationTrauma An Explanation for Depression, Anxiety,  Anger...
Frozen in Time - Dissociation Event Present Far Future_________________________            https://www.liferecoveryprogram...
Mind/Body Link“Your Beliefs Become Your Biology” STRESS  75-90% of physician visits are due to stress-related   ailments ...
Power of Mind/Body Connection   Placebo Effect (see also ―Nocebo Response‖)-   Efficacy of Prozac could not be distingui...
Epigenetics   DNA is not Destiny – Upgrading or    Downgrading your Genes   Consciousness – DNA – RNA – Proteinhttp://ww...
Meta Core Belief   “I can’t handle it”    Equals- Chronic State of Overwhelm              https://www.liferecoveryprogram....
How Rich or Poor Do You Feel?   ―Feeling poor‖ (and its corresponding core    beliefs creates its own stress-response) is...
Trauma Core BeliefsTrauma will often bring about feelings of shame, self-blameand often what’s known as ―survivor guilt‖ t...
Addictions & Mental Health Cont.Attempting to treat addiction without treating theunderlying, co-occuring mental health/tr...
Resources:Scale of Balance - Cortisol or DHEA?   Rogers- ―Recovery is in Relationship‖- Surrogate    Family   CBT- ―Appl...
Resources:Scale of Balance - Cortisol or DHEA?   Neurofeedback- Self-Regulation   Control, Support, Outlets, Predictabil...
Resources:Scale of Balance - Cortisol or DHEA? Laughter & Gene Expression (Epigenetics) Journalling- Metacognition (woun...
Resources:Scale of Balance - Cortisol or DHEA? Qi Gong, Tai Chi (Mayo Clinic)- ‖Better to Meditate  than to Medicate‖ Mi...
Please join our community andshare your voice…https://www.facebook.com/LifeRecoveryProgram#https://twitter.com/paulradkows...
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Liferecoveryprogram2013

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Trauma experience(s) can create a state of severe-chronic stress disrupting cognitive, emotional, social and physical development. Studies show that it is a catalyst for the majority of society’s mental/physical illnesses (including addiction, anxiety, depression, co-occurring issues) which can culminate into early death. The mind/body link of trauma will be explored as well as treatment approaches.

-Understand how trauma can create a “3rd degree emotional burn” which can
lead to destructive thoughts, choices and relationships.

-Discover how this “emotional burn” can lead to addictions and other
“using to soothe” behaviours.

-Can traumatic experiences actually shorten your life? You’ll be
surprised what some studies have shown.

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Liferecoveryprogram2013

  1. 1. Origins of Addiction, Frozen In Time: Is Past Trauma Causing You or Your Clients to Experience a Slow & Early Death? Feb 7, 2013 Presented by Paul Radkowski, MTS(PC), OACCPP, IAAOC, IAMFC Psychotherapist, CEO/Clinical Director: Life Recovery Program http://www.lifrecoveryprogram.com Copyright 2013
  2. 2. Paul Radkowski, MTS, Psychotherapist, CEO/Clinical Director, Life Recovery Program In addition to his extensive work in Addiction, he has consulted with numerous agencies, hospitals and treatment settings working with groups, families and individuals as a Family and Marriage Therapist, Crisis Counselor and Trauma Specialist. Paul is the recipient of "Outstanding Addictions Professional Award" which was awarded by the International Association of Addiction & Offender Counselors (a division of the American Counseling Association) and the very first recipient of the Ontario Association of Consultants, Counsellors, Psychometrists & Psychotherapists "Recognition Award for Outstanding Service and Contribution in the Field of Mental Health―Please join our community and share your voice…https://www.facebook.com/LifeRecoveryProgram#https://twitter.com/paulradkowskihttps://liferecoveryprogram.com http://www.lifrecoveryprogram.com Copyright 2013
  3. 3. Overview Introduction What is Trauma? Working Definition & Model Impacts of Trauma- Adverse Childhood Experiences (ACE) Study Core Beliefs, Stress & the Physiology of Trauma Neuroscience, Psychoneuroimmunology (PNI) & the Mind/Body Link Overcoming Trauma & Addiction – Techniques & Resources (Moderating Effects) https://www.liferecoveryprogram.com/ copyright 2013
  4. 4. CCSA- Trauma Informed PracticeGiven that the experience of trauma is commonly associated withsubstance abuse, to meaningfully facilitate change and healing,substance use treatment providers must help people make theconnections between their experience of trauma and theirproblematic substance use or mental health concerns. How we make our services emotionally and physically safe, as well as how we create opportunities for learning, the building of coping skills and the experience of choice and control, can make a significant difference in client engagement, retention and outcomes.http://www.cnsaap.ca/SiteCollectionDocuments/PT-Trauma-informed-Care-2012-01-en.pdf https://www.liferecoveryprogram.com/ copyright 2013
  5. 5. CCSA- Trauma Informed PracticeA multi-side study funded by the Substance Abuse MentalHealth Services Administration in the United States found that integrated, trauma-informed models of substance use andmental health treatment for women were more effective thantreatment that was not trauma-informed—and did not cost more. Trauma-informed services take into account an understanding of trauma in all aspects of service delivery and place priority on trauma survivors’ safety, choice and control. They create a treatment culture of nonviolence, learning and collaboration . Working in a trauma-informed way does not necessarily require disclosure of trauma. Rather, services are provided in ways that recognize needs for physical and emotional safety, as well as choice and control in decisions affecting one’s treatment. https://www.liferecoveryprogram.com/ copyright 2013
  6. 6. A More Inclusive Definition of Trauma: Experience vs. Event It is any occurrence in the past which, when you think of it now or is triggered by a present or recent event, brings up difficult emotions and/or physical symptoms which can result in destructive beliefs, compulsions, desires, addictions or dissociation. (Shapiro, 2005) Trauma occurs when an external threat overwhelms a person’s internal and external positive coping resources. (Bloom & Fallot, 2009) https://www.liferecoveryprogram.com/ copyright 2013
  7. 7. Trauma: A State of Severe & Chronic StressA Trauma is much like a ―third degreeemotional burn‖ that lingers long afteryou have gotten ―out of the fire‖ whichwill often lead to highly distressingthoughts and feelings (in which people often resort to addictions as an attempt to soothe).Research indicates that 55-99% of folks whostruggle with addiction correlates to underlyingAxis I issues, most commonly Trauma (Fullilove et al., 1993; Grice etal., 1995; Miller et al., 1993; NaJavits et al., 1995; Rounsaville et al., 1982; Yandow, 1989; Ouimette, Kimerling,Shaw & Moos, 2000) https://www.liferecoveryprogram.com/ copyright 2013
  8. 8. Simple PTSDA single traumatic incident,shorter in duration, later indevelopment (life), lessstigma attached to it (i.e. caraccident), less often interpersonal (i.e. done by otherpeople) https://www.liferecoveryprogram.com/ copyright 2013
  9. 9. Complex PTSD Multiple Traumatic events, longer in duration, earlier in development/childhood (first 5 - 12 yrs), greatersocial stigma (i.e. sexual abuse,domestic violence), childhood abuseis often followed by adult abuseexperiences (re-victimization). https://www.liferecoveryprogram.com/ copyright 2013
  10. 10. Impacts: ACE Studyhttp://www.acestudy.org/files/ARV1N1.pdfCentre for Disease Control teamed up with KaiserPermanente to develop the largest study of its kindever conducted (more than 17,000 studyparticipants) to determine the range of how adversechildhood experiences and healthrelated outcomes and addictionsintersected.The effect studied was unprecedented. https://www.liferecoveryprogram.com/ copyright 2013
  11. 11. Got Your ACE Score? http://acestoohigh.com/got-your-ace- score/ https://www.liferecoveryprogram.com/ copyright 2013
  12. 12. Among the Initial ACE Study Findings:ACEs Are Common…Two-thirds of participants reported atleast one ACE (i.e. Abuse, Neglect,Family Dysfunction- Mentally Ill, Incarcerated Parent etc.)ACEs Tend to Occur in Groups… Of persons who reported at least one ACE, 87% reported at least one other ACE 70% reported 2 or more others, and more than half had 3 or more others! https://www.liferecoveryprogram.com/ copyright 2013
  13. 13. How does this relate to addiction?Of those with higher ACE scores, when comparedto persons with an ACE score of 0, here are theresults :Those with an ACE score of 4 or more were Twice as likely to be smokers 12 times more likely to have attempted suicide 7 times more likely to be alcoholic and 10 times more likely to have injected street drugs. https://www.liferecoveryprogram.com/ copyright 2013
  14. 14. Only 1/3 of those studied had not hadadverse experiences and for those thatdid, their past was still affecting them(their health) 50 years later. The adageof “Time will heal all wounds” justdoesn’t add up. https://www.liferecoveryprogram.com/ copyright 2013
  15. 15. Early Trauma & Early Death https://www.liferecoveryprogram.com/ copyright 2013
  16. 16. Question…?What is one of the biggest challengesof the 12-Step model?Charlotte Kasl’s 16 step (empowerment) alternative -http://charlottekasl.com/16-step-program/ https://www.liferecoveryprogram.com/ copyright 2013
  17. 17. Trauma context questionOne time interview…“I see that you have experienced ..... Tell me how that hasaffected you later in your life?”(which reduced medical visits substantially in depressedpatients).Normalizing Model- i.e. “What has Happened to you?” vs.“What’s wrong with you?”http://www.acestudy.org/files/OriginsofAddiction.pdf https://www.liferecoveryprogram.com/ copyright 2013
  18. 18. See also... ―Psychogenic Dwarfism‖ ―Fetal Origins of Adult Disease‖ (psychosocial womb trauma) ―Thrifty phenotype‖ ―Dutch Winter Hunger Syndrome‖ https://www.liferecoveryprogram.com/ copyright 2013
  19. 19. Frozen in Time - Where are you?Frozen States Trances & DissociationTrauma An Explanation for Depression, Anxiety, Anger, Addiction etc... https://www.liferecoveryprogram.com/ copyright 2013
  20. 20. Frozen in Time - Dissociation Event Present Far Future_________________________ https://www.liferecoveryprogram.com/ copyright 2013
  21. 21. Mind/Body Link“Your Beliefs Become Your Biology” STRESS  75-90% of physician visits are due to stress-related ailments  Idiopathic Disorders i.e. “Functional Bowel Disorder” Stress & Psychoneuroimmunology (PNI) An interdisciplinary approach to the study of the interaction between psychological/emotional processes and the nervous, endocrine and immune systems of the human body https://www.liferecoveryprogram.com/ copyright 2013
  22. 22. Power of Mind/Body Connection Placebo Effect (see also ―Nocebo Response‖)- Efficacy of Prozac could not be distinguished from placebo in 6 out of 10 clinical trials (Moore, 1999) ---University of Connecticut- Meta- Analysis of FDA database of 47 of the most commonly prescribed anti- depressants. Verdict is______ Harvard Study- Physical Exertion + Beliefs (Bower, B. (2007, January 27). Mind over muscle: placebo boosts health benefit of exercise. Science News Online, 171 (4) UCLA Study- ―Act as if…‖ ―Immunological and physiological changes associated with induced positive and negative mood‖, Psychosomatic Medicine 56 (1994): 499 Mental Rehearsal Journal of Neurophysiology, 67(5): 114-1123 https://www.liferecoveryprogram.com/ copyright 2013
  23. 23. Epigenetics DNA is not Destiny – Upgrading or Downgrading your Genes Consciousness – DNA – RNA – Proteinhttp://www.cihr-irsc.gc.ca/e/43734.html https://www.liferecoveryprogram.com/ copyright 2013
  24. 24. Meta Core Belief “I can’t handle it” Equals- Chronic State of Overwhelm https://www.liferecoveryprogram.com/ copyright 2013
  25. 25. How Rich or Poor Do You Feel? ―Feeling poor‖ (and its corresponding core beliefs creates its own stress-response) is a predictor of health Does subjective social status predict health and change in health status better than objective status?Psychosom Med, 2005 Nov-Dec;67(6):855-61. Singh-Manoux, A; Marmot MG;Adler NE. https://www.liferecoveryprogram.com/ copyright 2013
  26. 26. Trauma Core BeliefsTrauma will often bring about feelings of shame, self-blameand often what’s known as ―survivor guilt‖ to a person (i.e.feeling guilty for being the only survivor of a plane crash).These toxic feelings of shame often accompany someonewith addictions (and/or other mental health issues).Guilt/blame/shame provokes its own major stress response, with a core belief of "I dont deserve to heal or to get overthis. I deserve to feel bad.‖ Guilt, blame/shame keeps peoplefeeling stuck, disempowered, immobilized /victimized whichcan further fuel addiction. https://www.liferecoveryprogram.com/ copyright 2013
  27. 27. Addictions & Mental Health Cont.Attempting to treat addiction without treating theunderlying, co-occuring mental health/traumaissue… is somewhat akin to putting a band-aidon a burn without properly removing the personfrom the fire that provided the burn in the firstplace. https://www.liferecoveryprogram.com/ copyright 2013
  28. 28. Resources:Scale of Balance - Cortisol or DHEA? Rogers- ―Recovery is in Relationship‖- Surrogate Family CBT- ―Applied Neuroscience‖ Hebb’s Law- Change Neurocircuitry & Change Neurochemistry- Challenge/Balance Core Beliefs TFAB- MBCT - Where do you feel it in your body? Virtual Environment Therapy- De-sensitization https://www.liferecoveryprogram.com/ copyright 2013
  29. 29. Resources:Scale of Balance - Cortisol or DHEA? Neurofeedback- Self-Regulation Control, Support, Outlets, Predictability i.e. Routine Exercise, Nutrition, Nutrigenomics Massage - Meta-Analysis "A 2004 meta-analysis of thirty-seven studies of massage therapy showed their effectiveness for the relief of anxiety and depression, with "benefits similar in magnitude to those of psychotherapy" alone.http://www3.uwstout.edu/faculty/moyerc/upload/MT-meta-analysis-PB2004.pdf https://www.liferecoveryprogram.com/ copyright 2013
  30. 30. Resources:Scale of Balance - Cortisol or DHEA? Laughter & Gene Expression (Epigenetics) Journalling- Metacognition (wound healing study) Schwartz- Internal Family Systems Model- Integrating the Parts-Subpersonalities http://acestoohigh.com/ Energy Psych EFT ―Holographic Memory Resolution‖ http://www.healingdimensions.com/ https://www.liferecoveryprogram.com/ copyright 2013
  31. 31. Resources:Scale of Balance - Cortisol or DHEA? Qi Gong, Tai Chi (Mayo Clinic)- ‖Better to Meditate than to Medicate‖ Mindfulness, Prayer No ―Pills Without Skills‖ NLR, NVH, Quick Coherence- No Self Acceptance… Means No Safety Effectiveness of online recovery/support resources http://www.drugfree.org/join- together/addiction/internet-changing-addiction- treatment-expert-says https://www.liferecoveryprogram.com/ copyright 2013
  32. 32. Please join our community andshare your voice…https://www.facebook.com/LifeRecoveryProgram#https://twitter.com/paulradkowskihttps://liferecoveryprogram.com/The Life Recovery Program is an evidence based, peer reviewed andinternationally awarded online wellness platform. Using technologicalinnovations, the Life Recovery Program provides systemic, holistic supportto those challenged by addictions, trauma, depression, anxiety, stress,and/or other impulse control behaviours. It includes supportive andinformative downloads, e-mails, grounding techniques, ebooks and aninteractive clinician-moderated peer-support forum to help you or the oneyou care about achieve optimal health. https://www.liferecoveryprogram.com/ copyright 2013

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