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How i met anxiety at age 7


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Exploring how anxiety and trauma can find us at any age and how we can learn to thrive with them in our lives.

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How i met anxiety at age 7

  1. 1. How I met anxiety Age 7 Louise Stanger Ed.D,LCSW,CSWF,CIP 2020
  2. 2. Trauma Mental Health Addiction The Uninvited Guests
  3. 3. About Dr. Louise -Clinician-Educator-Interventionist • “Interventionist of the Year” -2019 DB Resources and McLean Hospital-An Affiliate of Harvard • Falling Up A Memoir of Renewal- Amazon • The Clinicians Guide to Addiction Interventions-Routhledge, 2018 • Widow, Wife, Mother, Grandmother • Adventurer
  4. 4. How did you arrive ? Mindfull Mindfull
  5. 5. How do your clients arrive ?
  6. 6. At the end of the presentation participants will be able to : Identify, Describe and Discuss , How Clients and Families Come to your Practice Identify Describe and Discuss Addiction, Mental Health, Trauma ,Chronic Pain and Process Disorders Identify how Trauma, Shame , Guilt , Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves Identify how Growing Up in An Alcoholic Family can effect one Review evidence based strategies
  7. 7. At the end of the presentation Participants will be able to: Identify and Differentiate trauma as both objective and subjective and how it effects people over the life span Recognize how trauma can be precipitating factor which leads to a substance use disorder and vice versa the activities one engages in the midst of a substance use disorder can be traumatic Identify and Describe Addiction per ASAM new definition Describe and Discuss Qualitative Methods of Inquiry and Family Mapping as a Way into Story
  8. 8. Trauma Overwhelming experiencing that cannot be integrated and elicit animal defensive mechanisms and dysregulated arousal “A stress that causes physical or emotional harm that you cannot remove yourself from” Larke Huang , Director of Health Care Equity at SAMSHA
  9. 9. –Unknown Our Brains are wired for connection, Trauma rewires them for protection
  10. 10. Types of Trauma Acute Trauma - Results from a single incident Chronic Trauma is repeated such as verbal, domestic violence or abuse Complex Trauma is exposed to varied muklltiple events, often invasive interpersonal nature.
  11. 11. Epigenetic Trauma UCLA Studies Of Civil War Pows 2016 Epigenetic explores how changes occurred as a result of gene expression and may be changing the way we look at inherited disorders Epigenetic is showing that trauma can alter the biological behavior of cells that can be passed down to future generations Father -son-grandson showed higher mortality rates
  12. 12. Subjective and Objective Trauma
  13. 13. It Can Feel like You Are Whirling Thru a Tornado
  14. 14. I Met Trauma at a Young Age
  15. 15. Humiliation- Embarrassment The Act of Making Someone Inferior or Foolish You have Bad table manners. “ Your Father Committed Suicide!”
  16. 16. The Brain & Memory Amygdala - Alarm circuit Prefrontal cortex (Conscious thinking) Walking down the Street and think you see a snake
  17. 17. Trauma and Memory
  18. 18. Folks Are More Then Their Trauma Questions about life role Your place in life Coupled with a sense of loss Perhaps we have lost a core part of ourselves Sometimes we become still and quiet
  19. 19. Addiction -Attachment Disorder Values are lost as we attach to substances and other unhealthy behaviors
  20. 20. Definition of Addiction ASAM, Sept. 15, 2019 Addiction is a treatable, chronic medical disease involving complex interactions among brain circuits, genetic, the environment and an individuals life experiences. People with addiction use substances or engage in behaviors that become compulsive and often continue despite harmful consequences Prevention efforts and treatment approaches for addiction are generally as successful ann for other chronic diseases
  21. 21. Mental Health Issues Anxiety Depression Grief and Loss Narcissism PTSD Bi-Polar Personality Psychosis Phobias
  22. 22. Joseph
  23. 23. Combat Photographer
  24. 24. Trauma a can also be Related to Pain Body
  25. 25. Chole
  26. 26. Start Where Your Client Is
  27. 27. Client is the expert - Give them Control Over Their Recovery
  28. 28. Have you earned the right yo hear another story?
  29. 29. CDC Guiding Principles Safety Trustworthiness and Transparency Peer Support Collaboration and Mutuality Empowerment and choice Cultural, historical , gender issues
  30. 30. Benefits of Trauma Focused Therapy Reestablish safety Identify Triggers Develop Healthy Coping Skills Decrease in Traumatic Stress Symptoms Practice Trauma Processing or Integration
  31. 31. Family Mapping A Way into Story
  32. 32. Conversations will be non-linear
  33. 33. Qualitative Questions Tell Me about ……….. Tell me about your Family.. Tell me about your children, family, Grandparents etc
  34. 34. Whats most important ? To Establish Safety To Reframe Actions as Survivor Mechanisms Reduces Shame and Guilt Recognize the centrality of affect-regulation ability to self sooth Clear Boundaries
  35. 35. Evidenced Based Strategies EDMR Mindfulness Buddah META Breathing Somatic Psychodrama Yoga
  36. 36. Evidenced Based Therapy CBT ACT MI SFT DBT
  37. 37. Evidenced Based Strategies Music Therapy Art Therapy Sand Jungian Therapy Equine Therapy
  38. 38. Epigenetic Research & The Science of Inheritance Promising way off also helping to explain why: some family members will experience trauma other do not can potentially improve , minimize PTSD and the treatment plans Mindfulness and CBT have been found to increase brain plastic and establish new neural pathways
  39. 39. Meet Heidi
  40. 40. Meet Robert
  41. 41. 619-507-1699 Dr. Louise Stanger
  42. 42. Resources Stanger, Louise alcoholic-did-you-grow-up-in-a-confusing-family/ Stanger, Louise relieved-being-an-adult-child-of-alcoholic-informs-me/ Stanger, Louise happens-to-a-child-in-an-alcoholic-family/ sudden-deathandtrauma-influences-addiction-louise-stanger-ed-d-lcswcdwf-cip- and-james-flowers-phd-lpc-s/ Stanger, Louise, Falling Up:A Memoir of Renewal , 2016 available onAmazon
  43. 43. Resources Stanger, L & Weber, L. 2018. The Definitive Guide toAddiction Interventions-Collective Strategies . NY . Routhledge. Stanger, L. 2016. Falling Up-A memoir of Renewal. Ca. WZY Press. available onAmazon Stanger, L 2016. Learn to Thrive :An Intervention Guidebook (available at Stanger, L & Roger P. 2016-present Huffington Post, Thrive Global, The Sober World, Renew, Recovery View, DB Resources, Counselor Magazine etc. Stanger, L .& Flowers, J. 2016-present. Huffington Post, Thrive Global,The Sober World. Stanger, L & Holsomback, J. 2016-present. Huffington Post, Thrive Global, The Sober World. Stanger, L.
  44. 44. Resources Kopp, Sheldon- If You Meet The Buddah on the Road , Kill Him, 1982. Penguin House Random House, NY, NY Stanger, Louise. Falling Up-A Memoir of Renewal 2015, WZY Press Stanger, you_us_592f0f7ee4b0d80e3a8a329e Stanger differences-between-trauma-addiction_us_58f4e7aee4b048372700da27
  45. 45. Resources Brown, Brene- Rising Strong . Speiegel & Grau International 2015 NYC NY Brown, Brene, DaringGreatly. Gothom Books 2012 Lawrence Lightfoot,Sarah & Hoffman Jessica .TheArt and Science of Portraiture. Joey Bass. 1997 LawrenceLightfoot, S. Respect , 1998. Press Books, Mass. Lawrence, Lightfoot,S. I’ve Known Rivers , Penguin Publishing. Ny 1995 Lawrence, Lightfoot, S Growing Each Other Up, University of Chicago Press. 2016
  46. 46. Resources What’s Love Got to do with it -Boundaries and Relationships -Stanger Huffington Post The Sober World- Grandmother I have Something to Tell You, Stanger& Porter The Sober World-Parents and Teens in the Midst of an Opioid Crisis, Holomback& Stanger The Sober World: Parents , Teens, Marijuana , Stanger & Porter Recovery Campus-Freshman 101, Stanger& Porter Recovery Campus-Adulting It’s Hard to do , Stanger& Porter All articles and more are available on
  47. 47. Resources Kopp, Sheldon- If You Meet The Buddah on the Road , Kill Him, 1982. Penguin House Random House, NY, NY Stanger, Louise. Falling Up-A Memoir of Renewal 2015, WZY Press Stanger, you_us_592f0f7ee4b0d80e3a8a329e Stanger differences-between-trauma-addiction_us_58f4e7aee4b048372700da27
  48. 48. Resources Stanger articles management-and-opioid-addiction/http:// Stanger, Porter, Flowers Huffington Post-Trauma and Addiction addiction-whats-the-difference_us_58d14912e4b0e0d348b347f3 Flowers Articles, james-s-flowers-phd-lpc-s-and-angela-harris-msw-candidate Stanger,
  49. 49. Resources, Center for Child Trauma, Assessment Services and Interventions trauma