Stefan sandstrom recovery process Power Point iCAAD Stockholm
stefan sandström 2019
Three conclusions about
People abuse drugs because they have
intolerable feelings (self-medication).
These feelings generally stem from trauma.
When acting out is dramatic it is almost always
the result of a flash-back.
Trauma is probably the most
Research on Trauma and PTSD
Includes ACE studies
EX: Between 36-50 % of those seeking
treatment for substance abuse suffered from
life-long PTSD (Brady et alt 2004)
Around 50 % of those seeking help for
dependency problems in Sweden suffered from
PTSD. (Persson and Magnusson 2014)
How common is trauma
PTSD according to DSM V
” Exposure to actual or
threatened death, serious
injury, or sexual violence.”
Or that you witness it.
Other early traumas:
Physical punishment (child)
Parents taking drugs
Parent mentally ill
Parents fighting (not physical)
Experiencing severe shame
Flash-backs/ Acting out
Destroys furniture, etc.
Q: Lack of Boundaries or Flash-backs
2 problems that must be solved
Need for self-medication
Risk for relapse
Life-long suffering from trauma
No trusting relationships
Living in a hostile environment
Lack of support
Inability to form functioning
Work (colleagues, bosses)
Family (partner, children)
Social rehabilitation means to get your relationships to function!
After-care: Constructing a life
Occupation: Work, Internship, Study
Economy, debts etc.
Social networks, friends
Something to do
A place to live Friends &