Successfully reported this slideshow.
We use your LinkedIn profile and activity data to personalize ads and to show you more relevant ads. You can change your ad preferences anytime.

Stefan sandstrom recovery process Power Point iCAAD Stockholm


Published on

Stefan sandstrom recovery process Power Point iCAAD Stockholm

Published in: Health & Medicine
  • Login to see the comments

  • Be the first to like this

Stefan sandstrom recovery process Power Point iCAAD Stockholm

  1. 1. Recovery process stefan sandström 2019
  2. 2. Three conclusions about substance abuse  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.
  3. 3. Trauma is probably the most common co-morbidity.  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)
  4. 4. 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:  Bullying  Physical punishment (child)  Psychological abuse  Physical neglect  Psychological neglect  Parents taking drugs  Parent mentally ill  Parents fighting (not physical)  Experiencing severe shame  Early abandonment
  5. 5. A viscious cirkle Trauma (violence, incest, abandonment, negligence etc.) Substance abuse (to regulate feelings) Resulting life-style (criminality, violence, prostitution etc.)
  6. 6. Flash-backs/ Acting out  Fight-mode:  Hits someone  Slams door  Anger tantrum  Destroys furniture, etc.  Threatening behaviour  Flight-mode:  Runs away  Anxiety attack  Drug craving  Freezes  Faints Q: Lack of Boundaries or Flash-backs
  7. 7. 2 problems that must be solved Trauma  Need for self-medication  Risk for relapse  Life-long suffering from trauma Disorganised attachment:  No trusting relationships  Living in a hostile environment  Lack of support  Inability to form functioning relationships:  Work (colleagues, bosses)  Home (neighbours)  Family (partner, children) Social rehabilitation means to get your relationships to function!
  8. 8. After-care: Constructing a life  Occupation: Work, Internship, Study  Economy, debts etc.  Residence  Interests  Social networks, friends Something to do A place to live Friends & interests