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Stefan sandstrom recovery process Power Point iCAAD Stockholm

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Stefan sandstrom recovery process Power Point iCAAD Stockholm

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Stefan sandstrom recovery process Power Point iCAAD Stockholm

  1. 1. Recovery process stefan sandström 2019 www.spfab.se
  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

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