The document provides an agenda for a training session on anxiety, trauma, and stress for practitioners working with clients with co-occurring disorders. The agenda includes: a check-in, a review of a stress video and discussion, a presentation on signs and symptoms of anxiety disorders and how stress relates, a discussion on trauma experienced by clients and practitioners, a preview of the next session, and a question period. The document also includes supplementary materials on anxiety disorders, trauma-informed practices, secondary trauma, and self-care strategies.
Not Criminally Responsible. You may have heard this term used in the news or in movies but what does it really mean? At our most recent Conversations at The Royal lecture, we answered this and many other questions about what it means to be a forensic client.
The evening was presented by Dr. Diane Hoffman-Lacombe, Dr. Anik Gosselin, and Raphaela Fleisher, from the Integrated Forensic program at The Royal.
CERIC funded a province wide research study focused on understanding the barriers people with mental health problems face when accessing employment counselling services. Sponsored by the NSCDA.
Presentation by Michael Sheehan, from Relationships Australia WA - Whose recovery is it anyway? The risk of imposing our notions of what recovery "should" be in recovery-focused mental health services. Presented at the Western Australian Mental Health Conference 2019.
Not Criminally Responsible. You may have heard this term used in the news or in movies but what does it really mean? At our most recent Conversations at The Royal lecture, we answered this and many other questions about what it means to be a forensic client.
The evening was presented by Dr. Diane Hoffman-Lacombe, Dr. Anik Gosselin, and Raphaela Fleisher, from the Integrated Forensic program at The Royal.
CERIC funded a province wide research study focused on understanding the barriers people with mental health problems face when accessing employment counselling services. Sponsored by the NSCDA.
Presentation by Michael Sheehan, from Relationships Australia WA - Whose recovery is it anyway? The risk of imposing our notions of what recovery "should" be in recovery-focused mental health services. Presented at the Western Australian Mental Health Conference 2019.
Objectives:
Describe and Discuss Depression, Stress and Anxiety in the Medical Community
State statistics as it relates to physicians and suicicide including the “July’ Effect
Explain the correlation between depression and addiction as it manifests itself in this population
Demonstrate the efficacy of a robust bi0-psycho-social and questions
Recommend strategies within medical practices and hospitals to reduce risk
OBJECTIVES:
Identify, Describe How Clients and Families Come to your Practice
Identify , Describe and Discuss Addiction, Mental Heath , Trauma , Chronic Pain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
As any clinician knows, every year witnesses the introduction of new treatment models. Invariably, the developers and proponents claim superior effectivess of the approach over existing treatments. In the last decade or so, such claims, and the publication of randomized clinical trials, has enabled some to assume the designation of an "evidence-based practice" or "empirically supported treatment." Training, continuing education, funding, and policy changes follow.
With the ongoing opioid epidemic, availability or marijuana and other drugs addiction has become a problem with no class lines. The story of pain medication following surgery leading to opioid addiction and heroin is everywhere.
As Executive Protection you may not of thought of this as part of your job description , and you are in a unique position of Influence and Trust to identify and help intervene when the persons with problems are clients and their loved ones.
Psychological first aid (pfa) in disasterSaleh Uddin
Weekly journal club topic presentatio of department of Psychiatry. Bangladesh is disaster prone country. Disaster psychiatry is very relevant here. Hope this ppt will provide mental health professional a little idea about PFA , disaster psychiatry and disaster management.
Describe and Define Standard of Care & Ethics
Describe and Define Laws
Identify Top Ethical Issues visa vie Snowball Sample
Recommend Ethical Decision
Making Models
CARE Challenge Providers to Develop Mission, and Ethics Statements for Behavioral Health Care Centers
Objectives:
Describe and Discuss Depression, Stress and Anxiety in the Medical Community
State statistics as it relates to physicians and suicicide including the “July’ Effect
Explain the correlation between depression and addiction as it manifests itself in this population
Demonstrate the efficacy of a robust bi0-psycho-social and questions
Recommend strategies within medical practices and hospitals to reduce risk
OBJECTIVES:
Identify, Describe How Clients and Families Come to your Practice
Identify , Describe and Discuss Addiction, Mental Heath , Trauma , Chronic Pain and Process Disorders
Identify how Trauma, Shame ,Guilt, Humiliation, Embarrassment , Grief and Loss Effect Ones Story about Themselves
As any clinician knows, every year witnesses the introduction of new treatment models. Invariably, the developers and proponents claim superior effectivess of the approach over existing treatments. In the last decade or so, such claims, and the publication of randomized clinical trials, has enabled some to assume the designation of an "evidence-based practice" or "empirically supported treatment." Training, continuing education, funding, and policy changes follow.
With the ongoing opioid epidemic, availability or marijuana and other drugs addiction has become a problem with no class lines. The story of pain medication following surgery leading to opioid addiction and heroin is everywhere.
As Executive Protection you may not of thought of this as part of your job description , and you are in a unique position of Influence and Trust to identify and help intervene when the persons with problems are clients and their loved ones.
Psychological first aid (pfa) in disasterSaleh Uddin
Weekly journal club topic presentatio of department of Psychiatry. Bangladesh is disaster prone country. Disaster psychiatry is very relevant here. Hope this ppt will provide mental health professional a little idea about PFA , disaster psychiatry and disaster management.
Describe and Define Standard of Care & Ethics
Describe and Define Laws
Identify Top Ethical Issues visa vie Snowball Sample
Recommend Ethical Decision
Making Models
CARE Challenge Providers to Develop Mission, and Ethics Statements for Behavioral Health Care Centers
Supporting the mental health and wellbeing of Anaesthetists. What can the workplace do? Presentation by Hunter Institute of Mental Health Director, Jaelea Skehan.
1.1.8 AWHN Conference 6 2010 Federation:
A Socially Sensitive CBT-Based Model For Working at the Intersections of Gender, (Past) Interpersonal Violence and Abuse and Mental Health/Illness
Mental health and psychosocial disorders are pervasive throughout the business world. Leadership needs to understand the cost benefits of incorporating these issues into existing safety and health management systems to improve the livelihoods of bot workers and their families. By improving policy, programs and procedures, everyone benefits from a better working environment, climate and culture.
This workshop was presented at the Queensland Mining Industry Health and Safety Conference 2014 and presents progress on the Working Well Program and ways to support mental health in the workplace.
Becoming a Trauma Informed Addictions Counselor using a Source-Focused Model Denice Colson
Being "trauma-informed" is the standard for best-practices. Learn what that means and the 4 developmental levels of trauma care, from "trauma-informed" to "trauma expert". Included is a description of a new, spiritually integrated model for treating and facilitating the healing of past trauma.
James Caringi, PhD Presentation at 2016 Science of HOPE
Description:
Secondary Traumatic Stress (STS) is defined as, “the natural and consequent behaviors and emotions resulting from knowing about a traumatizing event experienced by a significant other, the stress resulting from helping or wanting to help a traumatized or suffering person” (Figley, 1995). Professionals and caregivers frequently work with individuals, families, groups, and communities who have experienced multiple adverse childhood experience (ACE) traumas and as a result, are at high risk for experiencing STS. Secondary Traumatic Stress can lead to personal health issues, loss of productivity, and turnover and therefore should be a concern for practitioners and administrators.
This presentation will address the causes of STS and offer ideas for both prevention and recovery. In addition, findings from empirical research projects examining STS, burnout, and peer support will be reviewed. Methods to create a trauma informed organization that can both prevent and mitigate the impact of STS will be reviewed and critiqued. Finally, the presenter will facilitate an action research process designed to enable participants to begin the development of self-care plans that they can use in their organizations.
Maria Cambiaso | How to Choose a Psychologist?Maria Cambiaso
Maria Cambiaso: At some time in our lives, each of us may feel overwhelmed and may need help dealing with our problems. So we need outside help from a trained, licensed professional in order to work through these problems.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
HOT NEW PRODUCT! BIG SALES FAST SHIPPING NOW FROM CHINA!! EU KU DB BK substit...GL Anaacs
Contact us if you are interested:
Email / Skype : kefaya1771@gmail.com
Threema: PXHY5PDH
New BATCH Ku !!! MUCH IN DEMAND FAST SALE EVERY BATCH HAPPY GOOD EFFECT BIG BATCH !
Contact me on Threema or skype to start big business!!
Hot-sale products:
NEW HOT EUTYLONE WHITE CRYSTAL!!
5cl-adba precursor (semi finished )
5cl-adba raw materials
ADBB precursor (semi finished )
ADBB raw materials
APVP powder
5fadb/4f-adb
Jwh018 / Jwh210
Eutylone crystal
Protonitazene (hydrochloride) CAS: 119276-01-6
Flubrotizolam CAS: 57801-95-3
Metonitazene CAS: 14680-51-4
Payment terms: Western Union,MoneyGram,Bitcoin or USDT.
Deliver Time: Usually 7-15days
Shipping method: FedEx, TNT, DHL,UPS etc.Our deliveries are 100% safe, fast, reliable and discreet.
Samples will be sent for your evaluation!If you are interested in, please contact me, let's talk details.
We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
Follow us on: Pinterest
Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
3. • Welcome and Check in
• Review Learning Activity-Stress Video and
Discussion
Welcome
• Signs and Symptoms of Anxiety Disorders
• Trauma of clients and practitioners
• How stress relates to all of this
Presentation
• Preview of next week
• Assign Learning Activity
• Questions
Summary
Agenda
4. • What has been
helpful so far in
the series?
• What would be
helpful as we
move forward?
How are we doing?
5. How are you managing the stress and trauma from your work?
Learning Activity
6. • Was there anything in the video that was new
information to you? Surprising? Hard to believe?
• How could this information be helpful for those that
you are here to help? How could this information
help you with your stress levels?
• Is stress an issue with the people that are coming
to seek services? In what way is it affecting their
treatment outcomes?
• Does your agency do anything to monitor or deal
with the stress of the people seeking your
services?
• Does your agency do anything to assist you as an
employee with your stress levels?
• What is the most important thing that you took
away from watching this video?
Let’s Talk!
8. Did You Know?
•Anxiety disorders are the most common mental illness in the U.S., affecting 40
million adults in the United States age 18 and older, or 18.1% of the population
every year.
•Anxiety disorders are highly treatable, yet only 36.9% of those suffering
receive treatment.
•People with an anxiety disorder are three to five times more likely to go to the
doctor and six times more likely to be hospitalized for psychiatric disorders than
those who do not suffer from anxiety disorders.
•Anxiety disorders develop from a complex set of risk factors, including
genetics, brain chemistry, personality, and life events.
Anxiety & Depression
9. The five major types of anxiety
disorders are:
Generalized Anxiety Disorder
Obsessive-Compulsive Disorder (OCD)
Panic Disorder
Post-Traumatic Stress Disorder (PTSD)
Social Phobia (or Social Anxiety Disorder)
US Dept. of Health and Human Services
10. Generalized Anxiety
Disorder, GAD, is an
anxiety disorder
characterized by
chronic anxiety,
exaggerated worry and
tension, even when
there is little or nothing
to provoke it-(hhs.gov)
Generalized
Anxiety Disorder
11. Obsessive-Compulsive
Disorder, OCD, is an anxiety
disorder and is characterized by
recurrent, unwanted thoughts
(obsessions) and/or repetitive
behaviors (compulsions).
Repetitive behaviors such as
hand washing, counting,
checking, or cleaning are often
performed with the hope of
preventing obsessive thoughts
or making them go away.
Performing these so-called
"rituals," however, provides only
temporary relief, and not
performing them markedly
increases anxiety-(hhs.gov)
Obsessive-Compulsive
Disorder (OCD)
12. Panic disorder is an anxiety
disorder and is
characterized by
unexpected and repeated
episodes of intense fear
accompanied by physical
symptoms that may include
chest pain, heart
palpitations, shortness of
breath, dizziness, or
abdominal distress.-
(hhs.gov)
Panic Disorder
13. Social Phobia, or Social
Anxiety Disorder, is an
anxiety disorder
characterized by
overwhelming anxiety and
excessive self-
consciousness in everyday
social situations. Social
phobia can be limited to only
one type of situation - such
as a fear of speaking in
formal or informal situations,
or eating or drinking in front
of others - or, in its most
severe form, may be so
broad that a person
experiences symptoms
almost anytime they are
around other people-
(hhs.gov)
Social Phobia (or Social
Anxiety Disorder)
14. Post-Traumatic Stress
Disorder, PTSD, is an
anxiety disorder that can
develop after exposure to a
terrifying event or ordeal in
which grave physical harm
occurred or was threatened.
Traumatic events that may
trigger PTSD include violent
personal assaults, natural or
human-caused disasters,
accidents, or military
combat.
Post-Traumatic Stress
Disorder (PTSD)
15. • Why is it important to understand anxiety
when treating those with SUDs?
• Is anxiety something that you see often in
your practice?
• How do you or your agency refer or assist
those in your services with these
disorders? How are they recognized? How
are they addressed?
Questions to Ponder…
16. • Are they severe enough to warrant specific
mental health treatment, even if symptoms are
caused by substance use?
• Is the patient able to manage the activities of
daily living?
• Can he or she cope with any emotional,
behavioral or cognitive problems?-(ASAM 2013)
Consider how depressive
disorders or suicidal ideation
can affect this dimension.
ASAM-Dimension 3 Continued
19. • APA.ORG
• Mirror neurons are a type of brain cell that respond equally when we perform
an action and when we witness someone else perform the same action.
• They were first discovered in the early 1990s, when a team of Italian
researchers were observing monkeys.-(Mirror 2012)
Mirror Neurons
22. • Safety -Throughout the organization, staff and the people they serve feel physically and psychologically safe.
• Trustworthiness and transparency -Organizational operations and decisions are
conducted with transparency and the goal of building and maintaining trust among staff, clients, and family members
of those receiving services.
• Peer support and mutual self-help-These are integral to the organizational and
service delivery approach and are understood as a key vehicle for building trust, establishing safety, and
empowerment.
• Collaboration and mutuality - There is true partnering and leveling of power differences
between staff and clients and among organizational staff from direct care staff to administrators. There is recognition
that healing happens in relationships and in the meaningful sharing of power and decision-making. The organization
recognizes that everyone has a role to play in a trauma-informed approach. One does not have to be a therapist to be
therapeutic.
• Empowerment, voice, and choice-Throughout the organization and among the
clients served, individuals' strengths are recognized, built on, and validated and new skills developed as necessary.
The organization aims to strengthen the staff's, clients', and family members' experience of choice and recognize that
every person's experience is unique and requires an individualized approach. This includes a belief in resilience and
in the ability of individuals, organizations, and communities to heal and promote recovery from trauma. This builds on
what clients, staff, and communities have to offer, rather than responding to perceived deficits.
• Cultural, historical, and gender issues -The organization actively moves past
cultural stereotypes and biases (e.g., based on race, ethnicity, sexual orientation, age, geography), offers gender
responsive services, leverages the healing value of traditional cultural connections, and recognizes and addresses
historical trauma.
Trauma Informed Practice(TIP 57)
23. • 1. What kinds of trauma are
people that seek your services
dealing with?
• 2. How common is this in your
setting? Are some populations
affected by this more?
• 3. What are ways that we could
be addressing this in a more
productive way?
• 4. What are things that we are
already doing that help address
this in productive ways?
GROUP DISCUSSION
24. • Building a trauma-informed workforce that
includes in-depth training to enhance
understanding of the impact of trauma on
individuals and among providers
(i.e., secondary traumatization); screening,
assessment, and referral processes; and
other trauma-specific counselor
competencies and ethics
One Main Concept-Tip 57
25. • -SAMHSA (Tip
57)
15.2 % reported secondary trauma as a result of indirect
exposure to trauma material Then meeting the diagnostic
criteria for PTSD.
This rate is almost 2x the rate of PTSD in the general
population.
In a study LMSW’s
26. -SAMHSA (TIP 57)
• Psychological distress
• Somatic issues
• Cognitive shifts
• Relational disturbances
• Changes in Frames of reference
Signs of Secondary Trauma
27. -SAMHSA (TIP 57)
• Peer support
• Supervision and consultation
• Training
• Personal counseling
• Maintaining balance in one’s life
• Engaging in spiritual activities that provide meaning and perspective
Prevention of Secondary Trauma
28. Break into groups of 3-4
Discuss the following questions:
1. What kinds of trauma are you experiencing at
work?
2. What are ways that we could be addressing
this in a more productive way?
3. What are things that we are already doing
that help address this in productive ways?
4. What are ways that trauma, anxiety and
stress affect the populations that you serve?
SMALL GROUP
DISCUSSION
37. Watch Videos and Consider Questions
-View Video “Personality Disorders Crash Course Psychology#34”
http://www.youtube.com/watch?v=4E1JiDFxFGk
-Watch the video “Dilectic Behavioral Therapy (DBT) Simply Explained”
https://www.youtube.com/watch?v=wRBw_Iti3Ww
Be prepared to Discuss Next Week!
Learning Activity-Week #3
