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Enhancing Trauma
Resiliency
Dr. Dawn-Elise Snipes PhD, LPC-MHSP
Executive Director: AllCEUs Counselor Education
Host: Counselor Toolbox Podcast
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 1
Objectives
 Learn about the effects of acute and
intergenerational trauma
 Review risk and protective factors for PTSD
 Identify strategies to enhance resiliency in
persons who have experienced past trauma
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 2
Effects of Lack of Resilience from
Primary and Intergenerational Trauma
 Anxiety and Depression
 PTSD
 Addictions
 Personality Disorders
 Relationship Issues
 Poverty / Reduced Success
 Stress Related Physical
Health Problems
 Intergenerational Trauma
 Attachment Issues
 Pessimism
 Rigid Thinking
 Lack of Psychological
Flexibility
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89
3
Signs of Resilience
 Optimism / Pessimism
 Empowerment / Helplessness
 Flexibility / Rigidity
 Confidence / Meekness/Anxiety
 Competence / Incompetence
 Insightfulness / Lack of Insight
 Perseverance / Gives Up Easily
 Perspective / Lack of Perspective
 Self Control / Dysregulation
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 4
PTSD Risk Factors
 Age
 Developmental level
 Prior history of trauma
 Prior history of mental health or substance abuse issues
(including autism and FASD)
 Number of stressors in the prior 6 months
 Availability of social support within 4/24/72 hours
 Effective problem solving & coping skills
 Effective distress tolerance skills
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 5
Protective Factors
 Psychological Flexibility
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 6
Here and
Now
Away Behaviors
Hypervigilance
Irritability/aggression
Addictive behaviors
Withdrawal/isolation
Gives up easily
Away Thoughts/Feelings
Anxiety
Anger
Pessimism
Distrust
Guilt
Loneliness
Lack of perspective
Toward Behaviors
Mindfulness
Patience
Vulnerability prevention
Seeking social support
Problem solving skills
Toward Thoughts/Feelings
Optimism
Curiosity/Perspective/Insight
Flexibility
Empowerment
Confidence
Trust
Competence
Self-Control
Protective Factors
 Mindfulness
 The awareness of the present moment and ones needs
in the moment without judgement
 Activities
5-4-3-2-1
What’s in the Room
 Word’s in a Word
 Scavenger Hunt – (i.e. All things green)
Noticing Log
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 7
Protective Factors
 Mindfulness/Vulnerability Prevention
 Morning/Evening (Whiteboard) Mindfulness
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89
8
Morning
• How did I sleep?
• Do I feel rested?
• Do I feel healthy?
• Do I have pain anywhere?
• What am I thinking about the most?
• How do I feel emotionally?
• What am I looking forward to?
• What am I dreading?
• What is one thing I am grateful for?
• What can I do to get energized for
the day?
Afterschool/Work Mindfulness
• How do I feel physically?
• How do I feel emotionally?
• What was the worst thing that
happened today?
• What was the best thing that
happened today?
• What do I want/need right now to
help me finish the day?
• Distress Tolerance Activities?
• Social Support?
• Food?
Protective Factors
 Mindfulness
 Evening
 How do I feel physically?
 Do I have pain anywhere?
 What am I thinking about the most?
 How do I feel emotionally?
 What is one thing I am grateful for today?
 What do I need to do so I can get relaxed enough to go to sleep?
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89
9
Distress Tolerance / Self Control
 Activities
 Contribute
 Comparisons (to when
you were in a worse
state, to how things
could be worse)
 Emotions
 Push Away
 Thoughts
 Sensations
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 10
 Imagery
 Meaning
 Prayer
 Relaxation
 One at a time
 Vacation
 Encouragement
Framing/Perspective Skills
 What is the evidence for and against that fear or
belief?
 Am I considering the big picture (all the factors)
 My active part
 My current situation and vulnerabilities that contributed
 Other people’s active part in it
 Transference issues
 Am I catastrophizing/confusing high and low
probability events
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 11
• Complaint
• Roof Damage
• Divorce
• Relationship Issues
• Team tryouts
• Grades
Problem Solving Skills
 Brainstorming– (Hand drawing for children, mind-
map for adults)
 Ask someone who has been through it
 How does this keep me from moving closer to my
goals and what can I do about it?
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 12
Flexibility
 Helps people learn that things won’t always go the way they
want, BUT it doesn’t mean it will be awful.
 Does not come easy to those with a “J” personality
 Identify things we need to be flexible in (vacations,
workouts, job duties, relationships, time management)
 Activities
 Choices Hat (meals, vacations, television programs)
 Schedule a spontaneous day
 How many uses game (Duct tape, coconut oil, plastic shopping
bags, cardboard boxes, wire coat hangers…)
 How are you like a…. game
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 13
Optimism
 Learned Optimism (Martin Seligman)
 The traumatized brain stays on alert and notices the dangers
or potential threats
 Teaching people to identify the good things as well can be
helpful (Hardiness, Kobasa 1979; ACT Russ Harries, Steven
Hayes; DBT Marsh Linehan)
 Commitment – The current situation is unfortunate AND what
other aspects of your life are you committed to which are
going okay? (Dialectics, Living in the AND)
 Control—What parts of this situation can you control? What
aspects of the other parts of your life are in your control?
 Challenge—In what ways can the current situation be viewed as
a challenge or obstacle instead of a barrier?
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 14
Optimism
 Learned Optimism (Martin Seligman)
 Activities
Positive journaling
Gratitude (wall, tree, branch)
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 15
Empowerment
 Activities
 Learn about others like you who have overcome
challenges
 Break big tasks into small steps
 Give credit where credit is due. “I did that” wall
 Make a “My support” list
 Make sure not to put all your eggs in one basket.
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 16
Confidence and Competence
 When people feel incompetent and lack confidence, the
world seems much more threatening and they can feel
more helpless.
 Signature strengths
 Ad campaign
 Body Poster / Collage
 “Biography”
 Who I look up to…
 Personal scrapbook of accomplishments
 Emotional/Courage/Perseverance/Dedication
 Physical
 Mental/Occupational/Creativity/Hobbies
 Interpersonal/Friendship/Patience/Advocacy
 Spiritual
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89
17
Confidence and Competence
 Signature strengths
 Goals Workbook
My Goal
 Why I want it
 What could stand in my way
 How I can deal with that
 The steps to get it
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 18
Perseverance
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89
19
 From a young age it can be difficult to keep going in the
face of adversity, especially if you are already stressed
and feeling disempowered.
 Activities
 Scaffolding (Tying shoes, doing laundry, reading a book)
 For adults--Mentorship
 Chunk It
 Decisional Balance
Quitting Keeping On
Benefits
Drawbacks
Social Support and Connectedness
 Social support is a great resource when trauma
knocks people off balance
 Developing Connectedness
 Participate in hobby groups
 Join clubs, faith organizations
 Put effort into developing relationships
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 20
Prevention and Preparedness
 Have a plan
 Finances or resources
 Housing
 Medical
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 21
Summary
 Trauma can enhance feelings of disconnectedness,
helplessness and anxiety.
 Trauma impacts people emotionally, mentally,
physically, interpersonally, occupationally
 By helping people develop trauma resiliency we
can assist them in preventing PTSD after a trauma
and breaking the cycle of intergenerational
trauma
AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 22

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Enhancing trauma resiliency

  • 1. Enhancing Trauma Resiliency Dr. Dawn-Elise Snipes PhD, LPC-MHSP Executive Director: AllCEUs Counselor Education Host: Counselor Toolbox Podcast AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 1
  • 2. Objectives  Learn about the effects of acute and intergenerational trauma  Review risk and protective factors for PTSD  Identify strategies to enhance resiliency in persons who have experienced past trauma AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 2
  • 3. Effects of Lack of Resilience from Primary and Intergenerational Trauma  Anxiety and Depression  PTSD  Addictions  Personality Disorders  Relationship Issues  Poverty / Reduced Success  Stress Related Physical Health Problems  Intergenerational Trauma  Attachment Issues  Pessimism  Rigid Thinking  Lack of Psychological Flexibility AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 3
  • 4. Signs of Resilience  Optimism / Pessimism  Empowerment / Helplessness  Flexibility / Rigidity  Confidence / Meekness/Anxiety  Competence / Incompetence  Insightfulness / Lack of Insight  Perseverance / Gives Up Easily  Perspective / Lack of Perspective  Self Control / Dysregulation AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 4
  • 5. PTSD Risk Factors  Age  Developmental level  Prior history of trauma  Prior history of mental health or substance abuse issues (including autism and FASD)  Number of stressors in the prior 6 months  Availability of social support within 4/24/72 hours  Effective problem solving & coping skills  Effective distress tolerance skills AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 5
  • 6. Protective Factors  Psychological Flexibility AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 6 Here and Now Away Behaviors Hypervigilance Irritability/aggression Addictive behaviors Withdrawal/isolation Gives up easily Away Thoughts/Feelings Anxiety Anger Pessimism Distrust Guilt Loneliness Lack of perspective Toward Behaviors Mindfulness Patience Vulnerability prevention Seeking social support Problem solving skills Toward Thoughts/Feelings Optimism Curiosity/Perspective/Insight Flexibility Empowerment Confidence Trust Competence Self-Control
  • 7. Protective Factors  Mindfulness  The awareness of the present moment and ones needs in the moment without judgement  Activities 5-4-3-2-1 What’s in the Room  Word’s in a Word  Scavenger Hunt – (i.e. All things green) Noticing Log AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 7
  • 8. Protective Factors  Mindfulness/Vulnerability Prevention  Morning/Evening (Whiteboard) Mindfulness AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 8 Morning • How did I sleep? • Do I feel rested? • Do I feel healthy? • Do I have pain anywhere? • What am I thinking about the most? • How do I feel emotionally? • What am I looking forward to? • What am I dreading? • What is one thing I am grateful for? • What can I do to get energized for the day? Afterschool/Work Mindfulness • How do I feel physically? • How do I feel emotionally? • What was the worst thing that happened today? • What was the best thing that happened today? • What do I want/need right now to help me finish the day? • Distress Tolerance Activities? • Social Support? • Food?
  • 9. Protective Factors  Mindfulness  Evening  How do I feel physically?  Do I have pain anywhere?  What am I thinking about the most?  How do I feel emotionally?  What is one thing I am grateful for today?  What do I need to do so I can get relaxed enough to go to sleep? AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 9
  • 10. Distress Tolerance / Self Control  Activities  Contribute  Comparisons (to when you were in a worse state, to how things could be worse)  Emotions  Push Away  Thoughts  Sensations AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 10  Imagery  Meaning  Prayer  Relaxation  One at a time  Vacation  Encouragement
  • 11. Framing/Perspective Skills  What is the evidence for and against that fear or belief?  Am I considering the big picture (all the factors)  My active part  My current situation and vulnerabilities that contributed  Other people’s active part in it  Transference issues  Am I catastrophizing/confusing high and low probability events AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 11 • Complaint • Roof Damage • Divorce • Relationship Issues • Team tryouts • Grades
  • 12. Problem Solving Skills  Brainstorming– (Hand drawing for children, mind- map for adults)  Ask someone who has been through it  How does this keep me from moving closer to my goals and what can I do about it? AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 12
  • 13. Flexibility  Helps people learn that things won’t always go the way they want, BUT it doesn’t mean it will be awful.  Does not come easy to those with a “J” personality  Identify things we need to be flexible in (vacations, workouts, job duties, relationships, time management)  Activities  Choices Hat (meals, vacations, television programs)  Schedule a spontaneous day  How many uses game (Duct tape, coconut oil, plastic shopping bags, cardboard boxes, wire coat hangers…)  How are you like a…. game AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 13
  • 14. Optimism  Learned Optimism (Martin Seligman)  The traumatized brain stays on alert and notices the dangers or potential threats  Teaching people to identify the good things as well can be helpful (Hardiness, Kobasa 1979; ACT Russ Harries, Steven Hayes; DBT Marsh Linehan)  Commitment – The current situation is unfortunate AND what other aspects of your life are you committed to which are going okay? (Dialectics, Living in the AND)  Control—What parts of this situation can you control? What aspects of the other parts of your life are in your control?  Challenge—In what ways can the current situation be viewed as a challenge or obstacle instead of a barrier? AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 14
  • 15. Optimism  Learned Optimism (Martin Seligman)  Activities Positive journaling Gratitude (wall, tree, branch) AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 15
  • 16. Empowerment  Activities  Learn about others like you who have overcome challenges  Break big tasks into small steps  Give credit where credit is due. “I did that” wall  Make a “My support” list  Make sure not to put all your eggs in one basket. AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 16
  • 17. Confidence and Competence  When people feel incompetent and lack confidence, the world seems much more threatening and they can feel more helpless.  Signature strengths  Ad campaign  Body Poster / Collage  “Biography”  Who I look up to…  Personal scrapbook of accomplishments  Emotional/Courage/Perseverance/Dedication  Physical  Mental/Occupational/Creativity/Hobbies  Interpersonal/Friendship/Patience/Advocacy  Spiritual AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 17
  • 18. Confidence and Competence  Signature strengths  Goals Workbook My Goal  Why I want it  What could stand in my way  How I can deal with that  The steps to get it AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 18
  • 19. Perseverance AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 19  From a young age it can be difficult to keep going in the face of adversity, especially if you are already stressed and feeling disempowered.  Activities  Scaffolding (Tying shoes, doing laundry, reading a book)  For adults--Mentorship  Chunk It  Decisional Balance Quitting Keeping On Benefits Drawbacks
  • 20. Social Support and Connectedness  Social support is a great resource when trauma knocks people off balance  Developing Connectedness  Participate in hobby groups  Join clubs, faith organizations  Put effort into developing relationships AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 20
  • 21. Prevention and Preparedness  Have a plan  Finances or resources  Housing  Medical AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 21
  • 22. Summary  Trauma can enhance feelings of disconnectedness, helplessness and anxiety.  Trauma impacts people emotionally, mentally, physically, interpersonally, occupationally  By helping people develop trauma resiliency we can assist them in preventing PTSD after a trauma and breaking the cycle of intergenerational trauma AllCEUs Unlimited CEUs $59 | Addiction Counselor Certificate Training $149 | Specialty Certificates $89 22