Final trick, treat, trauma
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At the end of the presentation, you will be able to: Identify, Describe and Discuss, How Clients and Families Come to your Practice Identify Describe and Discuss Addiction, Mental Health, Trauma, Chronic Pain and Process Disorders Identify how Trauma, Shame, Guilt, Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves Identify how Growing Up in An Alcoholic Family can effect one Review evidence based strategies Identify and Differentiate trauma as both objective and subjective and how it effects people over the life span Recognize how trauma can be precipitating factor which leads to a substance use disorder and vice versa the activities one engages in the midst of a substance use disorder can be traumatic Identify and Describe Addiction per ASAM new definition Describe and Discuss Qualitative Methods of Inquiry and Family Mapping as a Way into Story
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Final trick, treat, trauma
- 1. Trick , Treat or Trauma Dr. Louise A Stanger LCSW, CDWF, CIP, CSAT-1 Oct. 2021
- 4. About Dr. Louise -Clinician-Educator-Interventionist • “Interventionist of the Year” -2019 DB Resources and McLean Hospital-An Affiliate of Harvard • Addiction in The Family, Helping Families navigate Challenges, Emotions and Recovery 2020, Rockridge Press • Falling Up A Memoir of Renewal- Amazon • The Clinicians Guide to Addiction Interventions-Routhledge, 2018 • Widow, Wife, Mother, Grandmother • Adventurer
- 5. Has Been a Tough Year
- 7. 7
- 10. Assumptions We are emerging from or still in a Trauma Bubble Mental Health and SUD are at an all time high Sleep is challenging Decision fatigue and Reentry Anxiety are high Complex clients and families are the Norm Abundant Yes it is possible to survive Yes it is possible toThrive 10
- 11. At the end of the presentation participants will be able to : Identify, Describe and Discuss , How Clients and Families Come to your Practice Identify Describe and Discuss Addiction, Mental Health, Trauma ,Chronic Pain and Process Disorders Identify how Trauma, Shame , Guilt , Humiliation, Embarrassment, Grief and Loss Effect Ones Story about themselves Identify how Growing Up in An Alcoholic Family can effect one Review evidence based strategies
- 12. At the end of the presentation Participants will be able to: Identify and Differentiate trauma as both objective and subjective and how it effects people over the life span Recognize how trauma can be precipitating factor which leads to a substance use disorder and vice versa the activities one engages in the midst of a substance use disorder can be traumatic Identify and Describe Addiction per ASAM new definition Describe and Discuss Qualitative Methods of Inquiry and Family Mapping as a Way into Story
- 13. Facts 1 in 12 American Adults (18.7 million) have SUD 1 in 5 (46.6 Million) have Mental illness 8.5 Million have SUD and Mental Illness Do You Know?
- 14. Spending on Alcohol has Increased
- 15. Marijuana Sales Doubled in Covid “Cannabis sales increased in all four states coinciding with state stay-at-home orders.”
- 16. Center for Disease Control U.S. Had Most Drug Overdose Deaths on Record
- 18. Addiction is a treatable , chronic medical disease involving complex interactions among brain circuits , genetics , the environment and an individual’s life experiences 2021
- 19. 19
- 20. 12 Common Myths About Addiction Addiction can’t happen to be or my family Addiction is just really a lack of willpower Addiction is not treatable In order for someone to want treatment , they have to hit bottom If someone you love had a substance abuse problem you would easily recognize and solve it.
- 21. More Myths My loved one has a great job and appears functional and happy. Things must be ok. Prescription drugs are safe and THC isn’t addictive Interventions do not work If you can handle your liquor then you don’t have a problem Addiction is a moral failure Detox is all you need to fight addiction You need religion to get sober
- 22. 22
- 23. 23
- 24. Family Roles The Problem Child or Adult Chief Caretaker-Enabler The Hero The Scapegoat The Mascot The Lost Child
- 25. Families learn Roles they have unconsciously played Learn how to use “I” Terms and how to share feelings Respond without reacting Not to Threaten, preach, nag control How to talk To Breathe
- 27. Trauma Overwhelming experiencing that cannot be integrated and elicit animal defensive mechanisms and dysregulated arousal “A stress that causes physical or emotional harm that you cannot remove yourself from” Larke Huang , Director of Health Care Equity at SAMSHA
- 28. –Unknown Our Brains are wired for connection, Trauma rewires them for protection
- 30. Types of Trauma Acute Trauma - Results from a single incident Chronic Trauma is repeated such as verbal, domestic violence or abuse Complex Trauma is exposed to varied mlltiple events, often invasive interpersonal nature.
- 31. Epigenetic Trauma UCLA Studies Of Civil War Pows 2016 Epigenetic explores how changes occurred as a result of gene expression and may be changing the way we look at inherited disorders Epigenetic is showing that trauma can alter the biological behavior of cells that can be passed down to future generations Father -son-grandson showed higher mortality rates
- 35. New Your Times Feb. 24,2020
- 36. It Can Feel like You Are Whirling Thru a Tornado
- 37. As if You’re Living in a Hauted House
- 38. I Met Trauma at a Young Age
- 41. Humiliation- Embarrassment The Act of Making Someone Inferior or Foolish You have Bad table manners. “ Your Father Committed Suicide!”
- 46. Addiction -Attachment Disorder Values are lost as we attach to substances and other unhealthy behaviors
- 47. Mental Health Issues Anxiety Depression Grief and Loss Narcissism PTSD Bi-Polar Personality Psychosis Phobias
- 48. Lets talk about Henry 35 years old Lives at home Third DUI Mother makes his lunch and Father cleans his room Bullied as a Child OCD
- 49. Lets talk about Julie Beautiful , Bright, Creative Shame based Mom of a 6 year old Family of 5 Entitled Cocaine, Ketamine, prescription drugs Early Childhood Trauma
- 50. Anxiety , Depression Grief ,Loss, Addiction, Chronic Pain
- 51. Harry and Anna
- 52. Joseph
- 55. Meet Robert
- 56. Trauma a can also be Related to Pain Body
- 57. Chole
- 58. Start Where Your Client Is
- 59. Client is the expert - Give them Control Over Their Recovery
- 62. Have you earned the right to hear another’s story?
- 64. CDC Guiding Principles Safety Trustworthiness and Transparency Peer Support Collaboration and Mutuality Empowerment and choice Cultural, historical , gender issues
- 65. Benefits of Trauma Focused Therapy Reestablish safety Identify Triggers Develop Healthy Coping Skills Decrease in Traumatic Stress Symptoms Practice Trauma Processing or Integration
- 70. Whats most important ? To Establish Safety To Reframe Actions as Survivor Mechanisms Reduces Shame and Guilt Recognize the centrality of affect-regulation ability to self sooth Clear Boundaries
- 73. Evidenced Based Strategies Music Therapy Art Therapy Sand Jungian Therapy Equine Therapy
- 74. Epigenetic Research & The Science of Inheritance Promising way off also helping to explain why: some family members will experience trauma other do not can potentially improve , minimize PTSD and the treatment plans Mindfulness and CBT have been found to increase brain plastic and establish new neural pathways
- 75. Meet Heidi
- 76. Thank you
- 81. Resources Stanger, Louise https://thriveglobal.com/stories/are-you-the-adult- child-of-an-alcoholic-did-you-grow-up-in-a-confusing-family/ Stanger, Louisehttps://www.allaboutinterventions.com/2020/01/31/today-i-am- relieved-being-an-adult-child-of-alcoholic-informs-me/ Stanger, Louisehttps://www.allaboutinterventions.com/2020/01/30/what- happens-to-a-child-in-an-alcoholic-family/ https://www.allaboutinterventions.com/2019/10/08/inside-the- goldfinchhow-sudden-deathandtrauma-influences-addiction-louise- stanger-ed-d-lcswcdwf-cip-and-james-flowers-phd-lpc-s/ Stanger, Louise, Falling Up: A Memoir of Renewal , 2016 available on Amazon
- 82. Resources Stanger, L & Weber, L. 2018. The Definitive Guide to Addiction Interventions- Collective Strategies . NY . Routhledge. Stanger, L. 2016. Falling Up-A memoir of Renewal. Ca. WZY Press. available on Amazon Stanger, L 2016. Learn to Thrive : An Intervention Guidebook (available at www.allaboutinterventions.com) Stanger, L & Roger P. 2016-present Huffington Post, Thrive Global, The Sober World, Renew, Recovery View, DB Resources, Counselor Magazine etc. Stanger, L .& Flowers, J. 2016-present. Huffington Post, Thrive Global,The Sober World. Stanger, L & Holsomback, J. 2016-present. Huffington Post, Thrive Global, The Sober World. Stanger, L. WWW.AllaboutInterventions.com
- 83. Resources Kopp, Sheldon- If You Meet The Buddah on the Road , Kill Him, 1982. Penguin House Random House, NY, NY Stanger, Louise. Falling Up- A Memoir of Renewal 2015, WZY Press Stanger,http://www.huffingtonpost.com/entry/tricksters- addiction-you_us_592f0f7ee4b0d80e3a8a329e Stanger http://www.huffingtonpost.com/entry/what-are-the- differences-between-trauma- addiction_us_58f4e7aee4b048372700da27 www.allaboutinterventions.com
- 84. Resources Brown, Brene- Rising Strong . Speiegel & Grau International 2015 NYC NY Brown, Brene, DaringGreatly. Gothom Books 2012 Lawrence Lightfoot,Sarah & Hoffman Jessica .The Art and Science of Portraiture. Joey Bass. 1997 LawrenceLightfoot, S. Respect , 1998. Press Books, Mass. Lawrence, Lightfoot,S. I’ve Known Rivers , Penguin Publishing. Ny 1995 Lawrence, Lightfoot, S Growing Each Other Up, University of Chicago Press. 2016
- 85. Resources What’s Love Got to do with it -Boundaries and Relationships -Stanger Huffington Post The Sober World- Grandmother I have Something to Tell You, Stanger& Porter The Sober World-Parents and Teens in the Midst of an Opioid Crisis, Holomback& Stanger The Sober World: Parents , Teens, Marijuana , Stanger & Porter Recovery Campus-Freshman 101, Stanger& Porter Recovery Campus-Adulting It’s Hard to do , Stanger& Porter All articles and more are available on http:www.allaboutinterventions.com
- 86. Resources Kopp, Sheldon- If You Meet The Buddah on the Road , Kill Him, 1982. Penguin House Random House, NY, NY Stanger, Louise. Falling Up- A Memoir of Renewal 2015, WZY Press Stanger,http://www.huffingtonpost.com/entry/tricksters- addiction-you_us_592f0f7ee4b0d80e3a8a329e Stanger http://www.huffingtonpost.com/entry/what-are-the- differences-between-trauma- addiction_us_58f4e7aee4b048372700da27 www.allaboutinterventions.com
- 87. Resources Stanger articles https://www.allaboutinterventions.com/pain- management-and-opioid- addiction/http://www.huffingtonpost.com/entry/ Stanger, Porter, Flowers Huffington Post-Trauma and Addiction http://www.huffingtonpost.com/entry/trauma- addiction-whats-the- difference_us_58d14912e4b0e0d348b347f3 Flowers Articles,https://www.thriveglobal.com/authors/3611- james-s-flowers-phd-lpc-s-and-angela-harris-msw-candidate Stanger,https://www.allaboutinterventions.com/current- news/
- 88. Resources http://cctasi.northwestern.edu, Center for Child Trauma, Assessment Services and Interventions https://www.integration.samhsa.gov/clinical- practice/trauma