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How I met anxiety Age 7
Louise Stanger Ed.D,LCSW,CSWF,CIP
2020
Trauma
Mental Health
Addiction
The Uninvited Guests
About Dr. Louise
-Clinician-Educator-Interventionist
• “Interventionist of the Year” -2019
DB Resources and McLean
Hospital-An Affiliate of Harvard
• Falling Up A Memoir of Renewal-
Amazon
• The Clinicians Guide to Addiction
Interventions-Routhledge, 2018
• Widow, Wife, Mother, Grandmother
• Adventurer
How did you arrive ?
Mindfull Mindfull
How do your clients arrive ?
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
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
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
–Unknown
Our Brains are wired for
connection, Trauma rewires them
for protection
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 muklltiple events,
often invasive interpersonal nature.
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
Subjective and Objective
Trauma
It Can Feel like You Are Whirling Thru a
Tornado
I Met Trauma at a Young Age
Humiliation- Embarrassment
The Act of Making
Someone Inferior or
Foolish
You have Bad table
manners.
“ Your Father Committed
Suicide!”
The Brain & Memory
Amygdala - Alarm circuit
Prefrontal cortex
(Conscious thinking)
Walking down the Street
and think you see a snake
Trauma and Memory
Folks Are More Then Their Trauma
Questions about life role
Your place in life
Coupled with a sense of loss
Perhaps we have lost a core
part of ourselves
Sometimes we become still
and quiet
Addiction -Attachment Disorder
Values are lost as we attach to substances and other unhealthy behaviors
Definition of Addiction
ASAM, Sept. 15, 2019
Addiction is a treatable, chronic medical disease
involving complex interactions among brain circuits,
genetic, the environment and an individuals life
experiences. People with addiction use substances or
engage in behaviors that become compulsive and often
continue despite harmful consequences
Prevention efforts and treatment approaches for
addiction are generally as successful ann for other
chronic diseases
Mental Health Issues
Anxiety
Depression
Grief and Loss
Narcissism
PTSD
Bi-Polar
Personality
Psychosis
Phobias
Joseph
Combat Photographer
Trauma a can also be Related
to Pain Body
Chole
Start Where Your Client Is
Client is the
expert - Give
them Control
Over Their
Recovery
Have you earned the right yo
hear another story?
CDC Guiding Principles
Safety
Trustworthiness and
Transparency
Peer Support
Collaboration and Mutuality
Empowerment and choice
Cultural, historical , gender
issues
Benefits of Trauma Focused
Therapy
Reestablish safety
Identify Triggers
Develop Healthy Coping Skills
Decrease in Traumatic Stress Symptoms
Practice Trauma Processing or Integration
Family Mapping
A Way into Story
Conversations will be non-linear
Qualitative Questions
Tell Me about ………..
Tell me about your
Family..
Tell me about your
children, family,
Grandparents etc
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
Evidenced Based Strategies
EDMR
Mindfulness
Buddah
META
Breathing
Somatic
Psychodrama
Yoga
Evidenced Based Therapy
CBT
ACT
MI
SFT
DBT
Evidenced Based Strategies
Music Therapy
Art Therapy
Sand Jungian Therapy
Equine Therapy
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
Meet Heidi
Meet Robert
www.allaboutinterventions.com
619-507-1699
Dr. Louise Stanger
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 onAmazon
Resources
Stanger, L & Weber, L. 2018. The Definitive Guide toAddiction Interventions-Collective
Strategies . NY . Routhledge.
Stanger, L. 2016. Falling Up-A memoir of Renewal. Ca. WZY Press. available onAmazon
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
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
Resources
Brown, Brene- Rising Strong . Speiegel & Grau International 2015 NYC NY
Brown, Brene, DaringGreatly. Gothom Books 2012
Lawrence Lightfoot,Sarah & Hoffman Jessica .TheArt 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
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
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
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/
Resources
http://cctasi.northwestern.edu, Center for Child Trauma,
Assessment Services and Interventions
https://www.integration.samhsa.gov/clinical-practice/
trauma

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How i met anxiety at age 7

  • 1. How I met anxiety Age 7 Louise Stanger Ed.D,LCSW,CSWF,CIP 2020
  • 3. About Dr. Louise -Clinician-Educator-Interventionist • “Interventionist of the Year” -2019 DB Resources and McLean Hospital-An Affiliate of Harvard • Falling Up A Memoir of Renewal- Amazon • The Clinicians Guide to Addiction Interventions-Routhledge, 2018 • Widow, Wife, Mother, Grandmother • Adventurer
  • 4. How did you arrive ? Mindfull Mindfull
  • 5. How do your clients arrive ?
  • 6. 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
  • 7. 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
  • 8. 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
  • 9. –Unknown Our Brains are wired for connection, Trauma rewires them for protection
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  • 11. 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 muklltiple events, often invasive interpersonal nature.
  • 12. 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
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  • 16. It Can Feel like You Are Whirling Thru a Tornado
  • 17. I Met Trauma at a Young Age
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  • 20. Humiliation- Embarrassment The Act of Making Someone Inferior or Foolish You have Bad table manners. “ Your Father Committed Suicide!”
  • 21. The Brain & Memory Amygdala - Alarm circuit Prefrontal cortex (Conscious thinking) Walking down the Street and think you see a snake
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  • 24. Folks Are More Then Their Trauma Questions about life role Your place in life Coupled with a sense of loss Perhaps we have lost a core part of ourselves Sometimes we become still and quiet
  • 25. Addiction -Attachment Disorder Values are lost as we attach to substances and other unhealthy behaviors
  • 26. Definition of Addiction ASAM, Sept. 15, 2019 Addiction is a treatable, chronic medical disease involving complex interactions among brain circuits, genetic, the environment and an individuals life experiences. People with addiction use substances or engage in behaviors that become compulsive and often continue despite harmful consequences Prevention efforts and treatment approaches for addiction are generally as successful ann for other chronic diseases
  • 27. Mental Health Issues Anxiety Depression Grief and Loss Narcissism PTSD Bi-Polar Personality Psychosis Phobias
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  • 31. Trauma a can also be Related to Pain Body
  • 32. Chole
  • 33. Start Where Your Client Is
  • 34. Client is the expert - Give them Control Over Their Recovery
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  • 37. Have you earned the right yo hear another story?
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  • 39. CDC Guiding Principles Safety Trustworthiness and Transparency Peer Support Collaboration and Mutuality Empowerment and choice Cultural, historical , gender issues
  • 40. Benefits of Trauma Focused Therapy Reestablish safety Identify Triggers Develop Healthy Coping Skills Decrease in Traumatic Stress Symptoms Practice Trauma Processing or Integration
  • 41. Family Mapping A Way into Story
  • 42. Conversations will be non-linear
  • 43. Qualitative Questions Tell Me about ……….. Tell me about your Family.. Tell me about your children, family, Grandparents etc
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  • 45. 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
  • 48. Evidenced Based Strategies Music Therapy Art Therapy Sand Jungian Therapy Equine Therapy
  • 49. 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
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  • 54. 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 onAmazon
  • 55. Resources Stanger, L & Weber, L. 2018. The Definitive Guide toAddiction Interventions-Collective Strategies . NY . Routhledge. Stanger, L. 2016. Falling Up-A memoir of Renewal. Ca. WZY Press. available onAmazon 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
  • 56. 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
  • 57. Resources Brown, Brene- Rising Strong . Speiegel & Grau International 2015 NYC NY Brown, Brene, DaringGreatly. Gothom Books 2012 Lawrence Lightfoot,Sarah & Hoffman Jessica .TheArt 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
  • 58. 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
  • 59. 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
  • 60. 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/
  • 61. Resources http://cctasi.northwestern.edu, Center for Child Trauma, Assessment Services and Interventions https://www.integration.samhsa.gov/clinical-practice/ trauma