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
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
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
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
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
43. Qualitative Questions
Tell Me about ………..
Tell me about your
Family..
Tell me about your
children, family,
Grandparents etc
44.
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
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
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