Dr. Louise is a clinician who provides counseling services to clients dealing with substance abuse, mental health issues, trauma, and family problems. She discusses how clients often arrive feeling confused, ashamed, and looking to fix their loved one's problems. Through family mapping, motivational interviewing, and creating a safe space, Dr. Louise helps clients understand their own stories and find their own solutions. She emphasizes meeting clients where they are, focusing on present solutions over past problems, and creating possibilities for a better life.

1. What NoBody Tells You About??

2. Meet Dr. Louise
Author - Falling Up - A Memoir of Renewal & To Thrive
- An Intervention Guidebook
- Former Faculty SDSU, School of Social Work,
Interwork Institute
Investigator - Dept. of Ed & NI-NIAAA and other grants
- All About Interventions, and Past Director - Alcohol
and Other Drug Services USD
Clinician - LCSW, Certified Daring Way™ Facilitator
Family Program Consultant- Driftwood Recovery-Austin,
Paradigm Malibu- Malibu, New Found Life-Long Beach
Woman ~ Widow ~ Wife ~ Mother ~ Stepmother ~
Grandmother ~ Step-Grandmother

4. How did you arrive today ?
Hungry - I Hope They Have Good Food
Worried About Loved One
Energized After Exercise
Thinking I Have So Much Work To Do
Happy
Traffic Was Awful
Grateful That My Loved One Is Here
Wish I Was Somewhere Else

5. Are Your
Marbles
In or Out?

7. Objectives
Identify and Describe How Clients (Individuals, Couples, families
Arrive at your door step)
Identify, Define and Describe Shame, Trauma , Addiction, Mental
Health , Physical Maladies and How they show up in our clients
Demonstrate the Power of Family Mapping and the Art and
Science of Portraiture (Triangulation of Data) as a Way in
Share Invitational Vocabulary as we work with clients as they share
their own stories and reclaim their own lives

8. Creating Possibility
Create an Experience
Give Education you can implement
Create an Aspiration of a Better Life-
that there is something greater out there
that is possible and attainable

9. How Do Our Clients arrive ?
Substance Abuse
Mental Health
Chronic Pain and other Physical ladies
Legal Issues
Money Problems
Relationship Failures
Sex, Shopping, Gambling
Family History of SA, MH, PD

10. How D0 Your Clients Arrive?
Substance Abuse
Mental Health
Legal Issues
School Problems - Bullying
Relationship Failures
Sexual Identity
Digital Issues

11. Complicated Family Systems
A -Age of First Onset
B- Big Changes
C -Co-occurring Issues
D- DNA

12. What Kind Of Families
AGREEABLE
ANALYSIS
INVISIBLE
QUESTIONER
KNOW IT ALL
COMPLAINER
TALKER
WORRIER
MICRO-MANAGER
BOOMERANG
Emotionally intense

14. Before Treatment
CONFUSED
BEWILDERED
CONFABULATORS- DENIAL
MINIMIZE
FEAR DRIVEN
FRAZZLED
SHAME and GUILT
UNAWARE of FEELINGS

15. Family and Confabulations

16. Keeping The Status Quo
SA. MH, CP etc .
Organizing structure
Unconscious and
Consciously Gratification
Strategies must be
employed that change
usual ways of relating,
categorizing , and thinking

17. Attributes of Healthy Families
McMannis PHD & MacMcMannis MSW
Talking and Loving Balancing Closeness & Difference
Expressing Language Accepting Difference
Adapting to Change Seeing The Positive
Sharing Time together Effective Problem Solving
Who’s in Charge Parenting Together

19. FAMILIES
HURTING EXPERTS
MOTIVATED
SEEKING SOLUTIONS
WOUNDED FAMILY OF ORIGIN
BEEN UNSUCCESSFUL IN SEEKING
SOLUTIONS
THEY MAY NOT SEE THEIR PART IN THE
PROBLEM -want you to FIX LOVE ONE
AUTHENTIC- VULNERABLE-
COURAGEOUS

20. Shame
Shame is the intensely
painful feeling or experience
of believing we are flawed
and therefore unworthy of
love and belonging
I am Not Good Enough
Brene Brown

21. Guilt
Have you ever..
The Difference between
Shame is Guilt
I am bad versus I did
something bad

22. Humiliation
The act of making someone
feel inferior or foolish
Someone Telling You , You
aren’t Smart Enough, Good
Enough …Stupid
Or you have negative self
talk…

23. Embarrassment
Have you ever felt
embarrassed?

26. I Invite You to Give Your Clients
No Fault Insurance

28. Listening Skills

29. BRAVING - Brown
Am I clear in helping client accept own
boundaries ?
Am I reliable ? Do I do what I say I will do?
Do I hold myself accountable-Ethics,
professional standards &, seek
collaboration when necessary
Confidentiality
Nonjudgemental
Am I generous in my interpretation of self
and others ?

31. Motivational Interviewing
Miller and Rolnick
NOT a Curriculum
ROLLING WITH RESISTANCE
DIRECTIONAL-GOAL
MOTIVATION IS BOTH EXTRINSIC
AND INTRINSIC
SCALING QUESTIONS
DECISIONAL BALANCE
CHANGE TALK

32. SOLUTION FOCUSED
InSoon Young & Peter Berg
HERE & NOW
NOT NECESSARY TTO KNOW
DEEPER CAUSE
COUNSELOR EXPERTISE CALL
SMALL CHANGE Can Lead To Big
Change

33. Using Portraiture as a Way In
Today we are going to have a
conversation soI might learn about your
loved one an d a bit about your family
Tell me about Yourself
Tell me about your loved One
What is special ?
What makes your heart hurt ?
Tell me about your family?

34. START WHERE YOUR CLIENT IS

35. Family Mapping Is more then Just a
Genogram

36. Questions
Substance Abuse
Mental Health
Physical
Marital Status-M-Div- Widow
Births-Deaths- Adoptions
Gender Identity
Process Addictions-Shopping,
Eating, Gambling, Sex, Money,
Religion , Exercise
Digital Addiction
Moves- Geographics
Money
Legal Issues
School Problems
Bullying
Successes- Failures
Religion
Occupations

37. Non-Linear- Collaborative

38. The Conversation Will Take You Many Places
–Johnny Appleseed

39. INTERVENTION- BAR
RELATIONAL ATTACHMENT

41. The TEAM
3 Sisters
2 Attorneys
Family
Friends
Relatives
Security

42. Paradigm Shift
Moving From Passive :Cure me
Doctor to
Being an ACTIVE
PARTICIPANT

44. Meet Jack- The Emergency Placement
54 year old retired Executive-Lived With
His son
Two Previous Treatment Episodes
3 Children
Wife - Process of Divorce
The Call-He is in Wrong Treatment Center
My First job was to get him From A to B
No time For Family Mapping-just quick
assessment

47. Families ReadinessTo Change
In two months time 3 out of 5 family
members were ready for Change
3 Different Residential Inpatient
2 Different Structured Living and IP
2 Private Therapists
One Family, Multitude Issues
Outcome

49. Meet Rick
Native American
38 Foster Homes
Never School in Jail
Sexually assaulted
Legal Issues-Gang Leader
Substance Abuse- Mental Health
Multiple Partners
One “Bad Ass”- Yet Poetic
A Really Nice Guy

50. I Thought I Did The Best Placement
Gender specific
Known for Great work with Chronic
Relapsers
Works Well with legal System
Culturally Sensitive
Secluded-No- Nonsense -12 Step Based
Great Staff
And Then

51. Two Spirited Person

52. Spirit Warriors

53. Rick Is One of the most Courageous
People I have met
Walked into his Story
Got Curious
Felt Safe to End The Confabulations
And Asked For Help
And After I got Over Being
Uncomfortable I was able to be of
Service
Treatment and Current Outcomes

55. Meet Erik
20 Years old
Only Son of High wealth
Family
Legal Issues
Substance Abuse
Anxiety and Depression

58. Erik's Family
Sisters have had issues-bullying , legal
Depression
Mom’s Family History of SA
Mom is in Recovery
Dads Family History of SA
and Then Mother said I have something
to share -Map- Mom’s Brother dies at 38
-HIV Gay

59. And Then Erik said, “Mother I have something to tell you”

62. Be Curious

64. Live with Possibility

66. Resources
The Daring Way- Brene Brown
Rising Strong- Brene Brown
The Parallel Process-Kathy Prozack LCSW
Crucial Conversations-Patterson et al.
The Journey of the Heroic Parent-Brad Reedy PHD
If You Meet The Buddha on The Road , Kill Him -Sheldon Kopp
Motivational Interviewing-Miller and Rollick
Solution Focused Therapy- Insoon Young and Peter Berg
Falling Up-A Memoir of Renewal-Louise Stanger
Trauma and Addiction -Louise Stanger (Huffington Post 2017)
Rethinking Triple Threat- Louise Stanger (Huffington Post 2017)
Triple Threat -Louise Stanger (Huffington Post 2015)