When Vernon Johnson wrote I’ll Quit Tomorrow in 1973, and Intervention: How to Help Someone Who Doesn’t Want Help in 1986, his radical ideas were met with resistance from many groups.
This document provides an overview of trauma and trauma-informed care. It defines trauma as experiences that overwhelm an individual's ability to cope, such as abuse, violence, loss or disasters. Trauma has widespread impacts on physical, emotional and cognitive functioning. High rates of trauma are seen in populations experiencing homelessness, addiction and mental illness. The core principles of trauma-informed care emphasize safety, trust, choice and empowerment. Trauma-informed practices view behaviors as adaptations to past trauma and focus on building safety and resilience. Implementing trauma-informed care requires organizational changes and self-care to prevent burnout among providers from secondary traumatic stress.
This document provides an overview of advanced counseling methods and psychotherapy. It discusses different theoretical perspectives like Adlerian, cognitive, and family systems theories. It also addresses the difference between psychosocial models of counseling that rely on talk therapy compared to biological/neurogenomic models in psychiatry that emphasize medication. The document notes how clinical orientation impacts assessment, treatment planning, and intervention methods. It also discusses debates around whether mental disorders are caused primarily by psychosocial or biological factors.
In group counseling:
1. All members uphold strict confidentiality and anonymity as outlined in the traditions of organizations like AA.
2. The counselor ensures no verbal or physical abuse and the primary purpose is to help others recover from addiction.
3. Groups are free to attend and comprised of members with similar experiences of addiction who support each other's sobriety without judgment.
This document provides an overview of trauma-informed care (TIC). It defines TIC as a strengths-based approach grounded in an understanding of trauma that prioritizes safety, empowerment and resilience. The document outlines key objectives of TIC such as recognizing the prevalence of trauma, understanding how it affects people, and responding with trauma-sensitive practices. It also discusses the impact of trauma, characteristics of resilient individuals and trauma-informed organizations, and the importance of a strengths-based approach to treatment.
Trauma experience(s) can create a state of severe-chronic stress disrupting cognitive, emotional, social and physical development. Studies show that it is a catalyst for the majority of society’s mental/physical illnesses (including addiction, anxiety, depression, co-occurring issues) which can culminate into early death. The mind/body link of trauma will be explored as well as treatment approaches.
-Understand how trauma can create a “3rd degree emotional burn” which can
lead to destructive thoughts, choices and relationships.
-Discover how this “emotional burn” can lead to addictions and other
“using to soothe” behaviours.
-Can traumatic experiences actually shorten your life? You’ll be
surprised what some studies have shown.
This document provides an overview of types of trauma, including individual trauma, interpersonal trauma like domestic violence, developmental trauma such as adverse childhood experiences, group trauma, mass trauma, community/cultural trauma, historical trauma, political terror and war, and system-oriented trauma. It discusses the characteristics and impacts of each type of trauma. Key points covered include prevalence of adverse childhood experiences, their association with high-risk behaviors, and how trauma-informed care principles can help avoid re-traumatization.
This document discusses domestic violence and assessing its effects. Over 50% of domestic violence perpetrators had been previously arrested, and women who leave abusive relationships often experience psychological difficulties like PTSD and depression. One assessment tool discussed is the Domestic Violence Survivor Assessment (DVSA), which evaluates survivors' stages of change for 12 personal and relationship issues using the Transtheoretical Model of Change. The DVSA provides useful information on long-term changes needed for survivors to live healthy lives. Resources for domestic violence victims and batterers are available in Massachusetts.
Family counseling has evolved from early schools of thought to become more individualized. Feminist perspectives challenged the field by highlighting gender biases and societal influences. Today, therapists aim to empower both women and men by helping families reexamine restrictive gender roles and balance responsibilities more equitably. The political goals of feminist therapy also focus on achieving greater equality both inside and outside the home.
The document discusses a family systems perspective on psychological symptoms from trauma. It makes three key points:
1. Symptoms form enduring patterns of behavior that organize social interactions, mediate stress, and provide adaptive responses to change. They acquire meaning and purpose over time.
2. Unresolved trauma from events like disaster, loss, or betrayal can lead to depression and anxiety fueled by guilt, anger, and shame. Symptoms may develop as a way to regain control after psychological injury to one's self-worth.
3. As counselors, concerns arise when symptoms are used to control or punish others, or avoid responsibility for change. Understanding the purpose and social functions of symptoms is important for effective treatment.
The document discusses trauma informed family dispute resolution. It begins by defining trauma and outlining principles of trauma informed practice, including safety, trustworthiness, choice, collaboration and empowerment. It then discusses how trauma impacts family dispute resolution processes, noting that many family disputes involve a history of family violence. It proposes adapting the mediation model to better incorporate trauma informed practices, such as increased preparation, containment of discussions, and a focus on emotional regulation and maintaining participants' optimal state of arousal. Private sessions and structured joint sessions are also recommended to facilitate safe participation of parties who have experienced trauma.
The document discusses understanding families in the context of health care. It outlines characteristics of Filipino families, types of families, and Filipino cultural values related to family. It emphasizes the importance of understanding a patient's family dynamics to provide holistic care and discusses various family assessment models and interview techniques that take a family-oriented approach.
This document discusses two theories of ethics - utilitarian ethics and principle-based ethics - and how they would apply to a scenario where a doctor must decide whether to override a patient's do-not-resuscitate (DNR) order to fulfill the wishes of the patient's family members. Under utilitarian ethics, which aims to benefit the majority, the doctor would override the DNR; but under principle-based ethics, which focuses on individual rights, the doctor would honor the patient's signed DNR as their right and wish. The document analyzes the strengths and weaknesses of each approach.
This document discusses family and marital counseling. It defines family as a basic social unit where members are economically and emotionally dependent on one another. It describes different types of normal and abnormal families. Family functioning includes problem solving, roles, emotional responsiveness, involvement, and behavioral control. Dysfunctional families fail in these areas. Common family problems relate to structure, substance use, caring for ill people, crises, abuse, and violence. Counseling solutions involve categorizing issues, getting family perspectives, finding problems, explaining mistakes, assigning homework, following up, and generalizing lessons. Qualities of resilient families are commitment, appreciation, good communication, strong values, and quality time together.
This document discusses childhood trauma and its treatment within an integrated residential and educational environment. It defines different types of trauma including acute, chronic, and complex trauma. Symptoms of complex trauma are then outlined. Statistics on childhood trauma within the general population and looked after children are provided. The document emphasizes that effective trauma-informed assessment and treatment can help children recover from traumatic experiences. Core components of trauma interventions are described, including safety, self-regulation, relationship building, and future focus. The benefits of a therapeutic learning environment for traumatized children are explored. Overall it promotes an integrated approach addressing children's emotional and academic needs to facilitate recovery from trauma.
This document provides an overview of trauma-informed care training. It defines trauma and discusses how adverse childhood experiences (ACEs) like abuse, neglect, and household dysfunction can negatively impact health and development. The ACEs study found strong correlations between early life stressors and poor physical, mental, and social outcomes later in life. Trauma can alter brain development, especially in children and teens. Becoming trauma-informed requires understanding how trauma affects individuals and systems in order to minimize further harm and support recovery. The training discusses trauma responses, resilience factors, and practical strategies for applying trauma-informed approaches.
This document outlines a train-the-trainer series for clinical supervisors focusing on counseling methods. It proposes a continuous skill development model with three interconnected parts: assessment, treatment planning, and intervention. For assessment, case conceptualization skills are developed using genograms. For treatment planning, critical thinking is improved through solution-based group supervision. For intervention, tactics and techniques are strengthened by modeling and role-playing new methods. Clinical supervisors must also receive regular case supervision to maintain skills.
This document discusses trauma and its impact on recovery. It defines trauma as an unexpected threat to one's well-being that elicits feelings of helplessness, terror, and isolation. Potential traumatic events include abuse, violence, loss, medical stressors, poverty, racism, and having a family member with substance abuse. The brain responds to trauma through fight, flight or freeze responses. Trauma gets stored in "capsules" and can resurface when triggered. Signs of trauma include flashbacks, nightmares, hypervigilance, numbness, and substance abuse. SAMHSA principles for trauma-informed care emphasize safety, trustworthiness, peer support, collaboration, empowerment, and addressing cultural factors.
This document discusses holistic treatment for substance abuse. It provides an overview of the history and models of addiction treatment, including the moral, disease, and multi-causal models. Holistic treatment aims to address addiction in all aspects of a person's life through counseling, education, medical care, and lifestyle changes. The Veterans Administration uses holistic treatment including tai chi, yoga, and art/music therapy. Research on holistic treatment models like those used by the VA could help expand treatment options for co-occurring disorders.
Lateral Violence Home Health Aid Conference NITHAgriehl
In Nursing, there exists a culture of lateral violence and bullying, I have finally come to the realization that what we are seeing is the symptom of something much larger, something that starts, grows, and is nurtured with our own participation. We communicate in ways that have the ability to support each other, but we can also communicate in ways that are hurtful, mean, and contribute to a culture of oppression. We need to change our culture.
About this guide
If someone you care about is struggling with a drug or alcohol problem, an intervention can be a turning point, a realization there is a serious problem that requires professional help. You can conduct an intervention on your own. Alternatively, there are professional interventionists that can assist you on a fee-for-service basis. If you are concerned enough about a loved one to be reading this, you should seriously consider taking action. The worst thing you can do is stand by and do nothing. Someone with an addiction is often surrounded by people who want him or her to get better.
This document discusses harm reduction approaches in housing programs for individuals experiencing homelessness and substance use disorders. It outlines key principles of harm reduction, including meeting clients where they are at without requiring abstinence, focusing on small positive steps, and avoiding punitive responses to relapses. The stages of change model is reviewed as it applies to engaging clients who are not yet ready to change substance use. Specific harm reduction strategies for housing programs include allowing substance use while providing other services and supports to reduce risks, accepting relapses as part of recovery, and having open conversations about mental health and substance use issues. The goal is to provide compassionate services to as many individuals as possible to improve health and housing stability.
1Comment by Perjessy, Caroline SubstanEttaBenton28
1
Comment by Perjessy, Caroline:
Substance use Anxiety Group Curriculum
Southern New Hampshire University
Clinical Mental Health Counseling Department, COU660
Dr. Caroline P.
Rationale for the group
In Massachusetts, we have several groups for substance use both such as AA meetings and , NA meetings that are held in most area areasjust not a sufficient amount. Some. So me groups are also held at treatment centers by alumni which is a great thing because it will provide members with great responsibility skills. Some of the groups like psychoeducation and 12 steps meetings are mainly for those who are going through andchallenges and have a past with substance use. I plan to hold a group not only for those who have been through it but also withhave family members that are looking for resources and better understanding of the disease. The need for substance use group in the Boston, MassMassachusetts community is in high demand. Although Boston is a wide community where the rent can be high and have good paying jobs, many still struggle s with the everyday life stressors that can lead to excessive drinking. In my community I believe that the need for substance use group can benefit so many specifically those in the poverty area, because they are dealing with these issues every day. Also, due to therapy being frown upon in their environment and some lack the ability to seek professional help. Although some may have the need but will not attend due to therapy being frown upon in their environment. Comment by Perjessy, Caroline: Make sure you are revising for clarity. I know you said this was a draft, so keeping that In mind Comment by Perjessy, Caroline: Revise for clarity
The purpose of substance use group is to help individuals who are have dealing with anxiety and have an underlining issue like anxiety. Substance use clients with underlining issues like anxiety lack coping skills and the ability to perform everyday tasks. Evidence by, the lack of motivation, traumatic event, exposure to violence, withdrawal, and continuing alcohol or drug use. However, the misuse of alcohol not only can lead to neurological as well as anxiety. Several individuals who are actively using have an underlining issue that has cause them to use excessively rather its depression, bipolar, or anxiety. I will be focusing mainly on anxiety. Anxiety can be something that several deal with in silent or out loud, those who have been impacted by the disease either way many are not getting the help they deservemerit. Especially those who have been impacted with the disease For example, not they feeling at time they are not good enoughenough, the uncertainty of their job,; and will they have their job back; doubts about being accepted back into their familywill they have a family after. Comment by Perjessy, Caroline: This is uinclear…how are they dealing with anxiety and have an underlying issue of anxiety?
All those factors are negative im ...
The document discusses substance abuse and addiction, highlighting that it is a disease that can be treated. It notes that seeking help early is crucial, and that drug rehabs play an important role in helping addicts recover. It also discusses how rehab facilities have modernized their approach, and how some focus specifically on men's needs, as men tend to be more secretive and require structured support for emotional issues. Contact details are provided for a California rehab center called Sober Living by the Sea.
1. The document discusses key concepts in nursing including person, environment, health, and nursing. It emphasizes that these concepts must work together to achieve quality healthcare and improved patient outcomes.
2. The response discusses that there can be multiple right answers to healthcare situations that achieve the same goal but at different rates. It also stresses the importance of valuing the whole individual by addressing their spiritual, emotional, and physical needs.
3. Barriers like financial challenges, lack of transportation, and lack of health education can prevent responding to patients' contextual needs but these barriers can be reduced through combined efforts of different stakeholders.
Reply 1 Effects of Illness on Womens RelationshipsIn addition.docxcarlt4
Reply 1 Effects of Illness on Women's Relationships
In addition to affecting the lives of those who are ill, illnesses may also profoundly affect the spouses or partners who care for those who are ill. Anxiety and depression may increase as caregivers adjust to new realities and expectations. On the other hand, intimacy and closeness may increase as partners solidify their relationships in the face of illness. Though every relationship is unique, there are some trends that can be seen across relationships when, for instance, in a heterosexual relationship the man is the caregiver, and alternatively when the women is the caregiver. Lesbian relationships, too, are impacted when one partner is ill, sometimes in similar patterns to heterosexual relationships, and sometimes in different ways.
To prepare for this Discussion, consider how illness might affect a life partner relationship under these different relationship configurations.
Women's Health
Reply 1– Effects of Illness on Women’s Relationships
In a relationship, when one becomes very ill and requires a caregiver, it can significantly impact the relationship. In some instances, it can make the relationship stronger, however, there are many challenges from the perspective of both male and female. Alexander and Wilz (2010) state that family caregivers have to develop coping skills to deal with issues that could arise daily. Taking care of someone poses different challenges, resulting in different types of stressors so caregivers need to be conscientious of those challenges to be prepared to deal with them when they come up. Additionally, being a caregiver for a loved one can be very taxing and cumbersome, resulting in decreased mental and physical health (Alexander & Wilz, 2010).
Fekete et al. (2007) states that emotional support has a significant influence on an individual with a chronic illness. Emotional support provides a more positive outlook for an individual, which, can impact their mental state and also influence their health (Fekete et al., 2007). Additionally, caregivers or spouses of individuals with chronic illnesses are more susceptible to health implications and psychological stress, resulting from lifestyles changes, assuming the responsibilities of their loved one, limited time for social events, and most importantly, lack of self-care (Fekete et al., 2007). Fekete et al. (2007) also states that women and men differ on how they support each other and how they interpret that support.
According to Umberson et al. (2016), various factors should be considered in thinking about how individuals interpret and respond to relationships. Social contexts influence the way in which men and women deal with illness. For example, men are typically encouraged to be strong, independent, and inattentive regarding physical illness or pain, therefore men are more likely to avoid accepting or looking for help whereas women are perceived to be delicate and feeble (Umberson et al., 2016)..
learning objectives 16 16.1 Who seeks therapy and what are the goa.docxcroysierkathey
learning objectives 16 16.1 Who seeks therapy and what are the goals of therapy? 16.2 How is the success of psychotherapy measured? 16.3 What are some of the factors that must be considered to provide optimal treatment? 16.4 What psychological approaches are used to treat abnormal behavior? 16.5 What roles do social values and culture play in psychotherapy? 16.6 What biological approaches to treating abnormal behavior are available? Most of us have experienced a time or situation when we were dramatically helped by talking things over with a relative or friend. Most therapists, like all good listeners, rely on receptiveness, warmth, and empathy and take a nonjudgmental approach to the problems their clients present. But there is more to therapy than just giving someone an opportunity to talk. Therapists also introduce into the relationship psychological interventions that are designed to promote new understandings, behaviors, or both on the client’s part. The fact that these interventions are deliberately planned and systematically guided by certain theoretical preconceptions is what distinguishes professional therapy from more informal helping relationships. An Overview of Treatment The belief that people with psychological problems can change—can learn more adaptive ways of perceiving, evaluating, and behaving—is the conviction underlying all psychotherapy. Achieving these changes is by no means easy. Sometimes a person’s view of the world and her or his self-concept are distorted because of pathological early relationships that have been reinforced by years of negative life experiences. In other instances, environmental factors such as an unsatisfying job, an unhappy relationship, or financial stresses must be the focus of attention in addition to psychotherapy. Because change can be hard, people sometimes find it easier to bear their present problems than to challenge themselves to chart a different life course. Therapy also takes time. Even a highly skilled and experienced therapist cannot undo a person’s entire past history and, within a short time, prepare him or her to cope adequately with difficult life situations. Therapy offers no magical transformations. Nevertheless, it holds promise even for the most severe mental disorders. Moreover, contrary to common opinion, psychotherapy can be less expensive in the long run than alternative modes of intervention (Dobson et al., 2008; Gabbard et al., 1997). Numerous therapeutic approaches exist, ranging from psychoanalysis to Zen meditation. However, the era of managed care has prompted new and increasingly stringent demands that the efficacy of treatments be empirically demonstrated. This chapter will explore some of the most widely accepted psychological and biological treatment approaches in use today. Although we recognize that different groups of mental health professionals often have their own preferences with respect to the use of the terms client and patient, in this chapter we use ...
Becoming a Trauma Informed Addictions Counselor using a Source-Focused Model Denice Colson
The document discusses the links between childhood trauma and various negative health outcomes in adulthood. Some key points:
- 65% of alcoholism and 78% of IV drug use are attributable to unaddressed childhood trauma. 58% of suicide attempts also link to childhood trauma.
- Over 60% of men and over 50% of women report experiencing at least one trauma in their lifetime. Rates are higher (71%) among those in substance abuse treatment.
- However, most addiction treatment programs do not take a trauma-informed approach and do not provide trauma-specific treatment. The document advocates shifting to a trauma-informed model that addresses the root causes of trauma rather than just the surface-level symptoms.
Gestalt therapyIntroductionThe history of Gestalt Th.docxbudbarber38650
Gestalt therapy
Introduction
The history of Gestalt Therapy
The beliefs on which it is based
The important contributors or practitioners of the theory
The theory of helping
The relationship between the helper and the client
Some techniques or approaches developed
The kinds of problems addressed
The populations on which the techniques are used
Multicultural issues in using these approaches
Research findings on the model or theory
Theory of Helping
Responsibility for themselves
Express
Fourfold
expression
differentiation
affirmation
choice and integration
Gestalt therapy is concerned with how a client is experiencing life at the present point in time, and will have this as the basis of the therapeutic work.
A Gestalt therapist, then, would help the client move into those feelings
(or thoughts) in a way that allows a deep immersion into those experiences and the
freedom to express what the client has previously feared to release. Once the client
has moved through the impasse and experienced and expressed what was lying
underneath, an insight usually occurs that helps the client understand what has kept
him or her stuck
Gestalt therapy is helping individuals assume responsibility for themselves rather than relying on others to make decisions for them
Gestalt therapy aims to challenge its clients to move from “environmental support” to “self-support,” in order to mobilize their own resources for dealing with the environment effectively and to make creative adjustments that permit the self to respond to environmental pressures and to inner needs.
expression clients are encouraged to tell who they are as fully as possible, even becoming aware of gestures, breathing, voice tone, and facial expressions. In order to keep them in the “now” and maintain responsibility, clients are urged to preface their expressions with the phrase, “Now I am aware. . . .”
differentiation, so that clients can differentiate among the parts of their inner conflict. They might be encouraged, for example, to exaggerate their facial expression and in so doing, they may become more aware of their “angry part.”
affirmation, occurs when the client is encouraged to identify with “all the parts” that are emerging into awareness. It is here that the Gestalt therapist will allow clients to fully express their pent-up emotions.
choice and integration, the client comes to say, “I am responsible for my frustration and resentment.” “responsibility is really response-ability, the ability to choose one’s reactions,” and it comes about only when we relinquish our defenses and allow ourselves to become aware of our true feelings and motivations. In this stage an internal integration brings a sense of peace and is a sign of a “completed gestalt.”
3
Therapist
“like an artist bringing something out which is hidden,”
-Frederick Solomon “Fritz” Perls
Helper v. Client
Helper (therapist)
Not objective or neutral
Relationship
Empathy
Respect
Challenge
a thera.
1) The United States is facing an unprecedented opioid epidemic and public health crisis, with drug overdose deaths nearly tripling between 1999-2014 and an estimated 75,000 Americans dying of drug overdoses in 2016 alone.
2) The current numbers do not fully capture the severity of the problem, and the author predicts over 100,000 people will die of drug overdoses in 2017. Those in recovery and the recovery community must make recovery their top priority and voice to inspire others seeking help.
3) To significantly reduce the number of people affected by this crisis, society must come together with a united voice and shared goals through the recovery community to accomplish solutions and create a nation that does not destroy itself from
Sound familiar? Could be your angry son or daughter. Could be a teen, an adult, an addicted loved one. Whoever is spewing, it leaves you feeling like you drank poison and then took a stomach punch from Mike Tyson.
Where your md meets my jd when the doctor says yes but the treatment team say...Mrsunny4
According to the National Institute on Drug Abuse and several published studies1, 80 percent of heroin users reported using prescription opioids prior to heroin.
Living beyond the downside of sex and sexual expressionMrsunny4
Sex and sexuality have become more prevalent throughout our global community. Obtaining sexually related products, images, and information have become readily available for anyone, of any age, to obtain with an internet access. Undoubtedly the consequence of such materials being readily available has had a positive and negative effect upon our society.
Deadly adulterants new dangers of illicit drugsMrsunny4
The “cutting” or “adulteration” of street drugs is common practice in the manufacturing, distribution and selling of illicit drugs, all in the name of increased profit.
Why do we want to change how we feel about ourselves? Are our feelings pleasant or unpleasant? If our feelings are unpleasant, we drink, eat or take a pill to change them.
Danger zone teen substance use and treatmentMrsunny4
Of summer, poet Darcy Cummings wrote of a “child leaving a walled school for the first time, stumbling from cool hallways to a world dense with scent and sound”.
Hey grandma, can i live with you grandparents and the opioid epidemicMrsunny4
1) Grandparents are increasingly taking on the role of raising their grandchildren as the opioid epidemic causes more parents to struggle with addiction and neglect their children. This is putting financial and emotional strains on many grandparents who are raising grandchildren full-time.
2) Around 2.9 million children in the US were living with their grandparents in 2015, with a total of 13 million children living with grandparents. Many grandparents have unexpectedly had to take on parenting roles again in their retirement years.
3) Grandparents who take on the full-time parenting of their grandchildren face significant financial challenges, with nearly 1 in 5 living below the poverty line. Resources to help support grandparents raising grandchildren are limited.
Dont be afraid to say the s word talking to kids about suicideMrsunny4
Through my work as Clinical Director of the Society for the Prevention of Teen Suicide, I frequently get asked by parents,” How do I talk to my child about suicide?
I define happiness as a feeling of contentment and peace about oneself. It’s the emotional response that the world is okay, there are better days ahead, and there’s room for possibility.
Anxiety, worry, stress, concern, apprehension, nervousness. It doesn’t matter what name you give it. It’s a horrible feeling. Anxiety comes when our minds focus on something in the future that feels like a threat.
For many parents, a child’s return to school may be met with a bag of mixed emotions, reservations and hesitations. They may have concerns about the potential of peer pressure, discrimination, school violence and exposure to various legal and illegal substances.
Relapse in most cases is not self-inflicted. Relapse-prone patients experience a gradual progression of symptoms that create so much pain that they become unable to function in sobriety.
When addiction crept into my household 11 years ago, I retreated to a journal. The clean, white pages offered me refuge to pour out my anguish, fear, confusion, and shame. It was a safe place to unveil my secret.
Our evolved unique feel good circuits makes humans different from apesMrsunny4
The brain regions circuitry tied to pleasure are difficult toaccurately describe, partly, because of many different ways we can trigger enjoyment or “Feel Good.”
The word “trauma” originated in the late 17th century from the Greek language. The literal translation is to “wound or damage.” The Greek word was specific to physical injury and has been used in medical terminology since.
Compulsive gambling is a progressive disease, much like an addiction to alcohol or drugs. In many cases, the gambling addiction is hidden until the gambler becomes unable to function without gambling, and he or she begins to exclude all other activities from their lives.
Etiologies of Bipolar disorders. Power Point Presentation ptxseri bangash
www.seribangash.com
Bipolar disorder, formerly known as manic-depressive illness, is a complex psychiatric condition characterized by extreme mood swings that include emotional highs (mania or hypomania) and lows (depression). The etiology of bipolar disorder involves a combination of genetic, biological, and environmental factors. Here's a breakdown of these etiologies:
Genetic Factors:
Family History: Bipolar disorder tends to run in families, suggesting a genetic component. Studies indicate that having a close relative with bipolar disorder increases the risk.
Genetic Studies: Research has identified specific genetic variations associated with bipolar disorder. These include genes involved in neurotransmitter signaling, ion channel function, and circadian rhythms.
Neurobiological Factors:
Neurotransmitter Imbalance: Imbalances in neurotransmitters such as dopamine, serotonin, and norepinephrine are implicated in bipolar disorder. For example, elevated dopamine levels during manic episodes and decreased levels during depressive episodes.
Neuroendocrine Factors: Dysregulation of the hypothalamic-pituitary-adrenal (HPA) axis and abnormal cortisol levels have been observed in individuals with bipolar disorder.
Neuroanatomical Factors:
Brain Structure and Function: Structural and functional abnormalities in certain brain regions are linked to bipolar disorder. These include the prefrontal cortex, amygdala, and hippocampus, which are involved in emotional regulation and cognition.
Environmental Factors:
Stress: Stressful life events, such as trauma, loss, or significant life changes, can trigger or exacerbate episodes of bipolar disorder.
Substance Abuse: Substance use, particularly stimulants or drugs that affect neurotransmitter systems, can precipitate manic episodes or worsen the course of the disorder.
Developmental Factors:
Early Life Experiences: Adverse childhood experiences, including abuse, neglect, or chronic stress, may increase susceptibility to developing bipolar disorder later in life.
Trajectories: Some individuals may have a prodromal phase marked by subthreshold symptoms or other behavioral indicators before full-blown episodes manifest.
5 Must-Have’s in ePCR Software for a More PROFITABLE and EFFICIENT EMS, NEM...Traumasoft LLC
The benefits of an ePCR solution should extend to the whole EMS & NEMT organization, not just certain groups of people or certain departments.
It should benefit EMS crews – making it convenient to enter data and have the tools to increase document accuracy.
It should benefit the back-office by streamlining documentation and billing processes internally and with health facilities.
It should benefit the entire organization by improving workflow efficiency, comply with regulations, reduce costs, and contribute to generating data-driven reports.
To achieve those benefits, ePCR software must have these 5 functions.
This presentation provides a comprehensive overview of age-related eye conditions, focusing on their impact, prevention, and management. Key topics include:
- Common age-related eye conditions such as cataracts, glaucoma, macular degeneration, and diabetic retinopathy.
- Symptoms and risk factors associated with these conditions.
- The importance of regular eye check-ups and early detection.
- Practical tips for protecting and preserving vision.
- Workplace eye safety and the use of protective eyewear.
Yoga Nidra Retreat in Bangalore
Yoga Nidra Retreat in Bangalore
A restful night is key to a healthy lifestyle. The reason behind many health issues that most people have from the modern way of living is nothing but lack of proper sleep. Well, it’s not like they don’t want to sleep, lack of time, an after-effect of day-long stress, and long-term anxiety trigger sleeplessness and thus respective disorders as well.
As per the recent survey, the insomnia percentage in India is above 33%, and the people who are most likely to be impacted with sleep deprivation hover around 52%. These numbers are higher compared to other countries.
Are you one of those populations suffering from sleeplessness and health issues due to lack of proper sleep? If Yes, then you must know that Yoga is the only way to get out of your situation to ensure restful nights after daylong stress and busy working schedules throughout the week.
Besides, even scientific studies prove that frequent consumption of stress-relieving, depression, or sleeping pills is not at all good for health and the brain. In such a scenario, Yoga is the only effective and probably most reliable way to get your sleep on track. Karuna Yoga Vidya Peetham will be on your side as a reliable Weekend Yoga Nidra Retreat in Bangalore.
Yoga Nidra aims at activating the relaxation response and improving the nervous and endocrine system functioning to ensure peaceful nights and active working hours.
Benefits:
An emphasis on some of the more Eastern practices (like yoga nidra, including pranayama, kriyas, mantras).
A peaceful location – the perfect setting for a Yoga Nidra Retreat.
Deepen your yoga practice and take it to the next level.
Retreat Curriculum Details
Practice Relaxation & Preparation for Yogic Sleep
Introduction to the concept and practices of relaxation
Relaxation in daily life
Sequence of relaxation practices
Tension & relaxation exercises
Systematic relaxation exercises
Preparations for Yoga Nidra
Mantra chanting
Introduction to mantra science
Morning prayers & Evening prayers
Surya-namaskar 12 mantras along with bija mantras
Pranayama Practices
Establishment of diaphragmatic breath
Different practices of pranayama
Yoga Nidra philosophy, Lifestyle, & Yoga Ethics
What is Yoga Nidra?
Philosophy of Yoga Nidra
Yoga Ethics
What Makes This Retreat Special
The practice of Yoga Nidra has been secret and imparted to those few yogis who have mastered their sleep. In Indian Mythology, there occurs a unique concept of sleep. We often find even the trinity of the universe Lord Brahma, Vishnu, and Shiva under the domination of sleep.
The course will explore the concept of Yoga Nidra details at theoretical and practical levels. This is designed to assist students of yoga to understand and experience the deeper layers of their personalities.
Type: Yoga Nidra Retreat
Date: 11th Sep 2021
Duration: 2 days
Location: Bangalore outskirt, India.
Food: Vegetarian
Accommodation
Shared Dormitory
Room
5 Most Influential Pharmaceutical Leaders in India 2024.pdfinsightscareindia
This edition features a handful of 5 Most Influential Pharmaceutical Leaders in India 2024 that are at the forefront of leading us into a digital future
Reimbursement Bootcamp- Coding, Coverage & Payment lecture by David Farber, K...Levi Shapiro
Presentation by David Farber, King & Spalding LLP, "Reimbursement Bootcamp- Coding, Coverage & Payment". Includes a comparison of FDA and CMS – The Important Differences. Setting Expectations and Understanding Timing. FDA Approval/Clearance vs. CMS (Medicare) Coverage. “Reasonable and Necessary”
CMS coverage determination
(formal or informal);
Focus on health benefits;
Economic data is important;
Superiority endpoint often needed; Focus on Medicare beneficiaries; Public processes; Publishes proposed decisions. Information Considered by CMS. Center for Medicare & Medicaid Services. Clinical evidence (including FDA submissions)
External technology assessments;
Advisory committee recommendations;
Position statements by relevant groups; Expert opinions;
Public comments;
Economic and other cost-effectiveness data;
Other informal opinions. The Basics of Reimbursement
• Coverage
Is the item or service eligible for payment?
• Coding
How is the item or service identified?
• Payment
What are the payment methodologies and amounts?
Medicare Coverage:
Defined Benefit Category
Not Excluded
“Reasonable and necessary for
the diagnosis or treatment
of illness or injury or to improve
the functioning of a malformed
body member.”
— Social Security Act § 1862(a)(1)(A). CMS and Its Contractors Make
Medicare Coverage Decisions
• National Coverage
Determinations (NCDs)
• Local Coverage
Determinations (LCDs)
• Individual Consideration
National Coverage
Determinations (NCD):
National and binding decision by CMS
Coverage and Analysis Group (CAG).
May be requested by anyone
(CMS or external party.)
Public process that generally takes
9-12 months once initiated.
May include certain conditions for coverage (including Coverage with Evidence
Development (CED)). Coverage with Evidence Development (CED). Evidence-based coverage paradigm
that permits CMS to develop
coverage policies for treatments
that are likely to show health benefits
for Medicare beneficiaries but for
which the evidence base is not
sufficiently developed. Two kinds of CED: (1) clinical study
and (2) registry. Local Coverage
Determinations (LCD):
Issued by local Medicare
Administrative Contractors (MACs).
May be requested by anyone
(MAC or external party.)
New formal process in 2019 to
request LCDs.
Limited to particular MAC jurisdiction. Medicare Administrative Contractors. Coding is the “language of
reimbursement.”
Coding operationally links
coverage and payment.
Having a code does not
guarantee reimbursement! TYPE OF CODE, CODING SYSTEM, WHO SETS CODE? WHO USES CODE? Diagnosis, Procedure or Service, Products and Certain Services, Drugs. Current Procedural Terminology (CPT) Codes. Maintained by the AMA CPT Editorial Panel.
Identify medical services furnished by physicians.
5-digit numeric codes with generic descriptors.
Three types of CPT codes. Application process takes at least 15 months for Category I codes, with specific clinical data requirements.
21. Alignment for Advanced Yoga Asana
The advance asanas that are taught during various asana classes throughout the duration of the teacher training are brought up for analytical discussions and practical sessions of methods to adjust advance postures with both verbal cues and hands-on adjustments. Learning revolves around demonstrations, observation and practicums by assisting the lead instructors during some advanced yoga classes. Students will demonstrate observe and assist lead instructors in adjusting in a basic yoga class.
Learning Objective
Be able to identify misalignments of advance postures. Be able to observe student’s capacity during adjustments. Be able to safely and gently adjust advance postures with verbal cues and with hands-on adjustments. To provide adjusting and assisting techniques of yoga asana class.
A colostomy is a surgical procedure that creates an opening in the large intestine, or colon, through the abdominal wall. The opening, called a stoma, allows waste products to pass through the colon and out of the body, and a pouch can be placed over it to collect the waste
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Online Live Personal Yoga Training at Home
Home Yoga
Change is Possible!
I am ready to help you, to improve your health, reduce stress and moving towards perfect peace, happiness and joy!
Show you the difference between intentional self-care and unintentional numbing out, so that you can be fully awake for all of your life
Restore your natural physical alignment, because it is critical to your health and well-being
Help you develop a practice of intentional surrender because it brings relief from stress and will improve every aspect of your life
Show you how to take care of yourself because that is the first step toward the connection you are craving with others
Restore your mind-body connection, because decision-making is so much easier when you can hear your own intuition
Home yoga course contents
The private yoga lesson consists of Power Yoga, Dynamic Yoga, Yoga Therapy for different ailments, Yoga for stress management, yoga posture (asana), yogic breathing (pranayama), guided meditation and relaxation. Sometimes the cleansing practices like Vamana Dhouti (vomiting), Jala & Sutra Neti (nasal cleaning), Laghu Sankhaprakshalana (intestine cleansing), vyutkarma & sheetkarma kapalabhati (nasal cleansing), Trataka (eye cleansing) and MSRT (immune system enhancement) are also included depending on the requirement of the participant
If you are looking for a secluded, silent, one-on-one yoga practice with personal care and attention and without any outside disturbances, private yoga lessons are perfect for you. In private yoga lessons, you save your time and energy from traveling to a distance yoga studio and practice yoga from the comfort of your home in a personal ambiance. In private yoga lessons, you learn properly with one-on-one attention from the yoga trainer. The yoga trainer also gets enough time to understand your requirements and customizes the yoga practices accordingly for your maximum health benefit.
If you are suffering from any specific health problems, private yoga lessons are ideal for you. Yoga therapy practices cannot be done in a group, it has to be done always one-on-one basis. Because your problem is different from others. In a group yoga class, the yoga practices are not addressed according to your body conditions & requirements, some of the practices in the group might be harmful to you. Moreover, if the group yoga trainer is not a qualified yoga therapist but only a yoga instructor, he may not know the yoga practices that are useful and harmful to you. Therefore, if you are suffering from any specific health conditions, you require private yoga lessons with one-on-one attention from an experienced yoga therapist for your recovery.
How many people can join in private yoga lessons?
We allow one or, maximum of two people at a time in a private yoga lesson.
Private yoga course contents
The private yoga lesson consists of Power Yoga, Dynamic Yoga, Yoga Therapy for different ailments, Yoga for stress management, yoga post
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INTERVENTION: THE JOHNSON MODEL
thesoberworld.com/2018/11/01/intervention-johnson-model
When Vernon Johnson wrote I’ll Quit Tomorrow in 1973, and Intervention: How to Help
Someone Who Doesn’t Want Help in 1986, his radical ideas were met with resistance
from many groups. One such group included advocates of the peer-topeer recovery
method, which was based on the belief that only after hitting bottom could one decide to
escape their substance misuse (and possible death). The Johnson Model works around the
idea that one needs to “raise the bottom” by getting those who are misusing substances to
agree to go to treatment, or to be treated before they hit rock bottom on their own. Hitting
one’s lowest point in terms of their substance abuse or misuse is often dangerous, and can
be life-threatening. By “raising the bottom”, countless lives can be saved, and precious
time can be gained and consequently, put towards recovery.
This idea of “raising the bottom,” was truly improved upon by Dr. Judith Landau with her
introduction of the family systems more invitational model of intervention. Her “ARISE”
method is described as “a collaborative, non-confrontational approach to guiding addicts
into recovery. Broadly speaking, the researched and known models of intervention are
distinguished by their traits, goals, timeframes, and how invitational the approach is.
The Johnson Model is built upon 7 components:
1. Team Effort – This “team” is a support system brought together by an interventionist
that can include family, close friends, loved ones, colleagues, as well as anyone else
important in the addict’s life.
2. Planning – The “team” decides on when and where the intervention will be held, and
what is going to be addressed and said in their letters.
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3. Care-Centered – This is vital to the success of the intervention. There should never
be yelling, blaming or threatening of the addict. Everything should be coming from a
place of care and concern.
4. Focus – During the process, it is important to stay on topic. The only thing being
addressed should be the addiction. This is not a time for unpacking harbored grudges
from 10 years ago.
5. Evidence – There should be presentable evidence in the letters, details of past events
that prove the impact of the addict’s substance abuse.
6. Goal-Oriented – The team should work together as a team to achieve the goal of
getting the addict to accept treatment. This should never be discussed as though it is a
punishment or “last straw”. It should be explained as a way to save or vastly improve the
addict’s life.
7. Treatment – Ideally, at the conclusion of the intervention, the loved one in need of
treatment will accept to seek out help. For this to happen, the team should put together a
list of treatment options.
In some versions of the Johnson Model, which is perhaps more widely known thanks to
its popular portrayals on television and in movies- letter reading and “bottom lines” are
included. It is important to note that many practitioners of the Johnson Model have
evolved in their practices, and now include many of the ideas that are found in all models
of intervention. In fact, many top interventionists report having had multiple trainings in
competing models, and borrowing from them when creating their own practices. The
“ambush” or “surprise” approach, versus the “invitational” approach is one of the biggest
differentiators in intervention.
The idea of an “invitational” method showing success may surprise and seem
counterintuitive to families and corporations that have been adamant (and unsuccessful)
in their attempts to cajole, threaten, and manipulate people into recovery. However, upon
first meeting, well-trained practitioners average an 83% success rate when following
ethical models. This percentage can be expected to increase to over 90% with entry to
higher level care. Needless to say, the top leaders in this field are very successful in their
methods.
The “Systemic” model, originated by Ed Speare and Wayne Raiter, is often used in three
day corporate retreat models. According to some research, the CRAFT model, which is
often used in therapists’ office practices, takes an average of 6 months to achieve goals
and behavioral changes.
John Southworth once jokingly described interventionists to me as “sometimes
presenting as a mixture of an exorcism and a bouncer.” The challenges today in many
ways remain the same:
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• How can we convince families, governments, and corporations to remove the stigmas?
• How can we get them to save lives by quickly and openly addressing behavioral health
and substance misuse with compassion?
• How can we move away from shame about mental health, trauma, family, and systemic
secrets?
• How can we move towards simultaneously helping each other improve the lives around
us, and society as a whole?
The misunderstanding of substance misuse is often accompanied by deep hurt and
confusion. Family and loved ones will ask, “How could they lie to me?”, “How could they
throw everything away?”. The broad range and different challenges of substance misuse
aren’t unlike those of gambling, food, and sexual disorders, in that they are all (in their
own way), baffling, infuriating, and in the end bring us to despair. We cannot
underestimate the power of the “second hand trauma” of being in relationships of any
kind with someone struggling. Jeff and Debra Jay’s best seller “Love First” outlined the
importance in recognizing that as an alcoholic descends to their “bottom”, they take their
loved ones with them.
Many of the best interventionists will attest that healing the support system is as
important or perhaps more important as changing the behaviors of the struggling person.
This can often be confusing at first to the families that hire them. However, self- care
encourages everyone affected to begin their own recovery, and all major research points to
the long-term improvement of outcomes when the family or support system forms a
unified front to change, heal, and learn compassionate and consistent boundaries.
Today, more and more legal challenges and consequences are common. Practitioners are
experiencing truly complex family systems as the norm, with high divorce rates, and over
50% of families involving step-parents and siblings. Years ago, when I was creating my
genogram for the family I was helping, I was informed that the 19-year-old in many ways
felt closest to his first step-mother who had raised him from when he was 3 until he was
12. He was currently living in the basement of the home where his father and his father’s
third wife were living. These realities bring in aspects of learning and determining who
has the real “love leverage” when you are building the support system team for this
person. Genograms, family history and timelines are of incredible value when working
with family systems, especially when connecting to resilience and hoping to inspire
change.
References Provided Upon Request
Brian O’Shea is a noted interventionist and sober coach. He cofounded Caring
Interventions, LLC in 2010. He is well respected and trusted among the recovery and
addiction treatment community, having facilitated successful interventions and
managed cases in 20 states. He serves as Brand Ambassador for ZenCharts, an
intelligent electronic health record system (EHR) built by clinicians for clinicians. As
Brand Ambassador, O’Shea works to engage with fellow clinicians in the industry to
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help enhance and optimize the ZenChart technology to continually meet the needs of
users.
www.zencharts.com