University of Wisconsin Continuing Studies - Addiction, Trauma & Mental Health
- 2. Trauma Mental Health Addiction The Uninvited Guests Oct. 2020
- 3. About Dr. Louise -Clinician-Educator- Author Interventionist • “Interventionist of the Year” -2019 DB Resources and McLean Hospital-An Affiliate of Harvard • Woman , Wife, Mother, Widow, Grandmother • Adventurer
- 4. At the end of the presentation participants will be able to : 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
- 5. 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. Are We Living ?
- 11. What is your Philosophy of Treatment ?
- 12. Who Am I ? “I am the mirror who reflects back their pain, their fears their voices. I am the inquirer who asks difficult questions, who searches for evidence and patterns. I am the companion on the journey bringing my own story to the encounter, making possible an interpretive co"aboration, I am the audience who listens , laughs , weeps an applauds. I am the spider women spinning their tales.. I am the therapist who offers cathaersis support and cha"enge… I am also the stage manager coordinating the intersection of three plays- the story te"er, the narrator and the readers inviting your voice to the drama”
- 14. 2020 How do your clients arrive?
- 16. 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 %om” Larke Huang , Director of Health Care Equity at SAMSHA
- 17. –Unknown Our Brains are wired for connection, Trauma rewires them for protection
- 19. 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. Collective Trauma -shared experience of helplessness, disorientation and loss amongst a group of people
- 20. 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
- 22. Collectiive Trauma Racism Covid 19 Natural Disasters Unemployment School Closures Confusion and Anxiety
- 24. Issues Unlucky Graduates- No Commencement-No New Beginning Want to Launch -Yet Can’t Launch-Feel Like a Failure To Launch Birthdays in lockdowns Lack of faith in the administration
- 25. Held Hostage at Home Zoom birthdays, graduations Become Tic tok stars Lose a summer job Rethink plans for the future Increase digital use Anxiety and dEpression Increase It feels like we are trapped
- 26. Collective Trauma Shared experience which is imprinted in a generation though their cam be different responses Recognition, Remeberance, Solidarity, Communal Therapy and Massive Coperation
- 29. More Stressors Children at Home Social Distancing Social Lockdown Wearing Masks Alcohol Up- Marijuana Up
- 32. It Can Feel like You Are Whirling Thru a Tornado
- 33. I Met Trauma at a Young Age
- 36. Story
- 38. Humiliation- Embarrassment The Act of Making Someone Inferior or Foolish You have Bad table manners. “ Your Father Committed Suicide!”
- 39. The Brain & Memory Amygdala - Alarm circuit Prefrontal cortex (Conscious thinking) Walking down the Street and think you see a snake
- 42. 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
- 44. Self Reflection Questions What is your life’s role? What do you believe is the main core of your identity (Family Member, partner, work, home , pet, health and why?? What has been your greatest experience of loss? (loved one , job, health etc) ?
- 45. Addiction -Attachment Disorder Values are lost as we attach to substances and other unhealthy behaviors
- 46. 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
- 47. Mental Health Issues Anxiety Depression Grief and Loss Narcissism PTSD Bi-Polar Personality Psychosis Phobias
- 48. Theraputic Goals Develop Attunement Increase Empathy Process Shame Empower Change
- 49. Modalities Used To Join Up MI-Motivational Interviewing CBT-Cognitive Behavoorial DBT- Dialectical ACT-Acceptance and commitment SFT-Solution Focused 12 step or self support
- 51. Start Where Your Client Is
- 52. Client is the expert - Give them Control Over Their Recovery
- 55. Have you earned the right yo hear another story?
- 57. CDC Guiding Principles Safety Trustworthiness and Transparency Peer Support Collaboration and Mutuality Empowerment and choice Cultural, historical , gender issues
- 58. Benefits of Trauma Focused Therapy Reestablish safety Identify Triggers Develop Healthy Coping Skills Decrease in Traumatic Stress Symptoms Practice Trauma Processing or Integration
- 59. Family Mapping A Way into Story
- 60. Conversations will be non-linear
- 61. Qualitative Questions Tell Me about ……….. Tell me about your Family.. Tell me about your children, family, Grandparents etc
- 63. 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
- 66. Evidenced Based Strategies Music Therapy Art Therapy Sand Jungian Therapy Equine Therapy
- 67. Trauma a can also be Related to Pain Body
- 69. Meet Robert
- 70. Sheila
- 71. Meet Tommy
- 73. Meet Heidi
- 76. Coming November 19 Rockridge Press, Emeryville, Ca available on Amazon
- 77. The Definitve Guide To Addiction Interventions 2018 Routledge Available on Multiple Sites Amazon, Routledge etc
- 78. Falling Up A Memoir of Renewal 2016 Available on Amazon
- 79. 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.a"aboutinterventions.com/2020/01/31/today-i-am- relieved-being-an-adult-child-of-alcoholic-informs-me/ Stanger, Louisehttps://www.a"aboutinterventions.com/2020/01/30/what- happens-to-a-child-in-an-alcoholic-family/ https://www.a"aboutinterventions.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, Fa"ing Up:A Memoir of Renewal , 2016 available onAmazon
- 80. Resources Stanger, L & Weber, L. 2018. The Definitive Guide toAddiction Interventions-Co"ective Strategies . NY . Routhledge. Stanger, L. 2016. Fa"ing Up-A memoir of Renewal. Ca. WZY Press. available onAmazon Stanger, L 2016. Learn to Thrive :An Intervention Guidebook (available at www.a"aboutinterventions.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.A"aboutInterventions.com
- 81. Resources Kopp, Sheldon- If You Meet The Buddah on the Road , Ki" Him, 1982. Penguin House Random House, NY, NY Stanger, Louise. Fa"ing 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.a"aboutinterventions.com
- 82. 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
- 83. 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
- 84. Resources Kopp, Sheldon- If You Meet The Buddah on the Road , Ki" Him, 1982. Penguin House Random House, NY, NY Stanger, Louise. Fa"ing 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.a"aboutinterventions.com
- 85. 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/
- 86. Resources http://cctasi.northwestern.edu, Center for Child Trauma, Assessment Services and Interventions https://www.integration.samhsa.gov/clinical-practice/ trauma