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Clinical Practice with Military Families: Trauma & Resilience

This professional practice specializes in forensic and trauma care, focusing on issues such as grief, deployment, and co-occurring disorders in military families. Services include comprehensive diagnostic evaluations, trauma-informed psychoeducation, and individualized treatments. Case studies highlight the varied challenges faced by veterans and their families, from PTSD to attachment disorders. The practice also addresses the impact of concussive brain injuries and the complexities of treating co-occurring conditions. Contact Dr. Ricardo Carrillo for specialized support and guidance in navigating the unique challenges of military life.

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Clinical Practice with Military Families: Trauma & Resilience

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  1. Clinical Practice with Military Families Ricardo Carrillo, PhD Professional Forensic and Trauma specialized private practice

  2. Getting Paid • Health Net • Medicare, • Medicaid, • Tricare • Veterans Affairs program

  3. Relevant Issues • Grief and Loss • Deployment • Divorce • Rigid communication styles • Aftermath of brain and other injuries • Policies that advocate to “refrain from discussing issues related to deployment.” • Attachment disorders • Co occurring conditions • Violence, chemical dependency, trauma, PTSD

  4. Grief and Loss • Standard practice of dealing with the real and imaged loss of individual family members while in active duty. • Deployment • Divorce • Military member • Spouse • children

  5. Concussive Brain Disorders, PTDS, other types of injuries • Correct diagnostic work ups crucial • Effects, short term and long term from disabling injuries • Specialized treatment for specific injuries • PTSD, multiple approaches offered and limitations to finding referral sources. • Co occurring disorders

  6. Post Traumatic Stress Disorder • Cognitive behavioral approaches • Prolonged Exposure therapy • Virtual Realty research (Navy) • EMDR- eye movement desensitization and reprocessing

  7. Traumatic event & core psychological process • Biological: brain, CNS, sympathetic system • Neuroendocrine system • Serotonergic system • Psychology • Learning • Memory • Cognitive • Perceptions • Self-ego processes • Personality • Emotions • Unc mental processes John Wilson

  8. Ptsdsx clusters not present prior to trauma • Reexperiencing traumatic memory • Avoidance –numbing (coping) • Hyper arousal (physiological) • Self (ego processes) identity • Interpersonal (affiliation) and attachment

  9. Synergistic syndrome • Behavioral adaptation • Dsyregulated affects • Personality alterations (personaltiy,ego,self) • Altered interpersonal processes (detachment, loss of intimacy, alienation) • Co morbidity • Health related effects • Life course trajectory (developmental patterns • Recovery & healing

  10. STABLIZATION , NORMAIIZATION INTEGRATION

  11. Clinical Practice • Co occurring disorders and conditions • Comprehensive diagnostic evaluation: Wilson; • Spect studies or other brain imaging procedures. • Trauma informed psycho education: seeking safety, beyond trauma, • Chemical dependency recovery: harm reduction • Individual, family, group, and specialized menu driven services.

  12. Case studies • Tom Vietnam vet • Mark (swat), Iraq military police • David (mask), father deployed out to sea • Marcie, on ship, concerned about abandonment issues with daughter whom is at the CDC

  13. Tom • 56 yr old Chicano • Porterville • Vietnam Vet • Three failed marriages • Acute chronic PTSD • Survivor Guilt prevalent • Psychoeducation • EMDR

  14. mark • 36 yr old Caucasian male • Iraq & Afghanistan vet • Special forces • Currently employed as deputy sheriff • SWAT team, gang specialist • Acute PTSD symptoms: nightmares • Disassociations • Hyper aroused nervous system • Acute and chronic alcoholism • Cannot view himself as an addict

  15. David • 10 year old Caucasian male • Father navy chief petty officer • Deployed for six months • ADHD • Addreral • Elder brother, abusive • Mother, distracted and attachment impaired • Alone with disorganized attachment • Desperately in need of services • Parents in denial

  16. David’s Mask

  17. Children’s mascaras

  18. Marcie • 23 year old Chicana female from Texas • Single parent • On aircraft carrier • Never home • Concerned about attachment and child’s development • Responsive to problem solving psycho education

  19. Thank you • Ricardo Carrillo, PhD • 559 804 1671 • rcarrillo03@comcast.net • www.ricardocarrillophd.com • National Latino Alliance for the Ellimnation of Domestic Violence: www.DValianza.org • National Compadres Network: www.nationalcompadresnetwork.com

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