trauma addiction etiology resolution l.
Download
Skip this Video
Loading SlideShow in 5 Seconds..
Trauma & Addiction etiology & resolution PowerPoint Presentation
Download Presentation
Trauma & Addiction etiology & resolution

Loading in 2 Seconds...

play fullscreen
1 / 16

Trauma & Addiction etiology & resolution - PowerPoint PPT Presentation


  • 637 Views
  • Uploaded on

Trauma & Addiction etiology & resolution Sam Darcy, MA, CAP The Refuge – A Healing Place Ocklawaha, FL sdarcy@therefuge-ahealingplace.com Big ‘T’ & little ‘t’ trauma Whoever survives a test, whatever it may be, must tell the story. That is one’s duty Ellie Wiesel

loader
I am the owner, or an agent authorized to act on behalf of the owner, of the copyrighted work described.
capcha
Download Presentation

PowerPoint Slideshow about 'Trauma & Addiction etiology & resolution' - lotus


An Image/Link below is provided (as is) to download presentation

Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author.While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server.


- - - - - - - - - - - - - - - - - - - - - - - - - - E N D - - - - - - - - - - - - - - - - - - - - - - - - - -
Presentation Transcript
trauma addiction etiology resolution

Trauma & Addictionetiology & resolution

Sam Darcy, MA, CAP

The Refuge – A Healing Place

Ocklawaha, FL

sdarcy@therefuge-ahealingplace.com

big t little t trauma
Big ‘T’ & little ‘t’ trauma

Whoever survives a test, whatever it may be, must tell the story. That is one’s duty

Ellie Wiesel

The Twin Towers

Public or Private Trauma:

  • The IMPACT is neuro-chemical , physiological, and characterological

& a tough population

  • Hebb’s Law
  • HIGH MORTALITY RATE
trauma a working definition
Trauma: A Working Definition
  • Horror
  • Beyond the threshold of pain
  • Acquired emotional refinement to

detach, dissociate, defend, protect or numb

  • Childhood and/or Adult “events”
  • Surviving Implies coping, resiliency
  • Co-occurring mental health symptoms:

Depression (major), schizoaffective, Personality Disorders, Sexual Disorders, DID(?), Eating Disorders, Self Harm . . .

Refined Reactive Coping Skills

complex grief shame guilt
Complex Grief, Shame & Guilt
  • “The Creative Arts have a unique ability to help trauma survivors and addicts navigate through life experiences and defenses to the center of the soul.”

Dr Ericha Hitchcock-Scott, Ph.D.

the brain s reaction
The Brain’s Reaction

Constriction, abnormal amydala, abnormal hippocampus

FIGHT, FLIGHT, FREEZE = HYPERVIGILENT

escaping coping with pain
Escaping & Coping with Pain
  • Addiction(s)-

Substance,

Sex, Cutting, Gambling,

Dissociation, Work,

Internet, Exercise

  • Don’t talk, don’t trust,

don’t feel until

***Crisis & Collapse***

Destabilizing event(s) that propel change:

Arrest, Homelessness, Hospitalization, Divorce & Televised Intervention . . .

slide8

Clients Present with:

  • Loss of self w/EGO
  • Chameleon
  • Somatization
  • Isolation
  • Happy & miserable
  • Argumentative/Blocking
  • Hyper-verbal/Reticent
  • PTSD=Identity theft
  • Move Toward:
  • MOTIVATION
  • RESTORATION

Personality Disorder NOS, Cluster B Type

  • Is
  • Trauma Clustered Behaviors

Re-create a sense of healthy integrated strength

you went through all that
You Went Through All That!
  • Strive to Find the Client’s Emotional Strength(s)
  • External Boost to

Healthy Ego

  • Habilitation and

Rehabilitation

  • Explain the Brain’s

Reluctance to Heal

  • Build on Already

Established Coping

Skills

  • Applaud Even the Smallest Success(es)
  • Always Cycle Back to Feeling(s)
  • Keep Telling One’s Story
tell your story search for resiliency
Tell Your Story &Search for Resiliency

GOAL SETTING, EYE ON THE PRIZE – achievable & attainable

how to intervene in patient v out patient inductive reasoning
How to Intervene . . .In Patient v Out PatientInductive Reasoning
  • 12 STEP RECOVERY
  • TIME LINES
  • COLLAGE
  • MASKS
  • FAIRY TALE
  • BODY MAP
  • LOVE LETTERS
  • DRUM CIRCLE
  • MUSIC
  • EQUINE THERAPY
  • TALK THERAPY
  • CBT/DBT
  • HOLOTROPIC BREATHWORK
  • ART THERAPY
  • STRUCTURE
  • ACCOUNTABILITY
  • EMDR
  • DRAW, WRITE
  • ROPES COURSE
  • PSYCHODRAMA

WHAT ABOUT MEDICATIONS?

medications
MEDICATIONS . . .
  • Can’t (successfully)Medicate

Axis II with Medications!

  • Axis II = Trauma Clustered

Behaviors (reactions)

  • Depression, Anxiety, Self-

Harm or Manic-type behaviors = Consulting Psychiatrist/Physician

  • Avoid prescribing for the label & avoid prescribing for short-term reactive behaviors
  • Can’t prescribe for Willingness & Compliance
medications alternative therapy
Medications/Alternative Therapy
  • Understanding “Trauma Clustered Behavior”
  • Can’t Medicate Axis II back to healthy
  • Caution regarding treatment du jour
  • Affordable: Financial,

emotional, situational

& circumstantial.

Primum non nocere

holding on to success
HOLDING ON TO SUCCESS
  • Relapse Prevention
  • Support Network
  • Plan B
  • Victim to Survivor to Thriver
  • Plan C
  • Expect Relapse &

Regression Yet

Anticipate Healthy

Response

slide15

High Mortality RateEntrenched Symptoms“Triggers” & ReactivityWorsening of Symptoms No Definitive “Cure”Compound Complexity of DisordersExperiential v Cognitive/Behavioral

references summation
References/Summation

Google:

  • Dr B van der Kolk
  • Joseph E. LeDoux
  • Dr Patrick Carnes
  • Dr Don Meichenbaum
  • Lisa Najavits
  • Dr Mel Pohl, MD
  • Dr Ericha Scott
  • Sonja Lyubormirsky

Self care for the clinician