Trauma & Addiction etiology & resolution Sam Darcy, MA, CAP The Refuge – A Healing Place Ocklawaha, FL email@example.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
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Sam Darcy, MA, CAP
The Refuge – A Healing Place
Whoever survives a test, whatever it may be, must tell the story. That is one’s duty
The Twin Towers
Public or Private Trauma:
& a tough population
detach, dissociate, defend, protect or numb
Depression (major), schizoaffective, Personality Disorders, Sexual Disorders, DID(?), Eating Disorders, Self Harm . . .
Refined Reactive Coping Skills
Dr Ericha Hitchcock-Scott, Ph.D.
Constriction, abnormal amydala, abnormal hippocampus
FIGHT, FLIGHT, FREEZE = HYPERVIGILENT
Sex, Cutting, Gambling,
don’t feel until
***Crisis & Collapse***
Destabilizing event(s) that propel change:
Arrest, Homelessness, Hospitalization, Divorce & Televised Intervention . . .
Personality Disorder NOS, Cluster B Type
Re-create a sense of healthy integrated strength
Reluctance to Heal
GOAL SETTING, EYE ON THE PRIZE – achievable & attainable
WHAT ABOUT MEDICATIONS?
Axis II with Medications!
Harm or Manic-type behaviors = Consulting Psychiatrist/Physician
Primum non nocere
High Mortality RateEntrenched Symptoms“Triggers” & ReactivityWorsening of Symptoms No Definitive “Cure”Compound Complexity of DisordersExperiential v Cognitive/Behavioral
Self care for the clinician