Relapse Prevention Tips For The Holidays | Counselor Toolbox Episode 70

CEU Course can be found at https://www.allceus.com/member/cart/index/product/id/583/c/

Surviving the holidays without relapsing can be a challenge. There are many triggers for addiction, anxiety and depression. Learn some tips and tools to prevent relapse here.

Earn CEs for this presentation here: https://www.allceus.com/member/cart/index/search?q=holidays

AllCEUs provides counseling education and CEs for LPCs, LMHCs, LMFTs and LCSWs as well as addiction counselor precertification training and continuing education.
Live, Interactive Webinars ($5): https://www.allceus.com/live-interactive-webinars/
Unlimited Counseling CEs for $59 https://www.allceus.com/
Specialty Certificate tracks starting at $89 https://www.allceus.com/certificate-tracks/
Live Webinars $5/hour https://www.allceus.com/live-interactive-webinars/
Pinterest: drsnipes
Podcast: https://www.allceus.com/counselortoolbox/

~ This presentation is based, in part, upon
~ a white paper from the National Child Traumatic Stress Network: “Complex Trauma in Children and Adolescents” 2003
~ Child-Witnessed Domestic Violence and its Adverse Effects on Brain Development https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193214/
~ The Adverse Childhood Experiences Study https://www.cdc.gov/violenceprevention/acestudy/
Objectives
~ Define complex trauma
~ Define and explore Adverse Childhood Experiences
~ Highlight the cost of complex trauma
~ Examine the impact and diagnostic issues of complex trauma
What is Complex Trauma
~ Exposure to traumatic events plus the short and long term impact of exposure resulting in:
~ Emotional dysregulation
~ Loss of safety
~ Inability to detect or respond to danger cues
~ Inability to detect or respond to internal cues
~ Generalization of cues
More About Complex Trauma
~ Complex Trauma is most likely to develop if the danger is unpredictable and uncontrollable (p.8)
~ The greatest source of danger, unpredictability and uncontrollability is the absence of a caregiver who reliably and responsively nurtures and protects the child.
Adverse Childhood Experiences
~ ACEs measured in the study include:
~ Physical, sexual, emotional abuse
~ Physical or emotional neglect
~ Mother treated violently
~ Substance misuse within household
~ Household mental illness
~ Parental separation or divorce
~ Incarcerated household member
*Could happen anytime prior to 18th birthday
*Two thirds of the 17,000 people in the ACE Study had at least one ACE
Effects of ACEs
~ Psychosocially induced biological alterations (in the brain and the HPA-Axis) related to maladaptation (especially post-traumatic stress disorder) in the context of child-witnessed DV
~ Child-Witnessed Domestic Violence and its Adverse Effects on Brain Development https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4193214/
Effects of ACEs
~ Nearly 60% of women and 35% of men with 4 or more ACEs reported chronic depression
~ The risk of perpetrating violence increased dramatically with the ACE score was over 5
~ Those with at least 4 ACEs had nearly double the chance of being raped later in life.
~ 18% of those with at least 4 ACEs attempted suicide.
National Incidence Study of Child Abuse and Neglect
~ NIS-3 (1996)
~ Harm Standard: 1,553,800
~ Endangerment Standard 2,815,600
~ Emotional (584,100)
~ NIS-4 (2006)
~ Harm Standard: 1,256,600 million (1:58)
~ Endangerment Standard: 2,905,800 (1:25)
~ Significant finding: Emotional (1,173,800)
7 Domains of Impairment
~ Attachment
~ Biology
~ Affect Regulation
~ Dissociation
~ Behavioral Regulation
~ Cognition
~ Self-Concept
As defined by the NCTSN Complex Trauma Taskforce
Attachment
~ Secure attachment
~ Internalize regulation strategies
~ Identify internal and external cues
~ Learn to use support systems in the face of overwhelming experience
Attachment
~ Insecure attachment (80% maltreated children)
~ 3 types
~ Avoidant
~ Rejecting caregiving—What does this look like
~ Disregard and distrust self and others
Attachment
~ Ambivalent
~ Parents alternate between validation and invalidation/detachment and enmeshment (Borderline-esque)
~ Children become hypersensitive to cues and overgeneralize
~ Children may disconnect to protect
Attachment
~ Disorganized
~ Lack of co-regulation
~ Erratic behavior in young kids (clingy, dismissive, aggressive)
~ Adolescents’ behavior can be extreme, rigid and themed—helplessness or coercive control (primitive survival)
Consequences of Poor Attachment
~ Life-Long risks for physical and psychosocial dysfunction
~ Increased susceptibility to stress
~ Inability to regulate emotions
~ Extremes in help seeking
Summary
~ Millions of children in the US are abused or neglected each year
~ This maltreatment often leads to negative emotional, social, physical consequences that last a lifetime
~ When put in context, at the time the behaviors were learned, behavioral issues make sense
~ Recovery requires learning to trust self, develop a healthy social support system, re-examine learning experiences through a different lens.

Видео Relapse Prevention Tips For The Holidays | Counselor Toolbox Episode 70 канала Doc Snipes