Definitions
ACE
What are Adverse Childhood Experiences
One way we calm our bodies
What is Grounding and self soothing?
This is useful for immediate relief when we are overloaded by stress or overwhelming emotions.
Definition of Vicarious Trauma
What is a special form of countertransference stimulated by exposure to the client's traumatic material. Its hallmark is disrupted spirituality, or a disruption in the trauma workers' perceived meaning and hope. i.e. Reactions as a result of exposure to another persons trauma history, story, or stress reactions.
Bonus: 100 pts what is countertransference?
one thing you can do for self care
What is anything?!? Exercise, relaxation, music, movement, meditation, family, friends, therapy, coloring, video games, driving, the list is endless.
WRAP
What I can use to plan for my wellness and recovery in advance?
What is an evidence based intervention that is peer-led, based on lived experience and built on Hope, Personal Responsibility, Education, Self-Advocacy, and Support.
Reframe of behaviors expressed by clients
Behavior can be a learned way of keeping a person physically and psychologically safe.
Set of coping skills developed for survival that may not serve as well in a therapeutic or safe environment.
ABCs of Self Care
What are Awareness, Balance, and Connection?
- To understand self-care, it is helpful to consider what it is not: Self-care is not an “emergency response plan” to be activated when stress becomes overwhelming. Self-care is not about acting selfishly (“It’s all about me!”). Self-care is not about doing more or adding more tasks to an already overwhelming “to-do” list. Healthy self-care can renew our spirits and help us become more resilient. Self-care is most effective when approached proactively, not reactively. Think of self-care as having three basic aspects: awareness, balance, and connection—the “ABC’s” of self-care. (The ABC's of Self Care | The Homeless Hub)
The ABC’s of Self-Care and Stress Reduction – Hartstein Psychological Services
3 or more types of Grounding
5 Senses(54321), mindfulness, drumming, meditation, deep breathing, essential oils, ice water/cold water on hands(hold an ice cube), dig heals into earth, music, legos, coloring, etc
Grounding Techniques: 30 Techniques for Anxiety, PTSD, and More (healthline.com)
Grounding Techniques & Self Soothing for Emotional Regulation | Eddins Counseling Group – Houston, TX
Spectrum of Responses
Negative, Neutral and Positive
What is Vicarious Trauma? | What is Vicarious Trauma? | OVC (ojp.gov)
purpose or why do we practice self-care
What is to prevent burnout?
TIP
Tipping the temperature of your face with very cold water or ice.
Intense Exercise of at least 20 minutes
Paced breathing as well as progressive(or paired) muscle relaxation
Goals of Psychoeducation
What are:
- Teach, normalize, and validate symptoms/PTSD: You’re not crazy
- Normalize exposure to trauma: You’re not alone/not the only one
- Reduce self-blame: It’s not your fault
- Describe TF-CBT (components, structure): There’s hope, we’ve got a treatment that work
Clarify goals/mechanism of treatment: Why important come each week, do weekly practice
Methods: For each, use the Socratic questioning technique
- Books
- Games (Charades, What Do You Know? Pretend game show)
- Internet Search, You Tube video
- Worksheets for discussion
- Make a radio show, public service announcement, poster, etc. (something creative)
Resilience
What is ability to be happy, successful again after difficult events. The ability to recover from or adjust to misfortune or change, even potentially better than before.
Proactive plan for recovery
What is WRAP(Wellness Recovery Action Plan)
Risk Factors
Name two things in your toolbox
Quick & easy, inexpensive, books, music, laughter, gratitude, WRAP, Radical Acceptace, Supervision, Reiki.
Distress Tolerance
Although most mental health treatments emphasize change, this model pays tribute to the value which exists in accepting reality just as it is rather than attempting to make things different. The skills taught in this module will not solve the problem but will assist in not making the problem worse. These skills should be combined with problem solving and not overuse to the point that they become an avoidance of engaging in life and creating one’s life worth living. The distress tolerance skills help with surviving a crisis and in that vein help to determine what is an actual crisis versus what is something that’s just uncomfortable.
Distress Tolerance Skills - Psychotherapy Academy
Relaxation
Goal: Provide client with skills to use in their environment (home, school) to manage distress
- Create “toolbox” to refer back to when working on the Trauma Narrative
- Teach difference between Relaxation and Distress Tolerance – identify which is more appropriate/relevant for client
Methods:
- Identify and bolster current skills already using (hobbies, music, sports, etc.)
- Play relaxation games (wet noodle/tin soldier; toss the ball, shoot baskets)
- Teach yoga, mindfulness, guided imagery, controlled breathing, Progressive Muscle Relaxation, other!
- Listen to music, mp3s downloads of relaxation activities online
- Skills from DBT (Altoids, M&M, Ice Cube)
TIC
What is Trauma Informed Care? Trauma-Informed Care (TIC) is an approach in the human service field that assumes that an individual is more likely than not to have a history of trauma. Trauma-Informed Care recognizes the presence of trauma symptoms and acknowledges the role trauma may play in an individual’s life- including service staff.
TF-CBT
Suggestions for Coworkers
How to use Supervision
•Assist them in recognizing the needs to find balance in their work and personal lives
•Allow a space to talk about how they have been impacted by the trauma they encounter in their work
•Provide encouragement and emotional support
•Assist workers in establishing boundaries between themselves & their clients
•Supervisors model healthy ways to manage
DBT
What is a treatment that has been empirically validated for a variety of different populations and issues including substance use disorders, suicide attempts, PTSD, self-harm, symptoms of depression and anxiety, eating disorders, that’s including binge eating and bulimic tendencies.
Affective Modulation(emotional regulation)
Trauma
What is when we have encountered an out of control, frightening experience that has disconnected us from all sense of resourcefulness or safety or coping or love”. (Tara Brach, 2011) or
Trauma is the response to a deeply distressing or disturbing event that overwhelms an individuals ability to cope, causes feelings of helplessness, diminishes their sense of self and their ability to feel the full range of emotions and experiences. or
As Bessel van der Kolk notes, trauma is specifically an event that overwhelms the central nervous system, altering the way we process and recall memories. “Trauma is not the story of something that happened back then," he adds. "It’s the current imprint of that pain, horror, and fear living inside people.”
5 parts of resiliency
Optimism, Meaning, Self-Care, Relationships, Self Awareness
set of five “change muscles” that help people use their energy more effectively during change. Let’s take a closer look:
Suggestions for Supervisors
things included in WRAP
What are my daily maintenance plan, wellness toolbox, supporters, crisis plan, action plans for stressors/triggers, early warning signs, and when things are breaking down.
Bonus: Who has a WRAP and uses it?
Resilience
What is the goal of all skill building, groups, trauma interventions- to build and increase resilience?
Connection and Relationships
Creating safety
9 Steps to Healing Childhood Trauma as an Adult | Psychology Today
Resiliency Building Skills to Practice for Trauma Recovery – The Art of Healing Trauma (new-synapse.com)
Cognitive Coping
Teach about the Cognitive Triangle: Relationship between Thoughts, Feelings,
Methods: