Working with Trauma How to understand it Dr Adam

Transcript:Working with Trauma How to understand it Dr Adam:
Working with Trauma How to understand it Dr Adam Morgan & Dr Stale Rygh Clinical Psychologists Training Outline Intro and session 1 1 hour Break 15 mins Session 2 1 hour Health warning…….. Aims of the training Understanding the impact of trauma on people’s lives Understanding formulation and how can it help Warm up exercise: What are the biggest challenges you face with your students? What do you want from today? What is trauma? “Trauma refers to harmful emotional, psychological, biological and social human responses to an event(s) or circumstances which are experienced as life threatening to the individual” Substance abuse and mental health administration SAMHSA 2014 “Being traumatised means continuing to organise your life as if the trauma were still going on – unchanged and immutable – as every new encounter or event is contaminated by the past” Van Der Kolk, The Body Keeps the Score Vignette: Imagine a child grows up in an unpredictable, abusive/neglectful environment. For example, there is domestic violence at home from one of the parents who is a drinker. The other parent is anxious and depressed and is withdrawn and absent as a result (they are a victim of domestic violence after all. How may they come to think about: Themselves Others (people, e.g. caregivers, friends) The world in general What might they do to cope? How might it effect their education, job prospects and their relationships? Feedback: I don’t matter I’m a problem People are dangerous/don’t care World isn’t safe World unpredictable Child might be combative or withdrawn Child might try to keep others happy Might struggle at school, with peers, struggle to concentrate ACE Studies -Vincent Felitti: Studies that looked at correlations between Adverse Childhood Events (hence ‘ACE’) and health outcomes in adulthood ACE score 0 – 10 with one ‘point’ for each adverse event. Adverse events included things such as: emotional/physical/sexual abuse, misuse of drugs and/or alcohol in family home, family member in prison, parental separation. Only 1/3 reported no ACEs Likelihood of Diagnosis – for children who were sexually abused Depression: 5.07 times more likely Phobia: 12.12 times more likely OCD: 7.01 times more likely PTSD: 8.23 times more likely Eating Disorder: 6.53 times more likely Psychosis: 10.14 times more likely Sources: 1. jonas, s et al. (2011) sexual abuse and psychiatric disorder in England: results from the 2007 adult psychiatry morbidity survey, psychological medicine; 41: 709-20. Personality disorder No