What Lies Beneath: Treating the Trauma Underlying Substance Use
What Lies Beneath: Treating the Trauma Underlying Substance Use
- Attending Virtually on TPN.health
- $0
- Attending Virtually on TPN.health
- $0
Presented By
-
Chantelle Thomas, PhDMore Info
Brought to You By
Dates and Times
-
-In-Person, Live Webinar
Location
-
Live WebinarAccess virtually on TPN.health
-
Ascendant Intensive Outpatient Program210 E 58th St
New York, NY 10022
For many individuals suffering from substance use disorders, making the decision to enter treatment is a challenging process requiring a great degree of humility and courage. Clients often initially approach treatment with limited knowledge and perspective of what is truly required of themselves to benefit from a residential treatment setting. Not surprisingly, surrendering from their “regular lives” into an often novel and emotionally challenging therapeutic setting will elicit self-protective mechanisms. These reflexive responses can prevent both the client and the clinician from gaining meaningful access to the areas of deepest vulnerability and suffering, particularly with a trauma history. Taking a multiplicity of the self-perspective is a useful approach to assist both clients and clinicians in understanding how to collaboratively explore all aspects of what appear to be therapeutic impasses. Using the authentic therapeutic alliance and applying nuanced experiential, somatic, emotion-focused, and family systems-based approaches, can facilitate access to the “parts” of self that rely on substance use to cope.
- • Counselor
- • Marriage & Family Therapist
- • Psychologist
- • Social Worker
- • Substance Use Disorder Professionals
The educational goal of this workshop is to provide clinicians with a comprehensive understanding of how to navigate the complex interplay between trauma and substance use disorders by exploring therapeutic approaches that strengthen the therapeutic alliance, address clinical barriers, and utilize experiential, somatic, and novel interventions to promote healing.
At the end of this course, participants will be able to:
-
Define at least 2 clinical barriers and at least 2 treatment assumptions uniquely manifesting for co-occurring substance use and trauma treatment.
-
Examine 2 ways to strengthen the therapeutic alliance from an attachment-based lens that emphasizes resiliency and de-pathologizes the concept of "resistance" for dually-diagnosed individuals.
-
Summarize the range of clinical strategies and novel, somatic-based interventions (KAP, SE) that promote safety, support emotional intimacy, and invite exploration of parts of self that were alienated through trauma/substance use.
-
Barrett, F. S., Johnson, M. W., & Griffiths, R. R. (2015). Validation of the revised Mystical Experience Questionnaire in experimental sessions with psilocybin. Journal of psychopharmacology (Oxford, England), 29(11), 1182–1190. https://doi.org/10.1177/0269881115609019
-
Carhart-Harris, R. L., & Friston, K. J. (2019). REBUS and the anarchic brain: toward a unified model of the brain action of psychedelics. Pharmacological reviews, 71(3), 316-344
-
Center for Disease Control & Prevention (2023); Center for Disease Control & Prevention, WONDER Online Database, 2023; https://nida.nih.gov/researchtopics/trends-statistics/overdose-death-rates
-
Cloitre M, Courtois CA, Charuvastra A, Carapezza R, Stolbach BC, Green BL. (2011). Treatment of complex PTSD: results of the ISTSS expert clinician survey on best practices. J Trauma Stress, (24), 615–627.
-
Dakwar, E., Levin, F., Hart, C. L., Basaraba, C., Choi, J., Pavlicova, M., & Nunes, E. V. (2020). A Single Ketamine Infusion Combined With Motivational Enhancement Therapy for Alcohol Use Disorder: A Randomized Midazolam-Controlled Pilot Trial. The American journal of psychiatry, 177(2), 125–133. https://doi.org/10.1176/appi.ajp.2019.19070684
-
Dakwar, E., Levin, F., Foltin, R. W., Nunes, E. V., & Hart, C. L. (2014). The effects of subanesthetic ketamine infusions on motivation to quit and cue-induced craving in cocaine-dependent research volunteers. Biological psychiatry, 76(1), 40–46. https://doi.org/10.1016/j.biopsych.2013.08.009
-
Davis, A. K., Barrett, F. S., & Griffiths, R. R. (2020). Psychological flexibility mediates the relations between acute psychedelic effects and subjective decreases in depression and anxiety. Journal of contextual behavioral science, 15, 39–45. https://doi.org/10.1016/j.jcbs.2019.11.004
-
Deyama, S., & Duman, R. S. (2020). Neurotrophic mechanisms underlying the rapid and sustained antidepressant actions of ketamine. Pharmacology, biochemistry, and behavior, 188, 172837. https://doi.org/10.1016/j.pbb.2019.172837
-
Dore, J., Turnipseed, B., Dwyer, S., Turnipseed, A., Andries, J., Ascani, G., Monnette, C., Huidekoper, A., Strauss, N., & Wolfson, P. (2019). Ketamine Assisted Psychotherapy (KAP): Patient Demographics, Clinical Data and Outcomes in Three Large Practices Administering Ketamine with Psychotherapy. Journal of psychoactive drugs, 51(2), 189–198. https://doi.org/10.1080/02791072.2019.1587556
-
Drozdz, S. J., Goel, A., McGarr, M. W., Katz, J., Ritvo, P., Mattina, G. F., Bhat, V., Diep, C., & Ladha, K. S. (2022). Ketamine Assisted Psychotherapy: A Systematic Narrative Review of the Literature. Journal of pain research, 15, 1691–1706. https://doi.org/10.2147/JPR.S360733
-
Duman RS, Aghajanian GK. Synaptic dysfunction in depression: potential therapeutic targets. Science. 2012 Oct 5;338(6103):68-72. doi: 10.1126/science.1222939. PMID: 23042884; PMCID: PMC4424898.
-
Evans, J. W., Szczepanik, J., Brutsché, N., Park, L. T., Nugent, A. C., & Zarate, C. A., Jr (2018). Default Mode Connectivity in Major Depressive Disorder Measured Up to 10 Days After Ketamine Administration. Biological psychiatry, 84(8), 582–590. https://doi.org/10.1016/j.biopsych.2018.01.027
-
Feder A, Parides MK, Murrough JW, Perez AM, Morgan JE, Saxena S, et al. Efficacy of intravenous ketamine for treatment of chronic posttraumatic stress disorder: a randomized clinical trial. JAMA Psychiatry 2014; 71(6): 681–8.
-
Fisher, Janina. (2017). Healing the fragmented selves of trauma survivors: Overcoming internal self-alienation. Routledge.
-
Fontana, A. (1974). Terapia antidpresiva con Ci 581(ketamine). Acta Psiquiatrica Y Psicologica de America Latina, 4, 20-32.
-
Garcia-Romeu, A., Davis, A. K., Erowid, E., Erowid, F., Griffiths, R. R., & Johnson, M. W. (2020). Persisting Reductions in Cannabis, Opioid, and Stimulant Misuse After Naturalistic Psychedelic Use: An Online Survey. Frontiers in psychiatry, 10, 955. https://doi.org/10.3389/fpsyt.2019.00955
-
Garcia-Romeu, A. P., & Tart, C. T. (2013). Altered states of consciousness and transpersonal psychology. In H. L. Friedman & G. Hartelius (Eds.), The Wiley- Blackwell handbook of transpersonal psychology (pp. 121–140). Wiley Blackwell. https://doi.org/10.1002/9781118591277.ch6
-
Grabski, M. et al. (2022). Adjunctive Ketamine With Relapse Prevention-Based Psychological Therapy in the Treatment of Alcohol Use Disorder. The American journal of psychiatry, 179(2), 152–162. https://doi.org/10.1176/appi.ajp.2021.21030277
-
Grof, S. (1975) Realms of the Human Unconscious: Observations from LSD Research, Viking Press, New York.
-
Gold, S., & Quiñones, M. (2022). Ketamine in contextual trauma therapy: The paradox of dissociation in (complex) PTSD. https://mindfoundation.org/cptsd-ketamine-dissociation/
-
Hamby, C. (2023) A Fraught New Frontier in Telehealth: Ketamine; New York Times, https://www.nytimes.com/2023/02/20/us/ketamine-telemedicine.html
-
Herman, JL. (1992). Complex PTSD: A syndrome in survivors of prolonged and repeated trauma. J Trauma Stress, (5), 377–391.
-
Herman, Judith. (2015). Trauma and Recovery. Basic Books. Kelmendi, B., Kaye, A. P., Pittenger, C., & Kwan, A. C. (2022). Psychedelics. Current biology : CB, 32(2), R63–R67. https://doi.org/10.1016/j.cub.2021.12.009
-
Khantzian E.J. (2021) Psychodynamic Psychotherapy for the Treatment of Substance Use Disorders. In: el-Guebaly N., Carrà G., Galanter M., Baldacchino A.M. (eds) Textbook of Addiction Treatment. Springer, Cham.
-
Khorramzadeh, E., & Lotfy, A. O. (1973). The use of ketamine in psychiatry. Psychosomatics, 14(6), 344–346. https://doi.org/10.1016/S0033-3182(73)71306-2
-
Petri et al. (2014). Homological scaffolds of brain functional networks. J R Soc Interface. 2014 Dec 6;11(101):20140873. doi: 10.1098/rsif.2014.0873. PMID: 25401177; PMCID: PMC4223908.
-
Marich, J. (2020). Trauma and the 12 Steps, Revised and Expanded: An Inclusive Guide to Enhancing Recovery. United States: North Atlantic Books.
TPN.health is approved by the California Association of Marriage and Family Therapists (Provider #1000101) to sponsor continuing education for LPCCs. TPN.health maintains responsibility for this program/course and its content. Course meets the qualifications for 1.5 hours of continuing education credit for LPCCs as required by the California Board of Behavioral Sciences.
TPN.health has been approved by NBCC as an Approved Continuing Education Provider, ACEP No. 7267. Programs that do not qualify for NBCC credit are clearly identified. TPN.health is solely responsible for all aspects of the programs.
Trusted Provider Network, LLC is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed mental health counselors. #MHC-0220.
TPN.health is approved by the California Association of Marriage and Family Therapists (Provider #1000101) to sponsor continuing education for LMFTs. TPN.health maintains responsibility for this program/course and its content. Course meets the qualifications for 1.5 hours of continuing education credit for LMFTs as required by the California Board of Behavioral Sciences.
Trusted Provider Network, LLC is recognized by the New York State Education Department’s State Board for Mental Health Practitioners as an approved provider of continuing education for licensed marriage and family therapists #MFT-0097.
Trusted Provider Network is approved by the American Psychological Association to sponsor continuing education for psychologists. Trusted Provider Network maintains responsibility for this program and its content.
TPN.health is approved by the California Association of Marriage and Family Therapists (Provider #1000101) to sponsor continuing education for LEPs. TPN.health maintains responsibility for this program/course and its content. Course meets the qualifications for 1.5 hours of continuing education credit for LEPs as required by the California Board of Behavioral Sciences.
Trusted Provider Network, LLC is recognized by the New York State Education Department’s State Board for Psychology as an approved provider of continuing education for licensed psychologists #PSY-0125.
TPN.health is approved by the California Association of Marriage and Family Therapists (Provider #1000101) to sponsor continuing education for LCSWs. TPN.health maintains responsibility for this program/course and its content. Course meets the qualifications for 1.5 hours of continuing education credit for LCSWs as required by the California Board of Behavioral Sciences.
TPN.health, #1766, is approved to offer social work continuing education by the Association of Social Work Boards (ASWB) Approved Continuing Education (ACE) program. Organizations, not individual courses, are approved as ACE providers. State and provincial regulatory boards have the final authority to determine whether an individual course may be accepted for continuing education credit. TPN.health maintains responsibility for this course. ACE provider approval period: 03/31/2022 – 03/31/2025. Social workers completing this course receive 1.5 Clinical continuing education credits. ASWB ACE Credit is not available in NY and NJ.
Trusted Provider Network, LLC is recognized by the New York State Education Department’s State Board for Social Work as an approved provider of continuing education for licensed social workers #SW-0654.
This course has been approved by TPN.health, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #198061, TPN.health is responsible for all aspects of the programming.This course has been approved by TPN.health, as a NAADAC Approved Education Provider, for educational credits. NAADAC Provider #198061, TPN.health is responsible for all aspects of the programing. Counselor Skill Group: Counseling Services
-
In-Person Networking at Ascendant IOP
-
Virtual Waiting Room Opens
-
Workshop Begins
-
Workshop Ends