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Identifying and Understanding Trauma Defense Mechanisms as one of the Root Cause of Substance Abuse and Relapse

In-Person
1.5 CE Hour
Clinical

Presented By

Dates and Times

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    In-Person

Location

Description

The interplay between trauma defense systems and dissociation and freeze responses significantly contributes to the perpetuation of substance abuse and increases the risk of relapse. Neuroimaging research has revealed valuable insights into the impact of these defense mechanisms on successful psychotherapy or psychoeducation interventions. Without a proper trauma assessment, a thorough understanding of the differences between top trauma modalities and knowledge of what not to do with clients caught in a trauma defense response, we inadvertently fail to practice trauma-focused care. 

 

Trauma treatment should be tailored to individual needs, preferences, and learning styles. After assessing a client’s complete narrative, a skilled therapist and mental-health practitioner will be able to determine the appropriate treatment modality. With respect to working with clients experiencing trauma-related freeze and dissociation, several evidence-based modalities will be explored, including Eye Movement Desensitization and Reprocessing (EMDR), Sensorimotor Psychotherapy, Internal Family Systems, Somatic Experiencing, and others. 

 

The five areas we will focus on are: slowing down treatment to observe for trauma defense mechanisms; learning to do a proper trauma-focused assessment utilizing case studies of collecting a narrative without triggering a client; understanding the do’s and don’ts of working with clients who are currently activated by freeze or dissociation; avoiding hasty misdiagnosis of both axis I and axis II; and building a referral resource of competent trauma-focused practitioners.

 

Scientific Basis or Research

In this presentation, attendees will be presented with research and resources that support the perspective emphasizing the importance of treating trauma and addiction concurrently. The following experts’ work, among others, will be highlighted: Bessel van der Kolk, MD, Judith Herman, MD, Lisa M. Najavits, PhD, Peter Levine, Richard Schwartz, PhD, Stephen Porges, PhD, and Pat Ogden, PhD. 

 

A specific focus will be given to empirical evidence on trauma defense mechanisms, including dissociation, freeze response, feigning, and attachment cry for help. Dissociation, for example, disconnects individuals from their emotions, leading to an increased reliance on substances for temporary relief. Experts such as Colin A. Ross, MD, Onno van der Hart, PhD, Ellert R.S. Nijenhuis, PhD, Janina Fisher, PhD, and Christine A. Courtois, PhD, have written extensively on trauma-related disorders, including dissociative disorders, and their connection to substance abuse.

Target Audience
  • • Counselor
  • • Nurses
  • • Physicians
  • • Marriage & Family Therapist
  • • Social Worker
  • • Substance Use Disorder Professionals
  • • Psychologist
Learning Objectives

At the end of this course, participants will be able to:

  • Explain how to properly refer clients to trauma focused practitioners or treatment facilities.

  • List at least 3 key signs to assess if someone is in freeze or dissociating.

  • Identify multiple symptoms that may appear including axis I and axis II mood and personality disorders, active addiction symptoms, and trauma symptoms.

References

  • Bozzatello, P., Rocca, P., Baldassarri, L., Bosia, M., & Bellino, S. (2021). The role of trauma in early onset borderline personality disorder: A biopsychosocial perspective. Frontiers in Psychiatry, 12, 721361. https://doi.org/10.3389/fpsyt.2021.721361

  • Brady, K. T., Back, S. E., & Coffey, S. F. (2004). Substance abuse and posttraumatic stress disorder. Current Directions in Psychological Science, 13(5), 206-209. https://doi.org/10.1111/j.0963-7214.2004.00296.x

  • Fellinger, M., Knasmüller, P., Kocsis-Bogar, K., Wippel, A., Fragner, L., Mairhofer, D., Hochgatterer, P., & Aigner, M. (2022). Adverse childhood experiences as risk factors for recurrent admissions in young psychiatric inpatients. Frontiers in Psychiatry, 13, 988695. https://doi.org/10.3389/fpsyt.2022.988695

  • Najavits, L. M., Weiss, R. D., & Shaw, S. R. (1997). The link between substance abuse and posttraumatic stress disorder in women. The American Journal on Addictions, 6(4), 273-283. https://doi.org/10.1111/j.1521-0391.1997.tb00387.x

Clinical
Counselor

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 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.

Nurses

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and TPN.health. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Amedco LLC designates this activity for a maximum of 1.5 ANCC contact hours.

Physicians

In support of improving patient care, this activity has been planned and implemented by Amedco LLC and TPN.health. Amedco LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team. Professions in scope for this activity are listed below. Amedco Joint Accreditation Provider Number: 4008163. Amedco LLC designates this live activity for a maximum of 1.5 AMA PRA Category 1 Credits™ for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Marriage & Family Therapist

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.

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.

Social Worker

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.

Substance Use Disorder Professionals

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: Legal, Ethical, and Professional Development

Psychologist

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.

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 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.

CE Policy
This course is fiscally sponsored by Exchange Events. There may be potential biases or conflicts of interest inherent to this relationship, and it must be disclosed to participants. These conflicts of interest have no bearing on the course content and have been resolved.
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Elisa Hallerman, Ph.D., J.D.

Dr. Elisa Hallerman, PhD, JD, has had a diverse career over the past 25 years. Without her unique journey, the Recovery Management Agency would not exist. Dr. Hallerman is an attorney and member of the New York State Bar Association. She holds a master’s and doctorate from Pacifica Graduate Institute in Depth Psychology and Somatic Studies, focusing on neuroscience and trauma. Dr. Hallerman is also a drug and alcohol counselor, and certified in yogic science for addictive behavior. In addition, she is a member of the Institute for Functional Medicine. Finally, Dr. Hallerman serves as a visiting professor for film and media arts at Chapman University, where she melds the art of agenting in Hollywood with balance, passion, meaning, and purpose.

In 1990, Dr. Hallerman graduated from the University of Michigan, where she majored in political science and sociology. She attended New York Law School and practiced law in Manhattan until 1996. After her parents’ divorce, she and her sister moved to Los Angeles. Dr. Hallerman quickly found a job working at ICM Partners as an assistant to a talent agent. After losing a close friend to suicide, she moved to United Talent Agency in Beverly Hills, where her career as an agent was built. She was a partner and head of the talent department until her departure in 2008. As Dr. Hallerman began to realize that agenting might no longer be for her, she wondered if another agency would fulfill her calling—so she joined Endeavor Agency down the street, which later merged with William Morris in 2009 to become William Morris Endeavor (WME). Working at WME quelled Dr. Hallerman’s calling to leave the talent business at first. But the urge gradually became louder and louder. Knowing she had to leave was no longer the issue—what she would do next was the big question.

Curious about what else was out there, Dr. Hallerman dove into classes at UCLA and focused on drug and alcohol counseling. She had been in recovery since 2002 and had watched multiple family members and previous clients suffer from addiction and alcoholism. While taking classes at night and working for WME during the day, she began to realize the field of addiction might even be more of the “Wild West” than Hollywood.

Dr. Hallerman knew that her passion as an agent had helped her guide her clients to achieve their dreams. She recognized this strength and channeled it into a new way of helping people: toward optimal wellness through their best path to healing.

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