Addiction, Trauma, & Adverse Childhood Experiences (ACEs)
The Neuroscience behind Developmental/Attachment Trauma and Adverse Childhood Experiences
Clients are desperately trying to make sense of their symptoms of depression, free-floating anxiety, addictive behaviors, dysregulated emotions, physiological arousal, and seemingly unrelated medical issues. They look to you to create an understanding, provide an accurate diagnosis, and layout an effective treatment approach; however, you find that you can’t without understanding and addressing their “why”. The science is clear and overwhelming about the lasting effects of adverse childhood experiences, developmental trauma, and attachment wounds.
In this video, you will learn key insights regarding the neuroscience of addiction from the Adverse Childhood Experiences (ACE) Study, one of the largest investigations of childhood abuse and neglect, and the impact on later-life health and well-being. You will understand the important assessment and treatment implications from neuroscience that show us addiction is experience dependent, not substance dependent.
You will learn treatment recommendations from the leading experts in trauma and addictions treatment including:
- Bessel A van der Kolk, MD, New York Times best-selling author and the world’s leading expert on psychological trauma
- Vincent Felitti, MD, co-principal investigator of the ACE Study
- Louis John Cozolino, PhD
- Lance Dodes, MD
- Lisa Ferentz, LCSW-C, DAPA
- Jim Hopper, PhD
- Gabor Maté, MD
- Lane Pederson, PsyD, LP, DBTC
- Mary Lou Schack, PhD
Fusing research and theory about attachment and complex developmental trauma, these experts provide invaluable insight that informs our therapy, including:
- The therapeutic alliance, along with all its inherent challenges with boundaries and clinical enactments
- The use of contemplative practices for changing the brain
- Teaching skills for self-regulation
- Evidence-based modalities for both stabilization and processing traumatic material
These experts help illustrate how your clients do not get over or grow out of childhood trauma. These painful experiences, when left unrecognized or untreated, continue to impact us throughout our lifetime; however, with this new insight you can finally say to your client:
Your behavior absolutely makes sense and here’s what neuroscience and the ACE Study tells us about the association between your experiences as a child and your struggles as an adult.
Featuring-Linda Curran, BCPC, LPC, CACD, CCDP-D, a trauma specialist, veteran clinician, and best-selling author of Trauma Competency: A Clinicians Guide and 101 Trauma-Informed Interventions. Linda has collaborated with the world’s leaders in trauma, including Bessel van der Kolk, M.D., to develop best-selling DVDs and books covering all aspects of psychological trauma, including three video projects for The Master Clinician Series: Trauma Treatment: Psychotherapy for the 21st Century; Power Therapies: EMDR and Beyond; and Evidence-Based Treatments for PTSD.
- The Origins of the ACE Study
- 10 Categories Studied
- Categories of Abuse
- Contact Sexual
- Categories of Neglect
- Categories of Household Dysfunction
- Household Substance Abuse
- Mother Treated Violently
- Household Mental Illness
- Incarcerated Household Member
- Parental Separation or Divorce
- Impact on
- Emotional State
- Mental Illness
- Social Malfunction
- Occupational Performance
- Biomedical Health
- Premature Death
- Damage Occurs
- Various “Maladaptive” Coping Mechanisms
- Evidence Against the Disease Model of Addiction
- People Couldn’t Stop Using
- Spontaneous Remission
- Shift to Behavioral Addictions
- DA Response is Immediate
- Different Causes of Relapse
- Chronic Unrelieved Stress on the Brain
- Disrupted Brain Development
- Borderline Personality Disorder
- Complex PTSD
- Implementing ACE Study Information
- The Addition of 10 Trauma-Oriented Questions
- Neuroscience of Trauma
- Addiction Treatment Trauma
- 12 Step Program vs. Treatment
- Therapeutic Relationship Complex Trauma
- Therapeutic Alliance
- Clinical Enactments
- Mandated Therapy for Therapists
- Simple Interventions
- The Body and the Brain; Embodiment Circuitry
- 5 Functions of DBT
- Increasing Client Motivation
- Increasing Client Capability
- Generalize Skills
- Increasing Therapist Motivation
- DBT Skills
- Distress Tolerance
- Emotion Regulation
- Interpersonal Effectiveness
- DBT Interventions
- More on the Phase Model of Treatment
- Simple vs. Complex PTSD
- Trauma Processing Modalities
- Evidence-Based Practice
- Present the findings of The Adverse Childhood Experiences Study (ACEs) and ascertain its clinical implications.
- Articulate the impact ACEs have on an adult client’s morbidity and mortality and explain how this may inform treatment recommendations.
- Implement 10 additional trauma-informed questions in the general medical questionnaire, and use the information gathered to inform the clinician’s choice of treatment interventions.
- Apply treatment components of Dialectical Behavior Therapy to improve clinical outcomes among clients with mental illness, addiction, and dual diagnosis.
- Analyze the efficacy of 12-step programs in addiction treatment.
- Apply the findings of the ACEs study to your clinical treatment planning for the management of a client’s addictive, self-harm and violent behaviors.
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Linda Curran, BCPC, LPC, CACD, CCDPD, is president of Integrative Trauma Treatment, LLC, in Havertown, PA. She provides clients an integrative approach to trauma, and treats PTSD in adolescent and adult populations, including clients with eating disorders, sexual trauma, and self-injury. An international speaker on the treatment of trauma, Linda has developed, produced, and presents multi-media workshops on all aspects of psychological trauma.
Gabor Maté, is a renowned speaker, and bestselling author. Dr. Gabor Maté is highly sought after for his expertise on a range of topics including addiction, stress and childhood development.
Dr. Maté is the co-founder of Compassion for Addiction, a new non-profit that focuses on addiction. He is also an advisor of Drugs over Dinner.
An adjunct professor in the Faculty of Simon Fraser University, Dr. Maté has received the Hubert Evans Prize for Literacy Non-Fiction; an Outstanding Alumnus Award from Simon Fraser University, and the 2012 Martin Luther King Humanitarian Award from Mothers Against Teen Violence.
Louis Cozolino, Ph.D.. is Professor of Psychology at Pepperdine University and has a private practice in Beverly Hills, CA. He is the author of The Healthy Aging Brain, The Neuroscience of Human Relationships. The Neuroscience of Psychotherapy and The Making of a Therapist. Dr. Cozolino is an expert in neuroscience, social brain, stress and trauma. He has conducted research in the areas of schizophrenia, child abuse, the impact of stress, the biobehavioral sciences and psychotherapy. Dr. Cozolino holds a Ph.D. from UCLA and an M.T.S. from Harvard University.
Bessel A. van der Kolk, M.D., has spent his career studying how children and adults adapt to traumatic experiences, and has translated emerging findings from neuroscience and attachment research to develop and study a range of potentially effective treatments for traumatic stress in children and adults.
In 1984, he set up one of the first clinical/research centers in the US dedicated to study and treatment of traumatic stress in civilian populations, which has trained numerous researchers and clinicians specializing in the study and treatment of traumatic stress, and which has been continually funded to research the impact of traumatic stress and effective treatment interventions. He did the first studies on the effects of SSRIs on PTSD; was a member of the first neuroimaging team to investigate how trauma changes brain processes; and did the first research linking BPD and deliberate self-injury to trauma and neglect in early childhood.
Much of his research has focused on how trauma has a different impact at different stages of development, and that disruptions in care-giving systems have additional deleterious effects that need to be addressed for effective intervention. In order to promote a deeper understanding of the impact of childhood trauma and to foster the development and execution of effective treatment interventions, he initiated the process that led to the establishment of the National Child Traumatic Stress Network (NCTSN), a Congressionally mandated initiative that now funds approximately 150 centers specializing in developing effective treatment interventions, and implementing them in a wide array of settings, from juvenile detention center to tribal agencies, nationwide.
He has focused on studying treatments that stabilize physiology, increase executive functioning and help traumatized individuals to feel fully alert to the present. This has included an NIMH funded study on EMDR and NCCAM funded study of yoga, and, in recent years, the study of neurofeedback to investigate whether attentional and perceptual systems (and the neural tracks responsible for them) can be altered by changing EEG patterns.
His efforts resulted in the establishment of Trauma Center, that consist of a well-trained clinical team specializing in the treatment of children and adults with histories of child maltreatment, that applies treatment models that are widely taught and implemented nationwide, a research lab that studies the effects of neurofeedback and MDMA on behavior, mood, and executive functioning, and numerous trainings nationwide to a variety of mental health professionals, educators, parent groups, policy makers, and law enforcement personnel.
Lance Dodes is a psychiatrist, psychoanalyst, Assistant Clinical Professor of Psychiatry at Harvard Medical School and a Training and Supervising Analyst at the Boston Psychoanalytic Society and Institute. He has trained many clinicians across the country. Dr. Dodes is the author of the groundbreaking work, Heart of Addiction (HarperCollins 2002). He has been honored by the Division of Addictions at Harvard Medical School for "Distinguished Contribution" to the study and treatment of addictive behavior.
Christine A. Courtois, PhD, ABPP, is a graduate of the Counseling Psychology program at the University of Maryland and a licensed psychologist in DC and MD. Dr. Courtois has received international recognition for her work on the effects of incest, child sexual abuse, complex traumatic stress disorders and other types of trauma and has received awards from numerous professional organizations. She is a psychotherapist (with broad experience in outpatient and inpatient treatment), workshop leader, and consultant specializing in posttraumatic and dissociative conditions and disorders.
Dr. Felitti is Clinical Professor of Medicine at the University of California and a Fellow of The American College of Physicians. A graduate of Johns Hopkins Medical School, Dr. Felitti is an internist who founded-then served as Chief of-the Department of Preventive Medicine for Kaiser Permanente in San Diego, CA.
A renowned physician and researcher, Dr. Felitti is one of the world’s foremost experts on childhood trauma. Co-principal investigator (along with Dr. Robert Anda) of the internationally recognized Adverse Childhood Experiences (ACE) Study, a long-term, in-depth, analysis of over 17,000 adults that revealed a powerful relationship between our emotional experiences as children and our physical and mental health as adults.
James Hopper, Independent consultant and instructor in Psychology, Cambridge Health Alliance & Harvard Medical School. Co-editor of Mindfulness-Oriented Interventions for Trauma: Integrating Contemplative Practices.
Mary Lou Schack is a clinical psychologist, working with individuals and couples and supervising therapists in her Bala Cynwyd, PA, practice. She received her PhD in Psychology from Temple University and has been training therapists in experiential methods for more than 30 years. She herself trained in Gestalt Therapy with James Simkin, Isadore From, Laura Perls, and Erving and Miriam Polster. She is, with the late Joyce Lewis, one of the founders of GTIP. Mary Lou's current areas of theoretical interest include mutuality and connection in relationships, the experience of time, scapegoating phenomena, body/mind functioning, forgiveness, and the healing of early psychological wounds.
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