Showing posts with label Addiction Rehab Centers. Show all posts
Showing posts with label Addiction Rehab Centers. Show all posts
3/22/19
A Guide To Choosing The Best Inpatient Drug Rehab Centers
By The Claudia Black Young Adult CenterMarch 22, 2019Addiction Rehab Centers, Addiction Treatment Arizona, drug rehab, Health Care, Rehab CenterNo comments
Substance abuse is one of the primary issues that eat up most of the families across the globe. This blog focuses on the best way you can choose an inpatient drug rehab centre for your loved ones. Rehab centres these days help greatly in defeating the addiction that you or your loved ones have and can help in bringing your life back on track again. The various factors that you need to consider while choosing an inpatient drug rehab include the cost factor and your insurance coverage. Eventually, find out facilities that give personalised care to the patients along with comprehensive inpatient treatment. Check the visitation policies and the continuum of care post the treatment as well. Lastly, the journey is gratifying if you and your family members are getting support from each other.
7/24/18
Experiential Exploration of Trauma via Timeline
By The Claudia Black Young Adult CenterJuly 24, 2018Abuse, addiction, addiction rehab, Addiction Rehab Centers1 comment
At the
Claudia Black Young Adult Center, trauma is described as anything less than
nurturing. This definition allows for all traumas, big or small, to be
acknowledged and honored. In doing so, the client’s protective defense
mechanisms such as denial, rationalization or minimization are explored and
challenged so that healing can finally take place.
Types of
trauma can include chronic illness, death of a loved one, physical abuse,
sexual abuse, unbearable ridicule by a caregiver during childhood, or verbal
and psychological abuse experienced within an intimate relationship. Trauma can
also be the loss of a job promotion, a lost friendship, witnessing harm to a
loved one, or unescapable harassment at school or work.
In
recognizing the potential lasting effects of these traumas, at the Claudia
Black Young Adult Center each young adult completes a trauma timeline which
allows them the opportunity to explore how trauma has affected them in the past
and how it may still be impacting their present-day life. A trauma timeline
begins as a pen and paper assignment of constructing a detailed history of
one’s painful life experiences that left them feeling abandoned, unsafe,
confused, fearful, sad, angry, shameful, guilt-ridden or stuck. Then they
identify the distorted self-beliefs that are connected to the events and assess
their methods for adapting, surviving, and avoiding the pain that accompanied
the trauma.
All of this
is revealed within a small group composed of supportive peers under the careful
facilitation of a skilled therapist. The sharing of these vulnerable
experiences allows peers to make connections with each other resulting in shame
reduction, self-compassion, self-acceptance, and self-forgiveness. While recognizing
that he or she is not alone, each young adult finds the courage to face these
wounds, let go of beliefs about self that are no longer serving them, and
discover new empowering truths about self.
The gift the
trauma timeline process provides can be seen through Jessica’s experience. At
the age of 20, Jessica had several previous treatment experiences and felt very
defeated believing that the Claudia Black Young Adult Center would have nothing
to offer her.
Jessica
endured a very difficult upbringing. Her parents divorced when she was quite
young, which fueled great instability during Jessica’s childhood. Home was not
a safe place. She found herself in the middle of her parents’ chronic battles,
each vying for her undivided love and trust. Each parent pitting Jessica
against the other. This only pushed her further away from both of them, and as
the pain became too unbearable, Jessica coped by developing impenetrable walls,
which locked in the trauma and prevented true intimacy. Her experiences of chronic
instability led to an overcompensating desire for safety, which she learned
early on could only come from self. This would have unintended consequences for
Jessica; such as, a deep mistrust of others, unhealthy relationship patterns
and the silencing of her own inner pain. Jessica made it abundantly clear that
her walls were up, and she was always ready for danger.
Each trauma
timeline is unique; there is something very special about witnessing a client
courageously taking the risk to share their pain with the group. The timeline
itself is a deeply explorative and powerful exercise. However, I felt Jessica
could further benefit from bringing an aspect of her timeline to life through a
holistic and adaptable experiential process to provide her with more clarity
and instill some hope. The beauty of experiential-based therapy is that nothing
is scripted, and everything is used to foster an organic moment of truth with
new insights and hope not just for the client but for each member in the group.
Jessica’s work speaks to just how powerfully trusting the process can truly be.
At the
beginning of her timeline presentation, Jessica shared that her only goal was
to learn more about her struggle to connect with others. After offering support
for her willingness to share her story, and giving the group instructions
around safety, confidentiality, and a general sense of what the process could
look like, I asked Jessica to describe her family of origin. She described her
dad as “strong, hardworking, diligent, lectures a lot” and described mom
briefly as “super-psycho.” I wrote her words on the white board. Jessica shared
that around age five, she learned that her own crying would “shut mom down and
give mom crazy eyes.” She shared how she was told by her mom, “I never wanted
you and I wish you’d never been born.” Jessica’s voice began to shake as she
started to get in touch with painful emotions but quickly resorted to
intellectualizing her story to avoid the pain. I invited her to slow down her
words and brought her attention to the feelings she struggled to experience.
For Jessica, this was the beginning of a turning point in her work.
As the
process transitioned toward an experiential approach, I invited Jessica to “set
up” this memory so that she could visually show what her pain at age 10 looked
and felt like. I covered the floor with pieces of paper with different
identified feelings (e.g., pain, fear, joy, passion) and asked her at times to
pick up the feelings listed to help her connect with walled-off emotions she
struggled to allow herself to feel. As Jessica recalled her mom’s words of, “I
wish you were never born” the group held the space for her to feel the
reverberation of that pain. From the floor Jessica picked up the emotions of
sadness, anger, and fear while sharing. I asked, “What do you remember feeling
the most around this time in your life?” She replied, “I felt like such a
burden” and quickly added, “I want to leave this room.” As she looked at the
nearest door, I gave her permission to do so. Jessica froze and didn’t leave.
It was clear that in that moment, she had to confront her desire to run away to
avoid pain.
I asked,
“What do you need right now?” She tearfully said, “Love.” The feelings sign for
love was still on the floor. I asked her to pick someone in the room to
role-play ‘love’ and place them anywhere in the room to show how connected or
disconnected to ‘love’ she currently felt. She chose a peer, and placed the
peer holding the sign for ‘love’ in the corner, not facing her. Her hands tightened
around the emotions she was currently holding which were sadness, anger, and
fear. She then added shame, guilt, and pain. I asked, “What would ‘love’ say if
it could talk to you?” She responded, “I love you, you are lovable.” I directed
‘love’ to repeat the lines, and as she did, Jessica suddenly began to honor her
tears and pain. The trauma that had been frozen inside was beginning to thaw as
she allowed herself to cry. Her stored up pain and anguish that existed in
silent suffering was given a moment to experience the healing power of love and
she knew exactly what she needed!
Jessica
concluded her work by dropping her carried sadness, anger, fear, shame, guilt,
and pain and embraced ‘love’ with a long overdue hug. She then invited the
group to share their feedback and there was a moment where she expressed
gratitude to the room for all of the support during her work.
After her
trauma timeline, I asked Jessica to keep the piece of paper with the emotion
‘love’ as a token of her work for that day. Facing one’s pain is the start of
something amazing and I hope it will encourage her to trust her needs, while
acting as a reminder that she has the ability to love herself, which is an
incredible source of empowerment and hope.
5/15/18
Building Strength and Resilience through Facing and Dealing with Life’s Problems
By The Claudia Black Young Adult CenterMay 15, 2018Abuse, addiction, addiction rehab, Addiction Rehab CentersNo comments
Resilient qualities are not only what we’re born with but also the strengths that we build through encountering life’s challenges and developing the personal and interpersonal skills to meet them. It is one of life’s paradoxes that the worst circumstances can bring the best out of us. According to the Adverse Childhood Experience (ACE) studies performed by Robert Anda (2006) and his team at Kaiser Permanente’s Health Appraisal Clinic in San Diego, we will all experience four or more serious life stressors that may be traumatizing, and according to positive psychology research, most of us will grow from them.
What Do We Mean by Resilience?
Research on resilience used to view resilient qualities as residing exclusively within an individual. Today this research takes the more dynamic view of seeing resilience as an individual’s ability to mobilize supports within a social context. Wong and Wong (2012) write that “In the early days of resilience research, the focus was on ‘the invulnerable child,’ who did better than expected despite adversities and disadvantages . . . [D]evelopmental psychologists were interested in individual differences and the protective factors that contributed to the development of the invulnerable child”. Rutter, however, argues that “resilience may reside in the social context as much as within the individual” (Wong & Wong). “His concept of the ‘steeling’ effect highlights the essence of resilience — the more experience you have in overcoming adversities, the more resilient you will become” (Wong & Wong, 2012).
Wong and Wong propose that certain qualities of behavioral resilience can only be developed from the actual experience of having overcome adversities (Wong & Wong, 2012).
Additionally, they identify at least three prototypical patterns that resilient people appear to display, which may occur in different contexts for different individuals. These are developed as individuals meet life challenges; they are dynamic, constantly evolving qualities rather than qualities residing only within the individual.
Recovery: bouncing back and returning to normal functioning
Invulnerability: remaining relatively unscathed by the adversity or trauma
Posttraumatic growth: bouncing back and becoming stronger (Wong & Wong, 2012, p. 588).
Invulnerability: remaining relatively unscathed by the adversity or trauma
Posttraumatic growth: bouncing back and becoming stronger (Wong & Wong, 2012, p. 588).
Our Deep Need to Connect: How Early Attachment Can Be Life Enhancing or Traumatizing
Our highest and most evolved system, our social engagement system, is activated through our deep urge to communicate and cooperate. From the moment of birth, our mind-body reaches out toward our primary attachment figures to establish the kind of connection that will allow us to survive and find our footing in the world. We fall back on our more primitive systems of defense — such as fight, flight, or freeze — only when we fail to find a sense of resonance and safety in this connection (Porges, 2004).
The body of work that researchers Dan Siegel and Allan Schore have developed, which underlies interpersonal neurobiology, postulates that our skin does not define the boundaries of our beingness; from conception, we resonate in tune or out of tune with those around us (Schore, 1999). Through relational experiences that form and inform our sense of self and through our ability to be cared for and care about others, our capacity for empathy is formed and strengthened (Schore, 1999).
Neuroception, a term coined by Stephen Porges (2004), former Director of the Brain-Body Center at the University of Illinois at Chicago, describes our innate ability to use intricate, meaning-laden, barely perceptible mind-body signals to establish bonds and communicate our needs and intentions. While many of these communications are conscious, still more occur beneath the level of our awareness in that animal-like part of us(Porges, 2004).
Neuroception is a system that has evolved over time to enable humans and mammals to establish the mutually nourishing bonds that we need to survive and thrive. It is also our personal security system that assesses, in the blink of an eye, whether or not the situations that we’re encountering are safe or in some way threatening (Porges, 2004). According to Porges (2004), our neuroception tells us if we can relax and be ourselves or if and when we need to self-protect. If the signals that we’re picking up from others are cold, dismissive, or threatening, that system sets off an inner alarm that is followed by a cascade of mind-body responses honed by eons of evolution to keep us from being harmed. That mind-body system sets off equivalent alerts if we’re facing the proverbial saber-toothed tiger or saber-toothed parent, older sibling, a school bully, or spouse. We brace for harm to our person on the inside as well as on the outside.
When Parents Turn Away
Trauma in the home has a lasting impact. When those we rely on for our basic needs of trust, empathy, and dependency become abusive or neglectful, it constitutes a double whammy. Not only are we being hurt and confused but the very people we’d go to for solace and explanation of what’s going on are the ones causing us pain. We stand scared and braced for danger in those moments, prepared by eons of evolution, ready to flee for safety or stand and fight. If we can do neither, if escape seems impossible because we are children growing up trapped by our own size and dependency within pain engendering families, then something inside of us freezes. Just getting through, just surviving the experience becomes paramount.
Relational trauma impacts all facets of the mind-body social engagement system including limbic resonance, touch, expression, gesture, sign language, and finally words. Consequently, ferreting out just what has hurt us can be a very layered process. A parent who wears a scowl all of the time, for example, and who we couldn’t reach with our attempts at connection or who begrudgingly reached for our hands and dragged us across a street or humiliated us for our small efforts share our feelings to take care of ourselves, can leave a legacy of hurt behind them.
In trauma engendering interactions, “people are not able to use their interactions to regulate their physiological states in relationship . . . they are not getting anything back from the other person that can help them to remain calm and regulated. Quite the opposite. The other person’s behavior is making them go into a scared, braced-for-danger state. Their physiology is being up regulated into a fight/flight mode,” says Porges A failure to successfully engage and create a sense of safety and cooperation or to communicate needs and desires to those people we depend upon for our very survival can be experienced as traumatic. This can set the groundwork for a life long problem with self-regulation.
When Children Withdraw Into Themselves
For small developing children, this refusal of connection can be traumatic if it occurs consistently over time. The child can feel that their needs are somehow incompressible if the parent does not tune into him or her. Small children have little recourse when they are young and dependent. If a parent does not support a comfortable connection, if the parent or caretaker is not available for a caring co-state in which communications on both sides are met with reciprocal attempts to understand and continue to participate in a mutually satisfying feedback loop, the child may feel very alone. They may retreat into their own little world or even dissociate. After all, why continue to try when you are getting nothing back? What about the child who is disciplined not according to their own behavior but by their parent’s mood and left unable to figure out how to act to stay out of trouble? Or how about the kid in a rage-filled home who is told to sit still and listen as the parent dumps a load of pain all over them? What recourse does this child have but to flee internally? When we dissociate, we do not process experiences normally. We do not feel it, think about it, or draw meaning from it.
How Early Relational Trauma Affects Our Relationships
People who have been traumatized in their intimate relationships can find it difficult simply to be in comfortable connection with others. The dependency and vulnerability that is so much a part of intimacy can trigger a person who has been traumatized in their early, intimate relationships into the defensive behaviors that they relied on as children to stay safe and to feel whole rather than splintered. To heal this form of relational trauma, we need to understand what defensive strategies we used to stay safe and then shift these behaviors to be more engaged and nourishing both within our relationships and ourselves. After all, if we constantly brace for danger and rejection, then we are likely to create it. It can become a self-fulfilling prophecy.
The Long-Term Impact of Parental Addiction
Experiences like growing up with parental addiction and the chaos and stress that surround it pop up over and over again as primary causes of toxic stress. Anda and his team were not looking for the effects of addiction in their research however it consistently emerged as an underlying factor in ACE’s. Not only are the effects of parental addiction devastating for children, but addiction is rarely a factor by itself, it is often surrounded by a cluster of other problems such as abuse and neglect. Alcohol and drugs are often used to mask depression and anxiety in the addict but rather than make depression or anxiety better; addiction makes them worse because the depression and anxiety remain undealt with and the addiction becomes a whole, new problem of its own. And being married to an addict creates pain in the partner which undermines their ability to be a present parent, so kids lose two parents. ACEs or adverse childhood experiences tend to cluster; once a home environment is disordered, the risk of witnessing or experiencing emotional, physical, or sexual abuse actually rises dramatically (Anda, et al., 2006).
During one of his lectures, Dr. Anda described why ongoing traumatic experiences such as growing up with addiction, abuse, or neglect in the home can have such tenacious effects: “For an epidemic of influenza, a hurricane, earthquake, or tornado, the worst is quickly over; treatment and recovery efforts can begin. In contrast, the chronic disaster that results from ACEs is insidious and constantly rolling out from generation to generation” (personal communication). If the effects of toxic stress are not understood so that children can receive some sort of understanding and support from home, school, and community, these children simply “vanish from view . . . and randomly reappear — as if they are new entities — in all of your service systems later in childhood, adolescence, and adulthood as clients with behavioral, learning, social, criminal, and chronic health problems” (Anda, et al., 2010).
Growing up is painful; families are only human after all. We will inevitably get hurt. But we need to repair that hurt in some way, and if repair doesn’t happen at or near to the moment of the pain, it will need to happen later. When emotional pain remains split off, it becomes somehow invisible to the naked eye, and it emerges as if it a whole new problem with whole new people. But we need to embrace the challenge as adults of understanding our own childhood ACE-related pain and cleaning up its effects so that it doesn’t become the pain pump for today’s problems.
The idea of growth through suffering or pain is not a new one. The systematic study of it is. Post-traumatic growth (PTG), a phrase coined by Drs. Richard Tedeschi and Lawrence Calhoun — editors of The Handbook of Post Traumatic Growth — describes the positive self-transformation that people undergo through meeting challenges head-on. It refers to a profound, life-altering response to adversity that changes us on the inside as we actively summon the kinds of qualities like fortitude, forgiveness, gratitude, and strength that enable us to not only survive tough circumstances but also thrive. Facing childhood pain and dealing with it rather than acting it out or medicating is part of post-traumatic growth and part of how we create resilience today.
REFERENCES
Anda, R. F., V. J. Felitti, D. W. Brown, D. Chapman, M. Dong, S. R.Schore, A.N. (1999). Affect Regulation and the Origin of the Self. Dan Siegel: The Neurological Basis of Behavior, the Mind, the Brain and Human Relationships Part 1 At the Garrison Institute’s 2011 Climate, Mind and Behavior Symposium, Dr. Dan Siegel of the …
NEUROCEPTION: A Subconscious System for Detecting Threats and Safety STEPHEN W. PORGES University of Illinois at Chicago Copyright 2004 ZERO TO THREE. Reproduced with permission of the copyright holder.
Schore, A.N. (1991), Early superego development: The emergence of shame and narcissistic affect regulation in the practicing period. Psychoanalysis and Contemporary Thought, 14: 187–250.
— — — — — — — (1994), Affect Regulation and the Origin of the Self: The Neurobiology of Emotional Development. Mahwah
Dan Siegel: The Neurological Basis of Behavior, the Mind, the Brain and Human Relationships Part 1 At the Garrison Institute’s 2011 Climate, Mind and Behavior Symposium, Dr. Dan Siegel of the …, M. (2004). Nurturing hidden resilience in troubled youth. Toronto, ON: University of Toronto Press.
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5/1/18
5 Signs You May Have An Addiction Problem — Even If It Doesn't Feel Like It
By The Claudia Black Young Adult CenterMay 01, 2018Abuse, addiction, addiction rehab, Addiction Rehab CentersNo comments
Addiction
comes in many forms. Joe Raedle/Getty Images
Addiction
looms over more people than you might realize.
In
2016, the US surgeon general determined that one
in seven Americans will face substance addiction— meaning they will become
addicted to using a substance at some point in their lives. That statistic
doesn't account for those who could become unhealthily addicted to other things
like exercise, food, or social media use.
The
reality is an addiction doesn't have to be illegal for it to be detrimental to
your health, and that's where some may choose to overlook something as a
simple habit.
Here
are some signs to watch out for to help you recognize an addiction.
Your priorities shift.
Even if you can't support
your habit, you keep doing it. Thomson Reuters
If a substance
or habit suddenly occupies the number one slot on your priority list,
regardless of any consequences it may have on you or your inability to support
it (financially or otherwise), it could become an addiction.
"You
can determine importance not only by how much you're doing it but also by how
much you're not doing other things," Psychology Today reported.
You ignore warning signs.
You might ignore that your
exercising habits are making you exhausted. Gero
Breloer/AP
People
with addiction may notice the occurrence of negative side effects as the result
of their use or addiction-related actions, but
they choose to ignore them.
For
example, someone who is addicted
to exercise may notice they're experiencing extreme fatigue after burning
more calories than they have consumed in a day but will continue to undergo
extreme workouts despite those feelings.
You
avoid social situations that don't involve your addiction.
You start making excuses
for not seeing friends. Roman
Samborskyi/Shutterstock
Often
times, people
with addiction will alienate themselves from social situations in which
they aren't able to pursue their addiction — as a result, they might start to
make up excuses. If you find yourself skipping out on a necessary chat with a
friend because she wants to meet up at a non-smoking bar, your addiction to
smoking might be overshadowing other needs.
You're
willing to take risks and make unreasonable sacrifices.
Those who struggle with
drug addiction could have brains that are wired differently. Pexels
Suddenly,
your addiction is the only thing that matters, and you're willing to go to
extreme lengths to fulfill it, even if those lengths are risky and unwarranted.
The brains of those who struggle with drug abuse may be wired in
a way that finds a good reason to take risks. A report published by Science
Daily suggests why that might be the case.
People
struggling with drug abuse "have very strong motivation to seek out
'rewards,'" the report reads. "They exhibit an impaired ability to
adjust their behavior and are less fulfilled once they have achieved what they
desire," which is why they tend to take risks that others may deem
unnecessary and dangerous.
You
build up a tolerance and can experience withdrawal symptoms.
You might experience
withdrawal signs like shaking and nausea.
These
signs pertain largely to substance addiction, including addiction
to food. According to the National
Council on Alcoholism and Drug Dependence (NCADD), tolerance builds up when
"a person's body adapts to a substance to the point that they need more
and more of it in order to have the same reaction."
Withdrawal
symptoms can include any feelings or sickness that occur as a result of not
fulfilling an addiction. Anxiety, shaking, jumpiness, sweating, nausea, and
vomiting are a few of many examples, according to the NCADD.
If you
or someone you know is struggling with addiction, don't hesitate to contact the
Substance Abuse
and Mental Health Services Administration national helpline for support.