Founder and CEO of Recovery Management Agency Recovery Management Agency Beverly Hills, California
Session Description: Identifying and Understanding Trauma Defense Mechanisms as one of the Root Cause of Substance Abuse and Relapse
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.
Learning Objectives:
After this activity participants should be able to
Demonstrate how to properly refer clients to trauma focused practitioners or treatment facilities.
List 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.