Over the years, the words “trauma” and “Trauma Informed Care” have been used in various settings, including outpatient and inpatient. The sole purpose is to bring attention to the providers of a potential trauma history with the patient/client/family, so that the provider can respond accordingly. Recently, “Trauma Responsive Care” has been added to the mix, but to an outsider it may sound similar, if not the exact same as the other phrases being used. So what is “Trauma Responsive Care” exactly?
Trauma Responsive Care has many components to it, so it’s best to break it down to the basics. This particular certification is offered through Finding Hope Consulting, LLC, which is a local consulting firm that specializes in Trauma Informed and Trauma Responsive trainings for professionals in various fields. The certification series utilizes neuroscience and resilience based interventions to rebuild neuronal networks that have been damaged by trauma and to assist people in healing from their trauma in order to lead resilient lives.
Mary Vicario is a Certified Trauma Specialist and founder of Finding Hope Consulting, LLC. She put together a curriculum that is based upon the ACEs (Adverse Childhood Experiences study) and included research from leading scientists in the field, including Drs. Bessel van der Kolk (author of The Body Keeps the Score), Gabor Mate (author of In the Realm of Hungry Ghosts: Close Encounters with Addiction), Dan Siegel, Louis Cozolino, Pat Ogden, Sandra Bloom, Stephen Porges and others.
What are ACEs and why are they so important? I’m glad you asked! As stated above, ACE stands for “Adverse Childhood Experiences” and laid the groundwork for the links between trauma in childhood and medical conditions, psychiatric problems, addiction, and/or other unsafe behaviors later in life. The study actually happened quite serendipitously; it resulted from a researcher (Vincent Felitti, head of Kaiser Permanente’s Department of Preventive Medicine in San Diego) noticing that about half of the participants in a weight loss program dropped out, despite being successful in losing weight. Upon further investigation, he noticed that a number of the participants also endured childhood sexual abuse. He conducted interviews with participants in this program and was able to uncover more links between childhood abuse and the various outcomes listed above. The results were remarkable. According to the CDC, the questions referred to the experiences that the respondents had during their first 18 years of life. They include emotional abuse, physical abuse, sexual abuse, mother being treated violently, substance abuse in the household, mental illness in the household, divorce/separation of parents, a member of the household being incarcerated, emotional neglect and physical neglect (https://www.cdc.gov/violenceprevention/childabuseandneglect/acestudy/about.html).
The results of the study found that ACEs are frequent: according to the CDC website, “almost two thirds of the study participants reported at least one ACE and more than one in five reported three or more ACEs.” The research and its findings were officially published in 1998.
The study showed that the more ACEs that someone reported, the higher the risk of having co-occurring medical and psychiatric issues and behavioral problems. Problems such as chronic illnesses (cancer, diabetes), risky behaviors (alcohol and drug abuse), bodily injuries (TBI, fractures, burns), mental health issues (depression, anxiety, suicide, PTSD), maternal health issues (unintended pregnancies, pregnancy complications, fetal death), and infectious diseases (HIV,STDs)are some examples.
ccording to the TRCC handbook, research has identified additional stressors that could play a role in a person’s mental and physical development. These are called Compounding Adverse Toxic Stressors or CATS. These include poverty, war/community violence, witness to or experiencing violence (includes seeing abuse of siblings), bullying, homelessness, early childhood intrusive surgeries and discrimination (Garner et al, 2012). Some additional statistics show the affects of ACES without resilience based experiences to offset them (Vicario, 2019). They include:
Building upon this research and utilizing the need of “felt safety”, we begin to redefine what safety is and how someone can identify it within themselves. We also utilize techniques that assist the client in feeling safe in unpredictable situations, identifying Vagus Nerve responses and calming techniques, education surrounding the Limbic System and its purpose, and rebuilding their lives. This task is no small undertaking, but with validation and support from the appropriate people, healing can be a reality.
If you or someone you know is struggling with the effects of trauma, depression, anxiety or any other related issues, feel free to schedule an appointment with me! I’m happy to utilize TRCC interventions or any other interventions that will assist in ensuring your success.
You’re here because you are curious about EMDR therapy and you want to know what it’s all about. As a therapist, I’ve learned many types of therapy that have positively changed the way I approach my practice, EMDR incorporates all that and so much more. For many years, I heard from respected clinicians about the incredible changes they have seen in their clients engaged in EMDR therapy. The therapy has gained recent momentum in the mental health world, and for good reason. EMDR is empirically validated as effective for helping people deal with trauma. It has also been shown effective with many other disruptive symptoms such as anxiety, depression, panic attacks, and addiction recovery. Think of your painful memories, thoughts, images, like a tangled ball of yarn, often complicated to talk through especially when the strings are intertwined. EMDR therapy can help to untangle the yarn and allow you to process one string at a time, in a safe contained way. EMDR therapy can accelerate the therapeutic process by resolving painful past traumas allowing you to live more fully in the present. And who doesn’t want to live in the present?
Why am I telling you about EMDR?
I was trained by Dr. Stephen Dansiger, a certified EMDR therapist from the Institute of Creative Mindfulness. I experienced a life changing shift when he himself demonstrated the 8 phases of treatment on me. Keep reading and I will tell you more about these 8 phases later. During my experience I felt a relief, something years of talk therapy had not been able to process for a long time. As a clinician, I feel passionate about giving as many people the opportunity to learn about and benefit from this treatment as possible.
But what is EMDR therapy?
EMDR stands for Eye Movement Desensitization and Reprocessing. Don’t worry, it is way less complicated than it sounds. It is a non-drug, non-hypnosis, psychotherapy that combines many positive elements of numerous therapies along with left/right brain stimulation (known as bilateral stimulation), developed by Dr. Francine Shapiro in the 1980’s. EMDR therapy involves a trained therapist waving their fingers from left to right (some therapists use a light bar to achieve this part of the therapy), in a windshield wiper motion, which will trigger the brain to bring up the painful memories in an effort to process them and speed up the healing process. All of this is done in a safe environment with you and your therapist present. You are not alone in the processing of your memories. The therapist will also work to reprocess negative beliefs, images, and feelings and replace them with more positive ones. The outcome is the feeling of resolution and a more peaceful state overall. EMDR therapy has successfully treated millions of people of all ages, has gained notability with veterans of war as a primary treatment modality for Posttraumatic Stress Disorder, but also many types of other traumatic stress and negative symptoms that come along with different experiences.
You’re probably wondering how simple “finger wipers” do all that? Interestingly enough the “finger waving” is key to the therapy. It engages something called bilateral stimulation (right to left eye movement), which repeatedly activates the opposite sides of the brain. This releases emotional experiences that are "trapped" in the nervous system. When this happens it assists the neurophysiological system, the basis of the mind-body connection, to free itself of blockages and begin to heal. In a basic sense, when a person experiences an adverse event, or trauma, the brain cannot process the event as it does normally. The brain instead takes this event and stores it, sort of like “I’ll get to this later”. Unfortunately, the “I’ll get to this later” never quite happens and essentially these adverse feelings, memories, and thoughts become “stuck” in an isolated memory network. They can easily become re-triggered by sound, smell, feelings, and environments that were activated during the traumatic event. EMDR therapy is able to guide the person in a safe, contained environment to “unstick” the memories, reprocess them, and replace them with more positive images. Once this happens,the person can begin to move forward with healing.
Who is the best candidate for EMDR?
EMDR therapy is for children, adolescents, and adults. If you or a loved one has ever experienced panic attacks, complicated grief, dissociative disorders, pain disorders, anxiety, performance anxiety, depression, addictions, phobias, sexual and/or physical abuse, body dysmorphic disorder, and personality disorders.
**It is important to note that a consultation with a EMDR trained therapist is the best way to determine if EMDR is right for you.
EMDR therapy has been designated by the American Psychiatric Association, U.S. Department of Defense, and the International Society for Traumatic Stress Studies, as a highly effective and empirically supported treatment modality for the treatment of Posttraumatic Stress Disorder (PTSD).
What happens in EMDR Therapy sessions?
EMDR therapy has a standardized set of protocols that a therapist will follow. There are 8 phases to the treatment, that are moved through at a varying pace depending on your readiness for the next stage. An EMDR therapist is trained to know appropriate pacing but you can determine whether to continue or stop at anytime. The therapist is there as a guide to help you get the most out of the experience, and at times may gently aide in pushing you through painful moments.
Why bring up painful memories? Isn’t it best to forget them and move on?
By avoiding the painful memory you might continue to experience the lasting effects of the event, through nightmares, stress, anxiety, and panic attacks. By holding onto these memories you stop yourself from moving on. The problem with avoidance, or ignoring these memories, is that it is a temporary relief. For a brief moment it allows you to feel better and put aside the pain, but it doesn’t remove it, and worse, it allows it to keep its power over you and your joy. Often, this painful memory rears its ugly head at times when we are not prepared and leaves us crippled by its effects. EMDR therapy is not just bringing up painful memories, its moving through them in a safe, contained way. It alleviates suffering, and replaces it with positivity.
What happens when I’m done with all 8 phases?
After the 8 phases you will likely continue to process the material for days, weeks, or perhaps even months. You might have new insights, vivid dreams, feel angry or numb with no real answer why. This is because your are finally processing the unpleasant memories you were holding onto for so long. Your therapist will guide you through this process and advise best practices for moving forward. Some people feel a slight buzzing all over their body, similar to the feeling of when they stand up too fast. Don’t worry, this will soon fade. Your right and left hemisphere are stimulated by the finger waving motion and it is only natural that you will feel something afterwards. Often times, after a person has processed one of their target issues they will notice that some of the other target issues, are no longer are troubling them. This is because our memory networks are linked in ways we aren't consciously aware of. Its normal to cry, feel tired, need time to be alone, or feel a little “off” because your body is starting the healing process. Allow it to heal.
So this all sounds like something I might want to try. What do I do now?
I would be more than happy to help you in your journey to healing! You can call our main office at 513.939.0300 and ask the office staff to schedule an appointment with Jennifer Burns for an EMDR session. I am currently taking new clients and would love to meet you.
Where can I find more information on EMDR?
EMDR International Association
The Institute for Creative Mindfulness
U.S. Department of Veterans Affairs: National Center for PTSD