trauma and mental health · trauma Øtrauma is a widespread, harmful, and costly public health...
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TRAUMA AND MENTAL HEALTH Self-Care to Support Successful Recovery
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PEER PILOT AND MANAGEMENT CONFERENCE
Cornerstone of Recovery
April 11, 2018
Sara Ridner, LCSW
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TRAUMA
ØTrauma is a widespread, harmful, and costly public health problem
ØCauses: violence, abuse, neglect, loss, disaster, war, and other emotionally harmful emotional experiences
ØCan occur regardless of age, gender, socioeconomic status, race, ethnicity, geography, or sexual orientation
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WHAT IS TRAUMA? THE 3 “E”S
ØEvent- direct, witnessed, unexpected
ØExperience- overwhelms coping; fight/flight/freeze
ØEffects-self/other/world
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POTENTIAL TRAUMATIC EVENTS
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REACTIONS TO TRAUMA ØRecurring, distressing memories or dreams
ØFlashbacks
ØAvoidance of reminders- feelings, people, places
ØDifficulty with sleep or concentration
ØIrritability/Agitation
ØEasily startled
ØDrug or alcohol abuse
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SYMPTOMS OF DEPRESSION
Ø Persistent feelings of sadness, loneliness, emptiness
ØFeeling worthless and hopelessness
ØTrouble concentrating
ØFatigue
ØIrritability
ØSUICIDAL THOUGHTS AND INTENTIONS
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SYMPTOMS OF ANXIETY
ØPanic, fear, uneasiness, “anxiety attacks”
ØSleep Problems
ØUnable to stay calm and still
ØNausea
ØHeart Palpitations
ØDizziness (possibly caused by shallow breathing)
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PILOT’S LIFESTYLE CHALLENGES
ØHectic, pressure, serious and taxing
ØIntense focus
ØSleep challenges (turn-around flights)
ØVariable work schedules/time zones/constant movement
ØRootlessness-living out of hotels, away from support systems
Source: (Chicago Tribune, Feb 2014)
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STRENGTHS / VULNERABILITIES
ØIndependent and self-sufficient
ØNatural risk takers
ØTolerance for intensity
ØHighly skilled professionals
ØInclination to have control
ØTendency toward being highly cognitive
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ANGER IN EARLY RECOVERY
ØLabels for anger: Angry, mad, irritable, frustrated, annoyed, agitated, cranky
ØBecoming comfortable with being uncomfortable
ØUnresolved traumas uncovered
ØRecovery- consequences, monitoring, family, self
ØSecondary Emotion- fear, anxiety, depression
ØLifestyle changes- at work and at home
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COPING WITH ANGER
Recognizing Events and CuesEvents- past and present, unresolved traumas, “red flags”
Cues- Physical- body’s response Emotional- other feelings…hurt, jealousy, anxiety, disrespect Behavioral- how you express…raised voice, clenched fists, tightened jaw, “angry eyes”Cognitive-thoughts about the event…hostile self-talk, Source: SAMHSA ANGER MANAGEMENT WORKBOOK
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COPING WITH ANGER- CONT.…
Anger Control Plans Timeout Talk with trusted person Exercise 12 step meeting
Relaxation Techniques
Cognitive Restructuring
Thought Stopping
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CALMING THE NERVOUS SYSTEM
Pelvic Floor Relaxation
Square Breathing
Progressive Relaxation
Calming Imagery
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HEALING TRAUMA- FINDING MEANING
ØAcceptance of the Unacceptable
ØConnecting with Self
ØUncovering strengths
ØHealing relationships
ØConnection to Self, Loved ones, Higher Power