Offices in

Portland OR &Vancouver WA

Integrating psychotherapy, medication management, acupuncture, reiki & massage for an encompassing and empowering approach to healing.

Tag: Therapy

Art Therapy Workshop for Dissociative Identity Disorder

 

Vancouver Integrative Counseling is hosting our next Art Therapy Workshop for those with Dissociative Identity Disorder.  

This is our third workshop and each one has been very fun and safe for participants (and for the facilitators!).

The intention behind the workshop is the offer an opportunity to externalize the internal experience, to share with others, and to have a visual reference.

Contact athena@traumacenternw.com if you are interested in reserving a spot!

February 20th, 10am-noon

family-system-2-pdf

Art Workshop for Dissociative Identity Disorder

Art Therapy Workshop-2 in April.

We will use mixed media to provide a safe, fun, opportunity to map your internal family. The product will be adaptable and will be helpful in conversation treatment providers, friends and family. Attached is the flyer.

Contact Athena@traumacenternw.com for more info.

Multi-cultural Trauma Training in Rwanda!

Join us for a Trauma Training in Rwanda! Following our recent visit to Rwanda, ITTC has established a partnership with the Global Engagement Institute (GEI) and the University of Rwanda to provide a trauma training that is designed for international practitioners who want to build their skills in trauma treatment while learning with and from practitioners who are working to heal a population that has been exposed to significant trauma (this is a notably resilient population!).

The first training will be offered in June; we will select 15 international participants and 15 Rwandan participants; all must have degrees and be practicing mental health professionals.

There will be opportunity for exploring Rwanda, including seeing some animals (my favorite!).

Below is the link to GEI’s newsletter featuring the training and the flyer is also attached. Contact Athena Phillips @ athena@traumacenternw.com.

http://www.global-engagement.org/trauma-treatment-training-in-rwanda01/

Broccoli, Chocolate & Trauma

Many survivors of interpersonal abuse, in its’ various forms find themselves continually adapting to and evaluating their environment; specifically those in proximity who may cause harm. Anticipating the emotional overlay in an unpredictable setting is clearly proactive and protective in that survivors can identify when risk has elevated and thus plan some sort of intervention. Appeasing the abuser, planning to escape, mitigating arguments or planning for complacency to minimize harm are some strategies utilized by those exposed to chronic threat. Having a nuanced and developed defense strategy is advantageous and can help increase the odds of physical or emotional safety. As we travel into adulthood scanning our environment and reading subtleties in other people’s behavior forces us to detach from our own internal barometer that helps us connect to the basics of who we are as individuals.

Working with adult survivors of childhood abuse or those who lived with parents who may not have been abusive but perhaps neglectful or narcissistic turns our attention to the external. A common thread that exists is a lost sense of self, of likes or dislikes and a struggle to rely on authentic internal motivation for guidance. Additionally, because we are social animals, connection to others that includes the capacity of the other to tune into our wants, needs, or emotions help us to be appropriately attuned to ourselves. Those who love us and know us well can often see what we feel before we do; empathy and connectivity help us turn inward to become increasingly familiar with our values and who we are.

In the context of therapy, when I ask adult survivors about what they care about, like or dislike or want to do professionally (for example), the answer is often “I have no idea.” So, we begin the dance of determining what it feels like to want something or to have a distaste for something or to care about something. It can feel like a task that has no beginning, so, I have designed a scientifically sound method (this phrase is used loosely) for starting the conversation; it is a measurement tool intended to discern “wants” from “shoulds.” The measurement is called “The Broccoli-Chocolate Test.” I ask people to imagine broccoli and to describe the color, smell, and texture to me and then to notice what their body or mind communicates to them (most of the time it goes something like this…”I really should eat more leafy greens and vegetables.” And then, I ask them to describe chocolate (or something comparable) alongside the associated smells, textures, and flavors. The response to the chocolate is often something along the lines of “yum.” Again, I ask for the associated physical feeling and we talk about the difference between the broccoli and the chocolate.

The step that follows is of course giving permission to enjoy the things that are wants (which are different from coping mechanisms or escape strategies like alcohol or too much television, for example). Shoulds are easier to identify because unspoken and spoken social rules are fairly overt; we don’t have to turn inward to figure out that we are supposed to live our lives in a certain way or abide by the current social norms. Being guided by our value set is different from being guided by a should; an authentic value is generated internally whereas a should is generated and reinforced externally. Something we want or like reflects the little things about us make us unique; connecting to ourselves is not a frivolous pursuit.

So…if you want some chocolate (or some broccoli)….enjoy.

Managing Trauma Triggers in the Context of Terrorism

The recent terrorist attacks can effect all of us in different ways, one of which is the compromise of our collective sense of safety. Going through our day-to-day activities without worry or threat is a basic assumption for many Westerners that when something happens, it can be unsettling. Those who have a history of traumatic experiences can experience the threat to safety in a more heightened way. If your basic assumption is that you are not safe (versus that you are) and something happens that reinforces that orientation, it can feel terrifying. Essentially the message to survivors is that they are right; they are in danger and need to be vigilant. As a therapist, a lot of our work surrounds increasing trust in your environment and other people to allow the central nervous system to quiet a bit. Statistically, the west remains one of the safest places in the world to live, but terrorist attacks can make it feel unsafe, primarily because of the random nature of the attacks and associated feelings of helplessness. Mitigating trauma triggers when being bombarded with the details of trauma can be difficult. Here are some basic suggestions to manage triggers:

1. Turn it off. Continued exposure to the details of a traumatic event is often re-traumatizing. Minimize exposure to traumatic material. Easier said than done!
2. Maintain routine. There is a great deal of comfort and safety routine.
3. Connect with friends and family. Isolation can fuel negative thought.
4. Connect with our furry friends. Animals can offer a great deal of comfort and nurture.
5. Play. Being playful is the opposite of being fearful. Engage in activities that are fun, make you laugh, and bring you joy.

Safety is never a guarantee, regardless of geography. The only thing we know for sure is what we see in front of us in the here and now, so don’t travel too far into the future or the past; we have little control over what has happened or what will.

Workshop for Trauma Survivors

Coming Soon….Honoring your Internal Warriors: Preparing for Trauma Work from an Internal Family Systems Perspective.”

Athena Phillips, LCSW will be offering a workshop for trauma survivors who are in the early stages of recovery. The decision to engage in therapy is in itself a tough decision and in my opinion, courageous. Revisiting painful memories is counter-intuitive~avoidance is probably more natural. In order to alleviate the influence trauma can have over our lives, we need to go against what our thoughts might be telling us to do (avoid, get away from, never go back). Typically it’s our bodies that won’t allow us to leave trauma behind until we have successfully processed and made some meaning of profound experiences. The conflict between our thoughts that tell us to forget about it or get over it and our body’s unrelenting reminders that we need to tend to our past creates significant internal tension.

The beginning of trauma work should be housed in establishing safety with the therapist as well as trust in ourselves in being able to handle the material we intend to revisit within the therapeutic context. Setting this intention naturally activates our protective mechanisms; the parts of ourselves that understandably have some concern about looking at trauma again. Our internal warriors have likely worked very hard at ensuring safety, at staving off overwhelming emotion, at maintain a safe distance between people, at scanning the environment for potential harm, or at helping keep things stable through numbing and avoidance. Sometimes these efforts can take a more extreme form, like dissociating from trauma, self-harm, excessive use of drugs or alcohol, suicidal fantasy. Many of these coping strategies are cause for concern, naturally, however there is generally some sort of positive intention behind them. Understanding the intention of the parts of self who are often trying to protect (Internal Warriors) and using them to guide safe trauma work is the goal of this workshop.

Participants must be actively engaged in individual therapy and must be able to interact with other group members in an emotionally safe way. Traumatic memories will not be discussed during the workshop, rather we will focus on how to prepare to do so in the context of individual psychotherapy.
Creativity, play and art will be utilized for the workshop and our hope is to have fun.

The workshop will be held July 18th from 1-4 pm. Cost is 125.00 and must be paid in full a week prior to reserve space. Maximum of 8 participants. Location TBA (either our Portland or Vancouver location depending upon number of participants). Call 971.266.6910 ext 301 for inquiries.