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Q. 1, My first area of concern would be her physical health, try to determine if the symptoms anorexia, insomnia, diarrhea, have been addressed by her Dr. Her symptoms listlessness, despondency, sadness, lack of motivation, present concern of SI, SIB. Was this assessment incomplete? Establishing a level of safety for her comfort and the safety of offering her treatment, Motivational interviewing so that Jacinta feels heard, Mindfulness intervention to determine her understanding and ability to move forward, grounding techniques and breathing techniques to help her self regulate if possible. moving her to a Women’s seeking safety.to bring her into direct contact with her peers.
Q, 2, Susto appears to be an accurate description of Jacinta’s symptoms, the counselors comment, ” appears to be off in her own world,” is another description of Susto. With her Parents awareness of Susto, do they have an possible cultural therapeutic interventions? Does Susto presume a disconnect from the soul permanently? Learning about this Guatemala Dx could be very useful in overall understanding and trying to help her understand her Tx plan options.
Q.3. I would ask Jacinta directly if she was comfortable with a Seeking Safety group or program in this agency? Is she comfortable with coming out of one group and placed in another or would that cause her to feel further traumatized? My rationale would be patient centered care. does she feel safe and comfortable with the change?
Q.4, I appreciate the challenges this course present, further understanding of the scope pf TIC in treatment How much there is to learn. The deep dive into the language of the course material, the overall raising awareness into the many aspects of trauma, re-traumatized and treatment. The insights I carry forward is how prevalent this topic is, how to bring consistency into trauma-informed care. Practicing present moment with this challenge, continuing to increase self-awareness within the work, trying to bring the best results possible with people who suffer from trauma-related mental and substance use disorders. I remain a work in progress in this regard. Thank you.
Q !, My general reactions to Christina’s story? Admiration for her resiliency, the actions she has already taken, she recognizes her early childhood strengths, she sounds authentic with her acceptance, taking her recovery into her own hands, very powerful action, continuing her education, not using alcohol, self advocacy, finding her voice, encouraging others to find their voice. If I were Christina’s counselor, I would continue to reaffirm her self advocacy and help her to continue to remember how far she has come, remind her to continue to explore avenues to help others, as helping others is the best reward, discuss spirituality in the post traumatic growth category, the spiritual journey.
Q 2, We have been using the ACE’S calculator, I have experienced positive results, I think it helps to normalize the symptoms that result, I am curious working with men how comfortable they are with answering question 3, at times I am concerned with the consumers I work with calculating the benefits of having a high score. Consumers identifying a shorter life expectancy has concerned me in the retraumatizing potential. increasing relapse motivation.
Q 3, Addressing sleep with Selena appears to be the first concern after establishing safety and preventing re- traumatization. Discussing her sleep routine, suggesting a less interactive night time activity. determine if she has consulted her PCP, Teaching balance, asking her to consider finding a peer support group. Model mindfulness and breathing techniques.
I was born in 1960 like Anna, my recovery from alcohol started 1993, the yeas after her passing, at times I view post 1993 as a different lifetime, the early picture of Anne to me suggests she is already hurting, the drawings are mesmerizing, the symbols dramatic. The negative self perception in her words remain heavy to this reader.
I need to improve awareness and remain present when witnessing symptoms being an adaptations of distress, the transition in real time from the what is the behavior to the why of the behavior is challenging.
I believe in the power of storytelling,My thoughts on the paradigm shift, person centered focus, excellent goal with consistency challenges,
Two examples of Men’s verbal responses, both, non stop, topic to topic to topic, as a listener the challenge is to not get stuck focusing on topic one, he’s on topic four, his grievances’, his opinions, and his story in the stream of information. allowing the information stream to continue within a time limit, giving the person a chance to be heard in their communication skill survival strategy that has developed through I believe incarceration and isolation, respond to both men with awareness and understanding, review details of their story with no shame, steer both men to breathing and communication strategies, pausing and or breathing between topics, initiate a discussion on identifying triggers. Discuss grounding exercises.As an agency we are encouraged to focus on improving people centered care, understanding and implementing trauma informed care has been a priority, ACE’S screening has been enlightening, most of our clients have a high ACE’S score. The behavior and emotional reaction continue to be a real time challenge. To continue to communicate and support team members, help increase awareness to these needs.
Encourage team members to treat everyone with dignity and respect,
