Trauma Informed Care Quotes

As I discussed in the previous chapter, attachment researchers have shown that our earliest caregivers don't only feed us, dress us, and comfort us when we are upset; they shape the way our rapidly growing brain perceives reality. Our interactions with our caregivers convey what is safe and what is dangerous: whom we can count on and who will let us down; what we need to do to get our needs met. This information is embodied in the warp and woof of our brain circuitry and forms the template of how we think of ourselves and the world around us. These inner maps are remarkably stable across time. This doesn‘t mean, however, that our maps can‘t be modified by experience. A deep love relationship, particularly during adolescence, when the brain once again goes through a period of exponential change, truly can transform us. So can the birth of a child, as our babies often teach us how to love. Adults who were abused or neglected as children can still learn the beauty of intimacy and mutual trust or have a deep spiritual experience that opens them to a larger universe. In contrast, previously uncontaminated childhood maps can become so distorted by an adult rape or assault that all roads are rerouted into terror or despair. These responses are not reasonable and therefore cannot be changed simply by reframing irrational beliefs.

Diversity encourages multiple viewpoints that are so important for innovation, makes it more unlikely that groupthink will dominate the group, and makes the emergence of group genius more likely.

Other personalities are created to handle new traumas, their existence usually occurring one at a time. Each has a singular purpose and is totally focused on that task. The important aspect of the mind's extreme dissociation is that each ego state is totally without knowledge of the other. Because of this, the researchers for the CIA and the Department of Defense believed they could take a personality, train him or her to be a killer and no other ego stares would be aware of the violence that was taking place. The personality running the body would be genuinely unaware of the deaths another personality was causing. Even torture could not expose the with, because the personality experiencing the torture would have no awareness of the information being sought. Earlier, such knowledge was gained from therapists working with adults who had multiple personalities. The earliest pioneers in the field, such as Dr. Ralph Alison, a psychiatrist then living in Santa Cruz, California, were helping victims of severe early childhood trauma. Because there were no protocols for treatment, the pioneers made careful notes, publishing their discoveries so other therapists would understand how to help these rare cases. By 1965, the information was fairly extensive, including the knowledge that only unusually intelligent children become multiple personalities and that sexual trauma endured by a restrained child under the age of seven is the most common way to induce hysteric dissociation.

One of the main problems for anyone working in health care, social work or addiction treatment is the struggle to hold on to some version of a safe world for ourselves when we are seeing the evidence and hearing the stories of trauma that offer other important and disturbing information: that the world, for very many people, is not a safe place.

When leaders are optimistic, group members’ positive moods are increased and group performance improves. But when leaders display negative emotions, group members’ negativity and frustration increase, which decreases group performance [144].

All too often, society is horrified with trauma survivors; their symptoms; and the burdens it places on the health care, child welfare, criminal justice, and educational systems—and insufficiently horrified by the systems of oppression that underlie so much trauma, violence, and abuse.

It's been very interesting over the years just how many of those psychiatrists that were openly incredulous and dismissive have become stalwart admitants to the [trauma and dissociation] unit. In fact I can remember one psychiatrist... this is going back more than a decade and a half... it says something about the ambivalence about this area... who rang me saying he doesn't believe that DID exists but nevertheless he's got a patient with it that he'd like to refer. That's called Psychiatrist Multiple Reality Disorder. - 15 years as the director of a trauma and dissociation unit: Perspectives on Trauma-informed Care

As a child I had been taken to see Dr Bradshaw on countless occasions; it was in his surgery that Billy had first discovered Lego. As I was growing up, I also saw Dr Robinson, the marathon runner. Now that I was living back at home, he was again my GP. When Mother bravely told him I was undergoing treatment for MPD/DID as a result of childhood sexual abuse, he buried his head in hands and wept. Child abuse will always re-emerge, no matter how many years go by. We read of cases of people who have come forward after thirty or forty years to say they were abused as children in care homes by wardens, schoolteachers, neighbours, fathers, priests. The Catholic Church in the United States in the last decade has paid out hundreds of millions of dollars in compensation for 'acts of sodomy and depravity towards children', to quote one information-exchange web-site. Why do these ageing people make the abuse public so late in their lives? To seek attention? No, it's because deep down there is a wound they need to bring out into the clean air before it can heal. Many clinicians miss signs of abuse in children because they, as decent people, do not want to find evidence of what Dr Ross suggests is 'a sick society that has grown sicker, and the abuse of children more bizarre'. (Note: this was written in the UK many years before the revelations of Jimmy Savile's widespread abuse, which included some ritual abuse)

There are so many valuable techniques for regulation, for exploring and integrating traumatic experience, and so on. Once we get to know these protocols, they may pull on us in ways that invite us to seize control of the therapy. The other pathway suggests that her system holds the answers and that if I can offer enough safe support, it will likely begin to speak with us. At least cognitively, I can recognize that this person's inner world contains much more information about the root causes of her upset than I do. From this perspective, I am less interested in dealing with symptoms than moving towards making room for the implicit origin to emerge so that the protective systems can take care of themselves.

The way we define their problems, our diagnosis, will determine how we approach their care. Such patients typically receive five or six different unrelated diagnoses in the course of their psychiatric treatment. If their doctors focus on their mood swings, they will be defined as bipolar and prescribed lithium or valproate. If the professionals are most impressed with their despair, they will be told they are suffering from major depression and given antidepressants. If the doctors focus on their restlessness and lack of attention, they may be categorized as ADHD and treated with Ritalin or other stimulants. And if the clinic staff happens to take a trauma history, and the patient actually volunteers the relevant information, he or she might receive the diagnosis of PTSD. None of the diagnoses will be completely off the mark, and none of them will begin to meaningfully describe who these patients are and what they suffer from.

First published in 2020 this book contains over 560 easily readable compact entries in systematic order augmented by an extensive bibliography, an alphabetical list of countries and locations of individuals final resting places (where known) and a day and month list in consecutive order of when an individual died. It details the deaths of individuals, who died too early and often in tragic circumstances, from film, literature, music, theatre, and television, and the achievements they left behind. In addition, some ordinary people who died in bizarre, freak, or strange circumstances are also included. It does not matter if they were famous or just celebrated by a few individuals, all the people in this book left behind family, friends and in some instances devotees who idolised them. Our heartfelt thoughts and sympathies go out to all those affected by each persons death. Whether you are concerned about yourself, a loved one, a friend, or a work colleague there are many helplines and support groups that offer confidential non-judgemental help, guidance and advice on mental health problems (such as anxiety, bereavement, depression, despair, distress, stress, substance abuse, suicidal feelings, and trauma). Support can be by phone, email, face-to-face counselling, courses, and self-help groups. Details can be found online or at your local health care organisation. There are many conspiracy theories, rumours, cover-ups, allegations, sensationalism, and myths about the cause of some individual’s deaths. Only the facts known at the time of writing are included in this book. Some important information is deliberately kept secret or undisclosed. Sometimes not until 20 or even 30 years later are full details of an accident or incident released or in some cases found during extensive research. Similarly, unsolved murders can be reinvestigated years later if new information becomes known. In some cases, 50 years on there are those who continue to investigate what they consider are alleged cover-ups. The first name in an entry is that by which a person was generally known. Where relevant their real name is included in brackets. Date of Death | In the entry detailing the date an individual died their age at the time of their death is recorded in brackets. Final Resting Place | Where known details of a persons final resting place are included. “Unknown” | Used when there is insufficient evidence available to the authorities to establish whether an individuals’ death was due to suicide, accident or caused by another. Statistics The following statistics are derived from the 579 individual “cause of death” entries included in this publication. The top five causes of death are, Heart attack/failure 88 (15.2%) Cancer 55 (9.5%) Fatal injuries (plane crash) 43 (7.4%) Fatal injuries (vehicle crash/collision) 39 (6.7%) Asphyxiation (Suicide) 23 (4%). extract from 'Untimely and Tragic Deaths of the Renowned, The Celebrated, The Iconic

Addressing trauma demands a multifaceted approach. Maxine Harris and Roger Fallot assert that trauma-informed care transcends mere acknowledgment. It requires environments tailor-made for trauma survivors, facilitating trust-based exploration of their stories (Harris & Fallot, 2001).

Tracey Vogel, an anesthesiologist also trained as a rape crisis counselor, told me that trauma-informed care, crucially, shifts power. "It takes us from 'I am your doctor, and this is what I'm going to be doing to you' to 'I want to know what you might need from me,'" she explained.

Your partner is inconsistently there for you when you need them. Your partner ignores your texts, emails or calls or inconsistently responds to your texts, emails or calls. Your partner ignores your explicit requests for time together or they keep saying that they want to do things with you but there is little to no follow-through. Your partner does things that make you question if you are accepted, appreciated or valued. Your partner is inconsistent about the information they share about themselves, other partners or sexual activity. Relationship and/or sexual agreements are being broken. Your partner uses their other partners as an excuse for their own behavior. Your partner uses criticism, defensiveness, contempt or stonewalling. Your feelings, needs or opinions are not heard or don’t carry much weight. Despite what your partner says about how much they care about you or how they don’t practice hierarchy, other partners are getting preferential treatment. Your partner is effusively affectionate over text, but uncomfortable with verbal or physical affection in person. You are giving more than you are receiving. You are being asked to keep your relationship a secret or lie about your relationship in front of certain people. You get more information from your metamours pertaining to important things about your partner than from your actual partner.

I've had the same version from patients in a slightly different take, which is the patient looking at me with fixed eyes saying "I'm not multiple but I think some of the others are", or alternatively, fixedly, "we're not multiple". So whatever it is about multiple realities it affects us all. - 15 years as the director of a trauma and dissociation unit: Perspectives on Trauma-informed Care

The most crucial aspect of therapy is the development of a good therapeutic alliance with a therapist who is trauma-informed and has a Spiritually open mindset. With this we create a place of safety where we offer information, make sure our clients are grounded, feel empowered, have a way to regulate emotions and feel cared for and respected.

To recap, here’s what we all can do to stop the mass shooting epidemic: As Individuals: Trauma: Build relationships and mentor young people Crisis: Develop strong skills in crisis intervention and suicide prevention Social proof: Monitor our own media consumption Opportunity: Safe storage of firearms; if you see or hear something, say something. As Institutions: Trauma: Create warm environments; trauma-informed practices; universal trauma screening Crisis: Build care teams and referral processes; train staff Social proof: Teach media literacy; limit active shooter drills for children Opportunity: Situational crime prevention; anonymous reporting systems As a Society: Trauma: Teach social emotional learning in schools. Build a strong social safety net with adequate jobs, childcare, maternity leave, health insurance, and access to higher education Crisis: Reduce stigma and increase knowledge of mental health; open access to high quality mental health treatment; fund counselors in schools Social proof: No Notoriety protocol; hold media and social media companies accountable for their content Opportunity: Universal background checks, red flag laws, permit-to-purchase, magazine limits, wait periods, assault rifle ban

housing, trauma-informed care, authentic relationships, and safe community. All these are innate human needs that, when met, contribute positively to mental health.

In a victim-centered approach, the victim’s wishes, safety, and well-being take priority. Victim-centered feminism would bring to bear specialized services, resources, cultural competence, and, ideally, trauma-informed perspectives toward caring for the needs of those who go through the trauma of testifying or pressing charges or filing lawsuits. We would provide a conduit to the professionals best able to assess survivor needs, and we’d provide critical support to survivors in the aftermath even if they were not eligible for traditional victim-support services that may exist in their area. These skills are imperative to building rapport and trust with survivors, meeting their needs, and assisting them in creating a sense of safety and security in their lives.

We have yet to develop fourth-generation antibiotics in the fight against toxic stress, but we can use the knowledge of how the stress response triggers health problems to institute some basic hygiene: Screening, trauma-informed care, and treatment. Sleep, exercise, nutrition, mindfulness, mental health, and healthy relationships—these are the equivalent of Lister dipping his instruments in carbolic acid and requiring his surgical students to wash their hands.

...an incisive, smartly informative memoir that celebrates the power of the cohesive family unit—its outcome will offer positivity and hope to those facing similar challenges. —KIRKUS REVIEWS Deep Waters is a survival story of the highest order, navigating the complex terrain of marriage, medical crisis, and a future reimagined. After the trauma of her husband’s stroke, Mathews returns to a basic truth: through love, we discover who we are, and who we hope to become. —CAROLINE VAN HEMERT, award-winning author of The Sun is a Compass Mathews has penned a deeply personal love story with the careful rigor of the scientist she is, free of any giddy prose or rainbows. Instead, Deep Waters comes at the reader with the gloves off and goes a full twelve rounds, documenting in granular detail the fears and conflicts attending a life-altering event that can drive even a strong relationship onto the ropes, and the endurance, commitment, and deep love that can save it. —LYNN SCHOOLER, critically acclaimed author of The Blue Bear and Walking Home With love as rugged and wild as the Alaskan landscape she made home, biologist Beth Ann Mathews tells the story of another wilderness: marriage after a life-altering stroke. Deep Waters is a thoughtful and provoking read, a reminder that life and love are inexplicably fragile and resilient, full of unexpected discovery. —ABBY MASLIN, author of Love You Hard Urgent, informative, emotionally satisfying, and thought-provoking, Deep Waters opens with a harrowing medical mystery and rewards the reader with a loving account of an adventurous partnership made stronger by crisis. —ANDROMEDA ROMANO-LAX, author of Annie and the Wolves We felt like we were there with Beth, sharing her emotions, anguish and struggles through the stroke, hospital stay, and recovery. We felt like part of the family as we read, gasped, cried and hoped for recovery and for peace in her heart.”—TBD BOOK CLUB, Seattle, WA If books were birds, this one would be an arctic tern—powerful and graceful, beset by storms and learning to survive, and more, to thrive. The writing is feather-light yet strong. —KIM HEACOX, author of Jimmy Bluefeather Mathews writes with poignant honesty about the challenges of marriage, family, and community in a moving story that highlights the strengths of human relationships. Deep Waters starts with a bang and just keeps going—lively, vivid, and personal. — ROMAN DIAL, author of The Adventurer’s Son: A Memoir

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Dear Iris, Should I be surprised that I was falling in love with you a second time? Should I be surprised that your words found me here, even in the darkness? That I’ve been carrying your E. letters close to my heart like they are a shield to protect me? I know we are no longer rivals, but if we are keeping tally like the old days, you have far outshined* me with your wit and your courage. Which reminds me of one simple thing: how I love to lose to you. How I love to read your words and hear the thoughts that sharpen your mind. And how I would love to be on my knees before you now, surrendering to you and you alone. For the past few weeks, I thought you were nothing more than a dream. A vision that my scrambled mind created to process the trauma I couldn’t even remember. But the moment I touched you, I remembered everything. And now I see that all this time, every night when I dreamt, I was trying to bring all the pieces back together. I was trying to find my way back to you. I don’t know where you are now. I don’t know how many kilometers have come between us again, and I don’t know what awaits us in the days ahead, but I will give you as much information as I can so long as you promise me that you will be very careful. I know this is a strange thing to say—we are a country at war, and nowhere is safe. All of us must risk and sacrifice something dear to us—and yet I could not bear it if corresponding with me brings the end for you or gives you a burden that is too heavy to bear. If you agree to this, write me back. If you don’t agree, still write me back. I want to know your thoughts. I confess that I am hungry for your words. Love, Kitt

Mental health is an essential part of overall well-being, and in a thriving, fast-growing city like Raleigh, North Carolina, more individuals and families are recognizing the importance of prioritizing their emotional and psychological health. Whether facing stress from work or school, navigating life transitions, managing anxiety or depression, coping with grief, or living with more complex conditions like PTSD, OCD, or bipolar disorder, people throughout Raleigh are seeking mental health support—and finding it in a diverse and dedicated network of providers.Yet with the pace of life, population growth, and everyday pressures, it’s no surprise that mental health has become a vital topic of concern and conversation. Fortunately, the city offers a robust range of services and resources designed to support individuals at every stage of their mental wellness journey. Mental health care in Raleigh encompasses a wide spectrum of options—from traditional therapy and psychiatric medication management to holistic and community-based approaches. Licensed therapists, psychologists, and counselors are available in private practices, group clinics, and nonprofit organizations across the city and surrounding areas like Cary, Garner, and Wake Forest. These professionals offer evidence-based therapy approaches such as Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), trauma-informed care, EMDR, and mindfulness-based therapies. Whether someone is seeking help for a specific issue like panic attacks or relationship difficulties, or is simply feeling overwhelmed and in need of someone to talk to, there is a provider in Raleigh who can help. Many practices specialize in working with particular populations—such as children and adolescents, veterans, BIPOC communities, LGBTQ+ individuals, or survivors of trauma—ensuring that people receive culturally sensitive, identity-affirming care that meets them where they are.

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