Treating Co-occurring Adolescent PTSD and Addiction , livre ebook

241

pages

English

Ebooks

2015

Écrit par
Zayda Vallejo , R. Fortuna Lisa

Publié par
New Harbinger Publications

Lire un extrait

Obtenez un accès à la bibliothèque pour le consulter en ligne En savoir plus

Découvre YouScribe en t'inscrivant gratuitement

Je m'inscris

Découvre YouScribe en t'inscrivant gratuitement

Je m'inscris

241

pages

English

Ebooks

2015

Lire un extrait

Obtenez un accès à la bibliothèque pour le consulter en ligne En savoir plus

Publié par

New Harbinger Publications

Date de parution

01 septembre 2015

Nombre de lectures

EAN13

9781626251342

Langue

English

Poids de l'ouvrage

4 Mo

Research has shown that, for many teens, trauma can lead to addiction. Now, for the first time ever, two mental health experts offer a powerful, integrative program to effectively treat teens with these co-occurring issues.

Trauma and addiction often present side by side. However, up until now, clinicians have lacked the tools needed to treat these two issues together. Based in cognitive behavioral therapy (CBT) and mindfulness—two proven-effective therapies for addiction and mental health issues—Treating Co-occurring Adolescent PTSD and Addiction is essential for anyone working with adolescents with addiction and post-traumatic stress disorder (PTSD).

Developed and researched explicitly for dual diagnosis adolescent clients, this book provides a range of mindfulness practices and tools to help your client be present in what he or she is experiencing—instead of slipping into a pattern of avoidance. In addition, the cognitive behavioral strategies can help adolescents who are at risk of recurrent trauma, and who could therefore benefit from practicing coping strategies to assist them in their current daily situations.

This is a must-have resource for any mental health provider treating adolescents with dual diagnosis of PTSD and addiction.

Voir

Publié par

New Harbinger Publications

Date de parution

01 septembre 2015

Nombre de lectures

EAN13

9781626251342

Langue

English

Poids de l'ouvrage

4 Mo

“This outstanding, state-of-the-art treatment program is an essential resource for all clinicians helping all adolescents reclaim and rebuild their lives after the devas-tating effects of trauma and addiction.”

—KimT. Mueser, PhD, director of the Center for Psychiatric Rehabilitation and professor of occupational therapy, psychology, and psychiatry at Boston University

“The world is witnessing an explosion of mindfulness possibilities, but mindfulness is not a generic, one-size-fits-all fix. The process and delivery of a mindfulness-based program demands subtle adjustments in dosage and approach, including knowledge about how mindfulness practice may impact specific populations. Fortuna and Vallejo bring mature experience and deep wisdom to the task. By blending mindfulness with therapeutic interventions, such as cognitive restructur-ing and motivational interviewing (among others), this guide is a trustworthy com-panion in meeting your adolescent clients in skillful, responsive, and life-affirming ways.”

—LynnKoerbel, MPH, associate director of the Oasis Institute for Mindfulness-Based Professional Education and Training at the Center for Mindfulness in Medicine, Health Care, and Society at the University of Massachusetts Medical School, coauthor ofAMindfulness-Based Stress Reduction Workbook for Anxiety, and teacher of MBSR since 2005

“Adolescents with complex trauma lack a basic sense of safety in the world and an understanding of others as responsive and trustworthy. It is through relationship that we develop the capacity to be seen and to be known. This wonderful guide helps teens restore safety and predictability within their bodies, a sense of agency in the world, and an understanding of themselves as worthy of care.” —DavidSchouela, staff yoga teacher at the Trauma Center at Justice Resource Institute (JRI), Brookline, MA

“As a father, it is very comforting to know that two very dedicated, wise, and loving clinicians have written a hands-on treatment manual for adolescents living with PTSD and addiction. The practices of mindfulness have the power to transform and heal the wounded heart. Thank you, Lisa and Zayda, for loving and caring for our children.”

—BobStahl, PhD, coauthor ofAMindfulness-Based Stress Reduction Workbook,LivingwithYourHeartWideOpen,CalmingtheRushofPanic,AMindfulness-Based Stress Reduction Workbook for Anxiety, andMBSREveryDay

“This book is just what I was looking for to assist me in my work with adolescents struggling with PTSD and substance abuse. What I really appreciated was that the authors offer clear and useful solutions for working with teens that may never have practiced any type of self-soothing techniques. Not only does the book provide concrete explanations of strategies such as mindfulness and meditations, but it also gives step-by-step guidelines as to how to implement them into my practice. As a social worker in an urban middle school, this book has given me intervention tech-niques that will assist the students so that they can calm down to the point that they are able to identify the underlying feelings that are causing them to act out in school.”

—StacyL. Homan, LICSW, School Adjustment Counselor, Worcester East Middle School, Worcester, MA

Treating Co-occurring Adolescent PTSDandAddiction

Mindfulness-Based Cognitive herapy for Adolescents witH Trauma and Substance-Abuse Disorders

Lisa R. Fortuna, MD | Zayda Vallejo, MLitt

CP ONTEXT RESS An Imprint of New Harbinger Publications, Inc.

Publisher’s Note

This publication is designed to provide accurate and authoritative information in regard to the subject matter covered. It is sold with the understanding that the publisher is not engaged in rendering psychological, financial, legal, or other professional services. If expert assistance or counseling is needed, the services of a competent professional should be sought.

Nine dots exercise and “The Monkey Story: Illustrating Letting Go” are adapted from FULL CATASTRO-PHE LIVING by Jon Kabat-Zinn, copyright © 1990 by Jon Kabat-Zinn. Used by permission of Dell Publishing, an imprint of Random House, a division of Penguin Random House LLC. All rights reserved.

Material from Gregory Kramer’s INSIGHT DIALOGUE: THE INTERPERSONAL PATH TO FREEDOM copyright © 2007 by Gregory Kramer. Used by arrangement with The Permissions Company, Inc., on behalf of Shambhala Publications, Inc., Boston, MA. http://www.shambhala.com.

“Autobiography in Five Chapters” reprinted from There’s a Hole in My Sidewalk: The Romance of Self-Discovery by Portia Nelson. Copyright © 1993 by Portia Nelson; reprinted with permission of Beyond Words/Atria, a division of Simon & Schuster, Inc. All rights reserved.

Distributed in Canada by Raincoast Books

Cover design by Amy Shoup; Acquired by Jess O’Brien; Edited by Rona Bernstein; Indexed by James Minkin

Library of Congress Cataloging-in-Publication Data

Fortuna, Lisa R. Treating co-occurring adolescent PTSD and addiction : mindfulness-based cognitive therapy for adolescents with trauma and substance-abuse disorders / Lisa R. Fortuna, MD, MPH, MDiv, and Zayda Vallejo, MLitt ; foreword by Florence Meleo-Meyer, MS, MA. pages cm Includes bibliographical references and index. ISBN 978-1-62625-133-5 (paperback) -- ISBN 978-1-62625-134-2 (pdf e-book) -- ISBN 978-1-62625-135-9 (epub) 1. Post-traumatic stress disorder in adolescence--Treatment. 2. Substance abuse--Treat-ment. 3. Cognitive therapy for teenagers. I. Vallejo, Zayda. II. Title. RJ506.P55F67 2015 616.85’2100835--dc23 2015018136

To H. E. Choegyal Rinpoche, VIII, who embodies unconditional love —Zayda

To my grandmother “Bolito” —Lisa

vii xi 1

UnderstandingMindfulnessBasedCognitiveTherapyforAdolescents with Trauma and SubstanceAbuse Disorders

3 4

6 7

Contents

Part 1

21 41

59 81

ForewordAcknowledgmentsIntroduction

AnIntegratedApproachtotheTreatmentofTraumaandAddictions in AdolescentsTheoryandPracticeofMindfulness-Based Cognitive Therapy–DualEngaging, Motivating, and Working with Adolescents in TherapyMindfulness-BasedCognitiveTherapyforOtherCo-occurringAdolescent Mental Health ConditionsMindfulCommunication

General Considerations for Conducting MBCT-Dual Sessions 97 MBCT-Dual Therapy Session Guide 103 Meeting 1: Introduction, Feedback, and Safety 103 Meeting 2: Introduction to Mindfulness 112 Meeting 3: Psychoeducation Part I—PTSD 122 Meeting 4: Psychoeducation Part II—Risk Behaviors and Drug and Alcohol Triggers 130 Meeting 5: Managing Triggers, Cravings, and Urges 137 Meeting 6: Common Styles of Thinking 144 Meeting 7: Cognitive Restructuring—Observing Our Thoughts 153 Meetings 8–11: Mindfulness-Based CR and Recovery 161 Meeting 12 (Or Final Meeting): Generalization Training and Termination 163

Part 2

Conducting MBCTDual Sessions

Treating Cooccurring Adolescent PTSD and Addiction

Appendix A: Guided Mindfulness ScriptsAppendix B: Selected MBCT-Dual ToolsAppendix C: Guidelines for Behavior Rehearsal Role-PlayAppendix D: Poetry in MindfulnessReferencesIndex

169 191 197 201 203 213

Foreword

The guiding intention and focus of this book is essentially compassion in action. The authors, Lisa Fortuna, MD, and Zayda Vallejo, MLitt (Oxon), have defined a potential pathway for adolescents to achieve greater health through mindfulness-based cognitive therapy for adolescents with trauma and substance-abuse disorders (MBCT-Dual). The book offers the therapist and caregiver a host of tools to deliver a program that has the potential to skillfully alleviate the suffering of adolescents who have been hurt multiple times in their lives. Numbing is one way an adoles-cent may attempt to cope with the anguish of intrusive thoughts and emotions following the shock of trespassing encounters of physical, emotional, and sexual abuse. Commonly, drugs and alcohol are the means teens employ to find relief, and in turn become another source of suffering as addiction. These methods, of course, make teens more susceptible to deeper trauma, expose them to dangerous situa-tions, and complicate a lifelong trap of avoidance. The information and skillful guidance in this book offer a pathway to greater ease and health that focuses on recovery from trauma and addiction while also establishing the groundwork for greater self-esteem and constructive life skills. Through psychoeducation, mindfulness practices, and cognitive strategies, the adolescent is offered a program that is much more than a technique. Through the strong and ongoing practice of mindfulness, the adolescent is introduced to a way of living. Mindfulness is not just a practice of meditation but an intrinsic human awareness in all human beings. Through mindfulness meditation, one discovers presence—a presence which can never be diminished, no matter how terribly one has been hurt. The practice engages the adolescent in the discovery of this essen-tial human capacity that is most often overlooked—innate wholeness. Mindfulness honors and strengthens what is most deep, wise, and kind within one’s own being. The practice of mindfulness allows this innate capacity to be known. Through this, the adolescent has the potential to directly experience the statement by Jon Kabat-Zinn, PhD, founder of the Mindfulness-Based Stress Reduction (MBSR) program at the University of Massachusetts over 35 years ago: “there is more right with you than there is wrong, no matter how ill or how hopeless you may feel” (Kabat-Zinn, 2013, p. 2).

Voir