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Trauma and Chemical Dependency

Dr. Mary Ann Barr

Asking patients with past traumas to first quit using any substance and then enter a trauma-focused treatment could lead to termination, relapse or deterioration. So, how do we address those issues successfully ?

This course will explain to you the strong and complicated relationship between trauma and chemical dependency, and it will present a structured and integrative treatment, along with individual and group techniques.

Course Objectives
Learn the complicated and overdetermined relationships between 
childhood trauma (including sexual abuse) and adult chemical dependency.
Learn the relationship between chemical dependency and adult onset PTSD.
Learn the relationships among dual diagnosis (PTSD and CD) and all other psychiatric illnesses.
Learn the relationships among dual diagnosis (PTSD and CD) and continued lifelong problems such as unintended pregnancies, unwanted sexual relations, repeated other trauma and heritage of the same to offspring.
Identify the most effective medication intervention strategies. 
Recognize how trauma and chemical dependency interact to reinforce each other.
Learn how easily masked these dual disorders are by other psychiatric problems
Learn basic models for PTSD treatment and CD treatment
Know how basic PTSD or CD treatment must be modified to successfully treat both simultaneously
Learn a new integrated model of CD/PTSD treatment, including structured individual and group interventions
Course Description 
The relationship between trauma and chemical dependency problems is both strong and complicated. Research continues to link childhood trauma with adolescent disorders which if untreated become early adult onset chemical dependency and mood disorders. Moreover the continued sequelae of sexual trauma begets more adult sexual trauma which is reinforced and abetted by chemical dependency. To further complicate matters the lifestyle of specific dependencies (opiates, cocaine) increases the likelihood of adult onset PTSD. Further, these "dual disorders" are often masked by other psychiatric problems.
This course is designed for clinicians working in the area of chemical dependency, mood disorders and trauma, and especially for persons in the "dual diagnosis" arena. It is aimed at uncovering these complicated relationships described above in a way that is practical and useful to therapists.
In addition to learning about the common methods of "self medication" and addiction in trauma victims, clinicians will learn about the basic neuropsychology behind both illnesses.
The bulk of this course, however, focuses on treatment interventions. Basic trauma theory and technique along with basic chemical dependency principals which apply will be reviewed. Most important a structured integrated (CD/PTSD) treatment will be presented. Both individual and group therapy techniques aimed at managing symptoms of trauma in ways that do not challenge/overwhelm CD recovery will be given. The balance between acknowledging and containing traumatic memory and pain while maintaining the recovery structure and avoidance of early depth work will be thoroughly explored. The developmental nature of both treatments integrated will also be presented.
Instructor 
Mary Ann Barr, Ph.D., a clinical psychologist, is an expert in dual diagnosis assessment and treatment, and chemical dependency treatment emphasizing PTSD. Dr. Barr has presented many of her notable treatment philosophies to both national and international audiences of her peers. She has conducted several hundred trainings, as well as consultation, and seminars for health care professionals, corporations, and the general public.
Dr. Barr�s earliest PTSD work occurred at the San Francisco VA Hospital treating Vietnam Veterans who were addicted to substances (Chief of Alcohol Inpatient Unit) from 1979-1985. During this period she consulted to the first national director of Vietnam Veterans Outreach in Washington , D.C.. She also conducted outreach training and helped open some of the first outreach centers as well as participating in their national evaluation. She was Chief of Psychology from 1985�1987. As such she oversaw the PTSD work of the Outreach Center.
From 1989�1996 Dr. Barr was president of Barr Professional Clinics � three outpatient chemical dependency treatment centers which specialized in co-occurring conditions.
Currently Dr. Barr has a successful private practice, teaches at UCSF Medical School and is in process of long term consultations to County Mental Health Systems seeking to do integrated co-occurring disorder treatment.
Credits
Through seminars, this course meets the qualifications for 6 hours of MCEP credits for psychologists (course # 970060-13) and CE credits for MFCCs and LCSWs (provider #PCE-477).
Through self-study, this course provides 6 CE credits.
 

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