The Meadows is pleased to announce the launch of our new blog, addictionrecoveryreality.com, featuring articles by some of the most well-respected and innovative experts in the treatment and recovery fields of drug addiction, alcohol addiction, gambling addiction, depression and anxiety, relationships and childhood trauma.
Contributors to the blog include leaders in the treatment of addiction and trauma: Pia Mellody; John Bradshaw, MA; Bessel A. van der Kolk, MD; Peter Levine, PhD; Maureen Canning, MA, LMFT; Jerry Boriskin, PhD; and Shelley Uram, MD. These experts write about a wide range of addiction-related topics.
If you are interested in writing for addictionrecoveryreality.com, please send submissions to firstname.lastname@example.org.
Welcome to Addiction Recovery Reality, the official blogging voice for The Meadows treatment center, a multidisorder inpatient facility based in Wickenberg, Arizona.
The purpose of this blog is to open a window into our world. The Meadows specializes in the treatment of addictions, compulsive behaviors, and anxiety and mood disorders. We also actively participate in the larger addiction community; our senior fellows are recognized worldwide as academics, authors, lecturers and trainers.
This blog will enable us to share more information about the latest trends, resources, articles, announcements, lectures, book releases and workshops. Many entires will be published by The Meadows’ professional staff, but we’re also looking to highlight some ”best of breed” materials from the outside world.
Please stay tuned for our opening posts!
By Thomas Best, MD, Director of The Meadows
The Meadows is offering a new program called the "Integrated Evaluation." This program combines our groundbreaking Survivors Week workshop with a state-of-the-art evaluative process.
In addition to attending the workshop, each client meets with a treatment team consisting of a psychiatrist, primary care physician, addiction medicine specialist, clinical psychologist, and nutritionist. The evaluation team works collaboratively to ensure that clients receive the most thorough, integrated, and comprehensive evaluation.
Offered at The Meadows for more than 20 years, the Survivors Week workshop examines the origins of adult dysfunctional behaviors by exploring early childhood issues; these can play important roles in various addictions, mood and anxiety disorders, painful relationships, and other emotional issues. In this revolutionary educational and experiential process, participants learn to identify and address family-of-origin issues that took place from birth to 17 years of age. The primary focus of the workshop is to learn to deal with the emotions that accompany any less-than-nurturing past event, and then to work on resolution of the consequential grief and anguish.
Each participant will meet with a member of our highly trained psychiatric staff who will provide a thorough psychiatric consultation. All of the psychiatrists at The Meadows are board-certified by The American Board of Psychiatry and Neurology, and all have received training in The Meadows' therapeutic model. They strive to view a person's mental health issues in a holistic context and consider all therapeutic options.
The in-depth medical evaluation includes a comprehensive history, physical examination, and thorough laboratory workup. A medical evaluation is extremely important when diagnosing and treating mental health concerns. Often there is a direct correlation between medical issues and psychiatric symptoms. When the underlying medical issue is diagnosed and treated appropriately, the troublesome psychiatric symptoms may remit without medication. A medical examination is also very important in the evaluation of alcoholism and drug addiction, as these disorders frequently lead to medical problems. Our board-certified primary care physician is also certified by the American Society of Addiction Medicine. Psychological testing is also valuable to the assessment process. The results are interpreted by The Meadows' Director of Psychology. Finally, a thorough nutritional evaluation addresses the nutritional needs of the client and any potential problems with food, such as an eating disorder.
At the conclusion of the week, the client meets with our professional staff to discuss the preliminary diagnostic findings and treatment options. A complete report is then sent to the client within two weeks.
For more information, please call 800-632-3697.
Note: This article was originally published in the Summer 2005 edition of Cutting Edge, the online newsletter of The Meadows.
Somatic Experiencing: Resilience, Regulation, and Self
By Peter A. Levine, Ph.D., Clinical Consultant for The Meadows and Mellody House
My life's work, encompassing nearly four decades, as a stress researcher and trauma therapist, has taught me how vulnerable we humans are to the effects of stress and trauma. An apparent contradiction to this fragility surfaced during a study I conducted at NASA with Apollo astronauts. In monitoring their physiological responses transmitted to Earth, I was surprised to observe an extraordinary capacity to successfully withstand extreme levels of stress.
However, the most exciting discovery of my career was the recognition that "ordinary" trauma sufferers had the same innate, though latent, ability to rebound from stress. I was both humbled and amazed to witness their ability to learn the very skills that I believe facilitated the astronauts' spontaneous resilience.
In the 1960s, as a student in the fledgling field of mind/body psychology, I learned how to "read" people's postures and assess the patterns of tension held in their bodies (in the vernacular, many were "uptight," "twisted" in angst, "scared-stiff," or helplessly "collapsed" and without energy). I was experimenting with using body awareness to help these individuals learn to normalize their excessive tension patterns. However, a deeper truth emerged from those shared efforts. I discovered that "long-forgotten" events, which had originally been perceived as significantly threatening or highly stressful, had left deep, organismic imprints on my clients. These stress patterns played out in the theaters of their bodies as habitual postures, recurring symptoms, stereotyped movements and repetitive behaviors.
As I continued to explore these body narratives, it became clear that, given the appropriate support and guidance, most individuals could unlock the somatic "stress memories" trapped in their bodies. In so doing, they experienced a rebound (albeit delayed) similar to what the astronauts exhibited as a spontaneous response to the stress of liftoff and space flight. With their self-possession restored, former trauma victims were relieved of their constrained postures, freed in their movements and behaviors, and liberated from many of their symptoms. I began to recognize that effective treatment was not a matter of remembering or erasing painful memories, but of establishing a resilient nervous system, similar to those possessed by the naturally endowed astronauts.
With the resilience of their nervous systems restored, my clients and I sometimes saw remarkable patterns of behavioral and psychological change. Rather than the repetitive and self-reinforcing patterns of symptoms, new adaptations emerged. Often, without the client even noticing, lifelong symptoms of pain, anxiety and sleep disturbances were replaced with engagement and interest in life.
Thirty years ago, Jody's life was shattered. While walking in the woods near her boyfriend's house, a hunter approached her and began an "innocent"conversation. It was mid-September. There was a crisp New England chill in the air. Her boyfriend and others thought nothing when they saw someone, behind the bushes, apparently chopping wood. A madman, however, was smashing Jody's head again and again with his rifle. The police found Jody unconscious. Chips from the butt of the rifle were nearby, where they had broken off in the violent attack.
The only recollection Jody had of the event was scant and confused. She vaguely remembered meeting the man and then waking up in the hospital some days later. As she tried to recollect the event, she went blank in panic. Jody had been suffering from anxiety, migraines, concentration and memory problems, depression, chronic fatigue, and chronic pain in her head, back and neck (diagnosed as fibromyalgia). She had been treated by numerous physical therapists, chiropractors and physicians. Jody, like so many traumatized individuals, grasped desperately and obsessively in an attempt to retrieve memories of her trauma. However, her body revealed a clearer "snapshot" of the event. The upper half of her body, particularly her neck, back and shoulders, were extremely stiff. Her shoulders were high, with the right one practically touching her ear. Her upper body moved almost as one unit, stiff and jerky. Jody's head seemed like it was retracted into her trunk, like a turtle that had been startled. Her movements were tentative, even furtive; she seemed to be always glancing to the right. It was as though she was on guard, waiting to be struck.
When I suggested to Jody that it was possible to experience healing without having to remember the event, I saw a flicker of hope and a momentary look of relief pass across her face. We talked for a while, reviewing her history and her day-by-day struggle to function. Focusing on bodily sensations, Jody slowly became aware of various tension patterns in her head and neck. With this focus, she began to notice a particular urge to turn to the right and retract her neck. In following this urge, in slow, gradual "micro movements," she experienced momentary fear, followed by a strong tingling sensation. Through "tracking" these sensations and movements, Jody began a journey that her mind could not understand. In learning to move between flexible control and surrender, she began to experience shaking and trembling, which gradually spread throughout her body. Thus began, ever so gently, the discharging of her trauma - and the recharging of her life with its lost vitality.
In later sessions, Jody experienced other spontaneous movements, as well as sounds and impulses to run, bare her teeth and claw like a cornered animal. By gradually carrying out and experiencing these biologically established protective responses, Jody was able to sense how her body had prepared to react in that fraction of a second when the hunter raised the rifle to strike her. By allowing these incomplete movements and sounds to be mindfully expressed, Jody began a deep, organic experience of her body's innate capacity to defend and protect itself. Through "owning" the life-preserving actions that her body activated at the time of her attack, she released that bound energy and realized - from deep within - that she in fact could, and did, act to defend herself. Gradually, as more of these "defensive" and "orienting" responses reinstated, her panic and anxiety decreased, as did her physical symptoms.
As Jody came to appreciate the return of her animal instincts, I came to appreciate how animals, while preyed upon in the wild, respond to constant, life-or-death threats without breaking down. If animals did not possess a natural "immunity" to stress, the survival of the individual, as well as the species, would be tenuous at best. This innate "hardiness" was in line with my observations of the astronauts" stress responses, and it sharply contrasted with the symptomatic people I was beginning to treat with my body/mind techniques. This was the final piece of the trauma puzzle.
While humans and animals share the part of the nervous system designed to respond to threat, many of us have somehow lost the capacity to "shake off" our encounters with danger; instead we become paralyzed - physically, emotionally and mentally - as trauma victims. As I worked with more and more people, I became increasingly convinced that freeing that bound "survival energy" - and finding access to our innate restorative capacity - is what allows us to return fully to life. This became the central therapeutic goal. The story of how we have "forgotten" the capacity for self-regulation, and how we can regain it, is at the core of what I describe in my writings. It is what we teach in our Somatic Experiencing® (SE) professional trainings.