The Meadows Blog

The Meadows trauma and addiction treatment center has announced enhancements to its inpatient program including an expansion of services and increased length of stay for patients who admit September 3, 2014 and after.

Jim Dredge, CEO of The Meadows, reported The Meadows will increase its length of stay to 45 days to allow patients the necessary time to complete the program and benefit from the additional services now offered from its new Brain Center. Dredge unveiled the improvements on a Town Hall style call on August 19, 2014. The Meadows Senior Fellow Dr. Shelley Uram was instrumental in creating the center and participated in the call. Dr. Uram described how the Brain Center’s state-of-the-art equipment will aid the patient to become grounded and self-regulated. The center will use a variety of science-based modalities including Neurofeedback, Crainial Electro Stimulation (CES), M-Wave device measurements, along with Hemoencephalography (HEG) biofeedback.

The Brain Center will operate under the direction of by The Meadows Director of Trauma Resolution Services, Deirdre Stewart, MSC, LPC, SEP, and a team of five Master’s level and above therapists.

Dredge said development the Brain Center at The Meadows has been a collaborative effort over the last 18 months with Senior Fellows Dr. Bessel van der Kolk, Dr. Claudia Black, Dr. Peter Levine, Pia Mellody and Dr. Uram. “We think rolling out the Brain Center is really significant and the first of its kind anywhere in the country,” Dredge said. “It will allow us to introduce technologies and methodologies for assessing our patients and also provide our patients effective tools to improve their self-regulation and ultimately enhance their recovery.”

In addition to treatments in the Brain Center, other enhancements to the patients’ experience include a Mindfulness workshop developed by The Meadows Chief of Psychiatry Dr. Jon Caldwell. This workshop is based on Dr. Caldwell’s years of clinical work in the trauma field, research in human attachment and contemplative neuroscience and his personal journey utilizing mindfulness and self-compassion. He has delivered this workshop across the world, and it will now be exclusively provided at The Meadows treatment facility in Wickenburg, Arizona.

Dr. Uram, a Harvard trained, triple board-certified psychiatrist, also shared that The Meadows is an official elective training site for Harvard Medical School/Cambridge Health Alliance Psychiatry Residents. “This collaborative relationship with Harvard is very significant for us and one we cherish,” said CEO Jim Dredge. “It will allow for The Meadows to share our methods and processes with Harvard medical residents and provide them the opportunity to further develop the treatments we use at The Meadows for our patients.”

To learn more about The Meadows program enhancements, listen to the Town Hall call in its entirety online here or use the integrated player below.

Published in News & Announcements
Wednesday, 09 July 2014 00:00

Blue - A New Paradigm

By: Sandra Lehmann, Trauma Counselor at The Meadows

I am currently going through the professional training program on Somatic Experiencing ® (SE) – a psychobiological method for the resolution and healing of trauma. I was struck by what the trainer taught us regarding the concept of society being addicted to the “red vortex.” The red vortex represents trauma and intensity (think the evening news). In the training, we learn how people get sucked into the red vortex as they reach the edges of intense experiences and that reliving the intensity of what happened in that experience is not healing. The trainer spoke about how it is not our fault that we are red addicted; we are born into a society that is inherently disconnected from our true nature, which is to live in harmony with nature and one another. SE therapy helps the patient reconnect with their body’s inherent ability to heal.

A key point of SE is that after we have a traumatic experience we tend to live in extremes – either avoiding intensity by trying to feel good all the time (think addiction), or living out intense experiences that activate the nervous system similar to the original trauma. In the SE training, we are taught to move towards the “blue vortex” first – feeling safe and socially connected – before moving towards the red. This back and forth movement gets lost in trauma.

The goal of SE is to increase our flexibility to move back and forth between both the pleasure and pain life offers and to have resiliency so we can be present to what is happening in the here and now. By being in the here and now, we have an embodied experience which allows us to be present for self and others. Imagine what the world would look like if we each learn to be that engaged in our own process so we can connect with others in such an open way.

To learn more about Somatic Experiencing® and how it can improve your life, contact The Meadows at 800-244-4949 with your questions, and start receiving the help you need.

Published in Trauma

Since becoming a Tricare Preferred Provider, The Meadows has had the privilege to provide behavioral health and substance abuse inpatient services, with an emphasis on trauma, PTSD, and addictive disease disorders, to active duty military members, retirees and dependents of the TRICARE West Region. The Meadows has a long history of working with TRICARE beneficiaries and has seen great success and an increase in the utilization of services by all branches of the military.

While the world class trauma and addiction services The Meadows provides has proven to be a great resource for our military service members, it is acknowledged that there are unique needs military patients require. Retired and active duty women and men who enter treatment present with problems that are, on the surface, similar to those of non-military patients. However, the driving forces behind these problems are usually different and unique to military service.

Studies indicate that military personnel respond best to a group of their peers and often are not comfortable in group therapy with civilians. The Meadows recognizes this special need and has elected to accommodate it by incorporating a “Military Only” group where the protectors of our freedom are able to be more comfortable as they begin healing.

The Meadows continues to strive to be a resource to our military and is humbled to be able to give back to those who have given so much on our behalf.

Published in Military Issues
Thursday, 26 June 2014 00:00

Post Traumatic Stress Disorder

Submitted by James Naughton, MA, LPC, LISAC, Advanced Trained SE, Level II EMDR Practitioner

Post Traumatic Stress Disorder (PTSD) was first introduced into psychiatry in the 1980s, and was originally viewed as something rare, affecting only combat soldiers. Today, we understand that just about anyone at any age can manifest symptoms PTSD, and that the sources of trauma are various and uniquely impacting to an individual’s own capacity to respond to threat – whether it be emotional or physical .

Fortunately, not everyone that has experienced, witnessed or been confronted with “an event or events that involved actual or threatened death or serious injury” and felt “intense fear, helplessness, or horror” develop PTSD, and those that live with the intrusive-thoughts, emotional numbing and avoidance are discovering that their own bodies hold the key to healing the mind and through undiscovered natural and organic resiliencies that reside in all of us.

Peter A. Levine, Ph.D. the originator and developer of Somatic Experiencing®, and a senior fellow with The Meadows characterises trauma and the symptoms of PSTD not as “a disorder”, but as “thwarted instincts” i.e., incomplete self-protective responses (fight, flight an freeze), held within the body and the autonomic nervous system in a state of complete or partial immobility. When an individual has to face a “perceived” or actual life threatening crisis (the movement from perception of threat into active defense may happen in milliseconds) our nervous system develops a plan for escaping it; however, “If we are overwhelmed by the threat and are unable to successfully defend ourselves, we can become stuck in survivor mode. “ And, adds Dr. Levine, this highly charged state of arousal “is designed solely to enable short-term defensive actions; but, left untreated over time, it begins to form the symptoms of trauma.” A useful visual metaphor , that is demonstrated in Somatic Experiencing training seminars, is the Slinky® toy – normally the nervous system flows energetically like the a metal helical spring moving between two hands (sympathetic activation to parasympathetic deactivation, “on” to “off” , “accelerator” to “brake” or physical expansion and contraction, etc.) , but when internal resources are marshalled quickly within the body, the slinky is energetically and physically stretched and moving faster , demonstrating full escape and/or fight response to the event. However, when the nervous system senses these self-protective plans are overwhelmed i.e. escape is not possible, it’s hardwired to protect us from this over stimulation, and sometimes we shift into a state of freeze or dissociation – and the Slinky® is clamped down and compressed tightly, and consequentially our bodies have to use resources and strategies to keep this flight/flight energy contained. In addition, according to Dr. Bessel van der Kolk, PH.D, overseer of the non-profit clinic in Boston, The Trauma Center, and senior fellow at The Meadows, these un-integrated responses, thoughts and feelings left untreated and/or “completed” make it difficult for anyone “to be fully present in the here and now.”

This may explain why after weeks, months, and even years after a trauma experience, persons with un-discharged traumatic stress feel like their stuck in the “on-position” - feel anxious, panicky at times, hyperactive, unable to relax, restlessness, digestive problems sleeplessness , emotionally flooded to feelings of hostility/rage and hyper-vigilant, or stuck in the “off-position” – depressed, exhausted, at times disoriented or dissociative, a loss of vitality or feeling of “deadness”, chronic fatigue and emotional flatness. Living in our bodies, like being inside running a car with one foot on the accelerator and one simultaneously on the brake, can dramatically impact the natural experience of “connectiveness” – a sense of being a part of and engaged with the world , and like many of patients that arrive to The Meadows, can eventually resort to chemicals and/or behaviors (i.e. sex, gambling work, food) to just dampen down or feel alive or as it’s been said, “Just do time on planet earth.” But today, with what has been learned about the human brain and nervous system over the last ten years, bringing to bear multiple disciplines of examination (neurological, psychological, sociological and biological), the capacity and the resources to heal and “recapture” innate resiliencies/resources, after a traumatic event, resides within us and eventually manifest as a return “home” to ourselves and the world of humanity.

Trauma healing focuses more on honoring and acknowledging a nervous system’s injuries, vulnerabilities and strengths, and “holding a space” of safety as the body and mind gradually move from constricted states of immobility and low energy “I can’t.” to increased mobility and engagement “I can”. Modalities of care for trauma like Somatic Experiencing, EMDR, EFT – Emotional Freedom Technique, Psychodrama, and Expressive Art Therapy, can not only help survivors of trauma complete these natural self-protective responses , but eventually come to believe that they are “the heroes of their own story.”

At The Meadows, we attempted to “create a safe space” in our newly developing “Brain Center” that not only offers the aforementioned modalities, but also has a “drop-in” center were patients can have access to Cranial Electro Stimulation (CES), Heart Rate Variability systems (HRV) and Hemoencephalography Biofeedback (HEG), to strengthen bilateral communication in the hemispheres of the brain and increase blood flow to the pre-frontal cortex to foster mood stability and a greater capacity to observe emotions, thoughts and experiences without feeling overwhelmed. Ultimately, for the patients, instead of coming to a place to feel safe, in time they can discover and learn to cultivate a safe and resilient space within themselves , and return home with more choices in their own recovery.

Tips to Enhance and Promote Resiliency

There are activities all of us do to in our own self-care that can promote our nervous systems innate capacity to restore itself and remain “elastic” as we recover from illness, depression, anxiety and addictions:

- Expand and develop a support system : Social support helps with meaning in life – feeling loved and cared for releases oxytocin and counteract effect of stress hormones.

- Moderate exercise, Yoga and Tai-Chi: Releases endorphins, a natural opioid, that heightens reward system, improves sleep and one’ sown sense of ability. Also, it can promote “neurogenesis” in many areas of the brain , i.e., hippocampus and prefrontal cortex.

- Meditation and prayer: Enhances mind-body connection, quiets sensitized structures in the limbic system and strengthens connections to executive functioning, for an increased capacity for mindfulness and access to “moral self”. Fosters healthy humility.

Trauma, Resiliency & Spirituality (Summed-up in an inspirational quote)

“Each individual has their questions about life, about the purpose of their existence, the meaning of it all. There are those who would allow others to influence their answers to life. There are those who believe there are no answers, so why bother? And then there are seekers. The seekers are the ones who will become co-authors of their lives. They are the ones who will live life to the fullest, understand a need to experience all emotions, stay open to the truth of who they are, and embrace the gifts of choice and change.”

- Barb Rogers: Twenty-Five Words- How The Serenity Prayer Can Save Your Life

Published in Blog

A Pain That Drives 18 Veterans to Suicide Every Day - - a Total of 6,552 Veterans Each Year

In this compelling and powerful video, Dr. Peter Levine, The Meadows’ Senior Fellow and developer of Somatic Experiencing®, demonstrates this treatment with an Iraq Veteran diagnosed with severe PTSD. Somatic Experiencing is a proven method for treating PTSD in combat veterans.

As Dr. Levine explains, many soldiers bring the war back with them and if they don’t resolve the war experience, then they bring that kind of violence back into the home. It makes relating to their spouse and children almost impossible. Watch as Dr. Levine helps this veteran move past his traumatic war experiences.

Click here to view the full length (25:54 minutes) video.

Published in PTSD & Trauma
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