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Childhood abuse and neglect leave a lasting imprint on the brain and nervous system. With a traumatized brain, individuals are left with overwhelming emotions, no tolerance for feelings or stress, and very limited ability to access good judgment or communicate verbally. Without a way to manage these symptoms, traumatized clients have heightened vulnerability to eating disorders and substance abuse.
Research tells us that 40-70% of clients in addictions recovery programs report histories of trauma. Inevitably, addictions professionals try to treat the substance abuse and eating disorders, only to find that the trauma poses an obstacle to successful recovery.
Similarly, therapists inevitably encounter clients whose trauma recoveries are complicated by substance abuse, eating disorders, and patterns of self-harm. Often, we are told that the client has to be sober before undertaking trauma treatment, while other experts believe that addressing the underlying issues of trauma should be the first priority.
But because the two are so intertwined, only treatment strategies that simultaneously treat both trauma-related responses and addictive or eating disordered behaviour can adequately address the challenges faced by these clients.
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Janina Fisher, Ph.D. is a licensed clinical psychologist and a former instructor, Harvard Medical School. An international expert on the treatment of trauma, she is an Executive Board member of the Trauma Research Foundation and a Patron of the John Bowlby Centre.
Dr. Fisher is the author of Healing the Fragmented Selves of Trauma Survivors: Overcoming Self-Alienation (2017 ), Transforming the Living Legacy of Trauma: a Workbook for Survivors and Therapists (2021), and The Living Legacy Instructional Flip Chart (2022), as well as numerous peer-reviewed journal articles.
She is best known for her work on integrating mindfulness-based and somatic interventions into trauma treatment. Her treatment model, Trauma-Informed Stabilization Treatment (TIST), is now being taught around the world. More information can be found on her website: www.janinafisher.com .
Janina has presented for Delphi in 2010 – 2014 – 2019 – 2021 – 2022 – 2023 2024. Her 2021 – 2022 – 2023 – 2024 webinars are available On-Demand. She will be presenting two new trainings in 2025.
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