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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 in private practice; Assistant Educational Director of the Sensorimotor Psychotherapy Institute; an EMDRIA Approved Consultant and Credit Provider; former president of the New England Society for the Treatment of Trauma and Dissociation; and a former instructor, Harvard Medical School.
An international writer and lecturer on the treatment of trauma, she is co-author with Pat Ogden of Sensorimotor Psychotherapy: Interventions for Attachment and Trauma and author of Healing the Fragmented Selves of Trauma Survivors: Overcoming Self-Alienation and Transforming the Living Legacy of Trauma.
Dr. Fisher lectures and teaches nationally and internationally on topics related to the integration of the neurobiological research and newer trauma treatment paradigms into traditional therapeutic modalities.
Janina has presented for Delphi in 2010 – 2014 – 2019 – 2021 – 2022 – 2023. Her 2021 – 2022 – 2023 webinars are available On-Demand. She will be presenting again in 2024.
Photo Credit: Jeff Gilbert / Alamy
– Ben Okri
Delphi Training and Consulting acknowledges Aboriginal and Torres Strait Islander Peoples as the Traditional Owners and Custodians of the lands and waters which we share. We pay our respects to Elders past, present and future. We acknowledge and recognise it is the oldest living culture in the world and that sovereignty has never been ceded. It always was and always will be Aboriginal land.
Delphi is an inclusive and safe organisation. We respect, celebrate and support diversity, the inclusion of children, young people and adults from LGBTQIA+ communities, people with disabilities, people from CALD backgrounds and people with diverse religious beliefs or affiliations.
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