Very Helpful Notes from "Fundamentals of Trauma Informed Care"

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Last Wednesday I was lucky enough to attend a workshop on "The Fundamentals of Trauma Informed Care" by Laurie Lockert, MS. I won't rehash all the info that is available on other parts of this website, but I do want to post some very helpful points she made. Attached is a handout about the neurobiology of trauma and the brain.

Her definition of a trigger is: an external event that causes internal discomfort or distress; hint of past trauma; having someone being suddenly reminded of something they don’t want to remember

And here is a list of common triggers in the healthcare setting:

authority figures
sensory cues of past events
lack of power/control
feeling threatened or attacked
caught by surprise
feelings of vulnerability and rejection
sensory overload
shaming

Three patients napping
Photo courtesy of
Vanessa Tignanelli

Comments

jenmylo's picture

I love that POCA/POCA Tech is aligning with the practice of trauma-informed care. There's a tendency in our society to play down the negative effects of bad situations (especially those inordinately experienced by people from low-income backgrounds). If it's not a wounded soldier screaming in a corner having flashbacks to combat, many Americans won't believe someone has experienced trauma, and re-experiences aspects of that trauma repeatedly through the course of daily life. 

Just the other day I convinced a friend who was suffering from anxiety and headaches to try acupuncture. This friend has a job placing them firmly in the upper middle class, has an ivy league education, and lives with a loving partner. Most people would look at this person and think they had it all. But when it came time to deal with the headache, this person just couldn't handle even making an appointment, the stress of it was too much. The fear of interacting with medical professionals and being in any kind of doctor's office was palpable and intense. Being able to say, "This is nothing like a doctor's office, except for the health history form. You come in, talk a little to the acupuncturist out in the lobby (so you can easiry bolt before you commit to it), keep your clothes on, sit back in a recliner, hang out for a while, and then leave when you are ready. You have all the power," was huge, and the control that the patient has in the community acupuncture setting made it possible for this person to seek help. 

If even people who "have it all" are afraid or incapable of seeking help due to trauma, only imagine what those who have less are going through. I am really thankful for trauma-informed care as both a practitioner and as a patient, because it means less chance of anyone feeling uncomfortable while trying to ask for help.