TRAUMAPRO
The newsletter of the
International Association of Trauma Professionals, IATP, LLC

Mike Dubi, Editor
Jeanne Thomas, Associate Editor
 
Winter/Spring 2017
International Association of Trauma Professionals Newsletter
International Association of Trauma Professionals Newsletter
In This Issue
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April 9 - May 21, 2017
 
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April 9 - May 21, 2017

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The Most Recently Certified Professionals

Chelsey Adamson
Adeyinka Akinsulure-Smith
Melanie Abbott
Denne Adkinson
Fazilet Ahmed
Zebunnessa Ahmed
Michele Akers-Woody
Katherina Alexandre
Kearie Alguire
Marilyn Allen
Sarah Allen
Robyn Alliah
Lisa Allison
Paula Alloca
Christopher Anderson
Joan Anderson
Mark Anderson
Renee Anderson
Suzanne Anderson
James Appleby
Jennifer Armstrong
Dora Arocho
Abbey Askin
Lisa Bachmann
Rebeca Baculpo
Pamela Balentine
Sara Bales
Tracey E. Ball
Julie Ballew
Dianna Banks
James Barden
Deborah Barela
Cynthia Barnes
Marc Barney
Colin R. Barnicle
Erica Barron
Joanne Barton
Gina Batean
Rochelle Bates
Ann Bauermeister
Royace Baugh
Daniel Bayless
Madonna Beamer
Charles Beard III
Stephanie Beavers
Mahsan Behnoud
Frank Bejarano
James Bencivenga
Adam Bennati
Patricia Bennett
Amber Benziger
Kristen Bewley
Nora Bice
Sheena Bice
Mary Biddle
Jennifer Bieber-West
Bobbie Bingham
Rachael Bishop
Vanessa Black
Sheila Blackbourn
Lesley Blackwood
Melanie Blanton
Cindy Blasi
Angela Blesener
Michael Bloch
Tara Bogs
Jamie Born
Janae Borrego
Geri Bough
Jessica Branham
Barbara Brinton
Fred Brooks
Troy L. Brooks
Demetria Brown
Laurie Brown
ReKenna Brown
Valerie Brown
Jessica Broz
Jennifer Brum
Roxanne Brunsman
Beth Brunson
Daniel Bryant
Michael Bryant
Trisha Bubenheim
Cecilia Burgos Gavaldon
Jessica Burns
Tasha Burrell
Kelly Burroughs
Christine Butler
Crystal Butler
Alton Byrd
Becky Cagel
Catherine Cain
Kateland Campbell
Steve Campbell
Margaret Canfield
Sheryl Canida
Janet Canniff
Carla Carick
Deana Carson
Shashana Carter
Elizabeth Castaneda
Cynthia Catchings
Patricia Chacpn
Elizabeth Chaisson
Amy Chandler
Jeanie Chang
Rodney Chapman
Roshni Chatterjee
John Chianelli
Susan Child
Latisha Christensen
Thomas Cino
William Clark
Gail Clarke
Kristopher Caros
Kassie Claughton
Kristine Clay
Luis Clement
Robert Cohen
Reginald Colbert
Ryanne Colbert
Danielle Collette
Theresa Connelly
Michael Conner
Maria Constantinou
Hillary Cook
Roger Cook
Curtina Cooper
Wendy Copeland
Cynthia Corbin
Ernest Corbin
Lynn Corey
Amy Cosner
Dannette Coston
Yolaine Cotel
Jessica Lee Cottrell
Damaris Cox
Mary Coy
Nikissia Craig
Emily Creasman
Sherri Crowl
Janice Culpepper
Kathleen Curry
Angela M. Curtis
Erica Cuscina
Eugene D'Adamo
Roxanne DalPos
Anne Elizabeth Danbury
Christina Rallo Daniels
Maria Daniels
Adailia Darby
Sameerah Davenport
Kimberly Davidson
Bryn Davis
Charles Davis
Chris Davis
Consuelo Davis
Teresa Dawson
Jaliah C. Day-Klaiber
Janna DeBruler
Lori DeBlaker
Heather DeGrote
Victoria Delheimer
Colleen Delaney
Kim R. DeLillo
Janice DeLorenzo
Wayne Delusso
Michael Deninger
Marbie Descatamiento
Laurie Deslauriers
Natasha de Soysa
Hector Diaz
Nancy Di Bernard
Carla Dickinson
Tracy Diefenbach
Steven DiMarzo
Addie Robin DiRoberts
Tahira Dockery
Elizabeth Domanksi
Janet Donahue
Mitchell Dondey
Carissa Dore
Gavin Dosil
Lenie Doucet
Felicia Douville
Tina Doyle-Hines
Keith Driscoll
Mary Drotleff
Alma Duarte
Amanda Duncan
Jessica Dutton
Laura Dyas
 
Shevander Dykes
Jenmarie Eadie
Stephanie Eddens
Paola Edwards
Patrick Elzey
David Emenhiser
Katherine Ehrlacher
Brian Evams
Kathy C. Evans
Maria Louise Evans
Mary Fahey
LaShawn Faison-Bradley
Madison Farrell
Valerie Feeley
Tanya Fennell
Christina Fife
Loine Finlayson
Misty Fischer
Robin Fischer
Elizabeth Fisher
Sally Fleischman
Karla Fleshman
Merrill Flewelling
Christopher Floro
Lenore Flynn
Jamie Flynn-Pressley
Angelina Fonyanez
Christina Fontenelle
Karen Forbes
Meredith Ford
Jane Fortune
Deanna Foster
Bruce Fountain
Duane Fox
Jonathan Fox
Sarah Franz
Lynne Friedman
Marie Friedman
Gretchen Fry
Kaitlin Galambos
Alina Garbuz
Alena Garcia
Ron Gardner
Rogea Gaymon
Lola Georg
Cleopatra Gerardino
Gabriel Ghanoum
Doug Gibb
Rebecca Gielow
Mollie Gibert
Camelia Gild
Mattie Giles
Normand A. Gingras
Ross Ginkel
Phelica Glass
Kristen Godenick
Danielle Goeckel
Jennifer Gold
Laura Golojuch
Jacqueline Gomez
Regina Gomez
Oliva Gaeta Gonzalez
Martha Gordon
Matthew Govier
Heidi Graff
Joanne Graham
Lori Graham
Tamera Graziano
Angela Green
Shay Greiner
Alisha Grill
Leah Grim
Joseph Grochowski
Amy Groh
Robin Grove
Esther Grummel
Lindsey Gullo
Tiffany Gum
Sabrina Gummersheimer
Elizabeth Hagermoser
Kayla Hall
LaDonna Hall
Rachel Hall
Pam Hamilton
Garah Hammack
Cindy Hardy
Karen Hardy
Philip Harford
LaToya Harris
Tiffany Harris
Jessica Haskins
Darryn Haudrich
Crystal Hawkins
Jennifer Hayes
Timeka Hayes
Latoya Haynes Thoby
Kathleen Hays
Mary Heck
Robert Heckrote
Lori Helms
Allison Henderson
Rebecca Carr Henderson
Deborah Henson
Tina Herr
Laura Herrick
Roberta Hickcox
Anthony Hill
Jenna Hoffer
Brian Holcombe
Bethany Holder
Daniel Holland
Sarah Holland
Cean Hollis-Smith
Rodney Hoopai
Brian Hooper
Paul Horn
Allen Howell
Bonnie Howell
Natasha Hrysikos
Nicole Huggins
Amy Hughes
Derrance Hughes
Jessica Jane Kail Hulland
Meghan Hunter
O'Tilia Hunter
Norman Hurns
Daniel Huyser
Jessica Hutchison
Amy Iannantuono
Emma Irwin
Clint Irwin
Carmelo Isales
Carol Isbell
Ambrosia Jackson
Kristi Jackson
Heather Jackson
Camie Lynn Jacobs
Anjali Jain
Nicole James
Ronda Jarvis
Nishani Jayawardena
Daniel Jean
Wanda Jeffcoat
Dorcille Jernigan
David Johansen
Melissa Johansen
Charlene Johnson
Danneita Johnson
Rosalyn I. Johnson
Stephanie Johnson
Tracey Johnson
 
Brandon Johnston
Andrew Jones
Brandy Jones
Katherine Jones
Shawn Jones
Alicia Joseph
Jeny Joseph
Kelly Joy
Mary Joye
Kathryn Jurado
Kara Juszczak
Michelle Kahl
Sharae Kalian
Elisabeth Kaplan
Yohmina Kasey
Amanda Katchur
Kayla Keener
Josette Kehl
Heidi Khatibi
Cynthia Kightlinger
Joel Kightlinger
Beverly King
Mary King
Rebekah King
Kenneth Kinter
Sharon Melissa Kissel
Ruth A. Kleast
Christopher Klein
Andrew Klement
Penny Kline
Lisa Klosinski
Julia Knach
Jeanice Knight-Bogatz
Philip Koestler
Jessica Koh
Kelly Kolyer
Jean M. Koszalinski
Summer Krause
Laura Kresch
Shauna Kuhbander
Robert A. Kurth
Carla Ladnier
Rhonda Lake
Anita Lakes
 
Vinder Lallian
Judy Lambert
Joel Lampert
Jennifer Lands
Michele Langrick
Erica Lapid
Yovanis Lasso
Joy M. Laurila
Laurie Lawrenz
Deborah S. Lea
Joanne Leatherman
Krista LeBlanc
Rachael LeBlanc
Gabrielle Lee Torres
Melissa Lee-Tammeus
Christine Lee-Zinkle
Kathleen Lehman
Theresa Leskowat
James Lewis
Kendra Lewis
Melodie Lewke
Sarah Lheureux
Sarah Lippy-Harner
Mathylda Livieratos
Mary Cynthia Loftus-Vergari
Jessica Tobin
Elizabeth Long
Catherine Love
Brandon Lowe
Kelly Loyd
Gretchen Luchs
Doreen Luna
Susan Luna
Michelle Lunka
Jody Lurk
Janet D. Luzmoor
Erin Lynch
Deborah Lynn
Richard Lyon
Kathryn Macaruso
Patricia Macaruso
Deanna Madison
Angela Maeda
Elizabeth Maes
Joseph Mageary
Betty Magnus
Kat Mahone
Wanda Maldonado
Sarah Mansfield
Melissa Marinello
Angel Markin
Renea Lauren Marshall
Crystal Martin
Mary Martin
Sherry Martindell
Kerry Martin-Doehring
Maritza Martinez-Fernandez
Franca Martino-Starvaggi
Ashlee Martlage
Frank Mastri
Kirk Matefy
Jordan Mathis
Stefanie Matthews
Steven Maybell
Lori McCabe
Lorraine McCann
Sherry McCaulay
Brian McGinley
Kimberly McConnell
Lisa McCormick
Camilla McCoy
Michael McCoy
Mary McGhee-Pasternak
Tenisha Nicole McLean
Jennifer McLuskie
Christine McWiliams
Jennifer Meister
Christina Mettert
Rita Metz
Susan Metzger
Ginger Meyer
Amy Miller
Jill Miller
Paula Miller
Sarah A. Mills
Tia Mintz
Shaina Miranda
 
Leah Mitchell
Monica Mitchell
Emily Moise-Fontenot
Nancy Montuori
Diana Monzon
Courtney Moore
Gina Moore
Anabel Lucio Morales
Catherine Morrell
Mary Morgan
Vivian Morgan
Kerri Morris
Kathleen Moser
Myra Muckle
Paul Muenzmay
Therese Muir
Timothy Muir
Klaire Mundy
Ilona A. Munzer
Susan Murray
Julia Myers
Viola Ncube
Jamie Lea Nellans
Gladys Newbury
Stephanie Newton
Tyler Newton
Mindy Nicholson
Brooklee Norris
Randy Novak
Andrea Nutt
Susan O'Brien
Goziam Ogwu
Sinead O'Hare
Ijoma Okwuosa
Aarian Oliver
April Oliver
Carol Olson
Kimber Olson
Lottie Olson-Davidson
Julie O'Mara Meyer
Audrey O'Neal
Kay O'Shea
Carolyn Osoinach
Thomas Owusu-Asanta
Lauren Parker
Nikkia Parker
Sarah Patrick
Lauren Pauing
Mark Pavlick
Katherine L. Payares
Jessica Payne
Susan Pearce
Miranda Pearson
Leslie Pechkurow
Jeanna Pennington
Tracy Perl
Barbara Perrey
Rita Petersen
 
Christine Phelps
Zavel A. Philip
Anne Pierron
Jim Pinkston
Christine L. Plackis
Jeffrey A. Plancich
Norma Platt
Steve Ploum
Andrea Plumley
Edwina Polk
Sara Pollard
Andrea Polnaszek
Kathleen Pritchard
Benjamin Probst
Frederick Pulphus
Stephanie Quiroga
Mitchell Radin
Bianca Raffety
Kanjana Rajaratnam
Ericka Ralph
Kathleen Ralph
Anita Raman
Katrina Ramsey
Robyn Ramsey
Catherine Ray
Sheree Reed
Randi Reichard
S. Anthony Reigle
Sarah Reimer
Nancy Reitz
Kayse Reker
Megan Renz
Tinecia repard
Lori Reynolds
Margaret Reynolds
Jennifer Ricca
Meredith Richards
Jolene Richardson
Kathleen Ries
Susan Rigney
Julie Riley
Sharron Riley-Seymour
Corey Rios
Narkia Ritchie
Robert Ritchie
Whitney Robenolt
Rene Roberts
Sheila Robinson
Staci Robinson
Marina Robles
Yulia Roe
Turqoyz Rohgan
Shirley Rogers
Joanna Romeo
Karin Rossi
Amanda Runfeldt
Randy Rush
Michelle Saelin
Amy Safier
Margaret Sahm
Rob Salomonson
DeAnna Sandquist
Taharka Sankara
Mary Ann Santiago
Elizabeth Santos
Jenifer Santos
Matilde Sarmiento
Carol Sarno
TaReesa Saunders
Chanel Scales
Cynthia Scarborough
Kelly Scarry-Monteith
Shelby Schestag
Ann Scheurer
Stacey Schimberg
Judy Schmidt
Madeline Schmidt
Leah Schultz
Kristy Schutt
Jaclyn Scott
Wendelyn Seal
Michelle Segismundo-Reeves
Kristin Self
Linda Seman
Rebecca Sernett
Thelma Serrano
Susan Seymour
Erin Shaffer
John-Paul Sharp
John A. Shields
David Shipper
Tiffany Shoemaker
Emily Shovelin
Soleana Silva
Mary SimBarcelos
Lucianne Silva-Machado
Emily Simers
Joseph Simmons
Jimmie Simpson
Brant Smith
Cole Smith
Elaine Smith
Elizabeth Smith
Rhonda Smith
Sandra Smith
Maryellen Smolenski
Katharine Snyder
Joseph Soll
Erika Sosa
Lora Spurling
Brantlee Spurrier
Laura Squires
Kimberly Stanford
 
Amy Starr
Regina Staves
Kelsey Steele
Kelly Stehle
Marybeth Steigenga
Ariel Steinweg-Woods
Nicolle Stepanian
Linda Sterling
Cynthia Stewart
Janetta Stewart
Marianne Stewart
Alexandra Stidham
Randall Stier
Laura Stinemore
Jennifer Stirling
Katherine M. St John
Heather Story
Nikiki Stovall
Elisabetta Strada
Laura Stradling
Melissa Stromberger
Alan Strong
Vashon Strong
Sandra Stubbs
Scott Stubenrauch
Brandy Stuhan
Diahann Suchan
Genevieve Hellings Sude
Djuna Swope
Shannon Sypert
Marcus Tanner
Marcella Tarpley
Leslie Tate
Collene Taylor
Katherine Tebo
Jason Temple
Jacquelyn Tenaglia
Anna K. Terman-White
Laura C. Ter Poorten
Diana Theiss
Walter Theissen
Kiley Thiel
Colby Thomas
Corrine Thomas
Harriet Thomas
Patrick Thomas
Tara Thomsen
Jane Thomasson
Daisy Thompson
Kevin Thompson
Patricia J. Thompson
Rebecca Thompson
Juliana Thrall
Debra-Ann Timberlake
Joy Todd
Emily Torp
Cathiana Torres
Paula Traverse-Charlton
Tara Travia
Natalie Schatzie Troup
Kate Truitt
Joe Truland
Faith Trussell
Kathryn Tsai
Nicole Tschopp
Bryan Tucker
Cynthia Turner
Tanya Tyrrell
Natasha Ufema
 
Nathalie Valcarcel
Sabrina Valente
Linda Valerian
Marty Mae VanSickle
Rachel A. Vaughan
Kimberly Velez
Sharon Vernon
Michelle Victoria
Samara Vijaya
Hoa Vo
Molly Vogel
Alissa Dillon
Vonzell Wade
Julie Walder
Amanda Walker
Chanel Walker
Ellen Walker
Patricia Walker
Rachael Walker
Renee Walker
Bryan Walsh
 
Sandra Waltz
JoAnn Wanner
Sherry Warner
Allen Washington, Sr
June Washington
Anthony Watkins
Rebecca Watson-Frazier
Vanessa Watts
Laura Wayne
Margaret Weakley
LaVina Weaver
Jan L. Weber
Wilfred Weeks Jr.
Jerren Weekes-Kanu
Melissa Weipert
Jessica Weiss-Zandfard
Christine Wells
Pamela Wenger
Abigail Wengerd
David Westgate
Shryl Whigham
Wendy Whinnery
Cindy White
Samantha White
Jennifer Wilke-Deaton
Sandra R. Willett
Danielle Williams
Lisa Williams
 
Margaret Williams
Paige Williams
Stacey Williams
Nicole Willms
Kelly Wills
John D. Wilson
Kelly Windle
Allen Wolf
Wai Wong-Miller
Carol A. Worthington
Priscilla Wright
Virginia York
Jennifer Young
Michelle Young
Joy Youngland
Susana Zambrano
Diana Zilly
Robert Zinn
Maria Zirkle
 
   
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In this edition of TraumaPro we have the pleasure of looking at the work of Elijah Imlay, a writing facilitator, psychotherapist, and meditation guide.  He has presented writing workshops for active duty personnel and veterans at Walter Reed Hospital and Fort Meyers in Virginia. He has also led several writing groups for veterans who live in Southern California. Elijah has attended and sometimes led the Veterans Writing Workshop organized by Maxine Hong Kingston in Petaluma, California.
 
As a Licensed Clinical Social Worker, Elijah has worked with women and men who suffer from posttraumatic stress disorder or related mental health issues and who are in need of healing interventions. He is on the faculty of the Institute of Applied Meditation on the Heart. A research paper entitled: "Heart Rhythm Meditation to Reduce Auditory Hallucinations and Anxiety: A Single Case Study," was published in The International Journal of Healing and Caring in September 2015. Elijah has a background in traditional methods of meditation and healing, especially those related to Sufis. These methods may help create a safe environment for the writing process.
 ***
The newly released book, Trauma, PTSD, Grief & Loss, published by PESI Publishing & Media, ISBN 9781683730392, $24.99 (available at www.pesi.com and www.amazon.com provides a holistic and systemic path of understanding of traumatic stress, and charts the most effective treatments outlined via the 10 core trauma competencies. Trauma experts Mike Dubi, Patrick Powell and Eric Gentry bring years of clinical trauma experience to the field, providing best-practice, evidence-based clinical interventions and techniques. 
 
An overview of he Clinical Trauma Professional Training
The chapters include discussions on accelerated trauma treatment using the active ingredients and positive expectancy, perceived threat, the autonomic nervous system and self-regulation, posttraumatic stress and PTSD assessment, the tri-phasic model, narrative exposure therapy, grief, loss and mourning and the next phase for the treatment of trauma.
 
This book is an excellent overview for the understanding and treatment of traumatic stress for new trauma therapists and a review for more experienced clinicians. (See an excerpted case study elsewhere in this newsletter.)
 
 
Also, in this edition, we are introducing our new and expanded advisory board. We will highlight them in future newsletters.
 
As always, keep up the great work you all do in the field of trauma.

Mike Dubi, President

If you would like to submit an article for this newsletter, contact dubi@traumapro.net. Please include your complete contact information. We reserve editorial license.
 
Mike Dubi and Bessel van der Kolk, Raleigh, NC, March 2017
Upcoming Online Trainings

             

The next cycle of our core 6-week, online trainings begins on April 9, 2017. These self-paced trainings are ideal for working professionals. You can log on any time, but you must complete the week's assignment within that week. Allow 2.5 to 3 hours per week. The cost of each training is $200. Optional certification after successful completion is $99. For outlines and objectives for each training session, go to course outline and objectives
  • Clinical Trauma Professional (CTP)
  • Anger Management Treatment Provider (AMP)
  • Sex Offender Treatment Professional (SOTP)
  • Child & Adolescent Treatment Professional (CATP)
Our advanced level Expert Trauma Professional (ETP) is under revision.
 
Many thanks for your continued support of IATP and our mission of educating mental health professionals in order to help those with the greatest need--trauma survivors.  
Communication Notes
info@traumapro.net
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One of the biggest hitches we see while communicating with our participants, members and certificate holders is that some of you have spam filters and firewalls which prohibit you from getting our emails. Please be mindful of that and look in your spam folder! This applies especially to those of you contacting us from institutional emails/websites. If you would like to provide an additional address to ensure timely communications, send an email to info@traumapro.net 

Alternative Trauma Therapies

by

Elijah Imlay, LCSW

 
  Two Regulation Techniques

Water Breath

1. Breathe in through your nose and out through your mouth.

2. Exhale a fine stream of air, a gentle blowing and letting go, like a deep-felt sigh.

3. Inhale and imagine the crown of your head opening like a chalice.

4. As you exhale, watery energy not only passes over you like a waterfall, but it also washes within you.
 
5. Water, a metaphor for love, is nurturing and soothing, good for cleansing emotional wounds.
 
6. Let the water flow to wherever it is needed for healing.
 
7. Become that stream.
 
Hands on Heart
 
1. Place the palm of your right hand on your chest, then place the palm of your left hand on the right hand. Feel how comforting that is.

2. Place your attention there, about two inches above the bottom of the sternum, over the center of your heart.

3. Be aware of your breath, as if you are breathing in and out of your heart.

4. As you do this, you may feel the beating of your heart or a pulsing in your fingers or hands.

5. This is both a soothing and a grounding practice that helps reduce anxiety and prevent dissociation.

Imlay has used these methods and others at the beginning of a creative writing session with veterans of war. The Water Breath helps those who have a history of trauma to relax into a creative flow, no matter how vivid or difficult their memories may be.
An Example of Writing Therapy  in the Form of a Poem

It is helpful for participants to give their complete attention to those who share their work out loud. By doing this, they are added to the original traumatic memories in veterans in the writing group who have been isolated by pain. This group support is usually well received. It can also be helpful on one-on-one meetings.

 

I (Imlay) located a friend of mine 25 years after the end of the Vietnam War. He had the same nightmares every night until we reconnected. He turned those memories into prose and then I turned them into a poem out of which came healing and forgiveness.

 

Bird Grieves for the Man They Killed

 
We wore the steel bracelets
of Montagnards money-
for that mountain people,
good fortune for us. I held
my broken glasses together
with safety pins. I wrote
the 23rd Psalm on my helmet's
elastic band. John Jim,
our ammo bearer, gave us
each a Navajo necklace,
turquoise and onyx
with a single white feather,
strung by his wife. I took out earphones
every night and listened to George Harrison
sing My Sweet Lord. If only
we had not found a picture
of wife or girlfriend
in the billfold of the Vietnamese
we killed. Easy to say
it wasn' t me who shot him,
but I still see his eyes
that never close and should accuse me,
yet don't.
They're looking at her photo.
 
DREEMER:
The architect of your face
reveals what you feel.
Do you ha ve daytime nightmares?
I wonder what helps you heal.
 
KINGSLEY:
I ask for his forgiveness.
The nightmare never leaves. I want to say ,
let's be friendly and open together.
How can I embrace you now that
you are gone?
Cou ld your photo talk to my photo?
Could my photo ta lk to yours?
Am I walking in your ancestors ' footsteps?
Is my body behind you or before you?
Is walking through the jungle in a downpour
a way to lo ve each other
when we both wear camouflage? I want to say,
Let's be friendly and open together.
 
DREEMER:
I want you illuminated-
the cheeks of childhood
but not the cheeks of war-
or maybe them as well-
for who am I to be
the arbiter of beauty?
 
Let's dream about the future.
At times I feel free ,
and if I had a daughter
I would name her Skye.
Our hearts will lift together
into breathtaking blue.
 
I want you illuminated-
so all the places that hurt
whi l e we pick wild blueberries
up on Old Rag Mountain-
are simply shifting moments.
 
(Kingsley puts down his rifle.)
 
KINGSLEY:
Muslims and Jews were tested
by an angel in the guise
of a penniless stranger
who knocked on the door for food.
 
Well,
I'm home.
 
Thom: A Case Study

The following is a case study from Trauma, PTSD, Grief & Loss: The 10 Core Competencies for Evidence-based Treatment. It describes how extreme trauma in children can be a more powerful cause of PTSD than actual combat.
 
The Relationship Between Adult PTSD
and Early Trauma
 
In 2011, I worked with Thom, a veteran who served 7 tours of combat in Iraq and Afghanistan. He was diagnosed with PTSD and came to see me at the urging of his wife who threatened to leave him if he did not participate in psychotherapy. He agreed to see me but was also prepared to hate me and to hate therapy. As he came into my office and we shook hands he began laughing and said that I looked like his grandfather, the only family member he liked and I thought looking like a grandfather was an interesting psychotherapy technique. He began by talking about his combat experiences and how powerful they were.
 
But, as I listened, I also thought there was little real evidence to suggest symptoms of intrusion, avoidance, negative alterations or arousal, the main symptom clusters for PTSD. And, although we both got a little teary at some of the events he shared, I was perplexed as to how the original diagnosis was made until he began to talk about his early childhood - especially the relationship with his stepfather.
 
Thom's biological father disappeared permanently when he was 3 and his mother destroyed pictures and all evidence of his father. She changed his last name to hers. When he was 7 his mother remarried and the new stepfather was a brute to this child. For example, he would frequently slap Thom on his head for no reason.
 
Once, when Thom was sitting and watching TV, the stepfather hit him so hard that Thom actually was lifted from the chair and flew across the room. Whenever Thom had a bad report card (which was most report cards), he was severely punished. This consisted of the stepfather having Thom sit on a chair facing the stepfather who would repeatedly hit him on his head with a spoon until Thom's head began to bleed. While the stepfather was hitting him with the spoon Thom watched the stepfather become sexually aroused. We often describe men like the stepfather as being sexual sadists. These men often marry certain women to get to their children. This sexual abuse continued until Thom was 11 and the stepfather left the family.
 
There is a great deal of material written about the relationship between child sexual abuse and later PTSD and we spent most of the remaining therapy sessions working on this early abuse. In particular, we used EMDR therapy which was originally developed to help clients reduce the dysregulation produced by traumatic memories. By accessing, bringing up and desensitizing these memories, the dysregulation is relieved. Thom had 14 EMDR sessions before we could terminate treatment.
-Mike Dubi
IATP'S ADVISORY BOARD
                   
Over the past several months we have made some changes to the IATP Advisory Board. In future editions of TraumaPro we will highlight each of these impressive professionals. We welcome the following board members:
 
Stephen Paul Adler, Ph.D., a psychoanalyst, hypnotherapist and traumatologist from New York & Rio de Janeiro, Brazil.
 
Andy Brown, Ed.D., an Assistant Professor of Counseling and psychotherapist from Raleigh, NC.
 
Carman Suzanne Clark, Ed.D., LPC, a therapist and 17-year Air Force veteran from Atlanta, GA
 
Gerald F. Fennell, MBA, EDS, Ed.D, Captain US Navy (Ret) and a psychotherapist from Sarasota, FL
 
Bill Gately, MA, a licensed psychotherapist and licensed funeral director from Sharon, MA
 
Gale Kelly, Ed.D., LMHC, psychotherapist and expert on child abuse from Bradenton, FL
 
Debra Leggett, Ph.D., LMHC, Associate Professor and Counseling Department Chair, psychotherapist, and an expert on sex offender treatment from Sarasota, FL
 
J. Barry Mascari, Ed.D., LPC, LCADC, ACS, NJDRCC, Associate Professor and Counseling Department Chair, addictions and disaster mental health expert from Bernardsville, NJ
 
Harry L. Morgan, Ph.D., LMHC, CFMHE, CCSOTS LTC USAR (retired), psychotherapist, retired Army Chaplain and expert on sex offender treatment from Palmetto, FL
 
Bridgett Moss, Ed.D., LPC, psychotherapist and counseling faculty member from Macon, GA
 
Lee Norton, Ph.D., MSW, LCSW, psychotherapist and forensics expert from Nashville TN
 
Patrick Powell, Ed.D., LMHC, NCC, Associate Professor and traumatologist from Tampa, FL
 
Mindi Raggi, Ed.D., LCSW, psychotherapist, traumatologist and college faculty member from North Wales, PA
 
Christine Sawyer, M.D. is a psychiatrist and addictions specialist from Anchorage, AK
 
Shawn Silverstein, Ph.D. is a licensed psychologist and supervisor from Los Angeles, CA
 
Glynnis Thomas BA (Hons), Adv. Dip. Dyslexia, MA (Ed) is a special education consultant from Cardiff,
Wales
 
Jane M. Webber, Ph.D., LPC, DRCC, is a psychotherapist, educator, author and disaster mental health expert from Bernardsville, NJ