Brittany Cilento Kopycienski, NCC, CAADC, CCTP, LPC, LCADC, ACS, is the proprietor of Glow Counseling Options in Philadelphia, PA, and an completed psychological well being skilled. She focuses on treating melancholy, anxiousness, temper problems, addictions, life transitions, self-harm, and trauma. As a Nationally Licensed Counselor, Licensed Superior Alcohol and Drug Counselor, Licensed Medical Trauma Skilled, Licensed Licensed Drug and Alcohol Counselor, and Accepted Medical Supervisor, Brittany employs evidence-based approaches together with DBT, CBT, ACT, and somatic interventions. Serving purchasers in PA and NJ, she delivers compassionate, individualized care. Her work demonstrates unwavering dedication to consumer well-being. Her in depth experience enhances transformative outcomes.
Scott Douglas Jacobsen: How does trauma manifest in these fighting substance use?
Brittany Cilento Kopycienski: Trauma can manifest in people fighting substance use in varied methods. Individuals might use substances as a type of self-medication to deal with the emotional ache attributable to trauma. Trauma can embrace previous or current abuse (bodily, sexual, emotional), neglect, or witnessing & experiencing adversarial occasions. Trauma can result in elevated anxiousness, melancholy, apathy, flashbacks, and relationship conflicts. These signs are likely to additionally contribute to sustaining substance use when a person doesn’t possess various coping expertise because of the issue and debilitating nature of them. In lots of instances, substance use turns into a solution to numb these signs and struggles briefly, reinforcing a cycle of habit.
Jacobsen: What’s the position of trauma within the growth of habit?
Kopycienski: Trauma performs a crucial position within the growth of habit, typically performing as an underlying trigger, a precipitating issue. For people who expertise early-life trauma, corresponding to childhood abuse, there’s a larger danger of partaking in substance use as a method of dealing with emotional ache. This coping technique can ultimately result in dependence. Moreover, trauma can alter the mind’s chemistry and stress-response programs, which may make an individual extra vulnerable to habit.
Jacobsen: What are frequent misconceptions about alcohol and drug counseling?
Kopycienski: Two frequent misconceptions:
1) It’s just for “severe” instances: Many imagine that alcohol and drug counseling is just crucial for these with extreme habit points, however it may be useful at any stage of substance misuse, even earlier than dependence totally develops.
2) It’s solely about willpower: A typical false impression is that habit is solely a matter of willpower. In actuality, habit is a posh illness involving each the mind’s neurochemistry and psychological elements.
Jacobsen: What therapeutic approaches are efficient in serving to break the cycle of habit?
Kopycienski: 1) Cognitive Behavioral Remedy (CBT): It is a remedy theoretical orientation that helps people acknowledge and alter detrimental thought patterns that contribute to substance use.
2) Trauma-Knowledgeable Care: It is a sort of therapeutic framework that integrates an understanding of trauma into remedy, recognizing its influence on conduct and psychological well being, and goals to create a protected setting for therapeutic. Trauma-Knowledgeable Care is an umbrella time period for a number of proof primarily based values and views to implement into consumer care.
3) Motivational Interviewing (MI): This kind of therapeutic orientation helps people resolve ambivalence about change and enhance motivation to deal with their habit.
4) 12-Step Applications (AA/NA): These applications, though usually are not professionally primarily based however extra peer facilitated, present assist by social networks and emphasize private duty and spirituality.
5) Remedy-Assisted Therapy (MAT): For sure substances like opioids and alcohol, MAT (medication-assisted remedy) makes use of medicines together with remedy to assist handle withdrawal signs and cravings.
Jacobsen: What about elements of socioeconomic disparities, housing instability??
Kopycienski: Socioeconomic disparities and housing instability considerably contribute to the cycle of habit. People in decrease socioeconomic brackets typically face better stress, restricted entry to psychological well being and habit providers, and fewer alternatives for schooling and employment. These circumstances enhance vulnerable to substance use as a type of coping. Moreover, housing instability—homelessness or danger of homelessness—creates stress and will increase the probability of people turning to substances for reduction.
Jacobsen: Canada has launched some hurt discount and decriminalization discussions. How efficient are these measures?
Kopycienski: Hurt discount methods, corresponding to supervised injection websites, needle alternate applications, and decriminalization of sure substances, intention to scale back the detrimental well being impacts of substance use quite than solely specializing in abstinence. Analysis has proven that hurt discount can scale back overdose deaths, stop the unfold of illnesses like HIV and Hepatitis C, and assist interact people in remedy who may in any other case keep away from the system resulting from concern of arrest. Decriminalization of medicine, by eradicating the prison penalties for drug possession, reduces stigma and permits people to hunt assist with out concern of authorized repercussions. Nonetheless, the effectiveness of those measures will depend on a complete strategy that features entry to remedy, psychological well being care, and social helps.
Jacobsen: How may public coverage higher combine with psychological well being and habit providers to deal with the foundation causes of substance misuse?
Kopycienski: 1) Twin Prognosis Therapy: Policymakers ought to assist applications that deal with habit and psychological well being points concurrently, recognizing that they typically co-occur. Built-in care can enhance outcomes for people by addressing each points directly.
2) Entry to Complete Care: Guaranteeing entry to inexpensive and culturally competent psychological well being providers and habit remedy is vital.
3) Prevention and Early Intervention: Insurance policies that prioritize early schooling about psychological well being, trauma, and substance misuse can stop points from escalating. A lot of these insurance policies may also scale back the stigma related to habit and psychological well being problems by schooling campaigns
4) Social Help Methods: Addressing the broader social determinants of well being, corresponding to inexpensive housing, employment alternatives, and meals safety, is important. Supporting secure residing circumstances and addressing socioeconomic disparities can scale back the stressors that contribute to habit.
Jacobsen: Thanks for the chance and your time, Brittany.
Kopycienski: In case you have another questions please let me know.
—
Scott Douglas Jacobsen is the writer of In-Sight Publishing (ISBN: 978-1-0692343) and Editor-in-Chief of In-Sight: Interviews (ISSN: 2369-6885). He writes for The Good Males Challenge, The Humanist, Worldwide Coverage Digest (ISSN: 2332-9416), Fundamental Earnings Earth Community (UK Registered Charity 1177066), A Free Inquiry, and different media. He’s a member in good standing of quite a few media organizations.
***
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Picture by Priscilla Du Preez on Unsplash
The submit Addressing Trauma & Dependancy With Brittany Cilento Kopycienski appeared first on The Good Males Challenge.
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