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Reverberations of Addiction’s Impact in the Family with Presenter Claudia Black

Webinar series brought to you by the National Association for Children of Alcoholics (NACoA), with Co‐Sponsorship from the American Association of Pastoral Counselors (AAPC), the Association for Clinical Pastoral Education (ACPE), and the Entertainment Industries Council (EIC), and National Alliance for Drug Endangered Children (DEC) with support from the Substance Abuse Mental Health Services Administration (SAMHSA).

Welcome to the nine part series ‐ Understanding Addiction and Supporting Recovery

Reverberations of Addiction’s Impact in the Family

with Claudia Black, Ph.D

www.claudiablack.com Senior Fellow & Clinical Architect Claudia Black Center The Meadows Depression Anxiety

Depression Anxiety Husband #2 Alcohol & Drug addict Depression Anxiety Husband #1 Alcoholic Husband #2 Alcohol & Drug addict

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Depression Anxiety Husband #1 Alcoholic Husband #2 Alcohol & Drug addict Father Violent Alcoholic Mother Codependent Depression Anxiety Husband #1 Alcoholic Husband #2 Alcohol & Drug addict Father Violent Alcoholic Mother Codependent

Family poor Father absent/alcoholic Mother chronically ill Rageful Father Emotionally needy Mother

Depression Anxiety Husband #1 Alcoholic Husband #2 Alcohol & Drug addict Family poor Father absent/alcoholic Mother chronically ill Rageful Father Emotionally needy Mother Depression Anxiety Husband #1 Alcoholic Husband #2 Alcohol & Drug addict Father Violent Alcoholic Mother Codependent Brother Compulsive Overeater Sister Died Age 9

Family poor Father absent/alcoholic Mother chronically ill Rageful Father Emotionally needy Mother

Father Violent Alcoholic Depression Anxiety Husband #1 Alcoholic Husband #2 Alcohol & Drug addict Mother Codependent Brother Compulsive

• vereater

Grandfather Chronic poverty Grandmother Died shortly after birth of father Grandfather Alcoholic gambler Grandmother Compulsive

• vereater

Rageful Sister Died age 9

Family poor Father absent/alcoholic Mother chronically ill Rageful Father Emotionally needy Mother

Therese’s Family of Origin Issues

 Overlook (deny, rationalize,

minimize) behavior which hurt deeply

 Appear cheerful when hurting  Make excuses for the hurtful

behavior

 Avoid conflict to minimize

further anger

 Tolerate inappropriate and hurtful

behavior

 Prioritize the needs of other over

• wn

 Caretake others  Fault self for family’s problems  Discount own perceptions, give

• thers benefit of the doubt

 Believe no options are available  Believe she is at fault, it is her job

to find the answers

 Not ask for help  Accommodate

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Father Violent Alcoholic Depression Anxiety Husband #1 Alcoholic Husband #2 Alcohol & Drug addict Mother Codependent Brother Compulsive Overeater Grandfather Chronic poverty Grandmother Died shortly after birth of father Grandfather Alcoholic gambler Grandmother Compulsive

• vereater

Rageful Sister Died age 9 Son Age 7

Rageful Father Emotionally needy Mother Family poor Father absent/alcoholic Mother chronically ill Daughter Age 10

Healthy Parenting Practices

• Basic needs of safety, food, shelter
• Appropriate role modeling
• Warm and supportive relationship between the

parent and child

• Parental monitoring and supervision
• Maintaining awareness of the child’s peer

relationships

• Understanding the child’s individual risk level
• Establishing appropriate parent child

communication

Amelia Arria, Ph.D.

Trauma “stress that causes physical or emotional harm from which you cannot remove yourself”

Larke Huang (SAMHSA)

Optimal Arousal Zone

Present, embodied, open, curious, tolerable feelings, relaxed yet alert, able to think, relational

Autonomic Nervous System

On a daily basis, our nervous systems experience periods of increasing arousal and periods of decreasing arousal. Each one

• f us has a “Window of Tolerance” or an “Optimal Arousal Zone”

where we can experience nervous system fluctuations while still having the capacity to regulate ourselves .

Optimal Arousal Zone

Present, embodied, open, curious, tolerable feelings, relaxed yet alert, able to think, relational

Sympathetic Nervous System Activation

During times of threat the sympathetic branch of the autonomic nervous system is activated. This activation prepares the body for FIGHT or FLIGHT by increasing heart rate and breathing rate, inhibiting digestion, sending blood and energy to the muscles, pupil dilation, tunnel vision and narrowed range of hearing.

Optimal Arousal Zone

Present, embodied, open, curious, tolerable feelings, relaxed yet alert, able to think, relational

Parasympathetic Nervous System Deactivation

When a threat is no longer present, the parasympathetic branch helps to deactivate the autonomic nervous system. This deactivation restores balance and allows the body to REST and DIGEST by reversing the effects of the sympathetic branch. This deactivation of the nervous system also makes social engagement possible again.

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Optimal Arousal Zone

Present, embodied, open, curious, tolerable feelings, relaxed yet alert, able to think, relational

Sympathetic Hyperarousal

Anxious, panic, restless, hyperactive, hypervigilant, exaggerated startle, emotional flooding, impulsivity, risk-taking, poor judgment

Parasympathetic Hypoarousal

Flat affect, depression, lethargy, numb, disconnected, dissociation, despair, self-loathing, hopeless, full of shame, victim identity

Regulated Arousal Dysregulated Arousal

Children of addiction are 2 to 4 times more likely to be sexually abused. They are prime for victimization as they…

1.

Are often starving for attention

2.

Are less apt to speak up because of fear

• f not being believed.

3.

Give others the benefit of the doubt.

4.

Don’t trust their own perceptions.

5.

Don’t know what they feel and can’t use feelings and cues as signals.

6.

Are confused about appropriate boundaries.

7.

Experience shame upon shame which fuels powerlessness.

Dear Lord – Be good to me, the sea is so wide and my boat so small.

Epigram for the National Children’s Defense Fund

Trauma Repetition

1.

Doing something self destructive over and

• ver again, usually something that took place

in childhood and started with a trauma

2.

Reliving a “story” from the past

3.

Engaging in abusive relationships repeatedly

4.

Repeating painful experiences, including specific behaviors, scenes, persons and feelings

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Father Violent Alcoholic Depression Anxiety Husband #1 Drug addict Husband #2 Alcohol & Drug addict Mother Codependent Brother Compulsive Overeater Grandfather Chronic poverty Grandmother Died shortly after birth of father Grandfather Alcoholic gambler Grandmother Compulsive

• vereater

Rageful Sister Died age 9 Son Age 19

Rageful Father Emotionally distant Mother Family poor Father absent/alcoholic Mother chronically ill

Daughter Age 22

Therese’s Family of Origin Issues that impact her parenting

 Overlook (deny, rationalize,

minimize) irresponsible behavior which hurt deeply

 Appear cheerful when confused,

hurting

 Make excuses for the

irresponsible hurtful behavior

 Avoid conflict to minimize

further anger

 Tolerate inappropriate and hurtful

behavior

 Prioritize the needs of others

• ver own, diminish her own

needs, not expect respect for self

 Caretake others, not take care of

self, allow others to take advantage of her

 Fault self for family’s problems  Discount own perceptions, give

• thers benefit of the doubt

 Believe no options are available,

remain in victim position

 Believe she is at fault, it is her job

to find the answers, not hold son accountable

 Not ask for help, don’t want help,

• nly wanting to stop

 Accommodate , anything to avoid

conflict, anything to feel loved

Possibility for Recovery

 Identify primary disorders  Potential for co-occurring disorders and

multiple addictions

 Prioritize treatment of intergenerational family

dynamics

Mindfulness is the ability to cultivate awareness of the present moment while putting aside our lenses of

• judgment. It is being in connection with the direct

experience of the present moment, the here and now.

Benefits of Mindfulness Meditation

 Reduced rumination  Stress reduction  Boosts working memory  Focus  Less emotional reactivity  More cognitive flexibility  Relationship satisfaction  Health benefits such as:

▪ increased immune functioning ▪ reduced psychological distress ▪ increased information processing speed

Therapy Practices

 Tai Chi  Yoga  Expressive Arts  Song  Drumming  Chanting  Meditation  Labyrinth

 EMDR  Somatic Experiencing (SE)  Sensorimotor psychotherapy

(SP)

 Emotionally Focused Therapy

(EFT)

 Neurofeedback  Action Based Psychodramatic

T echniques

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Do Not Ever Underestimate ‐

the role you will play in someone’s life when you empower them with validation and truth.

www.claudiablack.com 206.842.6303 Reverberations of Addiction’s Impact in the Family with Presenter Claudia Black

Webinar series brought to you by the National Association for Children of Alcoholics (NACoA), with Co‐Sponsorship from the American Association of Pastoral Counselors (AAPC), the Association for Clinical Pastoral Education (ACPE), and the Entertainment Industries Council (EIC), and National Alliance for Drug Endangered Children (DEC) with support from the Substance Abuse Mental Health Services Administration (SAMHSA).

Thank you for attending the nine part series ‐ Understanding Addiction and Supporting Recovery