The Clinical Takeaway Podcast: Trauma Informed Care and Why it Matters to GPs – Part 2
In this episode:
– How does trauma affect the well being of the whole person, the role of allostatic overload
– How do we deal with a patient who has been traumatised? Is there a tool to assess severity?
– Stabilising the agitated, traumatised patient- how do you do it?
Host: Dr David Lim, GP
Guest: Dr Johanna Lynch: GP; President, Australian Society for Psychological Medicine; Senior Lecturer, Primary Care Clinical Unit, University of Queensland
Total time: 43 mins
Purchase Dr Lynch’s book here!
– Listen to Part 1 – Trauma Informed Care and Why It Matters to GP
– Blue Knot Foundation: https://www.blueknot.org.au/
– Guidelines: https://www.blueknot.org.au/Resources/Publications/Practice-Guidelines/Practice-Guidelines-2019
– Resources for GPs: https://www.blueknot.org.au/Workers-Practitioners/For-General-Practitioners
– Books for survivors: https://www.blueknot.org.au/Survivors/Resources/books
– Fact Sheet for GPs: https://www.blueknot.org.au/Resources/Fact-Sheets/Talking-about-trauma-GPs
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Forms of therapy with proven efficacy for trauma specific treatment:
Eye Movement Desensitising and Reprocessing (EMDR), Dialectical Behaviour Therapy(DBT), Sensorimotor therapy, Emotion Focussed Therapy, Internal Family Systems therapy, Somatic Experiencing, Creative Therapies (including art and music therapy)
– The Relation Between Adverse Childhood Experiences and Adult Health: Turning Gold into Lead Perm J. 2002 Winter; 6(1): 44–47. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6220625/
– Stress, Adaptation, and Disease: Allostasis and Allostatic Load McEwen, B. (2006) https://nyaspubs.onlinelibrary.wiley.com/doi/abs/10.1111/j.1749-6632.1998.tb09546.x
– Teicher, M.H., et al., The effects of childhood maltreatment on brain structure, function and connectivity. Nature Reviews Neuroscience, 2016. 17(10): p. 652. https://www.nature.com/articles/nrn.2016.111.pdf?origin=ppub
– Austin, M.A., T.C. Riniolo, and S.W. Porges, Borderline personality disorder and emotion regulation: Insights from the Polyvagal Theory. Brain and cognition, 2007. 65(1): p. 69-76. https://www.sciencedirect.com/science/article/pii/S0278262607000632?casa_token=G5Ryu20Ka-MAAAAA:MzIfDYVyw5di3X6F0ZYmcNyc3lx_s5jxViGsMp30Uq3-cyxqrmRWd6NkPTflisCFMbR_icEfgV4
– Porges, S.W., The polyvagal theory: new insights into adaptive reactions of the autonomic nervous system. Cleveland Clinic journal of medicine, 2009. 76(Suppl 2): p. S86. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3108032/
– Humanising Mental Health in Australia https://www.booktopia.com.au/humanising-mental-health-care-in-australia-richard-benjamin/book/9780367076603.html
Lynch, J.M. and A.L. Kirkengen, Biology and Experience intertwined: trauma, neglect and physical health., in Humanising Mental Health Care in Australia: A Guide to Trauma-informed Approaches, R. Benjamin, J. Haliburn, and S. King, Editors. 2019, CRC Press Taylor and Francis Group, Routledge: Sydney.
– Coping with Trauma Related Dissociation. Skills for Patients and Therapists. Boon, Steele, van der Hart (2011) ISBN: 9780393706468 https://www.audible.com.au/pd/Coping-with-Trauma-Related-Dissociation-Audiobook/170521990X?source_code=M2MORSH051016002X&ipRedirectOverride=true&gclid=CjwKCAiAnIT9BRAmEiwANaoE1YpwEG4kHt-_tVy76LbWud0gd8rtyMPWYGhHLw3ab8lkcrP9clcL4hoC0rUQAvD_BwE&gclsrc=aw.ds
– Porges, S.W., The polyvagal theory: neurophysiological foundations of emotions, attachment, communication, and self-regulation (Norton Series on Interpersonal Neurobiology). 2011: WW Norton & Company.
– Allen, J.G., Restoring mentalizing in attachment relationships: Treating trauma with plain old therapy. 2013, Washington: American Psychiatric Publishing
– Burke-Harris, N., The deepest well: Healing the effects of childhood advesity. 2018, Boston: Mariner Books Houghton Mifflin Harcourt.
– Lynch, J.M., et al., Beyond symptoms: Defining primary care mental health clinical assessment priorities, content and process. Social Science & Medicine, 2012. 74(2): p. 143-9. https://www.sciencedirect.com/science/article/abs/pii/S0277953611006320?via%3Dihub