TREATING TRAUMA FROM SEXUAL BETRAYAL WEEK 1: GROUP WELCOME AND INTRODUCTION

Transcription

1 TREATING TRAUMA FROM SEXUAL BETRAYAL WEEK 1: GROUP WELCOME AND INTRODUCTION Betrayal trauma is a condition that literally parallels PTSD (posttraumatic stress disorder). PTSD can occur anytime the mind attempts to process a traumatic event that surpasses the customary or natural human experience. When trust and safety are broken, the betrayed spouse naturally calls into question the bond they have with their partner, and the reaction is manifested in characteristics aligned with PTSD; namely depression, anxiety, flashbacks, recurrent nightmares, and avoidance of reminders of the event. OBJECTIVE The objectives of this week s group are to get to know the others in your group, help you understand yourself and what your trauma looks like, and review the treatment model for addressing trauma from sexual betrayal. COMPLETE: Welcome to Group Review a Model to Address Sexual Betrayal: The Essential Tools for Healing 2017, Addo Recovery, LLC 1 of 33 FEEL CONNECTED AGAIN

2 WELCOME TO GROUP Where are you from? What is something a lot of people don t know about you? What is the most fun thing you ve ever done? If you had an hour to yourself, what would you do? What do you hope to accomplish in this group? 2017, Addo Recovery, LLC 2 of 33 FEEL CONNECTED AGAIN

3 A MODEL TO ADDRESS SEXUAL BETRAYAL: THE ESSENTIAL TOOLS FOR HEALING CORE SOLUTION #1: SEEK GENUINE UNDERSTANDING AND CREATE A SAFE AND TRUSTING ENVIRONMENT CORE SOLUTION #2: INTERNAL EXPLORATION: RESOLVE DIFFICULT EMOTIONS AND HURTFUL BELIEFS CORE SOLUTION #3: CREATING A POSITIVE SUPPORT NETWORK WHILE REDUCING NEGATIVE INTERACTIONS CORE SOLUTION #4: STRENGTHENING YOUR INNER SELF COMPONENT #1 Model Compassion Explore new and old wounds (Key Life Events Inventory) Boundaries Self-trust COMPONENT #2 Understand client/ help them feel felt Identify triggers Establish close connections Self-care COMPONENT #3 Provide education and clear guidance Find core beliefs about self and others Build a support team Mindfulness/Yoga COMPONENT #4 Help client listen to their inner voice Process painful memories and difficult emotions Inner circle (identify who s where) Resiliency COMPONENT #5 Establish working goals to help client feel hope Treat PTSD symptoms Understand spiritual connections Create genuine happiness 2017, Addo Recovery, LLC 3 of 33 FEEL CONNECTED AGAIN

4 TREATING TRAUMA FROM SEXUAL BETRAYAL WEEK 2: EXPLORING NEW AND OLD WOUNDS Memories are the key not to the past, but to the future. CORRIE TEN BOOM OBJECTIVE The objective this week is to learn more of your story and background. Through a deep understanding of early life traumas, you will learn how your current relationship triggers add to your trauma. Our goal this week is that you leave with a deeper understanding about self, see the link between past and present, and gain a deeper appreciation for the feelings you are having. OOCW READ: Chapter One: The Creation of Post Traumatic Stress Chapter Two: Assessing Trauma from Sexual Betrayal Chapter Three: Adding Trauma to Trauma Chapter Four: Stuck in Fight, Flight or Freeze WATCH (LINK IS CASE SENSITIVE): Why Do I Feel like I m Going Crazy? bit.ly/addobt What, This is Normal? bit.ly/addobt 2017, Addo Recovery, LLC 4 of 33 FEEL CONNECTED AGAIN

5 COMPLETE: Key Life Events Timeline KEY LIFE EVENTS TIMELINE All of us have key life events that alter our lives for good or bad. In this assignment, your task is to identify the significant events that have changed your life. Take into account big events such as the death of a loved one, moving, your first sexual experiences, etc. Other things you might include: parents fighting or divorcing, a parent with mental health challenges or substance abuse problems, being bullied on a playground, difficult school or team experiences. Some of these events may have also happened in your adult years (e.g. Health problems, job loss, etc.). Don t think too much about it, just write down as many experiences as you can think of for the next few minutes. Once you are done, place your experience on the timeline. Once you are done, place your experiences on the timeline. 2017, Addo Recovery, LLC 5 of 33 FEEL CONNECTED AGAIN

6 EVENT AGE 2017, Addo Recovery, LLC 6 of 33 FEEL CONNECTED AGAIN

7 Now, place each of the events above on the timeline below: 2017, Addo Recovery, LLC 7 of 33 FEEL CONNECTED AGAIN

8 To finish, respond to the following prompt here or in your journal: Now that you have identified key life events from the past, what sticks out to you the most? Identify any common themes throughout the timeline as well as the events that had the biggest impact on your life. 2017, Addo Recovery, LLC 8 of 33 FEEL CONNECTED AGAIN

9 TREATING TRAUMA FROM SEXUAL BETRAYAL WEEK 3: DISCOVERY, THE PAINFUL BEGINNING When we share our stories, what it does is it opens up our hearts for other people to share their stories. And it gives us the sense that we are not alone on this journey. JANINE SHEPHERD OBJECTIVE The objective of this week is to understand how discovery influenced you and how your initial response may be part of unlocking your trauma. We will help you recognize the physical manifestations of your trauma in order to begin working on overcoming the symptoms. Our goal is that you leave with an understanding of the importance of how Discovery Day (D-Day) has influenced you. In addition, we want you to understand what healthy disclosures and unhealthy disclosures can do for your relationship. OOCW READ: Chapter Five: Discovery, the Painful Beginning WATCH (LINK IS CASE SENSITIVE): How to Make Sense of Your Trauma bit.ly/addobt COMPLETE: Appendix B: Sharing Your Story Appendix C: Support Resources for Couples Disclosures 2017, Addo Recovery, LLC 9 of 33 FEEL CONNECTED AGAIN

10 TREATING TRAUMA FROM SEXUAL BETRAYAL WEEK 4: THE SECRET TO HEALING IT STARTS WITH SAFETY When we share our stories, what it does is it opens up our hearts for other people to share their stories. And it gives us the sense that we are not alone on this journey. JANINE SHEPHERD OBJECTIVE If you don t feel safe, overcoming trauma will be difficult. In this week s group we will guide you in learning about the safety of your current environment. We hope that you leave this group with an increased understanding of the importance of safety in your healing. We also want you to begin establishing a plan so that you can create more safety in your life. OOCW READ: Chapter Six: The Secret to Healing It Starts with Safety WATCH: No video this week! COMPLETE: Page 84: List of Support Checklist Your Relationship with Others Finding a Safe, Calm Space 2017, Addo Recovery, LLC 10 of 33 FEEL CONNECTED AGAIN

11 YOUR RELATIONSHIP WITH OTHERS OVERVIEW In this lesson we will help you identify how open you are with others and help you create more meaningful relationships. INSTRUCTIONS On a scale from 1 to 10, with 10 being I already do this and 1 being I don t do this at all, how would you score yourself in these five areas? 1. Openness, 2. Honesty, 3. Integrity, 4. Faith & Hope, 5. Understanding of Love. Once you have the score written, create a game plan to improve each area. STEP #1 On a scale of 1-10, rate the following: EVENT RATE FROM 1-10 (10 = ALREADY DO IT) OPENNESS HONESTY INTEGRITY FAITH & HOPE UNDERSTANDING OF LOVE STEP #2 How am I going to improve in the areas that need improvement? 2017, Addo Recovery, LLC 11 of 33 FEEL CONNECTED AGAIN

12 STEP #3 What did you learn? 2017, Addo Recovery, LLC 12 of 33 FEEL CONNECTED AGAIN

13 FINDING A SAFE, CALM PLACE Only in a safe environment is it adaptive and appropriate to simultaneously inhibit defense systems and exhibit positive social engagement behavior. DR. STEPHEN PORGES INSTRUCTIONS Answer the following questions: Am I safe? 2017, Addo Recovery, LLC 13 of 33 FEEL CONNECTED AGAIN

14 Where am I safe? If I have a safe place, can I inhibit my defense systems and exhibit positive social engagement behavior? 2017, Addo Recovery, LLC 14 of 33 FEEL CONNECTED AGAIN

15 TREATING TRAUMA FROM SEXUAL BETRAYAL WEEK 5: GETTING UNSTUCK. LEARN TO TAKE ACTION. One starts an action simply because one must do something. T.S. ELLIOT OBJECTIVE In this week we will empower you to begin taking action so that you so don't stay in fight, flight, or freeze.. Our goal for this week is that you leave feeling confident in your ability to take control of your healing. OOCW READ: Chapter Seven: Getting Unstuck. Learn to take action. LISTEN (LINK IS CASE SENSITIVE): NEW LINK: Radio Interview of Dr. LeDoux bit.ly/drledoux COMPLETE: Appendix F: Questions to Prepare for Change Page 98: Answer questions found in Section Three, Prepare to Take Action. 2017, Addo Recovery, LLC 15 of 33 FEEL CONNECTED AGAIN

16 TREATING TRAUMA FROM SEXUAL BETRAYAL WEEK 6: SEXUAL BETRAYAL AND SEXUAL TRAUMA Boundaries are not something you set on another person. Boundaries are about yourself. HENRY CLOUD AND JOHN TOWNSEND OBJECTIVE In this week we will address if the trauma you are experiencing is potentially life threatening. We explore the difficult topic of sexual trauma within the relationship and the possibility of health related problems due to your spouse's behaviors (e.g. STD's, threatened violence). Our goal is to help you establish boundaries to help you feel more secure. After this class we want you to feel empowered so that you don't stay in the fight, flight, or freeze mode. OOCW READ: Chapter Eight: Sexual Betrayal and Sexual Trauma WATCH (LINK IS CASE SENSITIVE): Is this life threatening? bit.ly/addobt COMPLETE: Creating a Boundary 2017, Addo Recovery, LLC 16 of 33 FEEL CONNECTED AGAIN

17 CREATING A BOUNDARY OVERVIEW Setting boundaries is an essential skill in life, especially for people striving for recovery. Many grow up in dysfunctional homes, where boundaries were either too rigid (leading to suppressed emotions or distant relationships) or too enmeshed (depriving them of a sense of personal identity). Later in life, their interpersonal relationships may continue to be defined by old roles and patterns. Creating and setting boundaries will give you an opportunity to define your truths, values, motives and what you can control. With boundaries you can break old roles and patterns in order to live more freely. INSTRUCTIONS This assignment is pretty simple. Answer these five questions with complete honesty. Remember, honesty with self is key. 2017, Addo Recovery, LLC 17 of 33 FEEL CONNECTED AGAIN

18 QUESTION #1 What are my truths, rights and values? 2017, Addo Recovery, LLC 18 of 33 FEEL CONNECTED AGAIN

19 QUESTION #2 How are these truths, rights and values taken from me? 2017, Addo Recovery, LLC 19 of 33 FEEL CONNECTED AGAIN

20 QUESTION #3 What is in my control and what can I do? 2017, Addo Recovery, LLC 20 of 33 FEEL CONNECTED AGAIN

21 QUESTION #4 What are my motives? 2017, Addo Recovery, LLC 21 of 33 FEEL CONNECTED AGAIN

22 QUESTION #5 If I set and hold a boundary, what could be the consequences? What will I not want to face or feel? What fears do I have? 2017, Addo Recovery, LLC 22 of 33 FEEL CONNECTED AGAIN

23 TREATING TRAUMA FROM SEXUAL BETRAYAL WEEK 7: HEALING PAINFUL MEMORIES Ultimately, healing is an inside job. MARK WOLYNN OBJECTIVE With trauma, the mind is constantly replaying what happened. The purpose of this week is to help you break the pattern of reliving what has occurred. Our goal is for you to learn to slow down your mind and replace overwhelming thoughts with new thoughts of hope for the future. OOCW READ: Chapter Nine: Healing Painful Memories WATCH (LINK IS CASE SENSITIVE): I Keep Reliving It. How Do I Get it to Stop? bit.ly/addobt COMPLETE: Appendix H: The Five Whys 2017, Addo Recovery, LLC 23 of 33 FEEL CONNECTED AGAIN

24 TREATING TRAUMA FROM SEXUAL BETRAYAL WEEK 8: START LIVING AGAIN! STRATEGIES FOR FACING YOUR FEARS Persistent effortful avoidance of distressing trauma-related stimuli after the event. DSM-5 CRITERIA C FOR PTSD OBJECTIVE After the discovery of betrayal, avoidance of people, places, and activities that you used to enjoy is very common. Our focus this week is to help you develop new strategies to face your fears. Since trust in others has been lost, our goal is that you begin developing meaningful connections and safety with people close around you. OOCW READ: Chapter Ten: Start Living Again! Strategies for Facing Your Fears WATCH (LINK IS CASE SENSITIVE): I m Avoiding Life: How to Feel Alive Again bit.ly/addobt COMPLETE: Page 142: Complete the Section Avoidance: How We Hide Our Unmet Needs Page 144: Complete the Assignment Found on Page , Addo Recovery, LLC 24 of 33 FEEL CONNECTED AGAIN

25 TREATING TRAUMA FROM SEXUAL BETRAYAL WEEK 9: FACING NEGATIVE SELF-BELIEFS AND MENTAL HEALTH CHALLENGES If I was prettier, taller, thinner, or sexier, he wouldn t act out in the way he does. THE GREAT LIE OBJECTIVE In the DSM-5, Negative Mood and Cognitions was included as a criteria for PTSD. This week's focus is to identify the negative beliefs participants have adopted due to their spouse s behaviors. Since beliefs guide behaviors, our goal is to help you identify the beliefs that are holding you back (e.g. I m not enough) and replace them without positive alternatives. OOCW READ: Chapter 11: Facing Negative Self-Beliefs and Mental Health Challenges WATCH (LINK IS CASE SENSITIVE): It s My Fault, Right? How to Overcome the Great Lie bit.ly/addobt COMPLETE: How to Understand and Combat Negative Self-Talk 2017, Addo Recovery, LLC 25 of 33 FEEL CONNECTED AGAIN

26 HOW TO UNDERSTAND AND COMBAT NEGATIVE SELF-TALK If you often feel negative about yourself, you probably have negative self-talk tapes running through your mind. Why does this happen? It is most likely the beliefs that you have accepted about yourself. If indeed our beliefs are what guide negative self-talk, then it is important to understand your beliefs and attempt to alter the beliefs that are guiding your negative thought patterns. UNDERSTANDING YOUR BELIEFS Your beliefs are what guide you through life. You can think of your beliefs as a computer's operating system. When you boot up your computer the operating system tells you what to do and what to think. An operating system that has a lot of negative self-beliefs often sees self and possibly others in a negative light. Generally speaking, these negative self-beliefs come from somewhere. Sometimes they come from a current relationship where betrayal reactivates previous issues. At other times, unresolved issues from the past like neglect, hurt, betrayal, abandonment, or abuse are the driving force behind negative beliefs. Ultimately, whether it is current betrayal or negative experiences from the past, if you have negative self-beliefs, they are hurting you and will prevent you from finding what is good about you and others. SELF BELIEFS BELIEF FINISH THE STATEMENT OUTCOME OF YOUR BELIEF I feel I am In close relationships I People are I see myself as The statements above are just a few things that you have beliefs about. Other common beliefs that we have include: whether we are spiritual or not 2017, Addo Recovery, LLC 26 of 33 FEEL CONNECTED AGAIN

27 if we are worthy of love or not if we are smart or not if people like us or not if we are social or not if we can be successful or not Below you can journal about additional beliefs you have that are guiding your day to day life. If negative thoughts dominate your mind, it is critical to take time to understand your beliefs. One additional way to better understand your beliefs is to write them down as you think about them. Record what additional beliefs you have about yourself or others: 2017, Addo Recovery, LLC 27 of 33 FEEL CONNECTED AGAIN

28 TREATING TRAUMA FROM SEXUAL BETRAYAL WEEK 10: DISCOVER HOW TO REGULATE DIFFICULT EMOTIONS Sleep was elusive. I couldn t eat. Day and night my heart felt like it was going to jump out of my body. The slightest change in my husband s demeanor or would set me off. I felt like at any moment I would explode. ADDO CLIENT OBJECTIVE An inability to regulate difficult emotions can feel overwhelming. Hyperarousal, anxiety, hypervigilence, and suicidal ideation can be associated with sexual betrayal. The primary focus of this week is to help you understand emotional regulation. Our goal is for you to regain a sense of control over your life through the implementation of two specific methods for emotional regulation: yoga and meditation. OOCW READ: Chapter 12: Discover How to Regulate Difficult Emotions WATCH (LINK IS CASE SENSITIVE): Please Stop My Racing Mind: The Essentials of Slowing Down bit.ly/addobt OPTIONAL: Sleep bit.ly/addobt OPTIONAL: Exercise bit.ly/addobt OPTIONAL: Eating bit.ly/addobt OPTIONAL: Yoga (14 SESSIONS) bit.ly/addoyoga OPTIONAL: Mindfulness (8 SESSIONS) bit.ly/mindfulnessaddo 2017, Addo Recovery, LLC 28 of 33 FEEL CONNECTED AGAIN

29 COMPLETE: Journal Prompts JOURNAL PROMPTS Try and write for 10 minutes in your response to each question. What did I believe about myself before discovery? 2017, Addo Recovery, LLC 29 of 33 FEEL CONNECTED AGAIN

30 What do I believe about myself after discovery? 2017, Addo Recovery, LLC 30 of 33 FEEL CONNECTED AGAIN

31 TREATING TRAUMA FROM SEXUAL BETRAYAL WEEK 11: SELF-COMPASSION: A HALLMARK OF HEALING If we can find ourselves in the midst of suffering and acknowledge the depth of our struggle, the heart begins to soften automatically. We stop trying to feel better and instead discover sympathy for ourselves. We start caring for ourselves because we re suffering. CHRISTOPHER GERMER OBJECTIVE As we consider what really creates change, changing your negative self-beliefs has a tremendous impact! One of the most powerful ways for you to do this is to have compassion for self. This week we focus on helping you develop a deeper sense of compassion for self. Our goal is to arm you with strategies to assess your level of self-compassion and help you implement self-care. OOCW READ: Chapter 13: Self Compassion: A Hallmark of Healing WATCH (LINK IS CASE SENSITIVE): The Secret Sauce to Long-Term Healing bit.ly/addobt COMPLETE: Page 188: Complete Assessing Your Level of Self-Compassion Section 2017, Addo Recovery, LLC 31 of 33 FEEL CONNECTED AGAIN

32 TREATING TRAUMA FROM SEXUAL BETRAYAL WEEK 12: A CASE STUDY: FOUR KEY ELEMENTS TO HEALING New Patterns are hard to establish and old patterns are hard to break, but those who pay the price to create lasting change simply act no matter how difficult the journey may be. DR. KEVIN SKINNER OBJECTIVE As we conclude the foundational content of our group program, our goal is to help you prepare for the next steps. We will review what you have learned and teach you the last concept: self-trust. Our goal is that you leave with a realization of how far you have come and then help you look toward the future. OOCW READ: Chapter 14: Self Compassion: A Hallmark of Healing WATCH (LINK IS CASE SENSITIVE): Being the Real You bit.ly/addobt COMPLETE: Being the Real You 2017, Addo Recovery, LLC 32 of 33 FEEL CONNECTED AGAIN

33 BEING THE REAL YOU Watch Being the Real You (bit.ly/addobt) and write down your personal areas of selftrust you want to work on. Come prepared to discuss with the class. 2017, Addo Recovery, LLC 33 of 33 FEEL CONNECTED AGAIN